HomeMy WebLinkAbout2016-00370 - windows , CITY OF ORONO * Z 0 1 6 — 0 0 3 7�
, 2750 KELLEY PARKWAY DATE ISSUED: OMiS/2016
ORONO,MN 55356-
952)249-4600 FAX: (952)249-4616
ADDRESS : 2024 SHADYWOOD RD
PIN : 17-117-23-31-0011
LEGAL DESC : GUST S JOHNSONS ADDN
: LOT 004 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,100.00
NOTE: ADD SMGLE CASEMENT EGRESS&GAL.STEEL EGRESS WELL(SEE SITE PLAN)
APPLICANT PERMIT FEE SCHEDULE 92.89
STATE SURCHARGE(VALUATION) 1.05
EGRESS WINDOW GUY TOTAL 93.94
3410 KILMER LANE N Payment(s)
PLYMOUTH,MN 55441- CREDIT CARD 8831 93.94
(763)5442775
Minnesota State License#:BUIL-BC665399
OWNER
HIEFFER,JOHN&BENJAMIN
2024 SHADYWOOD RD
WAYZATA,,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized is not
commenced within I80 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 applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. ✓�
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Applicant Permitee Signature �� Date Issued By Signature Date
Gity of arono
Building Permit Appli�ation for Maintenance / Repla�ement ! Remodel - ���it���i���il Df��iY
�, ,, .,.�,,,,�.,4�.�U�,�
(i.e. windows, doors, siding, re-roof, etc. - NO STRUGTURA�. EXPAN310N)
Mailing Addr�sss: �
���� Pem,it number. Z C� - ' (�
PO Box 66
Crystal Bay,MN 55323-0�fi6 Date recelved� - / -
�
Streat Address.. Rece9ved by: .
� �� 2750 Kelley Psrkway Plan revlew fee: «
�l G Orono, MN 55358
q'�.SHO��
TaCa(Fee: G�`� C��
Maln� 952-249-4600 Fax= 952-249-461fi www.ci.orona.mn.us
This application form must pe completed In full and all required infqrmation must be submitted.
Incomplete�pplications will be returned. lease prinfJ. "
GEN�RAL INFORMATIOPI: ` �f.�Z%t���c� L3C�.' - .
Ja6 Site Address: ZOZ�I' .$�Ywoaol �o�
WIII thls be� P�rade of Homes, I�emodelers Showcase Home or other bispldy Home? Yes No
If yes,a spacla!event perrnit fs requirsd wdh Polrce Departm�nt and C12y Councf!appmval 6P days prior tn the event. Shuttle bus servlce wll!6e
requi�d unless applicant derrlonstratgs sufi5cient on-srte parking is availabla. Non-parmftted�vents will nof be aUoived.
CONTRACTOR/APPLICANT �NFQRMATIaN:
Name: y� ��w �
State License# �C�(,S",��tr Expiration Date: �( j
Lead Certification Number� ��r ��� ��'- � Expiration D�te: �.�J�
���-/��
(for►w�ork on homes that�v�ere constructed pr/or to 1978
Phone: (cefl) (7L3� y„sg -c�'3��.. (aifice) (7(,�) ,�y�-277,5
Mailing qddress: �,�; yvte.�' L /�/ City: � �� zIP: �5-�-
Contact Person: �y� (ZK���r Applicant is� ontractar / Homeowner �c�«�e one>
Email and/pr Fax:
PROpERTY pWNER INFQRMATION:
IVame: �tl✓� 9 �P i C 1r
Phone (day}: �6�2} S��},-a��
Address: ,Z02,�}- S�nd�./womc� �c� �` City. prsw, ��„ty�} ZIP: ����
Email and/or Fax: S k� . A. K�� �a y�;j .Gp�
.
PROJECT INFORMATIQN: Overafl praJecf descri tion: ; le C�fe►a�,tf�e r�SS ; �V. � e ►�u���, �S�SnI� �w�
Type of Project: Any edl'th movement may also require
❑Door(s) [1 Rem�de! ❑ FirB Damags MCWD revlew 8�permits:
❑ Re-roof, ss halt p � 9 Minnehaha Creek Watershed District(MCWD}
p ❑ Re air Storm bama e
15320 Minnetonka Blvd
�] Re-roaf, cedar ❑ Restoration ❑Water pamage Minnetonka,MN 55345
Re-roof,other 6 �Cj Phone: 952-471-0590
❑ { p fy) 0 Siding ❑�#her: (specify) Fax: 952-471-0682
�W indow(s) �nrrvw.minnehahacreek.ors�
Estimated Construction Valuation of ProJect(excluding land) $ 1 ,��0
APPL�CANT AGKNOWLEDGEMENT:
� Agrees to provlde all(nfarmation requi�sd or requested by the 6uilding Department;
• Certifies that the information suppl{ed Es true and correck bo the best of his/her knowledge. The applicant recognizes fhat they are
solely responsible for submitting a complate applica#ion being aware that upon fallure to do so, the stafF has no alternatfve but to
reject it un61 it is complete;
• Some or all of the information that you are,asked to provide ❑n this application is classified by State law as either private or
confidential. Privake data is informafion which generally ca�nnot be given to tha public but can be glven to the subject of the data.
Cvnfidential data is information which generaEly cannat be given to eith�r the public or the subject of the dafa_ Our purpose and
intended use of this information is to annually update nur records and records �f other governmental agencies required by law_ If
au r�fuse to su I the inform tion the ation ma nvt be issued.
Applicant's Signature: D�te: ��3�I� ,,,,
Owner's Signature: Date:
Last Updafed:January 2016 ���� � ��,/ ��l'
��r% t t-'� � (
, PLAN REVIEW CHEC.KLIST FOR NEW STRUCTURES / ADDITIONS
� Address: ����,'�' ,��?Cc c.�}c" JNUCS�(� Permit No.:
Description of work: Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
,
Building review by: � Date Approved: � f�
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: O Yes � No Date of Survey: Revised date(?):
Landscape plan submitted? � Yes 0 No Landscaper:
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% = L.F. below grade
Basement? � Yes � No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade—
START WITH floor(of the basement or crawl space)and measure from hiphest existinp
the highest point of the roof. rp ade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to the
ROOF TYPE) between the highest point of the roof hi hest point of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distance ROOF TYPE) the distance between the
highest point of the roof to
between the top of the highest the low point of the
window and the highest point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Shoreland District MCWD Permit Average Lakeshore Setback g�uff�
Met?
Permit Number: � Yes 0 No � N/A � Yes �
� Yes 0 No No
� N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circie one % and sf (% and sf
0 Yes 0 No 0 Yes � No
1 2 3 4 5 Type(s): Type(s):
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC— Number of SAC Units
Other(specify)
Square Footage $ per Square Footage `
Basement X = $ '
15t Floor X = $
2�d FIoOP X = $
Garage X = $
f j� �
Estimated Construction Value: $ �i l�V
��
Orono Inspections Required Work Requiring Separate Permits
� Footing � Site 0 Plumbing ❑ Grading/Filling
0 Poured Wall � Silt Fence/Erosion Control ❑ Mechanical 0 Fire
� Foundation Survey � Hardcover Removal 0 Septic ❑ Water Connection
❑ Foundation Waterproofing � Other(specify) ❑ Fireplace ❑ Sewer Connection
�Framing 0 Masonry � Lawn Irrigation
Insulation � Mfg. ❑ Landscaping
0 As-Built Survey 0 Other(specify)
Final
� Lathe Required State Permits
� Other(specify)
� Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
� See Builder Acknowledgement Form
0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
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Egress Window 6uy � 3410 Kllmer Lane North � Plymouth, MN BS441
Office: 763-54427T5 � Fax: 95�-843-5674 � info@egresswindowguy.cam
Llcenssd $� Insured #BC66S399
�� DATE TIME
CITY OF ORONO cnLLED IN ������ _`i�
INSPECTION N TICE SCHEDULEO
PERMIT NO. �COMPLETED
ADDRESS o�L�a �{ ��G (,t ��
OWNER TELEPHONE NO �8���
CONTRACTOR � �
� DESCRIPTION � . ,,.P
� ❑ FOOTING ❑ DEMO-FINAL��r' ❑ SEPTIC FINAL ``i
Q ❑ POURED WALL ❑ PLUMBING RI � �/�p� ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL���" TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ���� SITE INSPECTION
Q �,FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPIAINT
v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑�AS BUILT-SURVEY ❑ SEW R HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ E IC INSTALL
2 ONfNERICONTRACTOR TO MEET Y�OU: ES_1�
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� ❑WORK SATISFACTORY:PROCEED �T COMPLETE
W ❑CORRECT W'ORK 8 PROCEED �0 ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OMrnedContractor on site•
Inspector: �
White CopyAnspecto�'s File Cenary CopYlSite Notk:e