HomeMy WebLinkAbout2004-P07535 PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�s3s
Crystal Bay, Minnesota 55323 Permit Type: ada�c�o�xemoaevxepair
(952) 249-4600 Date Issued: 6i23i2oo4
SITE ADDRESS: 4375 Bayside Rd
MaplePlain,MN 55359
PID: 06-117-23-12-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Pernut Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: riumoing iviecnanicai rirepiace �iecuicai�siatej
NOTICES/REMARKS:
n______`_ n_ _» c__`_____ n t_____'__`'__'_'_�_i e ___"" _"__t_
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—_
FEE SUMMARY: Permit Fee: $ 923.75 Valuation: $ 90,000.00
Plan Review Fee: $ 600.53
State Surcharge Fee: $ 45.50
TOTAL FEE: $ 1,569.78
APPLICANT: Scherf Construction LLC OWNER: Steven&Patricia White
5308 Glengarry Pkwy. 4375 Bayside Rd
Edina,MN 55436 Maple Plain MN 55359
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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APPLICANT PERMITEE SIGNATURE ISSUED B SIGNATURE '-"
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
.
Total Fee: $ � lS�Og• �� - "� ` ' Date Received: �• ZS- �3
Entered By: S y Permit #: �D7S3.5
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review wiil be started.
(please prinf al/informafion)
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THE APPLICANT IS: (circle one) OWNER R TRACTOR,�
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JOB SITE ADDRESS: `�J�� � �`--�� �ZIP: �_���
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NAME OF OWNER: �---�`G��- � \�'1 A�=- PHONE: (home ��`J ��
(work)..:_t�:�.�s �-;� ���=
MAILING ADDRESS: � '�..,---- CITY: , ZIP: ,
.,..-� _ _ _.. .
CONTRACTOR: %�`e..����� ���',`'^'.-,'r�L°�:.��� ����� PHONE: r..�`'Z�-��"-�
CONTACT PERSON: MOBILE/PAGER: ,�- � - ��..� � ��
MAILING ADDRESS: :� �; ��tt'�' �-�, CITY: '''`-..�� ZIP: �
STATE LICENSE: #��)l(�z.>(SS
, �gP.k:��
ARCHITECT/ENGINEER:��i � a�%������-�'''�� PHO. E: �� -=-�-�.�
MAILING ADDRESS: 4-�(0 •�7 CITY:�^ � ZIP: �K��._�
NAME: .�'��\ �t� .
TYPE OF WORK: New Addition � Accessory Structure
-----------
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: �' �������`�P,�S1�U `���.C'��Pc�
''�u�..�� .-!'����;�t�:�...��:�-va �,.ks..��'Vp�;ti�-. j°.�5c-•r..,-t- t�P�--c -�C�'�3�, rmAn�?. �s;�4x��;,,��rr.
STORIES: a� - SQ. FEET OF EACH FLOOR: ��j
NO. OF BEDROOMS: '�- GARAGE STALLS: ATT. DET.
' r
ESTIMATED CONSTRUCTION VALUATION (excluding land): $��,�TW ,�
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 �vith the ordinances and codes of the City and with the
State Building Code; that [ understand this is not a permit and work is not to start without a permit;
and that the work will be in ac��nce with the approved plan.
� �,_ ',' �� �
APPLICANT'S SIGNATURE:.._._.�.�-�r"'"�.�.�'� DATE: ��}�` � '�=°'C Ll�,�.� �-
-- -�.-. ,
, ,�-
NOTE.� Parade ofHomes events�equire separate pc�rui��pprova/byPolice Department and City
Council 60 days prior to the event Non permitted events wil/nof be a//owed.
.
Sec.13.04 RfGHTS 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 suppl}�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 suppiy
private or confidential data; and (d) the identity of other persons or entities authorized by state or federal la�v to receive the data. This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section I 3.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income taac or propertv tax refund
instructions instead of on those iorms.
Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be in(ormed 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 ot its meaning, the data need not be disclosed to him for six
months thereaker 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 indi�idual 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 pro�isions of the administrative procedure act relating to
contested cases.
DATA PR[VACY 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.
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____`��,o� L.i'L`Z�S��"� ��`--�`i
Address �' •— • r --, ,,�,�--..,,
��.�%��'��`t 1 v �`�`"' • �-'f`,� .✓1� --�,..� ' � !
City State Zip Phone
I understand ts�y rights as stated above. 2
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Signature -----''
:`�..._
CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
'ADDRESS OR LECAL: �/3�S �A`�S//J� �Z�.4-�
PID:
DESCRIPTIOV OF WORK: �10(J i n�N
ZONING REVIEW BY: DATE APPROVED: �b- z- o�(
BUILDING REVIEW BY: DATE APPROVED: 6 � Z-�-/
FEES TO BE CHARGED: �[isc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIE��' Yes �/ No SEWER COiVNECTION
STATE SURCH.4RGE Yes r/ No WATER CONNECTION
INVESTIGATION FEE Yes �'o PARK FEE
SAC Yes No SITE INSPECT[ON
Number of S.-�C Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes_ � No Date of Survey: (2-��2 •�� (o�., F����
Proposed Setbacks:
Front (Lake): 33o Right Side: �2a
Rear (Street): 6�da Left Side: Z z 8
Adjacent Structures: N �i� Wetl,�nd: —
Building Height: Def. Hgt. c� . � Peak H�t. —
Lot Coverage: N �r�
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approcal Date: — By_
Zoning File: # " Resofution: # Resolution Date:
Shoreland District: v�s
Avg. Setback: �-.I� Bluff�tback: N � ,� L o t C o v e r a g e :
Existing Proposed
Hardco�•er: 0-75' O.(�
75-250'
250-500'
500-1000'
Hardco��er Variance Required: Yes \o y`' Date of Council approval:
REMARKS (in house):
BUILDING REVIEW CHECK LIST
UBC: � ' 3 CONSTRUCTION TYPE: v�
Sq Footage $Per Sq Ftg
Basement x =
1 st Floor x -
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Va(ue: $ `�C�,o00 �°
Inspections Required: Work Requiring Separate Permits:
Site o( Plumbing Fire
Hardcover Removal oc Mechanical Water Connection
K Footing Septic Sewer Connection
o� Framing _�Fireplace Lawn Irri;ation
d Insulation (\tasonry) Other
�Wall Board oC (Mfg.) Well (State Permit)
a Final Grading/Filling o� Electrical (State Permit)
Other
REMARKS (IN HOUSE): �
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date B}�:
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REMARKS (TO BE NOTED ON PERMIT):
FROM : DAVE SCHERF PHONE N0. : 952 915 1978 Jun. 08 2004 08:10PM P1
COUNTY:Heunep�n �,�� 'r, .' �''���TM��
� STt1T'E:Miruiesota '�s ' .;' .L f,�����
. ZON�:2
cvNsrxvcnoN�; si�ie Fa�,i�y
DATE:06/03/04
COMA'LIANCII:P�sses •
� Maximun�UA—152
Yo�a Hame UA�69 � •
4l_99�aeaer'fhati Code(UA)
fn�oss Glazing
� ArYa or Caviry Cont. �or Davr �
� peruneter R-Value R-Value U�Faet,or ��A
E�iling2;Ke.isedpcEc�eu'gy'h'uss 494 38A 12.D g
Wa114:Waod�1�arne,16"o.c, . 997 2]�0 0_0 3�
� Wlndow 4:AbovcC�ade=Wood,�r�rne:Double paae�vitt►Low.F 42g 0,034 I S
' Bas.emeat wall'1:Sali$Coticrox vr rg�.yoory 362 13.0 4.0 �g
� wals heip,�c s.s� . . �
Deptt�baiow,g�ade:�,i'
� Iinsulativn�epth:8.8' . ' .
� wiadow s: .
8ase�neut>S.6 fl2:'Wcx�d Fr�aa:Doub�e paae with Y,pw-E T2 �0.p3a U
; �'looi'2:Sl�b-0n-Grade:H�a�efl`' 2S 8,0 1 g
Fnsulatlon depth:3.5'
� PrnQosed and MaYjmum�U-�'actor Averages � � '
Proposed Ma�imurra
, , AY+�nBc U•�actor Allowad U-Faccor
� AboVoC3�ad�c Windows and Glaas�oors 0.03A 6.370
; Includes Foundaeon windows>3.b ft2 _ —
::.The proposed btiildiag desi�n descrlbed h�re is consistent w1th.the buildirtg pians,spacifications,
and other calculatlons submitted.with the po�t�t applicatian. T�e proposed building has E�es�dwignod to mcei the 2000�vllnaesocs
E�ergy Code regu.f ts fn.RE3c � io�3 S Release 1 e (fornaerly MECc�f�cq�d to comply with tl�e maadatory
requuemvn�s liatod 'RESc ioa� klist.
BuilderlDesipxler D�
70TAL P.01
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NF�/9 OF Iff. 6-/�7-23 � )
�
� � - �`�� —"a,�,��r �DATE ME V
/ �
CITY OF ORONO �Q 'jo� �n�Ed�'
INSPECTION NOTICE SCHEDULED �����
PERMIT NO. COMPLETED
ADDRESS ��� ��� � � � �---
OWNER CONTR. � ' �
TELEPHONE N0. � D � �
I'J7'► �
� DESCRIPTION �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/CCRADI G/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHOR ETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE R�MOV L
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE IN�PECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGR�SS
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� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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