HomeMy WebLinkAbout2000-P02052 - addn/remodel/repair �
� � PERMIT
C�TY �F �R�N 0 Permit Number:
2750 Kelley Parkway- PO Box 66 Po2os2
Crystal Bay, Minnesota 55323 Peftlllt Typ@: Addition/RemodeURepair
(612) 249-4600 Date Issued: 2i22ioo
SITE ADDRESS: 1399 Park Dr
MOUND,MN 55364
P I D: 07-117-23-42-0012
DESCRIPTION: UBC occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#: 4421
Separate permits required: ri�unoing iviecnanicai Eiectricai(siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,273.75 Valuation: $ 150,000.00
Plan Review Fee: $ 828.03
State Surcharge Fee: $ 75.00
TOTAL FEE: $ 2,176.78
APPLICANT: Awad&Koontz Architects Builders Inc OWNER: S M SIGEL&S E SIGEL
6603 Queen Ave S#r 1399 PARK DR
Mpls,MN 55423 MOUND MN 55364
THE UNDERSIGNID HEREBY REQUESTS PERNIISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WTTH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
T SSUED BY SIGNATURE ��
Copies: City,Applicant,Assessor,Finance Page 1
c •
Total Fee: $ Date Received: ,,,� /�1 /� C-
Entered By: Permit#: ����5,�
CITY OF ORONO - BUII�DING PERNIIT 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 CONTRACTOR
JOB SITE ADDRESS: r ��� �"�-1�- �� Z�: ��3�y
NAME OF OWNER: ��►�� s�f�� PHONE: (home)
� (work)�t c. 7 y`7- i � I I
MAILING ADDRESS: l3`1 G� P/�,� G��. CITY: ���L;�,�c� ZIP: 55�3 :
/�3'JZc-rtr t-�-��i S
CONTRACTOR: �t�ti� r ��c;ti i v (�t�i u�l>YL 5 r i�� PHONE: Z�3--v�����
CONTACT PERSON• ,j;�V1 c+�- �-c l MOBILE/PAGER: ��?z—�,1�;� _
:�IAII�ING ADDRESS:/,,%n('i3 ;a,��hJ PrUr 5 ��'-- CITY:�>>��S ZIP: ilr n.�
rir
STATE LICENSE: # L�i�,'35"1/�
ARCHITECT/ENGINEER: S;g��� _PHONE:
�IAILIl�'G ADDRESS: CITY: ZIP:
NAME: REGISTRATION# ��/��� � _
TYPE OF WORK: New Addition •� Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detain: L S7c/��� frrp�-�Ic n � nN ����C� �-� �-r-��^��"����
[�1 C���T l'-c��'7'�3-�,� /'-�h?�'r�tL i/��L��
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
ESTL�IATED CONSTRUCTION VALUATION (excluding land): $ /5�i,G�c�
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.
i�
APPLICANT'S SIGNATURE: � DATE: �- ZZ U�
NOTE! Parade Qt'Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
� �
;
Sec.13.0�1 RIGIiTS OF S[JB.TECTS OF DaT:1
Subd. 1. Type of data. "Ihe rights of ir.dividual on whom the data is scored or co be stored shall be as set forrh in this secdon.
Subd.2. Information reqirired to be�ven individual. An individual asked to supply private or confidenaal data coocerning himself shall
be informed of: (a)the purpose and in[ended use of ttre requested data within the collecdng'state agency,polidcal subdivision,or sracewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any lrnown coas�quence arising from his supplying or refusing to supp(y
privace or conndendal data;and(d)the idennry of orher persoas or entides authorized by state or federal law to receive the data. This requiremen[s6a11
not apply when an individual is asked to suppiy in��srieadve dara, pursuant to szcdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�e�u mav pla-� tt� nodce reauired under this subdivision in the individual income tax or propem taa refund
instructions instead of on[hose forms.
Subd. 3. ?.ecess to data bp indi�zdual. liQon requesc to a responsible authoriry,an individual shall be informed whe[her he is the subject
of stord data on individuals,and wheeher it is class��d as public, privace or contidenaal. lipon his further request, an individual who is the subjecc
of stor.d privace or public dara on individuals shall be shown rhe data without any charge to him and, if he desires, shall be informed of the content
and meaning of rhac data. Ahzr an individual has been shown che privace data and informed of ics meaning, the data need not be disclosed[o him for
six mon[hs chereafrer unless a dispute or acdon pursuant to this secdon is pending or addiaooal data on the individual 6as been collected or creaced.
The responsible au�horiry shali provide copies of che private or public dara upon request by the individual subject of the data. The responsible auchoriry
may require the requesring person to pay the acatal coscs of making. cerafying, and compiling the copies.
The responsible authoriry 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 compfy with the request
wirhin chat time,he shall so inform rhe individual,ar.d may have an addidonal five days wichia which to comply with the request,exeluding Sacurdays,
Sundays and legat holidays.
Subd.4. Proeedure when data is not accurate or complete. An individua!may contest the accuracy or completeness of public or pri�•ate
data conceming himself. To exercise[his rieht,an individual shall noafy in wridng the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days ei4`.=r: (a)correct the data found to be inaccurace or incomplece and attempt to nodfy past recipiencs of
inaccurate or incomplete dara, including recipiencs narr.ed by [he individual; or(b)nodfy the individual that he believes the data to be correc[. Data
in dispute shall be disclosed only if the individuai's sncemenc of disagreement is included wi[h[he disclosed data.
The de[erminarion of the responsible au�horiry may be appealed pursuant to the provisions of the administrarive procedure act relacing to
contested cases.
DAT� 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 Ciry of Orono or any of its departmen[s may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish«�ill be used to determine your qualification for the pemut or license requested.
?. You may refuse to supply da[a, but refusal may require that the City deny the pemut 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 �1.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process th;s applicacion or perm.it.
��l�i'J��'� 1�1�2fl� (�ll�Ll�"'.� �`���.�L
First �ld�z Lasc
iy(c (;� 'i�V�71, R"b�'� � �/\
� Addcess ��i �����
�/� ���/, 3ta[e Zip Phone
Ciry
I understand my ri�hts as stated abo��e.
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Signantr
, . CHECK OFF LIST FOR ISSUANCE OF PERI�IITS
FOR OF CE USE ONL,Y •
ADDRESS OR LEGAL: � 3 q 9 (�o�r �r i V 4.
PID: o� - i�-�- 23 Z o011.
DESCRIPTION OF WORK: 2"'� Sfor i )
ZO��'G REVIE`V BY: a..� -------- DATE APPxO`'ED: s z 0'
BL�DLIIG REY�`V BY: DATE APPROVID; z • r� -�a
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ,/' No
pLAN REV�W Yes � No SE�VER CO�'ECTION
STATE SURCHARGE Yes � No �VATERCOi�1�v'ECTION
INVESTIGATION FEE Yes No v� PARK FEE
SAC Yes No [� ST�'EL\TSPECTION
Number of SAC�Units OTHER (specify)
ZO�Z�G CH�CK LIST Zoning Districr. �.
Fire Department: M o Post Office: SS3 6 y . School D:s�ict: �Z 7 7
Lot Area: Sq.ft. 2 Z I 0� 0 Acres � � � � Width 1�1�- Depth Z-��'(`�`� �'
Survey Submitted: Yes x No Date of Survey: / Z 2 Z q
Proposed Setbacks: � !
Front(Lake): $� Ri�ht Side: �2
Rear(Street): N� Left Side: �a ,
Adjacent Structures: �� tiVetland: NA
, , yo� c►o.�-� �-. W.����
Building Heijht: Def. Hgt. 3 Peak Hgc.
Lot Covera�e: 2 895 no c1^a�N�•
Gradin�: Staff Approval Date: /✓�� By: Council Appro�-�1 Date:
Septic: Staff Agproval Date: /✓�� By:
Zonin�File: # ZSS2– . Resolution: # Resolution Date: 2 � 0O
Shoreland District: L It� � �
Av;. Setback: v��+�c�e- Bluff Setback: N I/� LotCo��ra�e: !�/L
Ezistmg Progosed
Hardcover: 0-75' 0 �
75-2�0' —���. (30.o g) y/8 �30.04�
2�0-Sd0' 7~Z7s 30� 727 30�
SQO-1Q00'
Hardcover Variance R:quired: Yes� No Date o`Coueci Approval: ZI j�Id�
RE�LA_RKS ('ln house):
7
• '
BUII�DING REVIEti� CHECg LIST
uBC: 2- 3 � coxs�xUCTTON�E• v�J
Sq Foota�e S Per Sq Ftg
Basement x =
�. lst floor . ' x _
2nd Floor x _
Gara�e x _
x =
TOTAL
Fstimated Construction Value: $ t j�,d o 0`�'
Inspections Required: Svork Requiring Separate Permits:
Site �o _Plumbin� Fire
Hardcover Removai � blechanical Water Connecdon
' Footing � Septic Sewer Cor.cection �
�Framin� Fireplace Lawn Irri;ation
Insulation (M�o�y� Other
_�Wall Board (ivlgg,) Well (State Permit)
'`F�� Grading/Filling oL Electrical (State Permit)
Other
RE1�7.�iRK�S(IlV I30USE): ,
------ --------- ----- -
REY�tiV BY OTHERS: DATE:
Access: Ezistin� New .
Access Approval: Date By: �
------ ------- --------- -------- -
REI�I�S (TO BE NOTED ON PER1tiII�:
,
8
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I��IINNESOTA ENERGY CODE THERMAL ENVELOPE PACKET
I��NNESOTA ENERGY CODE
1-2 Family Residential Building
EXTERIOR ENVELOPE U-VALUES WORKSHEET
Applicant Name: This building is a: Statement of Compliance:
ItWA���-y��r.i� p�ui
�J�frj• �Category 2 Building(meeu minimum code 'Il�e proposed building design
Phone: � Date: � / reqwremenu for air tighmess and wind wash barriers) rcpresented in these documenu is
2 -Os�-b r consisunt with the building plans,
Applicant Ad�dr�e�ss�: { „ ❑ Category 1 Building(meets all Caugory 2 specifications,and other calculations
��� ��W"" ��� � # � requiremenu,has additiona!air tighmess,and a submitted with the pertnit application.
���j /��� �J�� Residential Mechanical Ventilation Sysum) �e proposed building has been
desi¢ned to meet the requirements
Build' Ad�ress: ❑ Plans must be clesrly marked with of Mi�es Energy Code.
��� ��'��'/ insulation R-values,window and door U-values,
�� ��L �u�� and heating and cooling equipment efficiencies. Applicant/En ineer
��d� �/� �7�l"�.
Assembly- Ceiling/Roof Area(Sq Ft) U=Value U-Value x Area
Ceiling/Roof(Total Framing and Insulation Area) � �Sj p ,p�
Ceiling/Roof(Total Framing and Insulation Area)
Skylights
Other
Totals tp p _
Average U-Value: z0 - �O � 0.0�'✓ � m = OO x 40 =
Required U-Value from Energy Code: 40 0.026 �-�
Assembly-Exposed Wall Area(Sq''Ft) U=Value U-Value x Area
Wall (Stud and Insulated Cavity) � p�p � �� -
Wall (Stud and Insulated Cavity)
Fireplace Wall
Rim Joist ��,� x� p� p„p c.�. --
Windows` � �� 2, ��
Doors 'a ��
Above Grade Foundation Wall �
Foundation Windows
Other
T'otals 6p jp 'O �jt�
Average U-Value: OO�= 60 Q O,O�,c7 � = 60 x � _✓
Required U-Vatne-from£nErgyCode: '� ��"�-'� '� 0:110 ,4
TRADE-OFF PROCEDURE:
If OO is greater than 40, or OO is greater than �,revise the design as necessary to meet envelope criteria of the
r Energy Code. If the total of� +OO is less than or equal to the total of� + �,then the design meets Energy Code.
1 Wood frame,metal frame,masonry U-Values are found on the Wall U-Values Tables.Calculation equations are on pp.l 1-15 of the code.
2 U-Value for skylight and window must be determined by the National Fenestration Rating Council Standard 10091 or ASHRAE 1993
Handbook of Fundamentals,Chapter 27,Table 5. �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED �a���� 3
PERMIT NO. 6 a'�-�� COMPLETED 4� � 3 �'�
ADDRESS I�J �I� G(,1�� ,T�Y•
OWNER CONTR.�,� ° � �-�'n +Z
TELEPHONE NO. �`��� C.�� 1 U T� �
� D�ESCR-I-P�TION
ly� 1.� F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 0�2 F-RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOH TO MEET YOU:_YES_NO
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p ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ COFIRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.f��-c�L����
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED W ��`I� IU 't�
INSPECTION NOT SCHEDULED �t�- � �� ��
PERMIT NO. ��� � COMPLETED / _ '� �'`-!
ADDRESS�� #ar � ���•
OWNER CONTR. �w�� ' I��Z-
TELEPHONE NO. CG1 0� - at-1�• �'���
� DESCRIPTION ������
tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR IN �� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 1 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
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��„ COMMENTS: L�C 1� {�uX S��'c�r�cl F�oov�c�oy
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. j� pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOPORDER POSTED.CALL INSPECTOR f' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContract on site:
Inspector. ��'��^�'��S
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED ' � v %
'ERMIT NO. �' COM�LETED "— �� r��
ADDRESS � �JCI°� ��- '��" PY'
OWNER CONTR. (�w�cl 3 I�f1'f^Z—
TELEPHONE NO. �� 2 � �-���'���
� DESCRIPTION Gt (�] �'�
l� O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� FRAM 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� C MENTS:
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V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
Ci INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. \ �
/
Call for the next inspection 24 hours in adv nce. Z4J-46�0 )
OwnerlContrac on site:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN (� 6 � ��
INSPECTION NOTJ E SCHEDULEd"/!`� ,/ d ��� ����
PERMIT NO. f�����" COMPLETED '- N � l ��
ADDRESS �-3��( .�.��-
OWNER CONTR. C�� ar�T�
TELEPHONE N0. �°l'2 -'2`�-3 -�� ��
� DESCRIPTION �'�.p�.t_ry,
�
tu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q SULATION 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 O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� BEFORECOVERING PERMANENT
C CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-460�
OwnerlContr tor on site:
Inspecto�r, .�� -�C
White Copyllnspector's File Canary CopylSite Notice
QATE / b TIME
CITY OF ORONO CALLED IN ;� o
INSPECTION NOT CE � JSCHEDULED ���a �
PERMIT NO. ���` COMPLETED � ��v � ��
ADDRESS —3 �g ��•
OWNER CONTR. ���.e��
TELEPHONE NO. �Pl�"�'�`�3 " a-S�v
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� W LL B 12 WATER HOOK-UP 17 SITE INSPECTION
O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,f- pHOTOTAKEN
INSPECTOR WILL RETURN
C]STOP ORDER POSTED.CALL INSPECTOR ' CITATION�SSUED
Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
Owner/Contracto on site:
Inspector.,��t�'G �-� a'�
White Copyllnspector's File Canary CopylSite Notice