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Home My WebLink About2008-00244 - addn/remodel/repair ,� � � CITY OF ORONO PERMIT NO.: 2oos-oo244 � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/30/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1005 HLJNT FARM RD PIN : 30-118-23-42-0006 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 005 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 50,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) ADD REC&FAMILY ROOM,2 DECKS,REPLACE ALL WINDOWS,ADD FP,OTHER MISC.ALTERATIONS APPLICANT pERMIT FEE SCHEDULE 681.75 LECY BROS CONSTRUCTION PLAN REVIEW 443.14 15012 HWl'7 MINNETONKA,MN 55345 STATE SURCHARGE(VALUATION) 25.00 (952)746-3783 TOTAL 1,149.89 Minnesota State License#:20325555 OWNER PERSIAN, STEVE&KATHY 1005 HLJNT FARM RD LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to 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. The applicant is responsible for assuring all required inspections aze re uested in conformance with the State Building Code.This permit may be vo d at any tim ue cause. ' 9� 30 ,og ��, 9� �j , a8' pplicant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. T � � � • Total Fee: $ � , g9 � DateReceived• 9-aa-0$ � Entered By: i// „� Permit#: 020 08' - oDa��- CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print aU information) . . THE APPLICANT IS: (circle one) OWNER O CONTRACTOR JOB SITE ADDRESS: ,(�C��V�� 'Q r ar� Q.r�, 7�': SS 35�, Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes � NO Ifyes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed NAME OF OWNER:�� {-�, �,r+si a,n PHONE: (home) (work) MAILINGADDRESS: 1QD5 k�+urt�' F�mn � CITY: dtro»a ZIP: ��535(� CONTRACTOR: 'gv�, PHONE:qSa�4�,-3'1453 CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: F-�,n. STATE LICENSE: #_a03 a5�5 EXPIRATION DATE: h./a„�..�, 09 ARCHITECT/ENGIlVEER: C.e�v Rrr,•s PHONE: MAILING ADDRESS: '— CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition �_ Accessory Structure Move Home Remodel/Alteration(ie: Siding, Wiridows) �C Any earth movement may require MCWD review and permits! PROPOSF{D WORK(describe in detai�: �`� ��IC�]�-�b 'Re� Q�QC9p�r� �, [Q�y�LI4 1/�M �ExiEsE��,g�. �� 1.Y�,u.; de.c�c..�� -.o o.i t wdu�s. Acl�d'�r� F-ttepfctuc� trt Frea►�e►��oom a+n� M�sc, �rr}cw.o�� MI�c✓�ca+►s STORIES: a SQ.FEET 4�EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED�CONSTRUCTION VALUATION(excluding land): $ ��00 ' 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. � � APPLICANT'S SIGNATURE; DATE: 9-��_ ��o� 31 . .�'T ' ' Sec.13.04 RIGHTS OF SU$JECTS OF DATA � � � Subd.1. 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.Infortnation required to be given individual.M individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data witivn the collecting state agency,political subdivisioq 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 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 may.place the notia required under ihis subdivision in the individual income tax or plocertv tax refund instructions instead of on those fomu. Subd.3. Access to data by individual..Upon request to aresponsible authority,an individual shall be informed whed�er he is die subjeotof stored data on individuals,and wheU�er it is classified as public,private or confidenGaL 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 infortned ofthe content and meaning of that data. After an individual has been shown the privabe data and infortned of its meaning,the data need not be disclosed to him for six �inonths 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 'fhe responsible authority may require the requesting person to pay the actual costs of making,ce�tifying and compiling the copies. Tt►e responsible authority shall comply immediately,if possible,with any request made pursuant to tlus subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliancc 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 individua!may contest the accuracy or completeness of public or private data conceming himself.To exercise this right,an individual stial I notify in writing the responsible suthority describing the naUue of the disagreement'Fhe responsible authority shall within 30 days either: (a)correct the daCa found to be inaccurate or incomplete and attempt to norify past recipient5 of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. DafBi in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data . The detennination of the responsible authority may be appe�led 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. 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 pub(ic. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on ygurself. 6. Your full name is required to process this application or permit. �Y►IfZ 1 8 C.V?�.��, �.e�v.�v»o.r�G � �v�DS �N1�S First Middle Last �S�� u , Address h-llnvie�onlc..� Mv, SS3�� CtSa=t46-�'zf,� C�tY State Zip P6one I und rstand my rights as stated above. � ature �� 32 � . � C � BUILDING REVIEW CHECK LIST UBC: R '3 CONSTRUCTION TYPE: �!N . Sg Footage $Per Sg Ftg Basement z = • 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Valae: $ S 0,0 UC� �� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal _�Mechanical Water Connection �Fooring ,Septic Sewer Connection OC Framing _�Fireplace Lawn Irrigation �Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) _ _�Final Grading/Filling �_Electrica!(State PermitJ Other REMARKS(INHOUSE); REVIEW BY OTHERS: DATE: � Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): 34 . I . , z CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: /po S /f v�v T' Fj�RM 2uh/� PID: DESCRIPTION OF WORK: �1/�/�� r��n! A�,� Dc�:S ZONING REVIEW BY.• � ' DATEAPPROVED: _q• Z�-oq� BUILDING REVIEW BY.• . DATEAPPROVED: g -Zq .�� FEES TO BE CHARGED: : Misc. Fees Calculated By: � PE��' Yes f No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATER CONNECTION WVESTIGATION FEE Yes No_� PARK FEE SAC Yes No_� SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHECIf LIST Zoning District: Fire Department: Post Off ce: School District: Lot Area: Sq.ft. �/'d C!-�ri„r�c Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: � . �. o s ��,� �,�l J Proposed Setbacks: Front(I�ke): � Sp ' fi Right Side: _2 y y ' Rear(SN�ect): 1 O S � 't Left Side: (b0� } Adjacent Structures: A.-7T�qLM _y> Wetland: /?D � -}- Building Height: Def.Hgt. �,�G Peak Hgt. Lot Coverage: /�//rq Grading: Staff Approval Date: 0•� By:� •V Counci!Approval Date: Septic: StaffApproval Date; -r'i"ZS -o b By: (,�/G . Zoning File: t# — Resolution: # Resolution Date: Shoreland District: �- No MCWD Permit: Avg. Setback: Bluff Setback: Lot Coverage: Fxisting Proposed Hardcover: 0-7.i' 75-2.i 0' 250-500' .i 00-!000' Hardcover 6ariance Required: Yes N'o Date of Council Approval.• RE11�4RKS(in house): 33 : � � �� ' REScheck Software Version 4.1.3 Compliance Certificate Report Date:�9/19/08 Data filename: Untitled.rck Energy Code: 2000 Minnesota Energy Code Location: Hennepin County, Minnesota Construction Type: Single Family Glazing Area Percentage: 20o/a Climate Zone: 2 Construction Site: Owner/Agent: Designer/Contractor: Persian Residence Lecy Bros. Homes 952-944-9499 e ♦ . Compliance:6.5%Better Than Code Mauimum UA:582 Your UA:544 . � � . Ceiling 1: Raised or Energy Truss 1826 50.0 0.0 37 New Ceiling: Raised or Energy Truss 132 50.0 0.0 3 Wall 1:Wood Frame, 16"o.c. 3141 19.0 0.0 150 Window 2:Above-Grade:Wood Frame:Double Pane with Low-E 439 0.320 140 Door 3:Solid 41 0.320 13 Door 4:Glass 126 0.320 40 New Wall:Wood Frame, 16"o.c. 613 19.0 0.0 24 Window 1:Above-Grade:Wood Frame:Double Pane with Low-E 145 0.320 46 Door 1:Solid 20 0.310 6 Door 2:Glass 42 0.320 13 New Foundation Wall:Masonry Block with Empty Cells 106 0.0 10.0 8 Wall height:3.5' Depth below grade:3.0' Insulalion depth:3.5' Basement Wall 2:Masonry Block with Empty Cells 728 0.0 5.0 58 Wall height:9.0' Depth below grade:8.5' Insulalion depth:9.0' Floor 1:All-Wood Joist/Truss:Over Outside Air 231 30.0 10.0 6 Furnace 1:Forced Hot Air92 AFUE Air Conditioner 1: Electric Central Air13 SEER 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 4.1.3 and to comply with the mand tory requirements listed i the ES ck Inspection Chedclist. Name-Title �` ~O i ure Date �� TIME � CITY OF ORONO CALLED IN �' �� INSPECTION O IC SCHEDULED � i ,� PERMIT NO. � O COMPLETED ADDRESS 1 � � OWNER CONTR. — G � • TELEPHONE NO. �. •- � DESCRIPTION � � � ❑ FOOTING ❑ M HANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ CHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Zp WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � . d 'GIORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTIOIJ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN O STOP ORDER POSTED.CALI INSPEC70R �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlCon or on �te: Inspector.��/�-��b�� S White CopyllnspectoPs File Canary CopylSite Notice h\ ATE ', TIME � ' I CITY OF ORONO ALLED IN �L� INSPECTION NOTI 'r SCHEDULED PERMIT NO. �� '� 7" COMPLETED ADDRESS �O�J '�,1.�-11� �Q�,YYl �cI OWNER CONTR. 0 �J_ (o�,��. TELEPHONE NO. (D �a �l� 3 - o�� LO r� � DESCRIPTION o-��'1�-��CY-t1 � ��Q-j'�j� G�C�.-� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT "� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP Q _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C o � � I �J� ( l� t ''C"r�,-�z'C�� S � � S �.'S �' - 0 � W � Q � z w � W � j a � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK 8�PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT i�CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR f; INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on s't4 e: � Inspector. � , � � White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN ��'� INSPECTION NOTI E SCHEDULED � -� � PERMIT NO. -��COMPLETED ADDRESS �� 1�-�r-Ctii��JC.rn OWNER CONTR. TELEPHONE NO. {o%Z- 7D3-' �aG� �. ' � DESCRIPTION � ❑ FOOTING ❑ MECHANIC I ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANI FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC IfdSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAI ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a j �,,( "�� 6��.1 o � �� „ � � 0 � W � Q � Z W � W � � d ��1AlORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL IMSPECTOR O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours irt advance. (952) 249-46�� OwnerlContractor sit : S Inspector. � White Copyllnspector's File Canary CopylSite NoHce DATE TIME � CITY OF ORONO CALLED IN INSPECTIO N T CE SCHEDULED � � .D�0 PERMIT N � �COMPLETED ADDRESS lDDS 1��z�Glti��Q�YI OWNER CONTR. S� TELEPHONE NO. �Z G� J � DESCRIPTION C9�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � O � � %� �� O � W � � S'�' �(�� Q � z W �c' i D .s�]il o �F V t3� U Q 'f"O �v �✓vl � t�� ao IG,r� �� E=�r �� ►'r9 ��11��-S��o � a W:�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT i�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITAT�ON ISSUED 7 STOP ORDER POSTED.CALL INSPECTOR �i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site• Inspector. �.} ��/s--� White Copyllnspector's File Canary CopylSite Notice � � ` � QATE /(�' TIME ��Y OF ORONO � CALLED IN � �` " ' �' INSPECTION NOTICE SCHEDULED � ��1� --�-- PERMIT NO. ��L�JC��'C '('�OL��-COMPLETED ADDRESS I �C�i� H�L�} ��-r-1'Y� � OWNER CONTR. l�(� �1 C r � TELEPHONE N0. �� c�c�l�� /�_ � DESCRIPTION F I C� i �(�l-� C�C'�_ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEETYOU: YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED f�STOP ORDER POSTED.CALL INSPECTOR [: INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector._�_ � �� White Copyllnspector's File Canary CopylSite Notice