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HomeMy WebLinkAbout2015-01432 - doors � . CITY OF ORONO � 1 5 - 0 1 4 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U12/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 485 PARK AVE PIN : 06-117-23-41-0016 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 2,000.00 NOTE: DOOR REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 77.44 STATE SURCHARGE(VALUATION) 1.00 DESIGN CRAFT CONSTRUCTION INC. MAIL-IN FEE 2.00 3333 80TH AVE N BROOKLYN PARK, MN 55443- TOTAL 80.44 (612)597-5989 Payment(s) Minnesota State License#: BUIL-BC692134 CREDIT CARD 0143 80.44 OWNER MEYER, DONALD&CATHERINE 485 PARK AVE LONG LAKE, MN 55356- 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 separa[e permits. All provisions of laws and ordinances goveming this type of work shall be compied with whe[her or not specified herein.This permit will expire and become null and void if construc[ion 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. . - _ 1 L � �- l J l � I � / / Appli Permi eSignature Date Issued y ignature Date From:Michael Tharp Fax:(763)333-2445 To:9522494616@rcfax.con Fax: +19522494616 Page 3 of 4 11/O6/2015 11:17 AM , t ' CITY OF ORONO BUILDING PERMIT APPLICATiON FOR NEW STRUCTURES OR ADDITIONS �O A T MailiPO B xr66 Permit number, �D/,S� d� �3 �V� Crystal Bay, MN 55323-OOS6 Date received: �— l Street Address:' ' Received by: y� G� 2750 Kelley Parkway Pian review fee: �,�x�SHo�� Clrono,MN 55356 • Total Fee: ��, � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in ful{and ail re.quired information must be submitted. Incamplete applicatians will be returried. (Please print) GENERAL INFORMATION: Job Site Address: 485 Park Avenue, Orono MN 55356 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No ff yes,a speciat event permit is required with Police Depariment and City Council approvat 60 days prior to the event. ShuKle bus sarvice wil!be required unless applicant demonstrates sufficient on-site parking is availabte. /Von-pe.-mitted even2s wifl not be allowed. CONTRAC70R!APPLICANT INFORMATION: tvame: Desi�nCraft Construction, Inc. State�icense# bc692134 Expiration Date: 03/31/2017 Phone: (ceN) 6 2-760-0888 (office) 763-333-2559 Mailing Address: 3333 80th Ave N City: Brooklyn Park ZIP; 55443 __ Contact Person: Joan Thar Applicant is: Contractor / Homeowner �a.�te one� Email and/or Fax: Etharp(a� esigncra con5truction.com PROPERTY OWNER INFORMATION: tvame: Catherine Mayer Phone(dayy: 952-473-7258 Address: 485 Park Avenue city: Orono ziP: 55356 Email andlor Fax ARCHITECT/ENGIPIEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email andlor Fax: PROJECT INFORMATION: Qescri tion of ro'ect: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Constn�ction ❑Single Family with ❑Residence ❑Addition attached garage ❑Garage/Accessory Bldg. ❑Public Sewer ❑Accessory Building ❑ Single Family with ❑Deck ❑Relocation detached garage ❑Office/Commerciai ❑Private Sewer �1 ocner:�S�o��yy Door Replaceme ❑Multiple Family/Conclo ❑Warehouse ❑Public ❑Storage ❑Public Water '*Any earth movement may aiso reguire ❑Conmercial ❑Other(specify) MCWD review&petmits. ❑Industrial ❑Private Well Mlnnehaha Creek Watershed Di�trict(MCWD} ❑Othe�:(speClFy) 182U2 Minnetonka Blvd Deephaven,MN 55391 Phane: 952-471-0590 Fax: 952-471-0682 www.m innehahacreek,or Estimated Construction Valuation(excluding land) $ 2,000.00 From:Michael Therp Fax:(783)333-2445 To:9522494616(a�rcfax.con Fax: +19522484616 Page 4 of 4 11lO6l2015 11:17 AM . [ � , STRUCTURE INFORMATION: 1.Stnicture Dimensions 1.Strueture Dfinensions(corrtinued) 2.Type of Construction a.Length(ft.r Number of bedrooms= �yy��Frame b.Width(ft.}= Number of gardge staqs: ❑Masonry Areas in sau�e feet Attached= ❑Metai ❑Pole Bldg. c.Basement= Detached= ❑ICF d. 1'�Story = ❑On-site Prefab e•��' ❑Off-site Prefab f. '/Story = ❑OcF�er(please s�cifjr): g.Total Area= REQUIRED SUBMITTALS: A!I of the information must be submitted in order for our a lication to be processed: Not Enclosed IicaWe � � Permit ication O O Pro d Bu�ldin Pians ❑ Ci MN State Ener Code Calcuiatians and Mechanical Code Re uirements Fam � O Surve meebn all uirements O ❑ Stormwater Poilution Prevention Pian 0 O Warda�ver Calculation s ❑ O Se tic S tem Site Evaluation Re rt ❑ 0 Access Pennit � O Wetiand Buffer im rovement Plan 0 O En ineered Plans for Retainin Walls 4 feet or above ❑ O Minnehaha Creeic Watershed District Pennf s ❑ O Plan Review Fee 0 O Applicatia�Escxow&Agreement O O Other: APPLtCANT/OWNER ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultar�t review costs in excess of$500; • Certities that the information suppiied is true and correct to the best of his/her knowledge. The applicant recognizes that ihey are solely responaib!e for submitting a complete apptication being aware that upon fadure to do�,the staff has no altemative but to reject it until it is�mplete; • Adcnowledges the Escrow Agreement is completed and sigr�ed; • Understands some or ali of the infoRr�ation that you are asked to provide on ihis appiication is dassified by State{aw as either private or confidential. Private data is infonnabon which generally cannot be given to the public�t 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 iMormatian is W annually update our records and records of other govemmental agencies required by law. If you retu�to supply the informaaon,the application may not be issued. • Agrees that in the eveM that-weaft�sr or otFaer condlNons preveM ths cwnpletbn of an as-built�rvey at the tlme the Certlftcate of Occupancy is r�uested.a temporary Certiflcate of Occupancy may be iRsued.upon recelpt of a a10�000 escraw to ensure completfon of the as-buitt survey and sll site ImprovemeMs. � Appiicant's Signature: Date: '�1/6/201 S Owner's Signature: Date: From:Michael Tharp Fax:(763)333-2445 To:9522494616�rcfax.con Fax: +19522494616 Page 2 of 4 11/0612015 11:17 AM �I�������;i�i�: RFSIDEt'71R1.KF:II�JDEI�ILS Y DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. o'�Gi�^��y.3o; COMPLEfED -3- �'/ ADDRESS �'�� P.c�,e /�I ri� . OWNER TELEPHONE NO. CONTRACTOR ����� Cr�� �'�nS�- y'�• � DESCRIPTION �3'' I"�A1- ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 ��IAL ❑ WATER HOOK-UP �FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP �J FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �r��� �v��v �./�o� `� ct !l �pi q � �/KgL //1S.Oe��/o�c. -_ - o /cr� p�tie� /�(j YN e� ` � � -��o/' re,�o% - S�rKe s�Ze ��, o � • A X..� S�!/1 t' L�iO IZ—�i • W R Q 2 � ��� �si��P�sF/S �i0�/�� � t W ' �/ ; ,��r„u��` �r��� � ❑WORK SATISFACTORY:PFiOCEED v�OJECT COMPLETE W ❑CORRECT WORK 3 PHOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR WILL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. �^' Wh e Copyllnspector's Flle Cenary CopylSM�Notks