HomeMy WebLinkAbout1996-008497 - new residence � -. PERMIT
,� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �;lsl T�„fi:�����:�
Crystal Bay, Minnesota 55323 Permit Number: t}{y;1 r}=�,
(612) 473-7357 Date Issued: �ty{���.��,
SITE ADDRESS:
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C:N
F'. s . ;�; . . _;�-1 #:_—r�:=:—-�1—;;�=�11
DESCRIPTION:
r.��:�1 �r'=�I C}�t���E
�uii��i�i�� F'�t�ti�i�. �Y���= '=���L }=r�t#ILY—�I���J
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i il�i(: !�!r r�,��=�t�C y Ft—�'
t:�_;�:,�t.�`���:t•i+_�t-� T y��t� Vf�!
��_��i i i-�3 �;-1 A
i:�rt�i.�� �::���-ir ��.r� i — �'At�f . C�E"i"R�:H
REMARKS:
:=�EF't��`F�TE PEi��1 I T'=; l;����3 I REi� F+�!�' FL���(�'i i�l{.�, �1��:NHt�I=.=r�L, �;�'FF'L�t��. {:t1l=C�:� , i:��iTE�
�:�i=��!('�E�:T T i_�N, ��,E�E� �:E_EP�{��C:1`;l=��'�j LF����� T�;�I{�J�T I�i��; '�t�C� �_�..E i::(�T;:�:L. (���T�TE:t .
FEE SUMMARY:
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CONTRACTOR: — ���_�1 i��z-�t. — :=,T . !3�:. OWNER:
L����::�W�:E:=�� �t�vF�L�=:+F'ME�!� 1��':=:����_;�; 7:�:�::=: !�k:::�Wf��tt��� �;3���:!�=1F't�EP�f?�
1'.�i�.�' Et�`=�T �r�Y��;7� E���1l� i'.�i'�' � Wr�Y��TA E,LV�?
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APPUCANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE G�
,
- Total Fee: $ � D ..3 B-S� Date Received:
Entered By: ��h. Permit#: B��I�
CITY OF ORONO - BUII�DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
---------------------------------------------------------------------- ------�— - -----------------------
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: ���5 vUG�/\�(/����': `,��3 /�
NAME OF OWNER: �/� D,D ��L D��I�bNE�T(home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: �f�/�LC(,l�U�D ��EI��L��E�PHONE: 7����
CONTACT PERSON: O T L OBILE/PAGER: �-/7�
MAILING ADDRESS: CITY: T ZIP:�;�Z��
STATE LICENSE: # 7a3�
ARCHITECT/ENGINEER: f. ��� 1L/yE� PHONE: ! �� /���
MAILING ADDRESS: � CITY: �,5 ZIP: J ss�i�O
NAME: ,(/���� a�-�-ME yE�2 REGISTRATION# ,/.5�5��_
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WO (describe in detai�: �%Fr� ����T�ve T���/
��17 �S��i /�Qiy�
STORIES: � SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��d ,��o u�
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 a ordance with the approved plan.
APPLICANT'S SIGNATURE: ATE:��
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTS OF SUBJ�CTS OF DATA
Subd. I. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shall
be informed of: (a)the purpose and intended use of ihe requested data within the collecdng�tate agency,poliucal 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 confidendal dara;and(d)the identiry of other persons or endties 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 o�cer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or nroaertv tax refund
instrucdons instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,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 hicn 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 secdon is pending or addirional data on the individual has been collected or created.
The responsible authority shall provide copies of the private or pubiic data upon request by the individual subject of the data. 1'he 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 ame,he shall so inform the individual,and may have an addidonal 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 accurecy or completeness of public or private
data concerning himself. To exercise this right,an individuai shail notify in writing the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy 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 rosponsible authority may be appealed pursuant to the provisions of the administraave 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 Ciry 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 shazed with other local, state or federal agencies to the extent necessary to process
the pemut or license.
4. If your requested pemut 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 pemut.
�8�,�7 �. /����n�� .
First � iddle� Last
Ad ress , /v�� �/ � \��
y L �J
Ciry State Zip Phone
I understand my rights as stated above.
Signaturo
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z�:e,� .s��.F��4-2 i,v�;c;,� �
PID:
DESCRIPTION OF WORK: /`; `,(,�,J ;2�5
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: �= ;, � �� ° . DATE APPROVED: r v i�- �t,4:
BUILDING REVIEW BY: c i;,,,,,,�� DATE APPROVED: [�-��'- �' c.�
----------------------------------------------, -----------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes �"' No SEWER CONNECTION
STATE SUR`HARG� Yes r/" No WATERCONNECTION
INVESTIGATION-FEE Yes No cr-� PARK FEE
SAC Yes ,;� No SITEINSPECTION
Number of SAC Units � OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: F� - � �'�
Fire Department: ���i �� Post Office: ���' ' �- = School District: L-�:'k,�'�f�
, _
Lot Area: Sq.ft.,�,3,�i��3 = Acres � � � Width l.�i-`1 I fi U ts Depth �2.�� � l��,'`<
Survey Submitted: Yes X No Date of Survey: ��' - � � '� k=
Proposed Setbacks:
Front (�e): r:. � � Right Side: �� � �-
Rear (S�aet): �Q'i � Left Side: '��l.� �
Adjacent Structures: �/��� Wetland: �/I/�-
P
Building Height: Def. Hgt. �i Peak Hgt. 3:a•.�
Lot Coverage: � , k-
Grading: Staff Approval Date: 1�% '�'�'�- i� By: ��= ' Council Approval Date: —
s
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland Dist:ict:
Avg. Setback: Bluff Setback: L.ot Coverage:
� Existing Proposed
N Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
1
REMARKS (in house):
� 26
BUILDING REVIEW CHECK LIST
UBC: IZ - 3 CONST'RUCTION TYPE: Viti
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
u,.♦
Estimated Construction Value: $ y��'.��`-'
Inspections Required: �Vork Requiring Separate Permits:
Site . ,�Plumbing Fire
Hardcover Removal �Mechanical oC Water Connection
�� Footing Septic � Sewer Connection
/� Framing �� Fireplace � Lawn Irrigation
_� Insulation (Masonry) Other
� Wall Board ,� (Mfg.) Well (State Permit)
a. Final Grading/Filling _� Electrical (State Permit)
Other
REMARKS (IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS(TO BE NOTED ON PERMIT):
27
,• ,. ,
._' � .
' � EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER ���1� ��f��L-dp/t'l = � .
SITE ADDRESS ��j' �!r�' S (O�L+
CONTRACTOR !G�vtf•L• G4 . DATE �• �.�(O . PHONE
Determine working square footage of each. .
� i .� Tota1 exposed wa11 area . .... r'��,a sq. ft. �x • It =
2. Total roaf/cei 1 i ng area . . ... ���"i�d sq. ft. x- .0 2b- -
� . .
� Total exposed wa1�1 area above fioor = _�°�', �� .
a. Tota1 wall window area.. ... ....... ..�.. ... .. . .... .
b. Total door area�':...�. ...... . .....:: .::.�..,.... . �
....
' c. Total sliding glass door area .............. .... .
- d. Total fireplace wa11 area.. .... . .. .... , `�
e. Tota1 wa17 framing area (average�l0�)...:... ...: . -
- � � f. Total .net wa11 area above floor ........ . .. .... . . �
. ,
g: Tota•i r:im jo.i.st area . .:.. ....:. :. .. .:..... . •
� . � Total exposed foundation area = �o,
� �� � �+. Total foundati on wi ndow area...�... .. . . .. ... .. . .
. „
� . :� . i. Toal net.foundation. area _above grade .. ........ . . , - �
� � Determine "U" value of each wa]1 segment. _
� . �.. a. ?��r � X ����� � �3 = ' � .
. : .. - b 3�5,'l X ��U„ � , _ �3�.� �
.
: c. I l7 �lo x "u" , 33 = 3Y� � -
d. � X ��U�� �- _ �.,
e• �l, 3 X ,��„ � �� _ �
/ �
. . f. �I lo( , 5 X ����� ;d� _ � Z�O 5
`,� _ , , .
,
� . � 9- ��J�D�'li X "U" � =
�
� h. -�� X "U" — _ . tT
� . .
� l . /J �O �� X nUn � _ ��/
� Cit </�
�
3. . . . . . . . :. . . . . ... . .. . ... .. . ... . . . . .. .Tota1 =
If item #3 is the same as, or less than item nt , you have met the intent
� of SBC 6006(c)2.
`, - �
f
� .
� � �
f '
Total exposed roof/ceiling area = �
j. Total skylight area.... .. .. . . . . . .. . . . .. . .. . . . $ � �
k. Total roof/ceiling framing area (average�l0�). ..
1 . Total net insulated roof/ceiling area. . . .. . . . . . .
� Determine "U" value for each roof/ceiling segment.
j. -�— X ����� �-- _ $ � .
� k. �'�i� -� X ����� � 021 = �`,2
� � . ��� x „U„ . - , a2d = Z .
, 4.. ..... . . . ... . . . .. . _ ...-. ... .Total � _
� If total of #4 is the same as, or less than �2, you have met the intent of
SBC 6006(c)1. . . � :
Alternate Building Envelope Design � . - . �
- To utilize the total envelope system me.thod, the values established by the
sum of items �3 and #4 shall not be greater than the sum of items �1 and #2.
� 1. + 2• _
3' . . + 4. _ � -
� . . ,
,
• � •/ � ''` ` ' . . .
, , R Vn;un
� ; � . . Wall Framing Soction . _—
:�" �i � � � � � �. 68
� i ' �1 Intoriar air film .�
� . ` . � � 2 i i2'► ,LJ, b.
� � � 3 5 ` inchos soft wood
� - �_�. . . .
� 14 � ' i.25_
E . �
; _ ,.- .� . 5 ► a� c�c�. s�Q a�
� , ' , 6. Exterior air flim _ �• �
'� TOTAL rt t O.
' 'C ! .. .� i ' r� . . • '.��.' . . . � 11 — � � — . 09
, . � _.,( --is�.. • ,.. . '. .
�.i . • .. ,•:
� • � " • Wall �5ection (Inaulatec',) •
�� � '—�' 1 TntArior Air film �•�
, � , �� z , , l.u. P�, � �-�-
• �. - � � ' 3 +S ' i�....�•s� 6.�Ld�-, 1`�,o�
� , ` - 1�. " �MEl�� ���-�'�. 1�22
.;�- , .._ . .
. � , .`. j t-_' S 1 ��ti L'1 t�'�-r 1•2�
't � � -�' ;i 6 'xtor or air i'ilm O• 17
• � . �. . �'..,t "`�� � . ;�. a:�...:,- TOTAL R = 22. '7
�'. ,,;,,.�-�� �� � . ,�• ' . . : ''' . ` • . • • u = 1 /R = . b �
••.;: ~��. (' ��'�' .• . . . ;;,;.;�:''.:'�t . . . .. .
� • ,r� ti � � ,• �: �� ., •�.. �i.:: . ' ,. . . •' . " • ' • .
,i: .�.` ..c " �t•. . . •�i1'.ttl!��=.�� • : ��� . .. .
� . �' � • .• 4�r1�, �.�..� 1 '1..•��/� ':�%J , ,�•ji;^ L�.�Y... . . __ — ...� • ' . „ -- — ...-
.•� �• =�q;• � . : ..t ��:� � •� � ' - .. ..�� .__
� • r� . . • �' :���. ��.� � y;. ..:,,_f• _ . , �yr .' 11'• - — '.. _ ,��. .— . . . __ . _ _ .
• '` i1'� :• �' ..i. '� •�� ?: .L'?::,. .. . • . . t�',-... .
�j- . �,`^ ��:� : • Rim �Joist 5ection: ' �.b$,
� � '�'''�` � � '1 Inte,rior air tilm �
' .r;•;,�`. � ''1 t� '1' -'2 �r. j •6,. . 0�.�
. . -`:. .rr�, �. � ,� .. _;4. �'f12�m�J2F��� ���
. ' ,� .�'T� .-. � '5 ��� e� c.��= �,25
� ' , �.;j��'/t� � �� . . 6 Extorior air i'i�lm � _ D. 1?
_' � .,..''::�= �: :'� '''= :: �-o L u 1 't� �
•���....:
� . �. •-'e.- �. I :1. �`' .. - � .-_. . , . . . _--.... . . � - - � u = � !R =
. ' ' /�� � ..•�' '� '�., ., . • � •- • -
' '�� • ( '' . � • '�. .` Four�dation SActian : '�
��' � ' 1 Interior uir t' , lm O
. ► • , , ,�
� �L-'i F ,�tJ��•� 3►o • �
. , ;•. i . t •3 �� �,�,. B�„� 1• ��
. � ,
��,�:, '� � ----- -- � '(� •x.t:or i or �i r f�i m D�
' � . 5 2 �.w,� . .4s
y' . . . � `, j G'�` r'E . , , t b ,�� T TAI. x = .
,, ;r, .. �l.r' �/% .� � . �c� u = � !x = .____i_o__
. �, �
. T'_— - � , . . �/�/ •.,.:;��. °; � . . . _ �►ouZ �w�.Zcrx�. � - 2.r 3
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= � � .� , ,�---- � .. . .
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t, . . � , � � 4
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. � . •
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'! .- � r • • . CEILII:C; SECTION (�I�v5UL11:'r.n) :
. ,. - '
;- � � . • �••• � 1 Interior t�ir film 0.61
E' " • � _ � �. 2 �/�' G,w. �. .�
__.___ �
�� _" � 3 - - - 3 �-�8 �..o���..., .c�
� -----�- � _
� ' � � 4 Exterior air film ._. _
. � ' 1 � ' , .� � (still) �.bl
,
\ , � \ , _ 4��
� .� ,, •�•; TOTAL R .
� � �' U - 1/R = _L.��C
_�
. ..� ' , . . � . . • .
. ! � 2 ., , 5 � . ���CEILING FRIIMING �I'C'I'7 ON : _
� . • •
�IR j VENTED . � ', 1 Interior air• film _ '�..,�1
_
FLow . :,: . , . , • 2 �/�: G.c.J, � _Slo
. . �, , . . . . �'�'. . . �: ----._ ----
- . .-�'�• ' '� '., . . � � . 3�� I 2'� �,J►.� N'�c.c�b
' ' - -- - � .. , ::�;n''�:, � . .�� ,q Interior air film �. . _� . �...
• ::� ... • _' ' f still) �.61
� ... . ' . . _ � ... � , . :.� .:;,:;;'�r:�T�,�'_ " 5 3��2� inches soft wo�d [►�
_ : , . .. . -- -.. . .. ._, .i.y.-��sy :r, ..�.�.. 'tb./ � � 1 �+�+'4
_ ;�. . . ._ . ' - �- _ - ._ .--- r,.••,^.:4., .. . ', • . ;: TOTAL R =
_ -- - . • .. . '•'`'+:t''�t : • � •,,• - - -
. . ...�� � _.. _:;:��.�.°�.: . �,; U � i�R = . a��x
- -... . .. . , . . ._.,., ,.!i' '..- _ ..��;.... _ .
. . •� � . .. 'ft'1'7 C'�r7. -�' �. �'.J.�. . .N . . . � � ... . - " _ _
. , , •���1l� ' ' .� • �. ' • .. ' ' �
� . - .!1 1 � .' , .
- . : .. � CEILING SECTION (INSUt�ATETJ} :�,:
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DATE TIME
CITY OF ORONO CALLED IN .'��.%e'
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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DATE TIME
CITY OF ORONO CALLED IN /�--�' `��-
INSPECTION NOTICE SCHEDULED / / -,�':� f�
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
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DATE n�TIM�
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Call for the next in ction 24 hours in advance.473-7357
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DATE TIME
CITY OF ORONO CALLED IN /. �� `7 �_
INSPECTION NOTICE SCHEDULEO �
PERMIT NO. c'� COMPLETED � � � ��
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Cali for the next inspection 24 hours in advance.473-73�J7
OwnedContract�sit :
Inspector. '
Whife Copyllnspector's File Canary CopylSite Notice
DATE 71ME
CITY OF ORONO CA�LED IN ' �O� .' ,czi >�
INSPECTION NOTICE C� SCHEDULED �1 -ii '�f %�-'-'�`�'�
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