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Home My WebLink About2017-01533 - Windows � ,� CITY OF ORONO * 2 0 1 7 - PJ 1 5 3 3 * 2750 KELLEY PARKWAY DATE ISSUED: 12/06/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1432 SHORELINE DR ' PIN : 11-117-23-22-0014 LEGAL DESC : UNPLATTED 11 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 800.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) ADD 2 WINDOWS APPLICANT PERMIT FEE SCHEDULE 36.48 PLAN REVIEW 23.71 JOHNSON,MATTHEW&SUSANNE STATE SURCHARGE(VALUATION) 0.40 1432 SHORELINE DR WAYZATA, MN 55391- TOTAL 60.59 Payment(s) CASH 60.59 OWNER JOHNSON,MATTHEW&SUSANNE 1432 SHORELINE DR 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 Ihe work described and does 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 authorized is not commenced within 180 days of the da[e 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 reques[ed i conf ance with the State Building Code.This permit may be revo at a i e for due cause. - �� i � Applicant Permitee Signature Date! � Issued By ature Date City of Orono Building Permit Application for Maintenance/Replacement/Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: 1 �0� PO Box 66 Crystal Bay,MN 55323-0066 Date received: —�A�/� Street Address: Received by: � G� 2750 Kelley Parkway Plan review fee: `� Orono,MN 55356 ��kssHo��' �Wo'�" � Total Fee: 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 appllcations will be returned. (Please print)/��y�,yd� —�y�� GENERAL INFORMATION: ,L � Job Site Address: �'L s1TviQ�G,�i✓E �Q lil//��i9� �/1/ 5�.�� Wfll thls be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes If yes,a special event permit is required with Police Department and City Council approval 60 days prior fo the event. Shuttle bus seiw will be required un/ess applicant demonstrafes suf/icient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICAN INFORMA N: Name: /(/�.q�f I' �bfy+'d'a.�/ State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that rr�neere constructed prior io 1978 Phone: (cell) �p/� �O/ 7S'Sr0 (office) MailingAddress: /y32 S' �%�.e J1 �e City: /� l,y �tP�neZIP: �,S3q/ Contact Person: Applicant is: Contrac or / eowner �c�roia o�e> Email and/or Fax: yJ,gjy:_ �0 �Sd� . �h � 9'!�4'i� !%ei'L�. PROPERTY OWNER INFORMAT ON: Name: /�/�k� ��•?,S a s-, Phone(day): �/L�D/ 7s'�-o Address: / L .�' � �� .c City: � �D,rro ZIP: S�3!�/ Email and/or Fax: �itR p hSd� . ��J "„�, . �!v..� PROJECT INFORMATION: Overall pro'ect description: Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑ Fire Damage MCWD review&permits: ❑Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 ❑ Re-roof,other(speclty) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 �-Vhindow(s) ,,� Z www.minnehahacreek.ora Estlmated Construction Valuatlon of Project(excluding land) $ �"v�• d� 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 generatly cannot be given to either the public or the subject of the data. Our purpose and intended use of t ' ' ion is to nually update our records and records of other governmental agencies required by law. If ou refuse t I the i n, e a IicaUon ma not be issued. <� Z0// "7 ApplicanYs Signatur : Date: Owner's Signature: Date: �� 7 Last Updated:January 2016 . .� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: 1 Y' �C�, `��[��/►Qi l�� FI(i��J Permit No.: ��r�� C�✓� Description of work: � "(/ /1 Date Rec'd: C Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: Z � � Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes � No Date of Survey: Revised date � : Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side ide Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = L.F. below grade Basement? 0 Yes � No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the I est propo d Slab at or above grade— START WITH floor(of the basement or awl space)an measure from hiqhest existinq the highest point of the r of. START WITH r9—ade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE O IPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) betwee he highest point of the roof hi hest oint of the roof. to the I w point of the corresponding If you have a... gable r hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • G LE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half the distance between the w' dows): Subtract half the distance ROOF TYPE) highest point of the roof to etween the top of the highest the low point of the window and the highest point of the corresponding gable or roof 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 ... . . - .,� r Shoreland District MCWD Permit Average Lakeshore Setback g�uff . Met? � Yes � No Permit Number: 0 Yes � No � N/A � Ye No � 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf 0 Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Perm it Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Foota e $ per Square Footage Basement X = $ 1 S� Floor X = $ 2nd Floo� X = $ Garage X = $ /� _j Estimated Construction Value: � (�l% Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site � Plumbing � Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control � Mechanical 0 Fire � Foundation Survey � Hardcover Removal 0 Septic � Water Connection 0 Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection Framing � Masonry 0 Lawn Irrigation Insulation 0 Mfg. O Landscaping � As-Built Survey � Other(specify) Final 0 Lathe Required State Permits 0 Other(specify) 0 Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan rovio�ni rharklie4 1f1_9MF rinrv