HomeMy WebLinkAbout2017-00401 - addition / remodel , , CITY OF ORONO * 2 0 1 7 - 0 0 4 0 1 *
2750 KELLEY PARKWAY DATE ISSUED: 08/15/2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1135 HERITAGE LA
PIN : 10-117-23-13-0021
LEGAL DESC : FOXHILL
: LOT 000 BLOCK 003
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 4,000.00
NOTE: INSTALLATION OF PORCH ENCLOSURE STORM PANELS AND 2 STORM DOOR
APPLICANT PERMIT FEE SCHEDULE 10838
MON-RAY INC. PLAN REVIEW 70.45
7900 EXCELSIOR BLVD#140 STATE SURCHARGE(VALUATION) 2.00
HOPKINS,MN 55343- TOTAL 180.83
(763)543-6263 Payment(s)
Minnesota State License#:BUIL-0005111 CHECK 61676 180.83
OWNER
MARKUSEN,LOCKIE
1135 HERITAGE LA
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
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
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �
` ��--� � �� V i � 6� <
App�icant�ermitee Signature Date Issu d By Signature Date
�.•�;�,��
/� 1� . � �/- Z�, .,/ -7
Total Fee: $ � �`^ ��/ � Date Received:
Entered By: Permit#: �.c; d � -U��1 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 ONTRACTO
JOB SITE ADDRESS: I �?�' T l��-t i�v�- �N - - -��� ZIP: }��3`� I
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes �NO If yes, a special event permit is reguired with Police Department and Ciry Council approval
60 days prior to the event. Shuttle bus service will be required unless app/icant demonstrates
sufficient on-site parking is avai/able. Non-permitted events will not be allowed.
NAME OF OWNER: ���-1� I�A(Zi�U::��-:�'�1 PHONE: (home�(2���Z-�i I(�-
(work)
iV1AILING ADDRESS: �I,h`) ��_���.i�/-�[�(_ L N CITY: O(;4;N'�i ZIP: `-� j�i
CONTRACTOR: Mon-Rav Inc PHONE: 1�'"��.3 -`�`t��{r����,�
CONTACTPERSON: �`t�a_;� �;,��, T�;�,� MOBILE/PAGER: L��Z-Z�� --;`��'�
MAILING ADllRESS `�''��% �?cc�e,���rr_ e�`.�!��`I�iU CITY: ` .:`;�,!o.%.�'�� ZtP: >; �. �
STATE LICENSE: # 0005111 EXPIltATION DATE: "' `
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory StructureX
Move Home Remodel/Alteration (ie: Siding, Windows) �
Any earth movement may require MCWD review and permits !
� ,
PROPOSED WORK(describe in detai�: �,n5}����i�,�;tx� _i�" <`;l���', ��,i:�o',J.'����*,��^
�-�.��`` - ;7,r�� :'� -�t�,���, �:;:`� '
STORIES: SQ.FEET OF EACH FLOOR:
iv0. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
r1 �
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ CI�'I�
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in confor.mance 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 pla��'��
,
APPLICANT'S SIGNA'I`LTIt]F�`�����` DATE: ��I I 7 � �
31
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: ���� Cy�C���Q. //�f�l � , Permit No.: �� (`� �� Tv�
Description of work: Date Rec'd:
Septic review by: i/�l / i�- Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved: �-l' � l
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: � Yes 0 No Date of Survey: Revised date(?):
Landscape plan submitted? 0 Yes 0 No Landscaper:
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% = L.F. below grade
Basement? � Yes 0 No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade—
floor(of the basement or crawl space)and measure from hiahest existinq
START WITH the highest point of the roof. ra ade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to the
ROOF TYPE) between the highest point of the roof hi hest oint of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distance ROOF TYPE)
the distance between the
between the top of the highest highest point of the roof to
window and the highest point of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
M et?
Permit Number: 0 Yes � No � N/A � Yes 0
0 Yes � No No
� N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
� Yes 0 No 0 Yes 0 No
1 2 3 4 ' 5 Type(s): Type(s):
Fees to be Char ed YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC— Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1 St Floor X = $
2nd Floo� X = $
Garage X = $
fj�. ✓
Estimated Construction Value: $ %� �
Orono Inspections Required Work Requiring Separate Permits
� Footing O Site � Plumbing 0 Grading/Filling
� Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical � Fire
0 Foundation Survey 0 Hardcover Removal � Septic 0 Water Connection
0 Foundation Waterproofing � Other(specify) � Fireplace � Sewer Connection
Framing ❑ Masonry � Lawn Irrigation
0 Insulation 0 Mfg. 0 Landscaping
0 As-Built Survey � Other(specify)
Final
O Lathe Required State Permits
0 Other(specify)
0 Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
� See Builder Acknowledgement Form
� Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
�•\fnrmc\nlan rovio�ni rhor41ie4 9(1_9MF rVnrv
Sec 13.04 RIGHTS OF SUBJECTS 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. Information required to be given individual. An individual asked to supply private or confidential data wnceming himself shall be
informed of: (a)the purpose and intended use ofthe requested 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 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 notice required under this subdivision in the individual income tax or prooer[v 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 content 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 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 authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Sawrdays,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 within 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 orcompleteness ofpublic or private data
conceming himself. To exercise 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 attempt to notify past recipients of
inaccurate or incomplete data,including 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 authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
ln 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:
l. 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 yourself.
6. Your full name is required to process this application or permit.
J� � /'
. I 'n ,_ � '" _ '�,ff � ,
First Middle Last
c•7 _ —�
.
, a - , � ; ,
, _ . .
���'�.�l.J� 1�: li�..� f �rl iJ � h �r-!,- r 1".. ... , '�-#
Address ,i
t�` �t '�.� � � � , ���^���� �. �' . ��� 5 '�;��'`��
J
City State Zip Phone
I understand my rights as stated above.
��
Signature � � ��
__ ���
Reset Form 32
� � . . . . e . . . . _ _ .. _. ._l_'.
. . . . . . . .� .. . . ._ . . . �� �C�� ' . . . . : _ . . I� .. _
'" ��0-' v 5 �
,
MANUFACTURER'S LABELED `
r SAFETY GLAZING �
� REQUIRED t��viwa�'�� ��� ��^,:-a� � .
. . .. . �._ . . . b w .. ._ �
, '� 6�- � �,� t.F M
C.r�1��3�i�:Tcv' v.�''�''C:� i�yi°J?'iiO —
. / (
,� _� � . ��,� � . _
� � -
. _ .. . R�:..i�,t��� -- .
_ .. �" �.:� � � .
� � �� � �
�r'ra�.(� ' M�,�';;€�r r��.��.,�-�:�` . , � "� � �� . � -
'�����
�.������
. _ .-
�� �, 4���� � �.� �� _ �� � _ _ - . � _ ,
. ,� � . _ . _ _ . _ _ _
' �.� ����� `� �f�
� �. �.�,�$�, � ���'�� �
_ �- ��./� � �'/� ,. _ � .
�� , � c _ .
�� � ���/y � �/� -�
_ _ _ _ .
�-� � ���� � �_ _ ,
��-� �` ����� � �, _ _ _ . -
...�� � ��"�� � _ ��
_ _ . _
��-' ���� � ,�' - : -
_ - 1—� ^ _ -
' __ _ _ .�_
. .�.._ _
� _ _
� RECEIVED
APR 2 5 �017 _
CITY OF ORONO
' MPID�^S o,,.�
.
� � � Mon-Ray, Inc
7900 Excelsior Blvd, Suite 140
Hopkins, MN 55343
HIGH PERFORMANCE SECONDARY 763-544-3646 Fax 763-546-8977
GLAZING WINDOW3&DOORS www.monray.com
� . . . HEAD
:e . . � . .
� ! � • . .
� •
INTERIOR � . � ..3 . . . � , ���°� ��' . � s
. �e • •� e .
� 5 SURFACE CAULK FULL PERIMEfER
SURFACE CAULK FULL PERIMETER AFTER INSTALLATION WffH
AFTER INSTALLATION WffH 17 VULKEM �116 CAULK.
WLKEM �116 CAULK.
• 'd• �8 X 1 PHIL PAN HD SS SMS 1I8� CLEAR REDWOOD SHIMS
• '' o� 1/8' CLEAR REDWOOD SHIMS WITH S-5 FISCHER PLUGS (AS REQUIRED)
(AS REQUIRED) HEADS PAINTED TO MATCH.
1/8" (DSB) CLEAR ANNEALED GLAZING
r dd SAFE7Y GLASS AS REQUIRED
.a ' SPECIALTY GLASS AS SPECIFlED
JAMB � ��� ^ p �
O
. . d m w �
. . � W
�
� �S X 1 PHIL PAN HD SS SMS W Z �6 X 3/8 PHIL PAN HD SS SMS
: WITH S-5 FlSCHER PLUGS HEADS PAINTED TO MATCH.
,� �8 X 1 PHIL PAN HD SS SMS HEADS PAINTED TO MATCH.
• WITH S-5 FlSCHER PLUGS
•� . HEADS PAINTED TO MATCH. 1/8" CLEAR REDWOOD SHIMS
� � _ � (AS REQUIRED)
��� SURFACE CAULK FULL PERIMEfER
AFTER INSTALLA710N WITH
18� WLKEM �116 CAULK.
' • o..p ' -
' , . °v. v. o
. ��� � � � � � � � �� " � - RECEIVED
:.: • .
� . � EXTERIOR �''����������'.'�'��
:. . ,
� °� �� ��� �� '' SILL APR 2 5 2017
. ad •y:
- CITY OF ORONO
503-PL-003 MON-RAY MODEL 503-PL n'PICAL GLAZED WITH 1/8"CLEARANNEALED GLASS SCALE
- 8/30/04 INSTALLATION OPTIONAL GLAZING INCLUDES 1.2
JEB INTERIOR REMOVABLE WITH FLUSH FRAME-INTERIOR MOUNT 3/16", 1/4"& 1/4"LAMINATED
EXPANDERS INCLUDE#1855 ALL FOUR SIDES DETAIL 8-1/2 x 11
�
mOn� �y 7900 Excelsior Bivd., STE 140 • Hopkins, MN 55343
(800) 544-3646 FAX: (763) 546-8977
LETTER OF TRANSMITTAL RECEIVED
DATE: 4-20-17 APR 2 5 ZQ��1
Please deliver the following pages to: G1�'OF ORONO
T0: City of Orono Building Official
RE• Permit a�plication detail drawing and location drawings-Markuson
Residence
Per your request, please find a typical installation detail for the storm
windows we are installing in the owners existing porch. Mark B will be
tempered glass as it is next to a doorway.
If you have any questions please let me know.
Thanks
Greg Murtha
Mon-Ray, Inc.
r� ��`�
� � � �
�-�((� ���s
-�9 1�s ��C�c �
� �� �<< � �
�;�� � � �
� � ��
��� - -� �°
� �� c�� �
� d��
c� 5
�� �
�
�l
��
�