HomeMy WebLinkAbout2017-00115 - windows CITY OF ORONO * z 0 1 7 — ra 0 1 1 5 *
R 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2017
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1800 CONCORDIA ST
PIN : 17-117-23-22-0025
LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK
: LOT 024 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,200.00
NOTE: ADDING A SINGLE CASEMENT EGRESS AND GALVANIZED EGRESS WINDOW WELL.
APPLICANT PERMIT FEE SCHEDULE 92.89
EGRESS WINDOW GUY PLAN REVIEW 60.38
3410 KILMER LANE N STATE SURCHARGE(VALUATION) 1.10
PLYMOUTH,MN 55441- TOTAL 154.37
(763)544-2775 Payment(s)
Minnesota State License#: BUIL-BC665399 CHECK 1858 15437
OWNER
HANSEN,PAUL&KAREN
1800 CONCORDIA ST
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 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buil ' Code.This permit may be
revoked at any ticlle.fsLr due cause. ' `
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Applicant Permitee i re Date Issued By Signatu e Date
City of Ur�no
_ ..
Buildi�g Permit Application for Maintenance ! Replacerrtent/ Remodel—�2�sii�erl�i�N {�NL'Y
_...�,�_�.,..,�,,M..,,�. , ,. „
, .., . .. ...
(i.e. windows, doprs, siding, re-roof, etc.— NO STRUCTURAL �XPANSION)
�a�r Mailing Address: Permit number: �.�� ' % _ - �c�
�{y� P�Box 66
Grystal Bay,MN 55323-0088 Date received: d j
St�est Addrsss: Received by. �
�.� G,�.' 2750 Kelley ParkwaY Plan reviewfee: " ; �i" �t.� d a_'
�y��s�o��, Orono,MN 55356 ���
Tota!Fee: ,� � ' , ,1
Main: 952-249-4600 Fax: 952-249-4616 www,ci,ot�ono,m��� �� � �/ , `
This applic8tion form must be completed in fu{I and all required information must be submitted.
Incomplete applications will be returned. (Please print) % . -
GENERAL INFORMATION: I '�������' ����� ` ` �
Job Site Address: � �Q �obt p f pf r S"�
Will this be a Parade of Homes, Remodelers Showcase Home ar other Display Horr�e? Yes No
�f yes,a special evant permit ie r�guired with Polrce Pepartment and City Counci!apprvval 80 days prior to the event, 5huttle bus servrce will be
required unless applicant demonstrates sufi`rcient on-site parking is available. Non-permitted evenfs wi/f nat be ellawed.
CONTRACTOR!APPLICANT INFORMATION:
PVame: '
W i o ��c
State License# (3 C ���'�$�' Expiration Date: �7
Lead Certification Number: N�-'r��3�2 f��, Expiration Date: �
{for work on hQmes thaf were constructed prior to ?978
Phone� (ceu)C763) 4-c�$-933�l-- {ot�ce) C763� .S-� -�7��
Mailing Address: �) � City: �) zIP: �S'
Contact Person: A� u Applicant is: Contracto / Homeowner �ci�ia o�a�
Email andlor Fax: [� K yr ;� �w t� ,Cb y� S ��.�� 1
PRQPERTY OWNER INFORMATIQN:
.
Name: �a�i ' ��y� �acv�.S��
Phone(day)' �� — P.sf�►.f;
Address� (gpp �p� o ' Glty: Q k W ,�� �IP: .5,�,3q
Email andlor Fax: K F�+�tsev�!� /�(G 5'�. Cp�
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PROJ�GT INFORMATION: Overdll projeCt desoription: S►tt, G�S[-N�.�e 1'f' �++dC R�wtH��� +'X�w�l�.
7ype of Project: Any earth movement may also requira
�Door(s) ❑Remodel ❑Fire Damage
MCWD review 8�permits:
❑ Re-roof,asphalt ❑f2epair ❑Storm bamage Minnehaha Creek Wstershed District(MCWD)
15320 Minnetonka Blvd
❑Re-roof,cedar ❑Rest,oration ❑WaGer Damage Minnetonka,MN 55345
�Re-roof,other(spaciiy� �Siding �Qthsr.(specify) Phone: 952�71-0590
Fax: 952-479-0682
❑Wlndow(s) �RV)'SS www.minnehahacreek.org
Estimated Construction Valuation of Project(excluding fand) $
APPLICANT ACKNOWLEDGEMENT:
• Agrees to pravfde all Infarrnatlon requlred or requested by the euilding Department;
• Cerfifies that the informatlon supplled Is true and oorrect m the best of hls/her knowledge_ The applicant recognizes that they are
solely responsible far submitting a complete application being aware that upon fallure to do so,the staff has no alternatl�e but Fo
rejecC It unt11 It Is complete;
• Some or 811 of the irlform&tion that you are asked to provide on this application is classified by Stata law as 9fther private pr
canfidentiai. Private data is information which g�:ner�lty cannot be given to the public but can be given to the subfeCt of the data.
Confidential data is information which generally cannot be glven to elther the publlc or the subject of the data. Our purpose and
inFended use of thls fnformatfon Is ta annually update our recorrls gnd recnrcis of other governmental agencies required by Iaw, {f
ou�efUse to su I the information,the a ion ma not be Issued.
Applicant's Signature� Date: � � �
Owner's Signature: Date:
Last Updated:January 2�16
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: , �D���/ �t2lit�'�1o�► !C( C�T�" PermitNo.: ��7—� ��/�,�
Description of work: ��/'C�f �i(� .t(��uJ Date Rec'd: Z- l
Septic review by: /��/,[C Date Approved:
Zoning review by: Date Approved:
Building review by: �C�� 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: � Yes � No Date of Survey: _ Revised date(?):
Landscape plan submitted? � Yes � No Landscaper:
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% = L.F. below grade
Basement? � Yes 0 No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade—
floor(of the basement or crawl space)and measure from hiqhest existinq
START WITH the highest point of the roof. rq ade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to tlie
ROOF TYPE) between the highest point of the roof hi hest oint of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distance ROOF TYPE) the distance between the
highest point of the roof to
between the top of the highest the low point of the
window and the highest point of the corresponding gable or
roof
hipped roof
• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Permit Number: � Yes 0 No � N/A 0 Yes 0
0 Yes 0 No No
0 N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
0 Yes � No 0 Yes ❑ No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Permit �/'
Plan Review v-
State Surcharge I/'
Investigation Fee l�
SAC-Number of SAC Units V
Other(specify) l/�
Square Footage $ per Square Footage
Basement X = $
1 S' Floor X = $
2�d FI0o1' X = $
Garage X = $
Estimated Construction Value: $ � �i��
Orono Inspections Required Work Requiring Separate Permits
❑ Footing 0 Site 0 Plumbing � Grading/Filling
0 Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical ❑ Fire
0 Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection
0 Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection
Framing � Masonry � Lawn Irrigation
Insulation ❑ Mfg. � Landscaping
� As-Built Survey 0 Other(specify)
Final
0 Lathe Required State Permits
❑ Other(specify)
❑ Well � Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
� See Builder Acknowledgement Form
� Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
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Egress Wirwdow Guy � 5470 Kilmer Lane North � Piymouth, MN SSA�A��t
Offlce: 7�3-5442775 � F�x: 952-843-3614 � info�egresswindowguy.�om
LFcensed 8� Insured #BC665399
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DATE TIME
CITY OF ORONO _.���LLED IN
INSPECTION NOTICE ��,C' scHEDULED �`�y�f�7�
PERMIT NO. ��l.h� COMPLETED
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ADDRESS '� �� =�
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OWNER TELEPH O. �11��-����,1
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CONTRACTOR
� DESCRIPTION ' `� ` ��`"���J`
t�y ❑ FOOTING ❑ DEMO-FINAL ` EPTIC FW
� ,/�
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADI ILLING �t'`
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMO�/AL
Z RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
`� FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SFP IC INSTALL
? OWNERICOKTRACTOR TO MEET YWl: YES_NO
y COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �OJECT COMPIETE
W O CORRECT WORK S PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOMERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{OTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwneNContractor on site:
Inspector. �/�^' �
YYhits CapYAnspector's Flle Cenary CopYlSita Notice