HomeMy WebLinkAbout2006-P10376 - new home PERMIT
�1TY. OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10376
Crystal Bay, Minnesota 55323 Permit Type: New structure
(952)249-4600 Date Issued: 10/12/2006
SITE ADDRESS: 4209 North Shore Dr Unit#
Mound,MN 55364
P��� 07-117-23-43-0005
DESCRIPTION: uBc occnpanoy R3
Construction Type VN
Proposed Use: Residential
Census Code 101
Permit Class: Building
Permit Type: New Structure Permit Sub-type(s): New Home-Single Family
DETAILS:
Approved per resolurion#: 5474
Sepazate permits required: Plumbing Mechanical Fireplace Water Connection Sewer Connecrion Irrigation Electrical
(state)
NOTICES/REMARKS:
Reclaim Demo Credit 7/2006-SAC Pd#3142 06/06/72
FEE SUMMARY: Perxnit Fee: $ 3,060.15 Valuation: $ 468,825.00
Plan Review Fee: $ 1,989.10
State Surcharge Fee: $ 235.00
TOTAL FEE: $ 5,284.25
APPLICANT: Owner/Self OWNER: William&Mary Titler
MN 2184 Shadywood Rd
Wayzata,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.
C���D�
APPLICANT PERMITEE SIGNATURE UED BY SIGNATCTRE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Sepric, 1-Sepric) Page 1
�e;�e r �c�Se.m�'�-�-
• � (�-Q o�'S -{-c� � .
�> S� ��-c� f�-e-f c re �x'rm� t
Total Fee: $ =-� � � )S /S����G'� �Date Received: � c�- � '
Entered By: ��. � '�� ���,���;.� ermit#: f� /p �����i� �
_ I f c-���`��
CITY OF ORONO - BUILDIN(i Y�;1� IT APPLICATION
All information must be submitted in full before plan review will be started.
(p[ease print a[l information)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) WNE R CONTRACTOR
JOB SITE ADDRESS: y2-u�� I�I7�r'�'� S I� �� ZIP: 5 r'�b y
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �'No If yes, a special event pernzit is required with Police Department and Ciry Council approval
60 days prior to the event. Shuttle bus service will be required zfnless applicant demonsh•ates
sufficient on-site parking is available. Non-permitted events ivill not be allowed.
NAME OF OWNER: ���(�wr,,,� � ��(�-� PHONE: (home) (��L �Z3 -S k3z
(work) 55 i- k� -u.„
MAILINGADDRESS: �✓,�y�i�a�;LL,,,,�r�?,��1 r�1 CITY: �Lf� ZIP: 'S'Ss�i/
CONTRACTOR: S�/.� l S��w�e� � PHONE:
CONTACT PERSON: r MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: �i �-H;�v=s �c K�g PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home iC Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�: (�1�� ��
STORIES: Z, SQ.FEET OF EACH FLOOR: �t �w
NO. OF BEDROOMS: `I GARAGE STALLS: ATTACHED y DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 4��j' , �2J `—
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.
APPLICANT'S SIGNATURE: DATE: 5 Z.b
31
, �
Sec.13.04 RIGHTS OF SUBJEC"1'S OF DATA
Subd.1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Informadon requ'ued to be given individual.M individual asked to supply private or confidential data conceming himselfshall 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 wnfidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This rec{uirement 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 ma�place the notice reyuired under this subdivision in the individual income tax or pro�er�y 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 informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of
stored private ar public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and
meaning of that data. After an individual has Ueen shown the private data and informed of its meaning,the data need not be disclosed to him for si�c
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. 1'he
responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the 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 Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply with the request
within that time,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.M 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 authority describing the nature of the disagreement The
responsible authority shall within 30 days either: (a)correct the data 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 disageement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating 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 aze norified that:
1. The information 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 shazed with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or ticense 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.
l.�► I V� t�r�.n �— 7'�"l�-
First Middle Last
P�71 Z(cc�+9 4Iq...il y[_.4a.o f � � �°—_
Address
t�►1�,.� Ze�.d� vt�!� �—g�`�i ��L —�z 3 —S`u�Z
City State Zip Phone
I understand my rights as stated above.
Signature
32
�HECK OFF i,IST FOR ISSUANCE �F �ER..�'VIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ` '� ��9 �� ��I� �In��ca l-��
PID:
I3ESCRIP`I'�O�T OF WORK: t1,_�����> �
--------_____-------------------
ZO�G REVIE�V BY: � A�.TE APPROVED: t �' r�dirn�j
BUIZDING REVIE'FV BY: DATE APPROVED; io-b -c��
k`EES TO BE CHARGED:` / Misc. Fees Calculated By:
p�g�T Yes ✓ No
PLAN REVIEtiV Yes � No SE`VER CO�INECTION
STATE SURCHARGE Yes _� No tiVAT�RCONNECTION
INVESTIGATION FEE Yes No —� PARK FEE
SAC Yes No � STTEINSPECTION
Number of SAC Units Q�,�, �3 �L � --rZ r �THER (speci�}r)
-----------------------------------�-----^-t------�-----------�--�i-�-�C�i LY�__�k�.Ca-�:�:LL_i.f--=�.t..���r ZC.'L^f�
�
ZONIi�tG CTIE.CK LIST Zoai.ng District: �Z ' � � .
Fire Department: Post Office: School District: �
�-f � /
Lot Area: Sq.ft. Acres .��SJ Widch � � Depch ,/'�1L� ; -�
Survey Submitted: Yes �� No _� Date of Survey: � Z U `�
��� I/>•��" f������<��c� `�(z�'�U�j .
Proposed Setbacks: r" ' `U% +- ;
Froat(Lake); �p z. .&a�it S��e:
J-�-p'°� J
Rear(Street): �� L�f�Side: �(�
�?�1—
Adj3C�Ilt .Cr:t1C?�1IZ5; �'j Y} Wetland: V1�r
Buililin� Height: DeE. Hgt. �7 Peal:Ho�• � �O
�, 3 � �_c�� �'��.t�.� -��;,='c"� ��red 4��� r�o� 5bz-w�t
Lot Covera�e: I:��!i � C�lY1�s '��
�. ���i�'�� ,�-o t�)p�,.�c,R �P�-�e ti. t-o F�r�rg
� 1� Grading: Staff Approval Date: l�-l� '0 '� By: TK- Council Approval Date: ' ��'`�� -
Septic: Staff Approval Dace: �� �Y� ��
�
Zoaing File: �V `'.�� Z Resolutioa: n .%t 7� Resolution Date: (���Z�L�
Shoreland Districc:
Av�. Setback: �x a��1 S B!u;f Setback: I..ot Coverage:
Eciscino Propased
Hardcovec: G-7�' `�
7�-250' �G
2�0-500' �Zy
sca-lxo�
,---
- `'a:-:z:ce Re�uirzd: Ye� tio V Da�e o:' Co��cu Appr�vai:
H�-eco�e: �
REZ L=�RI�S (in ho us e): �--�r�,�l��' t'���c��� n�.rzs I�+o h�z- � lu�_ i'"-�,ry�--_
� ��- is ss ��n �'w� , � �, iU
BUII�DING REVIEtiV CHECK LIST
�C� (Z '3 � CONSTRUCTTON TYPE: �/�
Sq Footage $ Per Sq Ftg
Basement . x = .
ls[ Floor � x � _
2nd floor � _ �
Garage z =
x —
TOTAL
Estimated Co�struction YaIue: $ �-(b`� 6'ZS ��
Iuspections Required: `York Requiring Separate Percnits:
S ite K Plumbing Fire
Hardcover Removal _�Mechanical �C Water Connection
p� Footing ` Septic _�5ewer Coanectio❑
� � Frami.ng .0 Fireplace vC Lawn Irrigation
�_Insulation (Masonry) Other
Wal1 Board
� F�� . _�C (Mfg.) Weil (State Pecmit)
GradinglFilling _�Electrical (State Permit)
Other
RENIARK.S (IN HOUSE): ' - --
---------------------------------------------------------------------------------------------------------------
REV�W BY OTFiERS: DATE:
Access: Ezisting New
Access Approval: Date By;
---------------------------------------------------------------------------------------
REI�LARKS (TO EE NOTED ON PERitifl'I'): %./-�d Sc� ����,r ll i r"��
�✓ :/'�� f� _ i � I'h�.1' f''>`� �� Vl�:�- �� r �
-�D�1_�� � '=��'Lt.! C � 2�rl.vl �'uv�n�r/�v��
�
�:��,�;�� �"����'
� �.
� . , . .
� - ,
AD VANCE SUR VEYING & ENGINEERING CO.
RECAP OF HARDCOVER AT 4209 NORTH SHORE DRIVE, September 26, 2006
ZONE 0-75 75-250 250-500 500-1000 TOTAL
AREA IN ZONE SQUARE FEET 4106 13367 7830 0.1 25303.1
ALLOWABLE HC 0 3342 2349 0 5691
TOTAL HC EXISTING 0 552 3016 0 3568
TOTAL HC AFTER PROPOSAL 0 3266 2324 0 5590
UNDER OR (OVER) 0 76 25 0 2123
Attached are city worksheets for each zone, please review your survey
and these worksheets with the city to be sure they agree that the items
shown as hardcover are indeed hardcover under their interpretaion of
their ordinances.
I hereby certify that this report was prepared by me or under my direct
supervision and that I am a licensed Professional Surveyor and Professional
Engineer under the laws of the State of Minnesota.
��, �e o��,�,�,
James H. Parker P.E. & P.S. No. 9235
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. sidewalk STEPS x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscape x = S•F•
Underlain x = S.F.
By Plastic x = S.F.
G. Other x =
TOTAL HARDCOVER IN ZONE O S.F. A
TOTAL PROPERTY AREA IN ZONE 4 106 S.F. B
A 0 - s 4106 x ioo = 0.0 0
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length Width
S.F.
S.F.
S.F.
B. Garage S.F.
C. Driveway S.F.
S.F.
D. Sidewalk S.F.
S.F.
E. Patio/Deck S.F.
S.F.
F. Landscape S.F.
Underlain S�F•
By Plastic S.F.
G. Other
TOTAL HARDCOVER IN ZONE O S.F. A
TOTAL PROPERTY AREA IA1 ZONE 4106 S.F. B
A 0 = s 4106 x ioo = 0.0 �
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = 57 S.F.
Length Width
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = 320 S.F.
x = 134 s.F.
F. Landacape x = S.F.
X = S.F.
X = S.F.
G. other RETAINING WALL x = 41
TOTAL HARDCOVER IN ZONE 552 S.F. A
TOTAL PROPERTY AREA IN ZONE 133 67 S.F. B
A 552 = s 13367 x 10 0 = 4.1 �
PROPOSED HARDCO�IER IN ZONE
A. House x = 2344 S.F.
Length Wiflth
sTooP 145 s.F.
S.F.
S.F.
B. Garage S•F�
C. Driveway 394 S.F.
S.F.
D. Sidewalk 72 S.F.
S.F.
E. Patio/Deck 263 S.F.
48 s.F.
F. Landscape S.F.
Underlain S.F.
By Plastic S.F.
G. Other
TOTAL HARDCOVER IN ZONE 3266 S.F. A �� �
TOTAL PROPERTY AREA IN ZONE 13367 S.F. B �� �1�J�P
A 3266 - s 13367 x 10 0 = 2 4.4 � �1��'
� 4 �
• � •
SETEACK ZONE: (CI�CLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = 1332 S.F.
Length Width
X = $.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = 1096 S.F.
x = S.F.
D. Sidewalk x = 543 S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. other RETAINING WALL x = 45
TOTAL HARDCOVER IN ZONE 3016 S.F. A
TOTAL PROPERTY AREA IN ZONE 7830 S.F. B
A 3016 - s 7830 x 10 0 = 3 8.5 �
PROPOSED HARDCOVER IN ZONE
A. House x = 1020 S.F.
Length Width
X = S.F.
X = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = 1304 S.F.
X = S.F.
D. Sidewalk x = S.F.
X = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscape x = S•F•
Underlain x = S.F.
By Plastic x = S•F•
G. Other x =
TOTAL HARDCOVER IN ZONE 2324 S.F. A
TOTAL PROPERTY AREA IN ZONE 7830 S.F. B
A 2324 + s 7830 x i o o = 2 9.7 �
(�LUW'�`�
gw,�
' . T
. .
SETEACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. Houae x = S.F.
Length tVidth
x = S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
X = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Other x =
TOTAL HARDCOVER IN ZONE O S.F. A
TOTAL PROPERTY AREA IN ZONE O .l S.F. B
A 0 - B 0.1 x ioo = 0.0 �
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length Width
S.F.
S.F.
S.F.
B. Garage S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Other x =
TOTAL HARDCOVER IN ZONE O S.F. A
TOTAL PROPERTY AREA IN ZONE 0.1 S.F. B
A 0 - B 0.1 x1oo = 0.0 �
. _ e . " . , '-b.
� ` ,
City of Orono Job Site Address:
°�'°�'° ENERGY CODE WORKSHEET FOR ONE
"= Jki,i.qyz`
`k'��" & TWO FAMILY DWELLINGS
952-249-4600
I1vsTlt�tCT�o�S: Complete Parts I,II and IIL Clearly mark plans with: insulation R-values; window and skylight U-values; size and
type of equipment; equipment controls; and location of interior air barrier,vapor retarder and windwash barriers. More detailed
information can be found in the Minnesota Energy Code Summaiy Sheets available from the Minnesota Department of Public Service.
Part I. BUILDING ENVELOPE
Check option used: 0 "Cookbook" Method(complete worksheet ❑ MnCheck method(attach report)
below)
❑ Building Component method(attach ❑ Systems Analysis method (attach analysis)
calculations)
GG » MINIMUM REQUIREMENTS
Cookbook Worksheet (for"Cookboolc" O tion)
Heatin s stem efficienc : Minimum 90%AFUE
INSTrtUCT�oNs � Ent Doors: 1'/4"solid wood or maximum U-value of 0.40
Step ]. Check item(s)that design meets on Minimum Requirements 0 Sk li hts: None ermitted
List to the right.Must meet all items to use Cookbook � Ceiling Insulation: Minimum R-38
option.
Step 2. Indicate proposed wall type on table below. � Rim Joist Insulation: Minimum R-10
Step 3. Indicate Window U-value and source. � Floors over unconditioned s aces: Minimum R-30
Step 4. Verify total window(including area of all foundation win- � Foundation windows: %z" insulated glass in wood or vinyl
dows)&door area is equal or less than allowable percentage frame or maximum U-value of 0.51
TABLE FOR DETERMINING MAXIMUM WINDOW AND DOOR AREA
Maximum Allowable Total Window and Door 2g�/„
Area as a Percentage of Exposed Wall � 10% 12°/a 14% 16% 18% 20% 22% 24% 26%
Wall Type (R-S up to R-10 Foundation Insul.): Maximum Average Window U-value(except foundation windows<_ 5.6 sf):
❑ 2x4,R-13 insulation,<R-5 sheathin 0.37 0.36 030 0.26 0.23 0.20 0.18 0.16 0.15 0.14
❑ 2x4,R-Li insulation, >_R-5 sheathing O..i7 0.37 0.37 0.37 0.35 0.3 I 0.28 0.25 0.23 0.22
❑ 2x4, R-13 insulation, >_ R-7 sheathing 0.37 037 0.37 0.37 0.37 0.34 0.31 0.28 0.26 0.24
�. 2x6, R-19 insulation,<R-5 sheathin 0.37 0.37 0.37 .37 034 0.31 0.28 0.25 0.23 0.21
❑ 2x6,R-19 insulation, >_R-5 sheathing 037 037 0.37 .37 0.37 0.37 0.33 0.30 0.28 0?6
❑ 2x6,R-21 insulation,<R-5 sheathin 0.37 0.37 037 0.37 0.37 0.33 0.30 0.27 0.25 0.23
❑ 2x6,R-21 insulation, >_ R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.35 0.31 0.29 0.27
Wall Type(with R-l0 Foundation Insulation): Maximum Average Window U-value(except foundation windows<-5.6 s�:
❑ 2x4,R-l3 insulation,<R-5 sheathin 0.37 0.37 0.33 0.28 0.25 0.22 0.20 0.18 0.17 0.15
❑ 2x4,R-13 insulation, >_R-5 sheathing 0.37 0.37 037 0.37 037 0.33 0.30 0.27 0.25 0.23
❑ 2x4,R-13 insulation, >_ R-7 sheathing 0.37 0.37 0.37 0.37 0.37 0.36 0.33 0.30 0.27 0.25
❑ 2x6,R-19 insulation,<R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.32 0.29 0.27 0.24 0.23
❑ 2x6,R-19 insulation, >_ R-5 sheathing 0.37 0.37 0.37 0.37 0.37 037 0.35 0.32 0.29 0.27
❑ 2x6, R-21 insulation,<R-5 sheathin 037 0.37 0.37 0.37 0.37 0.35 0.31 0.29 0.26 0.24
❑ 2a6, R-21 insulation, >_R-5 sheathing 0.37 0.37 0.37 037 0.37 0.37 0.36 0.33 0.30 0.28
Wall Type(with R>-19 Foundation Insulation): Maximum Average Window U-value(except foundation windows<- 5.6 sfl:
❑ 2x4, R-13 insulation,<R-5 sheathin 0.37 0.37 0.34 0.29 0.26 0.23 0.21 0.19 0.17 0.16
❑ 2x4, R-13 insulation, >_R-5 sheathing 0.37 0.37 0.37 0.37 037 0.34 031 0.28 0.26 0.24
❑ 2x4, R-13 insulation, >-R-7 sheathing 037 0.37 0.37 0.37 0.37 0.37 0.34 0.31 0.28 0.24
❑ 2x6,R-19 insulation,<R-5 sheathin 0.37 037 0.37 0.37 0.37 034 0.30 0.28 0.25 0.23
❑ 2x6,R-19 insulation, >_R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.36 033 0.30 0.28
0 2x6,R-21 insulation,<R-5 sheathin 037 0.37 0.37 0.37 0.37 0.36 0.32 0.29 0.27 0.25
❑ 2x6, R-21 insulation, >_R-5 sheathing 0.37 0.37 0.37 0.37 0.37 037 0.37 034 0.31 0.29
_�, .� _....__W___� _�.�__�.____ _...._._,
Window U-value: ' a 3 � i Source: i 0 NFRC__ ❑ Code Default Table (see_Part 7670.0700) '
____ , ___� o --
�oo X �v 7� ;, - , _ _ ��� �� �o-� � � � o,o �
� � !-��__�_ � :
--________ ___� _� � ..___ � ,_____ __ �
l3
� 2-15-2000 window&door area gross exposed wall area DESIGN ALLOWABLE (from table above) �
Part II. DEPRESSURIZATION PROTECTION
Check option used: ❑ Aggregate(complete aggregate worksheet on ne�ct page) ❑ Prescriptive(complete worksheet below)
� Performance(submit test report prior to final inspection) ❑ No fuel burning equipment
PRESCRIPTIVE PATH WORKSHEET
[tvs'rRuc'[Zo1vs COMBUSTION EQ[JIPMENT SCHEDULE Permitted E ui ment
check all '' es ro ''sed Path 0 Path 1 Path 2' Path 3
Step 1. Complete the Combustion Space heating> ❑ Sealed combustion I Y Y Y Y
Equipment Schedule on the right. ❑ Direct or wer vented ' N Y Y ' Y
Step 2. Choose a Make-up Air Path with a ❑ Atmos hericall vented N ' N ' Y* ' 'Y
Y(Yes)for all selected equipment. Water'heating ❑ Sealed combustion I' Y: Y ` Y
Step 3. Complete the table below for the ❑ Direct or ower vented N Y Y , 'Y '
Make-up Air Path chosen,indicating ' ❑ Atmos hericall vented N < N N Y
flows in cfin for exhaust and make- Hearth —gas ❑ Sealed combustion Y Y Y Y
Up air methods proposed. Only the ❑ Direct or ower vented N Y Y Y
capacity of lazgest exhaust appliance ❑ Atmos hericall 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 fuel ❑ Decorative N N Y* N
Opening Schedule on the next page. *Onl one atmos hericall vented a Iiance ma be installed in Prescri tive Path 2 '
❑ Path 0 —Prescriptive Make-up Air Method E�chaust ' Passive Passive Powered Make�u� '
Infiltration O nin
Clothes dryer: Passive infiltration for up to 175 cfms
Passive o enin s for cfms over 175
Kitchen exhaust: Passive infiltration forup to 250 cfin
Passive openings for cfms over 250
Powered to match flow for cfms over 500
`'Other e�aust:'� Passive npenings for up to 140 cfin
Powered to match flow for cfins over 14U' N/A
Need not include central vacuum exhaust in Path 0. �'OTALS
❑ Path 1 —Prescriptive Make-up Air Method ' E�na,�t Passive Passi�e rower��e-up
Infiltratior� O enin
Clothes dryer:$ Passive infiltration for up.to 175 cfin
Passive o enin s for cfms aver 175''
Kitchen ea�chaust: Passive openings for up to 250 cfm
Powered to match flow for ofms over:250 N/A
Other exhaust:$ Passive openings for up to 140 cfin
Powered to match flow for cfms over 140 ' N/A
TOTALS
� If closed controlled combustion solid-fuel burning appliance is installed in Path l,then the clothes dryer and any;central vacuum that
e�chausts to outside:must be rovided vvith make-u air by assive o enin to match=ffow.Otherwise'need not include central vacuum.
❑ Path 2—Prescriptive Make-up Air Method Exhaust ` Passive Passive Powered Make-up;
Infiltcation O enin
Clothes dryer: Passive openings for up to 175 cfin
Powered to match flow for cfms over 175 N/A
Kitchen exhaust: Powered to match flow N/A N/A
Other exhaust: Powered to match flow N/A N/A
'�tOTAL� ' N/A
❑ Path 3—Prescriptive Make-up Air Method E�a� Pass1�e �ass�V� �c��erea Make-uP
Infiltrafiott O nin
Clothes er: Powered to match flow N/A N/A
Kitchen exhaust: Powered to match'flow N/A N/A
Other exhaust: 'Powered to match flow N/A N/A
TOTALS N/A N/A
14
PASSIVE MAKE-UP AIR OPENING SCHEDULE
TABLE FOR SIZING PASSIVE MAKE-UP AIR OP�NINGS Diameter Path D Path 1 ` Path 2
Notes: a) This table assumes 20 feet of smooth unobstructed round 3`inches 50 cfm 35 c£m 15 cfm
duct with three 90°elbows and a screened hood 4 inches 90 cfin 60 cfm 30 cfm
b) Equivalent designs calculated using pressures of 50 Pascals 5 inches 140 cfin 104 cfm 45 cfin
for Path 0, 25 Pascals for Path 1, and 5 Pascals for Path 2 6 inches 200 cfrn 140 cfm 65 cfm
may be used. 7 inches 270 cfin 190'cfin 85 cfm
c) Ifa make-up air opening:is used with no dact or elbows,the 8 inches 350 cfm ' 250 cfin 110 cfm
Diameter can be decreased by 1 inicn. 9 inches 450 cfm 320 cfin 140 efm
d), If flex duct is used,increase diameter b 1 inch. 1Q.inches 570 cfm 400 cfm 180 efm
Make-u Air A lication/Location CFM '' O enin size Duct T e'
❑Smooth ❑Flex ❑O enin onl
❑Smooth ❑Flex ❑O enin onl
❑Smooth ❑Flex ❑O enin onl
❑Smooth ❑Flex ❑O enin onl
AGGREGATE MAKE-UP AIR WORKSHEET
INSTRUCTIONS
Step 1. Complete Exhaust Schedule on the right indicating cfm of largest device in each category. EXHAUST SCHEDULE
Step 2. Complete the Combustion Equipment Schedule on preceding page. DEVICE CFM
Step 3. Choose a path with a Y(Yes)for all selected equipment. Clothes er
Step 4. Complete Aggregate Make-up Air table below for chosen path.Using the total cfin from the Kitchen e�chaust "
Fxhaust Schedule,indicate flow in cfm for proposed method(s)of providing make-up air. Other exhaust
Step 5. Fill out the Passive Make-up Air Opening Schedule above. TOTAL
❑ Path 0—Aggregate Make-up Air Method Passive Passive Powered°Make-up
Infiltration O enin
Passive infiltration for up to'425 cfin
Passive openings for cfms over 425
Powered to match flow for cfms over 985
❑ Path 1 —Aggregate Make-up Air Method Passive Passive Powered Make-up''
Infiltration-- O enin *
Passive infiltration up to 175 cfrn*
Passive openings for cfms over 175
Powered to match flow for cfms o�er 565
� If a closed controlled solid-fuel burning appliance is installed in Path:l,then a passive opening must be installed to ptovide xnake-up air far
the clothes dryer and for any central vacuum that exhausts to the outside:
❑ Path 2 —Aggregate Make-up Air Method Passive:: Passrve �owerea
Infiltration O nin " Make-u
Passive openings for up to 175 cfin
Powered to match flow for cfms over 175 N/A
❑ Path 3 —Aggregate Make-up Air Method Passive Passive Powered
Infiltration O enin Make-u
Powered to match flow N/A N/A
15
�art IIIa. VENTILATION
INSTRUCTIONS
Step 1. Complete the Ventilation Quantity worksheet below.
Step 2. Check the Make-up Air Path(from Part II)on the ventilation Methods table below.
Step 3. Choose permitted method(s)for People and Supplemental Ventilation from the Ventilation Methods table.
Ste 4. Com lete the Ventilation Fan Schedule.
VENTILATION QUANTITY
___
TOTAL VENTILATION: 0.05 cfm/sf x � � � � sf = �'j� ` cfm
-- ���� _ __� �.�_ �
conditioned floor area normall includin basement
�______,�_____7
PEOPLE VENTILATION: � x 15 cfm/bedroom + 15 cfm = � 7�' � cfm
( � � )
�_ _ �_ __ _ _ __ _.�
#of bedrooms
_. . _ _ ___., r ___
SUPPLEMENTAL VENTILATION: )�� % cfm — -J � ; cfm � ��"'� ', cfm
J � � '
total ventilation eo le ventilation
VENTILATION METHODS
MAKE-UP AIR PAT�i(from Part II) PEOPLE SUPPLEMENTAL CO ALARM
❑ Prescri tive or A re ate)Path 0 Balanced or Exhaust onl Balanced or Exhaust onl * Not re uired
❑ Prescri tive(or A re ate)Path 1 Balanced or Exhaust onl Balanced or Exhaust onl * Not re uired i
❑ Prescri tive(or A re ate)Path 2 Balanced Balanced or Exhaust onl * Re uired
❑ Prescri tive(or A re ate)Path 3 Balanced Balanced Re uired
❑ Performance Path(see art 7672.1000 sub art 7) Performance Performance Re uired
* Passive infiltration shall not be used to provide make-up air for exhaust only supplemental ventilation in excess of 0.05 cfm/sf.
i'A carbon monoxide alarm must be installed if a controlled combustion solid-fuel burnin=a liance is installed in Path 1.
VENTILATION FAN SCHEDULE
Fan descri tion or location TOTALS
Fan Purpose ❑ Peo le ❑ Peo le ❑ Peo le ❑ Peo le cfm
❑ Su lemental ❑ Su lemental ❑ Su lemental ❑ Su lemental cfm
VENTILAT[ON Intake cfm Cfm cfm cfm cfm
AS DESIGNED Exhaust cfm Cfm cfm cfm cfm
Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,
specitications, and other calculations submitted with the permit application. The proposed building has been designed to meet the
requirements of the Minnesota Energy Code.
='�f ����M � ,n.�- — `�l� C� �.��Z�"�'z j s vs'c
Applicant (print name) Signature Date Telephone number
Part IIIb. VENTILATION (Submit Part IIIb upon completion of system verification)
�--------------- -- ---- ---- -
Job Site Address: Permit Number
Fan descri tion or location TOTALS
MEASURED Intake* cfm Cfm cfm cfm cfm
PERFORMANCE Exhaust* cfm Cfm cfm cfm cfm
*Measurement re uired for ventilation s stem intakes and exhausts from the buildin with desi n air flow of 30 cfm and reater.
Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow.
Applicant(print name) Signature Date Telephone number
16
Double Hung Casement Awning Sliding Inswing
U-Values 0.34 0.35 0.35 0.33 0.34
Window U-Value 0.34
100 x 1072.676 / 6877.42 = 15.59707 °/a < � °/a
Window� Gross Design Allowable
Door Area Exposed
Wall Area
*
� ' � �/ �� DATJ� TIME
CITY OF ORONO CALLED IN �/ " r ��
INSPECTION f� � SCHEDULED - S � C� `��
PERMIT NO. `�-' ' COMPLETED
ADDRESS , 'd � `Sh�'/-G .�' v�'�
OWNER E�� II�- l��f�e.T CONTR.
TELEPHONE NO. ��� � � � / v�� %�
� D N
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
o �� `c�o���r �' �/v i��/.�.�-�'
� L'� L 7� �f • c-� r? I 1 S --
� ��/� 5 , �t (� C r'� '� S '�Cy 1?P �7c �-- N
W /
Q �� �r � �� � (�
�
Z
W
�
W
�
�
d
� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W O C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �.�CITATION ISSUED
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
� � j� ✓
�':7 C PATE TIME �
i I'�TY OF ORONO j CALLED IN � / � �'�
` 1 INSPECTION NOTICE SCHEDULED -�r�,�g-F=` � '-��'
PERMIT NO. / [ � ��; COMPLETED
ADDRESS `�/:�U �� �:. �1 f�)'�� �„���,
OWNER CONTR. !d�% �� Ti/f/f%�
TELEPHONE NO. +�'�`� �� ���'��` �J 7 �
�,"� "
� DESCRIPTION �` �I.L 2.i'��� �t--'��' C..�- -
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAI. 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPT�C INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: � YES_NO
1
� COMMENTS:
�
W
�
�
J
O
a
�
O
�
W
�
Q
ti
Z
W
�
W
�
�
d /
� p WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
W �O CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN
INSPECTOR W4LL RETURN
C STOP ORDER POSTED.CALI INSPECTOR ��CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for thg next inspection 24 hours in advance. �952� Z49-46QQ
�.
OwnerlC o cfn site:
Inspector. ��
White Copyllnspector's ile Canary CopylSite Notice
�� DATE TIME
CITY OF ORONO CALLED IN 0
INSPECTION NOTICE SCHEDULED -� -� '3
PERMIT NO. �-• ;'c�J�� COMP TED
ADDRESS �—'G1C�� �C�1� S/ !�`e l 2
OWNER ��'��f�I-�� CONTR. �� ��GU{'�r
TELEPHONE NO._(,�I � Lp� � ��J I� � �i..'?� �
� DESCRIPTION /��GV ��V�/�,�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 I TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� ^ 'l i� ='
0
a
�
0
�
W
�
Q
�
z
W
�
W
�
j
d
W WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� ❑CORRECT WORK E�PROCEED l-i ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe xt inspection 24 hours in advance. (g52) 249-46��
Owner/Cont n ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
F � AT TIME �
CITY OF ORONO �ED IN � �7i
INSPECTION N IC SCHEDULED �7 �
PERMIT NO. COMPLETED
ADDRESS ���� 1�� l� � �
OWNER� ����5�CONTR.
TELEPHONE NO. ��! Z- �l0 � 2�� � {�t2F"���
� DESCRIPTION ��� �n'i r - z l�s
tL 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL LAKESHORE/WETLANDS
�
O 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL
ZOWNERICONTRACT RTOMEETYOU: YES NO
� C M E TS•� �U. �C! CGt,`I � V�P��
a—� �9
a—W� � 6►n � J`
�- �r l �-�` �r`
� � r s os �
W ,
Q � c� �K � or`
� — fl U,S°� Go ��P, L�Ov�—`p` s
� -- c�t, u� l i+ti GCt�'4c! °�
W
�
�
GW �WORKSATISFACTORY:PROCEED C PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (J52� 249-46��
OwnerlContra r o site:
Inspector.
White Copyllnspector File Canary CopylSite Notice
�� : DAT CTIME �
CITY OF ORONO CALLED IN � Q� _��.�
INSPECTION NOTICE SCHEDULED � �15/b_� /���Ci
PERMIT NO. u� � 3�� COMPLETED
ADDRESS `���9 �VCUr�1 Sh�re.. 'br.
OWNER M���1 CONTR.
TELEPHONE NO. � Ia -(�'1 � -b���
� DESCRIPTION ����t�C`'I'"I G+'�
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMIM1f 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O INSULATI 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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 MEET YOU:_YES_NO
� COMMENTS:
� �
a ; :�,,� q a
j �. ^
O
a
�
o ..�� � .r 1� r �
°� ` �� � ,_.S E�t" E�i�
Q
�
z
w
�
W
�
j
d
W ❑WORK SATISFACTORY:PROCEED C i PROJECT COMPLETE
�� CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W_
� ❑ ORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the n�xt inspection 24 hours in advance. (952� 249-4600
OwnerlContra� ;site:
Inspector.
` ! '1
White Copyllnspector's ile Canary CopylSite Notice
� � ,,,c, I
'� ,�i, /�ATE TIME �/
CITY OF ORONO CALLED I /�-- d 9
INSPECTION NOTI E SCHEDULED O /�
PERMIT NO. �D � COMPLETED
ADDRESS �a O�'7 �ZO/�. cS�_ p(��
OWNER�(�/�YJ• �7'C���' CONTR.
TELEPHONE NO. l — � 3 ^
� � /� � � S
� DESCRIPTION �//�C.Q,f` -�I�-C�-_����=�'�7�f/?.e.-
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAI ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� �❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J
0 PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/ NTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
�
W
a
o � c� Tu ��V I-ti�nc�r ,µ .�� �n c� S
'' ��� ;�� c.� a� �+s �7� %���,L�,-� -��
�
0
� Ls�.:� A��� f � . t
�
Q
�
z
�
� ��: ,�lJ;� ( � i � PL ��.�.. + C t�-v r
j .��. r � �� Cr � �� S
a
� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CA�L FOR REINSPECTION T�FpGP.P�iARY
V BEFORECOVERING
_�PERMANENT
❑CORRECT UNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN �/�/��
INSPECTOR WILL RETItRN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-Q6QQ
Owner/Contractor on ite: �
Inspector._�o [ �J ��� �
White Copyllnspector's File Canary CopylSite Notice
� / D 9T TIME ✓
CITY OF ORONO CALLED IN f� /
INSPECTION N TICE SCHEDULED �? :3�
PERMIT NO. 03�� COMPLETED
ADDRESS 7�O�. ��fi��'"� � �/
OWNER l��r�2.t. CONTR.
TELEPHONE NO!`� n��� oZoZ � � (o�Z -(o�l '��o� �--
� DESCRIPTION ��'� �
ty 01 FOOTING 11 M HANICAL RI 18 IXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
W � - �
a
j
O
o v � �s f
�
W
� �
Q
�
2
� ? �` `
W
�
�
� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PR�EED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION �TEMPORARY �p ZO'tQ 7
V BEFORECOVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL IPJSPECTOR
❑INSPECTION REQUIRED.GALLTO ARRANGE ACCESS.
Ca11 for the next i pection 24 hours in advance. (952) 249-4600
Ouvner/Con n s' :
Inspector. v
White CopyMspector's Flle Cenary CopylSRe Notice
� DAT TIME �/
CITY OF ORONO CALLED IN l �
INSPECTION NOy���3 7� SCHEDULED � l��
PERMIT NO. f� COMPLEfED
ADDRESS ��9 ��� ��e ��
OWNER � TL�� CONTR.
TELEPHONE NO. �D lo� �d 3 ��3 07✓
� DESCRIPTION ��� � �-
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ � PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/COPITRACTOR TO MEET YOU:_YES_NO
� COMMENTS: � ��� � 1 � �D� �
a
� �. rrv �►r� �2P�� 1 `�2Qv;2-e' O ev
0
o� �lC�n � 1'�e�� Z� 7 �6 �i
° � ��A � �
W
�
z �f�/►-� �/�t i I (��Q � d �� �9 l�
� ��/� !C� S� cl � `� ��- K �-* !�r� S�'
� �� /'� r i,��� �c e �� � s�c ��c .
�
O
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
WQ'�CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURId •
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the rrext inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector. , l�� �
White CopyMsp�tor's Flle Cenary Copy/Sfte Notice
r•-+ 0
CD
CD
(D COD
CD CD* p O CD ¢ CD
d O O * .- • C/1 CD UQ
p CD CD
CD ?y ° v' rye' .nF3" �j v� r V1 O '? C" - A� O cD CD CD
CD `� C/1 C ` "�� o �s �'S �. CD `�' - � p C� CCD Ip 0" `� pj CD Fes, �• O Q,
zffG? N r� C n CD CD ° v'-* CD �� R �+ 'h Cep
D CD CD
CD toCD rr ° o
�.. �• O CD O pD O (YQ� 4• p 'ar p �r CD S
CT � ~. CD O C- , pD CY r CD
D C - C D
O CD O CD N •� z" i UQ O O• UQ
Q' o CCD ,nt '� p �, �-h N zn �,
CD
ch CD
CD; cn
N C n ° 'S' -. CSD `OC (D CD� ` � O CD O CD
CD ° CDD �+, ` CDo r r (D c r chi CD
r
C!t �--� CD `C� �•' • tTj o p n '� ° "�' ° m P7'7p `� `�"' CD '�, O CD � 71
CD ¢, CD CD '.I
D IOD ID
U�Q Q p�D C O .�� �- a' �-r L6 -� Cpt �� ° CD Q, `• (y
yCD
i CD pD t .j C� pD `� O O CDCD
L/1 CD ¢ pD C z r - °O CSD
CSD `O dCD
O ° COj �� O CSD �. tet' OCDO
2 C' •` v� j°C - • CD 0
C3D C� O D °`•t P CCD
° o o
' � �°yn �• o o fit , CD rD � rCCCD o C�}� . �c CD 0 o CCD CDD 0 CSD
Fly ` AD C C (p w�� CD
Q o CD o 0
Cr o CD CD p ¢ n
X r r CD CD cD PD
CSD ¢ r`� O UIQ
' `c C r 0 cD N ° ° C OO o cD CD Od.CD p
�'�'�, t
COD UQ U' CD E� O O AD . r . r pD O cn
CD CD + Uq O O tom' O �. n �. O CD O C) t
CCD Z z CD CD O `.3, 00 ¢ CrCD CDCI.O CD
ag $ CD �+• o CD S -r �h O A� r CD L
.O 0 � � m � U, � � `t � � . �'h ry O -r i t CP 0 � p rn O CD �
CD N C n0 CD
O CD CD r CD Q' n� '-t CD
�S t CD . rr O pD
6• CD CD • . p� �. CD cn Cp O `� �� c `o pa O cr
`CCD
C4 CD 0
E,• ap�'`OC-t UCQ NWv� / \ \\ \ �'h 0t- • v, ' U `SO n n
C0 „ 0
CD CX 96/ 0 CD cn i-tW CD O CE`
D�� p 9 + SCD 0
F
C4 M CD
p.�7 Or
CD n rA D tix r
° O
O O CD � CD O " O. " 5
CD CD CD o CD
"\ o IIDoCD ° O c
°\ CD
CSD ~' r r ~ rt 0
0 CD
°
p
CSD / CSD Ul \ 0 CD 0
X 966.5/ pD I+ CD D '4.\¢' p p� CD CL CD O
O � 1
CD CD CD CD
\ 'o
967.7
9669
ZFT-, :�� o o
'A
p
D ChD
pD CD --1O ' ; CD
00
Z+ O O CD O �,
0 rt Z
O qQ E� p O CD
S
CD r O
Z CD
CDn
CD
O
¢' . •�� CD CCD CCD
cD
�r0 C -D o Z
CD
a� CD P r
0��,� td
CD
p CD CD.
CD
dO O O W, -r
CD cr CD
CD �] O
CD
CD O N
CDcOPOP�
0D cr ¢' O CD
�
N -t
aq
CD CD CD
CD
tm-
X 965.4 ' X 66.3
� 965.
X 92.8 965.4\\ ��
z o / 965.
o / X 964.
J 65.19 2`,, ss, }7��0
t� 964.6 J
X9Q0.4 �� 964.4 8® �/ / 4.1
� 966.4 �,�
N �
O /
r
r
d
b
70 S 963.7
F / 960.5 =5 X 964. A 63.2X 67.2
I� 959.8 60.0 / 65.
X96
/ \ XX 9 2.7 �' o
9 0 7 7�
/ X 959.5 1
_;X
X .2 960.5X 962.5 X96 , X 964.\
9
80 /
58.5X
`2� )963• X
96z 4 X 9f4 4
955.6
co
/ C� ( o
/
'A 9 % '
8 0 )k66.8
0 962.1
CO .0 '0 7
10 20 ` o
56.9titi 9 o O
/ �` 955.9 i 0r 9 .1X o / \
X 9,51.7 2, X 957.2 cb'�
95� 9 co � X9571
v 957.2 \
' o �o \
/ � OQ,5 70
\ /
953.4 953.`7,Y X9 .7
X,48.7 , , O �y f/
CO
S 956.5 /
^�,) 7 `
� o
74 0 70, /
1 3 ^ cb \ X 56.9
-- /
> o
.. . , - ..; _ , _ •' ,��• ��, 9522
0
/
D ,' f.e .Q? /SO 948.0 \`\
951.X/ /X 948.8 \ a X 95 .4 /
/ X ,
951.lX g
944, 8 / /
\/ g 948.6 �� y /, 9 .5 V� X 954.7 /
/ X rX 951 1 /
94&6-_ _^ o Q� / 3 /
/ .o
`, 948.8
Q9X52.
950.4 4 ,
7.0 948.2X °S2952
/
/
/ w
n-, oro • 949.3X\950 \950.3 �'� • ,(
Cb 00
/
0
4 170
16
s / 0 9�
X944.E
'.
/0 /
s / 1
'� tl /X 9 6.8 ` 48.9
94.3
-P ti
9J8.\e7 the ma l X'947.3 m co
MOO
ine es P "`" r m /
Sewer\ � �,' M Z
tin 940. ®® A /," < 0
\ I ®® � ', // X 948.7 O �
e
9J5.5 f ;u
LO II
3.3 e LO
o
/ X 93 oo /
Manhole (p
I X 937.5 r Z /
o�
Qac/ X 933. I /
' O
\C� r
X 34.1 y, � m /
932 8
Deck
XV34.5
X 35 4;
X 933.0 I /
X 929.9
K
9v X933.4
X933.8 s�
'� �wb ---s/, ----------' 11(�,Y\ 9.'4.5 /
s e
< 934.4
X 935.2 /
/
931.5
�\ X 9'31.3\
\ / c)
N d�
`0�0� X935.0 /
934.E
�\ -f0.
c:> X935.1 /
934.5
929.1
CO
N R.Cx. CIO p3 QJC
O o O p- pG�19J7
929.2 3
C
ha (O' O\
p� � /
`p p
C5 /
�°° o O
CD °D O
0
0 CD
rTI
CD ,j TJ rrJ
oo
J
00
I- -
z
c
CT
C Ib
I�
O
ON
ITJ lT1 tr1 trJ trJ
Cr1
CD O O
0
O O N
O O
o
CD
�+
o
O
CD
w
p
� - C
�
CD o
vQ O
CD
¢, �
d
-P
O
O cD
CD J
�
N
N
O
�
0
�
J
O
70 S 963.7
F / 960.5 =5 X 964. A 63.2X 67.2
I� 959.8 60.0 / 65.
X96
/ \ XX 9 2.7 �' o
9 0 7 7�
/ X 959.5 1
_;X
X .2 960.5X 962.5 X96 , X 964.\
9
80 /
58.5X
`2� )963• X
96z 4 X 9f4 4
955.6
co
/ C� ( o
/
'A 9 % '
8 0 )k66.8
0 962.1
CO .0 '0 7
10 20 ` o
56.9titi 9 o O
/ �` 955.9 i 0r 9 .1X o / \
X 9,51.7 2, X 957.2 cb'�
95� 9 co � X9571
v 957.2 \
' o �o \
/ � OQ,5 70
\ /
953.4 953.`7,Y X9 .7
X,48.7 , , O �y f/
CO
S 956.5 /
^�,) 7 `
� o
74 0 70, /
1 3 ^ cb \ X 56.9
-- /
> o
.. . , - ..; _ , _ •' ,��• ��, 9522
0
/
D ,' f.e .Q? /SO 948.0 \`\
951.X/ /X 948.8 \ a X 95 .4 /
/ X ,
951.lX g
944, 8 / /
\/ g 948.6 �� y /, 9 .5 V� X 954.7 /
/ X rX 951 1 /
94&6-_ _^ o Q� / 3 /
/ .o
`, 948.8
Q9X52.
950.4 4 ,
7.0 948.2X °S2952
/
/
/ w
n-, oro • 949.3X\950 \950.3 �'� • ,(
Cb 00
/
0
4 170
16
s / 0 9�
X944.E
'.
/0 /
s / 1
'� tl /X 9 6.8 ` 48.9
94.3
-P ti
9J8.\e7 the ma l X'947.3 m co
MOO
ine es P "`" r m /
Sewer\ � �,' M Z
tin 940. ®® A /," < 0
\ I ®® � ', // X 948.7 O �
e
9J5.5 f ;u
LO II
3.3 e LO
o
/ X 93 oo /
Manhole (p
I X 937.5 r Z /
o�
Qac/ X 933. I /
' O
\C� r
X 34.1 y, � m /
932 8
Deck
XV34.5
X 35 4;
X 933.0 I /
X 929.9
K
9v X933.4
X933.8 s�
'� �wb ---s/, ----------' 11(�,Y\ 9.'4.5 /
s e
< 934.4
X 935.2 /
/
931.5
�\ X 9'31.3\
\ / c)
N d�
`0�0� X935.0 /
934.E
�\ -f0.
c:> X935.1 /
934.5
929.1
CO
N R.Cx. CIO p3 QJC
O o O p- pG�19J7
929.2 3
C
ha (O' O\
p� � /
`p p
C5 /
�°° o O
CD °D O
0
0 CD
rTI
CD ,j TJ rrJ
oo
J
00
I- -
z
c
IN
0
v O C1 � zn �-�,� v, C CD n w �* n r � n ¢ CA
b 1✓ a --i � � - L/1 `-"' O � ?� sv O zy O O �•-. �
CD CD
cn
cn CD
t Z -4O vi �w ``� rn I+ - � `� rn y' a' O n CD n cn
�71 CD
CD
n CD V1 O
CDCD CD
.' • Ch F. CD Q. Q `L ° p� O p UQ _ '�' •- ry �' ?r' '•5" CD r CD .
O LS r C O CD ¢ C o UR n UQ
"d CD p p C tr O w CD O CD CD CD P� rn Iyf 0 CD'
CD
CCY n r r r `t N `�
e -r fy v R "� h CSD Cr¢ � `� y O.. �•'cn
D n `a . ¢ CD t„ CCDrA ¢
CD r -L 'TZLv I+ CD n -r " O '� -f (D U • �� cl.' UG CD p r n
`p pj � +Qn ` `� 5 PD � CSD CCD UQ R n ° O CD CDO C`CDD O �_ C
W*rCry A� n ~ �:s 0 v' 'Tv' A) CCD ��+ O n CCD �7"Cr
CD CD CI CD
s
m O ¢ CD `O n U,' C
O p ¢ C t vs
'4. C R.
$U4 Q `� (� t� `"� � �� �� O �' c7D P Com* c�D
CQ C ¢ � Ccr
DD fir' C�3D SJ CD Q
P CCD O O O C k--e,Oh ! C O ��, O C �C m �, (7,O'
5- CDO
CD
CD CD cD
CD
P. C` DD UQ -t¢ CD CD 0 CD CD
CD 51
O C O -ItD CD CD<- O ¢ CCD Sy C11-t�t '_`
0 O.CD t;l
cn CD
vCD CD Cr CD
CDr:r 0 ¢
o �o CD 0 p
O t
Z Z n C p 0 C�ii OC a- �+ C Cr p v�' CSD ¢® CQD
O
`CD v CD r+i ° O 0 t C� hD CD UQ �'' P Or CD N CCD C .
n m i ~. n O '� `CD CD `.'� CCD, CD n Q'; n �, '.'t CD
CD
CD O PD �_ ��
C C a' U' pi 0
L 1� \ �' �' O' n rn C
A' `C CD N \ \ N �Y CD �. O �� U' �*' Syr CD p O CSD
p ID
CD w -t- O v� ... .r • CD v� ",� ' O UD CD O
C \ �CD w. Com' p? P CD y CD
vp
C0 0 Z CD CD
CD rr
CD O P' 1-1 CD CD O '3 �Y
CD O O r* �71 0 �:;, cD O C
CD
CD
O CCD -r CD C
r0 ¢
CD , ¢
X 966.51 \�, s7 OCD CD
p cnD
CD CD p CD
\. \z9 -
1 \\ o
967.7
c 1 \ 5.8
966 9
e 96 6,
X 965.4 ' \ \ X 66.3 0
965.
X 92.8
c ,> 965.4 \ \ j
z �i 1 965. a� C\\j�99 �®
o e 964.6 964. 65.1g Z.. `S�S�Ay�0o
X 90.4 964.4 Bo / 4.1 966.4 l,�•
963.7 6;
960.5 / CO \ X 964. \ \ ® \
63.2x 672
965
959.8 60.0
e X 96 y� ►;
\ X_ 2.7 !'
1 X 959.5 160.5 \
XX 962 5 ` X 963 X 964.8\ N'
X 9.2
e8o
e
5X58. 96.3 x
98� oy ` 962.4 X 9fi�f 4 \
955.6m6��\\
�f w
C�
w
a�
CD(-D
CD C CD
o O rh ¢
O
°
C-D�� CDCD
n n 0
y
-(D
p C p O N
°
O
H�CD
CD O 00
°z
� oCD
ITI
O Uq p rn O CD
-r C C PD
¢
Ct ��
n CD CSD
OO CD
N (D
CD
O 0
`OCD
CCD CCD R
¢ C -D
zo
CD0
C ¢
rr
+
CD
' `C
rC
CCD
4,
--�
Q O
CD
L0
O'''ff
O
r•t-
C �
CD
:r w
CD
n n Ivy ( ¢
UQ
P
� � CD r
`CDNC
r
PD �
C
CD
I -t 0' n
CD
CCD N
C
CD
O C
C")
O-.
e 96 6,
X 965.4 ' \ \ X 66.3 0
965.
X 92.8
c ,> 965.4 \ \ j
z �i 1 965. a� C\\j�99 �®
o e 964.6 964. 65.1g Z.. `S�S�Ay�0o
X 90.4 964.4 Bo / 4.1 966.4 l,�•
963.7 6;
960.5 / CO \ X 964. \ \ ® \
63.2x 672
965
959.8 60.0
e X 96 y� ►;
\ X_ 2.7 !'
1 X 959.5 160.5 \
XX 962 5 ` X 963 X 964.8\ N'
X 9.2
e8o
e
5X58. 96.3 x
98� oy ` 962.4 X 9fi�f 4 \
955.6m6��\\
�f w
eA�
\ \ 0x �\ 9s / \A''' Z6s.8
8
.0 9621
1
\
/ 9
56.9o� \
/ 955.9 `�� 9 X
X 9,61.7 X 957.2 4i'0
954.9 � � �� 957 2 X9571 `® I �
o \
- ` \�
X9 .7
953.4
X 48.7 ,' v S 956.5CO
/
S a
X \
/ ��• ��y 9522 , ®w Y r _ ..�•,. _
r3
/ �� •Cb / S0 1' 948.6' \ �,
®'e c /C �0 951.X/ IX 948.8 \ \ , , 95 .4 /
951. X®� jX 9 /
944.8 g 948 6 9 3 5� X 954.7
x
e
�` ��` oyo 951
/
N 948-.6-- ) o Q / \\ S
/ 48.-1 XO
/ DZ 948.8
M . / 52 4 /
950.4
----- )-'0 948.2x
r�P-o X X 950 3 952.1 0
949.3
co c
n x ° ��''
944.9 )6 ® p " `0 \�o `
Ie
\ -,\X944.
X9 6.81 48.9
944.3
938.1 the man
� h es
X 938 s peY, X�J47.3 m CD
Line p ®' r m
X se Wei \ ®` M Z
�l o - - - EX ting 940.1X ® /I D 2
/X 948.7 0
'9 1.9 Z D
c0 C,
0
-P C O
/ XOD
Manhole
\ r
o% e e / X 93 .5 � � Z / U�C4 CD a3
c
X933.vv \ 2 C� TJX
Q1 r O O O O C
X 34.1 r m ° °
932.6 6 00`a
/ / r Deck �°N��O
X934.5
X 930 ` X 35.4
3.
X 929.9
129.
933.1
X93.34
IN /
QJoo // X933.8
/' 9.4.5 O
X1.0,'
934.4
/
X 935.2 /
X 9.,'31.3
\\' N O r X 935, 0 /
\, Q
X 934.'
y°11 ; X935.1
Q 1 a
9,4.5
929.1
Q
o �-7.3
�* `tom �\ 92.9 2 4(9J7.
C�
w
a�
7`5
ITI
Lo
--�
Q O
CD
L0
C �
CD
:r w
P
r
PD �
C
CD
CD
O C
C")
W
CD o
y
°
0
°-D
n
� =:• C)
P CD
N
n �
�
O y
�
n
�
N
N
o
�
�
o
�
00
N
J
eA�
\ \ 0x �\ 9s / \A''' Z6s.8
8
.0 9621
1
\
/ 9
56.9o� \
/ 955.9 `�� 9 X
X 9,61.7 X 957.2 4i'0
954.9 � � �� 957 2 X9571 `® I �
o \
- ` \�
X9 .7
953.4
X 48.7 ,' v S 956.5CO
/
S a
X \
/ ��• ��y 9522 , ®w Y r _ ..�•,. _
r3
/ �� •Cb / S0 1' 948.6' \ �,
®'e c /C �0 951.X/ IX 948.8 \ \ , , 95 .4 /
951. X®� jX 9 /
944.8 g 948 6 9 3 5� X 954.7
x
e
�` ��` oyo 951
/
N 948-.6-- ) o Q / \\ S
/ 48.-1 XO
/ DZ 948.8
M . / 52 4 /
950.4
----- )-'0 948.2x
r�P-o X X 950 3 952.1 0
949.3
co c
n x ° ��''
944.9 )6 ® p " `0 \�o `
Ie
\ -,\X944.
X9 6.81 48.9
944.3
938.1 the man
� h es
X 938 s peY, X�J47.3 m CD
Line p ®' r m
X se Wei \ ®` M Z
�l o - - - EX ting 940.1X ® /I D 2
/X 948.7 0
'9 1.9 Z D
c0 C,
0
-P C O
/ XOD
Manhole
\ r
o% e e / X 93 .5 � � Z / U�C4 CD a3
c
X933.vv \ 2 C� TJX
Q1 r O O O O C
X 34.1 r m ° °
932.6 6 00`a
/ / r Deck �°N��O
X934.5
X 930 ` X 35.4
3.
X 929.9
129.
933.1
X93.34
IN /
QJoo // X933.8
/' 9.4.5 O
X1.0,'
934.4
/
X 935.2 /
X 9.,'31.3
\\' N O r X 935, 0 /
\, Q
X 934.'
y°11 ; X935.1
Q 1 a
9,4.5
929.1
Q
o �-7.3
�* `tom �\ 92.9 2 4(9J7.
i
o`
a�
i
o`