HomeMy WebLinkAbout2005-P09004 - basement remodel ` PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po9oo4
Crystal Bay, Minnesota 55323 Permit Type:
Addition/Remode 1/Repair
(952) 249-4600 Date Issued: 8/8/2005
SITE ADDRESS: 3620 Eileen St Unit#
Maple Plain,MN 55359
P��� OS-117-23-21-0014
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit T e: Addirion/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
YP
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 181.25 Valuation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.06
APPLICANT: Sylvestre Consriuction Inc. OWNER: S&L Whitman
7708 Sth Ave S 3620 Eileen St
Minneapolis,MN 55423 Maple Plain MN 55359
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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PPLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE
Copies: i-File(Signa[ures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page]
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Total Fee: $ � � �'U`��� �� � � ">
Date Received: ' I �%"�
Entered By: � � � Permit#: ,-t � �t(,���'��
CITY OF ORONO - BUILDING PERMIT APPLICATION
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 OR CONTRACTOR
JOB SITE ADDRESS: 3b� F t Ie� S�-r��-� ZIP: S3
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes � NO If yes, a special event permit is required�vith Po[rce Deperrtinent and Ciry Cour�cil ap�roval
60 days prior to the event. Shuttle bus service ivill be required unless applicant demonst��ates
sufficient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: �Pi� I�1r�,�, G�h�'Y►tiGV� PHONE: (home)q -4�Ia'O ,�
(work)
MAILING ADDRESS: 36�0 E�I�vI,`v�► CITY: O�o�� ZIP: 5S'35%
CONTRACTOR: S v re� r� o �.�. PHONE: �¢IZ-�I-DI�
CONTACT PERSO : o-� MOBILE/PAGE :
MAILING ADDRESS: 0 CITY: � � ZIP: ,,/ / (/,
--�
STATE LICENSE: # �i-}� EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration ��
PROPOSED WORK(describe in detai�: ����-ta,� ,�(,�I,P.r�n�t,�-1' �`P�i'►�0��
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
EST[MATED CONSTRUCTION VALUATION(excluding land): � ��, 0��
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the wark 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.
APPL[CANT'S SIGNATURE: � DATE: Z� �S
31
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Sec13.04 RIGHTS OF SUI3JECTS OF DATA
Subd. l. Typc of data. 'I�hc rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. ]nformation required to be given individual. An individual asked to supply private orconfidential data conceming himselfshall bc
informed of: (a)the purpose and intended use of the requested da[a within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the rcquested data;(c)any known consequence arising from his supplying or refusing to supply
privatc or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requiremcnt shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofticer.
The commissioner of revenue ma�place the notice rcquired under this subdivision in the individual i�come tax or propertv tax refund
instructions instead of on those forms.
Subd.3. Access ro data by individual. Upon request to a responsible authoriry,an individual shall be infortned whether he is the subject of
stored data on individuals,and whether it is classified as public,private or contidential. Upon his further request,a�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 i�formed of the content and
meanin�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 thereatter unless a dispute or action pursuant to this section is pending or additional data on the individua]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 requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,ifpossible,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. I fhe 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,cxcluding Saturdays,
Sundays and Icgal holidays.
Subd.4. Procedurc when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
concerning himsclf. To exercisc this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement.The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attcmpt to notify past recipients of
inaccurate or incotnplete data,including recipients named by the individual;or(b)notify the individual that he believes the data[o be correct. Data in
dispute shall be disclosed only if the individuaPs statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relatine 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
fior a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
contidential infonnation.
You are notified that:
l. The infonnation you furnish will be used to determine your qualiftcation 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 infiormation 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.
6r844 � ��D'''�.
First A Middle Last
�20g J��' t��P� So
Address
��i�l� /�.n� s5�f�� (�I�-Sb�-a1�
City State Zip Phone
[ understand y rights as tated above.
Signature
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 31,2 o L�c.��x� 3 f
PID:
DESCRIPTIONOFWORK: Q,4�zrr�.- B�sGrn�.�r i7.c�✓+�/�t�
ZO.�i'G RE'VIE`V BY: � DATE APPROVED:
BUII,DING REVIEW BY: DAT'E APPROVED: �g- c{-a�'
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No
PLAN REVIEW Yes v� No SEWER CO�TNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No �/ SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONI�IG CHE.CK LiST Zonin; Districc: �vo GEti4-,v�.;Q
Fire Departmen[: Post O�ce: School District:
Lot Area: Sq.ft. Acres Width Dep[h
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Si :
Rear (S[reet): Left S' e:
Adjacent Structures: 1�Vetland:
Building Hei?ht: Def. Hgt. Peak Hgt.
Lot Covera�e:
Gradin�: Staff Approval Date: y: Council Approval Da[e:
Septic: Staff Approval Date: y:
Zoning File: # Resolution: # Resolucion Date:
Shoreland District:
Av�. Setback: Bluff Setbac : Lot Covera�e:
Existina Proposed
..7
Hardcover: 0-7�'
7�-2�0'
2�0-�GO'
500-1OC�'
Hardcover Variance Required: Yes No Date of Council Approval:
RE�L4R�iS (in house):
BUILDING REVIEW CHECK LIST
UBC: R• �j CONSTRUCTTON TYPE: �/N
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x _
Garage z =
z —
TOTAL
Estimated Construction Value: $ 10,0ov `�—"
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing ` Septic Sewer Connection
�C Framing Fireplace Lawn Irrigation
�_Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
"� F�� Grading/Filling eG Electrical (State Permit)
Other
RENIARKS (Pi 1 HOUSE): - --~---
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REI�IARKS (TO BE NOTED ON PERiv1I'I�:
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BeamChek v2004 licensed to:Sylvesfre Construction, Inc. Reg#9077-2183
Whitman Rec Room Beam
Beam#1 Date: 7/25/05
Selection W 10x 19 36 ksi Wide Flange Steel Lateral Support at: Lc=4.2 ft max.
Conditions Actual Size is 4 x 1.0-1/4 in.,
Min Bearing Length R1=0.8 in. R2=0.8 in. DL Defl 0.12 in Suggested Camber 0.18 in
Data Beam Span 15.0 ft Reaction 1 LL 4050# Reaction 2 LL 4050#
Beam Wt per ft 19.0# Reaction 1 TL 6315# Reaction 2 TL 6315#
Bm Wt Included 285# Maximum V 6315#
Max Moment 23681 '# Max V(Reduced) N/A
TL Max Defl L J 240 TL Actual Defl L/525
LL Max Defl L/360 LL Actual Defl L/819
Attributes Section (ing) Shear(in2) TL Defl(in) LL Defl
Actuaf 18.80 2.56 0.34 0.22
Critical 11.96 0.44 0.75 0.50
Status OK OK OK OK
Ratio 64% 17% 46% 44%
Fb psi Fv si E si x mil
Values Base Value Fy 36000 36000 29.0
Base Ad'usted 23760 14400 29.0
Adiustments YP Factor, Lc 0.66 0.40
Loads Uniform LL: 540 Uniform TL: 823 =A
Uniform Load A
0
R1 =6315 R2=6315
SPAN= 15 FT
Uniform and partial uniform loads are Ibs per lineal ft.
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CITY OF ORONO CALLED IN
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INSPECTIONNOJICE / SCHEDULED '�St�S� �Ua��
PERMIT NO. �r'/)9�)�)L! COMPLETED
ADDRESS �v�U ���-r�<7 .�f_
OWNER CONTR. :��C/�L��e�� C`dl�Sf,
TELEPHONE NO.��/�� ,� �'�� ���,�
� DESCRIPTION ;�C.�!,I�L��� .
LL 01 FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� FR I 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 0 NSULATION 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P ING FINA �� 36 FOUNDATION/REMOVAL
� OW ER/CONTRACTOR EET YOU:*!YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED f i PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContr r site:
Inspector.
White Copyllnspecto's File Canary Copy/Site Notice