HomeMy WebLinkAbout2013-01192 (windows) CITY OF ORONO * z 0 1 3 - 0 1 1 9 2 *
, 2750 KELLEY PARKWAY DATE ISSUED: 11/08/2013
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1485 BAY RIDGE RD
PIN : 10-117-23-34-0006
LEGAL DESC : REG. LAND SURVEY NO. 0192
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 1,600.00
NOTE: REPLACF,2 WINDOWS IN EXISTING OPENINGS
APPLICANT pERMIT FEE SCHEDULE 60.75
HOLM, JOHN
1485 BAY RIDGE RD STATE SURCHARGE(VALUATION) 0.80
WAYZATA, MN 55391- TOTAL 61.55
OWNER
HOLM, JOHN
1485 BAY RIDGE RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
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 diis 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 fbr assuring all required inspections are
requested in form c with the State Building Code.This permi[may be
revokec�"at y�time fo e a e.
�� . � l� i � i /3 i i
Appl�an ermit e ignature Date Issued B i •ture ate
SEPARATE PERMITS REQUIRED FOP�WORK OTHER AN DESCRIBED ABO .
City of Orono
Bui�ding Permit Application for Maintenance / Replacement / Renovation
i (No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
� y � 2750 Kelley Parkway Plan review fee:
� G
Orono, MN 55356
`�k�SH��� 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: � �'�� ��r4� ��L�� ��C
Will this be a Parade of Homes, Remodelers Show ase Home or other Display Home? ❑ Yes �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/APPLICANT INFORMATION:
Name: ���i-�-%J �-�-al w� � p�vv�r r)
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior fo 1978
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFO MATION:
Name: �� ���
Phone (day): �,� � �}3-� �;Lk t
Address: lcf�S �,4N ���rp � City: �32c»L/�j ZIP: S`S . i 1
Email and/or Fax: �� ,��.r�3�.L1 �`yj�}�L ; �j,�
PROJECT INFORMATION: Overall project description: �� p���=� � �✓C'�-�-" ��%�-'��4'��'� '`�'�`�p�1�S
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits:
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ 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) $ !��c�c� . c�c
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 hi n ge erally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this 'nfo ati �s t n ally update our records and records of other governmental agencies required by law. If
ou refuse to su I the nfor 'tio , e lication ma not be issued.
Applicant's Signature: � ' �� Date: (� �
Owner's Signature: Date: ���/3
Last Updated: 03/06/2013
AD VANCE S UR VEYING & ENGINEERING CO.
RECAP OF HARDCOVER AT 1485 BAY RIDGE ROAD,AUGUST 14,2006
ZONE 0-75 75-250 250-500 500-1000 TOTAL
AREA IN ZONE SQUARE FEET 11430 26431 8719 0 46580
ALLOWABLE HC 0 6608 2616 0 9223
TOTAL HC EXISTING 140 6908 716 0 7764
TOTAL HC AFTER PROPOSAL 1891 7822 0 0 9713
UNDER OR(OVER) (1891) (1214) 2616 0 (490)
Attached are city worksheets for each zone, please review your survey
and these worksheets with the city to be sure they agree that the items
shown as hardcover are indeed hardcover under their interpretaion of
their ordinances.
I hereby certify that this report was prepared by me or under my direct
supervision and that I am a licensed Professional Surveyor and Professional
Engineer under the laws of the State of Minnesota.
QCX/rYt�Q/.� J�. ��2Q/��
James H. Parker P.E. & P.S. No. 9235
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _T
PERMIT NO.�/'�— O!!9 Z COMPLETED ���1 ,��
ADDRESS Jl7'SS ��c�y�Q /� • ►
OWNER TELEPHONE NO.
To rt- b IM"
CONTRACTOR
�; DESCRIPTION ��k�a�") "�"���
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORFJWEfLANDS
y O FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
��FINAL ❑ SEWER HOOK-UP O COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ��FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL �❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO ,
y COMMENTS:��rw/r� `Lel�2_ �- ��P�/r•.0 � Gt !/
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� ❑WORK SATISFACTORY:PROCEED �'PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
�
Inspecto .
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