HomeMy WebLinkAbout2003-P05903 - new structure � . PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P05903
Crystal Bay, Minnesota 55323 Permit Type: NeW sr�u�cure
(952) 249-4600 Date Issued: 1�2�2003
SITE ADDRESS: 1045 Brown Rd S
Wayzata,MN 55391
P I D: 10-117-23-24-0002
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 101
Permit Class: g
Permit Type: New Structure Permit Sub-type(s): New Home- Single Family
DETAILS:
Approved per resolution#: 4868
Separate permits required: i'iumoing iviecnanicai �eptic rirepiace irrigaiion c,iecuicai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 2,561.75 Valuation: $ 380,000.00
Plan Review Fee: $ 1,665.23
State Surcharge Fee: $ 190.50
TOTAL FEE: $ 4,417.48
APPLICANT: Betz Builders Inc. OWNER: steve Vandeveire
300 Crestview Ave. 1045 Brown Rd S
Long Lake,MN 55356 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT NERMITEE SIGNA E ISSUED QY SIGNATURE
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Copies: 1-File(SiQnitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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� Total Fee: $ �i;' I � � -����, �Date Received: � �"C; ���
Entered By: � �`��� '� Permit #: �` . -�
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
- (please print all information)
-------------------------------------------------------------------------------------------- ------------------------
THE APPLICANT IS: (circle one) �OWNER �CONTRACTOR�
`
JOB SITE ADDRE5S: l� L�� t�/�G���(,� �� S . ZIP: ����
NAME OF OWNER: �.�tJ�.����'�{C—PHONE: (home)��'1f��3"��',.5�
(work)
MAILING ADDRESS: ��r-���L��jJ'j�C'-�Vv 1� CITY: �i� L�¢1/-E' ZIP:�����
/
CONTRACTOR: � PHONE:
CONTACT PERSON: � � OBILE/PAGER: �-j � —Z��l,�,�
MAILING ADDRESS: � �� '� � �`� (,��„� �� � CITY: - L� �� ZIP:_�3��
STATE LICENSE: # ��; _�
ARCffiTECT/ENGINEER: � PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New� Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: /�,��J,�:�L' h,�;u�,�-e-�
STORIES:��� SQ.FEET OF EACH FLOOR: A��Y:� �Ca�� � ���
NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $„'��,�(.���•f�Z^�
,
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 a rdance with the approved plan.
APPLICANT'S SIGNATURE: � �-,G ' . DATE:��'`� ��—_
NOTE! Parade of Homes events require separate p ' approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: l ��S �',R,o�N �� S �
PID:
DESCRIPTION OF WORK: ��w �2,�—S �
- -------------------------------------:------- _�
ZO.�tI�i 1G $EVIEW BY: � DATE APPROVED• C Z �.�,� cL
BUII.D�1G REV�`V BY: DAT'E APPROVED: �z-��, � �
FEES TO BE CHARGED: �''�isc. Fees Calculated By:
PERNIIT Yes � No
PLAl�i REVIEW Yes ✓' No SEWER CONNECITON
STATE SURCHARGE Yes ✓ No WATER CONNECITON
INVESTIGATION FEE � Yes No ✓ PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC�Units � OTHER (specify)
_-------_______ _ _ ��,�-------------------------------------------------------
ZONING CHE.CK LIST Zoning District: ��- >� .
Fire Department: Post Office: School Districr. �
Lot Area: Sq.fc. '�)�y3'8�y Acres I•b'�l Width �!U?�;U�,2, Depch
Survey Submitted: Yes x No Date of Survey: t Z-- �� ' �'Z-
Proposed Setbacks:
Front(L-tdEe): l b 5•3 Right Side: 3 v-�
Rear(St�eet): �Z�Q� Left Side: 3`'(•5
Adjacent Structures: Iv(/� �Vetland: ti(/k
Building Height: Def. Hgt. Z7' Peal:Hgt. 33-S
Lot Coverage: S"70
Grading: Staff Approval Date: � �_ �2 _ u 2 By: �- Council Approval Date: ��/�
Septic: Sc;.ff Approval Date: I - 2- 0 3 By: !1'1•6
Zoning File: # 2�8 Z`1 Resolution: # M'0b� Resolution Date: 9• Z 3-�z—
Shoreland District: N�
Avg. Setback: Bluff Setback: L,ot Coverage:
Ezistino Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
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REMARKS (in house): 1�5� s �S I 6 N L� v
7
BUILDING REVIEW CHECK LIST
�C' — R' 3 CONSTRUCTION TYPE: V� '
� Sq Footage $Per Sq Ftg
Basement � _
lst Floor x _
2nd Floor x _
Garage x _
z =
TOTAL
Estimated Construction Value: $_ 3�0,Uoo"�'
Inspections Required: `Vork Requiring Separate Permits:
Site �_plumbing Fire
Hazdcover Removal � Mechanical Water Connection
_�( Footing ' _�Septic Sewer Connection
�Framing �_Fireplace _�Lawn Irrigation
_�,Insulation (Masonry) Other
_�( Wall Board � (Mgg,� � Well (State Perm.it)
—�F�� Grading/Filling _�Electrical (State Permit)
Other
RE�iARKS(7N HOUSE):
� - ---------------------------------------------------
REVIEW BY OTHERS: DATE: ��
Access: Ezisting New
__
Access Approval: Date gy.
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RE��ZARKS (TO BE NOTED ON PERi1�II'1�:
8
' Sec:13.04 RIGHTSOFSUBJECTSOFDATA
Subdivision 1. Type ojdata The rights of individual on ivhom the data is stored or to be stored sha[!be as set forth in this section.
Subd.2. Jnjormation required ta be given individuaL An individua!asked to supply private or confrdentral data concernrng himself
shaf!be informed of.• (a)the purpose and intended use of the requested data within the collecting state agency,polrtical subdivisron,or statewide
system;(b)whether he may refuse or is[egally required to supply the reguested data;(c)any known consequence arising from his supplying or
refusing to supply prrvate or confrdentral data;and(d)the identity of other pessons or entitres authorized by state orfederal law to receive the data.
This reguirement shall not apply when an indivrdual is asked to supply rmestigative data,pursuant to sectron 13.82, subdivisron S, to a!aw
enforcement oJfrcer.
The commissroner ofrevenue may place the notice re4uired under this subdivision in the indrvidual income taz or property tax refund
instructions instead of on those forms.
Su6d.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data an individuals, and whether it rs classifred as public,private or confidential. Upon hrs further request,an indrvrdua!who is the
subject of stored prrvate or public data on rndivrduals shall be shotivn the data ivrthout arry charge to him and, rf he desires,shall be informed oj
the content and meaning ojthat data. After an rndrvidua!has been shown the private data and injormed of its meaning, the dala need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this sectron is pending or additrona!data on the individual has
been collected or created. The responsible authoriry shall provide copres o,f'the private or publrc da�a upon request by the individual subject oJ
!he data. The responsibfe authority may require the requesting person to pay the act:�al costs of making,certifyrng,and compiling the copies.
The responsible authority shall comply immediately,ijpossible,with any request made pursuant to this subdivision,or tivithin five days
of the date o,jthe request,excludrng Saturdays,Sundays and lega!holidays,if rmmediate compliance is not possible. If he cannot comply ivith the
reqtrest ivithin that time,he shall sa inform the indrvidual,and may have an additionalfrve days tivithin whrch to comply with the request,excluding
Suturdays,Sundays and legal holidays.
Subd.4. Proeedure when data is not aceurate or complete.An individual may contest the accuracy or completeness ofpublrc or private
data concerning hrmself. To exercise this rrght, an individual shall notify in writing the responsrble aulhority describing t{te nature of the
disagreement. The responsible authorityshall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to not�
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notrfy the indrvrdual that he 6elieves the data
to be correct. Data in dispute shall be disclosed only if the rndivrdual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provrsions of the administrative procedure act relating
to contested cases.
DATA PRIVACYADVISORY
InaccordancewrthM.S.13.04,Subd.2,"Rightsofsubjectsofdata';ivewouldliketoinformyauthatyourrequestjorapermrtorlicense
from the Crty of Orono or any of its departments may require you to furnrsh certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualifrcation for the permit ar/icense requested.
2. You may refuse to supply data,but refusal may requrre that the City deny the permit or license.
3. The injormation may be shared with other local,state or federal agencies to the extent necessary to process the permit or
lieense.
4. Ifyour reguested permit or license requires Council actfon lo approve,some rnformation may become public.
S. You have certain rrghts under M.S. 13.04(see followrng page)to review private data on yourself.
6. Your ful!name is required to process thrs application or permit.
PLEASE PRlNT
r��,� ��� � ��..�
First Middle Last
:�C--' � '�� f"'�—
Address
� ,{ >
�. �G� /"�� ��`-?��
Ciry State Zrp Phone
1 u dersta my rights as state bove.
�L�'
Signature
10
+ i + ..� -,.{. J•'i..� .
`��� ��� �r �
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NII�Tcheck COMPLIANCE REPORT
Minnesota Energy Code Permit #
MNcheck Software Version 2 . 0
Minnesota Department of Public Service
1-612-296-5175 1-800-657-3710 Checked by/Date
COUNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 12-10-2002
DATE OF PLANS : 12-10-2002
TITLE: BETZ BUILDERS, INC.
PROJECT INFORMATION:
BROWN ROAD, Orono, MN
COMPLIANCE: PASSES
Required UA = 679
Your Home = 674
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
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CEILINGS: Raised Truss 2433 44 . 0 O . Q 54
WALLS : Wood Frame, 16" O.C. 3892 19 . 0 2 . 0 201
GLAZING: Windows or poors 883 0 .350 309
DOORS 78 0 . 350 27
FLOORS : Over Outside Air 70 30 . 0 2
FLOORS: Over Outside Air 160 30 . 0 5
BSMT: 9 . 0 ' ht/8 . 0 ' bg/9 . 0 ' insul . 964 10 . 0 56
BSMT: 4 . 0 ' ht/3 . 0 ' bg/4 . 0 ' insul . 264 10 . 0 20
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COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to et the requir�ments of the Minnesota Energy Code .
�
f, , ?-,,�.� � ;�� � �� ,'�/i�',.i'
Builder/Designer � � � �-� Date /�
;�
,
t . , aq frA.,�ak;�en.w h'"..'ry
Job Site Address: r PLACE YOUR LITI'LOGO HERE �
Provided for your use-courtesy of the
"CATEGORY 1" ALTERNATE FOR City of Inver Grove Heights
�i
ONE & TWO FAMILY DWELLINGS � 651-450-2550 �
INSTRUCTIO\S: This alternative may be used for one- and two-family dwellings built to meet the Category 1 requirements of
NTinnesota Rules, Chapter 7670. Complete Parts A,B, and C. Clearly mark plans with: insulation R-��alues; window and skylight U-
calues; size and type of equipment; equipment controls; and locarion of vapor retarder and �t�ind�vash barriers. More detailed
information can be found in the Minnesota Energy Code summary sheets available from the vlinnesota Department of Commerce.
Part A. BUILDING ENVELOPE .
.. _._. .._. �._�__�__ . �__ . ._--.- _m _�___.,____.�__.___;
Check proposed envelope joint seating option 3 Prescripti��e(caulking,gaskets,etc.) 0 Performance(test per 7670.0470 subp 7.C.) ;
_ . _ ,_ _. _ , :c
Check thermal energy calculation option used-� � "Cookbook" (complete worksheet below) ❑ I�tnCheck method(attach report) �
p Performance (attach U-value calculations) ❑ Systems Anaiysis method(attach analysis) '
"Cookbook" Worksheet �1I�I��`I�Q����NTS
(for��Cookbook"option onlv)
Ceiling Insulation: Minimum R-38 with 7'/z"energy heel; or
IvsTxucTio?�s Minimum R-44�vith low truss heel; or
Step I. Check item(s)that design meets on Minimum Reguirements list I�finimum R-3S �t�ith R-5 sheathing u,•hen no attic.
to the right.Must meet all items to use"Cookbook"option. Entry Doors: Max.U-value of 0.30 or 1'/.."solid wood with storm
Step 2. Indicate proposed wall type on table below. Rim Joist Insulation: 1�4inimum R-19
Step 3. Indicate�Vindow U-value and source. Floors over unconditioned spaces: Minimum R-24
Step 4. Verify total window(including area of all foundation w•indows) Foundation Insulation: Minimum R-10
and door area is equal or less than allowable percentaQe. Foundation windo�vs: '/�"insulated glass,�vood or vinyl frame
TABLE FOR DETF��IIIING tiiAXI�1LJIVFWINDO�V Ai\'D DOOR ARE�.
?�laximum AI]owable Total�Vindow and Door Area as
aPercentage of Exposed�Tr'all � 12%0 1�% 16% 18% 20% 22% ' 24% 26% 28%
�VaII Type (Standard Framing): Maximum Average�Vindow U-value(except foundarion ti��indows):
❑ 2x4,R-13 insulation, b R-7 sheathing "0.5� 0.47 O.dl 0.36 0.33 0.30 ' 0.27 0.2� 0.23
❑ 2x4,R-1� insulation, b R-� sheathin� -0.�2 0.4� ' 039 0.35 03] 0.28 0.26 0.24 0.22 '
2x6.R-19 insulation,<R-5 sheathing 4.48 0.41 0.36 0.3? 0.29 0.26 0.24 - 0.22 0.21 :
❑ 2x6,R-19 insulation, L� R-� sheathing ;0.56 0.48 ' -0.42 037 0.3� 031 0.28 0.26 0.24
❑ 2x6,R-ZI insulation,<R-5 sheathing 0.51 0.43 0:38 034 , 0.30 0.28 U?� 0.23 0.22
❑ 2x6,R-21 insulation, b R-� sheathing �.58 0.50 - 0:� 0.39 0.3� 032 0.29 0?7 0.2�
Wall Type (Ad��a,ced Framing): ` Maximum Avera�e��%indow U-value(except ioundarion windou•s):
❑ 2x6, R-19 insulation,<R-�shea[hin� 0.�2 0.4� ' 0.39 0.35 031 OZ8 - - 0.26 0.24 o.22
❑ 2x6,R-19 insalation, �i R-5 sheathing 0.�8 0.50 0.�.4 039; 035 032 0.29 0.27 ' 0.25
❑ 2x6,R-'_i insulation,<R-�sheathin� 0.55 0.47 0.41 0.36 0.33 0.30 0?7 0.2� 0.23
❑ _'r6,R-21 insulation, � R-5 sheathing 0.60 0.52 0.46 • 0.41 o.36 033 0.30 '0.2� 0.26
Windo�v U-value: - Source: NFRC ❑ ASHRAE 1993 Handbook
1oox � g61 � �� �:� ,n - t... _ . % < 3a. % _
window&door area gross exgosed«�all area DESIGN ALLO«'�BLE (from table above)
MINNESOTA ENERGY CODE - WH/CH RULES MAY l USE ?
TYPE OF RESIDENTIAL BUILDLNG APPLICABLE RLI.,ES
Detached R-3 occupancy i-and 2-family d�re]lings Chapter 7672; or
Examples: single family,ri��n homes,duplexes Chapter 7670"Category 1" with statutory depressurization and ventilation requirements
Attached R-3 occupancy dwetlinas Chapter 7674; or
Examples: �iplex tow�nhouses and row houses Chapter 7670 with either"Category 1" or "Catesory Z" provisions
R-1 occupanc}•buildines of 3 stories or less Chapter 7674; or .,
Examples: condominiums or aparhnents Chapter 7670 with either"Category 1" or "Category�2" provisions
R-1 occupancy buildings over 3 stories high C6apter 7676 °
Examples: hi�h rise condos or apartments : ;�,�
11
Part B. DEPRESSURIZATION PROTEC'�ION
Check oprion used: ❑ Fuel burning equipment (complete schedules belo�v) 0 No fuel burning equipment
Iti�sTxucTtovs EXHAUST/DIAIiE-UP AIlZ SCHEDULE* :
Step 1. Complete the Combustion Equipment Schedule below. Only equipment E:chaust devices over 300 cfrn Flow
with a Y(Yes)may be selected under the"Category 1"alternate. cfm
Step 2. Complete Exhcu�st/Make-up Air Sched:�le on the riaht if d'uect or power cfm
vented or solid fuel atmospheric vent space heating equipment is selected. cfm
COI�IBUSTIO`EQUIPi�IENT SCHEDULE
(check all types proposed)
Space heating–nonsotid fuel Sealed combustion Y Hearth – nonsalid fuel ❑ Sealed combustion -Y
❑ Direct or power vented Y* ❑ Direct or power vented Y
Atmospherically vented N Atmospherically��ented I�T
Water hearing–nonsolid fuel ❑ Sealed combusrion Y Space heating-solid fuel ❑ Atmospherically vented Y*
Direct or power vented Y Water heatine–solid fuel ❑ Atmospherically vented Y
Atmospherically vented N Hearth–solid fuel ❑ Atmospherically vented Y
* .' If ahnospherically vented solid fuel or direct or power vented nonsoIid fuel space heating is installed, then make-up air#o match
flow is required for each individual exhaust device which exceeds 300 cubic feet per minute.
Part C1. VENTILATION
ti�NTII,ATION QU.4NTITY
(Mechanical ventilation must be pro�ided per the lareer quantity calculated below)
'Lt� cubic feet x 0.00583/minute = (� cfm (,`� a 15 cfm/bedroom)-t-15 cfm= ��cfm
volume of habitable rooms - numbe—r�c f bedrooms
VENTILATION FAi�i SCHEDULE
Check method(s)proposed -� ; ❑ Exhaust only Balanced (heat recovery ventilator, air exchanjer,etc.)
Fan description or location � TOTALS
VENTILATION ' Intake cfin cfm cfin cfm cfrn
AS DESIG�'ED E�cY�aust cfrn cfin cfm cfin cfrn
Statement of Compliance: The proposed buildinJ design represented in these documents is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the
requirements of the I�Iinnesota Energy Code.
T� o ►� � �Z. �/ �i�.� /�' �z --�y l z- ��o? zZ/—�''7�,.�
Applicant(print name) Si�nature Date Telephone number
,�' �
Part C2. VENTILATION (Submit Part C2 upon completion of system verificationj)
a.
�, ----------------------------------------------------------------------
Job Site Address: Pernut�'umber
Fan description or location TOTALS
MEAStiRED Intake cfrn cfm cfm cfrn cfm
PERFORNIANCE-� Exhaust cfrn cfm cfm cfm cfrn
-� Ventilarion rate must be measured and verified when the performance option is used in lieu of the prescriprive option for the sealin;
of joints in the buiiding conditioned envelope(from Part A).
Compliance Statement: Installed��entilarion system is in compliance with�IN Energy Code and is sized to provide the design air flow.
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DATE TIME
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White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
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Ca11 forthe ext inspection 24 hours in advance. (952� 249-4600
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White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED / -lo-U3 �
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White Copy/lnspector's File Canary Copy/Site Notice