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HomeMy WebLinkAbout2017-00896 - new house CITY OF ORONO * 2017 - 00896 * 2750 KELLEY PARKWAY DATE ISSUED: 10/06/2017 ORONO, MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS 3265 SHADYWOOD CIR PIN 20-117-23-11-0048 LEGAL DESC SHADYWOOD VILLAS LOT 7 BLOCK 1 PERMIT TYPE NEW STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE SINGLE FAMILY ACTIVITY 101-SINGLE FAMILY HOUSES,DETACHED VALUATION $ 415,000.00 NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, LAWN IRRIGATION, ELECTRICAL(STATE) NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM APPLICANT PERMIT FEE SCHEDULE 3,094.42 CHARLES CUDD LLC PLAN REVIEW 147.42 C HA LRD AVENUE N STATE SURCHARGE(VALUATION) 207.50 PLYMOUTH,MN 55447- S.A.C. 2,485.00 0TOTAL 5,934.34 Minnesota State License#:BUIL-BC635245 Payment(s) CHECK 42767 5,934.34 OWNER Charles Cudd LLC 15050 23RD AVE N PLYMOUTH,MN 55441- 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 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 permit may be rev at any time for due caus . n /0 App cant Permitee Signature Date Issue• y Signature Date RECEIVED City of Orono AUG 01 2017 Building Permit Application for New Structures or Additions CITY OFORONO Mailing Address: Permit number: 97�p PO Box 66 Crystal Bay, MN 553 3-0066 Date received: Street Address:' 7T Received by: y 2750 Kelley Parkway �c 9 !•" Plan review fee: F c> Orono, MN 55356 l `gkfSHO 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 sllhrni+'-" Incomplete applications will be returned. (Please prin GENERAL INFORMATION: Y�Iezt Job Site Address: 3z(PS '5~%-f6joop di mcug- C%� - Will this be a Parade of Homes, Remodelers Showcase Home or other Display He �Q If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the e C/c� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be a CONTRACTOR/APPLICANT INFORMATION: Name: r_1•Ibl&LIC'S %uOh Co. L-L-.(-. State License# gc G 3F, -2 #-S Expiration 7,o1q Phone: (cell) -17 - �qp- 7 l4w7 (office) Mailing Address: p " p City: PLN r%QLJ7V ZIP: 55"44-7 Contact Person: Sjt3dE Lo ebT Applicant is: on rac or / Homeowner (circle one) Email and/or Fax: SLi c1+T'e L;1d-p.r4Lg:SGu17p , Cam PROPERTY OWNER INFORMATION: Name: C,"MLk—S 4-1400 CO- L L. Com, Phone (day): (01j_ - 35-!7- /7O 9 Address: 1512 .SO Z 3, RO A-ye. N• City: (71_NiMp u ZIP: 5'5447 Email and/or Fax SL i rn4r 4e C4A.RI.ES CW Qtp . ! all ARCHITECT/ENGINEER INFORMATION: Name: Loop C.o , L. L.0 . Phone(day): (P 12- - 3 S�j- /70-9-- Address: 09Address: I gys--d Z.3 A 1yE'. (,J . City: 17L\- ynauY1A ZIP: 55447 Email and/or Fax: 5 L W_W4- C2C (L� [-udp _ e4m PROJECT INFORMATION: Descri tion of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & Water Supply New Construction 'Single Family with El Bldg./Garage Addition attached garage ❑ Deck )4 Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater Public Water "Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(specify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ '51, 4-0 0 9Q Packet Last Updated: August 2015 Page 21 w. ;STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction ✓l 1 a. Length (ft.)= 15+' Number of bedrooms= 3 Wood rame b. Width (ft.)= � Number of garage stalls: ❑ as my / Areas in square feet Attached= 2. ❑ M I Cads ❑ P e Bldg. 45 � �C c. Basement= I L"13 Detached = ❑ 1 d. 1st Story = ��— ❑ n it Prefab e. 2nd Story= _ Off- 'te Prefab f. '/z Story = Other leases specify): fY) g.Total Area= 7_36 REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Building Permit Escrow Agreement and Fees ❑ ❑ Plan Review Fee X ❑ Completed Application Form ❑ ❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8x 11 set ❑ ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements ❑ ❑ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ ❑ Hardcover Calculations ❑ 3K Septic System Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation from MCWD stating no permit is required ❑ Landscape Walls and/or Retaining Wall Plans ❑ Stormwater Pollution Prevention Plan SWPPP ❑ Access Permit ❑ ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. 0 Applicant's Signature: Date: 4— Z I— 2017 Owner's Signature: cRAmLgs• 6uoo Gn - L•L•G. Date: Packet Last Updated: August 2015 Page 22 Builder Acknowledgement Form Permit #2017-00896 / 3265 Shadywood Circle Builder Representative Name: Jame-S tiltuswc 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 p 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. 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 —`J�(J( 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. wAstreet files\shadywood circle\3265\builder acknowledgement form 2017-00896.docx F:\01-Charles Cudd Co. L.L.C\04-Designs_Preliminary Plans (No Job Number)\96XX-Shadywood Model_Lot 7-Shadywood\Cons N W WZ - =!ON Q t. 4` 0 A O � avz -n � m -n -Dr m III � 7p � rOp m � 0O 0 J _ _ Z m -n 70 m r Z n m _ z (—p Q O d o LID � 03 m cp err I Z � ;> � 1 m Z m t m T 10 _4 O ub n mm m m r c/1 Christine Mattson From: Adam Edwards Sent: Wednesday,August 16, 2017 11:32 AM To: Christine Mattson; Roger Peitso Subject: RE: 3265 Shadywood Circle/#2017-00896 Sorry hit send before my last comment was in. From:Adam Edwards Sent:Wednesday,August 16, 2017 11:27 AM To:Christine Mattson<CMattson@ci.orono.mn.us>; Roger Peitso<rpeitso@ci.orono.mn.us> Subject: RE: 3265 Shadywood Circle/#2017-00896 Chris, I've reviewed the subject plan and stamped it approved with comment. However I based my review on the approved development grading plan. I have not yet received the development As-built. The permit should not be issued until the as built is submitted by the developer per the development agreement. 1. A separate Utility Permit will be required for sewer and water connections. 2. Double silt fence should be provided for any work indicated within 50'of a wetland. 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:Tuesday,August 08,2017 8:28 AM To:Adam Edwards<aedwards@ci.orono.mn.us>; Roger Peitso<rpeitso@ci.orono.mn.us> Subject:3265 Shadywood Circle/#2017-00896 We received a building permit application for a new home at 3265 Shadywood Circle. Please review and provide comments. Thanks! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono MN 155356(physical address) PO Box 66 I Crystal Bay I MN 55323-0066 (mailing address) 9 952.249.4620 ( 8 952.249.4616 ® cmattson@ci.orono.mn.us I www.ci.orono.mn.us Summer Office Hours: (Monday, May 22 through Friday,September 1,2017) Monday-Thursday: 7:30 am to 5 pm 1 Permit Application: Self-Checklist for Completeness Please 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 Signed Escrow Agreement & Building Plans (to scale) x2 Certificate of Survey (to scale) showing the proposed project & meeting all requirements x2 El 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 c/ the proposed project does not trigger their permitting requirements). I will contact the MCWD at 952-471-0590 regarding this project. Signed Cuiop C4 - L.L.G . Address: 3 z.&5 Z a=o 6m c-c•E- Permit #: Packet Last Updated: August 2015 Page 2 DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under Minnesota State Statute 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. SIEVE M. L.ic4T- e-mi�&Lz-s Lunn Go• L.L .G. First Middle Last /s-vso 23110 xw- N . Address F0(rnoLJT14 MN S'S'A}-+:l City State Zip Phone I understand my rights as stated above. �� � 0r Signature Packet Last Updated. August 2015 Page 7 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: r1--7,1)1) Permit No.: 2-017 - 00Mg Description of work: I v CNV Date Recd: 437- 1 -j-] Septic review by: Date Approved: Zoning review by: Date Approved: q- 11- t -7 Building review by: Date Approved: 9LI�zl—, Grading review by: w Date Approved: 'I-7 Zoning District: -KPZoning File M I(Q Resolution? Yes Reso M O Z Reso Date: Signed: Yes No Resolution/NA Zoning: Lot Area: UtS AC Width: 3tizuc g t " 6: Z SF Survey Submitted: �es 0 No Date of Survey: CD -ZZ-(7 Revised dateM: Landscape plan submitted? 0 Yes Landscaper: O.No/None proposed Proposed Setbacks: '1 Front( e) Rear(Str r) ( �N S E W ) ( N S E W ) Other Buildings Wetland Side Side -75 Building Height Analysis: Distance Between First Floor and defined Top of Roof See "buildingheight" definition): a First Floor Elevation from building plans): (b) ! Highest Existing ground level (per survey) or 10' (c) 7 above lowest ground level, whichever is lower: -= Difference between b and (c): (d) ',. DEFINED HEIGHT If highest existing grade is: (e) above FFE-Height is(a)-(d) below FFE-Height is(a)+(d) Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Yes 0 No Permit Number:0 o l 3 1d 0 Yes 0 No N/A 0 Yes , N/A- see attached I Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % ands % and s 1 23 4 5 �I.4I00 Yes o 0 Yes No 0 �� Type(s): Type(s): 56 N- ?er -7 Ir-1-7014 �v Updated: October 2016 v:\forms\plan review checklist 10-2016.docx Fees to be Charged YES NO Permit I/ Plan Review State Surcharge (l Investigation Fee !� SAC—Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement r 70L x p , qZ = $ 9 A3 /07-L 1St Floor t y 8 x $ 7� -t x 3 . 14 _ $ ZlNO Garage 5_g0 x _ $ Z 2j Z I�0 Estimated Construction Value: $ `7 ` /, Wo Orono Inspections Required Work Requiring Separate Permits Footing ❑ Site ❑ Plumbing ❑ Grading/Filling Poured Wall Silt Fence/Erosion Control ❑ Mechanical ❑ Fire Foundation Survey ❑ Hardcover Removal ❑ Fireplace Water Connection ❑ Framing Other(specify) ❑ Masonry � Sewer Connection ')!T-Waterproofing/Drain the / ❑ Mfg. �❑ Lawn Irrigation 13Foundation Waterproofing �'�GK / / ❑ Other(specify) ❑ Landscaping Framing Insulation PE As-Built Survey Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ Well XElectrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2016 v:\forms\plan review checklist 10-2016.docx 1-07- ? +�L G f'!�e fe 3.y.10 'O ti,,44.4S City of Orono �IoNo Hardcover Calculation Worksheet Property Address: �26Jr,. ,J�l�/ilD Y<.vGGD CiR CG E C c,�trs c�r�a 1 t: Prepared by: Date: Z 2- Storrnwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier Tier 4 Tier 5 Step 2:0410POSED HARDCOVE In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey(survey must accompany this form). Include all existing hardcover items that are intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75'setback line and calculate hardcover square footage separately for each portion. Keyto-Survey Hardcover Item(Describe) Length x Width Total rare Few Ga 24'x 30' 720 S.F. A S.F. B S.F. C S.F. D &&M�044_r o0_4LICA 0.41ilfwx Y S.F. E GREj"r 6V'rLZ S.F. F S.F. G S.F. H A S.F. S.F. S.F. K S.F. L S.F. M S.F. N S.F. O S.F. P S.F. Q S.F. R S.F. S S.F. T S.F. u S.F. v S.F. W S.F. x S.F. Y S.F. Z S.F. Al) Total Proposed Hardcover S.F. Exeludebb Hardcover City Code Sac 78-1664 S.F. S.F. S.F. S.F. S.F. 2 Total Exdudable Hardcover S.F. 3 Not Proposed Hardoover Subtract line 2 from One MlS.F. 4 Total Lot Area O S.F. Proposed hardcover Percentage [(3)+(4)] Subdivision AWNcatfon-January 2016 This is an kdbmwWn packet regarcraV Herdoover. Every effort has been made bD ensure the accuracy of the MI fomuftn conh*W herein;howewer,ff any kdamefion is not consisters with provisions of the City Cods,the Cods provisions will prevel Page 19 CERTIFICATE OF SURVEY FOR CHARLES CUDD CO. OF LOT 7, BLOCK 1, SHADYWOOD VILLAS HENNEPIN COUNTY, MINNESOTA m PROPOSED ° SILT FENCE 9 q�. S� SCeP OU OT B 9535 O �R G� C L=86.56 �O =99'11' P ti��� 95• �o R=50.00 OPOSPERRMCA (D) P\� PAVER s 0 YEWA 952 a52z peop.W ,Sa.o • pMHi.3 Y6 O N h a" aed PROPOSED a*• HOUSE .w..x: 9e1 #3265 6 940 `fJ (A) �L aid 3 J 9t DECKS (C) PROPOSED WETLAND / BUFFER MONUMENT C ,0 7 V ft 9J.? 0.24: A k�ti R � J �R.Mp \\ p 68. W 011 0;' A LEGAL DESCRIPTION OF PREMISES Lot 7, Block 1, SHADYWOOD VILLAS o : denotes iron marker (908.31 denotes existing spot elevation, mean sea level datum PROPOSED ELEVATIONS (verify) 910.8 952A denotes proposed spot elevation, mean sea level datum 1) Garage - �J4i-- 9527 denotes existing contour line 2) Top of foundation —930- 954.55 denotes proposed contour line 3) First floor = 4) Basement = 944.0 This survey intends to show the boundaries of the above described property, and the proposed location of a proposed house and grades thereon. It does not purport to show any other improvements or encroachments. DATE SO-nox GRONBERG AND I hereby certify that this plan.spe°IN°atlan,or report SC.F w o-n-n r4nato ernAxo nte eow+ea AXED roe prepared by me,or under my direct wpe l-ion, 1"sew ASSOCIATES INC. °°°th°t I°m o td.lyate of Mind Land Su wyo under the IaWe of Me State-t Minnesota. oAir CONSULTING ENGINEERS, LAND 6-22-17 SURVE aft S.NORTH SWIILLLOW DRIVE �10 ' LONG L.I.MN.153% 17-266 952-473-4141 17-266 ORONO COPY Minnesota State Energy Code Calculations and Mechanical Code Requirements Form Additional copies can be found by going to: hftp://www.dii.mn.gov/CCLD/PDF/sbc 1322 cert.pdf V1141.8 Certificate Buikle s Nxmel Company Date: &-Z l- Z01-7 Site Address: 3Z&S7 St+Ao f'woot0 r 12 c,(_C Contractor Name. L.L.G , License Number: 4.61, tocatAgn Type of znstalke r>PIE L+acab'cnrs 5,ize _£rrsrrlatigrr R-Valruoe Mak Air C-C, hoof Cell' P.14 . — StyAIZVWKSVLJ motion Air v Walls — Z 5M CIAL Slab-on-Grade . Flay - — l G55 Apt,- Ducts Ooze of Cwrfirtionedspacts Rim Joist Z rr[erior, or or IrMegra Foundation Wall � a At4e7L,S Irrteiiar.Ext�riar rr�eegrel A U-Factor 5HSv&r heat gaily coed9eiin"t Paye Actr� Fenestration Z Radon Control T 1n Ra AFUrE 1't►astrrfa+cti� yr ve Model CaAmdataed/heat Loos Heating 5 Z a 2 O© T Aeatina SEER Marrrrfacfxrrer 1"9fodel C-001hw taut/Heat Gain Cook S ern i e— o Type Location Contirxrrw" N'errtr7'ation Tana/ Ventilation Mechanical ventilation A Wt S J p - K. s Packet Last Updated: August 2015 Page 20 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. r^ ZI Issued to: Charles Cudd Co. Permit No: 17-390 Location: 3265 Shadywood Circle, Orono Purpose: Erosion Control-Single Family Home Date of Issuance: 9/5/2017 Date of Expiration: 9/5/2018 By Order of the Board of Managers Elizabeth Showalter 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 September 5t', 2017 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 (Statement concerning fees for inspections, violations, etc... on following page) We collaborate with public and private partners 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 MINNEHAHA CREEKWATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE Inspection/Analysis/Monitorina 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 shores of any protected water or wetland • a violation • any project which in the judgment of the District staff should be inspected due to project location, scope, or construction techniques In these cases, the applicant shall pay to the District a fee equal to the actual costs of field inspection of the work, including investigation of the area 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 $ contracted rate Application fee $ 10.00 Copy costs $ .25 + actual staff time Color copy costs $ 1.00 + actual staff time * Hourly We collaborate with public and private partners 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 LlDATE TIME CITY OF ORONO CALLED IN _ INSPECTION NOTICE SCHEDULED Q/ PERMIT NO. COMPLET D ADDRESS OWMER TPA EPHONE NO. CONTRACTOR Ar r/J DESCRIPTION J ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 0 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ 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 ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OIMNEIMCONTRACTOR TO MEET YOU:_YES_NO COMMENTS: f-- 4 s' �crct c +� c•cc It rap� at O fork- (!2 {�f0�trrv` P✓os�:.,cb�I.GrcC - ty��c S� Q /'Vllcw�i4�w �d�jtaw. C6n.�✓oL 'fi�rdlr�,�o4G" i �Kst� W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE ': WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY C 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CCN for aIle next kmpwwn 24 hours M a&arw& (952) 249-4600 Owom#CoMractor on site: Inspector: , copynnap.olo%FUG Chary Copy4ft Noma r V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOME SCHEDULED PERMIT NO. 0 — 00146 COMPLETED ADDRESS 3 2�/Z VW OWNER �+ 311, JLEPHONE NO2 CONTRACTOR i � e DESCRIPTION 6 ty fif-F�G ❑ DEMO FINAL ❑ SEPTIC FINAL /❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 0 ❑ 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 [I DEMO-SITE [3 SEPTIC INSTALL Z OMINERICOKTRACTOR TO YEET YOU:_Y68_NO COMMENT'S: MAI ec M12 ac �i v t> 6 2 W 3 diC °C vc/ i LtJ W Cl PROJECT COMPLETE It ECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 14 0 D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVEFpNG PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cal to thespeotlon in advance. (952) 249-4600 OwnwfContre site: YI1114 CoPyMnpoo 's Canary Copy1aIM 11.0, DATE TIME \ / ��OFORONO CALLED IN v INSPECTION NOTICE�� SCHEDULED PERMIT NO. l 7 COM ETED ADDRESS Cir OWNER -TELEPHONE NO.4Wc9--2r,2-973 CONTRACTOR Ch DESCRIPTION ❑ 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 ❑ 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 [3 DEMO-SITE [3 SEPTIC INSTALL Z OWNBYCONTAACTOR TO MEET YOU:_YES_NO COMMENTS: W � OC Q W W Q: W TISFACTORY:PROCEED D PROJECT COMPLETE D CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C D CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT D CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED D STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. cab ford*next hmpec*m 24 hors in advanm (952) 249-4600 OwrmfContrmcW on site: vAll Copo spoetWe FIN fineryNomc 01 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 11- 10 I ;30 PERMIT NO. COMP ETE ADDRESS OWNER TELEPHON O. 3�J�Z- CONTRACTOR {� DESCRIPTION Po W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT a ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z 0WNMK*N`TRACTOR TO MEET YOU:—YES_NO COMMENTS: r'r d(a n1/'� tiT ► ►� 1. c; lel La d A )-fl j 0 W Q: Q k W W j hO ORKSATISFAmow PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cab for next Inspection 2A hmm In advance. (952) 249-4600 on site. Inspector: 1,2 A, WM%CopyAnspectoft Fila Canary CopylSlb Notice �%cOF ORONO CALLED IN DATE TIME ME INSPECTION NOTICE /,, SCHEDULED PERMIT NO. O� & COMPLETED ADDRESS �S C OWNERTELEPHONE CONTRACTOR 16LEttS CIX DESCRIPTION 15;_ / W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION "('ti,FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Q / I hSSOM C—+'re r-s' La ho is j 0 Pty— l2 a y-, gQoJ LQ Q i; W J LUN WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on she: Inspector. �s S a h2 �2 White Copyllnspeotor's File Canary Copyfte Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �n SCHEDULED PERMIT NO. "r COMPLETED — —! ADDRESS 3r2 6 5 0 L.J., a OWNER TELEPHONE NO. CONTRACTOR C �,q rje G ij c� DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cam., COMMENTS: /'ns v I G f`S` cc Q KVvlI c7 �l &_.q a rFi w` s e4 r4r v, cc 0 2 W cc Q 2 W x W cc 1 J a ia--Q WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE �B-IiWORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copymnspectoes File Canary CopylShe Notice TIME CITY OF ORONO WU k' L L E D IN INSPECTION NOTICECHEDULED / PERMIT NO�17, OMP ET D ADDRESS �-Uo� OWNER T EP NO. CONTRACTOR DESCRIPTION al 7�1e_'Lj W ❑ FOOTING ❑ DEMO FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL ztj v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cam., COMMENTS: cc a / r G40_ 41 Or-1 o �s� 12w t z W W cc j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contr-act�or o"n�site: Inspector. � a.S,�'J X White Copyllnspector's File Canary Copy1Site Notice