HomeMy WebLinkAbout2009 - 00727 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00727
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 11/19/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2720 WHITE OAK CIR
PIN : 04-117-23-42-0020
LEGAL DESC : REG.LAND SURVEY NO. 1447
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 150,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
ADVANCED PLAN REVIEW FEE OF$881.89 PD 10/19/09-PERMIT-2009-00726
ESCROW FEE PAID FOR THIS PERMIT ON PERMIT#2009-00794
APPLICANT PERMIT FEE SCHEDULE 1,356.75
BRIAN STEPHENSON CONST. INC. STATE SURCHARGE(VALUATION) 75.00
2025 PAWNEE RD TOTAL 1,431.75
MEDINA,MN
(612)889-0477 PAID WITH CC# 4583
Minnesota State License#: 20222459
OWNER
KELLEY,CHARLES
2720 WHITE OAK CIR
LONG LAKE,MN 55356
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 suring all required inspections are
request-• in Ci�tjj�i ce with e State Building Code.This permit may be ���n
revo tan do,,.�: • .e se. 2J
/Lex/ // //f/
pplicant Permitee ignature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
•
r' 0,\0 City City of Orono43/. 7
\`\N Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: , gaa ze-7Q?'
�i►0� r Box 66
-Q Cry
\ Cstal Bay, MN 55323-0066 Date received: /0//,
'_ .v,.-
a. �.;.' �, Street Address:' Received by:
�,A�
1�n tiY^� � GAF' 2750 Kelley Parkway Plan review f e:
t`�kEsxo4`� Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ,0 --0, 474%.=D
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: 11 _
Job Site Address: 702 0 (.c) li t -e Oct. C 112c.)e
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes "R"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 will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: ff
Name: 'BR\AA). �S�epineYtQ ) Coast, ..T.A)C
State License# c,?Og,,`,,145? E iration Date: g-6 J—Ro id
Phone: 7/ ? -4/2g—‘,_5oa (office) /,,, --5•5-7-0,/-7-7 (cell)
Mailing Address: c2 ) j- '/P"1-1„4,ver R,i City: tN4 ZIP: ,_4-5-3r/p
Contact Person: BRI/1-.,-) r54-epiiertSo.t4 Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION: c
Name: Citri-i die. c Em.1( Ike l)e1
Phone (day): 9So2- ,'7,3-- ).236
Address: ,--7,;70 tt)it•i- ekt k- Ci)Ze-[e City:
Email and/or Fax OR/0/06 ZIP:
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal &
❑ New Construction Single Familywith Water Supply
9 Residence
Addition attached garage ❑ Garage/Accessory
❑Accessory Building ❑ Single Family with ❑ DeckBldg. ❑ Public Sewer
❑ Relocation detached garage ❑ Office/Commercial
❑ Other: (specify) ❑ Multiple Family/Condo Private Sewer
P El
❑ Public ❑ Storage ❑ Public Water
**Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review& permits. ❑ Industrial
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) Private Well
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ A.5—e3 000 =o
Last Updated: 9/29/2009
- 17-
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions (continued) 2. Type of Construction
a. Length (ft.)= ,2 Number of bedrooms= ❑Wood/Frame
❑ Masonry
b.Width (ft.)= 2 Number of garage stalls: ❑ Metal
Attached = ❑ Pole Bldg.
Areas in square feet Detached = _ ❑ ICF
c. Basement= C' ck40).5M€ ❑ On-site Prefab
j' ❑ Off-site Prefab
d. 15t Story = 74,q ❑ Other(please specify):
e.2nd Story=
f. '/Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
ffr ❑ Permit Application
Re- ❑ Proposed Building Plans
0 MN State Energy Code Calculations and Mechanical Code Requirements Form
❑ ❑ Survey(meeting all requirements)
O tEr Stormwater Pollution Prevention Plan
❑ ,421' Hardcover Calculation(s)
O -43". Septic System Site Evaluation Report
0 Access Permit
❑ Wetland Buffer Improvement Plan
❑ Engineered Plans for Retaining Walls 4 feet or above
❑ Plan Review Fee
O 0 Other
APPLICANT 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;
• 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.
4
Applicant's Signature: ft6.2"--' Date: �/ ` Q
Last Updated: 9/29/2009 •
- 18 -
Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: oe i�0 h' •-'E-e o (� t' a r'C C e_
Description of work: a 4('t, k‘k VAS -10 �c,/ S�
Septic review by: k) t Date Approved: / 1 - 6 'O /
Zoning review by: Date Approved: 4 A ( (o'j
Building review by: �� Date Approved: ( I- x°i - 01
Grading review by: Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zoning District I Fire Department Post Office School District
It
2 �j J
Zoning: Lot Area: } �S -+ `AC Width: 3(0 L Depth: Zc J
Survey Submitted: es ❑ No Date of Survey: jq Q q (A-5 pc.' ( I-- rov !i u•T
Proposed Setbacks:
Front (peke) - Rear )_- ( 0 S E W ) ( N 0 E W ) Other Buildings Wetland
Side Side
no C hA Q C9,C- h 0 Ct<v'Lcvz. t ct ' :L 1 _SS / h a‘.J
Building Defined Height: Building Peak Height:
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START the distance between the basement floor/ START the distance between the slab and the
WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice
the top of the cornice of a flat roof, the deck 1 of a flat roof, the deck line of a mansard
line of a mansard roof, or the uppermost roof, or the uppermost point on a round or
point on a round or other arch-type roof i other arch-t se roof
SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest
window and highest roof peak of a pitched window and highest roof peak of a
roof •itched roof
I SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the
I crawl space floor and the highest existing highest existing grade within the
grade within the foundation or 10 feet, foundation
whichever is less. j EQUALS Defined building height
EQUALS Defined building height
Lot Coverage:
Shoreland Distric MCWD Permit Received ; Avera•e Lakeshore Setback Bluff
1 ❑ Yest No I ❑ Yes ❑ No ❑ N/A 1 0 Yes 0 No 0 N/A In Yes ❑ No 1
Permit Number: 0• - •vg Setback:
• Hardcover Zones Ex� :• nl� d Variance Required CUP Required
0-75' 0 Yes 0 No 0 Yes 0 No
75-250' Type(s): Type(s):
I 250-500'
500-1000' I
REMARKS !�c'J(in-house): J2. cL 2.1(o 5 airs cc-tik r'f — A4 au 0 pi,rfwicf (s �_uJ
pex VS cC byt CL,Lit r s 2
Updated: 07/01/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO
Permit f •
Plan Review
State Surcharge t/
Investigation Fee
SAC-Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site Inspection
Other(specify)
Miscellaneous-Fees
Calculated By:
UBC: Construction Type:
Square Footage I $ per Square Footage
Basement X = $
1s` Floor X = $
2na Floor X = $
Garage X = $
I
Estimated Construction Value: $ /SO/000 C—
Orono Inspections Required Work Requiring Separate Permits Required State Permits •
❑ Site ❑ Plumbing 0 Grading / Filling 0 Well
O Hardcover Removal 0 Mechanical 0 Fire 0 Electrical
)2'Footing 0 Septic 0 Water Connection
O Foundation Survey 0 Fireplace 0 Sewer Connection
,i Framing 0 Masonry 0 Lawn Irrigation
.0 Insulation 0 Mfg. •
O Wall Board 0 Other(specify)
❑ As-Built Survey
pr Final
❑ Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: 0 YES 0 NO New: 0 YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 07/01/2009
z:\forms\plan review checklist.docx
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0REScheck Software Version 4.2.1 a
Compliance Certificate
Project Title: Kelley Residence
Energy Code: 2000 Minnesota Energy Code
Location: Hennepin County, Minnesota
Construction Type: Single Family
Glazing Area Percentage: 28%
Climate Zone: 2
Construction Site: Owner/Agent: Designer/Contractor:
2720 White Oak circle L ZC� 1,(.--
,� LLEY
Orona, MN 55356 b? ( tk\ ( S.T. PRC;('(-S-" (
Compliance:Passes
Compliance:23.8%Better Than Code Maximum UA:332 Your UA:253
Gross Cavity Cont. Glazing UA
Assembly Area or R-Value R-Value or Door
Perimeter U-Factor
Ceiling 1:Flat Ceiling or Scissor Truss 1896 44.0 40.0 25
Wall 1:Wood Frame, 16"o.c. 1966 19.0 18.0 47
Window 1:Above-Grade:Wood Frame:Double Pane with Low-E 436 0.280 122
Window 2:Above-Grade:Vinyl Frame:Double Pane with Low-E 36 0.350 13
Door 1:Solid 42 0.280 12
Door 2:Glass 84 0.320 27
Crawl 1:Solid Concrete or Masonry 42 10.0 10.0 7
Wall height:6.0'
Depth below grade:4.0'
Insulation depth:2.0'
Inside below-grade depth: 1.0'
Furnace 1:Forced Hot Air 94 AFUE
Air Conditioner 1:Electric Central Air 13 SEER
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building,has been desi••ed to meet the 2000 Minnesota Energy Code
requirements in REScheck Version 4.2.1 and to comply, ith the m-nd ►-requir sted in the REScheck Inspection Checklistt..
Name-Title 'ignature Date
Project Title: Kelley Residence Report date: 10/19/09
Data filename: Untitled.rck Page 1 of 3
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Christine Mattson Dog -007z7
To: Charlie Kelley
Subject: RE: Refund (Charles Kelley)
Good Morning Mr. Kelley,
In response to your escrow refund request, I have found a couple of outstanding items:
• Did you receive a variance from the Minnesota Department of Health regarding your well or
was a new one drilled?
• A final inspection is required. Please call 952-249-4600 to request one.
Once the above two issues have been addressed I can continue with the process of refunding your
escrow amount.
Christine Mattson
Planning Assistant
952-249-4620
From: Charlie Kelley [mailto:kelley@compasscap.com]
Sent: Friday, August 27, 2010 9:28 AM
To: Christine Mattson
Subject: Refund (Charles Kelley)
Chris:Thank you for taking my phone call this morning about refunding my escrow money of$2500. I have completed
my addition to my home at 2720 White Oak Circle. Should you have any questions you can reach me at 612-338-4077(w)
or 952-475-1280(h).Would you please reply to this e-mail , so I might know that you received my request.Thank you.
Charles Kelley.
\\N& ic,44J,_ ku\su
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1r1c4- aktiki =ct- 00-1271.
Christine Mattson
From: Charlie Kelley[kelley@compasscap.com]
Sent: Friday, August 27, 2010 9:28 AM
To: Christine Mattson
Subject: Refund (Charles Kelley)
Chris:Thank you for taking my phone call this morning about refunding my escrow money of$2500. I have completed
my addition to my home at 2720 White Oak Circle. Should you have any questions you can reach me at 612-338-4077(w)
or 952-475-1280(h). Would you please reply to this e-mail, so I might know that you received my request.Thank you.
Charles Kelley.
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0 ACP (-C)
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BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2009-00727
AGREEMENT made this dayof November,
2-009 , by and between the CITY OF ORONO,
�
a Minnesota municipal corporation ("City") and Charles and Emily Kelley ("Owner").
Recitals
1. Building permit applications have been filed for an addition to the principal structure located at
2720 White Oak Circle the ("Subject Property"), legally described as Tract G, Registered Land Survey No. 1447,
files of the Registrar of Titles, Hennepin County, Minnesota.
2. Owner requests 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 Owner 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
Owner 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 #2009-00727 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 turn
send a bill to the Owner. Owner shall be responsible for payment to the City within 30 days of the Owner's receipt
of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owner does not make
payment to the City within the timeframe outlined in #3 above, the City may draw from the escrow account without
further approval of the Owner to reimburse the City for Eligible expenses the City has incurred. The City shall
notify the Owner the Owner of such draw and the nature of the expense for which the reimbursement is being
made. If the Escrow amount falls below 75% of the original escrow amount the Owner shall deposit additional
sums as directed by the City, or the City shall discontinue review and post a Stop Work Order.
4. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owner when the review has been completed and written notification is received from the Owner requesting the
funds.
5. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, o e eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certif r -- unpaid balance to the
subje • ••_ y pursuant to Minn. Stat. §§415.01 and 366.012. /
CITY: CIT pR"bRONO :NL /
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CITY of ORONO
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*Iz�/ 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
November 2, 2009
Charlie and Emily Kelley
2720 White Oak Circle
Long Lake MN 55356
Dear Mr. and Mrs. Kelley:
Brian Stephenson Construction has applied for a permit to construct an addition to your house. The
zoning review is complete. We are waiting for the septic design for an alternate drainfield location and
the MCWD erosion control permit. Brian Stephenson has been notified of these items.
City Code requires an escrow of$2,500 in conjunction with your project. The purpose and conditions
of the escrow is explained more fully in the enclosed escrow agreement. Please read them carefully so
you understand your responsibilities and the consequences of non-compliance. You are responsible for
erosion control. Any costs the City incurs in excess of the escrowed amount will be assessed to
your property as special assessments and will be a lien on the property until paid.
The agreement must be signed and submitted with the escrow money before the permit can be issued.
You may mail them to: City of Orono PO 66 Crystal Bay 55323-0066, drop them at City Offices
(2720 Kelley Parkway) between 8am and 4:30 pm, or give them to Brian Stephenson to submit. You
will be mailed a receipt and a copy of the agreement after the permit is issued.
If you have any questions feel free to contact me. .
Sincerely,
Evely Turner
City Planner
952-249-4623
eturner@ci.orono.mn.us
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2009-00727
AGREEMENT made this day of November, , by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and Charles and Emily Kelley ("Owner").
Recitals
1. Building permit applications have been filed for an addition to the principal structure located at
2720 White Oak Circle the ("Subject Property"), legally described as Tract G, Registered Land Survey No. 1447,
files of the Registrar of Titles, Hennepin County, Minnesota.
2. Owner requests 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 Owner 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
Owner 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 #2009-00727 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 turn
send a bill to the Owner. Owner shall be responsible for payment to the City within 30 days of the Owner's receipt
of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owner does not make
payment to the City within the timeframe outlined in #3 above, the City may draw from the escrow account without
further approval of the Owner to reimburse the City for Eligible expenses the City has incurred. The City shall
notify the Owner the Owner of such draw and the nature of the expense for which the reimbursement is being
made. If the Escrow amount falls below 75% of the original escrow amount the Owner shall deposit additional
sums as directed by the City, or the City shall discontinue review and post a Stop Work Order.
4. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owner when the review has been completed and written notification is received from the Owner requesting the
funds.
5. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, 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:
By: By:
Its: By:
, + p r I tOlgOanoibepartnient D Copy to Street File