HomeMy WebLinkAbout2005 - P08271 - addn/remodel/repair • PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08271
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 1/11/2005
SITE ADDRESS: 2550 Woodhaven Dr
Long Lake,MN 55356
PID: 33-118-23-41-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,329.75 Valuation: $ 160,000.00
Plan Review Fee: $ 864.43
State Surcharge Fee: $ 80.50
TOTAL FEE: $ 2,274.68
APPLICANT: Paige Construction,Inc. OWNER: John&Suzanne Dyck
1308 Kasson Dr. 5353 Wayzata Blvd
South St.Paul,MN 55075 St. Louis Park,MN 55416
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN RIOT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUIL►, '1 G C•e • o'dIREMENTS.
APPLICANT.PE• ITEE SIGNATURE ISSUED SIGNATURE
Copies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports. l-Assessine, 1-Finance Page 1
Total Fee: $ as 7€1 8 14( Date Received: 1)--r-0`(
Entered By: 4)(172- Permit#: A-C,+ q--2]
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 OlR CONTRACTOR
JOB SITE ADDRESS: 252,
Z52, 0 (N rct k,v.P.ti )){ ZIP: S S�S C
Will this be a Parde of Homes,Remodelers Showcase Home or other Display Home?
U 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
t be allowed.
NAME OF OWNER: ..- \,/\ p) tli-5d 2_61„J V air,rtl y.A t PHONE: (home)
(work)
MAILING ADDRESS: 53-0 WAg1./,,A/- CITY: ()I /OzdZIP: -.3--3 5-6_,
CONTRACTOR: c,,l,r ('G' ,v(- PHONE: (o/Z zg�z-/y 9 2
CONTACT PERSON: Sh a,,,,.,✓ ';'yc__ MOBILE/PAGER:
MAILING ADDRESS: 130 --IcoSSc„✓ i9,- CITY: 5 S f,, ./ ZIP: c5—ti?5
STATE LICENSE: # '2.0 33 7 5---?-5-
.
ARCHITECT/ENGINEER: jekdn/aes,kiPAJ41J 13e.sovv PHONE:
MAILING ADDRESS: 3/d0 Y5u/Aytia(t Sf,V CITY: /i01/4. ZIP: S'S cj`iy
NAME: j d wi 1 , /,/dem-e,' tY REGISTRATION #
TYPE OF WORK: New Accessory Structure
Addition x Move
Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): A 00 n) r •et/ e ir, rSa c/t/,e,/
STORIES: 'Z- _SQ. FEET OF EACH FLOOR: / 70;CJ
NO. OF BEDROOMS: S GARAGE STALLS: ATT. X DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / ‘ c'
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 st. without a it; and that the work will be in accordance with
the approved plan.
APPLICANT'S SIGNATURE: ,; DATE: /2-k--07
r
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.
First Middle Last
Address
City State Zip Phone
I understand m as.stated • i • e. _ ---
r
Signature / 1
/,'
G
j
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2.550 W o ool-1VtvGN DR
PID:
DESCRIPTION OF WORK: 111't0 i�r i o/J R t eat;L
ZONING RE VIE W BY: - DATE APPROVED: /•b-
BUILDING REVIEW BY: /�� L� DATE APPROVED: l-6 - 65
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes .-- SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sql?. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): 90 ± Right Side: 5-
Rear(Street): 3oo` t Left Side: (
Adjacent Structres: - Wetland:
Building Height: Def Hgt. Peak Hgt. --
Lot Coverage: tJ (v4
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # ` Resolution: # Resolution Date:
Shoreland District: N-b
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-150'
150-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
31
BUILDING REVIEW CHECK LIST
UBC: I2. I CONSTRUCTION TYPE: NIA1
Sq Footage S Per Sq Ftg
Basement _
1st Floor x =
2nd Floor • x =
Garage x =
x =
TOTAL
Estimated Construction Value: S 11>C5 000°
Inspections Required: Work Requiring Separate Permits:
Site A. Plumbing Fire
Hardcover Removal a Mechanical Water Connection
Footing Septic Sewer Connection
X Framing Fireplace Lawn.Irrigation
K Insulation (Masonry) Other
K Wall Board (Mfg.) Well(State Permit)
Final Grading/Filling oe Electrical(State Permit)
'Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
32
Sep 07 04 11 : 02p TOM LINDEMEIER 952 361 6918 p. 2
• i i
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Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release I
Data filename:C:\Program Files\Cbeck\REScheck\vandyck.rck
PROJECT TITLE:John Van Dyck residence
COUNTY:Hennepin
STATE:Minnesota
ZONE:2
CONSTRUCTION TYPE: Single Family
WINDOW/WALL RATIO: 0,11
DATE:09/07/04
DATE OF PLANS: 9/2/04
PROJECT DESCRIPTION:
2550 Woodhaven Drive
DESIGNER/CONTRACTOR:
John Van Dyck
COMPLIANCE:Passes
Maximum UA s 570
Your Home UA=558
2.1%Better Than Code(UA) •
Gross Glazing
Area or Cavity Cont. or Door
Perimeter It-Value jt-Value U-Factor .LL9
Ceiling 1:Raised or Energy Truss 915 44.0 0.0 20
Ceiling 2:Flat Ceiling or Scissor Truss 1608 38.0 0.0 48
Wall 1: Wood Frame, 16"o.c. 1154 19.0 0,0 40
Window I:Above-Grade:Metal Frame:Double Pane with Low-E 340 0.350 119
Door 1: Glass 120 0.350 42
Door 2: Solid 20 0.130 3
Wall 2:Wood Frame, 16"o.c. 3130 13.0 0.0 254
Basement Wall ]: Solid Concrete or Masonry 215 11.0 0.0 13
Wall height:7.7'
Depth below grade: 7.0'
Insulation depth:7.7'
Window 2:
Basement<=5.6 ft2:Metal Frame with Thermal Break:Double Pane with Low-E
4 0.350 1
Floor 1:All-Wood Joist/Truss:Over Outside Air 800 44.0 0.0 18
Sep 07 04 11 : 02p TOM LIIVDEMEIER 952 361 8918 p. 3
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.350 0.370
Includes Foundation Windows>5.6 112
Foundation Windows<=5.6 ft2 0.350 0.510
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 Energy Code requirements in REScheckVersion 3.6 Release 1 (formerly MECchecl) and to
comply with the mandatory requirements listed in the RESchecklnspection Checklist.
Builder/Designer Date
Sep 07 04 11 : 02p TOM LINDEMEIER 952 361 6918 p. 4
REScheck Inspection Checklist
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release I
DATE:09/07/04
PROJECT TITLE: John Van Dyck residence
PLAN REVIEW AND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota
Energy Code. The items apply to Group R Division 3 Occupancies,one-and two-family residential dwellings. The
items marked with*apply only to detached one-and two-family residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSPECTION
[ ] foundation wall insulation R-5 minimum
[ ) foundation insulation extends from top of wall down to top of the footing
[ ) exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER-SLAB INSPECTION
( ) slab on grade perimeter insulation R-5 minimum
[ I slab insulation extends from top of slab to design frost line or top of footing
[ ) floors over unheated space R-30 minimum
WINDOWS/DOORS/SKYLIGHTS
[ ) average U-value is 0.37 maximum for windows and glass doors(excludes foundation windows)
[ ] window U-values consistent with building plan and REScheckCertificate
[ ] window and door areas consistent with building plan and REScheckCertificate
MECHANICAL VENTILATION ISSUES
[ ) residential mechanical ventilation system provides adequate ventilation per code requirements*
[ ] furnace efficiency is consistent with REgheckCertificate or building plan
[ ) protection against excessive depressurization is installed per code requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
[ ) interior basement insulation R-5 minimum(if no exterior insulation)
[ ) ceilings with attics R-38 minimum or consistent with building plan and RES checkCertificate
[ ] wall framing and insulation level is consistent with building design and REScheckCertificate
INSPECTION ISSUES
CONCEALED INSULATION
Framing and Sheathing
( ] wind wash barrier installed at attic edge
[ ] exterior wall corners framed so that insulation can be installed after exterior sheathing is installed
[ ) intersections of interior partition walls and exterior walls framed so that insulation can be installed between the
partition and exterior sheathing after exterior sheathing is installed
[ ) gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time
of assembly
Sep 07 04 11 : 03p TOM LINDEMEIER 952 361 6918 p. 5
[ ) all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed*
Interior Air Barrier
[ ) all fire stops are air sealed
[ J pipes,ducts,wires,equipment and flues and chimneys through the interior air barrier are sealed
[ ) a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings,walls,and
floor rim joist areas*
[ J air barrier behind tub and shower is sealed and protected
[ I recessed light fixtures are sealed
Envelope Insulation
[ ] basement insulation R-5 minimum
[ ] wind wash barrier on wall separating house and garage is sealed
[ ] loose fill insulation is prevented from entering the eaves
[ ] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side
Attic Insulation
[ J attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel
[ J attic card attached to framing near access opening
[ ) notification of attic R-value and date of installation posted near building permit inspection card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the
Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710.
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DATE TIME
CITY OF ORONO P08390 /(lPe N ✓" o-L/
INSPECTION NOTICE CHEDU ED/ 7_c2 57-Or !/ od
PERMIT NO. pa 0606, �" OMP1 ED
ADDRESS c22S5 0 Gt9t?"Dd have-v-/
OWNER CONTR. 0), 0 6014./
TELEPHONE NO. (0 t 491 a O a c L
DESC I N SLIP
• 01 FOOTING 11 MEC ICAL RI EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
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✓ 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 ihspection 24 hours in advance. (952) 249-4600
Owner/Contraettn sl
Inspector.
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_ DATE TIME
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ADDRESS SC! L kJ C c) A(k._uk-e,-
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• 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
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INSPECTOR WILL RETURN
❑CITATION ISSUED
C7 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forth nspection 24 hours in advance. (952) 249-4600
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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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
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• 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
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White Copy/Inspector's File Canary Copy/Site Notice