HomeMy WebLinkAbout2005-P08328 - attached garage PERMIT
CITY OF ORONO Permit Number:
2750Kelley Parkway - PO Box 66 P08328
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 1/12/2005
SITE ADDRESS: 1020 Tonkawa Rd
Long Lake,MN 55356
PID: 08-117-23-13-0014
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Construction Type VN
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Garage-Attached
DETAILS:
Approved per resolution#:
Separate permits required: iviechanicai Eiectdcai(state')
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 853.75 Valuation: $ 80,000.00
Plan Review Fee: $ 555.03
State Surcharge Fee: $ 40.50
TOTAL FEE: $ 1,449.28
APPLICANT: Lecy Construction OWNER: Douglas Williams
15012 Hwy. 7 1020 Tonkawa Rd
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 STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE ISSAD BY SIGNATURE
Conies: 1-File(Siznitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessim 1-Finance Page 1
Total Fee: $ Date Received:
Entered By: O(X— Permit#: o`Z
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: -�(circle-one) OWNER O CONTRACTOR
JOB SITE ADDRESS: 102-o ZD ZIP: 3
NAME OF OWNER: _bo k G U1 11"4j223 PHONE: (home)
(work)
MAILING ADDRESS: (010 CITY: ZIP:
CONTRACTOR: Lecv 1��Os. �o PHONE:
CONTACT PERSON:nd v Thri[rud MOBILE/PAGER: (r�l�'�3—Z2;f 3
MAILING ADDRESS: Z 41 CITY: ('1;,n, -o,n 1c0. ZIP:?TL3
STATE LICENSE: #
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 detai .
C;e nbnn '- 9xy" 7 ayu
STORIES: SQ.FEET OF EACH FLOOR: .5t)eD
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ®dam
I hereby apply for a building permit and 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 un tand this is not a permit and work is not to start without a
permit; and that the work will be 7miordance with the approved pl n.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade Qf 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.
9
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The tights 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 concerning himself shall
be informed of: (a)the purpose and intended use of the requested data withirr the collecting Yate agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the'rsquested data;(c)any known consequence arising froom his supp(yio&or refusing io;upply
private or confidential data;and(d)tate identitybif other persons or enddes'audwrized 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 enfotcemenf officer.
The commissioner of revenue may Place the notice required 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 classed 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. Afur'an individual has been shown the private data and informed of its meaning,die dam need Dot 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 dam. The responsible authority
may require the requesting person to pay dee 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
dam 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 dam,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. /
lest � l� Middle � Last _
AddreYss�
City State Zip Phone
I understand rights as stated above.
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSORLEGAL: 1020 "t-ONKAWA 9Z0610
PID:
DESCRIPTION OF WORTS: A-rrr - r
------------------------------------f--- --�N�---------------�z}_Q �S'n1J--------------------------------
ZO1vI1YG REVIEW BY: DATEAPPROVED: 1- - s
BUILD1ArGREVIEW BY: DA TEAPPR06IED: 1 • -7-��
-------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PEP-WIT Yes / No
PLAN REVIEW Yes tVo SEWER CONiVECTION
STATE SURCHARGE Yes (/ tVo WATER CONNECTIOiV
INVESTIGATION FEE Yes tvo—� PARK FEE
SAC Yes No ✓ SITE INSPECTION
Number of SAC Uiyzits OTHER (specify)
-------------------------------=---------------------------------------------------------------------------------------
Z01YING
------------- --
ZOIYING CHECK LIST Zoning District: il/0 C Hlot_r�0
Fire Department: Post Office: School District: __..
Lot.Irea: Sq.ft. VAcre, Width Depth
Siirvey Submitted; Date of Survey:
Proposed Setbacks:
Front(Lake):Rem•(Street):Adjacent Struc :
Building Height: Def. Hgt. Peak Kgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resoltition Date:
Shoreland District:
Avg. Setback: Blu Setback: Lot Coverage.
Ex ting Proposed
Hardcover: 0-75'
75-250'
150-500'
500-1000'
Hardcover• Variance Required: Yes No Date of Cotincil Approval:
REMARKS(in house):
31
B UILDING RE VIE TV CHECK LIST
UBC: IZ' 3 CONSTRUCTION TYPE: VN
Sq Footage S Per Sq Frg
Basement x =
1st Floor x =
2nd Floor x =
Garage x
x =
TOTAL
Estimated Construction Value: S W,00a
Inspections Required: Work Requiring Separate Permits:
Site / iurr Ing Fire
Hardcover Removal _(Mechanical Water Connection
onowuring Septic Sewer Connection
Framing Fireplace Lawn.Irrigation
Insulation (Masonry) Other
Wall Board (tltfg.) Well(State Permit)
Final Grading/Filling _mac_Electrical(State Permit)
Other
REMARKS(IN HOUSE):
----------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
---------------------------------------------------------------------------------------------------------------------
REttiIARKS (TO BE NOTED ON PERMIT):
32
01/05/05 11:10 FAX 9529421068 LECY BROS HOMES Q002
Permit Number
RFScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheck So$ware Version 3.6 Release la
Data filename: Untitled.rck
COUNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW /WALL RATIO: 0.26
DATE: 01/04/05
PROJECT DESCRIPTION:
Williams Residence 1020 -r-omKA"gA
DESIGNER/CONTRACTOR:
Lecy Bros. Homes
952-944-9499
COMPLIANCE: Passes
Maximum UA=440
Your Home UA= 438
0.5%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R Value R Value U-Factor UA
Ceiling 1: Raised or Energy Truss 2560 50.0 0.0 51
Wall 1: Wood Frame, 16" o.c. 2797 19.0 0.0 120
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 414 0.320 132
Door 1: Glass 312 0.320 100
Door 2.: Solid 38 0.310 12
Basement Wall 1: Masonry Block with Empty Cells 75 0.0 5.0 6
Wall height: 9.0'
Depth below grade: 8.0'
Insulation depth: 9.0'
Floor 1: All-Wood Joist/Truss:Over Outside Air 529 30.0 0.0 17
Furnace 1: Forced Hot Air, 92 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.320 0.370
Includes Foundation Windows> 5.612
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
2000 Minnesota Ener Code requirements in REScheck Version 3.6 ease la(formerly MECcheck) and to comply with the
mandatory requi is listed in the RESc eek Inspection Ch st.