HomeMy WebLinkAbout1998-010471 - new residence � PERMIT
CiTY OF ORONO PERMIT TYPE: �,��.�.� ;�`��t�
2750 Kelley Parkway - P.O. Box 66 Permit Number: ;_:��Y;����
Crpstal B�y, Minnesota 55323 Date issued: E^,,—,=f_:�;�_�_;
(612) 473-7357
SITE ADDRESS:
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� APPLICANT%PERMITEE SIGNATURE
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Total Fee: $ 5 ��3• `� � Date Received: �f�'�
Ente;red By: Permit#: /p 7/
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
�
JOB SITE ADDRESS: J�� ���L y`�E y� ��A'� � ZIP: ��� �� �
�' � �.„ ,
NAME OF OWNER: �1 A� ����t `� � ����C.y PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: �� ti �.AY,� `����L�'r�E.,��� Pxo�: `�a� - C�� c�v
CONTACTPERSON: '!3 <.�2LSn MOBILE/PAGER: �S� �d� 1
MAILING ADDRESS: f�c� � - - �o���"���4 CITY: lNA`(�J���� ZIP: S��
STATE LICENSE: # �c�c�`3'1�j7�
ARCHITECT/ENGINEER ���I� �1� PHONE: ��y ' C���'
NIAILING ADDRESS: ��y-r►C- es f ���L�'� CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New X Addition Accessory Structure X
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: SC-,F� ��hl"�
STORIES: �.. SQ. FEET OF EACH FLOOR: ���'� t� . �f �� �����
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. _
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ����%' . ���'
I hereby apply for a building pernut 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 unders � d this is not a permit and work is not to start without a
permit; and that the work will be in a�c rdance with e approved plan.
,
�
APPLICANT'S SIGNATUR.E: o'�'�``� ��• ��-h'�-� DATE: � o`�� 9�
NOT�! Parade of Homes events require separate permit approval by Police Deparhnent anel
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
� � �
Sea 13.04 RIGHTS OF SLTBJECTS 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 section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legaUy required[o supply the requested data; (c)any known consequence arising from his supplying or
refusing ro supply private or confidenrial data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav nlace the notice reouired under this subdivision in the individual income tax or prooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or conf'idential. Upon his further request,an individua]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 private data and informed of its meaning,the data need not be
disclosed to him for six months thereafrer unless a dispute or acuon pursuant to this section is pending or additional data on the individual has been
cotlected 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 authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsibie authoriry shall comply immediately,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 comply with
the request within that time, he shall so inform the 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 himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete 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 determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
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 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 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. -
First Middle Last
Address
Ciry 3tate Zip Phone
I understand my righ s as stated above.
� i9.-(1•t-'V � ��i�_,
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PERltiiITS
FOR OFFICE USE ONLY
. ADDRESS OR LEGAL: _ �25 q l��ti rt�'� ��'a}s S
PID:
DESCRTPTION OF WORK: �,+;=w ;?�.;�
-----------------------------------���--1 - c•�~-----
ZO��11"iYG REVIE`� BY: � r�
�...c:.-- DATE APPROVED. —I �'
BUII�D .Pi tG REVIEW BY: � . C����c,._ DATE APPROVED: ��� - t -. `i u
_----------------------- --
FEES TO BE C��ARGED: Misc. Fees Calculated By:
PERMIT Yes �/' No '
PLAN REVIEW Yes �' No SEWER CONNECITON
STATE SUR`H�RG�. Yes +/ No WATER CO'VNECITON
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
-- -------------------------- ------
ZO�tING CHECK LIST zoning Districc: ����- i�
Fire Department: (�,�(��K.`, Post Office: �,v ' ic� School District: L <<„r:ti �
�
I.ot Area: Sq.ft. Acres_ (v;c;`-� � tiVidth 7 l�� `�(�l Depth 1 3' Y�
Survey Submitted: Yes ;�- No Date of Surve (� � � �7�
y: o
Proposed Setbacks:
Front (Lake): . (��� � Right Side: 'S(�-b
Rear(Street): �bu' :t Left Side: 2���5
Adjacent Structures: N i/� tiVetland: ��3�
Building Height: Def. Hgt. 2"�? Peak Hgt. _3�
Lot Coverage: �lJ 1/3-
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: gy;
Zoning FIle: # "-" Resolution: # -- Resolution Date: ---- �
Shoreland Dis�ict: _ /L,�4
Avg. Setback: Bluff Setback: Lot Coverage:
• Existing Proposed
Hudcover: 0-75'
75-250' .
250-SQO' �
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REI�ZARK,S (in house): �
, ' � 26 .
BUILDING REVIEW CFiECK LIST . �
UBC' � ` ' CONSTRUCTION T'YPE; J�;
� Sq Footaoe $ Per Sq Ft�
Basement x
lst Floor . z . —
2nd Floor x . .
Garage . x
x
. TOTAL
Estimated Construction Value: $ ���,�,�,v �`_'
Inspections Required: � Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal �Mechanical
_� Footing Water Connection
_,� S�ptic Sewer Connection
. _� Fram.ipo Fire lace
_� Insulation ��o�� —�O� �Sa�ion
�F��1 Board (i1�Ifg.) �C Well (State Permit)
Gradin�/Fillin� � Electrical (State Perm.it)
Other
--------------------------- _____
REtvIARKS (1N HOUSE): - -------____----------------
------------------------------DATE
REVIEtiV BY OT -----------------------_-----
HERS: --------------
Access: Eziscin; New "
,—
• Access Approval: Date
By:
__---------------------.____�__
REMARKS (TO BE NOTED ON PERitiIIT): � �
�
. _ _ 27
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3 .
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Exterior Envelope Average"U"Computation
Site Address: 525 Hunter Pass
Contractor:Jyland Development, Inc. 22-Jun-98 404-0600
1. Total Exposed Wall Area 6,151 sq ft x"U" 0.110 = 676.61
2. Total Roof Ceiling Area 3,087 sq ft x"U" 0.026 = 80.26
3. Total Exposed Wall Area Calculations:
Total exposed wall area
above floor 5,046 sq ft
a) Total wall window area:
standard glazed 0 sq ft x"U" 0.000 = 0.00
low E giazed 810 sq ft x"U" 0.247 = 199.92
b) Total door area 56 sq ft x"U" 0.130 = 7.24
c) Total sliding glass door area:
standard glazed 0 sq ft x"U" 0.000 = 0.00
low E glazed 77 sq ft x"U" 0.247 = 19.03
d) Total fireplace wall area 45 sq ft x"U" 0.121 = 5.45
number of fireplaces= 3
e) Total wall framing area 406 sq ft x"U" 0.098 = 39.67
fl Total net wall area
above floor(insulated) 3,653 sq ft x"U" 0.045 = 163.36
g) Total rim joist area 480 sq ft x"U" 0.042 = 20.17
Total foundation area
(exposed-finished room) 285 sq ft
(exposed-unfinished room) 340 sq ft
h) Total foundation window
area 0 sq ft x"U" = 0.00
i) Total net foundation area
above grade 625 sq ft x"U" 0.053 = 33.35
#3 TOTAL a)thru i) 488.19
. •
Exterior Envelope Average "U"Computation
Site Address: 525 Hunter Pass
Contractor: Jyland Development, Inc. 22-Jun-98 404-0600
4. Total Exposed Roof/Ceiling Calculations:
Total exposed roof/ceiling
area 3,087 sq ft
j) Total skylight area 0 sq ft x"U" 0.000 = 0.00
k) Total roof/ceiling framing
area 309 sq ft x"U" 0.000 = 0.00
I) Total net insulated
roof/ceiling area 2,778 sq ft x"U" 0.022 = 60.83
#4 TOTAL j)thru I) 60.83
Alternate Building Envelope Design
To utilize the total envelope system method,the values established by the
sum of items#3 and#4 shall not be greater than the sums of items#1 and#2.
#1: 676.61 +#2: 80.26 = 756.87
#3: 488.19 +#4: 60.83 = 549.03
CERTIFICATION
I hereby certify that I have calculated the "U"factors and "R"values
herein and that the building here described meets or exceeds the State of
Minnesota Energy Conservation Act.
Date: �!�L/� �' -�,1-1 �'`� -Q�l��
(Signature)
DATE TIME
CITY OF ORONO CALLED IN � ' �i�'
INSPECTION N_OTICE SCHEDULED �7 -�/_9is • �'
PERMIT NO. l� �f 7� COMPLE o r
ADDRESS ��5 � '�-' C`��"
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OWNER �- � L�Lu'Ci CONTR. ' %(/ y
TELEPHON � � ��f��-� -�D �k' ''� � ' � O�'�
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O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN �
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REOUtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto
Inspector.
White Copyllnspector's File � Canary CopylSite Notice
/C� DAa� � !C:IME (Q�n
CITY OF ORONO CALLED IN �' --r
I N S P E C T I O N N O T I C E S C H E D U L E D J I -`�� �'��
PERMIT NO. �0�`7/ COMPLETED � 1
ADDRESS ���� -�'� �-�
OWNER � CONTR. �
TELEPHO NO. ��� �/�
� DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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'Y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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0 BEFORECOVEflING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contracto
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE ME /�
CITY OF ORONO CALLED IN 0 " 9 ��S ��'J
INSPECTION NOTI E�[' SCHEDULED U' �� � �
PERMIT NO. 1� COMPLETED
�
ADDRESS
OWNER CONTR. ��ul�v
TELEPHO `� �`" v 6�
� DESCRIPTION
� 01 FO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor qn site:
Inspector. �-�V
White Copyllns tor's File Canary Copy/Site Notice
/ � D�AT�E��J TIME
CITY OF ORONO ✓� � CALLED IN �' �' ���� a�z�
INSPECTION NOTICE _�u � SCHEDULED �� ; 3��' .�'j
PERMIT NO. � COMPLETED �
ADDRESS ��S �L'x-�<'zi`y���'�J
OWNER ' ^�- �' CONTR. �- �� �
TELEPH / � -7�� I - 3`j� f `�
� DESCRIPTION �����=s�-�--
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q03 INS TLAU ION . 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING
PERMANENT
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INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract
Inspector.
White Copyllnspector's File Canary CopylSite Notice
CITY OF ORONO CALLED IN DA U �° ����a�L
INSPECTION N TICE SCHEDULED " �"� a--�—���--
PERMIT NO. Q COMPLETED �� '^ "
ADDRESS ��� �.l � asS
OWNER CONTR. -�
TELEPHO O. C�fo �`J "L��O�1 �
� D TION
1 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
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Call for the next inspection 24 hours in advance.473-7357
OwnerlContra
Inspector.
White opyllnspector's File Canary CopylSite Notice
CITY OF ORONO
INSPECTION CALLED IN �ATE
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v �� P�UMBING FINAL 23 SEPTIC FINA� 22 FOLLOW_Up
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C] STOP ORDER POSTED.CALL INSPEG�vn
:' INSPECTION REQUIRED.CALLTO RRANGE ACCESS.
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OwnerlContrac sit :
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice ,
CITY OF ORONO CALLED IN /�AT-� /O��D
INSPECTION NQT E SCHEDULED f - - �=o a
PERMIT NO. U� � � COMP ED
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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White CopyMspector's File Canary Copy/Site Notice
DAT —C. TI E y
CITY OF ORONO CALLED IN /��-'� ` `S
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INSPECTOR WILL RETURN i� CITATION ISSUED
i:I STOP ORDER POSTED.CALL INSPECTOR
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Call for the next'nspection 24 hours in advance.473-73�J7
OwnerlContra or n it :
Inspector. +
White Copyllnspector's File Canary CopylSite Notice