HomeMy WebLinkAbout1996-007812 - addition/remodel , _ � .�
. PERMIT
` CiTY OF ORONO
` PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �;tyE�;��;��,;�;
Crystal Bay, Minnesota 55323 Permit Number: t,��°�;_�::
(61,2) 473-7357 Date Issued: t-j::�,i�_:E._;�,
SITE ADDRESS:
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�r�
+-.�T .t� . � 1 c?—i 1:--�_:?_�_::�--t::;��=a
DESCRIPTION:
�Ci����'�T i����i���t�i E�:4�:�r L._
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li� REMARKS:
'��F'F'��i�',�E: F'��;t�#1 T::; �;�i;?e J i�;�:�� �i;i�; ��i �:T�: �i�.�:�H, �1 F'�:�=`[_�';t:.:E t:� '�:�"�'����: ��i�i:`! �1.{:F�i...
� FEE SUMMARY:
I �'�i�.._l�(-a�1 E_��! ��.!i 1 i_)[li.i
E�.���N ���� �1 , s'r,'.�' . :'r�
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CONTRACTOR: — ��'���°� � r�{-f t. — '-;� . ;_I�.: . OWNER:
Y�i�;i�'��"ih! �=��►td`���TF;?)�`�:�:����; �_��E ����.�.��:���:�, �:yi zi;_;�:=�r-� i:i�'r T�=+tu �°,�fi�:�'�i
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c:�;i ��i �.�.�.--�,:=,�:::: .' .:°�—;����
t = � I�,s_ —�;i•,�: :--s ��-t� . ,!�-��r: —•— '�t3t �—, ?:•r_- � ; ,�:,:-�—;:.}-- r rti�r:_.
i s�� :�•,�•=._i�:`•=�L''.7 i�._Cl ti�t"�:�.:_��=T �";,__�a•_�+.��_�'�_ �"!_�k: �.L=�-�=�L�_:a �•_� �`Ei-.� .�_ �i�E.�. I�r:F-�t_ I.�'it �:-_. v�=�;,_.. 3 �_
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m ___. _.i ..._. L. . . . . . .
� t_I�}�_{(�1 � {_I;�tE)��l�i������_•�:_� ��`+�i_7 :+�i � G t—;i" �„1.I;�a`�;_''��.�� � �? E=!}.�,�!_'•„1 T 1`:�•:7 �,.� !!,�l� Y?`�:ty��.,�i(:�i,i=t�a I •`_� . J
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APPLICANT- RMITEE SIGNATURE ISSUED BY:SIGNATURE
�
� Total Fee: $ -� f i �' � � i DateReceived:
Date Approved:
Entered By: Permit#: 'j 53l �.
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BE STARTED
--------- ---------------------------------------------------- ------��-----------------------
THE APPLICANT IS: (circle one) OWNER O CONTRACTOR �
2y���
JOB SITE ADDRESS: `� f-I�i=,•,c,�, L,�k��- �<�;,,., ZIP: �5�`� /
p;��,�,<. .11 ti .
,
NAME OF OWNER ��,���.r% ���T�^� PHONE: (home)
(work) 33�1 -7/�1
MAILING ADDRESS: � Fe e.,s��, �-.���- �4� CITY: �%z� ��� ZIP: -;S 3�1
CONTRACTOR: ����4��� C4.,�sr��.:c-:-��-� ��. PHONE: ��-<1- -5":3:�r3
MOBILE PHONE/PAGER: ��`� Q-�774-
MAILINGADDRESS: 2�7d�� C�N��,��es.ty �1u� CITY: �;5r�.,�-; ZIP: ��;�ac�
STATE LICENSE: �# oQc'� �<}�A-
�RCHITECT/ENGINEER: M�,�i� �e c��,r��--"' PHONE: ;37,`�" -C�3":i�
MAILTi�1GADDRESS: Il�j rl. -Z`'„' ���errr' CITY: /1'��^�5 ZIP: ��4�==�
NAME: REGISTRATION #
TYPE OF WORK: New Addition X Accessory Structure
Move Remodel/Alteration �_ Land Alteration
PROPOSED WORK(describe indetail): ✓,-r�-��-� r2������=�C i�-�� �� k-���' t� f��,u, ""�
a,�c� c'�=rti���: ,- - c�'�-i,..� r'c.���F-
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excludingland): $ I'�5 c;U�% r
I hereby apply for a building permit and I acknowledge that the information above is complete
and accurate; that the work will be in conformance with the ordinances and codes of the Ciry
and with the State Building Code; that I understand this is not a permit and work is not to start
_ ...
without a permit; and that the work will b� in rdanGe wkth the approve p an.
r�( J
APPLIC
ANT'S SIGNATURE ! �<J` � DATE: �/
NOTE! Parade �Homes events require separate permit approval by Police Department and
Citv Council 60 days prior to the event. Non permitted events �vill not be allowed.
9
�.
Sec.13.04 RIGH'TS OF SUB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this seccion.
Subd.2. Information reqirired to be given individual. M individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)the pucpose and intended use of the requested data within the collecdng'state agency,polidcai subdivisiou,or statewide system; �
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply E+A
private or confidential data;and(d)the identiry of other persoas or entiues authorized by state or federal law to receive the data. This requirement shall
not apply whe�an individual is asked to supply invesrigadve data,pursuant to secdoo 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tac or propertv tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, private or confidendaL Upo�his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown the priva[e data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action pursuant to this section is pending or addidonal data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authoriry shall comply immediacely, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comp(y with the request
within that time,he shall so inform Ihe individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himsetf. To exercise this right,an individual shall notify in writing the responsible authority describing the narure of the disagreement.
The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipie�ts of
inaccurate or incompiete data, including recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinarion of the responsible authority may be appealed pursuant to the provisions of the admuustradve procedure act reladng to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the pernut or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the pemut or license.
4. If your requested pernut or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
�c.v�l 6 �c� .Z Q��v �� A�C-��i t.
First Middle Last
3 L�i S 5 ' f a��t S-� ,�:' C-"
Addr�s
���,�,.�«i.=,t-��� ���. 5��-�',�. c.sr�`i -:� 2 ���.
C�h, State Zip Phone
I understand my rights stated ov 1 �
C � � t:�" , ��, �
Signature ��
�
P CHECb OFF LIST �CE USE�ONI.yOF PERtiITTS
FOR O
�DDRES� OFc i.EG:�i..: ^' '�.S r=,2�:�u�-+ �-� �% PID:
DESCRIPTIO\ OF S�'ORfi: �i?�� ''�`'`'
s " ����v�.�:�=L
DATE APPROVID: �� � ��'-�� ����
ZOV�I:tiG RE�'IEZV BF: - �--�y''"— . �
IEZ DATE APPROVED: 3 z-�. `i i�.;
BL`II..DL\G REv�tiV BY: - - ' " ��
FEES TO BE CIi-�RGED:
` vlisc. F�s Calculated By:
PERRti1IT Yes c,� vo
�-. vo SEtiV�R CONivECITON
PL:�N RE`ZE�� Yes �,� \10 �IAT�R CONivEC ITON
STATE SliRCH.�RG� Z'z5 vo P� �E
INVESTIG:�TIOv F�E Z'zS S� liySpEC�ION
S�.0 -Yes �10
Number of S�C linits
OTHER (sPe�i�Y)
'+ � Shore?and District : ��e">
ZONL\G CHEC�i LIST Zonins Discricc: (:t�-���
Fire Deparcmenc: ( .c: Post Off;ce: L
L . School District: �-~ �L"�
Lot�.rea: Sq.ft• �-✓ ���- Acres
Wlat� Dep�h
Survey Suomitted: Yes ,�_
�jo Dace oi Survey: � ��� �`� '
Proposed Secbac!cs: �f „�.
F:ont �La�:e): � � Rigac Side:
Re:r (Street): � Leit Side:
Adjacen� Structures: f�-�'rv�� l-'r �� �Vecland: �L �
Building HeiQht: Dei. H�t. �% 1�- Pea� H;t. �'• ��'
pvg. Setback: �'� � �'� B1uif Secback: �f't'� L.ot Covezage: "�(/�1
Existing Proposed
F-Iardcover: �-%��
75-Z�0' � 3 '-� ( 3. _
__—.--
25�-�00'
�00-1000'
Hardcove: Variance Rec�uired: Yes
�Jo :h Daie oi Council Approval: 3 -/l�`l G� .
0 5�� �Dproval Dace: �'L��� By: Council 3Dproval Da[e:
Gradin_:
SeDcic: S�ar �.pproval Da�e:
/L'(�°'f By:
. �
1 -� Resoiution: R Resolution Date: .3 — � � ' ��=�
Zonin� File: T �1 i �.�—
RE:tiIARbS (in house):
� � 26
BLZI.DL'r G RE«�j' C�C�' LIST
,,��ti
n—� CO�ISTRUCTION TYPE:
LTBC: I�
Sa Foo�a�e 5 Pez Sa Ftg
Bzsement � _
lst �ioor t =
3:.d Floor � _
Gara�e � _
- X
TOT:�L
S � � �, ���;c,
�'_
Estimated Construction Value:
�Vori; Requirin� Separate Permiu:
Inspections Required: . � p�umoinQ Fire
Sice Wate: Connection
Hardcover Removal ''� �eC``"���
SzD�ic Se�.ver Connection
;� Foocins ic Fireplace Lawn Irriga�ion
_� Framin� ,�(yfasonry) Ocher
K Insulation �f' � Well (Sta�e Permi�)
_� WaII Board Eleccric:t (Scate Pe:mi�)
' Final Gradin�/Filling
w
Ocher �_ _____
�y�s,g�S (L,i HOUSE):
----_—'�____------------ DATE:
ItEVIEW BY OTHERS:
Access: Ezisting _�_
New ____
Access Approval: Dace
By:
-----------
��RKS (TO BE�i OTED ON PERti���
27
�. ii�.;�ii-96 15:5i� FAT 91 u1� 3d� ��1u bi S & R C�iiii�••iiii:,
� ,
• EXTERIbR �t1VE�OPE AVEFtAGF ��UI� C�HPl1TAT10�[
olar��R: �4�3�-t` t �o P�] �P�irt'U N
s i r� nr��a�s s : l �r�1 t.H C��� RaArt�
CONTRACTOR: �p,r�v `SER� �AcN OAT� : � 1 Z� �ql� PMortE: �f'�f'� � r`3�3
- [�ET�RMl �{E 4fORKlrlC Sa,L1nR� FOOTAG� oF EACh�:
1 . YOTAL EXPOSEo uRLL Ah�A, _ . . . . . . � � �� sq f[ x "U�r _= '• �f " �"7 �
Z. TOT/1L RdO�/CEILIFlC AR�A. . . , . . . - �j� L� 1,� sq �c x "U" -d �.(O - 14 �
3. 70�'AL EXPDSE��1aALL A[�E�1 CALCU�ATIoh15 :
lotal exposed wall
�rsa above floor, � . . . , , . �j�, ��j SQ �t
t
a) Totai wail wfndaw area :
�Jl��.(C qlazed, , . . . . ��?P Sq FC x ����� � � � * `Z.7Q
giazed, . . . . . sq ft x ��U�� �
b) 'Total d�ar area . . . . . . . . ��� sq ft x ��U�� � � � � � �D
c} 7'otal sliding r�lass door area :
41 azed. . . . . . �q F� x �����
n
. � - ..--�-�--.__.
• 41aZed, . . , . sq �C x ��Ur� ' _
, , . �-_—.�.�.
d) Totai flreplace wall arca � sq ft x "U" �
e) Tota1 wa► ( framinq area �
{Avri rage 1 0�) . . . . . . . . . . �2- � sq f t x ��U�� � � 7 �D Q � �
-----�
f} Total net wall area above
flbo�• ( lnsuiated) . . . . . . ,_ I `Ir01'}' sq ft x "U" . Q2,� s ��
q) 7qtal rim �olst area. . . . . . �b �' sq �t x "u" . O Z � w �
�T'otal foundat (on
�rea (Exposed) . . . . . . , . . .��0�'��� Sq FC -
h) Tataa FavndaClon ' �
wlndow are�. . . . . . . . . . . . . �� sq f t x "U" • ���D -
� � jota � net fourldaC �On 'pf� � •Q �q 21
area above �rade. . . . . . . '� ��' ,q �t x "U" _ • p�]� - '�a�
' TOTAL a) thru O � �9�?
� F 1 tcm �`3 ls the sar�,e as , or less than I eem �1 , ybu l�avc mct t1�e Inten [ oF
2 tiCAf� 1. 16QOA :1 and r�.
Page L
�i:;. �i�:;)G 15:51 FA1 91 G1� 3-12 ��1u 1I S & R C�iiii�, iii�5
.
� tit '
rf . TOTnL EXP�SED R�OF/CE 1 L I �Ir, CALCULAT I �r�S :
T�ta1 cxpns�d •
roof/cc l l inc� area. . . , . , . . �� �� Sq f t
.--- ---
Tt+Mbic�- r
1 } Yot�l �a++,� area. . . . . . _,^.. r� �o __ Sq ft x ��U�� � 0� � - �
T
k) T o C a I fa�e��%c e I 1 i n q ��q
area (Averaqe l �q) . . . . . . �0�� _ sq Ft x "U" ' ��.� � «
1 ) 7ota1 net insulared l � ' ,.� �
roof/cef 1 lnq area. . . . . . . / �� sq ft x "U" ` "
�, , TOTAL J) thru 1 ) � � �
If" total oF "f� is the same as , or less than N2 , you have met the 1nCent of
2 �fCAR 1.160Q8 A and 0. '
t
AL,T�RrlAT� eultbl�f� E1Iv�LOP� nE51 �r{
To ut � llze the total envelope system method , th� vaiues establishad by the sum
oF i [ems �'3 anci k4 shall not 6e gr�ater than the sum qf iz�ms /�1 and �2 .
r . , S^�'F`� _ _ �. z. _ � 0 3 a � ft� 'f 7 - -
�. � �� _ � t+- 1 � 7 d r� r �
C � R 7 I F I C A T I (1 P!
! hereby certiFy that I hav� calcutated khe "U'' factors and "R"
values herefn anri tha[ the huildinn here descrlheci meets or exceecis the State
of Flinnesa[a Enerny Gonservat (on Act .
! ��
S lc�nature
LT/ .
(Date)
, p��,� �
' ii3- 2ii, 9G 15:51 FAT 91 612 3-12 ��1u ht S & R C�iiii�, iiii5
�
. ' co��sYRucr!orr �12. �� r� vALIJE � �
� wAL� FR�iN� SEGTION ;
1 Inter(or aIr flim O,f,�
2 O . , fo'�. '� .
3 ►y I�ches so t woad
A � � � z
----{5 0 o S rl E tib • �— S�Nv��
Fi Exterlor al r 1 �. 7 S'^^•
. ToYAL a - 13.1°�
u � 1/� _ . O � fo
- 1dALL SECT10�� (INSUI.ATED}
� 1 fneerlor alr film �.��
-- - - -- --_ _-�2 bf� w+� '�-
� � � ' fr� ? L �r
� _ �� ! t� . Z
5 as �w�dcr Jri. ��.er
� £xterlor al r fi 1m �(�. 17
TOTA� R a Z
`�--..
U � 1/R � . � 2
/ �
Rl�i JQIST SECT1QtJ : '
1 interior aIr fiim �. �°
2 / F�ac/! 5 2�"
—�3 t�/2 trJJDp � , �s
� � r V . – ,fo 2 - - -
��5 Wao O S'rl��.ts
(7 Exterior ai r f i lm (7, 11
70TAL R �
FOUNOAl'ION TNSIJLATIOPI R�Ql1IRED: '
, F1iR. R-5 on entire wall OR � ' 1�R w . D��
,' n p _;. �, �tin . R-1� down to fro�� depCh
.,
. - � �A;� FOUNDA�'1bN SECTIO�J :
� � e�- - . •� 1 Interfor alr fllm �.F�'�
•A• � 2 1 A
•; � _ 3 �ihn l, �J
�" � - '� � —�4 E �erlor ai r i Em �. 17
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: q - �:_ �_ ; ,; , � ��y (F ar5.t,o,,.,� _ �,o
'' �4 lr�%�//f TQTAL f� J..�_�
.,a� ',p� } �
U = 1;R = �� �
SLAfi Ot� GRADE
� 4' ' ' � " • `� o �� � �q + • `�' `' ' a � d +
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- � . Heated 51abs : ',�; �.�i, . • � , �� . �
� , . ., _ ` � : . • � �
� �, 'a, hiinimum R 8 . 5 q � ' q
♦ (' ' y .
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.� ; _ �a. lfnheated Slabs : - 4 `�. ,• , ' d , • '
. . � �
'� 4, ,� •' : 1�ii n ir��um R = 6.2 �� - ' , 4 ,� � ,�'
,
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' ii�:�ii%�6 15:5� F:�T 91 61'� 3�� ��16 '�I S & R f�jiiii5:iiii5
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CQPlSTRUCTI �hI R VALUC �
c�t �.irar s�CTI ��� (i �isu�n7E�) :
I In [erl�r alr �Ilm �.�1 '
Z 9
9 n � 7
� � � Fxterfar air Fllm still ) �.�1
TQTAL R - ��'--'�$ SB.�I�S
i
U - 1/R � �� .QI'f
1 ,`
�
� � VSl� _ h6b�l.tbl ��
� CE «tr�c� F�.,�+�ir�r, s�c7iarl: �'
1 � �J 1 Interlor air fltm � .F�1
2
-AIR VENTED 3 interlor ai r f ( m sti 11 � . 1
FLOW 5 inches oFt �•�op�
7QT/�L R p
u � �/� p
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White Copyllnspector's Fil Canary CopyfSite Notice
DATE TIME
CITY OF ORONO CALLED IN 'S� ��k
INSPECTION NOTICE SCHEDULED �/�/9� %"''���
PERMIT NO. '� �"-�' COMPLETED �_
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Call for the next inspect' n 24 hours in advance.473-7357
OwnerlContractor 6 � e:
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White Copyllnspector's File Canary CopylSite Notice
CITY OF ORONO CALLED IN ��T� c TIME
INSPECTION N IC,E scHEou�E� -'� :3�' ���' ' ���
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White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN `� --�9/1�
INSPECTION NOTIC� SCHEDULED —'�� �' �� ��"zJ
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White Copyllnspector's File Canary CopylSite Notice
L/
-� DATE TIME
CITY OF ORONO CALLED IN - �-C '�'� �
INSPECTION NOTICE �- scHEou�Eo ' /� - 1
PERMIT NO. � Il I� COMPLETED �r
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OwnerlContr t
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