HomeMy WebLinkAbout1997-008904 - new kitch cab/windows -� PERMIT
- CITY OF ORONO PERMIT TYPE: - -
2750 �Celley Parkway- P.O. Box 66 '' �-
C�rystal S��y, Minnesota 55323 Permit Number: '����;:i=e�_�
(612) 473-7357 Date Issued: - _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY SIGNATURE _�"�'�'rl
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Total Fee: $ `� '� � ' Date Received: �-��/� q�
Entered By: Permit#: �'�? �
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CITY O 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 t�CONTRACTOR'
JOB SITE ADDRESS: _�s�� � �- L.;��,�' �`'. ZIP: �s
NAME OF OWNER: �c��_������ PHONE: (home) -��! - �f��'��
(work)
MAILING ADDRESS: ;�;,�-�,4 � C_!�(c F� `,"� CITY: �,fi��,�,4 ZIP. ���r�
CONTRACTOR: �1� i a8 . ���� �'' ����, PHONE: �-�� �. - I �; (_; i��.
CONTACT PERSON: ��i�a�_/(,,�� � MOBILE/PAGER �r� �-q ;_i,�,
MAILING ADDRESS: �c•_��F> ✓F�;�/�. r�' � P; f_ CITY: ��';u,,; %r't�P-r.� ZIP: :�S ;�,�..
STATE LICENSE: # ����� ���,� �=�
ARCHITECT�'ENGINEER:; ��}��_r,� PHONE:
MAILING ADDRESS: CITY:��,r/-��, ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK (describe in detai�: �jl,; ��'�T«��l �f'y,��CT� l`�r.X�� `�S ��p.f�
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; ' `.�;'` � a
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: �`�> GARAGE STALLS: ATT. �_ DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � r�T"� ,��
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.
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APPLICANT'S SIGNATURE: '% ��% �����/'1.�,�.4-�° '��DATE: � '�i'
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGHTS OF SUBJECTS 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
shali 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 legally required to supply the requested data; (c)any known consequence arising from his supplying or
refusing ro 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 apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav�lace the notice required under this subdivision in the individual income tax or pro�erri tax refund
instructions instead of on those 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 srored data on individuals, and whether it is classified as pubtic, private o�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 privare data and informed of its meaning, the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collecred or created. The responsible authoriry 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 authority shall comply unmediately,if possible,with any request made pursuant to this subdivision,or within five daya
of the date of the request, excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
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 conceming 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 incomplere and attempt to notify
pas[recipients of inaccurate or incomptete data,including recipients named by the individual;or(b)notify the individual that he believes ihe data
to be correct. Data in dispute shall be disc(osed only if Ute 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.
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�< <,`� �" j� �'��;c `��� C'�t�""y 6/l C:�-�-
First \ Middle , , Last
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� � /G l��'�-� (
Address � ' � ,
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C��y �State Zip Phone
I understand m ,rights as stated above.
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Signature
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� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY�
ADDRESS OR LEGAL: � �f � L/ ���-�«-f� ,���'
PID• �5"- ii �-�z 3 , 3 c'v y�
DESCRIP'TION OF WORK: X.�::-r����r�,k. �,�
---------------------------------------------- ------- --------------------------------------------------------------
ZONING REVIE`V BY: _-��'� ��� DATE APPROVED: �'��i�
BLTILDING REVIEW BY: ,' ,ti.��,.,_.._ DATE APPROVED: � •Z 5 �;�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �� No
PLAN REVIEW Yes v'" No SEWER CONNECTION
STATE SUR`�IARG� Yes _� No WATERCONNECTTON
INVESTIGA'I'ION-FEE Yes No :� PARK FEE
SAC Yes No �'�" SITEI'.�1SPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
� �- � Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: /1 Resolution: # Resolution Date:
Shoreland Dist:ict:
Avg. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
i,,
REMARI�S (in house):
� 26
BUII,DING REVIEW CHECK LIST
UBC: � �?� CONSTRUCTION TYPE: �IJV
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
r._
Estimated Construction Value: $ �e�nC,�:
Inspections Required: Work Requiring Separate Permits:
Site �Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
'� Final Grading/Filling �� Electrical (State Pernut)
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 PERNIIT):
27
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HTLOSS.XLS Heat loss � � . � �� ,'��
Client Name: Radke
Site Address: Orono, MN
KEITH WATERS & ASSOCIATES, INC.
10340 Viking Drive Eden Prairie,MN�5344 License#0001508
=�-� . Phone(612)942-1060 F�(612)942-1058
Permitted Heat Loss
Area(Sq. Ft.) x U Value = Heat Loss
1 Total exposed wall area: 3006.83 0.11 330.75
2 Total roof/ceiling area: 1451.00 0.03 37.73
Total permitted heat loss: 368.48
Heat Loss Through Wall Segments
Wall Windows 418.40 0.05 20.77
Doors 30.70 0.19 5.83
Rim Joist 263.25 0.04 10.29
Wall Framing(Average 10%) 229.45 0.11 24.70
Net Insulated Wall 2065.03 0.04 85.58
Foundation Windows 0.00 0.00 0.00
Foundation Wall Above Grade 0.00 0.06 0.00
3 Total heat loss through walls: 147.17
(If item#3 is the same as or less than item#1,
then you have met the intent of SBC(c)2.
Heat Loss Through Roof
Skylight 0.00 0.34 0.00
Roof/Ceiling Framing(Average 10%) 145.10 0.03 4.13
Net Insulated Roof/Ceiling 1305.90 0.02 21.14
4 Total heat loss through roof: 25.27
(If item#4 is the same as or less than item#2,
then you have met the intent of SBC(c)2.
Alternate Building Envelope Design
To utilize the total envelope system method,the values established by the sum of items#3 and#4
shall not be greater than the sum of items#1 and#2.
Permitted Loss Item 1 + Item 2: 330.75 37.73 368.48
Actual Loss Item 3+ Item 4: 147.17 25.27 172.44
Heat loss is acceptable
4/16/97 1
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,
HTLOSS.XLS Wall Sections
Ceiling
Rim Joist Foundation Framing
Section Wall Section Section
Material R-Value Material R-Value Material R-Value
1 Interior air film 0.68 1 Interior air film 0.68 1 Interior air film 0.61
2 R-22 Insulation 22.00 2 R-14 Insulation 14.00 2 5/8"Gypsum board 0.56
3 1 1/2"Soft wood 1.90 3 12"Concrete block 1.28 3 R-29 Insul. 29.00
4 1/2"CDX plywood 0.62 4 Stucco 0.21 4 3 1/2"Soft wood 4.35
5 Stucco 0.21 5 5
6 6 6
7 Exterior air film 0.17 7 Exterior air film 0.17 7 Exterior air film(still) 0.61
Total R= 25.58 Total R= 16.34 Total R= 35.13
U=1/R= 0.04 U=1/R= 0.06 U=1/R= 0.03
Wall Framing Ceiling
Section Section
Material R-Value Material R-Value
1 Interior air film 0.68 1 Interior air film 0.61
2 1/2"Gypsum board 0.45 2 5/8"Gypsum board 0.56
3 5 1/2"Soft wood 6.87 3 R-60 Insul. 60.00
4 1/2"CDX plywood 0.62 4
5 Stucco 0.50 5
6 6
7 Exterior air film 0.17 7 Exterior air film(still) 0.61
Total R= 9.29 Total R= 61.78
U=1/R= 0.11 U=1/R= 0.02
Insulated
Wall Section
Material R-Value
1 Interior air film 0.68
2 1/2"Gypsum board 0.45
3 R-221nsulation 22.00
4 1/2"CDX plywood 0.62
5 Stucco 0.21
6
7 Exterior air film 0.17
Total R= 24.13
U=1/R= 0.04
Keith Waters and Associates, Inc. 10340 Viking Drive,Suite 110 Eden Prairie, MN 55344 License#0001508 Page 1
, DATE_ _ , TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE - � l SCHEDULED �c � 7- �� '-.� .lif
PERMIT NO. � � COMPLETED
ADDRESS ��2. �
OWNER � CONTR. � �
TELEPHONE NO. ����' '�1��
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�Q 02 FR 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
Q�ULATION ' 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 W�/ 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTiC INSTALL. 22 FOLLOWUP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN
INSPECTOR WILI RETURN
❑STOPOROER POSTED.CAL�INSPECTOR ^ CITATION ISSUED
L7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ins ction 24 hours in advance.473-7357
Owner/Contract �site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
/� DATE TIME
CITY OF ORONO CALLED IN (C> ��
INSPECTtON NOTICE SCHEDULED �% �-� /% �'�'
PERMIT NO. �1�y COMPLETED _�Q�_ �
ADDRESS ��� T �tz�—�--�tz�'-� ��
OWNER f� CONTR. �CX-�� G�-�CL� � �40�
TELEPHONE NO. � � � �Z'� `� �o �
� DESCRIPTION _ / �iyy�c�-��_.e�C�
� G 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
y 2 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
�Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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4 �l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerfContractor si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice