HomeMy WebLinkAbout2014-01100 - new structure CITY OF ORONO * 2 0 1 4 - 0 1 1 0 0 *
• � 2750 KELLF.Y PARKWAY pATE ►SSUE�: 11/14/2014
ORONO, MN 55356-
(952) 2�9-4600 FAX: (952) 249-4616
ADDRESS : 1 141 ELMw'OOD AVE
NIN : 07-117-23-14-0027
LEGAL DESC : SKARP& LINDQUISTS FERNHII.I. LA
: LOT 007 BI.00K 000
PERMIT TYPE : NEW STRUCTURF:
PROPERTY TYPE : RESIDENTIAL,
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED
VALUATION : $ 345,000.00
NO"IE: SF,PnRATE PERMITS REQUIRE?D: PLUMBING. MI_,CHnN1CAL. SI-:P�I�IC. FIKI:PL.ACG.GRADING. SI;WER CONNI��C��ION.Lnw'N
[RRIGATION, WELL(S"I�ATG), GLEC"CRICnL (S"I'.A�['1�:)
NOTF.: PRIOR TO THE START OF FRAMING AN AS-BUII.�f FOUNDA��ION SURVE�:Y MI�ST BI�,SUBMIT"I�ED AND APPROVED BY"['HE
CITY OR A STOP WORK ORDF.R WII_.I. BE ISSUED: INl�llnl.:
NOTE: PRIOR TO ISSUANCE OF n CER"I�IPICATI;OH OCC'lip�NCY nN n5-I3UII.T Sl�RVE1' IS REQUIRf:D TO QF�: SU13MIl�I�I-:D nND
APPROVI:D BY Sl AFF. INITIAL:
NOTG: IN THE [VENT OP WIN"I"GR CONDITIONS OR(�CI I[�:R UNFAVORA13L1: WI�:ATI II:R CONDITIONS(WHICH PRt:VEN�I�I�HE;
COMPLE�I�ION OF TFIE GXTERIOR IMPROVI_:MENI�S ANUiOR AN nS-I3l:ILl�SI:RVi:Y),A�fF.MPORARY CGRTI�ICAI�t;OF OCCUPANCY
(TCO)MAY BG NECESSARY. A TCU REQUIRES A$IO.OUII I;SCROW'. INI T�InL:
APPLICANT PERMIT FEE SCHEDULE 2,526.75
STATE SURCHARGE(VALUATION) 172.50
DEAN JOHNSON HOMES, INC. S.A.C. 2,485.00
4700 CTY ROAD 19
MEDINA, MN 55357- TOTAL 5,184.25
(763)479-4820 Payment(s)
Minnesota State License#: BUIL-20639439 CHECK 5.184.25
OWNER
ALNESS, RYAN & STACY
1 1�11 ELMWOOD AVE
MOUND, MN 55364-
AGREEMF,IVT AND SWORN STATEMGNT
The tirork for���hich this permit is issuzd shall be pertiirmed accordins to
the approved plans and specitications,applicablc City approvals_and thc
State Building Code. This pennit is for onh�the��ork described and doe5
not grant permission for additional or related work which requires separate
permits. All provisions of la�vs and ordinances governins this[vpc of work
shall be compied with whether or not specitied herein.��his pennit���ill
expire and become null and void it�construction authorized is not
crnnmenced within 180 days of the date of issuance.or if construction is
suspended for a period of I RO days at any time after Nork has commenced.
The applicant is responsible tbr assurine all required inspection,are
requeSted in conformance�vith the State Building Code.This pennit ma} he
revoked at any timc for due cause.
��
%�� � � � � �� t � �a'Yt C"�'�� l� � �� � � � -
//
�p icant Permitee ienature f),uc Issucd C3� Si�nature Dutr
II I
� , CITY OF ORONO * z 0 1 4 - 0 1 1 0 0 *
' 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1141 ELMWOOD AVE
PIN : 07-117-23-14-0027
LGGAL DESC : SKARP& LINDQUISTS FERNHILL LA
: I,OT 007 BLOCK 000
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED
VALUAT[ON : $ 345,000.00
NO"I�E: SEPAIZATE PERMIT�S REQUIRED: PLUMBING, MECHANICAL,SEPTIC, FI E LACF,,GRADI G,SEWER CONNF,CTION,LAWN
IRRIGA�1'ION, �VEL1,(S'i'ATF,),ELEC"IR[CAL(STATE)
NOTE: PRIOR TO THE START OF FRAM[NG AN AS-BUILT FOUNDATION SURVE UST BG SUBM TED AND A' (� VED BY"I�tiE
CITY OR A STOP WORK ORDER WILL BF ISSUI:D: IN[T[AL:
,\
NOTE: PRIOR TO ISSUANCE OP A CER'I�IFICATE OA OCCUPAN AN AS- UILT Sl R ;Y IS ��QUIRE O BE SUE3Ml'1�"I'ED AND
APPROVED I3Y STAFF. INITIAL:
NOTF,: [N THE EVEN"I'OP WINTF,R CONDI"I'IONS OR THER UNF VORABLE EA'I' ER OND IONS(WHICH PREVENT THG
COMPI.ETION OF THE EXTGRIOR IMPROVEMI;NTS ND/OR AN S-F3UILT SUR F,Y) TE P RARY C�RTIFICATG OF OCCUPANCY
('CCO)MAY �3E NEC�SSARY. A TCO REQU[RES A$1 ,000 LSCRO . INITIAL:
� �
�
APPLICANT PER T F HEDU � 2 526.Z�_._ �
��
PLAN REVI ���S �642.39�� �
DEAN JOHNSON HOMES, INC. STATE S CHAR E(VALUATION) �—�172.50
4700 CTY ROAD 19
MED[NA, MN 55357- S.A.C. 2,485.00
(763)479-4820 �� �� TOTAL 6,826.64
Minnesota State License#: BUIL-20639439 Paym t(s)
CHE K 6105 6,826.64
OWNER
ALNESS, RYAN & STACY
1141 ELMWOOD AVE
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMEIYT
The work for which this pennit is issued shall be pert�ormcd according ro
thc approved plans and specifications,applicable City approvals,and the
State Building Code. This pennit 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 ordinanecs goveming this type of work
shall be compied with whether or not specified herein.'fhis permit will
expire and become null and void il�construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 1 AO days at any time afier work has commenced.
The applicant is responsible for assuring all required inspections are
reques[ed in cont�ormance with the State Building Code.�This permit may bc
rcvoked at any time for due cause. ��
_���� �- / �' --/ i' � -� �=`m�-�'t �� � � � f
����
'Appli ant Pe itee Signature Date Issued By Signature Dale
v'�
�� I
Christine Mattson �`
From: Christine Mattson �
Sent: Wednesday, November 12, 2014 11:14 AM
To: 'Ryan A.'
Cc: Mike Gaffron
Subject: RE: Building Permit- 1141 Elmwood Ave/#2014-01100
Ryan,
The balance due for issuance of the building permit is $13,381.64.
The breakdown is as follows:
$6,555.00 for Sewer Connection
$6,826.64 for Permit for new home (which includes SAC Price of$2,485.00)
If you have any questions, please don't hesitate to contact us.
From: Mike Gaffron
Sent: Wednesday, November 12, 2014 10:40 AM
To: 'Ryan A.'
Cc: Christine Mattson
Subject: RE: Building Permit
Rya n—
Permip is ready to go. I've attached the escrow agreement. Christine will follow up later today with the dollar amount to
be coll�ected with the permit.
Mike �
Michael P.Gaffron
Senior Planner
City of Orono
(Street Address)2750 Kelley Parkway
(Mailimg Address) P.O. Box 66,Crystal Bay, MN 55323 �� /
Phone:(952) 249-4622 � �� �
Fax: (�52)249-4616 1Q
From: Ryan A. [mailto:ryanalnessCa�yahoo.com]
Sent: Monday, November 10, 2014 10:08 AM
To: Mike Gaffron
Subject: Building Permit
Mike,
I hope you had a good weekentl. I am following up to see if the builtling permit Is ready to be Issuetl. If not please let me know what you still need to issue it.
Thanks
Ryan Alness
9524520698
1
II I
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,. � �
,
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of Orono ���y u i ur�no ��
Ke11Ey Parkway 2750 Kelley Parkway
�
�� o MN 55356 952-249-4600 Orono MN 55356 �4600
� �ipt No: 3.012263 Nov 14. 2011 Receipt No: 3.012260 Nuv 14, 2014 I�
a
G
� Johnson Homes Gea�� Johnson Homes ����
- �vious Balance: .00 Previous Balance: .00
mits Permits
4-01100 1141 Elmwo�d 2,526.75 2014-0110U 1141 Elmwood 2,526.75
Ave
" I�-3251U 101-32510 /
ilding Permits Building Permits �i� , �l�k�
rmits Permits �
14-01100 1141 Elmwood 172.50 2014-U11UU 1?41 Elmwoo �/� 1,642.3:i ,
.e Ave `�(� �%
�1-20802 101-34410� � S ��=���U�� Z�(
i�ue to govts-State Plar Check/Site Exam Fee u
Permits Per-mits
2014-01100 1141 Elmwood 2,485.00 2U14--0'100 114? Elmwood 172.50
Ave Ave
101-20809 101-20802
SAC Charges due to MWCC Due to gavts-St�te
------------ Perm i ts
Total: 5,184.25 2014-01100 1"i41 Elmwood 2,485.U0
_______________ Ave
Check 101-20809
Check No: 6104 5,184.25 SAC Charges due to MWCC
Payor: -------------
Dean Johnson Honies Total: 6,826.64
-------------
-----------
ota App ied: 5,184_25 Check
Change Tendared: .OU Check No: 6102 6,826.64
______________ Payor:
11/14/2014 02:36PM Dean Johnson Homes
iatal Applied: 6,826.b4
Change Tenciered: .CO �
------------ +
11/14/2G14 01:33PM I
I
. ,a -,
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
��� MailingAddress: Permit number: ��� �ll�
O PO Box 66
Crystal Bay, MN 55323-0066 Date received: 9' a �/
StreetAddress:' Received by:
y�, � 2750 Kelley Parkway Plan review fee: � ,
t,ykES�o��,L Orono, MN 55356 �� �g �
oa . 4 /�/'O
Main: 952-249-4600 Fax: 952-249-4616 www ci.orono.mn.us ,� _ , (�,
This application form must be completed in full and all required information must be submitted. . ,,,,,,�ies
Incomplete applications will be returned. (Please print) ,rc �,P�-
GENERAL INFORMATIO • -
Job Site Address: �, 14 1 '-( t„��;�,�y-�i,, �`�,;,,�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Horne? ❑ Yes ❑ No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ���....� �e�wsc.-, �4-,-�k-5. ..L+�,�..
State License# �, L,,� Q,.?�„C3 Expiration Date:
Phone: (cell) �(�3 -�¢�� -"(3c; � (office) '�'��?,- (�7 q �- 4�..;t�-�
Mailing Address: l+�cc., C,�.0 �;Z.�. I q C�+r�.�+'YL,���„�a,,. ZIP: ���3�'� -1
Contact Person: �N�,.,,` Applicant is: �. ractoi' / Homeowner (Circle One)
Email and/orFax: ,�, ,,�cY, C_ -•,,,,�.�-.�,tic�., ��e�� . Cs..�� -fC:�-� --4-T�^ �`'uL�
PROPERTY OWNER INFORMA�ION:
Name: �uc,,,,,�. � �.�c�.c.,�; l v�.�S
Phone (day):
Address: City: ZIP:
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of pro�ect:
1. Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
��ew Construction �ingle Family with �esidence
Addition attached garage Garage/Accessory Bldg. �ublic Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Warehouse
❑ Public ❑ Storage �Public Water
""Any earth movement may also 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) $ ��j.�� U c,�
�
II � I
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction
a. Length (ft.)= �� Number of bedrooms= � �j�/ood/Frame
T-
b. Width (ft.)= �Z.�� Number of garage stalls: ❑ Masonry
Areas in sauare feet Attached = �� ❑ Metal
❑ Pole Bldg.
c. Basement= Q �v Detached = ❑ ICF
d. 15t Story = I O'Z 1
e. 2"d Story= Cla—[ ❑ On-site Prefab
❑ Off-site Prefab
f. 'h Story = Z� �
❑ Other(please specify):
g.Total Area= �J�a S
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ Surve meetin all re uirements
❑ Stormwater Pollution Prevention Plan
❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Minnehaha Creek Watershed District Permit s
I� ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
❑ ❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature:�c.L,..�, iz �0h v�c-� Date: �1 f 1 �u � � �I--
Owner's Signature: Date:
II I
�s.
PL�4►�1 �EulEVll CHECF�LIST FOR IVEVI� S�RIJCTl1RES / �iDD�TIONS .
Acldress/P�rmit Nurseber:
�°� �l � a�� � t� � � 7 �l/��� � `���
Descriptio,�f� of wark: ,/v��l� �l����/.��L�f �S���-�,J� '
�
� Septic reviewr by: Date Approved: � ��
�
Zoning review by: ��� Date Approved: '' l� ��
Building review by: Date R�pproved: 1 l� - 2.�r - z..�� �f
Gtaciing review by: � Date Approved: �� ` Z3����
Zoning D�strict: �-�'�� Zoning Fife#: 1 � ��� Reso#: ( `7 � Reso Date: � �"
I!
Z ning: Lot Area: � ?� � /� Width: �/ 9 Lot Coverage: ���� SF��_��/o
'�.�, t,a�`�A����� A �.
S rdey Submitted: Yes 0 No Date of Survey:fh26� ����°%� Revised date(?): ���',��'�,��
Pro osed Setbacks:
�ra+�t'�(Lake) &�ar(Street) ( N S E W ) ( N �_� E W � Other Buiidings VUetland
, SicEe ."S'ide
� ��� � p p� P
�� � r �
� Qefined Height: :��o Peak Height:� FFE: FFE minus �feet= �-(Existing Contour)
a F �e � ��� ��o �����
Perimeter(linear feet)_ � � 50°/a= ���s #of Stories Ok? �YES �
��� �3� C
�/nae(� � �' � r�� �p� C'`L'�, W�
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: � � �,,e ���� ��
The distance between the lowest FOF2 A�UILDiMG ON A SLAB FCIUNDATlON:
�0'�'`�� START WITH proposed floor(of the basement or cra�t
6 space)and the highest point of the roof. ST RT 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 0 HIPPED ROOF(no
' windows): Subtract half the � window Subtract half the distance
� f �,f distance between the highest point betwe�n the highest point of the roof
of the roof to the low point of the °. to t low point of the corresponding
S� SUBTRACTION corcesponding gable or hipped roof SUBTRACTIO� g��or hipped roof
9 � ��! (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON \ . �ABLE OR HIPPED ROOF(with
d , TYPE) windows): Subtract half the ROOF TYPE) .J�windows): Subtract half the distance
y distance between the top of the /� between the top of the highest
� �!� highest window and the highest window and the highest point of the
� �9 ' point of the roof roof
ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat,
: e s mansard,etc No subtraction.
mansard,etc):No subtraction. ADDITION � Add t e distance between the top of slab
SUBTRACTION Subtract the distance between the (BASED 0 and th highest existing grade adjacent to
� � � (BASED ON EXISTING basemenUcrawl space floor and the EXISTIN the foun tion.
� GRADES) highest existing grade adjacent to the GRA S
� foundation OR 10 feet(whichever is less). EQ LS Defined bui irsg height
�i EQU�LS Defined building height ''
� ��!d �
�Shoreland �istrict MCW� Permit 12eceived Ave�a e Lakeshore Setbac�C Met? Bllif�
� 0 Yes 0 No 0 N/A 0 Yes �No
� � Yes 0 No 0 Yes � No � N/A
� Permit Number: ��p�� Setbac . � ��
� �
� � v
g' Stormwatee Quality Existing Proposed Variance Required CUP Required
` Overfa �istrict Tier fiardcover Hardcover
� �1 � � Yes No � Yes No
�� ���U� f ��o�� � Type(s): Type(s):
Y '�
�' Updated: January 2013
� v:\forms\plan review checklist 2013.docx
� �� ►
'c P�� Ff��S� ��S �lf�� �� � � �es�u�` � � `�������/��` ;
�� � - �t'�t�,er�`�$��,t�s T� �.e�� e�- 'P�� ����5
REMARKS (in-house): �� �������`°t� �' �� ��`�r � ����� �� �f�� �� `�-
Y` '� CA�IY�+�.tlb s�Za .�� o�- �Q`� �'1/�f�t�.�� Gtl/�� �v,� �Gl��.iP .3 5��6�� t�.� '� ��
P�� �K��� �� �����'�m�' �� e4 v�C �� � e�� �i� ��d��
Fees to be Char ed YES NO �� ���`�
�r� ��/�
Perrnif f�-5fl f��c�r.e'i' ���'
` I�lan Revievv � �����, `
State S�rcharge �'
tnvestigation Fee .
SAC�Nurnber�f SAC lJnif�
Otr►er(specefY) �?Q-�,S�l " � � ��'�:o '
Square Foota e $per S uare Foota e ;;
A
Basement X = $ '
,�st F�OOf X = $ '
li
2nd FIoOf X = �
s,
Garage X = $ �
�
Estimated Construction Vafue: $ ��������� �
Qrono Inspections Required WQrk Requiring Separate Permits Required State Permits
0 Site ,,,�Plumbing 0 Grading / Filling Well
0 Nardcover Removal Mechanical Q Fire Electrical �
,�Footing 0 Septic � Water Connection
�'Poured Wall Fireplace �Sewer Connection
�''Foundation Survey � Masonry �Lawn Irrigation
�Radon Rack Beci p`�Mfg.
�Framing 0 Other(specify)
�lnsulation
,,�As-Built Survey ,
�Final �
0 Wetland Buffer �
0 Other(specify)
REMARKS (in-house): � � l�f� ���� � ���//�1� fftl �
�1� ���`���1 �t1C�� �l�� rz���c.��7
Other Review: Rev�ewed by: Date Approved:
Access: Existing: � YES � NO New: 0 YES 0 NO
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\formslplan review checklist 2013.docx
i
� Melanie Curtis
From: Robert Bean [bobbe@bolton-menk.com]
Sent: Thursday, October 23, 2014 3:46 PM
To: Christine Mattson
Cc: Andrew Mack; Melanie Curtis; David P. Martini; Brian Simmons
Subject: 2014-01100 - 1141 Elmwood Avenue
Christine,
I have completed review of the Building Permit application package for 1141 Elmwood Avenue. Following are my
comments for City consideration:
1. 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.
2. A financial security of$2,500 from the Applicant is recommended for erosion controt and engineering oversight.
The financial security is intended to provide protection in the event that it becomes necessary for the City to
install or maintain erosion and sediment control within the project area and covers the cost of vegetation re-
establishment if the applicant is unable to follow through with the conditions of approval.
3. The applicant may be required to obtain Minnehaha Creek Watershed District (MCWD) approval and permitting
for their Erosion Control rule. A copy of any approved permit or confirmation that no permit is required should
be submitted prior to any land altering activities.
If you have any questions or comments, please contact me to discuss.
Thanks,
Robert E. Bean,Jr, P.E.
LEED Green Assoc.
Water Resources Engineer
Bolton & Menk, Inc.
Consulting Engineers&Surveyors
2638 Shadow Lane, Suite 200
Chaska, MN 55318
P:(952)448-8838, ext 2892
F:(952)448-8805
email: bobbe@bo�ton-menk.com
www.bolton-menk.com
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.s�manteccloud.com
i
li I
RECEIVED
City af Orono JUL 2 4 2015
��-ti� ��,r► py Hardcover �alculation Worksh��
� ��T �, rk.r,��} �= f,�,;_<.��,r��s r--F,tti��«<. I OF ORONO
O� ' roperty Address. y0 Aa�R�.�-.s �Iq'� ��N1HDo�B Y.��� A�ti�r S
�'�`�^��������°�'� Prepared by: Date: ` y '°"-
�r�P P�1/K�C/Z L �'_1�,�,/'c7 C//�f T t`MJ' '�.a�1... C. �"��`Y7-`�'"' ' 7
•��' /
Stormwater Quality Overlay District Tier: (Circle one) Tier Tier 2 Tier 3 Tier 4 Tier 5 `�`��r�}--
�-.,�3=:.•�:._
Step 2: RO ED H DCRA OVER %�2�..��
In the following table, identify all items of proposed hardcover on the property, keyec� by le�ter ta
Certificate of Survey (survey must accompany this form). Include all existing hardcov�r iter�s that are
intended to remain, as well as all proposed hardcover items that will be added. Use a�ma�y E�nes as
necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, ideratify
any features by letter which are split at the 75' setback line and calcula4e hardccaver square footage
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' �20 S.F.
A ar� � ou - �� S.F.
B �� 17-a i� 2 S.F.
C �� GtJ,RC,I< _ /,t S.F.
D ., o � � 62 s.��.
E ii ,/s � S.F.
F v�,�v�..,�r.�_t�c�,e�'��'-�+c�+r��£�c:µ-- r'r"G�M��ai.l TC-`�j' � S.F.
G i� �'-t ,,.,; G �:t. 3/ S.F.
H !+ �y ✓» S.F.
I i� �r �i S.F.
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� ,� �� �. S.F.
K �� •• �� Z�c+ S.F.
L �i o� ��' � S.F.
M ii s� .f� - S.F�
N S.F.
O S.F.
P S.F.
Q c`: P orrl'>,o �ox G o c � � �.s S.F.
R .0�'6�' P-� �+'f��' rR 11 ccr�;/x. v ,c 7' L S.F.
S P!'fdla-T �I y`t{'TF .QR L ,ase°',�'" ' S.F.
T 9 7d a c /S � /a S � / .S 7� S.F.
U S.F.
V S.F.
W 1 S.F.
Y ,��� _ S.F.
Z ��C ��� (���'� � �S.F.
1 Total Pro osed Hardcover � 2 7,a�"'�_. S.F�
Excludable Hardcover See Cit Code Sec 78-1684 : � l Y
G �t ET � � 3 o S_F�
hJ /i ei ; ,9 S.F. ;
r .. ,. -----�- s.�-
J .� �, s s.r.-
� �t �1 .. .. a�.� ,� Y �'6 s.�.
2 Total Excludable Hardcover , S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 ���� S.F.
4 Total LotArea /���ja' S.l�.y
Proposed Hardcover Percentage [(3)=(4)] 2`�!�'Z%
January 8,2013
II
i i
. � City of Orono
�o�o Hardcover Calculation Worksheet
G G7' � , fK'.;/�l� .F ��.°�G�G�'Li���';7�,�' �=�itNOt'!CC
i,;+ _ ! Property Address: ,t/p �o��'�1'` � Y,r•U A`•v�=s.��
� "
"^���'�' Prepared by: Date: �,���'�
�k 0 rV k�C i� C% r� ,.+�1,�`'�?<:/.r 7'a'`3 , a et�, c, ._c�_:�--�=-,�7
��
Stormwater Quality Overlay District Tier: (Circle one) Tier Tier 2 Tier 3 Tier 4 Tier 5 �"��'-�y
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 square footage
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.
A Arr,r�/'.t,' a�-�=- �/ S.F.
B �'' f7-o cr i� 2 S.F.
C �� v�i4 C.![ � S.F.
D �. O � v .5 y�. S.F.
E ri ,P <PF�vi�.cr .[t� S � S.F.
F <� EG-Rt1�1' ��a,�Gal�c.,_,,. �u�;:.� FS S.F.
G i� ��t , G f,::.. 3/ S.F.
H /� s. Y a¢M 9 S.F.
I /� �� �/ S.F.
� ,� �� .� S.F.
K �� ,• �� 2a S.F.
L �� ��' �/ � S.F.
M S.F.
N S.F.
O S.F.
P S.F.
Q C`': P,(rJO�'rI'��l ♦Ox 6 v � �� � � �S S.F.
R � .Q t�'�'J� �""�R' '�l%^ i�4n��"�'E.l��z. u� L.�G/� � r J.F.
S � d"Lsl,t�•T6D ,F/t'r�% �sc C. C��'�''� ., S.F.
T 9 ,rG v /S A6 S : / .S 7 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 2�`Y'S S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
G �E7' ..� v .�/ S.F.
y s�s r� `) S.F.
.�" �� .. S.F.
J- i� i. S.F.
K �� .. �i 2ry� ZS S.F.
2 Total Excludable Hardcover $7 S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 �'?,S' S.F.
4 Total Lot Area /� -s?8 S.F.
Proposed Hardcover Percentage [(3)=(4)] RECI��"����—�- .�3.�`/% ��
-�J
SEP 1 8 2014
January 8,2013
CITY OF ORONO
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SEP 1 8 2014
CITY OF ORONO
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LONG LAKE,MN 55356
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Christine Mattson
From: Mark <markg@gronbergassoc.com>
Sent: Tuesday, August 11, 2015 3:31 PM
To: Christine Mattson; 'Dean Johnson - DJH'; 'Ryan A.'
Cc: Roger Peitso; Melanie Curtis
Subject: RE: 1141 Elmwood Avenue/#2014-01100
The covered portion of the stoop stayed the same at 28 SF. We added the extra into the walk at 118 SF vs. 94 SF
previously (36 SF—12 SF in the former walk in that area = a 24 SF increase. We can show the stoop line back at the
original line so there isn't confusion.
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Thursday, August 06, 2015 3:26 PM
To: 'Dean Johnson - DJH' <djohnson@deanjohnsonhomes.com>; 'Ryan A.' <ryanalness@yahoo.com>; 'Mark'
<markg@gronbergassoc.com>
Cc: Roger Peitso <rpeitso@ci.orono.mn.us>; Melanie Curtis<MCurtis@ci.orono.mn.us>
Subject: 1141 Elmwood Avenue/#2014-01100
We received an updated survey on July 24, 2015 for a revised patio, stoop, sidewalk, drive and additional wall. Please
see our comments below:
• Stoop (labeled as 6).
o The stoop appears to be larger than originally approved, but the hardcover does not account for the
increase. Please clarify.
o Did the size of the roof increase over the enlarged stoop? If the roof size increased, the structural
coverage should be updated. Please provide updated building plans for the new stoop for our review.
• Egress Window(formerly labeled as F). The egress window was required because the lower level room was
shown to have a closet, which classified it as a bedroom requiring an egress window. Please provide updated
building plans showing the closet removed from the room.
We need the above information/clarification before we can continue our review.
If you have any questions, please don't hesitate to contact us.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ' Orono MN ' S5356 (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
Summer Office Hours: (Monday, May 18 through Friday,August 28,2015)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
i
OUR OFFICE WILL BE CLOSED: Monday, September 7, 2015
1 i
I I ,
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City of Orono
� ;:;��o� Hardcav�r Calcula�ior� 1IUc�rksheet
' � �` Pra�ert��Address� y
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� �to���7���✓atei� �uality �vzrlay District Tier: {Circie one) �r,1,� Tier 2 Ti�er 3 Tie��4 Tier 5
Ste�3 1: EXI5TING HARQC�?VER
{n the follovding tabie identifi�ail items af existing hardcover on the property, keyed by letter to CeE�tificate
of SZi��vey{survey must accompany this form). Use as many lines as n�cessa�y to accurat�iy depict
existing hardcover status of the propzrty. Fflr Tier 1 pi�ope��ties, identify any features by letter which are
split at the 75' setback line and calculate hardcover square footage separately for each portion.
1te tfl Tota! 1
� � Y Narc:cover Item {Describe} Le�igth x Width '
� �: Survey ; 1 (Square�eet} �
� `E�ari f� } :l24 xr30.'.; _ (720 5.�:`'t
p j � f�araGe,
i � ---- - { � �'��;" S.F.
F. ; � �
j r �� � 7"�'�� /< � I .� � S.F. '
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E f (�?�{ � ; ,��� S.F
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^v , � ��—�.1
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� ,�t � S.F. ;
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(J � '° „� S.F.
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3 p ; S.F.
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� i ( —��� S.F. �
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�•�r � S.F. �
�r`�r—� I _ S.F, i
' Y. � S.F. �
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I Z ' I �•�'� ;
' I i TotG! �xtstina Nardcc�var � _ .} � � �`� S•�� �
(....i�_.-----'-� ' —
Exclt�dable Hardc.�ver {See`�ity Code Se:c 78 1�;�84J �
_� _�_„�j � x�''" ri' �;. r -� �; �`. � ' Z.'-�'�t, ,t,�t�, _ . _�.�_�? G J.F _�
' i�� �� � �.F.
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,_.___.._.__�_�_____ }--- �, � �
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�-----..�.__r_.___.—_ _ � �.".'_.�_ �'S.F �
�� (?', Total Exciu�:lal�le Hardcov�r -��� — -- _/_�� 5.r=�;
{,�j lvet Existing Hardcover [Subtract Iine (2���from line(1}] �,,., " �--F '�_ �.�,�„�l
(4) Total_Lot N���a __._�� �'�.�.�_,.'�....��'.�.:.•�.. .�.��
� � �� Existin� Hardcover Percentage [{3}=(�} ] � � �� � °� ��
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� AUG 2 7 2015 1141 Elnnwood Av�
IJa,�;i:a;y5; Z�1.3 2,014''�����
� CITY O�'ORONO �6��
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New Construction Energy Code Compliance Certificate
Per N 1]01 8 Building Certificate.A building certificate shall be posted in a permanently visible location inside Dnte Certificate Posted
the building. The certificate shall be completed by the builder and shall list inf'ormation and values of
componentslistediniableN11o1.8 9/16/14 plaee your
Mailing Address of[he DwellinR or DwellinR linit City
logo here
xxxx Elmwood Ave Orono
Name of Residential Contrac[or MV I,icense Number
Dean Johnson Homes BC639439
THERMAL ENVELOPE RADON SYSTEM
Type: Check All That Apply Passive(�'o F'an)
�o �
c
u F
a �, Active(With fan and monometer or
�
_ � �i, other system monitoring device)
cd U — � O
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O G. 3 ;: (� ^ p �p
y G O � a� � a� �
� �+ r'b � U y 7 �
cd � . . C � �
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Insulafion Location cd `Q v w --
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O v' O L � O O � bJl ,nA
F- � z :�. :t, :�. � � � Other Please Describe Hcre
Below Entire Slab R-10 � X
Foundation Well R-11 X Type in bcation:interior exterior or integral
Perimeter of Slab on Grade
RIII7.Ioist(Foundation) R-32 X X Type in location�.interior exterior or integral
Rim Joist(ls�Floor+) R-32 X X Type in location:interior exterior or integral
w'au R-21 x
Ceiling,flat R-44 X
Ceiling,vaulted R-44 X
Bay Windows or cantilevered areas R-30 X X
Bonus room over garagc
Describe other insulated areas
Windows 8 Doors Heating or Cooling Ducfs Outside Condifioned Spaces
Average U-Factor(excludes skylrghts and one door)U: 028 Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficicnt(SHGC): R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Applianees Heating System Domestic Water Heater Cooling System Not required per mech.code
Fue17'ype Electrie Passive
Manufacturer Rheem Powered
Interlocked with exhaust device.
Model Describe:
Input i❑ Capacity in �� Output in �thel,deSCflbO:
RBting or Siz¢ Bl'US Gallons: Tons:
Heat Loss: tieat Location of duct or svstem:
Structure's Calculated Gain: �
AFUIi or 92 SEER:
HSPF o
26148
Efficiencv Cfm's
"round duct OR
Mechanical Venfilation Sysfem "metal duct
Describe any additional or combined hea[ing or cooling systems if installed:(e.g.two furnaces or air Combusfion Air Select a Type
source heat pump with gas back-up fumace): Not required per mech.code
Select Type Passive
Heat Recover Ventilator(HRV) Capaciry in cfms: Low: High: Other,describe:
Energy Recover Ventilator(ERV)Capacity in cfms: Low: High:
Continuous e�austing fan(s)rated capacity in cfins: 80
Location of fan(s),describe: Panasonic FV08VQ11 Cfrn's
Capacity continuous ventilation rate in cfms: 50 5" "round duct OR Flex
Total ventilation(intermittent+continuous)rate in cfms: 100 "metal duet
ICreated by BAM version 052009
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New Construction Energy Cade Comptiance Certificate Ptace your
€'er U f 1�I$I'iudding t:'ertificat._A buitding cenihrste shali tfe posted in a pemuZrrcntly ti�isible li�cotion mside �ate Cahtlica�e Yos�rd
builduig; 7 t�t certificmr sl;all f�e coraptetrd by the builder and>huli list in(ormation and xalucs ofcampunents
listed in 7�ahle N I 1{31 R
AtaYliu1 Address o(t6c[�uelling or Dwtliiog l�nit Citr
��,/vt,�,c.,i c'c-,�y� i�l/� ��—G%t'�.i C.�
'�ame of Residential Coatnctor { � tiN Lkensr Numtrer Mod ified 11/14/Q9 -
��� :i£��r-15�� t"'n7Lt--1�`� �
THERMAL ENVELOPE RADON SYSTEM
„_, ,,,,,,,,,,,,, _
Type:CheCk All That Apply Paisive{,1'o Fart)
�
��. ;, , c rvc t an a�t mu�ronte er nr
Nouse area ✓ � � $C�. Ft. � u ather s�s�ern moarlor(ng�lericc�)
:+. J ��
~ L y
RJ V � '� +
� a
Number of bedrooms � � � 5 = v ; ,� � �
� � � J � ,� J C
q � � C L � J"
V
r+ G Z � v C � � x O
N � u � �j
'S� � � � � �
tnsulation Location � J � ^
� � � �, � e �
� �/+ � R �
E= � � L s w° :L � a: s� Other Plrase Uescribe Herc
BeloH�Entire Slab
Fouadation�'Vall Type in IocaGon:intenor extena or integrai
Perimeter of Slab on Grade
Kim Joist(Fuundation) Type in tocaYorc intenor extenor a integrai
Rim Joist(I"Fluor+) Type in IocaUrni:intenor axter�or a intcgrai
w'al(
Ceiling,ftat
CeDing,veuited
Bav Windows or cantile�•ered greas
Roaus room o�er�aragc
pescribe ot6er insulated areas
Windaws&Doors Heating or Cooling Ducts Outside ConditJoned Spaces
Ati�erage U-t�actor�sc4�des sA}d�ghts arrd wre door )U: Not bpp)icablr,all ducts loeatcd in condition�d space
Solar)leat Ciain C'�ktficicm(St{GC)� R-value —
MECHANICAL SYSTEMS Make-upAir S��ecra lype ���
ApplianeeS }leating System Uamestic 1b�arer Heatrr Couling System !�ot r�yuiced per merh.cod�
Fuel Ty e �Q�' (G �i�"b�/�' Lr��T Passivc
N7anufuctgrer �t� � ��`��-�..t� PuN�cred
'11odr1 �f.��-��� �i3N�� tnterloci�ed�ti ith exhausf device.
(ca Deacribc
6iput iu i Capacit}in y,,,., Qutpat iu � C)Cher,dc5Cribi:
Rating or Size [3TCiS: �(�'i(� Galiarur `„j" � Tons:
Hea�t_oss� Hna�Gain y L(�calion of�duct or systum:
Structure's Caicaleted ���.��� %�i�G`t�
AEl'E ur SEFRt ��
fISPI�b �� ��
('atculated
Ff(Icienc' covling load; � '� Cfm's
"round duct C?R
Mechanieal Ventilatia�System "metai duct
Describe any add�tional ur combined hr�aiin�c�r cc�oling sy�stums�f installed:(a_g.avo Purnaces or air Combustion Afr Select a Type
siwrcc heat pump w�ith gas back-up tumacc): Not reyuircd par mech.code
Selert Ty e }'ussi�e
}{Eat R.�co��cr Yentilutor(liRif) Capacih in cfms: C.o�s�: High: Other,deseribe:
En�rgv Re�ocer Ventilator(ERV)f�apaeity in��fins: Lou�: �{��}�- Locaiic�n of duct or syr,tem:
Continuous exhau�tin�fan(s)ra�ed capacii}�in cfms:
I_ac3tiun of fan(s),describe: f�.- G� a.,. � Cfm's
C'apaclty cuntinuous ventilation ratr in cLms: "mund duct OR L
7'otat ti�ent�lation(intcrmitient�� continuousj raie in cfms: "metal duct
G AF T IN Pi orm12009energycodebuiidingcerti�cate BAMcerti icateexceimo i ied.xis BAM version 052Q09
I� i
Venti[at�on, Makeup and Combustion Air Calcutatians
Submittal Farm Fa►r New Dwellings
These blank submittai forms and instructions are availabie at the City of Chanhassen website and at City Hap. The compfeted form must be submit-
ted in duplicate at the time of application of a mechanical pe�mit for new canstruction. Additional forms may be downfoaded and printed at:
hftp:j/www.ci.chanhassen.mn.us/servjbuild.h[mf.
SFteaddress �����,�� ^t� Date ��� ._�
�.....
Contractor � Compiefed "��� �
� 4 (...., 8 L.,.'�a t..��+ �../
Section A
Ventilation Quantity
(Determine quantity by using Table N1104.2 or Equation il-1)
Square feet{Conditioned area induding .�_ � t �
Basement—finished or unfinishedj ���" Y Tatai required ventilation � �
Number of bedrooms � Continuous ventilation �J
Direciions-Determine ffte fota!ond continuous ventilation rate by eiiher using Tab/e N1104.2 or equatiQn II-1.
The ta6/e and equation ore below.
Table N2104.2
Total and Continuous Ventilatian Rates(in cfm)
Number of Bedraoms
1 2 3 4 5 6
Conditioned space(in Totai/ Total/ Total/ Totai/ TotalJ Tota!/
sq.ft.) continuous continuous continuous tontinuous continuous continuous
1Q00-1500 60/40 75/4Q 9�/45 105/53 220/60 135/68
1501-2000 70/40 85/43 Zao�so 115/58 13QJ65 145/73
2Q01-2500 80/40 95J48 110/55 125/63 140/70 155/78
2501-3000 90/45 105/53 _�2((if���..,,, 135/68 150/75 165/83
3001-35Q0 100/SQ 115/58 130/65 145/73 160/&0 175/88
3501-4000 120/55 125/63 240)70 155/78 170/85 185/93
40Q1-45Q0 120J60 135/68 150/75 165(83 180/90 195/98
4501-SD00 130/65 145/73 160/80 175/88 190/95 2Q5/103
5001-5500 140J70 155/78 170/85 185/93 200j1Q0 215/108
5501-6Q00 15Q/75 165/$3 180/40 195/98 210/105 225/113
Equation il-1
(0.02 x square feet of conditioned space)i(15 x(number of bedrooms+2)]=Total ventilation rate(cfm}
Totat ventilation—The methanical ventilation system shafl provide sufficient outdoor air to equal the totai ventilation rate average,
for each one-hour period according to the above table or equation. For heat recovery ventilators{HRV)and energy recavery ventila-
tors(ERV)the average hourly ventilation capacity must be deterrnined in consideration of any reduction of exhaust or out outdoor
air intake,or both,for defrost ar other equipment cycli�g.
Continuous vertilation-A minimum of 50 percent of the total ventilation rate,but not less than 40 cfm,shal!be pravided,on a con-
tinuaus rate average for each one-hour period. The portion of the rrtechanical ventilation system intended to be continuous may
have automatic cyciing cantrots praviding the average fiow rate for each hour is met.
G:�SAFETYWK1Vent-makeup-comb air submittal(2).docx Pagg 1 Of 6
�I �
Section B
Ventilation Method
{Choose either b lanced or exhaust only)
�8alanced,HRV(Heat Recovery Yentilator)or ERV(Energy Recov- Exhaust ortly
ery Ventriatorj—cfm of unit in law must npt exceed continuous vent�- on inuous fan raring in cfm
lation retin by more than 106%.
Low cfm: High cfm: Continuous fan reting in cfm(capac+ty must not exceed �j
__ �_,__ continuous ventilation rating by more than 1Q09'a) G����
Directrons-Choose the meihod of ventilation,balanced ar exhaust on/y. Batanced venfilation systems are typicaliy HRV or ERV's.
Enter the!ow and high cfm amaunts. Low c m arr flow must be equa!to or greater than tAe�equrred continuous ventilation rate and
(ess than 100%greater fhan the continuous rate.(Far insiance, if the!ow cfm is 4D cfm, the ventilation fan must not exceed 8�cfm.)
Automatic cantrols may allow the use af a/arger fan that is operated a percentage of each hour.
Seciion C
Ventilation Fan Schedule
Description Location Continuous Intermittent
t�-t�,4.tt�i t t-� � -�--
�?t t-t�-u��` lA�"`�
Directrons- The ventitatron fan schedule should descnbe whai the fan is for, the locotron, cfm,and w/tether it is used for contrnuous
or rniermittent ventilQtian. The fan ihat is chose for contrnuous ventrlation must be equal to or greater than the!aw c m air roting
and less than 100%greater ihan the continuous rote. (For insfance, if the!ow cfm is 40 cfm, the con[inuous ventilotion fan musf not
exceed 80 cfm.J Automatic controls may alfow fhe use of a larger fan that is operaied o percentage af each hour.
Section D
Ventilation Controls
Describe operation and controi of the continuous and intermittent venttlazionj ��
� � � C:s' I'C'C.:-b�- .- � ' r` ''.� �-�>�'?-7),,r� �!
" 'G � i��� = �' �� j �f21��'t!�"� i cr
Directions-Describe ihe operation of the ventilat;on system. There shoutd be adequate detarl for plan reviewers and inspectors to verify design and
rnstotlation compliance. Related trades also need adequate detar!for placement of conirols and prope�operotran of ihe buiJding ventilatron. /f
exhousr fans are used for buitding ventrlation,describe the operation and tocofion oJ any controls,indicotors and(egends. If on ERV ar HRV is to be
instaUed,describe how it wip be installed.If it wrll be tonnected and interfoced wrth the av handling equrpment,p(ease desuibe such connections os
detailed rn the manuJactures'insta!/aUon instructions.If the instollotion instiuctions require or recommend ihe equipment ta be intertocked wirh the
air handling equrpment for proper operatron,such intercannectron sholt be made and described.
Section E
__.... _e --- - ..... __._
Make-up air
Passive (determined from caicufations from Tabie 501.3.1)
Powered(determined irom calculations from Table 501.3.1)
tnterlecked with exhaust device(determined from ca culation From Table 501.3.1)
Other,describe: �
lOCdtio�Of duCt OI'SyStem ventilBtiOn mak -up ai :Determined from make-up air apening table
Cfm Size and type(raund,rectangufar,flex or rigid)
(NR means not required)
Page 2 af 6
�I �
Rirections-!n order to determine the makeup oir, Toble 501.3.1 must be filled out(see betpwj. For mast new installations, column A
wi!(be oppropriate, however, if atmospherrcally venied oppliances orsolid fuet oppiiances are insialled, use the appropriote catumn.
For exisiing dwelJings,see IMC 5Q1.3.3, Please npte, if rhe makeup air quontKy is negative,no additianaf makeup air wil!be re-
quired for ventilation, if the value rs positive refer to Toble 501.3.2 trnd size che apening. Fransfer the cfm,size of opening and fype
(round, rectongular,f/ex or rigid)to the(ast line of sectron D. The make-up arr supply must be installed per IMC 501.3.2.3.
� Table 5Q1.3.1
� PROCEDURE TQ DETERMlNE MAKEUP AIR QUANITY FQR EXHAUST EQUIPMENT IN DWELLINGS
(Additiona!combustion air wiil be required for combustion appliances,see KAIR method tor calculations}
� � One ar multiple power One or multipie(an- One atmosphericaily vent Muitipie atmosphencal-
� vent or direct vent ap assisted appliances and gas o�oii appiiance or ty vented gas or oii
( pliances or no combus- power vent or direct vent one.solid tuel appiiance appliances or soiid fuel
tion appliances appiiances f appliances
Column C Column D
Coiumn A Column B
2.
� a)pressure factor 0.15 0.�9 Q.05 Q.03
� (cfmJsf)
b►ronditioned ffoor a�ea(sf)(inciuding .�,.���
unfinished baseme�ts
Estimated House infittration�cfm);[la �� ��
x Ibj
2.Exhaust Capacity
a)continuous exhaust-oniy ventiiation /LZ r--�
system(cfm);(not applicabie to ba- Z�'�'� �
lanced ventifation systems such as ,
HRV}
b}ciothes dryer(cfm� 135 13S 135 135
cj 8096 of largest exhaust rating{cfm); JJ
Kitchen hood typicaily ��i^�1
L� (
(not apptfcabie if redreulating system �
cr if powered makeup air is elecfrica�ly
inferiocked and match to exhaust} ^
d}809'>of next Iargest exhaust rating
� (cfrn); bath fan typicaliy ���
{nat appiicable if recirculating system
or if powered makeup air is ele:.tricaily Applicabie
interlocked and matched to exhaust)
Totai Exhaust Gapacity(cfm}; —^� �
[2a+2b+2c+2dj �� ( �
F 3.Makeup Air Quantity(ctm)
a)total exhaust capaciry(from abave} -�� �
b}estimated hause intiftration(from j �
above} ��'
Makeup Air Quantity{dm);
� (3a—3bj
' {if value is negative,na makeup air is ...... �2�j
needed)
4.For makeup Air Opening Sizing,refer
` to Table 501.4.2
A. Use this column if there are other than famassisted or atmospherica�ty vented gas or oii appliance or if there are�o combustian appiiances.{Power vent
and direct vent appliances may be used.)
8, Use this column if there is one fan-assis[ed appiiance per venting system.(Appliances other than atrnnsphericaily vented appiiances may also be in-
cfuded.)
C Use this column if there is orte atmosphencally vented(other than fan-assisted�gas or oii appGance per venting system or one solid fuel appliance.
D. Use this coi�mn if there are mijlzipie atmosphericaily vented gas or oii appliances using a common vent or if there are atmosphe�iwlly vented gas or oil
appliances and solid fuei appliances.
Page 3 of 6
Makeup Air Opening Table for New and Existing DweUing
Tabie 501.3.2
One or multipie power One or multiple fdn- One atmpsphericaily Multipie atmospherkatly
vent,direct vent ap- assisted appiiances and vented gas or oit ap- vented gas or oiI ap- 6uei di-
piiances,or no combus� power vent or direct piiance or one solid fuei pliances ar solid fueE ameter
tion apptiances vent appGances appHance appiiances
Colurpn A Column B Column C Caiumn D
Passrve opening 1-36 1-22 1-15 1-9 3
Passive opening 37-66 23-41 16-28 10-17 4
Passive opening 67-109 42-66 24-46 18-28 5
Passive openin� 110 163 67-100 47-59 29-42 6
Passive opening I54-232 i01-143 70-99 43-61 7
Passive opening 233-317 144-145 100-135 62-83 8
Passive apening 318-419 146-258 136-179 84-I10 9
w/motorized damper
Passive opening 42Q-539 259-332 180-230 111-142 �Q
w/motorized damper
Passive opening 540-679 333-419 231-29Q 143-179 I1
wJmotonzed damper
Powered makeup ai� >679 >414 >290 >179 Nq
Nates:
A. An equivalent length of iQ0 feet of�ound smooth metal duct is assumed. 5ubtract d0leet for the exterior hood and ten(eet for each 90-degree eibow to
determine the remaining length of straight duct aliowable.
B. If flexible duct is used,increase the duct diameter by one inch. Flexible duct shaH be stretched with minimai sags. Compressed duct shaii not be accepted.
C Barometric dampers are prohibited in passive makeup air apening5 when a�y atmaspherically vented appliance is instailed.
D. Powe�ed makeup air shaq be electricaNy in[eriacked with the largest exhaust system.
Sections F
Combustion air
Not required per mechanical code{No atmospheric or power vented appliances)
Passive(see IFGC Appendix E,Worksheet E-i) S�ze and type „s
Other,describe:
Explanation-lf no atmpspi�eric o�power vented appliances are installed, check the appropriate box, not requrred. lf a power vented
or atmospfrericalty vented apptiance insta!led, use 1FfiC Appendix E, Worksheet E-1(see below). Please enter size and type. Cambus-
tion air vent supplies must communicaie with the applionce or apptionces that require the combustion arr.
Sectron F calculations follow on the next 2 pages.
Page 4 of 6
.�,
' I
prrections-The Minnesota Fuei Gas Code method to ealculate to sire o}a requi�ed combustion air openirrg,is cat/ed the Known Air
lnfiltration Rote Method. For new consbuction,4h of step 4 is required ta be fifted out.
IFGC Appendix E,Wprksheet E-1
Residential Cambustio�Afr Caiculation Method
{for Furnace,Boiler,andJor Warer Heater in the Same Space}
Step 1:Campiete vented combustion appiiance information. v ��
Furnate/Boiler:
_Draft Hood _ Fan Assisted �Direct Vent Input ��� �-� E3tu/M
o�Power V2nt
Water Heater: �,,r.
_Qraft Hood Fan Assisted �Direct Vent input: �.7�Btu/hr
or Power Vent
Step 2:Calculate the voiume of the Combustio�Apptiance Space(CAS)containing combustion appliances. r"—'
The CAS inc(udes aii spaces connected to one anpther by code compliant openings. �'�7 CAS volume: ..7 �� ft°
lxWxH L I> W H
Step 3:Determine Air Changes per Hour(ACH)1
Defauit ACN values have been incorpnrated intp Table E-1 for use with Method Ob(KAIR Methodj.
if the year of construction or ACH is not known,use method 4a(Standard Method).
Step 4:Determine Required Volume for Combustion Air,�DQ NOT COUNT DiRECT VENT APFLIANCES�
4a.Siandard Method
Totai BtuJhr input of aU combustion appliances Input Btu/hr
Use Standard Method cotumn in Tab1e E-1 to find Totat Requi�ed TRV� ft'
Volume(TRV)
if CAS Volume(from Step 2)is g�eater thon TRV then no outdoor openings are needed.
if CAS Yotume{from Step 2)is less ihon TRV then go to STEP 5.
4b.Known Alr infiltration Rate(KAiR)Method(DO NOT COUNT DIRE[T VENT AFPLfAN�Sj
7otai Btu/hr input of aA fan-assisted and power veM appiiances fnput C��etu/hr
Use Fan-Assisted Appliances column in Table E i to find RVFA �ft'
Reyu�red vpiume Fan Assisted(RVFA)
Total Btu/hr input of aIi Naturai draft app4ances Input: _�Btu/hr
Use Natura�drah Appiiances calumn in Table E•1 to(ind RVNFA: �ft�
Required Volume Natural draft appliances(RVNDA)
Total Required Vofume{7RV}=RVFA+RVNDR TRV=�+ ��� TRV ft'
if CAS Volume{from Step 2)is greater than 7RV then no outdoor openings are needed.
!f CAS Volume(from Step 2}is tess ihan TRV then o to STEP 5.
Step S:Caicuiate the ratio of available interior volume to the totai required voiume.
Ratio=CAS volume(from Step 2}divided by TRV(from Step 4a or Step 4b) .-^�, r
Ratio= � / ���j'v = i � �
Step 6:Caiculate Heduction faaor(RF).
RF=1 minus Ratio RF=1- � � _ + �`,l
SYep 7:Calculate singie outdoor opening as if ali combustion air is from qutside.
Totai BtuJhr input of aif Combustian Appiiantes in the same CAS input: �`r`�'�,e,,,`_Btu/hr
(EXCEPT DIRECT VENT)
Combustion Air Qpening Area{CAOA�: {'� (/,, f �
Totai Btu/hr divided by 3000 BtuJhr per i�` CAOA= �7U�/3000 Btu/hr per in`'= `w.�r'�7 in`
Step 8;Calculate Minimurn CAQA. ��
M€nimum CAOA=CAOA mu/ti lied by RF Minimum CAOA=�����x '23 y = 4'4 't 1� in'
Step 9:Calculate Combustion Air Opening Diameter(CAOD) .�t.
�, Y ' r—
; CAQD=i.Y3 mukiptied try the square roat of Minimum CAOA CAOD=1.23 v Min�mum CAOA=�<2� in.diameter („�{ �
o up one inch in size if using flex duCt «J
1!f desired,ACH tan be determined using ASMRRE calculatian or blower daor test.follow procedures in Section
G3Q4.
'i
I I
II
I I' Page 5 af 6
�II i
,, .
IFGC Appendix E,Tabfe E-I Th
Residential Combustion a"rr{Required I�terior Valume Based on Input Rating af Appliancej
tnput Rating Standard Method Known Air infiltration Rate(KAIRj Method(cu ft}
(Btu/hr}
Fan Assisted or Power Vent Natural Oraft
1994to present Pre-1394 1994to present Pre-2994
5,(?OQ 250 375 188 525 263
24,004 500 75Q 375 1,OSQ 525
15,000 750 1,125 563 1,575 788
20,000 1,004 1,504 75Q 2,200 1,�50
25,000 1,250 2,875 938 2,625 1,323
30,OOQ 1,5Q0 2,250 1,125 3,150 1,575
35,(100 1,750 2,525 1,313 3,675 1,838
40,OOQ 2,000 3,Q00 1,500 4,200 2,100
45,000 2,25Q 75. 1,688 4,725 2,363
50,000 2,500 3,,Z54 1,675 5,250 2,625
55,000 2,750 4,125 2,063 5,775 2,888
60,d00 3,OQQ 4,500 2,250 6,300 3,lSd
65,OOQ 3,25� 4,875 2,438 6,825 3,413
70,oaa 3,500 5,250 2,625 7,350 3,675
75,004 3,750 5,625 2,813 7,&75 3,938
80,Q00 4,p00 6,000 3,000 8,40Q 4,2Q0
85,OQ4 4,250 6,375 3,188 8,925 4,463
90,OOQ 4,500 6,750 3,375 9,450 4,725
95,000 4,756 7,125 3,563 9,975 4,988
10�,000 5,000 7,50Q 3,750 10,500 5,250
105,004 5,250 7,875 3,938 12,025 5,513
124,000 5,500 $,250 4,125 12,55Q 5,775
115,OQQ 5,75� 8.625 4,313 12,075 6,03$
120,000 5,000 9,000 4,500 12,600 6,300
225,000 6,250 9,375 4,588 13,125 6,563
130,000 6,500 9,750 4,875 13,650 6,825
135,400 6,750 1p,125 S,Q63 14,175 7,088
140,QOQ 7,Q00 10,500 5,250 14,7Q0 7,350
145,000 7,250 10,875 5,438 15,225 7,613
15Q,Q00 7,500 11,256 5,625 15,75fl 7,875
155,000 7,750 11,625 5,813 16,275 $,138
260,000 8,000 12,000 6,000 ib,800 8,400
165,Q00 8,250 12,3�5 6,188 17,325 8,663
170,000 8,500 12,75Q 6,375 17,850 8,425
175,000 8,75Q 13,125 6,563 2$,375 9,188
180,004 9,000 13,500 fi,75d 18,900 9,450
285,000 9,25Q 13,875 6,938 19,425 4,713
190,OOQ 4,500 _ 14,250 7,125 19,450 9,975
145,0�0 9,750 14,625 7,313 2Q,475 10,238
200,OOQ 10,000 � 15,000 7,50Q __ 21,000 10,500
205,OD0 1d,25Q 15,375 7,688 21,5�5 10,783
2I0,000 10,500 15,750 7,$75 22,050 21,025
Z25,000 10,750 16,125 8,Q63 22,575 � 11,288
220,000 11,000 16,500 8,250 23,10Q 11,550
225,000 21,250 16,875 8,438 23,625 11,813
230,Q00 11,500 17,250 8,625 24,15a 12,075
L The 1994 date refers to dweilings canstructed under the 1994 Minnesota Energy Code.The defauit KAIR used in this sec2ion pf the tabie is
4.20 ACH.
2. This section of the tabie is to be used for dweilings constr�czed prior to 1994,The defautt KAIR used in this section ot the table is 4.40 ACN.
Page 6 of 6
� .
• : • .
1 • i
emo
To: Finance Department
From: Christine Mattson, Planning Assistant �
CC: Street Fi lC
Date: September 9, 2015
G/L: 101-22205
Re: Escrow Refund
Building Permit#2014-01100 pertaining to 1141 Elmwood Avenue is complete. Please refund
$2,500 to the property owner, Ryan & Stacy Alness.
The following is attached:
• Original signed escrow agreement
� Copy of cash register receipt showing escrow amount received
Mail to: Ryan 8� Stacy Alness
1141 Elmwood Avenue
Mound, MN 55364
w:�street files\elmwood ave\1141\escrow refund request 201401100.docx
I
. .
�
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2014-01100 and
Land Use Application #14-3675
t'� � � r ����
AGREEMENT made this � `c day of � ►vpl�-��''!2014 by and between the CITY OF ORONO, a
Minnesota municipal corporation ("City") Ryan Alness and Stacy Alness ("Owners").
Recitals
1. A building permit application has been filed a new home located at 1141 Elmwood Avenue, the
("Subject Property"), legally described as Lot 7, Skarp 8 Lindquist's Fernhill.
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 #2014-01100 and Land Use
Application #14-3765 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 all requirements related to the project are complete. City Staff shall review the terms of this escrow
agreement two times per year to determine whether the requirements of the project have been successfully
completed and whether it is appropriate to return the funds. Owner may also request the release of the funds,
and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the
project have been successfully completed.
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 roperty pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CI O OWNERt
, "1
B I ,y��'
Y�
�—_.-_� ,
fts: �4 r'rL�--�.G---�
Int�rnal;tlse:�an1�I ,; :_ .git�al to P#anning �Prap��rty�t`�, :, .; �l!o Sxreet Fiie
il� I
� �I mV�lood 11�t.
,
LAND USE APPLI ATION ESCR �GB EEMENT
Appllcation#�_- �j
AGREEMEfVT made this "�Oday of �(�� 20,�, by d betwee the CITY OF
ORONO, a Minnesota municipal corporation('City')and
(a corporation—optiona!] ("Owners"}.
Re I als
1. Owners have filed Zon3ng Applica ion# �� - �?5 fo�ally r uesti th City to `
review plans for a a� a� 6 !. ,�,-114nce f' �- D s�y C' 1rq�'�r�,
located at the property addressed: — ,,.. � � —
(the"Subject Pr e��y")legal descrlbed as ' `
t
2. Owners request the Clty to revlew sald plans which requlres Ciry approval and may require
consulting legal and/or engineering review.
3. The City is willing to commence its revfew of the application and incur costs associated with sald
review only if the Owners estabfish an escrow to ensure reimbursement to the City of its cosfs.
NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUN�S. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$��with the City. All accrued interest, if any, shall be paid to the
City to reimburse fhe 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, or legal consultant review) or will
incur in meeting with th wners, r i in the plans, and preparing agenda packet materlal for City Counci(
review of appilcation #� - '��Q��. Eligible expenses shall be consistent with expenses the Owners
would be responsible for under a land use app(ication.
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 cease all reviews untll the Owners pay all
expenses invaiced 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 Ciiy has inc�rred.
5, CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to the
Owners when the review has been completed.
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 shalf have the right to certify the unpald bafance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY; CITY OF ROHO � OWNE S:
By: gy;
Its: C� Its: �
. . . .... .
Internal. se.Only: ... O 4ri�lnal,to.Flnanc�.Department., .__,:O.Cppyto�ohi�g Flle:,: ._ . .:G Copyto Street Flle
Packef Last Updated: March 2014
Pege 10 of 27
�
� CITY OF ORONO
2750 KELLEY PARKWAY * Z 0 1 4 - 0 PJ 6 7 Z *
DATE ISSUED: 06/30/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1169 NORTH ARM DR
PIN : 07-117-23-14-0060
LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: TI-�IS$2500 ESCROW IS TIED TO LAND USE APPLICATION 14-3675
APPLICANT ESCROW FEE-APPLICANT 2,500.00
ESCROW FEE-DEVELOPER 0.00
ALNESS, RYAN & STACY TOTAL 2,500.00
1169 NORTH ARM DR
MOLTND, MN 55364- Payment(s)
CHECK 1344 2,500.00
OWNER
ALNESS, RYAN& STACY
1 l 69 NORTH ARM DR
MOLJND, MN 55364-
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 goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become nu11 and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
-� � � � DATE TIME �
�
'�� CITY OF ORONO CALLED IN
INSPECTION NOTICE 1 SCHEDULED ��� ____���
PERMIT NO.,���'f�/'L`���l��✓ COMPLETED
ADDRESS �� � � ���-� �� I �
OWNER TELEPHONE NO. ��21��G' 9f���
CONTRACTOR ��i,�,(�'�f�/I`{/_7 l
cr
a DESCRIPTION � �-� � �� �����4��
ly ❑ FOOTING ❑ DEMO-FIN�- ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑FSEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑�S�PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:IL YES_NO
�
� COMMENTS:
� ,
a � /'e ✓'D v —
j — � — �
0
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�
0
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Q��fl�CSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑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
U INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspecto �'`''
White Copyllnspector's File Canary CopylSite Notice
� —� D TE TIME �
CITY OF ORONO CALLED IN I'� �
INSPECTION N E SCHEDULED �
PERMIT NO. ��0��� COMPLEfED
ADDRESS �l'���/l(�(, ����
OWNER TELEPHONE N. . �3 r��" 7��
CONTRACTOR
� DESCRIPTION �'�
�
ty ❑ FOOTING ❑ DEMO-FIN SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
a I�UGG r�Gd'/��i Z��r1 �.[���.��.rflrGY��o+.i � C�
o ' .,,[Lr4,ov� -� c l,� .�u� �,x,�E e��o� (.t�/ YOG�
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0
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W��IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑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 WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE scHEou�E� �'/7—�CS 3=�
PERMIT NO. '�Fi����'��� COMPLETED .�-/ 7 -l.s— �'�
ADDRESS ������++-�� �-
OWNER TELEPHONE NO.
CONTRACTOR
�: DESCRIPTION �r�•�^- f�1�, J,��f�,,,prao F.�-
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ PO�'U'RED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y �uNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
❑ DEMO-SITE
v ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a� n � � _
`GYeit.�i�'�r._ G��z�r.D✓6t�.=r ..�-- ra� .-,..-
J / / /
0 7!l�C �t O✓ E�5 Z` E n� a-� �l u�S e
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� �ri/¢t,e { �•L . ' ���/oc..) ��.e�e l�1tl1
w L �-
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W ❑WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE
W�RRE�-F 1MORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN NOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �
White CopyAnspector's File Canary CopylSfte Notice
� '� =�<�-- TIMEt:
CITY OF ORONO CALLED IN � �
INSPECTION TI SCHEDULED - —� �
PERMIT NO. �� " �1��0 LEfED
ADDRESS � � � � "� ! '' �"�'
OWNER EL PHONE NO. �Z'l�
CONTRACTOR
� DESCRIPTION �"����rY2�, C ���
lt� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� �SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� . .
� ��� �dY✓'�fa x�rov�bc,b -
J
O � _
� 6� i�rs���e
0
�
W
�
Q
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�W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PEFiMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
iNSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca he next inspection 24 hours in advance. (952) 249-46�0
Ow rlConVactor n ' . TrG� _
�
Inspec
White Copyllnspector's Ffle Canary CopylSite Notice
_ _
� � �� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED �'�D- � - G�
PERMIT NO��� G'�-" oM �E�
ADDRESS ��l ���
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White Copyflnspector's File Canary CopylSite Notice
�/ J� ��%�'`� DATE TIME�
�CITY OF ORONO CALLED IN � �
iNSPECTION NOTICE SCHEDULED "— �
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Q ❑ FRAMING ❑ MECHANICAL F�NAL ❑ PROGRESS
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White Copyllnspector's File Canary CopylSite Notice
• DATE TIME �
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White Copyllnspector's Ffle Canary CopylSite Notiee
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INSPECTION NOTICE SCHEDULED
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White Copyllnspector's File Canary CopylSite Notice
�� � �Q,(� -
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CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. ��� COMPLETED
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
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Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
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White Copyflnspector's File Canary CopylSite Notice
V /
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INSPECTION N,O,�TIIC'� SCHEDULED �S
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Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
��
DATE TIME �
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED
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White CopyRnspector's File Canary CopylSite Notice
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CITY OF�RONO CALLED IN � r
INSPECTION NOTICE SCHEDULED 8�/S ��
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White Copy/lnspector's File Canary CopylSite Notice
, ~ � , DATE TIME Y
CITY OF ORONO ^� I `�'"��' ���
INSPECTION NOTICE SCHEDULED
PERMIT NO. L�14-L I IOG COMPLETED
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1 ` � � � I �w- a a o wu J�' se eR E� Z�n � � � � � +� �
�a �aoaos wn� � � � \ �
� � I I I v =�.� baoao�eown�� V � V � � V '�+
w=vaa1 �VJ 956 a ♦-� \ �\ \ � a`
I \ 11 I � I I O I � �y ye 9 5 3.0 / �'POIE 5 Tq I �t T� � � � � �
I I I a ` �OS50`�VALL I \ � � �� ��[�—�.���_
� I � I I i EXISTING I aW= s.� � V �\ ���� � �� ����`��� ��,
LEGAL DESCRIPTION OF PREMISES SURVEYED: �� I � r� ' HOUSE i 8� � � EXIS7ING� I �' \ \ �� \ ��\���� �\�
#1153
Lot 7,Skarp and Lindquist's Femhill � /� � � � � l � �'A��'E � ����� �� ���� ���������� ��
I r � J ( � � ��\� �\ � �
This survey shows the boundaries and topography of the 1 ` � �� � ,
above described property,and the location of an existing � � \ �� �� ��
shed thereon.It does�ot purport to show any other � � MANHOLE � �� �\
improvements or encroachments. � ♦'�'—�---_ � � � \
I� 1 --�--___ � ;
• : Iron marker found PROPOSED ELEVATIONS('dERIFY) � AND � � �
atz— : Existing contour line � o V/ I �
—� : Proposed contour line GARAGE =956A � ' `� �JE �
9azz : Proposed spot elevation � �-.__..___ / /� /
Bearings shown are based upon an assumed datum ROOM UNDER GARAGE =9447 I , (— �_—_� /
'Denotes distance shown on plat of Skarp&Lindquists Fernhill � � --_--
BASEMENT =937.2 I �
MAIN FLOOR =949.2 I 20 20 �
� I /V / 5 ,
i ,
DESiGHED REviSior+ oa7E DEscRianori I HEREBV CERTIFV THAT THIS SURVEY,PLAN,OR REPORT �C ZO'
8-20-13 PROPOSED HOUSE ADDED G RON B E RG & ASSOC IATES I N C. WAS PREPARED BV ME OR JNDER MY DIRECT SUPERVISION AND
DRAWN 9-5-13 ADDITIONAL TOPOGRAPHY � THAT I AM A DULV LICENSED U1ND SURVEYOR UNDER THE LAWS pATE
OF THE STATE OF MINNESOTA.
1-6-14 REVISED DRIVEWAY,SAN.SEWER ADDED CONSULTING ENGINEERS,LAND SURVEYORS,SITE PLANNERS 7-76-73
CMECKED 5-5-14 REVISED 445 NORTH WILLOW DRIVE,LONG LAKE,MN.55356
5-12-14 REVISED �oeno.
6-24-14 REVISEDWALLS 952�473-4147 DATE 9-/�-iy MNLICENSENUMBER i17fJ" ��87
___.___ _ 14-087 8-11-14 VI D A M N & H R ELEVATIONS
9-18-14 REVISED GRADING