HomeMy WebLinkAbout2018-00245 - windows '� ' CITY OF ORONO * 2 0 1 8 - 0 0 2 4 5 *
2750 KELLEY PARKWAY DATE ISSUED: 03/09/2018
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2160 SIXTH AVE N
PIN : 27-118-23-31-0017
LEGAL DESC : PHILLIPS WOODLAND TERRACE
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTMTY : 434-RESIDENTIAL
VALUATION : $ 5,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
(3)WINDOWS
APPLICANT PERMIT FEE SCHEDULE 123.87
TYLER,WILLIAM PLAN REVIEW 80.52
2160 SIXTH AVE N STATE SURCHARGE(VALUATION) 2.50
LONG LAKE,MN 55356- TOTAL 206.89
Payment(s)
CASH 2O6.89
OWNER
TYLER,WILLIAM
2160 SIXTH AVE N
LONG LAKE,MN 55356-
AGREEMENT AND SWORI�i 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 separate
permits. All provisions of laws and ordinances governing this rype of work
shall be compied with whether or not specified hereia This permit will
expire and become null and void if consWction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 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.
����_.-- __._--�-----�--� p 3 oa �01 g � � � �
Ap cant Permitee Signature ate Issue y Signature Date
City of C}rono
Baflding Rermit Appiication for Maintenance/Reptac�mean#1 Remodei— �� t�l."�
(l.e. wincic�ws, dc�rs,�dln�,t�r�-rcaof,�tc.--�#t3 S't'�t3CTURAI.�X�J�IJ�tt�N}
Ma�lfng Aa�lre�s: P�mit nurr�er. a ��
���� c��i B,ann►s�szs-caoss oa�e r�ei,rea: —5 �
Srreer AckMess: ���:
� �` 2750 Ke�r RBrIc�Y Pian review fee:
`� � Orono,MN 5535B
t'��FSHo�� Total�ee: c�,l.��.� �
Main: 952-249-�#B00 Fe�c 952-249-4618 ,�,, ,mn.us
This application form must be campketed in full a�d all�ec�uired i�form2��n must be submi#fied.
incomi�ts aPPlMatior�s wiit be retumed. (Pte��e prinr)
GENERAL�VFORMATION:
Job Site Address: 'Z � C�O (� �� •�UG' N C9 ro'�++�o N't S����
WIl1 this I�e a Rarade af Nomes,Hemt�delers Showcase N�ne or a�ther Dis�tay Hama? Yes No
If yea,a eve,�p�t�►eq�red w�Fr� �d c�y cor�nat epp�av�t 8o a�ys pr►a to ure eue�. Stxd�e txls eervace w�be
requirad ur�ess a�d�rN t�sullk�e►►t a+-srte pavktng�mr . Nan eve�w!�rlot 6e aN�w+aol.
CONTRACTOR/APP�IGAMT INF��ItAT{ON:
Natne: t.,v..�\�cy..w-� �(`'"Y `�c'"
State License# Eacpiret�t�Date:
Lead Cert'�"ic�ian Number: E�irati�n Date:
{rar wvo�t on norrrs�atar«rero con�rru4�rcr odor ro t978
Pno►�: ��t�> �,t z.- Yr� - �s- go t�"�)
AAailing Add�ess: 2.t{�p � r„3+ ,q�,� N CityY: b�oN..c� Z[P; �S 35�
Corrtact Pet�son: '���l i y i-r t"" APpltcant is: Contr�dor / tc�ony
Email andlor Fax: �-,,1� e b► 1� "'�.,y ��r. c o�`^
PRQPERFY t}WNER INFORMIITION:
Name: S A � 1� �tt -`T�► �cr
Rh�'te�(da�r): �,z t Z. - x,� - :�� �f.`�
Addr�ss: '�,_1 L�C? E� T-� /� v� 1�.) ��hr• �f l3d?G� ZIF': S.S�.��
Email and/or F�x: �n i 1\ � �.\t '"T�+ t C'f , �� r-�
PROJECT INFORMA�ON: �verall r ' descxi ion:
Typs af Project: Any earEt�mavemeM may slso roquiro
O�oor(s) C]Rernoael ❑Fire oen,� �icwD rovi�w�c permtu:
❑Re-�oof,asphaft ❑Repair ❑Storm D�n�e Minnehaha Creek Watetshed D�trict{MCWD)
15320 Minnetonka Bivd
❑Re-roof,ced� ❑Restaratiar► ❑Water pam�e Minnetonka,MN 55345
❑Re-roof,otner t�c�ty) ❑s�din� ❑ott�sr:tspec�y? �s: �s2-a7�-45so
Fax: 952-�7i-0682
��,,Windowts} v�rrw.minnehah� .cx+�
Estlmatad Construction Vatuation ot Project(e�ccludirtg I�c� � �'c�vo, o
APPLiCANT ACKNOWLEDGEMENT:
• Agfees t�prov�e atl inf�►madon required w roquest�by the BudiMing Qepartrne�t;
• Certifles that�re iMormadon supplied Is true and cocrect to tt�e best af h�r . The ap{�icar�t re�gnizea�at they are
sd�y r�ponsible for sutxnitting a cwr►p�te a�lication being aware thst upon fa�lure to��.the ataff h�no alternativ� but ta
reject it until it is compiete;
• Sorne or all of#he informatian that you are asked to provide ai tl� a�lication is classif�! by State lav++ as either p�ivate or
co�f�ential. Private data is i�rmatian v+A�icfi generatly cannot be piven�the pubi�but can be g�r�to the subject of th+e dat�.
Confidential data �infonnation wt�ic��ne�{ly canr�t be given to etther d�public or the subject af the data. Our purpose and
intended use Qf this in�rmation is to anrxtaAy updat�our recsards end reconds a#od�r'gov�ammer►ta!agenci�raquired by iaw. If
ai refuse to s tlie in ation a lication m� r�t�i�sued.
Appticant"s Signature: , � t)ate: � "�' �� RECEIV��
�` ;.��'""��' �: � ... ,�---r�'
t7wner's Signature: .- _ •••" " ` z01� '
Last Upd�ted:January 2018
CITY OF ORONO
' PLAN REVIEW CHE�LIST FOR NEW STRUCTURES / ADDITIONS
Address: � ��� � ��� Permit No.: ���¢' lQ0���j
Description of work: _�n l�',c �i �j�/`; � d G�(,t/ Date Rec'd: � �
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: � Date Approved: �
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: /AC Width: Lot Coverage: SF %
Survey Submitted: � Yes 0 No Date of Survey: Revised date(?):
Landscape plan submitted? 0 Ye � 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) = 5Q%= 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 W ITH floor(of the basement or crawl space)and measure from hiqhest existing
the highest point of the roof. START WITH rade to the highest point of the
roof even if fill was brought in to
If you have a...
elevate home.
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 oint of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof • GABLE OR HIPPED ROOF
SUBTRACTION (no windows): Subtract half
• GABLE OR HIPPED ROOF(with (BASED ON
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
wi�dow 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 fee,t(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building,fieight subtraction.
/ Defined building height
EQ LS
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 0 N/A � Yes 0
0 Yes � No 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
� Yes 0 No � Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Permit
Plan Review
State Surcharge
Investigation Fee �
SAC—Number of SAC Units
Other(specify) (/-
Square Foota e a per S uare Foota e
Basement X = $
1 S' Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ .J, �����
Orono Inspections Required Work Requiring Separate Permits
0 Footing 0 Site � Plumbing 0 Grading/Filling
0 Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
� Foundation Survey 0 Hardcover Removal � Septic � Water Connection
� Foundation Waterproofing 0 Other(specify) � Fireplace � Sewer Connection
raming 0 Masonry � Lawn Irrigation
�Insulation � Mfg. � Landscaping
0 As-Built Survey � Other(specify)
Final
O Lathe Required State Permits
0 Other(specify)
� Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED:
0 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
� �•\fnrmc\nlan rovia�ei rhor4lief 1(1_9MF rin�v
. - • RECEIVED
� MAK U 5 2U18
� , c�N oF oRONo
a
� � ;
M � �
�
�; �. _
�� � '.- .�..._.
�� � ?.,. O � �
� - �. ; � r
v J .. V �
� �, °s_ � 3
s � ;�� � � �
ec � � ,
3 ` '� �. °' .; � �
� � � � . �
� a ._
N d � � �
� �
� � � �
. �,; „� __.�.��_���._.�__.��..._._.w,.��__.__
� �" �:::�
� �
� � � � �
�
�J � �
^ , S,
L� ��
f'(�S'�iar� f
� �J
r�_ � � !�� �
_ _�-�� .� ,�� �; �I��
�� �'� �� �,
�:
�' - '�
.
�� �
.� .�� � , ,
t�'���a� � � � '`
`j;�j ;9 i F F tf'.�, 'd��� .
�4: «
<.. ,� - �. -
s^'�m .
�� � x � �a��j� >� � X+ f s�'g a s .� .
.
� '
�$��� � � � � � }
� ��. ` ,
� . �� .�
�i ' � , '�
, h� �. �,
- �„ .� �
� , �, . � � � ��f���*��'�`; ,.
��, �
.�,' �. k� � � : � � h ,�a a �, �
. A 6; � '�, � � .�. eW:.y,�`�4+ g, �,�� .
� �t �� � � x �L f� J� � Y� +PF
. �
� . �, �
. `}g � � �� ,���'� ;� � � �
,i ��N�� �k
�� { � �' ,��*k'� ' `�
���.C.."w�'�a .. . . .!�. � .�:.
� � �'r„ ' , ,� r�.5`�,� & e.k'a+'� z .*.
,n. �^"i' � e z 7�aS *S�4 � �z,� g;�+ +�§. � �p�.
� � ,�fi � '� ,� ,�, � �'-
'-�q'�. "4 � �p �+� 'x +��„�
� �"k+Y',� Mr.im .. ,��.i _ .e>s _ #,�tR�'taws'0 � '��.L�?° t�'�
� R. 3
..
^.er' .+'..'.
«)�1�,
wi��. e � �
..`�'� �� � ���� *"..
. ..�����.' `��!.
T� f �
• . _ .� �''ti Y _� .. , .0 �� K. �� f .
, .. '.S�_ .r�� . . _ . .�'�:� �,,.au..s�._ .... _ .'�c;?.
�
\ DAT TIME
CITY F ORONO CALLED IN � �
INSPECTION f�f�� SCHEDULED
PERMIT NO. v_ MPLEfED
ADDRESS �
OWNER —^ r TELEPHONE NO. �/�– �'75�1 D
CONTRACTOR
� DESCRIPTION � rn rI-I
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q��FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
❑ DEMO-SITE ❑ S TIC INSTALL
J OWN NTfiACTOR TO MEET Y�ES_NO
� COMMENTS: p� j1et� j�1��/G��S �
� � /��cJ I!�i•� /�E��r - D�/ �/�s� —
� — / i.�, t, � � —
o _
�' � /r1 G[L• r�fi✓r�oa D� •d• DUe✓ � • / .
¢
�orr .i- 6 �s Cb,�,ab��r�io
W
� .
Q
� I'� �l�?c�rc«G tJo�� �•�c vU��
W
�
W
�
j
W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� �AORRECTINORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑(�RRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 br the next inspection 2a hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector.�/� �
White CapyMnspector's Flk Cenary CopylSNa NWkx