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Home My WebLink About2013-01134 - addn/remodel/repair , CITY OF ORONO * z 0 1 3 - 0 1 1 3 4 * * 2750 KELLEY PARKWAY DATE ISSUED: 1U27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2775 COUNTRYSIDE DR W PIN : 04-117-��-12-0016 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 001 BLOCK 003 PF.RMIT TYPE : ADDI'I�ION! REMODEL/REPAIR PROPERTY TYNE : RESIDGNTIAL CONSTRUCTION TYPE : ADDN /REMODGL/ RFPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 150,000.00 NO�fF:: SEPnRnTE PERMI"I�S REQU[RF.D: PLUMRING. MF.CI Ii1NICAL, I:LI�:CTRICAL(S"I�A'I'E) APPLICANT PERM[T FEE SCHEDULE 1,356.75 SHOREL[NE E3UILDERS STATE SURCHARGE(VALUATION) 75.00 2184 SHADYWOOD RD TOTAL 1,431.75 WAYZATA, MN 55391- (763) 506-0629 Minnesota State License l#: BC630814 OWNER MURLEY, TODD& MARY 2755 COUNTRYSIDE DR W LONG LAKE, MN 55356 AGREEMFNT AND SWORN STATEMENT �I�he��urk for which this permit is issucd shall be perfonned according to the anpro��ed plans and specifications,applicable City approvals,and the Sttite f�uilding Code. 'I�his permit is for onl��the work described and does nul grant permission for additional ur related work��hich requires separate permits. All provisions of laws and ordinances govcrning this typc of work ,hall be compied�+�ith whether or not specitied herein.This permit will expire and hecume n I and void if construction authorized is n��t commenced�vithin 80 dav,of the date of issuance,or if construction is ,uspendcd for��p iod ol 180 days at an��time after�vork has commenced. �I'hc applicant i� esponsible for assuring all rcyuired inspections are reyuested i formance with Ihe State E3uilding Code.This pemiit ma��bc recokcd� � ime tor due causc. �� i, �-7, -l� , , npplf�ant Perm� ee Signature ��it� Issued By Si ure e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. � � ' J � 2� �3 , � City of Orono � 3�. 7� il in P rmit �4 lic tion �� Bu d g e . pp a . , for New�structures or Additions Mailing Address: . �� q, PO Box 66 ' t� Permit number: aDl�j-' � 1 VQ Crystal Bay, MN 55323-0066 Date received: �� " �� StreefAddress:' Received by: - 2750 Kelley Parkway '� Q�� $�' y � Plan review fee: . C� � F �c,� Orono, MN 55356 , _ d�� l�KESH�Q' Main: 952-259-4600 Total Fee:,, �d'�� Fax: 952-249-4616 www.ci.orono.mn.us -� ' V�C ' II�i' 'I,� This application form must be completed in full and all required information must be submi�t�d.', Incomplete applications will be ret�r d. (Plea print) GENERAL INFORMATION: �'-7`�'s C(q�� 1 S� \n � Job Site Address: � �N �� Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? ❑ Yes No If yes, a specral event permit rs required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � (� ,D' I� JA� Name: �bv (,l� State License # L �-0 l Expiration ate:b ' ;-? ' _ Phone: cell office Mailing Address: �v Cit : � ZIP: Contact Person: � pplican�s: ontractor / Horneowner (Circle One) Email and/or Fax: PROPERTY OWNER INFO} ATION: , Name: Du� �d N � Phone (day): �� Address: l Cit : ZIP:,� � Email and/or Fax N � iti r ARCHITECT/ ENGINEER INFORMAT O � Name: d��l` C Phone (day): - � Address: Cit : ZIP: Email and/or Fax: � PROJECT INFORMATION: Description of project: 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 ❑ O�ce/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water '*Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8� 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) � 1'�J��V�J � � �. Packet Last Updated. 04/19/2013 Page 22 of 23 r � . STRUCTURE INFORMATION: � 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= �v Number of bedrooms= y �Wood/Frame b•. Width (ft.)= a� Number of garage stalls: ❑ Masonry Areas in spuare feet Attached= � y ❑ Metal ❑ Pole Bldg. c. Basement= 0 Detached = ❑ ICF d. 15`Story = �� b ❑ On-site Prefab e. 2"d Story= � ❑ Off-site Prefab f. 'h Story = l� � ❑ Other(please specify): g. Totai Area= 1 ` REQUIRED SUBMITTALS: , � . � � � � � All of the information must be submitted in order for your application to be processed: N ot Enclosed Ap licable ❑ Permit A lication' ' ❑ Pro osed Buildin :Plans ' � � ' ❑ MN State Ene� ' G�ode�alculatioris �hd Mec anical Code Re uire ents Form • • � • ., rve rneetin all re uirements • • `� ❑ . � ' S�orrrdniater Pollution Prevention Plan •' •, - ' � . � ': �'. 1� •Hardcover Calculation s -. �' �� ' ' ' • ❑ �- Se tic S stem Site Evaluation Re ort - , •'• � ❑ Access R rrnit ' •, ' � - � •t � ❑ Wetlancl Buffer Im rovemenf Plan ' ' ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ Minnehaha Creek Watershed District Permit s ' ' ��. • • � ❑ Plan Review Fee • . � ` - ' ' ❑ Other: ` � . . . . . . �. . APPLICANT/OWNER ACKNOWLEDGEMENT: �'` "'� "� •�� ' `� �, �� ' • , , • Agrees to provide all information required or requested by the Building�Department; , � .�� A rees to a the Cit�of Orono for en ineerin consultant reviev�costs�i� s of$SOb; ' ; " 9 P Y 1 9� 9 . • Certifies that the information supplied is true and correct to the best of his/her knowl�dge. :Th� applicant recognizes that they are solely responsible for submitting a complet��pplicatiqn bei►i8 aware�hat upo�i failu�e.to do sb, 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 a plication is classified by State law as either private or confidential. Private data is information which generally cannot be give}��o 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 femporary 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. Ap li ' � e: .�.. - ----- -__ _ _ Date: (U �1�'? �� /� Owner's Signatur � � � ' ` � Date: ��' Z� - � � . � Packet Last Updated: 04/19/2013 � Page 23 of 23 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: ��,J � � � Description of work: � � � � �� v� Septic review by: Date Approved:_ � � � "' �.� Zoning review by: '` ��1��i�� l;�'�P��, �� Date Approvecl:_ � � "�`` "�.� Building review by: Date Approveci: C `� 5 I Grading review by: ,��!' Date Approved: �) a6 � Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Submitted: ��es 0 No Date of Survey: �� ' `�' � � ` ��2evised date(?): Pro osed Setbacks: Front(L�i'ce Rear(S et) �� S E W ) ( N S E 1IV ) Other Buildings Vlfetland Side Side �"'�� (�`� i �".*� � Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% _ #of Stories Ok? Q YES FOR A BUILDING WITH A BASEMENT OR CRAINL SPACE: 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 distance between the top of slab and the highest point of the roof. If you have a... If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR-�IPPED ROOF(no windows): Subtract half th� windo�ys)" Subtract half the distance distance between the hsgfiest point beprv�en the highest point of the roof of the roof to the I�vu point of the ,t0`the low point of the corcesponding SUBTRACTION corresponding�9able or hipped roof SUBTRACTION ' gable or hipped roof (BASED ON ROOF . GABI�E OR HIPPED ROOF(with (BASED ON •� GABLE OR HIPPED ROOF(with TYPE) wjr�dows): Subtract half the ROOF TYPE) ,, windows): Subtract half the distance �F tlistance between the top of the between the top of the highest .-` highest window and the highest window and the highest point of the �,s' point of the roof �' roof � ALL OTHER ROOF TYPES(flat, d • ALL OTHER ROOF TYPES(flat, • mansard,etc:No subtraction. ;; mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SU CTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to SED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Adera e Lakeshore Setback Met? BiufF � Yes � No a, N/A / 0 Yes No 0 Yes No ' � ,; 0 Yes � No � N/A Permit Number. ``'� �,� �� Setback: Stormwater Quality Existing Proposed �/ariance Required , CUP Required Overla District Tier Hardcover Hardcover % � '`\.� � Yes No � Yes No � �� .��, Type�s�. Type�s�. Updated: January 2013 v:\forms�plan review checklist 2013.docx �, � REMARKS (in-house): Fees to be Char ed YES N� Permi# Plan Review � State Surcharge � � Investigation Fee „� SAC— IVumber of SAC Units � Other(specify) � S uare Foota e $ er S uare Foota e Basement X = $ 1 S`Floor X - � 2"d Floo� X = $ Garage X - $ Estimated Construction Value: $ G'Sf�.l`10�� Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site �Plumbing � Grading/Filling � Well � Hardcover Removal �Mechanical 0 Fire Electrical �f Footing 0 Septic � Water Connection 0 Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey � Masonry � Lawn Irrigation 0 Radon Rock Bed 0 Mfg. �Framing � Other(specify) �'Insulation As-Built Survey � Final 0 Wetland Buffer 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: 0 YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\formslplan review checklist 2013.docx �:. ; / • � - �hristine Mattson From: Thomas Dietrich [TDietrich@minnehahacreek.org] Sent: Wednesday, November 13, 2013 9:49 AM To: Christine Mattson Cc: Mitch Johnsen Subject: Addition at 2775 Countryside Rd. Good morning Christine, Mitch Johnsen of Shoreline Builders submitted plans for an addition to a house at 2775 Countryside Rd.West, Orono. After reviewing the plans he's submitted, we've determined that no permit will be needed from the District. If you have any questions or concerns, please feel free to contact me. Thanks, Tom Dietrich District Representative Minnehaha Creek Watershed District 15320 Minnetonka Boulevard Minnetonka, MN 55345 Direct: (952) 641-4518 Main Office: (952)471-0590 Fax: 952-471-0682 www.minnehahacreek.or� .•, i MIl�1FifHAHA CREEK WA7ER51#ED DiSTRICT 1 �, ' � �� Minnesota State Energy Code Calculations and Mechanical Code Requirements Form Additional copies can be found by going to: http://www.dli.mn.gov/CCLD/PDF/s6c 1322 cert.pdf N1101.$Certificate �I1 'Z �] �v � B dess'�amd Co sa. pate: O v�J� '7 Site AS�dress: � ` �� V�/� � � e 5 � , Contractor Narree• �L �.D��l�� ` �r � � Licertse Number: Lacabi*n Type of Insta//e�d " Type Location �rzre Inessrlatiain R-Valuve �< ` Make Air Roof Ceili Combustion Air Walls Water Heatin Siab-on-Grade � /Nfan�f'a�ctrmer l�liadfe,/ Flaor � Duds Out�sde of CondFtiooed oes Rim Joist �. irnerior, 'or or Lieeg � Locabivii R-Valt�+e Foundation Wal1 • lrnteriu, 'or or Irtegral � l. A U-Faci�or SHGC snlar fi�eat i,rr caeffrci+e�nt Passfre Acti►1e Fenestration Radon Ca�rtrol T I Ra - AFLIE Mar�raifaririr�r l�a�de/ Calculalaed Nesat Loss Heatin 5 T t Ra " .Sf�R Mrar�rifa�ti�srr � Ca�vl" Lo�ad I�e�at Gain Coolin 5 stem T Lacalioen Ca�nihin�ures i�eantil�atron Tod`aJ Ventilari+a,n Mechanocal Ventilation Packet Last Updated: 04/19/2013 Page 19 of 23 . ; • . � • � emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File ��L�� Date: November 24, 2014 G/L: 101-22205 Re: Escrow Refund Building Permit #2013-01134 pertaining to 2775 Countryside Drive W is complete. Please refund $2,500 to the applicant, Todd & Mary Murley. The following is attached: • Original signed escrow agreement � Copy of cash register receipt showing escrow amount received Mail to: Todd & Mary Murley 2775 Countryside Drive W Long Lake, MN 55356 w:\street files\countryside drive w�2775iescrow refund form 2013-01134.docx , , BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2013-01134 AGREEMENT made this�day of �� , 20 (3 by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") Todd & Mary Murley ("Owners"). Recitals 1. A building permit application has been filed for an addition to the home located at 2775 Countryside Drive West the ("Subject Property"), legally described as Lot 1, Block 3, Old Crystal Bay Road Addition, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit #2013-01134 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the 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. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 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 OWNERr`'�� ° , % f� � B ;.� . , �,� � �� :�� (� ,li 1 v� �-/ � � , Its: `f�1,� I�l Internal Use Onty:, 0 Original to Planning 0 Copy to Property,Owner �Copy to Street fiile Cit of Oror� P75� Kelley Garkway Ort�no MIV ,�,3� 9`.,�-�49-460t� Receipt Na: 3.O1�Ci56 N�v 9, tti13 Tc�dd Murlwy Riannie�g and Zonit�o �G13-01193 c?75 c^,5UO.GU Co��ntryside Dr W I01-e2t05 Defer►ed Rev-DeveIoper Depc,sit Tatal: -----r.50G.�iC� Check �------'� Check No: b68� ��g�.� Gayor; T,�tld Murlwv Tatal (�ppl ied: �.��.� -------=----- Change iendered: .QG 11/U8/2Gls U3:?�t�M =_----_— DATE TIME 1/ CITY OF ORONO CALLED IN ��-�a-" �3 INSPECTION NOTICE (� SCHEDULED �a -��-�3 /�.�o� PERMITNO�� D��T COMPLETED ADDRESS � �7S C?D �/f GU . OWNER � TE EP ONE NO.��. D lo Olo Z -f�' CONTRACTOR ��?� �f JIC� �: DESCRIPTION ��T/ � � �FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TFEE 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � � ✓ i� '1'— /� � � J Q '� '� o ` � � � !�a I"w�S 5 � I�J a � �Y�� rcb4✓ E�arl�. W , � _ . � Q sw Gcrv�e✓ o� h�4s c a�o.Of��, .. �a67�.�rc � z � �� n e� � �� W�aQe. � 155C� � G � �oo ��ys s a�i�a�� OK -�5-�iJ��4•r — � d W��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952) 249-46QQ Owner ontractor on site: � e� T. Inspector. ` � White Copyllns ctor's File Canary CopylSite Notice -- - CI�� ATE TIME Ur VIiV1VO CALLEDIN p�` � INSPECTIONNQ TICE SCHEDULED �-�/�� PERMIT NO.vc0 3" l OMPLETED ADDRESS a �— OWNER TELEPH NO. �� CONTRACTOR � C � DESCRIPTION ��`�'�C ""' `aN � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q RADON SLAB ❑ WATEA HOOK-UP ❑ PROGRESS � ❑ FINAL O 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: i � - !Q`�� L � ✓ / ts -D� a 4��wd�� i�, r.wcv.+�� o � 4J S � �,.,, � � � t �'►i — � - C/ti cc/[ a�� H /- � � -a W Q ^ �`I.e� c.��.G� - � �l�`T �� /��s- z /�� r,�� Sar.cy �.�:c r,.,1s �,G o�i.��c — W � � GY�rre��- �— �!C �- �'��/e� � a W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE C�/�;6RREG�WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFOREC0IIERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. "nspection 24 hours in advance. (g52) 249-46�� O erlContractor on s' . � � Inspector_ ` White Copyllnspector's Ffle Canary CopylSite Notice � '-'` � `�� D y� TIME � CITY OF ORONO CALLED IN �/�� INSPECTION NOTI ,] �� SCHEDULED �?� PERMIT NO. coMP�� . 1 / ADDRESS �� C�� C f /.��' � OWNER TELEPHONE NO. ��JL�G �G��7y CONTRACTOR ��/� (! �� r--- � DESCRIPTION ��— � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q�URED WALL ❑ MECHANICAL RI ❑ LAKESHOREJWETLANDS y FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p 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 ❑ SEP 1 FINAL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU: YES_NO c�., COMMENT'S: � W � � J O >. - � � O � W � Q � 2 W � W � J d W WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � ❑ RRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PEfiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95 9-4600 OwnerlContractor on site: Inspector_ , White Copylinspector's File Canary CopylSfte Notice ' �� /i DATE TIME • % CI OF O ONO CALLED IN — — �I ` INSPECTION OT E SCHEDULED r" PERMIT NO. r0 � COMPLETED , ADDRESS OWNER TELEPHONE NO� , -r � CONTRACTOR � � � ; u �: DESCRIPTION � �— ll� O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 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 � OWNERlCONTHACT O MEET YOU:_ _ � COMMEN +-G�1 ' / ' w K � � l�t�.r r ri ..c�t — j � _ _ ____- � S¢a! �y.. m i+�tL L�.. . • � .xt ly- �� w.c � �.t�t ce��S d� W � 1'�,1.�1e - /h 60✓��t[��, F r a r e `�..�E,c� ia/s �•� �x�r� Q —'0"7��n � r tu! s�e4c e a� �o. « o � rev wL� , i l � �s e� � ��• s � o �' ��t 7/y �Ov10e riSa�s r►+�.oc- 7f,�,"t�t�1 , r - ' . f .:. � � Prn� � �s-�6 u:!.� s�.�.�v - �,+1o�r<e s - �o aP��, GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 'I�.I�JSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �r � Call for the next inspection 24 hours in advance. (952� 249-4600 Ownerl ntractor on sit • �� Inspector. White Copyllnspector's File Canary CopylSite Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ��'D/l�3� COMPLEfED //�/a-/4 ADDRESS oZ 77S^ �`ow.iL`rLS�i d/: `I9 • OWNER TELEPHONE NO. CONTRACTOR �a+'Q��• ��'� � DESCRIPTION �ditlo^� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADiNG/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �KFINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �F1�6LOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a /B/Iv�.G /fdlQ,s.— �.7A� � G.¢/� t-� 4 0 -t//1a`/ i�,O�c�.ia%i, _ '' ' � — �sd�(�l-.xKf.� � !• �ni�nv,o� A,S. 6�.Gt c��s- � �• P�'od io c G/�7�r�c�C ' .rt:tl i�s/JG+cf ai W � 3. oQ�� Pk •� �Y��,r. �'.�.�f Q � z �p ` v � T!I/�CIC� �" /lON(QG�c11ls✓ � �IG I�✓Cr�/ CC�M��c�i W ','_/ j �C'7 /"dIXCJ/ � ��[�T /r��BG�[o.t GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR "�JSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /� - a11 for the next inspection 24 hours in advance. (952� 249-460� � Owne ontractor on site: . Inspecto �-- White Copyllnspector's Ffle Canary CopylSite Notice DZ !,(� � _ - _ �Q �egend Building I�err�it Surve N .� - 9- ---� _ �� Y , � � 9 '�? Co url trysi d e �°,� � N Found lron Monumen t o �- � 9�'e g � � Prepared for: TOdd MUl"ley i � o '-- Edg e ol br'tuminous 99�s �,�,� X 000.0 Existing E/evotion u� � o 992, EAST 107.13 P I ' ` �r P�i; � (0 0 0.0) Propose d E leva tion o ... � � -25. 0� o . 9,� �, �P�o \ SCALE � �t - � - - I o,. �� 96,3S S f�o� �-- Oroinage ao 0 2o ao eo � �o y ---- _� oino9e d� e/Po, � I 3 � `� ` ¢Sbp. � J \ ( +�I Manhole (septic sysfem) � �. �, � ° �O'- 3 0 � � � I ' $ \ \ ��So � 1 ineh = 40 feet � �' o N o \ o rn � � � ,� �� \ � � 994.6 ^ J � � Y � � 4 , I� . ,f, , � Description (su�plied by client� `, � � � ;' '� <<� `;,� \ 994.5 . ,�L Lot 1, Block 3, OLD CRYSTAL BAY ROAD ADDITlON, � � c o I o g � \ � �O \ according to the recorded plot fhereof Hennepin ` � o � ` ,� a � , Rock Londscoping---`_ x gg5,q Count Minnesoto. Sub'ect fo on ond all � 'vi °'• o - a' y> .. � '��', (fo bc removed) \ �� l�i�-� ,,_.d.. S% � y -a p� b Z y O v b � '�, : �•I� � 998 I 99) - . � � ��A.� �994'9 easements Of record. � O 0 .p O �;' �,, I � ( I •�,�t'� 94.5 � � � � � a V 4i I �;, i 997.3 _' ' � C O � � I � ��`' / \r�� 99� E • • : • � > 3 3 .� �� `i ' Exist. Rel.� �%!1-� / � ��e . `•a � `rs, \ Address: 2775 Countr side Rood o o � ° o � £xisting Mound �, � . , {e . i ��, y (to 6c rcmoved) �j• � � G 0� I o � / 99 i�°o •�oc:�e'� ". � `ss� O�ono, MN � Q1 � O O � I� � / r. � � h� 9Q:Ta. . p<` \ o O� \ b , L o t/ 1, B l o c k 3 �� , .� �5; .o ,. 4 .,• o � 9 ' � v I i � (2.08 Acres) ��'' 1� p=995�/ � PlD No: 04-117-23-12-0016 a� o � E I\ . � B=990.3 Rock'� o \ • \ \ �•C ^ � °' . . � � . ". I V. W 1 � Fxisl. Re t. V/o!!---� �� A� � 999. ' ��;r� � � 3 p � I v I� � � (to remoin) ��\0 9� „ \ Stormwoter Ouality OverlaY District:Exempt o� � o �., � Z I i ' B=989.8 ? 998.4 ,.� I L > L C .'.� � O � o � I •� i� i;; �`�9/// � 999.6 \ on `\� \ v� Q j I O � � . ' � 987.9 X • 990.9 l 9,qG Existing House Rock �o � O �n � +� I�3 /� 98$.3488�.� � �99 y GFE=998r8 scoping X 997.2 \��,. �� City of Orono ..v.U� y I `m' : Z A' �� S.te et R R�m' �°j . . o i LF£=991.3 � ,� � Planning 8 Zoning Plan �evi�w �.�� i �, '~ � a� SePt�� ot 5 n on �1.) � Concret�, A s� ' 0� � .. ��`�o I � I RS O n , {��e nere osi»° die , .�a, Ag•.0. c o� � �., I. '�' Z " f� o�vn ot P ed b� •, Concrete - <.a 0°j" � �r 1�� Site Plan Review� I��t,': - M�. � �� o � �� !� (epste�n pr°�'d � � ��' � o ``:,> \ ' N_ � .�n � ali c i c j qI ;; Ij\ 5ket� � : 3, `\ "�f �",' Ro� w �r APPROVED ��.�� I `v I I � , ' , . a:•. . \ 9so Land- \ �3` "I � �9 x 994.5 ��pr�9 APPROVEO WI�H �,�VISI:.NS(se� ^�:�t�'a) � o�� I o � 1 � + �' � , �°� oQ � a . � , a . e q . ,,,, \ � �C7 DENI ,��; o i� ,� 'ZS i � ✓ .- , o� , cr -----a � �� j �i o ?f:��.� � O N C �-- 35.1 - : � ' a a, �� \ •� ��O � � �.1 I I o. j ' e�•, d. ^ 4. O x990.S o �� p� i V I o x 988.8 � o m �4' Sporf Court. 4 ,�, .p �`� � I - 53.8 c--- \ 992.: � O � Ip <, ,a _. �t . -- ' �\ 1�0 � .0 �,C O � O e; � ,,,,� � 4+,� � O I rn - 35.1 --� � � �I,� N � . � � \ � \ O � � o , � - Po�, ��., , f - � �`9g CITY 0 ORON I l � � t / w i�! Mech. ` �� - `n � I � � ��f- o� I , � �, � �, s � � � � � �" � �� ' � � SITE PLAN GRADING P�AN � � o � U ;;, � � � 9�' \ � I A PROVED � (n �, � a�i � � � . � -�� 9.�`? /\ � � I w i � � \ J � � R�VED WITH ISIONS �' „w 3s�� / �� W � � � �� `;> � ' -f" � ss�'oo'oo � I � DI APP ED 3 / ` � 10 I j r}- � .�' 989 0 . . / �\ \ � j � O � U � /� y � �� Y ))'`� - y , � o �� , m � o - , DhT: ; d� /� __ �.� .,�..�.it � . ., �T I1 , � , \ o - �,. W __. �.,..�. � ; .. . ►L , , I � - <<; 9�6 , `�' � � ~ o U N � Bicvcle Trai! Eosement: � O � � An easement tor bicycle and trail purposes over thot port of Lot 1, Block 3, OLD CRYSTAL BAY ROAD ADD1T10N, c� °i � I vihich lies westerly ol the followinq described line: Commencinq at the northwest comer of said Lot 1,- thence on �� • � .a I on ossumed bearing of East along the northerly line of soid Lot 1 a disfonce of 25.00 feet to the point of , � Q I .°c ' beginning o/ the line being described,• thence South 1 degrees 45 minutes West a distance of 97.00 feet; thence ��'�-'�'' ' � � � � �n South 7 degrees 40 minutes West o distance of 105.00 leet; thence South 18 degrees East a distonce of 62.00 � 3 3 feet; thence souther/y to o point on fhe southerly line o! said Lot 1 distant 26.00 feet easter/y, os measured ��-;-,,< r- _ , 3 Bearings and elevations bosed on ossumed datum. along soid southerly line, lrom the southwest comer of soid Lot 1, ocd soid line there ending. ' - � 2�0►� - 6�i��-