HomeMy WebLinkAbout2013-00364 - new structure ! �
- CITY OF ORONO * z 0 1 3 - 0 0 3 6 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/25/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3884 CHERRY AVE
PIN : 08-117-23-33-0084
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 003
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTNITY : ]O1-SINGLE FAMILY HOUSES, DETACHED
VALUATION : $ 343,612.00
NOTE: ADV PLAN RF,VIEW PD 2013-00363$1622.89
SEPARATE PERMITS REQiJIRED:FLUMBING,MECHANICAL,FIREPLACE,SEWER CONNECTION,LAWN IRRIGATION,,
ELECTRICAL(STATE) /
NOTE: A FOUNDATION SURVEY REQUIRf:D PRIOR TO FRAMING INSPECI'ION. IMTIAL:
NO E: ITY APPROVAL OF AN AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL:
NOTE: BE AWARE, IN THE EVF,NT WF,ATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OP AN AS-BUILT SURVEY AT
THE TIME THE CERTIFICATE OF OCCiJPANCY IS REQUESTED,A TEMPORARY CERTIFICA"I'E OF OCCUPANCY MAY BE ISSUED
UPON RECE�A$10,000 F,SCROW TO F,NSURF,COMPLE"CION OP THE AS-BUILT SURVEY AND ALL SITE [MPROVEMrNTS.
INITIAL:
APPLICANT PERMIT FEE SCHEDULE 2,520.75
MCDONALD CONSTRUCTION, INC PLAN REVIEW 15.60
7601 145T�I STREET W
APPLE VALLEY, MN 55124- STATE SURCHARGE(VALUATION) 171.81
(952)432-2601 TOTAL 2,708.16
Minnesota State License#: 2376
OWNER
ENGLUND, DOUGLAS
3884 CHERRY AVE
P.O. BOX 285
MOLTND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,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 an e or due cause. '
'� ��5�/ 3 �6�� /.3
Applicant Permite u e Date I d By �gnature Date
SEPA E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� w
� � .
��,c3
City of Orono � �
Building Permit Application a 1 v�• � �D
for New Structures or Additions � �
Mailing Address: �3 - 3�
;%�,�,�.� PO Box 66 Permit number:
!/O , O\� Crystal Bay, MN 55323-0066 Date received: ' � J
�l x, �� �
�I ' -.. I • Received b
�,a i'�'t� � �,�,� Street Address: Y�
\,�, ��, ��� �ti/ 2750 Kelley Parkway Plan review fee: �f(p�'2 y
la���'t r�'����i Orono, MN 55356 ,��,�3_0O3 �
k�sxo�`''i
�--___= Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us E �• •
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: 3��''I c�hcr7� �1�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil/be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitied events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �c(�c,rw��, (p��YU.L,`�'kY� Svl�.
State License# �Cx.7 23 J6 Expiration Date: 3-31-2c��
Phone: 2- �3�- 7 office cell
Mailing Address: ]Evl �Ns � . �,1�- Cit : �l,t i14 ZIP: �5)Zy
Contact Person: S h � Applicant is: Contractor / omeowner (Circle One)
Email and/or Fax: rn�cc�h�,A�e�c�ra cci+�sfiru<:�tc�.cc�.
PROPERTY OWNER INFORMATION:
Name: F'c��, ��u��a+,�.�
Phone (day): I U 3-��']�'r�- 735�
Address: ��S�`{ Cli�,;ry�Gtu� City: c�Y:�n� ZIP: �J�SS�
Email and/or Fax ��ay, e.�.�iuv�IG .,Mea�,co�w�
��
ARCHITECT/ ENGINEER INFORMATION:
Name: S{ �yn�+�t �e=,,�'V� - �ert5lt '�} ���k
Phone (day): 52-`13L-76(.�
Address: 76U1 1�IS �(r- ��- City: j�p�(� J���ty ZIP: rJJ�IZ�
Emailand/orFax: �er,cS«('� skp,v.�n,r�k ,��si�:� I)c..C"v�"� t�r: q5�-�i3 - i3�$
PROJECT INFORMATION:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8�
,�{� Water Supply
�New Construction U Single Family with �Residence
❑Addition attached garage ❑ Garage/Accessory Bldg. �Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ,�^
❑ Public ❑ Storage I'I Public Water
*"Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeClfy)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ��3, 6� 2
1 J
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction
,� ,
a. Length (ft.)= Number of bedrooms= t' _ [�Wood/Frame
b.Width (ft.)= 3�� Number of garage stalls: � ❑ Masonry
Areas in spuare feet Attached = ti� ❑ Metal
❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 15'Story = ��� ❑ On-site Prefab
e.2"d Story= 1' 3�
❑ Off-site Prefab
f. '/2 Story =
.� ❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Encl ed Applicable
❑ Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ Surve meetin ail re uirements
❑:- ❑ Stormwater Pollution Prevention Plan w�ll ' �k.�r� L q},�
❑ Hardcover Calculation s
❑ Se tic S stem Site Evaluation Re ort
❑ Access Permit
❑ Wetland Buffer Im rovement Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
� • Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information, the application may not be issued.
. Agrees that in the event that weather or other conditions prevent the completion of an as`=built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $90,000 �
escrow to ensure completion of the as-built survey and all site improvements.
n �—
,�
ApplicanYs Signature: � Date: �� (�� �
Owner's Signature: ���.�U Date: y �1�
_�L�
PL�4N REVIEW CHEC�CLIST FOR �IE11V �TRUCTURES / ADDITIONS
Address/Permit Number: �,��C� � � � � �'�� �
Description of work: �� � ��
Septic review by: Date Approved: � ��'"�
Zoning review by: .�� ��' - q�� Date Approved.���� ��
Building review by: Date Approved: � - "Z� - � �
Grading review by: %s�� Date Approved: � �S i
I � r� "'°�' ` a ( n' �' ( �..,m �
� v`� `` � � ' ` � Reso Date: �"��
Zoning Districx: � ��°� `'�`�-'�� Zoning File#: � ���i �; Reso#:�N� �
`�����!�,�;, /`�..
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF ��%
�� Survey Submitted: [�'Yes � No Date of Survey: �ti ��.�� ����`�������evised date(?): �'��'�
s;;
Pro osed Setbacks: `� � `� � �
_ � `:.,
Front�Lak�) �' Rear tStreet),�� ( � 5 '� ��`%� � ) ( N � E W,�) Other Builclings Wetland
_ � %' Sitt�"�� Side �-�
� ��, �. � I� � . � ,
" r
q g g � �''f �"�Pi '`"�`_�� 9 )
Defined Hei ht: ��/' Peak Hei ht � _ ' FF FFE minus 6 feet- Existin Contour
; /�
Perimeter(linear feet) _ � 50% _"t #of Storie�Ok. ES
� �
FOR A BUILDING WITH A BASEMEPIT OR CRAWL SP CE:
V�-�
i The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION:
' START WITH proposed floor(of the basement or crawl
� space)and the highest point of the roof. START WITH The dista�ce between the top of slab and
If you have a... the highest point of the roof.
If you have a...
. GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract hatf the distance
distance between the highest point between the highest point of the roof
of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
� (BASED ON R�OF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with
T'PE) windowsj: Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of the betwee�the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat,
mansard,etc):No subtraction. mansard,etc:No subtraction.
ADDITION Add the distance between the top of slab
/t;;;_' SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to
�" ``� (BASED ON EXISTING basemenVcrawl space floor and the EXISTING the foundation.
� highest existing grade adjacent to the GRADES
(J,`L.•, '�,�� GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height
EQUALS Defined building height
`' `�
Ly�l•J�
�f
Shoreland District CWf? Permit Received Avera e l�akeshore Set�ack Met? Bluff
/ Yes 0 No � N/A 0 Yes No
�1'es � No Yes 0 No � N/A
r: % Permit Number: 3- � Setback:
i
Stormvvater t�uality Existing Praposec6 �r�riance Required CUP Required
Overla District Tier Hardcover Nardcover
�l5 `�o s 2.to$ � es � No � Yes No
� 5����xC�;�S� ����� Type�S�. Type�s�:
s--- r C�
Updated: January 2013
v:\forms�plan review checklist 2013.docx
�� � �
�.
�� � '� ����
' REMARKS (in-house):
Fees to be Char ed YES N�
Permit ��"°�
' Plan Review �'
State Surcharge �`
, Investigation Fee �
SAC—Number ca#�AC Units ,��� j:6. v 2{f� �"''
Other(specify)
,� S uare Foota e $ er S uare Foota e
' Basement X = $
1 St Floor X = �
2nd FIOo� X = $
Garage X = �
Estimated Constraction Value: $ �'`��d(�g� o v
Orono Inspections Required Work Requiring Separate Permits Recquired State Permits
0 Site �'Plumbing � Grading/ Filling p�IVell
0 Hardcover Removal �" Mechanical � Fire �Electrical
�' Footing � Septic 0 Water Connection
�' Poured Wall �'Fireplace 0 Sewer Connection
J� Foun�ation Survey � Masonry �Lawn Irrigation
�Radon Rock Bed �`Mfg.
,�Framing � Other(specify)
�'Insulation
�As-Built Survey
�Final
0 Wetland Buffer
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES 0 NO New: � YES 0 NO
� OFFICIAL REMARKS -TO BE NOTED QN PERMIT AND INITIALLED
,:
Updated: January 2013
v:\forms�plan review checklist 2013.docx
,
City of C?rono
�oNo Hardcover Calculation Worksh e
\ Property Address: 38��, C.�,/ER/t�' ,A v E �E'�v G�ytio)
'�'S��' Prepared by: Date:
- - tTlrGr',�t!C�?� �: /�-+��''UClrf f t�!'�,�ivC'. y-2�=L..�
Storn�water Quality Overlay District Tier: (Circle one} ier 1 Tisr 2 Tier 3 Tier 4 Tier 5
Step 2: PR�POSED HARDCOVER
In the foll�wing table,identrfy all items af praposed hardcover on the propeity, keyed by letter to
Cei�tificate of Survey(survey must accompany this form). Include all existing hardcover items that are
intended ta remain, as well as all �'oposed hardcover items that wi11 be added. Use as many lines as
necessaiy to accurately depict {xa�:osed hardcover status of the pra�e�ty. For Tier 1 pro{�erties. identrfy
any featu�-es by letter which are split at the 75'setba�k line and calculate hardcover square fo�tage
se�I arately for each portion.�,_ --------- _,_. ^ �__...__.
Key to j —� Totat
Surve Hardcover Item (Describe) Length x Width f {Square Feet��
Example} {Gara e} (24'x 30' 720 S.F. �
A tr�,!�r,- I .�'G i� 5.F.
B i F r�,;:G z �f S.F.
C �, _ ,.. �? P � S.F.
d ; OE'C« ; G S.F.
E I � :s':: S.F.
F � S�'aa1� � YO S.F.
G � CQ,h.,�c.:t't's�" CFk-rr-„ti�c� /SS S.F.
H I q. �,<^ .r ,ti:.yU�G 6 < C x� r 5 7 S.F.
I oer�c o ('�x.,�; .�,c� � S.F.
J v �' � .s. r.-� v � I .� �t' S.F.
K ( f�4•�0,0 .F':,,-,cp:�s- r �. {; '�' S.F.
L I ,.vc . ,, « S.F.
IVI f P. (�'/� � �f � � J.F.
N ! ��� •�„ � ,�5,>r��r„r�' `" S.F. '
O ��, :...� � O S.F.
:.�- � +. d�.°�'
i P j I S.F. ,
Q i S.F.
� R � � S.F.
S j S.F.
T i S.F.
� S.F.
V S.F.
� j S.F.
X ; SF ,
Y i S.F. !
Z � S.F. ,
(11 Total Pro osed Hardcover a ,�93'`� S.F.
Excludable Hardcover tSee City Code Sec 78 1684 :
� .2` �r r � T- :a: �- 'o'� -� S.F. '
� ' s�c��c^. k'�'z : � -^ °,s.e,�r,z� r a�rrffor o-?S S? S.F.
�- ' , .. �r S.F.
p .c�'r,��.x,,«� � S.F.
� � S.F.
{2? Total Excludable Hardcaver ?,�,� S.F. ;
(3> Net Pro osed Hardcover Subtract line t2 from line (1) ��",� S.F.
i4} Total Lot Area t� 79 4 S.F. ;
RE�EIVED Proposed Hardcover Percentage [�3}=f4�] p ?�?: 9� % !
p �,
MAY 2 9 2013
January S Z013
C��oF oRV��
Jesse Struve
From: Jesse Struve
Sent: Friday, June 07, 2013 11:24 AM
To: Melanie Curtis
Cc: Christine Mattson
Subject: 20130607 3884 Cherry Ave 2013-00364
Melanie,
I have reviewed the permit application for the proposed house and have the following comments:
1. Silt fence should be extended to the south to the existing garage on the east side and should be extended to the
roadway on the west side of the property.
2. The proposed retaining walls on the north side of the house need to have top of wall (TW) and bottom of wall
(BW)elevations called out. If the walis exceed 4' in height or if the tiered wall exceeds 4' in height and are not
separated by more than 2x the higher wall, they will need engineered plans and specifications signed by a
registered professional engineer.
3. Are the retaining walls by the driveway proposed or existing?
4. The swale is not clearly called out from the existing garage to the west side of the house. There is drainage
arrows which indicate there is a swale here. Add a note directing the grading contractor to install a swale in this
location.
Jesse Struve, PE �Q' (o� �
Director of Public Works/City Engineer
City of Orono ��M r� ,f.�'
(952) 249-4661 - Direct UlJ
(952) 249-4616- Fax
www.ci.orono.mn.us �J� ��� I(�
� �I �. lJ� r
� - -�.� �,�
�� �
- . �
� ����
�� ����1 ������
�- �� C�
I� — - � ��!
���
(� � � �
�n� — �
� S �
� ,� �i�e�
� ;�- �
-��
���
�
City of �rono O O�O �0��
:;�o�vo Hardcover Calculation Workshee
_ , Property Address_ 3���, C/�/ER2 y A v E �Cti G c y.�o)
:�',�'
'f=���,,�`v` Prepared by: , — Date: —_�_�
- - �r��r,;�{tizG 1 �f�;"oc/.�s r.rfi,��c. Y-2
Stormwater Qua►iry Overlay District Tier: (Circle one} ier 1 Tier 2 Tier 3 lier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the fall�wing table, identify all iteir�s af proposed hardcaver on the property, keyed by letter to
Certificate af Survey(survey must acccm�any this form). Include all existing hardcover items that are
intended to rei�nain, as well as all �rapased hardcover items that will be added. Use as many lines as
necessaiy to accurately depict {xa{3osed hardcover status of the prope�ty. For Tier 1 properties, identify
any features by letter which are split at the 75`setback line and calculate hardcover square footage
seLaratel�for each ��ortion. _ ___ __
_ — -----� Total----------------,
Key to i Hardcover Item (Describe) Length x Width �
Surve � I Square Feet
E�cample) (Gara e} 24'x 30' 720 S.F. �
q � �,.�f,- I /6�� S.F.
B F-,r r�r,;vG t . 7/ S.F.
� „ _ � �'2 ra 9 S.F.
D DEC!-C j 6 S.F.
E �� �, `�\. � S.F.
F i -r�'o�p `!4 S.F.
G i ccr�c,t�;c" +('sxr �;,��c1 /SS S.F.
H I <�r vr' �'r .�--�r�'r '��, _ ' C xe r 5 7 S.F.
I ocerK o <�x.� r .�c S.F.
J ` r v ii' -,� ,,� r.-, v�- .� 8 S.F.
�
K � �G,�i ai�' F'.�-,�r-�' C', ? S_F.
L '' ,vc . � r._ << S.F.
M �, r. F�.!c� E� S.F.
N I '�:� � � /Sll�N„� _ �, i S.F.
O i r;.�•-�� f,�. � � _ :� .�';,��' � o S.F.
P ; ! S.F.
Q j ; S.F. ,
R i �, S.F. �
� S S.F.
� T ; S.F.
� ' S.F.
V S.F.
W S.F.
X ; S.F. ;
Y ; S.F. {
Z ; S.F. ,
'l l Total Pro osed Hardcover .�93 9 S.F. �
Excludable Hardcover(See Ci Code Sec 78 1684 :
Q .7' Ff^-s � � r, i�r� ' !. 6'a .� � S.F. '
� _,��<�. .�'F� , , �-r^ �rc.e,r�.r. t' o�.r��nr: o-7S S? S.F.
J- t:� .. .� S.F.
c7 .t�r���..� G � S.F.
� S.F.
(2j Total Excludable Hardcover �.�r S.F. ;
(3) Net Pro osed Hardcover Subtract line 2 from line 1) ��$ S.F.
(4) Total Lot Area �`,� ?�`� S.F. '
RE EIVED Proposed Hardcover Percentage [�3�=(4)] ! ?`�: 9� % ,
u a
L
MAY 2 9 2013
Januaiy S 1013
CITY OF OR�NO
. •
ORONO COPY
RECEiVED
MAY 2 4 2013
C�-n( pF ORONO
Stormwater Pollution Prevention Plan
For
3884 Cherry Ave.
Orono, MN
L17, B 3 Crystal Bay View
McDonald Construction
SWPPP Contacts:
Micah Eisentrager
Dave A. Pautz
SWPPP Preparation Date:
OS/19/13
Prepared by:
Dave A. Pautz
The proposed property is on and will have BMP's installed before demolition per
attached survey when proposed. Perimeter control will be installed as required and
Amendments may be made per Superintendent or Designer during construction based on
site conditions and BMP effectiveness. Soil Stabilization will take place after backfill
with Pam12 or Seed and Mulch within 7 days after construction activity per Impaired
water Requirements. Inspections will be made by Sup or assigned 3ra party per '/z inch
rainfall or every 7 days to monitor site. Additional BMP's will be determined as site
stages progress.
, . ,
To the South of the Propery of 3884 Cherry Ave.
The impaired lake 27-0133-14 has an EPA-approved TMDL plan for: Mercury in Fish
Tissue. This lake requires a TMDL plan to be written for: Nutrient/Eutrophication
Biological Indicators. These impairments affect Aquatic Consumption, Aquatic
Recreation.
Projects with discharges within 1 mile of an impaired water
Owners must submit the application for coverage and the Storm Water Pollution
Prevention Plan at least 30-days before the construction start date for additional review
for projects that disturb 50 or more acres of soil and have a stormwater discharge point
within 1 mile of an impaired water. An impaired waters for the purposes of this permit
are those waters identified as impaired pursuant to section 303(d) of the Clean Water Act
where the identified pollutant(s) or stressor(s) are phosphorus (nutrient eutrophication
biological indicatars), turbidity, dissolved oXygen, or biotic impairment (fish
bioassessment, aquatic plant bioassessment and aquatic macroinvertebrate bioassessment)
All projects with a discharge point within 1 mile of an impaired water must
incorporate the additional best management practices (BMPs) C.l & C.2 found in
Appendix A of the permit for all portions of the project that drain to the discharge point:
C.1 During construction.
a. All exposed soil areas must be stabilized as soon as possible to limit soil
erosion but in no case later than seven(7) days after the construction activity in that
portion of the site has temporarily or permanently ceased.
b. Temporary sediment basin requirements described in Part III.B.I-5 must be
used for common drainage locations that serve an area with five (5) or more acres
disturbed at one time.
C.2. Post construction.
The water quality volume that must be treated by the project's permanent
stormwater management system described in Part III.C. shall be one (1) inch of runoff
from the new impervious surfaces created by the project. Where site conditions allow, at
least '/2 inch of the water quality volume must be infiltrated. See Part III.C.2 for more
information on infiltration design and appropriate site conditions. If it is determined that
site conditions are not appropriate for infiltration (e.g. lack of 3 ft. of separation to
seasonally saturated ground water, proximity to bedrock, contaminated soils) the reasons
should be documented in the Stormwater Pollution Prevention Plan (SWPPP) for the
project. Infiltration is not required in Hydrologic Soil Group D soil
, , � L ;,;���� . j
<
�1':�"i:I�;�2 R�.$()I;EtC'� 1'F..Ft�°iIT:<1i'1'I.;tC.�?�"€'lt}i�ti- C'f31I�;C\F.Ia Jf)i�"I'�C)'i't��TCr��'IU�ti l�{31Zti'( �
i � Il����us �i�� tt�'��plti ���t �� �t�t�c� �ia � ����r: `ti �tr��'� � �) t ict���t `t�l�� t� ,i� s� s.� z�it� uF st if��zt�s :: t�ti�� l�\tt�
.i )�,��)tLi 14:F..:v! h�3i�!`�li l.h�<i � ��i) ti :Uz.7,iiti:!�i iJ�� I�� � ��Z ^ cil� �� t�l l�{8C� E G i'Ql i3 tt]411"�21i2TG,L'l�5t Ct )�
��i�r�:l�.?.�:,�„� ;t ..3;:.-iit,�>�,�oi:y��;��c._.t�� +«:�I{.4�4Lt, .�?�1_�4;,.�.. �i r:i
. �?1��1-�t,�,:.i..!>;71�1:�i=�i r�_ Yli�i)E,:C,:la iUl,l-�Ji:lt)Iv-i� _
�'S..U«�a;ij } ��.lyi �.3� '5;�� �. !i S�',�'i:3�U��.� iS"rf c ' "•� ���.
���� �€�,�T o�T.lr� .��.�, �:�.��t,��:�.r� .�c�r�lor�rz���-Ic�;�� �,-:, u�:�: i>rc�r����� �{r�r.�
�I l�� L��)ll�l � t '�tF[ll"{�'l�:�i t ��[,} �"ala� L= � u�'� -- -_.
_ _._ --- --
` .... �
\1 i�lit��� ldiite:��. 3�5�`{ c.�ne,.'Y�J /� �tt Jf�,�cU -_ . _ ''� t� � i'�`��'_.
I :
�t
� _ � _- - -- --
t�+.11�:;l .���i�his=: �1�,;ael,ehc�llL+v:�C �+��,Curh Pi�t,iz _7Us_.`�.Z_`cf ?..�� �,�x: .__._---- --- _.___.,
� � t}C:1[lU3L O�[�IV�)i75C'C� Ilti���i'-t,k���.k�il�.lk lll�li� �tl�t �jit T7)tl� tt? � t��:_ �
'�c�;ec� �d�i,���� 3$$'") C.�.�__�V�- t it � CJ�^C.t�� _-- �
---- _. _ . __ _� _
��unt.,`. i-1�'n+�.c��v�._._�..._ — t>tc S�;�i oriis� 5 r��ut �. In���z�sl�c����) R�tz��e�51 .�_
_...__ _ _ _.
L��� f 7 .__�.o�;�_ 3 5�tnt�i�,,tt�n: (v '�� 1� _Vft,t,J P(n _ _--- -
_.. .. _
, �tl.i. (�t �Jli;. ' • SC]Eli i. 1:.Lt.OI'_...
.� � �lt-�a 4�r c�i>� t b�i,�c. .-.-- �� ' �`
-----
��
_ __� —
. � ��' ' vilbiC � i�•ct5 fLiliilill t���h�ii�l.�1e [tfCcctB r'c't
�'t�lttt :.�vf c�...�r�t�t�r� �c�rC Il� __._�._.___ - . ___ �
. - :l:e.i i>t'��rt?pc�a��i ut�p::�.�iUlt; ;i1 iaCe.
:�i��a��� r�i�ttt��.; �mper�xc�ua:7ur r:�c�
�_ --- �
k.T��pe ��f��ciiiu h��i�'+�ap�lit��l '��«r tt �� ��ic all c( <ft a�i�t.�'j.
� E�?:051t1\ Lt)�-.(,Zlll Q �t'E1L:1\� `,[._' f.F; l[ [Ei\
� . � � C�G:�:A'I k 3Zl>C:)ll�l C'i2_O��I"tJ
� 5�l�OI.��1�`,�A I E TZ �^.���1Cil_1[C.��1. �
� 1=LOC?i?t L_'tl_\ _1L! i�f:�11 (�)� ❑�:itU�i_;_;(\t �t fti=.`�1,�,�1\I: t�tPRt�\�:r'�i�\`['S
❑ D"LD(�:tiC;
� ti�l�iEE t��DyS�f�IBE� � �
� F'roic�r�Pur����e� �Che�.k�;li�thac 3ppl��i:
� S[�iGLt�,i�A;IiTC.�'C-�Ci�-tE ❑\-[l.'ti.�1 `r;1\�,II.I` R.I tiIIJL\TI.aI,FiC.1L{�t\t"a [t=�rrtrtrtit �:,.:...,
❑ <�.�)iti��:�EETtCI-3C �l,,"ti'�'I'ttL(_�I�fC}�; �i'ti;;"'1"1��;"tU\ 1L t Q'��`E'xtt��(.:T[t_l�';C1turCl:i:v,sel�vv!�,c'ti.'i �
E] }�Ci%\l�C"()�STiZLiCT1t}?�i Q�I'B�);�'1SIt3'�:S i:i:i�,[.t�ic,;;u�atl>er oi li�t�]
Lj �:71LlTI1vS �JT_:`��1?5t -'�Yl'�t� (t�c�c,(� .4,�i �� � ,e.?
� DI:1 Dtrl�i(�i �(�I-Ii,�1��..Li\}..�I.';i:�IUG:a�!i�}\ !!a:<.,cap��}�,'t>ioLi��t;tc'�r�s„�l
� i)1`E-{LE: i,[�L��IZIL1:'? �
( __ __
� �;PI��I `,�SC)� (��»::F3i St�rnz�t�����c'r " ir��at r�iimL�::� { I aaa��Ii�:;��l�i _--- --- -- --
� , . ��Ct;iflaC�V-C����)c��I7��i; '312ti 11111�.,F'Jl1C� Oi i7i.�ilClCkS �. �011il� t�. L'� ct �i}Lt\'C);C� C�-:_I2111llT11�C i111��?..LS CO 11�_c7`
i?6tttC5.(� ui�IltiCt; C:li.�)f0)�Ct�]L�i}�(�S:.C�. .'�CCekti��l nC�i7l�ll?El�l<i<.ir.,�� ::I?��i::.C�.l
--- ---� �.__
�. P oic:: r;,,, ��,,�_ �€a.�i L7at. — _. _ L,iaa„�, �u�,,� T��tc:: �--- - --_ ____-
�_ _ _
y a�l(}1lC311f�T�C�(:ILS�(1T1I[A i; t� tt �IE� ij 1t711C11CCQi',�.,Il`�ltlCct �tC �
i.4'� cr Q�j1
C-�usine,��:1nt� M�i�c+wt��-C''�'�S1?� T-�'��. R��n ; niati�� �iarrZ�: _
, ,,y� __
---
__ P 1,� �a� � � �c�t�.: I'11J_z,n 5512�%.
76ai �ys*�� �1�- _�. � t�� �,
[�u5ictc�� :\dtir�,5.__ _... , _ _ -f3G� —
� ��t'� y1. r�. F }o,i� ....�2�_ 3 L 7E�C�1 i ,��:� `'t S2- �132 ___...
,,. zi y
�i»ail �Ad.tt�c s. �,<<;.�.��utti�'�.��t�t�s�'.__ er' �
I l?. �;ainz,ziud ;�ddre,����ci�':ict{u;r�in� E�iu�?�rtti'u��t�ea� i;�.n:i�[��li,t i;����-c�,�u}'?:
----- -___ {-�
_._._ _ _.
_ _ ----- _ _ _ ._._ E���� -_-Ct)� ��`�?
� �_
���.1�T1lCJ �Icil�v�C;ctl :1�)�?�ICiI: �1� � _' �.C,t1111Eb L,,,� tl'� �'t!��ll�:OSt �Ot10E'VF �T.'9h . ,� l�.t....,.
' � ( S)i �
� �t\ t'�Iltt �rr C��n� ul � }� �L� Q t��C�
t'� �1�i�> hati b �.�� t ��n �:C,ii� � ��,ux��� � _
�, c�� r��ioN., �i ti :� tir ..! � (f.� i� e x u tttti � ct"t t�,o: c�i�v
E ��b nt�it� m s ��i_: � �i�h�. ��rct�:;Y � . .
i�l.t.:!il?11T.:ilvn4 4�i1]�GU.�11f l 17�:Cl���t,i IIS:�E�a.1li1L t'sL�l i.tk .�iGl� ibtlTlif t� t 1' ��t tlEl 1� - V�J3��.i..��Y� 2a�t�.�tl7fCli��t.CiiUi.LPub3liS
::t��.�} - ❑:2ik 11'G3� �1"".U�'+E �i.il.h�"�i,.,l:,5,�:+�:C�ltisiiit)1,C.d. -.a..IYs�.���-.i�-= ...����. ��. _��CL�ii�,.�d.(z3�:iitit�S.
.. � .- ' �PR]�_..2 Z�.__z_a.t 3�__
7 C�s�e
_._. __.. _—
_
�Jlsj��.lE11��. ()i C�1Z��)C'�I[� � Z'[l.�+l �
t',t,_c 1 i::�
t:�ti t'i:t;t'�CI()�`+-I'!3 �tit�:I:�::�i}C:�1Z1�'t�i'1,,L1'
\�ci�J,'�s�t?z, :ii� ��.;r�t,t.,up:�s�.����.i11 nivas�.dra;�>_i , ,... �_1_,�-tt� �' '���t��v �.ft«�at ��i� ziclt 3:z,cf e:u�� PIEas���uuc:;.
CilC a�,pPun:'t1ai.<:s�.,��:J�:irc;t4 sitpV.'e��'er,-l�4cF:%��otz<t��C.�.i.c,iG,�t'in:,�wr�:t.d�e..t,"n4� . .c��C_�, ,cirpy ��'.:ti•uli: �i:.,x�i�-
❑ at[E� �[Si:�"t'_�,Pt 1Ll ;_`i�IC:)\C:'t)id"CR�)1_:l��i ti�'S �,\tt'�::�j ��u\!'1:)r �; �:as;�li}��arni�
Q m'i�LCiC:11 (;tIVER\\tC:=.t,C;\I_t�\IT ii,c;i��t. iik�,tz�:u�:y o. �lattf ma �':ir.:ii �i<<?r��::.��z.ic:�3ii
�__�ti\\L-�OT:� Dt;P>>R i',`�1L'-��`t'.1F !.h'1'(;1::\[.C.L�t#�'iCCk'.��?1D?:1�i��e�io�.,:f tiil'«::
❑ t'S ,�1::�,�11"COR]'ti (��r F�(,t�F�Ei[�S f=c�:C}f i � ��?�F� �„ h� 1 it��.C���� �;`1 f�� ,.� 5� P-aui i}is't,�c_
- .-1�Ci'\.i.,t_)-.; IS+i!E��fur�t.L..�r,�� P..li� �ii\>;l;ii-i63�
\�te: (`li�:Luvc �t>�ia�i�. ��ja�}?!o�'edc:�cal�w i,i'�i,t.. :.o:.{���t .i i�mis�cc, C:i�\$u:�iesut:� I'o;tt�tic»i C`s.��tr,�!��L l�y!;�tl'i�.a�.
\•tPt:.a�4aier y,,:�lity rect�is•�:fr�ci,ts n:�,v�t�.�piy[o���ur pso,�����1�zro:�:;t.
�1 T}�'�i]O\ (�1��m t�St)�,1: Ai� c ��s� ixa�` iclf+ �. �i=�, i.ri.� :�i� i� 1cz:��i � ��r��dt�� 1 ai i�� l� ;iu n �n-it��:���
:tia[ir�i�•r.i;ir:_ :riat� st,�ct�:t.;oil i:.�: ��z€2 t-.l.:; i��� 1;�[3�`.t,��i�tit=,u�t�l�� _i�.. 1�+�� ;-���<��te�,��It ��.:c,i,a.ttca,ci:,cl.l�`;t.�,: ,�it(�
:>��
,�S.GL�tE �'�i.).'�[Y�.:��_lJ f�YjLtCa�.�1ti.:�!It.�?t�lc.�Jil.�•i;�-�ii�b�]S�iO::V>�l;:lll[ .titl`,"1=`-.
t� � IiCfl� Ol� 1� it. ��. i[;i(�i}i C.i t.ttl� ll. �� tt!t �l:� t�. ' �It����i� 1� :l I �c.-:, i �di���`C# it� i 1. (< Tiift..;l" [ jl�'iC 1����
� ' [ i�a.� 1��. i�i,a t'� u lu�r�ru�txu;
�� �i?Fi1�I 1.��I �,) i� �OV• 3 3l( �I S"� !,����)� t�l.� �I,.� h � i lE' t �.t it ��L �� - _
����..tilil�tj .�. Clit� lj?I'- t,.,it ti n.� ., t�si C:bl."t� �:2�.'c .U� ,��{ r. ��7 ��^ .at�[ I[ �[I���t lnil�l t � �lt� �l?lili��� l. t;�d �t TiIR. 1 .
i1,C ii4�t 31i�1�;�.,..Y� ?'�31,t�� :�:_
,��:,�"� �rriii�tk:a; Lpr>��>a,:,fi�c:etittoriiy to ,�.,:.lert.�..: :!��e��,��{y�,��ti u_z��.°;n �,; t �.������:txi,;;�� .� .
a�s}�;ic:{^�.
�\ �
�PR 2Z �at3 `/�/�
C� - �__. _ _ ____ --- --
-- ._ _ .
�-- � a z �
,� - �,�l�;:u:�fi � ,;rtp(_1.,;�cr) C3alc �i _. �,Er _, �.,' i Uatc
� �r,.::�i��� �E €� _
�{)T i� 1 � ����� �lt i�t�11�aE uc�3 iG�e?i�� �� ��� t��p t n,�ei �'i�. t, � i������ � .;���� �l� a�>t�����i< �I t a����s��.tiui '�;;r
�I -�l� ��. U�34 T�i��!? ij.i t,i7l ti � ��-lt6 � �I 1't T U' 0�.! r 1�J!_1 { lt 'i11 �it y1EC1���t.'�)lYiit: i:�?��7Y C(:C�5 dLlh� �)3 ..i�c.
�_�l,t pCt...�,:r'i iilc p�.:�r�ti:�JO..iFttt..:t ti ill._Vilt:�Or� oi .,��3'!,l:�,t1�?G��.��?a'n..� �f�E Ftl1 IFidt.ivr�P� i-.tllia E�lh:",jil:�11nt.�'i�`<i;��
j?rL�uIe:�u:iFarizrd:`�It:itt�v��f�at���n L?ir?t�:.
, - �-•.:
��,�r.t s\FEnc.a: �i<<�. �___. _____
.'t�,eiit', �ddr.s:r� __...----
�
\���nt � l:l::pnizizt:: i,...__._...—�--------.._....._ _...__.---�-
; , r�t i��rrG t>� ��� •�i�� �� �t.� �,��
i ti 4.��1.t �:;��t0�7 IUUi i .e7i,�C t:F �YI u�-. ',i i ii �� .; i �r �.���11 �1 1 `S� .���.: t t ��� t�ci . ..
t ' t. 1 '.,J �l Ii.. 1 T :., i T1l`i T 7 I t�.��
� Cti r 1 t�lt�ilit�l c.�.k iF�.{� �i1 S Ll���,LU i tIJ< <(�� �i f� 1 d{l .
.35..., ill ,k l Il�Cl 13'ttlC�t-�Lti ) ?l 1112i1 1 DC i�l? `�.)lE I �t?{11 11 i��21 l 1 i11�'i �t la1JC��I ICtt;c.t1�E7'l4(ll \llt)1`.ft� ��f13�? .
;,
�i b����i.:.0.it�. .3�i�_�: .c.�.+n�:s�.G�?�7�:,.�_��ris<_,�r.<s,,�, �,i.,.c _+�,;�
���[�t�:ir�l�:r I�t.�., �1CiitiUu�.ul 11i7?;u.il°�rt�lr.te,�l4;�t vC c1ii1�,�i.a •.
itV'�1':Gl'S,CTr(�i.}t!?.
�3��:.."7 {)C� �_
Erosion Control Supplemental Information
Final Stabilization will be provided witl� (seed, sod, etc):
and 6 iuches of topsoil will be added/replaced prior to tlnal stabilization.
Concrete Washout: Location of concrete washout
� Not Applicable �Off site � Indicated on sitc�lans � Other(description):
Vegetadon: Protective fencing wi1L l�e installed as uecessary so as to excllide all fill and equipulent
fi-om the drip line or critical root zonc, whichever is greater, of all vegetation to b�retainccl.
� Yes �ot Applic3ble � Otl�er(descriptio�l):
Inspeetions: An erosion control iilspection plail is requir�d for all projects dist�nbing '/a acre or
greater. The inspection requiremen[s are as follows:
J) The Individual(dentified u,r beiag re.��po�tsibfe Jor irnplen�eutin,;the erosinn conu�ol
plan n�ust ro�ttinely i»sJ�ect ihc const�uction site atce eve�v seve�l davs cletri��ig active
consU�uctiori nrzcl tivi[hhl 24 l�oi�rs aJtc�r�ca rain%all event�reater ihan 0.�i:iches irz'4
ho�ns.
�) 9ll rfzspeclia�s and niai�ttennnee caulucted dt�riag corzsti�uction nausl be i�ecorded ln
tiiv�itin�aitcl lhese r�ec nrd.r nuist he retainecl ir�idt lhc ern,sirnt cnnu�ol plan crnd nracle
uvaila6lc crt the District's r•eq��est tivitl2in 24 hoi�rs. Recor�ls of�eaclz irispection and
mctir�leiinnce activih�shall include:
i. Dale nnd time of i�2spectiores;
fi. �Uunte of�persoi�i coiiducting ii��spectiuns:
iii. Findiuos of inspectlons, irzcludin�reconernendn[io�t.c for corrcclive uctinns;
iv. Corrective actions ta/�en (iizcludino clute.s, tinies ancl��urty conipleting
iuciintenance aclivities), and
��. Date cmd cuno�nu��fa1!rainJull ei�erils grecrter than 0.�ir�che.c in ?4 hnin�s.
Pro��ide the following information for the primary individual responsible for impl�mcnting the erosion
control plan:
Name �3,�( (l�.�"���• _
Oraanization N�Ct([1l C.F.�'�S'��l��h ��_
Pl�one YSz-�Z`^��_ Al[ernatc:Phonz _ — ---
E�„�1�� ���� ���d«s��,�� ���w e�.d�����. �,
I certifv that i ani familiar with the requirements of the NfC�Vll Erosion Control Rule and tliat the
}�roposed activity�vill be conducted in compliance�vidi this rule.
%� �� — S��U�� �
Signature of �plican[or Authorizcd A�ent D<ite
3��K �-E��''v�/ Q,,� . �,r Un,� —
Project Address �
. . Z
� � �la� X
' �mh� ���� ►�
�
�-�- � --- ._
City of Orono
Building Permit Application
for New Structures or Additions
- — Mailing Address:
�� � ` �� PO Box 66 Permit number:
//�� ���`� Crystal Bay, MN 55323-0066 Date received:
�l
�;�,,. -._ • Received by:
���a y ��,�_r,_ s,�; Street Add�ess:
`� ��� ' �'/ 2750 Kelle Parkwa
�,nL ��� ������ Y Y Plan reviewfee:
� '� Orono, MN 55356
9AES%i�4i
�-_____' Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 3`is�'�'1 Ch�i��� �1�c-
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANTpINFORMATION:
N a m e: �c QG�ic;� t oNS31YU.f.;�'in SY�f�
State License# �7 23 J6 Expiration Date: 7-�( -2�%1�('
Phone: R Z-�j 3 1- 7h��( (office) (cell)
MailingAddress: 7Evl �`1s� �� • r,t- Cit : �� �n ' ZIP: �51zy
Contact Person: 1� i� � Applicant is: Contractor / omeowner (Circle One)
Email and/or Fax: M��ni�Q,a.����v� ��.,�Struc�ch�coW.
PROPERTY OWNER INFORMATION:
Name: i-`��� Lr.��u�a� _
Phone (day): I - 7C�'3-'j]`'S- 7�5�i
.,,. -. c�c ��r:.�� ziP: 5.5SSE
Address: ��s'� C'In,,:ry7 G�� Y�
Email and/or Fax ���ay, z.���tu�n2�G' .;Me�.z�,co�
ARCHITECT/ ENGINEER INFORMATION:
Name: �� Aynar+�t �:��w� •- 7�rt5cz �� �1►�c;�� -
Phone (day): �.`k?�`I�-7GU�
Address: 7L-Ul l Y� ST �.,�xst City: �p� �����/ ZIP: 5J�1�-� _
Emailand/orFax: 1e�tSc� (3 >�c�.w�c�a�� +sr�ill�c-•Cu+'^ f��x: �{52-`�3 - 13�.$
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal &
Water Supply
[�New Construction [�Single Family with ['+�Residence
❑Addition attached garage ❑ Garage/Accessory Bldg. [�Public Sewer
❑ Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage �Public Water
**Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ��3 ���
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.)= .7L� � Number of bedrooms= �' ,�/�
U Wood/Frame
b.Width (ft.)= ��� Number of garage stalls: ?�- ❑ Masonry
Areas in square feet Attached = 'r ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 15`Story = �, �,)r��
❑ On-site Prefab
e.2�d Story= �� ❑ Off-site Prefab
f. '/2 Story =
❑ Other(please specify):
g.Total Area= �
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Encl ed Applicable
❑ Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Caiculations and Mechanical Code Re uirements Form
❑ Surve meetin all re uirements
❑:- ❑ Stormwater Pollution Prevention Plan �,��11 '� ,.�r;c�l.f,��. L�4,,�
� ❑ Hardcover Calculation s
❑ Se tic S stem Site Evaluation Re ort
❑ Access Permit
❑ Wetland Buffer Im rovement Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
� ❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
reyuired by law. If you refuse to supply the information, the application may not be issued.
�I . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the I
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.
i
ApplicanYs Signature:
C� � !_ Date: �J ~ � � �
Owner's Signature: Date:
,
.
����-�������. City of Orono
;` Hardcover Calculation V1lorksheet
� � � �,
, �
,;. � � , Property Address: �� � �� ��i�
���,, �,.�.%�� �
�r,�to�-,; Prepared by: ���� L C� i��"�(.�� Ca,�t�w.�.CL,�Date: 5—)L>-)�
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Use as many lines as necessary to
accurately depict existing hardcover status of the property.
Key to Hardcover Item (Describe) Length x Width Total
Survey (Square Feet)
(Example) (Garage) (24'x 30') (720 S.F.)
A ���;�r�-, re..�t,� 37� X� � .� S.F.
�
B C— i'�`n �` t��Y a.�..L�_ �-1 L � S.F.
C L- �, , � �y"�..� " a . ��j ' � 2_.�' � 2S S.F.
D c�xr�`�t-�ar. ���� �._ <��,+ Y (U ' X 2�- � �� S.F.
E � S.F.
F �,�r`,'i��5 :����e 1p �X::� ' C� S.F.
� - , e� ' �,-� =�:� 6 H 2 � Z� s.F.
.\ .'�"'f�.� '.t-+,_ ,.� ..tJ�°���7.' �.�y' �
H �/�t� �!� [N1C✓/"�-�— It(1'!�!1 t� 0 4�' �J* ��^'dhY'll ( 'l.�}I 1 �V J.1 .
� LX�i�' `` ,�,��r4, � ,���'.� J �` X f� � S.F.
� - i�� �, �,n�.�,�,:..;a 4R f�^ ��f��,k � s� r, ��s-- s.F.
K � iXfirr� �,�r_!�� ` ��� ` x � f G C� S.F.
� : Xr?:��,� �r a� �.x�� �f:�r :C.. 3U� X� � 5t� S.F.
M � ISi� !o�c n{'t. "�r.r_� � 3' � ' �'' S.F.
N L�xl �,;�� �:�,t+� � ' ��. ��';�� �' ' `-/ S.F.
� ..., f � S.F.
p S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
� S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
� � C� S.F.
1 Total Pro osed Hardcover >
Excludable Hardcover See Cit Code Sec 78-1684):
I I _. � � j�- ;s ,� � ":�;� � C�� � �� C�U S.F.
� k;�r�� �La 1 u„i �'� ,?rt, ,f'�e. ! r; +'�'' S.F.
� _ S.F.
S.F.
S.F.
2) Total Excludable Hardcover IU� S.F.
3) Net Pro osed Hardcover Subtract line 2) from line (1) ,��. � S S.F.
4 Total Lot Area ��J� S.F.
Proposed Hardcover Percentage [ (3) _ (4) ] l � %
(Proposed Hardcover next page)
No vembe�30,2012
, .
Property Address: � �� �'�� �
Prepared by: ���� � ����� ��,,�����y,� Date: 5�L;—1�
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Include all existing hardcover items that
are intended to remain, as well as all proposed hardcover items that will be added. Use as many
lines as necessary to accurately depict proposed hardcover status of the property.
Key to Hardcover Item (Describe) Length x Width Total
Survey (Square Feet)
(Example) (Gara e) (24'x 30') (720 S.F.)
A ��c,•�.„ `�;' 'f.<3�►'j�_ > > � y-=� � I I � � S.F.
B ��w,c���l s.F.
C {�'� �,,�1 �.�,���.���� �� ` '� ��� ���{�c� S.F.
p 1'� ��,�� �.� ��; ��s'� � �U� ;� �U ' IUC� S.F.
E �r�. .� � �' � �. � ,� � 7�- s.F.
F j=r.,., ,�r.* ,� -r-,,u�,'��_ I�)` ,� ��' �{� s.F.
C7 V�rM;�lf`:.�s S.F.
i r;, � �,
� i
H � <��,��-�, .� F . ��� , �-���� G v x _;;;�
I 2c�rJ�� �, S.F.
.� ) � , ::��.,�� „ r �,�s�ke {?<''�a:a "�9�. -C.d>�s��4, ���� � ?C j � �`�: .5'.F.
K �r , , ;�r 7 ,,�����.� r' �." �'�;{:;� s.F.
, ,`
, ,
L �x���1�1° G�,� ��t, ��.�r!I� ,�r� �`�; !{. 3v ;;:� s.F.
-r �� r' I S.F.
M �� ����-� r�2�z ���. �'�r� r',r b���^���a_ x � � �-�
,
N =n����- 1�'t���- �n�t.�.S: �' x% `f s.F.
� � -
� :C.,`� a7 �•'',� ,,��' �, _ �, r�y,,�,' �` ��' �(.j S.F.
P ��G-�,. �.-� ,���y� r � 7 ` �j ' � ��� s.F.
Q _ �t.., � s.F.
R s.F.
S S.F.
T s.F.
U S.F.
V S.F.
W S.F.
X S.F.
Y s.F.
Z S.F.
1 Total Proposed Hardcover �,��`=; �'- S.F.
Excludable Hardcover(See City Code Sec 78 1684):
r , ' �' i �,'U.� S.F.
' / �
�� C. �� C41`,� 1� ��� r r 5�X '.� ��`� F. (.�-'� ��' f
° -�:� , --,� F.�rtt � � �F= , �f ��Pl���� `1'��?��I ��� S.F.
, � .
.,
•
,
v
� � � ..., � a 4 , � ,, �'^ ? i --�� � S.F_
....� ., 1
f bc��� -.� �ri c ��a, ,.,;,�� t,,..� � �, _ ,� l 1C� i� �
� S.F.
S.F.
2 Total Excludable Hardcover � �� s.F.
3 Net Proposed Hardcover [Subtract line (2) from line (1 ] >,�,1�' s.F.
4) Total Lot Area � �; ��iU' s.F.
Proposed Hardcover Percentage [ (3) = (4) ] � �� %
No vember 30, 201 Z
SCOPE 3'-Z'
DESIGN ANO DETAILOF THE MAIN WINDFORCE PESISTING SVSTEM FOR THE McDonald Construction,Inc.
REAR WALL ONLV OF A SINGLE-FAMILV RESIDENGE.CONSTFUCTION IS TO BE �� FASTEN ROOF TRUSSES NBOVE TO
IN ACCOR�ANCE WITH THIS DOCUMENT.STANDFRO INDUSTRV PRACTIGE,AND TOP PLATES w/(3)etl TOENAILS �601 145In Sireet West
THE CODE.
Apple Valley,MN 55120
NOTES � ��� � ' � y
1.THESE DOCUMENTS APPIV TO THE REAR WALL SHEAR WALL �� �
RE�UIREMENTSONLY.REFERTOCANSTRUCTIONDOGUMENTSFOR MORE �� � � �/� HATCHEDAREAINDICATES%fi'OR
MFORMATION INGLUDING ALL OTHER BRACED WALL REOUIREMENTS NOT -� THIGKER PLYWOOD/OSB EXTERIOR
SPEGIFIALLV H�DFESSED IN THIS W WMENT AND ARE THE RESPONSIBILfTY � M� SHEATNING FASTENED TO STl1DS wi
OF THE BUILDER. CONSTaUCT SHEAR WnLL IN '. � � ed NAILS @ 3'O.C.AT PANEL EDGES
2.ALL WALLS ARE TO BE GONSTRUGTED IN ACCORDANCE WRH THE ACCORDANGE WITH DETAILd/Si I '�. 8@ 12"O.C.AT MTERIOR SUPPORT
FOLLOWWGCRITERIA,LLN.O.,WHIGHMEETSORE%CEEDSTHE � � �\p��iS'� �
HEOUIREMENTS OF IRG SECTION R6�210.3-METHOD&8. � �- ' � � �., �
3.AI I FLOORS ARE TO 6E IN CONSTRUCTED IN ACCORDANGE WITH THE 1 A t �.
FOLLOWING CRITERIA. .�- -
A.FLOOR FRAMING SPACED AT F MAXIMUM OF 24'O.C. � ,{i�,',-_._; � � . n'PICAL 2x6 STUDS�16'O.C.
B.FLOOF SHEATHING:�'STRUCTUfiAL PANEL SHEATHING w/Bd NAllS�.d 6' ��. d -� ^'^' . . ' . e '�'. � . �� � ,-. �' _
O.0 AT PNNEL EDGES AND 12"O.G.AT INTEFMEDIATE SUPPORTS. PROVIDE DOUBLE STUDS
4.ALLFOOFSARETOBEINCONSTRUGTEDINAGGOR�ANCEWITHTHE REFERENCE PLAN � ATENDSOFSHEARWALL
FOLLOWING CRRERIA �l
A.HOOF FFAMING SPACED AT A MpXIMUM OF 24"O.C. S1 pqRTIAL REAR UPPER LEVEL PLAN FROM
6.FASTEN ALL ROOF FRAMING TO TOP PLATES WITH USP PT]CLIPS OR / FASTEN BOTTOM PLATE TO RIBBON
EQUIVALENT AND 13)ed TOENAILS. CONSTRUCTION DOCUMENTS SNOWN FOR BRACE w/(3)16tl NAILS EVERV 16'
C.ROOF SHEATHING:Y'STFUCTURAL PANEL SHEATHING w/etl NAILS�@ 6' LOCATION REFERENCE ONLV
O.G AT PANEL EDGES ANp 12'O.G.AT IMERMEDIATE SUPPORTS OR 1Ya'
16 GAUGE STAPLES�d 3'/6'SPApNG. � / SIMPSON MSTC52 STRAP LAPPED
5.NLONG LENGTH OF WAILS,LAP WALL TOP PLATES A MINIMUM OF 26'AND ' -� � �. � ' ' ���� ' / ACROSS FLOOR SVSTEM
FhSTEN TOGETHEF WITH(e)164 NAILS IN LAP ZONE.AT GORNERS AND �� �- �
INTERSECTIONS,LAP PLATES AND PROVIDE(2)10d FACE NAILS. 3 '� � � ' `� �
6.ALL GORNER BFACED EXTEFIOF WALL$ARE TO BE'CAUFORNIA CORNERS' �. ' / PROVIDE 2x BIOCKING AT
OR FRAMEO IN ACCOR�ANCE w/FIGURE R602.10.5 OF THE IflC. _ - y ,j �' STRAP LOCATIONS AS REQ'D
MATERIALS � �'� . 'fASTEN FLOOP TFUSSES ABOVE
WOOD STUDS SPF STUD GRADE OR BETTER(LESS THpN 10'-0') . .�� � i — — %� TO TOP PLATES wl(3)Ba TOENAILS
SPF NO.2 OR BETTER(10'-0'8 GREATER) -. ZS � ,
WOOD BEAMS. SPF NO 2 OR BETTEF ' . '-
TREATE�WOOD SVP N0.20R BETTER CIXJSTRUCiSHEAR WqLL IN '�. ��� � — 'f—
LVL 1 9E OH BETTER ACCORDANGE WITH DEYAIL 4/51 ,q�z�
LOA�S CODES '.. � ��IE ly3 �
ROOF SNOW LOAD: 35 PSF 2007 MINNESOTA STATE BUILDING CODE - �� .' �.o �
qOOF OEAD LOAD: 15 PSF +'�AMENDED 20061RC �� . �
FLOOR LNE LOAD: a0 PSF � �"��4 � HATCME�AREA INDICATES%s'OR
FLOOR�EA�LOAD: 15 PSF ��� '- . j� THICKER PLVWOODiOSB E%TERIOR
WIND LOAD' 90 MPH EXP.B � �� e- � SHEFTHING FASTENED TO STUDS w/
REFERENCE PLAN BtlNHILS@3"O.GATPANELEDGES
_INDICATES ENGINEERED WIND RESISTMG ELEMENTS TO �� 8@ 12"O.C.AT WTERIOR SUPFORT
BE CONSiRUCTED AS SHOWN IN THE DETPILS. St PqRTIAL REAR MAIN LEVEL PLPN FROM
CONSTRUCTION DOGUMENTS SHOWN FOR
LOCATION REFERENGE ONLV ��
ROOF TRUSSES TYPICAL 2x6 STUDS @ 16'O.C.
�FASTENED TO e. .. , .... '.
PLATES w/(3)ed
TOENAILS A�F TRUSS �� PROVIDE DOUBLE STUDS
FASTENEDTO �� �- �
PLqTES w/6d '° � AT ENDS OF SHEARWALL
2xd BLOGKING ��
BETWEEN TOENAILS(.d " "_� "' � "
TRUSSES NAILE� 6"O.C. . ...„ ..,: �'��' ».,z ;1.�� � FASTEN BOTTOM PLATE TO RIBBON
TO TOP PLATES w/ .. BFFCE w/(3)16tl NAILS EVERV 16'
P3�ATENT�O RIBBON N/��3)16tl NNILS �,. ACCORDAN��°' ��, .
PLATE TO
�NAIL BOTTOM �W DDER TRUSS CONSTR�T,$1'�EA�'P/ALL IN • `�� SIMPSON MSTC52 STRAP LAPPED
f ACROSS FLOOR SYSTEM
Hp�Y�uasi � �i � 4'�i�I�,�l �
BRACE I TRUSS w/ EVERV 16" � am.
(3)16dNAILS . .,,,.rt E •{ �M� �q3y�•• � .
EVERYI6' � �� � � � �' j PROVIDE2:BLOCKINGAT
NAIL EACH THUSS NAIL LADDER � �� STRAP LOCATIONS AS FEO'D
TO TOP PLATES w/ �TRUSS TO TOP .. {° . . < . � - .. — — _7
(3)etl TOENAILS PLATES w/Btl
NAILS@6'O.G. �� REFERENCE PLAN — — FASTENFLOORTRUSSESABOVE
TO TOP PLATES wl(3)Bd TOENAILS
EMEaIOR BEAFING WALL EXTERIOR NON-BEARING WALL 51 pqqT�p�qEAR LOWER LEVEI PLAN FROM �
SECTIONS SHOWN DEPICT CONNECTIONS OF BRACE�WALL PANELS TO ROOF CONSTRUCTION DOCUMENTS SHOWN FOR /
TRUSSES ABOVE AND TO JOISTS/iRU55E5iBLOCKING FBOVE LOCATION REFERENCE ONLV " HATCHED APEA INDICATES%fi'OR
� THICKER PLYWOOD/OSB EXTERIOR
THESE SHEETS REPRESENT A PARTIAL"MAIN WINDFORCE RESISTING ��'�� / SHEATHINO FASTENED TO STUDS w/
SVSTEM"DESIGN OF THE REAR HOUSE WALL FOR THE FESIDENTIAL ���. � ed NAILS @ 3'O.C.AT PANEL E�GES
STRUGTURE ALL OTHER WALLS NOT SPEGFlCA�LV LABELE�ON THE PLANS i , 8@ 12"O.C.AT INTERIOR SUPPORT
ARE THE RESPONSIBILITV OF THE BUILDER AND TO BE BFACED IN '�.
ACCORDANGE WITH IRC PRESCRIPTNE REOUIREMENTS ���.
SIMPSON HTTS � 7VPICAL 2x6 STU�S @ 16'O.C.
HOLDOW N ANGHOR AT
'�. LOCATIONSSHOWNw/
PLANS SHOWN LIGHT IN BFCKGROUND ARE FOR J4"0 x 1T LONG PROVIDE DOUBLE STUDS AT ��„-����+•�y�+-�+--
LOCATION REFERENCE ONLV.PLAN NOTES AND SIMPSON TREN MD Stl
. SCREW-INANCHOR EAGHENDOFSHEARWAIL
ELEMENTS SHOWN LIGHT MAV NOT NECESSARILV I ��
SUPPORT THE HANSON GROUP'S DESIGN. _._. __
5.2i1J_ :�Oi_
T , / SIMPSONSTHDI4HOLDOWNAT
q � LOCATIONS SHOWN FASTENEDTO
� • DOUBLE STl1DS(REFER TO SISt FOR
' POST-INSTALLED HOLDOWN OPTION) ,,.,
� . (2�'0 ANCHOR BOLT(]'MIN.EMBED)
ALTEflNATE HOLDOWN A
� CONCRETE FOUNDATION BELOW
- . EngluM ReslEence
` -. 388<G�erryAve
., AAour�d,MN
� FRAMING DETAIL � FRAMING DETAIL c 1
5� POST-INSTALLED HOLDOWN OPTION St STACKE�SMEARWALLS p��
\�
C�J COPVqIGHT THE HANSON GROUP.LLG 2013
, . . 3
New Construction Ener Code Com liance Certificate �
JY P
PerN1101.8 Building Certificate.A building ceniticate shall be posted in e perinanently visibLe location inside h�xte Certificate Posted
building. The certificate sha11 be completed by the buildcr and si�all li�t infe�niation�nd vaL�es of components
IistedinTab1eN110L8_ ��aC� �/Q��'
Mailing Address ot the Dwelling or Dwelling ID�it Ciry �
3884 CHERRY AVE. ORONO
logo here
tiame of Residendal Con7ac[or �I\I,icense Nmnber
MCDONALD CONSTRUCTION 2376
THERMAL ENVELOPE RADON SYSTEM
Type: Check All That Apply Passive(No Fan)
o �,
C
v
P- ' �Active(GVith fan and n�onometer or
�' � s
_ � � other system monitorirrg device)
� � � ti
^ � � �J [7 �" �
N � O � J N � 'S7 ..
.. � � N J � � >�
;J
� � z ,�� � � ^e, w ic o
Insulation Location � - J r � �:
= �T � 'n � a� -o' v
� a� a� � � �
0
� cn
� - z - w � �G Other Please Describe Here
Below Entire Slab
Fowldatlon Wall R 10 X Type in location irnenor
Perimeter oP Slab on Grade
RIlII.TOlSt�F011lt[�8�1011� R I� X Type in locatlon_lnterior
Ri�n.ioist(1s`Floor+) R�O X Type in location interior
wsi� R21 x
cei�,��,n�c R44 x
Ceiluig,vaulted R44 X
Bay Wnidows or cantilevered areas � �
Bouus room over g�ra�e R30 X
Describe otl�er'vLsulated aress
Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces
Averaee U-Factor(excludes s/ylrohts a��d r,rie doo)li: 0.30 x '_�ot applicable,all ducts located in conditioned space
Solar Heat Gain Coeftic.ient(SH�1C): 0.29 R-value
MECHANICAL SYSTEMS Make-up Air Sele�t a Tvpe
Applianees I Icatiug System Domestic Water Hcater Cooling System X Not required per mech.code
Fue►Ty�e NATURAL Natural Gas ELECTRIC Pdss���e
tildnueacturer BRYANT Bradford White BRYANT Powered
Interlocked with exhaust device.
Niodel 912SB48080S17 M-4-TW-50TFBN ' 113ANA036 Descnbe:
Inpu[in 80,OOU C�p�city iu 50 Output in 3 TOV Ot11ei,descnbe:
Rating or Size BT[JS G+Cou: 7bns:
HeatLoss� �� 61,�06 HaacGain Locationofductorsystem:
Structurc's Calculated � � �
AFLIE ot 92% SI1ER: 13
I��SPI�°ro
cal�ular�d 32,400
E11'icienc� coolin�lo�d� Cfm's
°round duct OR
Mechanical ventilation system "metal duct
Combustion Air Setecr a Type
Not reyuired per mech.code
Seleet Type Yassive
Heat Recover Ventilator(HRV) Cupacity in efms: Low: High: X Other,descnbe:
Energy Recover Ventilator(ERV)Capxcity in cfins: Low: High: Location of duct or system:
X Continuous exhausting lan(s)rated c�tpacity in cYins: 110 6"' FLEX MECH R��M
Location of fan(s),describe: VIAN BATH,MASTER F3ATH,I3AS�MENT BA"1'H Cfm's
Capacity continuous ventilation rate in cfins: 6" FLEX
Total ventilation(intermi[tent '�-continuous)rate in cFms: 430 °metal duct
Created by BAM version 052009
� ,. , .
. • �_
20 � 3 FC� UNDATIC� N t� UI � E :
�
SCOPE OF DRAWINGS:
THESE CAST-IN-PLACE CONCRETE FOUNDATION WALL GUIDELINE DRAWINGS ARE PREPARED AND
CERTIFIED BY THE HANSON GROUP IN COMPLIANCE WITH THE REQUIREMENTS OF THE INTERNATIONAL
RESIDENTIAL CODE (IRC) AS WELL AS THOSE OF THE MINNESOTA STATE BUILDING CODE. THESE
DRAWINGS CONTAIN STRUCTURAL INFORMATION FOR USE IN THE CONSTRUCTION OF STANDARD C.I.P.
CONCRETE FOUNDATIONS FOR TYPICAL RESIDENTIAL CONDITIONS. THIS INFORMATION IS RELEVANT TO
THE CONCRETE CONTRACTOR, THE GENERAL CONTRACTOR, AND THE FRAMING CONTRACTOR. THESE
DRAWINGS EXPIRE ON C�ECEMBER 31, 2013.
DRAWING INDEX:
SCOPE, INDEX, K CERTIFICATION SO
USE GUIDELINES AND MATERIALS S1
GENERALNOTES S2
STEP FOOTING DETAIL S3
WALKOUT WALL DETAIL S4
LOOKOUT/KNEE WALL DETAIL S5
EXTERIOR LOW GRADE FOUNDATION DETAIL S6
BASEMENT WALL DETAIL S7
BASEMENT WALL VERTICAL REINFORCING TABLE S8
BRICK LEDGE DETAILS S9
FLOOR MEMBER BEARING DETAIL AND CONNECTION TABLE S10
BASEMENT WALL ANCHOR SPACING TABLE S11
NON-BEARING WALL JOIST BLOCKING DETAIL S12
NON-BEARING WALL TRUSS BLOCKING DETAIL S13
WINDOW WELL DETAIL S14
STOOP DETAIL S15
I hereby certify that this plan,speciilcation or report was prepared by �
me or under my diiect supervision and that I am a duly Licensed
Pro`,essional Engineer under ihe laws of ihe S�ate of Minnesota.
Date: 1-1-1 3 License Number: 46665
Si�ned. ,... . ...
Pr�,�.,v.,�.,E: Nick Hanson
� �Y u°�'� SITE ADDRESS: Date Rev
F€ 2013 C.I.P. CONCRETE FOUNDATION Englund, Doug and Ann Project
� ,�� r ��:..;
b- � ? ���� GUIDELINE DRAWINGS
�:,' SCOPE,INDEX,&CERTIFICATION Project: 3884 Cherry Ave
���`�' Lot 17 Block 3
_ �a McDonald Construction, Inc.
�.:
���`����r�=�-=��� 7601 145th Street Orono _ 55356
City: State: MN Llp:
,.;�„�,,,,,e,��„eNo,.,, Apple Valley, MN 55124
s��1e4 Project Number: 3.001 � �y
r�iY�,o�m,Mrv ss4a, Drawing Date: January 1. 2013 �
rei e,zaoa-as�z Client:
www.hansongroupmn.com Sheet: 0 Of 1,5
c� COPYRIGHT HANSON GROUP LLC 2013
-
���- DAT TIME �
CITY OF ORONO CALLED IN �- Z����
INSPECTION NOTICE SCHEDULED !'�T ��
PERMITNO.aDl3 -DD3 (v� COMPLEfED ���� "
ADDRESS ���� ��'����/��
OWNER TELEPHONE NO.��z ��� �3�
CONTRACTOR ���t1�'-�c� L���'Z�
� DESCRIPTION L��J
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
�
W
�
�
O � l �
�
s,.'
�
O ,
W '�__
�
Q
�
2
W
�
W
�
W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
r
Cail for the next inspection 24 hours'n advance. (952�;Z�49-46��
OwnerlContractor on site: ` �
Inspector. �
White Copyllnspector's File : Canary CopylSite Notice
'✓'
S� DAT TIME �
CITY OF ORONO CALLED IN a- ��
INSPECTION NOTI E SCHEDULED o7- �( ! :!�D
PERMIT NO.�(�I�'D��� COMPLETED
ADDRESS 3 g g
OWNER LEPHONE N0.7�12-Z�1 Z �d�o�C
CONTRACTOR �G/.J� �1I-�1/1a`" Q1�JW'��
j: DESCRIPTION F� h� -" �YK-/� �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RAOON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. D FOLLOW-UP
2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ��t. F,•�i/ - o't` J� - I�/
a Fy��s s - d K
0 S�4•r�/'4,l�T s �G.,rGS - O!C
� /�'lOK�s _o � �,C
° /. Prov�o G �i71�.� �rts�� cb��
W .
Q �iilc5� �4n�SC�oi-�� � �I�t�/�4/a.,► )�S-.�
� l.tJ�-7�iC�✓ de r r�e.� S'
W
�
� f
2t5� O �F 4J c�QC CCS w�/.JIQ-T t_ � 7'Qivc`D ['p .
a -T -
W� O WORKSATISFACTORY:PROCEED JI�PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 for next inspection 24 hours in advance. (952� 249-46�0
Owner ontractor on site: rr
Inspector. ►v�
White Copyllnspector's File Canary CopylSfte Notice
�1�� ^�/� D E TIME �
CITY OF ORONO CALLED IN �� �
INSPECTION NOTICE ,/ SCHEDULED � ��.`3n
PERMIT NOa?�/� '+'�D���7' COMPLETED
ADDRESS �g
OWNER LEPHONE NO.lDy� �� �S�I'
CONTRACTOR �C� ��j(,U /—
� DESCRIPTION �1�Y�
�
� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
r ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
o �-�����-� � � �� c���-�
�
° � c��G�, V�A I B� ;�S'
W
�
Q
z � —� S
� Q�N l
�
�
a
W� �rA00RKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52 j 249-46��
OwnerlContractor on sit .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
S� DATE TIME r�
CITY OF ORONO CALLED IN �l—/�
INSPECTION N,OTIC , ( SCHEDULED `/ -.� ���
PERMIT NO. �CO ��0367 COMPLETED
ADDRESS 3��
OWNER ELEPHONE NO��� 33S �7�D
CONTRACTOR M G L U?'L�..��
� DESCRIPTION ` �S���`� � �/���9�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE �/ ❑ SITE INSPECTION
Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
J �
O
�.
� �
O
�
W
� � �
Q
� �
2
� �
W
�
J
d
�O�iKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerfContractor on sit :
Inspector. � \` ��
White Copyllnspector's File Canary CopyfSite Notice
n� �- D TE TIME V
CITY OF OROMQ� CALLED IN � "Z —�
INSPECTION—NMOTICE SCHEDULED -DI- /3 �—
PERMIT NOS� � ��� LETED
ADDRESS �-
OWNER T O NO. �la— �7 y
CONTRACTOR a ' �LS
� DESCRIPTION
�
� � FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIFEPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
"i ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YpU:_YES_NO
� COMMENTS:
�
W
a
� f � J ��,
o � ���rr.c ,�� �c�hC
o __ -�� �.—��<
�
W
�
Q
�
2
W
�
W
�
�
J
� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRE WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑iNSPECTION REQUIRED.CI�LL TO ARRANGE ACCESS.
f
Ca11 forthe next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. �
White Copyllnspector's Ffle Canary CopylSfte Notice
�� DAT TIME V
CITY OF ORONO CALLED IN �d'��
INSPECTION NOTICE ,/ SCHEDULED �o-��-�3 !f�.' 3 0
PERMIT NO aDlj -�3� 7 COMPLETED
ADDRESS �BS�T �'��� ��
OWNER TELEPHONE NO. �o`Z ��I
CONTRACTOR G��9�
�; DESCRIPTION ��"7 f �q"
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
ti
�
Q
ti
Z
W
�
W
�
�
d
W� ORK SATISFACTORY:PROCEED I � PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � � _ �AT/ TIME V
CIN OF ORONO CALLED IN -i`�- \%
INSPECTION NOTICE SCHEDULED �-�-�T �
PERMIT N - c0 LETED ' v
ADDRESS �
OWNER TE EP NE NO , L G���01-1�S�
CONTRACTOR �
� DESCRIPTION � �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU _YES_NO
� COMMENTS:
�
W
a
�
J
O
�.
�
O
�
W
�
Q
�
2
W
�
W
�
J
d
W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE()111RED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on sit .
Inspector. ��� �
White Copylinspector's Ffle Canary CopylSite Notiee
C � DAT TIME v
cinr oF RONO �Eo�N
INSPECTION N TICE CHEDULED — _si2 .'�D�_'
PERMIT NO. � � COMP ETED
ADDRESS gg
OWNER T L ONE . '�'���
CONTRACTOR �
� DESCRIPTION �� v'� `
�
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
o , I � e (
�. � �
�
0
�
W 5� �-� ��� n� e
�
Q
� (
� � �
W
�
�
a
W� �'�.SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALL TO AHRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
inspector. �
White Copyilnspector's Ffle Canary CopylSite Notice
U � 'f p AR�� " p11� Cv " 1` � -
16, � E1�1�E -
�.,p� � �
OF A- -
K
� Yi
� 0
E E
K. � .
A Il�
L �.
ARM a �
OgT�`
1� �
R �1NE C��i `^ .
„ o� �
�, �` ��TR�ERSE �29,4, C,�N�
_ _ r �IN 10.0- -
_—'�- - - - _t1 • �' —_ —__--_-_ ""..�--- -
. � CO -��Rv�- _.— ____ -- — --� .�+ '
- — — — — -f- — — — ——�1.3 N)�I tj�--- — -�'.�', — __._ — � -�f-' _ _ _ �- �-l�li�l�/—
�M) I�- � �--- - �
� ' w�,, — —934-- _" � N — —— _— _ — ,20
� ' , — �t 936- = �9�L -- - - �,
� � �� ��
� ., —• �
� � � �� � _- - .,-'
� � I � i e— �, K�� 1}�" 'f,`�� � ✓�_
� co � .-� 2 ' `
� .• � C p,
. �
�� o �,�6 • g........_.� ,— s
� ' I �n � � 2°0 � �
� �
, � r- � � pp., `� �
' � , M E �' ,�'�
� ^ � �
I J7.4/ i �g4p.3) / � ._ /
� , , , . ' � �
•t ' � 0 y..� /
-� ' � .r /
� /i ��_` �'. '.. N �'� / ,
-�,NG� � r. , I �P�SED__•_ /� // /� �
EX155E I � � s�� FE"c� ��/__ � i ,j�
�O 3 8 9 a I . I 7 5, K / -.�4 VE`G f K � �/ /
� I SE�BA� / �ESy /
. , � � �(�\NE �� _ / / /�j�A`�N�.
:;.,, I -- / (� � � � i i r y
' " � .. •� I � � '�� Pappp5EDl0�/ �� /� // `.� �g, / _�—_
1rK'+ o � '�F/�'� VIEW✓
� � N RET A!1 � �r�., `�_
/ I d W A1.L � `(
�NE Y
// I / � NI � �� 2°��,�� / �PS�ECR 3�R Y��jCC�P��� / �ggg.ol
,R� � � N — �w�� e s�Uj N � �/ 11NG
—
/�,, � / �- - .. �otK �`d � /� / E�1USE
i � �
/ W� •o °� 4 �s.� _.. i� / � �3g60
.. .14.3... ..
�I � ` d. I 38.0 '/".;•�.... / / �
�� / � � °` � � �/ r p�EM1S�
, �
Nj // ��� �SED � ... �_ �� �� pES�R1P110N 1 Bay ,
� � // N � I PR�P VSE � �� /� ,� �EGP` �k 3, Gr�e i�ne def
0
'.�w�`,� �w�i �- � H , °'� ; 6 g10 W 1 d
�o� � / � --�. / `ot 1 , �ie ,• hereb`l ��
�� o� /� /� r /r � #3ga4 � W�` �:: � Cr`lst°d B�o ��o�Sso�d L�t the
/ �/ � (P� 15-� � / of S°� 1ine • e, fr��` sa��
Z �
� Ex�sT�N� �o�SE � s4 x 1 So h outher�y e 1in a�er'
/ � u� er � e, as
X15�`w1G � .. 70 BE REMOVEDI�--... � `r1 rj v rcj d �'(
E ��' / : o� - � � � � / �' sa « tra e sa� se
�p,RP�E � � �� � � ; l � � i o� thur ed olon� ��tr o�ero� �
, � �� �l / h eas e ter t I�ne t
/ � � � m e�� t h e E o s �o t
•., :
W
. _
..........� � ,s � z,.o E
.
�ati � I � ... ... ..... . � h o�nt on t � o� sa�the Sou
/ 9 E � I / p �orne o{ �� ,
/ I / O � / r I east or ther�y f �°t • E
,� � � � �� � ,I' � \ �eet eC�y 3/4 °bed 1ine;��
� / I �: � t sc
� W h es e ot
,� � � / Ep � � � w ow;n9 d 4 of �- e��y
/ / OPpS � — \ {o�� 3/ . est
� /� I ��� PR �w A'� ;/ : � : � - ter�`l a�d w •d �
, � / �;� � I oR�v AY � � w es o� s � Sa�
� ��� ,��,o ( ��� to� � � p � or�er 1�ne ° �r oc
� � � so�therlyther1y \;n e� en
� ,� �.� �
s.�� I ,l'�' c�,�.>> . _ �
_. _. -. 4.1 �
i�
(�.._. ... ... . .__._. _.. . pw£RO
�� � � : � � 2,.9 So;d So and th t ��
� � �' � �--�1 � � EX�511NG � , p01-� � �0 4 �o�� So`d e o f Sa�d
� � � � � � � N �B� G�, � � saUthe outher�`l 1e C;ne,
/ / � . I°p � � p,RA d s �ers d
/ i I o �. ° CDRE�� c�� � � � G z,.9 3:. � o� the td a\ong S°�
1 � � � � �o� � � ��°� � �, meosur e d�
� N � o o � � �,�' e� � o '•
, I ! � �-.._ I o � N�
I � � �i► � � �`'�, ;^ q� . c
� a J �� I � ,,���� y ;cMv \\ �
J G�P'
\S � .. I E'LY � � 83� .
��"Y S'L y ��N�� LOT 17�R \ �� _ _ �90
`�� �y� 0_F ��T �=.• __9¢8_ � �. ��2 2�'`" — —— — — — _ _ — ��,$ :
------1� 86•00 � ° 7' 2��"��`� ��-p-�- _ _ _ — 9 -
� � ��-2 � �-- ... o , �� W ,_ .
o ,�, ��,,.3� R-395.55- -gse-1-- -_N_ -8Q 34��——- _ �9��
d' �g�5.0� B�ACK.�Y•'. , `'i (94&3 O
R�A�W A�� �H E U�� E � 9��
, R .� Y A V E N �9.s�
I �
� BE
� I
N
I
-�his �S�nt�
�' �`, ' .
� � ���� � �
�J�,
� __ _ � !r
CERTIFICATE OF SURVEY FOR •
DOUGLAS M . 8c ANN ENGLUND
OF LOT 16, & PART OF LOT 17, BLOCK 3, CRYSTAL BAY VIEW
HENNEPIN COUNTY, MINNESOTA
LAKE = �c�y ti� 1�-`=�
MINNETONKA ;� 5�1-} �,�
������i , r'��NE�ERSE�. NORTH ARM � ��� �.;i� ,,��> �,��i��I �� ��t������'� .
'�� � � � �.�-�-- �'-(=� �-ir�-c c-�
� � '°o.. �
/� c9313 ���\ 929•4 CONTOUR LINE �` `�
� y�/ suR�r-- yi � C?7
l - - ��„y���E- ��� I (.� ✓��-��- C�� �'
._ . — --- ow�� 93? _.. -- ---��� � �,`.���- ���' trt'1►i,�,
/ __ ��� � 934 - � '� -- - _ � � .
_ _ � :�
--
/- __ ^ `.. / $ 936�- - `° N - - -
� �O /.. ; �^ __
--
/ (f�• / ��"�(N'- 938_—— . ' (93�9)_ __� —__—_— .._... ___
/ ^ __ ___.--_
O ... ........: '. _
� sJ>,� � 2 Q � _ -- �.,----------- -20 0 20 40 60
_94Q—�..� O
EXISTING% ` _�� O'. � ` _ _
HOUSE / �� ;.;�/ �_
//3898� r � l� .•; r.., �sao.�) N � ..._ ..
' ' �' S C A L E I N F E E T
• :�. � ::' PROPOSED\ ..
: }.t '. . . ..
� �
• �-� � � fSILT�FENCE O , ,,- '
� �—� `\ N .,
`., `•.. •� � �s� � . .
"' SETBACK � \
9� � /��1uNE PROPOSED ELEVATIONS : (VERIFY)
l ^l _�, ��e�e
. �� � �ry� ...942�aaoaoseo�a � ; .-.`9�FSy ., ��/ 1� Garage = 950.9
h� N �wni�""c �
I /� � �F�'e
�"�� � ����'� 944- 9a° -' � �es� 2) Sub Garage = gat2
��e
n/� � � ��.j���.. s�Zp (�) EASTERLY LW`,E�OF,LOT 16, NJ 2� TOP Of fOUfldOtl01'1 = 95L2
� � � � �ECK BLOCK 3,�CR/J Ak�BAY VIEW,. �
Q � AS CURRENAY.6CCUPIED .�
/ , s_ 'eo 9,s1 � / \�� 3) Basement = 9425
/ N / "-�z:? (955.0)
\w•�v uNe �y- � �a� / �� 4) Lookout = 945.7
/ oF `oT ,� o PROPOSED
� � ��6 EXISTING
ExisriNc � Z � %� HOUSE h •��'� ' i�� � HOUSE
�/3860
GARAGE / #3884 � ��
,�ti / o-� �� �A� � LFGAI_ OFSCRIPTION OF PREMISFS :
� � , 9 0.�54`
� �R� , Lot 16, Block 3, Crystol Bay View, and the easterly 1/4 of Lot 17, Block 3,
�a / �5 � Crystal Bay View. The line dividing the westerly 3/4 from the easterly 1/4
9 � n�� '` � 3 � of said Lot 17 is hereby defined to be a line drawn from a point on the
� �• �'� o /?j _southerly line of said Lot 17 distant 15.00 feet westerly, measured along
��6 / � � / sso.s � % , � said southerly line, from the southeasterly corner of said Lot 17 to o point
� ��' a �5 on the traverse line, as said line is hereinafter defined, 10 feet westerly,
� � ��E� measured along said treverse line, from the East line of said Lot. As used
��o� � PROPOSED �5 y`� herein the term "traverse line" is hereby defined as a line running from a
� ` � E; �. DRIVEWAY �'
oF � ��� �j �h point on the East line of said Lot distant 226.7 feet northerly of the south--
� �N / ts.9.e� / �* � � east corner of said Lot to a point on the West line of soid Lot distant 223.3
� �9� / ���� feet northerly of the Southwest corner of said Lot, Also, �hat part of the
� o�h � � � / � cr9*9.,� � westerly 3/4 of Lot 17, Block 3, Crystal Bay View, lying southeasterly of the
4 �4 / � 2,.9 p following described line: Beginning at o point on the easterly line of said
� � z� �RET" � �, � �,EXISTING 4 owER� westerly 3/4 of Lot 17 distant 68.45 feet northerly from the southeasterly
� i o �°L � � I � ry �B� � Po�E� corner of said westerly 3/4 of Lot 17; thence southwesterly to a point on the
2 � \ / � I{� `� o soutnerly line of said Lot 17 distant 11 feet northwes.erly, measured along
� � o � GARAG� � said southerl y line, from said southeasterl y corner of the westerl y 3/4 of
oR�Y ���^/ � /��' �"�s�9`9'6 Z's � Lot 17, and there ending. The line dividing the westerly 3/4 from the easterly
LOT 17 S�Cy 9q��' ': // � �qb�
oF �� . � ,� N. � 1/4 of said Lot 17 is hereby defined to be a line drawn from a point on the
��r�� ' 9 (�s , ���" ��`�`��^ � southerly line of said Lot 17 distant 15.00 feet westerly, measured along
� 4e. �or y�oR �R�?'N said southerly line, from the southeasterly corner of said Lot 17 to a point
� � 8 �� +' on the traverse line, as said line is hereinafter defined, 10 feet westerly,
c9,5o� � 6•�� measured along said traverse line, from the East line of said Lot.
� ' �
e�ncKTob..-._ .' �9,,,� � 95Z o : denotes iron marker set
ROADWAY
c��R �9,83 R�2�z�; 26.. :
_ 26„
3gS SS� - ' • : denotes iron marker found
R 1 � T j 950� ''�"35 0- _ _ (908 3) : denotes existing spot elevation, mean sea level datum
�� � �� 8
E�T�E p 34_00'�_w 910.8 : denotes proposed spot elevation, mean sea level datum
I (919.9) �
� - 9�7 - . denotes existing contour line, mean sea leve� dotum
� —���: denotes proposed contour line, mean sea level datum
Bearings shown are based upon an assumed datum.
NOTE: Some of the inoformation shown on this survey drawing
was taken from city of Orono maps.
This survey shows the boundaries of the above described property,
the location of an existing house and "hardcover" to be removed,
and the proposed location of a proposed house thereon. It does
nat purport to show ony other improvements or encroochments.
o��wN RE��S�oN oATE oEs`R�PT��N G R 0 N B E R G A N D 5`"`E
� a-�s-�z aveaace�aKEs-iorte sere�cK�u�nooeo,nooirio,vn�coraouas I hereby certify that this plan, specification, or report
a a-ze-i3 vaovoseo Nouse eeviseo wos prepared by me, or under my direct supervisior, ���=20�
A S S 0 C I A T E S, I N C. °°d thot I am a duly Licensed Land Surveyor under
cHeCKED the laws of the State of Minnesota. DqrE
CONSULTING ENGINEERS, LAND z-Zp-�2
�oe No. SURVEYORS, & SITE PLANNERS
— 445 NORTH WILLOW DRIVE �oe No.
13-160 _ LONG LAKE, MN. 55356 13-160
952-473-4141 Mark 5. Gronberg Minnesota License Number 12755
. 3 � � .-�,�
OR�NO C�PY
CERTIFICATE OF SURVEY FOR
DOUGLAS M . 8c ANN ENGLUND
OF LOT 16, & PART OF LOT 17, BLOCK 3, CRYSTAL BAY VIEW
HENNEPIN COUNTY, MINNESOTA
LAKE � _�,1.� ,���
\ MINNETONKA `_ �yblu
, � N 0 R T H A R M '` S � ��,���, ��'�`'�
�'cx-1S�
\' "TRAVERSE" `�'li � � ]��Y�Si—
\���'� f LINE y�._�� t� ��Y�, i!!l�;J�.
a i t.fi- `� •
� \����1 - �o.o.. 1�
� ��� 929.4 CONTOUR LINE
� � � ___.. _._�s},.} v,rP % -�� ,...
� .,` . �)I SUR�Y'�
. _./ _ � ' ��M)�LiNE-_. ''�tJ��
: . _ _
----.�- - �� 932 , --��
/ ' --�_
.K� -
/ ,•. r (�) '� 934 � '---- —�-
. -
,� `• G s3s ni �0--- - _ -
- _
-- -_ _
� (p � � \ __
� O / (� " ((�K,.. 93V-_— .\ (9J]_9Z _ ��__— .__._"
/ � / J.�^�V ^J .' �� ______
l� I o 0�9.... -` `., ---
'""'" — 0 20 40 60
l JJ�1) . ^� � � O L�—� ___—___--_--_— —ZO
,, /�� 0 `:
EXISTING// _ �_—� ��' F ; ___-- -
HOUSE / , �� ;.,`� _ ---
/f3898� ' � i /� •: : '• (sso.�) N�.. �
•'•, ; �
� '��`• S C A L E I N F E E T
. � . . .
� j.,' I :{ �' / PROPOSED\ ...' ^ �----
� '•..J / '•. � � ' •"' _
� �'.. '+...1 .....,.. .. � 75' \ " " • � .
- SETBACK \ N
- / �\-l���E �� PRaPOSED ELEVATIONS : (VERIFY)
9� / nl � _ v�; Fq� - " � _%
�p�R
, � f
, / �N� '942"��� �,4,q\es /�� 1) Garage = 950.9
N AETANNC(OI.. . �E` � �.
r.�� cv� � wu� �'e
M (y� � — 944 _ eaa ;, � ;rey�k 2) Sub Gorage = 94i2
N/ �, � — �� ��P' / = ���e
ii,-���.,, 4z (o) .,,, EASTERLY LME OF,IOT 16, J\ 2� TOP Of foundation = 95t2
/ (� a / � OECK � BLOCK 3,-CR]'�A��BAY VIEW,,��
Q � AS CURRENYCY OCCUPIED
/ N sm�/ '8p 9�.z �°j / �\ 3� Basement = 942.5
/ ..12.� (955.0)
�`OF`LOT'N17 0� � �a / �� 4) Lookout = 9a5.�
/ �n �ab PROPOSED � EXISTING
�� � HOUSE � �' � i� NousE
ExisTirvc Z � /a � �saso
cnRACE / #3884 ' �
e,� � �� �A) � �_EGA�_ DESCRIPTION OF PREMISES :
9;� � —
/ 0 � 9° ��54�
� �R Lot 16, Block 3, Crystal Bay View, and the easterly 1/4 of Lot 17, Block 3,
� � r �� Crystal Bay View. The line dividing the westerly 3/4 from the easterly 1/4
e'° � �,.�� /'3. � 3 � �` of said Lot 17 is hereby defined to be a line drawn from a point on the
� �• z�.o � /r�' southerly line of said Lot 17 distant 15.00 feet westerly, measured along
6 � cp � 9°9 � 6 said southerly line, from the southeasterly corner of said Lot 17 to a point
a°' � / / �/ c � �h on the troverse line, as said line is hereinofter defined, 10 feet westerly,
� � � % measured along said traverse line, from the East line of said Lot. As used
��pt��/ PROPOSED �h p'� � � herein the term "traverse line" is hereby defined as a line running from a
/ � oF�. / DRNEWAY � �v�`� i point on the East line of soid Lot distant 226.7 feet northerly of the south-
� �N �9�8.8) / ��� ro�,.r / ; � � east corner of said Lot to a point on the West line of said Lot distant 223.3
� / �� , feet northerly of the Southwest corner of said Lot, Also, that part of the
� hh , ,���) / � <9+9.�� � � � westerly 3/4 of Lot 17, Block 3, Crystal Bay View, lying southeasterly of the
� o ��,2 �p / �y ° Z�9 4 p following described line: Beginning at a point on the easterly line of said
� � � ����,j �' � hEXISTING �'NER� westerly 3/4 of Lot 17 distant 68.45 feet northerly from the southeasterly
� = o � N e ,� Po�e � corner of said westerly 3/4 of Lot 17; thence southwesterly to a point on the
/ � � o � � � I� L/ � � � o southerly line of said Lot 17 distant 11 feet northwesterly, measured along
� o\ � GARAG� � said southerly line, from said southeasterly corner of the westerly 3/4 of
oRLY �^/ `�' / y �`3��9+9, 6 Z''e � Lot 17, and there ending. The line dividing the westerly 3/4 from the easterly
�or i� oFtr 9+'' ' u � ?9 �� �9'' I � 1/4 of said Lot 17 is hereby defined to be a line drawn from a point on the
<o��N e t ` .�� ,J"}^ �r sou t her ly line o f sai d Lo t 1 7 dis tan t 1 5.0 0 fee t wes ter ly, measure d a long
T '� ` 94 , ' '�sF-�y � �a'�0.�:;.; rn said southerly line, from the southeosterly corner of said Lot 17 to o point
o \��86 �0r ri°R �+'�:'� �, on the traverse line, as said line is hereinafter defined, 10 feet westerly,
c9.5o� � •�Q \ measured along said traverse line, from the East line of said Lot.
'' RonowaP �9"'� 952, � o : denotes iron marker set
.. v �
BLACKT � O � . 2fr'r.`,, ...
�/ � T9'B' R�39 27 26'.'-.��' ;. • : denotes iron marker found
''�� 1 � j 7 S\�� ' \�3S ' (908.3) : denotes existing spot elevation, mean sea level datum
�/ EN t�E $Q��4�Q'� w 910.8 : denotes proposed spot elevation, mean sea level datum
0
I (9l9.9) � �
� -9t�- : denotes existing contour line, mean sea level datum
� Z�: denotes proposed contour line, meon sea level datum
Bearings shown are based upon an assumed datum.
NOTE: Some of the inoformation shown on this survey drowing
was taken from city of Orono maps.
This survey shows the boundaries of the above described property,
the location of an existing house and "hardcover" to be removed,
and the proposed location of a proposed house thereon. It does
not purport to show any other improvements or encroachments.
oRawN kEwSioN onrE oESCRiarion G R 0 N B E R G A N D � hereby certify that this plan, specification, or report sen�E
+ a-ze-u �veeecE�uces�oee seren«�r�rwoEo,nooirron��conrwas wos prepared by me, or under my direct supervision, ���=20�
4 4-26-13 PROVOSED HOUSE REVISE� A S S 0 C I A T E S, I N C. °�d that I am a duly Licensed Land Surveyor under
cHECKEo the laws of the State of Minnesota. oaTE
CONSULTING ENGINEERS, LAND 2-22-12
�oe No. SURVEYORS, & SITE PLANNERS
445 NORTH WILLOW DRIVE �oe No.
13-160 LONG LAKE, MN. 55356 13-160
952-473-4141 Mark S. Gronberg Minnesota License Number 12755
CtECE1VED
JUN U 3 cU i3
CITY OF ORONO
CERTIFICATE OF SURVEY FOR
DOUGLAS M . 8c ANN ENGLUND
OF LOT 16, & PART OF LOT 17, BLOCK 3, CRYSTAL BAY VIEW
HENNEPIN COUNTY, MINNESOTA
LAKE
INNETONKA
�� 1� ORTH ARM
\ "T VERSE"
\����� r LIN
� ��,
� 929.4 CONTOUR LINE
/ - .. (9 1.] ps✓ :�� � ..
/ \
M I SURVCY -
_ _. _ � . .___-.._. (M) -LINE._. �`�
� ` 932 _`
' . ""�`. - -- a5- �. `��
/ _ _ a� � -934 � `�-___ — _�-
� ^ / $ s36�_ w �o -- —
` .- � -
<O , I -
O _ - _ - __
� } � .
/ � � S ��.5S)-. g38-—— ` csa�,9) -.-.____
/ ^ � :' .., ._ .--_----.---_
/ s, � � 62�29 .._.. - ' '
,, ��__ __-- �------ -- —za o zo �o �a
� � � % _�ao p�,� --
EXISTING/ �_ �—% F _ -- - ,
HOUSE � �� ;,��( � "
�3898� ' ' ; /\ :; r�• Is<o,�) N
` '� �' S C A L E I N f E I I
, ... / ' �OSED\ "� �
SILT FENCE O .
� ��� N . ...
... � �s, �
SETBACK \�
�� - � .. ������N� q �R PROPosE� ��EvaTioNs : (v��ziFY
^ sar —� A )
� �E �
/ °jN� ry�°��°�0� \�(A�FS\h0 ��/ 1� Garage = 950.9
n� N� � wA�� �' �F�'e
>� (� / 944 eaa : �i :Te,q�k 2� Sub Garage = 941.2
N/ ' � �'Ne
^ �4�J"'.. 9�2 �°� �" EASTERLY LME�OF,.LOT 16, J\ 2� TO(� Of fOUfldOt1011 = 95L2
� -° DECK �" BLOCK 3, CR AL�BAY VIEW,
� Q � �6 AS CURREN�OCCUPIED
� � 946��.-� � 5 �� / \\ 3� Basement = 9425
N / �'.'z-z � �sss.o�
��OFLLOTINI7 0 � ��� � �o�° _� / ' " \\\ 4� LOOkOUt = 945J
/ � � ��6 PRO�OSED
� EXISTING
EXISTING Z �/� / � HOUSE � �`� � �/ HOUSE
GARAGE � � � #3884 m'� �3860
� � (n,1
ya� � �w � sa � � LEC�L vC�CRIF'�IGiJ G� i REINISES
� ,� �,�/ ' 9� s4` Lot 16, Block 3, Crystal Boy View, and the easterly 1/4 of Lot 17, 81ock 3,
9� � 0 %;5� � 3 Y / Crystal Bay View. The line dividing the westerly 3/4 from the easterly 1/4
A � n-� z � of said Lot 17 is hereby defined to be a iine drawn from a point on the
/ 9$ $W ��; . southerly line of said Lot 17 dlstant 15.00 feet westerly, measured along
�o-b � cp / / / ° � � 6 - said southerly line, from the southeasterly comer of said Lot 17 to a point
� �(/ c / �` �h on the traverse line, as said line is hereinafter defined, 10 feet westerly,
� � �N�1 , measured along said troverse line, from the East line of said Lot. As used
� ���o� / P �� gh o,"P ry , ' herein the term "traverse line" is hereby defined as a line running from a
/of � �i �`� �; � point on the East line of said Lot distant 226.7 feet northerly of the south-
� p�.� �919'8� / ���. � , � � � east comer of said Lot to a point on the West line of said Lot distont 223.3
� � feet northerly of the Southwest corner of said Lot, Also, thot part of the
�__ / .
� o�h � \ � �� / �� �C,�919�) , � westerly 3/4 of Lot 17, Block 3, Crystal Bay View, lying southeasterly of the
� � � �� �� / q z,9 p following described line: Begmning at o point on the easterly line of said
� � �' �'""' �' � hEXISTING 4� oweR westerly 3/4 of Lot 17 distant 68.45 feet norlherly from the soulheasterly
/ � i o o /��"�'� � I g � �B� � Pae � corner of said westerly 3/4 of Lot 17; thence southwesterly to a point on the
2 � \ � � I{� L/ ' o southerly line of said Lot 17 distant 11 feet northwesterly, measured olong
��� o � ry G GE� � � said southerly line, from said southeasterly corner of the westerly 3/4 of
iW'LY � // / 3,�{y19� U Q
��� `.._ � '� � � �,�.�� 536 9 �ot 17, and there ending. The line dividing the westerly 3/4 from the easterly
i.or n oFer�'+e -`_� u � � ��� �BH. I 3 � 1/4 of said Lot 17 is hereby defined to be a line drown from a point on the
�orN� ; ,� ��" P�,���' + southerly line of said Lot 17 distant 15.00 feet westerly, measured along
C948� ' �o'�y�o ���;� � said southeriy line, from the southeasterly corner of said Lot 17 to a point
o \ 8 r » R +� : �� on the traverse line, as said line is hereinafter defined, 10 feet westerly,
� �e.5o� � 6•OQ , i' \ measured along soid traverse line, from the East line of said Lot.
., BLACKTOP.-��._.�' �
(ea�)
-'Ronown,r � �.,,� 952� ' o : denotes iron marker set
; c � �9.eJ R_ 2°��- „z6..:
��� � 39S�526 _ • : denotes iron marker found
/� TT 95e `�35 __ _ (908.3) : denotes existing spot elevation, mean sea level datum
"" `1 V�� � � Sp�3
� �lJ�E o �_Q�" �/ 910.8 : denotes proposed spot elevation, mean sea level daturn
I (919.9) � -
� 917 -. denotes existing contour line, mean sea level datum
1
Z�: denotes proposed contour line, mean sea level datum
Beorings shown are based upon an assumed datum.
• NOTE: Some of the inoformation shown on this survey drawiny
��'��I���� was taken from city of Orono maps.
/'
� This survey shows the boundaries of the above described property,
the location of an existing house and "hardcover" to be rernoved,
ond the proposed location of a proposed house thereon. It daes
not purport to show any other improvements or encroachmcnts
�RAWN ReVISiGN DATE DESCRIPTION
� 6-26-t2 hvERAGE LN(ESNORE SEi9ACK�MlE AppEO,A�pITIONAL CONTWRS G R 0 N B E R G A N D I hereby Cef�lfY (h0� (h15 p�Ofl, SP2Ci(ICa�lOfl, O( fC(JUI� SCALE
wos prepored by me, or under my direcf supervisian,
s____ a-z5-is alloaosco��ouse rtcvisEo ond that I om a duly Licensed Lond Surveyor under �"=20'
�HE�K�o — ASSOCIATES, INC. �he �ow5 of the s�a�e of M�,,,,e5o�o oArE
_ CONSULTING ENGINEERS, LAND z-2z-�p
SURVEYORS, & SITE PLANNERS `
�oe rvo. - 445 NORTH WIL�OW DRIVE �oe No.
13-160 LONG LAKE, MN. 55356 --- 13-160
952-473-4141 Mark S. Gron6erg Minnesota Llcense Number 12755
RECEIVED
JUN U 3 LGi;i
�ITY OF ORONO
DATE TIME
CITY'OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 2_013 — M3(04' COMPL,�TDED
ADDRESS 38'K+ C lr( k_.,
OWNER TELEPHONE NO.
CONTRACTOR
>—: DESCRIPTION a\,
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ElPOURED WALL ElMECHANICAL RI El LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
ac
W
Q.
cc
J
O
cc
O
LJLW
cc
Q
1
Z
W
z
W
cc
d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
ccW
❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
Christine Mattson
From: Robert Bean [bobbe@bolton-menk.com]
Sent: Monday, October 13, 2014 2:22 PM
To: Christine Mattson
Cc: Melanie Curtis; Andrew Mack; David P. Martini; Brian Simmons
Subject: 2013-00364 -3884 Cherry Avenue
Christine,
I performed a site inspection regarding the Asbuilt Survey for 3884 Cherry Avenue today. The improvements were
completed per the approved plan, and the site is permanently stabilized. If you have any other questions or comments,
please contact me to discuss.
Thanks,
Robert E. Bean,Jr, P.E.
LEED Green Assoc.
Water Resources Engineer
Bolton & Menk, Inc.
Consulting Engineers&Surveyors
2638 Shadow Lane, Suite 200
Chaska, MN 55318
P:(952) 448-8838, ext 2892
F:(952)448-8805
email: bobbe@bolton-menk.com
www.bolton-menk.com
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
1
i
City of Orono
' oNo. Hardcover Calculation Worksheet
Property Address: $ CNFRR cr AUE, (E,t1Gcu,vp�
Pre p aced by Date:
GRov�FR G E p1lrCc♦.r rE P fir. _
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following table identify all items of existing hardcover on the property,keyed by letter to Certificate
of Survey(survey must accompany this form). Use as many lines as necessary to accurately depict
existing hardcover status of the property. For Tier 1 properties, identify any features by letter which are
split at the 75' setback line and calculate hardcover square footage separately for each portion.
Key to Hardcover Item (Describe) Length x Width Total
survey (Square Feet
Exam le) (Garage) 729:S.F.
A S.F.
B (; 1XA x G - 7♦ S.F.
c GA,(vcL A4#v v- 6'1 2 S.F.
D fzf rl<,ro f vE 510 S.F.
E S.F.
F .Isi-.� tt ♦ S.F.
G le"CrS.F.
H f7CP f S.F.
I ; ,
AIFTAimi"C S.F.
A IF T, e,� S.F.
K i y S.F.
L 3 4x S.F.
M 68 S.F.
N '- O S.F.
O Gvdar^ 67 S.F.
P S.F.
Q i e. ear t.etot S.F.
R �- �tnap ✓dkJ 41 «Y'r 9 S.F.
S i Ti~dr✓_ T r ? S.F.
T 1 c' '0S.F.
S.F.
V _ S.F.
r W —j S.F.
L— X i S.F.
Y t S.F.
Z S.F.
Total Existing Hardcover In-tol In-toS.F.
Excludable Hardcover See
/FCit CodeS78 '6$4;.
TO '
�z +
_
S.F.
--j S.F.
- -----------�--------- — S.F.
----�---- _ - S.F.
2) Total Excludable Hardcover—� / S.F.
(3) Net Existing Hardcover LSubtract line 2 from line(1)]
4 Total Lot Area "' 74 9 S.F.
Existing Hardcover Percentage 1(3)+(4) ] 93 %
(Proposed Hardcover next page)
January 8,2013 CW,
ego)