HomeMy WebLinkAbout2015-01148 - new structure , CITY OF ORONO * z 0 1 S - 0 1 1 4 8 *
2750 KELLEY PARKWAY DATE ISSUED: 09/30/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1105 BROWN RD S
PI1v : 10-117-23-24-0004
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 482,087.00
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION,
WELL(STATE),ELECTRICAL(STATE)
NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM
APPLICANT PERMIT FEE SCHEDULE 3,522.49
PLAN REVIEW 503.69
NORTON HOMES STATE SURCHARGE(VALUATION) 241.04
18215 45TH AVE N, STE D
PLYMOUTH, MN 55446- TOTAL 4,267.22
(612)386-7661 Payment(s)
Minnesota State License#: BUIL-BC639221 CHECK 13905 4,267.22
OWKER
Norton Homes
18215 45TH AVE N,#D
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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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.�
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Applicant Permitee Signature Date Issu�d B Signature Date
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City of Orono �l ��7 ��
Building Permit Application
for New Structures or Additions
_ Mailing Address: Permit number: 0�5 ��/
c1 O/�� PO Box 66 Q
y `Q Crystal Bay, MN 55323-0066 Date received: 7—�lS
StreetAddress:' Received by:
y� � 2750 Kelley Parkway Plan review fee: 7 J`_i%�
c,` Orono, MN 55356
�"�KESNo��" Main: 952-249-4600 Total Fee: O` —D��
Fax: 952-249-4616 www.ci.orono.mn.us s �
This application form must be completed in full and all required information must be subm ted. r�ItMtd✓
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: ��ir �; ,.,jr�� .� ,� � a '
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes - No
lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill b
required unless applicant demonstrates su/ficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: /l/�'�e,� f,/.,..�.c 3
State License# 3� G 3`� :�� I Expiration Date: 3 - 3 l - �'J
Phone: (cell) �i;t 3�G �. (office)
Mailing Address: i'��,� 7 zj5� Av�. � City:Q/`�7h��� ZIP: �;��/��Q,
Contact Person: G{,r�S /'1/r�✓}v�� Applicant is: !C�' / Homeowner (Circle One)
Email and/or Fax: C;/�r��S/►1� /1 v�"��h /-l�'nc-c 3 : C:c��Y� _
PROPERTY OWNER INFORMATION�
Name: �'�{y�(L
Phone (day): �;��1, '
Address: j
Email and/or Fax ���
�,�"f.
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ARCHITECT/ENGINEER INFORMATION: � �
� Name: j�,� �_ rJ�S��r� � � �j I
Phone (day): �i�- S•j 7�'-1,�L q �
Address: D '
Email and/or Fax: ���l�,l;� � t 7 �in sL1�41. u/ h��f�u�• � , c.� � _
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use
New Construction (�Single Family with �
Addition attached garage [
❑Accessory Building ❑ Single Family with [
❑ Relocation detached garage [,
❑Other: (specify) ❑ Multiple Family/Condo ❑
❑ Public ,J r'ublic Water
**Any earth movement may require ❑Commercial ❑ :
MCWD review&permits. ❑ Industrial ❑V _..:��ouse ❑ 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) $ �L�F �d('
Packet Last Updated: January 2015
Page 20
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PLAN REVIEVII GHEC�CLIST F�R IvI�1lV STRUCTIJI�ES / ADDITIOI�S
Address: � � �� � � Permit No.: �� ` ���4'�
Description of work: � �1, Date Rec'd: �' �•��
�eptic review by: ��iIJV� `�-���� Date Approved:
Zoning review by: � Date Approved: �° �� ' I�
�
Building reviev� b�: ��� � '` ��! E..`�'�� Date Approved: �"��'���
Grading review by: Date Approved: ; r�����
Zoning District: ��"" �� Zoning File#: Reso#: Reso Date:
? Zoning: Lo4 Area: �.�:;: r % ' SF�'/AC Width: Lot Coverage: �� ����2- SF �s.� %
Survey Submitted: �!-Yes Y Q No Date of Survey: � V�J i;� Revised date(?):
��.
Pro osed Setbacks:
Front (L,�'� Rear(�etj� f ''� S E W ) ( N .S��;� 19V ) p��y�r Buildings Wetland
Side Side
�' � �� " I I I , I `'i���
Defined Height: Peak Height: FFE: t f .:': FFE minus 6 feet�� . ' ' (Existing Contour;
�.>:.�
Perimeter(linear feet) = 50% = g �I �� '
L.F. below rade #�of Stories � �y:
«' FOR A BUILDING WITH!A BASEMEPJT OR CRAWL SPACE: FOR A�UlLDING ON A SLAB FOUNDATION:
The distance between the lowest proposed The distance between the top of
��f_ " START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the
F / the highest point of the roof. roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(no (no windows): Subtract hali
.� windows): Subtract half the distance the distance between the
� / between the highest point of the roof highest point of the roof to
to the low point of the corresponding the low point of the
_ SUBTRACTION gable or hipped roof corresponding gable or
(BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof
ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF
between the top of 1he highest ROOF TYPE) (with windows): Subtract
window and the highest point of the half the distance between
roof the top of the highest
• ALL OTHER ROOF TYPES(flat, window and the highest
point of the roof
mansard,etc):No subtraction. . ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distance betwee�the (flat,mansard,etc):No
;^�^:. (BASED ON basement/crawl space floor and the subtraction.
EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top
. • " ' - GRADES) foundation OR 10 feet(whichever is less). {BASED ON of slab and the highest existing
� EQUALS Defined buflding height EXISTING grade adjacent to the foundation.
GRADES
______ EQUALS Defined building height
Shoreland District AiICWD Permit �verage Lak�shore Setback ����
Met?
��es 0 No Permit Number: �� .� � 0 Yes � No N/A ❑ Yes No
a � N/A—see attached Setback:
Storrnwater Quality Existing Flardcmver Proposed
Overlay District o Hardcover Varianc� Required CUP Required
Tier(circle one (/o and sf� %and s
� ��, ��`����'�� � Yes o � Yes o
1 2 3 ` 4 5 (' Type(s): Type(s): `
�� �,�Y1�-���Ii'�'��l/� �.2�.P��"
Updated: January 2015
z:\forms\plan review checklist 2015.docx
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REMARKS (in-house):
Fees to be Char ed YES NO
Permit '.,1`
Plan Review
State Surcharge �''�
Investigation Fee �'
b SAC—Number of SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement �i�� ' X (y�.�� _ $ 0 �
�st Floor �� ��' X �"�. �� _ $ �,� � " `�; ,
2"d FIOOr � � �'�° X �G�� ��y = $ ���i � � °.
Gara9e � �� X ��• �� _ $ ��1- ���r��
�
;' Estimated Construction Value: $ ������ ��
Orono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site Plumbing � Grading/ Filling `Well
{;, �Silt Fence/ Erosion Control � Mechanical 0 Fire � Electrical
0 Hardcover Removal � Septic � Water Connection
' �Footing Fireplace �•-Sewer Connection
�:Poured Wall � Masonry ❑ Lawn Irrigation
_ Foundation Survey �.Mfg. 0 Landscaping
Foundation Waterproofing ❑ Other(specify)
Radon Rock Bed
�ffiL. Framing
Insulation
� As-Built Survey
Final
� Other(specify) �'��►�
REMARKS (in-house):
3
Other Review: Reviewed by: Date Approved:
�.'` Access: Existing: 0 YES � NO New: � YES � NO
FIGIAL REMARKS -TO BE NOTED ERMIT AND INITIALLED
�
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Updated: January 2015
z:\forms\plan review checklist 2015.docx
Builder Acknowledgement Form
1105 Brown Road South / #2015-01148
Builder
Permit Conditions Initials
Prior to the start of framing, a foundation as-built survey must be submitted //
and approved by the City or a stop work order will be issued. G' v
Schedule a minimum of one hour for the framing inspection. �
�
Erosion control shall be installed and maintained throughout the entire
project and must remain until vegetation has been established. C G✓
No underground sewer within 20' of well. C /
1/''
Prior to the issuance of a Certificate of Occupancy an as-built survey and
hardcover calculations must be submitted and approved. C �
In the event of winter or other 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 G , /
TCO requires a $10,000 escrow. V
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. C�✓
Any retaining walls that 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\brown road s\1105\builder acknowledgement form 2015-01148.docx
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Minnesota Department of Labor and Industry , ' _ Licensing and CertifiFatior Services \
Construction Codes and Licensing Division �. � , Ph ne: 651.284.5034
443 Lafayette Road N � , ���, , � e.
Email: DU.LicenseQ�s#at mn.us
�, Saint Paul,MN 55155 ,_ �� , �-^ Web�itec www.dli.mn.gav/cg�Id.asp
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Ho�Es � � �� �
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NOT TRANSFERABLE � � NORTON HOMES�LC �
CHANGE YOUR BUStNESS STRUCTURE � 18215 45TH AVE N ; _
"� SUBMIT A NEW APPLICATION FOR tp�tEW EtVTITY PLYMOUTH, MN 55446 . 1 �
, (\ STE D
RENEW OR REPLACE INSURANCE POUCY\`: ` PLYMOUTH, MN-55446
SUBMIT�IEW CERTIFICATE OF INSURANC� , �
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�� ,n,w v �> vc ,�" _� �. �� -�w; --� '�v�� �� �.�eo,, u.�z,;arr,� �'� "°rowo�n.z,, . �+�.�,�3 r��,A,,,`""'.:�* r„
�'a4,. ��,d ������,*�,"'*`�m a�.�*a`�^w �*,'e'� -'� _ s� : _�
New Construction Energy Code Compliance Certificate
Per R401.3 CeAificate.A building certificate shall be posted on or in the electrical distribution Date Certificate Pos
panel.
Place your
Mailing Address of the Dwelling or Dwelling Unit City Iogo here
1105 Brown Road Orono, MN
Name of Residential Contractor MN License Number
THERMAL ENVELOPE RADON CONTROL SYSTEM
Type:Check All That Apply Passive(No Fan)
o �, or other system monitoring
N C
N d
F �, ;� Location(or future location)of Fan:
� T
�/■��� ���� � c� c � _ � a a�
o n 3 � U a� o -a m
n � m a
� Q m m a�i U � a c
� � tq N � n L.L ` U
Insulation Location � � Z �6 '� v O � w N
m o m m E E � -o a
m �
c a� a� � � � .
r � z � ii� ii ii � � � Other Please Describe Here
Below Entire Slab ..� I'
Foundation Wall —/ -S r I ���� aµ5�
Perimeter of Slab on Grade
Rim Joist(1st Floor) _Z�
Rim Joist(2nd Floor+)
Wall 2—Z�
Ceiling,flat �Lf�
Ceiling,vaulted —3Z,'
Bay Windows or cantilevered areas —
Floors over unconditioned area ���(�
Describe other insulated areas
Building envelope air tightness: Duct system air tightness:
Windows 8 Doors Heating or Cooling Ducts Outside Conditioned Spaces
Average U-Factor(excludes skylights and one door)U: Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): 8 R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Domestic Water
Appliances Heating System Heater Cooling System
Not required per mech.code
Fuel Type Natural Gas Electric Electric Passive
Manufacturer Aire-Flo �«�, ,-� Aire-Flo Powered
Interlocked with exhaust device.
Model 92AF1UH090P12C 4AC13N036 Describe:
Input in 88000 Capacity in Output 3 Oth2r,describe:
Rating or Size BTUS: Gallons: �� in Tons:
AFUE or g2 SEER 13 Location of duct or system:
Efficiency HSPF%a /EER
Heating Loss Heating Gain Cooling Load
Residential Load Calculati 63,977 3741 3.1
Cfm's
"round duct OR
MECHANICAL VENTILATION SYSTEM "meta�duct
Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up furnace): Not required per mech.code
Select Type Passive
Heat Recover Ventilator(HRV) Capacity in cfms: Low: 100 High: 222 Other,describe:
Energy Recover Ventilator(ERV)Capacity in cfms: Low: High: Location of duct or system:
Balanced Ventilation capacity in cfms:
Location of fan(s),describe: In HRV and Bath Fans Cfm's
Capacity continuous ventilation rate in cfms: 100 "round duct OR
Total ventilation(intermittent+continuous)rate in cfms: 480 "metal duct
Builders Associaton of Minnesota version 101014
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V�ntil�tlon, Makeup and Combustion Air Cafcufafions �
Submitta! Form For New Dweliings =
These blank submittal forms and instructions are available at the Clty of Chanfiassen website and at Ciry Hall. The corimpleted form must be submit-
ted in duplicate at the tlme of application of a mechanical permit for new construction. Additional forms may be downloaded and printed af: �
ht�P�//Www.ci.chanhassen.mn.us/serv/bulld.html. . �
Site addrass I I�� �
(,{/ +-�Oa1 �J�M ✓cl h� Date gP�—�S �
Controctor Completed p
S.�dy,,,.�e:�'- �l�� Br �- ��.c €
. � j �
Section A . �
Ventilation Quantity , � �
s
(Determfne quantity by using Table N1104.2 or Equatlon 11-1) � "
Square Feet(Condidoned area including i �
easement-finahedorunflnished) C'� �� � t
Total requlred ventllatlon ��� �
NumberoFbedrooms � GontinuouSventilation Qr e
Directions-Determine the tofal and continuous yentilation rote by eiilrer using Table N11Q4.2 or equatlon 11-1. ' � �I
7he[ab/e and equation are below, k
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Table N3104.2 • f €
Total and Continuous Ventilat(on Rates(in cfrn) . i
' Number of Bedrooms • . 1
1 Z , 3 !
4 � S 6
Conditioned space(in Tota!/. i"otal/ Total/ Totai/ Total/ Total/
sq.k.} continuous continuous continuous continuous coniinuous cont�nuous
100a1500 .60/40 75/40 90/4S 105/53 120/60 135/68
150i-2000 70/40 85/43 100/50 315/58 130/65 145/73
2002-2500 80/40 95/48 110/55 125/63 140/70 155/78 I
2S013000 90/45 105/53 , 120/60 13S/68 150%75 16S/83 � �
3001-3500 100/50 115/58 130/65 145/73 160/80 175/88 �
3501-4000 110/SS 125/63 140/70 155/78 170/85 185/93 J �
4001-4500 120/64 135/68 150/75 z�5�83, �gp�g� �95�98 � �
4501-5000 130/65 145/73 160/80 175/88 90 9S 205/103 � �
5001-5500 1A0/70 155/78 170/85 185/93 200/100 215/108 ''
5501-6000 150/75 165/83. 180/90 195/98 210/IOS zZ5���3 I �
Equation 11-1 . � �
(O.OZ x square feet ot conditioned space)+[15 x(number of bedrooms+I}J=Total ventilatlon rate(cfmJ I
` Conditioned space includes the basement. � � �
• � I:
z If conditioned space exceeds 6000 sq. ft or there are.znore than 6 bedrooms use I
F
' ' Eq'iiation 11�1 from Section NI 104.2 to calculate total ventilation rate. � �
. I �
Tota(ventilation—The mechanical ventilation system shall provide sufficient outdoor a(r to equal the total ventllation rate average, �
for each one-hour period accord(ng to the above tabie or equation. For heat recovery venNlators(HRV)and energy recovery ventila- I �
tors(ERV)the average hourly ventilation capacity must be determfned in consideration of any reductton of exhaust or out outdoor i
air Intake,or both,for defrost or other equipment cycling.
Continuous ventilation-A minimum of 50 percent of the to[al ventilation rate,but not less than 40 cfm shall be provided,on a con-
tinuous rate average for each one-hour perlod. The portion of the mechanical ventilat(on system intended to be continuous may '
have automatic cycf ing controls providing the average flow rate for each hour is met, .
Page 1 of 6 I
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Section B
Ventilation Method
(Choose either halanced ar exhaust onl �
Balanced,HRV(Neat Recovery Ventllator)or ERV(Energy Recov- E�haust onfy �
eryVentilator)—cfm of unit In law must not exeeed cantinuous ventt• Conllnuous fao nting in cfin
IatlonratiogbvmarethanlAOy. , - �
Low efmr '�� H(gh cfm; 2 2 Z �onNnuous fan roting in cfm(capaclry must not euceed
wntinuous ventilatlan ratin b more than 100Y•} �
Oi�ections-Choose the method of ventilation,balanced or exhaust only. Balanced venUlation systems are typica0y NRV or fRV's. ' �
Enter the!ow and high cfm amounLs. L w c m plrf/ow must be equal to or greoter thon ihe required continuous venYllation rate and � �
lsss than 1003b greoter than the contfnuous rpte.(�'orinstance,if tfie!ow cfm!s 40 cfm,the ventilation fan mus[not exceed 80 c/'m,J I �
Automatic controls mpy al/ow the use af a largerfan Ehaf Is operated a percentage of each hour.
. j a
SBttion C � �
Ventilation Fan Schedule �
� �
Descri Hon i.ocation Continuous In'term(ttent
'a�v � 3 fl� .
Directions-The vsniilar�an fan schedule should describe wha�the fan is for,ihe location,efm,and whether it is used for continuous
orinte�mittent ventllat/on, The fan thqt is chose f4rcantinuous vent/!ptlon must be equa!fo orgreater than the I w c m a!r rating
and less than 1003�greater ihan the continuous rate. (forinscance,!f the/ow cfm is 4o cfm,the continuous ventilatlon fan must not +
exceed BO cfm.)Autornatic controls may apow,the use af a larger fan that ls operaced a percentage oj each hour, �
Section D
i
Ventilation Controls I
(Oescrihe operaHon and cantroi of the continuous and in�ermittent ventilatlon) �
2►� �
4 l'! 'H u• 7 � I
(
1
. �
' Dlrecttons-Descrlbe the ope�aUon of the venUlatlon system. There should be odequate detail far plan reviewers nnd Inspectors to ver�deslgn ond j
Installation compliance. Relaled trades also»eed adeguate detall jo�placamen!of convols and p�oper oparadon of the bu11ding ventilation, !f E
exhausr fnns ore used forbulld/ng vent!lotion,descrlbe the ape�at/on and locatfon of ony controls,!ndlcators and leqends. Ij an FRV or NRV ls to be i
lnstalled,desuibe how!t wl!!be Instn!led.!j!t wifi be connected and interfaced with Ure air handlfng equlpmenr,please describe such connections os
detolled!n the manu�actmes'rnstullation InstrucUorrs,!/the in.stallat/on lnst�ucr/ons requPie or recommend the equ�pmene to tre lnierlocked with the �
air handUng equipment fo�proper operatlon,suth/nterconnectlon shall be made and described. .
Section E
Mat<e-up air `
Passive(determined from caleulatlonslram Table 501.3.1)
Powered(determtned From calcu{ations from 1'abie 501.3.1)
Interlocked with exhaust devlce(determined from calculatlan from rable 50�.3.1)
Other,deseri6e: '
�
loC2ti0n Of dUct o1'Systet'i1 velltllatl0tl malC@-Up 2il':Determined from make-up air openfng table
�� Size and type(round,rectangular,flex or rigfd) `
(NR means not required}
Page 2 of 6
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Directions-In order to deCermine the makeup air, Table 501.3.1 must be fll/ed out(see belowJ. for most new installat/ons,cotumn A
wi!!6e appropriate,however,if atmosphericolly vented appliances or solid fuel appliances are JnstaUed,use the oppropriate column.
For exlstfng dweAings,see!MC 501.3.3. Please note,!f ihe makeup aIr quanflty is negaCive,no additional makeup air will be re-
quired for veniilatlon,if the vplue is positive refer fo 1"able 501.3.2 and size the opening. Transfer the cfm,size of opening and type
(round,rectangular,flex or rig/dJ to the lost line of section D. The make-up a1r suppiy must be InstaUed per IMC501,3.2.3,
Table 501.3.1 (
PROCEDURE 70 DE'fERMfNE MAKEUP AIR QUANITY fOR EXHAUST EQUIPMENT IN DWELLINGS
�Additlonal combusdon air wlll be re uired for combustlon a pliances,see KAIR method for calculations)
One or multlple pOwer One or multlple fan- One atmosphericallyvent Multlple atmospherical• �
vent or dlrect vent ap• assisted appliances and gas or oll appliance or lyvented gas or oil
pilances or no combvs- power vent or direct vent one solld fuel appliance appliances or Solld fuel �
tlon appllanCes app8ances appliances
Column C Column D I
Column A Column 8
1. �a)pressure factor 0.15 0.09 0.06 0.03
(cPm/sf)
b)condltioned tloor area(s�(including r�
unFlnished basements ��� 1��
Estimated HouSe Inflltratlon(cfm):[1a /'�CA` �
x IbJ (� �
2.Exhaust Capacity
a)contlnuousexhaust-onlyventllatlon �
system(cfm);(not appiicable to ba-
lanced ventilatlon rystems such as
HRV)
b)clothes dryer(c(m) 135 135 135 135
c)80%of largest exhaust rating(cfm); I
Kitchen hood typically
(not appikabte if reciralating system Z �(�
or If powered makeup afr fs electrically I
Interlocked and match to exhaust) I
d)80%of next largest exhaust rating �
(cFm); bath(an typically NOt i
(not applitable if recirculating system
or If powered makeup air Is eledrlcally Applicable
interlocked and matched to exhaust) !
i
Total Exhaust Capacity(dm); � �� �
[2a+2b f2c+2dl
3.Makeup Air quantity(cfm� ^-� �
a)total exhaust capacity(from above) � /�
b)estlmated house inflltratlon(From /^�d �
above) V �
Makeup Afr Quantity(dm); �
[3a-3b) � �� �,• 7i '
{if value is negative,no makeup air is �
needed) '
i
4,For makeup AlrOpening Sizing,refer �
to Table 501.4.2 I
i
f
A. Use this column if there are other than fan•assisted or atmospherically vented gas or oil appliance or if there ate no combustlon appliances.(Powervent ,
and direct vent appliances maybe used.]
B. USe this column If there Is one fan-assisted appliance per venting system,(Appllances other than 3tmosphericallyve�ted appllances may also be In-
tluded.)
C. Use thls column If there Is one atmospherlcally vented(other than fan-assisted)gas or oil appliance perventing system or one solld (uel appliance,
D. Use this column if there are multiple atmospherically vented gas oroll appllances using a common vent or If lhere are atmospherltallyve�ted gas Or oil
appliences and solld fuel appllances.
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Makeup Air Opening Table for New and Existing Dwelling I
Table 501.3.2 � g
; F
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One or multiple power One or multlple fan- One atmospherically Multiple atmospheriplly i
vent,direct vent ap• assisted appliances and • vented gas or oil ap- vented gas or oil ap� Duct di- �
piiances,or no combus- power venc or direct pliance or one solld tuel pliances or solid fuel ameter �
tion appllances vent applfances appllance appliances
Column A Column B Column C Column 0 �
Passfveopening 1-36 1-22 1-15 7,-9 3 �
I
Passiveopening 37-66 23-41 16-28 10-17 q �
i 6
Passiveopening 67-109 42--66 29—q6 lg_Zg 5 � p
Passive opening x10-163 67-100 47—69 29—4Z 6 ! �
Passiveopenin 364-232 101-143 70-99 43-61 7 �
PassNeopening 233-317 144-195 500-135 62-83 g '
Passiveopening 318-419 196-258 136-179 Bq-110 9
w/motorized damper �
Passiveopening 420-539 259-332 180-230 1x1-142 10
w/motorized damper
Passiveopening 540-679 333-419 231-290 143-179 11 �
w/motorized damper �
Powered makeup air >679 >419 >290 >179 • NA ;
Notes: I
A. An equivalent length of 100 feet of round smooth metal dud is assumed.Subtract 40 feet far the exterior hood and ten feet for eath 90�degree elbow to
I
determine tlte remaining length ot straight duct allowable. �
B. If flexible dud is used,increase the duct dlameter by o�e Inch.Flexibie duct shall be stretched with minimaf sags. Compressed duct shall not be accepted.
C. Barometric dampers are prohlblted in passlve makeup alr openings when any atmosphericaliy vented applfance is Installed.
D. Powered makeup alr shall be electrically interlocked with the largest exhaust system.
.� , 1 q
Sections F ; �
Combustion air
�
Not requlred per mechanical code(No atmospheric or powervented applla�ces) ?
Passive(see IFGC Appendix E,Workshee[E-1� Size and type I f
Other,describe: ;
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fxplandt/on-!f no p[mospheric or power vented applipnces o�e Insialled,check the approprJafe box,not�equired. !f a power vented !
or atmospherically vented opplipnce installed,use IFGCAppendix E,Worksheet E-1(see below). Pfease entersize pnd type. Combus- �
tion air venf supplies mus[communfcate w(th the appliance or ppplionces thai require the combustion air. �
i
Section F calcu/ations follow on the next 2 pqges. �
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�ecr-�-�h��o�d
��HVAC RESIDENTIAL LOAD CALCULATIONS Based Mxcxe
aa��„e o�
on ACCA Manual J8ae 5s;io„
LEARNING SOLUTIONS'
InsMucUons:Enter data into ellow fie/ds onl. All other lields are re uired text Gre fre/ds are calculatlons.
Desi n Conditions: Project: NORTON HOMES
Indoor Desi n Headn db 72 Winter 99%db -15 HTD 87 Address 1105 Brown Road
Indoor Desi n Coolin db 75 Summer 1%db 70 CTD -S CI 8 State Orono MN
IndoorDesf nCoolin RH 60% Grains -7 Dail Ran e Medlum Loadlnfo
Latitude 53 Elevation 46 Phone#
Heat Tota1 Glass Area Sin le Double Triple Jalousie Heating . Cno�ln
(Sq.FL) 443 X Meating 85.26 48.72 36.54 65.26
0 p ,/�.1 p
0o ng ota ass Area Sin le Double Triple Jaloueie
(Sq.Ft) NoRh 73 X Coolinp 10 10 10 10
Area 0 0 � 0
Cheek box below to N�yy � X Coollnp 41 38 3� 41
and add Intemal Area 0 8 A 8
Sliding Glass Doon Shading. South 82 X Cooling 28 21 23 Zg
No Intemai Snaae Area 0 0 {� p
❑ SE/SW �� X Coollny 54 49 48 5,1
Area 0 0 0 0
E 8 W 288.25 X Cooling 65 58 SS 65
9 0 20i 0
��� .n Drs wath Hei M Area Wood WoodlMeql Stortn MaWI MehllMehl Stortn
2 3 X 7.5 =C� X Meating 33.93 24.36 30.45 1827
24 0 21 0
X Coollnp 7.50 2.50 1.50 2.50
24 0 21 0
Gross Expoud Wall Hei ht Len qrea
(SQ.Ft) �X 3148.26 • �. 3,148
Net Wali Fnme-Siding Area Check If R-2 0 Insul R-11 R-13 R-19 R-21
Exposed Wail lesa 860 X He�tinp Board 20.88 8.44 7.92 5.92 5.66
alI glasa anC doors Insulatlon la 0 0 0 2,8i0 0
Wood Studs X Coollnq u3ed. g.gg 2,58 2.18 1.35 1,18
No Board Insu�atlon �J 0 0 0 2,660 0
Hel M Len th Area Olnaul R-2lnsul R-dlnsul R-151nsul
Net Wall(Above Grade 2') r�2�X 158 316 X Heating 50.81 23.40 15.23 5.22
Concreta Bloek w/boartl insulatlon 0 0 �16 0
No InteAor Tinish X Coolinp •2.92 -1.35 -0.88 -0.30
0 0 316 0
Net Watl(E'Below Gnde) Hel ht Len h Area O lnsul R-21nsu1 R4lnsul R-15lnsul
Conerete Block w/board Insulation r$�X 1312 1,312 X Heatlng 10.88 7.83 626 3.13
No interior Mish 0 O 1,312 0
Ceiling(Sq.FL) Nona R19 6" R30 10" R38 12" R56
(Und�r Attic or Attle knea wall) Haatinp Width Len Area 35.50 4.26 2,78 2.26 1.57
Attic Temperautre 150` �X 7876 = 1 876 X 0 0 0 1,878 0
Any Roortng Mate�ial Cootlnp 21.a2 2.57 1.68 1.37 D.85
0 0 0 1 L78 0
Celling(SQ.FL) Norle R19 6" R30 10" R3E 12" R56
Ceiling below Roof Jo{sb Heatlnp WIdM Len Area 20.97 4.44 2.96 2.52 1.83
Dark or Bold Color Asphait Shinyle ��X�e� X 0 0 0 0 0 �
DeckConartuMion Coolinq �1.45 1.�5 0.91 0.7� 0.85
0 0 0 0 0
Basement Floor yy�dm Le� prea
(2 or More Feet Below Grode) �X 7356 = 1,356 X Heating �,g�
20'Shortest Side
Slab on Gratle LlnearFt Olnsul R-5 R-10 R-15
Meavy Dry or Light Wet Soil � X Meating �18.1 39.1 30.9 27.3
Vertical Ed e Insul 3'beiow nde 0 0 0 0
oor ver pen raw Wldth Len h Area Olnsul R-11 R•19 R-SO
Space orGarage �X 20 = 520 X Heating 45.3 6.8 4.4 3.0
0 0 0 620
Cooling 53.1 1�.2 5.1 3.6
0 0 0 S20
oor ver nc ose Witlth L�n th Area O lnsul •11 R•19 RJO
Uncondidoned Crawl Spaee �x�p -�� X Heating 7.38 3.36 2.50 1.87
orUncondltioned Baaement 0 0 0 0 �
X Coolin9 1.92 0.47 0.32 0.22
0 0 0 0
CheCk if Semi-LOose � Home Leaka e Faetor Total CFM
Infittration House Under 2000 5 .Ft Over 2000 S .FL 0 HTD
Cetltn Area Nei ht Mlns. Semi-Loose Semi-Looae p ' �� .
1,876 X 8.5 +�X 0.00 D,00 1{6 � CTD
0.00 D,00 �;
Fire laces CFM
1 X 20 20
Number of People People 5 X 230 _
Avera e Desi ner
Kitchen Allowance Or
Check Box for for Designer Kitehen(2400 BTUH) � �Zpp p
SUbtOtal •
Check Boxfor%Leakaga
6°k&6% 8%Supply P,Ir Duct Leakage and 6�Retum Air Duct Leakage 07� OX �
Duct Loss/Galn-Supply 8 Retum 9%&1 S% ❑ 9%Supply Air Duct Leakage antl 15°h Retum Air Duct Leakape OX 0°/. �
12Yo&24% ❑ 12%Supply Alr 6uct Leakage antl 24%Retum Air Duct Leakaye OY. 0•�t �
24°k S 47Yo 244'e Sueelv nir nud i n�t�n. ��n a�a o.«�..,e�.n...,.�e��___ .... �..
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v m g s o e � o 0 3 0 o n �v a `� o a a x
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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.
�
� i' r° 5���c11,. l�ctii��r f �V:ii���'�.
First Middle Last
���_; ��t; � �f,�,` ;i;
Address
�'�,y����.�f/� �^)��;.' 7���y�i � �/�- ���- 7 L�l
City State Zip Phone
I understand my rights as stated above.
.-� /
�� ��� ,
Signature
Packet Last Updated: January 2015
Page 7
,S�,crv e o r 's C'e r�� 2 c a te Ho�se = 2,195sq.ft.
` ��• Driveway = 2,731sq.ft.
y � ��
SURVEY FOR :Norton Homes L 0 T SQ. F00 T!� GE = 26, � 72
DESCRIBED AS :
BeginningatapointontheeastlineofGovernmentLot6, SectionlO, Township117, Range23, IMPERV. HSE. SQ. F00TAGE = 2, 195 =8. .3�
HennepinCounty,Minnesota,distant625.2feetsouthofthe northeastcornerthereof;thencewesterly Existing Home IMPERV. DRI VEWA Y &� SQ. FOOTAGE = 2, 731 = 10. 4�
330.74feettoa point216.69feetnortheasterlyatrightanglesfromthecenterlineofCountyRoadNo. , GF=954.2
87; thence southeaste rly parallel with said centertine 123.22 feet;thence easterly258.72 feetto said � �
eastlineaf�overnmentLot6;thencenortherly100feettothepointofbeginning,exceptroad.(From 95s.sL_______________________� g56.5 IMPERVIOUS COVERAGE = 18. 7�
�
HennepinCounty} � �, __ ��
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948.6 \ ' ----- »"Ceeor
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Top of Foundation =955.2 �� ; roe=ssi.� � �
Garage Floor =954.8 �� � � ��
Basement Floor =946.5 � �,
Aprox. Sewer Service = Verify ,
Proposed Elev. _ �
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Drainage Directions = -�
Denotes Offset Stake = •
� � I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION �OB No:
BENCHMARK,
• • OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED NH115R-049
L A N D F O R M BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
kom Sitie m Rnish • •
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. BooK:
���D � � . MIN. SETBACK REQUIREMENTS
8 10 15 �� cno ��E:
zoos P�� Oak Drive �A�----�----�---- FI'Ont -50 House Side -30
Eogan, MN 55�22 F D. LINDGREN, LA SURVEYOR Norton-15 SCALE: 1 inch = 30 feet
Phone: (651) 405-6600 MINNESOTA LICENSE NUMBER 14376 _ Rear -50 Garage Side-30
Hennepin County GIS - Printable Map Page 1 of 1
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Pa�ce� 10-117-23-24-0004 A-T-B: Apstract v'"'" �'`"��� ';� � ��'�' " t��
��' Print Date: 9/18/2015 �
Owner Norton Homes Lic Market $127,000
Name: Total:
Parcel 1105 Brown Rd S Tax $2,036.78
Address: Orono, MN 55391 Total: (Payable:2015)
Property Residential Sale $162,500
Type: P�IC@: This map is a compilation of data from various
sources and is fumished"AS IS"with no
Home- Homestead Sale 04/2015 representation or warranty expressed or
stead: Date: impiied,including fitness of any particular
purpose,merchantability,or the accuracy and
completeness of the information shown.
Parcel 0.6 acres Sale
Area: 26,278 Sq ft COd@: COPYRIGHT OO HENNEPIN COUNTY 2015
� Think 6reen!
_.--_._ __.
https://gis.hennepin.us/Property/print/default.aspx?C=454703.80031301733,4978477.3404... 9/18/2015
Christine Mattson
From: John Nielsen <JohnN@NortonHomes.com>
Sent: Monday, September 28, 2015 3:46 PM
To: Christine Mattson
Subject: 1105 Brown Rd S - Updated Survey and Landscape plan
Attachments: 1105 Brown Rd_Landscape Plan (9-25-15).pdf; 1105 Brown Rd PERMIT (9-28-15)_CofO.pdf
Chris,
Attached is updated survey and a landscape plan. I believe have have addressed everything from you letter:
1 a. No change of driveway
1 b. Noted first floor elevation
1 c. Noted measurement point for TOF with T.F.
2. Landscape plan - attached
3. MCWD - as we discussed this has been issued.
4. Sewer permits - as you suggested I will wait until we are ready to reconnect before obtaining that permit as it
really should be pulled by our contractor.
Let me know if you have any questions.
John Nielsen
Norton Homes
763-559-2991
i
Christine Mattson
From: John Nielsen <JohnN@NortonHomes.com> I�- j�j
Sent: Wednesday, September 23, 2015 9:28 AM 1� `���n�
To: Christine Mattson C�r �j� ��
Subject: Fwd: 1105 Brown Road S/#2015-01148 J
Attachments: letter.pdf; Survey Requirements -August 2015.pdf; Sewer&Water Permit-2015 Fees -
Updated 07-01-15 New State Surcharge.pdf; Scan104082.pdf
Christine,
I wanted to follow up regarding a couple of the items on your letter regarding the permit for 1105 Brown Road:
la. The driveway will remain in the same location as is currently being used
1 b. The survey submitted shows the top of foundation elevation; does Orono not consider this to be the first
floor elevation?
1 c. Can you clarify what you mean by "spot where top of foundation elevation reference elevation is being
measured from"
2. We will submit shortly
3. MCWD -this application was issued on 9/3/15 (see attached). We were informed by the MCWD that this
' formation was provided directly to the City of Orono via electronic means. If that is not the case please let us
know so we can change or process in the future.
4a. The sewer has already been disconnected by DSM Excavating;
4b. Can you clarify what is meant by the "Water Availability For Future Hook Up"? Is this required on all
properties or only some?
---------- Forwarded message ----------
Fror:i: Chris norton <chrisn a,sourceland.com>
Date: Wed, Sep 23, 2015 at 8:44 AM
Subject: Fwd: 1105 Brown Road S /#2015-01148
To: John Nielsen<JohnN(a�nortonhomes.com>
Sent from my iPhone
Begin forwarded message:
From: Christine Mattson<CMattson(a�ci.orono.mn.us>
Date: September 23, 2015 at 8:13:44 AM CDT
To: "'chrisn(a�nortonhomes.com"' <chrisn e,nortonhomes.com>
Cc: Roger Peitso <r�eitso e,ci.orono.mn.us>
Subject: 1105 Brown Road S /#2015-01148
Chris,
i
Attached is a copy of the letter and enclosures being mailed today. Please don't hesitate to
contact me 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)
� 952.249.4620 � � 952.249.4616
�'� cmattson(�a,ci.orono.mn.us � www.ci.orono.mn.us
Office Hours: Monday - Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Wednesday, November 11, 2015
John Nielsen
Norton Homes
763-559-2991
z
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. L-l�15 � C�II`�`� COMPLETED I G� ZO i��
ADDRESS � � �� �I�U�u'u1 � _�
OWNER TELEPHONE NO.
CONTRACTOR
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Ca11 for the next inspection 24 urs in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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C ITY OF ORONO
,>, � Street Address: Mailing Address: Telephone(952)249-4600
� Gti 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616
F�
�, Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
"�kEsxo�
September 23,2015
Chris Norton
Norton Homes
18215 45th Avenue N
Plymouth, MN 55448
Re: Building Permit Application#2015-01148
1105 Brown Road S
On September 9, 2015 the City received a building permit application for new single family home. Staff conducted a
preliminary review based on the information provided and requests the following items be submitted or revised in
order for your application to be considered complete and for the plan review to continue:
1. Certificate of Survey. Our engineer has reviewed the survey submitted and has the following comments:
a. Brown Road is also known as County Road 146. If the driveway access location along the county road
is changing, please contact Hennepin County directly to see if you trigger any of their permitting
requirements.
b. Have the surveyor update the survey to show the proposed first floor elevation.
c. Have the surveyor update the survey to show the point or spot where the top of foundation elevation
reference elevation is being measured from; we expect this to be consistent with the measurement
on the foundation as-built.
Attached is a copy of our survey requirements.
2. Landscape Plan. Prior to the issuance of the building permit a landscape plan must be submitted showing all
the proposed exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining walls,etc. The plan
should include the name of the individual perForming the work. The landscape plan should match what is
shown on the survey.
3. Minnehaha Creek Watershed District (MCWD). Your project may trigger the Minnehaha Creek Watershed
District's (MCWDs) permitting requirements; please contact the MCWD directly at 952-471-0590 regarding
your project. Please note,the City of Orono will not issue a building permit without a copy of the MCWD permit
or documentation stating the proposed project does not trigger any of their permitting requirements.
4. Separate City Permits Required for:
a. Sewer Disconnection, copy attached.
b. Sewer Connection, copy attached.
The above information is required in order for the plan review to continue. Please feel free to contact me at
952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements.
Sincerely,
CITY OF ORONO
''�1�'�1�� 4�,��j ti
ristine Mattson
Planning Assistant
c Chris Norton,via email
Roger Peitso, Building Official
enclosures
Christine Mattson
From: Adam Edwards
Sent: Thursday, September 17, 2015 4:08 PM
To: Christine Mattson
Subject: RE: 1105 Brown Road S/#2015-01148
Chris,
I've reviewed the subject grading plan and approved it however offer the following comments;
1. The applicant should obtain a permit for Hennepin County for the new driveway location.
2. The applicant wili require a utility permit to disconnect and connect to the sewer.
3. The erosion control mechanisms should be planned for and must be installed and inspected by the City prior to
any land disturbing activities. The Contractor must provide a minimum 24 hour notice prior to inspection.
Adam
From: Christine Mattson
Sent:Wednesday, September 16, 2015 4:25 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>
Subject: 1105 Brown Road S/#2015-01148
Adam,
We received a building permit application for a new single family home at the above address. Please review and provide
comments.
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono J MN ': 55356 (physical addressJ
PO Box 66 ' Crystal Bay MN , 55323-0066 (mailing addressJ
`�' 952.249.4620 ' � 952.249.4616
�I 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: Wednesday, November 11, 2015
1
Christine Mattson
From: Christine Mattson
Sent: Wednesday, September 23, 2015 8:14 AM
To: 'chrisn@nortonhomes.com'
Cc: Roger Peitso
Subject: 1105 Brown Road S/#2015-01148
Attachments: letter.pdf; Survey Requirements -August 2015.pdf; Sewer&Water Permit-2015 Fees -
Updated 07-01-15 New State Surcharge.pdf
Chris,
Attached is a copy of the letter and enclosures being mailed today. Please don't hesitate to contact me if you have any
questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono � MN � 55356 (physical addressJ
PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ
�' 952.249.4620 � � 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: Wednesday, November 11, 2015
1
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Eagan, MN 55122 F D. LINDGREN, LA SURVEYOR Norton-15 Rear' -50 Gara e Side-30
Phone: (651) 405-6600 MINNESOTA �ICENSE NUMBER 14376 C3 SCALE: t inch � 30 feet
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White Copyllnspector's Flle Canary CopylSite Notice
C`�j%� " T TIME
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Inspecto �-✓
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DATE TIME
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Ca11 for the next inspection 24 hours in advance. (952� 249-4600
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Inspector.
White Copyflnspector's File Cenary CopylSite Notice
�-� � �
Q DATE TIME
CIT�V�vr�ONO CALLED IN U�3a�
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Inspector. " ��-
White Copyllnspector's File Canary CopylSite Notice
�-� � = . ✓
� DATE TIME
CITY OF ORONO CALLED IN �1��
INSPECTION N�I� O/� SCHEDULED ' � '�_
PERMIT NO. MPLEfED
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant ��
CC: Street File
Date: September 7, 2016
G/L: 101-22205
Re: Escrow Refund
Building Permit #2015-01148 pertaining to 1105 Brown Road South is complete. Please
refund $2,500 to the applicant, Norton Homes.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Norton Homes
18215 45�'Avenue N, Suite D
Plymouth, MN 55446
w:�.street files�brown road s\1105\escrow refund form 2015-01148.docx
`
DEMOLITION PERMIT �T��S D//�S G�vL� c�>�S-�����
ESCROW AGREEMENT
AGREEMENT made this�_day of ��(S(7�T 20�, by and between the CITY OF ORONO, a
Minnesota municipal corporation ("City") and �llO2�J �-�,(L� ("Owners").
Recitals
1. An application for a demolition permit has been filed for �ooS6/CsA�-AcGG located at
f (� � /�,p. 5 , ("Subject Property") legally described as
b�t�f�.T
2. In conjunction with the demolition, erosion control measures are required as shown on attached
Exhibit"B".
NOW, THEREOFRE, THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement,
the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the
City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for
all out-of-pocket costs (including planning, engineering, or legal consultant review) the City has incurred to assure that
the erosion control measures are installed and maintained so the property complies with the provisions of Orono City
Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions
associated with the work and to repair any damage to public property or infrastructure that is caused by the work. If
compliance with the approved Land Disturbance Permit is not accomplished within the allowable time period, the City
may bring the project into compliance by use of the security.
3. RIGHT OF ENTRY. The Owners hereby grant the City, its agents, employees, officers and
contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in
conjunction with the required erosion control measures, including but not limited to constructing or completing any and
all of the agreed upon improvements should the Owners' contractor not complete those improvements by the date
specified herein.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. 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.
5. CLOSING ESCROW. Any remaining amount of the financial security deposited with the City for
faithful performance of the plans and specifications and any related remedial work will be released after the
completion and inspection of all such measures and the establishment of final stabilization for the Subject Property.
City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements
of the project have been successfully 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 OWN .
By: \��Y�►1�01 f� _
�ts: �Anr��r� A��k►r��
Internal Use Only;� �<��Original to Finance Department � � � 0.Copy to Street.File _� ��` x�.�
Form Last Updated: January 2015
150784
,
" ' � CITY OF ORONO * z 0 1 5 - 0 1 1 4 9 *
2750 KELLEY PARKWAY DATE ISSUED: 09/09/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1105 BROWN RD S
PIN : 10-117-23-24-0004
LEGAL DESC : iJNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT-2015-01148 AND DEMO PERMIT 2015-01145
APPLICANT ESCROW FEE-BUILDING 2,500.00
NORTON HOMES TOTAL 2,500.00
18215 45TH AVE N, STE D Payment(s)
CHECK 13861 2,500.00
PLYMOUTH,MN 55446-
(612)386-7661
Minnesota State License#: BUIL-BC639221
OWNER
Norton Homes
18215 45TH AVE N,#D
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
Christine Mattson
From: Christine Mattson
Sent: Wednesday, August 31, 2016 3:13 PM
To: chrisn@nortonhomes.com
Cc: 'Amy Williams'; Roger Peitso
Subject: 1105 Brown Road 5/#2015-01148
Chris,
Our inspector visited the property today and reports"repair the cleanout at exterior for building sewer" must be
completed before we can issue the certificate of occupancy. Please contact building official, Roger Peitso, if you have
any questions regarding his requirement and to schedule a follow-up inspection.
Please don't hesitate to contact rrae with any questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono ! MN ; 55356 (physical addressJ
PO Box 66 ' Crystal Bay ; MN � 55323-0066 (mailing addressJ
S' 952.249.4620 j � 952.249.4616
� cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Summer Office Hours: (Monday, May23 through Friday,September2,2016)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday,September 5, 2016
1
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE '/ SCHEDULED �;� i �
PERMIT NO. -� ��� COMPLETED
ADDRESS ��� �����-�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �� ���� �� �� '� ����
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WIIL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlCon r on site:
.
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
Christine Mattson
From: Adam Edwards
Sent: Friday,August 19, 2016 12:30 PM
To: Christine Mattson
Subject: RE: 1105 Brown Road S/#2015-01148
The as-built appears to conform to the intent of the approved plan.
An inspector should conduct a site visit and confirm the following:
1. The survey accurately depicts conditions on the ground.
2. The site is stabilized to the point the any remaining erosion control can be removed.
3. The Drainage pattern on the north and south side of the home do not direct surface water onto the
neighboring properties
Adam
From:Christine Mattson
Sent:Thursday,August 18, 2016 11:59 AM
To:Adam Edwards<aedwards@ci.orono.mn.us>
Subject: 1105 Brown Road S/#2015-01148
Ada m,
We received an as-built survey for 1105 Brown Road S. Please review 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 ; 55323-0066 (mailing addressJ
1a 952.249.4620 � � 952.249.4616
�' cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Summer Office Hours: (Monday, May 23 throuqh Friday,September 2,2016)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, September 5, 2016
1
� � , , DATE TIME "
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ---`�!� ----��
PERMIT NO. a �.S" COMPLETED
ADDRESS V / ��5 ���� w� 2� �
OWNER TELEPHONE NO. �%J_-�lg Z2/3
CONTRACTOR _S
� DESCRIPTION �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �.O -
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ S P IC INSTALL
� OWNERICONTRACTOR TO MEET YOU:�ES_NO
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W ❑WORK SATISFACTOFiY:PROCEED �ROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site:
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Inspector.
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