HomeMy WebLinkAbout1997-008825 - new residence PERMIT
, C�fY F ORONO PERMIT TYPE:
2750 Kelle Parkway- P.O. Box 66
Crystal Ba Minnesota 55323 Permit Number: �
(612)473- 357 Date Issued:
SITE ADDRES :
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY
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CONTRACTOR: __ �;;Y.:;:.:u :. �- .�;;-r�:: — _ . . __ . OWNER:
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AP LICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE "'�i�
,
' Total Fee: $ �� �'�� ,L� Date Received: �- �" ��,�
Enter d By: �� . Permit#: ��Z�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE PLICANT IS: (circle on�j) OWNER OR CONTRACTOR
"'r�li ,�C��i,%-r�./; �'�� L.a i- > j�
JOB ITE ADDRESS: X k X 1� �..,y 5�,� L !v ""�K ZIP: �' �
N OF OWNER: � ` � ��_'� ��o ^""`� PHONE: (home) �-I oy - � � 5 L
(work)
MAII.�ING ADDRESS: s �� 5_,�s��f �� -- CITY: �7��-� � ZIP: � �� 3 ��
�
CON RACTOR: ��- pgpNE: y- -7 S - � S��
CON ACT PERSON: p w� ��.t- n��r MOBILE/PAGER:
MAI ING ADDRESS: CITY: ZIP:
STAT LICENSE: # �'���
ARC ITECT/ENGINEER: p l�'\�(��5�— � PHONE: `� 73 -- 5 y 3 S
MAI � 'G ADDRESS: CITY: ZIP:
�J REGISTRATION#
TYPE OF WORK: New _� Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPIOSED WORK(describe in detai�: /��l� ���� (-�^ s r
STOR�ES: Z— SQ. FEET OF EACH FLOOR: � 3�'k.� ���``'�
NO. aF BEDROOMS: y t- GARAGE STALLS: ATT. � DET.
ESTIl��iATED CONSTRUCTION VALUATION (excluding land): $ �3�, ���
I hereb apply for a building permit and I acknowledge that the information above is complete and
accura ; that the work will be in conformance with the ordinances and codes of the City and with
the Sta e 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 accordan i t e approved plan.
APPL$CANT'S SIGNATURE: DATE:
NOTEI Parade of Homes events require separate permit approval by Police Department and
City C uncil 60 days prior to the event. Non perntitted events will not be allowed.
9
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Sec.13.04 RIGHTS OF SLIBTECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, private or confidential. Upon his further request, an individual who is the subject
of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request
within that time,he shali so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement.
The responsible authority sha(1 within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
�` '�. � \ S�
First Middle Last
� � 5�r>>�� C.'� �_�--�-
Address .
C� C'� � � � 5 3���' �{ 7 � �7 '� ��
C�ty State Zip Phone
I understand my rights state a e.
G
Signature
` CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
AT�DRESS OR LEGAL: � I �t O s v s S� x �2c,��
P :
D�SCRIPTION OF WORK: N L(� �z�5 ,
--+-------------------------------- --- --------------------------------------------------------------------
Z ��TING REVIEW BY: DATE APPROVED: 3 - I�(- ��
B DING REVIEW BY: �, DATE APPROVED: �- ;�- ��
FE S TO BE CHARGED: Misc. Fees Calculated By:
PE�IT Yes �' No
PL N REVIEW Yes � No SEWER CONNECTTON
ST TE S UR`�IARG� Yes � No WATER CONNECTION
IN ESTIGA'I'ION-FEE Yes No �--- PARK FEE
SA Yes No ✓ SITEINSPECTION
N mber of SAC Units OTHER (specify)
----- ------------------------------------------------------------------------------------------------------------------
ZO �i 1G CHECK LIST Zoning District: R 2-1 g
Fire epartment: �;.�; Post Office: (,tj School District: Q2pN c'�
�
Lot A�rea: Sq.ft. Acres Z �- Width ��cw��:,a�'Z Depth
Surv Submitted: Yes_�(_ No Date of Survey: 3'3-'�`j
Prop sed Setbacks:
Front (�s): ��•� Right Side: 70•�l
5��--
Bea�(Street): I Z.�=� Left Side: N�l�
Adjacent Structures: ti 1� Wetland: /�'�}
I
Build' g Height: Def. Hgt. 2� Peak Hgt. 3 Z..
Lot C verage: ,U//�
Gradi�: Staff Approval Date: �. I�! -5"1 By: � Council Approval Date: � (�4
Septic: Staff Approval Date: 3�'I�(- 41 By: 5•w�
Zonin File: # Resolution: # Resolution Date:
Shorel d Dist:ict: ivZU
Avg. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
�.P` � 250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REM�RKS (in house):
• 26
BUII.DING REVIEW CHECK LIST
UBC: K- 3 CONSTRUCTION TYPE: vr�
Sq Footage $ Per Sq Ftg
Basement x —
lst Floor x =
2nd Floor x =
Gara�e x =
R =
TOTAL
m!
Estimated Construction Value: $ 335, ���%
Inspections Required: �Vork Requiring Separate Permits:
Site , . � Plumbing Fire
Hardcover Removal 0� Mechanical Water Connection
� Footing � Septic Sewer Connection
�. Franung _� Fireplace oc Lawn Irrigation
o� Insulation _� (Masonry) Other
� Wall Board ,( (Mfg.) � Well (State Permit)
o� Final Grading/Filling o� Electrical (State Pemut)
Other
RE1�IARKS (IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS(TO BE NOTED ON PERII�IITj: �
27
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. , .
ENERGY CALCULATIOh
OWNER: �� � ��N �
SITE ADDRE�S: �'� �, �o�1G � � 1 r ►---`� � 1 1
I
• COr?TRACTOR I DATE: PHONE:
�
DF.TERMINE WORKING SQUARE FOOTAGF. OF EACH:
1 . TOTAL F. POSED WALL AREA . . . . . . . . I4Z.O� sq. f t. x "U" . � � = 4.SS,loTj
2. TOTAL R OF/CEILING AREA . . . . . . . . �1�IZ.D� sq. ft. x "U" �OZ�o = �(p�
3. TOTAL E POSED WALL AREA CALCULATIONS:
Total exposed wall . . . . . . . . Z1o31 .Z j sq. ft.
area bove rioor
a) Tot 1 wall window area:
��: 5 �b� glazed . . . . . . . . �`�Z .�1 sq. ft. x 'U' ,�r� _ � �t^A.3j
C.7w�-+• "�c�b� glazed . . . . . . . . . �-l� sq ft. x 'U' ,4 = 1 �.�Oa
b) Tot 1 door area . . . . . . . . . . . ��7,�-4- sq. f t. x "U" �Z� = 1� ..��
_ �l
c) Tot 1 atrium/:� door area:
S}t� c��� glazed . . . . . . . . . 1��7s sq. ft. x ..U.. � = 1.01 , 4Z—
glazed . . . . . . . . . sq ft. x 'U' _
d) Tot 1 fireplace wall area 4�.4°U �q• ft. x "U" �4Z = ��=��'
e) Tot 1 wall framing area
(average 10%) . . . . . . . . . . . . . Z`�4- .�-b sq. ft. x "U" �C`10 = z-�.�C
f) Tota net w211 area above
floo (insulated) . . . . . . . . .�ZJ,vSC_t� sq ft. x 'U' �03� _ � �� •1�
g) Tota rim joist area . . . . . . 3�.3� sq. ft. x "U" ���v = 1�. 33
Total f undation area
(expose ) . . . . . . . . . . . . . . . . . . . . �A-4 ,4- sq. ft .
h) Tota� foundation window _
area . . . . . . . . . . . . . . . . . . . . . sq. ft. x ..U.. _
i) Tota net foundation area
abov grade . . . . . . . . . . . . . . . � ��-4� sq ft. x 'U' ���Z.. _ `� -�Z-
TOTAL a) thru i) _ �j0_Z..1
I
If item �f3 is he same a�, or less than item 4I1 , you have met the intent of
S.B.C. Section 6006 (c) 2.
4. TOTAL EX OSED ROOF/CEILING CALCi?LATIOrS:
Total xposed
roof/c iling area . . . . . . . . . . . . `��Z.O sq. ft.
j) Tot 1 skylight area . . . . . . . ---- sq. ft. x "U" :
k) Tot 1 roof/ceiling framing
. are (average 10�) . . . . . . . . ��9 ,� sq. ft. x "U" .�Z-1 = �-�'
1) Tot 1 net insulated �j ¢�
roo /ceiling area . . . . . . . . . ���Z,�g'sq. ft. x "U" .flZ-Z- : �
TOTAL j) thru 1) _ �.G,Zj"Z
If total of 4i4 is the same as, or less than 412, you have met the intent of
S.B.C. Section 6606 (c) 1.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize t e total enevelope system method, the values established by the sum of
items !l3 and ��4 shall not be greater than the sum of items 411 and �12.
1. + 2. _
3. + 4. _
CERTIFICATIOi1
I hereby cert fy that I have calculated the "U" factors and "R" values herein and
that the buil ing here described meets or exceeds the Stant of Minnesota Energy
Conservation ct.
� � `, 1 `�
M
(Signature)
l0. t . -�(j ..
(Date)
0.�I5TRjJCTION R VALUE
WALL FRAMING SECTION:
� � 'r�s�" (1) INi'ERIOR AIR FIIM 0.68
: , :�;�� (2) 1/2" GYPSt&�i BOARD 0.4 5
� (3) 5-1/2" SOF'T WOOD 6.88
� ;'`\~ (4) 25/32" FIBERBOARD SI�ATHING 2.06
' :\�� (5) SIDING 0.81
.;
(6) F�'1�RIOR AIR FILM 0.17
� , :��� 'IC7TAL R = 11.05 �
s ::;�� U 1/R .090
�_� .
' �;` WALL SECTION (INSULAI'ED):
,���.�; (1) INt'ERIOR AIR FILM 0.68
(2) 1/2" GYPSi�I BOARD 0.45
(3) BLOW-IN-BLP1�T FIH�ERGLASS 22.00
(4) 25/32" FIBERBOARD SI�ATHING 2.06
(5) SIDING 0.81
• (6) E}CTERIOR AIR FILM 0.17
- T�OTAL R = 26.17
• , . U = 1/R = .038
6 RIM JOIST SEGTION:
( 1) INTERIOR AIR FII1�i 0.68
' • (2) BL�C7W-IN-BLA1�T FIBERGLASS 22.00
(3) 1-1/2" SOFI' WOOD 1.88
(4) 25/32" FIBERBOARD SI�ATHING 2.06
(5) SIDING 0.81
� (6) EX'I�RIOR AIR FII�1 0.17
�. TOZ'AL R = 27.60
U = 1/R = .036
��. -
: ��: FOUI�IDATION SECTION:
(1) INTERIOR AIR FILM 0.68
(2) 12" QONCRETE BL,OCK 1.28
(3) RIGID I1�I.SULATION TO FROST 10.00
� �� (4) F.X'I£RIOR AIR FIIM 0.17
r',• (5)
� (6)
_ Tt�'I'AL R = 12.13
k
' U = 1/R = .082
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� ��NSTRUCTION R VALUE
CEILING SECTIOrI (IIVSIJLATID)
� (1) INTERIOR AIR FII�I 0.61
s (2) 5/8" GYPSL�! BOARD 0.56
;�� (3) 12" BI�'J4�1N INSUL�ATION 44.00
�. (4) ExTERIOR AIR FILM (STILL) 0.61
T�OTAL R = 45.78
U = 1/R = .022
1 (�ILING FFi�NIING SECTION:
(1) INTERIOR AIR FI�1 0.61
t 2) 5/8" GYPStJNI BOARD 0.56
(3) 8-1/2" BL(7WN II�LSULATION 31.17
. (4) EXTERIOR AIR FILM (STILL) 0.61
(5) 3-1/2" SOFT WOOD 4.38
TOTAL R = 37.33
U = 1/R = .027
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DATE TIME �'/
CITY OF ORONO CALLED IN •���i 7
INSPECTION TICE SCHEDULED .3/���> �'� 3z�
PERMIT NO. J coMP�ETEo ' "
ADDRESS � �
OWNER ���.e�cl' • CONTR.
TELEPHONE NO. ��7� '�����—
.
� DESCRIPTION �.-�2_.Q.�< r p�c��,,�
W 1 OOTING � 11 MECHANICALRI 18IXCAV/GflADING/FIWNG
� 02 F G 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
�^ 07 DEMo--SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ,– pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73 'rJ7
Owner/Coniractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN .��/ `�'`'/7
INSPECTION NOTICE � SCHEDULED ��S� �'`�T_
PERMIT NO. ���'i'S COMPLETED L� V�
ADDRESS � � /��
OWNER 4��� CONTR. ����
TELEPHONE NO. ���- �' 3 � �I
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18IXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
03 INS TION� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q04 WALL BD. ,,' 12 WATER HOOK-UP 17 SITE INSPECTION
Z O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
F` 07 DEM�-SITE 27 SEPTIC MAINT. 21 COMPLAINT
�
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
i] INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
Owner/Contract sit�
Inspector. -
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN / � .� ��
INSPECTION NOTICE SCHEDULED 1���'3i�`%7 -CG
PERMIT NO. COMPLETED �_ �_
ADDRESS � �'�% �-��� �
OWNER CONTR. r`.L�
TELEPHONE NO. '�7.�—`�=�/ �
,
� DESCRIPTION r, �����,t r� ���-�
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� �FINAL ' 14 SEWER HOOK•UP 06 PROGRESS
J��SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED It � �
ADDRESS
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTINO it MECHANiCALRI 18IXCAV/(iRADINO/FIWN�
y 02 FRAMIN(3 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 P TALL. 22 FOLLOW-UP
= 09 PLUMBING RI SEPTiC Fl 35 HARD COVER REMOVAL
J 10 PLUMBINQ FINAL 28 HINGLES 36 FOUNDATION REMOVAL
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G INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContract
Inspector.
White Copylinspecto►'s File Canary CopyfSite Notice