HomeMy WebLinkAbout2006-P09972 - addn/remodel/repair PERMIT
CITY OF ORONO
2750 K,�Iley Parkway- PO Box 66 Permit Number: Po9972
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
7/5/2006
SITE ADDRESS: 2775 Countryside Dr W Unit#
Long Lake,MN 55356
P��� 04-117-23-12-0016
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required: Mechanical Electrical(state)
NOTICES/REMARKS:
Deck&Pergola
FEE SUMMARY: Pernut Fee: $ 209.25 valuation: $ 12,000.00
Plan Review Fee: $ 136.01
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 351.26
APPLICANT: Sawhorse Inc. OWNER: Todd&Mary Murley
4740 42nd Ave N. 2755 Countryside Dr W
Robbinsdale, MN 55422 Long Lake, MN 55356
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
MI�J�1Fs�SOTA BUILDING CO REQUIREMENTS. _�__
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APP ICANT ITGE SIGNATURE ISSUED BY SIGNATUR
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, 1� Q
Total Fee: $ J-�� � ��'' Date Received: �P -cD—��
Entered By: ` ��� Permit#: �-p j97�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print cc/l info�ntation)
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Sec.13.0a RIGHTS OF SUBJECTS OF DATA
Subd. I. Type of data. The rights oY individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Infonnation required to be given individual. An individual asked to supply private orconfidential dataconceming 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)
�vhether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity ofother 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 im-estieative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofYicer.
The commissioner of revenue ma�pllce the notice required under this subdivision in the individual income ta�or�ropertv 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 classitied as public,private or contidential. 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,shal I be infonned of the content and
meaning of that data. After an individual has been shown the private data and infonned 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 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,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any reques[made pursuant to this subdivision,or widiin tive days of
d�e date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
within that[ime,he shall so inYorm the individual,and may have an additional tive days within which ro comply with the request,eacluding Saturdays.
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpublic or private data
concerning himself. To exercise this right,an individual shall notify in writing the responsible authori[y describing the nature ofd�e disagreement. The
responsible authoriry shall within 30 days eidier. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in
dispute shal!be disclosPd only if the individual's sratement of disagreement is included�vith[he disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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 infornl you that your request
for a pennit 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 pern�it 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 l�LS. 13.04(available upon request7 to review private data on yourseif.
6. Your full name is required to process this application or permit.
First Nliddle Last
Address
Cih� State Zip Phone
I un and my ri hts a stated above.
� C�
Sig r
Reset Form ��
CHECK OFF LIST FOR ISSUANCE OF PER�ti.tITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �7 � � � C ����� �`�5��� �� �-`J —
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PID:
DESCRIPTIO�VOF lt��ORK• /�O� b c�i�'I �QcK� �'avP.�'� ,6� -�"��/�
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ZOtYINGREVIE6�BY: � ' DATEAPPROVED: � � �7DC�
BUILD,IIVGREVIEWBY: — DATEAPPROti'ED: � z� -o `
FEES TO BE CHARGED: lYtisc. Fees Calcufated By�:
PERILIIT Yes � 1`i"o
PLAN RE VIE GV Y'es � No SE tiYER CON�VECTION
ST�LTE SURCH4RGE Yes � !Vo tiVATER CO�WECTIO�V
IIVVESTIGATIO�V FEE Yes [Vo �RK FEE
SA C Yes rVo SITE rNSPECTIO�V
Niu�2ber of SAC Units OTHER (specify)
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_ � ��''7
ZO�YI�VG CHECK LIST Zor�t,tg Disd•ict: _�� �—
Fir•e Depa1•hrtertt: Post Offcce: ScJ�ool Distr'ict: !_._.
Lot.�lrea: Sq.ft. Rcres �Vidtl: Depth
Swvey Subncitted: Yes No ✓ Date of Suivey: (QaS
b�ddtnc� pQr w��k• s�v� — r4oc w�al.�Q,�no�c�1�
Proposed Setbacl.s: l�(C�S� ,�.
Fror:t(-�-crlee): �A' Rigfzt Side: Z��'
Rear(�e�ay. 2��� '�' s�eftf'ide: �� '+'" rlO wcc-f'�?M(/ G+'►
,4djace�zt Struct�tres: — 4�etlarid: ��P��
Builcling Keigltt: `Def. Hgt. ''" Peak Hgt. —
Lot Coverage: hA�
Gracling: Staff,4pprovc1l Dc�te: /J�� By: Cocuicil Approval Date:
Septic: Staff,�lpprova!Date: v � BY: ��
Zor2i�t�File: �_�r�� Resolc�tiorz: T Resolurion Date:
S/toreland Dish•ict: �p
Avg. Setback: Blc�ff Setoack: Lot Cover-age:
Ecisti�tg Proposed
Harcfcovet•: 0-7.i'
7.5-?�0'
250-500'
S00-IOGO'
Hardcover f/c�rimtce Regccired: Yes No Date of Cou,�cil�{ppraval:
REttiIARKS(in house):
-,,
��
B UILDI�VG.RE VIE y�CHECh'LIST
UBC: R"'� CONSTRUCTIO�Y TYPE: Vl��/
Sq Foota,�e ,�Pei�Sg Ft,�
Basen:e�tt t =
Ist Floo,• s =
?nd Floo,• .c =
Gar��e � _
s =
TOT.<(L
Estirr:ated Coristricctioit L'afi�e: ,� I Z,DOO �
L�spectio�:s Required: �York Reqcrir•i,tJ Separate Perinits:
Sr.te Plcunbi,tg Fire
Harrfcover Reinoval c Nlechanrca! Yvater Co�u�ection
u Fooa:ng Septic Se.ver Coiutection
o� Fr•amir��; Fir•eplRce Lativit Ir�•igatio�:
�nsc�lation (rvlasonry) Other
6Y'alf Boarcl (Nlfg.) 6Yell(State Permit)
�Final G,•adi,tg/Fi11i,�J e. Electrical(Sta�e Permit)
Other
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RE�tiIARIiS(IN HO USE):
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REVIEtV BY OTHERS: DATE:
.�ccess: Existin,; New
,�Iccess�fpprov�ccl: Date B�•:
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RE�YIA.Rh'S (TO BE 1VOTED ON PEI�tiIIT):
32
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SAWHORSE ���
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DESIGNERS & BUILDERS
Todd and Mary Murley Date: 5/31/06
2775 country Side Drive West ' Rev:
Long Lake MN, 55356 �
Job# 1871
(J SCOPE OF PROJECT: Spa Decks and Pergola Trellis.
[) DEMOLITION: Sawhorse to remove existing lower level window and replace with a 6'
sliding glass door. reframe with new header. Siding and interior wall finish included
(match ACAP).
A EXTERIOR DOORS-Pella 7281
6'0" x 6'8"Aluminum Clad sliding patio door
Rough opening: 6'-0"x 6'-8 5/8"
Jamb size: 6 3/4", due to new 2x6 stud walls
Glazing: Low"E"tempered over laminated
Exterior finish: Aluminum clad-color TBS
Interior finish: Unfinished wood
No grids or blinds included in this contract
Hardware: Footbolt hardware
Trim: Match exist. ACAP
O DECKING— Shall be Ironwood 5/4x 6 decking,(Color TBS)fastened with 2 '/2"
composite wood decking screws. Grippable metal handra.il at stair area only.
[] ELECTRIC per contract:
• ALL FIXTURES (ITL listed), if on job site at electrical finish, are furnished by
owner, installed by SAWHORSE.
• Switch and outlets to be "IVORY"color. �
• ALL electrical openings in exterior walls require an"air-tight"rough-in box.
• Sawhorse to do all electrical removals as need in existing space.
The following aze electrical items included in your contract:
1 -circuits added as needed for addition/remodeling
1 - SOamp dbl. gound fault interrupter(GFn receptacles, For spa
2 -exterior light openings
2 -assembled fixtures supplied by OWNER, installed by Sawhorse.
1 - standard switches
2 -three or four way switches
Any changes to the above quantities will be charged or credited accordingly.
*Indicate any special receptacles needed for computers,entertainment centers or any special
height wanted.
i .
SPEC'S Page 2 of 2
[) PAINTING-
Tongue& Groove interior wood wall , 2 coats clear sealer only. All other painting by
Owner. '
[] Satellite toilet facilities to be provided for duration of construciton.
[] GENERAL NOTES
[] CAUTION:
Do NOT remove,tear down, or dig up anything before building permit is on job site.
[] OWNER to protect or move all personal properly from in or azound construction area,
both interior and exterior. Please review azea before construction start-up and remove
necessary items.
[] OWNER DIRECT KNot Included in Contract" (N.I.C.)ITEMS:
SAWHORSE to assist in schedule coordination
� All painting and decorating by OWNER.
• Modifications to public utilities
• ABATEMENTS (lead or asbestos)
• Corrections of existing substandard conditions(structural or mechanical)
Owner is responsible for$Il N.I.C. obGgations:
Selections,schedule costs,liabilities and warranty issues.
[] Clean up of building debris 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 trces, shrubs and all landscaping by OWNER.
Communication is essential for a successful projec�
Project Manager: Brad Schoen (ce11612-363-4611)
Construction Administrator: Tracy Wright(763-533-0352 ext. 241)
Weekend EMERGENCY Pager: 612-527-2590
�� !/�� �D�/O/�_ TI M E
CITY OF ORONO CALLED IN 1�
INSPECTION NOTI SCHEDULED � � �_
PERMIT NO. � ��� COMPLETED
ADDRESS v2��S C.C:i L..�r-�, �--T/1-1 S�-�c� �2.
OWNER CONTR. � �f�-
TELEPHONE NO. ��' 3 '� S 3 � � � ��Jc�
'�-��DESCRIPTION �� T/lUC-7
ty� �FOOTING 11 MECHANICALRI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MA�NT. 21 COMPLAINT
� 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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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �,' PHOTOTAKEN
INSPECTOR W4lL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ection 24 hours in advance. (952) 249-46��
OwnerlContractor o
Inspector.
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