HomeMy WebLinkAbout2006-P10546 - addn/remodel/repair CI�Y OF ORONO PERMIT
�2750 Kelley Parkway- PO Box 66 Permit Number: P10546
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Addition/RemodeURepair
Date Issued: 11/30/2006
SITE ADDRESS: 4775 North Shore Dr Unit#
Mound,MN 55364
PID: 07-117-23-32-0022
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
Portico over front door not included in permit-setback variance required.
FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00
Plan Review Fee: $ 287.14
State Surcharge Fee: $ 15.00
TOTAL FEE: $ 743.89
APPLICANT: Owner/Self OWNER: Craig&Rebecca Olson
MN 4775 North Shore Dr
Mound,MN 55364
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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AP CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ �� DateReceived: , l — ��= O1�_
Entered By: ��.,���� Permit#: , �} /�;�j ��-1(y
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(p/ecrse pri�it all i�zfornzation)
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THE APPLICANT IS: (c�rcle onne � OWNF,�R CONTRA.CTOR
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JOBSIT�ADDRESS: y`�'��/U�,7rZ%r-� �7%-tB��iz � �Z ZIP: `� � � ��'
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ yeS ��TO If yes, a special event pern7it is r�eqirired tivith Police Depc�rtirrent and Ci.ty Caz�ncil approval
60 c/ays prior to the eveyat. Shuttle bus service rvill be r�equired un/ess appliccznt demonstrates
si�fficient o�7-site parlcing is m�ailable. Nor�-pern�itted events will t�ot be alloi�ved.
NAME OF OWN�R: �ZA��� �. ���s�ti PHONE: (home) �`�a � (a�� �
(wOIIC� �''/So�-`135- JS'1/o�-
MAILING ADDRESS: �1��5 ✓'L'o��•> j�«�2n- CITY: ��Z��•i����' ZIP: 5 s�`3C-�-(
CONTRACTOR: �s r,�,3�,; � PHONE:
CONTACT PERSON: �,�:���=-' � MOBILE/PAGER:
MAILING ADDIZESS: /� CITY: ZIP: �5��'l��-�
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: �r��-tS�,� '��-�:5.�.,�5 PHONE: (�� -.5 78 -3�! I�
MAILINGADDRESS: loS�J G/e-aEti,�. {�/ CITY: l�t%���3��2� ZIP: ����
NAME: `�, r�, r,���-5�►= REGISTRATION: #
TYPE OF WORK: New Home Addition � Accessory Structuce
Move Home Remodel/A teration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
�R�P�S�iJ�I�R1K(�fesce•ibeaaa�letrrd�: (���.-,vrc � �/v.�,� 'io �s+;z��`ri
Tfi�?d✓6�( �j2•i.EZ:�- w�t�
STORIES: c� SQ.FEET OF EACH FLOOR: � b c= c=-�
NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED� DETACHED__
ESTIIVIATEI3 CONSTRUCTION VALUATION(excluding land): � �/�', G'G"G
1 hereby apply for a buildin�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�vith the State Building
Code;that I understand this is not a permit and���ork is not to start without a permit;and tl�at tlle�voi-k�vill be
in accordance with the approved plan. �'
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APPLICANT'S SIGNATURI;: � '��`��� DATE: ��/� /��
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31
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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 concerning himselfshall 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 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 m�v olace the notice rec�ired under this subdivision in the individual inwme tax or prooerty 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 ofthe content and
mea��ing of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for si�
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 authoriry shall provide copies ofthe private or public data upon request by the individual subject ofthe 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,ifpossible,with any request made pursuant to this subdivision,or�vithin tive days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request
within that time,he shall so inform the individual,and may have a�i 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
conceming himself. To exercise this right,an individual shall notify in wTiting the responsible authority describing the nature of the disagreement.The
responsible authority shall within 30 days either. (a)corcect 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 correc[. 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 administra[ive 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.
CR��� 2�N��-�.� ��.��.�
First Middle Lxst
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Address
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City Stxtc Zip Phonc
I understand my rights as stated bove.
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Signature
Reset Form 32
• �CHEC�K pFF i.�IST FOR ISSUANCE O�' �E�'�TS
FOR OFFTCE USE ONLY
ADD�tESS OR LE�AL: �( �7�l5 I�c7<�� S�^o�� '��iu - ;
P�� v�r 5 tQ.
I7ES CRIP'I.'ION OF WORK: l o o re-�. �`'`'
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------�giC1 _ tr�ct�r a�isl,�q
Z0��1G REVIE�V BY: DATE APPROVED: �- 22 .�_ �' 1
BUII�DING REVIE�V $Y:
DA.T'E APPROVED: i zg �
� ----- --- ---------------------------=-------------�------------____
FEES TO BE CHARGED: Misc. Fees Calculated By:
P��yuT Yes ✓ No
� PLAN REVIE`V � Yes �/ Na SE�VE.R CONNECTTON
STATE SURCHARGE Yes ✓ No tiVATER'C�NNE��O�
INVESTIGATION FEE Yes No ✓ PA-RK FEE
SAC Y'es No ✓ SITEINSPECTION
Number of SAC�Units OTHER (specify)
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------------------------------------ _ �
�p� � G CH�CK LIST Zoaing District: l. -
Fire Deg3rtm.ent:
Post Office; School District: �
Lot Area: Sq.ft. � 1
Acres Width Dep�h � Z.�
�o �_ Date of Survey: Z. "Z9 "� a �� ��'� ` ` �
5urvey Submittecl: Yes ��� �,,�`
Proposed Setbacks:
Froat(Lake): OC RightSide: r'1d G�PY�G+L , �oi�'��o w��� ,
� � �� teQ��r� vAY�4h�1��
Rear(Street): Left Side: 1'�O
5 0 �'✓
' no1�- da -�k ,1n�s��v+1�
r���3CP�r Srni�t�llc=;
h /G} tivetland:
Buildin� Hei�t[: Def, Hgt, Peal:Hgt.
� hq..s /4 � o vUh c►nq�r�r'��b�c.KB o
Q Pvrt�Co w�1 �heres�sQ. lo��o�.r Q ID� I$ � rC MA/n�c�l'
Lot Covera�e:
,,s p/rt1►ct,� �n c r�c�d �H iof �a c�t� .
B Council Approval Date:
Grading: Scaff Approval Date: __ Y�
Se tic: S�afi Approvai Dace: � �y� W�
P
Zoaing F'�le: � Resolutioa: R________ Resolutioe Dace:
Shoretand Dist:icc: �
Avg. Setba�k: BI,�F`Serback: L.c�Cove2ge:
E�st�eg Proposed
brt,etc wAll
;-i�eco��ec; G-7�' t.V�C1oSt�✓Cr
'15-ti0' u.�il no� �v�clrtaSd
2�0-5a� �,�,.d Cu.�e.�
�CO-?C!C1�' ��►�t'�
•a. '� � `V 2_12_.�.C2 Z?GU!i2�: i?> >�Q 'J�._ G'[ �v'.=�� :-`i_�, . r: -�C�eh✓�. ��G: .
�':�C�O`'z: . 1
� LSt th
�.��L'�R.T�S (inho��;e); o ec�- A�SCi �hCt� A\l ' t
�,,,, 1g w i�
ow►�4��hG+�� /� .
SUII�DING REVIEtiY CHECK LIST
trBc: (Z•3 � CONSTRUCTION TYPE: �/�
Sq Footaoe $ Per Sq Ftg
Baseaient . x =
ls[F1oar z ' _ .
2nd Floor x = .
Garage x =
x —
TOTAL
�G C,���� �:?�•P r�'-�>F-���,�
Estimated Construction V'alue: $ ��; 00'�' �r^ -=�.�;-�'V�—���
T_nspections Required: tiYork Requiring Separate Pertnits:
Site _�Plumbing Fire
� Hardcover Removal .� Mechazucal Water Coanection
X Footing ' Septic 5ewer Coanection
� �( Frami.ng Fireplace Lawn Irrigation
X Insuiatioa (Masoary) O[ner
�( �Val1 Boazd (Mfg.) Well (State Perm.it)
`� F�� Grading/Fll1inJ �_ Eleccrical (State Permit)
O Che r
REMARK� (L'Vi HOUSE): _ - --
--------------------------
REV�W SY OTHERS: �A�:
Access: Existing New
Access Approval: Datz gy;
- - ---------------------------
REI�IARKS (TO EE NOTED OiV PER�YIIT}: �ar�co ove�✓ -�r�►�- clo�,I
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Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release 1
Data filename: Untitled.rck
TITLE:Olson Residence
COUNTY:Hennepin
STATE:Minnesota
ZONE:2
CONSTRUCTION TYPE: Single Family
DATE: 11/06/(l6
DATE OF PLANS:06 23
PROJECT INFORMATION:
4775 No. Shore Dr.
Orono ..
COMPLIANCE:Passes
Maximum UA=331
Your Home UA=301
9.1%Better T'han Code(UA) ,
�� Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1287 45.0 0.0 35
Wall 1: Wood Frame, 16"o.a 2105 19.0 2.0 98
Basement Wall 1: Solid Concrete or Masonry 1118 11.0 2.0 Sg
Wall height: 7.5'
Depth below grade: 7.0'
Insulation depth: 7.5'
Window 1:Above-Grade:Wood Frame:Double Pane with Low-E 285 0.320 91
Door 2: Solid 21 0.128 3
Door l: Glass 42 0.350 15
Floor 1:All-Wood Joist/Truss:Over Outside Air 26 30.0 0.0 �
Proposed and Magimum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.324 - 0.370
Includes Foundation Windows>5.6 ft2
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,
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and other calculatia�s submit#ed with it application. The proposed building has been designed to meet the 20�Minnesota
• Energy Code reyuirements in RESc ckV ion 3.5 Release 1 (formerly MECchec�j and to comply with the mandatory
requirecnents listed in the RESche k i ecklist.
Builder/Designer �te �,(- d�^O('p
�. � / DATE IM� V
CITY OF ORONO CALLED IN �,�.',°�v'U�� �� ��
INSPECTION NOTICE . � SCHEDULED /sa��r —�(�
PERMIT NO. J � COMPLETED
ADDRESS U ��S ��'"�` � r`�'o �r,
OWNER�FC�fq O �0� CONTR.
TELEPHONE NO. `"��—Q35" � � � �"
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� DESCRIPTION �� (�'j�j������G
FOOTING`� 11 MECHANICAL RI 18 EXC7RiV/GRADING/FILLI� ,
�c._.
Q G 13 MECHANICAL FINAL 19 LAKESHORE/WETLAND
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETtJRN
❑ CITATION ISSUED
f,STOP ORDER POSTED.CALL INSPECTOR
f 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the n xt inspection 24 hours in advance. (J52� 249-4600
OwnerlContract ite:
Inspector.
White Copyllnspector' File Canary CopylSite Notice
�� .y`" DATE TIME �
CITY OF ORONO CALLED IN �J a��
INSPECTION N TIC SCHEDULED (�-�� 07 �-�
PERMIT NO. ���`�� COMPLETED
ADDRESS ���s /�ar� �k.�t� ��
OWNER� � D ���� CONTR.
TELEPHONE NO. �l a aa�B �D��
� DESCRIPTION S���v�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS
Q ❑ 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
v ❑ DEMO-FINAI ❑ 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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�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the r�ext inspection 24 hours in advance. (g52) 249-46��
, ;
OwnerlCo�tra r�or!site:
H
Inspector.
White Copyllnspector' File Canary CopylSite Notice
�� �� DAT TIME �
CITY OF ORONO CALLED IN �
INSPECTION NO ICE SCHEDULED - - 7 s .'D�
PERMIT NO. ID COMPLETED
ADDRESS �775 �1�� ��l.d�Q
OWNER CONTR.
TELEPHONENO. lD`a a� 3�07' �
� DESCRIPTION �LG �Q� �
� 01 FOOTING 11 MEC ICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL 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 WARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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V BEFORE COVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETUflN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe n t inspection 24 hours in advance. (952) 249-4600
OwnedContract� ite:
Inspector.
White Copylinspector's File Canary CopylSite Notice
�' � �"—' ATE TIME
CITY OF ORONO �Q`�ED IN ��
INSPECTION NOTIC� SCHEDULED -��
PERMIT NO. . COMP ETED
ADDRESS S
OWNER aL CONTR.
TELEPHONE N : "—��� �`!
`
� DESCRIPTION
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL p LAKESHORENVETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL O SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI p SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:P�LI % f�/l�l -�� �� ��1
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on si :
Inspector. l .� � �
White Copyllnspector's File Canary CopylSite Notice