HomeMy WebLinkAbout2017-01006 - windows . CITY OF ORONO IHII I 11111
* 20 1 7 - 0 1 006 *
2750 KELLEY PARKWAY DATE ISSUED: 09/07/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1453 NORTH ARM DR
PIN : 07-117-23-44-0071
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 5,149.00
NOTE: (1)NEW KITCHEN WINDOW AND(10 NEW BATHROOM WINDOW
APPLICANT PERMIT FEE SCHEDULE 139.36
WINDOW WORLD STATE SURCHARGE(VALUATION) 2.57
2
PLAN REVIEW 90.58
211 11TH AVE.E.
#130 TOTAL 232.51
ST PAUL,MN 55109- Payment(s)
(651)770-5570 CREDIT CARD 1058 232.51
Minnesota State License#:BUIL-BC356847
OWNER
BEITELSHEES ETAL,GLEN
1453 NORTH ARM DR
MOUND,MN 55364-
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 Building Code.This permit may be
revoked at any time for due cause.
67)/L :OLD
/ 21 /7
Applicant Permitee Signature Date Issued By$ mature Date
1
City of Orono F-7-/C6tiel
Building Permit Application for Maintenance I Renovation
(windows, doors, siding, re-roof, etc.) _
_ p Mailing
Box 86 Per_number: 48/317--/Nei
r 6(• Crystal Bay, MN 55323.00613 Date received; /4=33A rf
,�' y���11 street Address: Received by:
` > ,rr'_�d 2750 Kelley Parkway Plan review fee; �� e
_ - •a� Orono, MN 55356 �•J/
•
Main: 952-249-4600 Fax: 952-249-4516 wworono.mn•us Total Fee:
v,ci,
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: 11153 /►f 147-A-1, .4,---
Win this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes z o
If yea,a special event permit is required with Police Department end City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates Sufficient on-site perking Is available. Non-permitted events will net be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name: k6 , 1.., r-J r l l
State License# 1tG �6 Expiration Date: '. ..,-//,18.'
Lead Certification Number , --517. - - Expiration Date: r21
(for work on homes that were constructed prior to 1078
Phone: ,'t ';, ,r (office) (cell)
Mailing Address: } 30- City: , #„, ZIP: Oq
Contact Person: MI Applicant Is: ontractor / Homeowner (ctrat•on.y
Email andlor Fax: ' f1N 6✓LvPr( M ry ,h-%
PROPERTY OWNER INFO ATION:
Name: r'5w_r+ . A 06111dilleS
Phone(day): ' ' -, - 4 , -
Address: J S3 Ai 'r- -• 4, City: 00/'-ry ZIP: 5--5-3‘q
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑Door(s) 0 remodel ❑Fire Damage MCWD review permit;;
Minnehaha Creek Watershed District(MCWD)
❑Re-roof,sephait ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
0 Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑Re-roof, other(specify) ❑ Siding 0 Other:(specify) Fax:%Windt -ml cAtiata
•
Overall Project Description: 541-4- (4, ,
Estimated Construction Valuation of P oJect(excluding land) $ S--1r./ I
_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 few as either private or
confidential. Private data Is information which 8enerally cannot be given to the public but can be given to the subject of the
date. 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,
Applicant's Signature: G----- 2.-r 7
_ Date;
Last Updated; 08-09-2011
1 'd Xid3 13rN3Sd1 dH Wd9I :E LTOZ 22 21U
. , _ PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: /q-5-3 /1/0/'7'1i AV el( Permit No.: r7-0i17- Oa
Description of work: 1/(//t t1 (1(0 t/ d f..e( aS Date Rec'd: R/. -5/1/7
Septic review by: Date Approved:
Zoning review by: /7 Date Approved:
jie.,X
Building review by: r/.-- /t ( Date Approved: e0/7// 7
Grading review by: Date Approved:
Zoning District: Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/ NA
Zoning: Lot Area: SF/1 Width: Structural Coverage: SF %
Survey Submitted: 0 Yes ,O No Date of Survey: Revised date(?):
Landscape plan submitted? 0 Yes\ Landscaper: 0 No/ None proposed
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Building Height Analysis:
Distance Between First Floor and defined Top of (a)
Roof* (See "building height" definition):
First Floor Elevation (frobuilding plans): (b)
Highest Existing ground I vel (per survey) or 10' (c)
above lowest ground leve , whichever is lower:
Difference between (b) an (c): (d)
DEFINED HEIGHT If highest existing grade is: (e)
above FFE-Height is(a)-(di
below FFE-Height is(a)+(d) —
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
0 Yes 0 No Permit Number: / 0 Yes 0 No 0 N/A 0 YesNo 0
0 N/A-see attache Setback:
Stormwater Quality Existing \,Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) _ (% and sf)
•
0 Yes 0 No 0 Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx /
Fees to be Char.ed YES NO
Permit moi. z4 -:f. � � � � Wo
Plan Review 141.
a v* g
0" "i..A:A a .,�° ,
Investigation Fee V.
r E�.
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ �!
Orono Inspections Required Work Requiring Separate Permits
❑ Footing 0 Site 0 Plumbing 0 Grading/Filling
❑ Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
❑ Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection
❑ Framing 0 Other(specify) 0 Masonry 0 Sewer Connection
❑ Waterproofing/Drain tile ❑ Mfg. 0 Lawn Irrigation
❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping
Framing
Insulation
❑ As-Built Survey
Final
❑ Lathe Required State Permits
❑ Other(specify)
0 Well 0 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 2016
v:\forms\plan review checklist 10-2016.docx
Aug 22 2017 3: 16PM HP LASERJET FAX p. 2
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_a — DATE TIME
CITY OF ORONO CALLED IN /0
INSPECTION NOTICE SCHEDULED 7 - 7/7 /e9:
PERMIT NO. c9r)1 -NCO& COMPLETED
ADDRESS / 50 77` /9-1W1 ])Ii
OWNER Com/?'77E PP NO.q- 9 6'4745
tit Q TuI,
CONTRACTOR f i e 1 -
• DESCRIPTION p_.)/4' d 44 _ (7/ �/i
W 0 FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
- 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
GI
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q gERAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z ❑
4. INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
✓ 0 FINAL ❑ WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
2 9NTRACTOR TO MEET YOU ES_NO
9 COMMENTS: no e 1e 6-tc '
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W 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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r- 6QRRECf WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
CI/❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El
0 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. iv-/
White Copyllnspector's File Canary CopylSite Notice