The URL can be used to link to this page

Home My WebLink About2009-00103 - windows � � CITY OF ORONO PERMIT NO.: 2009-00103 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 03/11/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1295 D[CKENSON ST PIN : 02-117-23-31-0039 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK O15 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 2,800.00 NOTE: REPLACEING(3)WINDOWS APPLICANT PERMIT FEE SCHEDULE 88.50 HAGE, SCOTT STATE SURCHARGE(VALUATION) 1.40 1295 DICKENSON ST WAYZATA, MN 55391 TOTAL 89.90 OWNER HAGE, SCOTT 1295 DICKENSON ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and speciYications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[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 hcrein."I'his permit will expire and become null and void if construc[ion 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[ime after work has commenced. I'he applicant is responsible for assuring all required inspections are requested in cortformance with the State Building Codc.This permit may be �ked at y ime for due cause. � �� l � l �3 � // � D icant Permi e Sig a e Date Iss ed By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono Building Permit Application Mailing Address: Permit number: � 9��/� %'g,0,�:`� PO Box 66 ��O�� '� Crystal Bay, MN 55323-0066 Date received: �� :��, O��, �� I� Received b 1 a � �? s. � Sfreet Address: y� ��'.�, �� '�� ti�' 2750 Kelley Parkway Plan review fee: L � �� / Orono, MN 55356 �kESIi� Total Fee: �Ci 9� 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: �� C(,`�j ��Cn`_-�`;r� �`t- � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �IVo If yes, a special event permit is required wifh 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: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: � >- �� L-1 Z_ �� -- Phone (day): � - `-1_l� ��o� / " � - ��;' - �`j Address: Cit : �- � . ZIP: �f��'� Email and/or Fax �;,-� C�r�� ., PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) !��V�indow(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ��`�', � � APPLICANT & OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department, • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and owner recognize 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. • The Owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by City Staff, consultants or agents,for purposes of investigation of this request. • 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: "'� - - � Date: �-1 �-��7 Owner's Signature: � � ' Date: � � �'� � �,o� City of Orono ' ,1�{�L ^� °� Pre-A lication Meetin Form a �., �. � p p J �.� ' f�;��y ti ,�� , 4,�G (This form is to be completed by a City Planner during your pre-appiication meeting.) kESHO For Office Use Only: City Planner. ` Meeting Date/Time: �� PC Date: Whaf is the purpose of a pre-application meeting? Pre-application meetings aid the applicant in preparing a compiete proposal, inform them of the procedures and requirements of the city code, and identify policies or regulations that create opportunities or problems for the proposal. PROPERTY INFORMATION: Site Address: ( Z�S �i C-�C�M S cr� �1'e��' Property Identification Number (PIN): Zoning District: �..� — � p Size of Property: DESCRIPTION OF REQUEST: ? �� ❑ Average Setback ❑ Side Yard Setback� ❑ Rear Yard Setback C�'Lake/Front Yard Setback � Hardcover 0'-75' � Hardcover 75'-250' ❑ Hardcover 250'-500' ❑ Hardcover 500'-1000' ❑ Lot Coverage ❑ Lot Area ❑ Lot Width ❑ Other: Applicant's Initials: HARDSHIP: Applicant and/or Owner has received the Hardship Documentation Form, understands it as it has been explained to them, and is aware that it must be Owner s completed and submitted in conjunction with their formal variance application. Initials: Applicant's BILLS AND ESCROW: Applicant and/or Owner shall pay for consultant expenses Initials: incurred in review of this application and/or additional staff time not covered in Owner's initial application fee, as well as provide an escrow in the amount of Initials: j $ r1� to guarantee payment of the above. OTHER INFORMATION: 1�G �scc-� — hG �v��ir�--. UrZ�.��t✓ � *Please note: Your variance a plication will NOT be accepted without a pre-application meeting during which this form will be c leted b City staff. Applicant Signat e: Date: � � � - � ( Owner Signature: Date: - 9 - CERTiFICATE OF SURVEY -C�a�s.� r�. (�o�stwu, �ua, 871J GUPONT AVENVE SOUTH � � B�OOMiNGTON, MINN. 55420 f � 888�208t LAND SURVEYORS ��_ +-� Survey for: SCOTT HAGE .�/C�C"�N.S'��Y .S7-'.P�E T' ^, �� °� � / �'i.So �o(�6, � � 1�� ,� ��a � .o� � �6 o� ,, 9 '� I � ` _ � I '� �7 J x �'�, \� � ` , , � ,- , � \ 4.- v� ` � �T� \ �f V k ,� � � � `S � � � � • � � �� D� �i - �� __ __ X Q � ,P,r° c k ` _ � 0 � 9� � k � � � � / b . •" 9(�j 3 \ Q � M�. 9(0`✓�9 I\XA � o �We//i�� z.�` � i � � .a, r � ��/z95 �a��. �' ;,�a �� N►/ i � �� a x"� � . ' � ~ �1 '� ` 40z < �� . N �a '1 � '�. ��3 ,F / /V I � r ��dG z6_3 � �t � �; �-� � -, -. . , � ^ _ c .�- /d!6 o•S 9659 . � �'»y�,� . • a N 1 ` � � ,� � x K_� ,�•¢ o G �°'� _ � �3,550 - ' � - � _ -� �� °'�'y�, p�b Description: Lots 19 and 20, and that part of the West half of vacated alley lying between the extensions across it of the North line of Lot 1 and the South line of Lot 2 , all in Block 15, MINNETONKA BLUFFS. I hereby certify that this survey was prepared by me or under my direct supervision and that I am a registered land surveyor under the laws of the Sta�e of Minnesota . Dated this 6th day of May, 005 . by Larry . Couture, Land Surveyor Minnesota License No. 9018 Scale : 1 " = 20 ' 346-53