HomeMy WebLinkAbout2004-P07358 - addn/remodel/repair PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�3sa
Crystal Bay, Minnesota 55323 P21"t111t Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 4i2ii2oo4
SITE ADDRESS: 3202 North Shore Dr
Wayzata,MN 55391
P I D: 08-117-23-41-0003
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial
Pernut Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#: 5090
Separate pernuts required: riumoing iviecnanicai Eiecuicai�siatej
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 1,088.95 Valuation: $ 116,524.00
Plan Review Fee: $ 718.83
State Surcharge Fee: $ 60.50
TOTAL FEE: $ 1,868.28
APPLICANT: owner/Self OWNER: Robert&7anet Labatt
MN 3202 North Shore Dr
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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APPUCANT PERMITLE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Renuired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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Total Fee: $ ��f�,�� .� � � Date Received: �' ����
Entered By: /�� Permit #: � Z j v�/
CITY OF ORONO - BUILDING PERMIT APPLICATION
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L ,�n�� All information must be submitted in full before plan review will be started.
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �:��%� /�:�c2��� ���k� ��= ZIP: � 5 -3 `� (
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NAME OF OWNER:�l,�J���"Y 4���'g � PH01�1E: (home) G,j�a1- L��/a2��-
(work) `%S�- �'7/ �3-�� :33'
MAILING ADDRESS:.J;�c�a� /�'D/'+��S��- ���� CITY: ��/�r}�'z�-T� ZIP: S.s.3�/
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CONTRACTOR: L�l�'� Fti�-6�- PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILIN(i ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition � Accessory Structure
-----------
Move Remodel/Alteration Land alteration
PROPOSED WORK��escribe rn detai�: 3 -S��^U'�y ��,��-,������; (����,,L�/�:-���,-�--J
�iz'i� /�G'/4�`��i�
STORIES: __.� SQ. FEET OF EACH FLOOR: _ ��'Z�
NO. OF BEDROOMS: � GARAGE STALLS: ATT. i� DET.
/
ESTIMATED CONSTRUCTION VALUATION (excluding land): � �(�,G��
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I hereby apply for a building permit and I acknowledge that the information abo�-e 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 ���ithout a permit;
and that the work will be in accordance ith the ap ved plan.
APPLICANT'S SIGNATURE: l � ~DATE: � � � ,
NOTE.� Parade of Homes events require separate permit approval by Police Department and City
CounciJ 60 days prior to the evenf Non permitted events will not be a//o�i�ed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. I. 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 concerning himself shall be
informed of: (a) the purpose and intended use of the 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 mav place the notice reauired under this subdivision in the individual income tax or oroaertv 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 ot that data. Aher 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 authority 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 Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within
that time, he shail 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 or completeness of public or private
data concerning himself. To eacercise this right, an individual shall notify in writing the responsible authority describing the nature of the disagreement.
The responsibie 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 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.
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.
,��OO� 60 ,¢Q��-�—
First M' dle las(
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Address
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1 understand my rights as stated ab e.
Signatur
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
ADDRESS OR LEGAL: �_�pa O��O�rFICE��SE�NL�Y�
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PID:
DESCRIPTION OF WORK: v�
------------------------------------------- ----------------------- -----____--_-------- ---- -----
ZONING REVIEW BY: '► -� DATE APPROVED: � `�
BUILDING REVIEW BY: _ DATE APPROVED: aD n
FEES TO BE CHARC�ED: Misc. Fees Calculated By:
PERMIT Yes >( No
PLAN REVIEW Yes No SEWER COMVECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No Pf1RK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
----------- - -------------------------------
ZONING CHECK L1ST Zoning District: � — $
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres �e a o2� Width � Depth
Survey Submitted: Yes ,?� No Date of Sun�ey: � �fp C�3
Proposed Setbacks: C
Front Q�ke�: Right Side: `�02
t '
Rear(Street): Left Side: g
Adjacent Structures: Wetland:
Building Height: Def. Hgt. o��p� Peak Hgt. c� �
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: � By:
Zoning File: #D�-n�4�3 Resolution: # O � Resolution Date: Ja B �3
Shoreland District:
Avg. Setback: Bluff Setback: 1�i4 L o t C o � e r a g e :
Existing Proposed
Hardcover: 0-75'
75-250'
250-500' L�
500-1000'
Hardcover Variance Required: Yes ?( No Date of Council Approval: �o� D �
REMARKS (in house):
r .
BUILDING REVIEW CHECK LIST
� t� � CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg ,
Basement 7 2 D x l3 �oi� — � �
1 st Floor ? a0 x� Z = 3
2nd Floor Z v"tp x = �T4-��
Garage x =
x =
TOTAL ��P So2
Estimated Construction Value: $ 1�(p, So2�
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Fire
Hardcover Removal a( Mechanical �Water Connection
�Footing Septic Sewer Connection
_�Framing Fireplace Lawn lrrigation
� Insulation (Masonry) Other
Wall.Board (Mfg.) Well (State Permit)
�Final Grading/Filling � Electrical(State Permit)
Other
REMARKS (IN HOUSE):- 1Jo cc.c.c �0
— � e.!' ✓' �I
REVIEW BY OTHERS: DATE:
Access: Fxisting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
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Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code �
REScheckSoftware Version 3.5 Release 1
Data filename: C:�Program Files\Check\REScheck\C104468B.rck
COUNTY: Hennepin
STATE: Minnesota
ZONE:2
CONSTRUCTION TYPE: Single Family
DATE: 12/04/03
DATE OF PLANS: 12/3/03
PROJECT INFORMATION:
BOB LABATT
3202 NORTH SHORE DRIVE
ORONO,MN
COMPLIANCE:Passes
Maximum UA=253
Your Home UA=210
17.0%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 728 44.0 0.0 16
Wall 1: Wood Frame, 16"o.c. 1557 19.0 0.0 75
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 291 0.350 102
Floor 1: Alt-Wood Joist/Truss:Over Unconditioned Space 728 44.0 0.0 17
Furnace 1: Forced Hot Air,90 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.350 0.370
Includes Foundation Windows>5.6 ft2
Floors Over Unconditioned Space 0.023 0.033
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 REScheckVersion 3.5 Release 1 (formerly MECchec�and to comply with the mandatory
requirements listed in the REScheckInspection Checklist.
Builder/Designer Date
DAjE TIME `
CITY OF ORONO �-7� CALLED IN ��/
INSPECTION NO IC � SCHEDULED '� '�
PERMIT NO. COMPLETED
ADDRESS r
OWNER CONTR.
TELEPHONE NO. �7 Z 23� l52�
� DESCRIPTION ' � �S��I�
� 01 FOOTING it MECHANICALR 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FI L 19 LAKESHORE/WETLANDS
y 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENT :
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnedContracto 'te:
Inspector. "
White Copyllnspector's ile Canary CopylSite Notfce
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OATE TIME
CITY OF ORONO CALLED IN .�'3'��Oy
INSPECTION NOTICE SCHEDULED � ' 'd 3 �� �
PERMIT NO. �d 7 3-{� COMPLETED
ADDRESS 3���' ��� ���-�- �ti
OWNER�,.ga�t CONTR. "�
TELEPHONE N0. �S�' � ���— ��a--'�
� DE TION ���
l� 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 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
� 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
� OWNERICONTRACTOFi TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ❑COFRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the nex inspection 24 hours in advance. (J52� 249-460�
OwnerlContra� e:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN /a/�-ay
INSPECTION NOTICE p� SCHEDULED �0�-/��1 ` d
PERMIT NO. �.350 COMPLETED
ADDRESS �2�2 /��-� ��a n- �/J� a
OWNER, � �� CONTR. �GC.Y)-2./1
TELEPHONE NO. ��ZZ y��/7 7 Z
� DESCRIPTION
� 01 FOOT 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 0 TION 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
� 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedContra site:
Inspector.
White Copylinspector's File Canary CopylSite Notice