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HomeMy WebLinkAbout1995-007061 - addition/remodel PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 F-J-.' I'DTNG' Permit Number: 171�i..__+- - Crystal Bay, Minnesota 55323 (612) 473-7357 Date Issued: :n SITE ADDRESS: J L; T DESCRIPTION: "T TFI. 7 f j lf f-V V :i t.v PTTV !-,C- i i Li-,,A L14 I I Q r,TM ,CC- ly J v 010011.1 Tr 1!1 QC11, V.L I N Vrr V A VLJ j s"ry ly A_ A'; rC;U 9.zu-' 01 L .?VVVVVVV 9. VA L.- REMARKS: RECEITP T-Tq4 hlh' T i T 7t JwlL'LVV v R M T TU v 1W/ FEE SUMMARY: 7C Fee CONTRACTOR: OWNER: N 5;- F. T T , THE UNDERSIGNED HEREBY REQUESTS PERM I-:-3S ION TO MAKE THE REAL IMPROVEMENTS F SPECIFIED AND AGREES TO DO ALL WORK IN STRICT C L IANCEWITH A .L. CITY O O-ONO ORDINANCES AND STATE OF I MINNESOTA BUILDING CODE REQUIREMENTS. A)�PLICANT/PERIVIITESIG ATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILbINGOPERMIT APPLICATION Total Fee: $ �O Date Received: -. � '1-� Date Approved:/- Entered By: lu Permit#: 7D( 1 ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: TJX ZIP: Nyk4 (work)NAME OF OWNER: PHONE: (home) ' SAILING ADDRESS: 'W1� �� 1C/vv �� CITY: Ovor\o ZIP: CONTRACTOR: NA ow N . IV�C� �4LTJ jAJA P/(LI PHONE: MAILING ADDRESS: �U�� 4\0,11AA AVC- CITY: De ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: ty�}-\ PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION A TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : cj'ey GiA ly-1 �C av\ ,rl r r vow- 1AqW 1,-Or �Qm ComeA rd, irgay.—') � STORIES: SQ. FEET OF EACH FLOOR: v.,U S V7WL iVV �^ NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 11 (fN - - 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 accordance with the approved plan. APPLICANT`S SIGNATURE: r Ajd DATE: r4f CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF ORONG On the North Shore of Lake Minnetonka DATA PRIVACY ADVISORY In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of data", we would 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 to review private data on yourself. 6. Your full name is required to process this application or permit. first Middle Last LA.\AVd A dress City State Zip Phone I understand my rights as stated above. M I�\A&--= 'f\ � , :�nj� Sig atu e BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359 ASSESSING 513.04 RIGHTS OF SUBJECTS OF DATA Subdivision L Type of data. The rights of individuals on whom the data is stored or to be stored shall be as set forth in this section. Subd. 2. Information required to be given individual. An.individual asked to supply private or confida) the ential data concerning himself shall be informecting r ate a agency, PP Yhe data within t purpose and intended use of the requested (b) whether he mayerefiise or is his political subdivision, or statewide Ys {mown consequence arising f required to supply the requested data; (c) any supplyingor refusing to supply private or confidential data; and (d) the identity of state or federal law to receive the data. This. other persons or entities authorized by investigative data, requirement shall not apply when an individual is asked to supply g pursuant to section 13.82, subdivision 59 to a law enforcement officer. The commissioner of revenue ma lace the notice re uired under this subdivision - the individual income tax or pro art tax re and instructions instead o on those orms. -- Subd. 3. Access to data by individual Upon request to a responsible d data on authority, an individual shall be informed whether hpr private the or confidential. Upon his individuals, and whether it is classified as p public data on e to him and, if he desires, shall further request, an individual who is the subject of stored private or�du� has been individuals shall be shown the data without any data. After an individual Se informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meaning, pursuant to this section is _ him for six months thereafter unless a dispute or action ending or additional data on the individual h�ateen collected or public datarupon request by P require the responsible authority shall provide copies of the p maycompiling the the individual subject ofthe acdata.ual costsThe of mresaking, certifying, and comp g requesting person to pay copies. if possible, with any request The responsible authority shall comply immediately, Po uest, made pursuant to this subdivision, or within lid s ve daysimmediatof the eatcompliance eis the excluding Saturdays, Sundays and legal five da within which to comply with the possible. If he cannot comply with hquest within that time, he shall so inform individual, and may have an additional Saturdays,request, excluding Ys, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may himself. To contest the accuracy or completeness-of public orlprivate`� ing t ta corcesponslrninble authority exercise this right, an individual shall notify shall 30 describing the nature of the disagreement. ThBCresponsible n authority and attempt to days either: (a) correct the data found to be in notify past recipients of inaccurate or incomplete be believes the ng recipients to be correct the individual; or (b) notify the individual thateement is Data in dispute shall be disclosed only if the individual's statement of magi' to the included with the disclosed data. be a ealed pursuant The determination of the responsible authority may PP provisions of the administrative procedure act relating to contested cases. CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFfCE LYSE ONLY ADDRESS OR LEGAL: ct75 7-ON �AvJA kAAK-� PID: DESCRIPTION OF WORK: I400117,OW // 0eZ- ---------------------- ------------------------- ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: L(� AA..-_ DATE APPROVED: -------------------- ----- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes V-'No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes J No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------ ------------------ ZONING CHECK LIST Zoning District: -112 Fire Fire Department: LL- Post Office: LL School District: [,)Pb&Q Lot Area: 2,T ACAP-S Width: l qo ( Depth: -77 / 1 Survey Submitted: Yes y No Date of Survey: Proposed Setbacks: Front S f Right Side: Z7 CS7 Rear (Sit) Left Side: 35-f Adjacent Structures: Wetland: Building Height: Def . Hgt. p. lL Peak Hgt. Avg. Setback: 1-JAyL<✓%\J-00 Lot Coverage: Existing Proposed Hardcover: 0-75 ' D 75-250 ' 3 250-500 ' 7•� (• 500-1000 ' "'7. 17 Hardcover Variance Required: Yes c_ No Date of Council Approval: q-40-5V Grading: Staff Approval Date: N In- By: Council Approval Date: Septic: Staff Approval Date: /1J 1A By: Zoning File• # Resolution # : 35 4 1� Resolution Date: REMARKS (in house) : -- BUILDING REVIEW CHECK LIST ► I UBC: /Z -3 CONSTRUCTION TYPE: Vf**( Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL oQ Estimated Construction Value: $ ,fid Inspections Required: work Requiring Separate Permits: Site Plumbing Grading/Filling X Footing Mechanical Fire KFraming Septic Water Connection _Insulation Fireplace Sewer Connection _gWall Board (Masonry) Lawn Irrigation CFina l (Mf g.) Other OtherWel l (State Permit) X Electrical (State Permit) -------------- -------------------------------- -------------------------------- REMARKS (IN HOUSE) : ----------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------- --------------------------------------- ------------------------ REMARKS (TO BE NOTED ON PERMIT) : I ENERGY CALCULATION OWNER: Wh-IV\ S� SITE ADDRESS: L�j CONTRACTOR: ��'t -�{/ 1&•Kr 26 DATE: A_T PHONE: I 'o IS DETERMINE WORKING SQUARE FOOTAGE. OF EACH: b6D�ll�-`�y9 1 . TOTAL. EXPOSED WALL AREA . . . . . . . . ..J�SZ.�J sq. f t. x "U" 2. TOTAL ROOF/CEILING AREA . . . . . . . . �$�1Z sq. f t. x "U" 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall . . . . . . . . ��Cj .18 sq. f t. area above floor a) Total wall window area: Csar�glazed . . . . . . . . sq ft x ..U.. ,�j3 = 170.ZZ glazed . . . . . . . . . sq. ft. x 'U" b) Total door area . . . . . . . . . . . 1-�D .4t' sq. f t. x "U" c) Total atrium/sliding door area: glazed . . . . . . . . . l-)-5 -4r' sq. f t. x 'U' glazed . . . . . . . . . sq. ft. x "U" d) Total fireplace wall area meq. ft. x "U" _ e) Total wall framing area (average 10%) 7�lS.`2 sq. ft. x U' ��Z = Z`1 .So f) Total net wall area above floor (insulated) ZZXZ •�1 sq. ft. x "U" w _ �Zy • " g) Total rim joist area . . . . . . zJA`E) sq. ft. x "U" U, Total foundation area (exposed) . . . . . . . . . . . . . . . . . . . . 4-3q-,ZS sq. ft. h) Total foundation window area . . . . . . . . . . . . . . . . . . . . . . _ sq. ft. x ..U.. i) Total net foundation area above grade . . . . . . . . . . . . . . . 4-3-,)6r sq. ft. x 'U' i TOTAL a) thru i) If item #3 is the same as, or less than item #1, you have met the intent of S.B.C. Section 6006 (c) 2. 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area . . . . . . . . . . . . ��`��. �D sq. ft. j) Total skylight area . . . . . . . sq. ft. x "U" k) Total roof/ceiling framing area (average 10%) . . . . . . . . sq. f t. x "U" .yZ1 s 5 1) Total net insulated roof/ceiling area . . . . . . . . . sq. ft. x "U" TOTAL j) thru 1) If total of 014 is the same as, or less than 012, you have met the intent of S.B.C. Section 6606 (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total enevelope system method, the values established by the sum of items #3 and 014 shall not be greater than the sum of items 011 and 012. 1 . + 2. _ 3. + 4. _ CERTIFICATION I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the Stant of Minnesota Energy Conservation Act. �1- 6'-(6�j La34 s (Signature) n (Date)T CaVS"TRUCTIOy R_ _ �%• 14ALL FRAMING SECTION: • 68 `- Q INMICR AIR FILM 0. SUM BOARD 4.35. •• 0.45 D ~`'' � '•6` Z5 3-L" Fihor'�xd S�-�1�� Z--� IDING 0.17 .�9 U = 1/R = .I Z • SIDING BR/ICK WALL SECTION (INSULATED):STUCCO 0.68 Q INTERIM AIR FIM (2 1/26' GMUM BOARD 0.45 • ?-15 •5zkl F:\cQr rr� Slr�a i Z•o�o SIDING , 17 tTOTAL R = I-1 .n t ZU =• 1/R = a a . RIM JOIST SECTION: 0.68 r}. Q INTTERIOR AIR FILM �--GN D -9IDING 0.17 (6 MMERIOP, AIR PILM =AL R U = 1/R cco ' FOUNDATION SECTION: 0.68 (1 INTERIOR dIR FILM T4 �TERIOR AM FILM 0.45 •--• h GYPSUM �1 b �e L �.So + :i' = lo. t z a U06 }Zi • ,�` t � a if',i►�.,,�}�• ' .. •� � t , • Si• J • CONSTRUCTION R VALUE CEILING SECTION (INSULATED) (1) INTERIOR AIR FILM 0.61 t (2) 5/8" GYPSUM BOARD 0.56 (3) 12" BLOWN INSULATION 44.00 �• (4) EXTERIOR AIR FILM (STILL) 0.61 TOTAL R = 45.78 U = 1/R = .022 1 CEILING FRAMING SECTION: (1) INTERIOR AIR FILM 0.61 (2) 5/8" GYPSUM BOARD 0.56 (3) 8-1/2" BLOWN INSULATION 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 / Q 1 ice`•'' � . v 7 ATETIME CITY OF ORONO CALLED IN 6 S'J' I INSPECTION N TIC SCHEDULED 9 s- 9v PERMIT NO. (J 0 J COMPLETED !d ADDRESS—2/Z 'Y . OLf22 OWNER�� ��-��,I,L- ) CONTR. TELEPHONE NO. '` I t DZIE FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a I j06, r O cc O W cc Q 2 Z W Cr. W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑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 foris ion 24 hours in advance.473-7357 OwnerlContite: Inspector. White Copyllnspector's File Canary CopyMe Notice CITY OF ORONO CALLED IN ��i�$/�T �r TIME SCHEDULED le.,0,0 INSPECTION NO CE �) _ PERMIT NO. �� Qii COMPLETED ADDRESS 9 2 5 OWNER ��� -=—•�a_ CONTR. TELEPHONE NO. 'S�`f S ^ 0 DESCRIPTION W 01 FOOTING 11 MECHANfEeAL RI 18 EXCAV/GRADING/FILLING W 2 FRAMI 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO to COMMENTS: cc W a cc O cc O W W Cr Q Z W W QC VISFACTORY:PROCEED ❑ PROJECT COMPLETE cc WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for e4trispection 24 hours in advance.473-73557 Owner/Co tra r on Inspector. White CopylInspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN ? -7-5 � INSPECTIONN SCHEDULED � TP PERMIT NO. COMPLETED ADDRESS OWNER 4fl4laCONTR.�12 4�1TELEPHONE NO. '�SL�' -O�� DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING LL 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y i9 NS11L.A�131 6� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z COMMENTS: cc W cca 0 Sfil �Or �-Ott tom cc 0 W cc Q z W z W QC d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Cr. ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-7357 Owner/Contra oto ' Inspector. White Copy/Inspector's File Canary Copy/Site Notice TIME CITY OF ORONO CALLED IN �TE b "" INSPECTION NOTICE SCHEDULED l 6 PERMIT NO. -7-0( COMPLETED ADDRESS OWNER f CONTR. TELEPHO DESCRIPTION tAj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y<222r4 SULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a J O cc O LL W QC Q 2 W W CCJ d � Uj �E]WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑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 ins ion 24 hours in advance.473-7357 Owner/Contractor e: Inspector White CopylInspector's File Canary Copy/Site Notice DATE �j TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N0. COMPLETED ADDRESS- OWNERCONTR. TELEPHONE NO. Z/ DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O cc O W W Cr Q Z W W cc Z) GW WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE CC ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. E' PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspec ion 24 hours in advance.473-7357 Owner/Contractoo . e: Inspector. White Copylinspector's File Canary Copy/Site Notice