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Home My WebLink About2000-P03001 - addn/remodel/repair • PERMIT ��TY � ORONO 2750 Kelley P rkway - PO Box 66 Permit Number: Po3ooi Crystal Bay, innesota 55323 P@C'1711t Typ@: Addition/Remodel/Repair (612) 249-46 0 Date Issued: io�2i2oo SITE ADDRE S: 3115 Sussex Rd LONG LAKE, MN 55356 PID: 04-117-2 -32-0015 DESCRIPTIO : UBC Occupancy R3 Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per res lutiori#: Separate permits equired: riumoing iviecnanirai r,iecaicai�siaiej NOTICES/R MARKS: I I FEE SUMMA Y: Permit Fee: $ 542.75 Valuation: $ 40,000.00 Plan Review Fee: $ 352.83 State Surcharge Fee: $ 20.00 TOTAL FEE: $ 915.58 APPLICAN : A&T DEVELOPMENT OWNER: D M DELMORE&M D RASKOB 2755 DEER RUN TR E 3115 SUSSEX RD ILONG LAKE,MN 55356 LONG LAKE MN 55356 THE UND RSICiNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIMENTS SPECIFIED AND AG ES TO DO ALL WORK IN STRICT COMPLIANCE WITI�ALL CITY OF ORONO ORDINANCES AND STATE O MINNESOTA BUILDING CODE REQUIREMENTS. ,-- � �ihW1� AP L At 'PERMITEE SI NATURE IS UED BY SIGNATi_JRE Copies: C' y,A�plicant,Assessor,Finance Page 1 �i I� , _ Tota �ee: $ ��.�• 5� Date Received: �- a�'C��-' Ente ed By: _�-• Permit#: r��,��j I CITY OF ORONO - BUILDING PERMIT APPLICATI0�1� All information must be submitted in full before plan review will be started. (please print all information) ____ ._._.._ __ ------ ------------------------------------------------------------- ----------- - - - ------------------------ T APPLICANT IS: (circle one) OWNER ONTRACTOR, --�.-�. . JOB SITE ADDRESS: � �� 5 �„ �5�,�, �� ° ZIP: �S 3S� N OF OWNER: �o� �a Sk�b - � �. 0•��ry.o-�PHONE: (home) `+�G �(09`� (work) 1�1A Il�'G ADDRESS: (�� CITY: �.v�d ZIP: 5;�;-z„ `l-lS- ySi� CON CTOR: � t � ��..��oiM„�� .L PHONE: Co ��-- �� CON ACT PERSON: �,,,,},�� Q,�S� MOBILE/PAGER: �� v� � ��3 1�1AI �1G ADDRESS: a�s� p�� R.-. ��,:1 CITY: � � .,, ZIP: �s �� STA E LKCENSE: # � ��.. ARC CT/ENGIlVEER: PHONE: 1�1AI L\TG ADDRESS: CITY: ZIP: �; REGISTRATION# TYP OF WORK: New Addition �/ Accessory Structure Move Remodel/Alteration � Land Alteration PRO OSED WORK(describe in detain: - � �� ..�,t �• ��S� ' STO S: SQ. FEET OF EACH FLOOR: � I`Iq'L 1�0. F BEDROOMS: GARAGE STALLS: ATT. DET. EST �T"ED CONSTRUCTION VALUATION (excluding land): $ `�� I here y apply for a building permit and I acknowledge that the information above is complete and accura e; th�at the work will be in conformance with the ordinances and codes of the Ciry and with the St te B�ailding Code; that I understand this is not a permit and work is not to start without a permi ; and that the work will be in accordance with the approved plan. APPL CAA1T'S SIGNATURE: �_____ DAT'E: `�I �2 �� NOT ! Pc�rade of Homes events require separate perntit approval by Police Department and City C uncil 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.0�i RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or[o be stored shall be as set forth in[his section. Subd.2. Information required to be given individual. An individual asked ro 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[o supply the requested data;(c)any known consequence arising from his supplying or refusin�ro supply private or confidenrial data;and(d)the identiry 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 ro suppty investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the notice required under this subdivision in the individual income tax or propertv 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 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 thereafter unless a dispute or ac[ion pursuant to this secrion 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 authoriry may require the requesting person ro pay the actual costs of making,certifying, and compiling the copies. The responsible auihority 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 Samrdays, 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[he responsible authority describing the nature of the disagreement. The responsible auihoriry shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomptete data,including 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 individual's statement of disagteement is included with the disclosed data. The determination of the responsible authority 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 City 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 Ciry State Zip Phone I underst d r' s as stated above. � �� — v Signature 6 > CAECK OFF LIST FOR ISSUANCE OF PER�I�IITS _ � FOR OFFICE USE ONLY � . ADD S R LEGAL: 3��S �U 55 E X �2.�,,0� PID: DES ON OF WORK: (�V�t S t=,W\�.,,� F r n!t s I�1 , ZOi '� VIEti�BY: DATE APPROVED: 9-Z.7-�� BUIL I�t REYIE�BY: �r- DATE APPROYED: S- Z� -v fl� FEES CHARGED: Misc. Fees Calculated By: pE Yes ✓ No :. pLAN W Yes � No SERT}��CONNECTION STAT CHARGE Yes � No WATERCONNECTION INVE G TION FEE Yes No PARK FEE SAC � Yes No STTEINSPECITON Nu $r SAC�Units OTHER (specify) _ --------- ZOi � CK LIST Zoaing Districr. /v�v GG-��_�(�P _ �_ v Fire De e : Post O�ce:. School District: � � � Lot Are Sq. . Acres � Width _ Depth Survey bmi d: Yes No Date of Survey: Propose 5etb ks: ront La.ke): Right Sid � saz treet): Left Side• dja t Structures: etland: . Buildin� bi : Def. Hgt. P al:Hgt. Lot Cov r��e: Gradin;: $ta pproval Date: By: Council Approval Date: _ Septic: t�ff proval Date: By: Zoaing ile: Resolution: # Resolution Date: . Shorelan �is ct: �a, tback: Bluff Setb ck: Lot Covenge: Existia� Proposed a �rd ver: 0-75' 75-250' 250-500' 500-1000' �rd ver Variance Required: Yes No Date of Council Approval: REI� in house): � 7 , — BUII.DING REVIEW CHECK LIST UBC: (2 ' 3 CONSTRUCTION TYPE: V� � Sq Footage $ Per Sq Ftg � Basement z = lst Floor z = 2nd Floor z = Garage z = ' x = TOTAL Fstimated Construction Value: $ N 0,c��c� °—° Inspections Required: Work Requiring Separate Permits: ; Site _�Plumbing ' Fire ' Hardcover Removal _o�Mechanical Water Connection i Footing Septic Sewer Connection _�Framing Fireplace Lawn Inigation _�Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) _�Final Grading/Filling �_Electrical(State Permic) � Other REiVIARKS(IN HOUSE): � REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REVIARK.S (TO BE NOTED ON PERMIT�: 8 ; � 4 � ��` �� : �, ; ;� h� � ��F�cs of 1.75" x 14" 1.9E Microllam0 LVL �..�I� ,Wr _ , TJ-BeamTM v5.45 Se ial Num !r:7000005488 BEAMUSA 1111 9/2 /00 11.20:37 AM Page 1 of 1 Build C e: 124 THIS PROD CT AIIEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ,Ii:` �2; j 13• � �I Product Diagram is Conceptual. LOADS: Analysis for B am f�ember Supporting FLOOR-RES.Application. Tributary Load Width: 1' Loads(psfl: 4 Live t 100%duration, 10 Dead, 0 Partition, and: ' TYPE C SS LIVE DEAD LOCATION APPLICATION COMMENT Uniform(pf FI or(1.00) 640 160 0 to 13' Adds to Uniform(p Flmor(1.00) 640 160 0 to 13' Replaces Uniform(pl Floor(1.00) 0 80 0 to 13' Adds to SUPPORTS: INPUT BEARING REACTIONS(Ibs.) WIDTH LENGTH JUSTIFICATION LIVE/DEAD/TOTAL DETAIL OTHER 1 Column 5.50" 4.25" Left Face 8320/2732/ 11052 Detail A3 1.25"LSL Rim 2 Column 5.50" 4.25" Right Face 8320/2732/ 11052 Detail A3 1.25" LSL Rim -See Tr Joist SPECIFIER'S/BUILDER'S GUIDES for detail(s):A3. DESIGN CONT OLS� MA�IMUM DESIGN CONTROI. CONTROL LOCATION Shear(Ib) 10485 8289 13965 Passed(59%) Lt. end Span 1 under Floor loading Moment(ft-Ib) 32329 32329 36387 Passed(89%) MID Span 1 under Floor loading Live Defl.(in) 0.332 0.411 Passed(L/445) MID Span 1 under Floor loading Total Defl.(in) 0.441 0.617 Passed(U335) MID Span 1 under Floor loading -Deflecti n Criteria: STANDARD(LL: U360, TL:U240). -Bracing Lu): All compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and positi ning qf lateral bracing is required to achieve member stability. ADDITIONAL N TES: -IMPORTAN ! The analysis presented is output from software developed by Trus Joist. Trus Joist warrants the sizing of its products by this soflw e will be accomplished in accordance with Trus Joist product design criteria and code accepted design values. The specific product a piication, input design loads, and stated dimensions have been provided by the sofNvare user. Thi�eutput has not been reviewed y a Trus Joist Associate. -Not all produ ts are readily available. Check with your supplier or Trus Joist technical representative for product availability. -THIS ANAL IS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable St ss D�sign methodology was used for Code NER analyzing the Trus Joist Residential product listed above. -Note: See Tr s Joist SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. PROJECT INFO MATION OPERATOR INFORMATION: No Project Inf rmation available JUSTUS LUMBER RANDY ZELLMAN 330 11TH AVE SOUTH, � HOPKINS, MN 55343 612-938-2741 938-0930 Copyright 0 2000 by Tru Joist,A Weyerhaeuser Business. TJ-ProTM and TJ-BeamT"'are trademarks of Trus Joist. Microilam�is a registere tradem fk of Trus Joist. I 1 CI Y OF RONO CALLED IN >/� DA�E � �IMF, ;� , c� �'/ IN PEC �ON N TI E SCHEDULED � r � '3`3 O P MIT�JO. U COMPLETED a"ld`� S -�3U A DRE � ��I� SJSS�X }�� O NE CONTR. �� T C�IC.�� 1� T LEPHONE NO. ��a— �L17 — a�3 � D SCR PTION ��-h'�+" LL 01 FOOTI G 1 MECHANICAL RI � 18 EXCAV/GRADING/FILLING � FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q SU ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 WALL D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 0 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 0 DEM �SITE 27 SEPTIC MAINT. 21 COMPLAINT J 0 DEM -FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q W ING R 23 SEPTIC FINAL 35 HARD COVER REMOVAL ?` 1 P�U 91NG FINAL�� 36 FOUNDATION/REMOVAL J Q O NERI ONTRACTOR TO MEET YOU:_YES_NO Z � , M NTS: � � � :�'Z'� Gc. ' �� j/ � , Z fc' � �, �� , a � O � � �:,, W � Q � Z W � W � � � d ❑WO K SATISFACTORY:PROCEED ;, PROJECT COMPLETE W � O RECT WORK&PROCEED I- ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CO �iECT WORK,CALL FOR REINSPECTION TEMPORARY V BE ORECOVERING PERMANENT ❑CO ECT UNSAFE CONDITION WITHIN HOURS. r- pHOTOTAKEN NSPECTOR WILL RETURN ❑ST ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED GIN ECTIONREQUIRED.CALLTOARRANGEACCESS. � Call for the next inspection 24 hours in advance. Z49-46�� Ow erlContractor on site: Ins �ctor. �� '�- (��C��t�t S White Copyllnspector's File Canary CopylSite Notice DATE TIME ITY ORONO CALLED IN IU ' IO'� 3� Z I SP �TION NOTICE SCHEDULED � �� ERM T NO. �U I COMPLETED `�� :�� DDR S 3I �� Sv S�� WN CONTR. �"?� I LEP ONE N0. "i�✓�- �� ESC PTION �� SC/71.2v�� lu 0 FOOT G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 0 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 0 INSU ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 WALL D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 0 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP � 09 PLUM I G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM I G FINAL 36 FOUNDATION/REMOVAL � O NER/C NTRACTOR TO MEET YOU:_YES_NO � C MM�NTS: � W � j , ��„� � 0 � � 0 � W � Q � ! z W W I I � j �' d �!vy RKS SFACTORY:PROCEED CPROJECTCOMPLETE � I\.! W C�C RREC ORK&PROCEED f7 ISSUE CERTIFICATE OF OCCUPANCY OO ❑C RREC ORK,CALL FOR REINSPECTION TEMPORARY V B FORE VERING PERMANENT ❑C FREC NSAFECONDITIONWITHIN HOURS. �_ pHOTOTAKEN �NSP TOR WILL RETURN ❑ST P OR R POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ IN PECTI �l REQUIRED.CALLTO ARRANGE ACCESS. C for the next inspection 24 hours in advance. 249-460� Own rlCo ractor on site: Insp ctor. �� S �Ihite Copyllnspector's File Canary CopylSite Notice I IDATE TIME CIT OF ORONO CALLED IN ! �' �' X C,'C. INS CTION I�TIC� SCHEDULED ��' '^'� �'�- �� ` �� PER T N0. f � � C� ( / COMPLETED ��1� � ""' DDI�ESS ; � �1.r_�� .�� WN�R / � -�� CONTR. `� � i ELE HONE NO. ` � I `> %' ` - �'-- � ESC PTION --�� l'�� ''�� .%�. �� ty� 0 FOO G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 0 FRA G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 0 INSU ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 0 WALL . 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO �,SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO IFINAL 15 SEPTIC INSTALL 22 FOLLOW-UP Q i 09 LUMB I�G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 LUMB rIG FINAL 36 FOUNDATION/REMOVAL Q OW ER/C WTRACTOR TO MEET YOU:_YES_NO Z ° C s: � ' � � � J O • a � O � W � Q � Z W � W � � d ,�1�WOR SATI CTORY:PROCEED - pROJECTCOMPIETE � � �� W ❑COR ECT W K&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY OO CI COR ECT W K,CALL FOR REINSPECTION TEMPORARY V BEFO ECO RING PERMANENT ❑ CORR CTU FECONDITIONWITHIN HOURS. - PHOTOTAKEN 1 SPECT R WILL RETURN ❑STOP RDER STED.CALL INSPECTOR CITATION ISSUED ❑ INSPE TION QUIRED.CALLTOARRANGEACCESS. aii f the next inspection 24 hours in advance. 249-4600 Ownerl ontr r on site: Inspect r. �'��5 Whi�Copyllnspector's File Canary CopylSite Notice DAT TI M E CITY F ORONO CALLED IN �"'�`�� /D: t% NSP TION NOTICE SCHEDULED �l7-C�/ � ER IT NO. ,_�X/r� I COMPLETED DD �SS � 1 /S .�-�t_ S S�,X �� WN �t �(t�� CONTR. � � T ELE HONE NO.v�j��Z�� " ��-�-�� ESC IPTION �— � /'� / ��--�� t� FOO ING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 0 FRA I�IG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 0 INSU TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z0 WAL 12 WATER HOOK-UP 17 SITE INSPECTION Q AL 14 SEWER HOOK-UP O6 PROGRESS � 0 DEM SITE 27 SEPTIC MAINT. 21 COMPLAINT J 0 DEMO FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP � 09 PLUM NG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM G FINAL 36 FOUNDATION/REMOVAL Q O NERIC TRACTOH TO MEET YOU:_YES_NO Z � C MM NTS: � � W � � � O � � O � W � � Q � Z W � W I � j d � RK SA I�SFACTORY:PROCEED �P OJECT COMPLETE i � � ❑C RRECT ORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO Cl C RECT ORK,CALL FOR REINSPECTION TEMPORARY V BE OREC ERING PERMANENT ❑CO RECT SAFE CONDITION WITHIN HOURS. � PHOTO TAKEN INSP OR WILL RETURN ❑ST P ORD �i POSTED.CALL INSPECTOR = CITATION ISSUED ❑ INS ECTI REQUIRED.CALLTOARRANGEACCESS. Ca ,for the next inspection 24 hours in advance. 249-46�� Own rlCo ctor on si : Inspe tor. � ite Copyllnspector's File Canary CopylSite Notice � � . . Mr . — � --�---�—�--- ---T_...-- —'----� i " . � ,;,:__�— '— _--�` � � ClTY OF ORONO ��Q�� OP� BUlLDlNG Pr ✓1 P�,.q � N REVi�M/ INS?CCTOR G:=T� �l 'Z�I-00 ��'�'� PERMI i NO. � �� t�.,�► • r� =,,ppr^,0`�JE�AS Si1�st�vi;TTLi: . �,• �� ,s �A�'r rC':��'d`•JI?';-i�O;RECTIO?�S.4S iJOTED __–� � . ' ' � �� I G ''�O:T r.=''i�QV�..i�-- f';nc='CT&^ ` � l•0, r�� r�ESL�ai;slT Tr�;;a c;:n::r<-r:s a;,, for o�.r��` a�a'P - � Y ^ t vn. Ail w Gf('1 f Of�(S(' i Cs dOf1p � • ❑ �; �� p �nce ir�in a' aNr i�_b� � i a� < d : y ..ode. � f{60�Ji; b� o i"'. i C° �t'.: ''•'r � 'c ft�.BW. . 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