HomeMy WebLinkAbout2003 - P06762 - new structure CITY OF ORONO PERMIT
2750'KeIley Parkway- PO Box 66 Permit Number: P06762
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued: 9/22/2003
SITE ADDRESS: 870 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-44-0015
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
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 Mechanical Fireplace Water Connection Sewer Connection irrigation Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 4,658.75 Valuation: $ 800,000.00
Plan Review Fee: $ 3,028.13
State Surcharge Fee: $ 400.50
SAC Fee: $ 1,275.00
TOTAL FEE: $ 9,512.38
APPLICANT: Owner/Self OWNER: RVC Homes
MN 1003 Twelve Oaks Circle
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.
.)
4.. ;— �„ be C( ( 14 Com'
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si&nitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Total Fee: $ 5) • J Date Received: ei-/2.-D 3
Entered By: 1Z-n Permit #: AO(o7(oZ-
LawDB 9 /2,2/O- _,.
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 OR 'ONTRAC�
JOB SITE ADDRESS: f1O \ k.I.OWUI t✓W ZIP:
NAME OF OWNER: 1 YC IA OYYI€s PHONE: (home)-103-418-04-1-1
(work)
MAILING ADDRESS: (DZ CITY: VI -Lie ZIP: 553
+CONTRACTOR: QVC_ _\AO(S PHONE:
CONTACT PERSON: Lpie.l!
. . 021 MOBILE/PAGER:(pt2-327-O9 3
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: .DP PHONE: X103 - eccri
MAILING ADDRESS: 9-1 CO ►�i\- 1 Lee-E.. 51CITY:bus,it.l a_ ZIP:
NAME: 4124 REGISTRATION#
TYPE OF WORK: New X Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): k1EW AOL1 E. ,
STORIES: SQ.FEET OF EACH FLOOR:2118 CIS)
NO. OF BEDROOMS: 5 GARAGE STALLS: ATT. X DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ , CXXO
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 with the approved plan.
APPLICANT'S SIGNATURE: •\)hd e DATE: 5-12-O
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.
9
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 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,certi&ing,and compiling the copies.
The responsible authority shall comply immediately,ifpossible,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 ofpublic or private
data concerning himself To exercise this right, an individual shall not'in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to notes
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 ofdata';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(see following page)to review private data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRINT
First • Middle Last
Address
City State Zip Phone
1 and stand my right .. np
ted above.
Signa ire
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: c3 7 0 LA.)
PID:
DESCRIPTION OF WORK: X11 c j ,Ze s
ZONING REVIEW BY: (` / . ____ DATE APPROVED: 9-z Z.-03
BUILDING REVIEW BY: ir DATE APPROVED; 9 - Z z-o3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/ No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No c/' PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify) P (os f /nv, 4.?
_-------- —_ SQ°a 3 k ti.S A r-
ZONING CHECK LIST Zoning District: j(s o•o ('-'^
Fire Department: Post Office: School District: •
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes x No Date of Survey: 9- $-03
Proposed Setbacks:
Front(Lake): :1 5-$ Right Side: 7
Rear(Street): c o "4= Left Side: I SS
Adjacent Structures: /V-CD4 Wetland: rO
Building Height: Def. Hgt. 3 a Peak Hgt. 5-
Lot Coverage: (2•(c-
Grading: Staff Approval Date: cj-f et- v 3 By: (13 - Council Approval Date: —
Septic: Staff Approval Date: ////4_ By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: /)0
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):
BUILDING REVIEW CHECK LIST
UBC: 6- 3 CONSTRUCTION TYPE: VA....)
Sq Footage $Per Sq Ftg
Basement x
1st Floor
2nd Floor x =
Garage x =
x
TOTAL
Estimated Construction Value:
Inspections Required: Work Requiring Separate Permits:
Site /C Plumbing Fire
Hardcover Removal c Mechanical
Pc Footing oC Water Connection
Septic " Sewer Connection •
p( Framing Fireplace Lawn Irrigation
i( Insulation
l Board (Maros') Other
Wall
k Wal -- (Mfg.) Well(State Permit)
Other
Grading/Filling p( Electrical(State Permit)
REMARKS(LN HOUSE):
•
REVIEW BY OTHERS: DATE: ---_�Access: Existing Existing New
Access Approval: Date
By:
REMARKS (TO BE NOTED ON PERMIT):
8
Permit Number
MECckeck Compliance Report
1999 Minnesota Energy Code
MECdieck Software Vasion 3.2 Rdaarse 1 Checked By/Date
TIME:203358
COUNTY:Hennepin
STATE:Mntoacsota
ZONE:2
CONSTRUCTION TYPE:Single Family
DATE:09/12/03
DATE OF PLANS:9103/03
PROJECT DEFORMATION:
WfTR ''F RESIDENCE
L04,B02-WILLOW VIEW
870 WILLOW VIEW DRIVE
ORONO,MN
COMPANY INFORMATION:
R.V.C.HOMES,INC_
COMPLIANCE:Passes
•
Maronnm UA=1015
Your Haw—792
22.09E Boller Than Code
Gross Gazing
Area or Cavity Cont. or Door
Nrimeter R Value R Valve U-Factor UA
Caning 1:Raised or Energy Truss 2519 44.0 0.0 55
wall 1:Wood Frame, 16"o.a 6208 19.0 0.0 307
Window I:
Above Grade,Vinyl Frame,Donble Pane with Low-E 846 0330 279
Door 1:Solid 50 0.140 7
Door 2:Glass 41 0.330 14
Dir 2:G1asa 61 0.330 20
Basement Wall 2:
Solid Coacrdt or Masonry,9.0'ht/8.5'bg/9.0'used 1296 11.0 0.0 71
Basement Wall 3:
Solid Uonc rse or Masonry,9.0'ht/4.5'bg/9.0'insul 180 11.0 0.0 14
Floor 1:All-Woad John/Truss,Oven Outside Air 751 30.0 0.0 25
Pomace 1:Forted Hat Air,90 AFUE
Proposed and Muino sae U-Facer Averages
Proposed • Maximum
Average U-Facmr Allowed U-Factor
Abo ve.3raele Windows and Glass Doors 0.330 0370
•
Includes Foundation yrs>S.6 ft2
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 Energy Code requirements in MECcM c*Version 3.2 Release 1.
Builder/Designer Q.- Q�"e 1012 _ ,Date 9 - 12-03
V
DATE TIME
CITY OF ORONO 063- CALLED IN /2�If
INSPECTION II SCHEDULED /2-/2-43 / 13 0
PERMIT NO. (� COMPLET D
ADDRESS 87O
OWNER CONTR. Y11e.. kintb14 -
TELEPHONE NO. 7�3 %/5-g 7 I
DESCRIPTION /C/0 % ' ,
�
W 01 FOOTING 11 51ZME HANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
cc
Q.
CC
CC
O
W
CC
Q
W
CC
ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Otj BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins 'on 24 hours in advance. (952) 249-4600
Owner/Contractor onsite
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN / Z ./ 7—e.5
INSPECTION NOTICE SCHEDULED /2 -/a 3C
PERMIT NO. i\C' CoylPLETED L(
ADDRESS h-
2 G' ', Cc .-= .-A"--"•-‘
OWNER
-'` '--
OWNER &V //? V(t CONTR. I UL. Az,-,-„L z
TELEPHONE NO. X � L
E DESCRIPTIONi_-
t 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
'02 FRA.MIN� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q-03lNSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
S OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
cc
W
Q.
CC
O
CC
O
U-
W
CC
W
W
CC
O
Wu 'WORK SATISFACTORY:PROCEED CIPROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
j BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 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/Contract o s'
Inspector.
White Copy/inspector's File Canary Copy/Site Notice
DATE TIME
/
CITY OF ORONO CALLED IN / / 2 0` 0
INSPECTION N TICE SCHEDULED //z2./D4 9: 30
PERMIT NO. U �Ql7�DZ COMPLETED
(�
ADDRESS `)0 C) ,t'�
OWNER CONTR. e 7'1 djvLC/)
TELEPHONE NO. `7(0 5-- L yn - 31
• DESCRIPTION L L JT` t (CL-f7(5i)
LU 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
• 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
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
C;
c
a ccs
O
C;
O
C:
W
C_
WCC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next insbection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. (Wail
White Copy/Inspector's File Canary Copy/Site Notice
DATEA
TIME
CITY OF ORONO CALLED IN II) ��
`f:
INSPECTION NOTICE SCHEDULED_1 e0
PERMIT NO. PO �D�(P2- COMPLETED 1-
ADDRESS
ADDRESS 7 1 U ( (')u,0
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION i
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
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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Cr) COMMENTS:
cc
W
Q.
c
0
cc
0
W
CC
Q
W
W
CC
WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
CC
0
CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 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!Contrac ii; site:
Inspector. "Mr
White Copyllnspector's File Canary Copy/Site Notice