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Home My WebLink About2016-00878 - windows CITY OF ORONO * 2016 - 00878 * 2750 KELLEY PARKWAY DATE ISSUED: 07/26/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)2494616 ADDRESS : 840 NORTH SHORE DR W PIN : 07-117-23-22-0005 LEGAL DESC : UNPLATTED 07 117 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 8,979.00 NOTE: REMOVE AND REPLACE 3 WINDOWS AND ONE PATIO DOOR INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 185.83 STATE SURCHARGE(VALUATION) 4.49 BUDGET EXTERIORS TOTAL 190.32 8017 NICOLLET AVENUE Payment(s) BLOOMINGTON,MN 55420- CHECK 79324 190.32 (952)887-1613 Minnesota State License#:BUIL-6564 OWNER HATCHETT,JIM&JUDY 840 NORTH SHORE DR W 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. Applicant Pennitee Signature Date ssued ignature Date Ktc:tlVtU CITY OF ORONO JUL 2 6 2016 BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS CRY OFORONO Mailing Address: Permit number: PO Box 66 Crystal Bay,MN 55323-0066 Date received: Street Address:' Received by: 2750 Kelley Parkway Plan review fee: � L Orono, MN 55356 !dkrsNU�� 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: Job Site Address: S, -k Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? LJ Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: State License# �. 'z0 L,SL,�� Expiration Date: Phone: (cell) (office) 1 Mailing Address: \1 . �z C : kl o� ZIP. d Contact Person: \��. m�-�-�Sc��'\ Applicant is: ontrac"i-or Homeowner (circle One) Email and/or Fax: - \ PROPERTY OWNER INFORMATION: Name: ACV-1�� \a Phone (day): Address: S'-AO c\ gg City: mc�,e&,C\'A ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Descn tion of project: CC � e k `� ti R��,S 1.Type of Project 2.Proposed Use 3.Structure Type 4. WaterSewagisposa 8 Water Supply ❑New Construction Single Family with zff Residence F-1Additionattached garage C]Garage/Accessory Bldg. E]Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck Relocation detached garage ❑Office/Commercial ❑Private Sewer Other:(specify) C' ❑Multiple Family/Condo ❑Warehouse Public Water ❑ Public ❑Storage ❑ **Any earth movement may also require ❑Commercial ❑Other(specify) ❑Private Well MCWD review&permits. ❑ Industrial Minnehaha Creek Watershed District(MCWD) ❑Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or U Estimated Construction Valuation (excluding land) STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a.Length(ft.)= Number of bedrooms= ❑Wood/Frame b.Width(ft.)= Number of garage stalls: ❑Masonry Areas in square feet Attached= ❑Metal ❑Pole Bldg. c.Basement= Detached= ❑ ICF d. 1st Story = ❑On-site Prefab e.2nd Story= ❑Off-site Prefab f. 'h Story = ❑Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ ❑ Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ ❑ Survey(meeting all requirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Minnehaha Creek Watershed District Permit(s) ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow Agreement is completed and signed; • Understands 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 you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000 escrow to ensure completion of the as ilt survey and all site improvements. Applicant's Signature: Date: Owner's Signature: Date: • DATE TIME V(: CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO .)C1/ -00c6"7`6`(7 COMPLETED ADDRESS d c o , .SAo dr OWNER TELEPHONE NO. CONTRACTOR uqc ;IO►%s E DESCRIPTION Al I O cJ IU 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 4. • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL k 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION C 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP 'AftDLLOW-UP ❑AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v 0 DEMO-SITE ❑ SEPTIC INSTALL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: F-L':wL' _ Au i 'e.-- f.( Q r Com/ �o✓re lat j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 N. Expiration, no record of a Final inspection. k tt W ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE • 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY Q 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN for the next Inspection 24 tows In advance. (952) 249-4600 OwnedContractor on site: Inspector: �^_— WWII CopyIInspsctors FIN Canary Copy/SlSs Nodal