HomeMy WebLinkAbout2002-P05488 - addn/remodel/repair CI�Y OF ORONO PERMIT
. 2750 Kelley Parkway - PO Box 66 Permit Number: Pos4ss
�Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) �49-�600 Date Issued: s�2i�2oo2
SITE ADDRESS: 1405 Sixth Ave N
L.ong Lake,MN 55356
PID: 35-118-23-22-0006
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate pernuts required: riumning iviec;nanicai rirepiace Eiecuicai�statej
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 2,393.75 Valuation: $ 350,000.00
Plan Review Fee: $ 1,556.03
State Surcharge Fee: $ 175.50
TOTAL FEE: $ 4,125.28
APPLICANT: WHYTE Builders OWNER: J��&Donna Crotteau
5547 Wingwood Ct. 1405 Sixth Ave N
Minnetonka,MN 55345 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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PPLICANTPERMITEESI E ISSUEDBYSIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
� . Total Fee: $ ��-L�� �-> �� Date Received: ��-J�
' , Entered By: �f.--- Permit#: �-p ���'
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CITY OF ORONO = BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: � �f�� ��i I�f�' ��P�p �1 �ZIP: r'.�" ��� (�
� aHN g- i��N �� a�z
NAME OF OWNER: G R�c� T 1-�p�i�1 PHONE: (home) �"-�� - D 7�(o
�Work� 9��a-���--�s'�'i
� MAILING ADDRESS: /y � �/ S CITY: (��o f-�(7 ZIP: ����(o
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Cl �' CONTRACTOR: CGi!`�Y�� PHONE: ��''�����
v CONTACT PERSON: MOBILE/PAGER: �- e
������SZ
� � MAILING ADDRESS: $`'S�7 Crv/..t��,��GZ. CITY: �7"�j¢ ZIP: $53��
'�; STATE LICENSE: # ��f�l�
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�IV'1 I LI--�P��--� �N Pti-+(�-�P'i r�-M.Ac�DoNP�--i�
ARCffiTE�_.'�+:NGINEER: b�i(�r� C�•n p p�rJ:� PHONE:
MAILING ADDRESS: 2(r� I SGf-►rx��A�/ '"'r�3�o CITY:L"-f•C.�LS�o� ZIP: '-.��-�3�3 i
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration i'� Land Alteration
PROPOSED WORK(describe in detai�: �(��qy�L. �� �L��¢..l� .��`���i, -
STORIES: �. SQ. FEET OF EACH FLOOR: Sg� �
NO. OF BEDROOMS: �' GARAGE STALLS: ATT. 3 DET. ��i'���-��
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 J��, C �
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �������� DATE: �-���
NOTE! Parade of Homes events require separate permit approval by Police Department and
� City Council 60 days prior to the event. Non pernzitted events will not be allowed.
5
Sec.13.04 RIGIiTS OF SUBJECTS OF DATA � �
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself
shall be informed of: (a)the purpose and inte�ed use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identiry of other persons or endties authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply invesagative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revern►e mav�lace�e notice rewired under this subdivision in the individual income hax or orocertv tax refuncl
instrucrions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on i�ividuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereaftec unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesring person to pay the actual costs of making,certifying,and compiling the copies.
17te responsible authoriry shalt comply immediately,if possible,with any request made�rsuant to tt►is subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal hotidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the iixlividual,and may have an additional five days within which to comply with the request,
excluding Saturdays,�Su�ays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To ezercise this right,an individual shall notify in wridng the responsible authoriry describing the nawre of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data fowd to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,iculuding recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the i�ividual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your
request for a permit or license from the�iry of Orono or any of its departments may require you to furnish certain
private or confidential information.
You aze notified that:
1. The information you fumish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested pemut or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
�'� �7'�. lGlJ/l`'��l �
First Middle Last
���� /�(/� � ��
Addr ss
. 'T��'1` ��i �'��/S 9����'v'�
Ciry State Zip Phone
I understand my rights as stated above.
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Signawre
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6
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� � CHECK OFF LIST FOR ISSUANCE OF PERMITS
' � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I y(�5 Go.�n�t-t, �O/�o S r x
PID:
DESCRIPTION OF WORK: ���� �-r-��.�r JZ.�.rvw,�e c�
ZONING REVIEW BY: �------- u..-.---------------DATE APPROVED: --��Z.o�o'z--
BUILDING REV�W BY: DATE APPROVED: g- z,o_02
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNECTION
INVESTIGATION FEE Yes No �� PARK FEE
SAC Yes No �� SITEINSPECTTON
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes pC No Date of Survey: �l'2'�2 ��r� z,ow��f-,I e '�o z-Z7 7 Z�
Proposed Setbacks:
.F�est(Lake): '�Zt>� t Right Side: 11�5 � '�'
�ear(Street): �5'�� = Left Side: Z.S�� t
�
Adjacent Structures: '� Wetland: —
Building Height: Def. Hgt. e�•�- Peak Hgt. �.1<
Lot Coverage: /l!Jr�
Grading: Staff Approval Date: --- By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: #bL�Zl�2 Resolution: # y�/� Resolution Date: y�/7 /YW Y Z�d, 0 2
Shoreland District: �t�5
Avg. Setback: Bluff Setback: Ji9+���/ LotCoverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
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BUILDING REVIEW CHECK LIST
UBC: �' .3 CONSTRUCTION TYPE: �prJ
•. Sq Footage $Per Sq Ftg
Basement x =
lst Floor z =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ 3 S c:7, oc�� o$.
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Fire
Hazdcover Removal .c Mechanical Water Connection
' �Footing Septic Sewer Connection
� Framing oc Fireplace �Lawn Inigation
�c Insulation (Masonry) Other
,� Wall Board �(Mfg.) Well (State Permit)
_�Final Grading/Filling �Electrical(State Pemut)
Other .
REMARKS(IN HOUSE): �
REVIEW BY OTHERS: DATE:
Access: Eaisting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMI�:
8
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Permit Number
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 3.2 Release 1 Checked By/Date
TITLE: Crotteau Remodeling
COLJNTY:Hennepin
STATE:Minnesota
ZONE:2
CONSTRUCTION TYPE: Single Family
DATE: 08/OS/02
DATE OF PLANS: 8-6-02
PROJECT INFORMATION:
Crotteau
COMPANY INF(JRMATION:
Sharratt Design Company Architect
COMPLIANCE:Passes
Maximum UA= 1091
Your Home=765
29.9%Better Than Code
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 3078 52.0 40.0 34
Wall 1: Wood Frame,24"o.c. 5694 19.0 15.0 158
Window 1: Above Grrade,Wood Frame,Double Pane with Low-E 1114 0.310 345
Door 1: Glass 78 0.360 28
Basement Wall 1:
Solid Concrete or Masonry, 8.0'ht/2.0'bg/8.0' insul 1359 1 l.0 8.0 56
Window 2:
Basement>5.6 ft2, Wood Frame,Double Pane with Low-E 218 0310 68
Basement Wa112: Wood Frame, 8.0'ht/4.5'bg/8.0' insul 198 19.0 12.0 6
Slab l: Heated,4A'insul. 105 12.0 70
Furnace 1: Forced Hot Air,90 AFLJE
Air Conditioner 1: Electric Central Air, 13.5 SEER
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.313 0.370
Includes Foundation Windows> 5.6 ft2
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and ot
Energy Code requirements in MECcheck Version 3.2 Release 1.
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Builder/Designer Date � � �
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� � DATE TIME
CITY OF ORONO CALLED IN �.,,,.��,
INSPECTION NO ICE SCHEDULED ��// �
PERMIT NO. COMPLETED
ADDRESS .����� C�,,t�F'_�
OWNER CONTR._�,J,��
TELEPHONE NO. �' � - C��� �-��7� ���'�.-�
� DESCRIPTION � � -
� 01 FOOTING 11 MECHANICAL RI 18 XCAV/GRAOING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: '-t
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
Owner/Contracirnr �site:
Inspector. - � �'
White Copyllnspector'$File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED %'jd��� .�_
PERMIT NO. � � COMPLETED
ADDRESS G� C� � /C �
OWNER CON .��Chl�l /�G"`1
TELEPHONE NO. '�(�"� .�S.S�7 �.� 7S
� DESCRIPTION � ^ ��y ���� ^� �\
� 01�� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 2 FRAMING 13 MECHANICAL FINAL '� 19 LAKESHORE/WETLANDS
y 03 IN LATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FI AL 35 HARD COVER REMOVAL
1 UMBING FINAL 36 FOUNDATION/REMOVAL
� O�WNER/ ONTRACTOR TO MEET YOU: YES_NO
OMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
� INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe next"nspection 24 hours in advance. (952) 249-46��
OwnedConUact� n it�:
Inspector. �-' �
White Copy/lnspector's File Canary CopylSite Notice
✓
ATE TIME
CITY OF ORONO CALLED IN - -�
INSPECTION N IC �f� SCHEDULED - v =��
PERMIT NO. ��ad CO P ED
ADDRESS � CT
OWNER CONTR. h� /7I /S-
TELEPHONE NO. _ �CS��� ����57�
� DESCRIPTION
lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 0 NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC INAL 35 HARD COVER REMOVAL
J 10 PLU 36 FOUNDATIOWREMOVAL
� OW ER/CONTiiACTO TO MEET YOU:_YES_NO
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0 O CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL iNSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contrac o site:
Inspector. -
Whlia Copyllnspector's File Canary Copy/Site Notice
���r���3 �
IDATE TIME
CITY OF ORONO �CALLED IN �
INSPECTION TICE, L SCHEDULED ��;,Z
PERMIT NO. �� 7 �� COMPLETED .�_
ADDRESS � � � � v ��C �`� i�t..h�
OWNER CONTR. C��,��1/�l ��L��
TELEPHONE NO. ._ � �.C' �J ` J� � o����
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RIO� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
i� 07 DEMO-FINAL,C��/ 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 UMBING RI CY A. 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 70 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU. YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL FiETURN
❑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
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice