HomeMy WebLinkAbout1999-011917 - new residence ��
. - PERMIT
CITY OF�ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 .�_.�:�m�����;
Crystal Bay, Minnesota 55323 Permit Number: � .
; .; ;�:.�; -.,.
(612) 249-4600 Date Issued: _ _ -
SITE ADDRESS: �,,J��— �Pr /,,��n Tr �
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: v - � - - -
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APPLICANT/PERM�TEE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: $ � , / �N . �� Date Received:
Entered By: �-� Pemut#: ) j cr / 7
CITY OF ORONO - BL�II..DING PERMIT APPLICATION
All information must be submitted in full before plari review will be started.
(please prini all information)
.._ _ __--
--- - --- -�- ------�---- ------ -----===----z-�----------------------
THE APPLICAN� IS: (circle one) iUWNE��QNTRACTOR T~'
JOB SITE ADDRESS: (--� � __� '�\vc-K, � C���� ZIP: �S �S Cv
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! �_ � �-�.�.(_ PHONE: (home) ��U`�- �`� i �''
NAI�iE OF OWNER: � I � \�,�-��i �^v�
� (work) 7`!�- �%�-�3
1�IAII.ING ADDRESS: �-C, I�r� F��,ik �r�;. � CITY: �'�e�U,;�:. ZIP: �-S3 S�
CO\IRACTOR: �� T PHONE: `��' � "'� `� � 1`
CONTACT PERSON: ��%y kt ��� r MOBILE/PAGER:
I�IAII,ING ADDRESS: y� T����.r�, r•� . CITY: ����_,,� ZIP: � �_ 3��
STATE LICENSE: # %�c•�0 4 ��-ic�,,
ARCHITECT/ENG�"EER: �� �� PHONE:
�iAIL�'G ADDRESS: CTTY: ZIP:
NA��fE: REGISTRATION#
TYPE OF `i'ORK: Ne�� Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK(describe in detain: ;f�''c�"`' '��-��-�.-
STORIES: �- SQ. FEET OF EACH FLOOR: �- �'�' � � j " '
NO. OF BEDROOMS: '-��` G�RAGE STALLS: ATT. � DET.
ESTLtiiATED CONSTRUCTTON VAI.UATION (excluding land): $ 3� '-� ��'"
I hereby apply for a building permit and I acl�owledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with
the State Building Code; that I understand�this is not a pemut and work is not to start without a
permit; and that the work will be in �o d e with the approved plan.
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APPLICAIV�'T'S SIGNATLJRE� <�I �� DATE:
�_
NOTE! Parade of Homes events require separate permit approval by Police Department and
Ci1y 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 righcs of individual on whom the dara is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual uk�w supply private or confidential dara concerning himself shall
be informed of: (a)the purpose and intended use of the requested dara within the collecting srate agency,political subdivision, or statewide system; (b)
whether he may refuse or is legally required to supply the cequested data; (c)any known coasequence arising from his supplying or refusing to suppty
private or confidendal dara; and(d)the idendty of other persons or enuties authorized by state or federal law to receive the dara. Ttus requirement shall
not appty when an individual is asked ro supply invesdgative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of ievenue mav place the nodce ieQuimd under this s�bdivi9en in the individual income taz or oropertv ta�c refund instrucdons
instead of on those forms.
Slibd.3. Acces to data by mdividual. Upon request to a responsible authority, an individual shall be informed whether he is the subject of
stoced data on individuals,and whether it is ciassified as public,private or confidendal. tipon 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 h�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 ia meaning, the data need not be disclosed ro him for siz months
thereafter u�iless a dispute or action pursuant to dvs section is pending or addiriooal daa on the mdividual 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, certifying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, wirh any rer,uest made pursuant to this subdivision,or within five days of the
date of the cequest,excluding Satuttlays,S�uidays az�d legal holidays, if immediate compliance is not possible. If he cannot comply wiih the request within
that dme,he shall so inform the individual, and may have an addidonal five days within which o�comply with the request, excluding Saturdays, Sundays
and legal holidays.
Subd.4. Procedure when data is noi accuiate or complete. An mdividual may contest the accuracy or completeness of public or private data
conceming himself. To ezercise this right, an individual shall nodfy in wriring the respoasible authoriry describing the nature of the disagreement. The
�sponsible authority shall within 30 days either. (a)correct the data found to be inaccun,.�or incomplete and attempt to notify past recipients of inaccurate
or incomplete data, including recipienu named by the individual;or(b)nodfy 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 duclosed dara.
The detemunadon of the cesponsible authoriry may be appealed pusuant m the provisions of the administradve procedure act relating to contested
cases.
DATA PRIVACY AD`ZSORY
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 fumish certain private or
confidential information.
You aze notified that:
1. The inforrnation you fumish 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 pemut 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.
First Middle Last
Address
City State Zip Phone
I understan m}r�ri t as ed above. "
I
� �
Signature
10
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID:
DESCRIPTION OF WORK: Nc:c� 2.�S
ZONING REVIEW BY: DATE APPROVED: � �`e-9°t
BUII.DING REVIEW BY: DATE APPROVED: � -�-9�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW Yes � No SEWER CONNECITON
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: R R' !(3
Fire Department: (l,�r, ,a�{.�� PostO�ce: (�av6 (.�4/GC School District: (��2oN0
Lot Area: Sq.ft. ' Acres 2 t' Width �P1,(L�,(,v v4-✓Z Depth —
Survey Submitted: Yes_� No Date of Survey: '7-Z�o-`1�j
Proposed Setbacks:
Front(Lake): ( l Z..'�-( Right Side: 3l �
Rear (Street): 1 1� . Left Side: !L 3•�
Adjacent Structures: /V �(� Wetland: � 1'�
Building Height: Def. Hgt. 2�$ Peak Hgt. 3S
Lot Coverage: N�f�
Grading: Staff Approval Date: 9 - `3' �°1 By: dP� • Council Approval Date:
Septic: Staff Approval Date: `1 - �-S°1 By: C•P�
Zoning File: # /� �� Resolution: #� Resolution Date:
Shoreland District: !U �
Avg. Setback: Bluff Setback: L.ot Coverage:
Eaisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
27
.
,�. �
BUII..DING REVIEW CHECK LIST
UBC: R-3 CONSTRUCTION TYPE: V!`�
Sq Footage $ Per Sq Ftg
Basement x —
lst Floor z =
2nd Floor x —
Garage x —
R =
TOTAL
dr�
Estimated Construction Value: $ 3SL�,(9U0
Inspections Required: Work Requiring Separate Permits:
Site ( Plumbing �Fire
Hardcover Removal � Mechanical , Water Connection
_�Footing Oc, Septic Sewer Connection
( Framing, oL Fireplace �_Lawn Irrigation
p( Insulation (Masonry) Other �
�( Wall Board (Mfg.) Well (State Permit)
_�F�� Grading/Filling � Elecuical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERNIII�:
28
SEP.14.1999 12�06PM STEIrrER �;OPPELr�Ar� r�0.138 P.1i4
ENERGY CALCiILATION
�`�` OWNER t
�ITE ADDFtESS:
• CONTRACTO�t: DATE: PH014E:
DETF.RMINE WORKING SQUARE FOOTAG� OF EACH:
1. TOTAL F.XPOSED WALL AItEA , , . . . . . . �Z-a�•b4" sq, f[. x "U" • I I = C�-�Q,�a
2. TdTAL ROOF/CEILING AR�A . . . , . . . . ✓�y�ZJ-� sq. fc. x "U" .C�Z� � ��,��
3. TOTaL EXPOSED WaLL AREA CALCULATIONS:
Total exposed wall . . . . . . . . �jaZZ•(D�sq. fL.
area above floor
a) Total walZ window area:
�6u�� glazed , . . . . , Q'4'�o.� sq. f�. x ..U., . 'T� = Z�.��
glazed . . . . . . . . . sq. ft. x "U" _
b) Tocal door area . . . . . . . . . . . ��j.�' sq. ft. x "U" .Z� _ �1 •�TJ
c} Tocal atrium/-�Se+g door area:
�0��2 glazed . . . . . . . . . ��.�}- sq. f�. x ..U.. �a"Z. _ �oZ-15
glaied . . . . , . , . . sq. fc. x �.U�� _
d) Te[al fireplace wall area (pZ.Op aq. ft. x "U" , �� _ �LO�O�'
e) Toza1 wall framing area
(average 20�) . . . . . . . . . . . . . �`� -�� sq. fz. x ,.U., �O`�D = Z•7 .�'Z.
f) TotaZ net �all area above Q�� . 1O�' ,�
floor (insuls�ed) . . . . . . . . , �.7�Z.�J(o sq. ft, x. "V" .
g) Total rim joist area . . . . . , �jsb-OO sq. ft. x "U" , �� � 12.•a�
Total foundation area
(exposed} . . . . . . . . . . . . . . . . . . . . �Oij.00 Sq. ft.
h} Total foundation window
area . . . . . . . . . . . . . . . . . . . . . . sq. ft. x 'U' �
i) ToLal net faundacion area
above grade . . . . . . . . . . . . . . . 't�3-� sq ft. x 'U' ,OaZ. _ , � -�
TOTAL a) thru i) = G�{p�„O�
If item l�3 is the same aF, or less [han item �1, you hava met the intent o£
S,a.C. Seccfon 6006 (c) 2.
SEP.14.1999 12��6Ph1 STEIP�ER KOPPELMAN r�0.i38 P.2:'=�
4. TOTAL E$CPOSED RODF/CEILING CALCi?LATIONS:
Total exposed
roof/ceiling area . . . . . . . . . , . , �-b�j.p�sq , fc.
j) ToLa� skyli�hL area . . . . . , . ---�y' sq. fL. x "U" -
k) Tocal roof/cei.ling framing
- area (average 10%) . . . . . . , , �•� sq. fL. x "U" .��-1 = ��
1) Tocal net insulaced
roof/ceiling area . . . . . . . . . � �tp�0 s9 ft, x 'U' ��ZZ � ��-`��
TOTAL j) chru 1) � ','1 � �
If total of ��4 is the same as, or less Lhan �t2, you have met the intent of
S.B.C. Section 6646 {c} 7..
ALTERNATE 9UII.DING ENVELOPE DESIGN
To utilize Lhe toLal enevelope system method, the values esLablished by the svm of
items �i3 and �i4 shall not be greater zhan the sum of items �:1 and �12.
1. + 2. _
3, + 4. =
CERTIFICATION
I hereby certify that I have calculated the "U" factors aud "R" values harein and
chat the building here described meeCs or exceeds the Scant of Minnesota Energy
Conservazion Acc.
(Signature)
(DaLe)
SEP.i4.1999 12�06PM STEIr�ER KOPPELMAr� N0.138 P.3�•4
CUNSTRLJCTI�T R VALUE
� WALI, F'RAMING SECTIIXV:
'r';��' {1) zNTERI�R AIR �Ir,M 0.68
i �:�\ (Z) 1/2" GYPSi]M BOARD 0.45
(3} 5-�z" SOFt WDOD 6.88
1 ;�`�� �4} 25/32" I''SBERBOARD SHEATHING .06
\�� (5) SIDING 0.81
{6) EX'I�xIOR AIR FILM 0.17
� • :;�.� 'I�0'TAL R � 1I.05
4 �%��� U - 1/R = .090
, � WALL SECrIC�V (INSULATED):
� �,�; (1) INI�RIOR AIR FILbt 4.68
{2) 1/2" GYPSLIM I3(3ARD 0.�5
(3) 9LCxd-IN-BLAI�T IBERGI,ASS 22.00
(4) 25/32" FIBERF�QARD Si�'.ATHIIVG 2.06
t5} sxDirr� o.as
(6) Ex1�RIOR AIR FILM 0.1
. . TC7�AL� R = Z 6.I 7
; . . U = 1/R = .0�8
� � RIM JOIST SECTION:
e � IlVTER�OR AIR �'IIM 0.68
� • (2} HLGW-IN-BLAI�IICET FIBERGI.A�SS 22.00
(3) 1-1/2" SOFT WOOD 1.88
(4) 25/32" F'IBERBCI�RD SI�ATfiING . 6
, (S) SIDZIUG 4.81
C � (6) EXT�RIOR AIR FIIM O.I7
TOTAL R = 27.60
/�� , U = 1/R - .03b
; .�''�� FOUNDATION SECTION:
'1--'� t I) rrrz�Rzox �x �r� o.6e
(2) 1.2" C�1('�TE BIACFc 1.28
_ _ (3) RIGID INSZJLATION Z�0 F'Ft06T 10.00
�`'� (4) EXTERIOR AZR F'Ir.M 0.17
. `r.�` , (5)
(6)
� 'InTAL R = 1Z.13
�� � U = 1/R = .b82
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6 . ,�\ y' `f - __� �I' -....�...
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SEP.14.1999 1��D�PM STEINER. KGPPELMAN r�G.138 P.a:�4
CUNSTRUGTION R VALU£
, CEILING SECTION (INSUI�ATED}
� (1) INTERIOR ArR FII,Ni 0.61
4 (2? 5/8" GYPSL�'1 Ht1ARD 0.56
,-'� (3} 22" BL�niN INSt7L,ATION 44.00
�� {4) F�CIERIOR AIR FILM {STILL) 0.61
Tb'rAL R = 45.7
� U = I/R = .422
,
1 C�ILSNG FRAM7NG SECTION:
(1} INTEg1pR AIR FILM 0.61
(2) S�B" GYPSi�! BUARD 0.56
(3) 8-1/2" BIAWN INSULATION 3I.17
. {4) EX'lERIOR AIR FIL,M (STILL) 0.61
(5) 3-1/2" SOF'T wQOD 4.38
'I'OTAL R = 37.33
U = I/R = .027
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DATE TIME
CITY OF ORONO CALIED IN
INSPECTION NOTICE SCHEDULED S-Z - ' v�
PERMIT NO. «9�7 COMPLETEO Z ��3 u
ADDRESS_ 2?5S �c�(� �?�v...► �t-M�� L
OWNER w�r.� �e sZ-- CONTR. 3�s
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q �FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
D CO MENTS:
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� ORKSATtSFACTORY:PROCEED -' PROJECTCOMPLETE
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� ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
OCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR '^' CITATION ISSUED
G INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.475-7357
Owner/Cont a tor on site•
Inspector������
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE j SCHEDULED = �� Q�� �"
PERMIT NO._� �j �� COMPLETED � �� u� G
ADDRESS�� l� �v' �ti.(.i� ��s�� i I
OWNER CONTR.
TELEPHONE N0.
�c��i'ION
�
� _ OTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 I,NATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 5'�EWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SI=PTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SE�PTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� CO ENTS:
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� ORKSATISFACTORY:PROCEED �; PROJECTCOMPLETE
W ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTI��N TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN__HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
f CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector. /J�Z%-� �, vl f
�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��--7�
INSPECTION NOTICE SCHEDULED z-1 -qq �Z�
PERMIT N0. j l °I� 7 COMPLETED � 2�y �" �'�
ADDRESS ��� �'GV I�LY� �C�Cti� I � �
OWNER CONTR. � �'�
TELEPHONE NO. 7�—� �' J
� DESCRIPTION
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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DATE TIME
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DATE TIME
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inspector. �� `"`' � y� � ��
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\`\��� DATE TIME
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DATE TIME
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DATE TIME
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White Copyllnspector's Fife Canary CopylSite Notice
DATE TIME
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� DAT TIME
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? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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\(`\� DATE TIME
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DAT �IME
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White Copyllnspector's File Canary CopylSite Notice