HomeMy WebLinkAbout1994-006205 - addition PERMIT
CI�'Y OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway • P.O. Box 815 ���������`3��
Orono, Minnesota 55356-0815 PermitNumber: r.';ii:,'�;:;�
(612) 473-7357 Date Issued: ;-��:,,fi';,;1`'��
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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' CITY OF ORONO - BIIILDING PERI�LZT APPLICATION
Total Fee• $ >'1'�•.2J Date Received: �' - �1� � " �f`�
Date Approved:
Entered By: ��'`'�j .
Permit tt: !,���
-�=
ALL INFORMATION MIIST BS SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL BB STARZ�D
(See Check-off List Enclosed)
-------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: LZ-��' �'�y'"`"`'� �`t�`'� ZIP:
(work) y 7/ - `'I� 3�/
N� OF OWNERs CN��S;�►.�� i�-SZ-�--C-*��-�.1 PHONE: (home) ��l - 7L�ZL
MATZ�ING ADDR.ESS: ZZyc? y��..��,_`� 2-<='�,� CITY: �%;�;.-'� ZIP:
CONTRACTOR: 1�1����•;'h-�� 4�-}-c..,i = 5 ��_ PHONE: '�IS��S��I L
MAILING ADDR.ESS: �iz.c� �S tti' Sz- �--. CIZ'Y:�'^rJ"''L �-'z""t ���'`L`{��IP: � 5" �4�
STATS LICENSE: � /Cl � �
ARCHITECT/ENGINEER: �'b�2,� :,�,�� i S ��E•sic,,t C irt�5�c s � PHONE: �"43 .Z-- -7 ct���?
MATI,ING ADDRSSS: /(�%�'�` c,' ;!��''� /2.�,:�-i� _ CITY:-?��'z�.r��,'���c ZIP: S�-�3 �7
N�,r� RSGISTRATION n
TYPE OF WORR: New Addition Accessory Struczure Move
Demo Remodel/Alteration�_ Renovate Land Alteration
PROPOSED WORR (describe in detail) : [.'�;�.«b r.l�.-w �1�1�(��v urJ ti w�� s����
N�l A�r-H�n�., �Z l S�h,�4- iZ.:�u i''i N c. y 5� =r�� � H1s c =n - Pc1'�1) ��2� U rr- ���5 i ` ,✓�- /M�`�:w
STORISS: � SQ. FEBT OF EACH FLOOR: Z�`�
NO. OF B$DROOMS: � GARAGE ST�LS: ATT. C�i DET. C%
ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ .��`' � �'��'��
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 withvut a permit; and
that the work wil 1 be in accordan with the approved plan. �
APPLICANT'S SIGNATURE: � DATE: r �' %
�. �. .
�
;,,,..,
, �
�:� �-k�� CITY of ORONO
T..:��.�t.�r �.
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
•
� _ � � On the North, Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of
data", we would Iike to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential informatione
You are notified that:
1. The information you furnish will be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other Iocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or 3.icense requires Counci� action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 �o review priva��
data on yourself.
6. Your full name is required to process this applicatia:� o�
permit.
�jj;�.�c 1-�nJ,�,�z��:,� SiT�;��
First Middle Last
1�EJ���::J 7 S �� ST , �,-l�a S� _
Address
�-;.tv�—iL C,:�-�.:� ��-��c�.�.�:� ,�„(,,� SS4���:
City State Zip
�f��- s��f Z_
Phone
I understand my rights as stated above.
� ,--
G,
S u
" �`
BUILDING&ZONING-473-7357 � ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
---- -- - � _
!
513.0.4 RIGHTS OF SIIB.7ECTS �F DATA .
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section. An.individuel asked to
Subd, 2. Informatioa r�d
to be given in�vi�uaL
� ' u 1 rivate or confidentiel data concernina gm�i�in the colleciing state gency,
5 PP Y P
purpose and intended use of the requeste
tem; (b) whether he may refuse or is leg y
political subdivision, or statewide sys �oWn consequence arising from his
1 the requested date; (c) any
required to supp y rivate or confidentiel data; and (d) the identity of
supplying or refusing to supply P State or federal law to receive the data. This.
other persons or entities authorized by P 1 �vestigative data,
requirement shall not apply when an indto�e law en orcement offlcer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und instructions instead o
on those orms. � � --- - .
t� �� by ����. Upon request to a responsible
Subd. 3. Access
uthorit , an indiyiduel shall be informed Wh ublic h r vate or eonfident al.e Upon his
e y ified as p � P ublic data on
individuals, and whether it is class�
data without any charge to him and, if he desires, shall
further request, an individu e who is the subject of stored private orviduel hes been
individuels shall be shown th of that data• After an indi
�e informed of the eentent and meaning the data need not be �isclosed to
shown the privonths thereafter�unle�a i�SPute°�Bction pursuant to this section is
him for six m n request by
endin or additional data on Lhe individuel has been collected or created. �
p g• rovide copies of the private or public data uP° �re the
� responsible authority shall p nsible authority may req�ln the
the individual subjeet of the ciata. The respo �Qrtifying, and comp g
requesting person to pay the actual costs of making,
copies. ' immediately, if possible, with any request
The responsible authority shall comQly uest,
made pursuant to this subdivision, or with lida e,�f Simmediategtcomplisn��e� the
excluding Saturdays, Sund8Y5wle�.t��dthegequest witytun that time, he shall s linforth the
possible. If he cannot comply within which to comp y
individual, and msY hs�e an 8dditional five dsy5
request, exeluding Saturdeys, SundaYS and legal holidays•
te or complete. An individuel may
Subd. 4. Proced�e when data � ublic o�rP ivate data eoncerning himself. To
contest the accuracy or completeness�of P � yyriting the responsible authority
exercise this right, an individuel shall notify �ible authority shall within 30
describing the nature of the disagreement. The respo lete and attempt to
days either: (a) correct the data found to be inaccurate or incomp
notif ast recipients of inaccurate or incomplete d8 b�e esdthe datalto be correcL
y p eement is
the individusl; or (b) notify the individuel tha.t he �
Data in dispute shall be disclosed only if the individuel s statement of disagr
• included with the disclosed data• � appealed pursuant to the
' The determination of the responsible authority to contested cases•
provisions of the administrative procedure act relating
�"� � CHECK OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �Z�� SF'H�'��W��d pID:
DESCRIPTION OF WORK: ��OUl�1l���
-------------------- -
-- -----------------------------------
ZONING REVIEW BY: v�,. DATE APPROVF.D: C� 'L� '�1 y
BIIII,DING REVIEW BY: DATS APPROVED: � " 2-7�Y
---------------------
FEES TO BE CHARGED- Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes�� No SEWER CONNECTION
STATE SURCHARGE Yes� No WATER CONNECTION
INVESTIGATION FEE Yes No-�� PARK FEE
SAC Yes No� SITE INSPECTION
Number of SAC Units OTHER ( specify)
-----------------------------------------
ZONING CHECR LIST Zoning District: G/C '/�
Fire Department: O"v /C- Post Office: /��L School. District: /�
Lot Area: � (� 2,r0 3 Width: Depth:
�
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: ,� ,,r
F.�-� (Lake) : l.3S �" Right Side: /�
Re��- (Street) : NlI�- Lef t Side:� ��� �
Adjacent Structures : /4' Wetland: ��/4
Bui�ding Height: Def . Hgt. O • ��' Peak Hgt.
Avg. Setback: N j� Lot Coverage: 13 /v y
Existing Proposed
Hardcover: 0-75 '
75-250 ' Z`� �/� 2�.�j ��
250-500 '
500-1000 '
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date :
Septic: Staff Approval Date: BY=
Zoning File• # (��13 ResoJ�ution # : 33g ^3 Reso�ution Date: Z-��/-
� ��F�-�. - c-�_, i _ .n� �
REMARKS (in house) .
.►.
BIIILDING RL�7IEW C$ECR LIST
IIBC: �'l CONSTRUCTION TYPE: / " - ,
Sq Footage $ Per Sq Ftg
Basement X -
lst FJ�oor X -
2nd Fl.00r X -
Garage X
X -
TOTAL
$sti mated Construction value: $ 3�S'b �z��J
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Fi��ing
Footing �MechanicaJ. Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa�J_ Board (Masonry) Lawn Irrigation
inal. (Mfg.) Other
Other WeJ.� (State Permit)
p�Electrica� (State Permit)
-------------------------------------
REMARKS (IN HOIISE) :
----------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access ApprovaJ. : Date By=
-------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
.�:..
,;
STATE OF MINNESOTA ' STATE OF MN DEPT.OP COMMERCE ;
��o;;��•• , � DEPARTMENT OF COMMERCE r�..�,
. 133 F..�t gevemh St 133 F�t Beve�h gt.
� : st�ul.�ssioi st�au1.Mrr ssioi _ _
�'' 612 256-63I9 (61Z)Z46-6319
��:i....'•'' BiJILDINC�CON'I'RACTOR B[JIi D1NC�CONTRA�CTOR �:. ;
ID#19?1 ID#19►71'
BUII.DER BUII.DEIt
CORPORATION CORPORATION
Exgites: 03/31/1993
JAMES J MCDONALD Expires: 03l31/1995
7 H�GB due by 3l31/g5 JAMEB J MCDONALD
DBA:MCDONALD HOMES INC '7 Hia CE due by 3/31/95
402i}93 ST E DBA:MCDONAI��IOMES INC
1NVER t3ROVE HC�T3 MN SS07b-Q000 4024 7S B'T E
INVER OROVL HC�T��1►155076-00Q0
+n�oo�
. �
i '
EX'f'�RI()R ENV�1:,()PE AVERAGE "U" C()MPU'CA'CI()N
()4vi'ER ' �'- %��.*^i�J ��jl��� ������...-;t�
� I
� ,� �
� SI:CE A))RESS Z��I�' 1���'�EY�y� " �D ���/0 / [�� y: •',
. • T� �~ 'r '_''�_
CqN`.CRAC:CQR: �LV���i1l�tJ �"�'!�� DA'CE: ��S(�� PT�t)NE ; /
DE`.CERMINE W()RKING SQUARE F()()`.CAGE ()F EACH:
1 . '.Cq'CAI:, EXPOSED WAI:�]'� AREA ��Lr�Q SQ. F`.C. X � �r = ���� .
2 . :CO:CAJ:� ROOF/CEI]:,ING AREA G U<<� SQ. F:C. X �C��' _ 'Z
3 . '.C(y`.CAI:� EXPOS�D WAI:�I:, AREA CAT.,CUI:,A`.CIONS:
'.Cotal exposed iaall :� �� ,
a�-ea above floor '
a ) `.Cotal wall wi.ndow a��ea ��� SQ.F'C. X "U"�_= �����
b) :Cotal �oo�- a�-ea �D SQ.F'.C. X "U" ��7 =���
c ) '.Cotal sli.di.n� qlass doo�� ar.ea � SQ.F'.C. X "U" '�"— _ �
d ) `.Cotal fi.i:eplace wall a��ea � SQ.F`.C. X '"U" "� _ �
� r
e ) `.Cotal wall f��aminq a��ea ��� SQ. F'C. X "U" iU� =_ `-�%J
(ave�-ac�e 10%)
f ) '.Cotal net wall a�-ea above ����Z SQ.F'C. �X "U" ��3 =�1�1�
�loo�- ( i.nsulate� )
c� ) '.;c'cal ��i.m joi.st a�-ea _ ��� SQ.F`.C. X "U" � U� =_�t�
� �
'.Cotal foundati.on a�-ea 2�l� Z� SQ.F`C.
(exposed ) ,
h ) `.Cotal foundati.on wi.ndow ar.ea �� SQ.F'.C. X "U" " _ �
i. ) '.Cotal net foundati.on a��ea 2�f•Z SQ. F:C. X "U" � � � _�_�_ '
above g�-ade
'.CO'.CAI:� a) th�-ouclh i. ) = L�;�
If item #3 i.s the same as , o�� less than i.tem #1 , you have met
the i.ntent of 2 MCAR 1 . 16008 A and ().
�-!'D � �i� l`itC
PAGE 1
�.
• 4 . 'CO'CAl'� EXPOSED ROOF/CFTT,ING CA]:�CUT.�A`.�IONS: '
�
'Potal exposed roof/ �vy�0 SQ•FT. ,
ceilinc� area ' ' �
. �-
j ) `.Cotal skyli�ht a�rea _� SQ.F`.�. X "U"=_.- v--
k) '.�otal roof/ceiling �� SQ.F'.C. X "U" �_ d= � 7
frami.n� area
(average 10%)
1 ) `.cotal net i.nsulated �i �� SQ.FT. X "U" ��L�,�i = �'1
roof/cei.linc� azea
4 . �roTAl:� j ) througY► i) _ (o��
If total of #9 i.s the same as, o�: less than #2, you have met
the i.ntent of 2 MCAR 1 . 16008 A and Q.
�Oi� � 1� ��\ � `i`'
Al:�`.CERNA`CE BUI]:�DING ENVEI:�()PE DESIGN � �
'.Co uti.li.ze the total envelope system method , the values
established by the sum of #3 and #9 shall not be greater. :
than the sum of items #1 and #2. •
1 . � +2. _
�� � 3, +9 . �
CER`.PI FI CA'.PI ON . '
' � I he�:eby ce�:ti.fy that I have calculated the "U" factoes and , _
"R" values her.ei.n and that the building here described meets
or exceeds the State of Minnesota Energy Conservata.on Act.
:� ,
(Si.c�natur )
��f��Q�
� (Date) '
PAGE 2
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, ;� fOUNDATIO�i INSUlATION REQUIREp; ~ • ';
Min. R-5 on entire wall OR '� • 1/il •��!*. ;
o� o •;•,A Min. R•10 doNn to frost aepth � . �
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r� • .' • Minimum R • 8.5 � .4� . � ' . ': • .• '
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DATE TIME '/
CITY OF ORONO CALLED IN '�G-`j
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White Copyllnspector's ile Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLEO IN 10/�
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White Copyllnspector's File Canary CopylSite Notice
DE1� TIME
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INSPECTION NOTICE SCHEDULED ✓ : - :� -�-_
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White Copyllnspector's File Canary CopylSite Notice
DATE ,/ TIME
CITY OF ORONO �' �' CALLED IN O' —y 7
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White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN l�' c�3'`%� �.' �� /�,
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White Copylinspector's File Canary Copy/Site Notice