HomeMy WebLinkAbout2001-P03843 - attached deck �
�
City of Orono
P.O. Box fib
Crys�tal BaY��MW 55323
' t952)249-4b00
06/07/Q1 12:01:31
Custo�er: P03843
�iN4IT5 - �ILDII�O.00 0.04
Base fee 97.25
1 @ 57.Z5 -
Plan Revi� �3.18 b3.18
M�ail in ie� 0.� 0.00
State 5u @arge �,� �,�
5flC Chargee 0.00 0.00
i
Investig1t@ n fee0.� 0.�
SIIBTOTAL 151.98
0.00
TDTAL. SALE, 161.98
q�eck Received 161.98
� 0.00
CLERK� 03 TR� 15406
4
Total Fee: $ ���. �� Date Received: S - Z�
��a l Entered By: Permit#: ,�v,?,�1/3
�P'
� � CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ✓���� � � �-�ld�-� � ZIP:
., ( �Z>
NAME OF OWNER: ',�'�}�(� PHONE: (home)��, �-�(p��
(work)
MAILING ADDRESS: ���'�; N�� � CITY: ��►.�p{'���ZIP:�"—-�--.� 33- �
�ti -
CONTRACTOR: 1��i�C.� �_i2a'�i� � PHONE: �Zc� - ?�='�~� �
CONTACT PERSON: l�F�i�C�� C�oiV'��1�MOBILE/PAGER: ��Z-'7�-(�(�"-�(�
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # •
� �---�
�E�IITF��'l'�flVE :' PHONE:
MAILING A S: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK (describe in detai�: �-�f ct i ��t c�l T���,�`_
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a building permit acknowledge that the information above is complete and
accurate; that the work will be in c o a ' h the ordina ces and codes of the City and with
the State Building Code; that I und r this is ot a permit nd work is not to start without a
permit; and that the work will be ' c or nce wi the appr ved plan.
APPLICANT'S SIGNAT . DATE: � —I�I �
NOTE! Parade o Hom ts require epar e permit approval by Police Department and
City Council 60 days prior to the event. n- e itted events will not be allowed.
9
. „
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secrion.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting state agency, political subdivision,or statewide system; (b)
whether he may refuse or is legally required to supply the requested data; (c)any known consequence arising from his supplying or refusing to supply
private or confidential data; 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 asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue may piace the noUce required under this subdivision in the individual income tax or propertv tax refund instructions
instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority, an individual shall be infortned whether he is the subject of
stored data on individuals,and whether it is class�ed as public,private or confidential. Upon his further request, an individual who is the subject of stored
private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the conten[and meaning
of that data. After an individual has been shown the private data and informed of its meaning, the data need no[be disclosed to him for six months
thereafter unless a dispute or ac[ion pursuant to this section is pending or additional data on the individual has been collected or created. The responsible
authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the
requesting person to pay the actual costs of making,certifying, and compiling ihe copies.
The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the
date of the request,excluding Satu�ays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within
that dme,he shall so inform the individual, and may have an additional five days within which to comply with the request, excluding Saturdays, Sundays
and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data
conceming himself. To exercise this right, an individual shall notify in writing the responsible au[hority describing the nature of the disagreement. The
responsible authoriry shall within 30 days eirher: (a)correct the dara found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate
or incomplete data,including recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data in dispute shall
be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The detemtination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaring to contested
cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are notified that:
1. T'he inforniation you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the permit or license.
4. If your requested pernut or license requires Council action to approve, some information may become public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Add ss
City State Zip Phone
I unde t d rights as st ted abov .
L � "���� ��
Sign re
�
� 10
'' /� �
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 35 l� �p(L��-t � ('4-�Ci,�, �p 2.
PID:
DESCRIPTION OF WORK: ��GI�
----------------------------------- ------ --------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: S � Z S �01
BUILDING REVIEW BY: DATE APPROVED: S• zS—p�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER COrfNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
---------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST zoning District: L,R,-1�
Fire Department: /v'- C. Post Office: -- School District:
Lot Area: Sq.ft. — �L Acres Width Depth
Survey Submitted: Yes� No Date of Survey: �0 3-°�- 7�
Proposed Setbacks:
F�e�t(Lake): (by Right Side: -�'-1
R�car��eeE�s� '1 Z Left Side: Zc'3 __
Adjacent Structures: �rnyqu.tz,�a Wetland: /V�/�.
Building Height: Def. Hgt. N//�- Peak Hgt.
Lot Coverage: (9.�..
Grading: Staff Approval Date: �t1 �/�- By: - Council Approval Date�
Septic: Staff Approval Date: N I r4- BY:
. Zoning File: # N �/� Resolution: # " Resolution Date: —
Shoreland District: �'CS
Avg. Setback: p,�c... Bluff Setback: /J �►2 LotCoverage: �•12
Existing Proposed
Hardcover: 0-75' �
�s-zso� �z3.y o � 2�{.y�j
Zso-soo�
soo-i000�
Hazdcover Variance Required: Yes No_� Date of Council Approval:
REMARKS(in house):
27
, ,,
BUILDING REVIEW CHECK LIST �
UBC: ,` ' J CONSTRUCTION TYPE: ��
Sq Footage $Per Sq Ftg
Basement x =
ist Floor x =
2nd Floor x =
Garage z = .
2Crc 30�, x iu, o� = 3 �$�
TOTAL
�
Fstimated Construction Value: $� ,3, t�80 °
Inspections Required: � Work Requiring Separate Permits:
Site Plumbing ' '" Fire
Hardcover Removal Mechanical Water Connection
�c Footing Septic � � ' ' Sewer Connection
Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
_�Final Grading/Filling Electrical (State Permit)
Other .
REMARKS(IN HOUSE):
�______'__��'__'_"_��______��_____�_______�_'_'___���_���_______'�'___""'__'_____����i_�____________�����_____�_'_
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT�:
28
� 05/29/O1 16:38 F,�L 651 786 0229 _ �OLIN CONCRETE PRODUCTS �DO1
a �
!� �
� � �
� u,.V
lex��ore r 2 HOUR F1RE RATING
PR�STRESSED COMCRE?E SIAB
250k 5TRAND
Safe Load Table UNIfORNILY DISTRI�SUPFR�MPOS�'tOl1D IN PSF
s�d M oM, t«+y�+tn n�.
$�dard SVaMs Ar� R'�� 75 78 17 ii tf � 7Z 1A Zb lE 27 2�t 29 � �7 3t 33
o�sqnatlon w.a see sa.h. par r�r urt
82�4�87• Mvy 0.812 3b2 80.3 285 ?S4 216 230 215 202 190 179 189 160 152 i�{5 137 t3� tY2 il1 iG1 9R 89
82AGG86�' 4�tYt 0.612 31.9 90.3 2L5 284 218 Td0 2t5 2D2 190 179 1� 1H0 t52 ZIt !29 116 1Ct 91 df 7S R
B24C�C6e 1-12 0.57Q 34.3 53.9 2e5 264 2�6 23D Z15 2D2 790 179 tM t60 �SZ 1�0 t2T 1t3 104 94 AS 7t 69
82AG06p �� 0.304 31.1 �.t 165 984 � Zd0 273 20�2 190 17� 167 15d 134 12A 1� 97 OB 79 �t 84� $7
82�GD13 4-7/t8 0.�2 27A 421 �3 �4 218 23D 215 �1 T76 16R t40 125 111 100 M �9 71 d3 38 i SO
2maa
a2�GG96 � 0.37'8 2E2 S7Z 2ES 264 218 ?•?3 100 1T2 452 T34 tt8 105 93 B3 �3 Q6 S7 50 �
s24G-0B2 4-316 0.3�A ?27 322 2s3 ZK9 215 197 t83 142 t25 710 86 65 T4 66 57 50 (
." �
E21GL129 2-112 O.�E 212 29.3 268 2?Z 191 185 /14 125 70a 8B 83 72 83 5S�
7ABULITED LOADS ARF 8A5EDOMU=1.OD.1.7LAA�N?hf A[i tM0 SUPFRfAFOSED ON TFE'Sfl�JCTtJRAL SECTA�N CONSIO&iEa AS UNFlDAD.
' ���''J:
1. Grouted wrcight of st�tural un' � 57 ps 114
pIf based on concrete�mit waight o 5 pcL
N.A. HOLLOW CORE �- �Sn is b�ased o�ACI Standard,"Build�ng
�o Cak Requiremcnts for Reinforced C�xete ,
5�i�'� 01 A. `n {AC1318)„
v3_ No shear reinforcement is rtq�ited for tk�e tabu-
�
la�ed loa�s.
� _ _ '_ � 4. Tab�ls�ect loads to t1u kR of sofid stcpped liac
. • • . ue c�serolkd by shear straagth of the cvncrcte.
�' Shzu raiufotce�nt may 6e added ro increasc
�, t�ee safe louis.
� S. Tabulabed Ioads writt�n in italics ue controlled by
23�'. pemsiss�te tkxvral ornsion at service laads.
6. Tabalated loads to the right of t3�e dashcd
stepped fioe have deflections m excess of
I.J3b0.
7. A1l strand sCressed w 7496 of ultiruatc e�ccept
CB60 which is strassod to 60°/a.
A = t 09.7 in.= f'� � ��Pn � 8. For lon:er spaas and eonditions not covered
b� = 6.Z5 in. fp � 3500 psi ia the load table,cansuft Moiln.
Ii � 843.2 in.° p = 254 ksi g. G���nmigs possible with resuaimed�
� y, = 4.0 snt. fp,�= 270 ksi ro���on or rational design calcufations.
� MoHn Concrete Produccs Compa�y•4t5 Lilac SUesl•lino l.akes,MN SSOt4
Otf`�ce:651.788.7722•Fa�c:651.786.0229^Drdlting�ax:651.783.3401 •ToN Froe:800.336.6546
m
www.moNn.com-e-►nail:selesf�mOMn.00m•drefting�m�lin.Com
, 05/29/O1 16:39 FAX 651 786 0229 MOLIN CONCRETE PRODUCTS (�002
_�` _ _ -_ - - -
$" X 24" SeG��n PI�S
lexicore 2" Structura�l Topping
PRESTRESSED CONCRETE SLAB
3 HOUR FIRE RATING
250'`STRAND
Composite Design
Safe Load Table UNIFORMLY QISTRIBUTFD SUPERIMPOSED`LOAD�N PSF
Strand M d M, Span Lerqlh(�j in Ft.
Standard StrarWs Area R.-Kip �--K� 1S 18 t7 fe 19 20 21 22 29 24 25 26 27 28 29 7C 3t 32 7S
ibsignation ND.3 S¢@ SQ-h. pet F�r Unit
T824GCE61 4-��2 0.612 52.5 74.6 3�l 349 325 303 284 266 25G 236 222 Z�a �� �89 �73 155 137 121 106 9T d0
7dp4GC860 41t2 0.8�2 46.6 74.8 377 349 325 303 284 288 250 236 �2z 2�0 �6�'+ 163 f43 125 '109 90 /1 69� 38
TEZqGp58 a�n os�a a�z 6�.3 3�� ao9 3zs �03 2ss � � �s z�2 Z°> >86 167 �46 t26 112 97 84 72 j 6i
��G� 2-12 3 ��y s2.� 80.8 377 349 925 303 284 286 250 227 202 1eo 161 1�0 122 !05 � 77 fi5� Sd
2-7t16
TE24G043 4-7l�6 0.432 38.2 53.5 3T7 349 325 303 201 247 218 193 170 151 1J2 113 97 d2 69 57
'TB24G038 2��& 0.378 34.7 A7.7 377 349 320 278 2A3 213 187 t64 144 127 109 93 7A 6/ $2
T824GD32 4-318 0.320 31.2 41.5 366 314 27Q 234 203 177 154 134 117 102 d7 72 Sa
7824G029 2-1/2 0.288 29.2 37.8 328 260 240 2�7 179 755 �34 116 101 81 74 60
'TABUtATEO LOADS ARE BASED ON U=1.�D«1.7L AND WI�H Ail LOAD SUPERIMAOSED ON 7HE SiRUCtURAt.SECTlC1M CONSiDERED AS t1VE LOAD.
NOTES:
1. Grouted wcight of structural unit is 82 psf or I 64
N.A. STRU CT. SECTION plf based on concrete unit weight of i50 pcf.
N.A. HOI.LOW CQRE 2. Design is based on ACI Standard,"Building
Code Requirements for Reinforced Concrete
5�/g�� DIA. N (ACI318)."
- ' 3. No sheaz reinforcement is required for the tabu-
� � lated loads.
� � �� 4. Tabulated loads to the left of solid stepped line
:� _ r �° o0
� _ � � � � � aze controlled by sheaz strength of the concrete.
� � Shear reiafarcement may be ad3ed to increase
�m the safe loads.
N 5. Tabulated loads written in italics are controlled
23��� by pernussible flexural tension at service loads.
6. Tabulated loads to the right of thc dashed
stepped line have deflections in excess of
L/360.
A = 109.7 in? yb = 4.00 in. 7. All strand stressed to 70%of ultimate except
A� = 143.6 in.' y� = 5.18 in. CB60 which is stressed ro 60%.
bw = 6.25 in. f'�; = 3500 psi g. For longer spans and conditions not covered
Ig = 843 in.' f� = 3000 psti in the load table.consult Molin.
Ie� = 1503 in.` p� = 250 ksi 9. Greater fire ratings possible with rescrained
f� = 6000 psi f�*= 27�1�s1 cons�uction or rational design calculations.
Molin Concrete Products Company•415�ilac Street•Lino Lakes,.MN 550�4
� Office:651.786.TT22•Fax:651.786.0229•Drafting Fax:651.T83.3401 •Toll Free:800.336.6546
www.molin.com•e-mail:salesQmolin.com•draftingQmolin.com
m
' , �.
- TNIS lTE� HAS� �EEN
� ;�._. MICROFItMED
Plat of Survey
- for Everett r. Goodfellow
of �ots 1 and 2, Bloc'.�c 2, Baldur Park
8�`°�R Hennepin County, i�;innesota
0
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CI� O� V�'M�� tp2s'. .:.:.oe ��
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___�_o SITE PLA� GNADING PL�i�' -
�AP�Fit����D � Pa-n��
:��` � '',. ' �s
❑ ;�Pi FiC���c� �'�i�i ti i;=!;��i 0^IS .. ,�� .... , . s�
-,;� a
'' E}y�,y[_� � ,�=, Aok `^q �'� ''
��
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DATc s- 3 0`�( „`'``'^ �° '� '':t.
co / �4
Q°��9�� e
r�, '��,r�°� � .�'�-
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CCT'tli iC3� O�' �UT'Vc�,'y. 2 � ���:Q�� �+�J� \
1 ^�rE'1Jf C2r�lr__ ��'l�t ���� s� . _o� , � s_
t[':1S I.`�� ci t.T'UP. 3riQ� COT'?'�C� �= '
r�nresen�ation of a survey . Q f—
oi' t^� t ottnd_�r���s cf i.,cts 1 �a. ?. .
7
;r:d �, Bloc:c 2, �'.aldur Par:, Fa^w. a.,����.,.5 / LAKE
t"e locst�.on o= all e:tistin�;
�"�� �� M�K�ETONKA
bt:iicir.-s i:�ereon, and th� �
r,ro�ose� locatio:� o� a arc:�o�ed , �
addition to a:� existin� buil:in�, - "
.
:�nd a1:L visi�le encro�c:::n�nts £r•or.� �'��:
or on suid land, �::; ..;�
: .
.
�r�1e: 1" = 50� Gor�;on ri. Co�fin Re� . 60b1� ,
Lhte . 3-5-;f� i�.r.d Survevcr an� Pian�-�er
o . Iron mar'�er Lon� ;,a,k�,�1•:ir.nesota
�
- - i ._- _.:---_ ,, -- . .'_.. .
\ �/ � �
� DATE TIME
V
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED _;' ~ � ��
PERMIT N0. r � COMPLETED �� ��" � b
ADDRESS �7 5/ 0 �/� �'�2 i�/ �5��,a✓'c �
OWNER /UG2.i�c�.�Cr��- CONTR.J`�'�� %�_ Cr��� �a�sr�
TELEPHONE NO. ��� 7�a ����
� DESCRIPTION 1�-� `— �t--a2
� Ot 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
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
� 09 PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL �� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU:_YES"NO L �jL�[
� C ENTS: O �g�3
W � �
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� WORKSATI ACT RY:PRO ED�" s� ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call tor the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra r on site:
Inspector. �
White Copy/lnspector's File Canary CopylSite Notice
, I
� �
� ;
� �.
/
� � Bell & Gossett � Domestic � Hoffman • McDonnell & Miller
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�yZC�ripT..i� :lt,. �'if�1,''�rIS i?t)i a�_.;.fa".j. �c.•��It�f���_„dK'. /',�` " �`
yd+ KEEP TfiiS PIAt�SET ON SITt AT ALL TIMES �� ; `�
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���� Bell&Gossett �iA�
pumps,heat exchangers,
J � hydronic speciatties,packaged systems
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