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Home My WebLink About2010-00897 - new structure � CITY OF ORONO PERMIT NO.: 2010-00897 2750 KELLEY PARKWAY ORONO, MN 55356- DATE issuED: 10/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1985 FAGERNESS POINT RD P1N : 18-117-23-14-0004 LEGAL DESC : FAGERNESS : LOT 003 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : S[NGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED VALUATION : $ 375,000.00 NO'CE: SEPERATE PGRMITS RGQUIRBD: PLUMBING, MFCI-IANICAL, ►'IREPLACE,WA"I'ER CONNECTION, SEWER CONNECT[ON, LAWN]RR[GATION,AND GLECTR[Ct1L(STATE) ADVANCE PLAN RF,VIEW PAID 9/24/10 PERMIT#2010-00896$1759.39 ALL I?X'I'I:RIOIt DOOI2S MUS�I�F[AVE MI UM LANDINGS WITHIN HARDCOVF..R I,IMI�['S I�O B1� SHOWN ON AS-13U11;I'SURVEY G, NO SAC CREDI"1'-I IOME I3UIL7'AND SEWER CONNECTION 1-19-78 APPLICANT PERMIT FEE SCHEDULE 2,706.75 MICHAEL GALLUS CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 187.50 6306 EHLER AVE. DELANO, MN 55328 TOTAL 2,894.25 (6I2)709-9796 Minnesota State License#: 20061956 OWIVER BR(GGS, MATTHEW&ALISSA 1985 FAGERNESS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for��hich this permit is issued shall be perFormed according to thc ap�roved plans and spcciiications,applicable City approvals,and the State Building Code. This permit is for only lhe work described and does not orant permission for additional or relaled work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This pennit will espire and become null and void if construction authorized is not commenccd�vithin l80 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. "Che applican is responsible t�or as ring all required inspections are requcsted i �onfonnane ��ith t State 13uilding Code.This pemiit may be revoked a ny time f ue e. (Gw l�' �� /Z.c�/!� �l � 0 / l� np icant Ycrmilee Signature Date Issue y Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � t �� City of Orono Building Permit Application �, for New Structures or Additions �Sg� �s Mailing Address: i �,L,�,�p\ PO Box 66 Permit number: �4/O —D � �9' 7 /Q :\ Q Crystal Bay, MN 55323-0066 Date received: g Zy /Q 1 5 rk� � � �I a f�'"��;'� s,�! Street Address:' Received by: � i.,:� \�'� ��M�� o~% 2750 Kelley Parkway Plan review fee: �� Orono, MN 55356 /759.3�1 xESHo aoio -oo8qlo Total Fee: 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: /��5 fa��,,,.� ,s Po,�-- ►:�w� 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 unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: w�c�.ltiar� C�all�.�� Ca,,,s�E. T� � State License# d.�o L�'.S6 Expiration Date: 3 3� z o r z Phone: �,z-�c q-9�9 (office � ��z- 7v y-i�9� cell Mailing Address: a �k ,,c Cit : Qeja w� ZIP: ss 3z� Contact Person: �«�,.� ��lk s Applicant is: ontra / Homeowner (Circle One) Email and/or Fax: �_�,a►��s @�cl,5; . «�,,, PROPERTY OWNER INFORMATION: Name: �0.-�-��- t3r�•9 q s Phone (day): �31a -- `Jo��g 9 Address: l4ll 5��0) +{��sr ��.� City:�kk �$�rbarK C�ZIP: 93sa� Email and/or Fax ARCHITECT I ENGINEER INFORMATION: Name: `�as.:., .�c�tt s��., Phone (day): 7 b 3 - zZ 5 - 55 Address: �;a� � „�qy�s �r;,,e City: I„�2„c��y ZIP: SS 3�� Email and/or Fax: �;,,,,, ��__�_ �� y�� «-,.- PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & Water Supply � New Construction � Single Family with � Residence ❑ Addition attached garage ❑ Garage/Accessory Bldg. [�Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial � Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water '"`Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&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) $ 375�` ��, Last Updated: 9/29/2009 - 17 - r � STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) ' 2.Type of Construction a. Length (ft.)= �� Number of bedrooms= �{ ['y]Wood/Frame ❑ Masonry b.Width (ft.)= � � Number of garage stalls: ❑ Metal Attached = Z ❑ Pole Bldg. Areas in sQuare feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= �� Zv ❑ Off-site Prefab d. 15t Story = (24G ❑ Other(please specify): @. 2�d St01'y= ��'{�Z:J f. '/2 Story = g. Total Area= S 3 6 REQUIRED SUBMfTTALS: All of the information must be submitted in order for your application to be processed: N ot Enclosed A plicable � ❑ 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 � ❑ Plan Review Fee � ❑ Other APPLICANT 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; • 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. Applicant's Signature: Date: ��2`��Z�� Last Updated: 9/29/2009 - 18 - � • Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: ��•� �� /� �� s�' (�--� � i Description of work: ___ ��'��' 6��'�� '.��/ Septic review by: � - Date Approved:_ — � Zoning review by: � �� Date Approved: �/� �,1� � !� Building review by: Date Approved: (v - �- �� Grading review by: Date Approved: � � ��5 '�� Zoning File #: _�= Resolution#: Resolution Date: �� j -� � Zonin District Fire Department Post Office School District Zoning: Lot Are �_ �� j� SF/� Width: `� � � Depth: Survey Submitted: Yes � ��' 0 No Date of Survey: 7—�� -� � � Pro osed Setbacks: �, � -- Fro ake) Rear(Street) ! � N E �N ) � ( N S E W ) Other Buildings � "de Side ��' 1 � � � I 2, ' � , Building Defined Height: �"" Building Peak Height: �U # of Stories Ok?: YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDA ION:� �� START WITH the distance between the basement floor/crawl START the distance between the slab and the highest I space floor and the highest roof peak, the top of WITH roof peak, the top of the cornice of a flat roof, ��l( , L'� the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the � mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof � SU TRACT half the distance between the highest window and SUBTRACT half the distance between the highest window � � hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest lo , space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS I Defined buildin heiqht EQUALS Defined buildin hei ht � �]f�` ,- � Lot Coverage: � ( � � SF � � � o�o Shoreland District , MCWD Permit Received Avera e Lakeshore Setback � Blu � ❑ Yes ❑ N o ❑ N/A ❑ Yes o Yes ❑ No ❑ Yes No 0 N/A Permit Number Setback: i Hardcover Zones i Existin � Proposed Variance Re uired CUP Re ired ' 0-75' ��: i `��i , G��;�� ' ;�. t�° es ❑ No ❑ Yes No I 75-250' �� ZI�o(�J TYPe � TYpe�S) ' � (,p-t- iNt�� ''°�� -�� !� �q 1 �"1 �-'�(° I 500-1000' I �� REMARKS (in-house): Updated: 09/11/2009 z:lformslplan review checkfist.docx Fees to be Charged YES NO � P.ermit� - � � Plan Review � State:;Surcharge �,/ Investigation Fee � SAC—��Num'ber of'SAC:Units .�'�..�j��+,r�, ;_..�;:� Sewer Connection �Illa#er�:,C o n n e ct i o n _ ._ Park Fee �Srte�lnspection� , ,� ,• < � ,. :, . ,. , , '. - , , _: ' Other (specify) ,;Misce'Ilaneous F.ees ,._ _ ., < ,;; � :_ Calculated By: Square Footage $ per Square Foota e Basement X � _ $ 15t Floor j X �I = I $ 2nd Floo� X � _ � $ Garage X = � Estimated Construction Value: � 375.(�0 0 �'—° Orono Inspections Required � Work Requiring Separate Permits Required State Permits ❑ Site Plumbing ❑ Grading / Filfing ❑ Well ❑ Hardcover Removal �Mechanical ❑ Fire �Electrical � Footing ' ❑ Septic �0 Water Connection P ured Wall Fireplace ��ewer Connection Foundation Survey ❑ Masonry �Lawn Irrigation adon Rock Bed �Mfg. Framing ❑ Other (specify) �nsulafion s-Built Survey inal ❑ Other(specify) � t REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERM(T AND lNfTIALLED BY PERSON PULLING PERMIT) � i i ��f�'t,�✓ �d��?; ` ; , � , -f� �'�C��e �1�r�.i Q��I i�r-� '�'I �� f I G �.��v� ��f3 — Tv � ,��. � � � :.:.� • s� ,�: �L r' Updated: 09/11/2009 z:\forms\plan review checklist.docx SAC DETERMINATION - 2010 (In-House Use Only) Date Completed: Date Determination Expires: 12/31/ Address: PID: � � F - � � ; � �� ,� - gs: �,�� "'j'�'� �%�:� aY r.7^��y �.* �.,r",� ,� � �� . �.:� � �� "k:`.��'Y �"ff-'�ds�i.�;itt a�". , fi.y�,�}�. ��.� s "z.� �",'�,-�,'�_ z��`' ,� �. y� � a _ � a��'� �� .�,.'� '�'�i �.�'�� .� '� . - .sY- }. . . �F,,,..�-� ��.,>u.,�,=.,....-�-...,,�. ,.t *�r,s r �` '.��s . ��r �``"� �.��" .: `. ��.- � s� '� �`v i €�TM s � -� -^�2 n; d ��`w € � �= c � �'�� ,m x .. �� S�`:� �- a.a` .-�-��t€a��'e`��. . ��..- �i �.��:�`��, �� ,�� •• —� -0k� gg+� �� . . $ -� .�'i �' }3 . 0. '� S '�'.� �` .. �� F ... `+fi�"�:� s�". k. �� " � 1:j SY� �. `'�' r 2 �"5�4�ti�+��*� . ,v�� >a.,� „��. , _ . �r.�� .. . .� ., .,, >n �f�� -��sF�. ,�:.�'�� .t.�:v_.,.�.��'�N�,;,..`�.�;., . � �w �m�,.= ,m�-�-� �g��-��mw� .��' . � �.ss. v��`��' �. � ' � '��w �'� `� � z''�y � �` ^� �`*;�a' .v, �Xs'a A`'u✓L'�5,2`3`k`� ��Y� ��°�,�u��.��u- ��,'r i s .� .3 . �' & .1 � . e r �` . � '�. � . . L '^y�,` t� �_�''-.�s �,��',�� '�,� ', '`�x 3 .�. :� � � � . �� x .' , .� .. �� ` e'' .ka ,a• `"'. y. , . ; '' " �� , . . . . ..f �, ..,e.� � E_ �., br>,.��.�..tr�.�� .. . ��` E �,� . � �§� �'��.�'ro"�� xk . Es 3 �,.�; �. � � � � � 1 �� f � -S A��?^ . �F '�r g�' ry. � S�,,�,,,, { �� 1 � :Y'.�'""=`3..�v .�,y � 2�'^-'�_ „4 .. +�. � ..k+�1 ¢� °^}�4�"� T ud� . R �i�x � �� # < � i� � � � ` ��,,� � � � �<��' � �` '�`� �s � ��^� �,a'�v � . � ��r:,c �,i`��w , .�� :'3�'��,_.� �j�,�� .. � � SAC E?ue: � Yes � No If Demo Permit Being Issued—Get Copy of Utility Bill to Attach to Demo Permit: ❑ Attached Comments to Key on Permit: Notes: Completed By: Date Completed: Note: • This form is for residential properties only that are already in a sewer area • Any commercial, industrial, religious or schools—determinations are made by Met Council in a letter format(Lyle is contact person) • Not for properties currently on septic, wantinp to hook-up to sewer for first time. These properties may not qualify, or may have to pay large sewer assessments in addition to SAC (Scott is the contact personJ �o� O :, O Principal Dwelling Demolition Permit �5�� g11�r�c- ��' ZONING DISCLOSURE & DECLARATION 1�,�,.4�,�o$�,o a�x To the property owner: Demolition of the principal dwelling structure on a property may automatically terminate certain rights which may have accrued to the property by virtue of the continued existence of that building. • Rebuilding on a substandard lot of record (i.e. a lot that does not meet the zoning district required lot area or width standards) will, with few exceptions,require variance approval by the City Council, and such approval is neither automatic nor guaranteed but requires that a hardship be demonstrated. • Additionally, all current zoning standards will have to be met by the new principal dwelling including setbacks, lot coverage by structures, hardcover (impervious surface), height limits, etc. • Where municipal sewer is not available_ provision of two (2) sites for a conformin� on-site sewa�e treatment system is mandatory. • Unless specifically approved by the City, all accessory structures must be removed at the time of principal dwelling demolition. This also applies to seasonal and permanent docks,which may not be re- installed until a new principal dwelling has reached the framing stage. The following information is presented for the purposes ofadvising the property owner ofthe implications ofremoval of the rincipal dwellin on the ro erty: 1. Property Address: 1985 Fagerness Point Rd P[N # 18-117-23-14-0004 Required Lot Area 0.5 acre Required Lot Width 100' 2. Zoning District: LR-1C Actual Lot Area 0.39 acre Actual Lot Width 75' Lot area varian e is/' not required. Lot width varia ce is/'s not required. 3. Required Setbacks: Front NA Rear NA Side 10' Side Street NA Lakeshore Lot: Lake(Front) 75' Street(Rear) 30' Average Lakeshore Setb ck: must be met/ not a licable. 4. Lot Coverage by Structur s: limited to 15% ox iot area i does not a i iot area>2 acres` 5. Hardcover limitation • are applicable/ re not applicable. 0-75'zone= 0%allowed 75-250'zone=25%allowed 250-500'zone=30%allowed 500-1000'zone=35%allowed 6.✓ Municipal sewer is available. Municipal sewer is not available;on-site system testing and design must be provided confirming that two conforming drainfield sites are available. 7. _ Wetland(s)present. Wetland is classified as" ". A_' buffer from the edge of wetland and a 20' structure setback from the buffer is required. **Talk to Planning Department Staff for additional requirements. The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials �� ' oq��8 lb V (/ ` � � , Property Owner's Signature Date Form zD�—Re�ised 5-23-os (Original: Street File; Copy: Property Owner) 2335 Highway 36 W St.Paul,MN 55113 Tel 651-636-4600 Fax 651-636-1311 www.bonestroo.com October 6, 2010 �Bonestroo Melanie Curtis Planning and Zoning Coordinator City of Orono Post Office Box 66 Crystal Bay, MN 55323 Re: 1985 Fagerness Point Road File No. 000139-10000-1 File No. 10-3482 Dear Melanie: We have reviewed the revised plans for the proposed new home construction at 1985 Fagerness Point Road. The site plan is dated 7-19-10. We have the following comments with regards to engineering matters: • It appears that the proposed retaining wall adjacent to the driveway is approximately 6 feet high. Engineered design and details should be submitted for review and approval for all retaining walls over four in height, and for all tiered walls with a separation of less than two times the wall height. • The proposed slopes around the east side of the covered porch exceed the maximum allowable slope of 3:1. The grading should be revised in this area. • This project will disturb more than 100 CY of material. Sediment and erosion control information meeting the requirements of Orono's City Code 79-7(c)(2) must be submitted. The minimum $2000 sediment and erosion control financial security should be required of the owner for this permit. If you have any questions, please call me at (651) 604-4894 or send an email to darren.amundsenCo�bonestroo.com. Sincerely, i_: i�� Darren Amundsen Cc: Tom Kellogg e ' 2335 Highway 36 W St.Paul,MN 55113 Tel 651-636-4600 Fax 651-636-1311 www.bonestroo.com October 15, 2010 � Bonestroo Melanie Curtis Planning and Zoning Coordinator City of Orono Post Office Box 66 Crystal Bay, MN 55323 Re: 1985 Fagerness Point Road File No. 000139-10000-1 File No. 10-3482 Dear Melanie: We have reviewed the revised plans for the proposed new home construction at 1985 Fagerness Point Road. The site plan is dated 10-13-10. We have the following comments with regards to engineering matters: • Please see the attached memo from Phil Caswell regarding the proposed retaining wall. • The site plan appears to be acceptable from an engineering standpoint. • This project will disturb more than 100 CY of material. Sediment and erosion control information meeting the requirements of Orono's Ciry Code 79-7(c)(2) must be submitted. The minimum $2000 sediment and erosion control financial security should be required of the owner for this permit. If you have any questions, please call me at (651) 604-4894 or send an email to darren.amundsenCa�bonestroo.com. Sincerely, �-. �� --� Darren Amundsen Cc: Tom Kellogg f . Memorandum � Bonestroo Project: 1985 Fagerness Pt Rd 2335 Highway 36 W To: Darren Amundsen griggs Residence Date: 10/15/2010 St.Paul,MN 55113 Tel 651-636-4600 From: Phil Caswell Client: City of Orono Fax 651-636-1311 www.bonestrao.com Re: 10-3482 File No: 000139-10000-1 Review Summary: Calculations for the boulder retaining wall design have not been provided. A global/slope stability review has not been provided. The Engineer of Record shall review actual site conditions and judge whether or not global stability analysis is required. Owner/Contractor shall be aware of and follow the suggested quality assurance provisions noted on the Engineers plan and submit documentation of all field testing, verifications of assumptions, and construction documentation. Site drawings showing the wall layout relative to boundaries, buildings and other site features were provided. Wall layout, notes and details of construction were submitted. Letterhead that appears on the plans indicates the design was prepared by a licensed professional engineer and content is judged to meet industry standards for this type of work. Review plans provided were signed by a licensed professional engineer. Detailed Review: At your request, we have reviewed the retaining wall submittal for the above referenced project for compliance with the code requirements and industry standards. The submitted information is as follows: Project Name: Briggs Residence Wall Design Engineer: Civil Solutions Group, LLC Developer: Michael Gallus Construction Plans Received: 1)TITLE SHEET 2) SITE PLAN 3) TYPICAL WALL SECTIONS Issue No.: 15t issue, plan date 10/14/2010 (no revisions) Retaining Wall Calculations: None. Date Received: Ciry of Orono - October 14, 2010 Plan Date: October 14, 2010 This is a privately-owned retaining wall that will be installed at the Briggs Residence located at 1985 Fagerness Point Road. Review comments include: • Plans were prepared by an Engineering Consultant and plan content appears appropriate to direct retaining wall construction. • Plans contain "Suggested Quality Assurance Provisions". We recommend the Owner and Contractor abide by these provisions to confirm actual site conditions and assure satisfactory wall performance. • A geotechnical report and recommendations were not provided. The retaining wall engineer assumes soil properties for the retained/foundation soil and bearing capacity, and requires field verification of assumptions prior to construction. Copies of written verification of the assumed soil properties, including test results, and determination of the requirement for global stability, must be submitted to the City for review and the record. • This plan review also includes a check for conformance to the Minnesota State Building Code requirements for minimum factors of safety for structure overturning and sliding. Plans indicate code requirements for safety factor were met, but calculations were not provided. END Page 2 of 2 , 1 � � �,,�� . � l T�bb�ts Engineering, P.Q. . Structural Engineers 923 12th Street, Suite 102 Glencoe, MN 55336 Phone: (320) 864-5642 FAX: (320) 864-5672 www.tibbitsengi neering.com November 4, 2010 \ � �� v'rigl�t Lumber Larry Bartels 90I Central r1ve. F3uffalo, MN 55313 RE: Steel B Dcsign Gallus/ ��ggs Residence Oronc�, MN Dear Larry: As requested, we have reviewui plat�is by JM Custom Designs {undated) provid�;d to us for tli� above-referenced residence. We have alsa received the desigr� loads fi-oin Litt1'in for the steel beain to be installed partially beneath the cover�d conerete porch planks. The beam is 2-span and will span approximately 22'-3", fronl the �uine cellar to t}�e garage. Basec� upon thc information provided, ��e recomn�end a W8x35 �992 ste�l bearn and a 3 %z" d�ianaeter standard pipe column (�1STi'VI A53 Grade 36). The cietails are to b� as indicated on tlle attacl�ed details. T11e eletnents are designed to ineet the requirements of the 2007 iVlinnesota State Building Code for snow load of 35 psf, live load of 40 psf and actual deacl l�ads. Prescriptive construetion details from the IRC shall be used exeept where details specify other�vise. 1f any details de��iate from the intended construction, if conditions are not as i��dicated or if additional i�iforn�ation is required, please contact us for revisions. . Our involvement is lim.ited to the s�ecific elements n�entioned above. f111 othea- design re►nains the responsibility of others. Sincerely, TIBBTT� E�N�GINEERING, P.A. t hereby certify that this plan, specification or report ��as prepared by me or under tny P'� 3�,_..---� direct supervision and that I <im a duly � � Licenseci Professioiia( EngiTieer iu�der the �.��, . ��, ,, laws_s�the State ofNlinnesota. � �` � '� ' ROBE �T L. TIBBIT� , � Robert L. Tibbits, P.F. ;��n`�� ,�� _ � L, �� ri � -- y �j� �n�. Date � 1� / _License No. 12469 CC; Mike Gug�,emos File 2 2X4 Pi_ATE W/1!2"� 80LTS F,T 4'-0" O.C. 2" ��p CONC�ETL +'c7P�'ING (vEVZIFY), Ml1X 4" M HX f'}2E STRESS�C i CONCRETE i'LANK T0�'CHOfilD BEARING — _,___ _— FL00�TRUSS BY Tf2USS SUPPLiEf2. � � ��" � � EM�EDDED�NELD PLATE, � �j ; ; BY PRE CAST SUppLIER. � � 8"X 12" X T/2" CAP � i'LATE W/ (4) 3/4".P1 3/F3"X FULL HEIGHT WEB � A325 �O�TS 12" 12" STIF�ENEKS AT COLUMPJ � LOCA rION. o 1�/8X35 ST�EL �EAM —� w � � _ � w T 31l2"k7 STANDARD I'IPE COLUMN � � � X � � O O l2"X 12"X 1/2'� BAS� PLl�T� � W1(q) 1/2"k7 X 8" A. BOLTS �� l �I II �I 'I �J L� a ST�EL �EAM / COLUMN SECTI�N S3 �,� _ ,�-o., Ti b b its E n g i n ee ri n g,P.A. I hereoy certity that this pian,specification or report was �.ti�ar GALLUS / BRIGGS RESiDENCE preparede}�me°`��dz`myd�`°a"s"°e"'s'°"a�d`na" ��P STRUCTURAL ENGINEERS amadulyLiae�sedProfessionalEnginr�en�ndertt,e ,06,:. lews of the state ot Minnesota. 923 121h St E,Suite 102 ORONO, MINNESOTA ;Rt�be�t�. Tibbits 10-148 Glencoe,MN55336 WRIGHT LUMBER & MiLLWORK ' � aA-� Pr,o�e:tazo}esa-ssaz it�,�r,,,�, �, ,��,_ _ 11-4-10 SignaWre �_.. __ --. Fax(320)864-5672 • t s"�`� wwW.tibbitsengineenng.COtn 4ate:_�� ` __.._—��se Numbec 12469 3 OF 4 i� NOTE: ANCHO� BOLTS SHALL 6E MINfMUM 4" FROM END OF FOUNDATION I��ALL, 1/2"� DR1LL IN A. BOLT�N/ H1LY! HIT HY-1�0 ADHESiVE, MINfMUM 6" EMBEDMENT 8" X 81/8"X 1�`8" END C'LATE, . WELD W!1/8" FILLET WELD ON V,lgX35 STEEL F3EAM TGP& BO�TOM FLANGE. ,`� x �t � }� �� CONCfZETE FOUNDATION, �J W�LD STEFL SHiM PLP,TES DESIGN�D 6Y OTNERS TO SCLID TO f3EAM AS RE�'UIREU. f�cS!ST 3000# UPLIFT AT E3EAM Q�A}ZING LOCATfON. 2A-� '`�� A �EAM ��Rf�ING CUNNECT(ON s4 �� _;�_a,� 1 here6y certify thai this plan,specification,or report was owe ar�. Tibbits Engineering�P.A. GALLUS / BRIGGS RESIDENCE P�eparedbymeorundermytlirectsupervisionandihatl JM{� STRUCTURAL ENGINEERS »maduy�icensedProfessiona�Eng�naer�nde�the ;��H, ORONO, MINNESOTA 'a""'°"hes`a`e�'""`""�'°`a 10-148 923 12th St E,Suite 102 ert L.Tibb�ts x nq . ��e��oe,MN5533e WRIGHT LUMBER & MILLWORK �� % `�—"� ,,,�'::.� -� 11-4-10 Phone:(32Q)864-5642 Signature, /// ��' � -"p � l.� Fax:(320)86�-5672 /� fj� �� s��-�� www.lib6itSenginBering.Com Date:�_f—=j �, _......_License Number. 'IZ469 4 OF 4 �' _ GAc [us C"'c�°s�'��+��,�.��.F�<� u��,�;r�� 1:,- ��f,, ��,�� r:: �,. HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75'� ,.i�� 75-250' 250-500' 500-1000' EXISTING HARDCOVER !N ZONE A. House x = S.F. Length Width X = S.F. X = S.F. B. Garage x = S.F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = S.F. X = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining x = S.F. Walis H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTYAREA IN ZONE - S.F. B A T g x 100 = % PROPOSED HARDCOVER IN ZONE A. House x = S.F. Length Width X = S.F. X = S.F. B. G arage x = S.F. C. Driveway x Ex�1�7ii�G T� .cF�',f/^�' = SS.� S.F. X = S.F. D. Sidewalk x = S.F. X = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining x = S.F. Walls H. Other x = S.F. TOTAL HARDCOVER 1N ZONE - .��..� S.F. A TOTAL PROPERTY/�REA IN ZONE - 2 8�/� S.F. H A = B x 100 = / 9, �,/ % 13 GA�.<«r e��--s��4�,F ��d °�- � ,�,; �. ' C.l�'F'�"f,J:'�n ' C'i��.�.i.: , `�. � � HARDCOVER CALCULATION WORKSHEET ' SETBACK ZONE: (CIRCLE ONE) �0-75'�/E,�(,�,,_' 75-250' 250-500' 500-1000' EXISTING HARDCOVER 1N ZONE A. House x = S.F. Length Width X = S.F. X = S.F. B. Garage x = S.F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = S.F. X = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining _ x = S.F. Walls H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTYAREA IN ZONE - S.F. B A = B x 100 = °/a PROPOSED HARDCOVER IN ZONE A. House x = S.F. Length Width X = S.F. X = S.F. B. Garage x = S.F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = S.F. X = S.F. � E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. EX�.rri.vC cv�r�c s ro �Fi+a.r�,,ci 3 9 f v7 f�r�t 6 M /.�9 G. Retaining x = S.F. Walls LcX�.l�irv(�' .!`iS/EA 7-c'i kE�►.t�et,�' _ S?? H. Other x — S.F. TOTAL HARDCOVER !N ZONE - � %�� S.F. A TOTAL PROPERTYR�REA IN ZONE - ,�'?7 / S.F. E A = B x 100 = .3. 5'/ °�a 13 ,. GA�«f ��r r,��r�°-r��,�.,� ��:�<.. ., HARDGOVER CALCULATION WORKSHEET ��v ��.3-�''�' SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250 250-500' 500-1000' EXISTING HARDCOVER 1N ZONE A. House x = S.F. Length Width X = S.F. X = S.F. B. Garage x = S.F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = S.F. X = S.F. E. Patio/Deck x = _ S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining x = S.F. Walis H. Other x = S.F. �'OTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTYAREA IN ZONE - S.F. B A = g x 100 = % PROPOSED HARDCOVERIN ZONE A. House x = �'2 �''ae S.F. Length Width cavc•��d PG�c,� x = 3 iG' s.F. X = S.F. B. Garage x = S.F. C. Driveway x = .� ?S S.F. X = S.F. D. Sidewalk x`�Q�'T.1��"� = Z� S.F. �1 X = S.F. 1�,+'� ✓t <�f �c E. Patio/Deck x O�C K = l�G S.F..� ; �µ X - S.F. ` F. Landscape x = S.F. Underlain x = S.r. By Plastic X - 5.�. G. Retaining X �F� — `�G � � Walls CX/lt/n%G >-o ,C��.t�,� = 32f 6fl�' � _S�2 H. Other x = S.F. TOTAL HARDCOVER 1N ZONE - Z � � 6 S.F. :�. TOTAL PROPERTY R.REA IN ZONE - �1'7 c' 6 S.�. E A = B x 100 = 2 Y. �5 `o 13 . : • . 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street Fite Date: 11/2/2011 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permits #2010-00897 & 2011-01150 pertaining to 1985 Fagerness Point Road are complete. The Applicant, Matthew Briggs, has requested a refund of the escrow. The following is attached: • Escrow Refund Request • Email from Bonestroo indicating no unbilled WIP on this project • Email from Campbell Knutson indicating no unbilled WIP on this project • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Matthew Briggs 1411 School House Road Santa Barbara CA 93108 w:\street files\fagemess pt rd\1985\escrow refund memo 2010-00897&2011-01150.doc Christine Mattson From: Matt Briggs [mbriggs@screeningone.com] Sent: Tuesday, November 01, 2011 1:02 PM To: Melanie Curtis Cc: Christine Mattson Subject: RE: 1985 Fagerness Entry Melanie: I just spoke to the clerk and confirmed that the inspection was completed yesterday. With that said please find this as my written request to return all remaining escrow monies. Please send check to my California address: 14115chool House Road, Santa Barbara, CA 93108.Thank you. Matt From: Melanie Curtis [mailto:MCurtisCc�ci.orono.mn.us] Sent: Tuesday, September 27, 2011 2:13 PM To: 'Matt Briggs' Cc: Christine Mattson Subject: RE: 1985 Fagerness Entry Matt I didn't forget about you. It looks like we are still holding a $2500 escrow from your building permit. I will go through the steps to issue this for you before the week is over. You wili receive a phone call from our staff to let you know the sidewalk plan is approved. There is a $50 permit that will be due at the time of issuance as well. Thanks for your patience. Melanie Melanie Curtis � 952.249.4627 � mcurtis cni ci.orono.mn.us From: Matt Briggs [mailto:mbrigqs@screeningone.com] Sent: Wednesday, September 14, 2011 11:13 AM To: Melanie Curtis Subject: RE: 1985 Fagerness Entry Total should be less than 20' and averages 3' wide.Thank you. Matt From: Melanie Curtis [mailto:MCurtisCa�ci.orono.mn.us] Sent: Tuesday, September 13, 2011 1:51 PM To: 'Matt Briggs' Subject: RE: 1985 Fagerness Entry Thanks. What is the total hardcover to be added to the property? Sidewalk length and width? I'm not able to measure from the attached. Melanie Curtis � 952.249.4627 M mcurtis ,ci.orono.mn.us From: Matt Briggs [mailto:mbrigqsCa�screeninaone.com] Sent: Tuesday, September 13, 2011 11:42 AM � To: Melanie Curtis Subject: 1985 Fagerness Entry Hi Melanie: I hope all is well? Per your instruction attached please find our appiication and sketch to the survey. We met with several foiks and are keeping the design minimal yet safe &functional. i believe you still have some of our monies in escrow so we can just use that. We would like to start construction in next few weeks and should only take a few days to complete. Let me know.Thank you. Matt From: Melanie Curtis [mailto:MCurtisCa�ci.orono.mn.us] Sent: Wednesday, July 13, 2011 8:43 AM To: 'Matt Briggs' Subject: Matt Please see the attached. The first is a permit for the modifications to your site— stair and sidewalk. The second is the hardcover information. You'll note that I misspoke in our meeting regarding the sidewalk width. Only a 24"wide sidewalk is required, as the minimum. The stair should be no wider than 4'. However, I'm ok with you putting in a 36" wide sidewalk as long as you can minimize the length... Chris is going to call you regarding the Togo property. Melanie Curtis Planning & Zoning Coordinator City of Orono 2750 Kelley Parkway Orono, MN 55356 Direct Dial: 952.249.4627 Fax: 952.249.4616 Planning &Zoning Office 952.249.4620 Email: mcurtis ci.orono.mn.us Website: www.ci.orono.mn.us Summer Office Hours (Monday, May 23rd to Friday, September 2nd) Monday - Thursday 7:30 am to 5:00 pm Friday 7:30 am to 11:30 am 2 Christine Mattson From: Darren Amundsen [Darren.Amundsen@bonestroo.com] Sent: Wednesday, November 02, 2011 7:25 AM To: Christine Mattson Subject: RE: Unbilled WIP none here Darren Amundsen, PE Associate Bonestroo, now Stantec Tel 651-604-4894 Cell 651-775-5623 darren.amundsenCu�stantec.com stantec.com Bonestroo has joined Stantec, a professional services consulting firm recognized for its leadership in sustainability, depth and diversity of talent, and technical expertise. The content of this email is the confidential property of Stantec and should not be copied, modifled, retransmitted, or used for any purpose except with Stantec's written authorization. If you are not the intended recipient, please delete all copies and notify us immediately. � Please consider the environment before printing this emai{. From: Christine Mattson jmailto:CMattsonCa�ci.orono.mn.usl Sent: Tuesday, November 01, 2011 3:35 PM To: Darren Amundsen; 'Sherry Charboneau' Subject: Unbilled WIP Hello, Any unbilled WIP for: Building Permits 2010-00897 & 2011-01150 1985 Fagerness Point Road Matthew Briggs Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ �` 952.249.4620 =� 952.249.4616 � cmattson@ci.orono.mn.us �?' www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Friday, November 11, 2011 (Observance of Veterans Day) 1 Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Sent: Tuesday, November 01, 2011 4:05 PM To: Christine Mattson Subject: RE: Unbilled WIP Hello again. Campbell Knutson does not have any unbilfed WIP for the two iterrzs I�sted belov�e. Sherry L. Charboneau Legal Assistant CAMPBELL KNUTSON P.A. 1380 Corporate Center Curve• Suite 317• Eagan,MN 55121 � (651)234-6230• Fax: (651)452-5550 Q scharboneauCo�ck-law.com•www.ck-law.com _ _..._.... ____: From: Christine Mattson [mailto:CMattsonCa�ci.orono.mn.us] Sent: Tuesday, November 01, 2011 3:35 PM To: Darren Amundsen (darren.AmundsenCa�bonestroo.com); Sherry Charboneau Subject: Unbilled WIP Hello, Any unbilled WIP for: Building Permits 2010-00897 & 2011-01150 1985 Fagerness Point Road Matthew Briggs Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical address) PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ `� 952.249.4620 6 952.249.4616 � 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: Friday, November 11,2011 (Observance of Veterans DayJ 1 BUILDING PERMIT & MINOR LAND ALTERATION ESCROW AGREEMENT Orono Building Permit#2010-00897 8�2011-01150 AGREEMENT made this � day of �" , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Matthew Briggs ("Owners"). Recitals 1. A building permit application has been filed for demolition of an existing home and detached garage; construction of a new residence and adding sidewalk/access to front door located at 1985 Fagerness Point Road, the ("Subject Property"), legally described as Attached as Exhibit"A". 2. Owner requests the City to review this application. 3. The City will commence its review of the appfication 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 #2010-00897 8� 2011-01150 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 Batance 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 subj�c,,t�reperty pursuant to Minn. Stat. §§ 415.01 and 366.012. CITY: CIT �OF�O OWNER: �,? �--� , ��i?'( � � By: : , �� its: �� Internal Use Only: O Original to Finance Department D Copy to 5treet File BUILDING PERMIT ESCROW AGREEMENT / Orono Building Permit#2010-00897 AGREEMENT made this 4 day of OC 20�, by and between the CITY OF ORONO, a Minnesota municipat corporation ("City") and � `,�. c,� A- �St-� ��6GS ("Owners"). Recitals 1. A building permit application has been filed for demolition of an existing home and detached garage and construction of a new residence located at 1985 Fagerness Point Road, the ("Subject Property"), legally described as Attached as Exhibit"A". 2. Owner requests 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 shaii 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 $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit #2010-00897 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bilf to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shali be reiurned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: TY, O��RONO OWNER: r. ! �__ - , By. �/ � /', / � �t$. r �(\I (\� 1 i � °��V �t' Internal Use Only: � Original to Finance Department 0 Copy to Street File 1 i � . • --..:-�v- _- - — �—: ..-.�_ ...r- _. ; .._._ .. ...�� " .�.�.....- —__ �— ;� MATTHEW LE —= WIS BRIGGS � i�' 1411 SC�-IOOL HOUSE RD (8p5)222_42�? - " -' ' SANTA BARBARA,CA 93108 � Ivl .._1 ;I 270 I`im 09�,L$ /6 is.ssnzzo „� '�z�'ay to the l �Date 10z� <Order of I� �� n V�. ��o�o �,; I,!J� - �j ;t'; .�� ~ ,°, �� _� �. ank ofAmerica�� Dollars e o, i�j � �n�� .�� oss coeac v�nege xa Customer Si�ice ��`. . �� Santa Barbara CA � � 80b.564.2064 ��¢� �� I, � ��; For I;II f� . '°u"��s�,�w ('[8�'f- cs.,etsl�-. I �: l 2 200066 l�; -�� _ ;! i __._..______--. i 2 7 0�� __.______ _____._.._._..___� — :-.— __ LO 2 i 2��4 i 50 2n■ -- -- -�-- - ..... ---- -_ ,_ -- ---�=- �.: - � Cit}� of arar�e �'S{•� !';elley Par�ltw84, �y'�'�V �N JJSJG ri C 7JC—C�I'?—`�p(j�� Receip� Ntt: ,°�.t1t�.5�+46 Dct ij4 ��,ti � . �l�.t. $t"1OL15 .j c�i;(i—.y(s��ir F�lar-�nir,r� ar�d ?or�ir�g 2U1�1-rjfj�9; / �98� Fa�erne c,5Ui..C1U �s Pt Rd 1 fJi-��ciJ5 Deferr-ed itev-Devel��per [ie��it 7ot�ii: ---------'--- Ge J�)v.�)i} Ch�ck: ________ ��1' +�f Grrrrc c7��:� I;elle4r u�y. G�r'D;�_� R'i�i :.�i,1�G��4; Rece r _ �'�-�4?-46tti� i A;, Ntr; :;.CiQ�r446 it�: iJr�, 2C)s�t bt'i0q5 .' �(i,��.tjf��ci;' �13FiYtiYifp; ,�Y�[ ?i�tilY;q �U�[�—I)�iC�! lr r 55 �t ��j ' j�u,� r�y8t=Yi� ' �� f�:`LCC:i?L Ls.i�l�.��(,� Deferred Fev-Deve:vper f�eoi+sif: ��,cal: ----------- � c.J�(ll1.t ti} �.hec�' «____---- ��hecf� t��;; ��7ir ---=_ �av;:�r�: _. �.-. . �T`1d � `'iJil[� �fi 4� :=itl,_�_[ira98' '�_�t�-�aAp{ - lp�; � �)J��(!, �fls�t`li�e �___ �)�) i EYIt(�;'�� _________ .�)t� IU/r�w%aG f��iJOPM ^` -_�_- Checklist for Refunding Building Permit Escrows Building Permit # 2o�b -Obga� �- �6�I�b�� Street Address: 7a�J �°IQIQ,VVI�J � �� Applicant Name: �� ;I°�Vi Q'Q C � Escrow request received Date: � — � ' (� Permit Type: IV��,�V �'U�� `�—' �� I�-� 1V �Y1�(�� Are all inspections completed� Ye�' No � If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes No Date: ; Was there a Final Cer�ificate of Occupancy issued? Yes No Date: �Q "�� ' I 0 As-built survey required? Yes pproved on �Q 'l� '� � NO NA � Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: � � — �� ( { ❑ Prepare memo for Finance Department z:\forms�zoning standard forms\checklist for refunding building permit escrows.doc LastUpdated: 10-31-2011 / � �� ,�iN� ATE TIME CITY OF ORONO LED IN �b b INSPECTION NOTICE CHEDULED / �� PERMIT NO.cL/l�-��OMPLET � ADDRESS OWNER TELEP E NO. - - � � CONTRACTOR �> >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULAT�ON ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d �' W�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the n ' pection 24 hours in advance. (952� 249-4600 OwnerlContracto s' . Inspector. / �.: White Copyllnspector's File Canary CopylSite Notice �— �C �_—'-- AT]E� TIME\ / CITY OF ORONO CALLED IN /��a`/' " INSPECTION NOTICE/J(� SCHEDULED /S?�I� � PERMIT N `v COMPLETED _y_ ADDRESS �f � OWNER T LEP ONE NO. ��/�"��3 CONTRACTO �-� (%�� - <��(/k �-- >; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINA� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � d � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED !_' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: � 7 � Inspector. ;__�' ! �'�`'� � •��.� � White Copyllnspector's File Canary CopylSite Notice �� DAT ,�- TIME �/ CITY OF ORONO CALLED IN Z-s ��r INSPECTION�`OTICE �l' SCHEDULED _�[_�i��`�'�7'/D ��.�2i) PERMIT NO.v�G D"C.�U7 � COMPLETED ADDRESS ! �� '-��SS � OWNER TELEPHONE_0.�� D/o� '�.�?�'�- CONTRACTOR �. ��C.� S � >; DESCRIPTION �/ �-�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:�YES_NO � COMMENTS: � W C o � �nn-�i� S�' k�v�� /('-r� J �- Rr��:�P�+ � J`�l f ��I `-( � �V, �s�� - �j�» r� G+ � � a � � � v ,��i �[ � 1J 7G�.G� � Q ��DiJ�G1T / '� C,✓I'-1 S�1��" 6�- (i`CY�C� ~ /C'�� I�'�'� �/� � /Z J 7 �:n 4 3 Z � J�%/-�r+ C� C� /�-� � TCj l a Tl�?zr r TG �� d W C7 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. �-VJ/r!/o�(� � White Copyllnspector's File Canary CopylSite Notice c �-� �� TE//r TIME � `��ITY OF ORONO CALLED W � INSPECTION NOTICE �,� -7 SCHEDULED � _� PERMIT NO. :�t��U ��--C�� l r COMPLETED ADDRESS � �� I fL� ' � / ��1 �� OWNER TELEPHON NO��« ��J��3 CONTRACTOR —7 ' � % C � DESCRIPTION ��,�1� ��G��-i�'�.( �L��2 � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT,I FINAL ❑ FOUNDAT�ON/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: oc , W a � J `/ - O ,,..-,—......_� o � 1 . (� W � Q � � � � � Z W � W � �J D � d W ❑WORK SAT4SFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WILL RETURN �P ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor o site: Inspector_ l White Copyllnspector's File Canary CopylSite Notice �� - J ✓ � � , DATE TIME �ITY OF ORONO CALLED IN � �� / �I INSPECTION. OTICE SCHEDULED ti �Zl�� I I L � -� � ��,. PERMIT NO.� } r � �� COMPLETED ADDRESS � �-I � �� f` (�c��.,�L��.�� -� OWNER TELEPHONE N0. � �� '�t ��<<�' CONTRACTOR ��,�� '�-� i t � - C��-t. j� DESCRIPTION �"�`l��-�-r'�-�� Ck��l'C,�t1 — �\��L��y� � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUIv1BHdG RI -- SEPj��I FINAL ❑ FOUNDATION/REMOVAL � OWN RICONTRACTOR TO MEET YOU:�'L YES_NO _�,� � COMMENTS: � W a o� i �i��/� f�s .�,5'd�� e." � 5 c� .,4 � C��'� L1 -E- J �l'�i��I',�i �E� '� �� .:J� �`(�� O in��J�, ..c; `` r�C� ��f�'�� .�� '%��t� W � Q � Z W � W � j GW �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � " �EORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor o site: Inspector. White Copyllnspector's File Canary CopylSite Notice � / D/A,T� �✓' TIME � CITY OF ORONO CALLED IN L ''v INSPECTION�OT� DO�� SCHEDULED �"� — ` ��U PERMIT NO. D! � � COMPLETED � s ADDRESS �Q�S �� 7'� �Y OWNER T EPHONE NO. l2 �9 .� CONTRACTOR i�S�� G��-to >; DESCRIPTION I�� `� �` �� 7`�'`� ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS � � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARO COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � W �r WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�B CORRECT WORK 8 PROCEED '-' ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next in�ection 24 hours in advance. (952� 249-4600 OwnerlContractor�n •' Inspector. �u' i White Copylinspector's File Canary CopylSite Notice �`� �e�— - _ � DAT TIME CITY OF ORONO CALLED N�./ � ��-� INSPECTION yOTJ��97 scH��iL�1�� _�� PERMIT NO�1�� CO LETED ADDRESS l �� OWNER TEL HON NO�� -7b�/ 7i� CONTRACTOR Q�< >: DESCRIPTION � lt� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a , j _ , (� �� . � � �) t �� ;` I �; c,�� O , � � � C` < < C - ] t O � ti � Q � Z W � W � j d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: , �-� � Inspector. � � ' y �� White Copyllnspector's File Canary CopylSite Notice � D E TIME , / CITY O ORONO CALLED IN v INSPECTION NOTICE SCHEDULED � PERMIT N � �/D-GY,�IrIC PLETED ADDRESS �� OWNER E HO E 0.5��-��/_� CONTRACTO �; DESCRIPTION � ❑ FOOTING �PLUMBING FINAL ❑ EXCAV/ R DING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKES E/WETLANDS y ❑ FRAMING �LECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENT � I--��/? ' � � 0!l 4/ ' oi.,� '�1��'� 3 f�S �c�; �c��✓ c�P�S h� � _ �I ti �e�S � �3�z �'l�-�4�K�d � �"�^� �''�� ./-4� �i �'.l' /Lc.Kf J'� f3 e �L ��s�c�cr� -T-.J Q .�lo� �' ��a�.�-�g .��.�vs � ti�.� � � � z W � i �� ''�N A i 1'�Q �� F��t,p�4 I l a W ❑ PLETE � ❑CORRECT WORK&PROCEED � C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on sit� Inspector. r� White Copyllnspector's File Canary CopylSite Notice � �� Q� TIME � CITY OF ORONO sy ' cALLED IN � INSPECTION NOTICE SCHEDULED /�/ =�� PERMIT NO � � C PLETEDJ ` ADDRESS OWNER � T P E NO.��J��O'�I' �� CONTRACTOR a DESCRIPTION � 5 � t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANfCAL RI ❑ LAKESHORE/WETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o L �� n �� 1 �.� ,�Ve � c� zc' �v� F�� -r � � �-T-r ,�S _� '� J3 ' �"'`� � - -k�� 0 � Q � , c.: � �P �' �-�{ C �� V J�.� 'f- �� ''_S � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED !� ISSUE CERTIFICATE OF OCCUPANCY W � 1�60RRECT WORK,CALL FOR REINSPECTION TEMPORARY U PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �!� �� ;a S White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS I � (,�.� i�1d�L.�Y�,� � �`�u OWNER TELEPHONE NO. CONTRACTOR >; DESCRIPTION —�(�X..- l.--�..1 . � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � � � �� z ` o � - '�S�t,(�-� � o � � '�'� i�-. W � Q � � - ��- z W � W .�^ . j �.;, ). � �� `1 _J- .S SlJ-� � � � S C� � � � ��W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED �/�ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION / ` TEMPORARY V BEFORECOVERING PERMANE ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. —��ll,�� "�"�;�.� White Copyllnspector's File Canary CopylSite Notice