HomeMy WebLinkAbout2014-00610 - new structure 11111 IN 11111111111111111111111111 ffn
CITY OF ORONO * 2014 - 00610 *
' 2750 KELLEY PARKWAY DATE ISSUED: 07/15/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS 3955 WATERTOWN RD
PIN : 32-118-23-32-0004
LEGAL DESC UNPLATTED 32 118 23
LOT 000 BLOCK 000
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 320,750.00
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPTIC,FIREPLACE, LAWN IRRIGATION, WELL(STATE),
ELECTRICAL(STATE)
NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUNDATION SURVEY MUST BE SUBMITTED AND APPROVED BY THE
CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL: 0
NOTE: PRIOR TO ISSUANCE OF A CERTIFICATE OF OCCUPANCY AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND
APPROVED BY STAFF. INITIAL: *r
NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT THE
COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVEY)A TEMPORARY CERTIFICATE OF OCCUPANCY
(TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL: _/(9 e—
NOTE: EXISTING SINGLEFAMILY DWELLING SHALL BE REMOVED PRIOR TO FINAL C.O.OF NEW HOME. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 2,382.75
PILLAR HOMES STATE SURCHARGE(VALUATION) 160.38
1700 NIAGARA LANE N TOTAL 2,543.13
PLYMOUTH,MN 55447 Payment(s)
(763)475-1700 CHECK 36293 2,543.13
OWNER
BUTTERFIELD, LOREN V
3955 WATERTOWN RD
MAPLE PLAIN,MN 55359-
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 ode.This permit may be
revoked at any time for due ause.
4 Z
/
App icant Permit'66"Signature Date7 4sstu�eryy&Signature Date
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
Mailing Address: Permit number: z/V-(Jfl / o
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address:' Received by:
y 2750 Kelley Parkway Plan review fee: l4/5E 7
CgOrono, MN 55356
kESHO
�, Total Fee:
Main: 952-249-4600 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:
Job Site Address: ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil e
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/AP LIC NT INFO ATION:
Name: r �fl L
State License# Expiration Date: LO
Phone: cell ► office '_Ro S
Mailing Address: CC City: ZIP: _ S
Contact Person: r Applicant is: COntrac / Homeowner (circle One)
Email and/ AC 77—) 12'Wc1,A �, CL
PROPERTY OWNER INFORMATION:
Name: 0,_" L
Phone (day): CO 1 a ^ \ - f
Address: City: ZIP:
Email and/or Fax olI na .
ARCHITECT/ENGINE R WFORMAT1C
Name: 6Y c ti
Phone (day):
Address: 00 t Cit r1,Q ZIP:
Email and/or Fax: %v p ^ c�
PROJECT INFORMATION: Description ofproject:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
KA' ew Construction Single Family with ZI Residence
ddition attached garage ❑Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial Do Private Sewer
❑Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑Storage ❑ Public Water
**Any earth movement may also require ❑Commercial ❑Other(specify)
MCWD review&permits. ❑ Industrial P,Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other: (specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.org
Estimated Construction Valuation (excluding land) $ C) I lJ
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms= 2 Wood/Frame
b.Width(ft.)= CNumber of garage stalls: ❑ Masonry
Areas in square feet Attached= ❑ Metal
' C�j 1 ElPole Bldg.
c. Basement= � Detached= ❑ ICF
d. 15f Story = 2-07-2— ❑On-site Prefab
e.2nd Story= ❑Off-site Prefab
f. '/2 Story = ❑Other(please specify):
g.Total Area= 35lL3
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ Permit Application
❑ Proposed Building Plans
❑ MN State Energy Code Calculations and Mechanical Code Requirements Form
❑ Survey(meeting all requirements)
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation(s)
Er ❑ Septic System Site Evaluation Report
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Improvement Plan
❑ ❑ Engineered Plans for Retaining Walls 4 feet or above
❑ ❑ Minnehaha Creek Watershed District Permit(s)
❑ ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
❑ ❑ Other:
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.
/ 3 � 9
Applicant's Signature: Date:
Owner's Signature: Date:
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.
t R(-\AIQ �W-t W, I U h
First Middle Last
3aas W&Avy6n
Address
City State Zip Phone
I understand my rights as sta ed above.
Signature
Packet Last Updated: 04/19/2013
Page 20 of 23
At
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Christine Mattson
From: Robert Bean [bobbe@bolton-menk.com]
Sent: Wednesday, July 02, 2014 8:22 AM
To: Christine Mattson
Cc: Melanie Curtis; David P. Martini; Brian Simmons
Subject: 14-00610 -3955 Watertown Road
Christine,
We have completed our review of the documents submitted for 3955 Watertown Road. Following are our comments
for City consideration:
1. Siltfence should be installed at the downstream construction limits and inspected by the City prior to any land
disturbing activities. The Contractor must provide 24 hour notice prior to inspection.
If you have any questions or comments, you may contact me at 612-756-3184 to discuss.
Thank you,
Robert E. Bean,Jr, P.E.
LEED Green Assoc.
Water Resources Engineer
Bolton & Menk, Inc.
Consulting Engineers&Surveyors
2638 Shadow Lane,Suite 200
Chaska, MN 55318
P:(952)448-8838,ext 2892
F:(952)448-8805
email: bobbe@bolton-menk.com
www.bolton-menk.com
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
1
MEMORANDUM
Date: June 25, 2014
To: Dave Martini, City Engineer
From: Christine Mattson, Planning Assistant
c: Melanie Curtis, Planning & Zoning Coordinator
RE: Building Permit Number 2014-00610
3955 Watertown Road
The property owners of 3955 Watertown Road received variances for a new
residence. A copy of the resolution is attached. Please review the attached
building plans dated 5-23-14 and the survey dated 6-10-2014 and provide
comments by Wednesday, July 2, 2014.
Please don't hesitate to contact us if you have any questions or need additional
information. I can be reached at 952.249.4620 or cmattson@ci.orono.mn.us or
Melanie Curtis at 952.249.4627 or mcurtis@ci.orono.mmus
Thank you,
r
r
Ventilation, Makeup and Combustion Air
Calculations Submittal Form for New Dwellings
The completed form must be submitted in duplicate at the time of application of a mechanical permit for new construction.
Site address Date `
Completed By
Contractor I Heating&Cooling Two, Inc. (circle one) AI Hebing Kent Johnston/
Section A
Ventilation Quality
(Determine quantity by using Table N1104.2 or Equation 11-1)
Square feet(Conditioned area including /
Basement-finished or unfinished) Total required ventilation
Number of bedrooms djZ Continuous ventilation
E)
Directions-Determine the total and continuous ventilatio rate by either using Table N1104.2 or equation 11-1.
The table and equation are below.
Table N1104.2
Total and Continuous Ventilation Rates(in cfm)
Number of Bedrooms
1 2 3 4 5 6
Conditioned Space Total/ Total/ Total/ Total/ Total/ Total/
(in sq.ft.) continuous continuous continuous continuous continuous continuous
1000-1500 60/40 75/40 90/45 105/53 120/60 135/68
1501-2000 70/40 85/43 100/50 115/58 130/65 145/73
2001-2500 80/40 95/48 110/55 125/63 140/70 155/78
2501-3000 90/45 105/53 120/60 135/68 150/75 165/83
3001-3500 100/50 115/58 130/65 145/73 160/80 175/88
3501-4000 110/55 125/63 140/70 155/78 170/85 185/93
4001-4500 120/60 135/68 150/75 165/83 180/90 195/98
4501-5000 130/65 145/73 160/80 175/88 190/95 205/103
5001-5500 140/70 155/78 170/85 185/93 200/100 215/108
5501-6000 150/75 165/83 180/90 195/98 210/105 225/113
Equation 11-1
(0.02 x square feet of conditioned space)+[15 x(number of bedrooms+1))=Total ventilation rate (cfm)
Total ventilation—The mechanical ventilation system shall provide sufficient outdoor air to equal the total ventilation
rate average,for each one-hour period according to the above table or equation. For heat recovery ventilators(HRV)
and energy recovery ventilators(ERV)the average hourly ventilation capacity must be determined by consideration of
any reduction of exhaust or out outdoor air intake,or both,for defrost or other equipment cycling.
Continuous ventilation-A minimum of 50 percent of the total ventilation rate, but not less than 40 cfm,shall be
provided,on a continuous rate average for each one-hour period.The portion of the mechanical ventilation system
intended to be continuous may have automatic cycling controls providing the average flow rate for each hour is met.
Page 1 of 6
Section B
Ventilation Method
(Choose either balanced or exhaust only)
Balanced,HRV(Heat Recovery Ventilator)or ERV(Energy Recov. Exhaust only
ery entilator)-dm of unit in low must not exceed continuous venti- Continuous tan rating in cfm
lation rating by more than 100%.
Low dm: O High cfm: Continuous fan rating in cfm(capacity must not exceed
continuous ventilation rating by more than 100%)
Directions-Choose the method of ventilation, balanced or exhaust only. Balanced ventilation systems ore typically HRV or ERV's.
Enter the low and high cfm amounts. Low cfm oir flow must be equal to or greater than the required continuous ventilation rate and
less than 100%greater than the continuous rate. (For instance, if the low cfm is 40 cfm,the ventilation fan must not exceed 80 cfm.)
Automatic controls may allow the use of a larger fan that is operated a percentage of each hour.
Section C
Ventilation Fan Schedule
Description Location Continuous Intermittent
Directions-The ventilation fan schedule should describe what the fan is for,the location,cfm,and whether it is used for continuous
or intermittent ventilation. The fan that is chose for continuous ventilation must be equal to or greater than the low cfm air rating
and less than 100%greater than the continuous rote. (For instance,if the low cfm is 40 cfm, the continuous ventilation fan must not
exceed 80 cfm.) Automatic controls may allow the use of o larger fan that is operated a percentage of each hour.
Section D
Ventilation Controls
(Describe operation and control of the continuous and intermittent ventilation)
Directions-Describe the operation of the ventilation system. There should be adequate detail for plan reviewers and inspectors to verify design and
installation compliance. Related trades also need adequate detail for placement of controls and proper operation of the building ventilation. If
exhaust fans are used for building ventilation,describe the operation and location of any controls,Indicators and legends. If on ERV or HRV is to be
installed,describe how it will be installed.If it will be connected and interfaced with the air handling equipment,please describe such connections as
detailed in the monufactures'installation instructions.If the installation instructions require or recommend the equipment to be interlocked with the
I air handling equipment for proper operation,such interconnection sholf be made and described.
Section E
Make-up air
Passive (determined from calculations from Table 501.3.1)
Powered(determined from calculations from Table 501.3.11
Interlocked with exhaust device(determined from calculation from Table 501.3.1)
Other,describe:
Location of duct or system Ventilation make-up air:Determined from make-up air opening table
Cfm Size and type(round,rectangular,flex or rigid)
(NR means not required)
Page 2of6
Directions-In order to determine the makeup air, Table 501.3.1 must be filled out(see below). For most new installations,column A
will be appropriate,however,if atmospherically vented appliances or solid fuel appliances are installed,use the appropriate column.
For existing dwellings,see IMC 501.3.3. Please note,if the makeup air quantity is negative,no additional makeup air will be re-
quired for ventilation,if the value is positive refer to Table 501.3.2 and size the opening. Transfer the cfm,size of opening and type
(round,rectangular,flex or rigid)to the lost line of section D. The make-up air supply must be installed per IMC 501.3.2.3.
Table 501.3.1
PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST EQUIPMENT IN DWELLINGS
(Additional combustion air will be required for combustion appliances,see KAIR method for calculations)
One or multiple power One or multiple fan- One atmospherically vent Multiple atmospherical-
vent or direct vent ap• assisted appliances and gas or oil appliance or lyvented gas or oil
pliances or no combus- power vent or direct vent one solid fuel appliance appliances or solid fuel
tion appliances appliances appliances
Column C Column D
Column A Column B
1.
a)pressure factor 0.15 0.09 0.06 0.03
(dm/sf)
b)conditioned floor area(sf)(including
unfinished basements)
Estimated House Infiltration(cfm):Ila
—
%lb)
2.Exhaust Capacity
a)continuous exhaust-only ventilation
system(cfm);(not applicable to ba.
lanced ventilation systems such as
HRV)
b)clothes dryer(cfm) 135
135 135 135
c)80%of largest exhaust rating(cfm);
Kitchen hood typically
(not applicable if recirculating system
or if powered makeup air is electrically
Interlocked and match to exhaust)
d)80%of next largest exhaust rating
(dm); bath fan typically Not
(not applicable if recirculating system
or if powered makeup air is electrically Applicable
interlocked and matched to exhaust)
Total Exhaust Capacity(dm);
(2a+2b+2c+2d)
3.Makeup Air Quantity(cfm)
a)total exhaust capacity(from above)
b)estimated house infiltration(from
above)
Makeup Air Quantity(cfm);
(3a–3b)
(if value is negative,no makeup air Is
needed)
4.For makeup Air Opening Sizing,refer
to Table 501.4.2 l(
A. Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliance or if there are no combustion appliances.(Power vent
and direct vent appliances may be used.)
B. Use this column if there is one fan-assisted appliance per venting system.(Appliances other than atmospherically vented appliances may also be in-
cluded.)
C. Use this column if there is one atmospherically vented(other than fan-assisted)gas or oil appliance per venting system or one solid fuel appliance.
D. Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil
appliances and solid fuel appliances.
Page 3 of 6
Makeup Air Opening Table for New and Existing Dwelling
Table 501.3.2
One or multiple power One or multiple fan. One atmospherically Multiple atmospherically
vent,direct vent ap- assisted appliances and vented gas or oil ap- vented gas or oil ap- Duct di-
pliances,or no combus- power vent or direct pliance or one solid fuel pliances or solid fuel ameter
tion appliances vent appliances appliance appliances
Column A Column 8 Column C
Column D
Passive opening 1-36 1-22 1-1s 1-9 3
Passive opening 37-66 23-41 16-28 10-17 4
Passive opening 67-109 42-66 '29-46 18-28 5
Passive opening 110-163 67-100
47-69 29-42 6
Passive opening 164-232 101-143 70-99 43-61 7
Passive opening 233-317 144-19S 100-135 62-83 8
Passive opening 318-419 196-258 136-179 94-110 9
w/motorized damper
Passive opening 420-539 259-332 180-230 111-142 10
w/motorized damper
Passive opening 540-679 333-419 231-290 143-179 11
HP—M-1-0
damper
Powered makeup air >679 >419 >290 >179 NA
Notes:
A. An equivalent length of 100 feet of round smooth metal duct is assumed. Subtract 40 feet for the exterior hood and ten feet for each 90-degree elbow to
determine the remaining length of straight duct allowable
8 If flexible duct is used,increase the duct diameter by one inch. Flexible duct shall be stretched with minimal sags. Compressed duct shall not be accepted.
C. Barometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is installed.
D. Powered makeup air shall be electrically interlocked with the largest exhaust system.
Sections F
Combustion air
t required per mechanical code(No ztmospt,eric or power vented appliances)
Passive(see IFGC Appendix E,Worksheet E-11 Size and type
Other,describe:
Explanation-If no atmospheric or power vented appliances are installed,check the appropriate box,not required. If a power vented
or atmospherically vented appliance installed, use IFGC Appendix E,Worksheet E-1(see below). Please enter size and type. Combus-
tion air vent supplies must communicate with the appliance or appliances that require the combustion air.
Section F calculations follow on the next 2 pages.
Page 4 of 6
Directions-The Minnesota Fuel Gas Code method to calculate to size of a required combustion air opening,is called the Known Air
Infiltration Rate Method. For new construction,4b of step 4 is required to be filled out.
IFGC Appendix E,Worksheet E-1
Residential Combustion Air Calculation Method
(for Furnace,Boiler,and/or Water Heater in the Same Space)
Step 1:Complete vented combustion appliance information.
Furnace/Boiler:
�Ls
_
Draft Hood _ Fan Assisted Direct Vent Input: gtu/hr
or Power Vent
Water Heater: ,..-
_Draft Hood Fan Assisted _Direct Vent Input: Btu/hr
or Power Vent
Step 2:Calculate the volume of'the Combustion Appliance Space(CAS)containing combustion appliances.
The CAS includes all spaces connected to one another by code compliant 07e CAS volume: �ZvG hs
l x W x H t t>11✓�H
Step 3:Determine Air Changes per Hour(ACH)1
Default ACH values have been incorporated into Table E-1 for use with Method 4b(KAIR Method).
if the year of construction or ACH is not known,use method 4a(Standard Method).
Step 4:Determine Required Volume for Combustion Air.(DO NOT COUNT DIRECT VENT APPLIANCES)
4a.Standard Method
Total Btu/hr input of all combustion appliances Input: Btu/hr
Use Standard Method column in Table E-1 to find Total Required TRV: ft'
Volume(TRV)
If CAS Volume(from Step 2)Is greater than TRV then no outdoor openings are needed.
If CAS Volume(from Step 2)is less than TRV then to to STEP S.
4b.Known Air Infiltration Rale(KAIR)Method(DO NOT COUNT DIRECT VENT APPtIAN �/L��
Total Btu/hr input of all fan-assisted and power vent appliances Input: / to/hr
Use Fan-Assisted Appliances column in Table E-1 to find RVFA: -7 V•Z�fts
Required Volume Fan Assisted(RVFA)
Total Btu/hr input of all Natural draft appliances Input: f� Btu/hr
Use Natural draft Appliances column in Table E-1 to find RVNFA: /v. _ - - ft'
Required Volume Natural draft appliances(RVNOA)
Total Required Volume(TRV)=RVFA+RVNOA TRV: - _TRV ft'
If CAS Volume(from Step 2)is greater than TRV then no outdoor openings are needed.
If CAS Volume(from Step 2)is less than TRV then-go to STEP S.
Step S:Calculate the ratio of available interior volume to the total required volume.
Ratio-CAS Volume(from Step 2)divided by TRV(from Step 4a or Step 4b) L
Ratio
Step 6:Calculate Reduction Factor(RF).
RF=1 minus Ratio RF.= -
Step 7:Calculate single outdoor opening as if all combustion air Is from outside.
Total Btu/hr input of all Combustion Appliances in the same CAS Input: �e-�tu/hr
(EXCEPT DIRECT VENT)
Combustion Air Opening Area(CAOA):
Total Btu/hr divided by 3000 Btu/hr per in' CAOA= /3000 Btu/hr per in'= 2-5 (n'
Step 8:Calculate Minimum CAOA.
Minimum CAOA=CAOA multiplied by RF Minimum CAOA
Step 9:Calculate Combustion Air Opening Diameter(CAOD)
CAOD=1.13 multiplied by the square root of Minimum CAOA CAOD=1.13 V Minimum CAOA=J�Kn.diameter
o up one inch in size if using flex duct TT��
1 If desired,ACH can be determined using ASHRAE calculation or blower door test.Follow procedures in Section
G304.
Page 5 of 6
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City of Orono
CERTIFICATE OF OCCUPANCY
TEMPORARY CERTIFICATE
Building Address: 3955 WATERTOWN RD
PIN: 32-118-23-32-0004
Legal Description: Unplatted 32 118 23
Block 000 Lot 000
Zoning District:
Permit No: 2014-00610
Work Activity: Single Family
Construction Type:
Occupancy:
Occupant Load:
Fire Sprinkler: N
Applicant: Pillar Homes
Applicant Address: 1700 Niagara Lane N
City, State,Zip: Plymouth, MN 55447
Owner Name: Pillar Homes
Owner Address: 3955 Watertown Rd
City, State,Zip: Maple Plain,MN 55359-
THE FOLLOWING ARE NOTED AS INCOMPLETE OR MISSING.THESE MUST BE
CORRECTED OR COMPLETED AND REINSPECTED WITHIN THE SPECIFIED
NUMBER OF DAYS OR THIS CERTIFICATE WILL BE VOID
Failure to correct these deliciences will cause occupancy violation citations to be issued
Prior to Final Certificate of Occupancy
* All exterior improvements must be completed
* All grass/vegetation established
* Existing home on site must be demoed and completely removed
* Existing septic system must be completely abandoned
if
ji- reb;ae t corrections and to call for reinspection ith the a allowed:
ontractor IJ Date
2, 0. (OA,.�-. 1z- ��
ui mg icia Date
City of Orono
CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of Section 110 of the
International Building Code certifying that at the time of issuance this structure
was in compliance with the various ordinances of the local jurisdiction
regulating building construction or use. For the following:
Building Address: 3955 WATERTOWN RD
PIN: 32-118-23-32-0004
Legal Description: Unplatted 32 118 23
Block 000 Lot 000
Zoning District:
Permit No: 2014-00610
Work Activity: Single Family
Construction Type:
Occupancy:
Occupant Load:
Fire Sprinkler: N
Applicant: Pillar Homes
Applicant Address: 1700 Niagara Lane N
City,State,Zip: Plymouth, MN 55447
Owner Name: Brian&Judith Butterfield
Owner Address: 3955 Watertown Road
City,State,Zip: Maple Plain, MN 55359-
FOR YOUR INFORMATION
For any police,fire or medical emergency-Call:911 Posting of your assigned street number is required
In purchasing anew home,file for your homestead at the City offices.Register your address for voting,drivers
license and automobile registration. City water and sewer is billed quarterly.Septic inspection fees are billed
annually.Permits are required for any additions or alterations on your property or for construction of any garages,
deck, dock or other accessory structure.
Special regulations prohibit any excavation, filling,grading,dredging, tree removal,or construction of any kind
within 75 feet of any lakeshore or within 26 feet of any wetlands.
Please Note: The property owner is responsible for all Legal/Engineering charges resulting from this
project. Due to varying billing cycles,bills may be mailed up to 90 days after the issuance of this
Cecat of O upancy.
Zoning Administrator Date
BWdpg ici Date
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Please Note: The property owner is responsible for all LegaMagineering charges resulting from this
project. Due to varying billing cycles,bills may be mailed up to 90 days after the issuance of this
Certificate of Occupancy.
.2
nmR Administrator Date
cia Date
7E TIME
CITY OF ORbNO ' CALLED IN I 4Z
INSPECTIONnOO�E� ' SCHEDULED
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❑STOP ORDER POSTED.CALL INSPECTOR E)CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor te:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2014-00610&
Land Use Application#13-369
AGREEMENT made this day of . 20
by and between the CITY OF ORONO, a
Minnesota municipal corporation ("City") Brian&Judith Buttfield ("Owners").
Recitals
1. A building permit application has been filed for a new principal structure located at
3966 Watertown Road the ("Subject Property"), legally described as That part of the Northwest Quarter of the Southwest
Quarter of Section 32, Township 118 North, Range 23 West of the a Principal Meridian, described as follows:Commencing at
a point on the West line of said Section 32, distant 876.6 feet South of the Northwest comer of the Southwest Quarter of said
Section 32, thence East and parallel to the North line of said Southwest Quarter a distance of 100.81 feet to a point which is
the actual point of beginning of the tract of land to be described; thence a left deflection of 10 degrees 57 minutes from
aforesaid East line, extended a distance of 339 feet, more or less, to the center line of County Road 45;thence Northwesterly
along said center line of road to a point distant 313 feet Southeasterly from a point on the West line of said Southwest Quarter,
distant 304.6 feet South of the Northwest comer thereof, thence Southwesterly a distance of 147.4 feet to a point distant
100.81 feet East of the West line of said Southwest Quarter and distant 284 feet North of the actual point of beginning,thence
South to the actual point of beginning.
2. Owners request the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review only if
the Owner establishes 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$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 the City has incurred (including planning,engineering, in excess of$500, or legal consultant review)
or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible
for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket
costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention
Plan and 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 (including planning, engineering, or legal consultant review) associated with building permit
#2014-00610&land use application#12-3692 if compliance with the approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in tum 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 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.
6. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned 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 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 OWNER: o
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Inspector: Caary Cele.Noxa
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DESCRIPTION
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❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
11 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspect' 24 hours in advance. (952) 249-4600
Owner/Contractor on site: Xe'�'G
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
< ` DATE TIME
CITY OF ORONO CALLED IN
INSPECTION IJOTICE SCHEDULED
PERMIT NO. L04-b�10 COMPLETED
ADDRESS �
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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
OwnedContractor on site: I ,nVn
Inspector. r V W V M
White CopylInspector's File Canary Copy/Site Notice
b— 3 -) '52'� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION L49TICE SCHEDULED
PERMIT NO_ Lj-z2Z2&- le COMPLETED
ADDRESS �31?55 u x'
OWNERELEPHON o&--' li(� S
CONTRACTOR
DES IPTION
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Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE
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Cal ion 24 hours in advance. (952) 249-4600
Own (Contractor on sit ��
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White Copyllnspector's File Canary Copy/Site Notice
DAT TIME
CITY OF ORONO CALLED IN —
INSPECTION NOTIC_�D(p�0 SCHEDULED
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DESCRIPTION
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❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 urs in advance. 249-4600
Owner/Contractor on site:
Inspector.
White Copynnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.xa4i -Cpblo COMPLETED Lo-.�/'/�i
ADDRESS 3955 IVB,,,, yes.
OWNER TELEPHONE NO.
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DESCRIPTION
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❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
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INSPECTOR WILL RETURN
C3 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
inspection 24 hours in advance. (952) 249-4600
Ow rfContractoron sl
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Inspector
White Copyllnspectoes File Canary Copy/We Notice
a5 L D E TIME V
CITY OF ORONO CALLED IN
INSPECTIO T SCHEDULED
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DESCRIPTION
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❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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vOi COMMENTS:
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952)749-4600
Owner/Contractor on site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
A/;, S DATE TIME
CITY OF ORO
NO CALLEDIN
INSPECTION NOTICE SCHEDULED
PERMIT NO.,9Q1i -"Q 40 COMPLETED
ADDRESS
OWNER TELEPHONE NO.
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DESCRIPTION
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❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
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INSPECTOR WILL RETURN
13 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call f t inspection 24 hours in advance. (952) 249-4600
O r/Contractor on site: J_4''"� e
Inspector. rte,
White Copyllnspector's File Canary Copy/Site Notice
/ �' " C3, DATE TIME
v` CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 2-bV+-C)W1.13 �COMPLETED
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
r ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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V BEFORE COVERING PERMANENT
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contrac n site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice