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HomeMy WebLinkAboutCert of Occup ' ' CITY OF ORONO * 2 0 1 5 - 0 1 2 2 8 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U10/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1380 BRIAR ST P[N : 10-117-23-31-0053 LEGAL DESC : MARKVILLE : LOT 000 BLOCK 002 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED VALUATION : $ 306,000.00 NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL, FIREPLACE,WATER CONNECTION,SEWER CONNECT[ON, ELECTRICAL(STATE) NOTE: PLEASE SEE AND 1NITIAL NEW BUILDER ACKNOWLEDGEMENT FORM APPLICANT PERMIT FEE SCHEDULE 2,407.39 STATE SURCHARGE(VALUATION) 153.00 SUMMIT CRAFTSMAN LLC P O BOX 526 TOTAL 2,560.39 SHAKOPEE, MN 55379- Payment(s) (612)247-6997 CHECK 9397 2,560.39 Minnesota State License#: BUIL-BC20626592 OWNER ZITZLOFF,JEFFREY& BRENDA 1380 BRIAR ST WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which[his 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 separa[e 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. r—_ , , I � -(�--15 �° U�� � � � Applicant e e ig ture Date Issued gnature Date Builder Acknowledgement Form 1380 Briar Street/#2015-01228 Builder Permit Conditions Initials Prior to the start of framing, 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 shall be installed and maintained throughout the entire project and must remain until vegetation has been established. No underground sewer within 20 feet of well. Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations, if applicable must be submitted and approved. � In the event of winter or other unfavorable weather conditions (which prevent the completion of the exterior improvements and/or as-built i� 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 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 rior to construction. w:\street files\briar street\1380\builder acknowledgement form 2015-01228.docx � City of Orono 0�� /�����, H�rdcover Calc�:��tic�n VVor����et !f� � � � Property Address: J R i T/�1-" ,1'F�F� /to,_� z�rZ c a F,r'� �� , - l cf'U ,B �P/L 3' �'7" � , �{ ��'� / Pre�ared by: Dai�•: �,��,, - Gse'aovd E"�L G f .�.�'�'C.•��'•t T'�t�' �3y ��"'r�fi��' /0 -Ze -/S S�ormwater Quality Overlay District Tier: (Circle onel T;er 1 7ier 2 l ier Tier 4 'fier 5 Step 2: PROPOSED HARDCO'✓ER In the foll�wing table, identify all items of proposed hardcover on the prope,ty, keyed by letter to Certif.cate of Survey (survey m�st accompany this form). �rclude all existin� hardcover items that are intenced to rerr,a:n, as well as a I proposed hardcover items that will be added. Use as many lines as n�:cessary to accurately depict �;roposed 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 s�.� ar�tel for each ortion. K�y to Hardcover Item (Descr;be) Len�th x Widih Total -1 S_irve r� _ S uare Feet _ Exam��le Gara�_e 24'x 3U' (720 S.F 1 A � .S/�u ' -- /888 S.F_k,�'�(>� B OR S.F^�.�'%./' C F�a�vr o ��� �9 __ S.F D O/1/A✓F _ _ �1�`' p S.F_ ��� E -�—Gc�A c,/< '�7 S.F._ DQ'`�0 F P.��'i o — — �12 S.F_ ��, G � S.F. H � S.F �u(,�� � r-- S.F I �� � S.F �-f'��� � K �, S.F II � _ — S.F-I M S.F ' N S.F O S.F_ p S.F. Q ' S.F. I R S.F�I S - -- — �.F__ T S.F j � S.F I, v — - �,F_+ V�/ __� S.F._1 x � s.F=1 Y S.r. ' z —L— � — --S.F � 1Lotal Propcsed Hardcover _ _ _ ____ a �D(���S.Fm E,cclu;iable Hardcover(See City Code Sec 78-1684): � -- �� S.F. � —�— _ S.F. _� _ S.`. S.F.� S.F , 2 Total Excl�cable Ha�dcover O S F.s 3) Net P�oposed Hardcover [Subtract line (2; from line (1)] _ �o_6p S.F.�� 4 Total �ot Area � S.F._i Proposed Hardcover Percentage ((3)_ (4)] RECEIVED Z r, 8 6%G � a ---- �....��.,_ ...; OCT 2 � 2015 Januar}�8,2013 CITY OF ORONO � o � o � 0 0 c °' '�� �- - -a � '� N O O L O Q � W �r � � O C y C p� O O Y Q U m a � U ] �U O p � (6 N N } p �.+ C� � X C m @@ W� N N N� w�� y� LL Z �`. 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B � c. u °� - _ � � � � � c > � � z ,•, �. � � o ; '> d � v� o � y cn � .d �- w o , `"°� ° � c � * y �+ q� � � L Q J (A � � `'' �,' = G� J O m - � e�i �, � a = c c m N o o c E � a v`'`, ��- $ � � �= o � � •� �n � � o Q � v� n°� m' c� r° i° cn J a` L G a m � °-� I\I � N �' �' :.„�F�ra,�*rT .,v�r..a .��vax...,,s..,;�.r.-.._;^a���:oss.�ccr�,.�,�vwc�zs-•.. ,,.x,..�^ -m��-¢..>c�_r=.:;n«ns'�.-=�:*�: -- - »...�s'Ta�C.�`1."" �.,�.,r,L'�4'�."„'s£"."•SrlF'°ti.r;,"�� k• Shoreland District MCWD �ermit Average Lakeshore Setback Bluff - Met? �Yes 0 No Permit Number: � � -_-��`� 0 Yes ❑ No N/A � Ye No 0 N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Flardcover Hardcoder Variance Required CUP Required circle one % and sf % and sf Yes ❑ No 0 Yes No 1 2 �3 4 5 Type s : Type(s): c Fees to be Char ed YES NO Perrni� tf' Pfan Review � State Surcharge '�` Investigation Fee �/' SAC-Number of S�C Units (� , Other(specify) a Square Footage $ per Square F Basement X ��-�- !/�I � S S �'�j (� 15t Floor x �, - '��'l �I� � � � � 2nd Floo� X l ( C� l��_ I ! � �-�`� Garage X U /� _l��� m� �S � Cl . � . � Estimated Construct�on Value. i �G��d e!/� g o � "'� �� Orono Inspections Required � �� / � „/� �f� �l Footing 0 Site � ���-� (�°5/vCS '�, Poured Wall Silt Fence/Erosion Control � �`l ����J i Foundation Survey ❑ Hardcover Removal 0 � � , ❑ Foundation Waterproofing ❑ Other(specify) ���e ¢� �m�+ �7�� f�,� �(� ; Framing � Insulation /—�•��•y� — --- , � As-Built Survey CI Other(specify) Final � Lathe Required State Permits 0 Other(specify) ❑ Well Electrical REMARKS (in-house): � OFFiCIAL REMARKS -TO BE NQTED ON PERIVIIT AND INITIALLED: �See Builder Llcknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. d" Y� Updated: October 2015 �•\fnrme\nlan rovia�ni rharklict'I(1_9(11F rinrv ..r. � � ,3g SEP 2 4 2015 - � �� C i ty of O ro n o ( ��-�pF ORONO Building Permit Application for New Structures or Additions Mailing Address: -, -- - - - � Permit number: ��' :"-`i • %� � A, PO Box 66 f ��� ' � �O`v0 Crystal Bay, MN 55323-0066 / Date received: `�—a —�_`� StreetAddress:' I �7 Received by: � � ,� 2750 Kelley Parkway ��` � �� �i' yF Plan review fee: c,` Orono, MN 55356 � �'�kFSHo��" Main: 952-249-4600 Total Fee: -���, .:�� `/l`�`�, i Fax: 952-249-4616 w�r✓w.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. �/l�plp PJ'U� Incomplete applications will be returned. (Please print) (j��+rLC'd.. GENERAL INFORMATION: � Job Site Address: � � � IJrj� ��; Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �,No lf yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service w�ll be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: S:�N'!M;'f" Cf' L�(i State License# O � Z Expiration Date: - 3j•-/7 Phone: cell � Z office j� z y� - Mailing Address: , Z Cit : S' rti ZIP: 3�7 Contact Person: Applicant is: ontrac Homeowner (Circle One) Email and/or Fax: � rv� " • ` ,, ' � PROPERTY OWNER INFORMATION: ►vame: ,,P� •t- i Z;�z��� ry Phone (day): 952 Z � - � Address: , Cit : � � ` �` ZIP: ,�:j ' Email and/or Fax � p�}�1� �� iM 2 ci Z ;�h� J ARCHITECT/ ENGI EER INFORMA N: , Name: (,= 5 Q , Phone (day): q5Z � - O Address: 3 �'S F�rnr�;fi��r C'}. ���0 City: � �rv�SV i ��� ZIP: 55��7 Email and/or Fax: �ct,f0l��A� �.��P�I�!1 . GO�'►'1 PROJECT INFORMATION: Description of pro�ect: � � � C�"i� Q�,J Si "'�('_-��t� �S�d�_ 1. Type of Project 2. Proposed Use 3. Structure Type . Sewage Disposal 8� Water Supply w Construction � Single Family with ❑Accessory Bldg./Garage Addition attached garage ❑ Deck �Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage f�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 Estimated Construction Valuation (excluding land) $ � V U, �Q Packet Last Updated: August 2015 Page 21 STRUCTURE INFORMATION: � . 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction . a. Length(ft.)= ��b y Number of bedrooms=� � �Wood/Frame b.Width (ft.)= �� Number of garage stalls: ❑ Masonry Areas in spuare feet Attached = � ❑ Metal ❑ Pole Bldg. c. Basement= �_ Detached = ❑ ICF d. 15'Story = �Z� � �� ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/2 Story = „z� ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee � ❑ Com leted A lication Form ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ Surve —2 full size,to scale meetin ALL surve re uirements � Hardcover Calculations ❑ � Se tic S stem Certification � ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ Data Privac Adviso Form r 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. ApplicanYs Signature: � � � � Date: �' �Z` � � __ :� �r � , Owner's Signature: x Date: , � �'� l � �� �l Packet Last Updated: August 2015 Page 22 ����� ���� Minnesota State Energy Code Calculations and Mechanical Code Requirements Form � Additional copies can be found by going to: http:/Iwww.dli.mn.qov/CCLD/PDF/sbc 1322 cert.pdf �T1101.8 Certiftcaic �� s�.s�am��co�sn. Date: �- ZZ- 1.5 site Address: ��8� �C'i�i Co�tractor Name: iA�P1'��1' � t� ��'1 LL�- �icertse Number: �� �G�S�J� to�atro�n Type of I�ta/Aed Trpe Locati�nn Sizoe Insulatriv�n R-Va/�re .:` Mak Air �� � � o�. Roo� Ceil" nw� ' Combustion A,ir �S. � "C �c_Y�a• .,c,� Walfs � �( Water He ' �-Fr;L Slab-on-Grade Z St /�arrrrfar�rr.a�eyr /�o�o►e/ Floor _� iot�.�n�:�?c-� � E� F�<, 'ti i Z y � Duds Outside of Condrtianed oes " Rim loist Cl�Y' 4'' ' �a��a Lacalir�4ri , R-VakAe Foundadon Wall � Z� C:r;�kY>'�t I E�Reri or InOegral A v�e,ra U-Factar SHGC sorfar f�e�at �on ctirefl�ic'i�ent Passiroe Activ�e Fenestratio� , � Rado� Conb,ol T I Ra ' AFUE Mfanufactraier l�lo�d�e/ Ca,/c�u�te�d Heat Loss Heatin 5 �,5 � � � , a I � �;�, 9j � — T Ra - SEER Manufactraier I'l�ode/ �a�o!' toad /i�eat Gain Cooli 5 esn �Ct�'i C <. Z. Z t c�• � • �fi 1► 3 'Z�7 � L� T Lacati�a,rt Canfinooats Ye�rttillatiaon Tatal Ventilati�oun Mechanical VeM�lation 'R;J � � , � ENERGY CG;��;��it':i�.��,��= I;�';�_r"�;;v�: � R�CEIVED CERTi�;CAi�C SHALL B�� CO",��Lci ED AfVD POSTED ON/OR IN ELECThiCt^�,L SEP Z 4 Z015 PAN�L AT T1NfE GF �lNAi_ !�<SPE�TIO�J., CITY OF ORONO Packet Last Updated.� August 2015 Page 20 ' � City of Orono � �t��o, H�rdcover Calc��ation V1�or�rs�ee�o CQ�1� � �' Property Address: `���� :% �-�d'O Bk iAR STi�c=�'Z �,TFFF� /r�,�.� z�rz�o�",�'} ``'°r,��,,,, ' Prepared by: Date: G�'G,,v��-,�.G f �9 r�'�3 c,r� r�1'. �°o�r. . z 'v .4 0 "7:l� l0 -2a '/5. Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 1�ier Tier 4 Tier 5 Step 2: P�ROPOSED HARDCOVER In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certif�cate of Survey (survey m4st accompany this form). Include all existing hardcover items that are intenced to rema:n, as well as a l 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 se aratel for each ortion. Key to Hardcover Item (Describe) L.en�th x Width Total S�rve S uare Feet Exam�le Gara e 24'x 30' 720 S.F,L A y�u S.F. B O/1 S.F C F/�a�vT a 7 9 S.F. D OR/�V yy0 S.F. E GuA c,/ � S.F. F P.! IO �2 S.F. G S.F H S.F. I S.F. J S.F. K S.F. L S.F M S.F N S.F. O S.F. P S.F Q ' 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 Pro osed Hardcover � _,�'p (��S.F � Excludable Hardcover See Cit Code Sec 78-1684 : S.F S.F S.F. S.F. S�F. 2 Total Excludable Hardcover O S.F. ' 3 Net Pro osed Hardcover Subtract line 2` from line 1 ��.60 S.F. � 4 Total Lot Area p S.F� Proposed Hardcover Percentage ((3)T(4)] RECEIVED z �, �6°'� -- — �_�.� OCT 292015 January 8,2013 CITY OF ORONO Christine Mattson From: Adam Edwards Sent: Friday, October 30, 2015 2:18 PM To: Christine Mattson Cc: Melanie Curtis Subject: RE: 1380 Briar Street/#2015-01228 Chris, I've reviewed the subject Plan and stamped it approved. The applicant must establish the erosion control and have it inspect by a city inspector prior to disturbing soil. The erosion control should include a rock construction entrance. Adam From: Christine Mattson Sent: Friday, October 30, 2015 11:30 AM To:Adam Edwards<aedwards@ci.orono.mn.us> Cc: Melanie Curtis<MCurtis@ci.orono.mn.us> Subject: RE: 1380 Briar Street/#2015-01228 Adam, We received an updated survey for this project. Please review and provide comments. Thanks! From: Adam Edwards Sent: Monday, October 12, 2015 2:48 PM To: Christine Mattson<CMattson@ci.orono.mn.us> Subject: RE: 1380 Briar Street/#2015-01228 Chris, I have reviewed the subject plan and offer the following comments: 1. The survey does not comply with the City Survey standards: a. Missing Graphic Scale (#1) b. Missing Total Square Feet (#3) c. Missing Trees over 6" diameter within the disturbance area (#8) d. Missing%grade is on the driveway(#22j. 2. The driveway is depicted at 21ft wide where it meets the edge of black top.The maximum allowed is 20 ft. 3. Plan appears to increase the hardcover by�x3. The lot is relatively flat without access to a Stormwater system. What is the drainage plan/plan to manage the Stormwater on site? In particular on the East side of the proposed house. Adam 1 From: Christine Mattson Sent: Monday, October 12, 2015 10:42 AM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject: 1380 Briar Street/#2015-01228 Adam, Please review the survey and building plans for a new single family home to be located at 1380 Briar Street and provide comments. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway ; Orono MN ; 55356 (physical addressJ PO Box 66 ' Crystal Bay ;. MN 55323-0066 (mailing address) 'S 952.249.4620 `` 8 952.249.4616 � cmattson@ci.orono.mn.us ', � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Wednesday, November 11, 2015 2 Melanie Curtis From: Melanie Curtis Sent: Wednesday, October 14, 2015 8:33 AM To: 'k zitzloff@hotmail.com' Cc: 'blake@summitcraftsman.com'; Christine Mattson; Mark Gronberg Subject: 1380 Briar Street/#2015-01228 Attachments: Survey Requirements-August 2015.pdf; Swimming Pool Building Permit Application -August 2015.pdf Jeff Please see the following comments on your plans: 1. The survey does not comply with the City Survey standards (attached): a. Show top of slab elevation. b. Missing Graphic Scale (#1) c. Missing Total Square Feet (#3) d. Missing Trees over 6"diameter within the disturbance area (#8) e. Missing % grade is on the driveway (#22). 2. The driveway is depicted at 21 ft wide where it meets the edge of black top. The maximum allowed by Code is 20 ft. Please reduce and revise survey. 3. Plan appears to increase the hardcover by �x3. The lot is relatively flat without access to a Stormwater system. What is the drainage plan or plan to manage the Stormwater on site? In particular, the drainage plan on the East side of the proposed house should be addressed. 4. A landscape plan should be provided which details all hard surface improvements — patios, sidewalks, walls, etc. 5. Please note, a separate permit is required for the in ground pool shown on the plans. If the pool and patio are not being constructed/permitted simultaneously, we will redline them from the plans. Please clarify. Additionally, at the time of pool permitting, please have the survey revised to show proposed grading and elevations in the area around the pool/patio. Please provide a revised survey which addresses the above and provide the requested clarifications for our review to continue. Thank you, Melanie Melanie Curtis, Planner Direct 952.249.4627 Planning &Zoning Office 952.249.4620 2750 Kelley Parkway, Orono, MN 55356 Email: mcurtis(c�ci.orono.mn.us Website: www.ci.orono.mn.us 1 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. i r � , �'_ r � 1 ; y � i , _ ; c� First Middle Last . _ � ���� J G�'�� ►�" �� Address .,�- __ _ ,�' — t� �� >> � � �� � �ir � 2 " Z-/� �� S� Ci�`� State Zip Phone I understand my rights as stated above. _,______ � ..�'' Sign�ture� J ' y � � C U ������� Packet Last Updated: August 2015 ��� � � ���� Page 7 CITY��@�'ONO 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. �I«-�� ��1�et�`�i-- �r�-��- First Middle Last �.�. Q�� �Z� Address ,����p� ��r �s:�?`� �i"z - zy7 -6 �97 City State Zip Phone I understand my rights as stated above. 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EXISTING AND PROPOSED MAIN FLOOR = 962.6 �•�r" " V �� D T TIME � /a-? CITY OF ORONO CALLED IN INSPECTION N TIC HEDULED � � � PERMIT NO. —D� OMPL�TED ADDRESS OWNER � �J�.� NE NO. CONTRACT� ��� � DESCRIPTION ��� , � 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y/�FQIJNDATION 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a ��CcG✓ 6!'� G��6���P �uk.��ct�o-�, ' � - J O ,(�,h / /� � NX�<�� G�/�!'C /�S 4c�i. �/�Ol�r�� O � W � Q � � C� � .�� ��. /� W � W � � J W K SATISFACTORY:PROCEED � PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ^- `-��' - � • � DATE TIME � � CI OF ORONO CALLED IN �` - "�-S INSPECTION NOTICE ���HEDULED 1� � PERMIT NO. � �� �J"c MPLETED ADDRESS ��S.� �/"G Qi�' � OWNER �TE PHONE N . l�� Y� CONTRACTOR � D CRIPTION ' `"� w � lV OOTING ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO v�, COMMENTS- � W � � ' J O >. � O � W � Q � 2 W � W � � � W RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CO RECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspeation 24 hours in advance. (g52) 2 OwnerlContractor on site: Inspector: White Copyllnspector's File Canary CopylSite Notke r , DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ���r-��22� COMPLETED j Z-LI � IS ADDRESS I�J� �'rIQ� S�� OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION —�����a� �w � '�✓`�l �� � ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO v�i COMMENTS: � W C � � � 0 �. � 0 � W � Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO'VERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ��` ���•1%1�� � ��� �� White Copyllnspector's Flle Canary CopyfSite Notice �/,�"� AT TIME � � CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED PERMIT NO.�G�� -Oi ZZ� connP�ErEo ADDRESS � 3 g� �� �`- — OWNER TELEPHONE NO. �2�.��Zz�1� CONTRACTOR �C.�m�-�.-� �r`'��9� � DESC TION � ���� �,1 �� � ❑ OTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q OURED 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 J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � a � J O �. � O � W � Q � 2 W � W � � W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN 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. (g52 � OwnerfContractor on site: inspector. White Copyllnspector's File C CopylSite Notice � ✓ DATE TIME CITY OF ORONO CAL ED IN =_� INSPECTION NOTJCE Z� SCHEDULED __���_;, , � PERMIT NOZL?�.S- C��2' co PLETED ADDRESS �,��� I 1 (�Z� __�.,� OWNER TELEPHONE NO.��Z �� �cj� CONTRACTOR � � DESCRIPTION ��,/? � �� ly ❑ FOOTI ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ PO ED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ F UNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z DON 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 J ❑ DEMO-SITE EPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU• YES_NO y COMMENTS: J � W C � , O >. o� O � W 2 Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � C RRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 2) 249-46�� ; OwnerfContractor on site: Inspector. � White Copyllnspector's File v Canary CopylSite Notice / � DATE ,TIME � I OF ORONO �j I o�� CALLED IN INSPECTION NO ICE. scHE�u�E� PERMIT NO cOMPLETED ADDRESS � � K� Y� r ��� J� OWNER TELEPHONE NO. �� �Z��� ��7 CONTRACTOR ��,d ��Yl l��, ' � DESCRIPTION �� lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEP IC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ AV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q�RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � I SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ EPTIC INSTALL Q OWNERlCONTRACTOR TO MEET YOU: YES_NO c�n COMMENTS: �� �`� ���� � S W E�gc. �� - 3 - S � /6 � � � o , +`ra.�.,�,� , o K � �� 0 � QC� ,�0����s�,p sn���s ���o' � .���.-�� 2 - K�� O W � W � � � C]M! RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-46�� OwnerlContract on site: Inspector. '�"' White Copyllnspector's File Canary CopylSite Notice �� �., -��,� �-' DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE � �Z�i SCHEDULED __3��_�� —/�r ff 1�1 PERMIT NO.�C �5 `U COMPLETED ADDRESS f��,SS� � �b�'�? /Ct/�. ��- - OWNER TELEPHONE NO. C� �Z Z �7��'Cf(� C �T CONTRACTOR -�5 Z ��_2L/��1% � � DESCRIPTION .-�-r���S L�C � �k-�f�lZ�-� �;����� ly ❑ 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 _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q"❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEET� YES_NO � COMMENTS: � � _ a �12 �r.��i�'�i�v.�, i- � � �r� lrotiSe -�� j � . O � a�d G a � �l� ��oQ� no� ���� � i� �,.�..o - � � !i e v !� W � Q � 2 W � W 2 � J d , W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � �CQRRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0��O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � T_, �/ White Copyllnspector's File Canary CopylSite Notice � �� �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED ��`�I�i^ � 1 PERMIT NO.�L�'�S�-C'�a��coMP��rE� �" ADDRESS � � �C' � / f . �� /T�'L � �- OWNER TELEPH� E NO. ��Z - ��� ��'� CONTRACTOR �--� � � /w� � f � DESCRIPTION �� ty ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEi YOU:_YES_NO v�, COMMENTS: � W C � � O �. � O � W � Q � 2 W � W � j W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in a an 249-4600 OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice % � � DATE TIME CITY OF ORONO ` LED IN INSPECTION N�TICE � SCHEDULED .;Z`�,�-,`f"'- PERMIT NO. ��1�7'C'�� �coMP�ere ADDRESS � � �� � � / ��� ��-?f'- OWNER TELEPHONEL1�lQ� ��"��7� � CONTRACTOR � � �� �I.S� � DESCRIPTION �� � /� �.�C,C � ty ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTtiACTOR TO MEET YiOU:_YES_NO � COMMENTS: `� �� �'�C ('���' � l�C .Sl�'��- � ��%G��J�n�.�� <� �� . j O �. � O � W -� � � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECTWfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 urs in . (� 2) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice � ��r �� _ � DATE TI� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED _�� �,�'� PERMRNO. ' r� �C122�COMPLETED ADDRESS �S�-� /'�!�f� �� - OWNER TELEPHONE NO. � ���7� ' �� c . � CONTRACTOR � DESCRIPTION ``�� ,� m � � ly ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � ./ � j 0 �. t � 0 � W � Q � 2 W � W � � J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � O CORRECT WORK 8 PROCEED ❑ISSU ERTIFICATE OF OCCUPANCY 0 ❑CARRECT WfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED � ❑STOP ORDER POSTED.CALL INSPECTOR � ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �11 �� Call for the next inspection 24 hours in a 52) 249-46�� OwnerlContractor on site: � Inspector: . � White Copyllnspeetor's File Canary CopylSite Notice t I � `�,'� �� ���-� V I `'A ! DATE TIME � CITY OF ORONO CALLED IN j INSPECTION NOTIC,E SCHEDULED J '�� 7 !(� � � PERMITNO. �E_?�?md��� � �COMPLEfED � ADDRESS ���� C'��/�;� l� -f-` �—. � OWNER TELEPHONE NO.�'���a�����f�;! ' CONTRACTOR � -�`( , l'1')f'� % ( � ( /�"�` I `� � DESCRIPTIO� �� � ��� ;`� ��� t� � - 4� ❑ 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 iI Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � Q ❑ FYNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL I v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO WCOMMENTS� � ; ( a � !� fl� !S � j ^ O ' � � � ). . i � � Cp�/1��G l(�� W � . � � Q I z iW / n , _ .^ � � � � I j f , � � ❑WORKSATISFACTORY:PROCEED ❑ PROJECT OMPLEfE/ ! � ❑CORRECT W'ORK 3 PROCEED ❑ IS U ERTIFICATE OF OCCUPANCY I � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY j � BEFORECOVERING PERMANENT � ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN \ ❑CITATION ISSUED � ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION�REQUIRED.CALL TO ARRANGE ACCESS. � � Catl for the next inspection 24 hours-in a / � 52 j 249-460� OwnerlContractor on site: � ' Inspector: - � 1 li VYhite Copyllnspector's File Cenary CopylSite Notice �-------------------- -------------- ----- � � � �� ���� ����� � ��� —��r�r � �r���r►� � ��v��� �r� r�� wi ��T� r��� ��t�� tr�� �c P` t���� � r�� .#C'�-��t�ti��� C�a�.��',r.��r� C'r�rrr f'���-t" ���ric�� f �'�� �t"tlf IC�e O� COt��IOt'1 Dud Sealing Perforrr�ed For. 35Q Summit Ca�struc�ion, Summit Cor�stnaction 1380 Briar St 3� Orono, MN 55391 z�a � � Ou�erall Seeling Results � �� � � Wtien we arrived, � �' 150 YOUR DUCTS �WD: � � 305.3 CFM o� Leakage, equivalerrt to a �o�o 57.7 Square Inch Hole This a�ua/s >83.2r�iigpratas f d/o�ai�/c�s e�yhavr. `� After we finished, � YOUR DI.JCTS HAVE: � 5 10 15 2D 25 30 s���T���rz r�„��� 10.6 CFM af Leal��ge, equivalent to a 2.0 Square I nch Hd e ��1 Technidan cay w This oorrespor�ds to a 96.5%Redudion in Aeroeeal Case ID 4014 Duct I�ekage. oacec�sea� a��rza�s No�te: Duc�Lealcaye results are calcx�ated in Q,ibic Fee#per IVirx�te(CFN� rr�easured at a standard ��Desa�iption Foroed Air OPERATING PRESSURE oF 25 Pa. Sea1 Desa�iption SupplY Hardwere Horne.Seal A ERO� Dud Sealing Perforrr�ed By: � C�uct S���ling From Tt�e Inside p,irMed�anical Inc. ; - , - � � �... ; 16411 Aberdeen St. NE Ham Lake, I�hi. 55.'iO4 Phone: 763-434-7747 � � �� ���� ����� � ��� �� � t����� � ����i�� �� �� H ���r� r��� ��t��tr�� S�c � � ur�r.s � r�� .��'r��t�tirs�,, �C:'i,�.��"�r�►�rr C'r�rr�fr.�r�" ..�i'f�rc•�s l ��'��' C�ertific�te o�f Compietion Duct Sealing Performed For. 25Q SUt�71C77t C'�OI'1Stt1.lC;�lOtl, SUI�YY17t COI�tt1.1C�ICX1 1380 Briar St Orono, MN 55391 2� � � O�neral I Seal i ng Results � �� �, � � Wtien we amved, � m YOUR DUCTS HAD: � i o0 � 223.7 CFM af L�k�g�, equivalent to a 42.3 Square Inch I-ble 50 Thisa�c,e/s 734.Zrefirg�ratasfu//afair/cz�se�yixxir. After we finisl�ied, o YOUR DllCTS HAVE: a 5 �o �s aa 2� �o 18.3 CFM aF Leal�.�ye, equivalerrt to a ���T�������� 3.5 Square I r�ch Hole p��l Technidan cory w This oorr�spo��ds to a 91.8%F�iuction in Aer-oseal Case ID 4014 D�.�ct I�eakage. oacec�sea� a�v2o�s Note: Dud L�akage results are calcx�lated in Q.ibic �n Descxiption Foroed Air Feet per Ninute(CFIV� rrieasured at a starxiard OPERATING PRESSURE oF 25 Pa. Sea► Description Faeturn Hardwere HomeSeal AL RO.� , � Duct Sealing Perforrr�ed By: �uc_t Sealir�g From The Insid� ,qir�anical Inc. �° � , :-� - . , 16411 Aberdeen St. NE Ham Lake, f�hi. 55304 Phone: 763-434-7747 BUILDING LEAKAGE TEST Page 2 of 4 Date of Test: 5/24/2016 Test File: Untitled BUILDING LEAKAGE TEST Date of Test: 5/24/2016 Test File: Untitled Customer: Summit Construction Technician: Cory W 1380 Briar St Project Number: Orono, MN 55391 Building Address: 1380 Briar St Orono, MN 55391 Test Results 1. Airflow at 50 Pascals: 562 CFM50 (50 Pa = 0.2 w.c.) 1.60 ACH50 2. Leakage Area: 30.9 in2 LBL ELA @ 4 Pa 3. Building Leakage Curve: Flow Coefficient (C) = 44.2 Exponent(n) = 0.650 {Assumed) 4. Test Settings: Test Standard: RESNET One-Point Test Test Mode: Depressurization 5. Accuracy Level Standard Level of Accuracy Test Infittration Estimates 1. Estimated Average Annual Infiltration Rate: 29.7 CFM 0.08 ACH 5.9 CFM per person (using bedrooms + 1) 2. Estimated Design Infiltration Rate: Winter: 35.9 CFM Summer: 19.8 CFM 0.10 AC H 0.06 AC H Cost Estimates 1. Estimated Cost of Air Leakage for Heating: 2. Estimated Cost of Air Leakage for Cooling: � , '1 BUILDING LEAKAGE TEST Page 2 of 4 Date of Test: 5/24/2016 Test File: Untitled Building Information Location Climate Information Volume 21130 Ventilation Weather Factor 0.97 Surface Area Energy Climate Factor 17.00 Floor Area 2113 Heating Degree Days 7876 Height 10 Cooling Degree Days 315 #of Bedrooms 4 Design Winter Wind Speed 8.4 mph #of Occupants 4 Design Summer Wind Speed 13.4 mph Year of Construction 2016 Design Winter Temp Diff 81 deg F Wind Shield H Design Summer Temp Diff 13 deg F Heating and Cooling Cost and Efficiency Information Heating Fuel Gas Heating Fuel Cost Heating Efficiency % Cooling Fuel Cost Cooling SEER Equipment Information Type Manufacturer Model Serial Number Custom Calibration Date Fan Energy Conservatory Model 3 (110V) - Micromanometer Energy Conservatory DG700 , � . , � BUILDING LEAKAGE TEST Page 3 of 4 Date of Test: 5/24/2016 Test File: Untitled Depressurization Test: Environmental Data Indoor Temperature{°F) Outdoor Temperature (°F) Altitude (ft) 70.0 75.0 700.0 Baseline Pressure Data Baseline 1 (Pa) .6 Baseline 2 .8 Baseline 3 .8 Baseline 4 .8 Baseline 5 .8 Average Baseline (Pa) 0.8 Baseline Range (Pa) 0.2 Data Points - Data Entered Manually Nominal Baseline Adjusted Fan Nominal Adjusted Building Pressure Building Pressure Pressure Flow Flow Fan (Pa) (Pa) (Pa) (cfm) (cfm) Configuration -50.0 -50.8 88.7 560 568 Ring B Time Averaging Period: 90 Deviations from Standard RESNET One-Point Test-Test Parameters None J . ' •. � BUILDING LEAKAGE TEST Page 4 of 4 Date of Test: 5/24/2016 Test File: Untitled Comments None . � -.+���� ,•,� �' '-�..�......�"`~ .. .�� ;� E � ,#' � . . � . . A '�MS I�riR�.;f�. �k� Ys� �. 4-p*� � .�.�:'�..��;:.:� � :. �ryta.... .� , �..� .e-.�.. ��.�v`_ 3-v�a-,.€ �« : � - .-ev.'-.: 'i ��SM: a= " .-r ♦- ., - e-,. :.: �::tc R}=.#}�� y� . ' . -. ^r .:-.� s�r s.. .. .. -_ � .. . . � r.. �.. � rf »- , ,o � ,.: „ . a "�s. it:. . s . �.:.., x.�z� .. � ;. . . . .'�v. . � .�,.,. .a'. r. , .., ,�: y . _ ..� + �� _ i w„c „F: .. - . _._ . - . 'P�- �-'. - - vc - :,ir..,• �+v- z. — � - . . . .�_ a •. a�z= < ,-u -�� � .� . �� .. c p� -> • - o ao wc o '.r "�x.s , -��- .., m �:,.- nc y" ��::.��Ln�i�� � City of Orono � � � � :; 7��� it ��.. � �oNo Hardcover Calculation Worksheet Property Address: C�N ��� `�"''���Q y.. � ��8 0 ,�9/4�A�Q ,T T.�'���'T �a�r Z L oFF,�_ t�tESNO�`�' Prepared by: Date: _ GRo�✓8E/�G t �fl'.T�ic%1T�J" i�✓C /2-i3 -e6 Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 ier 3 Tier 4 Tier 5 Step 1: X�TIN ARHG DCOVE� In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate of Sunrey (survey must accompany this form). Use as many lines as necessary to accurately depict existing 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 separately for each portion. Surve� Ha�dcover Item(DescMbe) Length x Width T�� S uare Feet Exam le Gara e 4'x 30' 720 S.F. A B S.F. C S.F. p S.F. E ? S.F. F 8 Q S.F. G c S.F. H S.F. � S.F. � S.F. K S.F. � S.F. M S.F. N S.F. 0 S.F. P S.F. Q S.F. R S.F. S S.F. T S.F. � S.F. V S.F. W S.F. x S.F. Y S.F. Z S.F. S.F. 1 Total Exis�tf Hardoover 6 S.F. Excludable Hardcov�er Sse� Code Sec 7&1684 : S.F. S.F. S.F. S.F. S.F. 2 Total ExGudable Hardcover S.F. 3 Net Existin Hardcover Subtract line 2 from line 1 2 6 S.F. 4 Total Lot Area S.F. Proposed Hardcover Perosnta9e I(3)+�4)l /p.O� % (Proposed Hardcover next page) Subdivislor►Applkation-January 2016 Thls!s an lnformation padcet regarding Hardco�rer. Every etiat has been made to ensure the accuracy of the information contalned herefn;however,if any/nformatron is not conslstent with provislons of the Clty Code,the Code provisions will prevail. Page 18 Christine Mattson From: Christine Mattson Sent: Thursday, December 29, 2016 11:15 AM To: 'Jeff Zitzloff' Cc: Mark Gronberg Subject: 1380 Briar Street/#2015-01228 � Jeff, Our engineer has reviewed the as-built survey and has the following comments: a. The as-built survey does not appear to conform to the intent of the approved plan.The as-built survey does not depict the approved surface drainage plan. The approved plan included swales to direct any surface runoff away from the eastern and northern neighboring lots. If swales were created but not visible due to the contour interval,drainage arrows should be used. If another mechanism/plan was used to deal with run off it should be depicted or described. Please have the survey updated to show drainage patterns or other mechanisms used. b. The as-built survey shows an existing concrete foundation and floor to be removed on the south side of the property. This does not show up on the hardcover calculation. Does it exist or has it been removed? Please provide clarification. After the updated survey is received and snow has melted, an inspector will visit the site to con�rm the following: a.The survey accurately depicts conditions on the ground. b.The site is stabilized to the point the any remaining erosion control can be removed. c.The drainage pattern does not direct surface water onto the neighboring properties. Once the as-built survey and site visit have been completed and approved we can refund the escrow money current held. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN � 55356(physical addressJ PO Box 66 � Crystal Bay � MN � 55323-0066(mailing address) '� 952.249.4620 I 8 952.249.4616 �cmattson@ci.orono.mn.us � �www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE W/LL BE CLOSED: Monday,January 2,2017 Monday,January 16,2017 1 C 3�S C� PJ r; �-rZ S-� -Z/��� r i� l�� �� �� w<< ( ( a�,�� � �l a� � G�Q�d��� �'a (c� f o �� ���� �✓'��� � �'E' ��°✓����� � � CoN��z� tE �Ct� �}'c�a� � , �� u PP� �� a(��►�a�r �rad�� �1�� C�f,� ��l � � e c°� �,� a��P✓r'„�o �adVCO�IP� C�a��h, �Q f E�,!t✓� B t— P S<f O,�J �`vt� CB�°�1���kri �� r i O�B, DATE TIME CITY 6F ORONO CALLED IN $-Iu 't1 INSPECTION NOTICE SCHEDULED 17-17 PERMIT NO. COMPLETED,, , L ADDRESS r 5,w 'B(/ar �w��i1 OWNER TELEPHONE NO. CONTRACTOR ` /- DESCRIPTIONrl Y �^'' S) r� ( W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE E] SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: m j 5'. .` Q; Q 12 W W O; j W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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 OwnedContrector on site: Inspector. White Copyflnspector's File Canary CopylSRe Notice Christine Mattson From: Adam Edwards Sent: Wednesday, August 16, 2017 3:00 PM To: Christine Mattson Subject: RE: 1380 Briar Street/#2015-01228 Chris, The as-built appears to conform to the intent of the approved plan. An inspector should conduct a site visit and confirm the following: 1.The survey accurately depicts conditions on the ground. 2.The site is stabilized to the point the any remaining erosion control can be removed. 3.The Drainage pattern on the east side of the home does not direct surface water onto the neighboring property. Adam From: Christine Mattson Sent: Monday,August 07, 2017 3:49 PM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject: 1380 Briar Street/#2015-01228 Adam, We received an updated as-built survey for 1380 Briar Street. Please review and provide comments. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono MN 155356(physical address) PO Box 66 1 Crystal Bay 1 MN 55323-0066 (mailing address) 9 952.249.4620 1 A 952.249.4616 ® cmattson@ci.orono.mn.us I -Ii� www.ci.orono.mn.us Summer Office Hours: (Monday, May 22 through Friday,September 1,2017) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,September 4, 2017 1