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HomeMy WebLinkAbout2016-00536 - new structure MMUMMUM i CITY OF ORONO * 2 0 1 6 - 0 0 5 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2016 ORONO,MN 55356- ' (952)249-4600 FAX: (952)249-4616 ADDRESS 660 TONKAWA RD PIN 05-117-23-33-0016 LEGAL DESC PARTENS POINT 1 ST DIV LOT 003 BLOCK 000 PERMIT TYPE NEW STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE SINGLE FAMILY ACTIVITY 101-SINGLE FAMILY HOUSES,DETACHED VALUATION $ 1,055,000.00 NOTE: RECLAIM SAC FROM DEMO CREDIT#2016-00402 05/04/16-UNDER 666 TONKAWA RD SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, ELECTRICAL(STATE) NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM APPLICANT PERMIT FEE SCHEDULE 6,485.00 STATE SURCHARGE(VALUATION) 522.00 PILLAR HOMES TOTAL 7,007.00 1700 NIAGARA LANE N Payment(s) PLYMOUTH,MN 55447 CHECK 37163 7,007.00 (763)475-1700 OWNER LADD&CAROL STAINBROOK,MICHEAL 660 TONKAWA RD LONG LAKE,MN 55356- 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 all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. scant Permitee Signature Date Issued B ignature Date Cit aJ y of Orono ao7, � Building Permit Application t �) for New Structures or Additions Mailing Address: Permit number: 1 '� (c PO Box 66 VQ Crystal Bay, MN 55323-0066 Date received: -7—)/ Street Address:' b 2750 Kelle Par a 4� y y �(,, -(�vc3 Plan review fee: �I J c? Orono, MN 5535 `1kESHOSE Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.mn.us ✓ This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERJ NFORMATION: Job Site /- 4-�., Will this be _ . le of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special even ; rmit 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 INFO MATION: 1 Name: J Ir` Ylrl�-S At An-f_ L. State License# Expiration Date: ZO I Phone: cell (Q office 3• `IS Ob Mailing Address: a , 1Q_ Cit : ZIP: __ Contact Person: Applicant is: Contra / Homeowner (Circle One) Email and/or Fax: 61 krk , C.QYK PROPERTY OWNER INFORMATION: Name: 1,VI-P L"4- 414 Cpvc0 r© r Phone (day): 6�I a -`jam(-`j - ins(pa Address: City: ZIP: Email and/or Fax M�,K_ r 5 —1 ARCHITECT/ENGINEER INFORMATION: Name: ( Q S&-7 c��l C��ry►r� Phone(day): - Address: O �i�t�1 Q S X::41 t$ City: (C"ykP ZIP: 55A!71-_.9? Email and/or Fax: Lh —c*) 'h�'�n�c��g n (n)nq PROJECT INFORMATION: Descri tion of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply New Construction Single Familywith Accessory ry 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 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 c?c+ Estimated Construction Valuation (excluding land) $ �J 55, c� Packet Last Updated: August 2015 Page 21 STRUCTURE INFORMATION: 1.Structure Dimensions1.Structure Dimensions(continued) 2.Type of Construction Q'�7 r► a. Length(ft.)= I l ' Number of bedrooms= S *X /p/�.r 1 Wood/Frame �((/ b.Width(ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached=3— ❑ Metal El Pole Bldg. c. Basement= 2-535 Detached=� ❑ ICF d. 1 st Story = 2-4 5n� e.2"e Story= ElOn-sitePrefab ❑Off-site Prefab f. '/z Story = El Other(please specify): _Izg.Total Area= a_f REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Building Permit Escrow Agreement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Completed Application Form ❑ ❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set ❑ ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements ❑ ❑ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ ❑ Hardcover Calculations ❑ ❑ Septic System Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD stating no permit is required ❑ ❑ Landscape Walls and/or Retaining 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. Applicant's Signature: j � Date: Owner's Signature: Date: Ll� Packet Last Updated: August 2015 Page 22 Builder Acknowledgement Form Permit #2016-00536660 Tonk//a'' wa Road Builder Representative Name: 13 Q4 "``7 l � Permit Conditions: Initials "NOTE CHANGE" Before scheduling an exterior insulation and/or drain 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. 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 J inspection. Erosion control shall be installed and maintained throughout the entire project and must remain until vegetation has been established. A haul route shall be submitted to the City Engineer for approval and inspection prior to commencement of hauling from the site.The property owner shall be responsible for cleaning and repair of roadways for any adverse impacts. Our engineer has noted the approximate location of the sewer main on the survey. Any earth disturbing activities within its vicinity must be coordinated with our Public Works Department to ensure adequate cover(minimum of 8 feet) is retained above the pipe. No underground sewer within 20 feet of well. Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations must be submitted and approved. In the event of winter or other extended unfavorable weather conditions(which prevent the completion of the exterior improvements and/or as-built survey) a Temporary Certificate of Occupancy(TCO) may be necessary. A TCO requires a $10,000 escrow. 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 separated by twice of the height of the lower wall require engineered plans and a building permit to be submitted and approved prior to construction. w:\street files\tonkawa road\660\builder acknowledgement form 2016-00536.docx PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: tapO Iy1 IILLIgja.-,, U- Permit No.: 2no .00534o Description of work: Neo S+NCE TOmi 1 V it S&, Date Rec'd: 5 -1-7- 10 Septic review by: �� VV Wl Date Approved: Zoning review by: ftuDate Approved: (Y'1T't ca Building review by: - -- Date Approved: &1%L1(, Grading review by: Date Approved: ����✓�� Zoning District: L4-1.6 Zoning File#: Reso#: 1 Reso Date: Zoning: Lot Area:�5611 4D 4/AC Width 16 r Lot Coverage: Sy �f( SF % Survey Submitted: l Yes 0 No Date of Survey: Jr' 2. 'AP Revised dateM: : (0'3• Landscape plan submitted? �.Yes 0 No Landscaper:Pro osed Setbacks: �0 10 t(Lake R r(Street ( � S E W ) ( NE W Sa Other Buildings Wetland 5pe Side 11)de 9190+ 10 .633=. Defined Height: _ Peak Height: FFE: ±9 FFE minus 6 feet (Existing Co tour Perimeter(line r feet) = 25��• 3`-{ 50%- Z� �� L.F. below grade Basement 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— START WITH floor(of the basement or crawl space)and measure from highest existinc J the highest point of the roof. START WITH r�to the highest pointy e roof even if fill was brought in to If you have a... elevate home. I SUBTRACTION GABLE OR HIPPED ROOF(no Slab below�rgde—measure (BASED ON windows): Subtract half the distance from highest existing grade to th ROOF TYPE) between the highest point of the roof hi hest RgLnt of the roof. i to the low point of the corresponding If you have a... gable or hipped roof • /GABLE OR HIPPED ROO SUBTRACTION (no windows): Subtract h If • GABLE OR HIPPED ROOF(with (BASED ON / windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest /' highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or • ALL OTHER ROOF TYPES(flat, f hipped roofGABLE OR HIPPED ROO mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest pq Q D rEXISTING highest existing grade adjacent to the window and the highest point of the roof 1 GRADES) foundation OR 10 feet(whichever Is less). / ALL OTHER ROOF TYPE v• , (flat,mansard,etc):No EQUALS Defined building height I subtraction. „ ! `' Defined building height / EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Yes O No Permit Number: ` _ 0 Yes No O N/A 0 Ye QA No 0 N/A—see attached Va►i g1' ( Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf %and sf 23 -59 10 Yes 0 No 0 Yes XNo O1 2 3 4 5 Tpe(s): Type(s): 9, 051 5 W 4f�% Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Footage $ er Square Foota e Basement X = $ 1 st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Footing 0 Site Plumbing 0 Grading/Filling Poured Wall Silt Fence/Erosion Control [ Mechanical 0 Fire Foundation Survey 0 Hardcover Removal 0 Septic Water Connection Foundation Waterproofing 0 Other(specify) Fireplace Sewer Connection Framing 0 Masonry 0 Lawn Irrigation Insulation 0 Mfg. 0 Landscaping As-Built Survey 0 Other(specify) Final Lathe Required State Permits 0 Other(specify) F13 Well Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: -,(See Builder Acknowledgement Form Prior as-built surve lations must be submitted and approved. Updated: October 2015 7•1fnrmcWmn roviout nhonklicf 1(_,)ovx;rinnv RECEIVPQ City of Orono i .',�; 17 :Hardcover Calculation Worksheet CITY OF ORON Property Address: 6C 0 T dAask°4 WA R0.4-0 ('/k i f//AEC '9A,04) f�resHo�t Prepared by. Date: CR�,�dti�tG �Ar/rrc/,tz �ri�c. ��� s=/2•/� Storrnwater Quality Overlay District Tier: (Circle one) Tier Tier 2 Tier 3 Tler 4 Titer 5 Step 2:fi S O In the following table,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 separatell for each portion. Key to Hardcover Item(Describe) Length x llhdth Total Survey (Square Feet G 4'x 20 S.F. A /S/ S.F.- B ,Sr'G IOC 7 S.F. C V 21917 S.F. D 6,4g,4 r?F rexlf 600 S.F. E .53 S.F. F / S.F. G bAirx 4je 5A'irp Cfxi-rT1AC) 21 S.F. H AocK 40R4ER exp 1,vc S.F. I OMEA GA w•v Cvvc JMCAS 6)0 S.F. J &VA9 UIA4,l< Vt SrEP.r eCXIJ'rjA-V S.F. K aM Gt o S 7 S.F. L 3A�EA 1rGA" -59 S.F. M gork tootpeg- ! . wG /6 S.F. N .Vr 13& S.F. O 4-r Nou d S.F. P 1 V2 S.F. Q A4S T4 1 IWA-'G WX 4.4 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 Proposed Hardcover Sl S.F. Excludable Hardcover See City Code Sec 784684): XCr .ri,v ,r 7j-1 -7 6 S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover J'Cf7 S.F. 3 Net Proposed Hardcover Subtract line 2 from line 1 S.Z S.F. 4 Total Lot Area 3 8 CS t S.F. Proposed Hardcover Percentage 1(3)+(4)] % 4 2013 r— —. DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", 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 Minnesota State Statute 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last (XUO 104n woa loj Address r o n C-7) 535(p Co-l a • -14-V. R Leo City State Zip Phone nderstand my rig is as tated ove. f Signature Packet Last Updated. August 2015 Page 7 Permit A lication: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. Completed Application Oct � �G ccs � I Plan Review Fee Paid Signed Escrow Agreement & Escrow Payment 9 9 Y ' Plans to scale x2 i Certificate of Survey (to scale) showing the proposed project & j meeting all requirements x2 0 K- Hardcover Calculations (if_applicable) t - 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 their permitting _ requirements). I will contact the MCWD at 952-471-0590 regarding this project. Signed by: Vl Address: �o C) NUVA C Permit #: W:\Applications,License or Permit Applications\Zoning Applications\Permit Application Completeness Checklist 2015.docx Christine Mattson From: Adam Edwards Sent: Thursday,June 09, 2016 4:57 PM To: Christine Mattson Subject: RE: 660 Tonkawa Road/#2016-00536 Chris, I've reviewed the subject plans and stamped them approved with comment. 1. The sewer main was not depicted. I drew its approximate location on the Grading Plan.Any earth disturbing activities within its vicinity must be coordinated with Public works to ensure adequate cover(min of 8 ft) is retained above the pipe. 2. A separate sewer connection permit will be required. Adam From:Christine Mattson Sent:Tuesday,June 07, 2016 4:21 PM To:Adam Edwards<aedwards@ci.orono.mn.us> Cc: Melanie Curtis<MCurtis@ci.orono.mn.us> Subject:660 Tonkawa Road/#2016-00536 Adam, We received a building permit application for a new single family home at 660 Tonkawa Road. Please review and provide comments. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN 155356(physical address) PO Box 66 I Crystal Bay I MN 155323-0066 (mailing address) 9 952.249.4620 18 952.249.4616 ®cmattson@ci.orono.mn.us I -1�www.ci.orono.mn.us Summer Office Hours: (Monday, May 23 through Friday,September 2,2016) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,July 4,2016 1 O CITY OF ORONO Street Address: Mailing Address: Telephone(952)249-4600 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616 FSHO� Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us k 2 June 2016 KC Chermak 1700 Niagara Ln Plymouth, MN 55447 Re: Building Permit Application#2016-00536 On May 17th the City received a building permit application for 660 Tonkawa Road. Planning staff conducted a preliminary review based on the information provided and requests the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. Please provide two copies of an updated,full-size certificate of survey which meets all of the City's survey standards(enclosed)specifically including or clarifying the following(please note,our engineer has not reviewed the survey,so additional comments from our engineer may be forthcoming): a. First Floor Elevation. Please identify the proposed first floor elevation on the survey. b. Top of Foundation. The top of foundation measurement location is not identified on the survey. Please have the survey identify the point or spot where the top of foundation elevation will be measured. Please note,we expect the location to be consistent when submitting the foundation as- built survey. c. Erosion Control Plan. 2. Landscape Plan.A landscape plan has been submitted which shows some of the proposed exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining walls,etc. However,there are two walls shown on the proposed survey which are not reflected on the proposed landscape plan such as the wall along the south side of the home and the rock border at the 75-foot setback. Please clarify and coordinate the plan and survey. 3. Separate City Permits Required:Sewer connection. Please feel free to contact me at 952.249.4627 or by email at mcurtis@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, C OF ORONO Melanie Curtis Planner Copies via email: KC Chermak, Pillar Homes Mike Ladd, Homeowner Dale Gustafson, Landscape Architect Mark Gronberg,Surveyor Roger Peitso, Building Official enclosures City of Orono =Hardcover Calculation Worksheet Property Address: e O 7-v k'4 ,4 R O AP I'M icMd Eg MOP) R6tH�¢ Prepared by OA.,AGRG AAtPOC14te4 /A/C. Date. Gt „ 'r`3/6 Stormwater Quay Overlay District Tier.(Circle one) Tier Tier 2 Tier 8 Tier 4 Tier 5 Step 2. R�POa�ED tl/►RDiCCO In the following table,identify all items of proposed hardocver on the property,keyed by War to Gertific:ate of Survey(sunray 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 linea as neoassary to accurately depict proposed hardoover status of the properly.For Tier 1 properties.identify any features by letter which are split at the 75'left&One and calculate hardcover square footage for each Key to Nardcwrar Item(Describe) Length x Width TotalSUM" F (Example) (Gwvw) 4'x S.F. A S.F. B C7 S.F. C #7 S.F. D r oo S.F. E - S.F. F swco Cf,&mA,,j5zjS.F. G t ,1AO 2 S.F. H �'0rl� t�vtt4ERXt l�vG S.F. wA..f Pft�C, XMAS t Awc 56 S.F. J 4,k V P.1" {6X t j rt S.F. K OM rdAkj!tl7 S.F. L xhlroCEXt 59 S.F - M APO-O ! : / S.F. N K r t 3 S.F. O 4 TS.F. P R=+� S.F. Q A 6 t t,MIAIC' Wd 44.1 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. S.F. 1 Total Proposed Hardcover S.F. Exchrdad ie Hardcover Sae City C+odu Sec 78-104 42 46't ,e f . S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover YeZ S.F. 3 Nat—Proposed Hardcover Subtract tine 2 from tine 1 3` S.F. 4 Total Lot Area 3$ 6'5 t S.F. Proposed Hardcover Pwcwftp (3)+(4)l 2A SY% JwNmy 42W3 ,I RECEIVEQ New Construction Energy Code Compliance Certificate MAY 17 7010 Date Certificate Posted CITY OF pR0�V0 Per R401.3 Certificate.A buiding certificate shall be posted on or in the electrical distribution panel. COMM. NO. Mailing Address of the Dwelling or Dwelling Unit City 214363 660 TONKAWA ROAD ORONO Name of Residential Contractor MN License Number PILLAR HOMES THERMAL ENVELOPE RADON CONTROL SYSTEM Type:Check All That Apply Passive(No Fan) Active(With fan and monometer or other system URBOUPY i monitoringdevice Location or futureelocation)of Fan: 5 n w i777 nsulation Location ? c M E Eq o pN O p O Ln t- z M M LL aL 21:2 Other Please Describe Here Foundation Wan Elim Joist 1 at Floor u. _Ma Wan &A MWATMOR V =77 WEN calling,vaulted .- Floors over unconditioned area Describe other Insulated areas V, Building envelope airtightness: Duct system air tightness: Windows 3 Doors eating or Cooling Ducts Outside Conditioned Avera U-Factor excludes skyfights and one door U: 0.29 14kot applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): 0.30 3 JR-value MECHANICAL SYSTEMS Make-up Air Select a Type Appliances Heating System Domestic Water Cooling System Heater Not required per mech.code FMan TPassive ufacturer Powered - Interlocked with exhaust : S,' r Model � - � device. Input h Capacity h Output H 'ff� Other,describe: Rating or Size BTUS: Q Tons: Location of duct or system: Efficient " ' .g R 13, Heating Loes Heating Gain Cooling Load Residential Load Calculati azvo Cfm's "round duct OR MECHANICAL VENTILATION SYSTEM •metal duct Combustion Air Select a Type Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air source heat pump with gas back-up furnace): Not required per mach.code _S040t Type Passive Heat Recover Ventilator HR Capacity in cfms: Low Hi h: Other,describe: Energy Recover Ventilator ER aci in cfms: Low: F 114igh: I Location of duct or ystert Balanced Ventilation capacity in cfms: Location of fan(s),describe: I Cfm's Capacity continuous ventilation rate in cfms: "round duct OR Total ventilation intermittent+continuous)rate in cfms: "metal duct Created by BAM version 101014 Ventilation, Makeup and Combustion Air Calculations Submittal Form For New Dwelling I,�g,.,a These blank submittal forms and instructions are available at the City of Chanhassen website and at Citi Mail.4Th co lEf�Orm-must be submit- ted in duplicate at the time of application of a mechanical permit for new construction. Additional forms Matllifr ow�ded and printed at: http://www.ci.chanhossen.mn.us,lservlbuild.html. Site address Date [, s Contractor Completed Q� B Section A Ventilation Quantity (Determine quantity by using Table N1104.2 or Equation I1-1) Square feet(Conditioned area Including p Basement—finished or unfinished) Total required ventilation Number of bedrooms Continuous ventilation Q Directions-Determine the total and continuous ventilation rate by either using Table N1104.2 or equation 11-1. The table and equation ore below. Table N1104.2 Total and Continuous Ventilation Rates in cfm) Number of Bedrooms 1 2 3 4 5 6 Conditioned space(in Total/ Total/ Total/ Total/ Total/ Total/ sq.ft.) continuous continuous continuous continuous continuous continuous 1000-1500 60/40 75/40 90/45 105/53 120/60 135/68 1501-2000 70/40 85/43 100/50 115/58 130/65 145/73 2001-2500 80/40 95/48 110/55 125/63 140/70 155/78 2501-3000 90/45 105/53 120/60 135/68 150/75 165/83 3001-3500 100/50 115/58 130/65 145/73 160/80 175/88 3501-4000 110/55 125/63 140/70 155/78 170/85 185/93 4001-4500 120/60 135/68 150/75 165/83 180/90 195/98 4501-5000 130/65 145/73 160/80 175/88 190/95 205/103 5001-5500 140/70 155/78 170/85 185/93 200/100 215/108 5501-6000 1 150/75 165/83 180/90 195/98 210/105 225/113 Equation 11-1 (0.02 x square feet of conditioned space)+[15 x(number of bedrooms+1)]=Total ventilation rate(cfm) Total ventilation—The mechanical ventilation system shall provide sufficient outdoor air to equal the total ventilation rate average, for each one-hour period according to the above table or equation. For heat recovery ventilators(HRV)and energy recovery ventila- tors(ERV)the average hourly ventilation capacity must be determined in consideration of any reduction of exhaust or out outdoor air intake,or both,for defrost or other equipment cycling. Continuous ventilation-A minimum of 50 percent of the total ventilation rate,but not less than 40 cfm,shall be provided,on a con- tinuous rate average for each one-hour period. The portion of the mechanical ventilation system intended to be continuous may have automatic cycling controls providing the average flow rate for each hour is met. G:\SAFETY\JK\Vent-makeup-comb air submittal(2).docx Page 1 of 6 Section B Ventilation Method (Choose either balanced or exhaust only) Balanced,HRV(Heat Recovery Ventilator)or ERV(Energy Exhaust only every Ventilator)—cfm of unit in low must not exceed continuous Continuous fan rating in cfm ventilation rating more th 00%. Low dm: High cfm: Continuous fan rating In cfm(rapacity must not exceed continuous ventilation rating more than 100% Directions-Choose the method of ventilation,balanced or exhaust only. Balanced ventilation systems are typically HRV or ERV's.Enter the low and high cfm amounts. Low cfm airflow must be equal to or greater than the required continuous ventilation rate and less than 10096 greater than the continuous rate.(For instance,If the low cfm is 40 cfm,the ventilation fan must not exceed 80 cfm.) Automatic controls may allow the use of a larger fan that is operated a percentage of each hour. Section C Ventilation Fan Schedule Description Location Continuous Intermittent Directions-The ventilation fan schedule should describe what the fan is for,the location,cfm,and whether It Is used for continuous or intermittent ventilation. The fan that Is chose for continuous ventilation must be equal to or greater than the low cfm air rating and less than 100%greater than the continuous rote. (For Instance,If the low cfm is 40 cfm,the continuous ventilation fan must not exceed 80 cfm.) Automatic controls may allow the use of a larger fan that is operated a percentage of each hour. Section D Ventilation Controls Describe operation and control of the continuous and intermittent ventilation Directions.Describe the operation of the ventilation system. There should be adequate detail for plan reviewers and Inspectors to verify design and Installation compliance. Related trades also need adequate detall for placement of controls and proper operation of the building ventilation. If exhaust fans are used for building ventilation,describe the operation and location of any controls,Indicators and legends. If an ERV or HRV Is to be installed,describe how It will be Installed.If It will be connected and interfoad with the air handling equipment, please describe such connections as detailed in the manufactures'Installation instructions.If the installation Instructions require or recommend the equipment to be Interlocked with the air handling equipment for proper operation,such Interconnection shall be made and described. Section E Make-up air Passive (determined from calculations from Table 501.3.1) Powered(determined from calculations from Table 501.3.1) Interlocked with exhaust device(determined from calculation from Table 501.3.1) Other,describe: Location of duct or system ventilation make-up air:Determined from make-up air opening table a la Cf. Size and type(round,rectangular,flex or rigid) (NR means not required) G: Forms\VentMakupCombAirCais%1511.dm Page 2 of 6 Direcdons-In order to determine the makeup air,Toble 501.3.1 must be filled out(see below). For most new installations,column A will be appropriate,however,If atmospherically vented appliances or solid fuel appliances are Installed,use the appropriate column. For existing dwellings,see iMC501.3.3. Please note,If the makeup air quantity is negative,no additional makeup air will be re- quired for ventilation,If the value Is positive refer to Table S01.3.1 and size the opening. Transfer the cfm,size of opening and type (round rectangular,flexor rigid)to the lost line of section 0. The make-up air supply must be instaliedptr IMCS01.3.2.3. Table 501.3.1 PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST EQUIPMENT IN DWELLINGS Additional combustion air will be required for combustion appliances,see KAIR method for calcuiadons One or multiple power I One or multiple fan• One atmospherically vent MuRiple atmospharial- vent or direct vent ep• assisted spplfai+eu and gas or oil appliance or N vented Ras or all pliances or no nimbus- power vent or direct vent one sand fuel appliance Rppflances at sad fuel tion appliances appliances app{ances t:olurhn C Column 0 Column A Column{ L a)pressure factor 0.15 0.09 0.06 0.63 d b)andidoned floor area On(Including �/ aunfkdthed basements 74- Estimated Howe tnfil"dat(cion):(la n e lb 6� L bhewt Capadty a)continuous exhaust-onp ventilation /01 ayatem(cfml;(not applicable to be- lanced ventdeaon svuems such as HRVI b)dodos dryer Wm) 13S 13S 13S 13S 4 las of largest eAsust rasing(dml: gahead (,pt applicable If recirculating system -�(•f or K powered makeup air Is elearfalty imeModted and match to metawo —4-80%of matt largest m6ausit rating Icfi4 bath fen typically . Not (not applicable E recirculating System Applicable or k►waited makeup air k electAealiv Interlodsed end•matdned to whoustl Tow bhoust capaft(dmh ' ♦Uilc• ` 3.htakwp Air Qu vWW(dm) al total esduust capacity(from above) b)estimated house knflitratlan(from above Makeup Air Qwntity[din); (la•ab) (if value it negative,no makeup air is needed 4 For nukwp Air Opening sizing,refer to Table 501.4.1 A. Use this column if there are other then(an-assisted or atmospherically vented gas or on appliance or if there are no combustion appliances.(Power vent and direct vent appnaneu may be used.) {• Use this column if there is one ian-usisted appliance per venting system.(Appliances other than atmospherically vented appliances may also be in- cluded.) C. Use this column If there is one atmospherically vented(other than fan-assisted)gas or of appliance per venting system or one solid fuel appliance. 0. Use this column if there are multiple atmospherically vented gas or o1 appliances using a common vent or If there art stmosphariallyvented gas or all appliances and solid fuel appliances. Pages 3 of 6 Makeup Air Opening Table for New and Existing Dwelling Table 501.3.2 One or multiple power One or inultiple fan. One atmospherically Multiple atmospherically vent,direct vent ap• assisted appliances and vented Sas or o8 cap- vented gas or oil ap- Duct di- pliances,or no combus• power vent or direct pliance or one solid fuel pliances or solid fuel ameter tion appliances vent appliances appliance appliances Column A Column B Column C Column 0 Passive opening 1-36 1-22 1-Ss 1-9 3 Passive opening 37-66 23-41- 16-28 10-17 1 Passive opening 67-109 42-66 '29-46 18-28 5 Passive opening 110-163 67-100 47-69 29-42 6 Passive opening 164-232101-143 70-99 13-61 7 Passive opening 233-317 144-19S 100-13S 62-83 g Passive opening 318-419 196-2sa 136-179 84-130 9 w/motorized damper Passive opening 420-S39 259- wmotorked damper 332 180-230 111-142 10 Passive opening S40-679 333-419 231-290 143-179 11 w motorized damper Powered makeup air 1 %679 3-419 3-290 1-179 NA Notes: A. An equivalent length of 100 feet of round smooth metal duct is assumed.Subtract 40 feet for the exterior hood and ten feet for each 90-degree elbow to determine the remaining length of straight duct allowable. 6 If flexible duct%used,incrgase the duct diameter by one inch. Flexible duct shall be stretched with minimal sags. Compressed duct shall not be accepted. C. Barometric dampers are prohibited in passwe makeup au openings when any atmospherically vented appliance is installed. D. Powered makeup air shall be electricallyinterkscked with the largest exhaust system. Sections F . Combustion air Not required per mechanical code(No atmospheric or power vented appliances) Passive(see IFGC Appendix E,Worksheet E•1) Size and type .i Other,describe: Explanation-If no atmospheric or power vented appliances are installed,check the appropriate box,not required. If a power vented or atmospherically vented appliance installed,use IfGCAppendix E,Worksheet E-1(see below). Please enter size and type. Combus- tion air vent supplies must communicate with the appliance or appliances that require the combustion air. Section f calculations follow on the next I pages. Page 4 of 6 Directions-The Minnesota Fuel Gas Code method to calculate to sire of a required combustion air opening,is called the Known Air Infiltration Rate Method. For new construction,4b of step 41s required to be filled out. IFGC Appendix E,Worksheet E-1 Residential Combustion Air Calculation Method for Furnace,Boiler,and/or Water Heater in the Same ace Step 1:Complete vented combustion appliance information. Fumam/8otlar. _Draft Hood _Fan AssistedOirect Vent Input: Btu/hr or Power Vent Water Heater. _Draft Hood Fan Assisted _Direct Vent Input 8tu/hr or Power Vent Step 2:Calculate th volume of the Combustion Appliance Space(CAS)containing combu:Zon Cgs. / The CAS includes all spaces connected to one another by code compliant op Ings. CAS volume: Z 7 h LXWxH L Step 3:Determine Air Changes per Hour(ACH)i Default ACH values haw been Incorporated Into Table E-1 for use with Method 4b(KAIR Method). N the year of construction or ACH is not known,use method 4a(Standard Method). Step 4:Determine Required Volume for Combustion Air.(DO NOT COUNT DIRECT VENT APPLIANCES) 4a.Standard Method Total Btu/hr Input of all combustion appliances Input Btu/hr Use Standard Method column In Table E-1 to find Total Required TRV: W Volume(TRV) If CAS Volume(from Step 2)is greater than TRV then no outdoor openings are needed. N CAS Volume(from Step 2)B kis than TRV then go to STEP S. 4b.Known Air Infiltration Rate(KAIR)Method(DO NOT COUNT DIRECT VENT APPLIA Total Btu/hr Input of all fan-assisted and power went appliances Input: Btu/hr Use Fan-Assisted Appliances column in Table E-1 to find RVFA. 6 ft' Required Volume Fan Assisted(RVFA) t, Total Btu/hr Input of all Natural draft appliances Input: v Btu/hr Use Natural draft Appliances column In Table E-1 to find RVNFA: ,V y"4t--ft' Required Volume Natural draft appliances(RVNDA) Total Required Volume(TRV)=RVFA+RVNDA TRV- + N CAS Volume(from Step 2)Is greater than TRV then no outdoor openings are needed. H CAS Volume from Ste 2 is less than TRV then 'o to STEP S. Step S:Calculate the ratio of available interior volume to the total required volume. Ratio■CAS Volume(from Step 2)dhdded by TRV(from Step 4a or Step 4b) Ratio_ / Step 6:Calculate Reduction Factor(RF). RF=1 minus Ratio RF=1- • / _ / *� / Step 7:Calculate single outdoor opening as if all combustion air is from outside. Total Btu/hr Input of all Combustion Appliances In the same CAS Input: Btu/hr (EXCEPT DIRER VENT) 51 Combustion Air Opening Area(CAOA): Total Btu/hr dlWded by 3000 ku/hr per In' CAOA= /3000 Btu/hr per in'_ �� in' Step B:Calculate Minimum CAOA. Minimum CAOAuCAOAmu1dp1kdbyRF Minimum CAOA= Z x = Step S:Calculate Combustion Air Opening Diameter(CAOD) CAO0=1.13 muftipfled by the square root of Minimum CAOA CAOD=1.13 V Minimum CAOA Z= dVIYiameter o up one Inch In size If using flax duct I If desired,ACH an be determined using ASHRAE calculation or blower door test.Follow procedures in Section G304. G:\Forms\VentMakupCombAtrCals041Sll.do« Page 5 of 6 L �H*AUGo ALO 1/10/14 SERVICESi Daily Soil Observation Notes Project No: ''� d �' Date: Report No: Project N; mee: Project Location: 4; d Client: 6A,#l Temp/Weather: b P, 6e'# k Project Manager: c-o" Time Arrived: Departed: Soil Observation Areas Observed: ❑ Building Pad use Pad [—]Roadway ❑Parking/Walks ooting ❑Proof Roll ❑Other(describe): Soil report available? ❑ Yes No Report reviewed? Yes ❑No Report prepared by: Finish floor evaluation: Bottom of footing elevation: r' Bottom of excavation elevation: III Of Approved plans available? 121yes ❑No Specified compaction: r— Fill source: Oversizing appears adequate? NA ❑Yes ❑No Soils observed agree with Soils report?/?A eport? ❑Yes ❑No Soils appear adequate for design loads? Yes ❑No Proposed project bearing capacity(psf): 040W Contractor notified of results? es ❑No Name of person notified: Yr r Was a copy of this report left on site? es ❑No If so,whom was it submitted to? Notes/Comments: U / Q SIC 61i Performed By: eviewed By: Date: This is a preliminary report and is provided solely as evidence that field observations and/or testing was performed.Observations and/or conclusions and/or recommendation conveyed in the final report may vary from,and shall take precedence over,those indicated in a preliminary report. CITY OF ORO CALLED IN _1 T /6 TIME INSPECTION SCHEDULED PERMIT N // COMPLETED ADDRESS 4v vled L OWNER TELEPHON NOO CONTRACTOR DESCRIPTION W ❑ 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 v "FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W 11 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ ftMO-SITE ❑ SEPTIC INSTALL Z OWNEWONTRACTOR TO MEET YOU:_YES_NO COMMENTS: WKGS !wJ CGrr[e✓ Q �w rum- 69R 4,-l-," e '— C 7 wr tA_- -;Ur,Cc CQ Ile W - O �ydce- Y WLU ❑WORK SATISFACTORY:PROCEED (>*ROJECT COMPLETE WkZCORRECT WORKS PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS- Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. - Wrt-C'py/Inspector's File Canary Copy/Site Notice yL V/ DATE TIME CITY'1F ORONO CALLEDIN - 1 INS ECTiON QTICE . SCHEDULED ax PERMIT NO. tJ I 3 CPMMPLETE/D� ADDRESS `v (o l) OWNER TELEPHON NO.lal CONTRACTOR DESCRIPTION r OOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ti-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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ SFPTIC INSTALL Z OWNEWONTRIlWOW*O.YEET' YES_NO y COMMENTS: cc 4f 0 W a i W W cc j NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W,❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C3PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site:_� C Inspector. f •-�- White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2-01 kc-CCJ53 COMPLETED ADDRESS to(r,(") d� Cx Xi OWNER TELEPHONE NO. to I Z` 7 -SS CONTRACTOR :J�?a ) I a rr- DESCRIPTIONS u r ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL New Q POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVALN� 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 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑*ESCINSTALL Z OWNER/CONTRACTOR TO MEET YOU: _NO COMMENTS: 40 ✓ W.4&11sa-r dp C vc Qc O Uj Q i W QZ 3 a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 /` Owner/Contractor on site: (__ Inspector. C-24 V,�_ 2 White CopyAnspectoes File Canary Copy/Site Notice TIME CITY OF ORONO CALLED IN INSPECTION TIC SCHEDULED %%jj--.• PERMIT NO. r2CW,/ COMPLETED ---- ADDRESS 6&0 'j SCC OWNER 4721 TELEPHONE Nded 01- - CONTRACTOR i DESCRIPTION �� lC ✓�(.!i W ❑ FOOTING ❑ DEMO-FINAL ❑ S PTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN LING H FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z '❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT R ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNEFIXONTRACTOR TO MEET YOU:_YES_NO COMMENTS: �cc tea^, IdJ�drdrGDyrKsl /�15(L• Q. ,4-,AT_3�4 /,1t�,rw.r �rs•%-- yrs rs 4M� O Q wQC < -�kS� ,D i-o��r.1 4�oa�ca�Gr�io�G 4s- �ti•�� Sy/dam y �d,�rc -i�r4•�r.%r-� iyso�ch-c WSATISFACTORY:PROCEED El PROJECT COMPLETE Wcc X❑CORRTU!ECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP 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. White CopylInspector's File Canary Copy1Site Notice DATE TIME CITY OF ORONO CALLED IN '— INSPECTION O I SCHEDULED eft PERMIT NO w OMPLETED ADDRESS T_ "Ovy, OWNER TELEPH E NO CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ 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 ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SI ❑ S TIC INSTALL 2 OWN ONTRACfO EET YOUYES_NO c COMMENTS: /6-•Q -1`12- - S .0.0. ;, s�ry.Z kigamos jj%rse4, A..yW3 Ro rann,k, SAea- 04�[ iiaavv ttss-�h�s cam..�.•e Lire-f rte.. �1 0 � W W ❑WORKSATISFACTORY PROCEED ❑PROJECT COMPLETE COR RK S PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTK)N TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectbn 24 hours In advance. (952) 249-4600 OwnwtConbvcW on site: Inspector: White CopyAnapector's File Canary Copy/She Notice 15 DATE'_ TIME CIN OF ORONO CALLED IN INSPECTION NOTICE �- CHEDULED PERMIT NO. O -a4 OMPLETED ADDRESS 0 OWNER TELEPHONE NO :� �7�> CONTRACTOR 3Z DESCRIPTION t~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 i ❑ 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 J ❑ DEMO-SITETIC INSTALL 2 OWNEWCONTRACTOR TO MEET YOU•_YES_NO ` COMMENTS: ��DusLoanki Cies'-a'fc a_t_-A?w /`s• �r�f¢, /yi.L . rQ•f�� S�� G4v�Ci�s �rop/JcR cr��, +� Q %h �. > ✓pUrw W tet✓, �t�GCL — �" tftc-��i5•�' -fp /�ic — �rcr�r�a � Lc�t. L .G, 2 ►'olv w B5� �c,�c c/ g r �L Fly• �` ru35 /G�T7�i • �/if{ 14�' "! W /� _ .q/ .� j Qpf-o" �J 6 ,fl✓o�Q✓ flXiS�/ [i ���� eea/11S W ❑WORrKaSwFcqrCTORY.PROCEED *SCriAf,9" OJECT COMPLETE cc CORRECT WORK 6 PROCEED O T CR ''fcB/92%Q]ISSUE CERTIFICATE OF OCCUPANCY Lu O ❑CN CORRECT WORK,CALL FOR REIad us TEMPORARY V BEFORE COVERING JA _44"t rczT^ _PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR Co h t•4c4_1s r O,( S ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.�S 4,0,&,j�; r Ca5Jdf the next ion 2 4 ui'k*x?ij a4"52) 249-4600 Inspector. White CopyAnspectoes File Canary Copy/No Notice CDATE TIME CITY OF ORONO CALLED IN INSPECTION N TI *HEDULED PERMIT NO. OMPLETED y1 ADDRESS 0 to 0 �)f 1(Q t _ OWNER TELEPHONE NO CONTRACTOR hafis 3: DESCRIPTION —/ W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADING/FILLING 0 [I0 FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL j1 Z [I RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION v (� 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 ❑ EPTIC INSTALL Z OWNERICONTRACTOR TO MEET YO YES_NO y COMMENTS: ° - T3 low �� �,��� l�J o /L z - 6�' � J L"i ti S 2Z /,a4 As e W [IWORK SATISFACTORY:PROCEED O PROJECT COMPLETE ce� ❑ RR WORK S PROCEED El ISSUE CERTIFICATE OF OCCUPANCY Uj O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractorn site: Inspector. L) White Copyllnspector's File Canary CopylSlte Notice C C; ,- f DATE TlNlir / CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS L ::7=— � OWNER TELEPHONE CONTRACTOR c`�t% DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL Q OWNER=NTRACTOR TO MEET YO YES_NO y COMMENTS: ac Lu W J > O O 4. Q6, 0 -li I O W gWORK SATISFACTORY:PROCEED LIPROJECT COMPLETE o RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY QO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Ownedcontractor on ite- Inspector. T—S, White Copyllnspectoes File Conary Copy/Site Notice 06— DATE TIME CITY OF ORONO LED IN INSPECTION NOTICE © *HEDU LED T4 PERMIT NO. `��4 �%f COMPLETED ADDRESS C OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION - k(2 W [IFOOTING ❑ DEMO-FINAL/ ❑ SEPTIC FINAL Q ❑ 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 " FFINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP []–AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ❑ DEMO-SITE ❑ SE IC INSTALL Z OWNERICONTRACTOR TO MEET —NO cam., COMMENTS: cc Cc o _ _ 0 If Lu QC o rn�s cCvf� Q -o j /.�rrvt :G •�ilZll�,De.l�.c� 4S-dr.Gt"S�•/y y �/d�� Lu ❑WORK SATISFACTORY:PROCEED iROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 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Mail to: Michael Ladd &Carol Stainbrook 660 Tonkawa Road Long Lake, MN 55356 wAstreet files\tonkawa noad\660Vescrow refund 2016-00538.doac SURVEY LINE 1--y- All 929.4 CONTOUR LINE J ,� ,y /QC�eCN�cN°H' / s`� . IONS INE- 10NS : (verify) DA )n 989.7 980.0 @E=lk MAY 17 2016 CITY OF ORONO AA41 "r