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Home My WebLink About2015-00768 - windows CITY OF ORONO * Z 0 1 5 - 0 0 7 6 8 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1629 BOHNS POINT RD PIN : 17-117-23-11-0005 LEGAL DESC : REG. LAND SURVEY NO. 0565 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: REPLACWG(1)WALL WITH NEW WINDOW AND 34 WINDOWS[N EXISTING OPEN[NGS. APPLICANT PERMIT FEE SCHEDULE 201.36 STATE SURCHARGE(VALUATION) 5.00 MATTSON SCHOSTER LLC TOTAL 206.36 332 2ND STREET EXCELSIOR,MN 55331- Payment(s) (612)751-0488 CREDIT CARD 7937 206.36 Minnesota State License#: BUIL-BC663107 OWNER AMPLATZ,CAROLINE 345 LEAF ST WAYZATA, MN 55391- AGREEMEIYT 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 l80 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 a Nme foydu�use. G� i � �� d' r-< t� ,��1 ��-k..t �� [ � l � ppl a t Permitee Signature Date Issued By Signatur Date �� . City of Orono �D�� ° Building Permit Application for Maintenance / Replacement / Re odel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: �Z��C� ' � �_ � i ��?w �? PO Box 66 � Crystal Bay, MN 55323-0066 Date received: � �� II�P�I� _---- _Rec___eived by: + � Street Address: ,._-__ � c� 1 , yF G� 2750 Kelley Parkway;�'�1�,�,-�� `I Plan review fee: �' � �b '�r '.'.' lqk�SHO�� Orono, MN 55356 _ _ __ � 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 ubmitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION 7 �/I�{ ��O Job Site Address: �� ''� ':r��-�!S s"`� ,;;'� -�" Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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/APP ICANT INFORMATIQ N: Name: ,��f'u �� SCh U �� L LG State License# � d Expiration Date: Lead Certification Number: ; ,�: ._ �� , �-' f,,; - Expiration Date: �p �/1�� (for work on homes that were constructed prior to 1978, /� Phone: (cell) �D o� ' �.:;��j`r�� r' c'''�� (office) ��- �� -�7��t' Mailing Address: � � � �w , City: - r`�'�/;;ip, ZIP: � Contact Person: �� . _ b Applicant is: 'Contractor / Homeowner (Circle One) Email and/or Fax: ,1� ' � { ''y ..a Cr - r �✓ ;._�M O') ',��, � � . PROPERTY OWNER If�FORMAT�ON: y�} Name: ��-��u ��7/��: �?'I'Y6%� f-�'-�.�� _ Phone(day): �„ �� Address: �/'.}. ' ` City: /� ', c�, ZIP: -`>�� (�',� Email and/or Fax: � � '� ,R. �l 2 � ,-�� '��_,'� � t; 1� , � . � ;, � ',�� :� �� ' � ��, �,1; PROJECT INFORMATION: Overall project description: � ��' ` ' `� ' � ' � � �� Type of Project: Any earth movement may also require �V��<� ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: "('� " Minnehaha Creek Watershed District(MCWD)�� `�� 'i ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage ` �-� 15320 Minnetonka Blvd �� ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 �V ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 '�` Fax: 952-471-0682 �Window(s) www.minnehahacreek.or�c Estimated Construction Valuation of Project (excluding land) $ O 4 � 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 infounatiafa-is to an Ily update our records and records of other govemmental agencies required by law. If ou refuse to su I t jhfor tio th • � n xfot be issued. ! Applicant's Signature ''`' � ` ,-.�''-- Date: �:'�'-''�;'f�'� Owner's Signature: Date: Last Updated:January 2015 , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: ��% �(l��dt,� Permit No.: Description of work: �`� � j'1�� (/'/��'t �l"C�'�GT'/��ate Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: , ` Date Approved: l 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) ar(Street) � N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 et= (Existing Contour) Perimeter(linear feet) = 50% = L.F. below grade # of Stories FOR A BUILDING WITH A BASEMENT CRAWL SPACE: FOR A BUILDIN ON A SLAB FOUNDATION: The di tance between the lowest proposed The distance between the top of START WITH floor(o the basement or crawl space)and START WITH slab and the highest point of the the high st point of the roof. roof. If you ha a... If you have a... • GABLE OR HIPPED ROOF • GAB E OR HIPPED ROOF(no (no windows): Subtract half wind ws): Subtract half the distance the distance between the betwe n the highest point of the roof highest point of the roof to to the I w point of the corresponding the low point of the SUBTRACTION gable o hipped roof corresponding gable or (BASED ON . GABLE R HIPPED ROOF(with SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF between th top of the highest ROOF TYPE) (with windows): Subtract window an the highest point of th half the distance between roof the top of the highest • ALL OTHER OF TYPES(fl t, window and the highest point of the roof mansard,etc): o subtractio . . ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance b tween t (flat,mansard,etc):No (BASED ON basemenUcrawl space fl or an the subtraction. EXISTING highest existing grade adj e t to the ADDITION Add the distance between the top GRADES) foundation OR 10 feet(whi ever is less). (BASED ON of slab and the highest existing EQUALS Defined building height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined building height Shoreland District M D Permit Average Lakeshore Setback Bluff Met? Permit Nu �ber: Yes 0 No 0 N/A � Yes O No ❑ Yes O No O N/A— ee attached Setback: Stormwater Quality Existing Hard over Proposed Overlay District (%and ) Hardcover Vari nce Required CUP Required Tier circle one % and sf 0 Yes � No � Yes O No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 c:\users\rpeitso\documents\plan revie checklist 2015.docx REMARKS (in-house): ' ,. Fees to be Char ed YE NO Permit Plan Review State Surcharge Investigation Fee SAC— Number of SAC Units Other(specify) Square Foota e $ per Square Foota e Basement X = $ 151 Floor X = $ 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading/ Filling � Well 0 Silt Fence/ Erosion Control � Mechanical 0 Fire 0 Electrical 0 Hardcover Removal 0 Septic � Water Connection 0 Footing � Fireplace � Sewer Connection 0 Poured Wall 0 Masonry � Lawn Irrigation 0 Foundation Survey � Mfg. ❑ Landscaping � Foundation Waterproofing � Other(specify) � Radon Rock Bed `�Framing � Insulation � As-Built Survey Final � ther(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES � NO OFFICIAL REMA/�KS -TO BE NOTED ON PER IT AND INITIALLED Cc/ l l �f�!/� /�SU`(� �I��'I I�'15' �2 T�'Q� �'l / ,2`e Updated: January 2015 c:\users\rpeitso\documents\plan review checklist 2015.docx �+r� � T TIME � CITY OF ORONO CALLED IN �� INSPECTION N � �-7i�cHEDULED � 6-1`Z /.'Da - PERMIT NO. 1�'�COMP E ADDRESS � OWNER TE EPHONE N - S CONTRACT�R �� DESCRIPTION ^ ll� ❑ FOOTING ❑ DEMO-FI AL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBI RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBI F AL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O W 2 Q � 2 � W � � � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED i ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2 hours in dvi ce. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NO�CE CHEDULED I I� �� PERMIT NO. �I��-f��I��OMPLETED ADDRESS ��' ��ns `t 1c�-' OWNER TELEPHONE NO. �'�Z�5�— O�� CONTRACTOR �C��1'� �hOS�� DESCRIPTION �� lti ��`�� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE EPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: �� a �✓��t !J/ w oNOa�..s S -k— 0 0� G�oo r S k�/� w��-i Cb�_s b��c.��e n - � � 0 k�s r ,K •�•��A�4 rs c6rM-r��-e. � a� W Q � G t�r r e n� r'C w�-d��.z`c � �-�s �i wt e � P �' zk� ��r/ G�i e�,� `z�,�� ,F �o .��c�(s � k)� ��1 ¢/ � fi"if.r� �c n:F f � � �/> � • j � ❑WORKSATISFACTORY:PRQCEED �RAIECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �i� � White Copylinspector's File Canary CopylSfte Notice