HomeMy WebLinkAbout2015-00413 - new structure CITY OF ORONO * z 0 1 5 - 0 0 4 1 3 *
. � ' '` , 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2015
ORONO, MN 55356-
�_� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1340 FOX ST
PIN : 02-117-23-31-0019
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 014
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED
VALUATION : $ 850,000.00
NOTE: SEPARATE PERM[TS REQUIRED:PLUMBING,MECHANICAL,F[REPLACE, SEWER CONNECTION,LAWN IRRIGATION,
LANDSCAP[NG,WELL(STATE),ELECTRICAL(STATE)
NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUN ATION SURVEY MUST BE SUBMITTED AND APPROVED BY THE
CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: �'S('�
NOTE: PRIOR TO ISSUANCE OF A C R�IF[CATE OF OCCUPANCY AN AS-BUILT SURVEY[S REQUIRED TO BE SUBMITTED AND
APPROVED BY STAFF. INITIAL: �J �
NOTE: PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY AND HARDCOVER CALCULATION MUST BE SUBMITTED
AND APPROVED.INITIAL:��-.-
NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WH[Cf{PREVENT THE
COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVE )A TEMPORARY CERTIFICATE OF OCCUPANCY
(TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 5,467.09
STATE SURCHARGE(VALUATION) 425.00
CHAMBERLAIN FINE CUSTOM HOMES TOTAL 5,892A9
11578 CHAMBERLAIN CT
EDEN PRAIRIE, MN 55344- Payment(s)
Minnesota State License#: BUIL-BC661410 CHECK 943 5,892.09
OWNER
Chamberlain Capital LLC
11578 CAHMBERLAIN COURT
EDEN PRAIRIE, MN 55344-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
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 specified 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 cons[ruction is
suspended for a period of l SO days at any[ime 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 due cause.
,, ,:���� >,
/' � ��,����� ��`��� � �� � ,
:.� «�,����y�^--
Applicant Permitee Signature Date Issued By Signature Date
CITY OF ORONO * 2 0 1 5 - 0 0 4 1 3 *
` � 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2015
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1340 FOX ST
PIN : 02-117-23-31-0019
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 014
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED
VALUATION : $ 850,000.00
APPLICANT PERMIT FEE SCHEDULE 5,467.09
STATE SURCHARGE(VALUATION) 425.00
CHAMBERLAIN FINE CUSTOM HOMES TOTAL 5,892.09
l 1578 CHAMBERLAIN CT
EDEN PRA[RIE, MN 55344- Payment(s)
Minnesota State License#: BUIL-BC661410 CHECK 943 5,892.09
OWNER �,��y or urono
2750 �elley Parkway
Chamberlain Capital LLC Oronu MN 55356 952-249-4h0U
11578 CAHMBERLAIN COURT R�ceipt Na: 3.013288 Apr 30, 2G15
EDEN PRAIRIE, MN 55344-
Chamberlain Capital
Previous Balance: .OU
Permits
AGREEMENT AND SWORN STATEMENT 15-00415 1340 Fox St 175.U0
1-32510
rhe work for Hhich this perniit is issued shall be performed according to i lding Permi ts
the approved plans and specifications,applicable Ciry approvals,and the rm 1 ts
State Building Code. This permit is for only the work described and does �J-OO4�J 1340 Fox St 5.00
not grant pemiission for additional ar related work which requires separate 1'20802
permits. All provisions of laws and ordinances governing this type of work e to gorts-State
shall be compied with whether or not specified herein."rhis permit will Ym 1 t5
expire and become null and void if construction authorized is not 15-00413 1340 Fox St 5.467.U�J
1-32.,1U
commenced within 180 days of the date of issuance,or if construction is 11 d 1 flg Pel'ffl l ts
suspended for a period of 180 da}s at an�time after�ork has commenced. rml tS
The applicant is responsible for assuring all required inspections are 15-UU413 1340 Fox St 425.OU
requested in conformance�vith the State Building Code.This permit may be 1-20802
revoked at anv time for due cause. e to goVtS-State
tal: 6.072.09
eck -----�--------- / /
Applicant Permitee Signature Date Lheck No: 943 6,072.09
Fayor:
Chamberlain Capital
tal Applied: 6.U72.09
Change Tendered: .00
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: `�C (J"�4(
i��Q��, PO Box 66
Permit number: G
� Q�� Crystal Bay, MN 55323-0066 Date received: 4 < <.! � � ��
� ��
1 StreetAddress:' Received by:
1�:���� ,�,� 275o Keiiey Pa�k y 2����'0� i,)�y --� � .-� �3 , 1cf
Plan review fee:
` ' �' Orono, MN 55356 ��� � �t2 - �
��kESHo� Main: 952-249-4600 � Total Fe
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in fu(I and all required inform tion must be submitte
Incomplete applications will be returned. (Plea print� ��� ' �C� �d ��y�l�� q'����
GENERAL INFORMATION: �,�
Job Site Address: 13�O Fox Street � J'�/��o� •
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 0 No
/f yes.a specia!event permit is required with Police Department and City Counci!approvaf 60 days prror to the event. Shuttle bus service witl be
required unless applicant demonstrates sufficrent on-site parking is availab/e. Non-permitted events will not be aDowed. _
CONTRACTOR/APPLICANT INFORMATION:
Name: Chamberlain Fine Custom Homes
State License# BC661410 Expiration Date: 3/16
Phone: (cell) 9j?_f�4y-7653 (office)
Mailing Address t 1578 Charnberlain Ct City:Eden P[�airie ZIP: 55344
Contact Person: Paul Camerou Applicant is: ontrac / Homeowner (Circle One)
Email andlor Fax: Paut(u'�Chan�berlainca�.com
PROPERTY OWNER INFORMATION:
Name_ Chamberlain Capi�al LLC
Phone (day): 952-64<)-7(,53
Address: 1 1578 Chambei�(ain CL City: Eden Prairie ZIP:»3�4
Email and/or Fax PaulCu'Ch�mberlaincap.com
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone(day}:
Address: City: Z1P:
Email and/or Fax_
PROJECT INFORMATION: Description of project: Teardown and new residential
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8
Water Supply
�New Construction [$Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck [�Public Sewer
❑Accessory Building ❑ Single Family with ❑ OfficelCommercial
❑ 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&permits. ❑ Industrial ❑Warehouse � Private Well
fv1innehaha Creek Watershed District(MCWD) ❑Other (specify) ❑ Other(specify)
15320 N1innetonka Blvd
Minnefonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
4vv�,�w.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ �tiU,00i)
Packet Last Updated. January 2015
Page 20
�. PL�N �E�/��1IV CHE�KLIST �OR IV�UV STRUCTIlRES / A►DD�TIONS
Address: � �� �b`� �'��P�'� Permit No.: ��� '° ��
Qescri ti�n of wark: @
f� � � � � Date Rec'd: �'��' �
Septic revievv by: ��� �'° �� I l �ate Approvec�:
= Zoning review by: �����h;�r �ati7 °�;1���� �ate Approved: ��� � �y �,�5
a
; Buildiny revievv by: ��-- Date Approved: '���� " l.�
; Grading review by: Date Approved:�'2�' ��
t=
Zoning District: � " �� Zoning Fife#: ����-- R�so#: � Reso Date: � '� '
Zoning: Lot Area: SF/AC VVidth: Lofi Coverage: �F %
Survey Submitteci: �Yes ❑ No i�ate c�f 5uneey: �'�' '� Revised date(?):
y, Proposed S�tbacks: �
� �
°Fron e� Rear(�„ et) ( N S E ) ( 1� S E� IM ) Other Buildings Wetland
.1� Side ��. Side
�;
�•� + ��� ��.:�� ` �.�„e
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
'" Perimeter(linear feet) = 50% = L.F. b�lovse grade #of Storie�
FOR R BUILDlNG WtTH A�ASERAENT OR CRAYVL SPACE: FOR A BUfLDING OP!A SLAB FOt1NDATiON:
� The distance between the lowest pro�osed The distance between the top of
; START WITH floor(of the basement or crawl space)and START WITH slab and tf�e highest point of the
- =� " the highest point of the roof. roof.
If you have a... If you have a...
' • GABLE OR HfPPED ROOF
• GABLE OR HIPPED ROOF(no (no windows): Subtract hali
windows): Subtract half the distance the distance between:he
� between the highest point of the roof highest point of the roof to
to the low point of the corresponding the low point of the
SUBTRACTION gable or hipped roof
corresponding gable or
(BASED ON � GABLE OR HIPPED ROOF(with SUBTRACTION hipped�oof
ROOF TYPE) windows): Subtract half the distance (BASED Ohl . GHBLE OR HIPPED ROOF
'2 between the top of the highest ROOF TYPE) (with windows): Subtract
window and the highest point of the half the distance between
roof the top of the highest
• ALL OTFiER ROOF TYPES(flat, window and the highest
mansard,etc):No subtraction. point of the roof
�.r • ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distance between the ,�' (flat,mansard,etc):No
(BASED ON basemenUcrawl space floor and the G� subtraction.
EXISTING highest existing grade adjacent to the �@� ADDITION Add the distance between the top
�, GRADES) foundation OR 10 feet(whichever is less). �a�6' (BASED ON of slab and the highest existing
I E�UALS Defined build'ong height ::(� EXISTING grade adjacent to the foundation.
GR�4DES
;'tF ' EQUALS Defined building height
�- �..i��..��
�{� r;•,u
Shoreland District IVICWD Permit �, ;;-�' � �verage Lakeshore Settsack g�uff
;�`d IiAet?
�Yes � No Permit�fumber: � a� � Q Yes � No N/R ❑ Yes � No
;
0 N/A—see attached Setback:
Starmvuater Quality Existing Harcicover Proposed
Overlay District (%and sfl Hardcover Variance Required CUP Required
Tier circle one %and s
� '' ``. a Yes �•No � Yes G No
1 f� 3 4 5 Type(s): Type(s):
�* .
Updated: January 2015
z:\forms\plan review checklist 2015.docx
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t•..
REMARKS (in-house):_
Fees to be Cha� ed 1fES NQ
Perm it �"°
Plan Review �
State Surcharge
lnvestigation �ee
s
SAC—IVurr�ber of SAC Unets � 3 ' ` �
Other(specify)
Square Foota e $ per Square Foota e
Basement X = $
1St Fioor X = $
�
2"d Floor X = $
Garage X = $
� 0�� �
Estimated Construction �alue: $ �
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� � Site ,.�`Plumbing O Grading / Filling �Well
� Silt Fence/ Erosion Control �Mechanical ❑ Fire � Electrical
, ❑ Hardcover Removal 0 Septic 0 Water Connection
# ,�Footing �- Fireplace ,O�Sewer Connection
�Poured Wail 0 Masanry ��`L n Irrigation
�oundation Survey �'Mfg. Landscaping
�'"Foundation Waterproofing 0 Other (specify)
�`Radon Rock Bed
�Framing
Insulation
�As-Built Survey
�Final
Q Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES ❑ NO New: 0 YES 0 NO
OFFICIAL REhAARKS -TQ BE NOTEf3 ON PERMIT AND iNITIALLED
��t J ,y�,;� �,��,�`� ._��'� .�y'�'�q �,{ ���r, '. ,�ez � �,_�^ �y3 L 4�,�'H"��� ��,'�.,��a e�- �1'e.: 1��L i � `�+ � ��;�1�L�;!��
e r� +' e � e :
� '�,�� /'),9"i� Ls '.rL-;j � ��.l�;� 4i ?� �',yi ��1��.4�'-?\V� �--�—'�— � �i��'��;��'j'ti ! ``�i� \ E E � «�i'( tf'�i�.
�
�
Updated: January 2015
z:\formslplan review checklist 2015.docx
�, , _ . . _ _ .
STRt�CTURE INFORMATION:
1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= 1� �� Number of bedrooms= J�
�Wood/Frame
� .'' ,-. .
b.Width (ft.)= / 1 ��• Number of garage stalis: ❑ Masonry
Areas in square feet Attached = � ❑ Metal
� 3 ❑ Pole Bldg.
c. Basement= � `�' `"' � Detached=�
❑ ICF
d. 151 Story = �y��
� ❑ On-site Prefab
e. 2itl Story= ��'� �
❑ Off-site Prefab
f. '/2 Story = , ❑ Other(please specify):
g. Total Area= /�
REQUIRED SUBMITTALS:
Aii of the information must be submitted in arder for your appiication to be processed:
N ot
Enclosed Ap licabie
� ❑ 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 '/2 x 11 set
� ❑ Minnesota State Ener Code Caiculations and Mechanicai Code Re uirements
�7 ❑ Survey—2 full size,to scale(meeting ALL survey requirements)
!it ❑ Hardcover Calculations
❑ �l Se tic S stem Certification
� ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
O �i Landscape Walis and/or Retaining Waii Pians
❑ �J Stormwater Pollution Prevention Plan SWPPP
❑ �i Access Permit
C�l ❑ 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 hislher 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 governmental 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 Oc�upancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site impravements.
r �;!� ,
'� ?� Y, r, , ���-/ C,i.�,� �
��� i 1'i��: �J �
ApplicanYs Signature: �������'��'�-� Date: /��//i
.�fOwner's Signature: ,�� ��� Date: �� �-.%
���%�-,������� ��� �l� � �� �
Packet last Updated: January 2015
Page 21
DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", 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 witl be used to determine your qualification for the permit or license
requested_
2. You may refuse to supply data, but refusai 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 Minnesota State Statute 13.04 (see following page) to review
private data on yourself.
6. Your full name is required to process this application or permit.
Paul Caineron tor Chamberlain Capital LLC ( Ovs�ner)
First Middle Last
1 1578 Chamberlain Ct Eden Prairie, NIN 55344
Address
Edel� Prairie ':V1N 5534� 952-649-7653
City State Zip Phone
I understand my rights as stated above.
��ti��/d 1 l.%,� "_�..�_.�. ,
Signature
for Chaniberlain Capital LLC
PackeT Last Updated: January 2015
Page 7
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
, Plan Review Fee Paid
���
� � ��
% � ��'
Signed Escrow Agreement & Escrow Payment �
��� ��k
� �
��
Building Plans (to scale) x2
Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
� 'j Hardcover Calculations (if applicable)
Y
/ �t,
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stating
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
regard� g t is �roject. _,
Signed by: � ��-��"l'�
Address: / � S
Permit #: 2--0 l 5 � bC l�1 3
Packet Last Updated: January 2015
Page 2
Cit ofOrono �RONO COPY
Y
�oNo Hardcover Calculation Worksheet
I� ,) Property Address: 134o Fox street
y.�
C
`'KFSHo�E P�epared by: Paul Cameron Date: 3.4.15
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey
(survey must accompany this form). Include all 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 to accurately depict proposed hardcover
status of the property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and
calculate hardcover s uare foota e se aratel for each ortion.
Key to Hardcover Item (Describe) Length x Width Total
Surve S uare Feet
(Exam le Gara e 24'x 30' 720 S.F.
q S.F.
g S.F.
C House Various Sides(See Survey) 1489 $.F.
D Gara e Various Sides(See Surve ) ��» S.F.
E Deck 12'x 5.58' 67 S.F.
F Screen Porch 16'x 16' 256 S.F.
G Ent Porch Structural 10.50'x 5.33' S6 S.F.
H S.F.
I Structural Covera e 2885 S.F.
� S.F.
K S.F.
L Ent Porch Non-Structural 1'x 8.4' 9 S.F.
►N1 Sidewalk 4'width(See Survey) 165 S.F.
N Drivewa Various Sides(See Survey) �Zp� S.F.
� Retainin Wall Under Porch See Surve 20 S.F.
p Patio 108 S.F.
Q S.F.
R S.F.
g S.F.
T S.F.
� S.F.
V S.F.
N/ S.F.
X S.F.
y S.F.
Z S.F.
1 Total Pro osed Hardcover 4394 S.F.
Excludable Hardcover(See Ci Code Sec 78-1684 :
1 st 100 feet of deck �7 S.F.
Retainin Wall Under Poroh See Surve 20 S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover g7 S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 4307 S.F.
4 Total Lot Area �923a S.F.
Proposed Hardcover Percentage [(3)=(4)] Zz.3 %
Packet Last Updated: January 2014.
This is an information packet regarding Hardcover. Every effort has been made to insure the accuracy of the information contained herein;
however,if any information is not consistent with provisions of the City Code,the Code provisions will prevail.
Page 26 of 27
Christine Mattson
From: Paul Cameron [Paul@Chamberlaincap.com]
Sent: Thursday, April 23, 2015 11:47 AM
To: Christine Mattson
Cc: 'Travis Van Neste'; 'Christine Charles'
Subject: 1340 Fox Street: Response to 4.22.15 Letter
Attachments: 1340 Fox Street-Well Sealing Record 1993.pdf; Revised Hardcover Worksheet 4.23.15.pdf;
Escrow Agreement- Building Permit w Erosion Control 2015-00413 2015-00415.pdf; MCWD
Water Erosion Permit 4.17.15.pdf; Orono Letter 4.22.15.pdf
Christine,
In response to your letter yesterday dated April 22, 2015;
1) a. The retaining wall will be modified and new survey will be produced.
b. The abandoned well sealing record report is attached.
c. The House will have gutter installed.The downspouts will be attached to drain tile to move the water
to the northeast area of the lot to where the "Shed to be Removed" is currently located.
d. Top of Foundation is noted on the Foundation Plan 51.1. as 962' 6" on the wall to the right of the front
entry and near the single car garage stall wall.The same elevation label will be added to the survey at the
point where it will be measured for the future "as built" survey.
2) Hardcover Calculation Worksheet is attached.
3) Escrow Agreement has been signed and attached.
4) The Minnehaha Creek Watershed District's Erosion control Permit is attached.
Please contact me if you need anything else.
Thank you,
Paul Cameron
�H.AM��RI�II� '
R�aul Caar�ron
�Chsmberlain Fine Cus�Om Hame�
t7+��ner
Ceil (�45�Z}b4'�-T65�
Paul�Chamberlaincap,cr�m Lic�BC661410
1
Christine Mattson
From: Christine Mattson
Sent: Wednesday, April 22, 2015 3:23 PM
To: 'paul@chamberlaincap.com'
Cc: 'travis@vannestesurveying.com'; Lyle Oman; Melanie Curtis
Subject: 1340 Fox Street/#2015-00413
Attachments: letter.pdf; Escrow Agreement- Building Permit w Erosion Control 2015-00413 &
2015-00415.pdf; Hardcover Information Packet-2014.pdf; Landscape Walls & Retaining
Walls 2014.pdf
Paul,
Attached is a copy of the letter and attachments being mailed today. If you have any questions, please don't hesitate to
contact us.
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
`�° 952.249.4620 ( � 952.249.4616
� cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Monday, May 25, 2015
1
`��°�o
C ITY OF ORONO
� � Street Address: Mailing Address: Telephone(952)249-4600
'S'�, �� 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
�,9 �, Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
kFSHO�
April 22, 2015
Paul Cameron
Chamberlain Fine Custom Homes
11578 Chamberlain Ct
Eden Prairie, MN 55344
Re: Building Permit Application#2015-00413
1340 Fox Street
On April 10, 2015 the City received a building permit application for a new single family home. Staff conducted a
preliminary review based on the information provided and recommends the following items be submitted or revised
in order for your application to be considered complete and for the plan review to continue:
1. Certificate of Survey. The City Engineer has reviewed the survey and made the following comments. Please
provide two copies of an updated, full size certificate of survey which meets all of the City's survey standards
(enclosed) and addresses the comments below:
a. The retaining walls on the East side of the house appear to require an engineered design based on
their proximity to each other and height. Walls four-feet or greater in height must be designed by a
licensed professional, and plans must be submitted to the City for review. Tiered walls with
separation less than two times the height of the upper wall shall be considered one wall. Attached is
a copy of our retaining wall information handout.
b. The abandoned well to be covered by the new driveway must be sealed by a icensed professional
and confirmation of sealing provided to the city. CDF��y��lud�91'CI. �rl .�:�Y�`::f �:��,.-�
c. Provide a plan for the East side of the property to ensure the roof and surface drainage does not run
straight into the neighboring property. (i.e. show gutters and drain spouts or modify the grading.)
d. Top of foundation (TOF) is not shown on the survey. In addition to listing the TOF elevation, please
have the surveyor show on the survey the location point of the structure where TOF will be
measured at the time of the foundation as-built survey.
2. Hardcover Calculations. The property is located in Tier 2 of the Stormwater Quality Overlay District.
Hardcover information was shown on the survey, but we require the hardcover calculations to be shown on
our hardcover calculation worksheets. Please have the surveyor prepare the hardcover calculations using our
hardcover calculation worksheets. Attached is a copy of our hardcover information packet.
3. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require
submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement
to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will
guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required
escrow amount for this project is $2,500. An updated escrow agreement is enclosed combining the Land Use
application with the demolition and building permit applications. The property owner must sign the escrow
agreement. No additional escrow money is needed at this time.
PLEASE NOTE, NEW 2015 PERMIT REQUIREMENT: Prior to the commencement of a� exterior/landscaping
improvements, i.e. patios,grading, sidewalks, retaining walls, etc., a Zoning Permit will be required.
►.
Apri122,2015
1340 Fox Street
Page 2 of 2
Your project may trigger the Minnehaha Creek Watershed District's (MCWD) permitting requirements; please contact
the MCWD directly at 952-471-0590 regarding your project. Please note, the City of Orono will not issue a building
permit without a copy of MCWD permits or documentation from the MCWD stating the proposed project does not
trigger any of their permitting requirements. The above information is required in order for the plan review to
continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any
questions on the above requirements.
Sincerely,
CITY OF ORONO
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Christine Mattson
Planning Assistant
c Paul Cameron via email
Travis Van Neste via email
Lyle Oman, Building Official
enclosures
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C ITY QF �RON�
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RESOLUTION OF THE CITY COUNCIL
��`�kFSHo��`�� NO. � � 8 6
I. The Owner's proposal is consistent with the comprehensive plan.
m. The Owner has requested a 26.5 foot setback from Fox Street; a 16.2
foot setback from Barrett Avenue; and a 28.4 foot setback from the
undeveloped alley right-of-way on the east. Barrett Avenue, the alley,
and the east portion of Fox Street are currently undeveloped. The
Owner is requesting to build a home closer to the rights-of-way than
50-feet as allowed by the City Code. The Owner understands and is
hereby put on notice that the City does not intend to vacate the
abutting undeveloped rights-of-way and although not planned at this
time, may choose to develop them for some public purpose in the
future.
4. The City Council has considered this application including the findings and
recommendations of the Planning Commission, reports by City staff,
comments by the Applicant and the pubfic, and the effect of the proposed
variances on the health, safety and welfare of the community as well as the
impact on properties in the vicinity.
5. The City Council finds that the conditions existing on this Property are peculiar
to it and do not apply generally to other property in this zoning district; that
granting the variance would not adversely affect traffic conditions, light, air nor
pose a fire hazard or other danger to neighboring property; would not merely
serve as a convenience to the Owner, but is necessary to alleviate a practical
difficulty; is necessary to preserve a substantial property right of the Owner;
and would be in keeping with the spirit and intent of the Zoning Code and
Comprehensive Plan of the City.
CONCLUSIONS, ORDER AND CONDITIONS
Based upon the above findings, the Orono City Council hereby grants variances from Orono
City Code Section 78-420 in order to construct a new residence on the Property with 19,234
square feet or 0.44 acre in area, and 129 feet in width where 2.0 acres in area and 200 feet
in width are required; and variances from Orono City Code Section 78-420 to permit
construction of a new residence 26.5 feet from Fox Street; 16.2 feet from Barrett Avenue;
and 28.4 feet from the undeveloped alley on the east side where a 50-foot setback is
required; subject to the conditions listed below:
1. Council approval is based on the survey and building plans submitted by the
Applicant and annotated by City staff, attached to this Resolution as Exhibits A 8� B.
Any amendments to these plans may require further Planning Commission and City
Page 3 of 5
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RESOLUTION OF THE CITY COUNCIL
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Council review.
2. Hardcover shall not increase above 30% as allowed in Tier 2. Any changes to the
plans or the Property which result in an increase in hardcover above the allowed level
will require further Planning Commission and City Council review and a new variance
request.
3. Structural coverage shall not increase above 15% as allowed by Code.
4. The extent of the approved improvements within the City's rights-of-way is depicted
on the approved plan attached as Exhibit A. The Owner shall not install or construct
structures or other obstructions within the City's rights-of-way, and shall not plant
landscape improvements within the City's rights-of-way nor so close to the rights-of-
way as to create a future encroachment without City approval.
5. Authorities granted by this resolution run with the Property not with the Owner, but
are permissive only and must be exercised by obtaining a building permit for the new
construction and commencing construction of said project. A framing inspection must
be completed within one year of the date of Council approval, or the variances will
expire on that date (March 9, 2016).
6. Violation of or non-compliance with any of the terms and conditions of this resolution
shall constitute a violation of the zoning code, shall automatically terminate any
authority granted herein, and shall be punishable as a misdemeanor.
7. The undersigned Owner has read, understands and hereby agrees to the terms of
this resolution and on behalf of their heirs, successors and assigns, hereby agrees to
the recording of this resolution in the chain of title of the Property.
Adopted by the Orono City Council on this 9th day of March, 2015.
Page 4 of 5
Oswell Enginee�ing and C�nsu�ing,LLC. ��� "� ���� ��� �����
Serving all aspects of Commercial and Residential Structural Engineering ��'
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1901 E Hennepin Avenue#201 �� ��
Minneapolis,MN 55413 � ��'
Phone: 612-720-4639 � �: ������
Fax: 612-886-2966 ',�
EmaiL• Craig.Osweil@oswellec.com � `�`� '� � `�
www.OSWELLEC.com �''�
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April 9, 2015 _ �Q
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Chamberlain Fine Custom Homes ' ' ��:r�
11578 Chamberlain Court � ��'�'��f„
Eden Prairie, MN 55344 �`���
Attention: Paul Cameron
Subject: Foundation Design- 1340 Fox Street, Orono, MN
Project# 2015-010
To whom it may concern:
Oswell Engineering and Consulting, L.L.C. performed the structural engineering design
for the cast-in-place concrete foundation of the above proposed residence. The design
information was incorporated via redlines onto sheet S1.1 of the construction drawing
package prepared by Design Group C. The items covered by this design include;
1. The strip and pad footings
2. The deck post footings
3. The foundation walls, including their top of wall connection
It is my professional engineering opinion that the foundation of this structure as detailed
in sheet S1.1 of the construction documents is structurally adequate and meets the
requirements of the Code. The observations and opinions made in this report are based
on my professional engineering experience and judgment. The scope of work is limited
to the specific structural items noted above.
I hereby certify that this plan, specification, or report was prepared by me or under my
direct supervision and that I am a duly licensed professional engineer under the laws of
the state of Minnesota. If you have any questions or require further assistance, please
contact me.
�- / !'
�.''�'�----.5 �--�~
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Craig Oswell, PE
MN Registration #42341
4-9-15
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�� Y-�" - ` Print Form
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� � � `�' � � � � �� �'�TER RESOi1RCE PERNIIT APPLICATION FOR�i
Li,c this fonn tu uotii���a��1�1��to t(ie vliuuehaha Creck Watershed District (I�9C��ll)ul a pr��l���scd proiecf or work which ma}'fall within
th�ir iuri�diction. Fill out this for�u c<�mplctely ancl suhmit�vith y�our site plan_niaps,ctc. to tl�c MCWI)at
I�320 Miimetonl:a Blvci. Minnetonka,���>3d5.
Keep a copy t<n�yoi�r recor�ls.
YOU MUST OBTAII�1 ALL REQUIRED AUTHOR[ZATIONS BEFORE BEGINNING WORK.
l. Naine of each properiy o���ner: Chamberlain Capital LLC
Mailin`�Address: 11578 Chamberlain Ct Ci�y,: Eden Prairie State: MN Zip: 55344
Email Acldress: Paul@Chamberlaincap.com Phone: 952-649-7653 Fax:
?. Property Ow�ner Representltive Information (not required) (liceused contractor, architect, engineer, etc...)
Business Name: Representati�-°e Name:
Blisiness Address: Ciry: St1te: Zip:
Email Address: Phone: Fax:
3. Project Address: 1340 Fox Street Ci�y. Orono
State: MN Zip: Qtr Section(s}: Section(s): To��rnship(s): Ran�e(s):
Lot: 13,14,15 Block 14 Subdiv°ision: PID: 02-117-23-31-0056
4. Size of project parcel (sc�uare feet or acres): 150 x 129
Area of disuirbance(sc�uare feet): 5000 Vohmle of excavation/till (cubic yards):
Area o(�existing impervious surface: 1544 Area oFproposed impervious surface: 4274
Len�th oCshoreline affected (feet): � Waterbody(& bay if applicable):
5. Type of pei-mit being applied for(Check all tllat apply):
� EROSION CONTROL ❑ W�TERBODY CROSSINGS+'STRUCTURES
❑ FLOODPLAIN ALTERATI0�1 ❑ STORI�1VdATER NlANAGEMENT
❑ �G'ETLAND PROTECTION ❑ APPROPRIATIONS
❑ DREDGING ❑ ILLICIT DISCHARGE
❑ SHORELINEiSTREAMBANK STABILIZATION
6. Project purpose (Clieck all that apply):
� SINGLE FAMILY HOME O NlULTI FA1��11LY RESIDEi�ITIAL (apartments)
❑ ROAD CO'�STRUCTION ❑ COMI�IERCIAL or INSTITUTIONAL
❑ UTILITIES ❑ SUBD[VIS10�lS (includc numbcr oClols)
❑ DREDGI'�IG ❑ LANDSCAPING (pools,bern�s, ctc.)
❑ SHORELINEiSTREAMBANK STABILIZATION ❑ OTHER(DESCRIBE):
7. NPDESISDS General Stormi��ater Permit Number(if app(icable):
8. Waterbody recei��ing runoff from site:Minnetonka
9. Project Timeline: St�rt Date: 5.1.15 Completioi7 Date:10.1.15
Pcrmits ha�-e becn applicd for: Ciry �Cotmty 0 'vIN Pol�ution Control Ageney �DNR 0 COE �
Per�nits ha��e been receivcd: City �County 0 YIN Pollution Control Agency�DNR�COE��
13y si��niiig helu«�•, I liereby request a pcimit t�>autliori�e tlie activities ciescrib��l herciu. 1 certify tliat [ain farniliar witl� MCWD
Rules ancl that the�,rup�»eel arUvit�«�ill he conducted in compliance�vitli thcse Rules. I am famili�r�vith ll�e int��rmation
coutained in tl�is application and. to th�b�st ot�mv kn�ni�ledge anel laelirf,all inti�i�mation is trtte,raulplete aii<i accurate. I
und�rstancl that proceeiling with uc,rk b�ii�re a(1 rr�luired autlxnizations arc obtained may be subiect to fedeial, state aneliur lucal
adlninistiative, civil and�or criminal penalties_ ��
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�i��nah�re oi l�.ach Pro��crty O���ner Oatc
�� APR 1 0 2015 ��
By �; e w�J
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Minnesota State Energy Code Calculations and Mechanical Code Requirements Form � -:
Additional copies can be found by going to: http://www.dli.mn.qov/CCLDIPDFlsbc 1322 cert.pdf ��
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�AX����'�� Insulation for Exposed Use sPEciaLTv
PRODUC7 DESCRIPTION COMPLIANCES
Rmax TSX-8500 is an energy-efficient thermal insulation board • ASTM C1289 Type I,Class 1
composed of a closed-cell polyisocyanurate(Polyiso)foam core • ASHRAE 90.1
bonded to embossed,glass fiber reinforced aluminum foil facers . International Energy Conservation Code(IECC)
on both sides.The exposed side of the board has a heavy 12mi1 . Internationai Building Code(IBC)Section 2603,Foam Plastic
facer with an aluminum reflective surface. The other side is
marked in production to ensure proper installation. TSX-8500 • DrJ TER 1309-03
utilizes a CFG-, HCFC- and HFC-free blowing agent that has • ESR-1864, ICC Evaluation Service
zero Ozone Depletion Potential (ODP) and negligible Global • Miami-Dade County Product Control Approved
Warming Potential (GWP). This pressure washable insulation • RR 25322,City of Los Angeles Research Report
is suitable for use in walis or ceilings and some limited roofing . California Code of Regulations,Title 24
applications in commercial, agricultural and industrial buildings . Class A Flame Spread and Smoke Developed Indices per
—new construction or thermal retrofit. Specifically,TSX-8500 is IBC Chapter 8,lnterior Finishes
ideal for masonry or stud construction;farm or storage buildings;
pre-engineered metal buildings; laminate panels and other • Tested per UL1715 to comply with IBC Section 2603,
similar applications. TSX-8500 is designed to be left exposed Special Approval paragraph
without a thermal barrier to provide an attractive interior finish. • Up to 4.5 inches on walis
• Up to 12 inches on ceilings
• Tested per NFPA 285 to comply with IBC Section 2603.5.5
- ��•�,; • Water-Resistive Barrier(WRB)perAC71
_ --. (ASTM E331,AATCC Test Method 127)
.\��,, ' ' , � • Air Barrier Matenal perASTM E2178
�.__ "� >�; :
� � 1,2,3 or 4 hour Fire Rated Assemblies as shown
�k'P � in the UL Fire Resistance Directory
. � • Design No.: U026, U326, U330, U354, U424, U460,
U902, U904, U905, U906, U907,V454,V499
THERMAL PROPERTIES/ PRODUCT DA7A
PRODUCT �ENEFITS "R" means resistance to heat flow. The higher the R-value, the greater
the insulating power.
• Part of the overail design solution
• Installed continuously to reduce thermal bridging ' ' �
• Meets R-value requirements with a thinner proflle r 3 j �ncnes °F•�Z•hrietu °F•tt2•nrBtu
• Blocks air and moisture
�U 0.50 3.2 5.97 96
• Mold resistant per ASTM D3273(no defacement) 0�75 5.0 �.n so
• Reduces energy costs �pX t.00 s.o s.�� as
• Reflective facer acts as a radiant barrier 1.50 s.s 12.37 s2
• Pressure Washable 1.55 �o.o �2.�� so
• Lightweight and easy to install z.00 13.1 �5.s� 2a
• Reduces material and labor costs 2.30 15.3 �a.o� zo
• Tested per NFPA 285 without requiring exterior gypsum 2_5o is.� ts.a7 �s
board or fire-stops around header openings 3.00 2o.s 23.0� as
• Contributes toward LEED credits in the following categories: 3.50 23.9 2s.s� �a
• Energy&Atmosphere a.ao 2�.a 30.» �2
• Materials&Resources a.so 31.0 33.77 �o
,, ,. .:.,. , ,. ,. ,
• Offers tax credit,where appiicabie ` " ``�`, '
zo�sos �� .. . _ �
are approx�r iat y.;.��rcu �r an „ar�e���n, a_. �aa��� .tl���r�y ��„_ �er a ;�n�iete
list of thicknesses and packaging in(ormation.
ImprovingYour Design.
��
MAXo
For warranties,limitations and conditions refer to Rmax Sales Policy and applicable warranties. All documents are
located at www.rmax.cc�m. For technical and sales support,email rmax,�rmax.con�or call (800) 527-0890.
Proudly Made and Engineered in the U.S.A.
^�.....
Rmax Sales Offices and Plant Locations
Central: East: West:
13524 Welch Road 1649 South Batesville Road 210 Lyon Drive
Dallas,Texas 75244 Greer,South Carolina 29650 Fernley,Nevada 89408
Phone:972-387-4500 Phone:864-297-1382 Phone:775-575-4849
Fax:972-387-4673 Fax:864-234-7548 Fax:775-575-5035 p�M A
Toll Free: 1-800-527-0890 Toll Free: 1-800-845-4455 Toll Free: 1-800-762-9462
,rawuea�e�rvsu�nncrv
E-mail us at rmax@rmax.com or visit our website www.rmax.com ..�;;;��„„Ehs 4,�:�,,.�ar�„N
TSX-8500
TSX-8500
ADDlTIONAL THERMAL R-VALUES
s
"R" means resistance to heat flow. The higher the R-value,
A��"' the greater the insulating power.Accortling to the ASHRAE
Handbook of Fundamentals, the reflective foil facing of
Doing one thing well TSX-8500 contributes additional R-value to the overall
itl So tTlariy WByS... assembly when installed against an air tight space. For
example, ASHRAE assigns a 2.77 R-value to a 314 inch
Rmax is a U.S.owned dead-air space against a reflective foil in a typical wall
company that only assembly. This value is in addition to the R-value of the
manufactures Polyiso Polyiso foam-see System R-Value below.
insulation.TSX-8500 is
manufactured in the U.S ��
and is offered through
an extensive distribution ��cn�s �r•rt�nr!��� F���t�•i,r;���u
network. It is available in o.50 3.2 5.97 96
standard four foot wide o.75 5.0 �.7� so
panels,with stantlard panel 1.00 6.0 8.�� a8
lengths of eight or nine feet. �.25 7.8 10.57 38
Custom lengths are available
for special orders. Contact 1.50 9.6 12.37 32
Rmax Sales at your regionai 1.55 to.o �2.�7 30
Customer Service Center 1.75 11.4 14.17 27
for product availability, 2.00 �3.1 15.87 2a
pricing information,and your 2.25 14.9 17.67 21
nearest tlistribution center. 2.30 15.3 18.07 20
Corporate&TechnicaE 2.50 16.7 19.47 19
Rmax Operating, LLC 2.75 18.5 21.27 �7
13524 Welch Road 3.00 20.3 23.07 16
Dallas,Texas 75244-5291 3.25 22.1 24.87 14
Phone: (972)387-4500
Fax: (972)387-4673 3.50 23.9 26.67 13
EmaiL rmax�r_��><;x_c�,;:!;. 3.75 25.7 28.47 12
�: ._�_ _ _.
Web:v��w,�.rmax.corr, 4.00 27.4 30.17 12
Customer Service 8 4.25 29.2 31.97 11
Plant Locations 4.50 31.0 33.77 10
Central Region ' ' " ' ' ' ' ' " '
�• - � .� � � •� . � , � � •
Dallas,Texas �� ,
(800)527-0890 Ext. 102
TSX-8500 is shipped in bundles that are approximately 48
Eastern Region inches high and wrapped in plastic for easy handling.
Greer, South Carolina Visit�_v+r��:^;�n��,_<,�;_!?;for a complete list of thicknesses and
(800)845-4455 Ext. 156 packaging information.
Western Region
Fernley, Nevada
(800) 762-9462 Ext. 156
P1MA � ;
='OLYISOCYANURATE INSULATION � �
�'� P+;ANUFACTURERS AS50CIATION ,
TSX-8500
�YPICA'L PHYSICAL PROPERTIES Water-Resistive Barrier -When TSX-8500 is installed uver wood
Physical properties shown are based on data obtained under controlled or steel studs with the joints sealed, it serves as a Wat�r-Resistive
conditions and are subject to normal manufacturing tolerances. Barrier. TSX-8500 has been tested per the guidelines set forth in the
ICC-ES Acceptance Criteria for Foam Plastic Sheathing Panels Used
. .,. . „ as Water-Resistive Barriers (AC71). For use as a WRB, TSX-8500
Density,Overa�l,Nomina� ASTM D1622 2.o pcf shaii be instalied with board joints placed directiy over wopd or steel
framing spaced a maximum of 24 inches o.c.All insulation board joints
Compressive Strength' ASTM D1621 2o psi Standard shaii be covered by R-SEAL 3000 tape. All transitions and throughwall
Also Available in 25 psi penetrations must be flashed to comply with applicabie code.
Upon Request
Flame Spread, Facedz ASTM E84 25 or Less Exterior Walls - TSX-8500 can be specified in exterior walis of
buildings of any height utilizing brick veneer,stucco, limestone or natural
Smoke Developed, Faced2 ASTM E84 <450 stone veneer,cast artificial stone veneer,MCM,ACM,terracotta cladding,
Water Vapor Transmission ASTM E96 <0.03 Perm metal skin,cement board siding,stonelaluminum honeycomb composite
Water Absorption ASTM C209 <0.2%Vol. panels, AAC panels or thin brick. TSX-8500 has been tested per
Dimensional Stability ASTM D2126, <2%Linear Change NFPA 285 and successfully passes with the exposed side facing the
7 days,158°F,se%RH exterior. The NFPA 285 listinglapproval is dependent on all components
Reflectance ASTM E408 0.96 of the assembly. For a full explanation of approved assemblies and
Emittance 0.04 acceptabie components,refer to Rmax Architectural Solutions:NFPA 285
and Exterior Walls with Rmax TSX-8500. Third party evaluations and
Air Permeance ASTM E2178 <0.02 u(s.mz) listings should also be consulted for specific instructions.
Service Temperatures -40°F to+250°F
� .�• .� ,�,..`..��=—�-'�___ p
�.
� •.� . � � �- � � , �. � , „ . , . --��".�-.�.. ' �
�, • ••� � '� ' ' �- � • � : (1 . � • •� � r• • �' �( � ---- -- STEELSTUDS
.� X.', I 3-� ,�
� � � g�� � � � - TSX-6500
7 �" � /
� ' �'� %--� ACM/MCM PANEL
APPLlCATIf�N / INSTALLATION - �
General - TSX-8500 passes UL1715 (walls only or ceilings ��'
only) in single or multiple layers without joint treatment of any _ ` ,,�'"
kind. Therefore, the boards only need to be tight�y butted. ,�✓y ;
However, taping the seams is acceptable using R-SEAL 3000, ��
or equivalent. For a more professional, finished look, use Rmax's �
PVC insulation clip. Refer to Rmax publication, Joint Closure
Recommendations and Installation Instructions for Interior Exposed
Applications, for additional information and guidelines on installation,
joint treatment and sealing techniques. TSX-8500 may be covered with pre-Engineered Metal Build9ngs-TSX-8500 provides a layer of
an interior finish product provided it is compliant with the requirements of continuous insulation (ci) for walls or ceilings of pre-engineered metal
IBC Chapter 8, including interior paint.A quality grade acrylic latex paint buildings in one easy step. The TSX-8500 is simply fastenetl to the face
is recommended for coating the surface. While primer is not generally of the girts or between the girts and the metal exterior skin of the building.
required,consult the paint manufacturer andlor industrial paint supply for Use Rmax PVC clips for an easy yet clean, professional installation.
recommendations and best practice.
Securement — TSX-8500 may be fastened to wood framing using
roofing nails, bugle head screws or minimum 314 inch cap nails. The ,��
fasteners shall be long enough to penetrate wood framing a minimum ,�; ' `��
of 1 inch. TSX-8500 may be fastened to metal framing using self-taping ;�''�J,
screws and plastic washers. The fasteners shall be long enough to _ ,_� ' �",�--`� °
penetrate metal framing a minimum of four threads. Wherever possible,
the insulation boards shall be installed vertically with all edges tightly s�oEwa����Rr --- ,� . ,� `
butted and backing by framing. When the insulation boards are installed rsx-asoo -��'" ��
horizontaily, i.e., perpendicular to framing, the maximum span shall be �_ � — ' r:_
5 feet. TSX-8500 ma be secured to concrete surfaces usin lastic R-sen�300o Tnae � _• ;,
y g p {OPTIONAL) � y
masonry fasteners with washer or a quality grade construction atlhesive, k �!
a � =_s �.�
;
, _ �.
i , ', , �,
_ __-i_ _i�---;..: - - C �,
Agricultoral, Farm, Storage Buildings and Other Light LIMITATIONS
Commercial Structures-TSX-8500 may be used as an exposed, TSX-8500 is not recommended, nor warranted, for use as a commercial
finished, continuous insulation (ci) system in agricultural, farm, storage roof insulation directly untler membrane systems. Consult Rmax Sales
buildings and other light commercial structures.It may be secured directly for suitabie commercial roof insulation products.
to the wood or metal framing members, or use Rmax PVC insulation
clips for an easy yet clean, professional installation. TSX-8500 is not a structural panel. It must not be used as a nailing
base for any other building products. Furthermore, walls insulated with
j�`�'�� '�„ �' TSX-8500 must be properly braced for lateral loads according to the
' ���,����� � ` ��� requirements of local Building Codes.
� �,
ROOFTRUSSES �- ��� ' .
.. .. ;.���� \i. .
rsx-asoo •� � �c_ �����-�; �� WAf�NING
T l ` � ��
RSEAL3000TAPE �� ��- �: -�..-.-.:-�. .`;,f� Polyiso foam is an organic material which will bum when exposed to
coPT�o""`� , =, � t an ignition source of sufficient heat and intensity and may contribute to
�
" � ` ' `� flames spreading.
-� Consult local Building Codes and insurance authorities regarding special
applications or details required when using TSX-8500 as an exposed
�` _ product.
� -
, _�
` -- -�-- Per the IBC and IRC,a WRB is required behind the exterior wall veneer.
} ---�.��...,_ .
' _ _ The code also has provisions regarding vapor retarders, type and
� ' location, based on the assembly, climate zone and the amount of
continuous insulation. It is up to the design professional to specify an
Masonry - TSX-8500 is applied to the interior face of concrete or assembly that will perform adequately and meet these requirements.
concrete masonry to provide a layer of continuous insulation(ci)over the
entire surface. It may be adhered or anchored directly to the concrete WARRANTY
surface or attached to furring.Use Rmax PVC clips for an easy yet clean,
professional installation. For example,TSX-8500 is an excellent product See Rmax "Sales Policy" and applicable warranties for terms and
for use in insulating block walls, standard cavity walis and the underside conditions. Rmax does not assume any responsibility or liability for the
of slabs such as ceilings of parking structures. It can also be used in performance of any products other than those manufactured by Rmax.
conjunction with tilt-up wall panels. NOTE:All Rmax products must be tarped,placed on skids and kept
dry before and throughout construction.
'�- I!
�i�' +___--- MASONRY WAL�
i y r_--� �, , ___ TSX-8500
j , __
; ii
�a ✓
, ' ' i ° ,, . _-. R-SEAL 3000 TAPE
' ' ' (OPTIONAL)
i, � �, �
�., I� , ;' ��
�� ��� ��
R;` '� .'
��: i I � �� �
��,'r;;;
\
''�:`�. ,/
; �-:
Pressure Washable - TSX-8500 is pressure washable, up to 1000
psi using a cleaning spray rig. The wand noule must have a fan spray
tip with an angie of at least 15 degrees.The washing wand should not be
used at a distance of less than 3 feet from the surface of the insulation
board. Pressures greater than 1000 psi may result in damage to the
insulation facer.
�
� `j Y� ������'NJ��� �'���������� �� ���
. ' «sa.R�..Arcnw*tx+�a.so�'�t'A+�.-..xt�+cIItnp..rt�.4K.^*.y,p�..qTq+Ta,�,q;......-a
1
� �n ,�'.^.J. . J�' " �y�� v^ -..�
i:�;..:: �: Il i i: �l.'71:'' .';-"•`--
Etrw�x T°h�rm�slreath�-3, Y'herma�heatl��-3gP, YER Rloo 1309-03
'P��f�8500, TSX••��1� 8, �'SX-�52�
Is�ue Dste:14N�y 19,2014
tl�da�ed:October 1,2A14
Rmax Operating, LLC �_���� . ��a�ject�o Renewai:July 1,2095
13524 Welch Road ��'� � - �'---
Dallas, TX 75244
972-850-3652
F�in�x.coi i��
DIVISION: 06 00 00--WOOU,t�L.AST'IC� AND COM�'OSIYES
Section: 06 16 00—Sheathing
Section: 06 16 13—Insulated Sheathing
Section: 06 16 53—Moisture-Resistant Sheathing Board
DIVISION: 07 00 00—1'NERMAL AND MOISTUR� PROTECTION
Section: 47 20 00—Thermal Protection
Section: 07 21 00—Thermal Insulatfon
Section: 07 25 OQ—Water-Resistive BarrierslWeather Barriers
Section: 07 27 00—Air Barriers
1. Products Evaluated:
1.1. Rmax Thermasheath�-3
1.2. Rmax Thermasheath�-XP �
1.3. Rmax TSX-8500 �
1.4. Rmax TSX-8510
1.6. Rmax TSX-8520
1.6. For the most recerit version of this report, visit dr.�engin�erin�orc�. For
more detai�ed statE;professional engineering and code compliance
�egal requirements and references, visit drj�nc�ineering.�rc�/statelaw.
DrJ is fully compli�int with all state professional engineering and code
compliance laws.
1�v1 f� a P�ofe�sion�! �n�in�e�ir���ppYov�d�ource
� ..�..�.,�.,�....w..� .,,�,�.....,,.R�,.�..,
���- ./^; !' f� ei4-IfI �'\ -IYKINel� };�(; r � �
a rt;./a;r...�... =Jf� .�......,.,.� , J�:
Scope of Responsibility 1 Woric,Operations Policies,and Legal Responslbilities
• Ft_��ssion_�r,d Scoa;;of Pesp�nsiGililg
• F?rpduef E��alu�fi?r_Oeeralions_Conce�Is a��QF'dicies
• TE�s Are Co!n arable to,Compabble u�ifh �rxi Cou�yalent tu ihe_f�urpose;c,f�n,ICC;E_,ESf3.�APL��,)ER In!ertek IRf2�Architeciural Testin�CCf�k,etc,
• Le�l�t�ecls o(Procluct Approy�l
6300 Ente►prise Lane e Madison WI 53719 e drjengineering.org
. • Technic�l Evaluation Report�7ER}
2. Applicable Cod�s and 54andards:'
2.1. 2006, 2009 and 20121nternational Buiiding Code(!BC)
2.2. 2006, 2009 and 20121nternational Residential Code(!RC)
2.3. 2006, 2009 and 2012 lnternationa!Energy Conservation Code(!F_CC)
2.4. AATCC Test Method 127—Wafer Resistance:Hydrostatic Pressure Test
2.5. ASTM C209—Standard Tesr Methods/or Cellulosic Fiber tnsulating Board
2.6. ASTM C518—Standaraf Test Method for Steady-State Thermal Transmission Properties by Means of the Heat
Flow Mefer Apparatus
2.7. ASTM C 1289—Standard Specification for Faced Rigid Cellular Potyisocyanurate Thermal Insulation Board
2.8. ASTM E84--Standard Test Method for Surface Burning Characteristics of 8uilding Materials
2.9. ASTM E96—Standard Test Methods for Water Vapor Transmission of Materials
2.10. ASTM E284—Air Infiltration
2.11. ASTM E331—Modified, Water Resistance
2.12. ASTM E2178—Standard Test Mefhod for Arr Permeance of Building Materia�s
2.13. NFPA 259—Standard Test Method for Potentia!Heat of 8uilding Materials
2.1�. NFPA 285—Standard Fire Test Mefhocl for Evatuation of Fire Propagation Characteristics of Exterior Non-
�oad-Bearing Wa!!Assemblies Containing Combustible Components
2.15. N�PA 286—Sfandard Methods of Fire Tests for Evaluating Corttnbution of Wa!!and Ceiling Interior Finish to
Room Fire Growth
2.16. UL 1715—Fire Test of lnterror Finish Material
3. Performance Evaluation:
3.1. Thermasheath�-3, Thermasheath�-XP, TSX-8500,TSX-851Q and TSX-8520 were evaluated to determine:
3.1.9. Performance in accordance with foam plastic requirements of fRC�ection�316 and IBC Section 7603.
3.1.1.1. Surface buming characteristics in accordance with IBC S�ction?G03.3 and !f`'C S�ction R316.3.
3.1.1.2. Special approval for use without a thermal barrier or ignilion barrier in accordance with 1RC Section
Ft31�.4 and IaC,Scctjon,2603_4 and S�ction:�603�52.
3.1.2. Performance for use as insulating sheathing (R-va�ue)in accordance with !F?C��c ion N1101.and IECC �
Section�dU2.
3.1.3. Performance for use as a water-resistive barrier(WRB)in accordance with ff2C Section_f�70_3.2 and IBC
Section 140�.2.
3.1.4. Performance for use as a vapor retarder in accordance with Il�C Sec4ion_I�2U2 and Section(�702.%, and
IBC SectiQn 202 and Section 1�105.3.
3.1.5. Performance for use as an air barrier in accordance with lECC Sec ion 402.
3.2. TSX-8500, TSX-8510 and T5X-8520 were evaluated to determine:
3.2.1. Potential heat in accordance with IBC SecQiori?f03.5 3.
3.2.2. Vertical and lateral fire propagation in accordance with 1BC Section 2CO3.5.5.
3.2.3. Ignition characteristics in accordance with JBC,Ser,ti�n.2603�5.7.
�Unless othenvise noted,alt re(erences in this oode�anpliani research report(TER)are from the 2012 version of tlie codes and the standa�ds reterenced therein,indudirg,but not
limited to,ASCE 1,SOPWS and WFCM.This produd also oomplies with Ihe 20D0-2009 versfons a(the 1BC and!RC and fhe standards referenced lherein.As required by law,where
this research report is nol appcoved,the building official shall respond in wri6ng,slaGng the reasons this research report was not approved.
TER No. 1309-03 Page 2 of 11
Rmax Thermasheath�-3, Thermasheath�-XP,
TSX-8500, TSX-8510&7SX-8520
� "Pechnical Ev�luation Re�ort('PER)
3.3. Use of Thermasheath�-3, rhermasheath�-XP, TSX-8500, TSX-8510 and TSX-5520 in structures where the
exterior wall covering is unable to resist 100%of the transverse wind load is outside the scope of this Technica)
Evaluation Report(TER).
3.4. Any code compfiance issues noti specifically addressed in this section are outside the scope of this evaluation.
�8. Procfuct Description anci Wiaterials:
4.1. Thermasheath°-3, Thermash�ath�-XP, TSX-8500, TSX-8510 and TSX-8520 are non-structural foam plastic
insulating sheathing (FPIS) panels consisting of a closed-cefl rigid polyisocyanurate(polyiso)foam core
bonded to various facers (ASTIVI C1289 Type 1, Class 1).
r.�
J' 4 '
F Y�� -'
.,t ' ��
•T ����a. ' .. ��y� •_'�.
� Yl�yy .�.1.'�d.�A,,,.n�•T^ ¢��'����''""Y.�7�' ��
�:;a ,
.,�.R"`�o;,�`��4r•�='
Figure 1a:Thermasheath�-3 Figure 1b:7SX-8500 Figure ic:TSX-8510
4.1.9. Thermasheath�-3 consists of a polyiso core bonded to Kraft reinforced aluminum facers on each side.
Both sides have a reflective surface.
4.1.2. Thermasheath�-XP consists of a polyiso core bonded to aluminum facers on each side. Both sides may
be left exposed; one side has a white modified acrylic coating,and the other side has a reflective surface
with a clear coating.
4.1.3. TSX-8500 consists of a polyiso core bonded to glass fiber reinforced aluminum facers on each side. Both
sides have a reflective surface. Each board is marked on the non-exposed side.
4.1.4. TSX-8510 consists of a polyiso core bonded to glass fiber reinforced aluminum facers on each side. The
exposed side has a white modified acrylic coating. The non-exposed side has a reflective surface. (This
product is identical to TSX-8500 except for the white coating on the exposed side.)
4.1.5. TSX-8520 consists of a polyiso core bonded to glass fiber reinforced aluminum facers on both sides. Both
sides may be exposed; one side has a white modified acrylic coating, and the other side has a reflective
surface.
4.2. Materia!Availability
4.2.1. Thickness: '/2"(12.7 mm)through 4.5"(114.3 mm) �,�
4.2.2. Standard width: 48"(1219 mm)
4.2.3. Standard length: 96", 108"and 920"(2438 mm,2743 mm and 3048 mm)
5. Applications:
5.1. Thermallnsulation
5.1.1. Thermasheath�-3, Thermasheath�-XP, TSX-8500,TSX-8510 and TSX-8520 are non-structural FPIS
panels used as thermal insulation within the building envelope, including, but not limited to, attic,
crawlspace,wali, roof,ceiling,floor and foundation assemblies.
5.1.2. Thermasheath�-3, Thermasheath�-XP,TSX-8500,TSX-8510 and TSX-8520 may be installed horizontally
under foundations and vertically on the interior side of footings and foundation walls.
5.1.3. Thermasheath�-3,Thermasheath�-XP,TSX-8500, TSX-8510 and TSX-8520 meet the continuous
insulating sheathing requirements complying with the provisions of lECC Section 40?..
TER No. 1309-03 Page 3 of 11
Rmax Therrnasheath�'-3,Thermasheath�-XP,
TSX-8500, TSX-8510&TSX-8520
• ' Technical Evatuation Report('fER)
5.9.4. Thermasheath�-3,Thermasheath�-XP, TSX-8500, TSX-8510 and 7SX-8520 have the thermai pr•operties
shown in Table 'i.
Product � Nomin�l Thickneaa(in.) Thermal R-Value'(°F•/g.2•hr/Btu)
Yz" 3.2
1.00" — ---__ 6.0
1.54" 9.6
Thermasheath�-3, 1.64" 10.3
Thermashealh�-XP, �2,00" 13.1
TSX-8500,
TSX-8510& 2.50" 16.7
TSX-8520 3.00" 20.3
3.50" �23.9
4.00" 27.4
W 4.50" 31.0
t.Thermat values are determined by using ASTM C518 test method at 75°F mean temperalure on materiai condi6oned according
fo PIMA 7echnical Bulletln No.101.
Table 1:7hermal Properties of Thermasheath�-3,Thermasheath�-XP,TSX-850(1,7SX-8510 8 TSX-8520
5.2. Air Barrier
5.2.1. Wall and ceiling assemblies constructed with Thermasheath�-3, Thermasheath�-XP,TSX-8500,'fSX-
8510 and TSX-8520 are used to meet air barrier requirements in accordance with IECC S�rti�n L�02.
5.2.2. When used as part of an air barrier assembly, ail sheathing panel joints shall be taped with R-SEAL 3000
or R-SEAL construction tape, including the top and bottom of walls, in accordance with the
manufacturer's installation instructions and this TER.
5.2.3. All penetrations shall be flashed and sealed in accordance with the flashing manufacturer's instal�ation
instructions.
5.2.4. Thermasheath�-3,Thermasheath�-XP,TSX-8500, TSX-8510 and TSX-8520 are defined as air barrier
materials having air permeance of less than 0.02 L/m*ft.2,when tested in accordance with ASTM E2178.
5.3. Water-Resistive Barrier
5.3.1. Thermasheath�-3,Thermasheath�-XP,TSX-8500, TSX-8510and TSX-8520 may be used as a WRB as
prescribed in lE3C 5�ctinn��0�.2 and IRC Sec2ion IZ703.2,when installed on exterior walls as described
in this section.
5.3.2. Thermasheath�-3,Thermasheath�-XP, TSX-8500,TSX-8510 and TSX-8520 shall be installed �
horizontally or vertically with board joints placed directly over exterior framing spaced a maximum of 24"
(610 mm}o.c. The fasteners used to attach the board shall be installed in accordance with Section 6.
5.3.3. All seams and joints between boards shall be covered by R-SEAL 3000 or R-SEAL Construction 7ape.
5.3.4. A separate WRB may also be provided. It a separate WRB method is used,taping of the sheathing joints
is not required.
5.3.5. Flashing of penetrations is required and shall comply with the applicable code.
5.3.6. Thermasheath�-3, Thermasheath�-XP,TSX-8500, TSX-8510 and TSX-8520 have the water-resistant
properties shown in Table 2.
Thermasheath�-3,Thermasheatir�-XP,TSX-8500,TSX•8510 8�YSX-8520 Water•Resistance Prope�ties
Product Property Tested Teat Standa�d Tesk Results
Thermasheath�-3, Water Vapor Transmission ASTM E96 <0.03 Perm
Thermasheath�-XP,TSX-8500,
TSX-8510&TSX-8520 Water Absorption ASTM C209 <0.2%Volume
Table 2:Thermasheath�-3,Thermasheath�-XP,TSX-8500,TSX-8510&TSX-8520 Water-Resistance Properiies
TER No. 1309-03 Page 4 of 11
Rmax Thermasheath�-3, Thermasheath�-XP,
TSX-8500, TSX-8510&TSX-8520
• ' �'�chnic�l�valua4ion Repo�4('TEC�)
5.4. Fire Safety Perfo��mance
5.4.1. Sueface�urn Characteristics
5.4.1.1. Thermasheath�-3, Thermasheath�-XP, TSX-8500, TSX-8510 and l"SX-8520 have the flame spread
and smoke developed ratings shown in_i�.���c_:s., when tested in accordance with ASTM E84 per!„�_
5ecfioi�_r�t3i6 3 and /�C_Sectioi�_ZG03,il.�
Fir�Performance-Surface Bum Characteristics+ �
Product Flame Spresd Smoke Developed
Thermasheath�-32 <75 � <A50 �
Thermasheath�-XP,TSX-8500,TSX-8510 �25 <450 m� "
8 TSX-8520
1.Tested in accordance wiih ASTM E84. �`
2.Faam oore.
Table 3:Surface Burn Characteristics of Thermasheath�-3,Thermasheath�-XP,TSX-8500,TSX-8510&TSX-8520
5.4.2. Thermal Barrier-Thermashea4h�-3(1RC and IBG 6uildings)
5.4.2.1. Except as noted in iect,ior� :i.�;i.7, Thermasheath�-3 panels, up to 12"(304.8 mm)in thickness, may
be installed within the building enve(ope(including but not limited to,attics, crawtspaces,and wall,
roof, floor and ceiling assemblies)of all building types when separated from the interior with a thermal
barrier consisting of a minimum'/i'gypsum wallboard or an approved equivalent in accordance with
!�,'C�,�c�ior. `r':3�fi.� and !L-3C S.>ction 260;i.��.
5.4.2.2.Thermasheath�-3 has nat been tested to NFPA 285 for use in exterior walls of!BC Type I-IV
construction in accordance with lL3�:;;:c;,iO{1 ZCOJ.J.J.
5.4.2.3. Panels may be installed in single or multiple(ayers.
5.4.2.4. The thermal barrier required by ae�4ion_5.�2.1 is not required in the following applications:
5.4.2.4.1. Thermasheath�-3 is covered by a minimum 1"thickness of concrete or masonry on each face
of the sheathing in accordance with 1RC Section 316.5.� or IBC SFction 2603v�+�1.
5.4.2.4.2. Walk-in coolers in accordance with /8C Section 2603.4.1.3.
5.4.2.�1.3. When used in a roof assembly where the Thermasheath�-3 is separated from the interior of
the building by a minimum 15/32'wood structura�panel(WSP) in accordance with l�. Section
316�5.?or I13C Section 2603,�!.1 5.
5.4.2.4.4. Attic, crawlspace or other uninhabitable space applications in accordance with IRC SecEion �
�23't_�>_5.3 and :��;c;tir��i;:ii:_5_!_, and tE�G_���cFion}G0.3 fi."i:f;.
5.4.2.4.4.1. When installed in an attic, crawlspace or other uninhabitable space,Thermasheath�-3, at
a maximum of 1", is approved for use without an approved thermal barrier or ignition
barrier, as a result of passing NFPA 286 testing in accordance with the acceptance
criteria of ICC-ES AC12 Appendix 8Z-Alternative Fire Test Method for Attic and Crawl
Spaces. This includes, but is not limited to, knee and gable end walls.
5.4.2.4.4.2. Use without an approved thermal barrier or ignition barrier in this application is 4imited to
areas where:
5.4.2.4.4.2.1. For 1RC applications only, access to the space is required by !RC_Sec4inn F:807.�
or Ft40a.�. --..-".
5.4.2.4.4.2.2. For both /RC and IBC applications, entry is made only for the purposes of repairs
or maintenance.
5.�1.2.4.5. On the walking surface of a structural floor systern,when Thermasheath�-3 is covered by a
minimum '/2'WSP or approved equivalent in accordance with 1HC 5ection,316�5.13 and ff3C
Sectioi� 7G03.L.5.5�.
�ICC-ES acceptance aiteria are not consensus standards.However,this aiteria is the geoerally accepted prac6ce by the industry to establish equivalency to the igniUon bamers lisled in
1RC SetiUcn R31fi.5.3 and 16�Se,cGc�2603,4.i,E.
TER No. 1309-03 pa
e
Rmax Thermasheath�-3, Thermasheath�-XP, 9 0 11
TSX-8500,TSX-8510&TSX-8520
• `fechnical Evaluation Report(TER)
5.4.3. Thermai�arri�r—7hermasheath�-XP, 1'�3(-8500,TSX-8510 and TSX-�520(/RC and/�C�uildings)
5.4.3.1. Except as provided in :�e:cti�n.a,�.3 'l__. and 5�.ction 5.4.�,,Thermasheath�-XP,TSX-8500, TSX-8510
and TSX-8520 panels, up to 12"(304.8 mm) in thickness, may be installed within the building
envefope(including but not limited to,attics, crawlspaces, and wall,roof,floor and ceiling assemblies)
of all building types when separated from the interior with a thermal barrier consisting of a minimum
%2'gypsum wallboard or an approved equivalent in accordance with IF�C 5Hctic�r�f:3 i Ei,�and_I„C
SF:ction 26Q3.�s. _
5.4.3.2.Thermasheath�-XP,TSX-8500,TSX-8510 and TSX-8520 are specifically approved for use without a
thermal barrier or ignition barrier as prescribed by If;C 5�ctiUri_f131�i.�}through E2;3'lu,;;._i 3 and 18C
5c;ctic��-i 2�03,4_through_7_6U3,£i,, based on large-scale testing conducted in accordance with UL 9715
per IF2C SecEioi� it3'i_G,�and 1L3C.5�c:tiior7.;z��Cj3,�0 as follows:
5.4.3.2.1. Panels may be installed in single or multiple layers.
5.4.3.2.2. In a walls-only application,the panels are permitted to be used without a thermal barrier or
ignition barrier in thicknesses not to exceed 4.5"(114.3 mm).
5.4.3.2.3. In a ceiling-only application,the panels are permitted to be used without a thermal barrier or
ignition barrier in thicknesses not to exceed 12"(304.8 mm).
5.4.3.2.4. In an application where the panels are used on both the walls and ceilings, use of a thermal
barrier or ignition barrier is required on either the wall or the ceiling. Panels may be installed
in single or multiple layers in thicknesses up to 12"where covered by a thermal barrier or
ignition barrier. The exposed wall or cei6ng assembly must comply with Section :i.�i,3.2.2 or
Ssction 5.4.3,?..3, respectively.
5.4.3.2.5. When the panels are covered,the covering shall comply with the interior finish requirements
of !BC Char>4er 8 and IRC 5ectir�n Kld�,i,as applicable.
5.4.4. Potential Heat
5.4.4.1.7SX-8500, TSX-8510 and TSX-8520 have been tested to assess their performance as shown in
Yable 4 with regard ta potential heat in accordance with NFPA 259 and!BC S�cticm 1�03.5.�.
Fire Performance—PotenHal Heat�
Product Potential Heat(BTUIIb.)
TSX-8500,TSX-8510&TSX-8520 11,054
1. Tested ln accadance wflh NFPA 259. _ ,
Table 4:Potential Heat of TSX-8500,TSX-85i0&TSX-8520
5.4.5. Ignition Properties ""�
5.4.5.1.TSX-8500, TSX-8510 and TSX-8520 were evafuated to assess performance with regard to ignition in
accordance with lE�C Section?603.5a7_
5.4.5.1.1. The insulation boards comply with this section when the exterior side of the sheathing is
protected with one of the following materials:
5.4.5.1.1.1. A thermal barrier in accordance with!BC Section Z603.4.
5.4.5.1.1.2. Masonry or concrete—minimum 1"(25 mm)thick.
5.4.5.1.1.3. Glass-fiber-reinforced concrete panels—minimum 3/B'(9.5 mm)thick.
5.4.5.1.1.4. Metal-faced panels having a minimum 0.019"(0.48 mm)thick aluminum or 0.016"(0.41
mm)lhick corrosion-resistant steel outer facings.
5.4.5.1.1.5. Stucco—minimum '/e'(22 mm)thick complying with IE3C Section 2510.
5.4.6. Vertical and Lateral Fire Propagation
5.4.6.1.TSX-8500 has been tested to assess its performance with regard to vertical and lateral fire
propagation in accordance with NFPA 285 and !�C�ectwn?f�03.5.5.
5.4.6.2. Engineering analysis has also been conducted to assess substitution of other products within the
approved wall assemblies.
5.4.6.3.The wall assemblies listed in Table 5 are approved for use in buildings of Type I-IV construction with
a maximum 3"thickness of TSX-8500, TSX-8510 or TSX-8520.
TER No. 1309-03 Page 6 of 11
Rmax Thermasheath�-3, Thermasheath�-XP,
TSX-8500, TSX-8510&TSX-8520
• ' Technical Evaluation �eport(TEi2)
� Fire Performance�Vertical and Laferal Fire Propagation�
Wall Component M�terials
Base Wall System 1. Concrete wall
Select option 1,2 or 3 2. Conaete masonry wall
"s. i layer—i."-inick Type X or Y:°-fhicic i ype x gypsum waiiboard on intenor,installed over steel studs:
___ _ minimum 35/g"depth,minimum 20 gauge at a maximum of 24"o.c.with lateral bracing every 4'vertically
Floarline Fir�stopping 4 Ib./cu ft.mineral wool(e.g.,Thermafiber)in each stud cavity at each floorline—attached with Z-clips or
equivalent
Cavity Insulation 1 None � ���s� ���� .
Select option 1,2,3 or 4 2. Any noncombustible insulation
3. Fiberglass batt insulation(faced or unfaced)
� 4. Any Mineral Fiber(board type Class A,faced or un-faced meeting ASTM E84}
Exterior Sheathing 1. None � ����
Select option 1 or 2 2. %z'-thick or thicker,exterior type gypsum board sheathing
Weather-Resistive Barrier 1. None ��� � �����
Applied to Exterior Sheathing 2. Any WRB tested in accordance with ASTM E9354 and shown to be Iess flammable(longer time to
Select option 1 or 2 ignition and lower peak heat release rate) than the exterior insulation foam core:
a. Green GuardeMax Building Wrap—Pacliv
Note:Where no exterior sheathing b. Tyvek�CommercialWrap�—Dupont
is used,(exterior sheathing,option c. WeatherMate'"or WeatherMateT"'Plus—�ow Chemical
1)items 2a,2b,and 2c may be d. Carlisle CCW-705FR-A
applied directly to studs. e. BASF Enershield HP
f. BASF Enershield I
g. Cariisle CCW Fire Resist Barritech NP
h. Cariisle CCW Fire Resist Barritech VP
i. Henry Air Bioc 31 MR
j. Henry EnviroCap
k. Henry Air Bloc 33 MR
I. Henry Air Bloc 21 FR
m. Henry VP160
n. Henry Air Bloc 17
o. Henry BlueSkin SA
p. Henry FoifSkin
q. Prosoco R-Guard Spray Wrap
r. Prosoco R-Guard MVP
s. Prosoco R-Guard VB ""'
t. Prosoco R-Guard Cat 5
u. Soprema Stick VP
v. Vaproshield Revealshield SA
w. Vaproshield Wrapshield SA
Exterior Insulation Rmax TSX-8500,TSX-8510 or TSX-8520 Rigid Insulation—3"max.thickness.Multiple layers are allowed to
be used as required,but total thickness shall not exceed lhe 3"max.Panel joinfs shall be staggered.
Note:When used as a WRB,insulation joints shall be sealed with one of the following joint tapes:
a. Venture Tape CW—6"width maximum
b. Rmax R-SEAL 3000—6"width maximum
c. Asphalt or butly based tape—6"width maximum
Continued on next page
TER No. 1309-03 � � Page 7 of 11
Rmax 7hermasheath -3, Thermasheath -XP,
TSX-8500, TSX-8510& TSX-8520
� 1'echnicai Evaluation Reporf(T'ER)
Pire Performance-VerUcal and Laterai Ff�c Propagatlon'
Wall Component Materiats
Weather•Resistive�arrier 1. For use with exterior veneer options 1-4 when installed with non-open joint techniques(e.g.shiplap,etc.)
Appiied to Exterior Insulation a. None
Select option 1 or 2 b. Green Guard�Max Building Wrap-Pactiv
c. Tyvek�CommercialWrapm-Dupont
d. WeatherMate'"'or WeatherMateTMPlus-Dow Chemical
2. For use with all exterior veneer options as shown below:
a. None
b. Henry FoilSkin
c. Carlisle Fire Resist 705FR-A
Exteriar Veneer 1. Brick
Select option 1,2,3,4,5,6,7,8, a. Standard nominai 4"-thick,clay brick
9,10,11 or 12 b. Brick veneer anchors-standard types-installed maximum 24"o.c.vertically on each stud
c. Maximum 2"air gap between exterior insulation and brick
2. Stucco-Minimum'/<°-thick,exterior cement plaster and lath.A secondary WRB shall be installed
between the e�erior insulation and the lath.The secondary WR8 shall not be full-coverage aspha(t or
butyi-based self-adhered membranes.
3. Minimum 2"-thick,limestone or natural stone veneeror minimum 1�Iz°-thick cast artificial stone veneer.
Any standard installation technique can be used,
4. Terracotta cladding-Use any terracotta cladding system in which ter�acotta is min.1�14"•thick.Any
standard installation technique can be used.
5. MCM System-Use any metal composite material system that has been successtully tested by the panel
manufacturer via the IVFPA 285 test method.Any standard installa6on technique can be used.
6. Uninsulated metal skin exlerior wal{coverings such as steel,aluminum,copper,etc.Any standard
installation technique can be used.
7. Uninsulated fiiber-cement board siding-Any stand�d installation technique can be used.
8. StonelAluminum honeycomb composite building panels that have passed NFPA 285 or equivalent.
9. Autoclaved-aerated-concrete(AAC)panels that have passed NFPA 285 using any standard installation
technique.
10.Thin Set Brick-Glen-Gary Thin TechTM' Elite Series-installed per manufacturer's instnictians.
1.A4t WF185 sfia14 be instslled at recommended appl'�cation rates and per the manufadurers inStaUation InsW dions.
2.Ythndow headers for all wall assernblies shafl incoryorate minimum 0.078'aluminum flashing to cover afr gaps behreEn Ihe exleria sheathing w exterior insuta6on and the exle6or
veneer.AN tenestrations au�d peneUations shall be flashed in acxad�ce rvith the applicaWe code using asphalt aayGc a buryl bssEd flashing tape or R-SEAL 6C�00 pofyefhyiene
� tapa up to 12'maxlmum wldth.
Table 5:Vertical&Lateral Fire Propagation of TSX-8500,TSX-8510&TSX-8520
5.4.7. Where the apptication exceeds the limitations set forth herein,design shall be permitted in accordance
with accepted engineering procedures, experience, and good technical judgment.
6. Installation:
6.1. Thermasheath�-3,Thermasheath�-XP, TSX-8500, TSX-8510 and TSX-8520 shall be installed in accordance
with the manufacturer's published installation instr�ctions and this TER.
6.2. A copy of the manufacturer's published installation instructions shall be available at all times on the jobsite
during installation.
6.3. The instructions within this TER govern, if there are any conflicts between the manufacturer's instructions and
this TER.
6.4. Fasteners include, but are not limited to, roofing nails, common nails and bugle head screws. Fasteners should
penetrate wood f�aming at least 1"and steel framing at least four(4)threads.All fasteners shall be corrosion
resistant.
6.5. Other means of fastening may also be used, such as masonry fasteners or construction adhesives, which are
compatible with the insulation.
6.6. Consult the manufacturer's installation instructions for further details.
TER No. 1309-03 Page 8 of 11
Rmax Thermasheath�-3, Thermasheath�-XP,
TSX-8500, TSX-8510&TSX-8520
� ' Technical Evaluation R�po�Q(7ER)
7. T'est and �nginee`i�ig Sub���n8iating Llata:
7.1. Test reports and data supporting the following materiai and structural properties:
7.1.1. Flame spread and smoke developed rating tests by Intertek,2013.
7.1.2. Room corner tests by Intertek,2013.
7.1.3. Vertical and fateral fire propagation tests by SwRI and lntertek with analysis by Hughes Associates, 2014.
7.1.4. Heat propagation (potential heat)testing by SwRI, 2009.
7.1.5. Water vapor permeance testing by Exova, 2012.
7.1.6. Water-resistive barrier testing by PEI,2008.
7.1.7. Water-resisti�e barrier testing by ATI,2010.
7.1.8. Air permeance testing by Intertek, 2010.
7.1.9. Thermal resistance properties tests by�xova, 2010.
7.1.10. Thermal resistance properties tests by QAI laboratories, 2014.
y.2. Some information contained herein is the result of testing and/or data analysis by other sources,which DrJ
relies on to be accurate as it undertakes its engineering analysis.
7.3. DrJ has reviewed and found the data provided by other professional sources are credible. 7his information has
been approved in accordanc�with DrJ's procedure for acceptance of data from approved sources.
7.4. DrJ's responsibility for data provided by approved sources is in accordance with professional engineering law.
7.5. Where appropriate, DrJ relies on the derivation of design values, which have been codified into law through
codes and standards (e.g,, 1RC, WFCM, IBC, SDPWS, etc.). This includes review of code provisions and any
related test data that helps with comparative analysis or provides suppo�t for equivalency to an intended end-
use application.
8. Findings:
8.1. When installed�in accordance with the manufacturer's installation instructions and this TER, Thermasheath�-3,
7hermasheath -XP, TSX-8500, TSX-8510 and TSX-8520 comply with,or are suitable alternatives to,the
applicable sections of the codes listed in 5ection?for the fallowing applications:
8.1.1. Buildings const�ucted in accordance with the IRC and the IBC.
8.1.1.1. TSX-8500, TSX-8510 and TSX-8520 are approved for use in exterior walls of buildings when instalted
in accordance with the IBC for Type I-IV construction. ,,,..
8.1.2. Performance of foam pfastics in accordance with If�C.�s�.,ction f:3��and JEiC��;cti�n?g03.
8.1.3. Thermasheath�-3, Thermasheath�-XP,TSX-8500, TSX-8510 and TSX-8520 are approved for use within
the building envelope, including, but not limited to, attic, crawlspace,wa(I,roof,ceiling,floor and
foundation assemblies.
8.1.3.1. For use below grade, Thermasheath�-3, Thermasheath�-XP, TSX-8500,TSX-8510 and TSX-8520
may be installed horizontally under foundations and vertically on the interior side of footings and
foundation walls.
8.1.4. Performance for use as insulating sheathing in accordance with 1RC Section N1102_1 and N i102:2 and
lECC 5eciion 40'l..
8.1.5. Performance for use as a WRB in accordance with ll;,C^��ction R7p3.2 and IBC Section 1�Q4.2.
8.1.6. Performance for use as an air barrier in accordance with /RC Section f�1102.4 and IECC�ection AQ?.
8.1.7. Performance for use without a thermal barrier in accordance with/RC_Srction�316.5_3 and�;316,5,�
and if3C��ct�or 2u03.�.i.6. �
8.1.8. Performance for use without a therma!barrier or ignition barrier in accordance with lrrti S�_r.iio��ri3iq 6
and 1�C S�:c�ion 26^3,�_O when installed in accordance with Section_5_4,3. �
TER No. 1309-03 � � Page 9 of 11
Rmax Thermasheath -3, Thermasheath -XP,
TSX-8500, TSX-8510&TSX-8520
� 'Technical Evaluation Report("f�P�)
8.7. IGC��c,fic�ri_10!:._%i and if2C,;�ccfiot�_{l�1U�g^�_.i (1f=C:iCc�icin,i 0!'�,� is similar)state:
10b.11 Altemative materials,design and methods of constn�ction and equipment.The provisions of this code are
not intended to prevent the installation of any material or to prohibit any design or melhod af construction not specifically
prescribed by this code,provided that any such alternative has been approved.An alternative maierial,design or method
of construction shall be approved where the building officia!finds that the proposed design is satisfactory and complies
with the intent of the provisions of this code,and that the material,method or work offered is,for the purpose intended,at
least the equivalent of that prescribed in lhis cade.... Where the altemaGve material,design or method of construcGon is
not approved,the building o�cial shall respond in writing,stating the reasons the allernative was not approved.3
9. Conditions of Use:
8.1. Where required by the authori4y having jurisdiction(AHJ) in which the project is to be constructed,this report
and the installation instructions shall be submitted at the time of permit applica#ion.
9.2. Thermasheath�-3,Thermasheath�-XP,TSX-8500, TSX-8510 and TSX-8520 are subject to the following
conditions:
9.2.1. Installation shail comply with this TER and the manufacturer's installation instructions. In the event of a
eonflict between this TER and the manufacturer's installation instructions,this report shal!govern.
9.2.2. These products shall not be used as a structural nailing base for claddings.
9.2.3. Exterior wall coverings capable of resisting the full design wind pressure shall be installed over these
products.
9.2.4. Walls shall be fully braced with other rnaterials in accordance with !RG SGctic�i�_F�6�2,�0 or lBC.:�,ecfion
2308.y.3. -
9.2.5. Thermasheath�-3, Thertnasheath�-XP,TSX-85Q0,TSX-8510 and 7SX-8520 must not be used to resist
horizontal loads from concrete or masonry walls.
9.2.6. Except where permitted in accordance with !BC�3�;ction,2603;3 or IRC_Section R31 i3�4, in areas where
the probability oT termite infestation is very heavy, panels shall not be installed on the exterior face or
under interior or exterior foundation walls or slab foundations located below grade,and panels must not
be placed on exterior walls located within 6"(152 mm)of the ground.
9.2.7. Therrr►asheath�-3 must be protected from the interior of the building by a thermal barrier in accordance
with!RC Section f2316��1 and IBC Section?603,4, except as allowed in Section_5.4.2.
9.2.8. Thermasheath�-XP, TSX-8500, TSX-8510 and TSX-8520 are specifically approved for use without a
thermal barrier as prescribed by 1RC 5ec4i�r� �t316;�through�t31 f_�i,13 and 1BC 5ection,2503�4 through
1EU3_f3,subject to the conditions in Section,a.4_3.
9.2.9. When used as a WRB,all sheathing panel joints sha11 be taped with R-SEAL 3000 or R-SEAL �r.
Construction Tape.All penetrations shall be flashed in accordance with the manufacture�'s installation
instructions.
9.2.9.1.When these products are not installed as a WRB, a separate WRB shall be installed in accordance
with IRC Secti�n F2703,2 and!BC SF�cti�n 140�.?.
9.2.10. Use of these products shall be in accordance with the vapor barrier requirements of!RC�ection R702.7
and IBC Sectior�14Q5�3.
9.2.11. In areas where the probability of termite infestation is"very heavy"as indicated in IXC Fiqure t�301.2��,
Thermasheath�-3, Thermasheath�-XP, TSX-8500,TSX-8510 and TSX-8520 shall nat be installed on the
e�erior face of foundation walls, under interior or exterior foundation walls or under slab foundations
located below grade. The clearance between the products installed above grade and exposed earth shall
be at least 6"except:
9.2.11.1. Buildings where the structural members of the walls,floors,ceilings and roofs are entirely of non-
combustible materials or are pressure preservative treafed wood.
9.2.11.2. On the interior side of basement walls.
3 The last sentence is adopted languege in the 2015 codes.
TER No. 1309-03 Page 10 of 11
Rmax 7hermasheath�-3,Thermasheath�-XP,
7SX-8500, TSX-8510&TSX-8520
• • Technical�vatua4ion R��art(�'ER)
9.2.91.3. When, in addition to the requirements of lli.._'S�,c�tio����;;�.i Y._,i, an approved method of protecting
Thermasheath�-3, Thermasheath�-XP, TSX-860Q, 'fSX-8510,TSX-8520 and the structure from
subterranean termite damage is used.
5.2.12. These products are manufactured by Rmax 4perating, LLC in Dallas, TX; Fernley, iVV; and Greer, SC,
under a quality control program with qualiYy control inspections in accordance with tClC;.;seciion rt_i�9.2
and if1C- --::_r,(i��:;_i.i�,;;..y and.�.iq _. : ---
9.3. Design
9.3.1. Building Designer Responsibility
9.3.1.1. Unless the AHJ allows otherwise, the Construction Documents shall be prepared by a Building
Designer(e.g., Owner, Registered Design Professional,etc.) for the Building and shall be in
accordance with I!<C;�:_.r.fi�,i ;i:i 0Ea and if 3C Sc�ctic>t7 i 07.
9.3.1.2.The Construction Documents shall be accurate and reliable and shall provide the location, direction
and magnitude of all applied loads and shall be in accordance with l�1C S�ction 3C'i_and IS(;Secqio;�
1603.
9.3.2. Construction Documents
9.3.2.1. Construction Documents shall be submitted to the Building Official for approval and shall contain the
plans, specifications and details needed for the Building Official to approve such documents.
9.4. Responsibifities
9.4.1. The information contained herein is a praduct, engineering or building code compliance research report
performed in accordance with the referenced building codes,testing and/or analysis through the use of
accepted engineering procedures, experience and good technical judgment.
9.4.2. Product, design and code compliance quality control are the responsibility of the referenced company.
Consult the referenced company for the proper detailing and application for the intended purpose.
Consult your local jurisdiction or design professional to assure compliance with the local building code.
9.4.3. DrJ research reports provide an assessment of only those attributes specifically addressed in the
Products Evaluated or Code Compliance Process Evaluated section.
9.4.4. The engineering evaluation was perfonned on the dates provided in this TER, within DrJ's professional
scope of work.
9.4.5. fihe�ictua�de�ign, suitability and us�of this research report for any pa��iicular building is the responsibility
of the Owner, the Owner's authorized agent or the Buflding Designer.
10. Idsntlficatfon:
10.1. Each FPIS panel described in this TER is identified by a label on the board or packaging material bearing the �
manufacturer's name, product name, label of the third-party inspection agency,and other information to
confirm code compliance.
10.2. Additiona(technical information can be found at Ftr�7ax.c�r».
11. Review Schedule:
11.1. This TER is subject to periodic review and revision. For the most recent versian of this report, visit
drien_gin�erina.oro.
11.2. For information on the current status of th+s report, contact GrJ�nc�i���crinc,.
Scope of Responsibifity!Work,Operations Policies,and Legal Responsibllities
� • N_ission and Sco a�e of(�e�onsibil�
• Product Evaluation Oparations Goncepl5 21�d Pulicies
- ' 0 1;ERs�,re Comparahle toycun�atible��ith,and Eguivali�np_lo thc,F�umose of an_ICC,.l:S ESf�_
"" fAP�1G[_F'.,Inte��tek IRFtiF�rchitcClUl�I 12StIf1U.�:L�h �CC.
o leq_al A�ects of Product An�.roval
TER No. 1309-03 � � Page 11 of 11
Rmax Thermasheath -3, Thermasheath -XP,
TSX-8500, TSX-8510 &TSX-8520
�
�w-: ::�` ��� � � � �e.
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1345 Corporate Center Curve, Eagan MN 55121
Building Leakage Report
Address 1340 Fox Street
Unit# City Orono State MN
CFM 50 ��379 Volume 44,293 fts
ACH 50 ��87
1/22/2016
Verified by Eric Boyd Date
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�OTICE SCHEDULED � "�G
PERMIT NO. O l5- eU`�--�' COMPLETED
ADDRESS �� �1� S�'�
OWNER TELEPHONE NO.
CONTRACTOR
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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
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Christine Mattson
From: Adam Edwards
Sent: Friday,June 10, 2016 10:50 AM
To: Christine Mattson
Subject: RE: 1340 Fox Street/#2015-00413
I've reviewed the subject survey. It appears to be in keeping with the intent of the approved plan. An inspector should
conduct a site visit to ensure it accurately depicts what is on the ground.
Adam
From: Christine Mattson
Sent:Tuesday,June 07, 2016 1:28 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>
Subject: 1340 Fox Street/#2015-00413
Adam,
We received an as-built survey for 1340 Fox Street. 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 ; 55323-0066 (mailing addressJ
g 952.249.4620 ' R 952.249.4616
�' cmattson@ci.orono.mn.us `_ � www.ci.orono.mn.us
Summer Office Hours: (Monday, May 23 throuqh 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,luly 4, 2016
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2) ADDRESS OF THE SUBJECT PROPERtt: 1340 FO% I \``� \ �a �� I �
STREEf, ORONO, AIN 55391 ----_ \� \�� \ � � � �� � � �� ��/I
P.I.D.:02-117-23-31-0056 I -----� �� . I ��I i / / � I
3) PARCEL AREA: 19.234 50. F7. ------- �� \� 3�\ \\\\�� I � ` �------ -��/ / �/ {� �
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4) BFARING BASIS IS ASSUME� I ________ � \���\o � �� �� ��\ ._ .� i e� , ., � � i�/^ 9� I
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5) ELEVATION DANM: NGVD 1929 I =_=` � � ��\ �� � � � I �^ � � �
6) DATE OF FIELDWORK: 11-04-2014 ___-_-_------- \�� \�� �\ � \� \ \y � , � , � � \I\ \�
�) SANITARY SEWER INFO PEft PLANS FROM CITY OF I ___--___----'____-\\��`��� ��\��� � \\ \\\ � \\\\ '\ � 9S5 �'--------------- '�-�'��93l �/ /�1 \ � \
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HARDCOVER G� I _____________ _sso__---__- i" \ ��\ \\, � �\ �___ _ �J__-=- ;w --� �-' � _ " � �ouHo ieoH PIPE
- �3 � � --L � _L__-�� � - 3E \ T^I (1/2 INCH UNlE55 NOTED OTERWISE)
A_GULATIONS: _L_ 9 ��5n_D'o \ I
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HOUSE 1,489 50. FT. - - - � _�_______--_1 I � 1 sEf t Y'REBPR
GAR4GE 1.017SQ. Ff. - _____ ____________+`�\� � � � �` -1_ � -r-- , _ � �
DECK 67 50. Ff. --� __--- �--------__ �� ��� �� �� �� _-----_____J �� � -,----� ��� .c \\ � � I �?Y � POWER POLE(M'IiM CUY�NCHOR)
SCREEN PORCH 256 SQ. FT. _--- _---� -----__ � � ��� � �� � � -_ ��� �
STRUCNRAL PORTION OF ENTRY PORCH 56 50. FT. (10.50 X 5.33) -___ _--__ _ 955__--______`_ \ \ \\\ ` 95p ' � � ---_ ___ \��`~----����--- q45 � �__\\�\� �� p� � _ yaa--
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NON-STRUCTURAL PORTION OF ENTRY PORCH 9 S0. FT. ---�� ---�f'���-----��� ���� � \ ��� v- ' ���1e:�\� � ------- � ��_ \� \�\���� � �\ I � ' ;
WALK 165 SQ. FT. _- _ _960 ��� _�\ \ \\\\\��\�\ \\\ `` _-___`RET,�N�/y�� -� --- � ���_ `__ -l� I �`,�/ONIFEROUS TREE(SRE IN INCMES)
DRNEWAY" 1.207 5�. FT. _---�_--- �� ��-- � ��\ \ \�� w '/� � _ ��\ \ /\
PATIO 108 SQ. Ff. __---__--� ��� � � � �� � � ��m �-�la�y _ \� �\ \ � I a �
(REfNNING WALLS AND UP TO 100 FEEf OF DECK IS E%CLUDED PER _---- __-__ \� \\ \\����\�e\`��� \����--'-'--�� /�� ----'��_ \ \\� ` � ^ \\\ n f• �`/EFHEAD U1111iY 11NE
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TO7AL HARDCOVER (AFI'ER ABOVE E%CLUSIONS): 4,307 S0. fT. OR 22.ER '--_ \ � \ ������ '��OW\ ���� ���� ` �o.�z $ ��.ep� �..% �� \� 1 ��� � I s i"
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To: Finance Department
From: Christine Mattson, Planning Assistant r�►^
V�1r �
CC: Street File
Date: June 22, 2016
G/L: 101-22205
Re: Escrow Refund
Building Permit#2015-00413 pertaining to 1340 Fox Street is complete. Please refund$2,500
to the property owner, Chamberlain Capital, LLC.
The following is attached:
� Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Chamberlain Capital, LLC
11578 Chamberlain Court
Eden Prairie, MN 55344
w:�street files\fox street\1340�escrow refund 2015-00413.docx
✓
BUILDING PERMIT ESCROW AGREEMENT
Orono BuiEding Permit#2015-00413
Demoiition Perrnit#2015-00415
Land Use Application#15-3717
AGREEMENT made this 23 day of A,�ri( , 20 15 , by and beiween the CITY OF ORONO,
a Minnesota municipai corporation("City")Chamberlain Capital, LLC ("Owners").
Recitals
1. A building permit application has been filed for a new single family home located at
1340 Fox Street the ("Subject Property"), legally described as Lots 13, 14, 15 Block 14, Minnetonka Bluffs,
Hennepin County Minr�esota.
2. Owners request ihe City#o review this application.
3. The City will commence its review of the appiication and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTtES AGREE AS FOLLi�1NS:
1. DEPOStT OF ESCROW FUNDS. Cantemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$2,500 with ihe City. All accrued interest, if any, shall be paid to ihe City ta
reimburse the City for its cast in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is ta guarantee reimbursement t�the City
for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal
consulfant review) or will incur in reviewing the p1an. Eligible e�cpenses shall be consistent with expenses the
Owners would be responsible for under a building permit application. The escrow wili also guarantee
reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is cdmpleted in
accordance with the Stormwater Pollution Preven#ion Plan and the provisions nf Orona City Code Chapter 79.
The financial security may also be used by the City to eliminate any hazardous conditions associated with the
work and to repair any damage to public property or inirastructure that is caused by the work (including planning,
engineering, or legal consultant review) associated with building permit #2015-04413 if compliance with the
approved building permit is not accomplished.
3. MONTHLY BtLLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bil! to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay alf expenses
invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shalE be returned to the
Owners when the revisw has been completed and written notification is received from the Owners requesting the
funds.
6. CERTIfY UNPAID CHARGES. If the project is abandoned by Owners,or if the eligible expensss
incurred by the City exceed the �mount in sscrow,the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: C TY O ORONO OWNER: Chamberlain Capital LLC
By:
� ✓.�4�^r^�.""".�
��_ Its Manging Member
Intemal use only: 0 tkigir►art�Planning o Copy to l�roperty�iwner a copy to S't�eet Fils
• � . CITY OF ORONO � 1 5 - 0 0 P1 6 6 *
2750 KELLEY PARKWAY DATE ISSUED: OU2U2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1340 FOX ST
PIN : 02-117-23-31-0019
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 014
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: THIS$2500 ESCROW IS TIED TO ZONING PERMIT 15-3717
APPLICANT ESCROW FEE-APPLICANT 2,500.00
ESCROW FEE-DEVELOPER 0.00
CHAMBERLAIN CAPITAL TOTAL 2,500.00
11578 CAHMBERLAIN COURT Payment(s)
EDEN PRAIRIE, MN 55344-6 CHECK 866 2,500.00
OWNER
CHAMBERLAIN CAPITAL
11578 CAHMBERLAIN COURT
EDEN PRAIRIE,MN 55344-6
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
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 goveming this type of work
shall be compied with whether or not specified 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 construc[ion is
suspended for a period of 180 days at any time afrer 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 due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
_, _ __. _ ( __.
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� , j DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. Z.OIS•OO�W3 COMPLETED 7•2SC•15
ADDRESS 13�D S I I C�G
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION ����On Q��"`+ �
4� ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECWERING pERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. J B�t�'nf�ar� �.�/1r�
White Copy�lnspector's File Canary CopylSfte Notiee