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HomeMy WebLinkAbout2004-P07518 - new structure PERMIT CITY OF O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P07518 Grystal Gay, Minnesota 55323 Permit Type: New Structure (952) 249-4600 Date Issued: 6/7/2004 SITE ADDRESS: 3330 Watertown Rd Long Lake,MN 55356 PID: 32-118-23-41-0002 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#: Separate permits required: Plumbing 1viechanicai Septic Firepiace irrigation vJeH(siaie)Eiectricai(stale) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 5,513.75 Valuation: $ 980,000.00 Plan Review Fee: $ 3,583.79 State Surcharge Fee: $ 490.50 TOTAL FEE: $ 9,588.04 APPLICANT: Boyer Building Corporation OWNER: Boyer Building Corporation 3435 County Road 101 18279 Minnetonka Blvd Minnetonka,MN 55345 Wayzata,MN 55391 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. 11;Lt'�; / PLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE t. Copies: 1-File(Siknitures Required), 1-ADnlicant, 1-Monthly Reports, 1-Assessim 1-Finance Page 1 Oct'23-2A 02:22pm From-CITY OF ORONO +9522494616 T-336 P.001/002 F-624 Tqtal Fee: , Date Received: Lo_0� Entered By: Permit#: ()0:7 c�1 CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. u (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: s 3�c) �Pb c.jry ZIP: 7`' j Will this be a Parade of Homes,Relmodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event_ Non permitted events will not be allowed. NAME OF OWNER: IZIA0 GSC G Yt PHONE: (home — Z57 (work) MAILING ADDRESS: CITY: e ` ZIP: c3:Z3s/ O<< �70r CONTRACTOR: zV v, a � PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS; 'Gd /W /a CITY: 1'I?/a �id�ZIP. STATE LICENSE: # ;2.q j ;-� ARCIIITECT/ENGINEER: < Pl~IONE: /-/_b MAILING ADDRESS: CITY: Zip: SS 3 NAME: REGISTRATIO # TYPE OF WORK: New Accessory Structure Addi ion Move Remodel/Alteration Land Alteration PROPOSED WO (describe in detail): �,.e f✓��i l fCo�� 6th e. C—/ STORIES: SQ. FEET OF EACH FLOOR: �� NO. OF BEDROOMS: GARAGE STALLS: ATT. 3 DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): S 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 tart without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATU . ti DATE: 6 Oct=23-2003` 02:22pm From-CITY OF ORONO +9522494616 T-336 P.002/002 F-624 Sec.13.04 RYGHTS Of ST BJ'ECTS 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 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 be may refuse or is legally required to supply the requested data;(e)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 notice required under this subdivision in the Individual Income tax or properttax refund instructions instead of on those forms. Subd.3. Access to dara by individual. Upon request to a responsible authority,an Individual shall be informed whether he Is the subject of stored data an 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 an 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 ofthe 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 dlsagreemear 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 corr"L 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. I. 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. Ftrst Middle bast Address City State Zip phone I understand ghts s tated above. Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ApDRESS OR LEGAL: 33 3 o w A-rt-12T0 w&V 124 A-0 PID: DESCRIPTION OF WORK: ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: t4 DATE APPROVED: 6 - z,-ox FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/ No PLATIN REVIEW Yes // No SEWER CONNECTION STATE SURCHARGE Yes v No WATERCONNECTION INVESTIGATION FEE Yes No t/ PARK FEE SAC Yes No t/ SI TEINSPECTION Number of SAC-Units -Sx frac. OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes_ c, No Date of Survey: K t7• oc, Proposed Setbacks: Front(Lake): '2 o A- 3 i Right Side: 364•Z 5- Rear Rear (Street): c),30 ' # Left Side: 9 2S = Adjacent Structures: N /A Wetland: Cis, Building Height: Def. Hgt. /13 Peak Hgt. 23' Lot Coverage: 0 /j4 Grading: Staff Approval Date: 6 • 2 'b'l By:d•0 f Council Approval Date: /j,gse�rw-I A, X 974 sralt.w.w�r�/L Septic: Staff Approval Date: By: N1./3 ryvfn�n -° r n ii4^' s E+•w S 970.y L�,��i,,,,a ,4�Lu✓5 3•v p-F• �ca..t�C 4vp'f� Zoning File: # — Resolution: # -- Resolution Date: Shoreland District: N V 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): 7 BUILDING REVIEW CHECK LIST UBC: 3 CONSTRUCTION TYPE: -JN Sq Footage $Per Sq Ftg Basement x = 1st Floor x 2nd Floor x = Garage x _ x = TOTAL Estimated Construction Value: Inspections Required: Work Requiring Separate Permits: Site ,C Plumbing Fire Hardcover Removal x Mechanical Water Connection w Footing _ a Septic Sewer Connection _y Framing ___ < Fireplacepc Lawn Irrigation _x Insulation (Masonry) Other Wall Board _ z (Mfg,) V- Well(State Permit) d Final Grading/Filling _ Electrical(State Permit) Other REMARKS(IN HOUSE): -----_ _------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ----- .---------------------------------------------------------- REMARKS (TO BE NOTED ON PERUTD: 8 Permit Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release 1 Data filename:Untitled.rck TITLE:Busch Residence COUNTY:Hennepin STATE:Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 05/12/04 DATE OF PLANS: April 23,2004 PROJECT INFORMATION: New Home a 3330 Water town Rd. Orono,MN COMPANY INFORMATION: Boyer Building Corporation 3435 Co.RD. 101 Minnetonka,MN MN lic.#2988 NOTES: Walk out rambler with heated room below the garage. COMPLIANCE: Passes Maximum UA=772 Your Home UA=728 5.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 3: conc. over shop 936 0.083 78 Door 2: Glass 205 0.370 76 Ceiling 1: Flat Ceiling or Scissor Truss 1642 44.0 40.0 21 Ceiling 2:Raised or Energy Truss 1399 42.0 28.0 19 Skylight 1: Wood Frame:Double Pane with Low-E 28 0.370 10 Wall 1:Wood Frame, 16" o.c. 3879 21.0 12.0 104 Window 1:Above-Grade:Wood Frame:Double Pane with Low-E 828 0.360 298 Door 1: Solid 107 0.200 21 Basement Wall 1: Solid Concrete or Masonry 2286 0.0 15.0 101 Wall height: 9.0' Depth below grade: 8.0' DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ©`7 coM LETED ADDRESS Q 30 a*e(�Ow A OWNER CONTR. TELEPHONE NO. qS DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 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 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a ZI o W CCQ D 771/ I971&1'P,S cc Po d W E ORK SATISFACTORY:PROCEEDPROJECT COMPLETE W W [_1 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY / 0 El CORRECT WORK,CALL FOR REINSPECTION _TEMPORARY /2-T-o CT V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (J52) 249-4600 Owner/Contra r site: Inspector. , 014A White Copy/Inspector File Canary Copy/Site Notice �i4— D TIME CITY OF ORONO CALLED IN INSPECTION NQ�CE, SCHEDULED PERMIT NO. r /5 COMPLETED ADDRESS 3330 OWNER CONTR. TELEPHONENO. 12 GI DI DESCRIPTION T oui' `- "'q W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O a cc O W W Q Z W Z W Cr d UjWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE rc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑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 ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contra s e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice ./A6 d 7 / M DATE TIME CITY OF ORONO CALLED IN 9-'(3—ov INSPECTION N T CE SCHEDULED y PERMIT NO. COMPLETED -+D� ADDRESS " ���2L_. OWNER CONTR. TELEPHONE NO. DESCRIPTION &) tAj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O ION 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: 0 W Q z W W cc d W 9FT6fl'1`fROCEED ❑ PROJECTCOMPLEfE WCORRECT WORK IIS PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN ❑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 Owner/Contracto si Inspector. White Copy/inspector's File Canary Copy/Site Notice D T� TIME v CITY OF ORONO CALLED IN V INSPECTION E SCHEDULE1,136 PERMIT NO. � D COMPLETED ADDRESS J330 40a7ekVc/)^, OWNER CONTR. 6nK-!fC TELEPHONE NO. 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 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W a j O cc O 4. LU cc Q Z W Z W it O O UjWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN C1 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contracto n t . Inspector. ` Vv"- \ White Copy/Inspector's File Canary Copy/Site Notice