HomeMy WebLinkAbout1993-005288 - redo roof , PEI�MIT t%
� CITY OF ORONO PERMIT TYPE: �_� : �;�� ��;
2750 Kelley Parkway • P.O. Box 815 �'`'3�=` �i`'`-
Orono, Minnesota 55356-0815 Permit Number: ;_>;:��:;�_;��
(612) 473-7357 Date Issued: _ _,. �°�;'�=�_.
SITE ADDRESS:
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FEE SUMMARY: ! 7 y� ,i :;: :t:�.-
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CONTRACTOR: -" �'�'��'� i��i t�-• — OWNER:
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APPLICA ERMITEE SIGNATURE ISSUED BY:SIGNATURE ,G�
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• - CITY OF ORONO - BUILDING PERM.IT APPLICATION
• Total Fee: $ r� ' ' Date Received:
J �� 4... �.l .
Date Approved:
Entered By: � ��j . Permit�: �,,:t;<'. �.
AT•T. INFORMATION MIIST B$ SIIBMITTED IN FDLL BEFORE PLAN REVIEW WII�L B$ STAR�D
(See Check-off List Enclosed)
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THE APPLICANT IS: (circle one) OWNER or C�YTRA O �
JOB SITE ADDRBSS: � � �'1 -�? " ��4� � ZIP:
(work}
N� OF OWNF.�2: � ��� � � �C-\� � \�` `-��' \PHONE: (home) �1 ���� � �
MATLING ADDRESS: �� O� ��� �� V�CITY• C� C C��L"} ZIP-
CONTRACTOR: ��Y/v��+ ���l`�'�� . . �L'iS� ���'" PHONE: ��.�J."' (� ���
i�AII,ING ADDRESS: _��� �"c,,�lt.'TQv�1'�^' � ` CITY: '/il�° 1.A ,••• ZIP: .��,�
STATS ZICENSE: � '�9di..U,`�'`�/ �St:
�
ARCHZTECT/ENGSNEER: ���C.�, !`i�,� �\,�� �� " PHONE:
MAILING ADDRBSS: CITY: ZIP:
NAME: RBGISTRATION u
TYPE OF WORRs New Addition � Accessory Struczure Move
Demo � Remodel/Alteration Renovate Land Alteration
� 1�
PROPOSED WORR (describe in detail) : � � `(\ �\ ��
�����✓"�� �i1.�� �1�'C�� C �, �✓� � �� S �j�`' ���'�'�\.
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STORIBS: ` SQ. FEBT OF EACH FZOOR: 1Z-d�
NOo OF B$DROOMS: Z GARAGB STAI�LS: ATT.� DET.
EST�MATED CONSTRIICTION VALIIATION (eacluding Iand) : $��, 0 0� � ��j���
� 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
tzat the work will be in accordance with the approved plan. - �
APPLICANT'S SIG'I�TATORE: ry DATE: -�'' J' �
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��� ��� � �� CITY of ORONO
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r°�^��:"��'�"+ Post Office Box 66•Crystal Bay, Minnesota 55323•Municipa] Offices
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�� a On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would Zike to inform you that your request for a permit or
Iicense 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 Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other iocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Councii. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a��
data on yourself.
6. Yaur full name is required to process this applicatian or
permit.
��"S`" � LtSS�� � � �� _ �
First . Middle L st
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Address
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Cit State Z: !
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Phone
I understand my rights as stated above. '��'��^i1 '�� �
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Signature � T 1� �� ��`� �� �
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BUILDING&ZONING- 473-7357 • ADMINISTRATION&FINANCE-47; �� ( �� � � �� �} ��� �'"
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ASSESSING ; � � � Q� S� � \n� ��
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513.04 RIGH'TS OF SIIB.7ECTS OF DATA
Subdivision 1. Z`ype of data- The rights of individuals on whom the data is
stored or to be stored shall be es set forth in this section.
5ubd. 2. Information re�quire
d to be given indivi�uaL An.individual esked to
supply private or confidential data concera a tamW1 hin the collecti g state agency,
purpose and intended use of the requeste
political subdivision, or statewide system;
(b) whether he may refuse or is legally
required to supQly the requested dat8; (c) any known consequence arising from his
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by staau��e�kedlto supplyinvest gative data,
requirement shall not apply when an indivi
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg ropert tax reound instructionsunsteadho5
subdivision in the individual income tax •r �
on those orms. . - -- -
Subd. 3. Access to �ata by in�vi�usl• Upon request to e responsible �
authority, an individual shall be informed whether h rivateeor confident al.e Upon his
individuels, and whether it is classified es public, p ublic data on
further request, an individuel who is the subject��ge to himrland, if he desires, shall
individuals shall be shown the data withou�f an�y t �ta. Af ter an individual has been
�e informed of the content end meaning the data need not be �isclosed to
shown the private data snd informed of its meaning,
him for six months thereafter unless g �SP�Q h� b en collected or oreatedt1�The
, pending or additional data on the indiv�du
responsible authority shall provide copies The hresponsibler au horitdyt may� requ re tthe
the individual subject of the data•
requesting person to pay the actual costs of making, certifying, and compiling t e
copies. ssible with any request
The responsible authority shall eomply immediately, if po �
made pursuant to this subdivision, or �th IidBys,�f Simmediate8tcompliance eisu not
excluding Saturdays, SundaYs erd leg
possible. If he cannot comply with the request within that time, he shall so inform the
individual, and maY hs�e an gdditional five days within which to comply with the
request, excluding Saturdays, SundaYs and legal holidays.
. Subd. 4. Pro��'e phen ��o ubLic o�r p ivate datla lconcernnng himself• To
contest the accuracy or completeness P
ht an individual shall notifY in writ�ng the responsible authori y
exercise this rig , nsible authority shall within 30
describing the nature of the disagreement. The respo
days either: (a) correct the data foundincom lete ataeincludingreec pients namedt by
notify past recigients of inaccurate or P
the indivicival; 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 �isclosed data. eal,ed ursuant to the
' The determination of the responsible authority may be app P
provisions of the administrative procedure act relating to cor.tested cases.
� y ����n�vn GNv��u�E � �lAL TRANSMITTANCE
, ��r� �
3TANDARD WORKSHE�T �i-��1�
. �r� ���1�" �
� '� � r ��.., '�,, s ;
�"�,!� �� �-'�✓
S�te Address 3 � Ghe�r l�Y1c�°., Qi" �����
. �/�� /yl/�/. owner��tia.r.�N%n
- . -�� �� e
Contractor Phane�l?/- DS'/�, Date 6"8�93 ' �
;Suildfng Type � "AI" Reaidenti�l �� "A2'� < 3 atories �,1 "9" 'Otht
Assembl� (Describe �ype from 2abla 3 or Area tA)�. U�Value • � U x A �
show calcula�iona on Page 2) tSq Ft) ;
Znsulated Area /�/�j ,D200 �g:2!p '
g Framf n Area • 92 . D 210� �,yrp
Sk 11 hts T e �� '
� Other {describel
t� " .
1 To�als /345 *+�+���* 2lo.�olp
2 Avera e U-Value (UxA)/(A) from Line 1 �*�+►�� . D2Q4- *����++�
3 Fe ui.red U-Value (from table) *++�*** ,o2�vo *+��+��+�
�nsu� ted Rrea U �(le /O� . D7/D 75,/ ;
�'ramin� Area � � � 2� • /�7� 3/.53 ,
Windot�s� Ty pe GNSuI�'/r! /as5 �/O . �j/'�=j l05,(07.
�oors ' T• e GyrSu/afi" /�ss 3 •�778 /�.�9
Rim Jaist Area /9,'Z , D/85 3.SS
� Fireplace 41a11 Nf} /{�i9 N�
� �oundation Wall (above rade 1 41? , 0735 30.(05
� Foundation tJ.�ndows T e ' u�it�Gjt /c355 /g . �j/Zr7 .5.(p�.
� Otherl�{describs)
„ f'a�c�restf k/a!/@�'f 5 /37 ./�08 /9.28 , :
" e�as�-rr.tif�a</lnsula� g/4� , 0�35 59.8� �
4 Tot'als �//� �+�*��� 34/.�¢�j
5 Averiage U-Value (UxA)/(A� from Lf ne 4 �+�***+� D.09�p +�+++��+�++
6 Re uired EJ-Value (from table) . �w+��*� Q. !/D +�++M+��+t
IP li�e 2 is gre�ter than Line 3, or t,ine 5 grenter than Line 6, complete
� the fo�,�.owing to determfne reduction of UXA needed to meet code.
� 7 Ar�a (I.l�ne 1 y + Area f i�ine 4) , .,._____ + .._,...,_..,._
� 8 U x A (Line 1 ) + UxA (Line 4) , � + � _ +��*��*
� 9 Area (Line ti) x U-Value(Line 31..�., x .�.�.....� ***+�++*
� 10 Area (�,ine 4) x U»ValuetLine b)� x _._...�..._ ���*��
11 8udget, I,fne 9 + I.ine 10 +�*�+�+�*
� 12 Actua� (L1.ne 8) - Budget{Line 11)�.-�____� � **+�+�*+� •
H If line 12 is greater than 4, ad�ust assemblies to reduce L�.ne 8 to be less .
.s.,.,� ..� - - - - • - -
A�s i i�s
,
. .
Makeriei � [�-Velue �1-Vefue
Gy�.bd. �/Z" 4.45
Vaper barrler ��, p,02 � -
Insuletion 12" 48.00
(nterior air film .61
Extorior efr film �
Assembiy value 49.68 0.201
�remin� � cii;ino
Materia{ �j� R-Value �I- lue
�YA.bd. 1/2" 0.45
Vapor barrier N�, q,py
Wood truss�s 3.5" 4.b0
Irtsu lation 8" 32.00
Interior air film �g�
�xi�rlor s(r film �
Assembly value 38.19 0.0261
l�ul�t�d 1 st fleor wal I
Mater�sl j� R-Velue U-�►�Jue
�YP.�. 1/2" 4.45
Vapar barrler Ne�. 0.02
It�sulation 3.S" 11.00
Wood sheathiny .i5" 0.94
Air barrler Nep. 0.06
Sidir�y .626 0.77
Interior air fJlm ,gg
Ex�erlor�ir film �
Assembiy velue 14.49 0.07i 0
��lat�d 1st flaor wall a�t�j�q
MBterial I� B=YIII� U- lue
�'P•ad. 1/2" 0.4b
Vapor barrler Ne�. 4.02
Wood stud 3.5" 4.20
Wood aheathir� .7S" 0.44
Air berrier ��, p,p� .
Sidfr�p .825 0.77
Interior air film ,gg
Exterior air flim �
Ass�I�lue 7.29 0.1371
M�torial jj�� B-Velue U'Ve�Ue
5/4 trim bd. 1.25" 1.d0
Rim joist i.b" 1.89
Insulation 12" 48.00
Wood sheathing .75" 4.44
Air barrisr Neq. 0.06
Sidir�p .625 0.T7
(nterior eir film .g8
Exterior eir film ,�
Assembly value b4.11 4.01�b
- � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �"� ,' PID: •
DESCRIPTION OF WORR: i4/•�iD�T70/�/� IW��' ST"IL.fC�/�GC' /���-�`i-t,�/�
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ZONING REVIEW BY: DATE APPROVED: (fl'Z Y"�
BIIILDING REVIEW BY:_�P DATE APPROVED: G�-K~�
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 �^ PARK FEE
SAC Yes No �� SITE INSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECR LIST Zoning District: L -(C
Fire Department: J Post Office: ✓��� Schoo� District: ��C.
Lot Area• . 5 3 ��u-s Width: � V c. � Depth: 2.� � "4'
Survey Submitted: Yes ` No Date of Survey: y' �'y3
Proposed Setbacks: , � r
�� (Lake) : S-`� '� Right Side: "~'
&exr (Street) : N��' Lef t Side: N�/�
Adjacent Structures: /�-PT1P•u�-� Wetland: /� ��
BuiJ�ding Height: Def . Hgt. o -lL Peak Hgt.
Avg. Setback• (���� Lot Coverage: ( �.�--/a
Existing Proposed
xardcover: 0-75 ' �-(2.?is`�6 �y , g°�o
75-250 ' Z1 . � �� �� ���
250-500 '
500-1000 '
Hardcover Variance Required: Yes p� No Date of Council Approva]�: �o ��Y`g3
Grading: Staff Approval. Date: (0'23'S By:� Council Approva� Date:
Septic: Staff Approva7� Date: BY=
Zoning File: # (�Z1 Resolution # : ���' �� Resol.ution Date: C�'1 y'��
RFMARKS (in house) : ,
BDILDING REVIEW CHECR LIST - � - �
IIgC: �' Sr' CONSTRIICTION TYPE:_ (L'�j
Sq Footage $ Per Sq Ftg
Basement X =
lst F�oor . x =
2nd Floor x =
Garage X =
x =
TOTAL
Ssti_mated Construction Value: $ �{(`��000 0.
Inspections Required: Work Requiring Separate Permits:
Si.te � OC Plumbing Grading/Fi�].ing
�Footing �i _Mechanical Fire
�Framing Septic Water Connection
_�Insulation � Fireplace Sewer Connection
�Wal.l Board (Masonry) Lawn Irrigation
j Final (Mfg.) Other
Other We?1 (State Permit)
�Electrical (State Fermit)
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�F.MARKS (IN HOIISE) :
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REVIEW BY OTl3ERS: DATE:
Acc�ss: Existing New
Access Approval: Date BY=
������������������������J�����������������������������������������������������'
REMARRS (TO BE 270TED ON PERMIT) :
DATE TIME
CITY OF ORONO CALLED IN �� ���� �
INSPECTION NOTICE SCHEDULED �- /� � % �
PERMIT NO. S sz� -��"� COMPLETED �, � '
ADDRESS -� ��'� C'��'`�`Ki ����
OWNER f�Ck�'�� CONTR. /«,�i;�i�c.,-�
—�
TELEPHONE NO. `� ��� " ������
� DESCRIPTION ����'�"�-�'�-��-�� ,
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREP�ACE 19 LAKESHORE/WETLANDS
O
Z 04yYALL$D. 12 WATER HOOK-UP 34 TREE REMOVAL
Q �Q5�IN� 13 METER SET(fURN QN 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call fo x inspection 24 hours in advance.473-7357
Owner/Contr or o s t .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
,�-7 DATE/ TIME
CITY OF ORONO CALLED IN ! �2( ��
INSPECTION NOTICE_ scHE�u�E� '1��3 %3 /C �a
PERMIT NO. -���� COMPLETED �
ADDRESS -3��' � ,� pJr�� ,�.-r �
OWNER��� CONTR.�
TELEPHONE NO. �� `�- C�C�`�3 ��fJ
J
� DESCRIPTION � `�.�.��,_.�'�
W ��(� 11 MECHANICAL RI 16 WELLTEST PUMP
Q02 FRAMING� 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
`� 07 DEMO—FINAL 27 SEPTIC MAINT 27 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� CORRECT WORK 8�PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
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Call for the next inspection 24 hours in advance.47�73�J7
Owner/Contra �site:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
DATE �{ TIME
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INSPECTION NOTI�E SCHEDULED l� �
PERMIT NO. � �.� � COMPLETED � ��--�
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Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContr si e:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN � �' .�
INSPECTION NOTICE ,r SCHEDULED �� 'cv /�j
PERMIT NO.� � � COMPLETED
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Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContr�c�tbrp�i site:
Inspector. ` � v
White Copyltnspector's File Canary Copy/Site Notice