HomeMy WebLinkAbout2003-P06435 - new structure PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P06435
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued: 7/2/2003
SITE ADDRESS: 205 Tonka Ave
Long Lake,MN 55356
PID: 05-117-23-13-0003
DESCRIPTION: UBC occupancy R3
Proposed Use: Residential Construction Type VN
Permit Class: Building Census Code 101
Permit Type: New Structure Permit Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolution#: 2870
Separate permits required: Plumbing iviechanicai Fireplace Sewer Connection irrigation -w-'en(siaie)Eiecuicai(siaie)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 3,076.95 Valuation: $ 472,000.00
Plan Review Fee: $ 2,029.23
State Surcharge Fee: $ 240.50
SAC Fee: $ 1,275.00
TOTAL FEE: $ 6,621.68
APPLICANT: Lundgren Brothers Const. OWNER: Roberta Vaughan
545 Indian Maland E 205 Tonka Ave
Wayzata,MN 55391 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.
AP I NT PERMITEE SIGNA ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Awlicant. 1-Monthlv Reports. 1-Assessing, 1-Finance Page 1
' fiotal Fee: $ 1 Date Received:
Entered By: C - Permit#: C� 3
CITY OF ORONO - BWLDIN� PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
77
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: XDc � Al",": ZIP:
NA-NEE OF OWNER: A6&gA 1/ PHONE: (home)
T (work)
MAILING ADDRESS: a N CITY: O ZIP:--`�
CON'TRACTOR: M6 . % IllG PHONE:. �/�9i/�Q 3
CONTACT PERSON: &V MOBILE/PAGER:
M_4II.ING ADDRESS: Q ITY: W4KZ±L149, _ZIP: 4 1
STATE LICENSE: # 86 -
ARCHTTECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): &// //VG(J
M10iA/ /7)0
STORIES: SQ. FEET OF EACH FLOOR: �J�'/ /� //B� \/ 33�
NO. OF BEDROOMS: _L�_— . GARAGE STALLS: ATT. A- DET.
ESTLIIATED CONSTRUCTION VALUATION (excluding land): $ 4 72-
I
I hereby apply for a building permit and I acknowledge that the information above is complete and
im
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 win 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 permitted events will not be allowed.
5
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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. Anindividual 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 confidential 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 supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue may place the nonce reauired under this subdivision in the individual income tax or property 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 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 requesting person to pay the actual costs 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 authority describing the nature of the
disagreement. The responsible authority shall within 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 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 disagreement 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 Inst
Address
City State Zip Phone
I understand my rights as stated above.
Signature
6
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z o S T o N is q Av C
PID:
DESCRIPTION OF WORK: w E w iZ-E S
ZONING REVIEW BY: DATE APPROVED: 6- L6 0 3
BUILDING REVIEW BY: (QA, DATE APPROVED: 6 t✓6-d 9
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes v No SEWER CONNECTION f D t'�` ►�,/b
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units 1 OTHER (specify)
ZOti'ING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres 1.*1 Width - Depth
Survey Submitted: Yes x_ No Date of Survey: 103
Proposed Setbacks:
Ffem-fEece): 4r= 161 .5 Right Side: /25'1
Rear (Street): 47.E Left Side: bit 2
Adjacent Structures: N 114 Wetland: N 1A
Building Height: Def. Hgt. 2-W Peak Hgt. 34 S
Lot Coverage: N 1 A
Grading: Staff Approval Date: G 2c -o-3 By: oY,O Council Approval Date:
Septic: Staff Approval Date: N /14 By:
Zoning File: #_P3-21870 Resolution: # 14434 Resolution Date: 3r)o- Wl
Shoreland District: /Nz>
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
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BUILDING REVIEW CHECK LIST
UBC: R-3 CONSTRUCTION TYPE: `[n(
Sq Footage $Per Sq Ftg
Basement x
1st Floor - x =
2nd Floor x =
Garage x =
R
TOTAL
Estimated Construction Value: $ 1112 o OO�'
Inspections Required: Work Requiring Separate Permits:
Site _,g__Plumbing Fire
Hardcover Removal _x Mechanical Water Connection
_gFooting Septic _ A Sewer Connection
X Framing _( ,Fireplace _ Lawn Irrigation
x Insulation (Masonry) Other
X Wall Board _�(Mfg.) x- Well(State Permit)
—0 Final Grading/Filling _g Electrical(State Permit)
Other
REMARKS(IN HOUSE):
---------_--------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
----------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT:
8
ORON COPY
Permit Number
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 3.2 Release 1 Checked By/Date
TITLE: Custom Division
COUNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 06/12/03
DATE OF PLANS: June 12,2003
PROJECT INFORMATION:
Vaughan Residence
205 Tonka Ave.N.
Orno, Mn
COMPANY INFORMATION:
Lundgren Bros. Construction
Custom Division
545 Indian Mound East
Wayazta, Mn
NOTES:
Custom
COMPLIANCE: Passes
Maximum UA=689
Your Home=663
3.8%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 2156 44.0 0.0 58
Wall l: Wood Frame, 16"o.c. 234 19.0 0.0 11
Window 1: Above Grade,Wood Frame,Double Pane with Low-E 56 0.350 20
Wall 2: Wood Frame, 16"o.c.. 180 0.0 12.0 18
Wall 3: Wood Frame, 16"o.c. 1508 19.0 0.0 71
Window 2:Above Grade,Wood Frame,Double Pane with Low-E 219 0.350 77
Door 1: Solid 42 0.350 15
Door 2: Glass 45 0.350 16
Wall 4: Wood Frame, 16" o.c. 109 13.0 0.0 5
Window 3: Above Grade, Wood Frame,Double Pane with Low-E 50 0.350 18
Wall 5: Wood Frame,24"o .c. 254 0.0 12.0 26
Wall 6: Wood Frame, 16" o.c. 2032 19.0 0.0 103
Window 4: Above Grade, Wood Frame,Double Pane with Low-E 274 0.350 96
Door 3:Glass 18 0.350 6
Basement Wall 1:
Solid Concrete or Masonry,9,0'ht/8.5'bg/9.0'insu1 1368 0.0 5.0 109
Floor 1: All-Wood Joist/Truss,Over Outside Air 43 33.0 0.0 1
Floor 2: All-Wood Joist/Truss,Over Unconditioned Space 448 33.0 0.0 13
Furnace 1: Forced Hot Air,90 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-f actor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.350 0.370
Includes Foundation Windows>5.6 112
Floors Over Unconditioned Space 0.030 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
designed to meet the 1999 Minnesota Energ Code requirements in MECcheck Version 3.2 Release 1.
Builder/Designer Date �'�j►',�
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CITY OF ORONO CALLED IN 0 %3 TIME
INSPECTION NOTICE SCHEDULED _ "rr
PERMIT NO. P-0 10 q35 COMPLETED
ADDRESS 105 -Tbn jL&_A- le. .
OWNER CONTR. +_i 010 n S
TELEPHONE N0. — �"ll�L
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEfTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nett inspection 24 hours in advance. (952) 249-4600
Owner/Contra r O site:
Inspector. —
White Copy/Inspector's File Canary Copy/Site Notice
(51f7l)
DATE TIME
CITY OF ORONO CALLED IN 7-17-03
INSPECTION N TICESCHEDULED 7-/9 03 777-06
PERMIT NO. 6Z13., COMPLETED
ADDRESS 0-205 �� L
OWNER CONTR. Lzfld � 6LOU
TELEPHONE NO. 2- _7S_1 2-7 70
a CRIPTION
01 F TING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H 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 06 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
v 10 PLUMBING FINAL 36 F jUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
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C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ir spection 24 hours in advance. (952) 249-4600
Owner/Contr -n e
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice
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DJE TIME
CITY OF ORONO CALLED IN //
INSPECTION NOTICE SCHEDULED — "0
PERMIT NO.)Lo4.35 COMPLETED
ADDRESS r_205 %,Y2`G c:, d7/F_
OWNER CONTR. I-IM SL
TELEPHONE NO. 61/�;k qZq 0E_
DESCRIPTION
W Ot F TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMI G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
C03 TION 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
v 10PLUMBIN 36 FOUNDATIONIREMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
Owner/Contra o ite:
Inspector.
White CopyMspectoes File Canary Copy/Site Notice
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DTE TIME
CITY OF ORONO CALLED iN fl
INSPECTION SCHEDULED
PERMIT NO. COMPLETED
ADDRESS 0205
OWNER CONTR.
TELEPHONE NO. 95 Z t/VS- -7
DESCRIPTION �S
Im 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
C4 03 SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z WALL 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
Owner/C 't
Inspector.
White Copyllnspector' ile Canary Copy/Site Notice
DTE TIME
CITY OF ORONO CALLED IN //
INSPECTION N C SCHEDULED `JQa
PERMIT NO. COMPLET D
ADDRESS
OWNER CONTR.%
TELEPHONE NO. �� T �S 73
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 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 05 FINAL 14 SEWER HOOK-UP 06 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:—YES—NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952) 249-4600
Owner/Contra te:
Inspector.
White Copyllnspector's 49 Canary CopylSite Notice