HomeMy WebLinkAbout1996-008537 - new residence � � PERMIT
CITY OF ORONO PERMIT TYPE: � � -
2750 Kelley Parkway- P.O. Box 66 `�": ';?��`4�;
Crystai Bay, Minnesota 55323 Permit Number: �ti:;i::�,:;;
(612)473-7357 Date Issued: � � ;{;�;_�;;-,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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LIC ERMI E SIGNATURE ISSUED BY:SIGNATURE
i
Total Fee: $ `� i'/;����. c. ��° Date Received: � � � -� `� � ✓ ��`
Entered By: � Permit#:
CITY OF ORONO - BUILDING PERMIT 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: ,,a��� �'- F-�-�::�('�(` -T� /�-i�' "L=
ZIP: � °5�3� L/
NAME OF OWNER: ��T'LrivL L���,: - .� `� ,,_��., PHONE: (home)� Z_�; -��r 4,- �
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: � i�.L'�1,� -��;ti.�., ��,►.:' C'_.-'ti_���i _PHONE: j cf�� — � � 7 �-,
CONTACT PERSON: ;-U �.--�,., .:�j�,,,� y��.,,_ 1`vIOBILE/PAGER: ��;7 - y (".i;�'
MAILING ADDRESS: ��j Z, ° �+i��s ►n�� � �. CITY: �� �� �, E� ZIP: 5 S��.� �i
STATE LICENSE: # 3 I G, ��
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �,���; � ;,y�- .� � ���+ +�..�1-�-�,+� L�
STORIES: �_ SQ. FEET OF EACH FLOOR: `�`5-`� ,�i��i4�.;t t����'-� �== "='—
NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. Z DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $J zf>� �,c.��-
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:, p-'�'��,r.�� -,- ,.; .___ DATE: `,/ -L."a�--cj/,
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTS OF SUB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual 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 confidential data concerning himself shall
be informed of: (a) the purpose and intended use of the requested data within the collecting'state agency, political subdivision, or statewide system;
(b)whether he may refuse or is legaliy required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not appty when an individual is asked ro supply investigative data, pursuant ro section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on[hose forms.
Subd. 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 on individuals, and whether it is classified as public, private or confidential. Upon his further request,an individual who is the subject
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 content
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 to him for
six months chereafter unless a dispute 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 responsible authoriry
may require the requesting person to pay the actual costs of making, ceRifying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply wi[h the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify 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 included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
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 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
L-�.' L Z 0 ��.Y �,L/�. �__ .I �, �;� s c� ,i.�
First` Middle Last
E:�1 L� ��-r� S t►a L� �..;�-,✓�= - --
Address
�-�Y���.;«�r- ;�t i� ;_i-`l 3 `i `) �r �t -3 3 � �.
City State Zip Phone
I understand my rights as stated above.
; ticd.�
ignature
t
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: t�'�. �� 'j',_ �.,� --c_
PID: �� ���- �/ 7�� � �. '� � �"�' 9 �
DESCRIPTION OF WORK: /�, ��. ,�� :, �-��, . , <� ._
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ZONING REVIEW BY: I� '� 4,_ DATE APPROVED:�� � 3� �c�
BUILDING REVIEW BY: � ' � DATE APPROVED: �-S •�:. ;tu
FEES TO BE CHARGED: Misc. Fees Calculated By: F�^_ (4,;�c..%�c�.,
PERMIT Yes f No
PLAN REVIEW Yes ✓' No SEWER CONNECTIONl�2��`�"�
STATE SUR:I�IARGE Yes r.� No WATERCONNECTION
INVESTIGAZ'ION FEE Yes No � PARK FEE
SAC Yc,s �C No SITEINSPECTION
Number of SAC Units � OTHER (specify)
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ZONI1o1G CHECK LIST Zoning District: L2-1 L
Fire Department: y�r�;;u�f w'� Post Office: nnC�;v�t� School District: �/t,�L�S'7'L`�►K�
Lot Area: Sq.ft. Ib, LS`� Acres . 3 7 Width �vv Depth ( �,Z,5� �Q
Survey Submitted: Yes� No Date of Survey: �� - �``t(�
Proposed Setbacks: ,,
Frovt (Lake): 3�-•I j � Right Side: `�5 �-
Rear (Street): �� �- Left Side: (O •5 �
Adjacent Structures: N (�� Wetland: I'V i/�
Building Height: Def. Hgt. �� Peak Hgt. 1�.5'-? '�
Lot Coverage: �7 ���
Grading: Staff Approval Date: I� ' 3 i - `1�, By: �'.v Council Approval Date: N�h
Septic: Staff Approval Date: N� 14 By:
Zoning File: # �.v`f S Resolution: # '3�7 Z• Resolution Date: 3 - i~y -`i t�,
Shoreland Dist:ict: �' `>
Avg. Setback: �J���� Bluff Setback: /�,' %�-? L.ot Coverage: '��7�
Existing Proposed
Hardcover: 0-75' N�+�1
75-250' N�'�1�
250-500' %S`' � �
500-1000' Nrrf
Hardcover Variance Required: Yes No�_ Date of Council Approval:
REMARKS (in house):
26
BUILDING REVIEW CHECK LIST
UBC: F --� CONSTRUCTION TYPE: V ti�
Sq Footage $ Per Sq Ftg
Basement yS 4� x i 3��4 = i 2, L��� �'L-
1 st Floor 9�� x i�4. 3� = i�b, 3`I�l
2nd Floor r�w x �;'7. i t = Lf`(,i;�i
Garage i � 52. x � '� �I = Z1, e`t�
��-.�,� ° ;v�t x y7. z 5 = �,3���
TOTAL J 5�,4;s 5�
Estimated Construction Value: $ � S�r � ��p.�
Inspections Required: Work Requiring Separate Permits:
Site ��( Plumbing Fire
Hardcover Removal �C Mechanical -�' Water Connection
� Footing Septic _�C Sewer Connection
_�� Framing �-- Fireplace �� Lawn Irrigation
� Insulation (Masonry) Other
�C Wall Board (� (Mfg.) �Well (State Permit)
t�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):
27
� , .,.
Page 11
Form for use with Minnesota Rules part 7670.0475, Subp. 2
1 & 2 Family Residential "Cookbook" Method
SITE ADDRESS City
� ��� �' i-� P� 'i���� ,;: ( J�' �,
BUILDER Date
�t�.t�� �- �C��7� �-Zb -0.C.o
Minimum Criteria:
Rim Joist: R-19 insulation Foundaton Windows: Insulated glass, I/2"air space, wood or�•inyl frame
Entry doors: I�/a inch solid wood with storm or better
STEP 1 Window & Door Area STEP 2 Calculate area as a percent of w•all
Total Window & Door Area in Sq. Feet Box A(window & door area) divided by Box B (total
WINDOWS (including foundation windows): wall area) times 100 equals the windou� and door area
Dimensions Qnty. Area as a percent of wall area (Box C).
X BoX A x ioo = l�.•'�
X
BoX B c
X
STEP 3 Design Features
x
X ASSEMBLY OPTION
X FRAME WALL:
x
STANDARD FRAMING x
X
X ADVANCED FRAMING
X CAVITY INSULATION R-�
X
DOORS: SHEA7'HING: ,/
LESS THAN R-5 J�
X
R-5 OR MORE
X WINDOWS(except foundation windows):
X U-FACTOR jJ_��,
Total Area of /j�Q,/�,
Window & Doors /�/"\A
From the table, determine the maximum percent window
Total Wall Area in Sq. Ft. & door area for the design options selected and enter the
Wall Total Perimeter Height Area value in box D below:
�� D
Total Area /�,,��B Box C must be less than or equal to Box D
of wall `�
� .
Page 10
ONE- dz TWO-FAMILY RFSIDENTTAL I3UILDING PRESC:RIP'TIVE (COOK-BOOK)
APPROAC��
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
From Minn. Rules part 7670.0475, subpart 2, item F
Cavit Window U-Factor
Framin Insulation Sheathin 0.49 0.36 0.31 0.27
STANDARD R-13 > R - 7 13.4% 17.8% 21.3% 24.3%
STANDARD ' R-13 > R - 5 12.4% 16.4% 19.7% 22.5%
STANDARD R-15 > R - 5 12.9% 17.1% 20.1% 23.4%
STANDARD R-18 < IZ - 5 12.1% 16.0% 18.8% 22.0%
STANDARD R-18 > R - 5 14.0% 18.6% 21.8% 25.3%
/\DVANCED R-18 < R - 5 12.9% 17.1% 20.1% 23.4%
ADV,AN.�ED R-18 > R - 5 14.5% 19.2% 22.5% 26.1%
-'��' STANDARD �`� R-21 < R - 5 12.8°/ 7.0% 19.9% 23.1%
�� ° �3% 22.5% 26.1%
�=. --S�=� � ' D R-21 > R - 5 14.5 /o
ADVANCED R-21 < R - 5 13.6% 18.1% 21.2% 24.6%
ADVANCED R-21 > R - 5 15.0% 19.9% 23.2% 26.9%
Additional calculated values
STANDARD R-17 < R - 5 11.9% 15.7% 18.4% 21.5%
STANDARD R-17 > R - 5 13.8% 18.4% 21.5% 25.0%
ADVANCCD R-17 < R - 5 12.6% 16.8% 19.6% 22.9%
A.DVANCED R-17 > R - 5 14.3% ?9.0% 22.2% 25.7%
Notes:
Window area equals rough openiitg minus installation clearances.
Window U-factor must be determined by either the National Fenestration Rating
Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
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� ` , - ��tabllrhed la 1982 INVOICE N0._44860
LOT SURVEY� CC�1�lP11NY, INC. �.B.No.l47-7��T95-3z
LAND SURVEY�RS SCA�E: �" - 30�
REGIBTER�U UNDER T1�E L/1119 OF 9TATE OF 1r[INNFSOTA o D�noe.� ron Mo�x,m.nt
7001 79rd Annue North dl!l-6E0-�093 ❑ D�nott� Wood F#b S�t
F�x No. 660-36£R for exoavatio� oniy
L1npe�polf�, ltlnn��ot� 664E8 x000.0 DKwbs Exi�tM►q E1�vpUon
� �+urury�nra VYrr#���,r�#r ��.� ��•• ��•� E������
_•�•i— o«,ot.. surr«. Dra�neQe
a a'�'`� Propos�d Top of Bbck
GREG J011NSON CONSTRUCTION $ERVICES INC. �Q�'S Propo��d Corop� Fbor
Property located in Section � q33•3 Propo��d LowNt Fbor
8, Tormship 117, Range 23, TYP' °� B"ibi"q
Hennepin County, Minnesota�. Fu�.�$�}yENE�lt u1n�w�vT
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED Z'�Z'�,� � � � 3a
PERMIT NO. �53� COMPLETED �_ _��
ADDRESS 3g55 CµC�'�y �4vc:
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOT1NCi 11 MECHANICAL RI 1B IXCAV/GRADIN(3/FIWNO
� 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE1WETlANDS
Q �NSUlAT10N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yyq�,�gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO 06 PROCaRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATI�N REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� O CORRECT WORK 8 PROCEED i= ISSUE CERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� ' BEFOREC01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTEO.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO AFRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
OwnerlContract o ' e:
Inspector.
White Copyllnspector's Fiie Canary CopylSite Notice
DATE TIME
CITY OF ORONO ,�/` CALLED IN /. 6/�E�
INSPECTION NOTICE � � �' SCHEDULED ///W/�'�� �� :�
PERMIT N0. � COMPLETED G1 K
ADDRESS - 'S T
OWNER ' CONTR. '��..c�zr��
TELEPHONE N0. �`��-f� -�% 7 l�= �
� DESCRIPTION ��� �i��
W Ot FOOTIN 11 MECHANICALRI 18IXCAV/ORADINQ/FIWNCi
� 0 FRAMIN� 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSUTATION 24l25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER Fi00K-UO p6 PROGRESS
~ 07 DEMO–SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z 09 PLUMBINCa RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�+ 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WOFK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOPORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
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