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Home My WebLink About2018-00516 - new house � City of Orono Building Permit Application for New Structures or Additions Mailing Address: �O` �_�b C� / 0 PO Box 66 Permit number: J ,b � �� Crystal Bay, MN 55323-0066 Date received: �---aZ —� Street Address:� Received by: y� ,� 2750 Kelley Parkway Plan review fee: � -/ 33. 5 c,` Orono, MN 55356 �qk�sHo�`�` Main: 952-249-4600 Total Fee: ��i5 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: 3201 5l�.D o Ct 2C1.� L�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display ome? Yes ❑ No If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: G!�►Ct.�.-EYr G�.tDb �� L.•L .G , State License# _�G C�352�4-5 Expiration Date: 3 _ 3 (- ?��j Phone: (cel I) �.t t� 490- '7(�-Z� (office) Gr z- 3s9 -1709 Mailing Address: 0 2 i� . c Z Cit : ZIP: - Contact Person: S '1/'� L�GI�T�' Applicant is: on rac r Homeowner (Circle One) Email and/or Fax: ��s,µT � CH-,�t��.""'S CuoO . Gfl t'K PROPERTY OWNER INFORMATION: Name: ��.t.!-12C.t'�S C u�0 CA• L.l_,C� . Phone (day): G,1 Z- 35"�-- /70 9 Address: �y-�� ZgKO pyE'� /�oQ,�-f City: �„YYMeL1T1-F ZIP: SS��-7 Email and/or Fax ��„��,�- Q CPhn•.IZL„t..^5CLlpI�. C0�'�l ARCHITECT/ ENGINEER INFORMATION: Name: �N.p/Zt,� GL�DO Lo� L •L.G� Phone (day): - 70 Address: �S'D$79 z 3/� E- . /�/027�{ City: r'JL�/Itla t!)7-�F ZIP: $'S¢¢-� Email and/or Fax: t„�t, t Ghfl4,/Z.L,ESCt,ytlO . Lo� PROJECT INFORMATION: Descri tion of ro'ect: 1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & Water Supply New Construction �,Single Family with ❑Accessory Bldg./Garage Addition attached garage ❑ Deck �'Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater �Public Water **Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(speCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or $ � Estimated Construction Valuation (excluding land) ,�9'(y � OQv p „ r, „ ,., , ., � �� Packet Last Updated.� August 2015 CITY OF ORONO Page 21 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction r a. Length (ft.)= 7� "'�" Number of bedrooms= 3 Wood/ rame b. Width (ft.)= 34 -v „ Number of garage stalls: Mason (�C�Cv�Q'�I C�X �j�l."f Areas in square feet Attached= Z-- Metal / ❑ ol Bldg.��- ��m y c. Basement= � �8 � Detached=� ❑ � ��, / ��/' d. 15t Story = � 73S 7 `/ ❑ O -site Prefab e. 2�d Story= � ❑ site Prefab f. '/�Story = ❑ th ( lease specify): g.Total Area= z�� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ Com leted A lication Form ❑ Pro osed Buildin Plans—2 full size sets, to scale and 1 reduced 11 x 17 or 8 '/�x 11 set ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ Surve —2 full size,to scale meetin ALL surve requirements ❑ Hardcover Calculations ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation from MCWD statin no ermit is re uired ❑ Landsca e Walls and/or Retainin Wall Plans ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ]� Access Permit ❑ Data Privac Adviso Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. 0 Applicant's Signature: � ��''��r Date: e�-.��' ZO �Qi Owner's Signature: C hf��2LE�5 L�udld �D. L..L . G. Date: Packet Last Updated: August 2015 Page 22 ��S lY- 0000c�3 �LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: U�.�( �X..� �I �� ermit No.: �J60 � wV�Y� / Description of work: Date Rec'd: T�`T'1 0 : Septic review by: JC/W Q,1� �- w(�l� Date Approved: Zoning review by: Date Approved: � '� �l Building review by: Date Approved: Grading review by: tt�l�l1'Vl CEl11Na�V�,�� Date Approved: 5 •Z '� � Zoning District: u Zoning File#: ResolutionT Yes Reso#: Reso Date: Signed: Yes No Resolution/NA Zoning: LotArea: �� Y F AC Width: $t��SCoverage: SF % Survey Submitted: �'�'es 0 No Date of Survey: �� Revised date(?): Landscape plan submitted? 0 Yes Landscaper: � J Y I � No/None proposed Pro osed Setbacks: Front(La Rear(Str , � � ( N � E W ) (�I j S E W ) Other Buildings Wetland ide �J Side ?.fJ' 0 f ' $' 27� u�r,,v�. Buildin Hei ht Anal sis: 23� W�I'C�D�N w�l� Distance Befinreen First Floor and defined Top of Roof(See"building heighY' r definition : �a� �"1 �� First Floor Elevation from buildin lans : (b) �,(p Highest Existing ground level (per survey)or 10' above lowest ground level, �� 2�� whichever is lower: Difference between b and c ": (d) 2, �p DEFINED HEIGHT =1�k►i�►est-e�cisting adjac�nt_grade�s-above FFE.R-Heigiat�is-{a�.-{d�: (@) '� ( *If hi hest existin ad'acent rade is below FFE-Hei ht is a + d Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? �Yes � No Permit Number: � � 2„ , 0 Yes � No N/A 0 Yes o 0 N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s � ."7�O � Yes No 0 Yes No 1 2 Q 4 5 2�5� Type�s�. Type�S�. Updated: June 2017 z:\forms�plan review checklist 06-2017.docx 4VT . . 7 . 4 . .. . . I . . �• � r • � , Fees to be Char ed YES NO Rermit Plan Review State Surcharge Investigation Fee " SAC—Number of SAC Units ' Other(specify) (/' S uare Foota e $ er S uare Foota e Basement � X = $ 1� Floor X = $ 2nd FIOo� X = $ Garage X = $ Estimated Construction Value: S� � �(..(�, l�(%� Orono Inspections Required Work Requiring Separate Permits Footing � Site Plumbing � Grading/Filling Poured Wall Silt Fence/Erosion Control Mechanical � Fire Foundation Survey � Hardcover Removal Fireplace �,Water Connection 0 Framing 0 Other(specify) � Masonry �Sewer Connection � Waterproofing/Drain tile �Mfg. 0 Lawn Irrigation � Foundation Waterproofing 0 Other(specify) 0 Landscaping Framing 0 Septic Insulation As-Built Survey � �Final �,Lathe Required State Permits 0 Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: June 2017 'I z:\forms�plan review checklist 06-2017.docx DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", 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 Minnesota State Statute 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. 5�r'Ev� M L,c H�T' First Middle Last �S�b SO Z.3� /�•VE , 1�10 2� Add ress P�-`rr�u�rt-� I�►�l 5S�4 7 � tz- 3 s9 -I 70� City State Zip Phone I understand my rights as stated above. �_ �`�_ Signature RECENED �� 2 4 zo�s Packet Last Updated: August 2015 Page 7 �Y�� r ��,■� MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE October 19, 2010 Terry Schneider Project Developers, Inc. The Minnehaha Creek 15333 Boulder Creek Dr. Minnetonka, MN 55345 Watershed Uistrict is committed to a Adam Ginkel Plowe Engineering, Inc. leadership ro!e in 6776 Lake Drive Lino Lakes, MN 55014 pratectirrg, improving RE: Notice of Conditional Approval for MCWD Permit Application No. 10-143, and managing the 2525 Shadywood Road, Shorewood surfnce waters ond Dear Applicant: a,�liated groundwate� The MCWD Board of Managers conditionally approved the above mentioned permit.Therefore,the following resources wrthin the conditions must be met in order to issue the permit: Dr'strict, incfuding their Reimbursement of mailing costs in the amount of$59.40 re(ationships ro the • Reimbursement of engineering review fees in the amount of$679.40 • Submit a recorded copy of a declaration for stormwater facility maintenance and wetland ecosystems of which they buffers. am an rntegml part. The fee shall be paid to the District within 30 dsys from receipt of this notice. Failure to pay the fee shall We achieve our mission constitute a violation of the permit terms and the Board may rescind the permit. rhr�ugh regulation, Once the above mentioned fees have been paid and all permit conditions have been met staff will issue the permit. You are reminded that work on the project cannot begin until the permit has cvprto(projects, been issued. The approval expires one year from the date of this letter. If final municipal approval of educatr'on,cooperatr've the project results in changes to the project you must submit revised plans to the MCWD for review. endeavors, and other Please call me at 952-471-0590 x207 with any questions. programs based an Sincerely, sound scrence, !:� �� irrnovative thrnking, an Steve Christopher informed and engaged Regulatory Program Manager constituency, and the cost effective use of pubtic funds. 18202 Minnetonka Boulevard,Deephaven,MN 55391 • 952-471-0590 • Fax:952-471-0682 • www.minnehahacreek.org � � MINNEHAHA CREEK � WATERSHED DISTRICT QUALITY OF WATER `—�-' QUALITY OF LIFE INSPECTION REPORT DATE: April 23, 2012 TO: Adam Ginkel, Plowe Engineering FROM: Mary Hammes, District Representative RE: Permit# 10-143: 2535 Shadywood Rd, Excelsior The Minnehaha Creek Watershed District(MCWD)has inspected your site for compliance with the MCWD permit requirements. Based on our inspection at the above mentioned location,the following was observed and recorded on April 19, 2012: • Working without a MCWD Erosion Control permit • Soil leaving construction site MCWD requests that the following actions are taken: • Install/repair construction entrance immediately with either crushed rock or frequent street sweeping to prevent soil from leaving site • The MCWD Board of Managers conditionally approved the above mentioned permit. Therefore, the following conditions must be met in order to issue the permit(please see original approval letter attached): � • Reimbursement of mailing costs in the amount of$59.40 • Reimbursement of engineering review fees in the amount of$679.40 • Submit a recorded copy of a declaration for stormwater facility maintenance and wetland buffers. Please let this serve as a reminder that immediate and specific attention may be needed to improve erosion and sediment controls on your project. Application materials can be found on our website at www.minnehahacreek.or�. To avoid formal enforcement action from the Minnehaha Creek Watershed District, please implement the above mentioned actions by Apri130,2012. Thank you for your attention to MCWD permit requirements. If you have any questions, please call me at 952-641-4518 or by email at mhammes@minnehahacreek.org. Sincerely, ✓"'�.� —L��-- ��-�� Mary Hammes District Representative . V MINNEHAHA CREEI� WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE Pursuant to Minnesota Statutes Chapter 103D, and an the basis of statements and information contained in the permit application, correspondence, plans, maps, and all other supporting data submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant named below for use and development of land in the Minnehaha Creek Watershed District. L�J�0 r lJIJv�Y� Issued to: Charles Cudd Co. Permit No: 18-231 Locatian: 3201 Shadvwood Circle. Orono Rurpose: Erosion Control-Single Family Home Date of Issuance: 5/3/2018 Date of Ex iration: 5/3/2019 By Order of the Baard of Managers � -�.r'-�--�' . Chase Vanderbilt Permitting Assistant This permit is not transferable without District approval, and is valid to the date of expiration. No activity is authorized beyond the expiration date. If the permittee requires more time to complete tMe project, an application for renewal of the permit must be received by the District at least 30 , days before expiration. The applicant is responsible for compliance with all District Rules and for the action of their representatiues, contractors, and employees. Conditions: Project to be completed as described in plans submitted to the MCWD office on April 24th, 2018 according ta the provisions of this permit. • Properly install and maintain all required erosion con#rol measures until the disturbed areas are re-stabilized • Notify M+CWD in writing upon completing installation of perimeter and sedimen#ation controls � When the site is re-stabilized and the MCWD staff has performed a final inspection, all perimeter control must be removed (Statement concerning fees for inspections, violations, etc... on following page) We collaborate with publlc and private parrners ta protect and improve/and and warer for current and future generations. 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE insosction/Anaivsis/Monitorin� Fees A site inspection and monitoring by District staff will be performed where the activity involves: • a commercial/industrial/multi-family residential development • a single family residential development greater than 5 acres or af any size if within the Minnehaha Creek subwatershed • any alteration of a floodplain or wetland • dredging within the beds, banks or shores of any protected water or wetland • a violation • any project which in the judgment of the District staff should be inspected due to project location, scope, or construction techniques In these cases, the applicant shall pay to the District a fee equal to the actual costs of field inspection of the work, including investigation of the area affec#ed by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shall be at least$35. Standard Fee Schedule District professional staff $ 65.51* District interns $ 40.35* District cl�rical staff $ 46.69* Consulting Senior Engineer $ contracted rate Consulting Engineer/Technician $contracted rate District Counsel $ contracted rate Application fee $ 10.00 Copy costs $ .25 + actual staff time Color copy costs $ 1.00 + actual staff time * Hvurly We collaborare with public and private partners to prorect and fmprove land and water for currenr and future generations. . ... .....€.:. . ..................................................................... 15320 Minnetonlea Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org CERTIFICATE OF SURVEY FOR CHARLES CUDD C0. 66 OF LOT 1, BLOCK 1, SHADYWOOD VILLAS HENNEPIN COUNTY, MINNESOTA � \ � �� s� � �� \\ � ,�y 1 � ti `� i �I /e'r'°' i `:�� i cS1 ':. � i � a`' ' � � r''�`^" q t� .:``v%.• % � ��a�-'� �'O ,�1" ! � �/ � � l ,(/`t'� �� •�, \ .._. .......... • � O � � � ..�t ^� ��.,:' �� (;'�.;1-�' � '�c,m � �� d �90 �• �hM1� � 1\ • O � 8$� � 2 ��'� \ \� \S �O �� ,� � , Z-��' �g_�'o. d � So. / // �4d ,:�— ...95,q2,',�oH'y/1 � \.�� \ ,J.J � � .+��t`a � �,k9' : Q`�3�� \��ry\ F � � �n / i�.��,g� +r ..'o dk'9�,.`, '� L�� d�� ,r�y,�e "/�C>.;�. 'h � � \�\ �� / /� p`�a''s(``S`4e i '.�9jR��'I ..:: �1 (G)\ ��\7.� RO�W�� as� & `Q \ y� ST r � 9,g0�\ S�, �� %a<'� �9'"� � ��,9 PROPOSED�' ; `�� i � �� \`' -��;'HOUSE ,�b.� ��a � � 1 �Lr i � � �3201 i� �� /� �'/ ♦ / , � n � ; � y �, �^' ; ;...�.,. � `�,� �� / � Pry~ l \ � � �E� ..._.�. N I�y.� r\ � '_1 �N ��, ,�� , � �� i �,.,. , �, i � ;�. , � � � kl __ �� (F)" '0.32' ;ACf I i y_ t L;� qa " �/ 6 � oca ~ ci � �J ��.h .'p:� �\ o•�.:' .. ..•.._,(a�2B9 6 � ^ cnri+�t�f 2 E�"., n�oo � c � �� ...1to�t5 /' ' 2 .'. � i-� 7BS�,�9 � -'- E" i;�'�b �9jZ_ ��, .k � s, So � �a, �!� ` I ��,;,-��.. �� ''o: �� ., h�\ ,��(� 4./ w"o'�\;�^� �...... 1 � ' � / ..,'T'G9 � :�\�\ �.�Z'� �\ N113t . �.... ..•'`�a � :.� � -��• � ` wv.(ssaee)sw ...._.f. .....__DRAINACE,'� \ \ �.........� r "� �, EASEMENT `�0.- �� l �".� � �v{n'°� / F /� �'eya � � DEPRESSION /�� /�°`3 /ry,y� �"'op� � / / i/ / o�' /,a. � � /21 )9 � � /y�/ -u`�O JS' �� /�� / �, � �` // j / �� Z�� / � �_ / / � � /��,,"�_. / / ...::_v �'. ti � LEGAL DESCRIPTION OF PREMISES : / � � F� � � a; Lot 1, Block 1, SHADYWOOD VILLAS j,A . j o : denotes iron morker set •: denotes iron morker found (908.3): denotes existing spot elevation, mean sea level datum 910.a : denotes proposed spot clevation, mean sea level dotum --g�7---: denotes existing contour iine Z�: denotes proposed contaur line PROPOSED ELEVATIONS : (verify) � Bearings shown are bosed upon on ossumed datum. 1) Goraqe = 952.a r E� �� • �.�, �-7��. - ..^.ct_ �.S^ .�.z.a �rc4�a-, ._., , _. 2) Top of foundo6on = 952.7 This survey intends to show the boundaries of ihe above described� proDerty, existing topogrophy, and the proposed location of a proposed 3) Moin floor = 55a.6 house, driveway ond grades thereon. IY does not purport to show any other improvements or encroochments. . 4) Bosement = 9a4.0 ��C ':<,.v�,, _ _ . _7..-.l'a.� ��-�-�� ..� _'_ � ' . GRONBERG AND ��esY«.t,�Y<�<«„a�,,ma��a��,a,.,a.t �,E prepared by , intler y direct superviaion, �^sZO� ASSOCIATES, INC. °"°`"°"�" �y�i�sed lmd Svveyor a. the laws o�LM Stats of Minnasota p,�� CONSULTING&NGINEERS,LAND h1B-18 SURVEYORS,&5ITE PLANNERS sas NORrN wuow oreve J,�x� ,oe w LONG LAKE.Mk 55756 18-171 952-473-61{1 Mwk S GronEerq Minnewto Litense�� r 12755 1