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Home My WebLink About2015-01232 - voided CITY OF ORONO * Z 0 1 5 - 0 1 2 3 2 * � ' 2750 KELLEY PARKWAY DATE ISSUED: 12/04/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 � ADDRESS : 3349 CRYSTAL BAY RD PIN : 17-117-23-41-0023 ,�i(J' LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B � : LOT 010 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENT[AL ` CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR � ACT[VITY : 434-RESIDENTIAL � VALUATION : $ 90,000.00 � NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, MECHANICAL,ELECTRICAL(STATE) ADDITION/REMODEL � � Q � APPLICANT PERMIT FEE SCHEDULE 1,031.04 STATE SURCHARGE(VALUATION) 45.00 S. J. FISHER CONSTRUCTION 70 FLORENCE DRIVE TOTAL 1,076.04 TONKA BAY, MN 55331- Payment(s) (952)474-6976 CHECK 5419 1,076.04 Minnesota State License#: BUIL-BC626515 OWNER LENSING,JULIE 3349 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requices separate permits. All provisions of laws and ordinances goveming this type of work shall be wmpied with whether or no[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 cons[ruction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � f S �� /�l `� i /S App ant Permitee Signature Dat Issued Signature Date (� Y °�` � City of Orono � �� , '�' �� w ,� Building Permit Application �� 7�, 0� for New Structures or Addit'o � ;� l jz;��''�°r'-`� Mailing Address: � PO Box 66 v�, rmit number. v7 Ol 5 " ` � �� Crystal Bay, MN 55323-0066 � Date receive¢��"�' D--/��l..s�.c Street Address:' � � ,�- 2750 Kelley Parkway V �� < y�' c,` Orono, MN 55356 �C � .-, Fl�n review fee: tqkfSHOQ'� Main: 952-249-4600 Total Fee: Fax: 952-249-4616 :v�h�'w.ci urur�o.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print�N� � I�Y1.el. �SC'-rou% �� GENERAL INFORMATION: � r.t.seD --�� t'S-f2�9Z.1 Job Site Address: ;�,�'�� ',r�'„-�c�_� �u� '�C� ��a�, �.U^_� za`�cz:; 11^ P� 5 �;3�� _ 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 un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: '` �J �I �.� ' Y:.'c; iC C, . State License# �t�� [..; S I :i Expiration Date: 3 3% Phone: (cell) f,�2•� 1 Z I - ,S�'n `� (office) �s;�_ y�y_.�, �7�, Mailing Address: 7p n- r�v Cit : p-� �_ 13n � ZIP: �� ° � Contact Perso � �-F c,V� �i s h��r' Applicant is: ontractor / omeowner ✓(Circle One) Email and/o Fax: �$ . _ C a� S �,��ci ` ' "�;u' ` ^ � %✓�. " m PROPERTY OWNER INFORMATION: Name: `.j v '�f; L�.V�S i r+� Phone (day): _ S _ ��y Address: �;,y; �l-y ��ta ( B��, (lo�x� City: (;JayLa�G� ZIP: $S�3`l� Email nd/or Fax (�.h��1�, ;✓►��=, ��) 'l rr�ci 1: C,�rrr� ARCHITECT/ ENGINEER INFORMATION: Name: �'Ci��-� (,r�i-, Phone (day): �� E i 2.- ��<� -� 'j 7 7 �r+�r c�.� 6�Z - ��.7-� � f C i" � Address: ;,��5 �"u st SOt"� �rt' City: f1;;; ��ar,F�/�� ZIP: „S t( f � Emai and/or Fax: Gr�'r. Z r � �%o i , �.�-'�r� � -/ PROJECT INFORMATION: Description of project: / � � ��l � , � ��C1 � 1.Type of Project 2. Proposed Use 3. Structure T pe 4. Sewage Disposal & .�� Water Supply Q New Construction �Single Family with ❑Accessory Bldg./Garage �,Addition 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&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) $ ;'� , ��O<, � Packet Last Updated: August 2015 Page 21 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction � ` 3 a. Length(ft.)= J� !� Number of bedrooms= �Wood/Frame b.Width (ft.)= 2�, 3 Number of garage stalls: ❑ Masonry Areas in square feet ��`+•... Attached = �- ❑ Metal '" '�� '�— � ❑ Pole Bldg. c. Basement= �� JJ DeffiCh2'��'"`'''�'� , �� ° ❑ ICF d. 1St Story = j I 2c� ❑ On-site Prefab e. 2"d Story= � Z ❑ Off-site Prefab f. 'h Story = ❑ Other(please specify): g.Total Area= J� 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'/2 x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve –2 full size,to scale meetin ALL surve requirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ O Minnehaha Creek Watershed District(MCWD)Permit or Documentation from 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. Applicant's Signature: ( y'„(,�(.�_ � bC.Q,s�.tt�a, Date: J 6��/S Owner's Signature: � � Date: ��_/T_�S Packet Last Updated: August 2015 Page 22 Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? �Yes 0 No Permit Number: � Yes �No 0 N/A � Ye No N/A—see attached a�; L Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf /� , � Yes � No � Yes No ( 1 ) 2 3 4 5 v . ._ , pe(S):t..� It�ib►'1 Type(s): LJ � _ i �1 i rC� I lY�I� �1 S bd�4lUC'I QV pXO��• Fees to be Char ed YES NO luK�31�►� Permit t." �{�C.� Plan Review State Surcharge Investigation Fee � ` SAC— Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1 S� Floor X = $ 2nd FIOOr X = $ Garage X = $ Estimated Construction Value: $ , � Orono Inspections Required Work Requiring Separate Permits ooting ❑ Site Plumbing � Grading/Filling 0 Poured Wall ❑ Silt Fence/Erosion Control Mechanical 0 Fire ❑ Foundation Survey ❑ Hardcover Removal 0 Septic 0 Water Connection 0 Foundation Waterproofing ❑ Other(specify) 0 Fireplace 0 Sewer Connection Framing ❑ Masonry � Lawn Irrigation �Insulation ❑ Mfg. 0 Landscaping � As-Built Survey 0 Other(specify) Final 0 Lathe Required State Permits 0 Other(specify) � Well Electrical REMARKS (in-house): � OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: �� Se ' er A � n r to rel�ase of esefow mon�y'an as-built sutv�y�nd hardcover calculations must-be submit#ed and approv�d. , ,� � � ��'�'�'. ��L�I��lf;; �I�� . Updated: October 2015 �•\fnrmc\nlan ravic�u rharlrlict 1(1_9(19F flnrv 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. J�► 1� � $�kt- i«1r �.emS +►�1��1 First Middle Last �.3 �� Cr � ��c� $�y �� C � � Address C)ro--n C� I�t P�l S S �'�t 1 h (z-- SS �� 1,'-� �l3 City State Zip Phone I understand my rights as stated above. � �Y Sig ture Packet Last Updated: August 2015 Page 7 � � Permit Application: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the a�plication will NOT be acce�ted. Call 952.249.4620 to schedule a meeting with stafF if you have questions on application submittal requirements. Completed Application ,� / �l � ✓ Plan Review Fee Paid � `� � � �� c�'` b�r� � C .�,� � Signed Escrow Agreement & Escrow Payment �� _ - � �� CX-�:y �"^ ,� Building Plans (to scale) x2 ',1'��`,�� , Certificate of Survey (to scale) showing the proposed project & �� meeting all requirements x2 ��--��-�� `e' �'��`� � � � w Hardcover Calculations (if applicable) `C �` ,�,� � 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 � r garding his project. Signed by: „t,�c,t Address �° 2� Permit #: � � � Packet Last Updated: August 2015 Page 2 City of Orono �oNo Hardcover Calculation Worksheet A , � PI'Op2fty AddreSS: 3349 Crystal Bay Road Orono, MN 55391 REVISED: 8/27/15 F � �7'FFSHOR� Prepared by: Demars Gabriel Land Surve ors, Inc. Date: 7�22/15 Y Stormwater Quality Overlay District Tier: (Circle one) Tier Tier 2 Tier 3 Tier 4 Tier 5 Step 2: PROPOSED HARDCOVER WITHIN 75' SETBACK AREA 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 square footage separatel for each portion. Key to Hardcover Item (Describe) Length x Width Total Survey (Square Feet) Exam le Gara e 24'x 30' 720 S.F. A buildin 106.3 S.F. g deck/stairs 59 S.F. C driveway 755.1 S.F. p dock 30 S.F. E landscaping 52 S.F. F walls 63 S.F. G S.F. H S.F. � S.F. � S.F. K S.F. � S.F. M S.F. N S.F. p S.F. p S.F. Q S.F. R S.F. g S.F. T S.F. � S.F. V S.F. W S.F. X S.F. y S.F. Z S.F. 1 Total Pro osed Hardcover 1,065.4 S.F. Excludable Hardcover See Ci Code Sec 78-1684 : � 0 S.F. 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 1,065.4 S.F. 4 Total Lot Area 2,931.8' S.F. Proposed Hardcover Percentage [(3)=(4)] 36.3 % *Not included in parcel area or hardcover is 878.2 sq. ft. of roadway. This is an information packet regarding Hardcover. Every effort has been made to insure 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 9 of 9 City of Orono �o�,o Hardcover Calculation Worksheet , PfOpefty AddfeSs: 3349 Crystal Bay Road Orono, MN 55391 REVISED: 8/27/15 �`''KESHo�`G Prepared by: Demars Gabriel Land Surveyors, Inc. �ate: 7/22/15 Stormwater Quality Overlay District Tier: (Circle one) Tier Tier 2 Tier 3 Tier 4 Tier 5 Step 2: PROPOSED HARDCOVER OUTSIDE 75' SETBACK 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 square footage separately for each portion. Key to Hardcover Item (Describe) Length x Width Total Surve (Square Feet) Exam le Gara e 24'x 30' 720 S.F. A building 1007.5 S.F. g deck/stairs(front) 46 S.F. C landscaping 275 S.F. D walls 3$ S.F. E deck rear 101 S.F. F S.F. G S.F. H S.F. I 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 1,467.5 S.F. Excludable Hardcover See Ci Code Sec 78-1684 : 38 S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover 38 S.F. 3 Net Pro osed Hardcover Subtract line 2 from line 1 _1,A�-�— S.F. ��Z�"�S 4 Total Lot Area 2,221 S.F. Proposed Hardcover Percentage [(3)=(4)] 46.1 % z��-,�I � ►��r� = This is an information packet regarding Hardcover. Every effort has been made to insure 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 9 of 9 Christine Mattson From: Christine Mattson Sent: Wednesday, October 28, 2015 8:48 AM To: 'lensingjulie@gmail.com' Cc: 'steve@sjfisherconstruction.com' Subject: 3349 Crystal Bay Road/#2015-01232 Attachments: Escrow Agreement- Building Permit w Erosion Control 2015-01232 & 15-3771.pdf Good Morning Julie, We are close to issuing the building permit; however before we can, please sign and return the updated escrow agreement. The agreement combines the building permit with the land use application. No additional escrow money is needed at this time. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway ii Orono MN ' S5356 (physical addressJ PO Box 66 Crystal Bay ";, MN ; 55323-0066 (mailing addressJ �9i' 952.249.4620 `: �'�----, 952.249.4616 �! cmattson@ci.orono.mn.us ' � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Wednesday, November 11, 2015 1 ��f�� i�� City of Orono �� Site Plan Review Date:lO 'Zg• (5 �PPROVED C�RTIFIC� T� OF SURV�Y RECEIVED [I APPROVED WITH F,Fvisi�vs(se6�oces� �F OCT — 8 2015 ❑� �` EN.�.�� Lot �D, l�l/ALLACES ADDITlOIV TD THE CITY OF ORONG l/ILLAGE OF MINNETONKA BEACH ��J�l ' ` .�r� ��a t t `1929/ *�l�l'��''�� 9298o ee L" tia� ,��5' ya�e�c��o of �i �. e�°Y�� /i, /� e\ /,, �7°�e� /� /- �/. /,� /,, c�o� /,, �o /- a /�i ff q'L9 ��• � ��o`'µ� �� , � /. `f �� c�o� 'cr 0 9r , c /,, 9��/ ��a �� /' 93�9'S� g3�!+ /� � q'S�- X _ /''/ /_ 4 9�� --"" . j 29 /� � . i�i429.4 \p�'�� 33.8 z �� ' o`l / .eaa.o �o � �� d�+ s. a4 � Jt� ` ,'� t � a ` '-� � / � .9 .6 e'�t .hti w�ue 0 \'� "�` a `9' � / \ i` � � � 3.8 �} 6 �� \ r� � �r }b / 'y. a � �� 935.5d � J�? �� 935.9 �jO� _ � ,A�� /` �'> x4i6 . g3� C� ��ir„ � 3� /93 \ � G� S\o� � � •��'S� � �l�pa�`Qe " •Ash o 9 oo, � 6 .j6��Ok � o� �� 935y6DX 9�'�.' .. r, °�� y�• G'''QIOQ �' e;e,�� a�i'� ,o . @'�c,9'S0 EXISTING HARDCOVER `�• �„�; �__ � �o��<,i3 ''�"� 9�, " , �� 9� Buildinq 1,088 Sq.Ft. �s 93, `9 � ��'/ �� ,�15 � �1 , 937.1 x `J6 rn .'�). .`'or�`� � � _ Patios & Decks 228 Sq.Ft. �, s,n� ��` \s,�a.� ; �K� �y� o Conc. Walks & Drive 885 Sq.Ft. �fe 9�9��`., � �' �o GAR[�GE �.,��o Landscaping 352 Sq.Ft. "�O. `�• � ��=935.6 ?�'�� s.o.s . / 1 WaNs 81 Sq.Ft. ��l� 939.Q� \ � k� H�US�' 9'��y' .3 � 4q 1 Totol Hardcover 2,634 Sq.Ft. � � P, �� ist Floor=948.9 �� 9 M ; x 9 Lot Areo 6,031 Sq.Ft. ,� ��,.�s / �e�e �5 �09� ; 75' Setback from 929.4 ONW ' � `� � �? ��` � 90 of Hardcover 43.7 90 � �� > `` , o� Average Structure Setback--' - �� l �� N � ��'� I�� . \ m 943.8�'O��'O �6�� Q s0 W 9� gyA �v' y/(^000,o L' �\ ✓ �\'�� 5' �o•asn ;4�,`� �,�g� � - '� No grading proposed for Buiiding Addition � `` X��----__---=-�"' �o u f�o4 (�, c'' \+ � �\d �S'� 1•�� `�oc4-5 � J'�1 �La� e�t � �en�e�� OWNER 8c SITE ADDRESS: JU�IE LENSING 3349 CRYSTAL BAY RD WAYZATA, M N 55391 ORONO \��/ � ) Revised: 8/13/15 — show proposed upper story addition outline Revised: 10/02/15 — proposed addition statement 0 • Denotes found monument Please note that this surve ma�/ be sub'ect to facts disclosed b\/ a full and accurate title seach. �W x o00�0 Denotes existinq elev. y I � J W (000.0) Denotes proposed elev. N� -- Denotes S��a�e drainage �Property is subject to apparent easement for city utilities and roadway over Crystal Bay Road � 1 hereby certify that this survey, pfan or report was prepared by me File NO. O� or under my direct supervision and that 1 am a duty Registered Land � DEMARS—GABRIEL Surveyor under the Laws of the State of M�nnesota. 14324 N LAND SURVEYORS, INC. Book—Page • 6875 WASHlNGrON AVE. S0. �— � �� SuiTE 209 David E. Crook Edino, MN 55439 ��/� �� Phone:(952) 767-0487 SCp�e FaX: (952) 767-0490 Date: July 14, 2015 Minn. Reg. No. 22414 1 "=20' PDF created with pdfFactory trial version www.pd.ffactorv.com � �l�-l'j' ��,� �t� f `,��,4�'/«'� ,