HomeMy WebLinkAbout2001-P04507 - addn/remodel/repair - PERMIT
CITY OF ORONO
2750 Kell�,� Parkway - PO Box 66 Permit Number: Po4so�
Crystal Bay, Minnesota 55323 PeCl711t Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: loiigi2ooi
SITE ADDRESS: 4225 Sixth Ave N
LONG LAKE, MN 55356
P��: 31-118-23-12-0012
DESCRIPTION: UBC Occupancy R3
Proposed Use: Kesidentiai
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Yiumoing �,iectricai(staiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 5,800.00
State Surcharge Fee: $ 2.90
TOTAL FEE: $ 128.15
APPLICANT: Kitchen Bath installation Inc OWNER: C J&L L LUBBERS JR
2812 Hedberg Drive 4225 SIXTH AVE N
Minnetonka,MN 55305 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
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANTPERMITEE IGNATURE UEDBYSIGNATiJRE
Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1
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Total Fee: $ Date Received: U•'� �'�I
Entered By: Permit#: c�� �-f. �
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 O�t CONTRACTOR
JOB SITE ADDRESS: ���-� -� ,q�ut. .� ��ZIP:
NAME OF OWNER: ��4�� �/ �v�,,��s�.3 PHONE: (home)
(work)
MAILING ADDRESS: �2.Z� �� .A-�s�. CITY: ���. 1,� .-� ZIP:
CONTRACTOR: i�-+��•�.:� � �/�I� �uNx�\� � �e.�- PHONE:�Z- S�l� ._1�;�`�
CONTACT PERSON: �; ,,��..� �;t,�,�,pL�
MAILING ADDRESS: 2 Z 1� y� -, ��c� CITY: ���� ZIP:�S���
STATE LICENSE: # 2��'t2qb�d I
ARCHITECT/ENGINEER: r PHONE:
MAILING ADDRESS: � CITY: ZIP:
NAME: � REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: ;�s�.� �s,,; }��, , s 1 c�a�, V,�:�:��.� .� �,r�e �
�Z� �y.`>S�`1 1 �15.'N 1 '1 '�, �_,�1:-. S �,C)l' .^^*��d�_I
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STORIES: Z- SQ. FEET OF EACH FLOOR: -
NO. OF BEDROOMS: L GARAGE STALLS: ATT. � DET. `Z
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ������`
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 a dance with tl�e approved plan.
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APPLICANT'S SIGNAT : �� D:�TE: /C.� �I d'-�i
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NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS 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. Infor►nation required to be given indiridual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended 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 known consequence arising from his supplying or
refusing to supply private or co�dential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to suppty investigative data, pursuant ro section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav nlace the notice reauired under this subdivision in the individual income tax or�ro�ertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of srored 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 thereafrer unless a dispute or acdon pursuant ro this sec6on 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 requesting person to pay the actual cosu of making,certifying, and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual, and may have an additional five days within which to comply with the request,
excluding Saturdays,Sundays 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 exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authoriry shall wi[hin 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipien[s named by the individual;or(b)notify the individual[hat he believes the data
ro be wrrect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant ro 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 �ity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish 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 permit 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.
First Middle Last
Address
City State Zip Phone
I unders d my rights as stated above.
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Sig ture
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, CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID:
DESCRIPTION OF WORK:
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post O�ce: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: �f Resolution: /# Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: L.ot Covenge:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
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BUILDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage z =
R =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
Final Grading/Filling Electrical (State Pemut)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMI�:
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BUII.DING PERMIT APPLICATION PROCEDURE
Each application for a building permit shall be accompanied by the data indicated below. Failure
to submit complete information will result in retum of applications. Please read carefully the
listed re�uirements.
1. ALL APPLICATIONS
A. Completed application forms including all information required in the numbered spaces,
dated and signed by applicant.
B. Two copies of building plans, drawn to scale, together with specifications containing the
minimum information noted below: (requirement for building plans g�!be waived by the
Building Official for small structures or minor work). One set will remain on file with the
City and one set will be retumed to applicant.
Residential Plan reviews will require a minimum of 7 to 10 working days for staff review.
All new commercial structures must be approved by the Orono Council. Modification of
existing commercial structures will require a minimum of 2 weeks for staff review.
Minimum Information Required:
1. CERTIFICATE OF SURVEY (signed by a registered land surveyor). A survey
is required for all types of construction including new homes, room additions,
porches, decks and accessory buildings. The survey must include the legal
description of property, location of existing and proposed structures on the site,
location of all proposed improvements such as driveways, retaining walls, decks,
sidewalks, etc. Lakeshore lots must show existing and proposed contours in
minimum 2' increments. (Minimum survey standards handout available at City
offices.)
Survey Requirement Exemption - A survey will not be required for detached
accessorv structures of less than 1,000 s.f. in total floor area when �1 of the
following conditions are met:*
a) The area of the property exceeds the minunum lot width/lot area standards
of the zonin.g district.
b) Owner/applicant has staked the location of the proposed structure meeting
the required setbacks, and the property comer pins are staked and visible
and a plot map of the property drawn to scale has been submitted.
c) Owner/applicant has obtained written non-objection of most-affected
adjacent property owner.
*A survey will not be required for accessory structures without foundations and
with less than 120 s.f. of projected roof area if b and c are met.
A site inspection by City staff is required. Site inspection fee is $30.00 and shall
be paid with the building permit.
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2. Grading and Drainage Plans - where any changes in grade or drainage are
proposed as a result of the construction, a grading and drainage plan must be
submitted showing existing and proposed contours or grades. Required for �11
projects.
3. Floor Plans -each floor or level including basement or foundation, decks, porches,
garage or carport. Size, spacing, and direction of floor and ceiling framing
members, girders, beams, columns and piers. Location and size of all windows
and doors including manufacturers identification and documentation of window and
door infiltration test data. Location and size of all permanently installed cabinets,
plumbing fixtures, heating, ventilation and air conditioning equipment.
4. Exterior Elevations - all sides of building showing windows, doors, finished
grades, exterior fuush, depth of footings, foundation walls, piers, finished floor
elevations and type of materials.
5. Details and Sections - a minimum of one section detail through exterior wall for
each type of construction proposed, showing materials and dimensions of each
member from footing to the highest point of the roof. Details including
calculations and stress diagrams together with manufacturers specifications are
required for all trusses. Fireplaces, if proposed, must be detailed in plan and cross
section. Details and calculations are required for each critical construction detail
including beams, overhanging or cantilevered joists, stairways, balconies, or other
unique structural features. Provide window and door schedules, shop drawings of
sky lights, and manufactured stairways.
6. Information and Calculations - pertaining to thermal transmittance values and
resistance values of each proposed material are required and may be shown either
on plans or in specifications (energy calculation forms available at City o�ces).
7. Mechanical Desig�s- complete calculations, details and specifications are required
for each heating, ventilation, humidification-dehumidification, and air conditioning
installation including heat loss/heat gain calculation, design temperatures,
equipment ratings and identification as to type, manufacturer and model. Data
shall be presented on form provided. Identification of and specifications for water
heating equipment shall also be provided.
8. �ecifications - required for commercial/industrial, residential if applicable) may
be separate or part of drawings and shall include description of materials to be
used, identified as to grade, species, type, manufacturer, and conditions of use.
If not included on plan, specifications shall include detailed thermal transmittance
calculations together with supporting data used in computation.
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9. All applications for structures which require driveway access or involve a change
in use of an existing access to a County highway or City road, must be
accompanied by an access permit issued by the Hennepin County Highway
Department or Orono Public Works Department.
10. For projects which will require the installation of an on-site sewage treatment
system, a site evaluation report and system design must be submitted with the
building permit application. (See On-Site Systems Manager for more information.)
11. For all projects located within 1,000' of lakeshore, shoreland regulations and
hardcover limitations apply. Hardcover, by definition, is any structure, blacktop,
or other material which interferes to any degree with the direct absorption of
rainfall into the ground. Hardcover calculations must accompany each application
involving additional or replacement proposed hardcover in the affected zoning
districts. (See "Hazdcover Worksheet" available at City offices.)
C. One set of building plans and specifications noted with corrections or code compliance date
and stamped as approved by the Building Official will be retumed with the permit. T}��s'
�nroved copy must be kept on the individual job site. available to ins ection nerso�nel
throu,�hout the construction.
D. A Certificate of Occupancy-is required prior to the use or occupancy of any new structure
erected within the City. This certifcate will be issued by the Building Official at such
time as final inspections demonstrate that code compliance has been achieved. Final
inspections are required for all existing structures altered or changed in use. Changes in
the use of the commercial structure must also be approved by the Zoning Department.
E. Time of Construction. Section 12.05
Subd. 1. Permit Expiration. Notwithstanding continuing or on-going work, any
building pernut issued by the City shall expire and by limitation be null and
void and shall require issuance of a new permit and payment of a full new
pernut fee if a Certificate of Occupancy and final completion has not been
issued within the following length of time after the date of permit issuance,
which new pernut and fee shall be necessary to reimburse the City for on-
going and more than normal number and cost of inspection services.
A. Single Family Residential dwellings, including new construction,
remodeling or additions: 24 months.
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B. Accessory Buildings on Single Family Residential properties: 12
months.
C. All Multi-Family and Non-Residential construction: 24 months
except when a longer time is authorized by the Council at the time
the original pemut is issued.
Subd. 2. Exterior Work. Notwithstanding continuing or on-going work nor issuance
of new or extended permits, all exterior work shall be expeditiously
brought to completion to protect adjoining and nearby properties as
follows:
A. No land shall remain disturbed and exposed without established
' grass or other ground cover for a period exceeding 12 months, or
any lesser period as may be specified in the permit.
B. All exterior construction including siding, roofmg, doors, windows
and finish shall be completed and present a finished appearance
within 12 months of the start of construction.
NOTE: Permit applications for projects for which a variance has been approved must be
submitted within one year of the date of variance approval, and permit must be obtained
no more than 6 months after date of permit application in order that variance remains in
effect.
IDENTIFICATION OF PREMISES REQUIRED
Approved addresses shall be displayed, plainly visible and legible from the street fronting the
property.
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BUILDING PERMIT APPLICATION
CITY OF ORONO
On the North Shore of Lake Minnetonka
2750 Kelley Parkway
Post Of�ce Box 66
Crystal Bay, MN 55323
(612)249-4600
BUILDING & ZONING
DEPARTMENT
LYLE OMAN
Building Official
INSPECTIONS: OFFICE HOURS:
CALL SECRETARY - MONDAY-FRIDAY
GIVE 24 HOUR NOTICE 8:00 AM - 4:30 PM
INDEX: Pa�e
Application Procedures and Survey Requirements . . . . . . . . . . . 1-4
Application Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Data Privacy Advisory . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Check-Off List (office use only) . . . . . . . . . . . . . . . . . . . . . . 7-8
REVIEW & PROVIDE ALL INFORMATION REQUESTED TO AVOID DELAY
� DATE TIME
CITY OF ORONO CALLED IN '
INSPECTION NOTIC /� SCHEDULED . O�
PERMIT N0. �" �7•SC 7 COMPLETED � •�
ADDRESS ����J ���_�-�/V �
OWNER CONTR. h
TELEPHONE NO. I�
_(
� DESCRIPTION� � ����
� �1 F 1 MECHANICAL RI 18 X AV/GRADING/FILLING
y 02 F__ RAMIN(' 3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 03 INSULATION 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
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
� OWNER/CONTRACTORTOMEETYOU: YES_NO
� COMMENTS:
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� �ORK SATISFACTORY:PROCEED �ROJECT COMPLETE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
�CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-460�
Owner/Contra on site:
Inspector.������ ��-t�'� �
White Copyllnspector's Ffle Canary CopylSite Notice