HomeMy WebLinkAbout2005-P08420 - addn/remodel/repair w
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08420
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 2/9/2005
SITE ADDRESS: 1005 Willow Dr S
Wayzata,MN 55391
PID: 10-117-23-24-0012
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Construction Type V
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: Fireplace Electrical(staie)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00
State Surcharge Fee: $ 15.50
TOTAL FEE: $ 457.25
APPLICANT: JLM Design/Build OWNER: Martha Spencer
7141 Amundson Ave 1005 Willow Dr S
Edina,MN 55439 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.
CA ITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Required). 1-Awlicant, 1-Monthlv Revorts, 1-Assessing, 1-Finance Page 1
02107/2005 19:34 9529411160 JLM LANDSCAPE LLC PAGE 05
v�
Total Fee: $ / a 5 Date Received:
Entered By: 6ai__ Permit#: �,
CITY OF ORONO - BUILDING PERNHT APPLICATION
All information must be submitted in full before plain review will be started.
(Please print all information)
THE APPLICANT IS: (circle one) OWNER OLCONTR-PACTOJOBSITE ADDRESS: : 539 I
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes VNo 1f yes, a special eventpermil 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. ��rr--
NAME OF OWNER: ! PHONE: (home) T-73'Ia
(work)
MAILING ADDRESS: CITY: C) ZIP: ' 1
CONTRACTOR: 7:jj I � I� LLC PHONE.
CONTACT PERSON:<L-Z, MOBILE/PAGER: - - 4
MAILING ADDRESS:-1141 &q(j1=P atIL CITY: 0-- L.,JA ZIP:
STATE.LICENSE: #�(�- ZDZZ5��1�_ EXPIRATION DATE:
_V
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: I�! CITY: ZIP: .
NAME: i 1a6M .- , ---REGISTRATION: #
TYPE OF WORK: New _ Addition Accessory Structure
Move Home Remode . Iteration_L�LLWj>c)W
PROPOSED WORK(describe in detail): r
STORIES:L WQ.:
a&J EET OFEACH FLOOR: I I �E I~LCJ�1
NO, OF BEDROOMS: ?_ GARAGE STALLS: ATTACHED .Y,-- DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
;�2j/691 O(D-
J 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: DATE:
31.
t
B UILDING RE VIE tv CHECK LIST
UBC: 2 \5 CONSTRUCTION TYPE: V--J
Sq Footage S Per Sq Ftg
Basement x =
I st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: S 30,000
Inspections Required: 6Vork Requirin;Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
oc Framing �o _Fireplace Lawn Irrigation
f_Insulation (Masonry) Other
_-i _ Wall Board -c (AIfg.) Well(State Permit)
o,'—' Final Grading/Filling a Electrical(State Permit)
Other
REJVIARb S(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing Ivew
Access Approval: Date By:
REAIARKS (TO BE NOTED ON PERMIT):
32
T
CHECK OFF LIST FOR ISSUANCE OF PERP11TS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /00—S
PID:
DESCRIPTION OF YVORK: temnol o w s ere
-----------------------------------------------------------------------------------------------
ZONINGREVIEWBY: /VIA DATEAPPROVED:
BUILDINGREVIEW13 DATEAPPROPED: z-e -nS
---------------------------------- -
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN RE VIE GV Yes No ✓ SEWER CONNECTION
STATE SURCHARGE Yes NO WATER CONNECTION
INVESTIGATION FEE Yes NO v PARK FEE
SAC Yes NO ✓ SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: Al y c if,4,ya e
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Si e:
Rear(Street): Left Side
Adjacent Structures: Wetland:
Building Height: Def. Hgt- Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: $y: Council Approval Date:
Septic: StaffApp•oval Date: By:
Zoning File: # Resolution. # Resolution Date:
Shor•eland District:
Avg.Setback: B uff Setback: Lot Coverage:
•fisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Regctired: Yes No Date of Cotincil Approval:
RMWARKS(in house)
31
02/07/2005 19:34 9529411160 JLM LANDSCAPE LLC PAGE 06
Set.13.0+1 RIGHTS OF SUWlrCTS 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 requiredto be given individual.An individual asked tosupplypdvateorconfidentialdam wnceminghimsclfshallbe
infotmcd 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 legal ly required to supply the requested data;(e)any known consequence arising from his suppVng 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 Mew.
The commissioner of revenue may niece the notice rewired under this subdivision in the individual income tax or nronerty tax refund
instructions instead of on those forma,
Subd 3.Acccsato data by individual.Upon request to a responsible authority.an individual shall be informed whetherhe 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 shoran the data without any charge to him and,if he desires.shall be informed ofthc 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 ham been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject of the dais. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The roaponsible authority shall comply immediately,if possible,with any request made pursuentto this subdivision,orwithin five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance ianot 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,d, Procedure when data!anot accurate orcomplete.An individual way contest the accuracy or completeness ofpublieorprivotedata
concerning himself.To exercise this right,an individual shall notify in writing the nzpmuiblc authority describing the nature oftha disagreement The
respansIble authority shall within 30 days either; (a)correct the data found to be inaccurate or incomplete and saempt to notify past recipients of
inaccurate or incomplete data,including remploots named by the individual:or(b)notify the individual that he believes the data to be correct. Data in
dispute shall be disclosed only ifthc 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 caeca.
DATA PRIVACY ADV_IS_ORJC
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 Wbrmation.
You arc 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 infoTTnation 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.
S. You have cettzin 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
(� -LIC�CIr r?OA -1
First Middle Last
Address lij
City
Stato Zap Phone
I understand my rights as stated above.
Signature
32
qr'0247/2005 19:34 9529411160 JLM LANDSCAPE LLC PAGE 04
Apy. '►
952,9a1,9818
67211
REMOVE EXISTING 54"D,H.AND INSTALL NEW(3)
WIDE 76"TRIPLE CASEMENT UNIT.RE-FAME
OPENING AS NEEDED AND INSTALL A NEW(2) 9 112"
M.L.HEADER ABOVE THE NEW OPENING...REPAIR
SIDING AS NEEDED. EXISTING
BEDROOM
17'-211 X 13'-311
NEW EGRESS WINDOW
U7
N
CLOSET 2665
9'•6"x 2'-1"
CITY OF ORONO
BUILD11.1110 Py{-"..RA'4IT REII':I~VY
5 INSPECTOR
� _""[' DAT
SEE A .-., .. ; �►r
CODE 17"
T< bo done
ra u•rins ems.
Kh- -P :: I L.PoN LiEr ON(SITE AT ALL TIMES,.
_J(1ir/r•sw�� ii,//S4 i>'lr�•!!�/na.r�r✓7ir//o t�( ..��.�aa./•rn� ��1.,/,/.z
• "71 L _ 1.:•n:•tn I IZ±;u LCtINn. MINNfe':g1'h 55439
V/07/2005 19:34 9529411160 JLM LANDSCAPE LLC PAGE 03
City of Orono Building/ Permit Department 01.26.05
Attention: Lyle Oman
Proposed Work Description for Building Permit Application
JLM Design/ Build LLC Builders License #20225595
7141 Amundson Avenue
Edina, Minnesota 55439
1.952.941.9616 Office
1.952.941.1160 Fax
Under Contract With Or Martha Spencer
1005 Willow Drive 5
Orono, Minnesota 55391
Our primary contract is to install replacement windows in Martha Spencers
residence. All but one opening is the some size. In the front comer bedroom we
will be widening the header-01" to each side of the existing opening to put in
three individual casement windows. We are raising the bottom up about 1 foot
from the existing window. She would like more privacy from the road in the front
of the house. We will be installing a new double LVL 2 X 10 header Into the
opening and filling in the interior with Insulation, vapor barrier and new sheetrock.
On the exterior we will be sheathing with 314 055 and cedar siding to match the
surrounding area. In this opening we will install new trim casing to the interior and
exterior as well. All of the other replacement windows will also have new interior
and exterior trim to match the work that was done last year. We will be installing
two new tempered sidelights to the front entry to replace the old and new casing
on the interior and exterior. Over the front door we are also installing a new storm
door. Finally, in the porch area in addition to the windows and trim we will be
insulating the walls and installing new sheetrock to replace the old uninsulated
wood wall board. We are replaceing the old carpet with ceramic the over the
existing cement floor and installing an electric in floor heat system, Our sub
contractor on site is Brian Hoffman of Hoffman Construction. Our Electrician will
be from rine Line Electric and the tile floor and matting will be installed by Dave
O'Brien of O'Brien Development with all connections made by Fine Line. Martha
has also requested us to remove the old gas heater that is on the porch and cap/
seal the line as needed. If her existing fireplace in the room will support it, she
would like us to also install a gas fireplace Insert with a new liner system. We are
having it checked and it may not be possible to install with her existing chiminey
without substantial re-work. If that Is the case she does not want anything done
to the fireplace at all. If you have any questions please contact me on my cell
phone or our office.
Thank You
Suzie Smiley
JLM Client Coordinator
1.612.366.4264 orl.612.964.4492
Fq < lItf—
1 DAT TIME
CITY OF ORONO CALLED IN
INSPECTIONTIC SCHEDULED
PERMIT N0. _ a'� COMPLETED
ADDRESS DOS &)I low S
OWNER CONTR. ✓41)t
TELEPHONE NO. 50 7 3S I D(o l0
DESCRIPTION 1^
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FI 19 LAKESHORE/WETLANDS
H03 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v0, COMMENTS:
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W
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L WORKSATISFACTORY:PROCEED L1 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
QO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forth ext inspection 24 hours in advance. (952) 249-4600
Owner/Con or si e:
Inspector.
White CopylInspector's Fil Canary Copy/Site Notice