HomeMy WebLinkAbout1993-005512 - gar add/fam rm remod f � PEI�MI�I' T
�I�Y OF ORONO PERMIT TYPE: v
2750 Kelley Parkway • P.O. Box 815 Permit Number: �;�_��.?Cj:`����
Orono, Minnesota 55356-0815 Date Issued: _ -'`f='# _=
(612) 473-7357 _ . _ . . _. _.
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY: �
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CONTRACTOR: _� �-.;r.�.�: .� ;.;,..;; _ OWNER:
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APPLICA /PERMITEE SIGNATURE —� ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PER�SIT APPZ,ICATION
Total Fee• $ � -�� - � Date Received: ��' �� � ��
. �,s �
Date Approved:
Entered By: ,- - �
Permit�: '� :. �
ALL INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED
(See Check-off List Enclosed)
---------------------------------------------- =---- -----------------------
THE APPLICANT IS: (circle one) O��TNER or ONTRACTQR--
JOB SITE ADDR$SS: I�� �7L �10G�� �ZQ/�''� ZIP:
�»
(work) ��3 3
rr� oF owrl8z: ��� � ��� p1��-t°s PaorrE: (home) ��3 4-1 to2
MAILING ADDRESS: I � ✓� �� ��Gf�G ��: D4�'��� ZIP:
CONTRACTOR:_��I� i`-'"���"� �-S�ah"� h�s� PHONE: �3 o I l� �
MAIZ,ING ADDRESS: 337.���U►��� CITY:�11�"��� ZIP: s��J d�
STATE LICENSE: ,� d D� Z�j � �
ARCHITECT/ENGINEER��R�-p t'�' ���� PHONE: ��J � ��� 1
L ►�'P�- Z I P: S�3 ��
MAILING ADDRESS: �J�Z� Gr�KVI$7+`J'l��'�''►��I�:/h 1N�Ta"�
NAME: ��l��w' !`- ' �'�'��� REGISTRATION � l 6� a�
�
TYPE OF WORR: New Addition v /' Accessory Structure biove
Demo Remodel/Alteration � Renovate Land Alteration
PROPOSED WORR (describe in detail) : ��y�(��ar �'���lzpi� � �
�NV�jt�•��'b ��''+►`�-( �d��
STORIES: SQ. FEET OF EACH FLOOR: � �� N�� �N�Si}t''fl
NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �v, ��a ' � �
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 ccordance with the approved plan. �
� c. l� �°C�l3
APPLICANT'S SIGNATIIRE: _ .' DATE: � �_ /
CHECR OFF LIST FOR ISSDANCE OF PERMITS
FOR OFFICE USE ONLY
�DRESS OR LEGAL: l�t g �=• �-'U}� R.11�C^�- F'-a A� PID: .
' DESCRIPTION OF WORR: �A�y4:a:' -Fi-C1s�'� T �cr�= �� CnF}2�+�'r.•�_ ;':t,.vvPEt�,9on� ;'-o �C%rr�-,+c_.t�_�.r.
---------------------�-,-f�------------------------------------�----------- ----
ZONING REVIEW BY� '"��,,,�„ 1 ��_ DATE APPROV$D: �j - (b'S.
'-�----
BIIILDING REVIEW BY: "��1 ' r,�,,,,�,,� DATB APPROVED: �'' `IG�• S �
y�!� .
---------------------- �-}--------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calcu�ated By:
PERMI T Ye s �- No
PLAN REVIEW Yes �- �� No SEWER CONNECTION
STATE SURCHARGE Yes �i-� No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify) ,
--------------------------------------------------------------------------------
ZONING CHECR LIST Zoning District: f�l�.�-i (�
Fire Departm��t:( Post qf�ic��:, ' ' t�choo� District:
Lot Area: ! -- Wid�h: � . ..._. , . D��.th:
Survey Submitted: Yes ;t No Date of Survey: '>`�- Z--�' �%
Proposed Setbacks:
Front (��Ce) : Z`�{�'-1 Right Side: �5` ��
Rear (Stree�t) : �'�.�`�t Lef t Side: � �a , •3 � �''�
Adjacent Structures: 1��7��.?-�c=-�' Wetland: N�F
Buil.ding Height: Def. Hgt. - K- Peak Hgt.
,
Avg. Setback: �`� k Lot Coveraqe: `
-�''�Existing Proposed �'
J
/
Hardcover: 0-75 ' /
,
75-250 '
250-500 ' � ;
500-1000 '
Hardcover Variance Required : Yes No�_ Date of Council Approval:
Grading: Staff Approval. Date: By: ~ Council Approval Date:
Septic: Staff Approva� Date: BY:
Zoning Fi�e:# Reso�ution #�, Resolution Date:
/
RBMARRS (in house) :
!
BUILDING REVIEW CHECR LIST
DBC: � R'� CONSTRIICTION TYPE:� �l i`��
Sq Footage $ Per Sq Ftg
Basement x - _ �
lst F�oor x =
2nd Fl.00r x =
Garage x =
x =
TOTAL
,
$stimated Construction Value: $ �{(�,0 0� �``
Inspections Required: Work Requiring Separate Permits:
Site P�umbing Grading/Fil.l�ing
_�Footing �Mechanical Fire
�_Framing Septic Water Connection
Insu�ation �Fireplace Sewer Connection
Wa�� Board (Masonry) Lawn Irrigation
Final. ,�,' (Mfg.) Other
Other � We 11. (State Permit)
h,�Electrical (State Permit)
--------------------------------------------------------------------------------
REMARRS (IN HOQSE) :
--------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By:
--------------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
� �;
°�, '� .,.���, :� ,,�,
�� .�.�p
�4 � � ��. CI'T''�' Of O�i010T0
� ; _
L '� �� ��� ; � �
� � t� ,� ,� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
E�t� .:3��� ;� � ,:
5 �° - ,� � -: On the North Slzore 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
l.icense 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 refusal may require that
the City deny the permit or license.
3. The information may be snared with other 3.oca1 , s�.ate or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or I.icense requires Council actior.
to approve, some information may become pubZic.
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 appl.ication or
pe�-mit.
�I ,�-v� � ��I�;�-�� ,
First Middle Last
��2�' G��V�� --1�'t�.�--'
Address �
�, ��s ,��-�,�x�- �� �� 3 �
City State Zip
��� 113
Phone
I derstand y rights as stated above.
.
S ' ature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBL(C WORKS —473-7359
ASSESSING
513.04 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 required to be given indivi�u�el- An.individuel esked to
supply private or confidentisl data concer a a tBTnw hin the collect ng state agency,
purpose and intended use of the requeste
political subdivision, or statewide system;
(b) whether he ma� refuse or is legally
required to supply 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��easkedlto supplyin est gat ve data,
requirement shall not apply when an indivi
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue m8° ropert tax re�und instructeonsu nsteadhos
subdivision in the individual income tax •r �
on those orms. . ----- -
Subd. 3. Access t� �ata by in�vidu8l- UPon request to e responsible �
authority, an individusl shall be informed whether h f vateeor confident e.l.e Upon his
individuals, and whether it is classified as public, p ublic data on
further request, an individusl who is the subject of SQ to himrlande if he desires, shall
individuels shall be shown the data withou fan�y ��tg. After an individual hss been
�e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning,
him for six months thereafter unless a dispute or action pursuant to this section is
, pending or additional data on the individual hes been CO�i��tBruQongrequest by
responsible authority shall provide copies of the private or p require the
the individuel subject oftrie actuel.costs of mak ng,l certi ying y and compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or �th lideys,�f Simmediateat ompliance eisU not
excluding Saturd8ys, Sundays and leg
possible. If he cannot comply with the request withinNithintw ch toh omplYnw�h the
individual, and may have an additiona.l five days
request, excluding Saturdays, SundaYs and legal holidays.
Subd. 4. Proced�e when data is not accurate or complete. An individual may
contest the accuracy or completeness of public oinrwr ting tthe�responslb e author ty
exercise this right, an individual shall notify
describing the nature of the disagree a to beTnacc a e orin omplet and at mpt to
days either: (a) correct the data foun
notify past recipients of inaccurate orv dual that he belie esdthe datalto be correcty
the individual; or (b) notify the indi
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the �isclosed data• be a ealed ursuant to the
' The determination of the responsible authority may PP P
provisions of the administrative procedure act relating to contested cases.
� •
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
04lN ER ��-��''4�.` ,.C.� �-�`,! ��'" �.='} `., �., ����� _..�
SITE ADDRESS I °1`�� �:�� ` �"�� `� , �L�F , ;~�-�, '
k,.
CONTRACl'OR �1 ����a +. "%% �' '' ". DATE$(�. "F-P�'iPHONE �1��,� ;� , ?
����.�! �.�`.<+ c ,, � �,�,
Determine working square footage of each. Res. Com.
1 . Totai exposed wall area . . . . . ,���'��.A sq. ft. x • 11 . = 3, z �
2. Total roof/cei 1 i ng area . . . . . �, Z.C7 sq. ft. x. �26..0 = :+', 3 z
Tota1 exposed wall area above floor = ��o �'
a. Total wall window area. . . . . . . . . . . . . . . . . . . . . . . . . . . .__�_(p,�
b. Total door area ... . . . . . . . . . . . . . . . . . . . . . . . . ... . .. �<'
c. Total sliding glass door area . . . . . . . . . . . . . . . . . . . 4,,��
d. Total fireplace wall area. . . . . . . . . . . . . . .. . . . �
e. Total wall framing area (average�l0�) . . .: . . . . . . . . %� -r�
f. Total net wal l area above fl oor . . . . . . . . . . . . . . . . . � ";��r. `i`
g. Total rim joist area . . . . . . . . . . . . . . . . . . . . . . . . . . . . �._'"�
� Total ezposed foundation area = �� .
h. Total foundation window area. . . . . . . . . . . . . . . . �
. . .
i . Toal net foundation area above grade . . . . . . . . . . . . �
Determine "U" value of each wall segment.
a. �.::.. X ����� �`3 3 = � -�''" C� �-r G-�ss �
b. t' _� X ��u�► �� � = 2. a�
�--" I�t,C_ �-
l
C: � .`.�� :.� 'X ����� ,�r,, = 2,,,�-`'",� � p�1 2 � �'1�
� �� _ � �'7, ��Nr�- �,oCc
d. � X n��� � h/�Z iNS��h►� Z.o�P
' e. ��ji , (,p X ��U�� , � `/� _ � . ,�"`' �''�(L'.� 4`4xSj � � �
� �: � • 4�
I . S 7 0, � � X n U�� � O I � c - ''7 �' r�`' '� �1 � . � p
g. G� X ,���� �7 = ::�� � �,, � 2..
b.., ; �
, h. .r___._ X ����� . _
i . � X ����� _ »,)
3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tota1 = � �3
If item �3 is the same as, or less tf�an item �1 ," you have met the intent
of SBC 6006(c)2. ,
.- .,
Tota1 exposed roaf/ceilina area = 3 Z O
j . Total skylight area. . . . . . . . . . . . . . . . . . . . . . . . �
k. Total roof/ceiling framing area (average 10�) . . . �J 2, -
1 . Total net insulated roof/ceiling area. . . . _. . . . . �' �- T
Determine U value for each roof/ceiling segment. �
� ��
� ��U i�_ ^ 2
,.� .
� X ��U�� c,:,�- _ ��--� ___-�..__
. P�I 12 � � �
k. � � � :'� X ����� . � :� _ � � '2 �.� ,i fi,,�G,�-�`> ' � �
�5��,,-� , o(n
1 . X ����� 02 �' _ ��"�, �-t, '' ,. (�(o
E r�2 a� �+,� '
4. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .Tota1 = ;;,,� . r � ��Q,�.�� �c�i
,� , 5���u� . 4�
�,� , (�-:__
If total of #4 is the same as, or less than �2, you have met the intent of ��, ,��7
SBC 5006(c)l . '
Alternate Building Envelope Design
To utilize the total envelope system method, the values estabTished by the
sum of items �3 and #4 sha11 not be greater than the sum of items �1 and #Z.
1 �j � . '� �P + 2. � � �: '�Z.... _ ;;=< j, �_. �;:,
,�
3. (.� � � �.� j + 4, ;� ..m� C = 0 � �? �Z�
� ����' ( aa �
�
�./
ATE TIME
CITY OF ORONO CALLED IN ������-�
INSPECTION NOTICE SCHEDULED �� C 3 /O '���
PERMITNO. �5��/-Z COMPLETED _� �
ADDRESS �CJ G�'
OWNER CONTR.
TELEPHONE NO. '�70 '�_�O �
� DESCRIPTION ���i._/._/�n�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
�
Z 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBiNG FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEEi YOU:_YES_NO
Z
� COMMENTS:
�
W
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d WORK SATISFACTORY:PROCEED ;, PROJECT COMPLETE
W
� CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
C] CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor on si . `
Inspector. �
White Copy/inspector's File Canary CopylSite Notice
v
D TE TIME
CITY OF ORONO CALLED IN � �%3
INSPECTION NOTICE SCHEDULED �n/z��5.� •� C)
PERMIT NO. �-��� COMPLETED
. -�(- Lt
ADDRESS � d �
OWNER CONTR.
TELEPHONE N . ���" �/� �
� DESCRIPTION �Q�'�
lL 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMI 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 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—F.INAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNEHICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
W
a
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J
O
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Q
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2
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d WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W
W , 1 CORRECT WORK&PROCEED n �SSUE CERTIFICATE OF OCCUPANCY
O C]CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR C' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance.473-7357
OwnerlCon,tra r o site:
Inspector.
White Copy/lnspector's Fil Canary Copy/Site Notice
DAT TIM�E
CITYOFORONO CALLEDIN =�� ��3 �- �'��
INSPECTION NOTICE _ � SCHEDULED � `�
PERMIT NO. �� � /� COMPLETED �
ADDRESS
; � U � �a � �'-��G�,�
OWNER ��t CONTR. ��'�-�� Crx.���es
TELEPHONE NO. �� � " /! .� �
� DESC,R_.I�ON �—l��
� FOOTING � 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINA� 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
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OwnerlContract ' e: _
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AT TIME
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648176 �
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OF LaT 6, BL�CK 1, FOX RIDGE �
HENNEPIN COUNTY, MINNESOTA
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Legal �escription � ��3�'(�,c��;����j )
Lot 6 , Block 1 , Fox Ridge �`( -�-�—�-�� �"^^''' -
D/�TE_ " 4 - ►� `�3
This survey shows the location of an existing house ,
driveway, wetland and proposed addition in relation
to the boundaries of the above described property.
It does not purport to show any other improvements
or encroachments .
o: iron marker
Bearings shown are based on an assumed datum.
'�� <�i��` , � , � I hereby certify that this survey was prepared by me or under m}'direct super- . �ATE 5-26-93
�; � o ' ' � ' .. vision, and that I am a duly registered Civil Engineer and Land Surveyor-under
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�r���,�,�� �� A''� the laws of the State of Minnesota. ���= 40�
; o,i� SCALE
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Mark S. Gronberg Minnesota License Number 2755 1�6 NO, q 3-2?3
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