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Home My WebLink About2016-00566-VOIDED ' � City of Orono � ' U� �t'ml Building Permit Application for New Structures or Additions Mailing Address: Permit number: • (? E >•- .0 �i QA, PO Box 66 � `v� Crystal Bay, MN 55323-0066 Date received: J`J Street Address:' R �� ,� 2750 Kelley Parkw , �1 p�a iew e: ��P L~ Orono, MN 55356 y� �`�'�� t�KESH�� Main: 952-249-4600 Total Fee: � � � Fax: 952-249-4616 wv.��rJ.ci.oro�o.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 2oL� (� „� o( ,��,, p � .J S<35 ) Will this be a Parade of Homes, Remode ers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service I be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: 3 -�,�-.. -• ��l�� c�c.,� State License# Expiration Date: Phone: (cell) (L 67o S'D�-f (office) Mailing Address: ZoZ4 SG►�� Cit : 8r�y..ti � Sr39/ Contact Person: C� Applicant is: Contractor / own L- (Cir�le One) Email and/or Fax: Qe�.,(�_c,.,,,,�o�r� �,,,-�n• ,�,,•-,c.--, �-� c„�,., bt,v►�am�n. ('_� �C..i� q PROPERTY OWNER INFORMATION: J ahh - � ` �-1�hw � �� Name: Phone (day): Address: City: ZIP: Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: ��-�Mi, �e�P/f� — �vJsa C.o✓i J�l��5 � �1�-• Phone (day): �1 SZ- °l '�4� 71 3 7 Address: 702� �ow,a��.� c,�f � City: ��.;�� ZIP: fr �3� Email and/or Fax: ('��So '�a (a c,o�,�. �-I- ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: FR�JECT INFORMATION: Description of project: (L�.w�.o�� a,n� (k,p�h� �a�} ti o�� An� J�PJ 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 �ccessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Septic ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Compliance certificate ❑ Public 4-feet or greater may be required) *"Any earth movement may require ❑ Commercial � Storage MCWD review&permits. ❑ Industrial Warehouse ❑ Public Water Minnehaha Creek Watershed District(MCWD) (5�Other: (specify) ❑ Other(speCify) 15320 Minnetonka Blvd; Minnetonka,MN 55345 S�I►�49 ❑ Private Well Phone: 952-471-0590 / Fax: 952-471-0682 www.minnehahacreek.orq Estimated Constructic�n Valuation (excluding land) $ � '�. n6 U -T_ Packet Last Updatea. January 2016 Page 21 � STRUCTURE I�IFORMATI�N: � � . 1. S�trncture�Dimensions 1. Structure Dimensions(continued) ' a. Length (ft.)= �� f Number of bedrooms= � 2. Occupancy: �°'� ��1�~�^ � It b.Width(ft.)= � � Number of garage stalis: � 3. Occupant Load: � Areas in square feet Attached= � � , � — c. Basement= � Detached =� 4. Type of Construcion: � d. 151 Story = 2 �3 �r i •.� r�._t e,2nd gtary- � 5. Code Edition: ��/, � /"! ��iL� f. 'h Story = �_ g.Total Area= 2 �3 REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Ap 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'/z 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 ,,x,t„�.� r� Jw�., � ❑ Landsca e Plan ❑ JS� 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. Applicant's Signature: - - ;��.�� Date: � �� Owner's Signature: Date: ,� l S � �� r� Packet Last Updated: January 2016 Page 22 . , Christine Mattson From: Ben Kieffer <benjamin.e.kieffer@gmail.com> Sent: Thursday, March 02, 2017 2:40 PM To: Christine Mattson Cc: John Kieffer; Roger Peitso Subject: Re:2024 Shadywood Road/#2016-00566 (boat house re-build) Hi Christine, we are keeping the boat house on hold for now and will resubmit the application when we are ready. The materials we dropped off were to get a refund of the variance escrow. Let me know if you have any questions. Thank you! Ben Sent from my iPhone On Mar 2, 2017, at 2:10 PM, Christine Mattson<CMattson(a�ci.orono.mn.us>wrote: Good afternoon, On February 24, 2017,we received one copy of a survey dated 12-5-2016 and hardcover calculations dated 11-21-2016. The survey doesn't appear to address the engineers comments(see letter attached). Please call me so we can discuss. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN I 55356(physical addressJ PO Box 66 � Crystal Bay � MN I 55323-0066(mailing addressJ '� 952.249.4620 I 8 952.249.4616 �cmattson@ci.orono.mn.us � �8 www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm From:John Kieffer [mailto:iohn.p.kieffer@�mail.coml Sent:Tuesday,June 07, 2016 6:19 PM To:Christine Mattson<CMattson@ci.orono.mn.us> Cc: Roger Peitso<rpeitso@ci.orono.mn.us>; Ben Kieffer<beniamin.e.kieffer@�mail.com> Subject: Re: 2024 Shadywood Road/#2016-00566(boat house re-build) � ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �J�� C.�1 LLJI(,1�� Permit No.: ��Y� -� Description of work: ��1 � � n"'�� Q �Q�' �-�1.� Date Rec'd: 5'L� I `// Septic review by: _�� -- Vva7l.f/ Date Approved: '�- Zoning review by: Date Approved: Building review by: � Date Approved: � Grading review by: Date Approved: Zoning District: —�� Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % Survey Submitted: 0 Yes � No Date of Survey: Revised date(?): '` Landscape plan submitted? � Yes � No Landscaper: Proposed Setbacks: Fr t(Lake) r(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = L.F. below grade Basement? 0 Yes � No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade- floor(of the basement or crawl space)and measure from hiqhest existinq START WITH the highest point of the roof. START WITH rfl ade to the highe�point of the roof even if fill wa`s brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure ¢ (BASED ON windows): Subtraet?�ialf the distance from highest existing grade to the ROOF NPE) between the highest point of the roof hi hest oint of the roof. to the low point of the corresponding If you have a... gable or hipped roof • GABLE OR HIPPED ROOF SUBTRACTION (no windows): Subtract half • GABLE OR HIPPED ROOF(with (BASED ON the distance between the windows): Subtract half the distance ROOF TYPE) highest point of the roof to between the top of the highest the low point of the window and the highest point of the corresponding gable or roof hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTR,4CTION Subtract the distance between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height � subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx r Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? � Yes 0 No Permit Number: 0 Yes � No � N/A � Ye No � , { ❑ N/A-see attached Setback: Stormwater Quality Existing Proposed ; Overlay District Tier Hardcover Hardcover Variance Required CUP Required ` circle one % and sf % and sf � Yes ❑ No 0 Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Fees to be Char ed YES NO Permit Plan Review State Surcharge Investigation Fee SAC- Number of SAC Units Other(specify) Square Foota e $ per Square Foota e Basement X = $ 1 S� Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits 0 Footing � Site � Plumbing 0 Grading/Filling � Poured Wall � Silt Fence/Erosion Control � Mechanical � Fire ; ❑ Foundation Survey ❑ Hardcover Removal � Septic � Water Connection � Foundation Waterproofing 0 Other(specify) ❑ Fireplace 0 Sewer Connection t � Framing 0 Masonry ❑ Lawn Irrigation � Insulation � Mfg. 0 Landscaping As-Built Survey � Other(specify) 0 Final � Lathe Required State Permits ❑ Other(specify) ❑ Well 0 Electrical REMARKS (in-house):�(�,V' V�J;��.� �-�'l,�- S�� r�'C1�� r rl��U��I�r�.i:� i �� (`�y��ji�'YI l�'tQi I r 1 f�a i� r t�)��I��%E;��- OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form `�Prior to relea scrow mone`�j �a�-�as- uilt surve nd�ha�dcover calculations must be subrrritted and approved. ---_-- Updated: October 2015 �•\fnrmc\nlan ravia�ni rhar4lict 1(1_'J(1'I5(Inrv g-��o C ITY OF ORONO � � Street Address: Mailing Address: Telephone(952)249-4600 �, Gti 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616 lq �, Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us kESH�� June 6,2016 Ben&lohn Kieffer 2024 Shadywood Road Wayzata, MN 55391 Re: Building Permit Applitation#2016-00566 2024 Shadywood Road On May 23, 2016 the City received a building permit application for an in-kind rebuild of an existing boat house. Staff conducted a preliminary review based on the information provided and requests the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. a. The copy of the survey submitted(dated 12-16-2015)is not to scale,is not si�ned by the surveyor,and does not match the scope of the project submitted as the grading and stair changes are not shown. b. Show the location of the erosion control measures to be installed. c. Calculate and show the proposed amount of earth movement within 75 feet of the Ordinary High Water Level(OHWL). d. A fire pit is shown from 2015 Hennepin County Aerial Photos; however it is not shown on the survey. Please clarify. Please provide two copies of an updated, full-size certificate of survey which meets all of the City's survey standards(enclosed)which includes the landscape plan. The survey and landscape plan should match. 2. Landscape Plan. The landscape plan submitted is too light to be legible. It is also in two separate pieces. Please provide two full-size copies of the landscape plan showing grade elevations and details of the proposed changes to the grade and step/stairs. Detailed and complete landscape plans may be used in place of an updated survey provided they are signed by a licensed professional. An as-built survey and hardcover calculations will be required following completion of all projects on this property prior to the return of escrow money. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO -� �1w 1� vu�� Christine Mattson Planning Assistant c via email Ben &lohn Kieffer George Norling James Parker Roger Peitso, Building Official enclosure � � � � O O � �� i t � � � � � � S f , �'°� � �� f �r�;� , � �, � ; � ,> R � •fi�, yy�� ,� .. �5. 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CONTRACTOR , , � DESCRIPTION v 1 � v � �� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: �Y� �- �-- a ��`�-- � � ' � � - '' � ¢ �d I yl � ° 'v�1 k%� W , - / Q �(1� �G� C 1C� ��cs'�t rh� , �C� Cde�rkL �L�c,� �� !1�' �c��s f<<- ,� , �, . z %` `� • �1�r ��. �2 Nt h�rs � � y'� ��tH . ,. /% � ��tG y�.��' � l` .�►-`� �� e n �� , �Q . �� a W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Ownerl on site: i � Inspect White Copyflnapector's Ffle Cenary CopylSfte Notke