HomeMy WebLinkAbout2016-00854 (New Home) City of Orono
CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of Section 110 of the
International Building Code certifying that at the time of issuance this structure
was in compliance with the various ordinances of the local jurisdiction
regulating building construction or use. For the following:
Building Address: 1240 ARBOR ST
PIN: 10-117-23-31-0099
Legal Description: Ma�cwells Addn Crystal Bay Lake
Block 001 Lot 000
Zoning District:
Permit No: 2016-00854
Work Activity: Single Family
Construction Type: 2015 MN Residential Building Code
Occupancy: IRC-1
Occupant Load:
Fire Sprinkler: N
Applicant: Druk, Timothy&Julie
Applicant Address: 4308 115th Street SE
City,State,Zip: Delano,MN 55328-
Owner Name: Timothy&Julie Druk
Owner Address: 1240 Arbor St
City,State,Zip: Wayzata,MN 55391-
FOR YOUR INFORMATION
For any police,fire or medical emergency-Call:911 Posting of your assigned sbeet number is required
In purchasing a new home,file for your homestead at the City offices.Register your address for voting,drivers
license and automobile registration. City water and sewer is billed quarterly.Septic inspection fees are billed
annually.Permits are required for any additions or a/terations on your property or for construction of any garages,
deck,dock or other accessory structure.
Special regu/ations prohibit any excavation,filling,grading,dredginq,tree removal,or construction of any kind
within 75 feef of any/akeshore or within 26 feet of any wetlands.
� W • � •��
Zoning Administrator Date
' C� l �
lc Date
CITY OF ORONO * Z 0 1 6 - 0 0 8 5 4 *
' 2750 KELLEY PARKWAY DATE ISSUED: OS/16/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1240 ARBOR ST
PIN : ]0-117-23-31-0099
LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE
: LOT 000 BLOCK 001
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 276,730.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE, SEWER CONNECTION,WELL(STATE),
ELECTRICAL(STATE)
NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM
APPLICANT PERM[T FEE SCHEDULE 2,225.02
PLAN REVIEW 397.21
DRUK,TIMOTHY&JULIE STATE SURCHARGE(VALUATION) 138.37
4308 I 15TH STREET SE
DELANO, MN 55328- S.A.C. 2,485.00
TOTAL 5,245.60
Payment(s)
CHECK 1020 5,245.60
OWNER
DRUK,TIMOTHY&JULIE
4308 115TH STREET SE
DELANO, MN 55328-
AGREEMENT AND SWORN STATEMENT
"l�he work Yor which this permit is issued shall be performed according ro
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for au e.
^----"__
' � / /(o/ %!�
Applicant Perm e Signature Date Issued Signature Date
.. _ . , .. .:n.,.,-�--��.�r , :.. a . ..,._ ._ , ,,_,r..
� . ' . � Permit Application: Self-Checklist for Completeness
= Please note, the applicant must initial in the boxes below to acknowledge the minimum
�
required information is included with the submittal. If not, the application will NOT be
accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
application submittal requirements. �
' ��� �
� Completed Application ��
�
< Q Plan Review Fee Paid ✓
�
a �
r
�� Signed Escrow Agreement & Escrow Payment °�� r� iJa.�G'(►'�`�
�` �� � `�
,:
Building Plans (to scale) x2 �
i �� Certificate of Survey (to scale) showing the proposed project & ��
meeting all requirements x2
,
� Hardcover Calculations (if applicable) 1 �U �Dt(/Y�t1 C�P �� �
�
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stating
.�(`4 the proposed project does not trigger their permitting
; requirements). I will contact the MCWD at 952-471-0590
regardin thi ro� .
Signed by:
Address: � � �
Permit #: � - �S�
Packet Last Updafed: January 2015
Page 2
� � Builder Acknowledgement Form
Permit #2016-00854 / 1240 A bor Street
Builder Representative Name: , ( � (� I l,� �
Permit Conditions: Initials
**NOTE CHANGE** Before scheduling an exterior insulation and/or drain tile inspection, a
foundation as-built survey must be submitted and approved by the City or a Stop Work order will be
issued.
Schedule a minimum of one hour for the framing inspection. �
A rock construction entrance is required during construction. Contractor to keep the street clean �
during construction.
Driveway must be paved per Orono municipal code 18-136(f), copy attached. ��
Grading on the north side of the property must be completed so as to keep hardcover and surface
runoff from being directed onto the neighboring property.
Erosion control mechanisms must be installed and inspected by the City prior to any land disturbing �
activities. The contractor must provide a minimum of a 24 hour notice prior to inspection.
Erosion control shall be installed and maintained throughout the entire project and must remain
until vegetation has been established. �-'"
A haul route shall be submitted to the City Engineer for approval and inspection prior to ��
commencement of hauling from the site.The property owner shall be responsible for cleaning and �i
repair of roadways for any adverse impacts.
No underground sewer within 20 feet of well.
�, ,
Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations r-^
must be submitted and approved. ��
In the event of winter or other extended unfavorable weather conditions(which prevent the
completion of the exterior improvements and/or as-built survey) a Temporary Certificate of �,
Occupancy(TCO) may be necessary. A TCO requires a $10,000 escrow.
Advisory Comments
Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining
walls, etc. not currently shown on the approved survey and landscaping plan will require a separate
Zoning Permit application to be submitted and approved prior to the work commencing. ��
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the height .
of the lower wall require engineered plans and a building permit to be submitted and approved
�".. ..
prior to construction.
w:\street files\arbor street\1240\builder acknowledgement form 2016-00854.docx
" ' RECEIVED
� �► � City of Orono
Building Permit Application �«�- � �� �'���
for New Structures or Additions CITYOFORONO
Mailing Address:
�0� PO Box 66 1,,� Permit number: ���o-�U
� Crystal Bay, MN 55323-0066 ��V� Date received: 7` ��/,6
Street Address:' � a.,� Received by:
� 2750 Kelle Parkwa -
y�' ��`~ Orono, MN 55356 y � ( P�an review fee: � O�'�f. �.�
j�kESH�� Main: 952-249-4600 � --_ _�ot��e.-----���(� -U(�8'.��
Fax: 952-249-4616 wwvv.ci.ororio.nin.us
This application form must be completed in full and all required information must be submitted. ��
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: � ,,�L�(� ��y`n � -�- ��; �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR!APPLICANT INFORMATION:
Name: '_'j"'"� �1 (>�li�
State License# Expiration Date:
Phone: cell - - C - office ' - �" �'f
Mailing Address: � �[j $�_�r, S-.t- �� City: (���Cj y�,� �� ZI ''�`��'
Contact Person: Applicant is: Contractor / Homeowner �c���ie o�e�
Email and/or Fax: T�Dfl,�1� ,V(11'1t;L C�VY�
PROPERTY OWNER INFORMATION:
Name: '�'� � (��Uk
Phone (day): _ _ ' - W
Address: � � � 1�_5..�- �`C City: �?�j�A,; ZIP: ��'� � �
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type f Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8�
Water Supply
ew Construction Single Family with ❑g essory Bldg./Garage
❑Addition attached garage �'Deck Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may require ❑ Commercial ❑ Storage
MCWD review 8�permits. ❑ Industrial ❑Warehouse rivate Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) ❑ Other(SpeCify)
15320 Minnetonka Blvd
Minnetonka, MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ���,�Q�
��
Packet Last Updated: August 2015
Page 21
STRUCTURE INFORIIAATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2. Type of Construction Y �}�
r �.��/t, i ,
a. Length (ft.)= �� Number of bedrooms=�
; ame
b.Width(ft.)= ,�_ Number of garage stalls: �G�P�� -1-/l,lJ`�..�,
Areas in sauare feet Attached= `eC Metal /'�,1�;�Q�L �,A��G
❑ Pole Bldg� �� J �"G
c. Basement= �'�� Detached = ❑ �CF
d. 1S'Story = �
,�, � ❑ On-site Prefab
e. 2"d StOry= � �x.j
❑ Off-site Prefab
f. '/�Story =
❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set
❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
� Surve —2 full size,to scale meetin ALL surve re uirements
❑ Hardcover Calculations
❑ Se tic S stem Certification
❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ Landsca e Walls and/or Retainin Wall Plans
❑ Stormwater Pollution Prevention Plan SWPPP
❑ Access Permit
❑ ❑ Data Privac Adviso Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
. Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to
reject it until it is complete;
. Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of
the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other govemmental agencies
required by law. If you refuse to supply the information, the application may not be issued.
. Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date: � �(.1 `��C �
Owner's Signature: Date:
Packet Last Updated: August 2015
Page 22
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: I � �bOl� ST►'r�� Permit No.: Z.C���D - bo �5�
Description of work: � , 1111 �l f�U Date Rec'd: 7' ����
�C'l.(/C�'' �" � �l b� �'e��r�Q`d
Septic review by: , , � Date Approved: Z
Zoning review by: Date Approved: �'� • 1�D
Building review by: Date Approved: �
Grading review by:_ Id'G Date Approved: �+� '� �'
Zoning District: �,��,� Zoning File#: ' � eso#: �'Jr Reso Date: ' ;'
Zoning: Lot Area: �t0 q SF/AC Width:�_� Lot Coverage: �r���.11 SF ') -�t %
Survey Submitted: �Yes � No Date of Survey: � '��'�� Revised date(?):
Landscape plan submitted? � Yes � No Landscaper:
Proposed Setbacks: ��
23 '
�Front e) Rear(�et�� ( N S E W ) ( S E W ) Other Buildings Wetland
ide Side
, � �
�i � �� ._._.._�� L��
,- ,�.�
Defined Height: Peak Height: E: minu eet= –�xistin ontour;
__ _..-�-----__.�.. �L��
" eter I�,i,D.eart`eet) _ �``�`-�__---�..._�R% . ___._r----..�..w-_�.__.,.� . _ - - LL'G.r:�5�row�de
B'a�serxienL�_.II-Y-es"�❑ No, Storie�_--�—�
~–�m,z_�_-�-�
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade—
START W ITH floor(of the basement or crawl space)and measure from hiphest existinq
the highest poiM of the roof. START WITH ra ade to the highest point of the
roof even if fill was brou�ht in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—me re
(BASED ON windows): Subtract half the distance from highest existing de to the
� `: ROOF TYPE) between the highest point of the roof :i hest oint of th oof.
) to the low point of the corresponding If you have a...,
,' gable or hipped roof GABL�,�R HIPPED ROOF
� SUBTRACTION (no wihd ws): Subtract half
GABLE OR HIPPED ROOF(with (BASED ON thQ-tlistance between the
, �� / • windows): Subtract half the distance ROOF TYPE) �{jhest point of the roof to
between the top of the highest �fthe low point of the
�"'"� • window and the highest point of the
roof corresponding gable or
�'� hipped roof
• ALL OTHER ROOF TYPES(flat, ,- . GABLE OR HIPPED ROOF
mansard,etc):No subtraction. � (with windows): Subtract
SUBTRACTION Subtract the distance between the /� half the distance between
(BASED ON basemenUcrawl space floor and the ; the top of the highest
����y i�_ EXISTING highest existing grade adjacent to the � window and the highest
i J �/ GRADES) foundation OR 10 feet(whichever is less). / point of the roof
(� • ALL OTHER ROOF TYPES
`"�G� ` `Pf' (flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
/ ,�I EQUALS
L � _.._.,
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
Shoreland District MCWD Permit Average Lakeshore Setback g�uff �
Met?
Permit Number: '� _ ❑ Yes 0 No N/A � Yes
Yes 0 No No
� N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
Yes ❑ No 0 Yes No
1 2 03 4 5 �^� '� . YPe S):tXJ�a��' Type(s)'
�
Fees to be Char ed YES NO
Permit �
Plan Review
State Surcharge �
Investigation Fee
SAC- Number of SAC Units
Other(specify) `�
Square Footage $ per Square Foota e
Basement � X � �' _ $ �L��5�,,'� .
l
1 S� Floor c� X O 0• Z - $ � 3 � 1
2nd Floo� � Z�t`� X Do • - $ Z.
Garage �J/e �,C 7�,��" IOG� X 3 �JC'(P = $ � �7���
Estimated Construction Value: �_ �7�' � ! �O /
7 `
Orono Inspections Required Work Requiring Separate Permits
�Footing � Site � Plumbing � Grading/Filling
� Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire
� Foundation Survey � Hardcover Removal � Fireplace q Water Connection
� Framing � Other(specify) 0 Masonry `�Sewer Connection
,�Waterproofing/Drain tile �.Mfg. �� Lawn Irrigation
�Foundation Waterproofing 0 Other(specify) ❑ Landscaping
�(Framing
� Insulation
As-Built Survey
�,Final
0 Lathe Required State Permits
❑ Other(specify)
Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
�See Builder Acknowledgement Form
Prior to r w money an as-built s cover calculations must be submitted and approved.
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
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Christine Mattson
From: Christine Mattson
Sent: Thursday, August 11, 2016 4:04 PM
To: 'tjdruk@yahoo.com'
Cc: Roger Peitso
Subject: 1240 Arbor Street/#2016-00854
Attachments: letter.pdf; 18-136.pdf; Escrow Agreement - Building Permit w Erosion Control
2016-00854 & 16-3845.pdf
Ti m,
Attached is a copy of the letter and enclosures being mailed. Please don't hesitate to contact us if you have any
questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono j MN : 55356 (physical addressJ
PO Box 66 � Crystal Bay ; MN � 55323-0066 (mailing addressJ
d' 952.249.4620 � 8 952.249.4616
� cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Summer Office Hours: (Monday, May 23 through Friday,September 2,2016)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday,September 5, 2016
1
. City of Orono
- �°No Hardcover Calculation Worksheet
� �' Property Address: �-�
,� .�; �i� A�bo� S-l--.
��,
(�'tF$HOQ'E Prepared by
�i�r-�- �. �s1�� � Q�� Son SE�„�ate: -Z 3 St�� «
M N l.1 c. N o . '.�S3�
Stormwater Quality Overlay District Tier: (CirGe one) Tier 1 Tier Tier 3 ier 4 Tier 5
Step 2: PROPOSED HARDCfJVER
In the following table, identify aU items of proposed hardcover on the property, keyed by letter to
Gertificate of Sunrey (survey must accompany this form). IncJude a!1 existing hardcover items that are
intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as
necessary ta accurately depict proposed hardcover status of the property. For Tier 1 properties, iderrtify
any features by letter which are split at the 75' setback line and calculate hardcover square footage
se arate far each ion.
Key to Totai
Surve Hardcover ttem(Desc�ibe) Length x Width
S uare Feet
Exam 1e Gar e 24'x 30'
A 720 S.F.
B x�- 1"Z- S.F.
C �� �� � "l O S.F.
D � ` X 6 S.F.
E lo X 10 S.F.
F „ �� I'Zx S.F.
G Z �,, Z6 x S.F.
H S; �� 6�-- 3 o S.F.
� ` Wo. on l o `t S.F.
.1 • x 3 S.F.
K S.F.
� S.F.
� S.F.
N S.F.
� S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
� S.F.
V S.F.
W S.F.
x S.F.
Y S.F.
Z S.F.
1 Total Pr osed Hardcover S.F.
Exaludable Hardcover See C' Code Sec 7g.�gg,4: Z-S`I . S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Exdudable Hardcover S.F.
3 Net Pro sed Hardcover Subtract line 2 from line 1 S.F.
4 Total Lot Area 9�l. S.F.
6 o S.F,
Proposed Hardcover Percentage ((3�+(41 l N�6 0
��. � k
� i �� ��-- � � � � � . �� � �r
S � � �� , ��� � ��.{- � ; �
�tKc�u C�U
This is an iMarr�ation dcet rdi ����
Pe rega ng Harrloover. Every etiort has been made to insuie the accwacy of the information oontained
he�in:however,if any irtfo�n!s not consistent wiHt pmvlsions of tye Ci(y Code,y�e Code provisions wil/provsil.
Page 9 of 8
Christine Mattson
From: Adam Edwards
Sent: Monday,August 01, 2016 3:56 PM
To: Christine Mattson; Roger Peitso
Subject: RE: 1240 Arbor Street/#2016-00854
Chris,
I've reviewed the subject plan and approved it with the following comments:
1. A rock construction entrance is required during construction. Contractor is to keep the street clean during
construction
2. Driveway to be paved. Orono municipal code Sec 18-136 (f).
3. Grading on north side of the property must be completes so as to keep hardcover and surface runoff from being
directed onto the neighboring property.
Adam
From: Christine Mattson
Sent: Monday, August 01, 2016 2:26 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>; Roger Peitso<rpeitso@ci.orono.mn.us>
Subject: 1240 Arbor Street/#2016-00854
We received a building permit application for a new single family home at 1240 Arbor Street. This property is going
before the Council on 8-8-2016 for variances for setbacks. Adam has one copy of the building plans and one copy of the
survey. Roger has the file with the rest of the information.
Please review and provide comments.
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono : MN ; 55356 (physical addressJ
PO Box 66 ' Crystal Bay ; MN I 55323-0066 (mailing addressJ
`�i' 952.249.4620 8 952.249.4616
� cmattson@ci.orono.mn.us ` � www.ci.orono.mn.us
Summer Office Hours: (Monday, May23 through Friday,September2, 2016)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, September 5, 2016
i
,New Construction Energy Code Compliance Certificate
Date Certificnte Posted
Per R407.3 Certificate.A building certificate shall be posted on or in the electrical distribution panel.
Mailing Address of the Dwelling or Dwelling Unit Gty
COMM. NO.
1240 ARBOR STREET ORONO 216284
Name of Residential Contractor MN License Number
DRUK HOMES
THERMAL ENVELOPE RADON CONTROL SYSTEM
Type:Check All That Apply Passive(No Fan)
ctive it an an
����� monometer or oiher system
���� o �
� monitorin device
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o- � � Location(or future location)of Fan:
IT � � i,
V - � O
� a 3 CJ d o a m
� Q ° � � U � d �
� Cfl �] N � N -O C
fu � O vi w p O � � �i'
Insulation Location > o z m m U °
� � o m � m —
� E E a� -o -o
o � o � � o o � rn rn
F � Z iL iL � � � � � Other Please Describe Here
Below Entire Slab
Foundation Wall
Perimeter of Slab on Grade
Rim Joist(1 st Floor) �
Rim Joist(2nd Floor+)
Wall '
Ceiling,flat
Cei�ing,vaulted �
Bay Windows or cantilevered areas
Floors over unconditioned area
Describe other insulated areas
Building envelope air tightness: Duct system air tightness:
�ndows&Doors Heating or Cooling Ducts Outside Conditioned Spaces
Average U-Factor(exdudes skylighis and one door)U: 0.30 Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): 0.32 R-value
MECHANICALSYSTEMS MakrupAir SelectaType
ApPliances Heating System �Omestic Water �oling System �
Heater Not required per mech.code
FuetType � � �� Passive
Manufacturer • � � Powered
�� s Interlocked with exhaust device.
Model �,�,��i'� �-�_ ., j"t5 ` �F � Describe:
Input in �O Capacity in Ovtput in � ����p Other,describe:
Rating or Size BTUS: Gallons: Tons
AFUE or � / SEER Location of duct or system:
Efficiency HSPF% � /EER ��m���
Heating Loss Heating Gain Cooling Load
� ResideMial Load Calculatio
�v Cfm's
"round duM OR
MECHANICAL VENTILATION SYSTEM 'metal duct �l.��l/
Describe any additional or combined heaUng or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up furnace): Not required per mech.code
��rYPe' Passive
Heat Recover Ventilator(HRV) Capacity in cfms: Low:r High: r� Other,describe:
Energy Recover Ventilator(ERV)Capacity in cfms: Low: High: Location of duct or system:
Balanced Ventilation capacity in cfms: �ty'��`
Location of fan(s),describe: t� � Cfm's
Capacity mntinuous ventilation rate in cfms: � 'round duct OR
Total ventllation(intermittent+continuous)rate in cfms: ��y� 'metal dUct r L"
ion 101014
�.A .
MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER Q U A L I T Y O F L I F E
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information
contained in the permit application, correspondence, plans, maps, and all other supporting data
submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY
GRANTED to the applicant named below for use and development of land in the Minnehaha
Creek Watershed District.
(� '��S
Issued to: Tim Druk Permit No: 16-363
Location: 1240 Arbor, Orono
Purpose: Erosion Control, Sinqle Family Home
Date of Issuance: 7/08/2016 Date of Ex iration: 7/08/2017
By Order of the Board of Managers
` ���-t�-'��c,1 m
Heidi Quinn
Permitting Technician
This permit is not transferable without District approval, and is valid to the date of expiration. No
activity is authorized beyond the expiration date. If the permittee requires more time to complete
the project, an application for renewal of the permit must be received by the District at least 30
days before expiration.
The applicant is responsible for compliance with all District Rules and for the action of their
representatives, contractors, and employees.
Conditions: Project to be completed as described in plans submitted to the
MCWD office on July 6, 2016 according to the provisions of this permit.
• Properly install and maintain all required erosion control measures until the
disturbed areas are re-stabilized
• Notify MCWD in writing upon completing installation of perimeter and
sedimentation controls
• When the site is re-stabilized and the MCWD staff has performed a final
inspection, all perimeter control must be removed
(Statement concerning fees for inspections, violations, etc... on following page)
RECEIVED
JUL l0 2i,1�i
We collaborate with public and private partners to protect and improve land and water for cur�►�tYa��i R��enerations.
_ _ _._ . ......._._.__ . _ ... .... . .. _ _ __ . . ...... . . . _ _ .. . .......... .. . . .. .._.. ..._. .... . _ ..
15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org
�-� �-- �/
D TE TIME
CITY OF ORONO CALLED IN ��l �
INSPECTION NQ�IC���S�CHEDULED —�� ��
PERMIT NO.�v C MPLETED ��� --
ADDRESS �- �� ��
OWNER T LEPHONE NO.&'��8���56 �
CONTRACTOR ��M- I�
� DESCRIPTION �ilX� �`7�C� l�-�
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP / ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W��ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W4LL REfURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cai inspection 24 hours in advance. (g52) 249-46��
O rlContractor o �i�r-�
Inspector. ��. �w- S�-
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White Copyllnspector's File Canary CopylSite Notice
443 Lafayette Road N. � MINNESt,3TA DEPARTM�NT OF (651)284-5005
St. Paul, Minnesota 55155 �BOR � II�DUSTRY 1-800-342-5354
www.dli.mn.gov
`
New Residential Building Permit - Homeowner
Please deliver the following to:
Name: Enforcement Unit
Construction Codes and Licensing Division
Mailing: 443 Lafayette Road N
St. Paul, MN 55155
Phone: (651)284.5069
Fax: (651)284.5746
Email: dli.contractor(c�state.mn.us
�����Date: � _
County: l��T"� d� ��f��� _
Contact Person: �p �l� �F �0 _ _
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Phone: �JrZ` z..T �- 7 � ��
TOTAL NUMBER OF PAGES INCLUDING COVER LETTER:
A building permit for new construction has been issued to the following applicant,
� � ��"(/ � _
for the property located at, �� "/ � ����� �`�e'e7' �f0�� • ��� J��J ( l
Attached please find a copy of the building permit application.
CONFIDENTIALITY NOTE
The pages accompanying this facsimile or email transmission contain information,which may be confidential or
privileged. The information is intended for the use of the individual ar entity named on this cover letter. If you are
not the intended recipient,be aware that any disclosure,copying,distribution or use of the content of this
information is prohibited. If you have received this facsimile or email in error,please notify us by telephone
immediately so that we can arrange far the retrieval of the original documents at no cost to you.
This information can be provided to you in alternative formats(Braille, large print or audio).
An Equal Opportunity Employer
��-� �� ;
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DA�F TIME �,;
CITY OF ORONO CALLED IN �'� l�l�
INSPECTION NOT� ��C CHEDULED �� �
PERMIT NO. J��COMP ED
ADDRESS - �c� ;r�` ��'�c.__ _�'
OWNER �� �`� - TELEPHONE NO � -3�03-7,�1.�
CONTRACTOR � /!
� DESCRIPTION � �' ��'`'� � �����T�-
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL �_ �
❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � /�/�
� COMMENTS: ��
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V BEFOREC0IIERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pf{OTOTAKEN
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. �952� �
OwnerlContractor on site: -�
Inspector.
White Copyllnspector's File anary CopyfSite Notice
� ��
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE l/SCHEDULED -
PERMIT NO. �� ����/ COMPLETED �
ADDRESS `� L� � ��
OWNER� TELEPHONE NO. �'3���-���-r'`
CONTRACTOR �
� DESCRIPTION �f�l-�,'�C cl �,3, �X�
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q�POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ S IC INSTALL
2 OWNERICONTFUCTOR TO M YOU: ES_NO
c�., COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice
���
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION L�IOTI E SCHEDULED � C..�`
PERMIT NO. ��dj� GG �''� �COMPLETED '� "o� -�
ADDRESS �aZ�O /z%6od S �
OWNER TELEPHONE N0.�?�a �����6ca�
CONTRACTOR �/j'� ,�i''�
j DESCRIPTION �Uc7�t�%�t�o� fitJ4'G`�o r/�I"�3�'
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y�FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERfCONTRACTOR TO MEET YOU:_YES_NO
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� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerfContractor on site:
Inspector._��,.�J � �^-- �-
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White Copy/lnspector's File Canary CopylSite Notice
. ,
Christine Mattson
From: Christine Mattson
Sent: Friday,August 26, 2016 9:52 AM
To: 'tjdruk@yahoo.com'
Cc: Roger Peitso; Monica Fadness; Rachel Dodge
Subject: 1240 Arbor Street/#2016-00854
Tim,
We have received and approved the foundation as-built. You may call and schedule a backfill/waterproofing
inspection. A copy of this email authorizing you to proceed should be kept on site with the inspection card.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono � MN ; 55356 (physical addressJ
PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ
'B' 952.249.4620 ' g 952.249.4616
� cmattson@ci.orono.mn.us ; � www.ci.orono.mn.us
Summer Office Hours: (Monday, May 23 through Friday,September 2,2016)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, September 5, 2016
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� DUCT LEAKAGE TEST RESULTS � ��
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Date of Test: 9/17/16 Test File: 1240 arbor st orono duct blast
Test Performed For: Tim Druk
1240 Arbor st
Orono, MN 55391
Phone
Test Results
1. Test Type: Total Leakage
(Duct Btaster Only)
2. Test Pressure: 25.0 Pa
3. Measured Duct Leakage: 55.7 CFM (10.5 sq. in.)
4. Duct Leakage as a Percent of System Airflow:
5. Duct Leakage as a Percent of Building Floor Area: 2.7%
Additional Information
Duct leakage is often one of the largest sources of energy loss in a house. Leaky supply ductwork causes
expensive conditioned air to be lost before it can be delivered to the house, forcing your system to run longer to
keep you comfortable.
Leaky ductwork can seriously degrade indoor air quality by putling pollutants and irritants directly into your
house.
Leaky return ductwork can also pull moisture into your home, making it feel uncomfortable even when the air
conditioning is running.
� DUCT LEAKAGE TEST
Date of Test: 9/17/16 Technician: Rubin
Test File: 1240 arbor st orono duct blast
Customer: Tim Druk Building Address: 1240 Arbor st
1240 Arbor st Orono, MN 55391
Orono, MN 55391
Phone:
Fax:
Test Results
1. Measured Duct Leakage: 55.7 CFM I 10.5 sq. in. (+/-0.0 %)
2. Duct Leakage as a Percent of System Airflow:
3. Duct Leakage as a Percent of Building FloorArea: 2.7 %
4. Leakage Split: Supply Side:
Return Side:
5. Duct Leakage Curve: Flow Coefficient(C): 8.1
Exponent(n): 0.600 (Assumed)
6 Test Settings: Test Mode: Pressurization
Test Pressure: 25.0 Pa
Equipment: Series B Minneapolis Duct Blaster
Test Type: Total Leakage
(Duct Blaster Only)
Building and System Parameters:
Floor Area: 2077 sq. ft. Average Supply Operating Pressure: Pa
System Airflow: Average Return Operating Pressure: Pa
Supply Leakage Split: % Supply Leakage Penalty:
Return Leakage Split: % Return Leakage Penalty:
Percentage of Measured Leakage Connected to Outside: % (0.0 CFM)
� � DUCT LEAKAGE TEST Page 2
Date of Test: 9/17/16 Test File: 1240 arbor st orono duct blast
Data Points - Data Entered Manually:
Duct Fan Fan Flow Fan
Pressure (Pa) Pressure (Pa) (CFM) °/a Error Configuration
0.1 n/a
25.3 81.3 56 0.0 Ring 3
0.1 n/a
Comments
, DUCT LEAKAGE CURVE
Date of Test: 9/17/16 Test File: 1240 arbor st orono duct blast
90
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10
4 5 6 7 8 9 10 20 30 40 50
Duct Pressure (Pa)