HomeMy WebLinkAbout2017-00149 - new structure , CITY OF ORONO * Z 0 1 7 - 0 0 1 4 9 *
. 2750 KELLEY PARKWAY DATE ISSUED: OS/1 U2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1750 SHADYWOOD RD
Pllv : 17-117-23-21-0021
LEGAL DESC : SHADY-WOOD
: LOT 016 BLOCK 000
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 880,000.00
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,GRADING,F[RE, SEWER CONNECTION,
ELECTRICAL(S'I'ATE)
NOTE: PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM
APPLICANT PERMIT FEE SCHEDULE 5,624.92
STATE SURCHARGE(VALUATION) 440.00
STONEWOOD, LLC TOTAL 6,064.92
153 E LAKE STREET Payment(s)
WAYZATA,MN 55391- CHECK 14751 6,064.92
(612)462-4000
Minnesota State License#: BUIL-BC594315
OWNER
SHAW,GRETCHEN&LYLE
7001 KENESTON DR
EDEN PRAIRIE,MN 55346-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring ail required inspections are ,
requested in confo with the State Building Code.This permit may be � i��
revoked at any � or se.
�
S lI � 7 �-c��c�> /��--� {�� � �� , � �
pplic t Pe ' ee Signature ate Issued By Signature Date
�„� ��C r�t�.�� �lc��c.� r r�. �,f
CITY OF ORONO v �_ ����� �$�`'�`" ��� �
BUILDING PERMIT APPLICATION
FO
R NEW STRUCTURES OR ADDITIONS �����`�'�� ��� ������
O Mailing Address: Permit number: �C.,% � � " �' '/'L �/r
PO Box 66
� O Crystal Bay, MN 55323-0066 Date received: -z- - 7 -'! �7
StreetAddress:' R Ceived by: '
y�, G� 2750 Kelley Parkway �r•� .-QC�f I n revie fee: 36 S� • v� �
lqk�'SH��� Orono, MN 55356
Main: 952-249-4600 Total Fee:
Fax: 952-249-4616 www.ci.orono.mn.us � � �� �Z�L�
This application form must be completed in full and all required information must be submitted. U ,q,�q
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: I'1 Sv S �-����,.��o n Rq . , OQoNo � N 5�36�f
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 0 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.
CONTRACTOR/APPLICANT INFORMATION:
Name: S'1'�n��won,p���L __
State License# (� S9 4 3 1 S Expiration Date:
Phone: (celi) (office) ��1-- ���.-y oop
Mailing Address: 1 F �r �w, Cit : c�.� r ziP: qr
Contact Person: 'ro M w-¢- 7v►vES Applicant is: ontractor Homeowner (Circle One)
Email and/or Fax: -� ►u�,�.Q, S-ro c��wao,o co�•u
PROPERTY OWNER INFORMATION:
Name: GR�Tc-�-t�,►J �Nn L-Y�rZ .S FhR-i.�
Phone (day): (6��2� 3 �—81.7 O _
Address: "700 � JctN65� I�2rvE� C�tY� �O.�l(/ (�.1}iR���P� ST3�6
Email and/or Fax G�-�,�v�,sl+a_.u.�Q�rc,�,rs�w�-;nr,� cv-n-i Lu/c,s��..w m ow�.�'s�b�. - �n c..•c�w�
ARCHITECT/ENGINEER INFORMATION:
Name: A�r=..x,q-No��- I���z.�� �'an�.�
Phone (day): y�� - �F�3 - 977'7
Address: o ST tz/o Cit : fi�y�,a- ZIP: �5��
Email and/or Fax: r1 �nx�.� e ; r . �
PROJECT INFORMATION: Descri tion of ro�ect: `�'`�`, �
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal &
Water Supply
�New Construction [� Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck � Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage � Residence ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater � Public Water
**Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ Q�� , Or� C� . C�
Last Updated: January 2016
STRUCTURE INFORMATION:
1. Structure Dimensions 1.Structure Dimensions(continued)
i ii �
a. Length (ft.)= (��O � q Number of bedrooms= 3 2. Occu anc � �
P Y� �,
� i r�
b.Width (ft.)= �y —� �� Number of garage stalls:
3. Occupant Load:
Areas in sauare feet Attached = 2 —/��
..L
c. Basement= I'1 S1 Detached = 4. Type of Construction: —
d. 15t Story = �`I ZgL Z.(��� ��i �1.�
e. 2"d Story= / � 3 5. Code Edition:
f. '/z Story =
g. Total Area= S� �7—
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
� ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve —2 full size,to scale(meetin ALL surve re uirements
❑ ❑ Hardcover Calculations
❑ ❑ Se tic S stem Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or
Documentation from MCWD statin no ermit is re uired
❑ ❑ Landsca e Walls and/or Retainin Wall Plans
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
❑ ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to
reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of
the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date:
Owner's Signature: Date: � / � /
Last Updated: January 2016
P.LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: Permit No.: ��7 � W �`f7
Description of work: �� Date Rec'd: +�'�7 '��
Septic review by: _ �/VV� �--- 1A� Date Approved:
Zoning review by: Date Approved: c�' ��'��
,�� �� i
Building review by: ' � � Date Approved: � �
Grading review by: V1l� Date Approved: 3 'O' ��
Zoning District: Zoning File#: � �7
Resolution? Yes Reso#:��' Reso Date: ��'��•��Y Signed: Yes No Resolution/NA
Zoning: Lot Area: l /AC Width: (D�ir Structural Coverage: l �{ SF ���%
Survey Submitted: `� Yes � No Date of Survey: Z• � '�, Revised date(?):�'�'f�
'/\ �� 3 a.i7
�� � ; � �
Landscape plan submitted? �Yes Landscaper: C�_�� �( ,,��i ,,.� - �- , 0 No/ None proposed
�`' ti� � 'G ,'� ,!-�
Pro osed Setbacks: ��� - ��� �Z��`� �'�� ����
� � �r
Front( e Rear(St et)� ( � S E W ) ( N �S E W ) Other Buildings Wetland
Side `3ide
�5` 31' i � 1 ' � --
Buildina Heipht Analvsis:
Distance Between First F�oor and defined Top of �a� � �
Roof See "buildin hei ht" definition :
First Floor Elevation from buildin lans : (b) ��,�'
Highest Existing ground level (per survey) or 10' ��� �A� �
above lowest round level, whichever is lower: `tv
Difference between b and c : (d) �,��
Defined Buildin Hei ht (a -(d): �e� �p. ,l�
���'� ,'r'1 �
Shoreland District MCWD Permit '- Av rage Lakeshore Setback g�uff
Met?
�Yes � No Permit Number: `�1 -� �7 Yes � No 0 N/A O Ye No
� N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and s % and s
��� �l � b Z q, (� oG7 b Yes 0 No 0 Yes No
� 2 3 4 5 ype(s): Type(s):
l/ l�i �0 ` 31 � a S¢
LdE-d►zA�-�
Updated: October 2016 �.�,C�
v:\forms�plan review checklist 10-2016.docx
� Slm�u�al Gotie��
` Fees to be Char ed YES NO
Permit
Plan Review
State Surcharge
investigation Fee
SAC—Number of SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = $
1� Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ !�����, � � L�
Orono Inspections Required Work Requiring Separate Permits
� �Footing Site Plumbing � Grading/Filling
Poured Wall � Silt Fence/Erosion Control Mechanical � Fire
Foundation Survey � Hardcover Removal Fireplace 0, Water Connection
�Framing � Other(specify) � Masonry �Sewer Connection
�Waterproofing/Drain tile �Mfg. � Lawn Irrigation
� Foundation Waterproofing � Other(specify) � Landscaping
� Framing
Insulation
As-Built Survey
inal
Lathe Required State Permits
� Other(specify)
� Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
�See Builder Acknowledgement Form
� Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2016
v:\forms�plan review checklist 10-2016.docx
� Builder Acknowledgement Form
Permit #2017-00149 / 171" 50 Shadywood Road
Builder Representative Name: I �V�-�CZ �a+..l
Permit Conditions: Initials
**NOTE CHANGE** Before scheduling an exterior insulation and/or drair�tile inspection, a
foundation as-built survey must be submitted and approved by the City or a Stop Work order �
will be issued.
Schedule a minimum of one hour for the framing inspection. �-7
Erosion control mechanisms must be installed and inspected by the City prior to any land
disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to ��
inspection.
Erosion control shall be installed and maintained throughout the entire prpject and must �
remain until vegetation has been established. ;
A haul route shall be submitted to the City Engineer for approval and insp �ction prior to
commencement of hauling from the site.The property owner shall be res onsible for cleaning �
and repair of roadways for any adverse impacts.
Prior to the issuance of a Certificate of Occupancy an as-built survey and h�rdcover calculations
must be submitted and approved. '
In the event of winter or other extended unfavorable weather conditions(which prevent the
completion of the exterior improven?ients and/or as-built survey) a Temporary Certificate of \
Occupancy(TCO) may be necessary. A TCO requires a$10,000 escrow.
Hardcover must not exceed 3,179 sf.on this property. �—
1 J
Advisory Comments
Any changes to the exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining
walls, etc. not currently shown on the approved survey and landscaping plan will require a �
separate Zoning Permit application to be submitted and approved prior to the work
commencing.
Any retaining walls that are over 4-feet in height or tiered walls not separa�ted by twice of the �
height of the lower wall require engiheered plans and a building permit to�be submitted and � �)
approved prior to construction.
w:\street files\shadywood road\1750\builder acknowledgement form 2017-00149.d�cx
� Permit App�;lication: Self-Checklis� for Completeness
Please note, the applicant rr�ust initial in the boxes below to acknowledge the minimum required
information is included with the submittal. If not, the appliqation will NOT be accepted Call
952.249.4620 to schedule a meeting with staff if you have questions on application submittal
requirements.
Completed Application �.
d CrG ��� o�
Plan Review Fee Paid
Signed Escnow Agreement & Escrow P yment �� �l ��'�'"'�j
�
, ��Lf�. (�c�l c:���s��
' Building Plans (to scale) x2 ��
Certificate df Survey (to scale) showing the proposed project &
meeting all requirements x2 �q,j/
t'/"
Hardcover Calculations (if applicable) �
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stating �
� the proposed project does not trigger tl�eir permitting
requirement�). I will contact the MCW� at 952-471-0590
regarding this pro"ect. '
Signed by:
Address: � ��J 0 ��jC�.� o � �j
Permit #: � p� '7 � •��� �0� ,
,
I
Last Updated: January 2016 �
�
RECEIVED
City of Orono ���� � '�?�
�oNo Hardcover Calculation Worksheet �,-�oFORorvo
, Property Address: l�jo �f ^��,�{�� 1,����
_.. �: J.v.r o y u�aao �s'cv,�D (��
��KESNVaE Prepared by: Date:
Ch'f1e`�f�E/�� �-�tl,;''�3C��7''�!' _ 11t/C. � , o _ � -f�-�j�-�s�_
-fL�i"-G/�
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 ��--
-----_-------. 3 -6-�7
Step 2: ROPOSED HARDCOVE
In the following tab e, identify all items of proposed hardcover on the property, keyed by letter to Certificate of
Survey(survey must accompany this form}. Include all existing hardcover items that are intended to remain, as
well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict
proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at
the 75' setback line and calculate hardcover square footage separately for each portion.
Key to Hardcover Item(Describe) Length x Width Total
Surve S uare Feet
Exam le Gara e 24'x 30' 720 S.F.
A u C; .� O S.F.
B R!!/ u/ Y S.F.
C S'T�oP 3 S.F.
D ,( l. /�13 S.F.
E 6RF!'r U/�LC. /6 S.F.
F S.F.
G T S.F.
H S.F.
I S.F.
J S.F.
K S.F.
L S.F.
M S.F.
N S.F.
O S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
U S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Pro sed Hardcover i / 7 S.F.
Excludable Hardcover See Ci Code Sec T8-1684 :
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total ExGudable Hardcover p S.F.
3 Net Pro sed Hardcover Subtract line 2 from line 1 ! S.F.
4 Total Lot Area /o S.F.
Proposed Hardcover Percentage [(3)+(4)] �Q. �Q%
I q4� s = I ��13�10 Sfir�c.�.�u�a,� c �
Subdivision Application-January 2016 This is an information packet regarding Hardcover. Every effort has been made to
ensure the accuracy of the information confairred herein;however,ff any infamaUon is
not consistent with provisions of the City Code,the Code provisions will prevail.
� r�v�o� �� �e��9 � CoC� q�
�P
RECEIVED
�� � ORONO COPY ,,
MAR 1 � ?_0
� City of Orono
�oNo Hardcover Calculation Workshee�ITY OF ORONO
1f ` Property Address: f7 So �-y,t o y waa0 �0�,1 D ���E rCNf�✓ J'l,Iw w�
`'t�s�oa` Prepared by: Date: _q_ , � , �
G�t a�d fR G f AJ'J'ac iitT�'l_ i�v'c. :-'--__--"�.;
-��aa-r,�ct,cc�—
Stormwater Quality Overlay District Tier: (Circle one) ier 1 Tier 2 Tier 3 Tier 4 Tier 5 �—
Step 2: ROPOSED HARDCOVE —�
In the following ta e, i entify a I items of proposed hardcover on the property, keyed by letter to Certficate of
Survey(survey must accompany this form). Include all existing hardcover items that are intended to remain, as
� well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict
i proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at
the 75'setback line and calculate hardcove�square footage separately for each portion.
i
� Key to Hardcover Item(Describe� Length x Width Total
i 5urve S uare Feet
Exam e Ga e 24'x 30' 720 S.F.
A u S6 / O S.F.
s e v w s.F.
C T�'ioP 3 S.F.
D ,[ t, /y� S.F.
E GRfff WFLL !6 S.F.
F S.F.
G S.F.
H S.F.
I S.F.
.1 S.F.
K S•F-
� S.F.
M S.F.
N S.F.
O S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
U S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Pro ed Hardcover / 7 S.F.
Excludabla Hardcover See Ci Code Sec T8-1684:
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total ExGudable Hardcover S.F.
3 Net Pro sed Hardcover Subtraet line 2 from line 1 / S.F.
4 Total Lot Area /O S.F.
Proposed Hardcover Percentage [(3)i{4)] 2`�.60yo
Subdivision Application-January 2016 This is an i�ormation padcet reyarding Hardcover. Every effort has 6een made to
ensuns the accuracy of the rnformation contained herein;however,K any iniormation is
nof consistent with provisions of the City Code,tlie Code provisions wiU prevai/.
Page 19
� __ _ —. _ --_�. —
` ` � BUILDING LEAKAGE TEST
�r ',.
,� +�� '''�� ti`� Ulrich EnergyAuditing
-- 5143 Harvest Curve
Uirich Er,�;'' �l�' �1UC�ItIf� �::: Mayer, MN55360
Date of Test: 3/12/2018 Test File: 1750 Shadywood Road
Customer: Stonewood Technician: Shaun Ulrich
Project Num
p�r w�-'� � Building Address: 1750 Shadywood Road
a0/) • �ic�q Orono, MN
!
Test Results
1. Airflow at 50 Pascals: 1435 CFM50 ( +/-0.7 %)
(50 Pa = 0.2 w.c.) 1.79ACH50
0.3014 CFM50/ft2 floor area
0.1409 CFM50/ft2 surface area
2. Leakage Areas: 131.6 in2 ( +/- 3.8 %) Canadian EqLA @ 10 Pa
65.5 in2 ( +/-5.9 %) LBL ELA @ 4 Pa
3. Building Leakage Curve: Flow Coefficient(C) = 84.8 ( +/-9.1 %)
Exponent (n) = 0.723 ( +/-0.023 )
Correlation Coefficient= 0.99693
4. Test Settings: Test Standard: CGSB
Test Mode: Depressurization
Infiltration Estimates
1. Estimated Average Annual Infiltration Rate: 75.0 CFM
0.09 ACH
2. Estimated Design Infiltration Rate: Winter: 116.1 CFM Summer: 91.0 CFM
0.14 ACH 0.11 ACH
Cost Estimates
1. Estimated Cost of Air Leakage for Heating: $ 129 per year heating
2. Estimated Cost of Air Leakage for Cooling: $ 6 per year cooling
. �
y✓�
� BUILDING LEAKAGE TEST Page 2 of 4
Date of Test: 3/12/2018 Test File: 1750 Shadywood Road
Building Information Location Climate Information
Volume 48056 Ventilation Weather Factor 0.97
Surface Area 10185 Energy Climate Factor 17.00
Floor Area 4761 Heating Degree Days 7876
Height 18 Cooling Degree Days 315
#of Bedrooms 3 Design Winter Wind Speed 8.4 mph
#of Occupants Design Summer Wind Speed 13.4 mph
Year of Construction 2017 Design Winter Temp Diff 81 deg F
Wind Shield M Design Summer Temp Diff 13 deg F
Heating and Cooling Cost and Efficiency Information
Heating Fuel Gas
Heating Fuel Cost $0.90/ccf
Heating Efficiency °/o 94.00
Cooling Fuel Cost $0.090/kwh
Cooling SEER 13.0
Equipment Information
Type Manufacturer Model Serial Number Custom Calibration Date
Fan Energy Conservatory Model 3 (110V) -
Micromanometer Energy Conservatory DG700 5052-5 5/20/2015
�
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, BUILDING LEAKAGE TEST Page 3 of 4
Date of Test: 3/12/2018 Test File: 1750 Shadywood Road
Depressurization Test:
Environmental Data
Indoor Temperature(°F) Outdoor Temperature(°F)
70.0 31.0
Data Points -Automated Test(TT 4.0.48.0)
Nominal Baseline Adjusted Fan Nominal Adjusted
Building Pressure Building Pressure Pressure Flow Flow Fan
(Pa) (Pa) (Pa) (cfm) (cfm) °/a Error Configuration
-2.4 n/a n/a
-27.0 -24.7 217.1 872 840 -2.6 Ring B
-32.3 -30.0 295.6 1017 979 -1.4 Ring B
-37.1 -34.8 359.7 1121 1079 -2.2 Ring B
-42.7 -40.4 53.3 1321 1271 3.4 Ring A
-48.0 -45.7 61.9 1421 1368 1.8 Ring A
-56.2 -53.9 78.0 1591 1531 1.0 Ring A
-64.6 -62.3 94.0 1742 1677 -0.3 Ring A
-72.7 -70.4 110.4 1884 1813 -1.3 Ring A
-2.2 n/a n/a
Deviations from Standard CGSB -Test Parameters
- One or more of the test data points was taken at a building pressure that differed by more than 2.5
Pascals from the target pressure.
i
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I
I
� �—
, � BUILDING LEAKAGE TEST Page 4 of 4
Date of Test: 3/12/2018 Test File: 1750 Shadywood Road
Comments
None
!�
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����� R���IYE�
New Construction Ener Code Com liance Certificate �o��
9Y p F�� 2 8 2017
Per N1101.8 Building Certificate.A building certificate shall be posted in a permanendy visible location inside the Date Cenificate Posted
building. The certificate shal]be completed by the builder and shall list information and values of components listed in
Table Nll01.8.
Mailing Address of the Dwelling or Dwelling Unit City CITY OF ORONO
1750 Shad wood Rd Orono
Name of Residential Contreclor MN License Number
Stonewood
THERMAL ENVELOPE RAD�
Type: Check All That Apply
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E- 5 u.. r�. w w � cG w Other Pl
Below Entire Slab
Foundatioo Wall �� X Type in lo�
Perimeter of Slab on Grade X
Rim Joist Foundatiou 2� X 7ype in io�
Rim Joist 1"Floor+ 2� X Type in lo�
Wall 23 X X
Ceilin ,flat 49 X
Ceilin ,vaulted 49 X
Ba Windows or cantilevered areas 3� X
Bonusroom over ara e X
Describe ot6er insulated areas
Windows&Doors Heatin or Coolin Ducts Outside Cc
Avera e U-Factor(exdudes s li hts and one door U: Not a licable,all ducts located in co�
Solar Heat Gain Coefficient(SHGC): R-value
MECHANICAL SYSTEMS SELECT MECHANICAL SERVICES Make-i
Appliances Heating System Domestic Water Heater Cooling System *
Fuel T e
Manufacturer
Model
Input in Capacity in Output in
Ratin or Size BTUS: Gallons: 7'ons:
Heat Loss: Heat Gain: Locatio
Structure's Calculated
AFUE or SEER:
HSPF%
Calculated
Efficienc cooling load:
Mechanical Ventilation System
Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Cambi
source heat pump with gas back-up fumace):
Select T e
Heat Recover Ventilator HRV Ca aci in cfms: Low: Hi h: x
* Ener Recover Ventilator ERV Ca aci in cfrns: Low: Hi h: Locati
Continuous exhaustin fan s rated ca aci in cfins:
Location of fan s,describe: MECHANICAL ROOMS
Ca aci continuous ventilation rate in cfins: BAM version 052009
ON SYSTEM
Passive No Fan
Active(With fan and monometer or othe
system monitoring device)
lease Describe Here
cation:exteriw
cetion:interior
cetion:interior
�
mditioned S aces
nditioned s ce
up Ai� Select a Type
Not requ'ved per mech.code
Passive
Powered
Interlocked with exhaust device.
Describe:
Other,describe: i
m of duct or system: i
i
i
Cfm's
"round duct OR
"metal duct
UStIOn Alf Select a e
Not requ'ved per mech.code
Passive
Other,describe:
ion of duct or system:
Cfm's
Flex Created by BAM version 052009
i
N�w Construcfion Energy Code Compliance Certifcate
oas. p�
Per R4o13 Ge�le.A�g c�e aha9 be poaled on otin the ekcMcat d�StrIDuUon paneL -
tAAel�np CHy
s� �J���►
Na�n��R�ider�tiai Co ctar MN Licenss Num
-- � r
� RADON S
Typ�Ct�dc q�l That Appyn x Papive(No I�sn)
;Adilne(Vd�l1�alt eI�R101�n7�e1'Qr
� � , ����)
� g, � : loca�On ot future WCadon of Fan:
b 8 � $ �
o � � � V m 4 � I�
� � � m � V '� �
� � o uS of �
lnsutation Location � m $ 'mrn � � � � w �_
� E �
�� z u u�. a � � ¢ � OB►�PI�[�be tl�e
Beiat�r Et�e SYab
Fowtdetion Weli
P�o�Slab on Gtada !
Rim.fdst 15t
Rim Jast(2nd Fboa� .
W�1
t�k ,flat
.v�
IA�Ows or cant�sva�sd araaa
FfoDrs Over atea
Descn'6@ oth�il�ted er98s
Bt�ilding envef�e sir tightr�s: Duat sys�em air tness: Q fp
W indovas&t?oors or Goo OuFsMe Conditloned
A U-Fa�t�es ar�d one u: td� ducts�ocatea'u��
Sdar Heat Gt9n Coef�ient{SHGC): R.aah�e
lAakQ-up Air Sel�a Typa
Appliances Heahng Systsm Dom�ater Coaing spst¢m � o��oode
fl�e!T N8 1'3I E�e � PBs.�ve
,,,�� gryant Brya �
tnc�i«�cea e��sc�
Model �$�n? :(d�1�t� �gQ:�N1f} O�aibe:
1� �Y� � � �.�:
��a� BTU� jGb(.?�O Ga�s: anx
AftlEcr Q� � � L�o��ductorsyst�n.
� Hmf'F% �� .
Heatlllg L�s Heating Ga3n Cooiing . �m
�ae�tiad�.o�a Cala,la�or� g� t 3� � �`? l - �1�� cm,�s
"tound dt�OR
VENTIi.ATION SYS °�su ducc
etN ot c g : e.g. o
wCe heat pvmp wflh�s baCit-+Ip i�unat�): Combustion Air Sela�a T e
W�raqtdfad per mech.code
Se1eCt T : Pa�sive
He�Roeover V�dator(HR1� Ca�� cfims: Low 0111Ei,des�be:
Energy Recwrer Verq9a6�r(�ib)CapaG in cfir+s: ww. locayon��or em:
B�ed vanmlation in dms: /�7¢
1.OGd60t1 of�►1(S),d� Batlr 80�h Pa�a�ie 7C�j = t' Ff{� C M• .�M�{*,�np
�Iy�ry{yyYl L11 •
Capac�Es+car�m�ot�v�tion t�� .
T�al ve�t;«i cm�t rate�c�r�: � ""'��
' su�ders AsswSaton of M'mnesota version 101014
I
Directions-The Minnesota Fuel Gas Co�method to calculate to size of a required cpmbustion&ir opening,is callerl the Known Air
/nfiltr�tion Rate Method. For new coastr�iction,4b of step 41s requlreat to be filled out.
IFGC ndix E,Wotksheet E-1—Residenti Combustion Air Caicuiation AAetl�od for Fum ,Boiler,ancllor Water Heater in tl�e Same S ce
Step 1:Compiete vented combustion appGa i�ormatfon_
Fumacei8oiler.
�raft Hood ❑Fan Assisted �irect Vertt Input: ���i��, Btullx
«
or Power Vent
Water Heater:
C3?raR Hood �.Fan Assisted , �ir�d Verit Input: 7�. `t�`J V BtWhr
or Power Vent
Step 2:Calculete the wlume ofi the Comb n Appliance Space(CAS)contaioing combustio appliances.The CAS indudes ati
spaces connected to one anoiher by code compii�nt openings. �3�� x g�� $
CAS volume: �0 3 v R3 L x W x H L W H
Sbep 3:Deterrnine Air Changes per Hour(AGH)1
De#autt ACH values have been in�rporated irrto Tab1e E-9 for use with Method 4b(KAIR Me�hod).
If the year of construtxion or ACH is no1 kn ,use method 4a(Standard MeUmd).
Step 4:D�ermine Requit�ed Volume for C ustion Air.(00 NOT COUIVT DIRECT VEM'A PLIANC S)
4a.Standard Method
Totai Biu/hr input of ali combustion appliances inpu Btumr
Use StandaM Method cokunn in Table E-9 to find Total Required TRV: ft'
Volume(TR�If CAS Volume(from S'tep 2)ia g�aterthan TRV then no outdoor openir�s arq needed.If CAS Vok�me(from Step 2)Is/ess Lhan
TRV then go to STEP 5.
4b.Knovm Air IM'ilMdtion Rate(KAIR)Method(DO NOT COUNT DiRECT VENT APPLIANCE�
Total Btu/hr input of a11 fan�ssisted and porver verrt apptianoes Inp�R: �$�-� B�
Use Fan-Assisted AppRarx:es column in Table E-9 to find RVRA: g��S ft$
Required Volume Fan Assisted(RVFA)
Total BtuiF��input of alt Matu►al draft appNances ]np�t: � BtWt�r
Use Plaiural draft Applianoes c�lumn in Ta41e E-1 to find Rv►iFA: � ft'
Required Volume Naturei draR appliances(fd�MDA)
Total Required Volume(TRV)=RYFA+RVNDA TRV= s�S + O = Sb a S TRV ft
If CAS Vol�une from Ste 2 fs t�than tl�en no outdoor o nin s are needed.(f CAS oitxne Ste 2 is/ess than TRV tl�en o to STEP S.
Sbep 5:Calcutate the ratio of availabk rrteribr votume to the total requined volume.
Retio=CAS Votume(from Step 2)dlvldmd 4y TRV(from Step 4a or Step 4b)
Rat;o�'�i 5��'� � 3�
Step 6:Calculate ReducUon Factor{RF�. R =1 mJnus Ratio
RF=1 - � 3� _ � � 1
5top 9:Calcuiate single a�tdoor opening as ff ali combustion air is irom outside.Totsl Btufir of ap C�nbustion Appliarwes in the same CAS
��P�; ��j C�C� 8tultu(EXCEPT RECT VEN�
Combustion Air Opening Area(CAOA):Totel BtWhr divfded by 3000 BtuRu per inZ
CAOA= ��� !3000 Btulhr per in2= o� S in2 �
3tep 8:Calculate Minimixn CAOA Min�nt�n CAOA=CAOA mu/Hplied by RF
Minimum CAOA= �J x� f �]� _ �� ��2
Sfiep 9:Calculate Carnbustion Air Opening iameter(CAOD): CAOD=1-13 mulBplled by e squa�e root of Minimum CAOA ,� � _
� �..f.�
CAOD=1.13� Minlmum CAOA= y � ir►.diameter go up one in in size if using flex duct �� , ��
1 If desired,ACH can be detem�ined using AShiRAE ralculation or btov�r door tesL Follow p ures in Section G304.
�
I
''"`�,r
� Directions-ln order to determine the mdkeup air,Table 501.4.1 must be filled out(!ee below). For most new installations,column
A wili 6e appropriat�hovYever,if atmospherically vented vppliances or solid fuel appliances are installed,use the aApropriaie
column.For exhtFng dwellln�s,see JMC502.4.3. Please note,if the makeup oir quqntity is negative,no additional makeup air will
6e r+equired for ventiMtlon,if the value is posltive refer to Table 3013.2 and size the opening. Tronsfer the cfm,size of opening and
type{round,rectongulor,f lex or rigid)td,the last line of section D. The make-up airf+�pp�Y must be installed per IMC 501.4_23.
Tabie 501.4.1
PROCEDURE 70 DETElkMINE MAICEUP AIR QUANfIY FOR EXHAUSI"EQWPMENT IN DWELUNGS
AddiCwnal com ' air will be uired for o�nbustion a Ifantes see IR rnethod for c�kulations
One Or muk3ple power One w multiple fan- atrnosphei�cally vent Muitiple atfiosphefiWNy
vent or d'u�t vent assis[ed appiiaotes and �as or oil appiianee or v�ted gas or oil
appfipnces or no po�arer vent or direct vent dne soiid fuei appltaoce appGances or solM#uel
combustton appl'�a�ces applianas appNances
Column C Column D
Cotumn A Colum�B
i.Use ti�e appropriate ootumn to
astlmate housc hififiltratson 0.15 Q.09 O.Q6 OA3
a)pressure fador
!�1
b)wt►ditioned floor area(sf)(induding `6J�p�
unfiniahed basemen� -r7 0
Estimated House Infiluatioo(cfm):[Sa n 2 q
xib �IJ 1
2.Exhaust CaPadlY
a)conttnuous ezhaust-�y ventilation //�/\
SY��l�);1noY applicaWe to /r��� !
balanced ventiWtion systems suth as �
HR
b)dothes dryer{cfm} 135 135 135 135
c18096 of iar8est exhaust retin�(cFm); �,p
Kitthen hood typipily Q
(not appllcable If recfrculeting system ��—
or if powered makeup alr ls elecatceUy /��O
interlocked and matd�to ext�a
d)�96 of next ia+gest exhaust ratinH
(cfn+l: bath fan typlcaily Not
(not applicable if redmilating system Applicable
or tf powereG makeup a1r is elecaically
interlod�ed and matd�ed to exha
T�1�►,a�c�,�c�a: �S
�ia+t�+zc+wl
3.Maloeup Air Quar�ity(cfm)
a)total exhaust capaolty(from above} g s S
b1 estimaeea twuse ir�fUcration tfrom
abrnre, ?3�?`
Makeup Alr Quandt�r{dm);
[3a—3b]
{if aa(ue is negative,no,makeup ai�Is �/f�
neodad)
a,wr makaup�ur ope�ng sczjwg, 6' a�� �
refertDTabte 501.4.2
c �
q, U�[IUS COIUII'Iti if�lICfC 8fE pt1)Ef thHl1 fdrMaSlS[e�Of ed ro�hetically vent�d gas or oil appitance o1 If there are no cambustio�applian�s.(Power verrt end
dkect�nt appiiances may be used.l
8. use this column i�there is ane fan,assisted apriiance per venting system•(App1'�ances other than ahi�oapt►eripliy vented appiiances may aiSo be induded.)
C. Use this coiumn if there is one atmospher9wlly ven�ed(otMer than fan-assisted)gas or otl applhr�oe oer venN�sysDem or one solid fuel applian�_
D. U�thb Co4ann ff tllere are multiplE etmOsphlriCdliy renied gas ot o11 appHanoes t�siag a tommon vlent or if there aro atrnospherically ver�ted gas or o�
appUances and�lid fuei applianoes.
I
I:\BWldingl�SafetYPoGdeslnformation\Gutrent�2tJ�51VentMakupCombAtrCa1s20u.doac Page 3 of 6
. . .
.��. � 9 p.E Load SMort Form Job: Shaw I
�r� h��,` Date: Dec 22,2016
Entire H�ouse By: Mike
Horizon Qontractors, Inc.
8197 Horizon drive,Shakopee,Mn 55379 Phone:672-SOB�J226 Fax:952-445-8109 Email:michaelstng�yahoo.
� • ' • •
For: Stonewpod
� - � • �
Htg Clg Infiltration
Outside db(°� -13 88 Method Simplified
Inside db(°Fj 68 75 Construction qu211ity Average
Design TD (°F� 81 13 Fireplaces p
Daily range - M
Inside humidity (%) 50 50
Moisture difference(gNlb) 50 31
HEATING EQUIPMENT COOLING EQUIPMENT
Make Bryant Make �tryant
Trade Bryant 987M Evolution Modulati... Trade RYANT HEATING AND COOLING SYS...
Model 987MA66100V21A-A Cond 896NV0480000A
AHRI ref 5053234 Coil NPVP4821ALA+gg6TB66100V21A-A+UI
AHRI ref 77241
Efficiency 97'AFUE Efficiency I 10.5 EER, 18 SEER
Heating input 1Q0000 Btuh Sensible cooling 31500 Btuh
Heating output 98000 Btuh Latent coolingl 13500 Btuh
Temperature rise 61 °F Total cooling j 45000 Btuh
Actual air flow 1516 cfm Actual air flov+� i516 cfm
Air flow factor p.019 cfm/Btuh Air flow factor 0.047 cfm/Btuh
Static pressure 0 in H20 Static pressur! 0 in H20
Space thermostat Load sensible�heat ratio 0.83
I
I
ROOM NAME Area Htg load Clg lo�d Htg AVF Clg AVF
(ftz) (Btuh) (Btuh) (cfm) (cfm)
Exercise 195 3068 748 59 35
Game 246 2019 684 39 32
Ex Stor 60 1045 51 20 2
Media 425 1672 257 32 12
Game WIC 35 360 I 16 7 1
Mech/Stor 232 3183 , 150 61 7
B Elev 42 432 !I 19 8 i
B Bath 66 134 0 3 0
B Stor 624 7279 1146 139 54
Kitchen , 223 1660 2240 32 106
Dinng 158 3237 2343 62 li0
M EI 42 1541 281 2g 13
Pantry 35 515 62 10 3
Support 35 732 278 14 13
Boldltalic values have been manually overridden �
Calculations�pproved by ACCA to meet all requiremehts of Manual J 8th Ed.
� �- wrightsoft' Right-Suke�Unlversa1201717.0.17 RSU07800 i 2017-FebA819:20:15
/ws�+A ...ke�Desktop\Wrighisoft HVAC�Stonewood Shaw I,�rup Calc=MJ8 Front Door taces: W i Page 1
' .�ather 285 6741 4873 129 230
Foy/Str 204 3102 486 59 23
Mud WIC 30 381 46 7 2
Mud 110 923 206 18 1p
Powder 36 0 0 0 0
Sun 143 8250 4663 158 220
Up EI 42 910 332 17 16
Up Bath 70 641 132 12 6
Laundry 60 2002 933 38 44
Office Bath 48 1220 185 23 9
Office 195 4222 1987 81 94
Master Bed 241 4983 3090 95 146
Mstr Bath 160 3821 1598 73 75
Mstr WIC 108 1108 297 21 i4
UpFoy/Str 234 2020 1178 39 55
Bed 2 182 2548 1008 49 47
WIC 3 30 1229 173 24 8
Bed 3 172 5535 2162 106 102
Bonus Hall 160 2714 548 52 26
Entire House 4928 79226 ' 32172 1516 1516
Other equip loads 6906 1094
Equip. @ 0.93 RSM 30904
Latent cooling 6667
TOTALS � 4928 � 86132 � 37571 � 1516 � 1516
Bold�talic values have been manually overridden
Calculations approved by ACCA to meet ail requireme ts of Manual J 8th Ed.
,- �' wrightsQft' Right-SuRe�Unnersa12017 17.0.17 RSU07800 2017-Fea0819:20:15
Page 2
...ke�Desktop\Wrightsoft HVAC\Stonewood Shaw I.ap Calc=MJ8 Front Door faces: W i
�� � �� , �.��
,,� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC /'�I;,�(� SCHEDULED _�� ' }�
�ERMIT NO. � v COM�LETED
ADDRESS � � � � �,�l'� c�-�.-i C-�'X��`A.
OWNER TELEPH E,NO.�4I� 7��,3�
CONTRACTOR ' % ' r
� DESCRIPTION � � C �� � �' �
�
ly ❑ FOOTING � ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SF�NER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ C WSTALL
2 OWNERICONTRACTOR TO M YES_NO
y COMMENTS:
a s'(� �e"�Ce � r'e.-cclt�rli.� o� /S� -�- S-� E
oS���s 6� �,� P v�as�c�� —
�.
�
� - rVl�Gl'1 lo�5 .�ro v�ro.�p m� �,.Jts Z c.�_
W '
�
Q
2 `Yl���t� Q�.� fihfU �*a�st � --
�
W
�
�
�
� �1A108KSATISFACTORY:PROCEED ❑PRWECTCOMPLEfE
.
W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFIL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. `���
Whits Copyllnapector's File Cenary CopylSke Notics
� � � ` /
oy� nMe V
CITY OF ORONO cnLLED IN -'/ ��
INSPECTION C gscHEouLED - / �-/7 __�1��
PERMIT NO. �� /C LETED
ADDRESS �7 �
OWNER TELEPH NE NO.�Z S -�Z�f
CONRRACTOR �
� SCRIPTION � ��J
� FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATtON/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICO�fTRACTOR TO MEET YW:_YES_NO
� COMMENTS:
� - S:P�' ,Cj czGi�S �oo,� G� a[� ��'co �%�w �o
j
p ,�r����/_
�
�
° —/-I�l �o,�rn� r'.c�,.,�,o/�P�
W
OC
Q �� /
� i ��� ���°�P � /� /J/Gt/"�i GZ�'�f'��'lJ��n Q 70�
W
� j
j " So��f G�G�/ �no� �/_��' inS� 7io
W�VYORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
� ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERINf3 PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HWRS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
O INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
CeM for the next inspection 24 hours in edvanoe. (952) 249-4600
OwnerlContractor on site•
Inspecta: �a r-�� L.�
White CoPYAnsp�Ctak FlI� C�nary CopYf8lb Nolid
(� —
G ----_---
CITY OF ORONO CALLED IN �'/ lv�j 7 �
INSPECTION N,9,T E �� SCHEDULED — __�„�
PERMIT NO�`�J J LETED
ADDRESS � 7�
OWNER TEL NE N . �� � -�d7y
CONTRACTOR �
'' DESCRIPTION ��'v��
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
�POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO
o�Tp�rOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL /
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNERlCOKTRACTOR TO MEET YOU:_YE$_NO
� COMMENT'�
� 7��hA5 - X�e� iA ��n -� �`�r��c�� o r.� � .
0 - I��bGer ��_/ d.SI�GL� P � �/LP�rrlit�' �
� ' �air
� f4--�,,.c�o�,,, �'l����.�c�� �� r-��6 •�1� �`
0
�C ' .3 56 r,� � ' !'or�t'ir4c6c✓ 7�s p✓O�pDc
Q �� ss.
? .S a��- c.�,�.•rc.�� �Fa r/ �'�S . �
�
� 1SK � �OOu /
�
� , �K SATISFACTORY`.PFiOCEED ❑PROJECT COMPLETE
��1�7 CORRECT WORK a PROCEED ❑ISSUE CERTIFIC/1TE OF OOCUR�NCY
O ❑ppqq�T NlOHIC,CALL FOR REINSPECTION TEMPOFiARY
V BEFORECOVERINf3 PERMANENT
❑CORRECTUNSAFECONDITIONWfTHIN HWRS. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRAN(3E ACCESS.
CaN tor the next Mspectlon 24 hours in advsnce. (952) 249-4600
OMmerlContraclor on site:
Inspactor:
White CapyMspsctars Fil� C�nary Coprf3lb Node�
c�- �!
Q_a ✓�
D TE TIME
CtTY OF ORONO CALLED IN �
INSPECTION NOTI E _���'scHE�uLED �
PERMfT NO. coM ED
AD�� T�Sv �$d �o
OWNER TELEPH�O. 7 D `So�J�
CONTRACTOR �� �
'' DESCRIPTION " � � ��L�
� ❑ FOOTING ❑ DEMO-FINAL ❑ S PTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ E CAV/GRADING/FILLING
Vj FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ T EE REMOVAL
Z ❑ ADON SLAB ❑ MECHANICAL RI ❑ S E INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ R TED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ C MPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ F LLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ F UNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWN�I�TRACTOR TO MEET YiOU:_YES_NO
� COMMENTS. ✓� - -(7
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❑ RRECT WORK b PROC�ED ❑ISSUE CERTI TE OF OCCUPANCY
O ❑CORRECT WORK,CALL FQR REtNSPECTION TE PORARY
V BEFORE CdVERINa MANENT
❑CORRECTUNSAFEOON NWffHIN HOURS. p pHpTOTAKE
INSPECTOR WILL RE�IRON
❑CITATION ISS D
❑STOP ORDER POSTED.CA�.L INSPECTOR
O INSPECTION REQUIRED.Cy►LL TO ARRAN(iE ACCESS. j
CaN for the next inspection 24 hours in advanoe. (9�2) 249-4600
on Site:
Inspector:
WMt�CcP1ln���FIM Canary CopylSil�Notk:s
' i
C- � � � /
TE � TIME '�/
CITY OF ORONO CALLED IN � -�
INSPECTION N TICE SCHEDULED �� '� �
PERMIT NO. � ���� � COMPL
ADDRESS ��� (���
OWNER TELEPHONE NO � � �� �
CONTRACTOR � �""
� DESCRIPTION �/ ��G��
l~y ❑ FOOTING ❑ DEMO FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z � RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTIiACTOR TO MEET Y�OU:_YES_NO
v�i COMMENTS:
�
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�
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W ❑ RRECT YMORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HWRS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORUER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REWIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-48��
OwnerlContractor on site:
Inspector.
Whits CopyAnspector'a Flle Cmary CopylSN�Notics
C J'� ` DATE TIME
CITY OF ORONO cnLLED IN q�-l� �
IN$PECTIONA�O`TIC� SCHEDULED ��' l -i�+ �
PERMR NO. `� U� COMPLETED
,��� � 5 � w00
O'WNER TELEPHONE NO. `� ��6 5Z3�
CONTRACTOR r� O0�
� DESCRIPTION — �
�y ❑ FOOTING ❑ DEMO NAL ❑ S TIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ E AV/GRADING/FILLING
Q ❑ FOUNDATION WATERPRQOF ❑ PLUMBING FINAL ❑ E REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SI E INSPECTION
� AMING ❑ MECHANICAL FINAL ❑ R D WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ C MPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ F LLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ F UNDATIOWREMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z awNeucoKrw►cTon ro U�r rou:_rEs_No
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W G. n � � �c. Z' �
W O VMORKSATISFACTORY:t�OCEED O PROJECT MPLEfE
� ❑ RRECT VMORK 3 PFiOCEED ❑ISSUE C FlCATE OF OCCUPANCY
�����CT WORK,CALL�OFi REINSPECTION PORARY
V BEFORE COVERINO MANBdT
�CORRECTUNSAFE�ITION WfTHIN HOURS. p pHpTOTA
INSPECTOR WILL F�TURN
❑STOP ORDER POSTED.�'ALL INSPECTOR �pTATION I ED
O IN3PECTION REQIIIRE�CALL TO ARRANGE ACCESS.
c.aq ror me � lon 2a hours�edvance. ( 52) 249-4600
on s
Inspector: �
WMts popy,h� FlN C�nsry Cop�81a Nofla
' i
r
�
�� �
�
DATE / ..y TIME ��
CITY OF ORONO cnILED IN �=�-��� ==1�
INSPECTION TIC .—�J� scHEnuLeo �
PERMR NO. V" � PLETED
ADDRE.SS
OMINER LEPH E NO.l����' �77D "Jr' ��J I
co�ACTo 1 �
�'' DESCRIPTION I' ""'
❑ FOOT�NG ❑ DEMO-FINAL O S PTIC FI
Q ❑ POURED WALL ❑ PLUMBING RI � CAV/GRADINGIFILLIN�
Q ❑ FOUNDATION WATERPRpOF ❑ PLUMBING FINAL � EE REMOVAL
Z � RADON SLAB ❑ MECHANICAL RI ❑ S INSPECTION
� �AAMINCa ❑ MECHANICAL FINAL ❑ TED WALLS
� 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ PLAINT
Q � FINAL ❑ WATER HOOK-UP ❑ F OW-UP
41 � AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ F UNDATIOWREMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z O�NN6YCONTNACiOR TO MEEf 1fbU:_1B6_NO
� COMMEN'T� I�- � �`� � �
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C� ����� AN9iT
❑(:ORREC'T UN$AFE OONpIT10N YYRHIN HOUR3. p pF{pT0 TA N
IN8PECT�OR YVILL R�'fURN
0 STOP ORDER P06TED.CA�L IN3PECTOR ❑qTATION I ED
❑INSPECTION REQUIREDf G1LL TO ARR/�N(iE ACCESS.
caN ta n�e r�lext k�spect�on 2�t nows�n sdvano.. ( 52) 249-4600
o�site:
�nspector: /�
Yllhib Coplll�n��� Can�ry Co�IN llotia�
i
�� � J`
C� DAT TIM E
CITY OF ORONO CALLED IN � �� /
INSPECTION NOTICE. SCHEDULED / ��_
PERMIT NO.-�17—�I`I� CON�PLEfED
ADDRESS ` �
OWNER ELEPHONE NO. ���� 3 `DId
CONTRACTOR �5 I �� ,�;��r.�-'�I'i�n �1�
�i 1,5i.1.{,u.--�-j` �
� DESCRIPTION ��
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL / ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
i ❑ F MING ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
z OWNERlCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
Q ��� � C�IoS�D G�4 � SD�G-Y �C.�.+�
o ` s� � '
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� ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-4f1�0
OwnerlContractor on site:
Inspector: �
White Copyllnspector's Flle Canary CopylSite Notke
i
�� V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �� �'i
PERMR NO.aa7���yg COMPLETED
ADDRESS
O�WNER TELEPHONE NO. �-��^ � +Z
CONTRACT�OR
/" ` �c
� DESCRIPTION \ �' l/ '/ o;
ly ❑ FOOTING ' ❑ DEMO-FINAL ❑ S FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ E AV/(3RADIN(i/FILLINO
Q0 FOUNDATION WATERPR00F ❑ PLUMBING FINAL ❑ E REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ S INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ D WALLS
� 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ PLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ F OW-UP
W �AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ F NDATIOWREMOVAL
v0 DEMO-SITE ❑ SEPTIC INSTALL
� O�WNH�OK�RACT�R TO M�ET YCU:_YES_NO
� COMMEN'T�
4 � ��f ✓ ��' �
o .� avr -
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V ����� ANB�(T
O CORRECTUNSAFECONOI'�ION WITHIN �1RS. ❑pHpTOTAKEN
INSPEC7bR WILL RE�I�1
O STOP ORDER P08TED.CAI.�INSPECTOR �qTAT10N D
❑INSPECTiON REQUIRED.CI�LL TO ARRANdE ACCESS.
i
CaN tor uie nex�tnspect�on 24 hours�n ad�►anoe. (95�) 249-4600
OMn�iCornrector on site:
��spector:
1111hib CoP1IM�FlN �^�ry��
�� V
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTI E SCHEDULED
PERMIT NO. -�� c MPLEfED
ADDRESS
OWNER TEL PHONE NO. ��`��� l
CONTRACTOR
� �
� DESCRIPTION �
W ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ XCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TLE ❑ PLUMBING FINAL ❑ REE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ ITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ ATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ OMPLAINT
� �INAL ❑ WATER HOOK-UP ❑ OLLOW-UP
41 ❑ AS BU�LT-SURVEY ❑ SEWER HOOK-UP ❑ OUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET Y'OU:_YES_NO �
� COMMENTS: ���c. �..1�G - 3'o�'I� �
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a �o✓• c. I tb- a• b �SN�a�/ �
� VYORKSATISFACTORY�PROCEE �ea�dt �O PROJECT�OMPLETE
W O CORRECT WORK 3 PRpCEED ���_, p I$$UE CE IFICATE OF OCCUPANCY
� O CORRECT WORK,CAL�.FOR REINSPECTION �r f�r TEMPORARY
V BEFORECOVERING �� 'PERMANENT
❑CORRECT UNSAFE C�IOITION WITHIN HOURS. ❑ pHOTO T N
INSPECTOR WILL�iEfURN
❑CITATION SUED
O STOP ORDER POSTED�CALL INSPECTOR
INSPECTION REQUIR CALL TO ARRANGE ACCESS.
Co�►r;.�i1C 4F- t,��' F'o✓ /'�t e�� .
Call for thelnext inspection 24 hours in advance. 952) 249-4600
OwnerfContractor pn site:
Inspeator:
White CophrMnspecto�'s File Cenary Co�ylSite Notice
�
`/� TIME
DATE
ITY OF ORONO i CALLED IN
INSPECTION NOTI SCHEDULED � � ;_�
PERMIT NO. —d�� COMPLETE
ADDRESS � �
OWNER TE PHONE NO. � 2 �S�
CONTRACT�R � ���l�t,.-✓�
, �� DESCRIPTION �
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ S PTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ E CAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TIL� ❑ PLUMBING FINAL ❑ T EE REMOVAL
2 ❑ LATHE ❑ MECHANICAL RI ❑ SI E INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ R TED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ C MPLAINT
J FINAL ❑ WATER HOOK-UP ❑ F LLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ F UNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICOMRACTOR TO AI�EET Y'OU:_YES_NO
I
� COMMENTS:
� � Pro+v�b�. Gro.�-� Dr Sf�� 31�arv�
0 T/Ow� ,s'� I��.�Lc I7Z4�C. 7 �� �� OL
� C�CR✓ �.AZ'G!S� L8 I'ivN.f`i 1�'
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2 �� /"�o�sti t � a�•�J4. /�► $r�vt�
+
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�
W ❑WORK SATISFACTOFlY:PROCEED O PROJECT C PLETE
� ❑CORRECT WORK d�PROaEED ❑ISSUE CERTI ICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL POR REINSPECTION T MPORARY
V BEFORE COVERING P RMANENT
❑CORRECT UNSAFE CON�ITION WITHIN HOURS. p pH0T0 TA
INSPECTOR WFLL R�TURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION I ED
!J'ifOxECT10N REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe nfxt inspection 24 hours in advance. (�52) 249-46��
OwneHContractor orr site• �
Inspector.��^'�— E
(/ �
YVhite CopyA�specto�'s File Canary Copyl�ite Notia
y�� , DATE TIME
CIITY OF ORONO CALLE IN
IN�SPECTION IyQ�� �DD�, ` n SCHED�JLED ��
P�RMR NO. �`��� 7 � COMP ED
AqDRESS
01�INER TE PHONE N U S�3'
C�NTRACTOR �
�
� D6SCRIPTION
t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ pOURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ POUNDATION DRAIN TILE ❑ PLUMBING FIN L ❑ TREE REMOVAL
Z ❑ U4THE ❑ MECHANICAL I ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL NAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNE FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK- P ❑ FOLLOW-UP
_ ❑ A�BUILT-SURVEY ❑ SEWER HOOK- P ❑ FOUNDATION/REMOVAL
� ❑ D�MO-SITE ❑ SEPTIC INSTAL
? 01NN�RICONTRACT�R TO MEET YOU:_YES_NO'
� COMMENTS: �r�'.o �:'< <
� � �
�
0
�.
�
0
W
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2 ' �
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� ❑COHRECT V1fORK 8 PROCEED �I ❑ISSUE CERTIFICATE OF OCCUPANCY
W
�� ECT WORK,CALL FOR REINSPECTION �'� TEMPORARY
V EF ECONERING PERMANENT
❑COR ECT UNSAFE CONDITION WRHIN HOUR p pHpTO TAKEN
NSPECTOR WILL REfURN
❑CITATION ISSUED
❑STO ORDER POSTED.CALL INSPECTOR
❑INSP�CTION REQUIRED.CALL TO ARRANGE ACCESS.
j Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OMrne�/Contractor on site:
Inspecttor: � a �''
White CopyAnspector's Fib Canery CopylSite Notkkx
� � .
V (aaa)
� CERTIFICATE OF SURVEY FOR
� GRETCHEN SHAW
,
�� OF LOT 16, SHADYWOOD :�
� ��� �� \�. `�" ` �� HENNEPIN COUNTY, MINNESOTA ,
►� �a,�,� EXISTING .,3,\\ � �1 11 �
I ; HOUSE � ���\ ��� �� 1 1
(�) i � ��7'4O PATIO 1 �\ \ �4_ 1 _ . . ..,'E.��
� I , �1' �\ \ \� `,e�� .
� I � lw'� 1�,� � � ` t
� I � � � (a�� � ,
� �
� `°�i � `� �^ � � i �� , FEB 1 4 20t1
' ' 1
I � � � � �1 �y �
66 �,,, � j ► �; :.:, � ��;� '� ` Received by
•...s � 1 c�,a.v 1
� � � � � � `
:1 � ..............��.. a ., � � �� ��\(u+a�l\
�rK � �S 89 53'30 E 125.7�-- ..._�.._...�.._•-•� � �\ �trry,
� �� 31.23 -:�,�` �,.,�.��. � L A K E
O uux :' 1.2 • , � 63.19 ': � �1si�i���` `
- �:
• _. ......•• � ...:•
� K � .� �_ � ��. i� �c T ,N (�j�)
�( � i _... _.. i .. .......... ... �
� �,� . 9 , � 941.5 f: ,d,,:.�� w�' �: �°'� �'�� �; � � MINNET�NKA
�, � p Q�,�, w rwarosEu wux N) FOP Of`' � � ' `� � � � � �
l'J �i 1 0 " ��''� F.O I X�D A T I O N' \ �: ,� I I I �D I
,.c "`1 ; �� 6 � � �°� Q1 �o` �,�.,, , � " � �1 CRYSTAL BAY
� `� � � � PROPOSED:....................`.� a.. ......W.:,` c� s v�r 1 I �y _
929.4 CONTOUR
� � I � /PROPOSED m fi 1� � i'� � � �` � � LINE (O.H.W.)
O O DRIVEWAY �� HOUSE '
p 1 l (e) � " �.o^ � �v� cE c��•.� � \ , 1
1 t�so '1
� � � rn I � � U) � S AqC� N I � 1 1 (a�t.i
� '� I ;`�CI'M/yy � � to ss.a7 p� � b� ` `
�,� . 75 BACK •rl,��<�ri>` 1 �t►�a) 1
� y9' S1 •�j. EpLlS NEll (Ej ' � 1 `
� I '-' ��/I.1� ..�-- ♦ �ii. � LR�E i � � � 1 �. v
� ' '`.� j33•smtly+r+�c�� ;,h, _�� � s�'�.,� i�a',v��� � aw 4,:
••.._..�. ...._ .
•:�r,ia• � `
� O 1 `\ ".�aw.�30.92....._._.•"s�u•._-� (9aza) � 99.99 s��w --. •� \¢2,3�1 .�...:' 6 1
�..�
\ t � 1 \ \ ��
� � \ EXISTING 1 \ \ ����
� � GARAGE EXISTING ; �93,,�� � � �
` �a►a»..� � � HOUSE � � � \ \ LEGAL DESCRIPTION OF PREMISES :
�\ (`�,• � ��j o , � �j 1 �1760 DECK • � � \� � ��`
" ' •••iV 89 53 30 W 130.90�'� (wow 1 1 � � p� � Lot 16, SHADYWOOD
66 � \ \ pa�.q � ` taui) � :
�
1 � � \ � � : denotes iron marker found
c�� \ cwaN c..i.o) c.+a, cw,.��
(w� ' �
��o qy° , cA,s.o� c�u� 1 1� 1 1� \\ (908.3): denotes existing spot elevation, mean sea level datum
I �a�.s� � ,
t ��» � �1 \ , , � `
1 � ��Z�� 91o.s : denotes proposed spot elevation, mean sea level datum
--s17--: denotes existing contour line, mean sea level datum
PROPOSED ELEVATIONS : (per architect, verify)
z�: denotes proposed contour line, mean sea level datum
1) Garage = 94�.e
Bearings shown are based upon an assumed datum.
2) Top of foundation = 942.1
3) Main floor = 942.5 This survey intends to show the boundaries of the above described
property, and the location of an existing house, spot elevations,
4) Basement = 932.5 topography, trees, lakesides of adjoining houses, and all visible
"hardcover" thereon. It does not purport to show any other
improvements or encroachments.
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTIONQTLCE_, ,J SCHEDULED -A
PERMIT NO. u\ I�� COMPLETED � 2`06
ADDRESS I ll O Sha (
f U,) 1)c K2(
OWNER TELEPHONE NO.I0(c)-,1-6` 3 1
CONTRACTOR ( Xf. L—LC_
3; DESCRIPTION
ETI r r ^' .
W LI FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
CO ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
• ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
1, ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMENTS: Gvrre •-crig>yr► )-2/-/
a IhSpAC1liD G0h' DJD#&
j
r„r4-I 4-ie 1/44'or 64 if.)� 1�8f)ort
.4110" eo Ca
(.4/
7FE4p 6111; Ls )da lire)
• V 77:;' /'f3Li in OLLu 4nGk
j
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
• ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN
INSPECTOR WILL RETURN
LISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. �n
White Copylinspector's File Canary Copy/Site Notice
v
O
(936.5)
s�
�ROg kroIWA p
8-30-16 STRUCTURAL HARDCOVER ON /1760 LOT SHOWN
9-19-16 PROPOSED HOUSE, DRIVEWAY AND WALK SHOWN
10-20-16
12-14-16 PROPOSED ELEVATIONS ADDED, REVISED DRIVEWAY
2-1-17 PROPOSED HOUSE AND DRIVEWAY REVISED
3-6-17 PROPOSED WALK, PATIO, AND STONE STEPS REVISED
3-9-17 CONC. PAD
5-18-17 REVISED FOUNDATION HEIGHTS
17-046
EXISTING
(935.5)
{935.8)
934.9)
(932.4) 1 ,,
t
;932.5),,
1
1
(932.1)1
PROPOSED ELEVATIONS : (per arch feet, verify)
1) Garage = 941.8
2) Top of foundation = 941.06 94.06
3) Main floor = 942.5
4) Basement = 932.5
CERTIFICATE OF SURVEY FOR
GRETCHEN SHAW
OF LOT 16, SHADYWOOD
HENNEPIN COUNTY, MINNESOTA
929.4 CONTOUR
--"LINE (O.H.W.)
LAKE
RECEIVED
M"Y 21-12017
CITY OF OROS O
MINNETONKA
I FGA1 DFSCRIPTInN nF PRFMISFS
Lot 16, SHADYWOOD
• : denotes iron marker found
ORONO COPY
(908.3) : denotes existing spot elevation, mean sea level datum
910.8 : denotes proposed spot elevation, mean sea level datum
—917 --: denotes existing contour line, mean sea level datum
- denotes proposed contour line, mean sea level datum
Bearings shown are based upon an assumed datum.
This survey intends to show the boundaries of the above described
property, and the location of an existing house, spot elevations,
topography, trees, lakesides of adjoining houses, and all visible
"hardcover" thereon. It does not purport to show any other
improvements or encroachments.
. T R o N B '_] R G & ASSOCIATES, Ci
INC.I
hereby certify
was prepared by
that 1
that this plan,
me, under
duly Licensed
specification, or report
my direct supervision,
Land
SCALE
1 ��-2p'
and am a
Surveyor under
,
CONSULTING ENGINEERS, LAND SURVEYORS, & SITE PLANNERS
the laws of the
State of Minnesota.
DATE
7-21-16
445 NORTH WILLOW DRIVE, LONG LAKE, MN. 55356
�.
JOB No.
952-473-4141�
17-046
Mark S. Gronberg Minnesota
License Number 12755
150 SadYwoN 0
2Dp - ooh 4-�
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