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Home My WebLink About2015-01401 - windows CITY OF ORONO * Z 0 1 5 - 0 1 4 0 1 * , 2750 KELLEY PARKWAY DATE ISSUED: 11/03/2015 � ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 3444 NORTH SHORE DR PIN : 08-117-23-43-0022 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 017 BLOCK 000 PERMIT'['YPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COIYSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,000.00 NOTE: 3 EGRESS W[NDOWS, 1 GARAGE SERVICE DOOR APPLICANT PERMIT FEE SCHEDULE 108.42 STATE SURCHARGE(VALUATION) 2.00 LEE LUMENDAL, DEBORAH TOTAL 110.42 3444 NORTH SHORE DR Payment(s) WAYZATA, MN 55391- CASH 110.42 OWNER LEE LUMENDAL, DEBORAH 3444 NORTH SHORE DR 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 are requested in conformance with the State Building Code.This permit may be re d at any time for due use. " ��7 � .y �� I' ' ' fj i` <j� � � �L-� ��L: � � � G �� I� ,� � p cant Permit �g ature ate Issued By Signature Date City of Orono B�ilding Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) � �O Ma�hPO Bo�r66 � Permit number: ��S-- � I � Crystal Bay, MN 55323-0066 Date received: f U� � - Street Address: Received by: � y�, G� 2750 Kelley Parkway Plan review fee: -� � tqxFSH�� Orono, MN 55356 Total Fee: I � �^� , L-�-a' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� i�-2%S This application form must be completed in full and all required information m st be submitted. �� Incomplete applications will be returned. (Please print),��'"_�` ' I� GENERAL INFORMATION: � Job Site Address: � � u�^�1 V' fl �� Will this be a Parade of Homes, Remodelers Showcase Home or other isplay Home? ❑ Yes , o If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servic will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �,-f State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / HOmeowtle (�irc�e One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �� 3 ��QC' ��1lF'1Q�Ot� Phone (day): �b �� — �� '�W �(�5 � ��(� � Address: ��-{ � � �` �� City: QfYj�1G ZIP: �'�j'j,3q � Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 � W F �: 952-471-0682 l,�` ❑Window(s) .minnehahacreek.or Estimated Construction Valuation of Project (excluding land) $ � 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 information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: Owner's Signature: � � � �> �� Date: ��0 ,�� S Last Updated:January 2015 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS ' Address: J�7'�/�'� �m/`Y'h ��0''� ��"�Uv Permit No.: Description of work;/"��G1��ss �/t/'t.�U/S `N' ��c�a/`�z�c�Date Rec'd: S�i'urc� d�mr Septic review by: �� Date Approved: Zoning review by: � Date Approved: Building review by: 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: 0 Yes 0 Date of Survey: Revised date(?1: Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Bu' ings Wetland Side Side Defined Height: Peak Heig t: FFE: FFE mi s 6 feet= (Existing Contour) Perimeter(linear feet)= 50%= L.F. below grade #of Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SP CE: FOR A B LDING ON A SLAB FOUNDATION: The distance between e lowest proposed The distance between the top of START WITH floor(of the basement crawl space)and START WITH slab and the highest point of the the highest point of the of. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPPE ROOF(no (no windows): Subtract half windows): Subtract alf the distance the distance between the between the highest int of the roo highest point of the roof to to the low point of th correspondi g the low point of the SUBTRACTION gable or hipped roof corresponding gable or (BASED ON . GABLE OR HIPPED OOF ith SUBTRACTION hipped roof ROOF TYPE) windows): Subtract h f th istance (BASED ON • GABLE OR HIPPED ROOF between the top of the i est ROOF TYPE) (with windows): Subtract window and the highest oint of the half the distance between roof the top of the highest . ALL OTHER ROOF P S(flat, window and the highest mansard,etc):No btra tion. point of the roof . ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance tween t e (flat,mansard,etc):No (BASED ON basementicrawl spac floor and he subtraction. EXISTING highest existing gra e adjacent t the ADDITION Add the distance between the top GRADES) foundation OR 10 et(whicheve is less). (BASED ON of slab and the highest existing EQUALS Defined buildin height EXISTING grade adjacent to the foundation. GRADES EQUALS Deflned building height Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? 0 Yes 0 No Pe it Number: O Yes O No � N/A 0 Yes 0 No N/A—see attached Setback: Stormwater Quality Existing Hardcover Proposed Overlay District (a/o and sfl Hardcover Variance Required CUP Required Tier circle one %and s � Yes 0 No � Yes � No 1 2 3 4 5 Type(s): Type(s): Updated: January 2015 z:\forms\plan review checklist 2015.docx REMARKS (in-house): , Fees to be Char ed YES NO Permit Plan Review � State Surcharge Investigation Fee ��' SAC— Number of SAC Units t/' Other(specify) � f��'1 c.2 -' �n (' (��% _ $ �� 1S�Floor X = $ 2nd FIoOr X = $ Garage ��— m�{� X �� _ $ �� Estimated Construction Value: $ � ,�� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading/ Filling � Well ❑ Silt Fence/ Erosion Control � Mechanical � Fire � Electrical 0 Hardcover Removal 0 Septic ❑ Water Connection ❑ Footing 0 Fireplace ❑ Sewer Connection 0 Poured Wall � Masonry ❑ Lawn Irrigation 0 Foundation Survey 0 Mfg. � Landscaping 0 Foundation Waterproofing 0 Other(specify) 0,Radon Rock Bed ��raming � ❑ Insulation ❑ As-Built Survey Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 z:\forms\plan review checklist 2015.docx ` � s�-�� ``s.��-��.� ��oo�- 3�� , 3 � �. � - �;� ,�.�v ��I � - �6 � � � � ��'� � �n�� Q �Jc-C�) � Z� md �q�a Fteviea��d go�Code J� � ompiiar�ce C��y o#Orqno ( �.�z,X l D �� Dat; �� Z � �9` 3 ` � � ^ � c Reviewec � �� '� � ��s �� C�.� , � �eg� �� 1.�� SMOf�'p�CTOR ONNECTE a��¢s � � ING < DEVIrE pR OTHEq p �TO A SOUND- ( SLEEPING Ar'��AS. �ECTOR AUDIBLE IN � r3��ro ��, � a,�� c _ _ _ - r / / _ _ . a 14`c`'� o��e.^q T eG � � f c�=�'� �'t��l� ��EIVED I '; �",�:; 30 2015 I � ��-" �v�xlo c� � � � /'�SS �� '� CIT`� �F ORONO ( �� — � << �� !� S �eS'S ��n d�v� 6 �---- ( � � �_ � `�K� BEf�F20QlM 1/��DOWS �-� � FiR� EX�T F�E�lJI:'�??ED ( i 20" E`a�€�N. 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CONTRACTOR � DESCRIPTION �✓�� ee/� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q FINAL ❑ WATER HOOK-UP �.�OLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL 2 v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNBUCOIfTRACTOR TO MEET Y�OII:_YES_NO � Ci��EN�: ' /��/IN •�. /1S1G�0 ✓ �G•�C'a0 � GI<�'iCj✓ C� � �,n.G i.�s�c��6.� 0 � � r�� la � ��f�� . � o � lr��.►•� � - - Q �r ,vi. v � W 1 � jn P�G(.t.fii r ��t�`�` � ❑WORK SATISFACTORY:PFiOCEED ,�JECT COMPLETE W ❑OORRECT YMORK�PROCEED ��ISSUE CERTIFlC/1TE OF OtxUPMNCY OO ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERIN(i PER�AANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑GTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANOE ACCESS. cs�ror a,e��,spect�«,2a no��M aa�a�e. (952) 249-4600 Owne�IContractor on ske: Inspector: Q,rw � YYhite CopyAnspectors FII� Canary Copyl8lt�NoNa