HomeMy WebLinkAbout2004-P08044 - addn/remodel/repair � � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P08044
Crystal Bay, Minnesota 55323 P2f11'llt Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: ioi2o�2ooa
SITE ADDRESS: 2485 Dunwoody Ave
WAYZATA,MN 55391
PID: 20-117-23-22-0016
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: i'iumoing iviecnanicai �iecuicai�statej
NOTICES/REMARKS:
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FEE SUMMARY: PermitFee: $ 1,049.75 Valuation: $ 110,000.00
Plan Review Fee: $ 682.43
State Surcharge Fee: $ 55.50
TOTAL FEE: $ 1,787.68
APPLICANT: Owner/Self OWNER: W P HICKEY&G G HICKEY
MN 2477 DUNWOODY AVE
WAYZATA MN 55391
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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AP ICANT p 1 EE SIGNATU ISSUED BY SIGNATURE
Cooies: 1-File(SiQnitures Required). 1-Anplicant. 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
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Total Fee: $ / J Date Received: ��"6-b7
Entered By: Permit#: �D D
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CITY OF ORON� - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please pri�tt all infornaation)
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THE APPLICANT IS: (circle one) OWNE R CONTRACTOR
JOB SITE ADDRESS: _��5.� ba'n no�v f���.?, ZIP: .�����
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes � No If yes, a special event pernzit is required with Police Depart�nerat and
City Council approval 60 days prior to the event. Non-pernaitted
events will not be allowed.
NAME OF OWNER: � ` PHONE: (home)�� �0 3S
o�
MAILING ADDRESS: � .1(work) S
_��8� n��� � 19r%ec,ITY: � I 4 ZIP:
CONTRACTOR: � PHONE: 6����`�2-�
CONTACT PERSON: a MOBILE/PAGER•
MAILING ADDRESS: CITY: V Z : S3
STATE LICENSE: #_f�T 5,� EXPIRATION DATE: d5'
���N DR��r� a : �
. ,. �����,L�� �'o P ONE: 3� �
MAILING A DRESS• .�` u CITY: Ip; ��.�0 I
NAME: REGISTRA ON# AffA
TYPE OF WORK: New Addition .�_ Accessory Structure
Move Home Remodel/Alteration
PROPOSED W RK(describe i detail�: ,,,,, �� f ��
� o ��'cl G e Q ' C� i �� e �"rvc�r�
��d, o„� P�� � a���� � ��
STORIES: �_ SQ.FEET OF EACH FLOOR_ �'��5'
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ��, p� �
�
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: �' � j ��-' DATE• ��_ /c,�/���
9 �
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd.1. Type of data. The rights of individual on whom the data is storcd or to be stored shal]be as set forth in this section.
Subd.2. Information required�o be given individual. An individual asked to supply private or confidential data conceming himself shalt be
informed of: (a)the purpose and incended use of[he tequested data within the collectiag state agency,political subdivispo�nYoc�statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his su l in or refusing to supply
private or confidential data;and(d)the identity of other persons or entides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked co supply investigative data,pursuant to secdon 13.82,subdivision 5,to a law enforcement officer.
The comm�ssioner of revenue mav vlace the notice reauired under this subdivision in the individuai income r ro e tax reFun
instructions insteud of on those forms.
Su6d.3. Access to data by individuat. 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 az public,privnte or confidtntial. Upon his further request,an individual who is che su6ject of
storcd private or public data on individuals shall be shown the data without any chazgc to him and,if he desires,shall be informed of the content and
meaning of that data. Afttr an individual has becn shown the private data and informed of its meaning,the dab need not be disclosed to him for six
months thereaFter unless a dispute or action pursuant to this section is pending or additional daW on the individual has been collected or created. The
responsibte authoriry shall provide copies of the private or public data upon request by the individual subject of the data.Thc responsibie authority may
require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shali 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 lega]holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shall so infornt the individual,and may have an addicional five days within which to comply with the request,excluding Saturdays,
Sundays and lega(holidays.
Subd.4. Procedure when data is�ot accurace or complete. An individual may contest the accuracy or comp(etencss oF pub(ic or private data
conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreemenG The
responsible authoriry shall within 30 days either. (a)coaect che data found to be inaccura[e or incomplete and attempt to no[ify past recipients oF
inaccurate or incomplete data,including recipients named by the individual;or(b)notify[he individuat that he believes the data to be correc� 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 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 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.
Z. 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 ]ocal, 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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First M�ddle L��
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City
State Zip Phone
I understand my rig as stated above.
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Signature �
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CHEC.K OFF LIST FOR ISSUAIVCE OF PEX�ti,tITS
FOR OFFICE USE ONL Y
ADDRESS OR LEGAL: ZY���uNwoo�oc� A'�
PID:
DESCRIPTION OF Gt�ORh': r�(JQ 1 T7 a nrs
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ZO�tiINGREVIEy[�BY: D.�TEAPPROVED: /� �/�i - �y
B UILDING RE VIE W B Y: DA TE APPR 0 6'ED: �a - >S - �7
----------------------
FEES TO BE CHARGED: / �Llisc. Fees Calctclated By:
PERI�IIT �`eS ✓ ��o
PLAN RE I/IE 6V Yes _s� No SE tiVER CO�VNECTION
STATE SURCH.4RGE Yes �1Vo tiV"ATER CO�V�VECTIO�V
I�VVESTIGATIOIV FEE Yes ��Io PARK FEE
S.AC Yes No SITE NSPECTIO�V
Ntinrtber• of SAC Units OTHER (specify)
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Z4rYING CHEC.Ii LIST Zor�ing Disd�icc:
Fire Deparhneret: Post Office: Sclroof District: ___.
� � t
Lar.=(r•ea: Sq.f't. �5 o Z5 Acr�es - � 6Yidtic I Z- � Deptl� Z-vJ�
Survey Strbniitted: Yes�. No Date of Scrivey: I ' �`�� d 3
Pr•oposed Setbncks: ��� + �� � f r t
Fratt(Lake): I `� — f � rRight Side: ZZ . �7 b -
�+ �. f � S�f iy, �
Rear(Sh•eet): 1� � �55^ Le t Side:
Adjacent Svucteu•es: /-1�'�c�tL� G�etla�trl: �///�
Betilcfing Height: Def. Hgt. G -� Peak Hgt. �
Lot Coverage: �•K
Grading: Srajf,4pproval Date: N�� By: Cot�rtcil Approvaf Date:
Sepric: Staff,�lpproval Date: N/A By:
Zoiting File: # — Resolution: # Resolution Date:
Shoreland Dish•ict: _�f S
Avg. Setback: �.K Blc�ff Setbac/c: N //� Lot Coverage: O.)<
Esistiizg Proposed
Har•dcover: 0-7�' �
75-Z�0' ��-`1Z 2`�•� �
250-500'
500-1000'
Hardcover Var-iartce Reqicired: Yes No Dnte of Cocuacil:{pproval:
.REMARKS(i�t hotcse):
31
B�IILDI�VG REVIEtY CHECh'LIST
UBC: 0� ' 3 CO�YSTRUCTION TYPE: 1��
Sq Faota,�e .S Per•Sq PcQ
Baser�ie�u � _
Isr Floor z =
3�id Flooi• x =
Garage s =
s =
TOT.�{L
Esttmated Cartsu•tcctio�t L'a1t�e: S 1 i �,o�� �
Inspections Required: 6�'ork Requirir�g Separate Per�uits:
Srte �Pltrn�b���g Fire
Hardcover Removal _�Medtanrcal GVater Coanection
_�Footing Septic Se�.ver• Co�tnectio�l
�_Frami�ig Fireplace Lmvri lrrigation
�lnsc�latio�l (r�lasorl�}�) Ot/ier•
_� GY'all Board (Mfg.) 6Vel1(State Per�nit)
_�Final Gradi�tg/Filliit„ c Elech�ical(State Per»�it)
Otlrer
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PEltifARliS(IN HD USE):
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RE I�IE Y[�B Y O THERS: D.�TE:
.4ccess: E.risti�z,; rVetiv
,4ccess�fpproval: Date Bt:
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RE�I�IARIiS (TO BE NOTED ON PER1ti.C,CT):
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Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota E�ergy Code
REScheckSoftware Version 3.6 Release 1
Data filename: C:\Program Files\Check�REScheck\First Draft-Orono-Bedroom4.rck
PROJECT TITLE: Dunwoody Addition
COLTNTY: Hennepin
STATE: Minnesota
ZONE:2
CONSTRUCTION TYPE: Single Family
W[NDOW/WALL RATIO: 0.27
DATE: 10/OS/04
DATE OF PLANS: ]0/OS/04
PROJECT DESCR[PTION:
Bedroom/Bath
D E S I GN E R/C ONT RA C TO R:
W.P. Hickey
COMPLIANCE: Passes
Maximum UA= 140
Your Home UA= 139
0.7%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value -R Value U-Factor UA
Ceiling 1:Cathedral Ceiling(no attic) 496 38.0 5.4 12
Wall i: Wood Frame, 16"o.c. 739 21.0 2.1 29
Window 1:Above-Grade:Wood Frame:Double Pane with Low-E 196 0350 69
Basement Wall 1: Masonry Block with Empty Celis 107 13.0 3.6 5
Wali height: 5.3'
Depth below grade:4.3'
Insulation depth: 5.3'
Basement Wall 2: Wood Frame 53 21.0 2.1 2
Wall height:2.7'
Depth below grade:0.0'
Insulation depth: 2.7'
Basement Wall 3: Masonry Block with Empty Cells 126 13.0 3.6 6
Wall height:4.7'
Depth below grade: 3.7'
Insulation depth:4.7'
� �
Basement Wa114: Wood Frame 93 21.0 2.1 4
Wall height: 3.3'
Depth below grade:0.0'
Insulation depth: 3.3'
Basement Wall 5: Masonry Block with Empty Cells 256 13.0 3.6 12
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 8.0'
Floor 1: All-Wood JoisUTruss:Over Outside Air 12 30.0 2.1 0
Furnace 1: Forced Hot Air,78 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0350 0.370
Includes Foundation Windows>5.6 ft2
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 RES checkVersion 3.6 Release 1 (formerly MECchecl� and to
comply with the mandatory ' m ts listed in the RES checkInspection Checklist.
.,
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B d�esigner � - - ' Date �6��G
,�---_=� ��,
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,���� �R �
$4
��. . � �•
���WX
Permit Number
; REScheck Compliance Certificate che�kea By�oate
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release 1
Data filename: C:\Program Files\Check�REScheck\First Draft-Orono-Den.rck
PROJECT TITLE: Dunwoody Addition
COUNTY: Hennepin
STATE: Minnesota
ZON E:2
CONSTRUCTION TYPE: Single Family
WINDOW/WALL RATIO: 0.25
DATE: 10/OS/04
DATE OF PLANS: 10/OS/04
PROJECT DESCRIPTION:
Den
DES IGN ER/CONTRACTOR:
W.P. Hickey
COMPLIANCE: Passes
Maximum UA=70
Your Home UA=69
1.4%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Cathedral Ceiling(no attic) 208 38.0 5.4 5
Wall 1: Wood Frame, 16"o.c. 455 21.0 2.1 18
Window 1:Above-Grade:Wood Frame:Double Pane with Low-E 112 0.350 39
Crawl l: Masonry Block with Empty Cells 196 21.0 5.4 7
Wall height:4.0'
Depth below grade: 3.0'
Insulation depth:4.0'
Furnace 1: Forced Hot Air,78 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doars 0.350 0.370
Includes Foundation Windows�5.6 ft2
r K �
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 RES checkVersion 3.6 Release 1 (formerly MECchec/� and to
comply with the mandatory req ' listed in the RES checklnspection Checklist.
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Builder/Designer � • • �� Date �L G'�O c
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DATE TIME �
CITY OF ORONO CALLED IN '/��6�� ��
INSPECTION NOTICCE� (� I SCHEDULED f1� ��_�
PERMIT NO. � Ci r} � �r`� COMPLETED
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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 MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
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�O- ' D T�E,/ TIME �/
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INSPECTION NOTI E SCHEDULED O O� I.`OZ)
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Q 02 FRAMING 13 MECHANICAL FINA� 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 OS 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERWG PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i �spection 24 hours in advance. (J52� 249-4600
OwnerlCon ac �- n s e
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
Ci'° `� 2
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CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED ' '�/�
PERMITNO. �'��'�V�� COMPLETED
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5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07`$� -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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (J52� 249-4600
Owner/Contractor si :
inspector.
White Copyllnspector's File Canary CopylSite Notice
CL� DA 7 _ TIME V
CITY OF ORONO ��[� CALLED IN ��`�'�
INSPECTION TI ' SCHEDULED �
PERMIT NO. COMPLETED � U
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� �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 MAIN�. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
I� CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-4600
Owner/Contrac n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice