HomeMy WebLinkAbout2016 - 01158 - detached garage CITY OF ORONO ! I I I 11 11
2750 KELLEY PARKWAY * 2 1 6 - 0 1 1 8
DATE ISSUED: 12/2U22 016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1175 WILLOWBROOK DR
PIN : 26-118-23-41-0004
LEGAL DESC : WILLOWBROOK
: LOT 002 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GARAGE-DETACHED
ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS
VALUATION : $ 60,000.00
NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE)
SEE BUILDER ACKNOWLEDGEMENT FORM
APPLICANT PERMIT FEE SCHEDULE 794.72
STATE SURCHARGE(VALUATION) 30.00
SETNICKER,MIKE&MOLLY TOTAL 824.72
1175 WILLOWBROOK DR
WAYZATA,MN 55391- Payment(s)
CHECK 3444 824.72
OWNER
SETNICKER,MIKE&MOLLY
1175 WILLOWBROOK DR
WAYZATA,MN 55391-
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
revoked at any time for due cause.
i a-b-I I (-6 ` �
Appli t Permitee Signature Date Iss _ y Signature Date
City of Orono �t
Building Permit Application , , s ,i/.
72,_.)
for New Structures or Additions
Mailing Address: Permit number: o?O/( --a7/.5
WA, PO Box 66
j v0 Crystal Bay, MN 55323-0066 Date received: —, 7/--/k
Street Address:' Received by: �'/
'' 2750 Kelley Parkway
6� Plan review fee: ��(o—
01 Orono, MN 55356
e'1kFsrtos-- Main: 952-249-4600 /fo -d// 5-7
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: I Pc i ii l l ov) b Cooh Dr tue
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes j 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/APP ANT INFORMATION:
Name: f QC (t)t` }fUC: I- L
State License# 1 L 70,„?..Sy , _ C Expiration Date: 313) /o17
Phone: (cell) 8 (office)
Mailing Address: 510 •rlr • _nue 6 . = ; ZIP: 553).V
Contact Person: Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax: pec O"s c i. . ‘ , (pr.-
1/4T
PROPERTY OWNER INFOR ATI ! G.L�/
Name: /��j%%" . ----i /( ��{Z
Phone (day): G i'2- ZS—Z> cv3Cc
Address: //73-- w,// by •€ City: Q,Pryro ZIP: S�3"/
Email and/or Fax ,,,,, Com'pr,,..-c1�/,7.,�.„,-_c
ARCHITECT/ENGINEER INFORMATION:
Name: •;,r\ /�
Phone (day): - '10--
, V
�p.
Address: Dp 0 r• ' e j City: i'se ZIP: c53'-
Email and/or Fax: eu,' r\-%/le k2 uMt (', WA-
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax: /
PROJECT INFORMATION: Description of project: , ;J(}-.'-z C .
1.Type of Project 2. Proposed Use 3. Structure Tyfoe 4.Sewage Disposal&
Water Supply
❑ New Construction 0 Single Family with Accessory Bldg./Garage
0 Addition • attached garage Deck 0 Public Sewer
Accessory Building 0 Single Family with 0 Office/Commercial
0 Relocation detached garage 0 Residence SiSeptic
❑ Other: (specify) 0 Multiple Family/Condo 0 Retaining Wall(s) (Compliance certificate
0 Public 4-feet or greater may be required)
**Any earth movement may require ❑ Commercial 0 Storage
MCWD review&permits. 0 Industrial 0 Warehouse
0 Public Water
Minnehaha Creek Watershed District(MCWD) Other: (specify) 0 Other(specify)
15320 Minnetonka Blvd; Minnetonka,MN 55345 (�ria�`C '' rivate Well
Phone: 952-471-0590 / Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ $60 000-
Packet Last Updated: January 2016
Page 21
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions
9 continued)
a. Length (ft.)= "ICI Number of bedrooms= v 2. Occupancy: J I/�
`� ,
b.Width(ft.)= '2)P- Number of garage stalls:
3. Occupant Load:
Areas in square feet( Attached =
A-
c. Basement= /� Detached= 1 4. Type of Construcion:
d. 1st Story = 11og
e. 2nd Story= 5. Code Edition:
f. ''A Story =
g.Total Area= j l qhi)
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
0 Building Permit Escrow Agreement and Fees
0 Plan Review Fee
O Completed Application Form
❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set
❑ Pek Minnesota State Energy Code Calculations and Mechanical Code Requirements
0
0
Survey—2 full size,to scale(meeting ALL survey requirements)
Hardcover Calculations
O Septic System Certification
O Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD stating no permit is required
❑ t Landscape Walls and/or Retaining Wall Plans
❑ Landscape Plan
❑ Stormwater Pollution Prevention Plan(SWPPP)
❑ Access Permit
X 0 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.
Applicant's Signature: CIFl/9g/S----
- Date: 6
Owner's Signature: � ^ Date: 1)-4 .moi
i�`i�/J
Packet Last Updated: January 2016
Page 22
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: 1 L15 WI ((,
IoL Permit No.: 2)1(0 ~0 or
Description of work: Ai1.f,1,550(y ' t't/ (14Ov( � Date Rec'd: CP-21 -V
Septic review by: yo„ / .jti Date Approved: /2- ' /
Zoning review by: Date Approved: I i' L' /
Building review by: //J (-‘ Date Approved:
Grading review by: A-lk2W1 r lwa Date Approved: I 2'L. ice
Zoning District: KIZ'(V Zoning File#: VQ - 3r1
Resolution? Yes Reso#: Reso Date: 11.0.'10 Signed: siv No Resolution/ NA
Zoning: Lot Area: 5. 1 SF/0 Width: Structural Coverage: SF %
Survey Submitted: )(Yes 0 No Date of Survey: S 17 .1(0° Revised date(?):
Landscape plan submitted? 0 Yes Landscaper: 0 No/None proposed
Proposed Setbacks:
Front (L Rear(S et) ( N 1 E W ) ( N S E W ) Other Buildings Wetland
ide Side
54-' qq'' ?O` 201
Building Height Analysis: h 'Y---4
Distance Between First Floor and defined Top of
Roof* (See "building height" definition): (a)
First Floor Elevation (from building plans): (b)
Highest Existing ground level (per survey) or 10' (c)
above lowest ground level, whichever is lower:
Difference between (b) and (c): (d)
Defined Building Height (a) - (d): (e)
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Permit Number: 0 Yes 0 No XN/A 0 Yes X
0 Yes o No
XN/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) (% and sf)
0 Yes 0 No 0 Yes 0 No
1 2 3 4 5 Dk.rjrm 10 , Type(s): Type(s):
Updated: October 2016
v:\forms\plan review checklist 10-2016.docx
_ Fees to be Char.ed YES NO
Plan Review 1/`
Investigation Fee
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
ZejEstimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits
22Footing ❑ Site ❑ Plumbing ❑ Grading/Filling
0(Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical ❑ Fire
❑ Foundation Survey ❑ Hardcover Removal 0 Fireplace 0 Water Connection
❑ Framing ❑ Other(specify) 0 Masonry 0 Sewer Connection
❑ Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation
O Foundation Waterproofing ❑ Other(specify) 0 Landscaping
Framing
❑ Insulation
O As-Built Survey
Final
❑ Lathe Required State Permits
❑ Other(specify)
❑ Well Electrical
REMARKS (in-house): 12t4so1.(4. 5( Q1\QL f37 VC (U yet
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
.age Builder Acknowledgement Form
❑ 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
Builder Acknowledgement Form
Permit #2016-01158 / 1175 Willowbrook Drive
Builder Representative Name: �C&coJ �1I Jec-
pIvee. Cor4r -},o' I,LC_
Permit Conditions: Initials
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 2
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 3-p
and repair of roadways for any adverse impacts.
Prior to the release of escrow funds an as-built survey must be submitted and approved.
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\willowbrook drive\1175\builder acknowledgement form 2016-01158.docx
•
• 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.
First Middle Last
Address
4 :106�� f/`� 55371 ‘/ �Sz) -G?4o
City State Zip Phone
I understand my rights as stated .bove.
Signature
Packet Last Updated: January 2016
Page 7
- 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
0 Plan Review Fee Paid
Signed Escrow Agreement & Escrow Payment
•
ii.air. 11 atilt dva
0
Building Plans (to scale) x2 I/O /VP(/1/
0 Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2 1-hit ' •
- vitalif“A Ulid-LM
0
IV
Hardcover Calculations (if applicable)
Luc-44 vit,
r, (th,,4
vouct kpi
I am aware that Orono will not issue a building permit without a
c 1
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
reardi thi project.
Signed by: 1 ---
Address: // 7 5 Gu l/OGS! h17j Zr'/
Permit #: c O /4,--- O 1/ S
Packet Last Updated: January 2015
Page 2
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Christine Mattson
From: Heidi Quinn <hquinn@minnehahacreek.org>
Sent: Monday, September 19, 2016 12:38 PM
To: Melanie Curtis; Christine Mattson
Cc: pivecconstruction@gmail.com; samslandscape@gmail.com; murph096@yahoo.com
Subject: MCWD follow-up: 1175 Willowbrook Dr, Orono
Attachments: W16-33 NOD boundary and type (signed).pdf; 1175 Willowbrook Dr, Orono- Garage
Addjpeg
Good afternoon Melanie&Christine,
The proposed garage addition at 1175 Willowbrook Drive will not require a MCWD permit since the amount of
disturbance is under the threshold of the Erosion Control permit requirements.
The homeowner has also applied for an erosion control permit( MCWD 16-134)for landscaping improvements that
appear to be within the wetland boundary. MCWD has not issued this permit. I have cc'd all parties involved to better
streamline communication. MCWD recommends altering the landscaping plans to pull the irrigation and proposed sod
installation out of the wetland boundary. Staff do not feel that the proposed work within the wetland would qualify as a
No-Loss, however, it is up to the applicant to apply for No-Loss Criteria per section 8420.0415 of the Wetland
Conservation Act Rules, Chapter 8420.
I have attached the NOD for Boundary&Type that was issued in July of 2016. Additionally, attached is the plan that was
reviewed for the proposed garage (32'x44').
Please feel free to contact me with questions or concerns.
Thank you,
Heidi
Heidi Quinn I Permitting Technician I Minnehaha Creek Watershed District
15320 Minnetonka Boulevard I Minnetonka, MN 55345 I Office: 952-641-4504
1
7
Address: /'7 Wf LL OL 1 )2 CL Pi21v6- Date: ___ .174
Prepared by: W• 1/•s L.. • (_.?1 11 t•c pcd
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' t
EXISTING HARDCOVER IN ZONE -5 r G 55 14 dF Loi- = 2.342135.D
A. House x =
S.F.
Length Width
SQ r x = S.F.
x = S.F.
B. Garage x = _S.F.
C. Driveway 28/03'
x =
S.F.
x = S.F.
,-r r
D. Sidewalk 2-7 x = S.F.
x = S.F.
E. Patio/Deck ` Z Z r x =
S.F.
x = S.F.
F. Weed control x = S.F.
weed barrier x = S.F.
of any kind x = S.F.
G. Retaining Walls x = ._.. _S.F.
H.Other x
) = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPER A AREA IN ZONE
l i 6 Q� _ B 23/_N 5 x 100 =- S.F.
2. c, OL % B
PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) l /D
A. House x = S.F.
Length Width
x = . S.F.
x = . S.F.
B. Garage O_t�1 jx 1 x =
S.F.
C. Driveway 3,&b x =
S.F.
x = S.F.
D. Sidewalk x = S.F.
• x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Weed control x = S.F.
weed barrier x = S.F.
of any kind x = S.F.
G. Retaining Walls __ _ _ __ x = S.F.
H. Other x =
S.F.
TOTAL HARDCOVER IN ZONE - S.F ,
TOTAL PROPERTY AREA IN ZONE 1. 6013/.-
�2 z / S.F. I
A - B L/�� - ) x 100 =
. 8715 ' 31 %
-13-
Christine Mattson
From: Adam Edwards
Sent: Friday, December 02, 2016 4:59 PM
To: Christine Mattson; Roger Peitso
Subject: RE: 1175 Willowbrook Drive/#2016-01158
Chris,
I've reviewed the site plan (albeit with some difficulty).
The overall grading plan is acceptable and I stamped it approved with comment-The Site plan has been amended to
indicate perimeter erosion control measures(silt fence, bio logs, etc.) down gradient from proposed work. Measures
must be installed by the Contractor and inspected by the City prior to any work. Contractor must provide a minimum 24
hour notice prior to inspection.
Adam
From:Christine Mattson
Sent:Thursday, December 01, 2016 3:35 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>; Roger Peitso<rpeitso@ci.orono.mn.us>
Subject: 1175 Willowbrook Drive/#2016-01158
The property owners received a variance to construct a detached garage forward of the principal structure. Please
review the building permit application and provide comments.
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono MN 55356 (physical address)
PO Box 66 ' Crystal Bay = MN 3 55323-0066 (mailing address)
g 952.249.4620 8 952.249.4616
P4
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: Friday, December 23,2016
Monday, December 26, 2016
Monday,January 2,2017
Monday,January 16, 2017
1
Christine Mattson
From: Christine Mattson
Sent: Monday, November 28, 2016 11:05 AM
To: Jacob Pivec
Cc: 'mike@powerplaymn.com'
Subject: 1175 Willowbrook Drive/2016-01158
Jacob,
Now that the variance has been completed I'm following up on the building permit application. The variance application
and building permit application require some of the same information, but are independent from each other, we don't
combine the files. If no changes were made with the variance approval, please submit one additional full-size copy of
the survey dated August 17, 2016 and one additional full-size set of the building plans dated 8-15-16 so we can continue
our review of the building permit application.
Please don't hesitate to contact us if you have any questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono '' MN 55356 (physical address)
PO Box 66 ( Crystal Bay MN 55323-0066 (mailing address)
St 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: Friday, December 23, 2016
Monday, December 26,2016
Monday,January 2, 2017
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C TY OF ORONO
Street Address: Mailing Address: Telephone(952)249-4600
y� G'y'' 2750 Kelley Parkway P.O. Box 66, MN 55323 Fax (952)249-4616
Iq F Orono,MN 55356 Crystal Baywww.ci.orono.mn.us
kESHO�
27 September 2016
Jacob Pivec
Pivec Construction LLC
510 Bridge Ave
Delano, MN 55328
Re: Building Permit Application#2016-01158
On September 21st the City received a building permit application for a detached garage. Please be advised that this
project requires approval of a setback variance to be reviewed by the Planning Commission and City Council on their
upcoming agendas. Because approval of a variance is required in order to issue the permit for the project as proposed
the permit application materials will not be put into the review queue to be reviewed until following approval by the
City Council.
Please feel free to contact me at 952.249.4627 or by email at mcurtis@ci.orono.mn.us if you have any questions on the
above.
Sincerely,
CITY OF ORONO
$ /'_/
Melanie Curtis
Planner
Copies: Jacob Pirvec
Mike Setnicker
Roger Peitso, Building Official
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SERVICES Daily Soil Observation Notes
Project No: Ib - 1o68 Date: 11/z9‘II, r '(e Report No:
Project Name: 11-1s 1—",1\0,...) ,,,,c4... (3i,.►._. Project Location: t f ovi o, MA)
Client: 1g c.., V a,-,c,kgrP A4-c_ Temp/Weather: Zoo — P,r--1-11 S-0,y
Project Manager: 1. \-�...j Time Arrived: Departed: I
Soil Observation
Areas Observed: n Building Pad House Pad (Roadway ❑Parking/Walks n Footing
❑Proof Roll VC Other(describe): P,,,,,,._ Pti,,
Soil report available? ❑ Yes ®No Report reviewed? ❑Yes El No Report prepared by:
Finish floor evaluation: Bottom of footing elevation: Bottom of excavation elevation:
Approved plans available? IN Yes ❑No Specified compaction: N 1p` Fill source:
Oversizing appears adequate? ®NA LYes ❑No Soils observed agree with Soils report? ❑Yes ❑No
Soils appear adequate for design loads? ®Yes ❑No Proposed project bearing capacity(psf): f,j f A
Contractor notified of results? ®Yes El No Name of person notified:
Was a copy of this report left on site? ®Yes ❑No If so,whom was it submitted to? .
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Performed By: U a \fix Reviewed By: Date: \Z Lci I -1-IV
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This is a preliminary report and is provided solely as evidence that field observations and/or testing was performed.Observations and/or conclusions and/or
recommendation conveyed in the final report may vary from,and shall take precedence over,those indicated in a preliminary report.
DATE TIME
CITY OF ORONO CALLED IN 7-7A /7
INSPECTION 71ICE HEDULED 7- /3 -1 7 .5.'
6-0
PERMIT NO. / �/' -T5 C MPL
ADDRESS /175- -
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OWNER iZ-e2
TELE�PNE NO. 3�.� "�Gx
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DESCRIPTION 41 (a0 1W 0 FOOTING 0 DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI EXCAV/GRADING/FILLING
C• ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 MECHANICAL FINAL 0 RATED WALLS
INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
r FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
r ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C) BEFORE CONERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN
INSPECTOR WILL RETURN
CI
O 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
OwnerlContractor on site:
Inspector: ."‘"")", ..--4 G•
White Copy/Inspectors Flu Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN _
INSPECTION NOTICE .- P SCHEDULED .:2/ 3// r .9 '• 3
PERMIT NO. /-(j(-'D1 1:-.30 COMPLETED
ADDRESS I , 7f-3 /.( ///('WL' ;C7C.k %)2-
OWNER TELEPHONE NO.-7'.`3 27;311-(`91/E
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Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
• 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
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1. INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
4:( 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor op site:
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Inspector: At-4, Z,
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE G_,, SCHEDULED - ///17
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PERMIT NO.I'-(1(o- 6/1-)e) COMPLETED IRE -1
ADDRESS / / 7� L ` /// (
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E DESCRIPTION c/ / f C/-
W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
5( ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL ❑ TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
..I ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR C]CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyfnspector's File Canary Copy/Site Notice
' �() fDATE TIME f
CITY OF ORONO CALLED IN /
INSPECTION NOTICE _ u SCHEDULED i/ /) 7/ / /t1
PERMIT NO. -�-C j 1c. -C'1 1 -3 COMPLETED ,
ADDRESS I ) ,7 t C ' J ( / ( CLL- bar (4
OWNER cl)(r;I) (� . TELEPHONE NO. • ?C'-:5- 5V vsv
CONTRACTOR
DESCRIPTION - 7,-; (. ��-r- c/ L C �a I( (-17Ct NZ
LU 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
Z• OWNERICONTRACTOR TO MEET YOU:_YES_NO
it COMMENTS:
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W~ ❑ RECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
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INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor op'it?:
Inspector: -
White Copyllnspector's File Canary CopylSite Notice
S\ CIC DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NZ‘:-/(-
OOTI_ r CE SCHEDULED /Mi.-,
PERMIT NO. c-‘ /(- ` /1•_,-)d /
COMPLETED
ADDRESS / / 7 _13 ,�'7 // C (/ 'hi"7 ryef
OWNER -)Ct r (, > TELEPHONE NO."2(- l' Y- ( Vg
CONTRACTOR
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DESCRIPTION CC /1\/(''
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W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
im 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v 0 DEMO-SITE 0 EPTIC INSTALL
2 WN
OERlCONTRACTOR TO MEET YOU YES_NO
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CITY OF O ONO
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SITE PLAN FOR
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SITE PLAN 15'
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CP -------
Willis L. Gilliard
Registered Civil Engineer and Land Survey
0 to"PO Box 17; 405 Central Avenue East
Saint Michael, MN 55376
612-382-0795
City of Orono
Planning & Zoning Plan Review
I hereby certify that this is a true
Site Plan Review Date:
and correct representation of
PROVED
<i survey of the boundaries of '-�OAPPROVED WITH REVISIONS (,see notes)
0 DENIFD
i (-)T? BLOCK, I WILLOWBROOK
HENNEPIN COUNTY, MINNESOTA.
A ad of the locations of all buildings thereon, and all visible
encroachments from or on said property and that I am a duly
Registered Land Surveyor under the laws of the State of Minnesota.
s surveyed by me this 17th day of August, 2016. I www"bro*
2-0110 - 016T
xWory &WUK-�
Willis L. Gilliard, R,L.S,, Minn. Reg, No. 9587
RECEIVED
SEP 21 2016
# 3871 CITY OF ORONO