HomeMy WebLinkAbout1991-003894 - building 1'ERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 —� Permit Number: �::i i��,_[:�!ti,��,
Crystal Bay, Minnesota 55323 v Date Issued: �:f�=y:_�;�`��
(612) 473-7357 - - f•-.� �����
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: ��'�'�!`�V �U'�'1 ��vi �'��_'�
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APPLICA /PERMITE SIGNATURE ISSUED BY:SIGNATURE C�� ,�'
CITY OF ORONO - BDILDING PERMIT APPLIGATION
Total Fee: $ �`-� �_I � ' '' � Date Received: - �l
, Date Approved: ,� `'��> `i/
tered By: ',�\; - �—
, Permit#: � �l 1
AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REDI�W WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one ) �WNER, or CONTRACTOR
JOB SITE ADDRESS: ��� `� C��Yv t��.}`1���.;�'yC_� ZIP: �� �t� �
(work) '��1 -��C�Z(.
•, !��
NAML OF OWNER: L.�.���\�"�� 1 �� , � I7��y��'�:.-3:.l . r���'-1�� PHONE: (home) ������1�S`%
MAILING ADDRESS: <� 7�: j `J����,ti rc�;� i�4�t[�. CITY: I.I���Y 1..�� l� Z IP: 5� 3�t�
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
"'PE OF WORK: New Addition � Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : i��� � I+ X 1g-1 I�C%��'7 w� �c*i`"�`�� ��`�'�
7 ` X t� � t��:� N 1���.=� -�..� t�-1� t;;; �x�sn�S(q- �'�Si�ftvc't "r�, h�. U�kl� ;�s r� �E'�IZ.c.o�,,� .
STORIES: � SQ. FEET OF EACH FLOOR: �'�C�� �• FT•
NO. OF BSDROOMS: � GARAGE STALLS: ATT. DET. -
BSTIMATED CONSTRUCTION VALIIATION (egcluding land) : $
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 ir�� accordance with the approved plan.
� �.
� " ��� DATE:(:��—Q� ...c�I
APPLICANT S SIGNATORE: � �� 1,
i
- _ - CHECK OFFFORSOFF�CEIUSU ONG'LEYOF PgFtbiITS
ADDRESS OR 7sEGAL: ZZO� gA�V,�(EIW �-�� P�:
DESCRIPTION OF WORS: iO J, I '�l 0 N
-------------------_n
----- -------------------------------------------------
ZONING REVIEW BY:,_(��" DATE APPROVED:
BIIILDING REVIEW BY: D� DATE APPROVED: g-'LO '�'( (
---------------------- --
F'EES TO BE CHARG�: 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 OTfiER (specify)
--------------------------------------------------- -
ZOi?INC- CHECK LIST Zoning District: L,I�-IC-
Fire Department: j�f�O�N{U Post Of�ice: �A42 S�hool Dist�ict: � �
Lot Area: ?�4�IZ Width: �}VC /�'D Depth: /�u� /5�
Survey Submitted: Yes� No Date oi Survev: (�-Z/ - �j/ -
Pro�osed Setbacks :
- r ront (�e�} : /y J/� Rignt siae : (o �
Rear ( �') : I �0 t Le�t Side : 11(7 ��
Adjacent Structures : f}T'�F�If�J wet�an�: N�l�
Buil.ding fieight: Def. figt. Al�i� Peak Hgt. /J��-
Avg. Setback: /�/�� Lot Coverage: /t�//�}
Existing Proposed
Hardcover : 0-75 '
75-250 '
250-500 ' '
500-I000 '
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
�
Septic: Staff Approval Date: B =
Zoning File- � Reso utio A- Resolution Date:�
� � ,
`
RRMARiCS (in house) :
' -- - -_ .__. _. . _.__._ . . _ -_ -,
�
� BIIILDZNG REVIEFI CSECK LIST
1 R• 3 CONSTRIICTION TYPE: �
��_ g�
Sq Footage $ Per Sq Ftg
Bas eme^.t X _
lst Floor Q-y`{ X yy• Z�►
2nd Floor X
Garage � X _
x
TOTAL
O
sstimated Constrnction valne: $ / 3.d� �
Iaspections Re��;red: Work Requiriag Separate Permits:
Site Plumbing Grading/Filling
- �Mechanical Fire
_�Footing Water Connection
_�Framin g
Septic
F_replace Sewer Connection
�Insulaticn (Masonry ) Other
Wa11 Board �Mfg. � well State Permit
_�Final �Electrical (State Permit)
_--Oti1e?'-----------------------------------------------------�-----_______--_•
R$MARRS (IN HOIISE) :
---------------------------------------
RE,'VIEW BY OTH�:RS: DATE:
Access : Exis��aQ New
-----Access_Ap�rova----Date------------------Bv-------------------------------•
R$MARRS (TO BS NO'I'� ON PERMIT) :
, EXTERIOR ENt'CLOPE AVERAGE "U" COMPl1Tf1-fION ,��e} �
--- -- . ..._..- -�--.. . . . _. . . .
-----------"—�- � k � � .�+e�1,���
� � :. �� � ��' �.4 ,1
OwNER; CL�M d-�-�R� �,�----=--�--� nn1�� :_ '��3�q�y~' �- �.�;:i �.
SIT� aDDRESS :Z2as t3�(V���...� �—���b�''L� PFIONE :
CO�TRACTOR: PLAN # IOI �ZZ-
Determine wor�:ing square footage of each
�. Total exposed wall area. . . . .��-��Z _sq . ft . r, . 11 = � �, �)
2_ ToLal roof/ceiling area. . . . . ��� sq . ft. x .026 = � � (�t{
Tctal exposed wal l area above .fl.00r=__3 � �� g
a. Total wall tiJindoF,� ar�ea. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '.��� �
b. Total door area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .--
c. Tota� sliding glass door area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �z,,Z.�`/
d_ Total rireplace wall area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . —
e. Total k�all framing area (average 10%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1 �S �
f. Total rim joist area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. net wall area above fioor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L � Z-
h. wall area abcve �loor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i . � �rall area a6ove floor. . . . . . . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . .
j. r"rame wall area at rot�ndat�on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total expased founda�ion area= ��� 5
k. Total foundation window area. . . . . . . . . . . . . . . . . . . . . . . —
l . Total net foundation area above grade . . . . . . . . . . . . . . �3�
Dete��mine "u" va� ue of each wall segment �
(e.g . window, door, each separate wail section)
a . 58 �� X ����,! , Z� = LS' � zf �
, b. "
X "U" _
� . 3Z �y X ���,� , �� __ �� �-Z .
d � � �����` _ ,
e. � I � S�S X ����� , C�� = Z � ��{ .
�c � X ���;� , ,� `P = l , `3'
�� —
� - � �w��� Y ���J�� , o �} = I 1 , 3"�'
� � ���,�� �
Y ����� _
; �
- � . X "U" - �r item x3 is the sam
X ,���� = as , or less than item
�• rl , you have met the �
1 ..?� ,,�- � „�„__��__ �';�� i ntent of SBC 6006 (c
3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total = �{ � ► �''{'� . .
----- -_ �.�__�.��n„ .-�-,-.-.�_�_„�,�..�..��,-_„_.,...._..�. --�------ --
�
4. TOTAL EXPOSED RQOF/CE I L I F1G CALCULAT I OP1S :
Total exposed ' �q
roof/cei l inc� area. . . . . , . . � e y sq ft
j) Total skyliQht area . . . . . . '� sq ft x "U" �
k) Total roof/ceilinq framing �j —7f
area (Averaae l�r) , . . . . � `'� sq ft x "U'` � � _ �r / !
1 ) Total net insulated 9
roof/ceilinq area . . . . . , . , sq ft x "U" i L. __ ��
4, TOTAL j ) thru 1 ) �p���
If total of `-`�+ is the same as , or less than f�2 , you have met the intent of
. 2 �SC:�.Z 1. 1600£ _4 ar_d 0.
ALTERPJATE BU I LD I P!G ENVELOPE �ES I GN
To utilize the total envelope system method , the values established by the sum
of items "3 and �`4 shall not be �reater than the sum of items N1 and �2 .
1 . ��� �� + ?_ . �� �.a� _ (n�� 0 J
3 `f ��(r,� + 4 (�, �d� _ �` �� ��
� LI[�EAL FEET EXPOSED WALL ��� �����°`1"
, � -
B L 0 C K : z ( -F-I �( "�"��{_ �{ I
KNEE:
WALKOUT:
FULL 1 : Z� -}- I�(-l-�� �� �
FULL 2 : �
FIREPLACE:
RIM : � �
� SQUARE F'EET EXPOSED WALL AREA
_ BLOCK : �{9 x '. 5 = '-( 3 ��'
KNEE: x 5 =
WALKOUT: x 8 =
F U L L 1 : �{� x 8.3= �k 0�o�j
FULL 2 : x 8 =
FIREPLACE: x =
RIM: y C1 � 1 = ��
TOTAL -
_ S�-1 �Z-
SQUARE FEET EXPOSED CEIL_CNG z-al�
WINDOWS : DOORS : --�
� i� 1--T�3ozo = `��Z = �4 �$
,�0.31� _ q ,p � 3� PATIO DOORS : � `�� _ �Z��
\\1� "'
' _Zo��� _�� � �,"�
___-_-,
BASEMENT UNITS :.
�-�, ��
SKYLIGHTS :
(,�ALi... S£�.T��S
�: Use t�', of o(�aquE w�l 1 dr� f���' R- VAL�IE
fV'ame. CLx�st ruCf'��n CONSTRUCTIOI�=- FRAMING - -
- - �--� ' l. IT]TERIOR AIR FIIr1 0.68
Q 2. 2 G BD .4
3. 5 1 2 SOF'T WOOD 6.87 .
4. �7
� 5. SIDING .b
&sSzC 6. IOR R FILM 0.17
W�►t_L. R= .8
�,� � U= .09
�'z�. -�1 '1t�r��e,� �' �,
P�Ar� wR�c. T-
1..
1. INT£,ftIOR AIR FIIM 0.68
_� � �.� ` i 2 GYP D .4 5
� 3. b�
-----`� 4. 2 32 SHEAThZNG 2.06
5. SIDING .6
�� � 3 6. ... R AIR F LM
� U= .04
_�
� � '� ' � � 1. INTF.'RSOR AIR FII1�I 0.68
-- __._ _ ___ - - �-- _.__-__...__O 2. 6 INSUL. 1 .00
5��� SEh�R �._--� 3. xl R JO
� .____-(�_� �+. G .
5. SIDING .6
� �� 6. OR AI FILM
� ', v�,, *� O U= .04
, � � � �.°j �^��_ Q
�.f�t�fl�f��C.�[l� ( � o �� ..o-..,.w._.,_......,.�._..a �`y� BLOCK
WItLL �b;� Qo�� �
�`� 1. Ir1TERI0R AIR FILM 0.68
e / . � � 2.
• � �.. --
����t� e� �:. � 3. � 0 _ . 0
,� 4. PROTECTIVE BARRIER
+� ` 5.
� � 6. A
To�r� R= It. 1�
� .,, _ _ U= . O
� SLAB ON GRADE _ `
o � � • � '�
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y \ _ r.--� I„� f s� }
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- t, � Jl� ��� _^._ ;li _ �(� �:
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`� f `' ` ' � �� � NOTE: INDICATE TYPE, ,�R" VAIITE. DEP'I'H AND
i . � p �
�
; •,a � ,�j �. �' �. t� PLACII�NT OF INSULATION.
ROOF-CEILING
• . . -'"=-'~"�� C(�N S TR U CT I O N R-VAI�JE
• '�J',���
�l�J.- � � '`
_ _ --� -�" _� � 1• INTERIOR AIR FTi M n ��
- ^� 2• 5/8" GYP BD �8
�- "� 3• INSULATTQN �4 LLCL—_
���� 4• EXTERIOR ATR Tt M p 6�
VF��1'I. �� i ;l , �'OU L _4 5 . 8 0
�\ �� _ _.---- .0 2
�� �
FRAME
��� � �T ���� 1. INTERIOR AIR FILM 0. 61
� � { , � 2. 5 ��
�--v— u � 3. NSULATION
4. � �,L IOR AIR FILM 0 .f_1.—
� � 40 . 15
FIG. #5 U = 0 .024
C01�1S'TRUCTION
-' < 1 . ,. w � .1� ' `��'' "� 1. I[�1S:IDE AIR FILM 0 . 61
�,_____`::.=t...�.r_ + , --�--i--.. : _... - 2.
3.
4.
� 5, l IDE AIR FILM 0 . 17
� ��
�i U =
..��.--- ._�...._ _"-_-=-_...�;.�.�_:�_�.--= FRAME
• � � 1 .
I � � ' �_ l. INSIDE AIR FILM 0 . 61
- �J � � � 2.
�-�'_._AT FIAW L� VENTED 3.
4.
S• OU S
FIG. #6 ' U =
-._......._..--- _
� � l. INSIDE AIR FILM O .o1
i�J� 2.
4�� ,,,-;` 3.
' � � `� �+.
", ; �;'' ��� " � � ' � � 5, IR FILM 0 . 17
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1�. � �f,,,__._-- r/
� l � Z -
�
1
� �_�� NOTE: USE ADDITIONAL SHE�I'S I�' I�DF�. SPACE IS
NEEDED FOR D�I'AILS P.ND CAL,CiJLATIONS-
HFAT FIALv'
UP
�IG. #7
-=- �
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- - ��.:
� �""""' Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
�
� - � , �, On the North SJzore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2 , "Rights of subjects of
data", we would Iike 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 Iicense requested.
2. You may refuse to supply data, but refusa3 may require that
the City deny the permit or Iicense.
3. The information may be shared with other local , s�ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Councii ac�ior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
�;�-�'���,�:► f ��:�1����C IC_ jj I j�C V-� 7� _
First Middle Last -
��� Zlr � �J 1�titi` �"V�Y�.�.
Address
I��`�Y Z._1 i�� ��1;\; S� 3�I i
City State Zip
l�► Z g-)► - ��.�`�
Phone
2 ��derstan'd�y rights as stated above.
f
'; � • , � ---__-�—�
�
Signature
BUILDING&ZONI[YG—473-7357 • ADMINISTRATION&FINAIVCE—473-7358 N PUBLIC WORKS—473-7359
ASSESSING
r
SI3.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information require
d to be given individuel- An.individuel asked to
� supply private or confidentiel data concera a gmwi hin the collect ng state gency,
purpose and intended use of the requeste
political subdivision, or statewide system; (b) whether he may refuse or is legally
required to supply the requested date; (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��e8skedito supplyeinvest gat ve data,
requirement shall not apply when an mdiv
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma role�t tgX re°und instructionsunsteadhos
subdivision in the individual income tax •r
on those orms. ---- -
Subd. 3. Access to �ata bY in���' Upon request to a responsible
authority, an individual shall be informed whether h�va eeor confident alre Upon his
individuaLs, and whether it is classified as public, p ublic data on
further request, an individuel who is the subjecc�ge to himrlande if he desires, shall
individuels shall be shown the data withou�f��Y t �ta. After an individual has been
6e informed of the content and meaning t� �ta need not be �isclosed to
shown the private dats and informed of its meaning,
him for six months thereafter unless a dispute�� been collected or ctreatedtioT�e
, pending or additional data on the individuel ublic data upon request by
responsible authority shall provide copies of the private or p require the
the individuel subject ofthe actual�co ts of making,l csrt fyingy and �ompiling the
requesting person to pay -
copies. immedietely, if possible, with any request
The responsible authority shall comQly
made pursuant to this subdivision, or withia five �f Slmmediatea compliance e��,su ns�t�
excluding Saturdays, Sundays and legal holideys,
possible. If he cannot comply with the request within that time, he shall so inforth the
individual, and may have er► additional five days within which to comply
request, excluding Saturdays, SundaYs and legal holidays•
Subd. 4. Pro��e ~�en �� � ublic o�p ivate datla concernnng hims lf•mTo
contest the accuracy or completeness of p the responsible authority
exercise this right, an individu8l shall notify in writing
describing the nature of the disagreement be nacc�u�a e ore n omplete and att pt to
days either: (a) correct the data found to
notify past recipients of inaccurate or incomp�t hea beI e esdthe datalto be correcty
the individuel; or (b) notify the individual
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data• ealed ursuant to the
' The determination of the responsible authority may be app P
provisions of the administrative procedure act relating to contested cases.
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