HomeMy WebLinkAbout2005-P09290 - addn/remodel/repair PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley'Parkway- PO Box 66 P09290
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Addition/Remodel/Repair
Date Issued: 10/28/2005
SITE ADDRESS: 465 Orono Orchard Rd S Unit#
Wayzata,MN 55391
PID: 02-117-23-32-0001
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Plumbing Mechanical Electrical(state)
NOTICES/REMARKS:
F-o 2 tiec3 O rc r c O r c vl S
FEE SUMMARY: Permit Fee: $ 1,441.75
Valuation: $ 180,000.00
Plan Review Fee: $ 937.14
State Surcharge Fee: $ 90.00
TOTAL FEE: $ 2,468.89
APPLICANT: Yerigan Construction OWNER: Edward Hamm
27741 University Ave NE 485 Orono Orchard Rd S
Isanti,MN 55040 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.
LICA11 1i ITEE SI6iQATURE
T/ ISSUED BY SIGNATURE 4
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
4
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• 8 7Date Received: /0 A. I 5
Total Fee: $ '----31�p��. fL
Entered By: Rp Permit#: /409,Z eib
(C/a I
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
i A. 1 ): 1 rint all information)
THE APPLICANT IS ' � circle one) OWNER OR(CONTRACTOR
JOB SITE ADDRESS: ?5 C'o,i c Ordia-ol O. ZIP:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
EYes 1 No If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: Edi,/c,r01 Pot.'yw PHONE: (home)
��
(work)
MAILING ADDRESS: 11?-c- OI'on 0 Or wa rc. .CITY: O'06 0 ZIP:
CONTRACTOR: ie.ni�lo,i Conch^wci.^n L PHONE:7d 3'114i- 363
CONTACT PERSON: 6 ru cc., Ye ry` ,,- MOBILE/PAGER:612.-3U-- U1 01 4`
MAILING ADDRESS: a--) 141 Urn: f-&A>.+4vz hi f_ CITY: E +' ZIP: 5c02- 0
STATE LICENSE: # 3ticN EXPIRATION DATE: 3/6
ARCHITECT/ENGINEER: Mac,oonuldt £► iliac PHONE: 10 3111- `/CC/
MAILING ADDRESS: 71 l7CC.,. l xc�w, c81d ,WDTo yl&V.CITY: 41 p 1 S . ZIP: 5.--s-q15—
NAME:
s-g15NAME: g'1,, 131,,,,,00„,,I REGISTRATION: # I U 3 3
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration X
PROPOSED WORK(describe in detail): 9,enictot I toy,/ a.re oi ) r<<,`Sc, rook c14- c344-; .-
i P. c-r-ec'l.e..-- b e otr owl 1402-
STORIES:
4c.Q.STORIES: SQ.FEET OF EACH FLOOR: OW S
NO. OF BEDROOMS: 1 GARAGE STALLS: ATTACHED 5 DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I l'Q)000 0°
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: I", /-?9- DATE: I il/1 I /0 j
31
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 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 may place the notice required under this subdivision in the individual income tax or property 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 uponrequest 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 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 or completeness of public or private data
concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the 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.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
27
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: et C 0 40,v0 v 4-c M
PID:
DESCRIPTION OF WORK: (Lzwv ooeL - teA,5 p 0,4 el
ZONING REVIEW BY: d` �� DATE APPROVED: /o•2-€)-o s
BUILDING REVIEW BY: � DATE APPROVED: (0 —oS—
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes V No
PLAN REVIEW Yes V No SEWER CONNECTION
STATE SURCHARGE Yes , No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC.Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sc.ft. Acres Width Depth
Survey Submitted: Yes Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wet •ed:
Building Height: Def. Hgt. 'eak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: : Resolution Date:
Shoreland District:
Avg. Setback: Bluff Set,•ck: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
•
BUILDING REVIEW CHECK LIST
UBC: a-3 CONSTRUCTION TYPE: 'jt
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x _
2nd Floor x
Garage x
x =
TOTAL
Estimated Construction Value: $ I BO.0 po 0'9
Inspections Required: Work Requiring Separate Permits:
Site al Plumbing Fire
Hardcover Removal ,c Mechanical Water Connection
Footing - Septic Sewer Connection
V Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
Final Grading/Filling 0/ Electrical (State Permit)
Other
REMARKS(IN HOUSE): •
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
8
ORONO COPY
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Minnesota berg Code Petit I I
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COPY:Hennepin
00106:Minnesota
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COIS!IAC!If TN:Single Fey
DA06:10.10-2005
RISE:PASS
Required DA=342
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Area or Cavity Cont, Glaningll ur
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CEILINGS 8d0 44.0 1.0 23
Fes:Hood Free,16'0.C. 1510 15.0 1.0 112
:s.:Coo-.8.0'ht11.0'bg18.0'insal 136 15.0 0.0 46
GLUE Nim or Doors,bore Grade 110 0.350 35
UM:windows,Foundation,t-5,6 ft2 12 0,350 0
GEE:Endows,Foundation,>5.6 ill 22 0,350 0
DCORS 126 0.350 !4
FRS:weer Oncouditioaed Space 360 30.0 0,0 12
rai .I0,:Farms, 41.0 hl4E
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Ct PIIANCE
EMT: the proposed building design described here is
consistent with the building plans,specifications,and other calculations
sobaitted with the petit application. the pry{ building has been
designed to deet tie*rents of the Minnesota Energy Code.
bidden/lesigner_ ate/O/ Io'
/66V DATE T CITY OF ORONO CALLED IN I- _
INSPECTION NOTICE SCHEDULED -0(o
TIc/'-'1 36
PERMIT NO. /-L.l7a-/V COMPLETED
ADDRESS 41/2',5- Or6hc) C 4 0-/691 12d 5
OWNER CONTR. ya.r-i-4 a h COrh.St
TELEPHONE NO. (P/c ) 59 d 4/311
DESCRIPTIONp,:eiiiiii
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
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13 MECHANICAL FINAL 19 LAKESHOREETLANDS
O ION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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OO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
E INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next\inspection 24 hours in advance. (952) 249-4600
OwnerlCon on it -
Inspector. c V
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White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. o acro COMPLETEqq - /I &7 //4�
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ADDRESS �'
OWNER � Ll .l CONTR.
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
v 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
• OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING AVPERMANENT 1W.1;31
Li CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN GJ{
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex 'nspection 24 hours in advance. (952) 249-4600
Owner!Contracto� i :
Inspector.
White Copy/Inspector's EU Canary Copy/Site Notice