HomeMy WebLinkAbout2002-P05401 - addn/remodel/repair � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: pos4oi
Crystal Bay, Minnesota 55323 Permit Type: Additio�xemodel�xepa�r
(952) 249-4600 Date Issued: �i23i2oo2
SITE ADDRESS: 125 Chevy Chase Dr
Wazyata,MN 55391
PID: 36-118-23-41-0018
DESCRIPTION: UBC Occupancy R3
Conshuction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Pernut Type: Addition/RemodeURepair Pernnt Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: iviecnanic;ai Eiecmc;ai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: � 512.45
Valuation: $ 36,300.00
State Surcharge Fee: $ 18.65
TOTAL FEE: $ 531.10
APPLICANT: Boyer Building Corporation OWNER: K Stricker&J Griffin
18279 Minnetonka Blvd 125 Chevy Chase Dr
Wayzata, MN 55391 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM �SIGNATURE [SSUED SIGNATURE �
Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
/
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' Total Fee: $ � �� / Date Received: �����4�
Entered,By: �� ` _ Pernut#: �}-c:� S�C�/
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i�TY OF ORONO BUILDING PERNIIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O�c c:ONTRACT�
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JOB SITE ADDRESS: �ai� (.,�1 E V y C.�ZC�S�l��r i v� ZIP: ��3 c1 j
NAME OF OWNER: �1-,� �- �,,w, G r� i,� PHONE: (home) `(5 a-y�s-Oa�.3
(work)
MAII.ING ADDRESS: I�(S CL1 e v u C,��G�A.�_ ��i�,v CITY: i.,�.� ZIP: S3 3�i/
CONTRACTOR: l��o�e� Q�i I.c���� ��'�. PHONE: �5�.- `t7s-a�`17
CONTACT PERSON: Tc��� t�e���w� MOBILE/PAGER:
MAILING ADDRESS: ���;�� vvtT�t- N�lu� CITY:�,��;t,��_ZIP: �3��
STATE LICENSE: # ,��$f�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detai�: er�,���r+ sfvru� c��.�., � c9�����t
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STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3�, 300
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.
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APPLICANT'S SIGNATURE: / ��� , DATE: ���(J �Z�-Z
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGFiTS OF S[JBJECTS OF D�T�
Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall
be informed of: (a)the purpose and intended use of the requested dara within the collecting'state agency,polirical subdivision,or sratewide system;
(b)whethet he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising fmm his supplying or refusing to supply
private or co�dential data;and(d)the idenciry of ocher persons or enodes authorized by state or federal iaw to receive the data. This requiremen[shall
not apply when an individual is asked to supply invesrieadve dara, pursuan[to secrion 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the nodce re4uired under this subdivision in the individual income tax or property tax refund
instructions insread of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsibie authority,an individual shall be informed whether he is the subject
of stored data on individuals, and whe[her it is class�ed as public, private or confidendal. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown che data wichout any charge to hun and, if he desires, shall be informed of the content
and meaning of chat data. Afrzr 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 acrion pursuanc to this secrion is pending or addiaonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesring person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authoriry 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 requesc
within that time,he shail so inform the individual,and may have an addidonal five days within wtuch 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 pri��ate
data concerning himself. To exercise this right,an individual shall nodfy in wriang the responsible aurhoriry describing rhe nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccura[e or incomplete and attempt to norify past recipienu of
inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual thac 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 determinaoon of the responsible authoriry may be appealed pursuant to the provisions of the admuustradve 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 fumish certain private or
confidential information.
You are notified that:
1, The information you furnish will be used to determine your qualification for the pemut 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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City State Zip Phone
I understand my rights as stated ab f ve.
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Signatuce
. � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 12 S G�-��v Y c�-�r���. �2
PID:
DESCRIPTION OF WORK: 1=►��s�-� sd�/�cx l��30�-� �+�.��P
ZOrTvi G REV�W BY: N fl- DATE APPROVED:
BUII.DI�i 1G REVIE`V BY: DATE APPROVED: �- �c,-oz
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERiV1IT Yes �� No
PLA��1 REVIEW Yes No � SEWER CONNECITON
STATE SURCHARGE Yes �/�No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: Nd C��r-�wv�e.�
Fire Department: Post ffice: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes o Date of Survey:
Proposed Setbacks:
Front (Lake): Ri t Side:
1
Rear (Street): Left!Side:
Adjacent Structures: `Vetland:
Building Height: Def. Hgt. Peal:Hgt.
Lot Covera?e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
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):
7
BUILDING REVIEW CHECK LIST
UBC: �• 3 CONSTRUCTION TYPE: V�
Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x =
Garage x =
R -
TOTAL
Estimated Construction Value: $ 3(0,3�v °=
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal _�Mechanical Water Connection
Footing � Septic Sewer Connection
X Framing Fireplace Lawn Irrigation
_g^Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling v�Electrical(State Permit)
Other
REMARK.S(IN HOUSE): .
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REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By;
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REMARKS (TO BE NOTED ON PERi�IIT�:
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Permit Number
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Software Version 3.2 Release lb Checked By/Date
TITLE: Attic Bedroom
COLJNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 07/08/02
DATE OF PLANS: 1 October 2001
PROJECT iNFORMATION:
Griffm Residence
COMPANY INFORMATION:
Boyer Building Corporation
COMPLIANCE:Passes
Maximum UA=99
Your Home=53
46.5%Better Than Code
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling L Cathedral Ceiling(no attic) 360 44.0 20.0 6
Wall 1: Wood Frame,24" o .c. 91 19.0 0.0 S
Wa112: Wood Frame,24" o .c. 120 19.0 0.0 7
Wa113: Wood Frame,24" o .c. 96 19.0 0.0 5
Wa114: Wood Frame,24" o .c. 54 19.0 0.0 3
Wall 5: Wood Frame, 16" o.c. 32 19.0 0.0 2
Wa116: Wood Frame, 16" o.c. 56 19.0 0.0 2
Window 1: Above Grade,Metal Frame with Thermal Break,Double Pane with Low-E
17 0340 6
Wall 7: Wood Frame,24" o .c. 32 19.0 0.0 2
Wall 8: Wood Frame,24" o.c. 28 19.0 0.0 2
Wa119:Wood Frame,24" o .c. 15 13.0 0.0 1
Wall 10: Wood Frame,24"o .c. 15 13.0 0.0 1
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 320 30.0 0.0 11
Fumace 1: Forced Hot Air,92 AFUE
Air Conditioner 1: Electrie Central Air, 10 SEER
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0340 0370
Includes Foundation Windows>5.6 ft2
Floors Over Unconditioned Space 0.033 0.033
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 MECcheck Version 3.2 lease lb.
Builder/Designer �/- Date f7r1 f�
� DATE TIME
CITY OF ORONO v CALLED IN
INSPECTION TI /�; SCHEDULED -��--c� . O O
PERMIT NO. v COMPLETED
ADDRESS �
OWNER CONTR. �
TELEPHONE N . `7�7J� v� �'��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
2 FRAMING � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q�--03 I N 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
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CAlLTO ARRANGE ACCESS.
Call f ' e ne ' 4 hours in a � 2) 249-4600
OwnerlContract site-
,
Inspector.
hite Copylln pector's File anary Copy/Site Notice
/ DATE TIME
CITY OF ORONO V CALLED IN / —`�� ` , �O
INSPECTION NOIICEt! SCHEDULED
PERMIT N0. `�-� � T I COMPLETED
ADDRESS � � ��-�-
OWNER , � CONTR.
TELEPHONE N0. �,�� � y 7 ' - �-��/
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� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 Ff3Bpd1NG�--�� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952� 249-4600
Ownerl actor on site:
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Inspector. '
Whi yllnspector's File Canary y/Sfte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED �� =.3�
PERMIT N0. � COMPLETED
ADDRESS ��� C ���,�� _ �,
OWNER CONTR.�L1-Zf �rQ •
TELEPHONE NO. �.�� ��7.� c�� n/" �
� DESCRIPTION �/[_x.�1'�Z� A` �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
' OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� -SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMB 36 FOUNDATION/REMOVAL
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor s' :
Inspector. -
White Copyllnspector's File Canary CopylSite Notfce
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CODE REQUIREMENTS
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CITY OR ORONO
BUILDINGP,E T PLAN REVIEW
DAi - f (- • 2, PERMIT mo.—
APPIRMED AS SUBMITTED
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GI I"v;JT APF) S 0VE0 -•- CCIRRECT a JESUS .;I I
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KEEP THIS PLAN SET Old SITE AT ALL TIMES
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CODE REQUIREMENTS
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CITY OR ORONO
BUILDINGP,E T PLAN REVIEW
DAi - f (- • 2, PERMIT mo.—
APPIRMED AS SUBMITTED
,V-7!r'R0VLlr) ;r': i H Gv'i r -C -PONS AS NrjTED
GI I"v;JT APF) S 0VE0 -•- CCIRRECT a JESUS .;I I
Vies,, cormnents F'. e for yc.ur inffor -,t:cn. All wo, ; shall ba one
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KEEP THIS PLAN SET Old SITE AT ALL TIMES