HomeMy WebLinkAbout2015-01130- doors .� CITY OF ORONO * 2 0 1 5 - 0 1 1 3 0 *
. 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2775 SILVER VIEW DR
PIN : 33-118-23-42-0010
LEGAL DESC : MEYER DAIRY ADDN
: LOT 001 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTMTY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,050.00
NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE)
REPLACINGFRONT ENTRY DOOR,CHANGING OPENING �
APPLICANT PERMIT FEE SCHEDULE 201.36
FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 4.53
1891 SANDBAR CIRCLE TOTAL 205.89
WACONIA,MN 55387 Pay�ent(s)
(612)229-8619 205.89
Minnesota State License#:BUIL-BC 438042 � o�� �� �1 �
OWNER
BRANDENBURG,CRAIG
2775 SILVER VIEW DR
LONG LAKE,MN 55356-
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 dces
not grant permission for additional or related work which requires sepazate
permiu. 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 date of issuance,or if consWction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �
-- --/�' 0 i � i
Applicant ermitee gnature Date Issued Signature Date
• City of Orono
Building Permit Application for Maintenance / Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXF'ANSION)
O Mailing Address: '�L��t;'
� �O PO Box 66 • Permit number. �— �'- l� 1 �
Crystal Bay, MN 55323-0066 �� Date received: L� J =�'1 `�
� � Street Address: C�" ��� �I'� Received by: �-��
yF G� 2 7 5 0 K e l l e y P a r k w a y A(�4(�-� P l a n r e v i e w f e e: (��(,��L C. � 1 ��� �
t,yk�sHo��, Orono, MN 55356 (� ��'
`�r� Total Fee: D�/�
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 sub itted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: 2��j St LVc2U��uv (�--
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
lf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name: ��ss EXTan,�o2s L,L.�.
State License# ��C c j 3�O�l 2 Expiration Date: 3 _� („ (�
Lead Certification Number: �-r- �� (g Z�} � � ( Expiration Date: �, _��. �G
(for work on homes that were constructed prior to 1978
Phone: (cell) ��2 Z2 F g� r� (office)
Mailing Address: /�.�� S<}Nn[3.42 C�r� City: Cc%Ac.;;�,�,� ZIP: SS3y�?
Contact Person: 7'�Q,r��� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: i�„�=��� �s EX T+�rt.io/1-S. �-�N-.
PROPERTY OWNER INFORMATION:
Name: ������Qg���
Phone (day):
Address: ���� City: ZIP:
Email and/or Fax:
t .� �,..,.
PROJECT INFORMATION: Overall project description: � ,t;1' '1� �� �,�� ` � �'�t� �"���
Type of Project: Any earth ovem nt 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(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
�Window(s) www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ � U,�� �-
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 of this information is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the inform tion,the a lication ma not be issued.
Applicant's Signature: Date: / --� --�s
Owner's Signature: Date:
Last Updated:January 2015
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: 2 �r� ��l ���'�w Permit No.:
Description of work: Date Rec'd:
Septic review by: Date Approved:
Zoning review by: ' Date Approved:
Building review by: Date Approved:____��//� l
r
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(?):
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 #of Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed The distance between the top of
START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the
the highest point of the roof. roof.
If you have a... If you have a...
GABLE OR HIPPED ROOF(no • no6windows):I S btDrac�h�alf
• windows): Subtract half the distance the distance between the
between the highest point of the roof highest point of the roof to
to the low point of the corcesponding the low point of the
SUBTRACTION gable or hipped roof corres ondin
p g gable or
(BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof
ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF
between the top of the highest ROOF TYPE) (with windows): Subtract
window and the highest point of the half the distance between
roof the top of the highest
window and the highest
. ALL OTHER ROOF TYPES(flat, point of the roof
mansard,etc):No subtraction. ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distance between the • (flat,mansard,etc):No
(BASED ON basemenUcrawl space floor and the subtraction.
EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top
GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing
EQUALS Defined building height EXISTING grade adjacent to the foundation.
GRADES
EQUALS Defined bullding height
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
0 Yes 0 No Permit Number: � Yes � No O N/A � Yes � No
0 N/A—see attached Setback:
Stormwater Quality Existing Hardcover Proposed
Overlay District (o/a and s� Hardcover Variance Required CUP Required
Tier circle one %and s
� Yes � No O Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Updated: January 2015
z:\forms\plan review checklist 2015.docx
REMARKS (in-house):
Fees to be Char ed YES NO
Permit �/
Plan Review
State Surcharge �
Investigation Fee L/
SAC—Number of SAC Units
Other(specify) �
S uare Foota e $ er S uare Foota e
Basement X = $
15�Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site � Plumbing � Grading/ Filling � Well
0 Silt Fence/ Erosion Control 0 Mechanical 0 Fire Electrical
� Hardcover Removal � Septic � Water Connection
0 Footing 0 Fireplace 0 Sewer Connection
0 Poured Wall � Masonry � Lawn Irrigation
� Foundation Survey 0 Mfg. 0 Landscaping
0 Foundation Waterproofing 0 Other(specify)
0 Radon Rock Bed
�Framing
�C Insulation
� As-Built Survey
Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by k°�•� Date Approved:_ O �� l�
Access: Existing�YES � NO New: 0 YES � NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2015
z:\forms\plan review checklist 2015.docx
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED �
PERMIT NO. ��5—D 1 I 30 COMPLEfED
ADDRESS �L� � �J S f I �F 2 l� �(�
OWNER TELEPHONE NO. ��3 ���7�/
CONTRACTOR ��-S �5�� •
� DESCRIPTION I ' � , n —
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI � ❑ EXCAV/GRADING/FILLING
�Q ❑ UNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W S BUILT-SURVEY ❑ SEWER FOUNDA I
_
v ❑ DEMO-SITE ❑ TIC INS LL �'
2 OWNERICONTRACTOR TO MEET YiOU: YES_ ^
y COMMENTS: ��
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W RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑ RRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 95 -46��
OwneHContractor on site:
Inspector:
White Copyllnapector'a File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.a��6 / � COMPLETED � l�
��-p�as� ��7�� S•/✓�r I/��� /Jr.
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR ��SS v��e�iufs
� DESCRIPTION �/��� �- �'�� ���'
t1� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v �FINAL ❑ WATER HOOK-UP �FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOMTIiACTOR TO MEET YiOU:_YES_NO
� COMMENTS: ��rw�•t lra✓cPe✓ �.�e� 7a c� !/ �� 4
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j �E..��s��. a.r�.v��.s ��r►'��,,/�t� — .��;n��-�:�
� ❑WORKSATiSFACTORY`.PROCEED ,�ECTCOMPLEfE
W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE Cd1/ERINd PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
Inspector. � � �' S�
White Copyllnspector's File Canary CopylSft�Notke