HomeMy WebLinkAbout2011-00610 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00610
" 2750 KELLEY PARKWAY
. ORONO,MN 55356- DATE ISSUEn: 07/1U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1720 SHADYWOOD RD
PIN : 17-117-23-21-0019
LEGAL DESC : SHADY-WOOD
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 10,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBMG, ELECTRICAL(STATE)
KITCHEN REMODEL
APPLICANT pERMIT FEE SCHEDULE 191.75
LAURENT BUILDERS PLAN REVIEW 124.64
100 S.FULLER STREET
SHAKOPEE,MN 55379 STATE SURCHARGE(VALUATION) 5.00
Minnesota State License#:20630887 TOTAL 321.39
OWNER
MONSON,TOM&ANN
225 COUNTRY CLUB COURT
LACROSSE,WI 54601-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 sepazate
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 aze
requested in conformance with the State Building Code.This permit may be
�revoked at any time fo�e.
��l.��, 7 /�/ / ��
Applicant Permitee Signature Date / /
Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� c� af orono �'
ty � � � � �� �
, Building P�ermit�plication for Ir�temal
(wir�cio�, doors, sidin9, r�-r�oo�, etc-)
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ESH �_= Tatal Fee: �oZ�. 9
Nfain: 952 249-4600 � 952-24.9-4616 wrwv.d.orono,rm.us
This application form m�.st be oorrple#ed in full and all required inFormation rrx.ist be subrrrtted.
Irx�arplebe applications will be retumecl. (R'ease p�rirrt)
GB�2AL INFaRMAl10N: i�C�.
Job Sibe Addr+ess: ;_]�C� .S�n uc��w o�
Will this be a Parade aF Hares, Remodelers Horn�or otl�er Display Horr�e? ❑Yes �No
/f yes, a speda�evei�t penrrt is req��iied with f�ioe�tmer�t and CJty Co�uncil aq�av�60 days pia to the ewwrt. Slwttle bus seiwae will be
raquired uriless aqdicant derr�iates si�cierrt orrsite parldng is availaLYe. �brrp�enritted evei�ts will not be allaroeci
OONTRA�CTOR/APPLJCAPff INFOF�IVIAl10N:
rv�,e: �a�,�re� �,��Ide�s
State Voerise# a�0 6 3� �g� E�iration Date: 3 a�I a•
L�d Certification Nurri�er: _�- 18 3 1�-i U -U I 9 s� F�iration Dete: �c�- ��D I,r'
(fa'warlc an hanes Uiat we►e oarutructed p►ia'to 1978
Phone: (o�ioe) �.Sa- 2�Up- 3 93� c��)
Mailing Address: �lL} 12,'�9c�ne.s � D r�, �Y Gav��✓e,�, ZIP. S�.3!S
COftt��f501'1: ��r� L�Krel f�IG]flt IS: / w�ivauu � / HOf11EdW112f (QirdeOne)
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Erriail and/or Fax „,����e, �t..�.�e��a,�,�'Ide✓'s.GOw�
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PROPFRTY OIM�Q2 INFOF�MAIION:
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Email arid/or Faoc
PFtQ1C�T IPFOF�l10N:
Type of Pr�oject: Arry eartl�rrtoverr�ertt may r+e�ir�e
MIL1lUD review 8�perrr�its:
❑ 000r(s) G�r,ode� ❑v�cer oa�r,age n�r,r,er,ana aee�v�cetsr,ed asmcc�nnc,�>
❑Wfncb�n+(s) ❑ FZ�r ❑ Storm D�n'�age 18'L02 Nimetor�lca Blvd
❑ Siding ❑ F�Stora�ion ❑ Ottier.(s�ifY) ���,NN 55.391
Phone: 952�F71-0590
❑ Fae-roaF ❑ Fine C�arriage F�c 96,2�71-0682
�nniwv.rrinr�hacxeek.orq
Overall Project Description: l�� r���-c��,,, cc.L, s �-- �
E�timabed Cor��ction Valua�on aF Project(e�acludin9�� a �D r�
APPLJCAIY�A
• Agees to praride all inforrrr�on req�ired or requested by the Buildn9 Depertrnent:
• Certifies tha�the inForrr�tion supplied is true and oorred to the best c�f hislf�er'Ivio�ndecicje. The applic�rd reoograes tMat they
are solely resporisible for s�nitting a corrplE#e applicabon being a�n�ere ttrat upon failue to do so,the sraff has no aftemative
but to rejed it until it is oorrplete;
• Sorrie or all oF the inforrr�on tl�at you are asked to pr�ovide on this applicadon is dassified by State law as e.ither priva�e or
oor�ide�ial. Private da�a is ir�iOrrr�on which generally cav�at be gven to the public but can be gven to the s�ject af the
data. C'.a�fidential data is infom�on wtich g�r�erally�r�d be�n to either the p�lic or the s�ject o#the ciaha. Our
pilpose and intended use of this ir�fom�on is to arxx.ially i{�date ar reooRis and reoords af ather gau�rnrr�rtal agencies
'red law. If refi�seto the inforn'�on,lhe icabon r�t be issYaed.
ApplicanYs Signature: ��"'- Diate: ���� l�
�ast upaated: 03-o�-2oi i
� Plan Review Checklist for Ne�r 5tructures / Additions
+Address/PID/Legal: ___ 1�20 Sf�DyGV00� /�v9�
Description of work: _ l?�7-C�iCi✓ /(/c�'V�aDi=Z.
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: �,l� v�- Date Approved: -7�8`) �
Grading review by: ti/ /� Date Approved:
Zoning File#: Resolution#: Resolution Date:
�onin District Fire De artment Post Office , School District
Zoning. Lot Area: SF/AC Width: Depth:
Survey Sub ' ed: �Yes 0 No Date of Survey:
Pro osed Setbac :
Front(Lake) ear(Street) ( N S E W ) ( N S W ) Other Buildings Wetland
Side de
Building Defined Height: Building Pea eight: #of Stories Ok?: � YES
FOR A BUILDING WITH A BASEMENT OR CRA SPACE: FOR A BUILDING ON A SLABFOUNDATION:
START WITH the distance between the base nt'floor/ rawl START the distance between the slab and the highest
space floor and the highest roof p , e top of WITH roof peak,the top of the cornice of a flat roof,
the comice of a flat roof,the deck li f a the deck line of a mansard roof, orthe
mansard roof,or the uppermost p t on round uppermost point on a round or other arch-type
or other arch- e roof roof
SUBTRACT half the distance between th ighest window SUBTRACT half the distance between the highest window
hi hest roof eak of a itc d roof and hi hest roof eak of a itched roof
SUBTRACT the distance between t basement flooN crawl ADD the distance between the slab and the highest
space floor and the ' est existing grade within existin rade withinthe#oundation
the foundation or feet,whichever is less. EQ L5 Defined buildin hei ht
EQUALS Defined buildin ei ht
Lot Coverage: 5F %
Shoreland Dis ct MCWD Permit#�eceived AvEra e Lakeshore etback Bluff
q Yes � No � N/A � Yes G No
� Yes 0 No � Yes � No � N
Permit Number: Setback:
Ha cover�ones Existin Pro osed Variance Re uired C Re uired
0-75' O Yes � No � Yes fl No
75-250' TYPe(S): Type(s):
250-500'
500-1000'
REMARKS (in-house): /V U G/f!�}/�/��
Updated: 09/11/2009
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Fees to be Cha ed �ES NO "
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Plan Review
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Investigation Fee
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Sewer Connection
Park Fee .
_. _
Other(specify) ,
_. � �. _ _
Calculated By:
S uare Foota e $ er S uare Foota e
Basement X = $
1�Fioor X = $
2"d FIOOr X = $
Garage X = $
Estimated Construction Value: � ,�O� Ot'�O °�
Drono inspections Required Work Requiring Separate Permits Required State'Permits
0 Site Plumbing � Grading/Filling � Well
� Hardcover Removal � Mechanical 0 Fire Electrical
� Footing � Septic � Water Connection
� Poured Wall � Fireplace � Sewer Connection
0 Foundation Survey � Masonry � Lawn Irrigation
0 adon Rock Bed � Mfg.
Framing � Other(specify)
Insulation '
� As-Built Survey
�Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: O YES � N(J New: O YES 0 NO
REMARKS(TO BE NOTED ON PERMIT AND 1NITlALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
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�"� � ` i "Y ' Why are smoke alarms requlred? Spaciflc code requlrements
� �
�� , Flre deaths occur In residential bulldfngs (ieneral
MINNESOTA DEPARTMENT OF . more than in eny olher building fype.More
� ihan half of all flre deaths In residential Dwelling unils,congregate residences and
r LABOR & INDUSTRY � � hote�or�od �n
,� buildings occur while the occupants are 8 9 guesis tooms lhet ere used
for sleeping purposes must be providad �
� asleep and are unaware. Death usualty ��h smoke alarms. Alarms must be
Deparfinent of Labor and Industry ' ' � . ' results from asphyxiation, long before the �nstalled in accordance wUh the a roved .�
Constructlon Codes and Licenaing Division � fire reaches the occupants. PP
manufacturer's Instrucifons. Y;/�
4qs Lafayeno Road N. � � � ' Smoke alarms �nstalled in a home glve �
St Paul,MN 55155 an early warning of smoka and give the Power sourco
Phone: (651)28q-5ot2 or 1-800-857-3844 occu a�is(he cridcal(ew momenls needed �
TTY: (851)297-4188 Fex: (851)284-5749 � - • !o escape. In new conslruction, Ihe requlred smoke �
� � alarms shall receive ihelr pr�nary power .�
The State of Minnesota adopls a set of To eddress ihe•loss of life in restdenliel from Ihe building wiring when such wi�ing �
consUuclion standards known as the Minnesota 6uildings, the Minneaota Stale Butlding Is served from e commercial aource.
Slafe Building Codes (MSBC). The MSBC ;;,. Code (MSBC),has requiremenls fo� the When primary power is Interrupted,smoke �y.�
containa eatety requiremenla relating to struclure, �"� lnstallalion of amoke alarms in a hame.The alarms shell recelve power(�om a battery. �rrJ
mechanlcal,plumbing,energy,elecVical,elevators, �A 2007 MSBC adopts!he 2006 Internalfonal Wiring shall be permanenl and wtthqul �
manufaclured bufidings and life safety. Resldenlial Cbde(2008 IRC).AN"R"code a disconnecting swilch other Ihan lhose �
references provided in ihis brochure perlain required for overcurrent proteclion. Smoke
The (nformat(on in this brochure Is for general �'r - � to ihe 2006 IRC. • alarms shall be permllled to be ballery �
reference /or residential construclion projects. i � � In general, tha code requires that smoke aPerated when inslallad in buildings wilhout �
COf118C1 our munici al buildin officlal re ardin � �' '� �, commerGal power or !n buildings that �.y...�
y P 8 9 9 -=;4R.y, alafms be piDvlded on each floo� of e undergo allaretlons, repairs or edditions W
permlts end apedfic code requlremenls for ;�; dwelling end fn Ihe corridor giving access �
residentlal cnnstructlon within your community. to bedrooms and�In bedrooms.Alarms in �egulated by R313.3.
new consfructian must receive iheir power �
To conflrm if your contracto�is from the buflding wiring and have a balfery
Ilcensed In Mlnnesota contact the: backup in the evenf of electrical power loss. �..�
�r During remodCling,where connectlon to Ihe r '�
Department of Labor and Induslry buildi�g wiring ia difflcull to achieve,baltery- � f�
ResldenUal Building Contractors operated alarms may be used(R313.1.1). •�
Phone: (851)284-5089 or 1-800-857-3944
www.dli.mn.gov/cdd/LlcVeriy.asp An imporlant feature of the requlrement for smoke alarms D �
E-mail: DLI.Contractor(�slale.mn.us elarms being connected into ihe building's D �
eleclrical wiring Is there must be no
� f ,- � disconneding means other than Iha primary � O j�rr�
� * r over currenl prolecQon (fuse or circull D �+�
breaker). Alarms musl be wired directly �
oso�
lnlo Ihe building's wl�ing syslem end no ""
sw(lches,plups or mechenical disconnecta �
%-,=t Gophe�State One Call are permilled between the electric service �
`'�'a CaN at least Iwa full buslness � panel and Ihe alarm. O �
�: , deys before you dig. �
�j� Phone: 811 or(.651)454-0002 �,„„
'��r www.call811.com ��. +�`:
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Smoka datection and notiflcatlon
AllsmokealarmsshallbellsledinaccordancewilhUnderwritersLaboratory217andinstalledinaccordance Carbon monoxide alarms alert residents of a toxic, odorless gas
wilh the provisions of lhis code and Ihe househoid fire waming equipment provisions of National Fire Carbon monoxide (CO) is a toxic, colorless, odorless gas that is formed as a roduct o(lhe
Protection Agency(NFPA)72. P
incomplete combuslion of carbon or a carbon compound. Poisoning is caused by lnhalalion of
Household nre alarm syslems inslalled in accordance with NFPA 72 tha! include smoke alarms, or a CO. There are many symptoms for CO poisoning including headache, neusea, con(usion and
combinalion of smoke delector and audible notificatlon device InstaOed as required by ihis section for shoriness of hrealh.These can lead to convulsion,unconsdousness,coma and death.
amoke alarms,shall be permitled.The household fire alarm system shall provide ihe same level of smoke
deteclion and alarm as required by ihis section for smoka alarms in the event the flre alarm panel is CO is produced by combustion engine exhausl, portadle propane healers, harbecues burning
removed or lhe system is not connecled lo a central station(R313.1). charcoal end portable or non-venled natu�al gas appliances.
Smoke alarms shall be installed in the following locations:
State law requires CO detectors be placed in new and exlsling residential
1. In each sleeping room. r° p structures in Minnesota where bullding permits are obtained. The
2. Outside each separate sleeping area in the immediate vicinity of � requirement is(ound al Minnesota Statutes,§299F.50.
the bedrooms. �t l
' d �
3. On each addilional story o(the dwelling, includtng basements but � �� j � The CO deleclor effective dales are:
nol including crawl spaces and uninhabitable attics_ In dweltlngs or � ''� � • Jan.1,2007: All new residentlal bufidings
dwelling units wilh split levels,a smoke alarm installed on the upper � • Aug.1,2008: Exlsting sfngle-famlly homes
level shall suffice for the adjacent lower level provided that the lower • Aug_1,2009: Multl-famlly dwellings
level is less than one full story below!he upper level. The Depariment of Rublic Safety,Stale Fire Marshal Division lists Ihe code requiremenls online al
When more than one smoke alarm is required to be installed within an www.fire.state.mn.us or call(651)201-720o for more information.
individual dwelling unit,lhe alarm devices shall be Interconnected in suCh
a manner lhat the actuation of one alarm wlll activale all of Ihe alarms iq �'�„e' .
Ihe individual unil.
All smoke alarms shall be Iisted and Installed in accordance with the - ..- - - - _ ._ .
provisions of this code and lhe household flre waming equipmenl
provisions of NFPA 72(R313.2). 2.1 Location
Every single family dwelling and every multifamily dwelling unit shall be
Alteratlons,repalrs and addltlons provided with a minimum of one approved and fully operational carbon monoxide
• When allerations,repairs or additions requiring a permit occur,or when alarm installed within ten(10)feet of each room lawfully used for sleeping
• one or more sleeping rooms are added or crealed in existing dwellings, purposes. If bedrooms are located on separate floors additional carbon monoxide
DIhe individual dwelling unit shall be equipped wilh smoke alarn,is localed alarms would be necessary within ten feet of these areas. If bedrooms are located
SmoM�alarma as required(or new dwellings,the smoke alarms shall be interconnected in separate areas(on the same level),additional carbon monoxide alarms would be
00 and hard wired. necessary within ten(10)feet of these areas. In lieu of installing multiple CO
� 0 Exceplions: alarms in the hallway,a separate CO could be installed inside each sleeping room.
1.Inlerconnection and hardwlring of smoke alarms in existing areas
� . shall nol be requlred to be hardwired where the alterations or repafrs It is important that these devices be installed in accordance with the
O do not result in the removal of interlor wa11 or ceiling finishes exposing manufacturer's installations instructions and not be placed in`dead'air pockets
the slruclure. such as corners of rooms,at the junction of walls and ceilings or within thirty-six
2.Work on the exteripr surfaces of dwellings, such as the replacement of (36)inches of ventilation ducts.
roofing or siding are exempt from lhe requiremenls of this seclion.
3.Permits involving alterations or repairs to .plumbing, electrieal and 2.2 Height requirements
mechanical are exempt trom the requirements of this section(R313.2.1). Carbon monoxide alarms shall be installed at the height specified in the
� manufacturer's installation instr�ctions.
• +
� T TIME `�
CITY OF ORONO CALLED IN � ��
INSPECTION NOTICE SCHEDULED �� •�
PERMIT NO.aoi�Do��D COMPLETED
ADDRESS � 7� �h����� �
OWNER TELEPHONE NO. �52 ?.�d 393�
CONTRACTOR ���'d
� DESCRIPTION � IK�P��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site•
Inspector.
White Copyllnspector's File Canary CopylSite Nodce
� � <C��P� AT TIME ✓
CI OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED / �� --�:�
PERMIT NO. 0�0/l-G�b(o�� COMPL TED
ADDRESS � �
OWNER L�EPIHO,N . �s�,-aC.��J��
CONTRACTOR '� �CJL� ' �''�[j�� ,
>': DESCRIPTION ` — ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �
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