HomeMy WebLinkAbout2015-00601 - windows CITY OF ORONO �*111111111111111111111111110111111101110111111111
2750 KELLEY PARKWAY DATE ISSUED: 05/15/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 790 OLD CRYSTAL BAY RD S
PIN : 04-117-23-43-0007
LEGAL DESC : AUDITOR'S SUBD.NO.229
: LOT 026 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 18,442.00
NOTE: ATTIC AIR BYPASSES MUST BE SEALED BEFORE INSULATION IS ADDED PER NEW ENTRY CODE
(13 WINDOWS,2 ENTRY DOORS&ADDITION OF R-30 INSULATION TO EXISTING ATTIC)
APPLICANT PERMIT FEE SCHEDULE 340.77
STATE SURCHARGE(VALUATION) 9.22
THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00
2690 CUMBERLAND PKWY,STE 300
ATLANTA,GA 30339- TOTAL 351.99
(763)542-8826 Payment(s)
Minnesota State License#:BUIL-CR268257 CREDIT CARD 0174 351.99
OWNER
BAKER,KAREN
790 OLD CRYSTAL BAY RD S
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 Building Code.This permit may be
revoked at any time for due cause. 76
^
WCU 6.41( OirKtri ,
Applicant Permitee Signature Date Issued By Signature Date
MAY/14/2015/THU 03. 12 AM Elder Jones Building FAX No, 952 854 4909 P. 002
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: 7 Q/ - OC40 I
0-1--i)
PO Box 66
Crystal Bay,MN 55323-0066 Date received: !/�� 15
Received by: JZO /1-61A�
� k; �` Street Address: IQ
��[
, � o" 2750 Kelley Parkway Plan review fee: Iv[A.
<y. s 'o y Orono, MN 55356
36i qci
,_� Total Fee: '
Main: 952-449-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be su miffed."
Incomplete applications will be returned. (Please print) le---40
GENERAL INFORM TION:
Job Site Address: 7
q 0 01 d C S1 el o
y
Will this be a Parade of Homes, Remodelers Showcase Hor"rie or other Display Home ❑ 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 will be
required unlets applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION;
Name: j t$P35 + 4 vy7
State License# THD At-Home Service, .Inc, e ,
Phone; I 2690 Cumberland Pkwy, Ste 300 (cell)
Mailing Address: Atlanta, GA 30339-3913 ZIP;
Contact Person: f Lie#CR268257 Ph. 763/542-8826 Iomeowner (circre on.)
Email and/or Fax; f
PROPERTY OWNER INF•R�QAT�N: i! � �4 Name: ♦ Cy�
74
Phone(day): _ , 5 119
/ ,
Address: I • t • 4 lit ; / 4 Ci :11 Q j 64 4 ZIP: 5 6 '
Email and/or Fax
PROJECT INFORMATION: -
Type of Project; Any earth movement may require
' MCWD review&permits
1 Door(s) Q Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
�Window(s) p Repair El Storm Damage 18202 Minnetonka Blvd
• Deephaven, MN 55391
❑Siding , LI Restoration N Other:(specify) . Phone: 952-471-0590
iA J/ Fax: 952-471-0682
❑ Re-roof ] Fire Damage Ali/(r //) S - www.minnehahacreek.org
Overall Protect Description: /3 win efe,i4 5, p ,4- 'ty da l i s ' a d d,II/ o n -3 a /n$U /o ,
Estimated Constructio i Valuation of Project(excluding Ian ) $/ 8 y y 9 'lb ni.1 1,n? chi I
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide 'all information required or requested by the Building Department;
• Certifies that the irjformation supplied is true and correct to the best of his/her knowledge, The applicant recognizes that they
are solely respons ble for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Some or ail of the Information that you are asked to provide on this application is classified by State law as either private or
confidential. Priv e data is information which generally cannot be given to the public but can be given to the subject of the
data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and inten ed use of this Information is to annually update our records and records of other governmental agencies
required by law. If4ou refuse to supply the information,the application may not be issued.
Applicant's Signature: Date:
Last Updated: 05-04-2009
T PLAN REVIEWd-� �KUST FOR STRUCTURES / f DDITIONS
Address: ...1 cl l7 t71.Q C. S714,.... �. t�-c� Permit No.:
s
Description of work: Qo R$ l/Vtwpo s /NS✓ -r b Date Recd:
Septic review by: orf i. Date Approved:
• Zoning review by: 0`' Date Approved: ,
Building review by: , (-74„...... D�Ite ►p�proved: .,.5---/'5--'!
Grading review by: N//-� ,_ • Date Approved:
f
Zoning District: Zoning File# Reso#: Reso Date:
Zo .11g:Lot Area: SF I AC Width: Lot Covelrage: SF %o
Surve Submitted: 0 Yes No Date of Survey,: .Revised deter
Propos etbacks:
Front(Lok Rear(Street) I N Side vv..),,
) 5, N Side ) Other Build' gs ; Wetland
Defined Height: • Peak Height• _ . . FFE: :F'FE minus S r .'t __ ,__,_�(Existing Contoi
Perimeter(linealr feet)a 50%
bw
'' .� bel grade ::�of Seel;
FORA BUILDING WITH A BASEMENT WL SPACE: • FOit A BUILDING • 1.4..:41,44!.1-..FOUNDATION: ,r
The distah n the i ro sed ' `
oft a Pb" T di$ �h1he pf
- .r ' t' AH• Joor OR ' - -ths2. Wy pa sej'and' °"� '' S',. - VYII #- ` sf Cy tf lie a4t gae
the highest point he roof.•.r
if you-have . , If u have ,
• GABLE OR HIPP a ROOF no
�L QR PED ROOF "
' windows): "Subtract =If the disfance !! .S13Btrabt half
You-have
een he igh .9 e t Eif then roof + l� tw8 l�' -
to the low int of th s r i r , ow In of e
SUBTRACTION gable or hipped rugf e o }
(BAS` ON GABLE OR HI ED ROO ( '•,` SUBTRAA Tit t
ROOF TYPE} windows) Subtract half the dlstd (BASED ON J GA OR HIPPED OF
between the top ftth�ehighe � . 7 ESE) F , `(� '��r
window and the highest point a fps e:di�ir ce
roof thetop,o'the hl
• ALL OTHER ROOT`TYP jflat � '� .
mansard,etc):Nosu otion. nt rH�t roof
SUBTRAGTI•N Subtractthedistance nth ..,..„,.,...:...-..s..,-„..,-„:„
r sR' ,` PE3
IbtrYds #C)`IJo
(EASED AN basemeiitkxawl s Hoot aid the •� , � '-..•.1',..1:,..-"L'',-,,,,i-e,:.,:..-,...,''';.r.
� ' � � k
• EXISTINt highest existing g- a adjacenttothe A`DDITI ` r � ' e dl i ween the fop
GRADES} foundation OR o feet(•whichever is less) {BASED ON of slab enddhe highest-exi
EQUALS Defined• dingheight • EXJSiit;tG
ORAbEs�. • .� �} ►t� ����p'y
',EQUALS Definedbu ling height
Shorelartd i)istrlct MCWD Permit ` `verage i.aiiesfiore Bluff
IwetZ
O Yes D Permit Nurrlber. 3 Yes �.No t ail Yes` No
1 0.N/A see attached = ` ei#baclt
uv
Stonnwete;CI'
ity Praptised
Overla Di- rict Existing Hardcover
Y (%and s>) Hardcover -Variance Required �► - Required
Tier(circ one) (%and sf�
D Yes 0 No - 0 Yes 0 No
3 4 5 TYPe(s) Type(s):
Updated: January 2018
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REMARKS (in-house):
Fees to be Ch_arged YES X O
Permit ":
Plan Review
-,,,:,._:,,.i.'.
=
Mate^Strrgt€ d ro,i,ZL .�+ti, 1 A� 4t '
Investigation Fee ...
'S'AC 'Number of SAC Units
x a
Other(specify)
a
Square Footage $per•Squa• Footage
Basement X $
}
1st Floor X _ $
2nd Ffoor x , $ „
} .�
Garage X $
Estimated Construction Value: $ /9, y"(Z
lr
Orono Inspectiions Required Work Requiring Separate Permits< - it
equf ea.. .- -_,-.•-1:....:,..,,-.0-t-,tert1 its
• O Site 0 Plumbing ., 1 +Fail g. ��ll� z
• D Silt Fence I Erosion Control 0 `Mechanical LI Fire lectrical
0 Ha•rdcover Removal 0 Septic` 0 Water onn`e• ion "
C3 Footin Fire lace
� p 0.��e1t�1 ��xon
0 Poured Wail 0 `Masonry L a� "-..,-.-:,..4,:.%;-,..0▪ ,, -`
IO Foundation Survey 0 Mfg. ,11,.,,,.:ands u F
O Foundati� , -•.-rproofing 0` Other(speci�fjr} :r ,�, >
Radon�t�ciz.,�en d _ � .,:;:4,;:y4^,:,
+rte'` d z r�s -.•.'2 �'a.,%;1':•,,„3,t,4.4,:-.:','!:'''
^ia� ,�,,' :,...,,,,041-1,,--1-:.,:t
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9
I tit Sot?'ay 'a' -. . k`3$� ar.- (.:‘,,,''''!".,1';;.4. .."4,-..,7'-'7,,,,:'`.,--'--
y r "c. 1 '�'-
' F :? \„,..'74,,,t.-
„,...',,i^ s K 'rx` r`�.. r 7¢$s r r5`P"A��€m .vr s^,R ;
ar „1 4{.' 4":- i ,¢r w' r -r > c`a 'r : � �w zt - lo."
,3„g„:::','
waw- a1,t r ,�!
I *ifY� � :+ , ,`mob: R P
.g4 a ,y � P �d� 4
REMARKS(in-house): -•
t + c C ,„..4-
.t� t S+ -';, ,,-': .ems+.
.- Astpu
. a
- r
Other Review: Reviewed Y. d
Access: Existing: Q YES 0'NO` leer 0 Y S N �`.
OFFICIAL REMARKS-TO BE NOTED ON PERMIT;AND'''.NITIAL r
A~r r?t- t y ��iSS-PSS /YM✓ :t t- �3 � ,
/t.!5) fin a 1 r� mac . � .,.-? : tr"?' + ,: , 2 ;
Updated: January 2015
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L- DATE TIME4
CITY OF ORONO CALLED IN 40,-/.6740,-/.67
INSPECTION NOTICE �O 0� SCHEDULED �- ,4012%._ //.•�
PERMIT NO)0/�- COMPLETED
ADDRESS,�/ ??C a / l� e /i 1G6 s
OWNER t[ ELEPHONE NO. ' - ..,I
CONTRACTOR 2 7 'f
DESCRIPTION Glut b ) a �r-e n „
>, 7'-�'`
41 ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ❑ MECHANICAL FINAL 0 PROGRESS
1... ❑
1... INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
4J.__ ❑ AS BUILT-SURVEY El SEWER HOOK-UP 0 HARD COVER REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL ElFOUNDATION/REMOVAL
Z CONTRACTOR TO MEET YOU:X YES_NO
cc.) COMMENTS:
a WII/O ) y boa i rcp kee..4e.its -
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5&..,r a 51 Z e Sa.rt .t St'7/e -
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z D(K a r 04C y el)-"k.yofe ir- -
41
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,iJQ/w1 • � r. 4,4./esQ
W 0 WORK SATISFACTORY:PROCEED t:Et4SJECT COMPLETE
CCW
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. i---d it
White Copyllnspector's File Canary Copy/Site Notice