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HomeMy WebLinkAbout2005 - P08743 - addn/remodel/repair PERMIT CITY,OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P08743 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 5/31/2005 SITE ADDRESS: 2550 Woodhaven Dr Unit# Long Lake,MN 55356 PID: 33-118-23-41-0007 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 237.25 Valuation: $ 13,800.00 Plan Review Fee: $ 154.21 State Surcharge Fee: $ 6.90 TOTAL FEE: $ 398.36 APPLICANT: Nygren Remodeling Inc. OWNER: John&Suzanne Van Dyck 4056 Hunters Hill Way 5353 Wayzata Blvd Minnetonka,MN 55345 St. Louis Park,MN 55416 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. AO APPLICANT PERMITS SIGNATURE /ISSUED BY SIGNATURE 111 Copies: I-File(Signatures Required), I-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ Date Received: 5 / / —7/6'c Entered By: j 71 /�/� Permit#: l7 � s /3 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 0' CONTRACTOR JOB SITE ADDRESS: 2 SS" 1✓�"�'d�i s v t ZIP: 575—J S( Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes i7.4 No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER:.a 1 � H k, I t �/ PHONE: (home)95-2 2 7eCZ (work) MAILING ADDRESS: 2 ea 01 h 4 v/1, /ter. CITY: C't-av,7 ZIP: SSW / CONTRACTOR: A.2 rd i At•. `d t11 i5 .1 r. PHONE: 5'.5-2-2 o''- CONTACT PERSO r1ry f , MOBILE/PAGER: ,,,4 MAILING ADDRESS: ' z< H�ntyr lei ll i.v;y CITY:.P+. 4 ; ZIP: 5S'79r STATE LICENSE: # 2 v cl? )/6 EXPIRATION DATE: 3- d( ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure (/ Move Home // Remodel/Alteration PROPOSED WORK(describe in detail): e A le h e dl c Via:,e STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / fP 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: ,?:e.% DATE: /� 31 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. , Afy✓, First Middle Last pfd s ( Wit,.,, 77/ /dir j/ w 4, y Address i t�,✓ 7 1 p-1 h t /O.7 1 /✓ 5'5r J y c / S .,� -w°© r S G y City State Zip Phone I understand my rights as stated above. Signature 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2-s5-3 u1/4.)00h ve-,may , PID: DESCRIPTION OF WORK: 0 cc k ZONING REVIEW BY: —~---w DATE APPROVED: 5 -Z7 _o S BUILDING REVIEW BY: D DATE APPROVED: 5 . -O 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 '✓ PARK FEE SAC Yes No ✓ SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width (Depth Survey Submitted: Yes _4_ No Date of Survey: on) 41.-P Proposed Setbacks: Front (Lake): 12SQ' Right Side: 9,y '± Rear (Street): 2..'-i 0' i Left Side: 11-0 Adjacent Structures: 4-riV4U-t'. ) Wetland: N/4 Building Height: Def. Hgt. ^//r' Peak Hgt. -- Lot Coverage: 0•)C Grading: Staff Approval Date: -- By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # Resolution: # Resolution Date: Shoreland District: ND O 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: '3 CONSTRUCTION TYPE: V Sq Footage $Per Sq Ftg Basement x 1st Floor x 2nd Floor x Garage x = x = TOTAL Estimated Construction Value: $ 13,400°"— Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection yC Footing Septic Sewer Connection oe Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) D4- 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 PERMIT): 8 ___ .. ' `'-....,.:-•-i...,,,'-; -- i.-.--.•- 3 a 2 L:- ,... 4.....- i scp C1 -.. a CD Cr t=i- rij V :' .F"' C;11; =LI, Of 04 F-R 4ril fr ) C.,;:i , ...< oc, -rs HI t. I 1 , :-.11- "N (C 0 . cm =)0 ) einzzl .;7,7 , ''''''S :AO (r) I CS i:1/42 '11 Cz... 1 ..1 * -g --6- .,:, 00 -it o sr 1. o i I \ •OC \If 1.-(*ir."-' c-a 1 k 0 fo At 00• AO c; 11 T6 0sV '7 „ti -a• ( * ``.'--it ? •,•:.,, • 1 A oo ,,,, 4h,-••- .„..,, k , . -E-1. 014\ r)0 k 0.1 \ . .,,,,,Alefinw, ':';*-4!tq,4,.„,t,,,,;„-;,.-,-,..,-;•;;;-,,,,,:'7,-=,-,'-., -. - .---f tys..-_:':?._,.,:..:1:•.:•:,t.':'-••..::--:::=_',';',---40,W;1;.•-.17' •::':-.' ''--- ' (:). --'-::-•:'i-••-:-,--'1.4. .-4'2,"..'_r1-,:-;;.:$-i'. ,;;•.,r.:''...-',';':.--'--. • 'c 9t`r'ts. c-k c> .4 -...,,,W"'' • ' **,.'4- •ii g ..- 0 u ,. [ o 00 , L A )6 --- "--- N Aa 0do N ok,103 pos ii- \ 0 \ 0, t..) , G \ . \ 1 1 r uatintipoohi _.... •...... I I / Hr110 --11111111r TMB . .1 . fit,5"3;1!:.:7 1 EA:cri i . till'ot,40 .4.! kani SPECIAL NOTE SEE ATTACHED SHEET FOR CODE REQUIREMENTS . , o \t1\ , . 2:11LILLI ',,,- . 1 . ., :., Ii--------iii l.. 71 0 house . r CITY OF ORONO BUILDING T(AIT PLAN F,EVEW driveway INR SPECTO DATE s-- 2-1 •c"S"_____ -, ';7 11, ::D _______ ,2(7:2,-::',::','::::• ^:-2 ;',,,:, ;• , , ,-,_,) C-4 ;1-r'HI):::::)*. •• r-,•'2._. -I! -$ E i 2: V'r'r.:-.....i7, • _ ;H. :. : :-.. ..-,2',IT -t::-: - .7. ',' ., ' r' ' J. -.. ./.fl..',.• :.-,a oone 'ode KEEP THIS LJAN Sal;ON 31TE AT ALL TIME'S = deck 7 14' 600 sq. ft. $13,800 Iiirioiir a". i'u 1®II®II • 14'-10" 2' 2' 2' 1 141 ■ I I ' 11 11 house exsisting deck house 13'-5" n ti house .14 deck 7 14' 600 sq.ft. $13,800 4; 111 7 I 2' 2' 2' • 2' 2' • • MM II 7117. 117 lulli O : 111111 1 house deddng= 5/4x6 ipe,ss fasteners exsisting deck joists=2x10 treated, 24"on center house rim joists=double 2x10 treated �Tx' beams=triple 2x10 treated - tl hot tub deck: decking=2x6 treated house joists= 2x12 treated, 12"on center rim joists=double 2x12 treated footings: 12"tubes,flared at bottom(9"tubes for stair footings) 42"below grade imbedded anchor bolts posts=6x6 treated simson hangers and connectors,simson nails, hot dipped carriage bolts to connect framing to posts railings with no opennings greater than 4" -23 TIME CITY OF ORONOCALLED IN l INSPECTION NOTI Qil"l9 SCHEDULED /3f/tom PERMIT NO. t) U COMPLETED ADDRESS 550 WQ00f ,4w42-#1 /tet OWNER CONTR. AA/CtiV�1 TELEPHONE NO. 95 —c2 CO_ ,56 y1-1 DESCRIPTION / ` DSC R_ • 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 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 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 OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc LU CC0 a&e 0 W CC W W Cc 0 ▪ ORK SATISFACTORY:PROCEED PROJECT COMPLETE CC W ElCORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY C)O ❑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 nett inspection 24 hours in advance. (952) 249-4600 Owner►Contr .I'•I\site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice Cv "�#)q�T CITY OF ORONO CALLED IN �!J/1' O5.. TIME INSPECTION NOTI E 3 SCHEDULED ///?/2 9 SO PERMIT NO. ye TCOMPLETED ADDRESS c 5 (% CAJ ,19/9 OWNER P( /JL4J -61NTR. TELEPHONE NO / l t��J(:' SocL9 DESCRIPTION J/,at�, 4-7i��'ry�ejlJ�--- 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Cl) 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 Lu 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 1/ 36 FOUNDATION/REMOVAL ▪ OWNERICONTRACTOR TO MEET YtJt7:—YES_NO o COMMENTS:cc '\ W C cc O CC O W CC Q W W CC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN E CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance. (952) 249-4600 Owner/Contr. - .41;5, it Inspector. z a White Copy/Inspector's File Canary Copy/Site Notice