HomeMy WebLinkAbout1993-005582 - new single family 0 PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 815Permit Number: F::(j M.T tilt:
Orono. Minnesota 55356-0815 (,) 7.
-
(612) 473-7357 Date Issued: 1 C) 1
SITE ADDRESS:
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DESCRIPTION:
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P E R!"I R,F CIR M E.'H p
EPP,,RATE REr
JELLJ,: ;2,
FEE SUMMARY:
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7' _Af[LICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received: 13
Date Approved:
Entered By:
Permit
ALL INFORMATION MOST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or(CONTRACT-O�
JOB SITE ADDRESS: LOT G� , (,�/ /YO�� ZIP:
j-41 (work)
NAME OF OWNER: i 4IZ 4 P( E;FMA41� PHONE: (home)
MAILING ADDRESS: 7ij�/UGP6kI ("' (�G CITY: h/IDDG.tal� ZIP:
CONTRACTOR: 6v • PHONE: Gl7js �JBZ
MAILING ADDRESS: L4Mt.VL4\j t>(L. #hDO CITY: eVit,14 ZIP:
STATE LICENSE: QQQ ZQ(pt.�
ARCHITECT/ENGINEER: J• LS M�L'� 4!,�o PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: Newer_ Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : NOOt7 FIZ4 -Ke, , g(1�(1(i c ( (.,Y
STORIES: ' SQ. FEET OF EACH FLOOR: MAI D v 3 I V. 0 LOW S°0 2,60(,o
NO. OF BEDROOMS: GARAGE STALLS: ATT. Y DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) :
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: Com- ' a '' ' _. DATE:
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
/y D
ADDRESS OR LEGAL: PID:
,��� �ZC�C,/t� �u'�� /�-�.
DESCRIPTION OF WORK: �� fit/ �C�ZL ��� �✓
--------------------------n------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: /0 - �/• �i 3
BUILDING REVIEW BY: DATE APPROVED: ( 6 - y
-----------------------» -------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes r/ No SEWER CONNECTION
STATE SURCHARGE Yes r/ No WATER CONNECTION
INVESTIGATION FEE Yes Nom^ PARK FEE
SAC Yes No—i,� SITE INSPECTION
Number of SAC Units OTHER (specify)
-------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: f(Z- la
Fire Department: Lor A C Ar-E Post Office: w z h School District: (DO'GN(7
Lot Area: 2-(- -3 ALS S Width: Riaz-vc-o►- o Depth: .=/C2cC-,uc-4-,<
Survey Submitted: Yes X No Date of Survey: q-2- 7- 33
Proposed Setbacks:
I
Front (Lake) : " /SS�4- Right Side: 5 z .Z
Rear (Street) : /6a % Left Side: 301 w
Adjacent Structures : IUTA Wetland: N//4
Building Height: Def . Hgt. ( 7• Peak Hgt. Z s• S;-
Avg. Setback: 0- k Peet Ai(L,eA-L a,n�pz�r�.nt, Lot Coverage:
Existing Proposed
Hardcover: 0-75 ' C)
75-250 ' 9.5
250-500 ' td•i
500-1000 '
Hardcover Variance Required : Yes No C Date of Council Approval:
Grading: Staff Approval Date: 10 •1-t - 53 By:& . Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # /V �6 Resolution # : Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST '
UBC: 1� -3 CONSTRUCTION TYPE: _
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ y 5 2.,00060
Inspections Required: Work Requiring Separate Permits:
Site pC Plumbing Grading/Filling
Footing D�Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
X_Final (Mfg.) Other
Other Well (State Permit)
oc Electrical (State Permit)
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REMARKS (IN HOUSE) :
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
_ ONG On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would 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 furnish certain private or confidential information.
You are notified 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 shared with other local, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
First Middle Last
5500 1,4 aq(low
Address
P'�V)1441 5-514-3
City State Zip
I?.,-5`--o
Phone
I understand my rights as stated above.
S g a
reu
BUILDING&ZONING—473-7357 • ADNIINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' (L75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
--------------------------
A. HOUSE X = S.
LENGTH WIDTH
x = S.F.
x = S.F.
x = S.F.
x = S.F.
B. GARAGE X = ` S.F.
C. DRIVEWAY X = 2 S.F.
x = ,L S.F.
D. . SIDEWALK X = �`�� S.F.
x = S.F.
x = I � S.F.
E. PATIO/ v
ECK
x = S.F.
F. LANDSCAPE x = S.F'
AREAS
UNDERLAIN
BY X = S.F.
PLASTIC
SHEETING
x = S.F.
x = S.F.
G. OTHER X = S.F.
TOTAL HARDCOVER IN ZONE - (p-7 S.F.
Q 573
TOTAL PROPERTY AREA IN ZONE JSP-�v S.F. ® --. -_ - ST,
x loo =
W rQ4 F0TU Vf,;- ;.. x too
19
i
S
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' C 5.2 �00-1000'
EXISTING HARDCOVER IN ZONE
--------------------------
A. HOUSE X = S.F.
LENGTH WIDTH
x = S.F.
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.
x = S.F.
E. �ATIO/
ECK
x = S.F.
F. LANDSCAPE x = S.F.
AREAS
UNDERLAIN
BY x = S.F.
PLASTIC
SHEETING
x = S.F.
x = S.F.
G. OTHER x S.F.
TOTAL HARDCOVER IN ZONE - ' 3 S.F.
TOTAL PROPERTY AREA IN ZONE - 2 fA 7 4S S.F. Ul
x 100
19
` EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION COPY
ORONO3
SITE ADDRESS:
CONTRACTOR: DATE : q 28 q7, PHONE :
DETERMINE V►ORKING SQUARE FOOTAGE OF EACH:
1 . TOTAL EXPOSED WALL AREA. . . . . . . . sq ft x "U"
2. TOTAL ROOF/CEILING AREA. . , . , . . . 7� Z 7,3 s ft x "U"
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall
area above floor, , . . . . . , 45722. _ sq ft
a) Total wall window area: t
glazed. . . . . . �� sq ft x fluff 27�
d,..
glazed, , , , , . sq ft x "U" -- a
b) Total door area 'lr� sq ft x "U"
C) Total sliding glass door area:
glazed. . . . . . 1toesq ft x IfUll �j� •• -7 �j
glazed. . . . . , sq ft x "U"
G
d) Total fireplace wall area sq ft x "U"
C
e) Total wall framing area
(Average 104) . . . . . . . . . . . 145 Z sq ft x "U" O .
f) Total net wall area above
floor (Insulated) . . . . . . . 297"-7 sq ft x "U"
a
q) Total rim Joist area. . . . . . 3&32 sq ft x "U" 17
Total foundation
area (Exposed) , . , , , , , , , Z sq ft
h) Total foundation
window area. . . . . . . . . . . . sq ft x "U" '� a
I) Total net foundation
area above grade. . . . . . . sq ft x "U" , 77
R
3.
TOTAL a) thru 1) r7
If Item I`3 Is the same as, or less than Item PI , you have met the Intent of
2 MCAR 1.16008 A and 0.
Page 1
4_ TOTAL EXPOSED ROOF/CEILIFIG CALCULATIONS:
Total exposed
roof/ceiling area. . . sq ft
l) Total skylight area. : . . . . . sq ft x "U"
k) Total roof/cellinq framing
area (Average In%) . . . . . . ��`� sq ft x "U" . D Qe:2
1) Total net Insulated
roof/ceiling area. . . . . . . sq ft x "U" • � f e (��
4• TOTAL j) thru 1)
If total of A Is the same as , or less than A2, you have met the intent of
2 MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items N3 and A shall not be greater than the sum of items PI and 92:
1. C.5-40 + 2. e) s 52
C ERT I F 1 C A T 1 0 N
1 hereby certify that I have calculated the "U" factors and "R"
values herein and that the bulldinq here .described meets or exceeds the State
of Minnesota Energy Conservation Act.
S i g '&
n
(Date)
Page 2
CONSTRUCTION R VALUE
WALL FRAMING SECTION:
1 Interior air film O.69
2 VIP YWk-Llil . 5
3 _5;1h, Inches soft wood
4 jzl' pe,"
5 eLv .R
6 Exterior air f I Im n- 17
TOTAL R - 1.-T-7
U
14ALL SECTION (INSULATED)
--0 Interior air film n•6R
2 (9z,(Wl�Im As
3 VW, 1q.®®
13 5
A Exterior air film n.17
TOTAL R - zi. �9
U - 1/Ra oOd�
RIM JOIST SECTION:
41 Interior air film n•68
%2 50/2' trj%iL
3 1Vz' *oprW®at;> rot, ,.
B9�
6 Exterior air film' n. 17
TOTAL R =
FOUNDATION INSULATION REQUIRED:
Min. R-5 on entire wall OR U - 1/R = . -003�
pp .:•,e Min. R-10 down to frost depth
• �_ a; FOUNDATION SECTION:
e; "• 1 Interior air film n•6R
••A. ,A
• •• 2 Z11 G701,IG lNSVL /O•yo
•'!' T 4 Exterior air film n. 17
(6
. q. TOTAL R -
U - 1/R - 1071
SLAB ON GRADE
r • • • • t
�A4 � , t- •'14 - • � •a'•+•mid
v 0 . .d
• �/ • f
Heated Slabs: T '
•� • '� 'a. MinimumR = 8.5 , ' 4 . . , • ' .
,•.t1; �.•4. Unheated Slabs: •4- , ,• ,'•Q ; :•
r •'y Minimum R = 6.2
•1�:1, o gid,• •a• ; .{�•. 4 Page 3
CONSTRUCTION R VALUE.
CEILIiIG SECTION (INSULATED) :
1 Interior air film
3 4 4 Exterior air film still n.A1
TOTAL R - _4k.-75
U - 1/Re .021
L@ CEILING FRAMING, SECTION:
L04
1 Interlor air film O,F1
2 all e, vv6�.
AIR VENTED q Inter`or air film--Us ti 1 �n
74,
.61
FLAW 5 5'12 inches soft wood 4.2-19
TOTAL R 4Z.35
UQ 1/Ra ,®
CEILING SECTION (INSULATED) :
1' Interior air film n.61
2
3
4 Exterior air film (still) O. 1
TOTALR =
U1/R =
I 2 3 4 5 CEILINn FRAMING, SECTION:
1• Interlor air film O.61
VENTED 2
3
4 Exterior air film (si11) O.61
5 inches soft wood
TOTAL R =
Ua 1/R =
3 4 5
1 ,Inside air film n.AI
2
3 .
5 Outs de air film A. 17
2 TOTAL R
U -
Page 4
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. S-5 -9A COMPLETED r/ _
ADDRESS
OWNER CONTR.
TELEPHONE NO. 02 O - 9,9 S�
DESCRIPTION
�� 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
zu
J 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
cam., COMMENTS:
W
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O
O
W
W
Q
2
W
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W
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L4 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedConwr Ste.
Inspector.
White CopyMspector's Flt Canary Copy/She Notice
DATE TIME
CITY OF ORONO CALLED IN -Z/ 3
INSPECTION NOTICFr SCHEDULED !.Z/�Z 3 9-3 :o c?
PERMIT NO. -f-5�.2— COMPLETED Iz "?y lei 3Q
ADDRESS
OWNER CONTR. JZ2z
TELEPHONE NO.
DESCRIPTION,�p4.4l_'I Z_)
01 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING ' 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
H ATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNERICONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
CC
W
a
J
O
cc
O
W
cc
Q
Z
W
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W
Cr
d Q WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor R4gpt
Inspector. .r �
White CopyMspectoes File Canary Copy/Site Notice
DATE / TIME
CITY OF ORONO CALLED IN 3^ ! 3O Q
INSPECTION NOTICE ���� SCHEDULEDZ41,
- 3' 3
PERMIT NO. COMPLETED U N
ADDRESS
OWNER ���►� CONTR.
ct S
TELEPHONE NO. �� 2 - O
3Z DESCRIPTION
4 01 FOOTING 11 MECHANICAL RI 16WELLTESTPUMP
Qam 11 MECHANICAL FINAL 18 EXCAV/GRADINGWILLING
h INSU 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREAWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
`J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
y COMMENTS.
Ga +WA W t S- -0
a
0
W
W
Q
12
ztZ
W
cc
W {WORK SATISFACTORY PROCEED 11 PROJECT COMPLETE
cc W
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑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
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract
Inspector.- - _ --77&4—m
White CopyMspectoes File Canary Copy/SBe Notley
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE _ SCHEDULED
PERMIT NO. COMPLETED !4 _ a�
ADDRESS AL
OWNER CONTR.
TELEPHONE NO. a ' G0S7
DESCRIPTIONS
41 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
ac
W
0-
CC CC
O
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cc
O
U_
W
cc
Q
2
W
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W
CC
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L OWORK SATISFACTORY.PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract onda"4
te:
tor.
Inspec -1
White Copy/Inspector's lie Canary Copy/Site Notice
DATE 9 TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED �b U0 onl
PERMIT NO. � � COMPLETED 'A
ADDRESS
OWNER 4 �/f a�1 CONTR. ef'd
TELEPHONE NO.
DESCRIPTION
141 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
h 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
D
Z 04 D. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 5 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
1.- 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COM E TS:
ccUj
_ p
cc
Q
W
cc
Q
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W
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W
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WCC WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR i 1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr o on i e:
Inspector. /`!!
White Copyllnspector's Fit Canary Copy/Site Notice
ORONO COPY
.4