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Home My WebLink Aboutvoided permit application paperwork , , Christine Mattson From: Justin B. Besikof[justin@madeirapartners.com] � Sent: Wednesday, June 17, 2015 5:19 PM p�1a� To: Christine Mattson � O� I� Cc: Melanie Curtis; Lyle Oman Subject: Re: 100 Creek Ridge Pass/#2015-00080 We have decided not to build this house we submitted for permit back in January. Is it possible to get a refund of the plan review and escrow? I do not believe you ever did get around to doing the full review ��SxEn B�S��o� �2�Y� ��r�� , �4 �"'" �� 4[]► �� 2�l5 -000� � 11�A►. �'fSRTF�1 �^�;� �. ��- t�t . �.. � � o.812.381 8879 ' m.612 361 7 i F; �~ 250��Jayzaia Bivd. �� Minneapol:s,M;nnesota 55�Ge; www.madei rapa rtners.co m Member F:tJRA,SI�C. From: Christine Mattson <CMattson@ci.orono.mn.us> Date: Wednesday, February 18, 2015 at 9:12 AM To:Justin Besikof<justin@madeirapartners.com> Cc: "'ieffl@hedlunden�.com"' <jeffl@hedlunden�.com>, Melanie Curtis<MCurtis@ci.orono.mn.us>, Lyle Oman <LOman@ci.orono.mn.us> Subject: 100 Creek Ridge Pass/#2015-00080 Justin, Attached is a copy of the letter and attachment being mailed today. Please don't hesitate to contact us if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono � MN � 55356(physical addressJ PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ `� 952.249.4620 � '_� 952.249.4616 �cmattson@ci.orono.mn.us � �www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE W/LL BE CLOSED: Monday, February 16, 2015 1 � . , �lAl�� i�0�� •,� City of Orono �� a'� s� �� Building Permit Application �' ��i�' for New Structures or Additions Mailing Address: - � PO Box 66 Permit numb�r.`� ��-i i `; , ( �_ . � �0 Crystal Bay, MN 55323-0066 Date received: � '' t� - StreetAddress:' - Received by: i�� y� ,� 2750 Kelley Par�y �_ �_ � � ( , , ( �_). ! �;`� ;r`£ j/ �.�. � ,� ( , l C l�� Pl�n review fee: , c. Orono, MN 55356 `9kfSH0�� Main: 952-259-4600 ' Total Fee: � � � Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be subri�itted. Incomplete applications will be return�d. (P/ease print) GENERAL INFORMATION: Job Site Address: f -, (, r �' ��:: F�' ',�— � �L-1 ��' , � �j�" '�, � Will this be a Parade of Homes, Remodel Showcase Harme or other Display Home? ❑ Yes No If yes, a special event permit rs required with Police Department and City Cour�il 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 INFO M�4T N: A Name: _�G,�� ' _ � - � .:. � State License# fy �' Expiratian Date: Phone: cell f� 2 -3 ' 73y� �` office Mailing Address: ((`(03 , , �,., ` Cit : � , _ ZIP: _.�.�3�' Contact Person: � � Applicant is: Contract r / �Homeowner Circle One) Email and/or Fax: -� 't c�.i '" � .C'!� '-- PROPERTY OWNE INFQRMATIO�V'�✓ , I ,^(� Name: L'c- - �`.r;l� - P.� t7�', �f'SIKL'�' Phone (day): Z�.'�� t'Z �, �� , . Address: � �" ° �•r� ', Cit : (�'�b�G; ZIP: -�� 1 Email and/or Fax � ' ��'��,� ,. 7, ;�� a�-f� .c�Otr � , ARCHITECT/ ENGII� !�INF RMAT ON• Name: � I�C�� " ' -�� . Phone(day): - G ' • Address: �. �:�,ll ; Cit : ZIP: � � Email and/or Fax,�� , r �, c� �r� ?r •C PROJECT I ORMATION: Description of pro�ect: 1.Type Pr �ect 2. Proposed Use 3. Structure Type 4.Sewage Disposal& Water Supply ��Ne nstruction �Single Family with ❑Accessory Bldg./Garage � �❑A � on attached garage ❑ Deck �Public Sewer ❑Accessory Building ❑ Single Family with ❑Office/Commercial ❑ Relocation detached garage Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo �Retaining Wall(s) ❑ Public 4-feet or greater Public Water ""Any earth movement may require ❑ Commercial ❑ Storage MCWD review 8�permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑ Other(SpeCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ (1�j �� Packet Last Updated: January 2015 Page 20 STRUCTURE INFORMATiON: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= ;73 Number of bedrooms= J � ,�Wood/Frame b.Width (ft.)= ��G�C Number of garage stalls: ❑ Masonry Areas in square feet Attached =� ❑ Metal ❑ Pole Bldg. c. Basement= ��(� �� r?� Detached= ❑ ICF d. 15f Story = � �', S� ❑ On-site Prefab e.2"d Story= �l�`�I St— ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g.Total Area= �C 3 S� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation form MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ` Access Permit ❑ ❑ Data Privac Adviso Form APPLICANT/OWNER ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; . Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: 4 �v�- Date: � � Owner's Signature: �v��-i Date: � Packet Last Updated.� January 2015 Page 21 , �Ol V 0 C ITY OF ORONO ,� � Street Address: Mailing Address: 7elephone(952)249-4600 ti�, ` 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616 !,9 �,�' Orono, MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us KEsxo� February 18, 2015 lason Basikof 16103 Crosby Cove Wayzata, MN 55391 Re: Building Permit Application#2015-00080 100 Creek Ridge Pass On January 23, 2015 the City received a building permit application for a new single family home at 100 Creek Ridge Pass. Staff conducted a preliminary review based on the information provided and recommends the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. The City Engineer reviewed the survey and made the following comments. Please provide two copies of an updated, full size certificate of survey which meets all of the City's survey standards (enclosed)and specifically addressing the engineer's comments below. a. The retaining walls depicted do not have top wall and bottom of wall elevations as required by the City Survey Standard. Sheet A1 depicts a landscaping wall which is not depicted on the Survey. Sheet A5 depicts a retaining wall that may be 5'+. Walls 4' or greater in height must be designed by a licensed professional, and plans must be submitted to the City for review prior to the approval of the permit. b. Grading proposed to the north of the proposed driveway and house need to be adjusted to prevent directing surface run off onto the neighboring property. c. The silt fence should be installed and inspected by the City prior to any land disturbing activities. The Contractor must provide a minimum 24 hour notice prior to inspection. PLEASE NOTE, NEW 2015 PERMIT REQUIREMENT: Prior to the commencement of a� exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining walls, etc., a Zoning Permit will be required. The above information is required in order for the plan review to continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO � � ristine Mattson Planning Assistant c Jason Besikof via email Jeff Lindgren with Hedlund Surveying via email Lyle Oman, Building Official enclosures �LAR� I�E�✓IEV1/ CH�Cl4LIST �OR NE1N STRUCTU�ES / 14DDITIOI�S Address: � � �� Permit No.: �� Description of work: EJ`-- �� Date Rec'd: � m�-�' " �'" Septic review by: .�[JNV Vlr Date Approved: �= � Zoning review by: Date Approved: Building review by: Date Approved: 2 "� - � ��/ Grading review by: Date Approved: Zoning District: ��Q Zoning Fi1e#: Reso#: Reso Date: ,�_� Zoning: Lot Area: S /AC•� Vlliclth: Lot Coverage J r-.�:"� ��'_.`.�;, , SF E. :�t % Survey Submitted: . Yes � No Date of Survey: I' � ' �� Revised date(?): ; Proposed Setbacks: Front(�e� Rear(S et) �� S E 11� ( IV E V11 ) �� Wetland Side ��ide � � �` `�� ` � ( �� Defined Height: Peak Height: FFE: - FFE minus 6 fieet= (Existing Contour Perimeter(linear feet) _ �- - 50% _ �E-�- � , L.F. below grade #of Stories .- FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed The distance between the top of START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the , the highest point of the roof. roof. If you have a... If you have a... • GABLE OR HIPPED ROOF • GABLE OR HIPPED ROOF(no (no windows): Subtract haii - windows): Subtract half the distance between the highest point of the roof the distance between the ��- , highest point of the roof to � — to the low point of the corresponding able or hi e the low point of the Y � . SUBTRACTION 9 pp d roof corresponding gable or (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF � `"� between the top of the highest ROOF TYPE) (with windows): Subtract window and the highest point of the half the distance between roof the top of the highest • ALL OTHER ROOF TYPES(flat, window and the highest mansard,etc):No subtraction. point of the roof • ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance between the (flat,mansard,etc):No (BASED ON basemenUcrawl space floor and the subtraction. �� `" ' EXISTING hi hest existin rade ad'acent to the �,` 9 9 9 1 ADDITION Add the distance between the top _ � GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing �t°-�'� - EQUALS Defined building height EXISTING grade adjacent to the foundation. rr � ._' � �_� GRADES ��"�41 � � ` '"� EQUALS Defined building height Shoreland District A4CWD Permit �verage Lakeshore Setback gluff Mlet? �Yes 0 No Permit Number. ��— Q Yes � No N/A ❑ Yes No ' � N/A—see attached Setback: Stormwater Quality Existing Hardcover Proposed Overlay District o Hardcover Variance Required CUP Required Tier circle one) (�o and s� % and s �@ ��, � � Yes � No � Yes � No 1 ( "L� 3 4 5 �-�" �� Type(s): Type(s): �� Updated: January 2015 z:\forms\plan review checklist 2015.docx ;. ; i � REMARKS (in-house): ( � } : � Fees ta be Char ed YES NO s Permit �'' § Plan Review � State Surcharge � � Investigation Fee �' SAC—Number of SAC Units �' Other(specify) s � ;; S uare Foota e $ er S uare Foota e � Basement X = $ e � 1St Floor X = $ �. `' 2"d Floo� X = $ � � Garage X = $ � �, 0� Estimated Construction Value: $ l,�-t�� '`� � � Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site �Plumbing � Grading/ Filling �Well 0 Silt Fence/ Erosion Control ,O�Mechanical 0 Fire Electrical � Hardcover Removal � Septic ❑ Water Connection �Footing „0"Fireplace ,,�' Sewer Connection ,0' Poured Wall 0 Masonry J.,awn Irrigation � �"Foundation Survey �Mfg. �Landscaping ,0'�Foundation Waterproofing O Other(specify) �' Radon Rock Bed t �Framing � Insulation �"A,s�Built Survey �inal � Other(specify) ; a REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES � NO New: � YES 0 NO OFFICIi4L REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2015 z:\forms\plan review checklist 2015.docx , «. _ . . _ s � v > . :'��r�.�"�?�`�.��:�� .",��'w.,.�c�a�;:,'�"`,. �...t.��+,�,,.. nd'"x++*F"�.,�� ,._., �s�''�.��`��'.' Christine Mattson From: Steve Kleineman [Kleineman@skdarchitects.com] Sent: Wednesday, April 08, 2015 12:17 AM To; Christine Mattson Cc: 'justin@madeirapartners.com'; Melanie Curtis; Lyle Oman Subject: RE: 100 Creek Ridge Pass/#2015-00080 Chris, We have the information for you,just waiting to firm up the builder. Steve �`��.�� `�'� -s ��«.:;,ir�crs StevenKleineman SK��`��;h�t.�;<�ts; Inc,. 1114f� I lighway 55, ;iuite f� Plymauth, MN 55441 763.591.6115 t�ffice 763.367.7�13 [�?d��:,4 �i12-8�ii-3339 Ce;? kleineman(a�skdarchitects.com Check us out on Facebook at"SKD Architects°" and www.skdarchitects.com `�Think GReeN ntvo Susrauvaeiurv!Piease do not print this email unless it is necessary. From: Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent:Tuesday, April 7, 2015 9:49 AM To:Steve Kleineman Cc: 'justin@madeirapartners.com'; Melanie Curtis; Lyle Oman Subject: FW: 100 Creek Ridge Pass/#2015-00080 Steve, I received a phone call from a builder with questions pertaining to cost estimates for the proposed new home project at 100 Creek Ridge Pass. I learned during that phone call you are coordinating the bidding process on behalf of the property owner. For your information attached is a copy of the incomplete letter sent to the property owner on February 18, 2015. If you have any questions, please don't hesitate to contact us. Christine� From: Christine Mattson Sent: Wednesday, February 18, 2015 8:13 AM To: 'justin@madeirapartners.com' Cc: 'jeffl@hedlundeng.com'; Melanie Curtis; Lyle Oman Subject: 100 Creek Ridge Pass/ #2015-00080 1 . . Justin, Attached is a copy of the letter and attachment being mailed today. Please don't hesitate to contact us if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono � MN � 55356 (physica/addressJ PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ � 952.249.4620 � 8 952.249.4616 � cmattson@ci.orono.mn.us � �'� www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 16, 2015 2 Christine Mattson From: Christine Mattson Sent: Wednesday, February 18, 2015 8:13 AM To: 'justin@madeirapartners.com' Cc: 'jeffl@hedlundeng.com'; Melanie Curtis; Lyle Oman Subject: 100 Creek Ridge Pass/#2015-00080 Attachments: lettrr.pdf; Survey Requirements - March 2014.pdf Justin, Attached is a copy of the letter and attachment being mailed today. Please don't hesitate to contact us if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono � MN � 55356(physical addressJ PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ `� 952.249.4620 � � 952.249.4616 � cmattson@ci.orono.mn.us � �U www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 16, 2015 i , '` . .. A�N � E �f k1: '? e,.., � •^� FermdWorics � � ,p, �' �� " 3 �`� 6,,,: ,, u �-� , r. 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' -F�5 � �, r. , .n,�, ' ��" �,� _ ��'.�'¢�� $ �.x: FV �� . �`.3m,. � �� ,w IVty.' ,� �� . -� ... � �, .`,.a�#g3� �Y �� 11�� f��- �,#� � � � �'� �-� , SFY� .a ��E �'°,. t � °'.� 4 ��'#- � � � j� � �a � �� .�. ..�, , � � �r' � ��`��, .�' �� i�, � � �,x � �� n �� b. . �4� ' i�,' " .eR�� : 3 � .. �,. y�*��I �-�: �� —�. - 8 . � C i. # w �.n ,,�. v� 3 �� W _ � 1�. '�� :��: i ��i�'.�. � '��,� �� r w, � ., '� �� r . ` �F_..� .4 �-„r�"� � <, �� 2 �� .. �� i. �, � � � C -�.' �. �' � ;� ,� �� p � � �� 100 Creek Ridge ti � $ �`:: � r� ,� x ¢ Pass - . � . �p ,. ,. ' , µ i}.."_ �. . . y : . � i iyv..4 'S . . ... . : � ..::4 � it � 'if }� .; '��'. �� Disdaimer. .x... � 9+ " � .. •ut.�:� . . yro,`.�, .. . � . .—--. ..___._.___ ._... .__._..____--.� . ___ Th�isdrawngisneitheralegallyrecorAedmapnora �� rvey and is not intended to he used as one.This drawing is a compilation of remrds,inFormation,and data 0 66 Feet located In variouz city,counry,and state oKces,and othe� � u affec[ing the area shown,and is to be used for refe eence purposes only.The City of Orono is not OO Bolton&Menk,Inc-Web GIS 2/9/2015 11:10 AM rn<nnn<iMn Ior anv inarrurarina hardm rnnGinrd Hennepin County GIS - Printable Map Page 1 of 1 Hennep�� ■ � � � • , , . � �,�:,�_ �` ` .� `t..�.-4��I � �, .•�� ..__ fpl ,y"rt' • , ' t _ . . x�-�.• . `( � �� r `� .t — . f � .,,� ,F- 'P{.+ y�_' �i `'� RL�. -+�+'r'�"#a(il�. 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F �..ti � ,�a� * ` �,� `�- '� �"�r 1 � .� �� r'�`ti: 4'�jd.�" 8 6 "�� { '�y,�,� ti.�` A f e�� C 'A�� .i'� �� :'.ti � ..�+ � (ffi '�''� .#,�F`_.: j'` . ',�.:�a.�'�ie . _�FiF.�. ..��.ii'�`� Y��3t ��65 , �� _�� . .�^_ x'c.. _ Parcel 03-117-23-12-0016 A-T-B: Torrens Map Scale: 1"= 100 ft. N ��' Print Date: 2/9/2015 � Owner J B Besikof&M S Besikof Market $185,000 Name: Total: Parcel 100 Creek Ridge Pass Tax $2,725.88 Address: Orono, MN 55356 Total: (Payable: 2014) Property Vacant Land-Residential Sale $375,000 Typ@: PPIC@: This map is a compilation of data from various sources and is furnished"AS IS"with no Home- Non-Homestead Sale 07/2014 representation or warranty expressed or stead: Date: impiied,including fitness of any particular purpose,merchantability,or the accuracy and completeness of the information shown. Parcel 0.93 acres Sale Vacant Land COPYRIGHT OO HENNEPIN COUNTY 2015 Area: 40,358 sq ft Code: �' Think Greenl� http://gis.hennepin.us/Property/print/default.aspx?C=454990.2131648462,4980514.1243505... 2/9/2015 Topo was Feild Shot by Hedlund Eng. �� /��', on 12—23-14 d.J � \ suRv o ��,- _ �GL = 40, 358 � \ � ��SC ° �� '' CREEKSIDE IN OF � I > o � ;� - �eserving easeme � FND � �� , �_, � 7�> , 952�� 952.5 \ 9� ?_ • Qt' \ � ��,(�� \ � `� eil'111��1 ' 6 ' � : 1 � ;`o � ,��, � , ,~, � � `� � 953.7 I , 1 N � � � '�' cy, `� ock 4 ' � o = En�- , \ �il ��o►� � � � , 954�� \ �' 6'> \ / �j ;, . � �� s� ! %/ � / ' �o �� I �\ ��, ;% � � �� ss,, i � .. �.� � � �� ,� r � ;/ ; � ; _, � � � _ � 0 i� �� ,� ��rl , � '( � � I f I i�\� � i o i� � � � 8 r � �� ; � �i � � 0 t� � 9 �� ',1 �� ' a � �� -,- � ° � J '�_ �1 ; i a 3 3 -; o ��l I\ �� I , p 0 .; _ � � �� I Q 0 -� � � ��d I . � I ° 0 0 � �� \ I 35'Setback ` �� ' � ;I 1 I From Wetland PROPC �-_ � � ; � n ; , � ``' ;i I i � ,� �(� 4 9 • r,- ` � 'i I � Top � Ib� �""- , � ii � � � Garag � � �'' r i Baserr (�� (�`�� / � ;� � z Aprox "1 J \ �i/ � I o Propo � �i � � I � Existing tiev. — --� .i � � � Drainage Directions = — �� ,% j �'- Denotes Offset Stake = • �� ^ � I � � I I HEREBY �� OF THE E �� I HED�UND B Y M E 01 � IS SHow iMfNTS \\ I `� �J Pd 4NNING ENGINEERINC SURYEYING . — 2005 Pia_.Oak_Drive _ _.. . Eagan, :MN 55122 DATE—�= SId2— 30 Phone: (651) 405-6600 _ � Side —30 SCALE: 1 inch = 30 feet Fax : (651) 405-6606 " City of Orono ;�o o, Hardcover Calculation Worksheet � �, � Property Address: t �- 4 �: '� �� i� �' ( f�f i�,��I l.'(�'1� , 'k::J, G - �`�KFSH��-� Prepared by: �� Date: Stormwater Quality Overlay District Tier. (Circle one) Tier 1 '. Tier 2 �'Tier 3 Tier 4 Tier 5 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. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover s uare foota e se aratel for each ortion. Key to Hardcover Item (Describe) Length x Width Total Surve S uare Feet Exam le Gara e 24'x 30' 720 S.F. f1 � i " Inu 1�%c1� cz}��C' '=c e�' S.F. B �.. _ Q o S.F. C —' �� S.F. D y� � S.F. E — � ^' ,� C S.F. F F� S.F. G . C Lm S.F. H _y" S.F. � c� ' S.F. J S.F. K S.F. L S.F. M S.F. N S.F. O S.F. P S.F. Q 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 Pro osed Hardcover Z� s.F. Excludable Hardcover See Ci Code Sec 78-7684 : I ?� S.F. C'� '�•� '�Y � t'l'. � S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover � S.F. 3 Net Pro osed Hardcover Subtract line 2 from line 1 ' S.F. 4 Total Lot Area S.F. Proposed Hardcover Percentage [(3)_(4)] �� % Packet Last Updated: January 2015 This is an information packet regarding Hardcover. Every effort has been made to ensure the accuracy of the information contained herein;however,if any information is not consistent with provisions of the City Code, the Code provisions will prevail. Page 17 City of Orono /�on�o Hardcover Calculation Worksheet !; ,� Property Address: !�,Or" C��Ef:�� `�I�'- E_��::� �. �f.� ti.'. �l j[�; �� , � `�KfSH��;`� Prepared by: Date: � � �j� �-' 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. 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 Surve S uare Feet (Example (Garage) (24'x 30') (720 S.F.) A S.F. B S.F. C S.F. D S.F. E S.F. F S.F. G S.F. N S.F. � S.F. � S.F. K S.F. � S.F. M S.F. N S.F. O S.F. P S.F. Q 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 Existin Hardcover S.F. Excludable Hardcover See Cit Code Sec 78-1684 : S.F. S.F. y� - �- S.F. S.F. S.F. 2 Total Excludable Hardcover S.F. 3 Net Existin Hardcover Subtract line 2 from line 1 -- --'S.F. 4 Total Lot Area S.F. Existing Hardcover Percentage [(3)=(4)] % (Proposed Hardcoverne�page) Packet Last Updated.� January 2015 This is an information packet regarding Hardcover. Every effort has been made to ensure the accuracy of the information contained herein;however,if any information is not consistent with provisions of the City Code, the Code provisions will prevail. Page 16 Permit Application: Self-Checklist for Com�leteness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. ; �, � Completed Application ��' Plan Review Fee Paid , �. ��; ' Signed Escrow Agreement & Escrow Payment �.�� Building Plans (to scale) x2 ��- Certificate of Survey (to scale) showing the proposed project & � �, . meeting all requirements x2 �� Hardcover Calculations (if applicable) ._� I am aware that Orono will not issue a building permit without a ,�� copy of MCWD permits (or documentation from the MCWD stating ',,�� the proposed project does not trigger their permitting requirements). I will contact the MCWD at 952-471-0590 regarding this pr ' . �� Signed by: ' Address: �� G �� °� t� ' ' �C�� 1�� u Permit #: Z� f5 --��,u�(.,; Packet Last Updated: January 2015 Page 2 241 CLEVELAND Ai/ENUE SOUTH ALIGN Structural� �nC. SAINTPAUL, MINNESOTA55105-1255 ' t 651.698.0164 � f 651.698.0165 SKD Architects January 22, 2015 11140 Highway 55, Suite A Plymouth, MN 55441 Attn: Steve Kleineman Re: Besikof Residence, Orono, MN Let it be known that ALIGN Structural, Inc. has performed structural engineering services for the referenced residence. Structural information was incorporated into architectural drawings prepared by SKD Architects of Plymouth, MN. Please contact our office with any questions or comments. Respectfully Submitted, �� Christian Soltermann, P.E. Minnesota Registration #25085 � Transmitt�al archltects Date: January 23, 2015 TO: Lyle Oman, Building Official FROM: Steve Kleineman Melanie Curtis 9m Architects, Inc. City of Orono 11140 Highway 55, Suite A Plymouth, MN 55441 Project: Besikof Residence, 100 Creek Ridge Pass Comm: Phone: 763/591-6115 Fax Phone: 763/591-6119 Copy to: SEND: Mail Messenger Highlight option 1 hr 2 hr 3 hr NeM day Attached,�Remarks and Action Lyle and Melanie, Application for building permit. Information included. 1. Fully completed building permit application. Pertinent information has been tabbed. 2. Plan review fee of$5,157.48 attached. 3. Escrow check for$2,500 attached. 4. 2 sets of construction documents for residence. 5. A letter from Align Structural as the structural engineer of record. 6. Proof of application for MCWSD erosion control permit. Full application attached. Thanks Steve DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under Minnesota State Statute 13.04 (see following page) to review private data on yourself. 6. Your full name is required to process this application or permit. _ ; , � r. �� (1� �� ' �-�� -� � First Middle Last ! (� u � � :� � � �'� � Ad ress � �i � � � � �� l�� City State Zip Phone I understand my �ghts as stated above. ;� Signaturei' � � Packet Last Updated: January 2015 Page 7 �`�-�LC�Iu T DATE �� '� NO• 4J S� O�� $ �� ''�, RECEIVED FROM `-� L , ` � ' '� , r-L�i I v J l O�� '----..._._._._._._..... - DOLLARS QFOR RENT j (�G �A/GY�Ii �I �S 1�pR l 11 V V ��'F � � .�ACCOUNT ; O CASH I �� CHECK FROM TO PAYMENT MONEY - �ORDER n BAL.DUE OCREDIT � 3-i� CARD BY �__a__.__._.-__�__._�.____. - WATER RESOURCE PERMIT APPLICATION FORM Use this form to notify/apply to the Minnehaha Creek Watershed District(MCWD)of a proposed project or work which may fall within their jurisdiction.Fill out this form completely and submit with your site plan,maps,etc.to the MCWD at: 15320 Minnetonka Blvd. Minnetonka,MN 55345. Keep a copy for your records. YOU MUST OBTAIN ALL REQUIRED AUTHORIZATIONS BEFORE BEGINNING WORK. 1. Name of each property owner: Justin Besikof and Meira Besikof Mailing Address: 16103 Crosby Cove City: Wayzata State: MN Zip: 55391 Email Address: lustin@madeirapartners.com Phone: 612-382-7352 Fax: 2. Property Owner Representative Infonnation (not required) (licensed contractor, architect, engineer, etc...) Business Name: SKD Architects, Inc. Representative Name: Steve Kleineman Business Address: 11140 Highway 55, Suite A City: Plymouth State: MN Zip: 55441 Email Address: kleineman@skdarchitects.com Phone: �63-591-6115 Fax: �63-591-6119 3. Project Address: �00 Creek Ridge Pass City: Orono State: MN Zip: 55356 Qtr Section(s): Section(s): Township(s): Range(s): Lot: 5 Block: � Subdivision: Creekside in Corno pID; 03-117-23-12-0016 4. Size of project parcel (square feet or acres): 40,358 square feet Area of disturbance (square feet): 20,239 square feet Volume of excavation/fill (cubic yards): 1,000 Area of existing impervious surface: � Area of proposed impervious surface: ��662 square feet Length of shoreline affected (feet): NA Waterbody(&bay if applicable): NA 5. Type of permit being applied for(Check all that apply): � EROSION CONTROL ❑ WATERBODY CROSSINGS/STRUCTURES ❑ FLOODPLAIN ALTERATION ❑ STORMWATER MANAGEMENT ❑ WETLAND PROTECTION ❑ APPROPRIATIONS ❑ DREDGING ❑ ILLICIT DISCHARGE ❑ SHORELINE/STREAMBANK STABILIZATION 6. Project purpose (Check all that apply): 0 SINGLE FAMILY HOME ❑ MULTI FAMILY RESIDENTIAL(apartments) ❑ ROAD CONSTRUCTION ❑ COMMERCIAL or INSTITUTIONAL ❑ UTILITIES ❑ SUBDNISIONS (include number of lots) ❑ DREDGING ❑ LANDSCAPING(pools,berms, etc.) ❑ SHORELINE/STREAMBANK STABILIZATION ❑ OTHER(DESCRIBE): 7. NPDES/SDS General Stormwater Permit Number(if applicable): 8. Waterbody receiving runoff from site: Long Lake Creek 9. Project Timeline: Start Date: Approx. March 2015 Coinpletion Date: Approx. June 2015 Permits have been applied for: City ❑x County ❑MN Pollution Control Agency ❑DNR �COE 0 Permits have been received: City ❑County ❑MN Pollution Control Agency ❑ DNR ❑COE � By signing below, I hereby request a permit to authorize the activities described herein. I certify that I am familiar with MCWD Rules and that the proposed activity will be conducted in compliance with these Rules. I am familiar with the information contained in this application and,to the best of my knowledge and belief,all information is true,complete and accurate. I understand that proceeding with wo�-k before all required authorizations are obtained may be subject to federal, state and/or local administrati , �ivil and/or cri ' al penalties. n �� Signature o P operty Owner te i\l,ll�tll ., t,', 1...� 1 . `,l. 1 Cll 1 � ' ' Erosion Control Supplemental Information � I 1 ' Final Stabil�zation will be prqvided with (seed, od, et�(). �� (,�',�+�C� �{'� ,��?x;i�1�;��,�t� �1-�" , i,l ;r 'i'',,z1'`_�t�-�,� ��,C�r�`t�C r" c:-f"f?�P.L��:i��c;t�iT. � . and 6 inches of topsoil will be added/replaced prior to�inal stabilization. Concrete Washout: Location of concrete washout ,Off site �Indicated on site plans _Other(description): _No concrete washout: Vegetation: Protective fencing will be installed as necessary so as to exclude all fill and equipment from the drip line or critical root zone,whichever is greater, of all vegetation to be retained. t �Yes _Not Applicable _Other(description): Inspections: An erosion control inspection plan is required for all projects disturbing '/ acre or greater. The inspection requirements are as follows: 1) The individual identified as being responsible for implenzenting the e�rosion control pla�i�nust routinely inspect the construction site once eve�y seven days during active construction and within 24 hours after a��ainfall event greater than 0.5 inches in 24 hour•s. 2) All inspections and maintenance conducted during coiistf�uction must be recorded in writing and these records must be retained with the erosion coiztrol plan and nzade available at tl�e Distrzct's request within 24 hours. Records of each ii7spection and mai�itenance activiry shall include: i. Date and time of inspections; ii. Name of person conducting inspections; iii. Findings of inspections, including recommendations for corrective actions; iv. Cofrective actio�is taken (including dates, times and pm-ry cornpleting maintenance activities); and v. Date and anzount of all�•ainfall events g��eater than 0.5 iiiches in 24 hour-s. Provide the following information for the primary individual responsible for implementing the erosion control plan: .}� �_ L (�. Name l��1 t�� ,j -t-��,.r\�_'I_, }� Organization ��l�_(,�U�1`��^I�� r� _�c ; � �>�-� —,(-`• r� Phone ��-- -��- — �3��-- Alternate Phone -l�- -�� ;,� ( � � Email ��i l C� �" ?�-�� ('4}=Ti � ��'{'"Y�} I certify that I am familiar with the requirements of the MCWD Erosion Control Rule and that the proposed activity will be conducted in compliance with this rule. _ ' � ,.�'� �� l Signature o A or Authorized Agent te .