HomeMy WebLinkAbout2007-P11097 - new structure PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p11097
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600
Date Issued: 7/17/2007
SITE ADDRESS: 2690 Fox St Unit#
Wayzata,MN 55391
PID: 04-117-23-42-0003
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residential Census Code 101
Permit Class: Building
Permit Type:
New Structure Permit Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Septic Fireplace Irrigation Well(state)Electrical(state)
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NOTICES/REMARKS:
Contractor to sign next to remarks on permit, too long to print.
FEE SUMMARY: PermitFee: $ 4,421.25 valuation: $ 750,000.00
Plan Review Fee: $ 2,873.81
State Surcharge Fee: $ 375.00
TOTAL FEE: �y 7,670.06
APPLICANT: Owner/Self OWNER: Rodney Moore
MN 18140 Zane Street NW
Elk River, MN 55330
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 BUfLDING CODE REQUIREMENTS.
APPLICANT PI:RMITL E SIGNA7URL ISSUED[3Y SIGIATURE
Copies: I-File(Signatures Requir-ed), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1
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DAT TIME
CITY OF ORONO CALLED IN l � D
INSPECTION N���o9� SCHEDULED � i � 8' /a.�v
PERMIT NO. COMPLETED
ADDRESS a��� ��c3���-�-2-f
OWNER � �CONTR.
TELEPHONE NO. �Q'� �3�����3-S
� DESCRIPTION ��"��+'��LTZ-� )CJ
� ❑ FOOTING � M HANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
Q �JNSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
_ ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContract��site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
TY OF ORONO CALLED IN �'�`� �1'� Y►�1
INSPECTION NOTICE SCHEDULED 1��•�� �4�
PERMIT NO.T(IC,�'� COMPLE ED,
ADDRESS � � � ''S7
; OWNER CONTR. l Yl
TELEPHONE NO. '� l�i� ��
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� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECH INAL 19 LAKESHORE/WETLANDS
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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 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 24J-46O0
OwnerlContra�t ite:
Inspector.
White Copyllnspector's le Canary CopylSite Notice
��� GDATE�/ TIME V
CITY OF ORONO CALLED IN 0 �/"V � k�'�'J
,
INSPECTION N TIC SCHEDULED �� ln�D
PERMIT NO. I�O COMPLETED
ADDRESS 2� � �
OWNER CONTR. �"�� U �CI�_
TELEPHONENO. ��� � ,��� O� z—
� DESCRIPTION �I�L•J�d�t.l� � V�U I I
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Q 02 FRAMING 13 MECHANICAL FINAL 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR W4LL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ ItVSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerfContractor on sit :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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PERMIT
C;ITv'OF ORONO
275� Kelley Par�cway- PO Box 66 Permit Number: p11097
Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952)249-4600 Date Issued:
7/17/2007
SITE .�DDRESS: 2690 Fox St Unit#
Wayzata,MN 55391
PID: 04-117-23-42-0003
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 101
Permit Class: Building
Permit Type:
New Structure Permit Sub-type(s): New Home- Single Family
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Septic Fireplace [rrigation Well(state)Electrical(state)
NOTICES/REMARKS:
Contractor to sign next to remarks on permit,too long to print.
FEE SUMMARY: Permit Fee: $ 4,421.25 valuation: $ 750,000.00
Plan Review Fee: $ 2>873.81
State Surcharge Fee: $ 375.00
TOTAL FEE: $ 7,670.06
APPLICANT: Owner/Self OWNER: Rodney Moore
MN 18140 Zane Street NW
Elk River,MN 55330
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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i, LICANT PERMITEE SIGNATLRE ISSUBD B SIG?�ATURE
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� Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
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Total Fee: $ �� Date Received: �r-�� — (� �
Entered BY: ,� (� ���g-�; ������ " Permit#: �- ���L�-]
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR �
JOB SITE ADDRESS: �[°��� ����x� �f, ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ I�eS ❑ NO If yes, a special event permit is required with Police Department and City Council app�roval
60 days prior to the event. Shutde bus service will be reguired unless applicant demonstrates
sufficient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: �� �� �� PHONE: (home) �,3;z�/l-�5 3 3
(work) G.,�_ ��. g 3 3s
MAILINGADDRESS: t �/�(�� 2�•�,� �;f, ��`I CITY: �'1k tve�l ZIP: �5���
CONTRACTOR �,�_�yi�>; (-j�, ;��� f� PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home �_ Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detai�:
STORIES: _�_ SQ.FEET OF EACH FLOOR: .� �� I � � � (��c�
NO. OF BEDROOMS: f GARAGE STALLS: ATTACHED DETACHED
�5�J 0'd� pd �trp/�,1,�
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 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.
APPLICANT'S SIGNATURE: DATE: �o �� -O 7
3l
Sec13.04 RIGHTS OF SUBJECTS OF DATA '
Subd. l. Type of data. The righu 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 data conceming himselfshall be
informed of. (a)the purpose and intended use of the rcques[ed 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 refusing 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 shal I
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 may place the notice required under this subdivision in the individual income tax or propert�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 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,shall be informed of the conten[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 ior 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 ofthe data. The responsible authority
may require the requesting person[o pay the actual costs of making,certifj�ing,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 ofthe 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���ithin 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
conceming himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement The
responsible authority shal]within 30 days eithec (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 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 adminisuative procedure act relating to
contested cases.
DATA PRNACY 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.
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 yoursel£
6. Your full name is required to process this application or permit.
First � Middle Last �
� G� � l' �
Address
City Statc Zip Phone
I understand my rights as stated,,above.
//
�
� ���
Signaturc
Reset Form 32
��C� pF'F' iIIST FOR TSSUANCE OF �E�'u1ITS r '
FOR OFFICE USE ONLY � _ �� �
�.DD�ZESS OR LEGAL: " �
PID�
�ESCRIF'I'SON OF WORK: �w w S-e- �.
-----------------------
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---_:--- ----------___ pATE APPROYED: 2v 0.� th�
W BY: � �r
ZO��i G �tEVIE D.A.TE APPROVED: �-i o1
gULLDTNG REV]E�V BY: � �
k`EES TO BE C�IARGEA•� � Misc. Fezs Calculated By:
PE.RNLIT f No
LAN REVIEtiV � Yes —� No SE�VER CO�ECTION
P tiVATER CONNECTTON
STATE SURCHAR.GE �-'eS —� N0 p�,g�{ FEE
INVESTIGATION FEE Yes No � STTEINSPECTION
S AC �'es
. - � � OTHER (specify)
Number of SAC�Units . ;�' �t- �� +-f J
------------------------------------------------ -=_------ ----------------------------------------------------
ZON71�`IG CH�CK LIST 2oaing Discric�: � ,
Fite Departm.ent:
�L, Post Office; �JVv Schaol Dist�ict: �C/Y�"� �
La� Area: Sq.ft.
Acres �. Z�J Width Dep�.h �3��
Survey Submitted; Yes �
�o Date of Su:vey; ".�� _L_.
Proposed Setbacks: � 'D�"'"-� �14A`►h�
� �c�------ �.K+o � -� 3�
Froa[(�a�a); J'�(S R�t Side: (o�+/ ,
�'� t''�i�Side: 30 3� �1 h��hc�ra�¢.{-����� 3.`-f
��, �car (�)� ,_—�
`�/arla�rd: 3 1' �
J�e�'����t�ay��d;acA�f ���sc7�re.; vl� �.�,.t,t�h�h�F-��ndriJ
t� �� 3`�� �3� -���
'M Buil�lin� Heioh[: DeF. H�t, 2- , Pe�`�'� • ------'
2�. g
Lot Covera�e: _
�� GradLng; Scaff Approval Date: �•(G 'U1 By:
�(I�-��ACouncil. Approval Dace: "
�'f3�°� c�-,
S�ntic: Staf` Aporova� Dat'-: �v:
Zoc�n� F��le: �=.—
Resolut:oo: R__ RP�o�u�ioc� Da:e:
chp�2i2.:^.d DtSLCIC�: �� I.,a�Coverz�e:
B�,�f;Set�ack:
����. �er'pac'�:: P;oposed
�.c�.scicg
H�eco��ec�, G-75' —
—
7�-2��' -_—
—
Z�V'J�J�J
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v Ji ���n �I�,_ l.'. l_.l:',_-.. :-- � �'
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�=���1_-a-..�.1�� �� _ Cl'.�'�C�,
�.�_
$U�DIi�G REY��Y C�iECK LIST -
�C� � "3 CONSTRUCTION TYl?E: �(�
Sq Footage $ Per Sq Ftg
Basemen[ , X = .
lst F1oor h � _
2nd Flaor � _
Garaoe X =
x =
TOTAL
•� �S�,s00%'
Estimated Con.structioa Value; $ `�r�-9-°0
Inspections Required: �York Requiring Separate Permits:
5 ue _�plumbing Fire
Hardcover P.emoval _ (�Mecha�.ica1 Water Coanection
_�,.Faoting ' � Septic Sewer Coanectia❑
� Framina Fire Iace
�- � _�L p X Lawn Irriga[ion
� TLsutatiun (Nlasonry) Other
X �Vall Soard e� (tvlfg.) _�c We1I (State Permit)
_�F�� Gradi�g/Fillino ,� Eleccrical (�tate Pe�rait)
O[her
RENIARKS (IN HOUSE)• ° ' — --
-----------------
REV�'4V $X OTHERS: �A�;
Access: Exisciag New
Access Approva�: Date �y;
RE1��LAF.KS (TO EE NOT'ED QN PERRYITI.�}: ��, '
�n lS S '�x7 '/ S c�.s�. 12 c,e S c� S�a
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REScheck Software Version 4.1.0
Compliance Certificate
Report Date:O6/04/07
Data fiiename: Untitied.rck
Energy Code: 2000 Minnesota Energy Code
Location: Hennepin County, Minnesota
Construction Type: Single Famlly
Glazing Area Percentage: 13%
Climate Zone: $
Construction Site: Owner/Agent: Designer/Contractor:
2690 Fox St. 5teve Moore
Orono,MN 18140 Zane St.NW;Suite 320
Elk River,MN
612-388-9335
eagleridge@hughes.net
Maximum UA:473 Your Home UA:372=21.4%Better Than Code
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- - � .
.
Ceiling 1: Flat Ceiling or Scissor Truss 3721 44.0 0.0 100
Wall 1:Insulated Concrete Fortns 3420 24.0 131
Window 1:Above-Grade:Metal Frame with Thertnal Break:Double 440 0.320 141
Pane with Low-E
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 REScheck Version 4.1.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
7 � ..., L �'�G�o/� �L.�'LJ {�(a( �l �-�._.� �� � - �-C� �
Name-Title Signatu�e Date
Page 1 of 1
� D TE TIME v
�
CITY OF ORONO CALLED IN
INSPECTION N ��� SCHEDULED � - �
PERMIT NO. COMPLETED
ADDRESS a(o90 �'D� �'
OWNER�1� �8�E-- CONTR.
TELEPHONE NO. ��a ��� / �3S
� DESCRIPTION �r�'��IX.�
� ❑ FOOTING � MECHANICA I ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK&PROCEED .:� ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contr n site:
Inspector.
White Copyllnspector s File Canary CopylSite Notice