HomeMy WebLinkAbout2000 - P03260 - addn/remodel/repair PERMIT
r CITY OF ORONO
Permit Number:
2750 Kelley Parkway - PO Box 66 P03260
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 12/8/200
SITE ADDRESS: 2760 White Oak Cir
LONG LAKE, MN 55356
PID: 04-117-23-42-0018
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing iviechanicai Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 993.75 Valuation: $ 100,000.00
Plan Review Fee: $ 646.03
State Surcharge Fee: $ 50.00
TOTAL FEE: $ 1,689.78
APPLICANT: Brian Stephenson Construction Inc. OWNER: J L JR&K C SHANNON
2025 Pawnee Rd. 2760 WHITE OAK CIR
Medina, MN 55340 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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APPL •N 'ERMI I NATURE ISS MD BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
l
Total Fee: $ /6, Ori '7'S)
J Date Received: // - /3 (O
Entered By: Permit#: f{v 3z(e n
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
(A)4/
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JOB SITE ADDRESS: 7‘) (A/1/ 4 Oct k Chale ZIP: ,_373-33-6,
NAME OF OWNER: -Th,✓E y ig4;.-e SJ1 Priv,/ PHONE: (home)
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MAILING ADDRESS: 7D Cdd�;ret& J,CITY: a ZIP:
CONTRACTOR: A) Sp)te </ C nS J PHONE: 74.3 -y?S SOS
CONTACT PERSON: Xi?, /s-/-ePk p scw/ MOBILE/PAGER: /,27- '3q7-ca y 7 7
MAILING ADDRESS:�abc-Ard��c , CITY: / 7e,'4- ZIP: is.sS3VO
STATE LICENSE: #
ARCHITECT/ENGINEER: 71411fc / 4 / �$ PHONE: �,j --
MAILING ADDRESS:3d /eD CITY: D/28,L1 ZIP: SS354.
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration t/ Land Alteration
PROPOSED WORK(describe in detail): .1,e'ip il 7ih,t/ ,j�.4/1oo� 4Aiio,•J
STORIES: SQ. FEET OF EACH FLOOR: 41,47.egisfrkvi, �',�D5/d4eo
NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. DET. '¢D 6-'r' 'i e
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / GOc2
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 accordance ith the approved plan.
C / j/
APPLICANT'S SIGNATURE:711/1i /DATE: -C)7-�
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. 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 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 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 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.
SR')AA) Zieeljeg
4 c_S-- 1-p kis
First Middle Last
Addie e„,(Af/n.
/11/1/ �3, 70 7e ^97J S r70
City State Zip Phone
I understand my ri as stated above.
Signa re
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Mld�acl(IMP(IE REPIR1 I I
Mi000sota bay(da I Peroit! I
that Softoaro Yorsioo 3.0 I I
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S1I1F Miooasota
(11S1RI(1III 11 :Sipgl!faily
10-31-2000
01110E:
(GMP110 E:PISSES
Raquired VI:291
Tour 600e 265
IQ Dotter!ha Colo
Ora or Cavity (oot• Glaziog(Ooor
Paiute R-Yaluo 1-Yalua V-Yaluo Ol
EILIIGS 626 36.0 0.0 19
IUD:had frau,24'I.(• 1336 19.0 4.0 64
6lllIN6:
lithos or Doors,Woo Grade 313 0350 I10
S1I8 f1.II1S:Oohoatod, 2.0'iosul. 91 100 92
IViC MIRO!:from, Mt IRE
(IMPtIIl(E!Mar 1ho proposal b ildiog design dlscribod Dora is
coosisteot lith tha buildiog plaos,spocifiatioos,ad other alalatioos
suboitted pith tho pervit appliratiao. The prgesld building has bloc
dosigood to oat tha roquireaaots of tho Mi000sota bay Cho.
Buildarllasigolr lata
Minnesota Energy(odo
MMdnci Softtart Yorsion 3.0
0M1E:10-31-2000
PION NEYIEI III I1E111 ISSUES
This list of itus lay bo helpful for Plan Rovieors aid Building Inspectors to
use as a guide for enforcing the Minnesota Energy(odo. Tho ices apply to
Group R,0ivision 3 0capancits,ono-and tto•fa'ily rosidontial dtellings
the itus oariod rith o apply only to dotath ono-and tto•fa'ily
residential fellings.
PUN 1E11E1 I00UE0
f00NO1T1011E110101
- foundation pall insulation 1•S oioiuw
• fandation insulation utods fro'top of tall dad to tip of the footing
• ostorior foundation insulation is caord by a prrtoctivo natio!finish
(011TE SLIB IN 0N0E1-SLI8 11111I01
• slab on grade periootor insulation 1•S oiniou'
• slab insulation/studs fro,top of slab to design frost lino or tip of
footing
- floors over Urheatod space 1.30'ini'u'
II100IS 1040151 SNfIIGMIS
- average U-talut is 0.31wino for'inns and glass doors(includes
foundation tindousi
tindo,U-value coosisttnt Lith building plan and Ith&oct Ieport
- tindot and door arta consistut vitt building plan and II scb Ipnrt
MEOIMII(ML IENTILOTION ISSUES
• rosidontial'ochanial ventilation systu providos adequate ventilation
par coda roquireuts;
- furnace off icing is consistent Lith I1dieci or building duigo plan
- protection agaiost eocessivo dpressurization is installed par code
roquiro,utsr
ENVELOPE IISUUI1I0I fli Pill NEYIEI
• intuior bastion/insulation 1•S!loin'(if no anterior insulation)
• ceilings Lith attics Hi or consistent rich buildi'g plan all 9hod
Report
tall fra'ing and insulation lull is consistut lith building design
and Inchon Neport
IISPE(1III ISSUES
OMEN IISULMTION
MNMMIN6 in SMEMT1(I16
- /inch lash barrier installed at attic odgt
- toterior call croon fraud so that insulation can be installed after
tterior shuthing is installtd
- iatarsections of interior partition rails and aterior tails aro fraud so
that insulation an be installed batten the partition and utorior
sheathing after exterior sheathing is installed
• gaps betrees fraring less this one-half isch an elirisated by searing
fraris!together or art insulated at the tits of assnbly
- all penetrations Weis corditiostd and uscadition d spaces rade
prior to fraring issptction are staled
INPEE R AIR BARRIER
- all fire stops art air staled
- pipes,ducts,rias,equiprest aid flues asd diirneys thr ugh the interior
air barrier are sealed
• a sealed castisuous interior air barrier is installed os th¢ran side of
the building envelope at ceilings,rills,and floor rig joist areas¢
- air barrier behind tub asd shiner is waled asd protected
• recessed light fixtures art sealed
ENPELNPE IIIVL iI9N
• hastiest insulation R-S riairur
• rind rash barrier or rail separating houst and garage is staled
- loose fill insulating is prevented frog entering the saves
- issulatios on skylight shafts asd rails exposed is attics is supported
OR the uscosditiosed side
AITIE MIDI
• attic access pawl issulat d to 1•3e for tailing panel and 1•19 for
rail parol
- attic card attaded to fraring sear access;nisi
• sstificatios of attic R-valus and data of installation posted star building
unit irspactios card
This is a smeary only. ether nquirti is ray apply. See the flinusota
Essig Code, euestionsf fall the eepartrest of Public Service Isfonatios
Easter at 651-296•111S or 1-800.651.3110,
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z1(O CO-c ka_
PID:
DESCRIPTION OF WORK: A 0 p ,- L o f.S
ZONING REVIEW BY: " DATE APPROVED: //- z9 -
BUILDING REVIEW BY-7% DATE APPROVED: if. zq
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes ,— No SEWER CONNECTION
STATE SURCHARGE Yes ,/ No WAtRCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District: Pa-id
Fire Department: Lontq L6,-1 x Post Office: C,p^5 (A-k-A?" School District: - '0
Lot Area: Sq.ft. ,lrO C/- �C Acres v Width Depth
Survey Submitted: Yes oc No Date of Survey: 6, -Zt " 5
Proposed Setbacks: _
Front(Lake): 5 S Right Side: 7 S
Rear (Street): 1t8S- Left Side: `46
Adjacent Structures: (0` Wetland: f\J/i4
Building Height: Def. Hgt. e9, (Q- Peak Hgt. —
Lot Coverage: /NS'
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: _ By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: J
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: f?• 3 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ I b 0,(900 Q°
Inspections Required: Work Requiring Separate Permits:
Site p( Plumbing - Fire
Hardcover Removal d Mechanical Water Connection
X Footing Septic Sewer Connection
pc Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
D( Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling K 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
at k, ` DATE TIME
ki Le. it Sri } 8-e/
CITY OF ORONO CALLED IN
9 Are?
INSPECTION NO ICE SCHEDULED \\\\\ i-'/-0/ 930�+�
PERMIT NO. D 3�l2O COMPLETED N '►
ADDRESS p;- &d W`irL:Q cct/l_ (i/—(7e_
OWNER CONTR.
TELEPHONE NO. '590 e�5D
3: I - - • •TION i� Ti/u627
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Llct 0 -AMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
LL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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W ORK SATISFACTORY:PROCEED C PROJECT COMPLETE
❑CORRECT WORK&PROCEED
I7 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
LISTOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contra
ao: •i
Inspector .
White Copy/Inspector's File Canary Copy/Site Notice