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Home My WebLink About2014-01323 - window replacement � � CITY OF ORONO * Z 0 1 4 - 0 1 3 2 3 * 2750 KELLEY PARKWAY DATE ISSUED: lUi7/2014 ORONO, MN 55356- (952 249-4600 FAX: 952) 249-4616 ADDRESS : 2503 KELLY AVE PIN : 20-117-23-12-0054 LEGAL DESC : KELLY COVE : LOT 004 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 191.75 PLAN REVIEW 124.64 NEIGHBORHOOD BLDG STATE SURCHARGE(VALUATION) 5.00 10024 MINNETONKA BLVD MINNETONKA, MN 55305- TOTAL 321.39 (612)840-1703 Payment(s) Minnesota State License#: BUIL-BC003096 CHECK 21299 321.39 OWNER REVOR,MARGENE 2503 KELLY AVE EXCELSIOR,MN 55331- 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 sepazate 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 Building Code.This permit may be revoke�l�t-S time for due cause. � //l /7 �/ 5� Applicant Permitee Signature Date Issu By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �OA'O Mailing Address: Permit number: l ��ZJ �y PO Box 66 Crystal Bay, MN 55323-0066 Date received: /� � � Street Address: Received by: ti G� 2750 Kelley Parkway Plan review fee: � t �, Orono, MN 55356 ,,,,,,��{{{ AkESHO� � ��. ��j 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) GENERAL INFORMATION: ,�1 Job Site Address: � � p� t..�" Will this be a Parade of Homes, Remode rs Showcase Home or other Display Home? ❑ Yes No If yes,a special event permit is repuired with Police Department and City Council approval 60 days prior to the event. Shutt/e bus s rvice will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMAT ON: �; Name: �� L�vv �U�� l�t.�, �: . � State License# ��; �, �,c�� —� f Expiration Date: � � ( . ��p Lead Certification Number. j��-7-- �,�� c �:� _ � . Expiration Date: �".�� (for work on homes that were constructed prior to 1978 Phone: (cell) ;,( �C; - �' �� (office) nl��- �'i 33 .��:-1_3 . Mailing Address: p� L; ;,L� Kk,:� ( �� City: _.f-�„_� ZIP: G�=�?]p '� _ Contact Person: ; E�;�, �'�,��,� Applicant is: ontractor ' Homeowner (CircleOne) Email and/orFax: 'r'\i c,vlk � lc'_��;I�,ov�l-�c�-c+-��t �d-� �,�- � ��"ti� , —— � PROPERTY OWNER INFORMATION: Name: � �_��x� �2-(_ u c:;; Phone (daY): (�,�� - �/dj • /'3�cF Address: � `�jv3 lGc��l-,� /�'z-c.-e CitY:��C�.�, ZIP: .`7�3 3 �- Email and/or Fax: PROJECT INFORMATION: Overall ro�ect descri tion: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 Window(s) www.minnehahacreek.orp Estimated Construction Valuation of Project(excluding land) $ /U��' - 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 inf ion is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the infor ation, the a lication ma not be issued. ApplicanYs Signature: Date: ��' �� Owner's Signature: Date: Last Updated:03/06/2013 �� C��.�� g��C_..C�� C��t�' �'��`E��E�� ` .��(�[��E�� Addre�s/F��rrv�it(Numtae�: Z.SU"?> `�G(��( J�� Descciptio�v �f�ar�: _ �(��c�-3S Seatic rew�ev�by: ,N (� Dat��4p�ae�ved: �onQr�� revievr l�y: N�/� ��te Approdec�: @�uildireg revQevH b�: date�►pproeed: 1�—� 3—�� Gradireg reviev��: N�QY D�te e�pprov�: Zorting District: �o�ing File#: Reso#: Reso Date: �o �6��: Lot Area: SF/RC t��ic��h: ��t�overa�e: SF _% �ue�r� �ubrni�tfec�� Yes � No D�te o��ur�+e�: Revisec!date? : RrQ �� Sefl�acks: � Frcan�(La t�eae(�tre�gp { � � E � � ( I� S E t�' j Ofiher B�ilding� �t9etf�c��9 �[Cf� �ti�� Definen tteigh�: P��k Ke€ght: �fE: FFE mir��s �f��f= (Existing Gcntoe�� Per6n�eter(Eirt�ar fe�t)= 5Q%_ #ofi S�o�i�s O �YES FOR/!BUILD{t�G 1'6iITFi A BASEfdIEN OR CRAN�L SPA,CE: The di nce between the lowest FOR A BUILDIN N A SL46 FOUNDI�TION: START WITH propos oor(ot the basement or crawl space)an he highest point of the roof. START WRH The distance between the top of slab and the highest point of the roof. If you have a.. If you have a... • GABLE 0 IPPED ROQF(no . GABLE OR MIPPED ROOF(no windows): S tract haH the windows): SubVact half the distanc distance betwe the highest point between the hghest poiM of the roc of the roof to the I point of the to the low point M the cortespondin SUBTRACTION corresponding gable r hipped roof ' . SUBTRACTION gable ar hipped roof ' (BASED ON ROOF . GABLE OR HIPPED R F(with (BASED ON . i',ABL�DR HIPPED ROOF(with TYPE) windows): SubVad half ROOF TYPE) virindows): Sabtract hatf the distanc distance between the top of e between the top ot the highest highest window and the highe window and the highest point of the peint of the roof roof • ALL OTHER ROOF TYPES t, ° ALL OTHER ROOF TYPES(flat, mansard,etc):No subtra n. mansard,etC:No subtraction. ADDITION Add the distanee beiween the top of slab SUBTRACTION Subfract the distance be the (9ASEp ON and the highest exisUng grade atljacent t� (BASED ON EXISTING basemenUcrawl space 1! and tMe EXISTING the foundaUCn. GRADES) highest epsting gratle �acent to the GRADES foundation OR 10 (whichever is less). EQUALS Defined buiiding height EQUf+L$ Det�oed buildi eigM . 5�erei�c�d �isfrict �C�c�D Permi�12ec�ived F�ver� e�ake ore Setback f�Aet7 �te�ff � Yes E� No � N/A C1 Yes � I�o � Yes � N � Yes � No 0 IV/A ' Permit Number. Setback: S�OE7Y9l°c°2��'P ll�Ii�* Exi��ie�g Pr��o�ec6 e��r€�r�ce �equire� Ct�P Reqt�iree� f2veria " tri�t f�e� E€�rdc��ec �i��dco��c 1� Yes � No � Yes � No Type(s): Typ s): Updated� January 2013 v:\fortns�plan review checklist 2013.docx IRE��.RK� (in-house): Fe��to be Cha ec� Y�� i� �f�n Reoai�� Sta�e Sur�hac�e Inve�tlgat6on Fee � S,�C—t�lc��ber a��C i��t�s °f Othec(specif�l S uare Foota e S er S uare Foota e Basement X $ 1°i Floor X - � _ $ 2nd FIooP X Garage X = $ EstBm�tiec� Constraction 1lalue: S ( 'U�(�t� �'r Ocor�o in�pection� Required Ydork Re�uiring Sep�rate Permi� Required State Permi�s � Site Q Plumbing � Grading i Filling � Weli � Hardcover Removal C� Mechanical �! Fire � Electrical 13 Footing � Septic � Water Connection 01 Poured WaH � Fireplace E] Sewer Connection C] Fo�ncEa�ion S�arvey O Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. raming � Other(specify) Insulation C! s-Built Survey �inal O Wetland Buffer CE Other(speciiy) F�Eh��►l�K� (in-house): � Othea°Rev��v�r: R��ie�r+�d b�: C��t�Ap�trQvecE: Rccess: Existing: CE YES � �!O R�ew: � YES Q NO OFFlClAL REf�ARKS-�O BE �tdTEE� Cll� PERfi�IT�PEt� [t�fTtl4t.l.ED Updated: January 2013 v:\formslplan review checklist 2013.docx i � ' IdINNfi80TA DfiPARTM6MTOF RESIDENTIAL BLDG CONTRACTOR � LABOR 8e INDUSTRY ConsWCtlon Codes and Lk:ensing Division Li�r►sing and Certifica6on Servk�s 443 Lafayette Road N St Paul,MN 55155 Webs(te: www.dli.mn.aov/ccld.aso Email: dli.license�state.rm.us Phone: 651284.5034 This is W certify that the certificate holder is licensed as a RESIDENTIAL BUII.DING CONTRACTOR in the state of Minnesota and is in compliance with Minnesota Statutes 326B.805,and may build residenrial real estate,contract or ot�er to contract with an owner to build residential real estate,and contract or ot�er to contract with an owner w improve existing residenrial real estate;provided the responsible individual is at all 6mes a QUALIFYING BUILD$R and the certificate holder maintains compliance with the required general liability insurance,and workers'compensation laws. License : RESIDENTIAL BLDG CONTRACTOR � Lic Number : BCo03096 NEIGHBORHOOD BUILDING&REMODELING CO � Effective Date : 04/01/2014 10024 MINNETONKA BLVD e . Expiration Date : 03/31/2016 � HOPKINS,MN 55305 T � VERIFY UP-TO-DATE STATUS,BOND,AND INSURANCE INFO AT www.dli.mn.aov/ccid/LicVerifv.asp (ENTER NUMBER). �� . 6068 4044 New 48"x52" Existing window sliding stacked glass door Lower level with new window above � -a.-x..�o (�-�a-c�-� ___..------------- � Si�;'��.��..� t��"F �� A�T�`��:�� ,��.:..'��-..T 1� ��r�D2 �C�� S�'� " R��,`�"�;�r:��:.�.�.i�6� CO�� • ��! y� '��"� �� a�:'� `� p �'"'°�' 57i' Ci��ii� b�'rP,f .3��•�f�l,�C a�}3'� LIVING AREA PLAN CHECKED B��---Dr'�TE � ' ' '3 '�'`-� r . �.. - � aj.�'` ��`�z„i i M.c�-s�a��. 2043 4043 2043 � �+ O�l , 4043 6068 4043 � Currently Existing i an existing window but new Remove Window wiil --existing ��arger wal I so �� reframed io io� � �i �� -' New � Window 1 11 5 locations � a,se � _�'� � -�-►c l(� --- � l-,��, � � � � � ( z� 0 , � ,� oo I� a � oo r - � T�-� _... - ._ _.� t_ __ __ __ 41033 I I\/I�I(; ORFA �—'� _(�^ � ^�� ,r TIME CITY OF ORONO CALLED IN �t" INSPECTION OTICE SCHEDULED l�� 10.� PERMIT NO ' � COMPLETED ADDRESS ��3 � OWNER E EP O O.��a"�I�33 7�� CONTRACTOR _ �; DESCRIPTION v YL� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z�NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP Q COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �L'n54G , d' l�4..�o r� �ja r r��e,r d!� � - J O • . � �l �i?SG c�'!Q- Q��cSo�L f/ZSc��• ° ��o c�.�t� c,v r�.tCbcJ � � � '� W 1 Q L�6 r�t�� r- �"'�/ �-�,'D�� z .O�G rP c �' � Ga .i �c�-t� �f �/C �5— c'6l�2 e� � L,c�,ae�t�t � C/� . D roK U . �,y��_ 4 � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: � Inspector. l�^- White Copyllnspector's Ffle Canary CopylSite Notice , �. DATE � TIME D��ITY OF ORONO CALLED IN INSPECTION�, CE SCHEDULED ; / �� PERMIT NO.'�` COMPLEfED ADDRESS �� /`{ /�� OWNER TELEPHONE NO. ��`'�g�� v CONTRACTOR � '�(�/'� �D�� ; DESCRIPTION � � lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADtNG/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP _ ❑ DEMO-FtNAL ❑ SEPTIC INSTALL ❑ HARD COVEfi REMOVAL J ❑ PLUMBING RI ❑ SE T FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: 2-I�• /h.sl�- /�'o?S— �� a ��/'rENtic vt..� �G i/' S G 9/I�f 4��►✓ rt � � �1i16 G�Da d� '� bQa✓ �K s �S- L��r«� � ar �4�L �[�i� — � � �b��t �cS�tre� � �o�tS' S.��v �x►s�r� . �d�SL` W /� L � � //� C.rchT`�G(>G✓ � Qy v� F� W � G`�d�� a,od�k� s D� w � J d � �ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: � � Inspector_ White Copyllnspector's File Canary CopylSfte Notice