HomeMy WebLinkAbout2016-01209 - new structure CITY OF ORONO * 2 0 1 6 - 0 1 z�
� , 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 770 LAKEVIEW PKWY
PIN : 06-117-23-34-0011
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 8 BLOCK 3
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 858,685.00
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECEiANICAL,SF,PTIC,FIREPLACE,WELL(STATE), ELECTRICAL(STATE)
NOTE:PLEASE SEE AND[NITIAL NEW BUILDER ACKNOWLEDGEMENT FORM
APPLICANT PERMIT FEE SCHEDULE 5,514.67
NORTON HOMES PLAN REVIEW 201.34
18215 45TH AVE N, STE D STATE SURCHARGE(VALUATION) 429.34
PLYMOUTH, MN 55446- TOTAL 6,145.35
(763)559-2991 Payment(s)
Minnesota State License#: BUIL-BC639221 CHECK 6041 6,14535
OWNER
Of:Norton Homes
MAJKRAZAK,JEFF
6985 OAK RIDGE RD
CORCORAN, MN 55340-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and speci6cations,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and docs
not grant permission for additional or related��ork 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 construction is
suspended for a period of 180 days at any time 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. /
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Applicant Permitee Signature Date Issued B ' nature Date
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CITY OF ORONO / �c��•
BUILDING PERMIT APPLICATION `."�
FOR NEW STRUCTURES OR ADDITIONS
�o�o J Mailing Address: �01 �p _��a
� PO Box 66 Permit number:
,� �� Crystal Bay, MN 55323-0066 Date received:
�
+ c��-1`�' 'l� StreetAddress:' Received by:
y� � �/ f.` 2750 Kelley Parkway Ci� Plan review fee: ,�O 3 •
t �' � Orono, MN 55356 �
qKFSH��� Total Fee: ',� ✓
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��.
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 7(] � ✓��c-v �Cr.��cu/
Will this be a Parade of Homes, Remodelers Showcase Home or othe isplay Home? ❑ Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFO ATION:
Name: /�f Or'� d�1� �C
State License# 8 C, (o, 9 a-1� Expiration Date: � /- / 7
Phone: (cell) Il- �(o- ?!P!o/ (office 7�i3•SS ��- 9/
Mailing Address: � N SiC, Q Cit : ZIP: SSY�l
Contact Person: �h iS No�— Applicant is: tractor Homeowner (CircleOne)
Email and/or Fax: Gt7n S rL rtor-�� �-trl)-nes c�v�--�
PROPERTY OWNER INFORMATION:
Name: ,�C, /1'1
Phone (day): (e 1 1-7 Sb '�D
Address: 0 t2,�d /L� Cit : Cd�fCrJf'ao�n ZIP: S$3`(C�
Email and/or Fax �(��, n by'�n{ntjmt S. �p-�
ARCHITECT/ ENGINEER INFORMATION: • , _
Name: .�i,rY1 c,S ►'�c..lUe� �7L� ��/� a �3t9r�
Phone (day): (.if1��q0 ' 03�Y4' ,I�,
Address: f SQSO a.3r' f}✓t, City: P��f/)I�T✓T h ZIP: SSyY�
Email and/or Fax: Jp�l'n�S/')1 t,n{ �C a , c ctv�
PROJECT INFORMATION: Descri tion of pro�ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
�New Construction Single Family with �esidence
❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial [�Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
*"Any earth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial �rivate Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ `���d��„�Q
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction �-^ �/�/
, � � /�v
a. Length (ft.)= /�s Number of bedrooms=
b.Width (ft.)= �zJC. Number of garage stalis: y �M, fFram�CC��QNC ����� I
yy l
Areas in square feet Attached =��/ C��� t7(l l/T/m61 � �Q��j
B I l ���
c. Basement= 3���z Detached=
d. 1 St Story = 35�g
❑ s refab
e. 2nd Story= O -sit refab
f. '/z Story =
❑ Other(please specify):
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ Permit A lication
�' ❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ Surve meetin all requirements)
❑ Stormwater Pollution Prevention Plan
❑ Hardcover Calculation(s)
❑ Septic S stem Site Evaluation Re ort
❑ Access Permit
❑ Wetland Buffer Im rovement Plan
C3� ❑ En ineered Plans for Retainin Walls 4 feet or above
GI/ ❑ Minnehaha Creek Watershed District Permit(s
❑ Plan Review Fee
❑ Application Escrow&Agreement
❑ ❑ Other:
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 his/her 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 Occupancy may be issued upon receipt of a$10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date:
Owner's Signature: Date: �1 Z� / ��
, Builder Acknowledgement Form
Permit #2016-01209 / 7 La view Parkway
Builder Representative Name: -
Permit Conditions: Initials
**NOTE CHANGE** Before scheduling an exterior insulation and/or drain tile inspection,a
foundation as-built survey must be submitted and approved by the City or a Stop Work order will
be issued.
Schedule a minimum of one hour for the framing inspection. �
No grading is allowed within the conservation easement area. The silt fence should be relocated
outside(toward the house)of the conservation easement.
Erosion control mechanisms must be installed and inspected by the City prior to any land �
disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to
inspection.
Erosion control shall be installed and maintained throughout the entire project and must remain
until vegetation has been established.
A haul route shall be submitted to the City Engineer for approval and inspection prior to �
commencement of hauling from the site.The property owner shall be responsible for cleaning and
repair of roadways for any adverse impacts.
Protect the alternate septic site area during construction with snow fence or similar measures.
No underground sewer within 20 feet of well.
Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations
must be submitted and approved.
In the event of winter or other extended unfavorable weather conditions(which prevent the
completion of the exterior improvements and/or as-built survey)a Temporary Certificate of
Occupancy(TCO) may be necessary. A TCO requires a$10,000 escrow.
Advisory Comments
Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining
walls, etc. not currently shown on the approved survey and landscaping plan will require a
separate Zoning Permit application to be submitted and approved prior to the work commencing.
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the
height of the lower wall require engineered plans and a building permit to be submitted and
approved prior to construction.
w:\street files\lakeview parkway\770\builder acknowledgement form 2016-01209.docx
PLAN REVIEW CHECKLiST FOR NEW STRUCTURES / ADDITIONS
Addr�ss: l �O ���1� ��K,wa Permit No.: � (� '���q
Description of work: N� �"�,�-� Date Rec'd: �I "2-�''�
Septic review by: ' -��� Date Approved: ! �
� Zoning review by: ' Date Approved:,� '� '� D�_
Building review by: Date Approved: � l �_
Grading review by: ��� Date Approved: ��cT'«
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: �� �AC Width: Lot Coverage: SF %
Survey Submitted: jd"Yes 0 No Date of Survey: �'u0'<</ Revised date(?):
/
Landscape plan submitted? ���s � No Landscaper:
Proposed Setbacks:
� ��'��P,-��'
Front(L Rear(Str ( N S E ) ( N S �E W� Other Buildings
Side Side
z�L' 2-�0 ' ' fo 3g' �
Defined H,sig : Pea - ing
Perimeter(linear fe = o = � • L.F. below gra e
B emen Yes ❑ No, Stories
. , �
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:• FOR A BUILDING ON A SLAB FOUNDATION: ' �
T��a������e tiofi.,00�rno i,,,�,o�r���„��o� Slab at or above grade-
_ n�Z,n measure from hiqhest existinq
��r� �� START WITH rg ade to the highest poi t of the
� roof even if fill was ught i�to
� � D,��f-, � � ' • � � elevate home. _<� - '
� o�i��cs��r, ��;� ��� � _. . �_,__.._.�a
� q��•� � � �(� ,. • e—measure
��' � ��r . ';. /,� � _� ting grade to the
q�r.� • • ,�•`c�{�� ��� ie roof.
��f ������� 2 HIPPERROOF
� — i��r �t�� � ' - ✓s): Subtract half
� �� P�lL�2.Cv� � �e between the
���.r` ��,-_s_� �r ; � Z� int of the roof to
r�'" '��� ��-( t, ,� �� int of the
K��A a/XI �ing gable or
"`�'l� �f
R HIPPED ROOF
ows): Subtract
� './�(�,p� ��;,}- �r���� �� stance between
1 � the top of the highest
4 ����V���� window and the highest
- point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
subtraction.
I Defined building height,
EQUALS
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
M et?
Permit Number: �-t'�� ❑ Yes � No �N/A � Yes
�Yes 0 No � �v No
0 N/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
�L���� 0 Yes No 0 Yes No
1 2 3 4 5 --� 11�75`�'S� Type�s�.' Type(s):
Fees to be Char ed YES NO
Permit v'
Plan Review v+
State Surcharge V.
Investigation Fee �/
SAC-Number of SAC Units (/�
Other(specify) v�
Square Footage $ per Square Foota e
Basement 3.S�f-7 X , Z = $ � Z
1 St Floor .�T 7 X `��, _ $ �-- �Z •Z
��� �U''T - X �. ?� _ $ ZZ ����
Garage l 57 y'�z; 3��-8 X � � � - $ Z Jr �
Estimated Construction Value: ��g,��� �g��
I
Orono Inspections Required Work Requiring Separate Permits
Footing 0 Site � Plumbing ❑ Grading/Filling
Poured Wall Silt Fence/Erosion Control Mechanical ❑ Fire
Foundation Survey � Hardcover Removal '6�Fireplace � Water Connection
� Framing ther(specify) 6 0 Masonry � Sewer Connection
�(,Waterproofing/Drain tile n�lG� -y--► �.Mfg. � Lawn Irrigation
Foundation Waterproofing �J �� � Other(specify) 0 Landscaping
`,�. Framing
�( Insulation 3"`���eC
As-Built Survey
�( Final
❑ Lathe Required State Permits
� Other(specify)
Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
�See Builder Acknowledgement Form
❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
Christ�ne Mattson
From: Chris Norton <chrisn@sourceland.com>
Sent: Wednesday, October 19, 2016 3:14 PM
To: Christine Mattson
Subject: Re: 770 Lakeview Parkway/#2016-01209
Thanks Christine. Our landscaper is TPC landscaping. They are doing all of our landscaping in the development. Let me
know if you.We'd anything els.
Sent from my iPhone
On Oct 19, 2016,at 1:18 PM, Christine Mattson<CMattson@ci.orono.mn.us>wrote:
Hi Chris,
I'm�nalizing my review and see a landscape plan was superimposed onto a copy of the survey. Please
let me know who the proposed landscaper or landscaping company is going to be.
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 address)
'� 952.249.4620 I 8 952.249.4616
� 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: Friday, November 11,2016
Thursday& Friday, November 24&25,2016
�
R�C�I'��B
� Ciry of orono SEP 2 7 2016
�oNo�\ Hardcover Calculation Worksheet CITY OF ORONO
,�1 :) Property Address: ��� � , g'�k 3� �.i��� � tw � �c or�c�
!'�������' Prepared by: Date:
��c�r�►2w� S�n,r��e.�n
Stormwater Quality Overlay District Tier: (Circle one) ;T 1 Tier Tier 3 Tier 4 Tie� 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 square footage
se aratel for each ortion.
Key to Hardcover Item(Describe) Length x Width Total
Surve S uare Feet
Exam le Gara 24'x 30' 720 S.F.
A �;v D � I o� � �" e'� S.F.
B - 3 x 3�' v S.F.
C Y Z� - S.F.
D -tuc� x 17. S.F.
E u x ao / 6,y S.F.
F S X- S.F.
G r ' o �c� �J S.F.
H .n .. � r x / S.F.
� , ' ., v v. �. 5�3 S.F.
� -c �•S � �7 /3` S.F.
K S.F.
� S.F.
M S.F.
N S.F.
� S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
� S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Pro osed Hardcover
� 3� s.F.
Excludable Hardcover See CI Code Sec 78-1884:
i!"t Uv � rr o:� - /av S.F.
� � X fJ S.F,
� '7 3 S.F.
S.F.
S.F.
2 Total Excludable Hardcover � S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 S S.F.
4 Total Lot Area �� S.F.
Proposed Hardcover Percentage [(3)+(4)] l� L� o�
This is an information packet regarding Hardcover. Every effort has been made to insure the accuracy of the information contained
herein;however,if any iniormation is not consistent with provisions of the City Code,the Code provisions will prevail.
Page 9 of 9
� 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 ��
r� .��° r ��--,�'
>
� � No�
Plan Review Fee Paid �
V`'�'ti �
�
, �� G��
1�� �� � � �
D I�
Signed Escrow Agreement & Escrow Payment
Building Plans (to scale) x2 � �
c91�---
�Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
Hardcover Calculations (if applicable) ��(
�,��
. ��.�`
C�1
I am aware that Orono will not issue a building permit without a �-r�`� �,�,�
copy of MCWD permits (or documentation from the MCWD stating �V�j Il �
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
reg�r ing t 's project.
Signed by: �J
Add ress: `7 7 D La�Lc vitvU �i,��.ucr.�,
Permit #: � p� (o —O ! �,dr—}
Packet Last Updated: August 2015
Page 2
New Construction Energy Code Compliance Certificate R�C:��`/'��
Per R401.3 Certificate.A building certificate shall be posted on or in the electrical distribution Date Certificate Pos
panel. y��� � � 7�0��
Place ��
Mailing Address of the Dwelling or Dwelling Unit City
770 Lakeview Parkwa Orono lOgO ��OF ORONO
Name of Residential Contractor MN License Number
Norton Homes
THERMAL ENVELOPE RADON CONTROL SYSTEM
Type:Check All That Apply Passive(No Fan)
o � or other system monitoring
�� , n = a�
��� ���� F �, y Location(or future location)of Fan:
� T
� U C � � _ m a N
o n 3 U � o -o �
o. � m a
7 Q m m � C � � T
� � N N � a LL � O
Insulation Location � w z '—° f4 v O m w N
m o � m E E
� a �
m � c a`� a`� � @ �
r�- � z � � i° �i � � � Other Please Describe Here
Below Entire Slab F2-�d )(
Foundation Wau Q•I U /ha �nS� 1�'
Perimeter of Slab on Grade
Rim Joist(1st Floor) �
Rim Joist(2nd Floor+) n• � �(
Wall • 2 X
Ceiling,flat �� �
Ceiling,vaulted �L. )(
Bay Windows or cantilevered areas �..�U X
Floors over unconditioned area /L• x /V�}- B���✓
Describe other insulated areas
Building envelope air tightness: Duct system air tightness:
Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces
Average U-Factor(excludes skylights and one door)U: Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): R-value
MECHANICAL SYSTEMS Make-up Air Se/ect a Type
Domestic Water
Appliances Heating System Heater Cooling System
x Not required per mech.code
Fuel Type Natural Gas � (�f��)� Electric Passive
Manufacturer Lennox (�U S� Lennox Powered
SLP98UH070VX36B- XC25-036-Two Interlocked with exhaust device.
Model Two Units Units Describe:
Input in 88k x 2 Capacity qq Output 3T x 2 Other,describe:
Rating or Size BTUS: in Gallons: /{� in Tons:
aFUE or gg SEER 23 Location of duct or system:
Efficiency HSPF% iEER
Heating Loss Heating Gain Cooling Load
Residential Load Calculati 103,095 53,590 56,759
Cfm's
"round duct OR
MECHANICAL VENTILATION SYSTEM "metal duct
Describe any additional or combined heating or cooling systems if installed: (e.g.two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up furnace): x Not required per mech.code
Select Type Passive
X Heat Recover Ventilator(HR� Capacity in cfms: Low: 107 High: 214 Other,describe:
Energy Recover Ventilator(ER�Capacity in cfms: Low: High: Location of duct or system:
Balanced Ventilation capacity in cfms:
Location of fan(s),describe: IN HRV AND BATH ROOMS Cfm's
Capacity continuous ventilation rate in cfms: 107 "round duct OR
Total ventilation(intermittent+continuous)rate in cfms: 627 "metal duct
Builders Associaton of Minnesota version 101014
I ��"'t�t h✓ ����
„HVAC RESIDENTIAL LOAD CA�CULATIONS Based Mxcss
��- Revisetl
a+���� on ACCA Manual JBae sisno+�
LEARNING SOLUTIONS �
Insfrncfions:Enter dafa into Ilow fields onl.AI!othes�elds are re uimd tert.Gre /'e/tls aie caku/aflons.
Oasi nContlitia�ss; Pnject MjkrsakResitlence
Intloor Desi n Heatin Cb 72 Win[e�99Ya GE -15 HTD 87 AtlCreu 77D lakeview Parkwa
Intloor0esi nCoolln tlb 15 Summerl%db 70 CTD -5 C ESGte Orono MN
IndoorDesi n Coolin RH Soqe Gralns -7 Dai Ran Netlium Loatl Into
Latit�de 53 Ekvrtian 46 phone%
HeatTOOlGlass Area Single Double Tnple Jalousit Heating Cppprl
(Sq.Ft) t,7B6 X Healin9 6526 4A.72 3E.54 85.26
0 0 7286 0
oohng ota ass prea Singie OouEk Triple �alou5ie
(Sq.FL) Nart� 877 X Cooling 10 10 1� 10
Cheek 6ox below �ea U 0 !tt .o
NEINW OO X CooNnA <t 38 38 4t
a� to atld Intemal pRa 0. 0 0 0
Slitling Glau Ooon Shading. Sau[h 141 X Coaling 26 2q 23 25
No Inromal5datle Area 0 0 111 9
❑ SEISW O % Coolinq 54 ag a8 Sa
Area 0 0 0 9
E 8 W 328 X Cooling 85 SB 55 65
0 0 S2! D
DoaR A3rs WiCM X HeSht = 65 X Menting Waotl WootlfMah15tonn 045 Mctal/MetalStorm
�e s�
79 0 t8 0
X Cooflnq 150 2,50 150 Z50
2e o 4e o
Gross Etpoxtl Wall Height �ength Arta
�59.Ft) �X 6292 = 4.292
Net Wpll FnmeSiEing Area Chetk I7 R-2 O IMW R-11 R-�3 R-19 R-31
EtposetlWallkss p,929 X Heollig BoaNinsulatian 20.88 844 �.92 5.9] 5.68
all glass antl tloors is usetl. 0 0 0 ],SbB 0
Wood SNEs X Coa�ing 6.86 2.58 2.18 '1.35 1.18
No 8aaftl Insulation � 0 D 0 ],SEe 0
Hei M Len th Area 0 Insul R-2lnsul R�Insul R•151nsu1
Net WaII(ADOVe Gnde 3'� �%�0 =Op X Nrtatinp 50.81 43.40 tG23 522
Concrete Biock w/board insulation 0 0 o p
No Interior lnia� % Coolinp �2.92 -1.35 -0.BB -0.30
0 0 0 0
Net WaII(e'Belaw GraEe) Hei h[ Lenglh Arca O lnzul R-21nw1 W4 Anul R-151nsW
ConereteBloCkw/boardlnsulatlon �x 7333 1,392 X Heqtinp '10.88 7.83 626 3.13
No irrterior Rnish 0 0 0 �,�7Z
Ceilinp(Sp.Ft) Norw R19 6" R70 10" N8 1Y R56
(UndttAtticolAtYicknwwalQ Neatinq Width Len Area 3i.50 <26 2.78 228 1.57
Attk TempefaWe 150• Oi X �35i8 3,558 X 0 0 0 1,810 0
ArtyRooflngMatenal Cooling 2tA2 2.57 1.68 1,37 0.%
0 0 0 1.92U 0
CeiM915a.FL) Nwie Rt9 C R3 10" R3B�P R56
CeilinB�ebwRootJoisb HeatinC WiEM Len h Area 29.97 444 2.96 7.52 t.83
DarkorBOltlColorAsphattShUtgle OO %�=�p % 0 0 � 0 0
DeCkConsRuttian Cooling 11A5 1.6i 0.94 O.�i 095
a o a o 0
esseme��Fioo. avam �.e� n,ea
(2 or More Feet Below Grade� �1 X 3412 3,4t2 X Heating 7.9t
zm snortest sme
Slab on Gntle LinaarFt. 0 InSUI R-5 R-10 R-15
HeavyDryarLightWelSoil OO % Hlatinq tte.' 39.1 30.9 q�,3
Vertleal Etlge Insul 3'below nde 0 0 6 0
loo� r pen Witlth La Area O�InSui R-t1 R-t9 R30
Space orGa�e9e OX 146 = 146 X HeatMg 45.3 6.8 4.i 3.0
0 0 D 0
Cooling i3,1 142 5.1 3.6
0 D 0 0
loof er c OEGG Wltlfh Len N Area O lnaul R-11 R-19 R�0
UneonQitirnmd Cnw1 Spaee Op X�0 =� X Muating 7.38 S_6 2 50 1.8'
or Unconaitioneq Basemerrt 0 0 0 0
% Coolin� !.92 Oa7 0.32 022
G 0 0 0
CMck if Seml-Loose O Home Leaka e Factcr Tobl CFM
InfiltnHon HouSe Undtt2000 Sp.FL Over 2uoa Sq.FG 0 HTD
Ceiling Area Heiqht Mins. SemN.uase Av . Semf-Loose 0 81
3,558 X 8.5 +�X D.UO 0,32 0.00 161. �7p
,'/'.1��_�x'.:. 0.00 0.79 0.00 67
FrepWces CFM
2 X 20 qp
NumbarofPeopl¢ People 6 X 23� _
Avenge �esi e
Kltchen Allowance Of
Check Bax for Tor Oesigner Kitchen(2400 BTUH� � 0 �aao
SUbtOtal �
Check eox fw'h Leekage
6°h 8 6% 6%Suppty Aif Duc[Leakage antl 646 ReNm Air Duct Leakage 0!i M5
DuctLosslGain-SupptyBReNrn 9'�'d15X O 9%SuppyAirDuttLeakageantll5%RetumAuDuctLeaWge 0% Oh
12%8 24Y ❑ �294 Suppy Nr Duct Leakage and 24%Retum Air Duct Lea Wge 0% O�h
24Y,8 47°h 24%SupDN Air Duet Lee4sge and 47%Rawm Av�uC Leakape MR 0!6
35°5 8 70 k 35%Suppy Air 0uG Leaksge anE 70%Retum Ail�ut[Leakage 0',6 0%
Blw.crHeatDiacount CheekBoxforBlowerUiseount ❑ �'��
Man�nac2urer:oenomunce aaea Ad"usted Submtal
Cooling Latent Load
Grairu CFM
L�terrt IMHraOon Gain 0.68 X -�7 X 421 �
C�eck Boz it Duc4 in
�axenttoroceupams anuawna6oned e x zoo =
space CFM
Lalent for Duets in Uncanditloned OO X �27 =
apatt �
ToWI Latent Heat Gain
roO�Rhtm2030HVACleaminsavuo�s sirrtatio TOTALLOAD �•
' �4p�i Nj��'ao/ �
�HVAC RESIDENTIAL LOAD CALCULATIONS Based !�� ;
od ACCA Manual J8ae , �
LEARNING SOLUTIONS` t y„
Msbuefions:EntodMa.Jnta� Bekk .AOoM�rRddsara 1Mbxt(he flNdam.cdwYRonr.
� � .. . � Cad7Nton�: -� pA � . . ..k . � .
4Woor 6�. 72 .�WYntar -01 : '.-!RD !! . pAd ;., �'. � 7�p � p�
De dr` 1 tB .�.. ..0 .�tSfm . � .MN...
Udoor " ha 24 ���� . Medlum�-� 7nPo:.�. '
LatltuN ' �.:M ..BwWel/ 674�-: �� . Watiei.�:
li�u Tohl GWs q� _
a�b .HicWis
(g9'�'� � % tloatln9 81.39 C8.18� 9L88� Bt.Jb
� .,.<h.. -<C.;, a� - ...O:i��wsaF-�"
e�g ota an Na le WWe ��� T �;y�qpk
fal
{S9.Ft) � NaM ,^�817�::�:'� X Cwi�q 27 ZO 77 2T
�+ n� �C. ., .NF7_. . , �:,t.
CMek bmi below NE�ryy � x �y�y :; 69 48 �3 6B
�ntl tolddlMefiwf Ma . A�.,��.`.. � ` �C .� �.:9Y', .
9pdiM dlns Oom SMdiny; Snueh �-1H�.v: x Cae�O � 43 3/ JO .;
uaun.m.ian.a. a.. `o- .� - :s��� -
n
O 6EISW � % cooRnp 71 59 50. � T1
� � A �,.sD�.>, ., 6:a
EAW .saJ?L�;� X CaWVq gq p3 p
i �-, ' .7aka= ;.�,+���`�
Daers ipn Wlyy� M qna y(ooA fi WW
�3. s X�'� % M�+UnD c� 32.N 2329 k 2B.bS �T.43�
� a A
X CooYnp 490 tt.� 0.90 11.fi0
wau � q�.
29 � � p
(sa.�.) ��9n�z +ssx -�
NatWallFnmeSitlNp Area �iFF2 O�MwI� R,t1 R:A��� ��.i6:te� �'R�1. .
�'N+U� �X IteNirq ewNMsuWbn 18.82 l.05 ).SS 5.64 3.4f1
atl ylas a�M dooro b useA. 0 0� 6 � b 0�.
NoBoaNhiwladon X �O0p�0 .� 0.98� 7.SH 4.te t.SS 1.18
0 p 0 p
IN M .4ree OYIWI.�� . MW . !G4� .S.. I�....
N.t wmI tnbew QaEe r) � ��_�x L�D . .� x �MaWq sH.t7 52.98 i1:ss .. s.86
Conorets Bbck w/bwrd imWadon 0 0 0:: ...p�.:-
No MtrFlor imish X CoalMp .69 3.30 228 0.78
0 0 0. @
ri.e wai n'e.�o.�. al �+.� �-� o ° ���� �� �w,
CorrorteBlockir/�EoaMiruulatlo� t X 1 32 ti X He�tN 1. 7.4T 5.98� 2gg
Mo Mbrior Mtah p � p.. �. .a:
CNSn9(S0.Fl) . .. SO"� .Y. ��::H!!
(llndvAtlk uAXitqp�wNi Me+MnG� ��� aA.gp 4.0T � 2.68 116 1:�9
ACk T�mpenulrc 730` t X 3 % �0 0 � �D� .1 p
My Rmfl�q M+kaAal CodlnO 21.�2 2.57 1,88 1.J7 0.96 ..
U.. 0 � D .�1 - 0
��9154 Fi) -� R B"'. R.10�tM'� . 1Y
CNllrp bslow Roef Joials M��tl�9 � Area 20.00 � 4.7! 207 2M �1.74�..
DukrnBofEColorNph�NShhWk �X�.Q % 0� ..�0 . . ... 0.. �.0.. ��o
DeekConsrWcdon Ceefn9 71.45 �Ab 0.4/ 0. QYS
0 0 0 0 0
BasameM q�
�a w pom F.ee e.io.ande) �z s�nz� -� x e�suna �,�xr f.ea,a �.�
sa snert.a s�a.
on f;ntle mar 4wd: R6 ��. F410��.r� �:�t:1$
Haa'tY�YorLipMNhtSOil r0� X Hwtln9 114.7 37.3 19:5 �1
Vartlw k�wl T ENow ds p . .p -�. .
oor r , D li-N.:.... �.R-tg�, �: �.
.Spaee a Gm9e �% ti8�� .� X 4fs4�p �S2 6.5 11 2.8�.
.0 � � 0 ��0 .0
Cao4np �. .5�.1 � 13.8 4.9 3.�
0 0.: O 9
r r WItl1h Ma = O6WA� Rft . . RA9 � .
u��amonw aa.�n sa� Do x �e -� x �e� �.se s.3e zsa �s�
or UncantlNmed B�xmeM .0. 0 .Q 0 .
X CoaN�p 1.9T O.a7 0:32 021
�-� � :0 � U . 0
cnedcasana-Coose� � �,.<��.�,.,�Hwn..-". Faebnr�a , raBr�FAI�;
..�
6�filtration liouss .. UmMt2D008 R. Qver20U0 q. H7p
Z566 X �r.� " a��st��` �� -�:: _
W�% ,tl�°,� .'�i"`0�6,�v` r. CTD
�
o.an', _ �, .=�n-
.E�.. X '^,.Aq...
NumOerolVwP4 7eopN 6 X :^M6p .
�GKhen Allov�onae . .
A o 0
cFwNc eox fortor owtpnx aeehen(2�Oa BTUN) 0 0 0� � s�oo
Subtot5l
cn.ok e�ro.x�.w
81i66%..: 8%SuD AlrOuetLeakaOeaMB%RenmAlrDuet OX py.
Oust LoesfGaln.Supp1Y a R�m �'i��` �' ��wMiBe�M 15%ReWm Ak Duct ML py�
12%S21% t2%Su NAtDutl and2�14RsdanAirOuctWNpe 0% D%
?A%&471L ]A% AF[lura aM<7%ReWmNrDuct - e 0% pX
asxa�ox aaw y�rd;uL..woe.na�owr�:�.a,a ow ox
e
&ow�rFl�atDbcau�rt CMekBm[forelowe�Diseount Q 1,I07
Nanuhetunr'a n�«m�nu a�ea � � � us6ed 5ubt0tal �:-
Coatn caterx toad
�.eenunmo-.een o+m .o.se a x 0 x ,ran,�.r� .
en.�k sox xu�e�u,
wene ror occuyaros an uneonawonea .e.:-, x� .
sW�a CFN
LaNrrt�.iorDudsin�UnrnndMoirL Q X ._� '
�� ❑
�.totalLafentWqtGain
� �� ���mlo.xv�cwm xwaom��.. SITRa11a TOSAL�LO, .
Verrfiil�fiion, Makeup and Combustion Air Calculations �
� Submitta! Form For New Dwellings
'fhese blaMc submittal forms and instrudions are avallabie at the Clty of Chanfiassen website and at City Hall, The completed form must be submlt-
ted 1n dupticate at the thne of appifcation of a mechanical permit for naw construction. Additional fiorms may be downloaded and printed at:
hifp://www.cJ.cbanhessen.mn.ur/serv/bulld.hhnL �
Site address �� � v�Q� `� pa�
Contractor G-z-16 �
,3 ���� � i iL mpleted
By
Sectlon A •
Ventllation Quantity .
{Determine quanUry by usingTable N3104.2 or Eqvatlon 11-3) � I
sqvare faet(CondlHoned area indudtng • l� �
Basemen!—flnishedorunfinishec� �� Totafrequiredventilatlo�
Numberofbedrooms �Q �
tonHnuous venqlation
Dlrectlons-Determine the iotal and co»tlnuous�entllatlon rate hy elU►er using Table N1104.2 or equatlon 11-1. '
7he table and equotion are beJow.
7able N2104.Z •
• {
Tota)and Continuous Ventilatton Rates(In cfm • J
• Number of 8edrooms • �
1 2 • 3 4 ' S g
Conditioned space(ie Total/. 'fotal/ Totat/ Total/ Totat/ Total�
sq.ft. cont3nuous continuous continuous cont�nuous continuous continuous
100Q-1500 .60/40 75/40 90/45 105/53 120J60 135/68
1�01-2000 70/40 85J43 S00/50 1L5/S8 230/65 145/73
2001-2500 80/40 95/48 110/5S 1Z5/63 . 140/70 155/78 �
2501-3000 90/45 105/�3 , 120/60 135/68 150%75 Ib5/83
3001-3500 100/50 115/58 130/6S 145/73 160/80 175/88 �
3501-4000 110/55 125/63 140J70 155/78 170/85 185/93
4001-4500 120/60 135/68 150/75 16S/83. 180/90 195�98
4501-5000 130/65 145/73 160/80 175/88 190/95 205/103
5001-5500 tA0/70 155/78 170/85 185/93 200/100 2i5/lpg
5501-6000 ]SO/75 165/83 180/90 195/98 210/lOS 225/1�3 � :
Equatton 11-1 a•o�+..x6�es !lf y}- ( S X S Z��� d-7 �
(0.02 x square feet of wnditioned space)+( x(number of bedro�s t 1)J tr Total��etlo rate(cfm) j
'Conditioned space includes the basemont , �' ' �
2 Xf conditioned space exceeds 6000 sq. �. or.thexe.are.,ang�re than 6 bedrooms, usb
�
' ' ' �q�ztion 21-1 from�ection Nl 1 U<l.2 to�calcutate total ventilation rate,� i
Totai ventJlatton—The mechantcal vendiation system shall provlde sufficient outdoor air to equal the total ventilaUon rate average, '
for each one-hour period according to the above table or equation. For heat recovery ventilators(HRV)and energy recovery ventita- I
tors(ERV)the average hovrly venttlation capacity must be determtned ln consideration of any reduction of exhaust or out outdoor �
air Intake,o�both,for defrost or other equlpment cycltng.
Continuous venttlation•A minimum of 50 percent of the total venttlation rate,but not less than 40 cfm,shall be provided,on a con-
tinuous rate average for each one-hour period. The portion of the mechanical ventilation system intended to be coritinuous may
have automatic cycitng coritrols prdviding the average flow rate for each hour(s met. • ;
Page 1 of 6 !
I
� I
. �
' . I
. � , ' � � I
I
Sectlon B
Ventilatfon Method
(Choo:e efther halanced orexhaust onl j
ealanced,HRV(Heat Reeovery Ventllstor)or FRV(Energy Recov- �chaust only
ery Ventltator�-eFin af unitin low musi notexceed conGnuousventi• Contfnuous fan hting in cfm
Iation ratlngby more than loOfL. -
Low cfm: �� Htgh cfm: � /� ConNnuous tan reting in cfm(tapaclty must not excesd
�' conUnuous veotNatio�rat(n b more than S00%)
Olrectl4ns-Choose the method of venti/ation,ba/anced or exhaust only. 8alanced venttlarian systems are typicafly MRV or ERV's.
Enter the low and hlgh cfm amounts. Co al�flow must he egua!to orgr�oier thon Lhe reqWred�nntl»uous ventllatlon mte and
less ihan 10oq greacer than the canttnuous rate.(For lnstance,lf the!ow cpm!s QO cfm,the ventllat)on fan must not exceed sa cfm.J
Automatic controls may allow the use af a largerfan that is operated a percentage of each hour.
Settion C � .
Ventilation Fan 5chedule
Descri Non Location Continuaus Infiermiitent
� �.c M�► I v
k q� � r .�r�
Dlrectlons-7he ventilatlon fan scherlule should descr�be what the fan fs for,the location,cfm,o»d whether it is used for cantinuous
or Intermlttent vent!lat/on. The fan that is chase for cont)nuous ventllatlon mvst be equa/to orgreater ihan the jQw cfm alr rating
and less than�OOY greater ihan the contlnuous raGe. (Forinstance,If the low cjm is 4o cfm,the conHnuous ventJfaifon fan mustnot
exceed 80 cfm.)Aufomatte eantrols may atlow,the use of a larger fan thatls operoted a per+centage of each hour. �
Sect[or1 b
Venttlation Cot�trols
Oescrihe opvrallon and controf af the eontinuous and Intertnitt6ntvent0ation M
'�' �/K �lTin ✓' f
' Olrecttons-Descdbe the operaUon of the venUlption system. Then should be pdepuate detail for plan reviawers and Inspectas to ver(iy deslgn and
lnsta!latton compllance. Aelated trudes olso neer!odequate deta!l�or placement af condols and proper operatlon of the bul/dfng ventliadan, ff
exhaustJuns are esed for6ulldln p venttlotion,desulDe tlie operallon and locatlon of any controls,ind7cotors and tegends. I}an ERV or HRv�S to be
lnstplled,descrlbe how It w!/f be lnstalled.ff lt w!!(6e connected and lnterjated with the oir hondllny equlpmen 4 please desp�lbe such tonnectfons Qs
detalfedln themonujactures'!»smi/atlonlnstrucdans,l�thelnstollaHon Insiructlans requlre orrecommertd the equipment to be Inierlocked with the
at�handling equipment for proper operatlon,such IntereonnecHan shplf be made and descdbEd. .
Section� .
Ma!<e-up air
Passtva(determMed from calculatbns From 7able S0.t3.0
Powared(dotermined From wlwfations�rom Table 503.3.1)
Interiociced with exhau�t davice jdetermfied{rom cafculat(on trom Table SOi.3.1�
Other,desul6e: ' •
location oP duct or system ventllation make-up airl0etemt3ned from make-up airopentng table
C� 5iza and typa(round,rgctangufar,Nex or rJgid}
{�R means not requlred) • . �
Page 2 of 6 .
Dlrectlons-!n order io derermine the makeup a1r,Table 501.3.1 must befj��ed our(see below), For mosC new Installallons,column A
wi!/be appropriate,however,if atmospherlcu!!y vented appilances or solid fuel app!lances are lrutaBed,use the approprlate column,
For exlsting dwelNngs,see tMC 501.3.3. Please note,f ihe makeup atr quantlty!s negative,no addltiona!makeup alr w!1!be re-
quired for veniilatlon,!f the value is posltive refer to 7able SDI.3.2 and size the opening. Transfer ihe cfm,slze of opening and type
(round,rectangular,fiex or rigidJ fio the last llne of settlon D, The make-up alr supply must be Installed per IMC 501.3.2.3.
Table 501.3.1
PROCEDURE 70 DE7ERMINE MAKEUP AiR QUANITY FOR BXHAUST EQUIPMENT IN DWELLINGS
Addidonal combvstion alr wtll be re uired for combustlon a Itances,see KAIR method for calculatlons
One or multiple power One or multlple fan- one atmospheticallyvent Multipla atmosphertcab
vant or dlrect vent ap• assisted appllances and gas or oli appqance Or tyvented gas or oil .
pllances orno Combus- power vent or dlrect vent one sdpd fuef appllance appllances or solfd tuel
tbn appllances apptiances applianees
Column C Column D
Coiumn A Coiumn B
1.
a)press�ue factw 0.15 4.09 0.06 0.03
cfm/sf
b)conditbned floor area(sI)�Inciuding .7
unNnished basements �/ �
Estlmated House inflltrailOn(cfm):(1a �
x Ibl � I�,
2,Exhaust Capadty II
a)contlnuous exhaust-only ventllation
system(ctm);(not eppiicable to ba• i
lanced venUlaUon systems such as
HR4
b)cloihes dryer(cfm) 135 135 135 135 �
c)80f5 of largest exhaust rating(dm); ',
Kttehen hood typicatly '�
(notapppcabfeifredreulatingsystem b �
of If powered makeup air fs electriwlly �� I
Interlocked and match to exhaust �
d)80%of next largest euhaust rating �
(cfm); bath fan typically !
(not applkable if recirculatMg system �ot
or If powered makcup air Is elearlalty Appllc8ble �I,
interlodced end matched to exhaust)
Total Exhaust Capaclty(dm►; /��T. I '
2a+zb+2c+2d C'� 3
3.Makaup Afr Quantiry(cfm)
a)total exhaust capadry{from above� / i
b)estimated house Inflltratlon(from �� �l�� i
above) '�
Makeup Air Quant(ty(cfm);
(3a-3bJ _ 1� ��
(if value is negattve,no makeup afr is �'7
needed
4.For makeup A1r•Opening 5lzing,refer
to Table 501.4.2
A. Use tlds column if there are other than fan-essisted or atmospherically vented gas or oll appilance or If there are no combustlon appllances.(Power vent ,
and direct vent appUances may be used.) �
B. Use thk column if there is one fan-assfsted appNance perventingsystem,(AppAances other than atmospherlcallyvented appiiances mayalso be in-
cluded.)
G Use thls mlumn I(there Is one atmospherlcailyvented(othar than hn-astisted)gas or oil appliance per venting system or one sotid fuel appllance.
0. Use this column if there are mukiple atmosphericaliy vented gas or otl appllances using a common vent or if there are atmosphertcallyvented gas or oil
appliances and solid fuel appllances.
I
I
I
Page 3 of 6
Makeup Air Opening Table for New and Existing Dwelling I
7able 501.3.2 �
. �
One or mvltiple power One or mulNple fan- One aimospfierically Muitiple atmospherically �
vent,dlrect vent ap• assisted appliances and • vented gas or oil ep• vented gas Or o11 ap� Oud di• � .
pliantes,or no cpmbus• powervent ordirect pliance or one solld fuel pllances orsolid fuel ameter
tlon appllances vent appUances appiiance appllances �
Column A Column 8 Column C Column U �
Paufveopening 1-36 1-22 1-15 1-9 3
Passiveopening 37-66 23—A3 16-28 10-17 4 (
Passiveopening 67-109 42-66 29-46 ig-2g 5
PasSNeopening 110-163 67-100 47-69 29—A2 g
Passiveopeni �64-232 101-143 70-99 43-61 7
PassNeo enin 233-317 144-195 300-135 62-83 g
Passiveopening 3�8-419 196-258 136-179 84-110 g
w motorized Qam er
Passiveopening 420-539 259-332 180-230 331-142 lp
w/moto�tzed da er J
PassNeopening 540—b79 333-419 231-290 143-179 11 +
a
w/motorixed dam er
Powerod makeu air >679 >419 >290 >179 • NA
Notes: �
A. An equivalent length of 100 feet of round smooth metal Euct is assumed.Subtract 40 feet for the exteMor hood aM ten feet for ea<h 90�degree elbow to
determine the remaining length of stralght dutt allowable.
B. If Hexible duct is used,increase the duct diameter by one inch.Flexlbie dud shatl be stretched w�th minimal sags.Compressed duct shall not be aaepted. '
C. Barometric dampe�s are prohibRed in passlve makeup alr opentngs wiien any atmosphericaliy vented appUance is Instalted,
D. Powered makeup air shall be elect�icalfy interlocked with the largest exhaust tystem.
. � • � �
t
Section '
Combustlon air �
Not requlred per mechanical toda(No atmasphertc or powervented appllances) �
Passhre isee IFGC Appendix E,Worksheet fi•1) Size and type I
Other,describe:
1
i
Explanation-If no afmospheric or power vented appliances are Instplled,check the approprlate box,no[requlred. !f a power vented �
oratmospherlcally vented appHance lnstalled,use IFGCAppendlx E,Worksheet E-1{see below). Please entersize and type. Combus- �
tlon a!r ventsupplies must communicate with the appllance or pppliances that requlre the cambusilon pir.
Sectlon F calculations follow on the next 2 pages. I
!
, �
i
�
Page 4 of 6
� � - TIM�� �
CITY OF ORONO `� CALLED IN � '
INSPECTION NO�C�� v SCHEDULE�I�� - �
PERMIT NO.���"�J� O CO PLETEp„ t--
ADDRESS
U
OWNER T EPHONE N . �Z�`� -��
CONTRACTOR
� DESCRIPTION �
t~y ❑ FOOTING ❑ DEMO-FINAL � ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING AL ❑ TREE REMOVAL
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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ EPTIC INSTALL
2 OWNERlCONTIiACTOR TO MEET Y'OU:�YES_NO
c�.� COMMEN :
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Cail for the next inspection 2a hours in advance. (952) 249-46��
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Inspector: �'�� �
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DATE TIME� `
CITY OF ORONO CALL IN
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PERMR NO.�'j�� / COMPLEfED
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Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-4600
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inspector: 1���"�- �.
White Copyllnspeetor's Flls Canary CoprlSks Notles
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+ DATE TIME
CITY .� ONO CALLED IN 7�n
INSP CTION�TI E /�� �} SCHEDULED
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Ca8 for the next inspectfon 24 hours in advance. (952) 249-4600
OwrnenContra'��e:
lnspector:� �
WMts Copyllnspector's Fils Canary CoprlSib Noties
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DATE TIME
CITY OF ORONO CALLED IN =c�.�._
INSPECTION NOTICE SCHEDULED .��,��-7 �,Qs'.�
PERMIT NO.�0�,, -_n, � zo 9 COMPLEfED �
ADDRESS ��O ����LL' i?`/ �c ��� ��Lr ,�r �
OWNER TELEPHONE N�O.i ���'���7 ,v�'-�'c�
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❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwneNContractor on sit -
inspector:___�_� ��
WMte CopYAnapscto�'s File C�nary CopylSit�NWles
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DATE TIME
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PERMIT NO. �!=�� "l��`�•'�� COMPLETED
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� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
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Ca11 for the next inspection 24 hours in advance. (g52 j 249-4600
OwnerlContractor on site:
Inspector: ��"�'�- G•
Whits CopyAnapector's File C�nary CopylSite Notice
�.?!C�!' �,-
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CITY OF ORONO CALLED IN �/ ��`� �
INSPECTION � -O/Zo9 SCHEDULED � �
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ADDRESS
OMINER PHONE NO. g�° �
COHTRACTOR
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c.N br tne next tnspect�on 2rt nours�n ad�►ano.. (952) 249-4600
on s�e:
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wnie.oov�w•�ar.�a. c.�.ry co�an.Noao.
/ DATE TIME
` . CITY OF ORONO CALLED IN
INSPECTION NOTA SCHEDULED /2 Z/7 M:00
PERMIT NO. -C/ G 1 ('j COMPLE-is f \
ADDRESS 770 c kQ 3 ) i1/•W y
OWNER TELEPHONE NO,W2-3l— 7e )
CONTRACTOR W rye ekr+5
DESCRIPTION P/4 '
l~N ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
ti.
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Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
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✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO l/�
2 COMMENTS: C( II ►�riS C�iohS Cvr*�+pKet.k
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector: ...J A So 1./ K.
White Copyllnspector's File Canary CopylSite Notice