HomeMy WebLinkAbout2013-00811 - new structure " ' � ` CITY OF ORONO
2750 KELLEY PARKWAY * z 0 1 3 - 0 0 B 1 1 *
DATE ISSUED: 03/14/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 1555 MAPLE PL
PIN : 08-117-23-33-0030
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 008 BLOCK 006
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 314,650.14
NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FO URVEY MUST BE SUBMITTED AND APPROVED BY THE
CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL:
NOTE: PRIOR TO ISSUANCE OF A T FICATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND
APPROVED BY STAFF. INITIAL:
NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEA ER CONDITIONS(WHICH PREVENT THE
COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVE MPORARY CERTIFICATE OF OCCUPANCY
(TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL:
PRIOR TO ANY ESCROW BEING RELEASED FOR THIS PROPERTY,THE POND LOCATED ON THE NE CORNER OF THE PROPERTY
(AND EXTENDING INTO THE PROPERTY TO THE NORTH[1545 M LE PLACE])WILL NEED TO BE DUG OUT AND RESTORED.
THIS ALSO MEANS IT WILL NEED TO HAVE PLANTS ESTABLI OUND AND POTENTIALLY IN THE POND AREA PRIOR TO
RELEASING ANY ESCROW OR OBTAINING A CO. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 2,346.75
PLAN REVIEW 432.90
Maple Place LLC STATE SURCHARGE(VALUATION) 157.33
550 25TH AVE N
ST. CLOUD, MN 56303- S.A.C. 2,485.00
MISC FEE 0.00
TOTAL 5,421.98
Payment(s)
CHECK 3273 5,421.98
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD,MN 56303-
AGREEMENT AND SWORN STATEMENT
The work for which[his permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 ISO 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 y ti e for due cause.
/ /
App cant Pe 'tee Signature Date Issued B� gnature Date
. ' � � � 2� 3 . ,
;
CITY OF ORONO �
BUlLDING PERMIT APPLICATI4N �:
FOR NEW STRUCTURES OR ADDITfONS
O MsFling Address: Permit number. o��/3 —�U �/
PO Box 6fi
� � Crystal Bay,MN 55323-OOf:6 Date received: Z ��� �`3
SbaetAddress:' Received by: .
y ��" 2780 Kelley Parkway Plen review fee� 0 3-Ov �/Z�
`�t,�kas�o�w�' Orono,MN 55356 � Q fca. �9 ,
Total Fee: �
' Main; 852-249-4800 Fa�c 952-249-4816 yvww.ci.orano,mn,us
This application foRn must be completed in full and all requlred informatlon muat be submltted.
Incomplete epplicatlans will be returned. (Please p�lnt)
GENERAL INFORMATION:
Job Site Address: � � r7 � /Vl�l�,� � ��IGC,
1MII this be a Parade of Homes, Rerrtodelers Showcase Home or other Dlsplay Home? Yes No
11 yes,a spedal evant permlt!s requlred wfthh Aolfoe Deparfinent end Clly Coumm:lll approve!80 days prfor fo the event. Shuttle bus servlce wl!!be
raqulred unfess sppJlcant demonsfratea suAtclent orrsRe parklrrg!s avelleble. Non-permltted events w!!1 not be ellowed. •
' , �
CON1'RAC70R 1 APPLI ANT INFORMATION:
Name: � q I o�3
5tate License# G ���1 f��b�, �Expiratlon bate: 0 2-�r�'
Phone: cell ��1 I �(o office '1 b3 H 2 3 3 3
Mafling Address: � ��'.� ,re, CI • ZIP: �
Contact Person: r. ' Applicant is: Contractor I Homeowner (Clrale OneJ
Emell and/or Fax: �I� � .caw�, � o0
PROPERTY OWNER INFORMATION: � ,/� �L�
Neme: �"1 r-� �G�-c
Phone(dey): __]� 2�01! • � • p
Add1'ess: t�(HG G1� s�r 5� �-t l!v� 5 kev<.��►�itQ: �p✓,�1�j -in/ z�P: �;5 3 0�
Email andlor Fax 'j�, 3 � StaS' 2�0 2..
ARCHITECT 1 ENGINEER INPORMATI01�•
Name: (��-{� G v i����i�h.
Phone(day): ti o 7 - q� - �13�
Address: g��,,.�,.�o0 0� City: Z1P;
Email andlo�Fax: D s S�o M S'S3�`l
PROJECT INFORMATION: Descn tfon of ro ect:
4.Type of P�oject 2.Propoaed Use 3.3tructure Type 4.Sewage Dleposal &
Water Supply
�New Constructlon �J Single Family with �Rasldance
Addition � ' attached garage Garaga/Accessory Bldg. �'Public Sewar
❑Accessary Bul[ding • ❑ Single Famfly with ❑Deck
❑RelocaUon demched garage ❑Otf�ce/Commerdal ❑Private 5ewer
❑Oiher.(specify) ❑MulBple Fam(ly/Condo ❑Warehouse
❑Public ❑Storage ❑Pubiic Water
"'Any earth movement may a18o tequfre ❑Comrt►erclal ❑Other{specify}
MCWD revfew&permits. ❑Industrial �P�ivate Well
Minnehaha Creek Waterehed Diatdct(MCWD) ❑Other:{apecity)
18202 Minneto�ka Blvd
Deepheven,MN 55391
Phone: 852-475-0590
Fax: 852-471-OBB2
0
EsGmated Construction Valuatlon(excluding land) $ ��`7� 000 . �ZJ
7`
, c �, . �
STRUCTURE INFORMATION:
1.8tructure Dimenslons 1.Structure Dimensicns(contlnwd) 2.Type of Construction
e.Lenpth(fl.)= Number of bedrooma� �y��d!Frame
b.Width(ft.)= Number of gerage steUs: ❑Masonry ' ;
Areas in�are faet Atteched F ���8� �
❑Po1e Bldg.
c.Basement= Detached= • ❑ICF
� d.1a Story m
O On•aite Pretab
e.2n0 Sbry= ❑Oft slte Prefeb
f. K Story = ❑Other(pleasa apecNy}:
g.Total Arse�
REQUIRED SUBMlTTALS: - �
A11 of the information must be submitted in order for our a lication to be rocessed: :
Not
Enclosed ll�able
0 O Permit A Ikx�Hon �
O 0 Pro osed BuNdin Plana
O � MN Steto En Code Calculatbna and Mechanh�l Code R ulrements Form
� � 8 maeitn all ulrements �
C! � 3tormwater PolluUon Prevendon Plan
0 O Herdcover Cslculatbn s
O O S S stem SNa EveluaUon Re rt
Acc�s PemtR
� O Wetland Buffer Im ment Plen
O O lneared Plana for Retalnl WaAs 4 fset or above
O O Plan Revlew Fee
O Applicadan Eacrow 8�Agroement
O O Other.
APPUCANTlOWNER ACKNOWLEDGEMENT: �
• Agrees to provide afl Information requlred or requeated by the Bullding Depa�tment;
• Agrees to pay the Cfty cFOrono�or enpineering coneullant revl�r costs in axesss of$600;
• Certiflea that the info�me�on supp9ed is true and cortect to the beat of hielher knowledge. The eppllceM reoopnizes that they
are solely nespansible for submitting a camplete applicadon being aware that upon tallure to do ao,the ateff hee no altemativa
but to reject it uMil it fs complete;
• Ackrtowledges lha Escrow Agreement Is campleled and elOned;
• Unde►stands aome or sll of the inlarmation that you are esked to provide an lhis applk�tion la dassl8ed by Siate lew as elther
private or oonfideMfal. Pdvate dats is Infomnallon whlch generally cannot be ghren to lhe publ�but can be piven to Ihe subjed
oi tha date. ConfldeMlal data is infarmalion whlch generally canoot be given to eNher the public or Ihe subjed of the�ta. Our
pinpoae and t�rtended uae of this IntormeUon Is to annually updete our recaMs end records of other govemmentai agenc�ea
required by law. N you refuse ta supply the InfonnaUon,the appUcation mey rsM be issued .
. Agrees that(n the event�at wsathor or other conditions prevent the completion of an es-bWlt survey at ttre tima the
Cerdficabs oi Oceupancy Is requesbed,e bmporsry Certlflcats of Occupancy msy ba Issued upon rocNpt of a 510,000
oscrow to ensure compladon ot tha as-bullt survey and a[I stte improvemente.
Appllcant's Sig�alure; �� � � Date: �Z r 1 b '��?
� Owner's Slgnature: ' Date:
, . : . �
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= � z-- Number of bedrooms=� �°Wood/Frame
b.Width(ft.)= �L Number of garage stalis: ❑Masonry
Areas in sauare feet Attached=_� ❑ Metal
❑ Pole Bldg.
c. Basement= Cl�-3_ Detached= ❑ ICF
d. 1S'Story = `�Z �} ❑ On-site Prefab
e.2nd Story= �Z Z Z. ❑Off-site Prefab
f. 'h Story = ❑Other(please specify):
g.Total Area= Z.� � r�
REQUIRED SUBMITTALS:
Ali of the information must be submitted in order for your appli�ation to b� pr;;cess��'
� r �-,�is `��4��a�y��. � ��,x��r.yP7{ q y � s �
�� f� ,ar� �r�ht �r��r 7t .r 7,_h� a,- ` 7 ;i ii tJ'�.�I
,$ ' L, � _y � e � i
i
'� O Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
`�Q ❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ 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 knowiedge. 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.
. A rees that in the event th�t we�ther or other conditions,prevent the completion of an as«built survey �t-the time the
9
Certificate of Occup�llcy is requestedf a'telr/pol'ary�:Certificate�of�Occupancy=may:be�issued�upon reaeipt of;a $10;OOD
escrow to ensure completion bf'the as-bUilt survey antl all:'site�irttprovemeflts.
_._—� r`.._ � —..��-- Date; �� /,Ti�-� � � �
AppiicanYs Signature: ` � �
Owner's Signature: Date:
Packet Last Updated: 03-06-2012
-22-
���f�.€� ���,�`����.� �E�����.,t�� ���. ���� ���.t��T���� � ��?����t���
�,dc�ress/R�rcr�it N�m@ec: 1`.��5 M y�Aa.� P�A��
De��eEptior�of�rark: N G t�.) �� �
Septic r�vi�vr l�Y� �v Date Approvecl:
Zanir�g �evie�r b�: �� Qate Approved: �3`���
B�ildir�g reviev�bY� Date A�Rroved: �-�- 3m—�3
Grar�ing review bY- '�� Dafe Approved: 3 / �
Za�ing Distric#: �r-.- ''- � Zor�ing File#: Rese#: Reso Date:
���� ��� 1�U'�
Z�ning: Lot Rrea: SF/AC 1Midth: l.ot Caverage:= � SF /o �P_'=�� -
Sun'ey�ul�mitfi�d: �es E� �to �ate of Survey: k� ' � � � ';� Revised date(�)�� ��-�"`��
�
Rro o�ec� Setbacks:
�r�o(Lak�) `R�� Stre�t) ( � S E �i!' ) ( t� ��" E �'ii ) Other�yild�c�g� Wettartd
side �cle
. J 4 � �....��f t i� r . . f � . . . . . ..
p } .��
�
Deftned Height: Peak H�ight: FFE:����' FF�minus &feet= � .�(F�cistfng Contoaa
Perirrteter(tinear fee€) = 5�%_ #of Stor�es � Ok? YES
FOR A BUILDlt�lG WITH A BASEriliEl�T QR CR/k1A�L SPl�CE:
the distance befween the Iowest FOR A BUILDING OPI A SLAB FOUNDATION:
START WITH �� proposed floor(of tfie basement or crawl
' ✓—� space)and the highest point of the roof. START WITH T�d�s�nce between the top of slab arn
If you have a... the highest poiM of the roof.
GABLE OR HIPPED ROOF(no ' ifyou have a::.
_ � � windows): Suttract half.tt�e • GABLE OR HIPP.ED ROOF(no
�� windows):•Subtract haifthe distan�
distance between the highest pant between the hi hest
��� of the roof to the low point of the , 9 point of the ro
i p�ro� to the low poiM of the cArt�espondir
SUBTRACTION Cortesponding gable or hi SUBTRACTION pped roof
: < gable or hi
; (BASED ON ROOF� . GpgLE OR HiPPED ROOF(with (BASED ON . C�ABLE OR.HIPPED ROOF(with
� �E� windows): Subtract half the ROOF IYPE) windows):,Subtract haif the disffin
dista�ce between the top of the between tt�e top af the highest
highest window and the highest window and the highest point of thi
point of the roof ro9f _
��� • ALL OTHER ROOF TYPES(flat; : • ALL OTWER ROOF TYPES(flat,
'„ mansard,ete):Nosubtraction. ' mansard,etc:No Subtrecfion.
� 5ubtrad the disfenee beiween!he �DITION Add the distance between the tcp cf siat
SUBTRACTION (BASED ON and the high�st existing grade edJacern 1
, :..: .� basemenUcrawl space floor and the EXISTING the foundation.
(BASED ON EXlSTtNG higMest existing grade adjaeer�t to the
�t.J r ' � GRADESJ GRADES ,
� i t ^,. �p foundation OR 10 feet(whichever is less). EQUALS . Defined bullding heigM
; .✓ EQWALS Defined buildEng height
�:,: L�
ShoreEancf Dis#tict ClKE]Rermit Recei�►ed /�vera e Lake�hore�etback I�Ret? BI�fE
Yes Ci No a N/A L7 Yes Nc
Yes � No � _��� � Yes O No �iA Setback: -�_
Permit f�umber:
�tiQrm�at�r t��c�l�� Exi�€sc�g . ��°apo��� ��riar�ce Req�aired CUP Requirec�
C2veria �istcicY Ti�r k6arc�co�r�r HarcEcover
�� ir`�';�, � Yes :� f�o � Yes No
�
� �; l .
�.-.�' '��/' � s-- TYPe�s)� � TYPe(S)�
�.� f �;;
Updated: January 2013 tr; ,
v:lformslplan review checklist 2013.docx` �`;�.� �'�� 1 , ' '." �
. . ,. .:.._
�_� .._-_ S ,
� .� �
RE(�AkKS (in-house):
F�es t� tse Ct�a e� Y�� f�tD
Pe�it :. � .
Pian Review �/
S�a�ts.�tii'C ��" :
tnvestigation Fee �
5�►�=�f�'�o+f S�OC��s �
Other(spec�fy)
S uare Focta e $ r S uare Foota e
Basement �2� X '�j,'�'3 = $ �°a ��-��
1$'Floor q 2 � X ��'.'�� _ $ ��<'t�'l.�?"�
2"`'Floor o •2'�'2 X 4°S.?� _ $ ! 2 t t ?1�'�. �
Garage '�(0 0 x `�f 0 . �( _ $ t i� . ! �''�
E��imated GonstructioR Value: � �¢���°��`�
Orono tn$pectians�equfred �erk Requiring Separate Perenits Required State Permi#s
CE Site ,,�Plumbing � Grading/Filling Well
E� Hardcover Removal � t�lllechanicai � Fire Electrical
,P.�'Footing C� Septic ion
�f�'�Poured Wali ,�@" Fireplace ,0 Sewer Connection
�"Fcundatian Suroey F� f�asonry �Lawn Irrigation
� Radon Rock Bed �Mfg.
„� Framing [I nthPr esoecifvl
�''Insulation ��1�-�(�
��s-Buttt Survey � �
�'Final � � �� �J �� (n��
Q Wetland Suffer � T- �V��
Q Other(specify) ��'�' ` r� �`�
��,� �
REt�ARK� (in-house): ��
,�� ��� `
� �.=�...
1:..�,
Oth�r Review: Reviewed [�y �..��' ;�`; .._
��; � '� -
Acce�s: Existing: Oi ` ���1/��{/y,�--- ._.
�i ��.� �
�FFlC1AL REf�lIARK�-TO�
Prior to any escrow being released for this property, the pond located on the f�E corner of the property (and extending
into the property to the north [1545 Maple Place]) will need to be dug out and restored. This also means it will need to
have plants established around and potentially in the pond area prior to releasing any escrow or obtaining a CO.
������� �
Updated: Jana�ry cv,� -- ---- -
v�lfortns�plan review checklist 2013.docx
I�`11Q1.8 Ccrtificatc - - - - --- � v � '•,4, i,' `v ,n£
Ruildcrs n'ame/C'otnpauy Date' �) " � IL1 _-- - ------ $Ite /�l�C�t"@S5: •-- �� �� ������� �---
� � �V�-- � � � :. � �> License Number: �,C ��`����
' ' r - �r � t, < ; "
j Contractor Name: ��:�:- ��'`�'' �
- - -- - — - - -- - -T—_
- --�- ---- -
Locafion Type of Insta//ed Type Location Size '
Insu/ation R-Va/ue
-- ----- - - --- _ _ _ _____
_ __ ----
- - -- ----- --- - - ----
Makeup Air -_ �-�"`''� ;�.�_ __ _-;`�1:r� til �L c-_;:IL
Roof Ceiling ���ti ,;:�, �.- �t�1
- -- Combustion Air ,�.7 f�, -- T`
----._. - - �� -- - � __---- --- _ _ . .
Walls ___-�=,�' � t . -- - - --
- --- -� -- --- - -- --
.. . , h : _
� _ __ Water Heatin � .�.���� ____
� Slab-on-Grade � ! ,1 � r
U_7�--- ._ _._ -_ : . � �� _.
�---- - - � ;'7f�anufacturer':` ` � Mo�e/�_ . � •. , �- ��7V- --
- - - -- - -- - - - �
� Floor �� ! �'k , �'V T�S _ + _ __
--- - -- --
--- ---- -_ �1-__. Spaces i _ _ v _
��cts 0iitsic�e-of'CQnditi�ned
_r— -- .- -
Rim 3oist __L-c•��"� f �� . � 'Lvcat� ^ '
;_--__ __ __ - -- _ - - -- . - -�_-
� I�terior,Exterior or Inte ral OR� __ � �`"R V��UB ___ _ J
,__ _— __ _ _ _ -
-- --- –
` Foundation Wall ��� �:.=��ti �
- -___----- -- - .�. _ �
-- -- --
, Tntc�ior, Extcrior or Integral � �
: -------- - - - - - - _ _ _- -1 ---
--- - - - -- - - -- -- -- - - -- --
� Avera e U-Factor SHGC sa/ar heatgain coe�cient _, , :_ __Passive ( _ Active_�
- ----
Fenestration �_ ._ _ Radon Control : � _ I
.
1-------- -- - — , --- -
_ _ - }
_ . --- __ - - -- - _ _ --- -- - - -- - . i _ __ !
- --- __ . ._ _ - __ - - _ ._ _ .
_ _
--- - - --
� Type_ _ __ Input Rating__ AFUE Manufact�u��r __ Mode/ Ca/culated Heat Loss
Heatin 5 stem 1 S, '1G��:;;� ( rt� ,; � ` �n:•,` .. =1�L 1� =� �'�`� - - �1�.i�Y SG -__
___ __ 9 _Y_ �:��___.c__ — � - - -�J _ -_ , .
— - -� - - ----�- -
-- - - -- --- - _ _ ._ __
-- -
Type � Out up t Rating_ SEER ; _ Manufacturer Mode/ �_ Coo/ing Load/Heat Gain
- - _ -- _
Coolin�System__ .r,�;��l__ .� � � L.: _ �� � - � "�i��` "` - `' '--`-'` �''� � � � - �
��- - - --•—
� ,
� 1 - - -- _ --- --- -- ---__- ---_ ,
- - ----- -- I- - -- - -- --- ------ �----- - -------__---. __ . 1 '
- - --- -- - -- - - -- - --
Type Location � Continuous Venti/atian i Tatal Vent�/ation
-- - --_ __ _. ----- - -
Mechanical Ventilation .-:,,..,, .-, :, �-y_,t� ..� i L� .- =�L� I , �
-_ _i�._.��_ _ __ _ - -- - -- -- -
_ --�� --- --- - -- ---- - - �
, . , . �����", ,;�.�.�,
Clt
���N Hardcover ���ksheet FEB 2 7 2014
0
i � , � Property Address: /SSS /�.{P�.E i���C� O E��v�7'o.s�.v.f'o��,��s�RONO
��� ,� ;
_, Prepared by: GRa,�,,�8�'�G' � A�'J''�C'/AT�'T. 1,;,��^. Date: 7.,2y/,�
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 ier 2 Tier 3 Tier 4 Tier �
�o�,'r oA.t r 2,S�. ��c ou�6o
Step 2: PROPOSED HARDCOVER FG�?�v��'�o-r.
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 wilt be added. Use as many lines as
necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, ;dentify
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•�/Vidth Total
Surve S uare FeeS
Exam le Gara e 24'x 30' 720 S.F.
A tfI /„� S.F.
B C'o d 7'c�� � S.F.
� � 3 s.F.
� Riv 1c� S.F.
E �/�. 3 8 S.F.
F S.F.
G S.F.
H S.F.
� S.F.
� S.F.
K -- - -- S.F.
� - -- ---- _'_ S.F.
M -- - S.F.
N --S�
� --- 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 _ Z,/p,1c S.F. �'
Excludable Hardcover See Cit Code Sec 78-1684 :
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S.F.
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2 Total Excludable Hardcover � �.�-.
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3 Net Pro osed Hardcover Subtract line 2 from line 1 � �� �
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January 8,201.3
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New Construction Energy Code Compliance Certificate
Per N I 101 8 Building Certificate A building certificate shall be posted in a permanently visible loca[ion inside Da�e Cenifica�e Posted
the building. The certificate shall be completed by the builder and shall list information and values of
components listed in Table Nl 101.8. $��5I�3 plpee your
Mailing Address of Ihe Dwelling or Dwelling Unil Ciry
1555 Ma le Place Orono logo here
Name of Residential Con�ractor MN License Number
Dean Johnson Homes BC639439
THERMAL ENVELOPE RADON SYSTEM
Type: Check All That Apply Passive(;Vo Fan)
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[� 5 � w � r° w° � � � Other Please Describe Here
Below Entire Slab
Foundation��'all R-11 X Type in location interior exterior or integral
Perimeter of Slab on Grade
Rlm.IOiSI(FOUnd8ti0n) R-29 X X Type in location�.interior exterior or integral
Rim dOiSt(1s1 Floor+) R-32 X X Type in location:interior e�Aerior or integral
wau R-21 x
Ceiling,flat R-44 X
Ceiling,vaulted R-44 X
Bay Windows or cantilevered areas R-30 X X
Bonus room ovcr garage
Describe otherinsulated areas
Windows 8 Doors Heoting or Cooling Ducts Outside Conditioned Spaces
Average U-Factor(excludes skyfights and one door)U: 0.28 Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliaoees Heating System Domestic Water Heater Cooling System Not required per mech.code
Fuel Type Nat Gas Nat Gas R-410A Passive
Manufacturer B ant Rheem B ant Powered
Interlocked with exhaust device.
Mode� 912SB60100S21 43VP50 113ANA042 Describe:
Input in 100,000 Capaciry in 5o Output in 3.5 Other,describe:
RAting or Size BTUS: Gallons: Tons:
Heat Loss; 64,798 Heat 34105 Location of duct or system:
Structure's Calculated Gai❑:
AFUE or 92 SEER: 13
HSPF%
39594
Efficicnc Cfm's
°round duct OR
Mechanical Ventilation System "metal duct
Describe any addi[ional or combined heating or cooling systems if installed:(e.g.Iwo fumaces or air Combustion Air Select a Type
source heat pump with gas back-up furnace): Not required per mech.code
Select Type x Passive
Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: O[her,describe:
Energy Recover Ventilator(ERV)Capacity in efms: Low: High:
Continuous exhausting fan(s)rated eapaciry in cfms:
Location of fan(s),describc: Panasonic FV08VQ1I Cfrn's
Capacity continuous ventilation rate in cfms: 9Q 6" °round duct OR Flex
Total ventilation(intermittent+continuous)rate in cfms: 180 "metal duct
Created by BAM version 052009
+ DATE TIME �
CITY OF ORONO CALLED IN
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Cr � �� DATE TIME V
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DATE TIME
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OwnedContractor on site:
Inspector:�1 L�--� �—"
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DATE TIME
CITY OF ORONO CALLED IN
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White Copyllnspector's File Canary CopylSite Notice
C� ATE TIME �
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� ` DATE TIME �
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OWNER TELEPHO E NO �_l23 Q'(n / ���
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Call for the next inspection 24 hou� 952) 249-4600
OwnerlContractor on site:
Inspector:
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