HomeMy WebLinkAbout1999-011197 (single family res) PERMIT
� C�TY OF ORONO PERMIT TYPft:
2750 Kelley Parkway- P.O. Box 66 ='�-�ry?-'���`��_
Crystal Bay, Minnesota 55323 Permit Number: {t i = E ;�;,--
(612) 473-7357 Date Issued: - - � ; _
�"F__" e4. _
SITE ADDRESS:
_ �G.+_ _,-i i��i.�!i:. i"�.+�
_!';.'a
_ . . . . ' tt.��—i i , _'-- -• - '=7_)11-,
DESCRIPTION:
i::1-,f,:;' �c�t�,:�.��l�::i:,�
i;r4j� �'�.S.4�i=� . '_'1'(i�]_i �`{F.°:_+ „��,]S._ !'(";S'{!?��{.'—f141��?ri
��k.'�,3 !4_}_S�s� Zi;�i��Fi°�', i.� �_ i"L�%��'�4�}�jw%�
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_.F i i•r:!J: L,,.w:�'it� i._:1 1 — `-i-:;{ . `1t-, i t,'-;:_.;�
REMARKS:
w i;._ ^T!- y - ;`�::�t f � `i'� �_;"'��: -,-. _ - .:� �'3 - -r`S sy'�'- ,-;Lt:�' ' _ ' ._.If '!-{.�--
._, : .:_._,. �,.,
...;:. ���_�•r�.; , �
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FEE SUMMARY:
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CONTRACTOR: _- � _�«,;-,�. - =:� ;�:: .OWNER:
- - ;�ii:t•��=_ "�� '� !.;_;.?i = =�:_+ `��.�= l,;��;`°i°�`;ii� ?;:i_T t;�_
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UCANT;P RMITEE SIGNATURE ISSUED BY:SIGNATURE ��-l�
� Total Fee: $ �? `J�%'��'��� / Date Received:
Entered By:,- , Permit#: r/ 1 9 �
_ `
�
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR�
JOB SITE ADDRESS: ��i c% ��y`'-�%i�� iZ��. ZIP: �� 3 S�
NA1�TE OF OWNER ���lti� ✓��G7l�l�c-� PHONE: (home)
(work)
MAILI�IG ADDRESS:��Si r? s��y_i i�C j�L-✓ CITY: [i��vo ZIP: _1���d
�
CONTRACTOR: �Gr�'r, �"�q,�� � ��,� PHONE: ���� (o�p 3�'
CONTACT PERSON: ���� MOBILE/PAGER: s�� - ��'t �
MAILING ADDRESS: Z'z �'�S /�ij�i�����G ,�.� CITY: S���PF��ivd Cl ZIP: S�5�� /
STATE LICENSE: # �� �{�
ARCHITECT/ENGINEER: -�✓�cr��'� ��'i�.,r. PHONE:
MAILING ADDRESS: .�� � C��,Z s?- CITY: �,� ZIP: SS 3�/
NAME: �iL(,(!�-t-' REGISTRATION#
TYPE OF WORK: New �_ Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: :1�i� L ffivi) /l�v /l��,:,f
STORIES:,Z �''v�;,�;�,,c,� SQ. FEET OF EACH FLOOR: '�.t,lG:. F��->s �,a
NO. OF BEDROOMS: _> GARAGE STALLS: ATT. ,�� DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ _S 7�d��,:.>
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.
� /
APPLICAI�IT'S SIGNATURE: ��� 6`� DATE: %/.j/7�
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non pernzitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be srored shall be as set forth in this section.
Subd.2. Information required to be given indi��dual. An individual asked to supply private or confiden[ial data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collec[ing state agency, political subdivision,or statewide
systzm;(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 co�dential data;and(d)the identiry of other persons or entities authorized by state or federal►aw to receice the data.
This reyuirement shall not apply when an individual is asked ro supply investigative data, pursuant to section 13.82, subdivision�, to a la�ti
enforcement officer.
The commissioner of revenue mav�lace the norice reauired under this subdivision in[he individual income tax or nrooem 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 whethzr he is thz
subject of stored data on individuals, and whether it is classified as pub(ic, private or confidential. Upon his further request,an indi�•idual who
is[he subjecc 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 conten[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 ro him for six months thereaher unless a dispure or action pursuant ro 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 responsibie authoriry may require the requesting person to pay the actual costs of making,certifying, and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five da}'s
of the date of the request, excluding 5aturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within tha[[ime, he shall so inform the individual, and may have an additional five days within which ro comply with the reques[.
excluding Samrdays, Sundays and leeal holidays.
Subd.4. Procedure when data is not accurate or complete. An individua(may contest the accuracy or completeness of public or
private data concerning himseif. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of thz
disaereement. The responsibie authoriry shall within 30 days either: (a)corcect the data found to be inaccurate or incomplete and attempt to notif�
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 induded with the disclosed data.
The determinarion of the responsible authoriry may be appealed pursuant ro the provisions of the administrative procedure act relaring
to contested cases.
DATA PRNACY 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:
l. 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.
First Middle Last
Address
Ciry Stare Zip Phone
I understand my riohts as stated above.
Sienature
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3S )0 Q IR�(5 f �J�. R.o%��J
PID: C;�; i/7 �-� l•� ���.�
DESCRIPTION OF WORK: (�!t� l,.,l (2,t��
------------------------------------------------- ----------------------------------------------------------------------
ZONING REVIEW BY: � �` DATE APPROVED: �' -�3 - S�
BUILDING REVIEW BY: DATE APPROVED: Z-3 - g �j
FEES TO BE CHARGED: Misc. Fees Calculated By:
\ � PERMIT Yes ✓ No
� PLAN REVIEW Yes �/ No SEWER CONNECTION
�;`
�� STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No r/' PARK FEE
SAC Yes No �/ SITEINSPECTION
Number of SAC Units ��Sr��� �,� O�HER (specify)
_ ��
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ZONING CHECK LIST Zoning District: L2-l�
Fire Department: (,on�g (.4-C� Post Office: School District: U�ayrJn
Lot Area: Sq.ft. $'�}�Z Acres /.3� Width �/IJL6�v�L Depth
Survey Submitted: Yes t No Date of Survey: b - 13-`IS
Proposed Setbacks:
Front (Lake): (I 5 � �" Right Side: t�2 j'
Rear (Street): /U �� Left Side: (,2` +
Adjacent Structures: �� � Wetland: ptll/L
Building Height: Def. Hgt. ��(� Peak Hgt. 0���
Lot Coverage: 1 `f
Grading: Staff Approval Date: 0�lk- By: � Council Approval Date:
Septic: Staff Approval Date: /�l /!�- By: —
Zoning File: # 23�` Resolution: # `�/3,S Resolution Date: >-Z� ���
Shoreland District: �,�e 5
Avg. Setback: U,4.�.�,,,,�rC�, Bluff Setback: N 1� L.ot Coverage: �, /,�
Existing Proposed
Hardcover: 0-75' _!� �
75-250' 16 b2 2 f•6 B
250-500' O �
500-1000'
Hardcover Variance Required: Yes No� Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: � • � CONSTRUCTION TYPE: V/`�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 3�7�, (900�
Inspections Required: Work Requiring Separate Permits:
Site p(` Plumbing Fire
Hardcover Removal � Mechanical Water Connection
�Footing Septic Sewer Connection
_�Framing p( Fireplace �Lawn Irrigation
�Insulation (Masonry) Other
�Wall Board (Mfg.) o� Well (State Permit)
Final Grading/Filling �Electrical (State Permit)
Other
--------------------------------------------------------------------------------------------------------------------------------------------
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS ('TO BE NOTED ON PERMIT):
8
EXTERIOR ENVELOPE ENER(3Y CODE COMPUTATION WORKSHEET �
Tb Determine �pliance with the Minnesota Energy Code •
(Section 502 of the Stabe Amended 1983 Model Enerc,�y Code)
Project Title MaRc��so.� �.cw,��
S i te A�cidress
I. ERP03ED WALL CALCULATION3
AREA "U" VAL�iJE ARFA x "U"
A. Opaque Wall
1. Masonry/Concrete
3. ' J( _
b. x =
c. ' x a
2. Fo at cn Wa ra e
a. �x�o�w �3�.rc .0�►.�s�`_� 1 34.vax • 06� _ �. q�
b. - U- g � O - _ ► p •
3. Frame Wa
a. Insulated Area 163�t. t5x , 043 = 70 . 4�5
b. Framing Area (Ave. 15$ at 16" oc) 1 fs 2, i�x , 0 9 D a l <s. 3 9
c. Framing Area (Ave. 10$ at 24" oc) - c� _ x = _p .
4. Peripheral Floor Edge/Rim Joist
a. R��n �o�s-c zoo.c,�x . 0 40 = 8�00
b. � x = _p -
B. Glazing .
1. Windavs
a E,a.��� wo �w�►sv`.. �q5.59 x , 4� = I t fj ,23.
,
b. ' x = _ c� -
. 2. DOO[3 Wovi7 ►.ssv` �ci�G•�.E � I b0.03 X � 34 a , �-
C. Doors
1. Wbod
' a. Solid � - � - x _p. - � _ p .
b. With storm oor v - x o - _ - o -
2. A'jetal ST��. ��SU�. 60.03 X '. 17. = 10• ZO
3. Overhead x =
4. Other x =
D. Z�OTAL WALL ARFA, sq. ft..................... 26q�.43 �
E.. ZOT�L of ARE�1 x "U".................................... ............... 293.4 8
IL ROOF/CEILING CALCULATIONS
A. Roof/�Ce iling Insulated Area Zot�7. �D> x , oZZ. = 4 5.q 1
B. Roof/Ceiling Framing (�ve. 15$ at 16" oc) x — C�- _ - O -
C. R�o�f/Ceiling Framing (Ave. 10$ at 24" oc) z3�,qo x . o I q = 4. 91
D. Skylight x a
E. Z�OTAL �JOF/CEILII� ARFA sq. ft........... ... 23l`i.ao •
F• 1Vit'LL � !']L�Ct� x UM • •�����ii�i��1i����������������������������•�����• � 50• 3�
1�
III. BUILDIN(3 ENVELOPB RBQUIRSM$NT3 � . ,
. TOTAI, AFtEA RDQUIRID "U" ALLOWABLE
� (Fr+om I.D & II.E) (F�n V.) (Area x "U")
A. Exposed Walls 2.4Qo.43 x , 1 � = ZR6. 00
B. Roof/cetiir�g: . 2s ��9, or� x . 2� _ �Dz.at4
C. Z�d1�L AS�B�t�E &JILDIN(3 EN�7ETAPE ('Ibtal of A & B RUa�ve) ... 8 �1$.94
IV. ACTUAL BUILDINQ BNVELOPB
ACTUAL
, (Area x "U")
A. ExpQsed Wa11 (Frcm I.E) 29 3. 4£�
B. Roof/Ceiling (Fraa II.F) � So. 32
C. TOTAL, �C.'IUAL BUILDII� ENVIIAPE (Total of A & B) ............ _ 3 43. �O
'(Meets cod� nquirewenb 1t l�ss thae III.C) '
V. RERUIRED "U" VALUES , �
� � WAL�I� F�JOF/CEILING
Detached one arxi two family ciw�ellings .11 .026 �
* Multi-Family Residential Buildings � .238 .033
(3 staries or lese in height) '� � �
* All Other �nstruction �pes (3 stories or less) .2�8 .06
* All Other Constructicn Types (More than 3 stories) .28 .06
, * Based on 8007 h��ting de9r�� days (Mpls/St. Pau�),, , , . •
Ad�ust 'U• values accordingly for other locetlons �� � �
CERTIPICATION '
I hereby certify that I have carQleted the aba�ve information and that it cnn�lies.with the
Minnesota Stabe Enerc� Code. � � �
signature Date . , ) � Zp � 4�j
_ , , . � . . . - . . . - _ ,
BCSD 3-89 ' 11
r(;/SA1/R574
• ' • CO�ISTRUCT I Ofl. R VALUE
WALL FRAMINC SECTION: .
� • 1 I.nterlo� alr fllm �,6R
2 '/ vYP d�-` 3Gto O.qS
� nches so t wood �,56
� ---{4 � $2" B���.-c_ Q��c"e 2.0 6 '.
-{5 dP 5� iu • 79
(+ xter or a r m (1.
• TOTAL R � i O•�I
' . U � 1/R � •09
. • ��1ALl SECTION (INSULATED) •
1 Interlor ai r f l tm f1.f�R
2 '/2 "G�rP. •w� �C3 ci.� U.4S
' � rr�L\G�T '�r �T S / � 19.OO
� 4 �3z" �3vi�.-�_ R�-rr 2.o�
5 ��� s���►.a •7�?
- �+ EYter or al r l lm • Q. 7
TOTAL R � 23. 1
' U = )/R � •C�43
�
. � .
, RIN JOIST SECTIOt�: � .•
' ' 1 Interto� ai r f t lm (1,6R
Z F tz,c..-T ��-� 5 �t"1•o�
' . --�3 1 /z" so G-c w oofl I.ti 9 •�,.
� � ' � �/g1."g���-c • R��c C Z.OE, _ .
5 �v �a�u v .7� . .
6 Exterior atr film (1. 17 �
� TOTAL.R � 2�-_ Sq� .. ' ' �
FOUNOATION INSULATIO�� REQUIRED: ' � . . . .
Min. R-5 on entire wal l OR � U - 1/R - , , 040 ' . .
Q� A .::�4. Min� R-10 down to frost depth � �
,
� - • �A fOUNDAT 1�ON SECT I ON: �
� °� +' '' —{1 Interlor air film . �.�A � ,
'•A. /' • • 2 3 L"FQ��.-c. r�c� i3-oo
' .. .
� '.a - •'=' , —{3 �Z'� Go�.,c.,. �� J . 04
' ; ��;d r -_ 4 Extertor al r i lm �. 17
a: ., .
�• ••.a.• G �S
' . Q:°'- 'i,, r, (6
d� ::.�'' 4 TOTA�. R � I . �I
• U � 1/R � •067
SLAB ON GRADE
. Q� �. • � � � ti�1 . . . ., •� a�
��. . �' �` � � Q�
. ;d� : � • , �1 tl • �' . ,4 . ; ' ��+ .�w
�,� •Qi�� v ��� •� �� � •�� � , i I � � � ,� �Q � • a♦ • d � �
, `. , , Q , ' /' A i,�i,• , ' � .A ' � : .•• `• • 1.`..' ,YC .
1.a • !
� • !.� .'�• a � f � I• ••. , � 1 I 1
.�A . �• � .•�' � • ¢. �!� � • �� � . , r � �. � Qy •. �
. , (� � � � � � • •• • �. � ♦�
� � I,�' ' . • p, • �� � � • �
� • - - • • Heated S1abs: °� • ' '�.,� '
. .� .. ' . . `�. � � � . ,�. ��� ., � �.
� : • � � ' � �Minimum R, = 8.5 � � . • .. ,
y • a , . a . , , � � d . .
� � . , .
. � � . •� •+ J9
-�� -� q .•4; Unheated S1 abs: ' . : 4;�, ,• ,• 4 ., ' -
� �•�' 'd •'� Mi nimum R � 6.2 • . ; � ' ' • . .
� • .. �
4► �. . . • �p .
I . .p� . , •d�. � � ,4� ��
a.�t1�� •`��d : a ; . �',�.' 4� 12 Page 3
. '„ . . . . , .. �
� , ..
� - , CONSTRUCTION R VALUC• � '
• -�.
CEILING SECTI�t� (It�SULRTED) : • ,
. I Interlor a1r fllm O.f�1
• ' 2 �,� U.w. O.y.,s
3 `owN 44.�
3 4 4 Exterlor alr fllm still �,�1
TOTAL• R � 4S_67 �
U � 1/R � .022, �
...
r CEILING FRAHING SECTION:
I 2 5 1 Inte�lor alr f11m ' �,f,1
. Z b" tr.w O•
3 `G���.�,,,, ►n1 .
FLOW VENTED y Interior a r m st �. I�
5 � /L inches, sof t wooci 4. 3S
' : , . ' TQTAL a � �O.OZ
. '
U � 1/R � .Ol�
� .
, : .
. ' �� � ` CEILING SEf,TION (IflSULATED) :
' " - � 1' (nterlo� air film � A.61
. ... '. 2
. ,.
� , 4 Exterior a r .i lm sti l l �. 1 '
TOTAL' R �
�
U � 1/R �
�. • � .
� • ' r,. '
� . 2 3 4 5 � CEILINr,� FRANt�I� SECTIO�I: �
VENTED 2• �nterior air film A.f►1
. ' 3
. � • � , - --_ 4 Exterio� air m stiil �. 1
' S �nches soft wood
� TOTAL R �
' ' � U � 1/R �
3 . 4 � ., . , ,; , `�., .
� � � .� � ,
� •Y ±._ �., i�v;;�i�r•••
•ti:•.
.�. ,�::•.;:...,_:�;,::,•• :�,,� � ' 1 ,Instde air film �.�1_ � �
:` r::}�%N:�•:;t::.:�,::.. * � , .. . . � . •
" . , . . 4 . ' ' � .;�
/,�� I 2 � .ri Outside si� ilm �. 17
�/ . . • TOTAL R � _
� -� . � ' _ . _; ' � _ _
.(� � > ; ., ._ . , -. .
, __ , U � 1/R � . __--
. _�
13 Page 4
DATE a TIME
CITY OF ORONO CALLED IN �� -�7't/� �GG Q d7
INSPECTION NOTICE SCHEDULED � '��' �`�� ����T
PERMIT NO. ��// / � �7 COMPLETED
ADDRESS u S �� � �`� '� `
OWNER � CONTR. --i` �' zZ' �`Za- ' �-t�c c✓
TELEPHONE NO. ��i �//��Z
�- DES IPTION
�
l� FOOTING,' 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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DATE TIME
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DATE TIME
CITY OF ORONO CALLED IN
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DATE TIME
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DATE TIME
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