The URL can be used to link to this page

Home My WebLink About2015-01169 (replace 2 windows) CITY OF ORONO * 2 0 1 5 - 0 1 1 6 9 * , 2750 KELLEY PARKWAY DATE ISSUED: 09/14/2015 , � ORONO, MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2400 CASCO POINT RD PIN : 20-117-23-12-0024 LEGAL DESC : NAVARRE : LOT 027 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING-LJNDEFINED VALUATIOIV : $ 2,673.50 NOTE: 2 REPLACEMENT WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 92.93 STATE SURCHARGE(VALUATION) 1.34 K-DESIGNERS TOTAL 94.27 11261 SUNRISE PARK DRIVE Payment(s) RANCHO CORDOVA,CA 95742 CHECK 13933 94.27 (916)631-9300 OWNER HUBER, PAUL 2400 CASCO PT 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 goveming 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 aze requested in conformance with the State Building Code.This permit may be �rl revoked at any time for due cause. � � � ` � � ' 1�.- V �-�� . v C� ( � ��C3'�l � �.� � i � i � � Applicant Permitee Signature Date Issued By Signature Date � CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS p' Mailing Address: Permit number: � U�I(c l ��y� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �� - � StreetAddress:' Received by: �Z � s 'I� �� 2750 Kelley Parkway Plan reviewfee: �� Orono, MN 55356 `�k�'�x v�� Total Fee: � L) • �� Main: 952-249-4600 Fax: 952-249-4616 �nnNw.ci.orono.mn.us y This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL_ INFORMATION: Job Site��ddress: ��(Ci G Cr�L s�=�_ ('-t fzta ��L�-�z�.�{1; ��r�% 553`�/ WII this bE� a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approva/60 days prior to the evenf. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APP�ICANT INFORMATION: Name: {� I>C s,� ,�-� r-`_� State License# - j `�i�( Expiration Date: �, -31-)�„� Phone: (cell) (office) Mailing Adcress: ?z�, Iv rY-tirJ �''-1 13 City:(��,-�,7L�,lle ZIP: 55��3� Contact Person: {�;,,� I,.. a� � Applicant is: Contractor / Homeowner (CircleOne) Email and/ar Fax: �5`a-- � `�`l�I —��'� U C PROPERTf OWNER INFORMATION: Name: �c.,�..1 {{�.�_t-�-.z,r- Phone (day): � -�� I t.r -`1 c;�'� Address: �i;li1 �c<<,� v ('t IZc,� City: "vJ�"t--j Z�itz-, ZIP: S ?,,�� 1 Email and/c�r Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Descri tion of ro�ect: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction ingle Family with esidence ❑Addition attached garage Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ f�location detached garage ❑ Office/Commercial ❑ Private Sewer �YOther: (specify) �� 4C�✓✓`�-nt ❑ Multiple Family/Condo ❑Warehouse , n� �� :.✓'� ❑ Public ❑ Storage ❑ Public Water **Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Othef: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �,- U� �J � T . STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame b.Width (ft.)= Number of garage stails: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 151 Story = ❑ On-site Prefab e. 2nd Story= ❑ Off-site Prefab f. '/Story = ❑ Other(please specify): g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: N ot Enclosed A licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Minnehaha Creek Watershed District Permit s) ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes ihat 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a femporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: � Date: �� v � � Owner's Signature: Date: /�'� � DATE TIM� C/ CITY OF ORONO CALLED IN ��" -� INSPECTION NOTI E SCHEDULED /O- -r�'-/S ��— PERMIT NO. ' l �COMPLETED ADDRESS ��1TU L'�� /� OWNER TELQPriONE NO. '�I�-�'�3 CONTRACTOR � � DESCRIPTION �� `-S �"'�- ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ 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 ��NTRACTOR TO MEET YOU:xYES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan . 2) 249-460� OwnerlContractor on site: Inspector. White Copyl�nspector's Ffle Canary CopylSfte Notice