Loading...
HomeMy WebLinkAbout2013 - 01278 - windows • CITY OF ORONO II 1111110 11111 II 11111 I( * 2013 - 01278 * 2750 KELLEY PARKWAY DATE ISSUED: 12/11/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2060 WEBBER HILLS RD PIN : 03-117-23-34-0015 LEGAL DESC : WEBBER HILLS : LOT 008 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 35,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) REPLACE WINDOWS AND REMODEL BATHROOM AND KITCHEN APPLICANT PERMIT FEE SCHEDULE 520.50 STATE SURCHARGE(VALUATION) 17.50 ANDERSON,JASON&JAMIE 2060 WEBBER HILLS RD TOTAL 538.00 WAYZATA, MN 55391- Payment(s) CHECK 8450 538.00 OWNER ANDERSON,JASON&JAMIE 2060 WEBBER HILLS RD 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 separate 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 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. / — /2_ / ll / ) Applicant Permitee Signature Date Iss � By Signature Date City of Orono /2_4043 Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �Ox Mailing Address: Permit number: 1�( PO Box 66 Crystal Bay,MN 55323-0066 Date received: /2-/0713 Street Address: Received by: r�i 0. SF 2750 Kelley Parkway Plan review fee: /JA- t 'YFOrono,MN 55356 ��� � S H�4' 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 applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: -0 e fhij f-/,-// Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes 0 No if 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: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 7(„3-- -070 00 (office) Mailing Address: o © �,.)c c 2 -� \l t City: (A.).l,yZ�A? 5-5 3 t Contact Person: -� ti3 A cX<%bio A-) Applicant is: Contractor /Cidg eowner) (circ.on.) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: '�. 5 N A 5 Phone(day): '74)3 Iry 3 Qv Address: ;� L,C) l;-1 e.} r 1-Fk It 10k City:Lvk-YZA TA- ZIP: 5`-5 3 1/ Email and/or Fax: / (/ /n1 ` gtg/fit' LC , ��.. I..l. ..J:�� . PROJECT INFORMATION: Overall project description: tC 1 e.226 LA:I/ - 4-u D Type of Project: Any earth movement may also require ❑ Door(s) (21 Remodel 0 Fire Damage MCWD review&permits: ❑ Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration 0 Water Damage Deephaven, MN 55391 ❑Re-roof,other(specify) 0 Siding Other:(specify) Phone: 952-471-0590 r Fax: 952-471-0682 ErWindow(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �3 5 QQcQ 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 you refuse to supply the information,the application not be issued. Applicant's Signature: bf(� Date: ' 'L — (; .- / 3 Owner's Signature: , l Date: / L-- c I Last Updated.03/06/2013 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 2_1)6 0 L (3j l;214 1 LL I`5 n-6 A-4 Description of work: IC. 1 T Com 'c1-- g 4-3.--1't S ,a-��--y-v.->✓) e L Septic review by: .ice 1V4 Date Approved: Zoning review by: AI I- Date Approved: IVBuilding review by: issL ' / Date Approved: (2-—9 Grading review by: GU A Date Approved: Zoning ' trict: Zoning File#: Reso#: Reso D te: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Sub 'tied: ❑Yes ❑ No Date of Survey: --vised date(?): Proposed Setb• ks: 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% = #of Stories Ok? ❑ YES FOR A BUILDING WITH A BASEMENT OR CRA SPACE: The distance betwee the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the asement• crawl space)and the highest point o e roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPP-0 RO•[ o • GABLE OR HIPPED ROOF(no windows): Sub ct= half the windows): Subtract half the distance distance betw--n the highest int between the highest point of the roof of the roof t• he low point of thee\ to the low point of the corresponding SUBTRACTION correspo sing gable or hipped roof\ SUBTRACTION gable or hipped roof (BASED ON ROOF • GABL- OR HIPPED ROOF(with \ (BASED ON • GABLE OR HIPPED ROOF(with TYPE) win. s): Subtract half the \ ROOF TYPE) windows): Subtract half the distance di -nce between the top of the between the top of the highest •ghest window and the highest \ window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the \ (BASED ON and the highest existing grade adjacent to (BASED ON EXIST G basement/crawl space floor and the ,�\\ EXISTING the foundation. GRADES) highest existing grade adjacent to the \ GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff ❑ Yes ❑ No ❑ N/A1:1Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 0 N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover ❑ Yes ❑ No ❑ Yes ❑ No Type(s): Type(s): Updated: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO `:Permit t; Plan Review State,'Surcharge � Investigation Fee SAC 'Num"ber of.SAC Units , Other(specify) Square Footage $per Square Footage ti Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 3.5;000 Orono Inspections Required Work Requiring Separate Permits Required State Permits D Site 'Plumbing D Grading/ Filling D Well D Hardcover Removal AfISSileptic echanical D Fire -Electrical D Footing D Water Connection D Poured Wall Fireplace D Sewer Connection D Foundation Survey D Masonry D Lawn Irrigation D Radon Rock Bed D Mfg. D Framing D Other(specify) D Insulation D As-Built Survey Final D Wetland Buffer D Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: D YES D NO New: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx / DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. .2O43-6/a27SS COMPLETED Ayja/le ADDRESS 0206o kva4.2/ Ails PS. OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION k/sivGua) keroi. 4,1 0 FOOTING CI PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ' ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION • 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 66•EINAL 0 SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE CISEPTIC MAINT ,i OLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v CIPLUMBING RI CISEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO (o/) COMMENTS: �r w►.e Ad We� 6.2 9 e....e ft .6" a ccr Q. T 144,L, /✓/cS�r G /G h.. c O _ cc WI p .) gep f - slit Ss Z-e/ O W 4s4atot e Sty le — cc --- F/s?'>X Cte6fk.,15 5,I.1f tex6 ii £./ twea) WW �fr•� `� ftd wtG a�q c� i3 (AM f k�`S o.t `�.s kJ;I( Car y4• e — p.-„i,`z G''P.c, LUCIWORK SATISFACTORY:PROCEED BO,IECT COMPLETE W CI CORRECT WORK&PROCEED !/CI ISSUE CERTIFICATE OF OCCUPANCY IZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all for the next inspection 24 hours in advance. (952) 249-4600 Owne : •ntractor on site: Sdoc Inspector. (/i.-- — White Copy/Inspector's File Canary Copy/Site Notice