Loading...
HomeMy WebLinkAbout2015-00592 - windows . � CITY OF ORONO * Z 0 1 5 - 0 0 5 9 Z * 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2677 CASCO POINT RD PIN : 20-117-23-23-0020 LEGAL DESC : SPRING PARK : LOT 135 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING-LJNDEFINED VALUATION : $ 10,000.00 NOTE: DRESS UP TRIM OUTSIDE AT FRONT DOOR AND ADD(1)WINDOW AND CHANGE CASE OPENING INSIDE APPLICANT PERMIT FEE SCHEDULE 20136 STATE SURCHARGE(VALUATION) 5.00 AVID BUILDERS, INC. TOTAL 206.36 23050 PILLSBURY AVE Payment(s) LAKEVILLE,MN 55044- CHECK 3093 20636 (612)750-4010 Minnesota State License#: BUIL-BC637702 OWNER SNYDER, WILLIAM&JULIE 2677 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEME1vT 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 sepazate 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 revoked at any time for due cause. ! � ., � ���� � -i� - i5�' � � � � � , l5 pplicant ermitee Signature Date Issue y Signature Date c�.(c � rssc�e p��G�-- � � � ' ��'l�-�^"� N t �'i N� � t N S CITY OF ORONO �c� �/ /�'v<c�/ t� � BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS A`,`� Mailing Address: Permit number: �O`VO�, PO Box 66 � Crystal Bay, MN 55323-0066 Date received: StreetAddress:' Received by: � � � 2750 Kelle Parkwa �, G� Y Y Plan review fee: Orono, MN 55356 `�KESH���� v`��/�KJ �-__� 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) � 3 GENERAL INFORMATION: ��� Job Site Address: � (.c� � 7 C /1 s l c_• �C ��� T' �r (,�-�-�7;� ` ,,�. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �-Pde� /f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service wi/l be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �V ��� 3L; ��_� r;�Z 5 IV�-� State License# '� C. ��, 3 7 7 L � Expiration Date: Zc;�b Phone: (cell) (c�l 2 - 3(.: 6 - �{1 1 G ��„va,�,f (office) �.0- 7 5 L• —y�� t C. t�.� . Mailing Address: 3 c ._ � Cit : �� � ZIP: ��'�� Contact Person: �, � ` �s " 2„ ,t Z Applicant is: ontr / Homeowner (Circle One) Email and/or Fax: L n,�,� _�F �' /�J�,G)3��►u7�e s vnv� . � L��-� PROPERTY OWNER INFORMATIONf Name: � ,�� t �,J�.��� Sr,:y cl r:L Phone (day): ,5�,-7 T�,> -- (pC}�Z, Address: ���c�'7� C/�'S l Ci ��i i�,� (Zc� . City: � �,,�z�r z,�- ZIP: ��.3 -�i"� Email and/orFax -J — r' —SNY��,� (=�i �Y�.�.� � � .z� ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: �,rf�� �; ��� , � PROJECT INFORMATION: Description of pro�ect: ar2t SS �� ���``" ��d / ,��nl�7(i�-� ' ��$S ����`� �� , 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8 �,�� �S Water Supply J ❑ New Construction ❑ Single Family with � Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. [�Public Sewer ❑Accessory Building [�5ingle Family with ❑ Deck ❑ Relocation � detached garage ❑ Office/Commercial [��vate Sewer 0'6ther. (specify) Iti���"��- �'�l►����'S ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage �Public Water "'Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review& permits. ❑ Industrial �LP'rivate 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) $ � e � ��%�-' � � � STRUCTURE INFORMATION: 1.Structure Dimensions �`S �-,� 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= f , Number of bedrooms= �-1�/ood/Frame b.Width(ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 1 S`Story = ❑On-site Prefab e. 2"d StOry= ❑ Off-site Prefab f. '/z Story = � � , ❑ Other(please specify): �� i � �.J g.Total Area= Z REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not 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 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; • 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 temporary 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. / Applicant's Signature: • Date: s %3 � S � � '��-' / - Owner's Signature: � ,•.�, ��.�'' ���'�•. ����,.J�i�� Date: , C�� C���� DATE TIME � CITY OF ORONO CALLED IN INSPECTIO�/�TI E SCHEDULED _�����"�y`� �i'� PERMIT NO."� ��COMPLETED ADDRESS � �G �R ����L� �� OWNER TELEPCiO� . �l� � ���D CONTRACTOR �` /�S � DESCRIPTION " ' � `���' �� � y� ly ❑ FOOTING ❑ DEMO-FINAL��'��ID/ ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI j/� ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL S��n�' / ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI (//�_ � ❑ SITE WSPECTION ��iK- Q ❑ FRAMING ❑ MECHANICAL FINAL ��/�� '� RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE��❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP��LN;` ❑ FOLLOW-UP � ❑ AS BUILT-SURVEY ❑ SEWER H OK-UP C,�,��G����ti� FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC IN LL 2 OWNERICONTRACTOR TO MEET YOU:_YES NO , . � COMMENTS: �_�[X�Z-l�' �� �l�I `� a � 1 �- (,��,�/� � � 0 �. � 0 � W � Q � 2 W � w � J d W ❑WORKSATISFACTORY:PROCEED ❑ P OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. -46�� OwnerlContractor on site: Inspector. �� White Copyllnspector's File ✓'Canary CopylSite Notice c -� o �}T���/ TIME � CITY OF ORONO CALLED IN "/�✓� �"� � INSPECTION N I�j ,y� CHEDULED �'Y'��� , PERMIT NO. ` ��`�9 OMPLETED ADDRESS U��� � OWNER ' HONE NO.-���__��� CONTRACTOR Y` �����"✓ f � DESCRIPTION .�/I%�d��'W ./v� 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 �NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: W �1�� \ a /1�iw �JING7w 1n5��!/ 11eW frlC)�G o �a �� GvL - �'► �►w� - oK �. � ° 5 `►�c�C� ��. � c a �«�- - 6� W Q � - 2 /h����or��0�l� Ca ►,-�a /�c � - � � �►�l� �I� �v--'br �-�6/ w � fj� �— � nt r �cc .� � � GW ORK SATISFACTORY:PROCEED � ❑CORRECT WORK 8 PROCEED ❑ ISSUE ERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfUFiN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f ion 24 hours in advance. (952� 249-4600 Ow ontractor on site: �►'r Inspec ■—' White opyllnspector's File Canary CopylSite Notice