HomeMy WebLinkAbout2014-00471 - windows CITY OF ORONO * Z p� 1 4 - 0 0 4 7 1 *
2750 KELLEY PARKWAY DATE ISSUED: 05/22/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1115 BROWN RD S
PIN : 10-117-23-24-0005
LEGALDESC : UNPLATTED ]0 11723
: LOT 000 BLOCK 000
PF.RMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 2,100.00
NOTE: EGRESS WINDOW
APPLICANT PERMIT FEE SCHEDULE 88.50
STATE SURCHARGE(VALUATION) 1.05
EGRESS WINDOW GUY TOTAL 89.55
3410 KILMER LANE N Payment(s)
PLYMOUTH, MN 55441-
(763)544-2775 CREDIT CARD 6375 89.55
Minnesota State License#; BUIL-BC665399
OWNER�
COOLEY, TIM
11 15 BROWN RD S
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfomted according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This pennit is for only Ihe work described and does
not grant permission fbr additional or related work which requires separate
permits All provisions of laws and ordinances governing this type ot�work
shall be compied with whether or not specified herein.'l�his 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Statc Building Code.This permiC may be
revoked at any time for due cause.
� S � � ��� 5 � a� i
Applicant Permitee Signature Date Issue By Signature Date
City af �rona
B�uilding Permit Application far Maintenance / F2ep�acement I Renovation
(Na structural expansion. bnly windows, doors, siding, re-roaf, etc.)
���0 Mailii�y Address: �ermit nuYnbeC: P4-1,l , � �
PO Box 6G
Crystal Say, MN 55323-0088 Date received: �—� ��,
Sfreet Address: Rece�v�d[iy. �
�� ��°`' 2750 Keiley ParkwaY Plan review fiae:
Orono, MN 55356
� s�lo�`�' Total Fse: , (�g,�j
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed In full and afl required Information must be submitte .
Incomplete applications will be�returned. (Please print)
GENERAL 1NFORMATION:
Job Site Address: I(IS ��ov✓,rt Q .S
W111 th[s be a Parade of Homes,Remodelers Showcase Home or other Uisplay Home? Yes No
!f yes.a specfal event permlt is required with Polrce Depertment and City Council approva!60 days prior to the event. Shuttle bus service wr�l be
reqirlred unfess appllcant demanstrares suKicienf onslte parking ls avaflable. Non-permrtted events wil!not be a!lowed.
CCINTRAGTQR I APPLI�QNT INFQRM�4TI N:
Name: W� d�,�/ ��,{,
State License# Bc 66S 3q9' Expiration Date: 3 3� !
L�ad Certification Number: �/�-r_123125..r Explratlon Date: 4 f
(for work on home.s that ware construcbed prior fo 1978
Phone: (cell) �b3) �3�� ��� (���a �7`3)S�-Z 77.5
Mailing Address: (,(;�wr�,r (,� N ��tY� (�� wtou� Z�p' $-,�4-4�
Contact Person: �yt u Applicant is: ontractor / Homeowner �c�«ia o�e�
Email and/pr Fax: QI1N R�P�{�wi K ow�uV �T r°'� RSz��„�.�H l H�
PRdPERTY OWN�R IN�ORMATION:
Name� Y,k�'1 Coo�G�
Phone(daY): bl2 2d - D(ol �� ------ —
Address: (1 15 Br�wv� . S city: ��wo zIP:.�.���
Email and/or Fax:
0��:.� r� , t.St� x,�d x�$ ��t v. � .
PROJECT [NFORMATIQN: Qverell ra�ect descri tion: � Sli 3��� Z'�wi►+atow +� �B'x�F2�� S+K t r,aSe.�'f`
Type af Project: Any earth movement may also requlre
❑Door(s) ❑Ramodel ❑ Fire Damage MCWD review 8 permits:
Re-roof,as halt Re air Minnehaha Creek Watershed District(MCWD)
❑ p � p ❑Storm Damage - 18202 Minnetonka Blvd
❑Re-roof,cedar �Restoratian ❑Water Damage Deephaven,MN 55391
❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Phane= 552-471-0590
Fax: 952-471-Q682
(�Wihdow(s) e��R'f� www_minn h h r
Estimated Construction Valuation of project(excEuding land) $ 2.�100.0
,
APPLICANT ACKNOWLEDG�M�NI":
• P�grees to provide all information required or requestad by the Building DeparCment;
• Certifies tlla4 the Information supplied is tn,e and correct to the best of hislher knowledge. The applieant recognizes that they are
solely responsible fpr submitting a complete applicati�n being aware that upon failure to do so, the staFf has no alternative but to
reJect it unUl It Is compfete;
• Some or all of the information that you sre asked ta provide on this appEication is classifled by St�te I�w as either private ar
confidential. Private data Is information which generaffy cannot be given to the public but can be given tv the subject of the data.
Confldentlal daYe is information which gen�rally cannot be g(ven to either the pubEic or the subject of the data. Our purpose and
intended use of this ininrmation is to annually updete our re�ords and records of oth�9r governmentsl agencies required hy law, If
ou refuse to su I the inf tlon the a�pli ma not be issued.
AppEicanYs Signature: Date: � �
awner's Signature: „ D�te:
Last Upda#ed:�3l06l2013
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�.7 ��.?. ;=�i. �yi:� O�'cNiNG SPEC(AL NOTE
44° {VIAX �I�� NEIGHT SEE ATTACHED SHEET
�.�"�� �-�'` FOR �G�SS (N�-�z.�.
���k , as, �6„ CODE REQUIREMENTS
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SP�CIAL NOTE
�EE ATl"AGt-iED SHEET
FOR L�-�Srna1c� �J�-�.--ua►�2
CODE REQUIREMENTS
REVIEVIIEID for CODE CCIMPLI��
Pl��l CHEC�(ED B ATE � -Zz -zo��
Egress Window Guy � 3470 Kilrrter Lane North � Plymouth, MN 55441
Olfice: 753,544�2775 � �ax: 952-843-56'14 � Info�gresswindowguy.com
Licensed � Insured �BC665399
, PLA� REVIE1�14 CFI�C�LIS� F�R �EW S�RtJCTURES / 14D�ITlO��
Address/Permit Number: ��� � ���'�� ��'�� �'
�escription ofHrorlc: C=C��� ��°o�_���� f��+� �����`���--
Septic review by: A'�',�� Date Approved:
Zoninc� revievv by: ��'� Date Appa�oved:
Buiiding review by: � Date Approvec#: �P'�� —�/'�
Grading review by: � �� Date Approved:
Zonin� District: Zoning File#: Reso#k: F�eso Date:
�@
Zonin ° Lo�Area: SF/AC VVidth: Lot Coverage: S _%
Survey Su itted: � Yes � No Date of Survey: Revised d e ? :
Proposed Setb ks:
Front(Lake) Rear(Street) ( � � E � ) � � S � � ) Oth uilciings Wetland
Side Sid�
.
Defined Heigh�: Peak Height: FF�: �FE inu� 6 feet= (Existing Contour}
Perimeter(linear feet) = 50% _ #of ries Ok? 0 YES
FOR A BUILDWG WITH A BASEMENT OR CRAW PACE:
The distance between lowest F' R A BUILDING ON A SLAB FOl1NDATIOPI:
START WITH proposed floor(of the bas�nent or crawl
space)and the highest point°@f the 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 HIPPED ROOF( . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract half the distance
distance between the highest poi between the highest point of the roof
h of the roof to the low point of th to the low point of the corresponding
SUBTRACTION corresponding gable or hipp roof SUBTRACTION gable or hipped roof
? (BASED ON ROOF e GABLE OR HIPPED RO (with � (BASED ON � GABLE OR HIPPED ROOF(with
TYPE� windows): Subtract hal he ROOF TYPE) windows): Subtract half the distance
distance between the op of the between the top of the highest
highest window an he highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF TYPES(flat,
� ALL OTHER OOF TYPES(flat, mansard,etc,No subtraction.
mansard, ):No subtraction. ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the tance between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenUc wl space floor and the XISTING the foundation.
GRADES) highest e sting grade adjacent to the DES
founda n OR 10 feet(whichever is less). EQ LS Defined building height
EQUALS Defi ed building height
Shareland �istrict NiC�1!'D Peronit�eceivec! kvera e d�ake�hore Setbac et'? Biuff
❑ Yes � I�o � N/A � Yes � �!o
❑ Yes ❑ o � Yes � No � N/A
Permit f�umber. etback:
Storrnwratec uaiity �xisting Pro�osed ��riance Rec�uired CUP Require
Overla D' trict Tiee E��rdcovec �ardcover
' � Yes � No � Yes No
Type(s): Type(s):
;
Updated: January 2013
v:lforms\plan revievM checklist 2013.docx
REMARKS (in-house):
<
Fees to be Char ed YES NO
Permi�
Plan Review �
Stat�Surcharge
Investigation Fee
SAC—Number o#SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X - $
1S` Floor X - $
2nd Floo� X - $
Garage X - $
Estimated Construction Value: � ������''�
Orono inspections FZequired Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing � Grading/ Filling 0 Well
� Hardcover Removal 0 Mechanical 0 Fire � Electrical
Q Footing � Septic � Water Connection
0 Poured Wall Q Fireplace � Sewer Connection
0 Foundation Survey � Nfasonry � Lawn Irrigation
0 Radon Rock Bed � Mfg.
� Framing � Other(specify)
� Insulation
0 As-Built Survey
�Final
� Wetland Buffer
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: � YES � NO
OFFICIAL REMARKS -TO BE NOTED ON PERIIAIT AND INITIALLED
Updated: January 2013
� v:\forms\plan review checklist 2013.docx
�^ � � DATE TIME "
CITY OF ORONO CALLED IN �-s��
INSPECTION �Q,T.�CE SCHEDULED �� �!(�Z)_
PERMIT NO. "`�� '��71 OMPLEfED
ADDRESS � � �5 �—�� S
OWNER PHO O. -Y'SD' .3✓�
CONTRACTOR �����E� �
� DESCRIPTION c �I.C.0 . C�I✓l.�
�
� ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POU ED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ F MING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J O-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS;
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W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours i advan 249-46��
OwnerlContractor on site:
inspector.
White Copyllnspector's File Canary CopylSite Notice