HomeMy WebLinkAbout2008-P11897 - addn/remodel/repair � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Pi 1897
Crystal Bay, Minnesota 55323 Permlt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 3/25/2008
SITE ADDRESS: 3669 North Shore Dr Unit#
Wayzata,MN 55391
P��� 08-117-23-34-0051
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residenrial 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:
2nd Story,remodel,windows--HARDCOVER REMOVALS REQ.PRIOR TO
FRAMING INSP
FEE SUMMARY: Permit Fee: $ 1,956.75 valuation: $ 250,000.00
Plan Review Fee: $ 1,271.89
State Surcharge Fee: $ 125.00
TOTAL FEE: $ 3,353.64
APPLICANT: Doug Boschee Homes Inc. OWNER: Warren Berg ETAL
9160 Brockton Lane N 3669 North Shore Dr
Maple Grove,MN 55311 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.
APPL PERMITEE S G A ISSLTED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ 3� Date Received: �-a9�0$
Entered By: Permit#: �4 //g�f�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(pleu.se print all inforrraation)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: � �iGa� �fXL i�15%k�2�: �(� ZIP: �5�`� f
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Z'es �No If yes, a special event permit is required tivi�ti P�'�_ �nt and City Council approval
60 days prio�•to the ev��+ �" � . - inless applicant demonstrates
su�ci ill not be allowed.
��
NAME OF OWNER: �t,,,.►� • : (home) �5 Z 4"1 I l bb'q
N� � (work)(�'IZ Z¢7 4J l �
M A I L IN G A D DRESS:'-��;i � r� ZIP: 5S3S 1
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CONTRACTOR: + a � i. ��1� �� �:���-�r4 y-3�y�
CONTACT PERSO�j, C%" ' � -•_ ..�� _1
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MAILING ADDRESS:��, �� ��. zir: S�'3i/
STATE LICENSE: #� � � 1� � 1� 3t - D�
, ��Q� �
ARCHITECT/ENGINEER: _ ��".,`" ,...�(,,I�' , 7��, 441 `�4b`j
MAILINGADDRESS: � ,��-� �� �'� ZIP: ��3�
NAME: �I15 '# .s�'�l �'
TYPE OF WORK: New Horr � �������""�dition � Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows) �,_
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�: �t �c� �^`� o�cr� � �
r
/ �. `�" �!1 � � �P � . / �- � ' ..+-O
�-f'�r-i�•r� 9- .�� • ��: I Z(v�>
STORIES: �- SQ.FEET OF EACH FLOOR:Ct� ia� C21�'
NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED jC DETACHED
a�
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ y7�, p�nr}
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 pla�
APPLICANT'S SIGNATURE: � DATE: Z- —� y--a�
, 31�
�
Sec.13.04 RIG�ITS OF SUBJECTS OF DATA
Sut�d.1. Type of data. 1'he 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 conceming 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 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 cpmmissioner of revenue may place the notice reauired under this subdivision in the individual income 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 chazge to him and,if he desires,shall be informed ofthe 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 authority
may require the requesting person to pay the actual wsts 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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot eomply with the request
within that time,he shall so inform the individual,and may have an additionat five days within which to comply with the request,excluding Sahudays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness 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 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.
tl.lArL�J � J�1u�� 'Fx�'
First Middle Last
3�ob`� r.�ect,iit'St-k�v�czc:, t7ri..�.lt
Address
wAy 2..���s Nl••� 553�1 ( �l L--Z4'1--4S'1 '�
C��Y State Zip Phone
I un tan my rights as stated above.
` P�
Signature
. �'I I�i,�e'8� .
32
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CHECK OFFLIST FOR ISSUANCE OFPERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: _�1���� NU<�'►1 S(�o�.2 c�r .
PID:
DESCRIPTIONOF WORK i� ��� �,,�,� �yl,�,,,�nq �f�oc.✓
ZONING REVIEW BY.• DATEAPPROVED: �8 � �
BUILDING REVIEW BY: w,`, DATEAPPROVED: 3-� � _��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMI7' Yes ✓ No
PLAN REVIEW Yes�- No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (spec�)
ZONING CHEC%LIST Zoning District: �.., — �
Fire Department: Post Offtce: School District:
/� �
Lot Area: Sg;ft. �2S� Acres Width `C� Depth
Survey Submitted: Yes � No Date of Survey.• �� �� 6 7 �"QN /Z�Z G�G 7
Fi►- s.� S��,,'i'
Proposed Setbacks: /��Sy�s� �
F�e�t(Lake): �'�J Right Side: ��
, ,�� / � �
�etrr�Street): �� 3 -Lv,�dzSide:, / �� �v►
Adjacent Structures: �/�" Wetland: `J/.�
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Building Height: Def.Hgt. �� Peak Hgt. ?j
�ot Coverage: • � 3 y��%e
Grading: Staff Approval Date: /��} By: � Council Approval Date:
Sertic: Stsff.4pproval Date: ^ ay, t,�
�Zoning File: # _j�a Resolution: #-S��_ Resolution Date: � �I �S
Shoreland District: MCWD Permit:
Avg. Setback: O L BluffSetback: ��_ LotCwerc�ge:
Hardcover: 0-75' I �isti�Z 9 t�vac�� Pro�s�� Sr
�� T
75-250 J, -7 q f� r ���G � s�
250-500' � �.,cCo.,,�c��C.
500-1000'
Hardcover Yariance Reguired.• Yes� No Date of Council Approval: Z �(
REMARKS(in house):
33
• • �
�— / �
0
BUILDING REVIEW CHECIC LIST
vBc: 2- 3 CONSTRUCTION TYPE: �lnJ
Sg Footage $Per Sq Ftg
Basement x =
Ist Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
0
Estimated Construction Value: $ ZS c�,CX�c� '—
Inspections Required: Work Requiring Separate Per»tits:
Site pC Plumbing Fire
Hardcover Removal Dc Mechanical Y�''ater Connection
_Zl Footing Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
�Final Grading/Filling �C Electrical(State Permit)
Other
REMARKS(INHOIISE):
REVIEW BY OTHERS: DATE:
Access: F�isting New
Access Approval: Date By:
REMARKS(TO BE NOTED ONPERMIT):
I-I/-MC�.0 o� P�.,vYtc�a15 -'=1� ' � � r� P(L��ti -�.�
�(lP�v��rJ� (NS�.
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MNcheck COMPLIANCE REPORT I
Minnesota Energy Code � Permit #
NlrTcheck Software Version 3 . 0 �
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� Checked by/Date
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COUNTY: Hennepin ;
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 2-28-2008
COMPLIANCE: PASSES
Required UA = 422
Your Home = 382
9 .4o Better Than Code
Area or Cavity Cont . Glazing/Door
Perimeter R-Value R-Value U-Value
------------------------------------------------- -------------------------
CEILINGS : Raised Truss 1652 44 . 0 2 . 0
WALLS : Wood Frame, 16" O.C. 2550 19 . 0 2 . 0
GLAZING: Windows or poors, Above Grade 461 0 . 310
DOORS 56 0 . 350
CR.AWL: Concrete 48" ht/ 36" bg/ 48" insul . 560 10 . 0
------------------------------- -------------------------------------------
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 �aeen
designed to meet th requ' rements of th Minnesotd ���C��, �
Builder/Designer ` � Date 2 ���`�'�
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CITY OF ORONO CALLED IN
INSPECTION N C Q� SCHEDULED D �
PERMIT NO. v � C MPLETED
ADDRESS 3 �CB�I �rY � �L �� �}/r�
OWNER CONTR.
TELEPHONE NO. �I, —" ��P� a� ��' �
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� DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q - 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 05 FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING F 36 FOUNDATION/REMOVAL
� OW ONTRACTOR T EET YOU�YES_NO
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V BEFORECO�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � ATE TIM��
CI OF ORONO `-CALLED IN � Ff OS�
INSPECTION TIC SCHEDULED D /•'3v
PERMIT NO. � � COMPLETED r
ADDRESS � �
OWNER CONTR � ,e�
TELEPHONE NO. 7(�3 - a�� -� � �9 ����4�d
. �
� DESCRIPTION � K-
� ❑ FOOTING ❑ MEC ANICAL RI ❑ EXCAV/GRADING/FILLING
Q �MING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ iNSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE O SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ��RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O IIJSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-460�
OwnerlConVactor on sit :
Inspector.
White Copyllnspecto�'s File Canary CopylSite Notice
��- 7 �/
-� D E TIME
CITY OF ORONO CALLED IN-7 ��S D�
INSPECTION TIC SCHEDULED ��
PERMIT NO. COMPLETED
ADDRESS L��
OWNER CONTR. S�
TELEPHONE NO. ��3� �
� DESCRIPTION L �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ 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
= p PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFOREC�/ERING PERMANENT
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{NSPECTOR WlLL RETURN
❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ IIVSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (952) 249-46�0
Owner/Contractor on site:
Inspector. ,/ s
White Copyllnspector's File Canary CopylSite Notice
DATE TIME "
CITY OF ORONO CALLED IN � �
INSPECTION NO SCHEDULED
PERMIT NO. �9 7 COMPLETED %
ADDRESS ��+f�'7 �D�T�( ��P �yv
OWNER CONTR. s ��
TELEPHONE NO.
� DESCRIPTION ����'Q —�����
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
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 INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
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V BEFOREC�/ERING �� PERMANENT
❑CORRECTUNSAFECOND�TIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. ��y� �
White Copyllnspector's File Canary CopylSite Notice