HomeMy WebLinkAbout2001-P04063 - addn/remodel/repair � PERMIT
C�TY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04063
Crystal Bay, Minnesota 55323 P@C'll'llt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: v�ai2ool
SITE ADDRESS: 3120 North Shore Dr
. Wayzata,MN 55391
P I D: 09-117-23-32-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 318
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required: r,ieciricai�sratej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,673.75 Valuation: $ 400,000.00
Plan Review Pee: $ 1,738.03
State Surcharge Fee: $ 200.00
TOTAL FEE: $ 4,6ll.78
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,,�
APPLICANT: Lauer Homes OWNER: Mark&Nancy Cree ��'-'' � ,�
401 East Lake St 3120 North Shore Dr �,C,,�-� p4 ��
Wayzata,MN 55391 Wayzata MN 55391 � ����� � �i�:� y U�� , ����
��,� F�r�
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THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIv�NTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PGRMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-Aoplicant. 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P04063
Crystal Bay, Minnesota 55323 P@rtlllt Type: Addition/Remodel/Repair
(952) 249-4600
Date Issued: �i�gi2ooi
SITE ADDRESS: 312o rlorth Shore Dr
Wayzata, MN 55 3 91
PID: 09-117-23-32-0007
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Kesidentiai
Permit Class: Building Census Code 318
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: r,iectricai(siaie j
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 2,673.75 Valuation: $ 400,000.00
Plan Review Fee: $ 1,738.03
State Surcharge Fee: $ 200.00
TOTAL FEE: $ 4,611.78
APPLICANT: Lauer Homes OWNER: David� miji
401 East Lake St 3120 orth Shore Dr
Wayzata,MN 55391 Way MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
-�/�:� � ��,�yL� /�
' APPLICANT PERMITE ATURE IS U BY SIGNATURE �
Copies: 1-File (Signitures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
� �s
.
�
Total Fee: $ �,(<� // � �` Date Received: 7 9 d�
� Entered By: !:°�� Permit �#: �'c� �D�`3
f� �d �, , i i i"�� /
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICA1�iT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �'!�.I�' /(/o ,.��,E"9rL f ,(�/�� ZIP• `��.�� %
NAME OF OWNER: f f�k` ;r���y�c�c'y �/���' PHONE: (home)
(work)
MAILING ADDRESS: _S�«s i��; ,.�,�� %X, CITy; �lEor�'C� ZIP: .�s��f
c CONTRACTOR: L,���� /��rt��1 .�:� r_ PHONE: �SG -y%�-J.s�ZJ
� CONTACT PERS011: rG��� L,��:r�j� MOBILE/PAGER: �/Z ._-j� --��,�Jj
MAILING ADDRESS: ��6/ �, �;��' �;. CITY: �c�,¢j'���rft ZIP: .�,5��
STATE LICENSE: # � c�c'� l l�,j,� '
ARCHITECT/E�GIlVEER: T!�%-�o.�� /�'-�/r,�J PHONE:
MAILING ADDRESS: �7'�� ��;����- �-;,��,,� ,;�-�r[, CITY: �L�.F ZIP: �,�/�_a
NAME: _ �i`% REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration y� Land Alteration �
�
PROPOSED WORK(describe in detai�: �,;/��,r p�`;� , ��,C,�,�,¢�Q,,�� ; ��
cy/1- 'G � �
��i�� �iC = �•c! �" - ��,
� ;�1,.
u �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROO�iS: GARAGE STALLS: ATT. DET.
ESTIMATED CO\STRUCTION VALUATION(excluding land): $ t�,�(J, Qp�
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the �vork 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 a �dance wit the a proved plan.
t/
APPLICANT'S SIGIIATURE* �-M�",�'l _ DA�; 7�--r.� ,_��'
���r G�-r��.r � �'s �T��r
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed. ;
9
t� -
Sec.13.0�1 RIGHTSOFSUBJECTSOFDATA
Subdivision 1. Type oJdata. The rights of individua!on ivhom the data is stored or to be stored shall be as set jorth rn this s�ction.
Subd.2. Injormation required to be given individuaL An individua!asked to supply prrvate or confidential data concerning himselj
shall be injormed of.• (a)the purpose and rntended use of the requested data within the collecting state agency,political subdrvisron,or statetivrde
system;(bJ whether he may refuse or is lega!!y required to supply the reguested data;(cJ any knotivn consequence arising from his supplyrng or
refusing to supply private or confrdential data;and(d)the identiry of other persons or entitres authorized by state orfederal laiv to receive the data.
Thrs requirement shall not apply tivhen an indrvidua!is asked to supply investigative data,pursuant to sectron /3.82, subdivision S, to a lativ
enjorcement oJficer.
The commissroner ofrevenue may place the notice requrred under thrs subdivisron in the indivrdual income tax or property tax rejund
instructions rnstead ojon those rorms.
Subd.3. Access to data by individua[. Upon request to a responsrble authorrty,an indivrdual shall be informed whether he is the subject
of stored data on rndividuals, and whelher it is classrfied as public,private or confidential. Upon his further reguest,an individual who is the
subject olstored private or publrc data on indrviduals shall be shoivn the data ivithout any charge to him and, if he desrres,shall be injormed of
the conlent and meaning of that data. Ajter an ixdividua!has been shotivn the prrvate data and informed of its meaning, the data need not be
diselosed to him for six months thereajter unless a dispute or action pursuant to thrs section is pendrng or additronal data on the rndividua!has
been collected or created. The responsible authority shal!provide copies of the private or public data:�pon request by the indrvidual sirbject oj
the data. The responsrble authority may require the requesting person to pay[he actua!costs ojmaking,cerl�ing,and compiling the copies.
The responsible authorrry shall camply immediately,rfpossible,with any request made purs:rant to this s:�bdivision,or ivilhin five days
ojthe date of the request,excluding Saturdays,Sundays and legal holidays,f rmmediate compliance is not possible. If he cannot comply ivith the
request u ilhin that time,he shal!so injorm the individual,and may have an additional frve days ivithin whrch to comply tivith the request,excluding
Saturdms,Sundays and lega!holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpublrc or prrvate '
data concerning himselj. To exercise this rrght, an rndividual shall nolify in writing the responsible authorrty describing the nature oj the �
disagreement. The responsrble authoriry shalllvilhin 30 days either: (a)correctlhe datafound to be inaccurate or incomplete and attempt to notijy
past reciprents of inaccurale or incomplete data,including reciprents named by the rndividual;or(b)not�the indivrdual that he believes 1he data �
to be_orrect. Data in dispute shall be disclosed only ijthe rndividt�al's statement of disagreement is included tivith the disclosed data.
The determrnation of the responsi6le authority may be appealed pursuant to the provisrons ojthe administrative procedure act refating
to contested cases.
DATA PRIVACYADV/SORY
In accordance u•ith M.S. /3.Oa,Subd.2, "Rights ofsubjects ofdata",ive would like to inform you thnt your requestfor a permit or license
from the Ciry of Orono or any of its departmenls may require you to furnish certain private or conjidentia!information.
You are notified that:
l. The rnjormation you furnish ivill be used to determine your qualifrcation for Ihe permit or license req:�ested.
2. You may rejuse to supply data, but re,jusa!may require that the Crty deny the permit or license.
3. The injormalron may be shared wrth olher local,stale or federa!agencies to the exten!necessary to process the permit or
license.
-1. /f your requested permit or license requires Co:mcil aclion to approve,some information may become public.
S. You have certain rights under M.S. 13.0�1(see follotiving page)to revietiv private data on yourselj.
6. Your ful!name is required!o process this application or permit.
PLEASE PRINT
j�'/�E�T' � ������
First Middle Last
yG'/ �i��'✓ �1�E �T,
Address
�%�yZ�T�' l�'li�� ��-3�/ �-$z``�>s= 3 3�I�
Ciry State Zrp Phone
.
1 under n my ights as�ta d a .
..c .r-s�/`
Signature �
/0
4
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
� ' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 31 Z.O IV C�R T'1�1 ���tZ� O 2,
PID: �
DESCRIPTION OF WORK i4 A�P � T1 �yJ
-------------------------------------------- ------------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: �7•/y-V�
BUILDING REVIEW BY: _ DATE APPROVED: -�-����
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLANREVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes�G No WATER CONIVBCTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � SITE INSPECI70N
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
N°
� Fire Depanment: Post Office: School District:
�
t Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes_� No Date of Survey: (o•�,4 -g 7 Co�s �_���
Proposed Setbacks:
Front (Lake): l bb �� Right Side: I 3�1-
Rear (Street): �S'"1`{= Left Side: q 0� �=
Adjacent Structures: /J-T7�4GpfLc� Wetland: �N J p¢
Building Height: Def. Hgt. U .(,�. Peak Hgt. ---
Lot Coverage: /l� I ✓;
Grading: Staff Approval Date: 7- t�-V� By: �1 Council Approval Date: --
Septic: Staff Approval Date: /U I/�- By:
Zoning File: # — Resolution: # — Resolution Date: —
Shoreland District: y�g
Avg.Setback—'�9.�L Bluff Setback: /tf ��/a- Lot Coverage: N /�,
Ezisting Proposed
Hardcover: 0-75' �✓�L
75-250' Z4.�dS°?o
Zsasoo� N��
500-1000'
Hardcover Variance Required: Yes No� Date of Council Approval:
REMARKS(in house):
32
. � ,
BUILDING REVIEW CHECK LIST
UBC: �- 3 CONSTRUCTION TYPE: V�V
- Sq Footage $Per Sq F�g
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ �-(�0�000�
Inspections Required: Work Requiring Separale Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Wa1er Connection
�Footing Septic Sewer Connection -
�Framing Fireplace Lmm Irrigation �. 1
�Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
��Final Grading/Filling _�Electrical (State Permit)
Other . .
REMARKS(INHOUSE): -
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
33
�
,¢(j�, City of Orono ,Tob Site Address: rt �Sr�` '���'
O Q P.O.Box 66
�,�;,�, Crystal Bay,MN 55323 ENERGY CODE ORKSHEET FOR
�;;�,!� �, ,(952)249-4600
�'��'A��`� ONE & TWO FAMILY DWELLINGS
INSTRUCTIO�iS: Complete Parts I, II and III. Clearly mark plans with: insulation R-values; windo�� and s1.��liQht U-values; size and
tyPe of equipment; equipment controls; and location of interior air barrier, vapor retarder and ���ind«�ash barriers. More detailed
information can be found in the �tlinnesota E'ner�•Code Summarv Sheets available from the Minnesota Department of Public Service.
Part I. BUILDING ENVELOPE
Check option used: ❑ "Cookbook"Method(complete�vorksheet below) ❑ MnCheck method(attach report)
❑ Building Component method(attach calculations) ❑ Systems Analysis method(attach analysis)
��Cookbook�� WOr�sheet MINIMUNIREQUIRE�IENTS
for"Cookbool:'' O tion)
� Heatin�svstem efficienc��: �linimum 90°%AFUE
INSTR�iCTtONS m Entry Doors: 1'/d"solid«�ood or matimum U-value of 0.40
Step 1. Check item(s)that design meets on�tinimtrn:Reqtriren:ents Skvlishts: None ermitted
list to the right. Must meet all items to use Cookbook option. CeilinQ Insulation: Minimum R-3S '%
Step 2. Indicate proposed wall type on table below. � Rim Joist Insulation: Minimum R-10 '
Step 3. Indicate Window U-value and source. m Floors over unconditioned spaces: Minimum R-30 �
Step 4. Verify total window(including area of all foundation win- Foundation windows: '/" insulated glass in wood or vinyl
dows)&door area is equal or less than alto�vable percenta�e frame or maximum li-value of 0.�1
•TABLE FOR DETERMINING NIAXTil�1U1VI WINDOW AND DOOR AREA
Maximum Allowable Total Window and Door -
Area as a Percentage of Exposed Wall � 10% 12% 14% 16% 18% 20% 22% 2d% -26% 28%
tiVall T e (R-5 u to R-10 Foundation Insul.): 1�laximum AveraQe�TJindo�v U-vatue(exce t foundation�r•indo«�s p 5.6 sf):
� �x4, R-li insulation, <R-� sheathin_ 037 0.36 0.30 0.26 0?3 0?0 O.IS � 0.16 015 0.14
� 2x4, R-13 insulation, �S R-� sheathinQ 037 037 037 0.37 0.3� `'031 0.28 025 0.23 0.22
� 2x4, R=13 insulation, b R-7 sheathina 037 0.37 0.37 0.37 0.37 0.34 0.31 0.28 0.26 0.24
❑ ��6, R-1� insulation, <R-5 sheathinQ 0.37 037 O.S7 037 0.34 031 0.28 0.2� 0.23 0.?1
❑ 2t6. R-19 insulation, � R-� sheathine 037 0.37 0.37 " 0.37 037 037 033 0.30 0.28 0.26
� �x6, R-21 insulation, <R-S sheathinQ 0.37 037 0.37 037 0.37 '0.33 0.30 0.27 0.2� 0.23
'S0 2z6, R-21 insulation, b R-� sheathinQ 0.37 0.37 037 < 037 037 " 0.37 0.3� 0.31 0.29 0.27
�Vall T� e(with R-10 Foundation Insulation): Ma�cimum AveraQe Window U-value(exce t foundation windows p 5.6 sfl:
❑ ?�:�, R-li insulation, <R-� sheathins 0.37 O..i7 0.3� 0.28 0.25 0.22 0?0 0.18 0.17 0.15
� ��4. R-13 insulation, b R-� sheathina 0.37 0.37 0.37 0.37 037` ' 033 030 0.27 -0.2� 0.23
❑ �x4, R-13 insulation, b R-7 sheathinQ 0.37 037 0.37 p.37 0.37 0.36 0.33 0.30 0.27 0.25
�J ?x6, R-19 insulation, <R-� sheathins 0.37 037 037 037 0.37 032 0.29 0.27 0.24 0?3
� �x6, R-19 insulation, b R-� sheathinQ 0.37' 037 037 0.37 037 037 03� � 032 0.29 0.27
� �'x6, R-21 insulation, <R-� sheathinQ 037 0.�7 0.37 037 037 035 0.�1 0.29 0.26 0.24
� �x6. R-21 insulation. b R-� sheathins 037 0.37 037 0.37 0.37 -037 036 � 0.33 0.30 0.28.
�Val1 T� e(t�ith R1�l9 Foundation Insulatiun): Ma�:imum AveraQe WindowU-value(exce t foundation���indows p 5.6 sfl:
; ❑ ?x=�, R-li insulation. <R-� sheathina 0.37 0.37 034 0.29 0.26 0.23 021 � 0.19 0.17 0.16
; ❑ 2z4, R-13 insulation, � R-� sheathinQ 0.37 0.37 03? 0.37 0.37 0.34 0.31 0.28 0.26 0.24
j � ?x4, R-li insulation, b R-7 sheathino 037 0.37 037 0.37 037 037 0.�� 0.31 0.28 0.24
� 2x6, R-19 insulation, <R-� sheathins 0.37 037 0.37 037 037 0.34 030 02S 0.25 0.23
❑ 2�6, R-19 insulation, b R-� sheathin� 0.�7 0.�7 037 037 037 _037 036 033 0.�0 0.28
� ?x6, R-21 insulation, <R-� sheathinQ 0.37 0.37 0.37 0.37 037 036 032 0.29 0.27 025
2�6, R-'1 insulation, b R-� sheathins 037 0.37 037 037 037 0.37 437 � 0.34 031 0.29
��'indow U-value: ,�� Source: ❑ NFRC ❑ Code Default Table (see Part 7670.0700) I
�oox 5 � Q � � '�l�'�' �� - 2 � % <� 20 % � f � - �
o ,
'""'� window&door area �ross exposed wall area DESIGN ALL0�1�'ABLE (from table above) '
13
; �. .,
,¢Q� C1ty Of OroIIo Job Site Address:
P.O.Box 66
Ot� � . Crystal Bay,MAI55323 ENERGY CODE WORI�SHEET FOR
'�t (952)249-4600
� ��.� `$��� ONE & TWO FAMILY DWELLINGS
�
INSTRUCTIONS: Complete Parts I, II and III. Clearly mark plans with: insulation R-values; window and skylight U-values; size and
rype of equipment; equipment controls; and location of interior air barrier, vapor retarder and windwash barriers. More detailed
information can be found in the Minnesota E�tzrgy Code Summary Sheets available from the Minnesota Department of Public Service.
Part I. BUILDING ENVELOPE
Check option used: ❑ "Cookbook"�Iethod(complete worksheet below) ❑ MnCheck method(attach report)
❑ Building Component method(attach calculations) ❑ Systems Analysis method(attach analysis) �
GG » _; MII�TIMUM REQUIREMENTS , . ,
Cookbook Worksheet . forKCookboo[c"O 'tion ' �'
❑ HeatinQ s stem efficienc : Minimum 90%AFUE
INSTRUCTIONS ❑ Entrv Doors: 1'/<"solid wood or maximum U-value of 0.40
Step 1. Check item(s)that design meets on_tlinimum Reqz�irements ❑ Skvli�hts: None ermitted
list to the right.Must meet all items to use Cookbook option. 0 Ceilin Insulation: Minimum R-38
,rep 2. Indicate proposed wall type on table below. ❑ Rim Joist Insulation: Minimum R-10
:�p 3. Indicate Window U-value and source. ❑ Floors over unconditioned s aces: Minimum R-30
�tep 4. Verify total window(including area of all foundation win- ❑ Foundation windows: '/2"insulated glass in wood or vinyl
dows)&door area is equal or less than altowable percenta�e frame or maximum U-value of 0.51
` :TABLE FOR DETERMINING MAXIMUM.�VINDOW AND DOOR AREA'- ' `° '
Maximum Allowable Tota1 Window and Door ' " : = -= } -
Area as a Percenta�e of E osed`Wall � 10% ' ':12% 14%` 16% 18%y: 20%0 22%0 24°!0 26% 28%-
�VaII T e R-5 u to R-10 Foundation Insul.): Maximum AveraQe VViridow U-value exce t foundation windows:p 5.6 sf): ,,'. �.` '
❑ 2t-3,R-13 insulation,<R-5 sheathin� 037 036 �.30 026 0.23>' 020 0.18 0.16 - 0.15 ' 0.14 -
❑ 2x4,R-li insulation, b R-� sheathin� 0.37 0.37- 037 037 . 0.3� ' 0.31 ' 0.28 0.25 0.23 `0.22 .
� 2x�, R-13 insulation, b R-7 sheathino 0.37 0.37 037 0.37 0.37 0.34 0.31 0.28 0.26 0.24
❑ 2x6, R-19 insulation,<R-� sheathin 0.37. �0.37 0.37 '4.37 0.34 -. ' .4.31 0.28 ' 0?5 0.23 ` 0:21
� 2x6, R-19 insulation, b R-5 sheathin� 0.37, 0.37 037 ' 0.37 037: 0:37 033 - 030 0.28 026
� ?x6.R-21 insulation,<R-5 sheathin� 0.37 0.37 0.37 037 037 -.0:33 0.30 0.27 0.2� 0.23
❑ ?x6.R-21 insulation, b R-5 sheathin� 0.37 � 037 037 ': 0�7 0.37:- '0.37 0.35 0.31 - 0.29 0.27':`
�Vatl T� e with R-10 Foundarion Insulation): Maximum Avera�e Window U-value exce t foundation windows C� 5.6 sfl: ''
❑ 2x4, R-13 insulation,<R-� sheathinQ 0.37 0.37 0.�3 ;-O:18 0.25 : --022 ` -0.20 0.18 0.17 " 0.151
� 3x4, R-13 insulation, b R-5 sheathin� 037 � " 0.37 037 0.37 0.37 ' =0:�3 030 : 0.27 0.25_ 023"°
❑ 2x-1,R-13 insulation, !1 R-7 sheathina 0.37 0.37 037 037 -0.37- 0'36 033 030 0.27 °0.25 `
;1 2x6,R-19 insulation,<R-� sheathino 0.37 - 037 0.37 - -0.37 0.37 0.32 0.29 0.27 0.24 0.23
� 2x6, R-19 insulation, b R-5 sheathin� 03? '037 037 : 037 0.37 � '0.37 0.35. 032 '' 0?9 027
❑ 2s6. R-21 insulation,<R-5 sheathino 0.37 0.37 037 `037 037 035 031 0.29 0.26 0.24
❑ 2x6.R-21 insulation, �(1 R-5 sheathinQ 037 • 0.37 0.37 -':: 0.37 037 : 0.37 036 0.33 0.30 ' 0.28
�Vall T� e(with R�19 Foundation Insulation): Maximum Avera e Window U-value(exce t foundation windows p 5.6 s fl: ' '
� 2x-�.R-13 insulation,<R-5 sheathin� 0.37 �0.37 0.34 029 0.26 ' ':0.23 0.21 0.19 0.17 0.16
� 2s-3,R-13 insulation, b R-5 sheathinQ 037". 0.37 0.37 0.37 0.37: " '0.34 031 0.28 0.26 024
� 2x4.R-13 insulation, b R-7 sheathina 037 -0.37 037 . 037 0.37 ''� :::0.37 0.34 0.31 0.28 ` 0.24
❑ 2x6,R-19 insulation,<R-5 sheathinQ 0.37 037 0.37 `: � 0.37 037:� ':034 0.30 028 025 4Z3 '
❑ 2x6.R-19 insulation, b R-5 sheathinQ 0.37 ' -037 0.37 _ - 037 0.3� ` -037 0:36 0.33 030 028;;.
❑ 2x6.R-21 insulation,<R-5 sheathin� 037 0.37 0.37 ' 0.37 037 : `D.36 032 ' 0.29 0.27 0.25
❑ 2x6. R-21 insulation, b R-� sheathinQ 037- 037 037 = 0�7 037 : "0.37 0.37 - 0.34 0.31 0.29
Window U-value: � - Source: 0 NFRC C7 Code Default Table (see Part 7670.0700)
100 X �i = % <.., %
.. . . � .4:.: :... � .�.: .
''"�°°° window&door area gross exposed wall area - DESIGN � ;ALLOWABLE (from table above)
14
; - �
Part II. DEPRESSUR.IZATION PROTEC7CION
Check optior�used: ❑ Aggregate(complete aggregate worksheet on next page) ❑ Prescriprive(complete worksheet below)
❑ Performance(submit test report prior to final inspecrion) ❑ No fuel buming equipment
PRESCRIPTIVE PATH WORKSHEET
I�STRUCT[ovs COVIBUSTTON EQIJIP�IENT SCAEDiTLE Permitted Equipment ,'
(check all types proposed) Path 0 Path I Path 2 ' Path 3
Step 1. Complete the Combustion `Space heating ❑ Sealed combusrion Y Y Y Y
Equipment Schedule on the right. Direct or power vented N Y Y Y
Step 2. Choose a;1�fake-up Air Path with a ;, � . ❑ Atmospherically vented N : N Y* Y
Y(Yes) for all selected equipment. -,Water heating , ❑ Sealed combusrion Y Y Y Y
Step 3. Complete the table below for the Direct or power vented N Y Y Y
,
Make-irp Air Path chosen,indicatina "' ❑ Atmospherically vented N " N N Y
flows in cfm for exhaust and make- Iiearth -gas -; 0 Sealed combustion Y ,.Y Y ` Y '
up air methods proposed. Only the Direct or power vented N - Y Y y
capacity of largest eachaust appliance ': ❑ Atmospherically vented ''N 'N Y* ;N
in each category need be considered. Hearth- solid- ❑ Closed controlled N Y Y* N
Step 4. Fill out the Passive Make-up Air ` =fue1 ' ' ❑ Decorarive N �. �N _Y* ':N :
Opening Schedule on the next page. �.*Only one-atmospherically vented appliance may be installed ia Prescriprive Path 2 -
❑ Path 0 — Prescriptive Make-up Air Method Exhaust Passive , ,' :;Passive Powered -
I�ltrarion ' '``Openin� Make-up `
Clothes dryer: Passive u�fltration for up to-175 cfms �
��� �� ,.�. _
" ' Passive openings for cfms over:175
ICitchen'exhaust: Passive infiItration far up to"250 cfin
Passive openings for cfms�over 250����
Powered to match flow for cfms over 500 '
Other exhaust:'� Passive openuigs for up to;140 cfm
Powered to match flo�v for cfins over 140 :_. N/A
fi Need not include central vacuum eshaust in Path 0. TOTALS.
❑ Path 1 — Prescriptive Make-llP A1P MetllO(� Exhaust ' Passive Passi��e Powered
Infiltration `Openi.no� Make=up '
Clothes;dryer:$ Passive inf Itration for up to 175.cfm
Passive openinas for cfms over 175'
I�itchen exhaust: Passive openings for up to 250 cfrn'
` "-` ' Po«�erecl to"match flow for cfrns over 250 N/A
Other exliaust:$ Passive openings for up to-140;cfin
Powered fo match flow for cfms over 140 N/A
�.. TOTALS
$ If closed controlled combustion solid-fuel burning appliance is installed in Path 1,then the clothes dryer and any central vacuum that
exhausts to outside must be.provided with raake-up air by passive opening to match flow.Otherwise need not include central��acuum.
$! Path 2 — Prescriptive Niake-llP All' Met�lOCl Exhaust Passive Passir-e Powered
Infiltration Opening Make-up
Clothes dryer:, Passive openings for up to 175 cfrn ���
Po�vered to match flow for cfrns over 175 �A� N/A
ICitchen exhaust Powered to match flow N/A i`T�A
Other exhaust: Powered to match flow N/A I�'%A
_ TOTALS N/A
❑ Path 3 — Prescriptive Make-Up Ait' MethOd Eachaust Passive, Passive Powered _
_ Infiltration `,Opening �Iake-up ,
Clothes dryer. Powered.to match flow N/A 1�T;A
Kitchen exhaust: Powered to match flow N/A I�';A
Other exhaust: Powered to match flow N/A I�7A
� TOTALS N/A N!A
15
!- _ _,
., , � , _PASSIVE.I��AKE-UP_AIR_OPENING SCHEDULE '
TABLE FOR SIZING PASSIVE>MAKE-iTP AIR OPENII�TGS' 'Diameter '' Path Q Pat�1 - Path 2
Notes: ;•.a):,ilus table assumes 20 feet of smooth unobshucted round 3 inches 50 cfm -;5:� 15 c�rn , .
.
duct with three 90°elbows and a screened hood 4 umches 90 cfm 60�mi 30 cfrn . ..-
- ' b) Equivalent designs'calculated using pressures of�0 Pascals 5 inches 140 cfim 100 cmn 45�fm
for Path 0, .25 Pascals far Path 1, and 5 Pascals for Path 2 6 inches 200 cfm 140 cim 65 cfm �
-may be used. ' 7 inches 270 cfin ' 190 cfin ' 85 cfrn .;'
_
c) If a make-up air opening is used�zth no duct or eibows;the 8 inches 350 cfin 2�Q:frn 110 cfin .
, diameter canbe decreasedby 1 inch. 9 inches ` 45Q cfrn - 3?Q:.fm 140 cfrn
_
d) If flex duct is used,increase diameter by 1 inch. ,. IO inches 570 cfin 40U cfin 180 cfm :
N1ake-up Air ApplicationlLocation CFM Openin�size Duct?}pe - -
� O Smooth ❑ Fie� ❑ Opening only
❑ Smooth O Fles ❑ Openin�only
' ❑ Smooth ❑Fi�� ❑ OF2Illila only
❑ Smooth ❑Fle� ❑ Opening only
AGGREGATE MAKE-UP AIR WORKSHEET
INSTRUCTIONS •
Step 1. Complete Exhaust Schedule on the riQht indicatin�cfm of largest device in each category. EXHAL ST SCHEDULE .
Step 2. Complete the Combustion Equipment Schedule on precedin�pa�e. 'DEVICE CFM
Step 3. Choose a path with a Y(Yes)for all selected equipment. Clothes drz�: -
Step 4. ,Complete Aggregate Make-up Air table below for chosen path.Using the total cfm from the Kitchen erL:=ust;
Exhaust Schec�ule, indicate flow in cfm for proposed method(s)of providing make-up air. Other'eYh�.�-:
Step 5. Fill out the Passive Make-up Air Opening Schedule above. TO i ai,
0 Path 0 — Aggregate Make-Up Alr MethOd Passive Passi-:: Powered
Infiltration ' Ope�.� '�iake-up `'
; Passive infiltration for up to 425 cfm �
Passive openings for cfms over 42�
Powered to match flow for cfms over 985 ' '
❑ Path 1 — Aggregate Make-UP Ali' MethO(l Passive Passi:-e Powered`
Infiltration Openi:._�` �ial:e-up '
Passive infiltrarion up to 175 cfrn*
Passive openings for efrns over 175 ' '
Powered to match flo�v for cfms over 565
* If a closed conttolled solid-fuel buming appliance is installed in Path 1,then a passive opening must be.installed te provide make-up
air for�the clothes dryer and for any cen�al vacuum that exhausts to the outside. :
Path 2 — Aggl'egate Make-up Ai1' Method Passive Passi:= Powered .
Inf'�ltration Ope�? �ial:e-up '
Passive openings forup to 175 cfm �,�� ��
Po�vered to match flow for cfms over 17� N/A
❑ Path 3 — Aggregate Make-up Air Method Passive Passr:e Powered
Infiltration Ope�.a �iake-up
Powered to match flow N(A \_`.
16
/
�-; DATE � TIME
CITY OF ORONO ����C'�(' .1 CALLED IN •' '�/ �' ���� - A
INSPECTION NOTI E ��� •��7�2S1t�1
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� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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DATE TIME
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INSPECTION T,rIC�E CHEDULED -L-- v
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i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
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❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
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Inspector.
White Copyllnspector's File Canary Copy/Site Notice
/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N IC�/y� SCHEDULED __� /%30��
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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Call forthe next inspection 24 hours in advance. (g52) 249-46��
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Inspector.
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v DATE TIME
CITY OF ORONO CALLED IN
INSPECTIOI�}'�IOTI SCHEDULED � �
PERMIT Nv�O � � COMPLETED � ''��� r �v
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Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
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Call for the next inspection 24 hours in advance. (g52) 249-46��
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Inspector. ���Z-��-S
White Copy/lnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN ��
INSPECTION TIC SCHEDULED
PERMIT N0. COMPLETED -��� ��
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�' 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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Call for the next inspection 24 hours in advance. (952) 249-460�
OwnedContr ctor on site:
Inspector.��o. li t��
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED a'•� '�
PERMIT NO. COMPLETED '�� �
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❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContra t r on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED Ir�-�===�Ar�
INSPECTION TICE (��3 SCHEDULED LL ___���
PERMIT NO. 7 v COMPLETED �«
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContracto site-
Inspector.
Whit opyllnspector's File Canary Copy/Site Notice
%/�
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI.�E SCHEDULED /�"7'-U3 U ;�t'��
PERMIT N0. ' C�l��� COMPLETED
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne t inspection 24 hours in advance. (952� 24J-46O0
Owner/Contr o ite:
Inspector. —
White Copy/lnspector's File Canary Copy/Site Notice
� �
�� / DATE TIME
CITY OF ORONO CALLED IN C� ZL' 0
INSPECTION N��E SCHEDULED fC Zi
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlCont�ae#or o�site:
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTI E SCHEDULED /D—Z3-D3 :3-O
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Q 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 O6 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC F 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL � 36 FOUNDATIOWREMOVAL
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White CopyMspector's File Canary CopylSNe Notfca
DATE TIME �
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PERMIT NO. �4 C PLETED
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� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 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
05 INAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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INSPECTOR WILL RETURN
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O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor o�ite:
Inspect�r. �u
White Copyllnspector's File Canary CopylSlte Notice