HomeMy WebLinkAbout1993-004904 - 2nd story addition _ PERMIT
'� CI�Y OF ORONO PERMIT TYPE:
' 1335 Brown Rd. South • P.O. Box 66 ������-�}����
Permit Number. !}t s�__+���.
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357 {-f�;' ��:'��:=:
SITE ADDRESS:
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CONTRACTOR: OWNER: — A����� i c���t. --
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APPLICANT/PERMITEE SIGNATURE '" iSSUED BY:SIGNATURE
_ _ _ ,
. .. CITY OF ORONO - BUILDING PERI�iIT APPLICATION
Total Fee: $ � C/�� � � Date Received: ,%�-�/� ��
��-�� Date Approved:
Entered By: ' (`
' Permit�: 7 ��� y
A�L INFORMATION MIIST BE SDBMITT$D IN FIILL BEFORE PLAN REVIEW WILL B$ STAR�ED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDR$SS: /y�7 �� l� .�� ,�; � <:. k.c'_ I�y�v�� ZIP: � >> ��} �=
(work) �`i S�- 7�� "/
�. -i�l- �_�l u s
N� OF OWNER: � Tt��i E�- � L .a`r l-liC�n.�E; r`� - t��/�L�z�,��v'`�PHONE: (home) _ - - �
. ._, _�:
�iA2LING ADDRESS: �y �u 1_.���., t << �a �_i.,. � CITY: •�� �-� �.,,<. �'c_ ZIP: �� '> > 5--=
CONTRACTOR: �rt L t- PHONS:
MAILING ADDRESS: CITY: ZIP:
STATS I,ICENSE: �
ARCHITECT/ENGINEER: �.��J (_��c=.`�-, PHONE: `�`�ri - _��/ [_
MATLING ADDRSSS:�`� z;L`� �C/ ih �1�.�- h�;� CITY:�--���C11'�`v,; ��� ZIP: 7 5 4�� �
NAI�: l�;r.a�,' �,:ac=_u>�-'. RBGISTRI�TION �
TYPE OF WORK: New Addition�_ Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : �,��i'� � ��c� c��=- �,
STORIES: � SQ. FEBT OF EACH FLOOR: ���I --
NO. �F BBDROOMS: -Z—. GARAG$ STAI.LS: ATT. DET. iC//�'1
ESTIMATED CONSTRIICTION VALIIATION (eaclnd.ing Iand) : $ /� i_��� L�
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. . .
i '
APPLICANT'S SIGNATDRE: �z- " - DATE: / ? j ��-j Z-
CHECK OFF LIST FOR ISSIIANCE OF PERMITS
�� FOR OFFICE USE ONLY
ADDRESS OR LE�AI,: 1�-1�i�` C...:rst� ` ►�t=L ��-`�r) PID:
:�SCRSPTION OF WORR: ��v c� �'i��'" rJ ol,tl i �i�.�: -t- t��-r�.�r��.-ti
.-------------------�--------
-------------------- � � �
30NING REVIEW BY:_ � ti , DAZ'E APPROV�: ' _
. �, 4 K.:� _
�) � .. . �.
BIIILDING RE�TIEW BY: '�"..l ;.��' i,�..._.` DATS APPRO�TED: t - I Z '`� �,----
-----------------------� ------------------------------------------------------
FEES TO BE C�1iRGED• Misc. Fees Ca�cul.ated By:
PERMIT Yes �� No �
PI,AN REVIEW Yes��No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No f PARR FEE
G�C ' Yes No �/� SITE INSPECTION
�:imber of SAC Units OTHER (specify)
----------------------------- L� �
_--------------------- .
ZONING CHECR LIST Zoning District '- /�
�ire Department: (r•.^r=c� ���K-�Post Office: '�rc.t:, Schoo� District: C:'�'�����:�
_ot Area: 5 Z s�� `� Width: i �S� `a ,4.�1 Depth: 7�� -� �' _
urvey Submitted: Yes � No Date of Survey: (� 5 � �,�3
?roposed Setbacks: ,
Front (Lake) : 3 5 �� Right Side: E�' '�� i
Rear (Street) : �: �� Left Side: �:...; �+u�Ui
Adjacent Structures: Wetland:
3uilding Height: Def. Hgt. � � �� Peak Hgt. � � L
Avg. Setback: �,�' /�� Lot Coverage: j�.��ll�
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No�_ Date of Council Appronal:
Grading: Staff Approval ate: By: Counc' App oval Date:
Septic: Staff Approva D te: BY=
Zoning File:� Reso tion � : � Reso�u ion Date:
RF�ARK$ (in ho e) : � ---
, ,
:
/
�
/
BIIII.DING REVIEW CHECK I,IST '- .
IIBC- g�S �� - -� CONSTRIICTION TYPE: ,�T ,
Sq Footage $ Per Sq Ftg .
Basement x = -
lst F�oor �C`j X �-/`i. Z `7 = ';�, i�SC. ec:
Znd Floor 5�te � x �i `{ 2`j = ��,ti ' '`
Garage X -
x =
TOTAL
Bsti_mated Construction Valne: $ S �� - �`-'��
Inspections Required: Work Req�airing Separate Permits:
Site � :�P�umbing Grading/Fil.ling
I�.Footing �Niechanical Fire . �
�Framing �_Septic Water Connection
�Insulation Fireplace Sewer Connection
Wal.l. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
' Other !Wel J. (State Permit)
�_Electrical (State Permit)
--------------------------------------------------------
RF.MARRS (IN HOIISE) :
-------------------------------------------------------
REVIEfni BY OTHF�RS: DATE:
Access: Existing � New
Access Approval: Date BY=
--------------
-----------------i_--------`-------------
REIK�RRS (TO BE NOTED ON PERMIT) : (V�..t�� S�(' � �L S y S ���'l �/vW �-'; ���
5 du s T'Y��`�.--� ��k s �v v�v �l!S � l IJ i:�� 1-i -��''� /�'Ii'G'7
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� c; �` � : CITY of ORONO
� �;;�. �� .
'� "� Post Office Box 66•Crystal Bay,Minneaota 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 Iike 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 wi].l be used to determine your
qualification for the permit or license requested.
2. You may refuse to suppl.y data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other Iocal , 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 to review pri�a��
data on yourself.
6. Your full name is required to process this applicatian or
permit.
�zu�� � ����r���.I�i {�-Y ����- � ���.�� --
First Middle Last
' �% L' L��r.�; Lca`�{ t�71U C\ �
A—dc�. ress
]_�_��,�,�_, l.-c-� ��c__ J'�`��V� � `7 � _Z��� -
City State Zip
�`{ �4/1�l -- z �l�� �� �`�� ' _=�`i =�-- -7� i ��
Phone
I und rstand my �ights as stated above.
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_�--' . t .L,; ____
Sigriature .
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING .
�.04 RIGH15 OF SIIB�7ECTS OF DATA �
� Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be ss set forth in this section.
. Subd. 2. Infcrmation required to be giv� ����' An.individuel asked to
� _' supply private or confidentiel data concerning an►Wit�h�in the collecting state agency,
purpose and intended use of the requested da
political subdivision, or statewide system; (b) whether he ma� refuse or is legally
required to supply the requested dat8; (c) any known consequence arising from his
supplying or refusing to supply private or confidentiel date; and (d) the identity of
other persons or entities authorized by state or federal law to receive the data. This.
requirement shall not apply
when an individual is esked to supply investigative data,
pursuant to section 13.B2, subdivision 5, to e law enforcement officer.
The commissioner of revenue ma lace the reo�a�tructions insteadhos
subdivision in the individusl income tax or ro ert tax
on those orms. - -
Ac� to �� � ����y Upon request to e responsible �
Subd. 3. �
authority, an individuel shall be informed whether h=VBteeor confidential.e Upon his
individusls, and whether it is elassified as public, p ublic data on
turther request, an individuel who is the subjecc�� to�mri�v�aae if he desires, shall
individuals shall be shown the data witho of�hat data. After an individuel has been
�e informed of the content and meaning t� �� need not be disclosed to
shown the private date and informed of its meaning, u��t to this section is
him for six months thereafter unless e dispute or action p
� � pending or additionel data on the individuh h�ateQor p blic datarupon request by
responsible authority shall provide copies of P require the
the individuel subject of the data. The responsible��8�f°nity�d compiling the
requesting person to pay the actuel costs of making, Yl g�
copies. immediately, if pessible, with any request
The responsible authority shall comply � of the date of the request,
m�cie pursuant to this subdivisi�d le with�a�'��mmediate complisnce is n°t
excluding Saturdays, Sundays �
possible. If he cannot comply with the request within that time, he shall so inform the
individuel, and may
hsve en additional five daS'S With�n W�'uch to comply with the
request, excluding Saturdeys, SundeYs and legal holidays.
Subd. 4. Proced�u'e when data is not accurate or comPlete. An individual may
himself. To
contest the accuracy or completeness�of public or private data conce�lble authority
exercise this right, en individuel shall notify in writing the resp
describing the nature of the disagreement. The responsible authority shall within 30
days either. (a? correct the data found,tcom ete data�including peec pients namedt by
notify past recipients of inaccurate or in p
the individuel; or (b) notify the individuel in��dusl� statementof disagreement is
Data in dispute shall be disclosed only �f
• included with the disclosed data. ealed ursuent to the
' The determination of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases.
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET �
To Determine Compliance with the Minnesota �ergy Code �
(Section 502 of the State Amendecl 1983 Model Energy Code)
Project Title _
Site Address
I. EXPOSED WALL CALCULATIONS
ARFA "U" VALITE AFtF� X "U°
A. Opaque Wall , .
1. Masonry/Coricrete
a. � � X • -
b ..� x �• _ ...
.
c. � ,-'- x �" _ ""'
2. Foundaticn Wa11 (Above Gra e)
a. G O TJ L . '61.e Gk � P,O x .9 =
b „�, � X s = �
.
3. ti�ood Frame Wall :� X . � _ .,,��
a. Insulated Area
b. Framing Area (Ave. 15$ at 16" oc) z:�: x • 2Z = 5to
� c. Framing Area (Ave. 10$ at 24" oc) - x � _ �`
4. Peripheral Floor Edge/Rim Joist
a. , x �O = !�_
b. -- — x - _
B. Glazing
l. Windaas - �.�.,_ X .�(p = O�
a.
b — x -- _
.
2. Doors �le X . = 2
� C. Doors
1. Wood
� a. Solid -» x — _
b. With storm door � X — _
2. Metal x .I�:' = 5
3. Overhead � X '� _
4. Other � x .— _
D. TOTAL W�LL ARFA, sq. ft.............. . . .. ... ���
E. Z+0'�L of AREA x "U".................... .............................. . ;� ,,
'?. HOOF/CIILING CALCIILATIONS
A. Roof/Ceiling Insulated Area J�� x • 02c = � �
B. Roof/Ceiling Framing (Ave. 15$ at 16" oc) =�: " x =
C. Raof/Ceiling Framing (Ave. 10� at 24" oc) x ,1'Z• _
D. Skylight �' x -�*'" _
E. TOTAL F�JUF/CEILII� ARE'A sq. ft......... ..... !�J ID •
,
F. ZO'IAL C�' A1�E'A x "U" . ................ . . . ........ . ................... . . � !
10
.._:.�. • -
III. BUILDING ENVELOPE BEG�UIREMENTS -
� TOT�L ARFA RDQUIFt� "II" ,ALLO WABLE
" (Frvm I.D & II.E) (From V.) (Area x "LT")
A. F�posea wall: i 9 3� x � 3� _ '�'�pL�
B. R�oof/Ceiling: g� x �06 = U 1
C. Zi0►�L ALI,OG�B�LE BUILDIlQG IIVVELpPE (Total of A & B above) ... � �
IV. ACTUAL BUII,DING ENYELOPE
ACTUAL
(Area x "U")
A. Exposed Wall (Fran I.E) _'��l._�
B. Roof/�Ceiling (Fram II.F) ?}7
C. TOTAL ACT[TAL BUII�DING IIVVIIAPE (Total of A & B) ......... ... ' �
*(Meets code requin�nents if less than III.C) �
V. REAUIRED "U" VALUES
. . ti+TALT� ROOF/CEII,ING
Detached or�e ar�d two family c3w�ellings .11 .026
�
* Multi-Family Residential Buildings .238 .033
(3 sto�ries or less i.n height) '
* All Other Construction Z�ipes (3 stories or less) .238 .06
* All Other Constructicn Types (More than 3 stories) .28 .06
* Based on 8007 heating degree days (Mpls/St. Paul)
Ad3ust 'U' values accordingly for other iocations
CERTIFICATION
I hereby certify that I have ca�leted the abvve information and that it cr�lies.with the
Minnesota Stat,e Energy Code.
Sig ure - ' Date 1-��3
il
BCSD 3-89
CC/SR7/6574
� � CHECi� OFF LIST FOR ISSIIANCE OF PERMITS
, FOR OFFICE USE ONLY
ADDRESS OR I�EGAL: {�-( °j� C,�.�N G C�+4-�u= /�L V� �'ID=
DESCRIPTION OF WORR: ►'�-��-�-i�=�=' t=='���C
-----------------------------------------
ZONING REVIEW BY: ���to L�,�.-� _ DATE APPROVED: /c> • 27-S 3
BIIII,DING REVIEW BY: r T"-."� C�-� DATE A P P R O�T E D: (U" �-1 - E �
--------------- ------
FEES TO BE CHARGED� Misc. rees Calculated By:
PERMIT 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 ( specify)
----------------- _//� ----
----------------------------- . /1
ZONING CHECR LIST Zoning District• L.
_.,_--�.� _
Fire Department• /V� ( �-- "�S��� 1ce� ' �� Schoo7� District:
. ^
Lot Area: �Z-, t;;;�} � ---�� Width: r2�_,r;�. Depth:
Survey Submitted: Yes� No Date of Survey: (-.5 ' �'3
1 n,` 2�N ��`� -c�I�.
Proposed Setbacks: � ���
Front (Lake) • /t/ ��+�? Right Side: /6 �J_
Rear (Street) : yy � �N, Left Side: Nfr�
Ad j acent Structure s: j=1 T%i{F�,�F e�� Wetland: /Lr��f1
Bui�ding Height: Def . Hgt. � • j�- Peak Hgt.
Aqg. Setback: /w'� /`�� Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 ' i �'�° �� �-���`�
500-1000 '
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approva� Date: � �' ,'� By: Council Approval Date:
Septic: Staff Approval Date: By=
Zoning File: # (k'S`-�
Reso�ution # :� �> 7 Resolution Date: !� - i(���
�_F.MARR$ (in house) :
_ . _.
� � � `�__.� L.c��_:: 6 l f �. .`->'� �)c'� �l 6�vc:�F�:
��-- L—.- v
r
QL� � c2L �� ��� �Yt � ti I�s�;� r--
R �
BIIILDING REVIEW CHECR LIST , .
IIgC. ��^ _ ( CONSTRIICTION TYPE: �-
Sq Footage $ Per Sq Ftg
Basement X -
lst F�oor X -
2nd Fl.00r X -
Garage X -
x =
TOTAI�
�
$stimated Construction Value: $ � U� �>�<% �-
Inspections Required: Work Requiring Separate Permits:
� Site Plumbing Grading/Fi�7�ing
/(Footing Mechanical Fire
_�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
_�WaII. Board (Masonry) Lawn Irrigation
oCFinal. (Mfg.) Other
Other Wel� (State Permit)
�_Electrical (State Permit)
----------------------------------------------------
R_FMARR$ (IN HOIISE) :
-----------------------------------------------------
REVIEW BY OT�EtS: DATE:
Access: Existing New
Access Approval: Date BY=
-----------------G� Qy .�- 3 0•4
------------------------------------- �5r 4
jtF.MARR$ (TO BE NOTED ON PERMIT) : �(,,�AvV"r I��,5 �32 �o ��D /
� _�
'���. ��,u ri o�_� 3 3�
,� . , ��. � �_ RESOLUTION 7 ��
. �;�.��� � �
_ �T F p ,Av �
N 66•, PLZEL!`�IIN�Ry .,_T� _ L-
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Five pyr�idal arborvitae evergreens are proposed as a buffer
immediately east vf the applicants residence. The trees will .: .
be between 8 ' and 10 ' tall when planted and could o�°a continuous buf�er.
The trees will be planted approximateiy 7' apart f
Page 6 of 6
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� 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 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
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Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r ite: _
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN ��' — �/� '
INSPECTION NOTICE SCHEDULED � -/ �2- � ` � `
PERMIT N0. `f���� � COMPLETED � �
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� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
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INSPECTOR WILL RETURN
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Call for the next inspection 24 hours in advance.473-7357
OwnerlContr�jor Q,n site:
Inspector. � v
White Copyllnspe tor's File Canary CopylSite Notice
� �� DATE TIME
CITY OF ORONO �CALLED�N •� '�1- �-'
INSPECTION NOTIC�` scHE�u�E� � ' � �� �-
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TELEPHONE NO. 1�i..� i '� / / `='�`�- ��? � �
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Q �'II�FRAMIN`• � V 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
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INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac r on s e:
Inspector.
White Copylinspector's File Canary CopylSite Notice
__ ....__ ,.�
644176
Cer_�ificate of Survey ' `
'� for Troy Anderson
;,,pf Lots 3 & 4 , Albee' s Long Lake Addition �
�` and in Gov't . Lot 1 , Section 26-118-23
Hennenin C.ounty, Minnesota �,,L�l'1
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ExiGtinq Leaa). Desc.r.ipt.ion '
Lots 3 and 4 , Albee 's Long T�ake Additic�n, Hennepin Coiinty� and That part of Gove.rnment
L�t 1 , Section 2F, �ownship 11R, Ranqe 23 , lying �ast of a line drawn parallel to and
F75 fe�t East of, measured at ric�ht angles to, the West line of said S�ction 26 �nd
West of the extension south of the most Westerly line of Lot 1 , "Auditor ' s Subdivision
NumhP.r 291 , Hennepin Co��nty, Minnesota . "
Thi.s siz.rvev shows the location of an existing house and a driveway serving a parcPl to �
the riorth �f the above described proper.ty. Tt does not pur.port to sh�v�� any other im—�••--_•»•�'
�rovPments or encr.oar.hments .
c�rYOF o���� -
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�earings shown are based on an assiimed. datum. �ppROVE�
❑ F,PF'f�ClUt J 4^�171•f �,'�.�"'::'�NS
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BY _ ✓
DATE �-�z-�'3
I hereby certify that this survey was prepared by me or under my direct super- . i>nTE t _ 5 - 9 3
� � ` � ' � vision, and that 1 am a duly registered Civil Engineer and Land Surveyor under
li� the laws of the State of Minnesota.
�
` SCALE 1��� 40 , .
�•Mark S. Gronberg Minnesota License umber 12755 log No. g 2'544 ' < ��'`,�� ::
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