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HomeMy WebLinkAbout2017-00020 - new structure CITY OF ORONO � z 0 1 7 - 0 0 0 z 0 * � 2750 KELLEY PARKWAY DATE ISSUED: OU24/2017 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2800 SHADYWOOD RD PIN : 21-117-23-13-0023 LEGAL DESC : REG. LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : S[NGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED VALUATIOIY : $ 500,000.00 NOTE: SEPARATE PERMITS REQU[RED:PLUMI3ING,MECHAN[CAL,F[REPLACE,WATER CONNECTION,SEWER CONNECTION, ELECTR[CAL(STATE) NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM SAC WAS GRANDATHERED[N-SEWER&WATER HOOKUP DONE 50201972, PERMIT#3082,RECLAIM FROM DEMO CREDIT APPLICANT PERMIT FEE SCHEDULE 3,629.92 CREEK HILL CUSTOM HOMES STATE SURCHARGE(VALUATION) 250.00 15235 65TH PL N TOTAL 3,879.92 MAPLE GROVE, MN 55311- Payment(s) (763)553-0325 CHECK 1219 3,879.92 Minnesota State License#: BUIL-20415174 OWNER BERGH, HANS& SHARON 2800 SHADYWOOD RD EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become nuli and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for du •cause. � �. �� % ��y-1� ���� /����t� � ���� �� Applican ermi ee Signature Date Issue By Signature Date � � City of Orono . �� �74.9 � Building Permit Application � i � for New Structures or Additions MailingAddress: Permitnumber: �/7- ��(� QA,. PO Box 66 � j VQ Crystal Bay, MN 55323-0066 \,` Date received: / -'��— Streef Address:' �� Received by: � ,�- 2750 Kelley Parkway � ��5 9�, �, Plan review fee: c? Orono, MN 55356 �AkESH�4� Main: 952-249-4600 Total Fee: ��` �^�� � 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. (Please print) GENERAL INFORMATION: JobSiteAddress: ' �OU r' � (,��-,,� � ����SrU� S�-3 �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMqTl01�: Name: C_��'��Ir ��1C L Gl�/.�%�'��9 ���`j �/U� . State License# C '�r S l 7 7f- Expiration Date: �Zp j� Phone: cell �,f�-S �i�_ �, y�; '� office J�cr� -.�5 3 - ��_s��� � Mailing Address: 5,Z��` �S- ti /'�- Cit :/L `��zC�'� ZIP: —5_;j Contact Person: /�f� /« � ��L���/�t�t Applicant is: d�rt or� / Homeowner (Circle One) Email and/or Fax: /(,+�� �� �j t J�. L�jf-}�j�( ��;�1��,� y�tr»�S , C�i�1 PROPERTY OWNE INFORMAT� N: Name: � �' � Z`�' Phone (day): " ( (9�a - _ , - .�Cy Address: � ) ; Cit : ' ZIP: "3 j7� Email and/or Fax }� c�r.�ln C1 �'l�l /'lS i'.C ARCHITECT/ ENGINEER INFORMATION: Name: ��''uc� ��n.Y�i� � �vr'�l� �ee=fi 1 � Phone (day): � � S� Address: � O� � � �r- �cL. � K.,' Cit : .�' � ZIP: " ��2�} Email and/or Fax: ��•ty��,� ( L c�� �_���2 ARCHITECT/ ENGINEER INFOR TION: �C:�-ir`�-�� .�•;�G1 ,✓�;,'�I� Name: �itc� � e�: -� � /� - �. " l.c�� �- �In Phone (day): � �a - �{•�- • 4- Address: C� S• � Cit : � ZIP: � �t Email and/or Fax: �S,�L - S�� S r. ` PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8 � New Construction Water Supply � Single Family with ❑Accessory Bldg./Garage Addition attached garage ❑ Deck � Public Sewer ❑Accessory Building � Single Family with ❑ Office/Commercial ❑ Relocation detached garage �] Residence ❑ Septic ❑ Other: (specify) ❑ Multiple Family/Condo 7] 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) ❑ Other: (SpeCify) ❑ Other(SpeCify) 15320 Minnetonka Blvd; Minnetonka,MN 55345 ❑ Private Well Phone: 952-471-0590 ! Fax: 952-471-0682 www.minnehahacreek.org Estimated Construction Valuation (excluding land) $ �(J�� Ot:�L! Packet Last Updated: January 2016 Page 21 STRUCTURE INFORMATION: � r 1. Structure Dimensions 1. Structure Dimensions(continued) --� /' .i/ , a. Length(ft.)= � Number of bedrooms=�i_ 2. Occupancy: � �.i ! b.Width(ft.)= �''� Number of garage stalls � 3. Occupant Load: Areas in square feet Attached = v � G c. Basement= � Detached= �" 4. Type of Construcion: � � d. 1 St Story = ��J`t e. 2�d Story= �-��7� 5. Code Edition: ���� ' `�O � f. '/z Story = g.Total Area= y'-,��� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ -f] Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee .0` ❑ Com leted A lication Form -0"� ❑ Pro osed Buildin Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set ,Q' ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ,C�3� ❑ Surve -2 full size, to scale meetin ALL sunre re uirements Q• ❑ Hardcover Calculations ❑ -B' Se tic S stem Certification j� ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ .0' Landsca e Walls and/or Retainin Wall Plans ❑ G7� Landsca e Plan ❑ F]" Stormwater Pollution Prevention Plan SWPPP ❑ .�)' Access Permit ❑ .G3l 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. ApplicanYs Signature: G �'�'�" Date: /—�� `��� Owner's Signature: Date: Packet Last Updated: January 2016 Page 22 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� W Permit No.: L�J� ! + �lJtr��lJ Description of work: '� ate Rec'd: �' �O ' �T_ � �3 o8L 5 7� Septic review by: �(�of/'G�'' � a>� Date Approved: Zoning review by: Date Approved: ( ' ���� .� Building review by: _ � �-�� Date Approved: � Grading review by: a Date Approved: l ' � ��� Zoning District: � Zoning File#: "�J�� Resolution? es Reso#:�� Reso Date: �'q'�� Signed: es No Resolution I NA Zoning: Lot Area: SF/ C Width: Structural Coverage: ��SF ��9 % ,�,�°'' i'� • !� Survey Submitted: es � No Date of Survey: Revised datel?): Landscape plan submitted? 0 Yes Landscaper: � No/ one proposed Pro osed Setbac�cs�l� �Y V� l�p�i',� W 1� �Ut� �Vl ('/Y� �'V�.1fYU��1 tV�A -� �U( �+' -hll i�C2. _.:J Fr t(Lake) R r(Street) ( N S E� ( N S�E�}W ) Other Buildings Wetland Side Si�' Go' �Oa � , � Buildinq Heiqht Analvsis: Distance Between First Floor and defined Top of � � Roof See "buildin hei ht" definition : a �- ���J First Floor Elevation from buildin lans : (b) Q�:: � � Highest Existing ground level (per survey) or 10' ��� ����� above lowest round level, whichever is lower: Difference between b and c : (d) � �F e �� r � Defined Buildin Hei ht (a -(d : � � � ��-' i ��k� Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? �Yes 0 No Permit Number: �� . l 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 s %and s 1 2 3 4 5 ?"�' �6 �� �"��� Yes 0 No 0 Yes No ���1 S� �g�� �'� Y e s : Type(s): r�tr s,2�6a�eK-. Updated: October2016 �I ��n ��j � v:\forms�plan review checklist 10-2016.docx � "���r ��5�1�02ClC.►i (��7Wdrl� B�IP• 0 f rwt�t�m�i�u S�1�C� Fees to be Char ed YES NO , , Permit Plan Review t/ 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 Floo� X = $ Garage X = Esti ated Construction Value: �� � � � Y� ��� � Orono Inspections Required � Work Requiri g Separate Permits Footing � Site �Plumbing 0 Grading/Filling Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire �Foundation Survey � Hardcover Removal Fireplace �Water Connection 0 Framing �Other(specify) � Masonry � Sewer Connection Waterproofing/Drain tile 'T�^� ve �p�S' � Mfg. � Lawn Irrigation Foundation Waterproofing ��� /� ���s 0 Other(specify) 0 Landscaping Framing �i l �Insulation ,SfNvc,�-r.ra I �/d�/ As-Built Survey inal � Lathe Required State Permits � Other(specify) 0 Well Electrical � � f REMARKS (in-house): i � OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: .�See Builder Acknowledgement Form •�Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. a .. � ';, � r _.. ,� • . , Updated: October 2016 ` v:\forms�plan review checklist 10-2016.docx � Builder Acknowledgement Form Permit #2017-00020 / 800 Shadywood Road Builder Representative Name: � C � / �� � �6yy� Permit Conditions: Initials **NOTE CHANGE** Before scheduling an exterior insulation and/or drain tile inspection, a foundation as-built survey must be submitted and approved by the City or a Stop Work order will be issued. Schedule a minimum of one hour for the framing inspection. /� � �` Erosion control mechanisms must be installed and inspected by the City prior to any land disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to ,� inspection. Erosion control shall be installed and maintained throughout the entire project and must remain until vegetation has been established. A haul route shall be submitted to the City Engineer for approval and inspection prior to commencement of hauling from the site.The property owner shall be responsible for cleaning and repair of roadways for any adverse impacts. No underground sewer within 20 feet of well. f� : �yl Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations must be submitted and approved. In the event of winter or other extended unfavorable weather conditions (which prevent the completion of the exterior improvements and/or as-built survey) a Temporary Certificate of Occupancy(TCO) may be necessary. A TCO requires a $10,000 escrow. Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining walls, etc. not currently shown on the approved survey and landscaping plan will require a separate Zoning Permit application to be submitted and approved prior to the work commencing. Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the height of the lower wall require engineered plans and a building permit to be submitted and approved prior to construction. w:\street files\shadywood road\2800\builder acknowledgement form 2017-00020.docx Permit Application: Self-Checklist for Completeness P,lease note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. �� Completed Application �� Plan Review Fee Paid PG� �� �� ��a�c,�- / Signed Escrow Agreement & Escrow Payment aa !�-�'�� 7 ` � a�c� �l— i� ' �� `0 � Plans (to scale) x2 j Certificate of Survey (to scale) showing the proposed project & meeting all requirements x2 � Hardcover Calculations (if applicable) I am aware that Orono will not issue a building permit without a copy of MCWD permits (or documentation from the MCWD stating the proposed project does not trigger their permitting requirements). I will contact the MCWD at 952-471-0590 regarding this pr ject. , Signed by: Address: � �!/� ��� c�c��v� � Permit #: �p�7 — UOD� W:\Applications,License or Permit Applications\Zoning Applications\Permit Application Completeness Checklist 2015.docx ��r �.c �I �a►� � AD VANCE SUR VE�'I�G c� E1VGI11�rEER11VC CO. I hereby certify that this report was prepared by me or under my direct supervision and that I am a licensed professional land surveyor under the laws of the State of Minnesota. '!-�.��ti�;��,c_x, �;"���%r_�`:,�: loshua S. Rinke PE No. 52716 Step 2: FROPOSED HARDCOVER In the following table identify all items o#existing hardcaver on the property, keyed by letter to Certificate of Survey (survey must accompany this form). Use as many lines as necessary to \ / accurately depict existing hardcover status or tne property. I Key to Survey Hardcover Item (Describe) Length x Width Total (Square Feet} (Exampie) Gara e (24'x 30') (72�) S.F. A House 2,841 5.�. B Garage 1,081 S.F. C Concrete Covered Staop 195 S.F. D Concrete Walk East&West of Garage 331 S.F. E 8ituminous Driveway 2,gg8 S.F. F Stone Walls (Driveway Area) 76 S.F. G Stone Walls (Around Trees} 25 S.F. H Patio North of House 470 S.F. � � S.F. 3 S.F. K S.F. � S.F. M S.F. N S.F. � S.F. P S.F. Q S.F. R S.F. S S.F. � S.F. � S.F. � S.F. W S.F. X S.F. Y S.F. 1) Total Pro osed Hardcover 7 917 S.F. fxcludable Hardcover See Cit Code Sec 78-1684 Ret. Walls 101 S.F. S.F. S.F. S.F, S.F. (2) Total Excludab(e Hardcover 101 S.F. (3} Net Proposed Hardcover[Subtract line (2} from line (1)] 7 816 S.F. (4) Total Lot Area 36 785 S.F. Proposed Hardcaver Percentage [(3)/(4)] 21.25% 4 I N ��f 33�C�o��S = I I t I q �l0 R , ' _ • City of Orono �'!�'�°��`�, Hardcover Calculation Worksheet � � `� Property Address: 2800 Shadywood Road (our survey 160758) '.t�� �f' Prepared by: Joshua S. Rinke PE No. 52716 Date: 1/6/2Q17 �,�k{����,g4,f Stormwater Quality Overlay District Tier: �Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Step 1: EXISTING HARDCOVER in the follawing table identify a11 items of existing hardcover on the property, keyed by letter to Certificate of Survey (survey must accompany this form). Use as many lines as necessary to ac�urately depict existing hardcaver status of the property. Key ta survey Hardcover Item (Describe) Length x Width Total (Square Feet, (Example) Gara e {24' x 30') (72�) S.F. A House 1,924 S.F. B Garage 1,081 S.F. C Deck 1,304 S.F. D Landscaping W/Underlayment 1,040 S.F. E Bituminous Driveway 2,852 S.F. F Concrete Walk 103 S.F. G Stone Walls(Driveway Area) 76 S.F. H Stone Walls(Around Trees) 41 S.F. I Stepping Stones 25 S.F. 1 Concrete East of Garage 310 S.F. K S.F. � S.F. M S.F. N S.F. � S.F. R S.F. Q S.F. R S.F. S S.F. T S.F. � S.F. v S.F. W S.F. X S.F. Y S.F. 1 Total Existin Hardcover 8 756 S.F. Excludable Hardcover See Cit Code Sec 78-1684 Ret. Walls 117 S.F. S.F. S.F. S.F. S.F. (2) Total Excludable Hardcover 117 S.F. (3) Net Existin Hardcaver 8 639 S.F. (4j Total Lot Area 36 785 S.F. Existing Hardcover Percentage [(3)/(4)] 23.49% � � � AD VANCE S UR V��ING c� ENGINEERING co. I hereby certify that this report was prepared by me or under my direct supervision and that 1 am a licensed professional land surveyor under the laws of the State of Minnesota. � ( I 1 i k...;e i ��-�J�-'r�i�"i,i.!.l_.yi; ii���!/�.��:i�l; Joshua S. Rinke PE No. 52716 Step 2: PROPOSED HARDCOVER In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate of Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing hardcover status of the property. Key to Survey Hardcover Item (Describej Length x Width Total (Square Feet) (Example) Gara e (24'x 30') (720} S.F. A House 2,841 S.F. B Garage 1,081 S.F. C Concrete Covered Stoop 195 S.F. Q Concrete Walk East&West of Garage 331 S.F. E Bituminous Driveway 2,898 S.F. F Stone Walls (Driveway Area} 76 S.F. G Stone Walls(Around Trees� 25 S.F. H Patio North of Nouse 470 S.F. � S.F. � S.F. K S.F. � S.F. M S.F. � S.F. � S.F. P S.F. Q S.F. R S.F. � S.F. T S.F. � S.F. v S.F. W S.F. X S.F. Y S.F. 1 Total Pro osed Hardcover 7 917 S.F. Excludable Hardcover See Cit Code Sec 78-1684 Ret. Walls 101 S.F. S.F. S.F. S.F. S.F. (2) Total Excludable Hardcover 101 S.F. (3) Net Proposed Hardcover [Subtract line (2 from line (1}] 7 816 5.�. (4) Total �ot Area 36 785 S.F. , Proposed Hardcover Percentage [(3)J(4)] 21.25% �s � � n s�4'.� ..¢ l�e e f�^�c a� JPa�l New Construction Energy Code Compliance Certificate Per R401�3(;ertificate.A building certificate shall be posted on or in the electrical distribution Date Certificate Pos pa�el. Mailing Address of the Dwelling or Dwelling Unit �� CREEK HILL 2800 Shadywood Rd O ono CUSTOM HOMES Name of Residential Contractor MN License Number Creek Hill Custom Homes BC415174 THERMAL ENVELOPE RADON CONTROL SYSTEM Type:Check All That Apply Passive(No Fan) l N � or other system monitoring � E�,y+/� 4 . .g� . +, Q N . M^ ����� �■ _ — .-. � � � T Location(or future location)of Fan: ��. , '� � m � c a o � °' — � a °' o a 3 U � o .o m � Q m m a U � a� � a`� � O N N O 0. LL � U Insulation Location � � Z @ � v O w N m `o rn o� m — � 3 C N N � � C 'O 'O N ~ � z i� i.� � �i � � � Other Please Describe Here Below Entire Slab s x Foundation Wall 15 x Perimeter of Slab on Grade �p Rim Joist(1st Floor) 20 x Rim Joist(2nd Floor+) Wall 20 Ceiling,flat a9 x Ceiling,vaulted 49 Bay Windows or cantilevered areas 3p x Floors over unconditioned area 3o x Describe other insulated areas Building envelope air tightness: Duct system air tightness: Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor(excludes skylights and one door)U: 0.30 Not applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): 0.30 10 R-value MECHANICAL SYSTEMS Make-up Air Se/ect a Type Appliances Heatin S stem Domestic Water 9 y Heater Cooling System Not required per mech.code Fuel Type as Bradford White forced air Passive Manufacturer B ant B ant Powered Interlocked with exhaust device. Model 915AAV60100 113ana60 Describe: Input in 120000 Capacity in 5o Output 5 Other,describe: Rating or Size BTUS: Gallons: in Tons: AFUE or g5 SEER 13 Location of duct or system: E�ciency HSPF% /EER Heating Loss Heating Gain Cooling Load Residential Load Calculati 101790 54,000 Cfm's "round duct OR MECHANICAL VENTILATION SYSTEM "meta�duct Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Se/ect a Type source heat pump with gas back-up furnace): Not required per mech.code Select Type Passive Heat Recover Ventilator(HR� Capacity in cfms: Low: 115 High: 200 Other,describe: Energy Recover Ventilator(ER�Capacity in cfms: Low: High: Location of duct or system: Balanced Ventilation capacity in cfms: M2Ch fOOfYI Location of fan(s),describe: Cfm's Capacity continuous ventilation rate in cfms: "round duct OR 7"flex Total ventilation(intermittent+continuous)rate in cfms: "metal duct Created by BAM version 101014 Roger Peitso From: Roger Peitso Sent: Friday,January 20, 2017 1:52 PM To: 'mike@creekhillcustomhomes.com' Cc: Christine Mattson;Jeremy Barnhart Subject: 2800 Shadywood Road Attachments: Building Permit Application for New Structures_Application ONLY 2016.pdf Mike, This is a follow up to our phone conversation we had this afternoon.Your soils report from Haugo Geotechnical Services shows that soil boring#1 near the proposed garage location does not appear to be suitable soils for construction in their opinion.Code R403.1 of the 2015 Minnesota Residential Building requires all footings to be on naturally occurring soils or engineered fill.You will need an evaluation from an engineer registered in the State of Minnesota if the proposed design for the garage is adequate for the current soil conditions. Due to winter conditions the evaluation may not be able to be completed in the immediate future. If you would like,you could apply for a permit separately for the detached garage.This way we can continue with the review process for the home. 1 have attached a permit application to this email if you would like to do so.We will need 2 copies of the survey and we can detach the plans for the garage from the house plans. If the design for the garage changes based on the engineer's evaluation then we will need new plans for the garage at that time. Any questions please don't hesitate to call, Sincerely, Roger Peitso Building Official City of Orono Phone:952-249-4600 Direct: 952-249-4625 Email: rpeitso@ci.orono.mn.us Fax:952-249-4616 �N� ��, G,� `� �s��a� � Christine Mattson From: Christine Mattson Sent: Thursday,January 19, 2017 9:38 AM To: 'mike@creekhillcustomhomes.com' Cc: 'bergh@mchsi.com';Josh Rinke (josh@advsur.com) Subject: 2800 Shadywood Road/#2017-00020 Attachments: letter.pdf; Survey Requirements -August 2015.pdf Mike, Attached is a copy of the letter and enclosure being mailed today. Please don't hesitate to contact us with any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono 0 MN � 55356(physical addressJ PO Box 66 ( Crystal Bay � MN � 55323-0066(mailing addressJ S 952.249.4620 � 8 952.249.4616 � cmattson@ci.orono.mn.us � �] www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20,2017 1 �0�� C ITY OF ORONO � � Street Address: Mailing Address: Telephone(952)249-4600 �. Gti 2750 Kelley Parkway P.O.Box 66 I Fax (952)249-4616 l,q �, Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us kFsxo� January 19,2017 Mike Hillesheim Creek Hill Custom Nomes, Inc. 15235 65th Place N Maple Grove, MN 55311 Re: Building Permit Application#2017-00020 2800 Shadywood Road On January 10, 2017 the City received a building permit application for a new single family home and accessory structure. Staff conducted a preliminary review based on the information provided and recommends 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. We have reviewed the survey and request the following information: a. Top of Foundation. The top of foundation elevation is not shown on the survey. Please have the surveyor call out the top of foundation elevation for the house and the accessory structure as well as show the point or spot on the perimeter of the foundation where the top of foundation elevation is in reference to. Please note, we expect the location to be consistent when submitting the foundation as-built survey. Please provide two copies of an updated, full-size certificate of survey (copy of the City's survey standards enclosed). 2. Landscape Plan. Prior to the issuance of the building permit a landscape plan must be submitted showing all the proposed exterior/landscaping improvements, i.e. patios,grading,sidewalks,retaining walls,etc. The plan should include the name of the individual performing the work. Any proposed patios, grading, sidewalks, retaining walls shown on the landscape plan should also be reflected on the survey. 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 U""" Christine Mattson Planning Assistant c via email Mike Hillesheim Hans&Sharon Berg Advance Surveying&Engineering Co. Roger Peitso, Building Official enclosure Christine Mattson From: Adam Edwards Sent: Friday,January 13, 2017 4:24 PM To: Christine Mattson; Roger Peitso Cc: Melanie Curtis Subject: RE:2800 Shadywood Road/#2017-00020 Chris, I've reviewed the subject grading plan. 1. I believe the applicant will need a flood plain alteration permit from the Watershed if they have not already obtained one. A copy of the permit should be received by the city prior to the issuance of the building permit. 2. A separate utility permit will be required for the sewer connection. 3. Perimeter sediment control measures should be installed by the Contractor and inspected by the City prior to any work, including demolition.Contractor must provide minimum 24 hour notice prior to inspection. Adam From:Christine Mattson Sent: Friday,January 13, 2017 2:43 PM To:Adam Edwards<aedwards@ci.orono.mn.us>; Roger Peitso<rpeitso@ci.orono.mn.us> Subject:2800 Shadywood Road/#2017-00020 We received a building permit application for a new single family house and detached garage. Please review and provide comments. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN � 55356(physica/address) PO Box 66 � Crystal Bay I MN I 55323-0066(mailing addressJ '� 952.249.4620 I 8 952.249.4616 � cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday,January 16,2017 Monday, February 20, 2017 i Roger Peitso From: Michael Hillesheim <m_hillesheim@yahoo.com> Sent: Monday,January 23, 2017 10:16 AM To: Roger Peitso Cc: Christine Mattson;Jeremy Barnhart Subject: Re:2800 Shadywood Road Roger Go ahead with the house permit only. We will do a separate permit for the garage Mike Hillesheim Pres. Creek Hill Custom Homes 15235 65th pl n Maple Grove, MN 55311 www.creekhillcustomhomes.com 763-553-0325 office 763-551-9887 fax www.facebook.com/CreekHillCustomHomesMN From: Roger Peitso <rpeitso@ci.orono.mn.us> To: "mike@creekhillcustomhomes.com" <mike@creekhillcustomhomes.com> Cc: Christine Mattson <CMattson@ci.orono.mn.us>; Jeremy Barnhart<jbarnhart@ci.orono.mn.us> Sent: Friday, January 20, 2017 1:51 PM Subject: 2800 Shadywood Road Mike, This is a follow up to our phone conversation we had this afternoon. Your soils report from Haugo Geotechnical Services shows that soil boring #1 near the proposed garage location does not appear to be suitable soils for construction in their opinion. Code R403.1 of the 2015 Minnesota Residential Building requires all footings to be on naturally occurring soils or engineered fill. You will need an evaluation from an engineer registered in the State of Minnesota if the proposed design for the garage is adequate for the current soil conditions. i ._ . ������ �� � � ��� � � .� . August 2, 2016 Project Number: 16-0494 Mr. Hans Berg 905 Willow View Drive Long Lake,MN 55356 Re: Geotechnical Exploration Report,Proposed Single Family Residence 2800 Shadywood Road,Excelsior,MN Dear Mr.Berg: We have completed the geotechnical exploration report for the proposed single family residence at 2800 Shadywood Road in Excelsior,Minnesota. A brief summary of our results and recommendations is presented below. Additional details regarding our procedures, results and recommendations follow in the attached geotechnical exploration report. Two soil borings were completed for this project that extended to nominal depths of 21 feet below the ground surface. The soil borings encountered about 2 to 7 feet of pavement and/or fill over 2 to 6 feet of organic soils that extended to depth ranging from about 4 to 12 feet below the ground surface. Below theses material the borings encountered native sandy lean clay glacial till soils that extended to the termination depths of the borings. The glacial till had a rather soft consistency to a depth of about 7 feet in boring SB-2. Groundwater was encountered after drilling in boring SB-1 at a depth of about 5 feet which corresponds to an elevation of about 9271/z feet. The vegetation, fill, organic and soft clay soils are compressible and not suitable for foundation support. Soil corrections to remove the compressible soils would require excavations extending to depths ranging from about 7 to 12 feet below the ground surface. Given the close proximity to Lake Minnetonka and existing structures, we anticipate that dewatering and shoring will be required. The lowest floor grade of fl1e house should be at least 2 feet above the 100 year flood level of Lake Minnetonka. Thank you far the opportunity to assist you on this project. If you have any questions or need additional information please contact Paul Gionfriddo at 763-954-1101 or John Carlson at 612-979-3542. Sincerely, Haugo GeoTechnical Services,LLC. ,��-� /�f"� , �fi� ���YF l�� �.r�u ..." r�I,rR�'lC..A,...t>c t� ��� Paul S.Gionfriddo P.E. John T.Carlson Senior Engineer Senior Engineer �8�15 Cedar A,ves�ue �, ll�liti�sea�olis, ]��T 55�?" c � GEOTECHNICAL EXPLORATION REPORT PROJECT: Proposed Single Family Residence 2800 Shadywood Road Excelsior,MN PREPARED FOR: Mr.Hans Berg 905 Willow View Drive Long Lake,MN 55356 PREPARED BY: Haugo GeoTechnical Services 2825 Cedar Avenue S Mi.nneapolis,MN 55407 Haugo GeoTechnical Services Project: 16-0494 August 2,2016 I hereby certify that this plan,specification or report was prepared by me or under my direct supervision and that I am a duly licensed professional engineer under the laws of the State of Minnesota. `�s��tiwtM����r s� �* '�tr w� ♦ ����� � � 4 � � • • .. � ♦ ��(,_ � �r w1A�'+�. �P� + r • • Mw John T.Carlson,P.E. %;� � „ Senior Engineer ','�' :` License Number:20663 `'i',��Q�� yti•`� Expires June,2018 '�'��+'�`�' . . � Table of Contents 1.0 INTRODUCTION 1 1.1 Project Description 1 1.2 Purpose 1 1.3 Site Description 1 1.4 Scope of Services 1 1.5 Documents Provided 1 1.6 Locations and Elevations 2 2.0 FIELD PROCEDURES 2 3.0 RFSULTS 2 3.1 Soil Conditions 2 3.2 Groundwater g 3.4 OSHA Soil Classification 4 4.0 DISCUSSION AND RECOMMENDATIONS 4 4.1 Proposed Construction 4 4.2 Discussion 4 4.3 Mass Grading Recommendations 5 4.4 Interior Slabs 6 4.5 Below Grade Walls � 4.6 Exterior Slabs � 4.7 Site Grading and Drainage � 4.8 Utilities � 5.0 CONSTRUCTION CONSIDERATIONS � 5.1 Excavation � 5.2 Observations g 5.3 Backfill and Fills g 5.4 Testing g 5.5 Winter Construction g 6.0 PROCEDURES 9 6.1 Soil Qassification 9 6.2 Groundwater Observations 9 7.0 GENERAL q 7.1 Subsurface Variations 9 7.2 Review of Design 9 7.3 Groundwater Fluctuations 9 7.4 Use of Report 10 7.5 Level of Care 10 APPENDIX Boring Location Sketch&GPS Boring Locations,Figure 1 Boring Logs SB-1 and SB-2 Descriptive Terminology . ► 1.0 INTRODUCTION 1.1 Project Description Mr. Hans Berg is proposing to purchase the property at 2800 Shadywood Road in Excelsior, Minnesota with the intent of constructing a new single family home. We understand that sale of the property is contingent,in part, on the suitability of site soil condition to support the proposed home. Mr. Berg retained Haugo GeoTechnical Services (HGTS) to perform a geotechnical exploration to evaluate the suitability of site soil conditions to support the proposed development. 1.2 Purpose The purpose of this geotechnical exploration was to characterize subsurface soil and groundwater conditions and provide recommendations for foundation design and construction of the proposed single family residence. 1.3 Site Description The project site is located at 2800 Shadywood Road in Excelsior,Minnesota. The property is located on the north side of the channel between Lafayette Bay and Carman Bay of Lake Minnetonka. The project site is also located adjacent to the bridge over the channel. The property contains an existing house, detached garage and several mature trees. The ground surface of the lot is relatively flat and generally slopes to Lake Minnetonka. The ground surface elevations at the soil boring locations ranged from about 9311/z to 9321/z feet mean sea level(MSL). 1.4 Scope of Services Our services were performed in accordance with the Haugo GeoTechnical Sexvices LLC (HGTS)proposal dated June 21,2016 and under the terms of our General Conditions. Our scope of services was limited to the following tasks: • Completing two(2)standard penetration test boring to a nominal depth of 21 feet. • Visually/manually classifying samples recovered from the soil boring. � Preparing soil boring logs describing the materials encountered and the results of groundwater level measurements. • Performing laboratory tests on selected samples recovered from the borings. • Preparing an engineering report describing soil and groundwater conditions, and providing recommendations for foundation support. 1.5 Documents Provided A lot survey or consiruction plans for the new house have not been prepared at this time. 1 P f 1.6 Locations and Elevations The soil boring locations were selected by Haugo GeoTechnical Services (HGTS) based on the anticipated construction and site access. The ground surface elevation at the boring location was obtained by HGTS using GPS measuring equipment. The GPS measurements were based on the MN County Coordinate System (Hennepin County) in US Survey Feet using the GEOID09(Conus)model.T'he approximate location GPS boring location of the soil borings are shown on Figure 1,"Soil Boring Location Sketch",in the Appendix. 2.0 FIELD PROCEDURES Two (2) standazd penetration test boring was advanced on June 30, 2016 by HGTS with a rotary drilling rig, using continuous flight augers to advance the boreholes. Representative samples were obtained from the boring, using the split-barrel sampling procedures in general accordance with ASTM Specification D-1586. In the split-barrel sampling procedure, a 2-inch O.D. split-barrel spoon is driven into the ground with a 140-pound hammer falling 30 inches. The number of blows required to drive the sampling spoon the last 12 inches of an 18-inch penetration is recorded as the standard penetration resistance value,or"N"value. The results of the standard penetration tests are indicated on the boring log. The samples were sealed in containers and provided to HGTS for testing and soil classification. A field log of the boring was prepazed by the HGTS drill crew. The log contains visual classifications of the soil materiaLs encountered during drilling, as well as the driller's interpretation of the subsurface conditions between samples and water observation notes. The final boring log included with this report represents an interpretation of the field log and includes modifications based on visual/manual method observation of the samples. The soil boring log, general terminology for soil description and identification, and classification of soils for engineering purposes are also included in the appendix. The soil boring log identifies and describes the materials encountered, the relative density or consistency based on the Standard Penetration resistance (N-value, "blows per fooY') and groundwater observations. The strata changes were inferred from the changes in the samples and auger cuttings. The depths shown as changes between strata are only approximate. The changes are likely transitions,variations can occur beyond the location of the boring. 3.0 RESULTS 3.1 Soil Conditions Boring SB-1 was taken in the driveway near the detached garage and encountered a pavement section consisting of about 3 inches of bituminous and 6 inches of aggregate base. Boring SB-2 was taken near the north/northwest corner of the existing home and encountered about 1 foot of silty sand topsoil fill. 2 f Below the pavement or topsoil boring SB-lencountered about 6 feet of clayey sand and silty clay fill that extended to a depth of about 7 feet. Boring SB-2 encountered about 1 foot of sandy lean clay fill that extended to a depth of about 2 feet. Below the fill both borings encountered organic silt (swamp deposits) that extended to a depth of about 12 feet at boring SB-1 and 4 feet at boring SB-2. Underlying the pavement section,fill and/or organic silt the borings encountered sandy lean clay glacial till soils that extended to the boring termination depths at about 21 feet below the ground surface. The penetration resistance values (N-Values), shown as blows per foot (bp fl on the boring logs,within the clay glacial till soiLs ranged from 5 to 17 bpf. These values indicate the clays to have a medium to very stiff consistency with some upper soft zones. 3.2 Groundwater Groundwater was encountered in boring SB-1 at a depth of about 8 feet while drilling and at a depth of about 5 feet after drilling,which corresponds to elevations of about 9241/z and 9271/z feet,respectively. Groundwater was not encountered in boring SB-2 while drilling or after removing the augers from the borehole to a cave-in depth of 12 feet. The ordinary high water level of Lake Minnetonka is 929.4 feet. The soil borings were completed in clayey soils and given the cohesive nature of the site soils it is likely that insufficient time was available for groundwater to seep into the borings and rise to its hydrostatic level. Groundwater monitoring wells or piezometers in conjunction with deeper soil boring(s)would be required to more accurately determine water levels. Water levels were measured on the dates as noted on the boring logs and the period of water level observations was relatively short. Seasonal and annual fluctuations in the groundwater leveLs should be expected. 3.3 Laboratory Tests Laboratory moisture content tests were performed on selected samples recovered from the soil borings. Table 1 below summarizes the results of the laboratory tests. Results of the laboratory moisture content tests ranged from 16 1/z to 19 1/2 percent and are shown on the boring logs adjacent to the sample tested. Table 1. Summ of Laborato Tests Boring Moisture Number Sam le Number De th feet Content % '� SB-1 �2 21/z 161/� SB-2 S-11 5 19'/z *Values rounded to the nearest 1/z Percent 3 � 3.4 OSHA Soil Qassification The upper fill and swamp deposits encountered in the borings do not meet the OSHA Classifications for Type A, B or C soils. Temporary excavations in the swamp deposit soils will likely require side-slopes significantly flatter than those for Type C soils. The underling clay till soils encountered in the borings will generally be Type B soils under Department of Labor Occupational Safety and Health Administration(OSHA)guidelines. 4.0 DISCUSSION AND RECOMMENDATIONS 4.1 Propoaed Construction A lot survey or construction plans for the new house have not been prepared at this time. We assume the proposed house will be a slab-on-grade type with a main floor and garage floor grade of about 932 feet. The new home is assumed to be constructed with cast-in-place concrete or masonry block foundation walls supported on concrete spread footings with the above grade construction consisting of wood framing,a pitched roof and asphalt shingles. Based on the assumed construction we estimate wall loadings will range from about 1 to 2 kips(1,000 to 2,000 pounds)per lineal foot and column loads,if any,will be less than 50 kips (50,000 pounds). If the proposed loads exceed these values, the proposed grades differ by more than 2 feet from the assumed values or if the design or location of the proposed building changes, we should be informed. Additional analyses and revised recommendations may be necessary. 4.2 Discussion The soil borings encountered very loose or soft fill, swamp deposits and soft clay soils that extended to depths ranging from about 7 to 12 feet below the ground surface. These materials aze compressible and are not suitable for foundation support. Groundwater likely matches the water level of Lake Minnetonka which is at a depth of 3 to 4 feet below the ground surface. Briefly, the lot, in our opinion, is "buildable', however, soil corrections to remove the topsoil, fill, organic soil and soft clays and replacing them with suitable compacted engineered fill will be required for adequate foundation support. Soil corrections to remove theses material are anticipated to extend to depths ranging from about 7 to 12 feet. Given the close proxunity to Lake Minnetonka,extensive dewatering will likely be required to complete the soil corrections. In addition, the required excavation will likely require shoring in areas to prevent damage to existing streets and properties. 4 � 4.3 Mass Grading Recommendations Excavation We understand that the existing house and detached garage will be demolished to make way for the new home. We recommend all remnants of the structures including footings, foundation walls, slabs and underground utilities be removed from within the proposed building and oversize areas. We further recommend that all pavements, vegetation, topsoil, fill, organic soil and soft clays be removed from the proposed building and oversize azeas. Table 2 below summarizes the anticipatecl excavation depths at the boring locations.Excavation depths may vary and could be deeper. Table 2. Antici ated Excavation De ths Bo�g Surface Anticipated Anticipated Anticipated Number �evation Excavation Excavation Groundwater feet De th feet* Elevation feet * Elevation feet * S&1 932.3 12 9201/2 929 SB-2 931.4 7 9241/z 929 *Eaccavation depths and elevation were rounded to the nearest�/z foot. We recommend fill required to replace the soil removed during soil corrections consist of granular soil (sand) meeting the ASTM Classifications SP. We recommend soil with less than 5 percent passing the number 200 sieve and at least 50 percent retained on the number 40 sieve. Organic soils such as topsoil, organic silt or soils that are black in color are not suitable for use or reuse as structural fill. Oversizing If the excavation extends below the proposed footing elevation, the excavation requires oversizing. We recommend the perimeber of the excavation be extended a foot outside the proposed footprint for every foot below footing grade (1H:1V oversizing). The purpose of the oversizing is to provide lateral support of the foundation. Excavations for soil corrections are anticipated to extend to depths ranging from about 7 to 12 feet below the ground surface. At excavation side slopes of 1H:1V the excavation will extend 7 to 12 feet laterally beyond the perimeter of the excavation. Excavations could extend onto adjacent properties posing a significant risk of undermining structures on those properties. If site constraints will limit the excavations,temporary shoring will be required. Dewatering Groundwater likely matches the water level of Lake Minnetonka which is at a depth of 3 to 4 feet below the ground surface. T'he deeper soil corrections will extend below groundwater levels. In addition, utility installations will likely extend to depths ranging from about 7 to 10 feet below the ground surface which will extend below the ground water level. We anticipate that dewatering will be required. We recommend the groundwater level be temporarily lowered to a minimum of 2 feet below the lowest anticipated excavation elevation to allow for construction. In sandy soils we do not recommend attempting to dewater from within the excavation. Upward seepage will loosen and disturb the excavation, resulting in a "quick condition." Rather, we recommend groundwater be drawn down below the anticipated excavation bottom. 5 We recommend that a dewatering contractor be consulted to review the soil boring logs, develop a dewatering plan and evaluate the impact of dewatering on adjacent structures. Backfilling We recommend that backfill placed to attain site grades be compacted to a �nimum of 95 percent of its standard Proctor density(ASTM D 698). Granular fill classifiied as SP should be placed within 65 percent to 105 percent of its optimum moisture content as determined by the standard Proctor. All fill should be placed in thin lifts and be compacted with a large self-propelled vibratory compactor operating in vibratory mode. In areas where fill depths will exceed 10 feet below footings,we recommend that compaction levels be increased to minimum of 98 percent of the materials standard Proctor density. Even with the increased compaction levels a construction delay may be appropriate to allow for post construction settlement of the fill mass. Fill and backfill placed on slopes,if any,must be"benched"into the underlying suitable soil to reduce the potential for slip planes to develop between the fill and underlying soil. We recommend"benching" or excavating into the slope at 5 feet vertical intervaLs to key the fill into the slope. We recommend each bench be a minimum of 10 feet wide. Foundations We recommend the perimeter footings bear a minunum of 42 inches below the exterior grade for frost protection. Interior footings may be placed immediately below the slab provided construction does not occur during below freezing weather conditions. Foundation elements in unheated areas should bear at least 5 feet below exterior grade for frost protection. We anticipate the foundations and floor slabs will bear on compacted engineered fill or native cohesive soils. With the building pads prepared as recommended it is our opinion the footings can be designed for a net allowable bearing pressure up to 2,000 pounds per square foot(ps fl. 4.4 Interior Slabs The anticipated floor subgrade is granular fill following soil corrections. It is our opinion a modulus of subgrade reaction, k, of 250 pounds per square inch of deflection (psi) may be used to design the floor. If floor coverings or coatings less permeable than the concrete slab will be used, we recommend that a vapor retarder or vapor barrier be placed immediately beneath the slab. Some contractors prefer to bury the vapor barrier or vapor retarder beneath a layer of sand to reduce curling and shrinkage, but this practice often traps water between the slab and vapor retarder or barrier. Regazdless of where the vapor retarder or vapor barrier is placed, we recommend consulting the floor covering manufacturer regarding the appropriate type, use and installation of the vapor retarder or vapor barrier to preserve the warranty. We recommend following all state and local building codes in regards to a radon mitigation plan beneath interior slabs. 6 4.5 Below Grade Walls We anticipate the new home will be a slab on-grade structure and do not anticipate below grade levels or below grade basement walls. Recommendations and estimated soil parameters for below grade walls can be provided if required or requested. 4.6 Exterior Slabs Exterior slabs will likely be underlain by non-frost-susceptible fill soils consisting of poorly graded sand soils. This being the case,it is our opinion that special subgrade improvements in excess of topsoil/vegetation stripping in advance of slab construction will not be required. However,we recommend sloping exterior slabs to cirain away from the homes. 4.7 Site Grading and Drainage The ordinary high water level of Lake Minnetonka is 929.4 feet.The lowest floor grade of the house should be at least 2 feet above the ordinary high water level of Lake Minnetonka. We recommend the site be graded to provide positive run-off away from the proposed buildings. We recommend landscaped areas be sloped a minimum of 6 inches within 10 feet of the building and slabs be sloped a minimum of 2 inches. In addition we recommend downspout�with long splash blocks or extensions for each house. 4.8 Utilities We anticipate that the utilities will be supported on granular soil (sand) following soil correction or native clay till soils which in our opinion are suitable for pipe support. We recommend removing all topsoil, organic, soft or other unsuitable soils, if encountered, beneath utilities prior to placement. We recommend bedding material be thoroughly compacted around the pipes. We recommend trench backfill above the pipes be compacted to a minimum of 95 percent beneath slabs and pavements, the exception being within 3 feet of the proposed pavement subgrade, where 100 percent of standard Proctor density is required. In landscaped areas we recommend a minimum compaction of 90 percent. Groundwater will likely be encountered between depths of about 3 to 4 feet below the ground surface. At typical pipe burial depths ranging from about 7 to 10 feet below the ground surface, we anticipate groundwater will be encountered during utility i.nstallations and dewatering will be required. 5.0 CONSTRUCTION CONSIDERATIONS 5.1 Excavation The upper fill and swamp deposits encountered in the borings do not meet the OSHA Classifiications for Type A, B or C soils. Temporary excavations in the swamp deposit soils 7 will likely require side-slopes significanfly flatter than those for Type C soils. Temporary excavations in Type C soiLs should be constructed at a minunum of 11/z foot horizontal to every 1 foot vertical within excavations. The underling clay till soiLs encountered in the borings will generally be Type B soils under Departrnent of Labor Occupational Safety and Health Administration(OSHA)guidelines. Temporary excavations in Type B soils should be constructed at a minimum of 1 foot horizontal to every 1 foot vertical within excavations. We recommend the required slopes be further evaluated during construction. If site constraints do not allow the construction of slopes with these dimensions then temporary shoring may be required. 5.2 Observations A geotechnical engineer should observe the excavation bottoms to evaluate if the subgrade soils are similaz to those encountered in the borings and adequate to support the proposed construction. 5.3 Backfill and Fills We recommend density tests of backfill and fills placed during grading activities.Samples of the proposed materials should be submitted to our laboratory prior to placement for evaluation of their suitability and to determine their optimum moisture content and maximum dry density(Standard Proctor). 5.4 Testing We recommend density tests of backfill and fills placed for the proposed house foundaiion. Samples of the proposed materials should be submitted to our laboratory prior to placement for evaluation of their suitability and to determine their optimum moisture content and maximum dry density(Standard Proctor). 5.5 Winter Construction If site grading and construction is anticipated to proceed during cold weather,all snow and ice should be removed hom cut and fill areas prior to additional grading and placement of fill. No fill should be placed on frozen soil and no frozen soil should be used as fill or backfill. Concrete delivered to the site should meet the temperature requirements of ASTM and/or AQ. Concrete should not be placed on frozen soil. Concrete should be protected from freezing until the necessary strength is obtained. Frost should not be permitted to penetrate below the footings. 8 6.0 PROCEDURES 6.1 Soil Qassification The drill crew chief visually and manually classifiied the soils encountered in the boring in general accordance with ASTM D 2488, "Description and Identification of Soils (Visual- Manual Procedure)". Soil terminology notes are included in the Appendix. The samples were returned to our laboratory for review of the field classification by a soils engineer. Samples will be retained for a period of 30 days. 6.2 Groundwater Observations Immediately after taking the final samples in the bottom of the boring, the hole was checked for the presence of groundwater. Immediately after removing the augers from the borehole the hole was once again checked and the depth to water and cave-in depths were noted. 7.0 GENERAL 7.1 Subsurface Variations The analyses and recommendations presented in this report are based on data obtained from a limited number of soil borings. Variations can occur away from the borings,the nature of which may not become appazent until additional exploration work is completed or construction is conducted. A reevaluation of the recommendations in this report should be made after performing on-site observations during construction to note the characteristics of any variations. The variations may result in additional foundation costs and it is suggested that a contingency be provided for this purpose. It is recommended that we be retained to perform the observation and testing program during construction to evaluate whether the design is as expected, if any design changes have affected the validity of our recommendations, and if our recommendations have been correcfly interpreted and implemented in the designs, specifications and construction methods. This will allow correlation of the soil conditions encountered during construction to the soil borings and will provide continuity of professional responsibility. 7.2 Review of Design This report is based on the design of the proposed structure as related to us for preparation of this report. It is recommended that we be retained to review the geotechnical aspects of the design and specifications. With the review we will evaluate whether any changes have affected the validity of the recommendations and whether our recommendations have been correctly interpreted and 'unplemented in the design and specifications. 7.3 Groundwater Fluctuations We made water level measurements in the borings at the times and under the conditions stated on the boring logs. The data was interpreted in the text of this report. The period of 9 observation was relatively short and fluctuations in the groundwater level may occur due to rainfall, flooding, irrigation, spring thaw, drainage, and other seasonal and annual factors not evident at the time the observations were made. Design drawings and specifications and construction planning should recognize the possibility of fluctuations. 7.4 Use of Report lfiis report is for the exclusive use of Hans Berg and his design team to use to design the proposed structure and prepare construction documents. In the absence of our written approval, we make no representation and assume no responsibility to other parties regarding this report. The data, analysis and recommendations may not be appropriate for other structures or purposes. We recommend that parties contemplating other structures or purposes contact us. 7.5 Level of Caze Haugo GeoTechnical Services has used the degree of skill and care ordinarily exercised under similar circumstance by members of the profession currenfly practicing in this locality. No warranty expressed or implied is made. 10 � � ��� � ��1 J� � =Approximate Soil Boring location `W � S GPS Boring Locations Boring Number Elevation Northing Easting (US Survey Feet� Coordinate Coordinate SB-1 932.3 149999.30 445351.54 SB-2 931.4 15007937 445384.07 Referencing Minnesota County Coordinates Basis-Hennepin County(GEOID09 Conus model) Haugo GeoTechnical Soil Boring Location Sketch Figure#:1 Services. 2800 Shadywood Road Drawn By:RD 2825 Cedar Avenue S. Date:7/6/16 Excelsior, Minnesota Scale:None Minneapolis,MN 55407 Project#: 16-0494 , r Haugo GTS BORING NUMBER SB-1 ` �Q 2825 Cedar Ave S PAGE 1 OF 1 Minneapolis,MN 55407 Telephone: 612-729-2959 Fax: 763-445-2238 CLIENT Hans Be�h PROJECT NAME 2800 Shadywood Road PROJECT NUMBER 16-0494 PROJECT LOCATION Excelsior,MN DATE STARTED 6/30/16 COMPLETED 6/30/16 GROUND ELEVATION 932.3 ft HOLE SIZE 3 1/4 inches DRIWNG CONTRACTOR HGTS GROUND WATER LEVELS: DRIWNG METHOD Hollow Stem AuaeNSplit S000n �AT T1ME OF DRILLING 8.00 ft/Elev 924.30 ft LOGGED BY MS CHECKED BY JC AT END OF DWWNG —Not Encountered NOTES �AFTER DRIWNG 5.00 ft/Elev 927.30 ft with Cave-In Depth of 9.2 fe W o �SPT N VALUE� U �� } ��j w � 20 40 60 80 �'^ a� Wm w� �z� �c F=� PL MC LL W� O MATERIAL DESCRIPTION �� >C! 0�Q W w z a �p—� p a� O� m O> Y" �'-' 20 40 60 80 (7 �Z V UZ U r � � a o ❑FINES CONTENT(°�)❑ 0 20 40 60 80 3 inches Bituminous over 6 inches Aggregate Base. AU 1 : Clayey Sand,fine to medium grained,grey,wet.(FILL) - - - � � SS 2-2-2 d 2 (4) a.. _ . . _ � 0 � __ o Silty Clay,with bladc Organic Silt,grey,wet.(FILL) v��i 5 � _ - SS 1-1-1 8 3 �2� a W .. ..�.......�,..... �.......�,....... � W (OH)Organic SiR,with Poorty Graded Sand seams,black,wet. � � (Swamp Deposit) SS 1-1-1 4 (2) ,. . . ; _._ . .... a - � � ....:. . .�,....... w J z 10 j SS 0-0-0 ; _ _ � 5 (0) z w � .....�.......�..... � .....:..... U� O � (CL)Sandy Lean Clay,trace Gravel,mottled brown and grey to � grey at 15 feet,wet,medium.(Glacial Tilq SS 2-3-4 N s ��� , � W � � 1i _ _ o �5 SS 2-2� �o � �s� � r 0 t� : ' g � � o __ _: .._. :.__ : _. � � r z — _.. _.. . ._ :..... .:. _.. c7 v� H a 20 SS 3-4-4 m S (8) c� � Bottom of borehole at 21.0 feet. 0 W � � � � ' Haugo GTS BORING NUMBER SB-2 �� 2825 Cedar Ave S PAGE 1 OF 1 Minneapolis,MN 55407 Telephone: 612-729-2959 Fax: 763-445-2238 CLIENT Hans Berph PROJECT NAME 2800 Shadvwood Road PROJECT NUMBER 1&0494 PROJECT LOCATION Excelsior,MN DATE STARTED 6/30l16 COMPLETED 6/30/16 GROUND ELEVATION 931.4 ft HOLE SIZE 3 1/4 inches DRIWNG CONTRACTOR HGTS GROUND WATER LEVELS: DRIWNG METHOD Hollow Stem Aus�eNSalit Spoon AT TIME OF DRILLING —Not Encountered LOGGED BY MS CHECl�D BY JC AT END OF DRILLING — NOTES AFTER DRILLING —Not Encountered with Cave-In Deoth of 12 feet wa o Z �SPT N VALUE� v W � 20 40 60 80 a� a� �m wo �z� �c ~ PL MC LL Q� �O MATERIAL DESCRIPTION a� �� m�j Y'��'' �� 20 40�60 80 � �Z � U? a 0 O FINES CONTENT(%)O � 20 40 60 80 — Silty Sand,black,moist.(Topsoil/FILL) AU ;; �;_,; 9 Sandy Lean Clay,dark brown,moist.(FILL) - - - - - __ _: __. :.... : _. � (OH)Organic SiR,black,wet.(Swamp Deposit) � SS 1-1-1 � 10 (2) __: __ :. _ � bCL)Sandy Lean Clay,trace Gravel,mottled brown and grey to � 5 rown,wet,rather soft to rather stiff.(Glacial Till) g SS 1-2-3 _ .�_.. . . _. ._ _ _ �o �� �5� N a W �� � � �.......:.......�.......:...... v � � � .... ..� ...;...... �. .....�.. U �� � � �� . . .... a ss z-5-s � �z �,�> __ ; _ _ _ Z � s _ ; _ _ _. W JF Z 10 m SS 2'S$ _; . Z 13 (11) W � <. _. . _ ; .. _ � � 0 � (CL)Sandy Lean Clay,trace Gravel,brown to grey to grey at 15 � feet,moist,rather stiTf to very stiff.(Glacial Till) SS 3-7-10 �, 14 (17) ,_... . . � w y � V . .... .,...... . .... .....�:..... d 15 SS 3-5-6 ' - : � 15 (11) m , __,._ _.. __ � ❑ � � y � 0 F y � z � , _.._ ... � o pp a SS 4-6-7 = 16 (13) x U o Bottom of borehole at 21.0 feet. W � .. � �3escr�i�tiv�e T"erminalt�gy t�f�5ail ��� �t��.�p�a�aT-oo ' classi�catfon of se��r r�s►ER�ineerir�Pu�aa� _. .... . . ,.�,�,.�.� (Unifced�ait Gtesaiticat3art Systern) ������a� soia cN�ss�#ication Pa�Gcre site 1t�rik�ficafdcr� ����MI�te�is' GrcuP Bau�ier� �avea t�' �tmbai Graup tVs�� Ccstah�es 3`to!2' CiRMn C'+rl++sl; 2 4 8r�y 15 C�g', 3 �,ta+�t � � . SiW Weal-gs8aies�gra�E Q Mvrp tl`e»SC°l�tr� 54m aar kss fi+�es� Caaast 3t�"to 3' C<1 Andtor t s G>3 r No<A to Y.b` ��� cABtt�t ttilCtKNs . . 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J�.�� • . . . � : . � � ` � � a � ��� � �� ; � � �I� � g N CD OQ 00 GO� � � � ,,,�,� A � � � � � � � � � � ' s ' 'A+� �'.€� �: ? :ia�� ".�s: � `���up��}O C►, f `�'tlt',��VT ; ; ; K ooa�o �nino I � ! i � n�s $�' � �c�000aoo t� n' � � as3 � � � ,� � � c,�it 'c�i�� �c�-► a ���y3-t�'�a�rx��R6;'�R3 '��*k ';,�; �. .. i� p f `17t ilx° LTt • G? O � O�� � Q tJ� tl1 N ._... � 1V � � ,�N�, t��-+ ttS 4Q iJQ 00�t10 � � ,� � �oa � :� aa � . � �, � � �. � � � � � � Q � ;� � � � � � a n,, —� o ; r � � - czs � � :� Z � A MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE Pursuant to Minnesota Statutes Chapter 103D, and on 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. ��� �lJ Issued to: Hans & Sharon Berqh Permit No: 16-591 Location: 2800 Shadywood Road. Or�no Purpase: Erosion Control and Floodplain Alteration—Sinale Familv Home Date of Issuance: 11/28/2016 Date of Ex iration: 11/28/2017 By Order of the Board of Managers � Heidi Quinn Permitting Technician 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 the 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 representatives, contractors, and employees. Conditions: Project to be completed as described in plans submitted to the MCWD office on November 16�', 2016 according to the provisions of this permit. • Properly install and maintain all required erosion control measures until the disturbed areas are re-stabilized • Notify MCWD in writing upon completing installation of perimeter and sedimentation controls • When the site is re-stabilized and the MCWD staff has performed a final inspection, all perimeter control must be removed • Per MCWD Floodplain Alteration Rule, an as-b�ilt survey must be submitted to the MCWD upan completion of the project (Statement concerning fees for inspections, violations, etc... on following page) We collaborate with public and private partners to protect and improve land dnd water for currenr and future generations. ....................................................................................................................................................................................... ....................................................................................................................................................................................... ....................................................................................................................................................................................... ....................................................................................................................................................................................... 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacr�ek.org 1 . MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER QUALITY OF L1FE Inspection/AnalvsisiMonitorin� 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 of any size if within the Minnehaha Creek subwatershed • any alteration of a floodplain or wetland • dredging within the beds, banks or shares 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 affected 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 clerical staff $ 46.69* Consulting Senior Engineer $ contracted rate Consulting Engineer/Technician $ contracted rate District Counsel $contra�ted rate Application fee $ 10.00 Copy costs $ .25 + actual staff time Color copy costs $ 1.00 + actual staff time * Hourly We collaborate wirh public and private parrners to protect and improve land and water for current and future generations. 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org '1... � ,*a. /; \+:��,�. /� � �� "°�o r� � `"'�, r,K�, �, ,�.. , _ ", ��� ��p 4�? n� ti 53.'°.E �`\ �x� gi� �n. w �.p•� ��\ �.snz � �.�'� .,��: � ~6558Ja� , � . .m.x ry,y he5..3�� , � ���� , >� � -— .ow ' "?� � -— .ob, ' I;�u� ii�\ o .ow !,'_>�. i..�\ .e ..n� \ \ ; � \ ,e,t tQ +�w' \ S za.. ; ,%•�L. �`w� � 56 �.,� . ,� \\\SS�f ' �`� x n.e �� \\\SS. F \ � r, ..,�; �. 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TM'""�°'" a,��.�o sEP,� Ea�.p�o F�oo�P�.-�tN Surveying&Engineenng,Co. �mveurm�. ocroeeas�.mie CUT/FI/,l,M4P " 2800 SHAUYWOOU ROAD �a, S 1 ����, N�,o ���,�E,��m.. oAnx�HCHUMaEa s�oo so . , �� ORONO. MN M���e��^�.����m,e�6�^5 160573 JR ��� �It' ��c WRqUFiED. NOVEMBER1,2Ji6 � ne�sse)e�a-�s5a NOVEMBER1.2Di6 aoyzue w� S � t < DATE TIME CITY'OF ORONO cnLLED IN o't '! - /? INSPECTION NOTICE SCHEDULED a-L.-�? `�%-�� PERMIT NO. �� ^���� COMPLETED ADDRESS a�SGG -Sl2��y�uanJ ��, OWNER TELEPHONE NO. ��� � �a'� '��� CONTRACTOR c r��kh,i/ �4s�o.� r�r+r��' � DESCRIPTION �O u��� �`-�a �� � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �URED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OMfNENCONTRACTOR TO MEET Y�OU:_YES_NO � COMMEN7'� �/�OrsS. ►u� !� ^ / � � �` 7$// tJrl �op o� 4 QOu r e� 9��e eir..rf ' j - ✓Q�6��� �otusls �/r,�vM�� � �D �Lo/�lZo.rs`.� o , � � �j' /�e�a. ,p/'o viU�.d Cb�.�s�Ir�r3,/y ' ° �j Prav�t�e !- � �r' �tor�is�t.rL contrrlYors ��r� Qv^ ,6 f�..,� o �.e/ Q r �rt ,�Q�ri.� t�f CO� /QG�Or ��r' f i Ar(� d !/l� F: 42i � ��/1G4..�. C/Qs.a ilc @t �or /'aLJti ?� � �4c� �� �ora�lf � � �O/� kr �o� /'aciQ�� �o� `s lctC�. ��S� � � i� �__ d � prvcGz 6 �oG p��. W� O YMORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE g � �CQ i�RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCU�ANCY O O CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORE Ca1/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REdU1RED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 OMn�erlCoMractor on site: Inspector. �'�- WMte CaPYnnapecto�'a File C�nary CopylSiM Nodee C- � � � n9re � nMe CITY OF ORONO CALLED IN � �$P[(�,nON � �yiyj�/ySCHEDULED � I : � PERMIT NO. u�rivFi� ED ADORESS � O'WNER T H N . � 3�� —3� CONTRACTOR �"�` G � �1 DESCRIPTION � �" � J ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADINGIFILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWNBIlCOKTRACTOR TO MEET Y�U:_YES_NO � COMMENT"� � - a� � o - �6 � ,� �. , , � - or�-c�.-- r' L �., � — r- � W � � � Z � "a � � � /�/ a..t/ � l/ � /� 'J J S��/�WiORK SATISFACTORY:PROCEED ❑PFiOJECT COMPLETE W O�ORRECT VMORK 3 PROCEED ❑ISSUE CER7IFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL F�i REINSPECTION TEMPOqARY V BEFORE(�1IERINO PERMANENT ❑CORRECT UNSAFE OONDITION WITHIN Ha1RS• p p►�pTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑.INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. caM ror n�e next tnspecaon 2a no�rs�n advanoe- (952) 249-4600 on s . �11gp6Ctp�; b WMN OopyAn�cto�'s Fl» Can�ry Copy�tE�Notic� ��- g �.�- ` � ''" p TIME V CITY OF ORONO CALLED IN -��7 �— INSPECTION �CE 'OD/��/"�CHEDULED �� — �� PERMIT NO. �J'���C PLETED ADDRESS �� �� OWNER T � E NO�� ���0 g CONTRACTOR � � �� � , � DESCRIPTION � , � � W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINA � ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTMCTOR TO MEET YOU:_YES_NO y COMMENTS: ����L'=��Yl,c�,l rV-C�-f R�.�►'Y� �"f�-17 � W j � � � J G� B ' � ! O � W� � ' 1 r' Q �.J �, !'` I� c v�. �' /1� c.JG /'o W � W � j W RK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Ca11 br the next inspection 24 hours in advance. (952 j 249-4600 OwnerlContractor on ite• Inspector: �s %� ��' White Copyllnspector's Ftle Canary CopylSfte Notke � �1 f- ..i j ��1 f DATE TIME CITY OF ORONO C CALLED IN �_ INSPECTION NOTICE �t� SCHEDULED ��Ir) � PERMIT NO.� �1 I� "� COMPLETED �. ) . > K�- ADDRESS �' �;( � `_ �,{���: ��-I � r �.�Y"C'�� OWNER TELEPHONE NO. �-�'I Z�SCIC�� CONTRACTOR ,__ ' '`���.,'�{�C��1 I � ��-�-.?� � � DESCRIPTION T�y C�� t`' ly ❑ FOOTING ❑ DEMO-FINA� J ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 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 ❑ SEN/ER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑.SEPTIC INSTALL 2 OWNERICONTMCTOR TO MEET.X!Ql��.y YES_NO «� COMMENTS: } � 'r � �,z,t�/��n t��'c�,� 1�� ' o �5c�����S �4,�e� � ����.� � , ` � ��' c'L�LL c��''i�"�.�t�: - �ce d�� �° 0 � Q �� � ���� �� � z W � W � J d W��IOBKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECTWfORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 j 249-460� OwnerlContractor on site: Inspector: � White Copyllnspector's Ffle Canary CopylSite Notke � L r � � _ `...r �� DATE TIME CITY OF ORONO CALL D IN INSPECTION NOTICE _ �,_ � SCHEDULED _���� _� PERMR NO.�,-�T''U�LC��LL' COMPLETED ADDRESS �Z-��C'C-�� �G�1��-1 �� ��- ��c�. � OWNER TEL HONE NO. �"� .���` ���C�� CONTRACTOR -- �`EJ � �� (�( �� � DESCRIPTION �� t C=��-�`�C�- � �� C� i� lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING "j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ EPTIC INSTALL 2 OWNERICONTMCTOR TO MEET YOU: YES_NO v�i COMMENTS: � � J ��v�✓'�� � S a /�.G/` �,1�, ,�n Q-e�,�„�, o - e � � v l� Il � � S I� J ��� v K- n ��J Gt,.Q�'G�J V ° — ��s l� W � Q 2 — � �r-a y 2 � �, �;-e.J i ti�,Ptc. �'o .... W � W � j O W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContra nor on,si e: Inspector: /> ��Y White Copyllnspector's File Cenary CopylSite Notice � �:,1 C- � - '� � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � zT �� PERMIT NO.,��� 7������ coMP�ereo ADDRESS ���_����' �l�l�:<r�,�c_J L k..,�'C�r'� �'c�. OWNER TELEPHONE NO. C(i�� ���`���L CONTRACTOR ( %`� -� � � �� i�f �`'��� - � G'i'1'��:� � DESCRIPTION � � �� '-� � ly ❑ FOOTING ❑ DEMO-FINAL _. ❑ SEPTIC FINAL � ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Q O'INNERICONTRACTOR TO MEET YOU:_YE8_NO � COMMENTS: ���G< ��"�4� !D-!7 � Trws s �6r�c.�.�� — � _ 0 � ����Jt S�4c.��r�4L �r��.- �r••,� >' I,tJ � K � �v �ci� �rac .�.._ o� ° _� P�v�,7�. Q.�cl,�-� `` tiel� w�.�,w �a a� Qa �l . �t,r 1��� — � � a"S� `�°��'�� �'C � .����•��i- � �/J�j CG/l C'd✓r e c��o -� .t! i"d v/bc!H _� ' o G orr ��•c o�. � �"S4./� W� ❑WORKSATISFACTORY:PFiOCEED ❑PROJECT COMPLETE W RRECT VMORK 8 PROCEED ❑ISSUE CEFiTIFICATE OF OCCUWINCY O ❑ RECT VMORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CdVERINt3 PERMANENT O CORRECT UNSAFE CONDITION WRHIN HOURS. p p�{OTO TAKEN INSPECTOR WILL RETIJRN D STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advance. (95Z) 249-4600 OwnerJContractor on site: Inspector. �►^� Whlts CopyAnapeetor's Fil� Canary CoprlSib Notks � � \�`- � �� ME r � DATE TI CITY OF ORONO CALLED IN �- INSPECTION NOTICE ,� SCHEDULED � �_ �� �_ -s r.' PERMIT NO.�C�/-7-C �ZC co L ED ADDRESS `7 � ��I`` .�l' ��<<l-C 'C�% � /�. OWNER TELEPH NO.�'�Z��� ����7 CONTRACTOR ' �- � � �L� � DESCRIPTION ,=�f'7 C t C �n_'��/�`��� �,'�'c_�_,:) W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ' Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ S TIC INSTALL 2 OWNERICONTRACTOR TO MEET YWI:�YES_NO v�, COMMEN'T'S: W . • � — l�r�l5 �J.�t� ��s�- ,,�f�.� o - �Iwis ` C165�.P �'�!� Sp.-Q.,. �ar�r — � - �i'G,u�c�� G�✓�����r� �i�o��Ylc� � /� /� 1 T-- v � � /l r tdrl,S� L �N'�/.7G��� W �Kho�.r ' l/�'G�t'i W Q Y��� ` � g �5� �.od��S 4� - � � �✓r�c� .d G k �S Ga fics.✓ J O W O WOFiK SATISFACTORY:PFiOCEED �PROJECT COMPLETE �RECT WORK d PROCEED - O ISSUE CERTIFICATE OF OCCUP14NCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERiN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR O GTATION ISSUED ❑INSPECTION RE�l11RED.CALL TO ARRAN(iE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: � �� � wn�h coPynnspe�to►�.Fi�. Canary CopylSit�Notlee l_.- � �-- � �./ �--�� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED , .�rr-• PERMIT NO.��: �1� ���'�� COMPLETED ADDRESS Z��-'��% �I�c��� u ���C�_ I�� OWNER TELEPHONE NO. � t 2""3� � ��I con�AncTOA 'h� ��l�►� l L Crt�:�-. � DESCRIPTION ���,�����-�Z�-� �� �"� C�����- ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBWG RI ❑ EXCAWGFiADING/FILLI��� 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 �4 ❑ AS BUILT-SURVEY ❑ SE�VER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑r�PTIC WSTALL J 2 OWNERICONTRACTOR TO MEEf YOU: YES_NO c�., COMMENTS: � -�— � � Sfi�L� c.��tL 5��5 � �ot•t� 5�a� oc�W uG�1.�ra.0 c��9 c ,Sl4� �s� ���-��� � ��. ' 0 � Q � ��'l�s� ��ce-'� �vcrL�/� �r6� __�/✓�� � b�...� �a s�r�c��.,i*.G `.�t¢- o�I �Jof�i�5�S_ z � J�/� ne✓o0�x,�el T�c�� �3� � /��r✓t�t .� a� ��?4.i � W 6}`WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN 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. (g52) 249-46�� OwnedContractor on site: Inspector: � / �''^' � White Copyllnspector's Flle Cen�ry CopylSite Notke � � � � D TE TIME CITY OF ORONO CALLED IN � '� INSPECTION OTICE �J�� SCHEDULED �- �S-/� / : C�% PERMIT N " d`— COMPLETED ADDRESS � �'LG��� C�� r�- OWNER EL H�E N � ^� CONTRACTOR ` �'�� � DESCRIPTION � ,Gt.� ` �-�' �-�/ ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: ���- �•�aG " 7'01 t- �'� � -��twlf� o�e�- -� C'� �`�- - Q,� o - 5��.� ��.-�� .-�S ' O >' -. �lQcc�✓ o�GG� b� 6 /�5 cs��3'- D K � o � ���s � �f K ,Dio�e�`�.�,�- Q� W � � �J _ �DY�-� tS-�6�-(� s��v� Q 2 �� �.b� � ���� .���� � c�c - 6!c-t� SG�v�� �,���''Gv�� - � _ . � ������ ��� � W ❑WORK SATISFACTORY:PFiOCEED �ROJECT COMPLETE � ❑CORRECT YMORK�PROCEED ❑ ISSUE CERT�FlCATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HWRS. p p�{OTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectfon 24 hours in advance. (952) 249-48�0 OwnedContractor on site: Inspector: � /�--� � Whits CopyAnspeetor's Fik Cenary CopylSits Notke n 1� � w � � � i � � � � � � � � � � � � � , � l� � � o � � � � � � _ �l � V� � � , � � � � � �l � fi � � fi �.. � � ADDRE55: 2800 5hadywood Rd, Excelsior, Minnesota v Z o r..l F � S 4 U A R [ � 9 9 T S U M M A R Y NORTH ~ ' T r y. � — e W� . _. _ � :' � — GARAGE S.F.TOTAL: 904 � �? '�" ~ � �, �, a• = a m .t, �,_ 15T FLOOR S.F.TOTAL:2154 157 FLOOR S.F.FINISHED:2154 i V � : 2ND FLOOR S.F.TOTAL:2478 2ND FLOOR S.F.FINISHED:2357 '''- ; ;; - m .; ", ,<. r �.,� U A . TOTAL S.F.: 4632 ' TOTAL FINI9HED S.F.: 4511 � � 4 i�< ') �j � �� BLOWER TEST VOLUME: 46,fl6 CU./FT. .;.LQ_ � I! ( i� � « � .. . .. ; , :' WEST � `�.4:. EAST E � o . �-., �� i �, a� a Y I � (� �� i,l � j i i j � Z a _. 3...� f'��. �._. -- - .._.. (� I� � ( j �� � ��� i � �� (� �� � � N � RECEIVED � ''' ' ' '� � " n n �� ( i� 4 ( ` ' � '' _ > "' �I �I i! 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REPORT WA$MiEPARED BY ME OR UNDER MY DA2ECT 11/15/i6 CUT/FILL VOLUME&LOCATION Ad van ce ��NSION AND iHAT I NI A WLY 110EN5ED SURVEYEDBY: 8 ENGINEERING,INC. SHARON&HANS BERGH PROFE590NAL qNL FNqNEER UNOER 1HE LANS OF 11# FLOOD PLAIN Si�7E oi soia DAlESURVEYED: SEPTEMBER 28,2010 Suiveying&Engineenng,Co. Fi�ver�Fieu: OCTOBER 27,2018 C�'�l��P � � N 2,I3OO SHADYWOOD ROAD �°s s Ri"k° DRAWING NUMBER 5300 South Hwy.No 101 52716 ORONO, MN Minnetonka,Minnesota se3as uceNse No. pAiE pRqF7Ep: NOVEMBER 1,2016 160573 JR O 20' 40' Phone(952)4747984 NOVEMBER 1,2016 Web:www.advsur.com pA� SHEET 1 OF 1 r-- - � , I� � � I� i - � �€ £ . E i � � �� F � { � I � ( 1 1 I � ;�X15TING � �� GARA6� � � 44-3 X 24-3 � �� � �: � � ; �; � �: � ;;��N�W � �; �ARA�� '� �� 44-0 X 24-0 �£ �� �` , , � ' , � I �� � - �6/12 PITCH � �W t � GAI�AG� _ � �°'°"' �`'`�. N � � I � � � � I � � X15TING � GARA6� � � I� GH f� � 51b � �JC � ; �I � W GI� f� P� G � OU � I� LAY ON � X15TING GI� I� f� G � � RECEIV�D , �aN � o �a�� C�r(pF ORONO . • , • . • • � • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: October 4, 2017 G/L: 101-22205 Re: Escrow Refund Building Permit#2017-00020 pertaining to 2800 Shadywood Road is complete. Please refund $10,000 to the property owner, Hans & Sharon Bergh. Check payable to: Hans &Sharon Bergh 2800 Shadywood Road Excelsior, MN 55331 HOLD CHECK AND GIVE TO CHRISTINE MATTSON w:�street files�shadywood road�2800�escrow refund form 2017-00020.docx v , ESCROW AGREEMENT AGREEMENT made this�Z day of , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Hans& Sharon ergh ("Owner(s)"). RECITALS A. The undersigned is/are the Owner(s)of the Subject Property and hereby agrees to and consent to the terms and conditions of this Escrow Agreement. B. Owner has: (check one) ■ Filed a zoning application# 16-3885. ■ Filed an application for a Building Permit#2017-00020 ❑ Agreed to comply with Orono City Code Section 78-1432 regarding accessory structures. ❑ Filed an Individual Sewer Treatment System (ISTS) permit application. ❑ Requested to do work within public Right-of-Way ■ Filed a request for a Temporary Certificate of Occupancy ❑ Other ("Application") on land situated in the City and located at 2800 Shadywood Road (the "Subject Property"); and C. The City is willing to review or monitor the Application only if the Owner agrees to reimburse the City for the actual costs expended by the City on behalf of, or on account of, the Owner. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT REQUIRED. Contemporaneously with the execution of this Escrow Agreement, the Owner shall deposit $10,000 ("Escrow") with the City necessary to secure coverage of the total costs associated with review, approval, and monitoring of the Application. Any Escrow shall be held in a special escrow account and shall be credited to the Owner. 2. PURPOSE OF ESCROW. ■ Zonin4. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not be limited to staff time, at the rates established by the City Council, in excess of that covered by the standard application fees, engineering consultant and legal consultant expenses incurred by the City in reviewing and approving the Application and all other city staff administrative and consultant services pertormed in the processing of said review and approval. ■ Buildin4/Zoning. The purpose of the escrow is to guarantee completion of the site plan as approved and the provision of the as-built survey as required by the Building official. ■ Accessorv Structure. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not limited to staff time, at the rates established by the City Administrator, engineering and legal consultant expenses incurred by the City in removing an accessory building if the Owner fails to pertorm the obligations in Orono City Code Section 78-1432 and all other City staff administrative and consultant services pertormed in removing the accessory building, including land stabilization. ■ ISTS. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not be limited to staff time, at the rates established by the City Council, in excess of that covered by the standard apptication fees, engineering consultant and legal consultant expenses incurred by the City if Owner for any reason is unable or unwilling to honor the requirements of Chapter 58 of the Orono City Code, and all other city staff administrative and consultant services performed in relating to the Application. The City may also reimburse itself for all engineering and legal expenses associated with the construction, removal, alteration, or repair of the ISTS if the Owner fails to do so. ■ Temrsorarv Certificate of Occupancv. The purpose of the Escrow is to guarantee completion of exterior improvements (driveway, grass, etc.) that cannot be accomplished due to weather conditions. January 20ll 1 3. MONTHLY BILLING. The City will monthly forward to the Owner a statement and bill for the expenditures incurred by the City for staff and consultant services. Such statements shall be due and payable within 15 days for receipt by the Owner. No statement will be sent if there are no expenses incurred in the period since the most recent statement. The City shall itemize all time, services, and materials billed to any Owner and said time, services, and materials shall be in accordance with the rules, regulations, and fees as promulgated and adopted by the City Council. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event the Owner does not make payment the City as required under paragraph 3, the City may draw from the Escrow without further approval of the Owner to reimburse the City for eligible expenses the City has incurred. The City shall periodically notify the Owner of the draws the City has made and the nature of the expense for which the reimbursement is being made. 5. REIMBURSEMENT OF ESCROW. The Owner shall reimburse the Escrow fund for any deficits caused if the amount actually expended by, or billed to, the City exceeds the escrow fund balance. 6. RIGHT OF ENTRY. ■ Zonina. This section is not applicable. ■ Buildin4. This section is not applicable. ■ Accessory Structure. The Owner hereby grants the City, its agents, employees, officers and contractors the right to enter the property to remove the accessory building(s) should the Owner not complete the removal obligations in Orono City Code Section 78-1432. ■ ISTS. The Owner hereby grants the City, its agents, employees, officers and contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in conjunction with replacement of the septic system, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owner not complete those improvements by the date agreed upon. ■ Temporary Certificate of Occu�ancv. This section is not applicable. 7. NO INTEREST PAID. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the Escrow account. 8. CLOSING ESCROW. When the review has been completed or the project has been completed, the �bal nce of the Escrow, if any, shall be returned to(check one): Owner o Applicant ❑ Ot r Name: t � � � Street Address/PO Box: ^�u: ;, c City/State/ZIP: ',� / �'� 3 9. CERTIFIED UNPAID CHARGES. If the Application is abandoned by Owner, or if the eligibte expenses incurred by the City exceed the amount in Escrow, the City shall have the right to certify the unpaid balance to the Subject Property pursuant to Minn. Stat. §§415.01 and 366.012. IN WITNESS WHEREOF,the undersigned have executed this Agreement as of the day and year first above written. CITY OF ORONO: OWNER(s): BY: BY: � � January 2017 2 v ; SHARON PLOTZ BERGH �A �05 i sos wiu.ow viEw oR e�-n� ' LON(i LAICE MN 55356 � � � � � t DATE � f � � � ' PAYTOTHE "'" �, � � ORDER F z "�— � ., J r1,-t s.��.�„ � [ /v � M���pp t Oelula un � WLLIY�J BaEk. ( t E � Merrill Lynch ,, � Bank of America Corpo►aUon • 1 i FOR GvITL�.} � \��-���c• "P I � 4 City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.018851 Jul 27> 2017 Sharon Bergh Previous Balance: .00 Permits 2017-00886 2800 7,500.00 Shadywood Rd - 101-22205 , Deferred Rev-Developer Deposit --------------- Total: 7,500.00 --------------- --------------- Check Check No: 105 7,500.00 Payor: Sharon Bergh Total Applied: 7,500.00 --------------- Change Tendered: .00 . --------------- 07/27/2017 04:16PM . � CITY OF ORONO * 2 0 1 7 - 0 0 8 s� 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2017 ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 2800 SHADYWOOD RD PIN : 21-117-23-13-0023 LEGAL DESC : REG.LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-TIED TO BUII.,DING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$7500 ESCROW IS TIED TO BUILDING PERMIT 2017-00020 PAID BY HANS AND SHARON BERGH PAID CHECK#105 APPLICANT ESCROW FEE-BUILDING 7,500.00 TOTAL 7,500.00 BERGH,HANS&SHARON Payment(s) 2800 SHADYWOOD RD CHECK 105 7,SOO.OU EXCELSIOR,MN 55331- OWNER BERGH,HANS&SHARON 2800 SHADYWOOD RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work w6ich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work�has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This pertnit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date � DEMOLITION PERMIT��.�I - � ESCROW AGREEMENT �, L� U� # 'b •2���C ✓ AGREEMENT made this day of , 20 , by and between the CiTY OF OROMO, a Minnesota municipal corporation {"City") and� T Si1a10f1 �{"Owners"). - v Recitals P����'T a'�� 1. An appl' tio for a demolition permit has been filed for Q(:� ��cated at 2 OD ("Subject Property") legally described as 2. In conjunction with the demolition, erasian control measures are required as shown on attached Exhibit"B". NOW,THEREOFRE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs(including planning, engineering, or legal consultant review)the City has incurred to assure that the erosion control measures are installed and maintained so the property complies with the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work. If compliance with the approved Land Disturbance Permit is not accomplished within the allowable time period, the City may bring the project into compliance by use of the security. 3. RIGHT OF ENTRY. The Owners hereby grant the City, its agents, err�ployees, officers and contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in conjunction witn the required erosion control measures, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owners' contractor not complete those improvements by the date specified herein. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owne�s shall be responsible for payment ta the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owmers do not make payment to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. Any remaining amount of the financial security deposited with the City for faithful pertormance of the plans and specifications and any related remedial work will be released after the completion and inspection of all such measures and the establishment of final stabilization for the Subject Property. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully campleted and whether it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO ER . r. � By: Its: _��J►�U� Internal Use Only: �Ori�inal to Finance Uepartment 0 Copy to�tre�t.File Form Lesf Updated: January 2095 1�0784 l i �10i'1 �r�1r1�1 i �' �'�I(o_ ��?I�n� 01�� Z�o� Swadywood a� �cr � �0�1 � LEGAL DESCRIPTION: Tract C,Registered Land Survey No. 1196. Together with a non-exclusive easement for driveway putposes as shown in Deod Document No.998572 and an easement for driveway pwposes as created by Deed Document No. 1000236,es amended by Document No. 1441410 (as determined by Court Order pocument No. 1451153). LAND USE APPIICATION ESCROW A�REEMENT Application#�- ���g'S AGREEMENT made this �day of 20 r�, by d between t CITY OF RONO, a Minnesota municipal corporation "City")and 2vtr� . �'- � 0 e,.s [a corporation–optionalJ ("Owners"). Recitals 1. Owners h ve filed Zonin Application# Iv -�� formally requesting the City to review plans for a located at the property addressed: ' (the "Subject Property') legally described as — �., �s 7.�r� 2. Owners request the City to review said plans which requires City approval and may require consulting legal and/or engineering review. 3. The City is willing to commence its review of the application and incur costs associated with said review only if the Owners establish an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$..?�?X��"' with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred(including planning, engineering, or legal consultant review) or will incur in meeting with the Owners, eviewing the plans,and preparing agenda packet material for City Council review of application #�_ - ��. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a land use application. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'receipt of bilL 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall cease all reviews until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without turther approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow,if any,shall be retumed to the Owners when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to retum the funds. Owner may also request the release of the funds,and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CI OF RO OWNERS• ) � By: By: �ts: ��L�l.�'1�(� �ts: Internal Use Only: �Driginal to financs De.partment D Copy to Zon€rrg Fite G Capy to Street file Variance Application—May 2016 Page 6 , . � � � CITY OF ORONO * 2 0 1 6 — 0 1 4 4 7 * 2750 KELLEY PARKWAY DATE ISSUED: il/17/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2800 SHADYWOOD RD PIN : 21-117-23-13-0023 LEGAL DESC : REG.LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2500 ESCROW IS TIED TO VARIANCE APPLICATION 16-3885 APPLICANT ESCROW FEE-APPLICANT 2,500.00 BERGH,HANS&SHARON TOTAL 2,500.00 2800 SHADYWOOD RD Payment(s) EXCELSIOR,MN 55331- CHECK 2471 2,500.00 OWNER BERGH,HANS&SHARON 2800 SHADYWOOD RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which t6is permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for on(y the work described and dces not grant permission for additional or related work which requ'ves separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date K HANS BERGH "�a'0 2 4 71 SHARON BERGH 905 WILLOW VIEW DR. �T� � �,6 , � LONG LAI�,MN 55356-4303 City of Orono � �p2�7,.� 2750 Kelley Parkway ; � � /lD Orono MN 55356 952-249-4600 � � � �� Receipt No: 3.016953 Nov 17, 2016 � bank. • � o � All of�serving you Hans & Sharon Bergh M�O���`�aG�il�rz�/��GSC�rs.� � , Planning and Zoning ' 16-3885 2800 Shadywood 2,500.00 RD 101-22205 Deferred Rev-Developer Deposit , --------------- Total: 2,500.00 Check HANS BERGH "-ys10 2 4 6 9 Check No: 2471 2,500.00 SHARON BERGH / Payor: 9p5 WILLOW VIEW DR � j C� Hans & Sharon Bergh LONG LAI�,MN 55356-4303 Total Applied: 2,500.00 � --------------- � � I � v� � Change Tendered: .00 � �� � � _______________ � � �� ; 11/17/2016 10:37AM � CC�bank. ' All of�serving you� � M�o ��X� ' � � : A � , � o � � � � � � � C . N z � m - ° �' � ' � 3585 � .�