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HomeMy WebLinkAbout2016-00475 - attached deck � ' CITY OF ORONO * Z QJ 1 6 - PJ 0 4 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 965 EDGEWOOD H[LLS RD PIN : 02-117-23-14-0001 LEGAL DESC : REG. LAND SURVEY NO. 1098 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK ATTACHED ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,000.00 NOTE: DECK AND STAIRS APPLICANT PERMIT FEE SCHEDULE 201.32 CRAFTMASTERCONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 P O BOX 245 TOTAL 206.32 HANOVER, MN 55341- Payment(s) (763)682-9147 CHECK 14972 206.32 Minnesota State License#: BUIL-BC062809 OWNER BJORK,ROBERT&BETH 965 EDGEWOOD HILLS 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 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 l80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested i conformance with the ate Code.This permit may be revoke�ny time for due caus . � � i� �O �� 0 e��-e-t, �l `�' i l,h Applicant ermitee ignature Dat Issued By S�gn ture Date CITY OF ORONO BUILDING PERMIT APPLICATION � �, 30� vX� FOR NEW STRUCTURES OR ADDITIONS �O A, Mailing Address: - Permit number: � � �o— � � �VO PO Box 66 Crystal Bay, MN 55323-0066 � Date received: S��—� Street Address:� ,I�� (� Received by: � � 2750 Kelle Parkwa �� �v �'F �L� Y Y ��`' 1� �an reviewfee: �3Oi FS�O Orono, MN 55356 ��kESH�� Main: 952-249-4600 C �j��� Total Fee: a'D� �—� 7 Fax: 952-249-4616 tvv,��<<.c.i.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: � Job Site Address: ,5 �� � � Will this be a Parade of Homes, Remodelers owcase Home or other isplay 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 e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP LICANT INFORMATI N: Name: � L State License # Expiration Date: Phone: cell (o - office Mailing Address: Cit � n � ZIP: 5 � Contact Person: -� n Applicant is: Contractor / Homeowner �c�r�ie o�e� Email and/or Fax: �yV�� �g� M Sn c�ru PROPERTY OWNE IN OR ATIO p )� Name: ���. �-�'� `�.�D,�fL- Phone (day): (,�Z �`? �o�� Address: GS a Cit : C/Y��lC7 ZIP: Email and/or Fax 1'1� I 2- �� QO�•(11Y✓� ARCHITECT/ ENGINEER IJVFORM TION: Name: -���^v ►v�-�-S Phone(day): Address: a Cit :� }�'la'��e,�.�� ZIP: 5,5� 7 b Email and/or Fax: r � �, PROJECT INFORMATION: Description of project: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8� Water Supply ❑ 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 ❑ Other:(specify) L ❑ Multi le Famil /Condo ❑ Private Sewer p y ❑ Retaining Wall(s) ❑ Pub►ic 4-feet or greater ❑ Public Water '*Any earth movement may also require ❑ Commercial ❑ Storage MCWD review 8 permits. ❑ Industrial ❑Warehouse Minnehaha Creek Watershed District MCWD ❑ Private Well ( ) ❑ 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) $ j(�,DDr? �,fl Last Updated: January 2015 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction a. Length(ft.)= l 2f Number of bedrooms= f�l Wood/Frame b.Width (ft.)= � Number of garage stalls: f❑ Masonry Areas in square feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1S`Story = ❑ On-site Prefab e. 2nd Story= ❑ Off-site Prefab f. '/2 Story = ❑ Other(please specify): g.Total Area= Z?c�, 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 from MCWD statin no ermit is re uired ❑ Landsca e Walls and/or Retainin Wall Plans ❑ Stormwater Pollution Prevention Plan SWPPP p ❑ Access Permit ❑ ❑ Data Privacy Advisory 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 $10,000 escrow to ensure completion of the ays-built survey and all site improvements. 1 1 � ApplicanYs Signature: _ G�`/ - Date: � �� Owner's Signature: Date: Last Updated: January 2015 ,��1�� �/�� // G�'L v^ ` < <P �� i �v vV C KLJ �VU '1 Uyt� '`������� 51.78 i ��� : 129.94 � � � ��STIIVG �RIVEWAY `$ :� ��� :ia o�n ��+ ch � ` �SLqND �v, : a'`�` � zi c � � � '`8, I .Z 5���- co . s7.i 8g .. b�Z► � ti�;� — . �Z �o � � _ �. �o �1 � � o o Y.1' �j � � Ltr........... . �. � , E�/=999.18 p m cn 0�'� `) EX`l�9�NG HpUs� ,., T'rn ��` � � � 65 o x _ �� N� - z� , T��E3F'10LD O Z �D � E�EI/=9@9.3�.3 -Dj� 6 �cv \ NN . � y � � 3 m � p \ \" Dc —� —1�EGG---� � '"�c� ' ZN� ' ��'/ � �p_ 0 �\ � � � __! � ���. � � —�tp O �.��`�'�`---- ,N OD/ N '. /' �, \�/�_ �_ ��_{�1B' . �v-_'� � -�____.�, v N _�j����.., 1�982�� � • �S , . � / /��� ���_r�0-�' � —� � � // �/� �� ��" ���8� ��'. y--- � IJ /�j�`--` ` �`s'4 e�s� � .--j N � � �-� i �-s�2- �� '', ----- N �� ��_� � ��` __ N --s�o–,� -—� / �—_ � /�--�----g6g \ +:���--� � —g6g-� ��^�-:r w v � ��� 1��- � •. r � ���� �� ����.� ����., .,� ' :N •:a 0 �'•. ;A REC�����C� ZMAY 1 Q�.2o16 G � 4 CITY OF OR{JNO 6 � � � ► 0 � � � � ��S � � NgQ$�o��, S ' ¢ �Z 55 Z � .,��,� � N S�� ��55 � ` �6�pa��Seav� "r � z v .. � o� DD �r � , , cc_n � , r ��a4� �E\i�E� �E�E�KL��T ��� ���' ���C�E���S � �,�DET���� �:' �,c6d�es�: � I� Perrr�e� No.: �t� ' 7� De�cc6pfion ��work: '4�- 6�4e �ec'd: � <._3 '� �s S��tic reviev� by: ��C�� � � Q,� � Da��Approved: �--� Zoni�g revie�vv by: ��te Approvec�: • �-` � BuEld'on� review by: D�.te Approb�c�: � Grac�ing review by: �ate�lpprovec@: ��' F �or�i�g District: '�� �oninc� Fil�#: Re�cs�: �eso D�te: �oe�ing: LQt Are�: SF/AC �RE'idth: Lot Cove�°�g�: SF % Sur�ey Sa�t�rnitfi�d: � Yes o D�fie ��Surde�: Revised date(?): L�nc�sc�pe pian submi�ec�� � Yes � No L��c��caper: I�res osed Setbacks: � �D �� �� �r���t� �e�e�(Str �� � � � ) � N � E VU ) �ther�uifc�ing� Vltetland �ic€� ide � �� �� � �� €�efi�ed Height: Peak FEeight: ��'�: �F� rn6e�us 6 f�e�_ (Ezisting Conf�a� I��ei�eter Eline��feetj � �Q% _ � L.F. �elow grac�e _ B��ernent? � Yes � No, Stories � � FOR R BUOLDING VI�ITH I!BlASEfVIENT 014 CRA�L SRACE: � RB FOUhDATlOt�: qThe distance between the lowest F ��� Slab at or above grade— •' START WITH floor(of the basement or crawl spa� � measure from hiqhest existinp -,. the highest point of the roof. � ��TH rg ade to the highest point of the � � roof even if fill was brought in to If you have a... elevate home. � SUBTRACTION m GABLE OR HIPPED ROOF{no Slab belovv grade— sure (BASED ON windows): Subtract half the dis from highest e g grade te the " ROOF TYPE) between the highest point.�Re roof hi hest of the roof. � to the low point of the responding If yo . ve a... gable or hipped r� SUBTRACTION ° ` GABLE OR HIPPED ROOF 5 GABLE O��PPED ROOF(with (BASED ON (no windows): Subtract half " � wi�d�: Subtract half the distance ROOF TYPE .' the distance between the � �een the top of the highest highest point of the roof to window and the highest point of the `'� the low point of the roof corresponding gable or hipped roof m ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SU CTIOh! Subtract the distance between the half the distance between SED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). � point of the roof � 0 ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUP,LS Defined building height subtraction. De�ined building hei�ht EQU�,LS v: Updated: October 2015 z:\formslplan review checklist 10-2015.docx S�hor�lar�c� �istrict �!CC1dl�� Permi� �ver�ge Lakeshore Sett�acls ����' I�le�? � Yes � �o Permit I�umber: � Yes a No /A � Ye�o ��` C� N/a—see attached Setback: Sto�mwater Qualit�+ EXiS�QEE� Pro�oseci Qverfay District Tier H�rdco�e� hlarc�co�er Varia��� Reqt�irec9 CUP Required circle one % and s % and s � Yes t�o � Yes No 1 2 3 4 5 Type(s): Type(s): i, Fees to 6�e Ghar ecf YES NO P�rmit E�{�n �e�€iev►r S�afi�sa�rchat^�e e/- Investigatio� Fee ✓'� SRC—Nur�bee of 5A� Ur�i�� (/` Other(s�ecif�) �� � uare F�a#a e $ �r S e��re Eoofia e Basement X = $ 1 S' Floor X = $ 2nd Floo� X = $ Garage X = $ Estimatec� Construction�al�e: �/ ��V �' Q�ar���rrspecti��s F�ec�uir°ecf F�'�rk(Req��rB¢�g Se�arate Per�6tg Footing E� Site � Plumbing � Grading/Filling � Poured Wall � Silt Fence/Erosion Control � iVlechanical � Fire � F�uroc�atior� Surv�� � Harcfcover Removal � Septic C� VVater Connection � Foundation Waterproofing Q Other(specify) � Fireplace � Sewer Connection Framing � lVlasonry O Lavvn Irrigation ❑ Insulation � Mfg. � Landscaping Q A�-Built�urvey� C� Other(specify) �Final � Lathe FFee��irec� S�ate Permit� � Other(specify) � �ell � Electrical ��filGe�RFtS (in-house): OFFICIA� P2EtVf�RbCS -TO BE t�OTED OI� PEI�fi61T AlN�3 INlTI�6LLE�. � �e� ��ilc�e . �,cknov�feclgerner�t�Qrrt� � Prior to releas of escrov�money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2015 �•\fnrmc\nlan roviaw rharklicf 1fl_9f11�,rinrtv Christine Mattson From: Christine Mattson Sent: Thursday, May 12, 2016 920 AM To: 'bjbjorkl2@aol.com' Cc: Brad Freund cmc2587@msn.com Subject: 965 Edgewood Hills Rd/#2016-00745 Attachments: Escrow Agreement - Building Permit w Erosion Control 2014-01400 & 2016-00475.pdf Good Morning Robert& Beth, In conjunction with the deck and stairs permit application, please sign the attached updated escrow agreement and return to me at your earliest convenience. No additional escrow money is needed at this time,just your signature. After the project is complete, the inspector has signed off on the final inspection and all disturbed areas have been revegetated, contact me to refund your escrow money. Please note all expenditures require council approval, so depending upon timing it may take several weeks before you receive the check. If you have any questions, please don't hesitate to contact me. 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 `1�' 952.249.4620 ! a 952.249.4616 � cmattson@ci.orono.mn.us : � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm PLEASE NOTE: Summer Office Hours start Monday, Magr 23,2016 Monday-Thursday: 7:30 am to 5 pm/ Friday 7:30 to 11:30 am OUR OFFICE WILL BE CLOSED: Monday, May 30, 2016(Memorial DayJ 1 � � BUILDING PERMIT ESCROW AGREEMENT Orono Buiiding Permit Numbers 2016-00475 and 2014-01400 AGREEMENT made this day of , 20_, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Robert & Beth Bjork ("Owners"). Recitals 1. A building permit application has been filed for a deck and interior remodel located at 965 Edgewood Hills the ("Subject Property"), legally described as Tract 8, Registered Land Survey No. 1098 files of Registrar of Title, Hennepin County Minnesofa. 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 $700 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 numbers 2016-00475 and 2014-01400 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. 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H�r�s �.� �� ��p �� � : w�,��- a �� .� �� � � . � . µr ;.- — �� �r ���� � .,F � � � 'r �.��.�-� '� ,� ' ai..- .�" .�� � � Disclaimer. - ---�------ This drawing is neither a legally remrded map nor a d�rrvey and is not intended to be used as one.This awing is a compilation of records,information,and data 0 79 FE2t e lo urced in various ciN.coun�V.and state offires�and other s affecting ihe area shown,and is ro be used for refer ce purposes only.The City o(Orono iz not �O Bolton&Menk,Inc-Web GIS 5/12/2016 9:05 AM ,P.�„��niP f�.,����a«��.a��P�nP.P������r,��Pn j /� �� _ - I�A�E TI CITY OF ORONO CALLED IN INSPECTION NOTI E , � SCHEDULED =�,2� �--��� PERMIT NU: �.G`� ' " "`�/ '� COMPLETED ADDRESS � �� " `i�G c'I �� OWNER TE EPH E NO� -2�� � CONTRACTOR J � ' �--f' �� - �; DESCRIPTION ���=� �L�t ! ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACT�R TO MEET YOU:_YES_NO c�n COMMENTS:r�'� �i'VL[-.� L 1 /�6��":�. ,�1v"�G� � W C o �.�d /'� /�5 y-d� �g T fo nc'/��� iD��/' � �.�s . - � �rQ�t r 6�� �s�.�a� ,��r�s ° � /`�rG��l>� S,Oc�c � ��1 �����1���✓ .-�5- W !.lSc� - _ , � Q � ��D /�5� G K ��Gij` �✓ �d��O�S�C.�� � �Gc�l-�� �.5�� }9/D�!�J.e 1�� r'd � Gir _ 0 +�,�� r,�� , cf� �;��.�j/�; d � � �'f!L/Q ❑ PROJ��G�OMP�� �� W ❑WORK SATISFACTORY:PROC D � � ❑CORRECT WORK 3 PROCEED Lp rl«�-�r ❑ ISSUE CERTIFICATE OF OCCUPANCY C��RRECT WORK,CALL FOR REINSPECTI�IV,lr'���r TEMPORARY EFORECOVERING r.Gf kS��pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOU9�' ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector.� �w--_� White Copyllnspector's Ffle Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 6 '11°11.45-- COMPLETED A ' /9/r ADDRESS '65 E4122 •Jaoe direk.5 AdB- OWNER TELEPHONE NO. CONTRACTOR Cr fuse•P- Cool-SX • E DESCRIPTION er.-/ W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING V® 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP ALLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL 0 DEMO-SITE ❑ SEPTIC INSTALL • OMI NER1CONTRACTTOR TO MEET YOU:_YES_NO 2 COMMENTS: CoQ",,y,.r Adder- 14r/a0 r cam4 ac • riteriC tit/ re-c 410;1 a. j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 o Expiration, no record of a Final inspection. 0 tU t Q W W 0 WORK SATISFACTORY:PROCEED C]PROJECT COMPLETE CC 0 CORRECT WORK&PROCEED C]ISSUE CERTIFICATE OF OCCUPANCY ® 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY u BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN C]CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaM for the next inspection 24 hours In advance. (952) 249-4600 Owner/Contractor on site: t Inspector. 9,r%." White Copyfnspactors RI* Canary CopyISits Notley