HomeMy WebLinkAbout2008-00276 - VOIDED ' CITY OF ORONO PERMIT NO.: 2008-00276
� ' 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISsuEu: 10/09/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2695 COUNTRYSIDE DR W
PIN : 04-117-23-13-0005
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 005 BLOCK 003
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 41,325.00
NOTE: SEPERATE PERMITS REQUIRED: YLUMBING,MECHANICAL, ELECTRICAL(STATE)
MASTER BATHROOM REMODEL AND MASTER BATH WINDOW REPLACEMENT. �
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APPLICANT PERMIT FEE SCHEDULE 595.75
SAWHORSE INC. PLAN REVIEW 387.24
4740 42ND AVE N. STATE SURCHARGE VALUATION 20.66
ROBBINSDALE,MN 55422 � �
(763)533-0352 TOTAL 1,003.65 �
Minnesota State License#: 2382
OWNER
KNITTEL,MARK&JOANNE
2695 COUNTRYSIDE DR W
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
7�he work for which this permit is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
Th��pplicant is responsible for assuring all required inspections are
iequ�sted in for nce with the State Building Code.This permit may be
rev ked at or e cause.___
� '� � � �� � � � �� /DiU i� �
` pplicant Permitee Signat Date Iss ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
i '
Total Fee: $ � �Do�� �� DateReceived: ����1�8
Entered By: Permit#: o�OO�- DDai7�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in fult before plan review will be started.
(�ilease print all information)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS:�� �U+1��y���'� �✓�� � ZIP: �����
Will this be a P de of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes NO If yes, a special event permit is required with Police Department and Ciry Council approval
60 days prior to the event. Shuttle bus service will be required unless applicanl demonstrates
su�cienl on-site pai•king is available. Non-permitted events will not be allowed
NAME OF OWNER:��►/�5`�-t(�G{ �L�'C V��*�1 PHONE: (home)� - ' 7�'��� I
/ ���� � (work)
MAILING ADDRESS:���� C�`����I�C CITY���� ZIP: � d� .
CONTRACTOR: ��. ���G��.a��.�V, ��c �' � � �J3_�S�
.31� - 3 E-�. PHONE: �,� J�
CONTACT PERSON: l� - ,� M ILE AGER:
MAILING ADDRESS: 1/ CITY: �j- `� Q �ZIP: , _ ��(�
STATE LICENSE: # � EXPIRATION DATE: � �,���`�
��
ARCHITECT/ENGINEER: , i� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)�_
Any earth moveme t ay require MCWD review and �ermits!
PROPOSED WOI�K(describe in detai�: Q � G' j9�'t'��f/0�3✓v) IT�6 �t�(� �
b�t� w�����w ��� la�r'����. -
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
r ro
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 wi ll 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
APPLICANT'S SIGNATUR DATE:
����/��
31
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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 or confidential dataconcerning himselfshall 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 refusin�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 mav place the notice reauired under this subdivision in the individua]income tax orproperty 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 fuRher 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 thereafrer unless a dispute or action pursuant to this section is pending or additiona!data on the individual has been collected or created. The
responsible authority siial)provide copies ofthe private or public data upon rcquest by the individual subject ofthe 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 inaceurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,incl uding 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 incladed with the disclosed data.
The determinafion of the responsible authority may be appealed pursuan;to the provisions of the administrafive procedure act relating to
contested cases.
DATA PRIVACY ADV[SORY
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:
L 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 pennit.
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First � I Middle Last
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C�tY State 7ip Phone
I under y right as stated above.
Signat
Reset Form 3?
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ZLq S C.,�,��,�, �2 yv
PID: �
DESCRIPTIOIV OF WORK: Qf}T73 /j,�o,i,� /J�—�,W�Q� f L�.,,�o6c,✓
ZONINGRET�IEWBY.• nJ�.,4 � DATEAPPROitED:N_Y���__
BUILDIIVG RET�IEW BY.• DATEAPPROVED: ro•�- o�g
FEES TO BE CHARGED: Misc. Fees Calculated By: � � � ' � ��____
PERMI7' I'es ,/� No
PLAN REVIEW Yes_�/ No SEWER CONNECTION
STATE SURCHARGE Yes_sC No WATER CONNECTION
IIVVESTIGATION FEE Y es No_� PARK FEE
SAC �es No_�� SITE INSPECTION
Nzcmber of SAC Units OTHER (specify)
---__-----------------------------------
ZONING CHECK LIST Zoning District: �t/U G ec�_�t/G�
Fire Department: _ Post Office: School District:
Lot A�•ea: Sq ft. Acres YG'idth Depth
Survey Submitted: Yes 1Vo Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def Hgt. Peak H .
Lot Coverage:
Grading. StaffApproval Date: By: Council Approval Date:
Septic: StaffAppi-oval Date: gy:
Zof7ing File: # Resolution: � Resol ion Date:
Shoreland District: MCY�D ermit:
Avg. Setback: BIL ff Setback: Lot Cove�-age:
Ezisting Proposed
Hardcover: 0-i.i'
75-2�0'
'.i 0-.i DO'
.i 00-1000'
Hardcovei� Fariance Required: }es No ate ofCozn�cil:9pproval:
REMARKS(in house):
33 �
B UILDING REVIEW CHECK LIST
G'BC: �Z' 3 CONSTR UCTIO�'T YPE: �!N
Sg Footage $Per Sq Ftg
Basement x =
Ist Floor x =
?nd Floor x =
Garage x =
x =
TOTAL
o�
Estimated Construction Value: $ y�, 3�
fnspections Required: Work Requiring Separate Permits:
Site _�Plumbing Fire
Hardcover Removal pC Mechanical YY'ater Connection
Footing Septic Sewe��Connection
�Framing Fireplace Lawn Irrigation
__�Insulation (Masonry) Other
Wall Board (A1fg.) Y['ell(State Permit)
�_Final Grading/Filling �Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval.� Date By:
REMARIiS (TO BE NOTED ON PERMIT):
34
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SAWHORSE
DESIGNERS & BUILDERS
Don& Kristina Peterson CPR Date: 9/10/08
2695 Coeantryside Drive West Rev:
Orono, MN 55356
Job # 2034
O SCOPE OF PROJECT: Master Bath remodel
[] Walls to be removed shown as "shaded" on existing plan. New walls constructed are
shown as "cross hatched" on proposed plan. Remove existing soffits ar�d crown
moulding at ceiling. Remove and dispose of existing cabinetry, faucets& countertops.
Remove toilet. Remove existing tub & deck. Remove existing shower door, a11 bathroom
flooring& wall tile. Remove towel bars, medicine cabinets/mirrors in larger room of
bathroom. (shelving& hardware in toilet area to remain.)
[] WINDOWS-
1. Remove and dispose of existing window. Re-size opening for window #2.
Match existing stucco siding as close as possible.
2. Hy-lite I_,0204 Acrylic gfass block windows
(Qty. 2, mulled together)
Rough opening: 46 1/2" x 39 7/8" (R.O. Includes 3/8" @ sill)
Block size: 8" x 8" x 2" (or 6"x6" size)
Glazing: wave or ribbed
Exterior finish: vinyl -White, or tan
Interior finish: Same as exterior
Jamb size: 6 3/4" due to existing 2x6 stud walls
Sash is fixed. No blinds or shades included in this contract
Trim: Tiled jambs
[] INTERIOR DOORS-
A. Remove existing door& hardware for Re-installation with new casing both sides.
Trim: Poplar L-332, painted by Sawhorse.
B. Existing door to remain, protect as needed. Remove& replace bathroom side casings.
Trim: Poplar L-332, painted by Sawhorse.
[] ELECTRIC per contract:
. ALL FIXTURES (UL listed), if on job site at electrical finish, are furnished by
owner, installed by SAWHORSE_
• SAWHORSE to supply & install recessed cans per contract.
• Switch and outlets to be"IVORY" color.
. ALL electrical openings in exterior walls require an "air-tight" rough-in box.
• No smoke detector is included in this contract, clients to provide battery operated
smoke detectors& CO detector.
• Electrical connections and devices to be removed as needed for remodeling.
• Circuits added as needed for addition/remodeling.
The following are electrical items included in your contract:
NO - standard receptacles (wall duplex outlets)
4 -ground fault interrupter(GFI)receptacles(two inside cabinet drawers)
, �
� SPEC'S Page 2 of 3
[j ELECTRIC per contract continued:
2 - standard tight openings (revise to 4 wall sconce openings per C/O)
2 -assembled fi�;ures supplied (revise to 4 C/O)by OWNER, installed by Sawhorse.
5 -recessed light openings (Juno w/4 white baffle trim, par 30 halogen bulb
1- acrylic lens for wet locations.)
3 - switches (2 @ ceiling fan and 1 �bath fan, No switches upgraded to dimmers)
1 -ceiling fan/light opening
1 - Broan"ultra-silient" bath fan
Any changes to the above quantities will be charged or credited accqrdingly.
*Indicate any special receptacles needed for computers, entertainment centers ....etc.
(] PLUMBING per contract and the following:
Disconnect existing toilet, two sinks, bathtub, shower and faucets.
Convert existing shower rough in to a tub rough in.
Convert existing tub rough in to the new shower rough in. Note: shower valve to be
located on knee wall next to shower door& larger of the two vanitys.
All fixtures to be white, all faucetry to be oil rubbed bronze. — see selections.
�] INSULATION-
• Wall sound insulation for interior bath partition walls (R-11).
• Existing ceiling insulation shall be "fluffed".
[] DRYWALL—
• '/z" gypsum board over wall studs w/taping process, sanded smooth for Sawhorse
to prime&paint, or tiled finishes.
. 5/8" gypsum board for all ceiling(layover) or patched applications w/taping
process, sanded smooth with Flat skim coat finishes.
. l67 SF Re-knock down existing knocked down ceiling, prime &paint.
[] CERAMIC TILE per plan and the following allowances for materials:
Floor tile- $10.00/S.F. Wall tile- $6.00/S.F.
Tub Sunound - $10.00/SF. Wainscoting 36" high- $6.00/S.F.
Feature pieces- $15.00/L.F. Bench seat 1 each.
Shampoo shelf 2 each. Threshold 3 L.F.
See tile selection sheets from supplier.
Any changes to the above quantities will be charged or credited aceordingly.
[] BATH ACCESSORIES - $300.00 allowance.
[] MIRRORS by OWNER
(] SHOWER DOORS shail be a Harkraft frameless neo-angle shower enclosure.
Clear safety glass with a pivot door.
(] INTERIOR TRIM-
Baseboard: Poplar#2800 5 '/z"tall, painted by Sawhorse.
Door Trim: Poplar#L-332 painted by Sawhorse
Crown moulding: Poplar#47 -4 5/8" w/inverted base#634, painted by Sawhorse.
Shelves_ 5 (total)tempered glass shelves at curved wall & recessed cabinet.
. r
� SPEC'S Page 3 of 3
. �
[] CABINETRY sha(1 be CUSTOM manufactured components.
See selection sheets for details.
�] COUNTERTOP shall be Granite 3cm.
See selection sheets for details.
[) PAINT`ING—Bathroom walls primed & painted 2 coats, millwork painted to match
existing. Ceiling finish- Prime & painting required_
[] GENERAL NOTES .
[� CAUTION:
Do NOT remove, teaz down, or dig up anything before building permit is on job site.
[] OWNER to protect or move all personal property from in or around construction area,
both interior and e�erior. Please review area before construction start-up and remove
necessary items.
[] OWNER DIRECT"Not Included in Contract" ITEMS:
SAWHORSE to assist in schedule coordination
• LIGHT FIXTiJRES, except those specifically listed above
• Minors or medicine cabinets.
• Modifications to public utilities
• ABATEMENTS (lead or asbestos)
• Corrections of existing substandard conditions (stn,ictural or mechanical)
Owner is responsible for alt N.I.C. obligations:
Selections, schedule costs, liabilities and warranty issues.
[] Clean up of 6uilding de6ris at job completion by SAWHORSE.
Dumpster may be left on job site for building debris.
(No tires, appliances or neighbor's mattress).
[] Any yard damage REPAIR including trees, shrubs and all landscaping by OWNER.
[] In home bathroom to be�zsed by workers for duration of construction, piease designate
which bathroom is to be used.
Communication is essential for a successful project.
Project Manager: Brad Schoen (b1�363-4611)
Construction Administrator: Tracy Wright (763-533-0352 e�. 241)
Weekend EMERGENCY Pager: 612-527-2590
City of Orono
2750 Kelly Parkway
Orono, MN 55356
Mr. Lyle Oman, I am requesting a refund for permit fees for the following
address: 2695 Countryside Drive West. The permit was picked up on 10/09/08, the
homeowner decided to put the project on hold until further notice. If you have any
questions please feel free to contact me @ 612-363-4611.
Brad Schoen (Project Manager)
Sawhorse Designer's and Builder's.
4740 42°c1 Avenue Narth
Robbinsdale, MN 55442
EXTERIOR NINDON ELEV.
1/211
/2„ = 1 1011
SITE CUPT
CITY OF ORONO
BUI! DINGPl r1TtnPLA!V REVIEW
INSPECTOR_ �'
DATE 0s
❑ A'r'°?O'J(yQ,=y� SiJ�F?:;17`IL7
I J f s.. tI� cul,r,l ;.r.
T,S A�,�IOT Q
IT
Tih r� 4 i . A.uuti doney , 11 '. ..,
to f W.[ dI apt; aril
�'U I* i, ,,y a?C 2,Y1.419 Code.
Frey riv';m , ,n,.tudling lre„ s not frs ;eviea
KEEP 7 HIS PLAN SET ON SITE AT ALL TIMES
SPECIAL NOTA'
SEE ATTACHED SIX EEE T
FOR `',� 5Nw1G4 Dt t��-+/l
['CEDE REQS �iEENTS I
ELECTRICAL SYMBOLS
110 WALL RECEPTACLES
Ground Fault Protected Receptacles
` Water Proof Cover Receptacles
220 volt RECEPTACLES
Existing Outlets
FLOOR RECEPTACLES
WALL/CLG LIGHT
{ RECESSED LIGHT
FLOOD LIGHT
FLUORESCENT LIGHT
®i EXHAU5TFAN
SINGLE 5WITGH
EXI5TING 5WITGH
THREE OR FOUR WAY SNITCH
51N6LE 5WITGH DIMMER
PHONE JACK
a' TELEV15ION JACK
THERMOSTAT
DOOR BELLICHIME
O SMOKE DETECTOR
CARBON MONOXIDE DETECTOR
SPECIAL PURP05E
(ie.GD = GARBAGE DISPOSAL)
SPEAKER
PROVIDE PUMP AND;/e
-30
TILE r T�
�3 TUB KNEE V�ALL-LAYOLJ-!`
1 /211�- 1 10„
110
[AI
B
I I x 2 &L-A55s PRO�}I✓LI�{{+F_'�PUMP Ar,.]D/0,11
I-1RQ, 'UG -i liLL UNACCE='TAELi
PROP05ED M. BATH PLAIN
Scale: 1/411
= 1'-011
WARNING: PRODUCTS USED IN THE CONSTRUCTION OF
YOUR REMODELING PROJECT MAY CONTAIN THE CHEMICAL
FORMALDEHYDE. FOR SOME PEOPLE FORMALDEHYDE MAY
CAUSE HEALTH PROBLEMS SUCH AS IRRITATION TO THE
EYES, N05E AND THROAT, SNEEZING, COUGHING
HEADACHES SHORTNESS OF BREATH OR CHEST OR
STOMACH PAINS. CHILDREN UNDER THE AGE OF TWO,
ELDERLY PEOPLE WITH BREATHIN6 PROBLEMS OR PEOPLE
WITH ALLERGIES MAY HAVE MORE SERIOUS DIFFICULTIES.
IF YOU HAVE QUESTION ABOUT PROBLEMS YOU MAY HAVE
WITH FORMALDEHYDE CONSULT A DOCTOR,
0
ANY ELECTRICAL, PLUMBING OR HEATING YYORK
INCLUDED IN TH15 CONTRACT ASSUMES THE EXISTING
MECHANICAL EQUIPMENT (5) WITHIN THE PRESENT
CODE STANDARD. IF UP -DATE 15 REQUIRED BY THE
INSPECTOR. THE COST 15 TO BE ADDITIONAL CHARGE.
I tX15TINC-7 M. BATH PLAN
Scale: 1/4" = V-0"
PROJECT MANAGER: i SHE T CPR DATE: 10/40/05 i FLANS FOR: BATH REMODEL
BRAD 5CHOEN 612-363-4611 DON & KR15TINA
DESI6N£R:__jC_�H-' F_Oblb,45 REV- PETERSON
a,(P qS GOUNTRY5IDE DRIVE W!7 -5T
ORONO, MN 55356
SAWAn� �, U TYiO I H) 952-416-051 q
E-MAIL:
DESIGNERS d BUILDERS_ _ -
763 533. 0352 pR.411`'J BY: J(W: ,{
474042ND NVE. N., R03B,",'S"A'.I•:, MN 550;'2 �,+ (? a�✓la`1e r „� I
COPYRIfi fi 2008 ! N. LI.
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ELEAVTION
CABINET SPEGIFICATION5:
STYLE/ SPECIES: RA15ED PANEL/MAPLE
DOOR DETAILS: FULL OVERLAY 00400
IN510E EDGE: BEAD
OUTSIDE EDGE: H
DRAkNER: 5LAB w/ "H" EDGE
PANEL RA15E #2
OUT5IDE FIN15H: COGNAC 5TAIN w/ FURNITURE FINISH
INTERIOR FIN15H: 1NOODGRAINED
VANI-7Y/5HONER
VANITY ELEAVTION
EFE5 NOCE IN5TALL as
RUNNING BOND of 9 x 12
(GUT IN HALF 18 x 12)
12" x 1/2" HONEY ONYX SABLE PENCIL
12" x 2 1/2" HONEY ONYX BOND PATTERN
3 ROY45 OF 12" x 2" H BAODING CREME
INSTALLED as RUNNING BOND
12" x2 1/2" HONE`! ONYX BOND PATTERN
12" x 1/2" HONEY ONYX SABLE PENCIL
EFE5 NOCE INSTALL as
RUNNING BOND of 9 x 12
(CUT IN HALF 1 S x 12)