HomeMy WebLinkAbout1991-003624 - 2nd story addn -,. �ERIiiII�
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CITY OF ORONO � PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'�`'�-�'!�''��
Permit Number: r.:ii:i:.:,�;��.
Crystal Bay, Minnesota 55323 Date Issued: t;�.!�.:�;��i�.
(612) 473-7357
SITE ADDRESS:
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CONTRACTOR: __ f��,�,;. ���;,t, —_ OWNER:
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APPLICANTiPERMITEE SiGNATURE ISSUED BY:SIGNATURE ����
�, ,���C�C.'�:c�' y-�-g�
' , CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ ` "� � - "�� . Date Received:
Date Approved: `��-`�-`�l �
Entered By: "' ' °1 � ,.-,
Permit#: `�'�- �� �
AT•T• INFORMATION MIIST BE SIIBMITTED IN FQLL BEFORE PLAN RSVIgFl idILL B$ STARTED
(See Check-off List Enclosed)
----------------------------------------- �=--- --------------------------
THE APPLICANT IS: (circle one ) OWNER o� CONTRACTOR
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JOB SITE ADDR$SS: lr � � i'- � 1�t , _ I ;I ZIP: � � � J k�
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(work)
F� OF OWNER: ���� �� �����1 PHONE: (home ) � ��L l�
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MAILING ADDRESS: � � \- (�� � �"�� r ,- I ��� CITY:���Z � r� ; � ZIP: �S S � j�-
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CONTRACTOR- �� C \ � V � � �•> ��, .� ��J PHONE: � �� _ `-, �� �
- �i CITY: �`��} )� � . ZIP: � �ll ' % ,
MAILING ADDRESS : �L��' Z ��c,� �";,�i- �
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TYPE OF WORR: New Addition� Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED WORK (describe in detail) : ��,i ,�v L �-�I�� ��� r� c+� r �-21/�
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�-����� v� �� ���-.�� �� - •�! ��.' -Aro-��lv�;) ��--�-�'� ' �'�� < �11 i��
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STORIES:� SQ. FEET OF EACH FLOOR: ,�� 1 1' � :'�i � `"' '` -t �' -, � y''�
NO. OF BSDROOMS: � GARAGE STAT�I,S: ATT. DET.
,,,
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$STIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ ' ' �` '`� �-
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City and with the State Building Code; that I
understand this is not a permit and work is not to start without a permit; and
that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATORE: � I���1��- `�� �' ) / l� �,� DATE: � �- � ,
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� CHECR OF? LIST FOR ISSIIANCE OF P�F2MITS
, FOR OFFICE USE ONLY
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ADDRSS S OR LEGAI.: (.li''� t�I'*�'h=`_f;�•°"✓'I . /t- L PID:
DESCRIPTION OF WORS: ►A K�iG =:''C��'� `�T �-,IL-y
--------------------�-----r---------------------------_---------------------
ZONING REVIEW BY: �-,�,,,(f i�;�;��f�u.-.__ DATE APPROVED �� S'GI �
'`,� �
BIIILDING REDIEW BY: 1 � DATE APPROVED: Y � I
-��+1(,.J ,.,_;(.,��,'�:?/i(.,_... - ' � ���
������������������������l���������������������������������������� �������
FEES TO BE CHARGSD: Misc. Fees Calculated Bv:
P�RMIT Yes ✓ No
PLAN REVIEW Yes ✓ No SEWER CONNECTION '
STATE SURCHARGE Yes � � No WATER CONNECTION ' _
INVESTIGATION FEE Yes No�� PARK FEE
SAC Yes No ✓ SITE INSPECTION �
Number of SAC Units OTHER (s�ecify)
ZONING CHECR I.IST -----------------Zoning District--- (�.-1 ��--------------
Fire Department: '--• - Post Of�ice: (� .�-- School Dist�ict: r' �=� ���:
Lot Area: Z I��y � <�, �r Width: � ) ' Depth: �'_>> `
Survey Submit�ed: Yes� No Date oi Surve��: ; --t'�i-�' _
!�x;sT_,�E��
I�eaased` Setbacks .
Front f�a�C2 ) t� =z' Rignt Side : � �� � ��
=--
Rear ( S:�-eet} ; l ;�; -'--_ Le�t Side: ���� ��
,
Ad jacent Struc�ures : �j. � � (�A��}s� Wet?and: /',�':'/�?
� G � Peak Hgt. �� �
Building Height: Def. Hgt. _
Avg. Setback: �;',�/�y Lot Coverage: � � �� _ ��-
Existing Proposed
Hardcover: 0-75 ' �
y�,
75-250 '
250-500 ' ,
, � .
500-I000 ' _
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff ApprovaZ Date: �'�';'�;' BY�
r . 'a
Zoning File:�_ /�%//4 Resolution TM: /�,/f�/1 Resolution Date: �'�'-'�-
��AR7CS (in house) : ,
_ ' ..�- -._. . � _�.�.�. � � ' - : �� 'i
BIIILDING RLVIESd CHLCR LIST � .
IIBC: �fS
fZ - 3 CONSTRIICTION TYPE: ��
Sq Footage $ Per Sq Ftg
Base�:e�t x =
lst Floor X
2nd Floor X
Garage X _
x
TOTAL
Sstimated Construction Value: $ S� ���
Inspections Required: Work Reqniring Separate Permits:
Site �Plumbing Grading/Filling
Foot 'ng �Mechanical Fire
� ` Septic water Connection
.raming
Insulation �F�replace Sewer Connection
Wal? Board (Mascnry} Ot:ner
=na1 �(Mfg. ) well State Per:nit
� ylectrical (State Permit)
---O-he------------------------------------------------------------------------
REMARRS (IN HOQSE) :
----------------------------------------
REVIEW BY OTHERS: DATE:
Access : Exis�ina New
Access ApDrovai: Date ��=
----------------------------------
�RMARK$ (TO B$ NOTED ON PERMIT) :
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McNULTY CONSTRUCTION COMPANY �
400 SECOND AVENUE SOUTH
MINNEAPOLIS, MINNESOTA 55401
612-339-0674
�����Q �� �Q °��� U�0��°�l�
DATE �/��/�� JOB NO.�0�O�
ATTENTION
Mike Graffron
RE:
TO City of Orono Dahl Residence
65 Hackberry Hill
P.O. Box 66
C'.r��tal Ra�, MN 55�i23
WE ARE SENDING YOU �1 Attached ❑ Under separate cover via mail the following items:
❑ Shop drawings ❑ Prints ❑ Plans � Samples ❑ Specifications
❑ Copy of letter ❑ Change order ��,�t�lication
COPIES DATE NO. DESCRIPTION
1 1 21 91 Buildin Permit A lication for Dahl Residence
A
THESE ARE TRANSMITTED as checked below:
C� For approval O Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
�
1 � _ ' • �— �� ` � wl��l , � v _ �
t
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COPY TO � � f U / '�
SIGNED: �
If enclosures are not as noted, kindly notiiy us at ce.
HARDCOV�R CALCULATION WORKSHEET
SETBACK ZONE: �CIRC�E ONE) �-75' �5-�5�� 25�-S�Q� 500-1000�
EXISTING HARDCOVER IN ZONE
--------------------------
A� HOUSE ��'.'�` X -�� _ ' f - � • I . (. S�F�
� LENGTH WIDTH
S '1�� X - � S�F�
X I �.� _ �_�'� S. F�
� X = S.F�
X = S� F�
B, GARAGE `� • X J = � � `-� S�F.
C. DRIVEI�AY �' �- � X ��� _ � � � �� S�F�
X = S� F,
D� SIDEWALK X . �'--� _ � �� S.F�
X = S� F�
�
� � ,
`�J ,c .� _ ��J s.F.
E� �ATIO/
ECK
X = S.F�
F�LANDSCAPE X = S�F�
AREAS
UNDERLAIN
BY X = S�F.
PLASTIC
SHEETING
x = S�F�
X = S.F,
G. OTHER X = S�F�
��
TOTAL HARDCOVER IN ZONE - � - �� S�F. �
TOTAL PROPERTY AREA IN ZONE - '�� S�F� �
p �� �� � ; g � I =�\ x 100 = ,�� �
19
�
HARDCOVFR CALCULATION WORKSHEET
SETBACK ZONE: �CIRCLE ONE) 0-75' 75-250� 25�-5��' S00-1000�
EXISTING HARDCOVER IN ZONE
--------------------------
A, HOUSE X = S�F,
LENGTH WIDTH
X = S,F�
X = S� F�
X = S�F�
X = S� F�
B. GARAGE X = S�F�
C� DRIVEWAY X = S.F,
X = S, F,
D� SIDEWALK X = S.F�
X = S� F�
X = S.F�
E� ATIO/
ECK
X = S.F�
F. LANDSCAPE X = S,F�
AREAS
UNDERLAIN
BY X = S.F�
PLASTIC
SHEETING
X = S�F�
X = S�F�
G. OTHER X = S�F�
TOTAL HARDCOVER IN ZONE - S, F� �A
TOTAL PROPERTY AREA IN ZONE - S.F� a
a : B X ioo = %
2a
Certi_ficzte of Sur_vey
for McNulfiy Constr_uction
of Lot 9 , Block 2 , "DANIELS LONG, L71KE HEIGH'I'S"
Hennepin Colznty , Minnesota
� � �' ��
�-- � � � s o
N217 l�ar.�els Loh Lake �-�Ts 21�.59 �easvre�
E� st `�'� �r:
tr' N.
.. . . . . . . . . . . . . .. . . ....
,• 28.7 -9 �0�.6
N � 1.4
N �.0.—
� N y�
M •� J a' �.. \
(v''r�° u? `" 1
3 �� " o�
0 1 -1- -) �e.� - ��.2
°� � L_ �i 1 / � � .. . . . .. . . . . . . . . . . . . .. . Q � _.
m �, �, � -"
�" �, o.5 � .�
� �XlSt1ti4 � ..1 �
� V
NGaYage a �--('
�X�S t i tt ._-- _L
Shed 9 �,• �o N Z
-- 51�,4 z.���o- z.3 � EQs1"
2l? .O cactniel�� Lonc� LcL.ke HTS. ZI�o-�� �e0.sure
� � �_ � �_,
50
l„_ C� � 1 �.�
LeQ�l Description
Lot 9 , Block 2 , "nANIFLS LONG LAKFJ HEIGII`I'S"
This survey shows the location of_ �11 buildings
in relation to the houndaries of the above de-
scribed property . It do�s not pur_port to sh�w
any other improvements or_ encro�chmc�nts .
I hereby certify that this survey w�-�s ��r_epared
by me or under my direct stzpervision and that
T am a duly reqister_ed l�nc� stirvevo.r_ tznder. the
laws of the State o:E Minnesota .
COPFIN & GRONBFRG, INC .
/i«��.o'- �-�._�-��-� �a t e : 1 -4-9 1
Mark S . Gronk�erg Mn . Lic . No . 12755 Scale : 1" = 40 '
F•.nqineers , Lanc� Survevors , Planners o : Iron m�r.ker
Lonq Lake, Minnesota
13ear_ inqs sh�wn are to
an assumed c�at�im.
�.
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
!
� - � � On the North Shore of Lake Minnetonka
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
Iicense 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 wi3Z be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other Iocal , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense requires Council actior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva�e
data on yourself.
6. Your full name is required to process this application or
permit.
� ,=
� , �,�u�- l� `� C �1 �- � -
First Middle Last
��� � n ��� � � � � � ����� � ���
Address �/
1`"�, �� �� � S G f�� � '
City � State Zip
- -� � � ��, � �T
Phone
I understand my rights as stated above.
_ _ _� _
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Signature
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-73 8 • PUBLIC WORKS—473-7359 j
ASSESSING i
�
�.04 RIGH'I'S OF SUBJECTS OF DATA
Subdivision L 'I`ype of date- The rights af individu8ls on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required to be g'�� ����' An.individuel asked to
� supply private or confidentiel data conet d d amwi hin the collect g state agency,
purpose and intended use of the reques
political subdivision, or statewide system; (b) whether he ma� refuse or is leg y
required to supQly the requested dat8; (c) any known consequence arising from his
supplying or refusing to supply private or confidential data; and (d) the identity of
other persons or entities authorized by si aau��e8skedito supplyeinvest gat ve data,
requirement shall not apply when an ind
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue m8V roDert tax reound instructionsu nsteadho5
subdivision in the individuel income tax •r
on those orms. . --- - -
Subd. 3.
Access to �ata bY individual' UPon request to e responsible "
authority, an individuel shall be informed whether h��ateeor confident al.e Upon his
individusls, and whether it is classified as public, p ublic data on
further request, an individusl who is the subjecc�ge t��mri�ae if he desires, shall
individuels shall be shown the data withou�fan�y t �ta. After an individuel hes been
�e informed of the content and meaning the data need not be �isclosed to
shown the private data and informed of its meaning, unuant to this section is
him for six months thereafter unless a dispute or action p
, � pending or additional data on the individuel hss been �blic datarupongrequest by
responsible authority shall provide copies of the private or p require the
the individuel subject oft�e actual•cos h of mak ng,l certi yingyand compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or with lida e,�f Simmediate8t ompliance eisu not
excluding Saturdays, Sundays and legal YS
possible. If he cannot comply with the re9five �thin�i��ntl�ch toh omplynw�h the
individuel, and may have an additional YS
request, excluding Saturdays, SundsYS and Iegal holidays•
Subd. 4. Proced�e �►hen data is not accurate or complete. An individuel may
himself. To
contest the accuracy or comQleteness of public or private �t�he°res onslble authority
exercise this right, an individual shall notify in writing P
describing the nature of the disagreement. The responsible authoi t �a at pt to
days either: (a) correct the data found to be inaccurate or incomp
notify past recipients of inaccurate or incoa1mP�t he bel e esdthe datalto be correct
the individual; or (b) notify the individu
Data in dispute shall be disclosed only if the individual's statement of disagreement ts
• included with the disclosed data. e�1ed ursuent to the
' The determination of the responsible authority may be aPP P
provisions of the administrative procedure act relating to contested cases.
' - . �
. . .. �
EXTE�IOR ENVEL'OPE AVERAGE "U" CONPUTATION
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OWNE R: �?�� S • � t� �'�� y°
S ITE ADORESS: Co 5 N�A G l< P E'P,�`.� �...N, Q�1C�� `J �� f V �
CONTRACTOR: �� l� U L1� G� N S"1" � � DATE: �"t O"� I PHONE: �39 -��p� i
�ETERMINE NORKINC SOUARE FOOTAGE OF EACH: �
1. TOTAI. EXPOSE� uALL AREA; �� �� �
. .... . . 1 Z4 Z.00 sq ft x u .si - 1 6,62 �
� _ - ,.. �
2. TOTAL ROOf/CEILING AREA. ...... . ��3, � � :q ft x "U" .U26 • ��Z
3. TOTAL EXPOSEO WALL AREA CALCULATIONS: +
�
I
Totat exposed wall �
ar�a above floor.. , .. ., . � � � , d(� sq ft �
t
a) Totat wall window area: ,
i
i
�NSU(� qlazed. .... . �� �� 3 sq ft x ����� � � � * 3 �2 1
qiazed. . . . .. � sq ft x ����� �
�
� b) ?otal door area ... ,,,... ^ sq ft x '`U" � �
c) Tota� siidinq qlass door a�ea:
glazed.. .... � sq ft x "U" �
qiezed.. . ... sq ft x ����� �
d) Total fi�eplace walt area � sq ft x "U" � _
e) Total wall fran�i�g area
(Ave�age lOg).... ...... � �Q ��d sq ft x ����� , �� � � ��3�
f) Total �et wall area above
floot (Insulated). . .... . sq ft x "U" • � � 3, p
q) Total �im �oTst a�ea...... '� 3g ,�(') sq ft x "U" � o� � � �J� �j2
Total foundation
erea (Exposed)... ..... . sq ft
h) Total foundation �
wi�doN a�ea....... . ..... sq ft x "U" �
i) Total �et foundation
area above q�ade....... . sq ft x "U" �
3• TOtAL a) thru i� � ����`f'
If item !'3 ts the same as. or less than item 1►1 . you have niet the tnte�t of
2 MCAR 1.16008 A and O. .
Page 1
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4. TOTAI EXP�SED ROOF/CFILINC CALCULATIO�JS: • ' � • �
C�IL►N AREA --- �
Totel exposed --__---���•7�-- --- �
roof/cetl inq erea. .. . . . . . � q--�j,SO s4_ft ST0�4G� �LQOR-���
J) Tota,l_ sk,yl ight area. . . .:. . ' sq ft x "U" '� • `
i
, 89.3�1 _ �'.�! t-�t�G - ��-2-- I,� 9 ;
k) Total �oof/cei 1 inq f�aminq - ��•�-s�QpRqX�U�� _-�O� � .,¢4„ �
a�ea (Averaae 1�g) . . . . . . _ ft --�--
1) 'Total net insulat�d ��''34 5�.�"�l.lA •OZ � '��09 ;
� �2. �_5 �x�� ,,, � a3 � 3,`��
foof/ceilinq a�ea. .. .. . . sq t � �
22.,3� '
y. TOTAL J) th�u 1) �
If total of �'4 fs the same as, or less than 1►2. you have met the intent of �
2 MCAIt 1.16008 A and 0.
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� ALTERNATE BUIIDiNG ENVELOPE DFSIGN �
I
To utlltze the total envelope system method, the values established by the sum
of ltems I►3 and !�k shalt not be g�eater than the sum of items l�l and �'2. -�
;,;
t �3Co . F,2 + �. 23. 2¢ - _ 15� �8C'o
. _
I 2c�. lo�- + a. 2 2 .�o = I Z • 4- �,
3. �,
,,
,
t E R T 1 F I C A T 1 0 N
1 he��by certify that 1 have calculated tfie "U" facto�s and "R"
values herein and that the buildinq here described meets or exceeds the State
of Minnesota Ene�ay Conservation Act.
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(Date) P8ge 2
1
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81�07�91 10:43 S 612 349 2404 McNULTY COMPANV 03
Nj'c � C�r��-r�- Do ��L��S t_p� _-G�-
• ' • carist�ucrio�i a vatuE
�
NALL FRAFtING SECTlOM:
' 1 Interiar air fttm p,[�
Z � z iEF'T o G ,
3 3� n�hcs so t wood
� � zS 2, ILpRI E. G . 2 ,0
• —{5 S s �r-r-� ce�A� c. . p
f► Exter or a r m A,
, • TOTAL R � ,r^
' . u • 1/R - � I�
_ • WALL SEC'f I OH (lNSUl.ATED�
� 1 InterTor afr f1)n� A.f,R
�z z� s�-E�-rza�. . s
� 3 V " F F � G ' 11,b
� 4 �-s z. f31� 2►'�'� +�T 2,�
S �/��� "r=1-I 1 CED,A{Z f�� ,g'O
F �:cterior alr fiirn � ' 0.17
TOTAL R � S+1
' U « )1R � .O�'
� RIM J015T S�CT 18f11 - ,•
' ' i l�terlor air film 11.6A
2 (c�� � F l� I �ao
� ' _ . 3 .' z' 6 t s ':'
� ' 4 Z' 3Z R�I.bR•1'�'£ Sli?G 2•0 -
� - - 5 - � , - .
!� Exter or a t r f m (1, 7 .
' TOTAL � � 2_ 3r80., _ ' � �
F011NDATION INSIILATIOK RE[�UIRER: ' • . .
Min. R-5 on entire wal] OR ' [J � 1/R � , .4 �• - . .
�p.••,4• Min. R-10 down to frost �epth '-� � �
p • ',, . • `
• ' � ,�, FOUNbAT1QN SEC710N: .
� �'��• '• 1 tnterior alr ftim • � . � �}.K8 �
�
'•A. �' • ' +�_{2
.. 6, ' 3
• rt'
�. f ..�ar
, d, ,,,� 4 Exter or a r ro r?, 17
°• ,- •e: G � (�
: 4-a'- %'�t n (fs
. d' �a►�•4 . T07A� R �
.....___
• U - 1/R �
SLAB ON GRADfi .
. �
;.-a• � ,' " � .- . ., �; • ;,: a-,- •a• d.
;a. , . . , �1i �1 � • 1` :�4 •• . . �F.
• •i� �4 r �• � �' • � •� � . . ' , ,A . . . /Q ` •'.. , a. y �/'+ �
:• Q • • , A � f .. �. . . • • .
• • ' �. 4 '`' ..: d` . r � � ,: �• ¢ � � � d ��..!'•, • •� . �. V �.�',
�� • ` � •• � Q� • � �i� 1 � � �• • •� ���� • Q� 1
• � d • ' � � • • •� • � • � � ;
� • � �
� : . . . . .� .. • Heated Slabs: ��, ;:..� '�.�?�.,• �4�; �,�� -
' . ' ' •,� � � 'a► •Minimum R �• 8.5 , , q , � � � � , a� , . .• . .
. � . . . . � , .. •
, , • . . . � 9
" ' , ,.q; Unheated Slabs• • • , • ' Q ;.,�• •
�•-q: � - q�• . .
C .
1' 4�� r�, Minimum R a p►2 ��. i ^ � � �/� •
� �• � • �• �a• •1'r
. aA ��4 �� � / � �� • � • � � � � i�
. 4 � �`,b '. n . .`',,,• `� '.. 12 Pagn 3
�
03i07�91 10:44 $ 612 349 2984 McNULTY COMPRNV 04
_�.I��U�'�"�N S-r4—���,��4-�.. RES t t� �t�i c� . .� � .
CONSTRUCTION R VALUC•
CElltl2G SECTI(lf7 (INSULATE�� : '
�' Interlo� alr fllm �•F�
• � s g S c�c •��
3 �," .ov
3 4 � Exterlor air film stfll �.�1
TOTAL R � 'j$
� v - t/R - . �2
CEtLfNG FRAHfNG SECTIOM: �
� 2 5 1 Interlo� air fitm ' O.fi1
� Q ShF��'( GK .
" VENT ED 3 � v `� °
AIR �+ Interior a r m st n. 1
FLOW 5 /`z' Enches so t waod , �
70TAt R � 2. ,�
• up t/a - .o2
� . . ,
�'�"Q��4Ca� ��� . CEILIt1C SECTlON (fttSUU1TE0): A•�� '
��r�,� ,�z t' (�terior ei� f11m
� 2 � gµ� {�oc . S .
• � • 3 :�F �r• e .O o t• -
4 Exterior a r m sti11 �• 1
T AL' ¢ , e�7$
u .� ��R = .o3.
. . .
,... .
I 2 3 4 5 CEtI.IN� fRArlt�l(: SEGTIO�l: . .
, , 1• lnterlar ai r film �•�'�
VENTED 3 � s c,�� 3��0�0 � �,''P�Y�1.�3
4 Exter or a r m st 11 �•
.' § �yz" o�hes so t wood - � "1
. . . TOTAL ff � ���,�'',�
, ' U � 1/R � �,�
� � �
3 4 5 . ' '
�
. •��L:���.��'ir��Y=��`�tM",s�f �' ' 11Sj(�C atr film � �.tij �
•.i:•::`F� • � �
. • .'.!.� �.''+ '� .
,:�,��Syi�f' •�'� - , .. . . � . , . • y� �
, . . • • y•• • -. I
. . S. �UtS dQ a�r �Q �� �
�� � 2 , TOTAL R N _
, / �
� U • IIR � _,�
�� Page 4
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FAX (612) 426-6869 WATS t800) 662-0066
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4000 LABOF�E ROAD ■ ST. PAUL, MINNESOTA 55110 � PHQNE (612} 426-8111
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4000 LAB01=tE ROAD ■ ST, PAUL, MINN�SOTA 55110 A PHONE (612) 426-$111
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CITY OF ORONO CALLED IN �
INSPECTION NOTICE C�SCHEDULED ��.�
PERMIT N0. ��� / COMPLETED K �
ADDRESS S G� ' r �
OWNER ;71G1,�I ? CO R. � J�l(
TELEPHONE NO. C� �� �� 7 �
� DESCRIPTION y".7C�1� 11
ly 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
�
0 ATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 S�IC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORFECTUNSAFECONDITIONWITHIN HOURS. n pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �=. CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac n i e:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
CITY OF ORONO � CALLED IN —��E� TIME
INSPECTION NOTICE scHE�u�Eo � •'-30
PERMIT NO. COMPLETED � K
ADDRESS
OWNER "''�/ CONTR. �l� �'��
TELEPHONE NO. �Q�� ' �I��7" �a4�''-�� �-
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL . 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETUFN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCont or-�n site:
Inspector. U
White Copy/lnspect 's File Canary Copy/Site Notice
CITY OF ORONO �CALLED IN ?—�T�! Q /�:T�IsM���
7
INSPECTION NOTICE SCHEDULED a ` � 3a a'�
PERMIT NO. COMPLETED
ADDRESS s �' /
OWNER CONTR. IM � � �`�'�1
TELEPHONE NO. a `- � 0
� DESCRIPTION
l� 01 FOOTING 1 M HANICAL RI %`��`�? 16 WELL TEST PUMP
y2 FRAMING j�a.� MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
W 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 10 PLUMBING FINAL 23 SEPTIC FINAL
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Q OWNER/CONTRACTOH TO MEET YOU:_YES_NO
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0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
OwnerlContrac ite:
Inspector. �
White Copylinspecto's File Canary CopylSite Notice
I�. � � TIME
CITY OF OROrNO �� CALLED IN
INSPECTION NOTICE � �-� ��SCHEDULED ��- '��� y�
PERMIT NO. `* COMPLETED ;�
ADDRESS �O L �
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OWNER 7 C TR.i` Y � ,'C`��C.t..�s� ����`"
TELEPHONE N0. / � ( �'" .� �-a �
� DESCRIPTION :-J���C� .��-(� �
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREM/ETLANDS
O
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
� 10 PLUM GFINA , 23 S IC FINAL
� OWNE CONT CTOR TO ME YOU: ES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
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O INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspec ion 24 hours in advance.473-7357
OwnerlContractor �t •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
P�� ��'' 3� q� �` �a��
HOUSE HEATING TEST RECORD
ADDRESS v '�� � ���� GTC GC APT. FLOOR CITY SUBURB �(���
OCCUPANT V OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY � � �%� ��"� � �
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE H . NIT HTR. OTHER
GAS DESIGN ` },:�\ CONVERSION
MAKE — �k�'�� E OF BURNE
Model �- — aG ^ �--'
$xial N' M �. Rating�
INPUT w �'�' MAKE OF FURN CE
Model
� CONTROLS � �
THERMOSTAT �'``'� Her� Plug Vent Size ���' �
Valvs `-' KIND OF LIN�R SIZE��I�Fj���
Limit Draft Hood �t �� Regulaior �- Lf
Limit SeHing � Filters Size Nurpber
Fan Setting Q Chimney Location Inside���`uStJside
Pilot Type r� ��k� Chimney Construction � �� �
Pilor Mcke � r
Pilot Model `t $moke Bomb Wiring �� � ' �
Pilot Timing �� �� Draft v_ Test TaQ �
L.W. Cut Off —�� Door Pressure Liyhtin Inst.
Pressure ✓� ' Percent CO2 �— Date Tested �—`
Input CFH �da � Percent 0� Company Testing � � �
$tack Temp. ���Percent CO Name of Tester
Form 235