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Home My WebLink About2012-00382 - addn/remodel/repair . � CITY OF ORONO * z 0 1 2 - 0 0 3 B z * 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2865 LITTLE ORCHARD WAY PIN : 09-117-23-21-0010 LEGAL DESC : LITTLE ORCHARD : LOT 004 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 7,500.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) LOWER LEVEL BATHROOM REMODEL APPLICANT pERMIT FEE SCHEDULE 162.25 JOHN KRAEMER&SONS,INC. PLAN REVIEW 105.46 4906 LINCOLN DR. STATE SURCHARGE VALUATION 3.75 EDINA,MN 55436- � � (952)935-9100 MISC FEE 0.00 Minnesota State License#:BC001408 TOTAL 271.46 OWNER HOLMES,MARY 2865 LITTLE ORCHARD WAY WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applic t is esponsible for assuring all required inspections are quested i ormance with the Sta[e Building Code.This permit may be vo due cause. '"'" � �S � ZO�2 d� /�I �� Applicant Permitee Signature Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. C�t,c�Pc� .S'-�� -/�-- City of Orono C� � �"�'�� Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: a O/o? --O 0.3�' �,�,�.� PO Box 66 Permit number: 0 :,\ Q Crystal Bay, MN 55323-0066 Date received: �'�—��-- � ' � Received by: ,� �� t�;�-:� �, SfreetAddress: �'.�,r�,� '� Gti 2750 Kelley Parkway Plan review fee: .y �g.� Orono, MN 55356 kESK� —'_�" Total Fee: a 7! • �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: .� o tI 1 ` Job Site Address: �Ob✓r L1'('��G �cLhs�cT Wa'' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servi will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: '�CF�r KCI�LP1t/ State License# � �p1�{Q Expiration Date: `�j-3I'13 Lead Certification Number: Expiration Date: b� (for work on homes that were constructed prior to 1978 Phone: �,sZ-9,�'G- Ia� (ottice) 6lZ-�`tl0- ?�79�/ (ce��) Mailing Address: 90b (M�e�s Qrl✓�- City: � ��. ZIP: �$S•( (, Contact Person: �� (�p,�Iti,e/ Applicant is: ntrac r Homeowner (Circle One) Email and/or Fax: ��„�� !S"L� Q�k� �Ons•�d^'� PROPERTY OWNER INFORMATION: Name: � (,Ir►t,,s Phone (day): �j' _t{ 6— g q Address: +LS 6S � � p� , Way City: (��0�1b ziP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ( ) �Remodel ❑ Fire Damage MCWD review&permits: ❑ Door s Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: i.�c! V � Mrr� � Estimated Construction Valuation of Project(excluding land) $ "�,�00 APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use this information is to annually update our records and records of other governmental agencies re uired b law. If ou refu to I the information,the a lication ma not be issued. ApplicanYs Signature: Date: J�' ��" �Z Last Updated: 08-09-2011 �'�� r�e� ��ec��s� fo� �ev� S�r�cfur�s / �c��@��s Address/PID/Legal: _ p�� . �-� � e �j ('� �,.� �, !cl (�*-�.�i Description of work: �'/L�-�';� r f� � -�--'�,, "�Q��Q � Septic review by: Date Approved: Zoning revievd by: Date Approved: , Building ceview by: w Date Approved•_ `��- ( t— (� Grading review by: Date Approved: Zoning File#: Resolution#: � Resolutian Date: Zonin District Fire De artment Post Office Schaol District : Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: 0 Yes Q No Date of Swrvey: Pro osed Setbacks: front(Lake) Rear(Streeti) ( N � � W ); ( N S E W ) Other$uildings Wetland Side: Side Building Defined Heigt�t: Buildirhg Peak Height: . #of Stories Ok?: C! YES FOR A BUILDING WITH A.BASEMENT OR CRAWL SPACE; � �OR A BUlLDiNG ON A SUkB FOUNDATiON: � START WITH the distance beiween the basement floorl t�rawl START ' t#�e distance between the slab and the highe: space floor and the highest roof peak,the top of WITH coo#peak,the top of the comice of a flat roof, the comice of a flat roo#,the deck litte of a: the decfic line af a rnansard roof,or�he � mar�sard roof,or tMe uppermost point on a tound uppermost point on a round oc other arch-typ or other arch- ropf roof SUBTRACT half the distanee between the h�ghest window and . SUBTRACT half tMe distance betw�n the highest windov� hi hest roof eak of a ched roof and hi est roof`e�k o#� itGhed roof SUBTRACT the distance betw�en the basement floor!c#�awl ADD the distance betwee�?Jie slab and tHe higheF space floor and t�e highest ezistirig grade�hfn existirl tade.w�thin.t�he fo�ntlatipn tt�e foundation or 10 feet,which�ver is less� EQUALS Defin�d tiiiitdin h�i ht EQtJALS D+efined buildin h ` ht - - � � . �at Coverage: �f - a�o , Shoreiand Distrtct MCWi�'Permit Recehred Avera e Lakeshore Settia�k ` Bluff ` t3 Yes G No N/A � D Yes . � No � Ct Yes fl No ` � Yes , i7 No 13 N/A � Pem�it Nurr�ber: _ i S�tback' ; Hardcoyer�ones Existin Pro ed Vari�r�c� I�e uited: �U Re uir�d 0-75' . ; i7 Yes G No � Yes i� No . � 75 250' ` , Typ��s): Ty�e�sa; ; 250-500' , 500-1000' _ , � REMARKS (in-house): Updated: 09/11/2009 z:lformslplan review chedclist.doac Fees to E�e Char ed YES NO Permrt Pian Revie�v Stafie Sttrch�rg� � investigation Fee SA�—lN�r�ber Df S�►C Unit� ; Sewer Connection °�liia#er C��r�ecxton . Park Fee �te lr��aecfi�on . Other(specify) _ filiisceilaneous Fees . Calculated By: S uare Foota e $ er S uare �oota e Basement X = $ 1�Floor X = $ 2"d Floor X = $ Garage X = � Estimated Construction Value: $ ��")�d.D p Orono Inspeations Required Work Requiring Separate Permits Requir+ed State Perm�ts � Site ,�Plumbing C] Gratling/Filling � Well G Hardcover Removal �'Mechanical a Fire J�`Electncal � �ooting � Septic G WaterConnection C! Pouced Wall G Fireplace 17 Sewer Connection G Foundation Survey � Masonry C! Lawn Irrigation "C7 on Rock Bed t3 Mfg. Framing 0 Other(specify) 0 Insulation � -Bui1#Survey Final Q Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: CS YES G NO New: Ci YES � NO REMARKS(TO BE NOTED ON PERMtT A�ID INITIALLED BY PERS�N PULLING PERMIT) Updated: 09111/2009 z:\forms�plan review checklist.doac