HomeMy WebLinkAbout2005-P08703 (add/remod/repair) PERMIT
CI�TY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p08703
Crystal Bay, Minnesota 55323 Permit Type:
Addition/RemodeURepair
(952) 249-4600 Date Issued:
5/23/2005
SITE ADDRESS: 3275 Carman Rd vnit#
Excelsior,MN 55331
PID: 20-117-23-14-0012
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 1,749.75 Valuation: $ 235,000.00
Plan Review Fee: $ 1,137.34
State Surcharge Fee: $ 120.00
TOTAL FEE: $ 3,007.09
APPLICANT: Katherine Taylor Homes, Inc. OWNER: Mitchell&Kimberlee Olson
PO Box 35 3275 Carman Rd
120 Railway Street W Excelsior,MN 55331
Loretto,MN 55357
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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. C�rar`�—o�c
APPLI ANT P RMITEE SIGNATURE [ SUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
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Total ree: $ ��v � ' U� � Date Received: 5�d- ��
Entered By: � k> ` �-�n�j S/� -1 Permit#: �08 703
CITY OF ORONO - BUILD�TG PERMIT APPLICATION
All information must be submitted in full before plan review will be stai�ted.
(please print all info��fnation)
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THE APPLICANT IS: (circle o�ze) OWNER OR� ONTRACTO�
JOB SITE ADDRESS: 1..�.�'`Y1'1 � v� � � � ZIP:
Will this be a Pa��ade of Homes, Remodelers Showcase Home or other Display Home?
❑Yes �No If yes, a special event pei•mit is reqa�ired with Police Departrne��t and City Council approval
60 days pj-ior to the event. Slzarttle bzrs service will be reqtrired arnless applicnnt denionstrates
sz ffrcrent on-site parkir�g is available. Non�ermrtted events will not be allowed.
NAME OF OWNER: �,��T.�I,� C, I.��► ✓� __ PHONE: (home) CSca� -L/� 'TS/(�
(work)
MAII,ING ADDRESS: ,-�,�.�75 ��"�►-►��. �� CITY: ��dr`�v"4';� ZIP: �����
CONTRACTOR: "— �u� -- PHONE: �(�-� -y1 zy�U��/
CONTACT PERSON: �v� MOBILE/PAGER: � -��,�� H�� �
MAILING ADDRESS: � ') . d���c CITY: (�i�,� �, ZIP: ���5�
STATE LICENSE: # EXPIRATION DATE: .3/J3/�;�t;U(_,
ARCHIT�CT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition �_ Accessory Structure
Move Home Remodel/Alteration ;�_
PROPOSED WORK(describe in detai�:�'v� ��t��.ra • �:.�..d Ic� ✓o�.�,,.,; (�C'vu•r.�.0
Le �- 1�f�- �-t>;c,t,��, c:�r.lt,� fY1�,.1 rr,i,.�
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STORIES: �_ SQ.FEET OF EACH FLOOR: �� ��-
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ' DETACHED_
� ,- n. �!
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���;,>�(����� —
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 p ' and work is not to start without a permit;and that the work will be
in accordance with the approved an.
APPLICANT'S SIGNATUREi`' DATE: - I� �'�C�f+
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd, l. 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 orconfidential data conceming himself shall be
informed of: (a)the purpose and intended use of the requested data wi[hin the collecting state agency,political subdivision,or sta[ewide system;(bj
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising ftom his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by state or fede�al law to receive the data.This requirement shall
not apply when an individual is asked to supply investigative da[a,pursuant to section 13.32,subdivision 5,to a law enforcement officer.
The commissioner of revenue mav p(ace the notice required under this subdivision in the individual income tax or�roperty tax refund
instructions instead of on[hose forms.
Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be informed whether he is the su6ject of
storcd data on individuals,.and whether i[is classified as public,private or confidentiai. Upon his further request,an individual who is the subject of
stored private or public data on individuals sliall be shown the data without any charge to him and,if he desires,shall be informed of the content and
meaning of tE�at da[a. After an individual has been shown the priva[e data and informed of its meaning,the data need not be disclosed to him for six
months therea8er 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 authoriry
may require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies.
The responsib:e authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the requesc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compty 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 Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete.An individual may contest the accuracy oc completeness of public or private data
concerning himsel£ To exercise this right,an individual shal]notify in writing the responsible authoiity describing the nature of the disagreement.The
responsible authority shall within 30 days either: (a)con'ect the data found to be inlccura[e or incomplete and attempt to notify past recipients uC
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. I)ata ir
dispute shatl 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 relacing 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 pemiit or license from the City of Orono or any of its departments may require you to fumish certain priva`.e cr
confidential information.
You are notified that:
l. The information you fumish will be used to determine your qualification for the pernzit 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 perniit or license.
4. If your requested permit or license requires Council action to approve,some infornlation 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,
U'L— � �1.� ��u-i.v S G:C
First Middle Last
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Address
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City State Zip Phone
under and my rights as tated above.
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Signature
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �z�s C►q R�AnJ izo r�o
,
PID:
DESCRIPTION OF WORK: qQ�, n o.✓�jZc,SYYr.�/.x�
ZOrT�1i G REVIE`Y BY: DATE APPROVED:, S-i7- �5
BUII.DING REVIE`Y B : DA'I'E APPROVED: s- �� -o s
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes „� No
PLAN REVIEW Yes �/ No SEWER CONNECITON
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No r/ PARK FEE
SAC Yes No �/ SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONI�IG CH�CK LIST Zoning District: L2•//3
Fire Department: Post O�ce: School District:
y�3.�6 c sf�.��-�
Lot Area: Sq.ft. �lL, !4� Acres 1.06 Widch z5.s C��>'s•�_ Dep[h
Survey Submitted: Yes I�10 Date of Survey:
�,�,:r.. 1,��p�,D �
Proposed Setbacks: � ��-_r
Front (Lake): �����"JS Right Side: 35''`
Rear (Street): `�S Left Side: (,0� °'
Ad;acent Structures: — Wetland:
Buildin� Height: Def. Hgt. o�!L Peal:Hgt.
Lot Covera�e:
Grading: Staff Approval Date: � By: Council Approval Date:
Septic: Staff Approval Date: �tl/�g- By: –
Zoning File: I# oS- ���5 Resolution: # Resolution Date: 3-z�-°s
Shoreland District: �eS�
Av�. SetbacK: �/�q2,A,.rur Bluff Setback: N r/j Lot Coverage:
Ezisting Proposed
Hardcover: 0-75' 3-y 5 1 g 2
7�-250' 3Z.$g _,30.�3
2�0-500'
500-1Q00'
Hardcover Variance Required: Yes No Date of Council Approval:
RENIARKS (in house):
7
BUILDING REVIE�V CHECK LIST
uBc: R � 3 covs�uc�orr�E: v� _
Sq Foota�e $ Per Sq Ftg
Basement x _
lst Floor z _
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $_ 235,�op�=
Inspections Required: `Vork Requiring Separate Permits:
Site _�C Plumbing Fire
Hardcover Removal _�Mechanical Water Connection
oc Footing ` Septic Sewer Connection
P( Framing Fireplace Lawn Irrigation
a Insulation (Masonry) O[her
Wall Board (Mfg.) Well (State Permit)
—�F�� Grading/Filling _�Electrical (State Permit)
Other
RENIARK,S (Pi 1 HOUSE):
----------------------------------
REVIE`V BY OTHERS: DAT'E:
Access: Ezisting New
Access Approval: Date By;
-----------------------------
REI�IARKS (TO BE NOTED O�I PERivII'I�:
8
FROM : CSA ARCHITECTS FA� N�. : 651-490-5454 May. 1� 2�05 12:01PM P2
Permit Number
RESchcy�k. Compliance Certificate Checked Bylpate
2000 Minnesota Energy C'ode
ftGScheckSaftware Version 3,5 Relcase 1
I]ata filename:C,1Ener�y CafcslUlson,rek
TfTT�;: OlsoYf Residence
COl:iN7'Y: W'ashin�ton
STATF,;iYlinnesota
LC)NE:2
CONS'i"RUCTION TYP�� Single Famil�
D:�T�:: OSi 1 D105
1JATF(]F pI„ANS_03-30-p5
PIZOJECI'lNFt7�tMAT[C7N:
Uls<�n Resic{ence
3275 Cfu,na�i Road
Qrona,MN
COMPAN'Y lNEORIv�ATTON:
Katherine Taylor's Homes
I2p 12ailway Str�et�Vest
PU I3ox 120
Loreito,:MV 33537
CO?VIPLIANCE:Passes
tvlaximunz UA=4I 1
Your Home E;A=405
],5%Better Than C`.ode([1q)
C�msS Glazing
Area or Cavity Gant_ or I�nor
Perimeter Yt-Value R-Value U-Fxctor UA
Ceiling 1: Fiat Ceiii�a or Scissor T��t�ss 1923 44.p 0.0 52
Wttll I: Wood Frame, 16"o.c. 2847 19.0 0.4 l38
Window l:Above-Grade:Wood Frame�i)ottblc Pane With Lpw-� 502 �.�20 I61
Basement Wai! 1: Masonry�BIoc1�with Empty Cclis 776 I4.0 (l.0 44
W�11}lcf,ht:7.$`
Dep21� be(uw�rade:7.�'
Ynsul�iion deptts: 7.8'
�Joor I: 5olid 40 U.09R �
�401'2:Glass 20 0.320 fi
Praposed flnd Maximam U-Faetor Averages
proposed Maximum
Average U-Factor Allowed U-f�aetar
FP,OM : CSA ARCHITECTS FAX ND. : 651-490-5454 May. 10 2005 12:01PM P3
Abnve-Gradc 4t�:ndows and Glass Doon 0.�?0 0.;i0
11:Ciudcs Founclatiorl Windows� 5.6�Ft2
CUMPLIANCF,SlATF.MLNT: 'r'he prapnsed building dcsian deserihed here is consistent with lhe building plans,specii�catinns.
and other caiculauon5 subtnitted with the permit apptication, 7'he proposed building has been designed to meet�he 2U00 Minneso�a
Energy C;ode requirements in ScheckVersion 3.5 ease I (formeriy M�Cclrec�and to comply K�ith the mandatory
requirements listed in the hecklmpect' n Che ist.
BuilderlDesigner Date �.�'���� ��
� / D TE/ TIME "
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CITY OF ORONO / cA��Eo w a a � �
INSPECTION NOTICE / SCHEDULED
PERMIT NO.�0g70� �� COMPLETED
ADDRESS �Z 7.S ���'��vt F-��
OWNER CONTR.
TELEPHONE N0. Z � �l Z
� DESCRIPTION �IC��(-•
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECT�ON
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
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INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe r�ext inspection 24 hours in advance. (952� 249-4600
OwnerlCon �site:
Inspector. -
White Copyllnspecto's File Canary CopylSite Notice
��� � �A� TIME
��CITY OF ORONO CALLED IN �
INSPECTION N SCHEDULED - ' �
PERMIT NO. O COMPLETED
ADDRESS �a7S C�G��,n �
OWNER CONTR. I���^� I �u�__�
TELEPHONE NO. � �(D�o �O�oZ �
� DESCRIPTION /v` � �� ,
� 01 FOOTING 11 MECHA IC L RI 18 EXCA /GRADING/FILLING
Q 02 FRAMING 13 MECHA AL FINAL 19 LAKESHORE/WETLANDS
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� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION REOUiRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. (��r � �����
White Copyllnspector's File Canary CopylSite Notice
� ' � DATE TIME �
CITY OF ORONO CALLED IN � ����
INSPECTION NO�ICEp SCHEDULED - - ���f
PERMIT NO. .� �a ��,Z_ COMPLETED
ADDRESS - �/✓u- �- �
OWNER CONTR. C � � w� ��''
TELEPHONE NO. �� �J�Lp C� 3 S �P
� DESCRIPTION /��_,r� /�G'1i( �-
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next ins ction 24 hours in advance. (952� 249-4600
OwnerlContr sit :
Inspector.
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White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED iN ��Z��I
INSPECTION NOT,�^ICE �7 SCHEDULED S'Z7-l�s"� ii:3 D��r
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-4600
OwnerlContra ite:
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Inspector. �
White Copyllnspector's File Canary CopylSite Notice
' `� ��� ATE � TIME V
C TY OF ORONO CALLED IN � � ����
INSPECTION NO E SCHEDULED ! �— ��
PERMIT NO. COMPLETED
ADDRESS ,� ��� _„n
OWNER CONTR.�s, �rr�.r «�
TELEPHONE NO. �-�' I c�- - ��� - ��o(��I�')S
� DESCRIPTION �
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the nex i spection 24 hours in advance. �95Z� Z49-46��
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� CERTIFICATE OF SURVEY �
8 ° PREPARED FOR ���as sua�� � �
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� �`�5������g� KATHERINETAYLOR'SVERY o � p SATHRE-BERGQUIST� (NC. w� ;� -� m
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m 2' SI7E ADDRESS: �'�'6RS P�P�' � � � �
� 3275 Carmen Rd
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