HomeMy WebLinkAbout2013-00294 - new structure • CITY OF ORONO * Z 0 1 3 - 0 0 2 9 4 *
2750 KELLEY PARKWAY DATE ISSUED: OS/20/2013
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3210 GRAHAM HILL RD
PIN : OS-117-23-11-0009
LEGAL DESC : GRAHAM HILL PRESERVE-2
: LOT 1 BLOCK 2
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : ]O1-SINGLE FAMILY HOUSES, DETACHED
VALUATION : $ 964,800.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,LAWN IRRIGATION, WELL(STATE),
ELEC'lRICAL(STATE)
NOTE: A FOUNDATION SURVF.Y REQUIRED PRIOR TO FRAMING INSPECTION. INITIAL:�
NOTE: CITY APPROVAL OF AN AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF CUPANCY ISSUANCE. INITIA�
' (J
NOTE: BE AWARF.,,IN THE EVENT WEATHER OR OTEiER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY A"I'
THE TIME THG CF,RTIFICATE OF OCCUPANCY IS REQUEST�D,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED
UPON RE OF A$]0,000 ESCROW TO ENSURE COMPLETION OF Tf�E AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS.
INITIAL:
NOTE: ANY DISTURBANCE IN THE CONSERVATION EASEM�RAIRI�GRASS AREA)MUST BE RESTORED AND
REVEG�TATED PRIOR TO RELEASE OP ESCROW. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 5,781.75
CHARLES CUDD LLC PLAN REVIEW 16.25
15050 23RD AVENUE N
PLYMOUTH, MN 55447- STATE SURCHARGE(VALUATION) 482.40
O TOTAL 6,280.40
Minnesota State License#: 20635245
OWNER
MESENBURG, MATT& MICHELLE
2525 KELLER ROAD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work Yor which this permit is issued shall be performed according to
[he approved plans and specitications,applicahle 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 oflaws and ordinances goveming this type ot�work
shall be compied with whether or not specified herein.This permi[will
expire and become null and void iY construction authorired 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 e State Building Code.This permit may be
rev e a any time for due c
�2° //3 / /
Appl' ant Permitee Signature � Date Issued 13y Si nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB V .
� a , �
- CITY OF ORONO �j � �
BUILDING PERMIT APPLICATION i i�(�
FOR NEW STRUCTURES OR ADDITIONS �I
OA, Mailing Address: aQ�7, _�� C�
� (VO
PO Box 66 Permit number:
Crystal Bay, MN 55323-0066 Date received: �—��o /
Sfreet Address:� Received by: f� �
y G� 2750 Kelley Parkway Plan review fee: +� � 7 l� �Z3
`�t Orono, MN 55356
tt /
qk�'SHO � Total Fee: 3—��
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orcno.mn.us
This application form must be completed in full and all required information must be submitted. �� a5 ��
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: �,J�L
Will this be a Parade of Homes, Remodelers Showcase H me or ot er 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 ill be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Ex iration Date: l
Phone: ceil � . office
Mailing Address: Cit � ZIP:
Contact Person: Applicant is: Co trac or / Homeowner (Circle One)
Email and/or Fax: �nh��� �C�,�
PROPERTY OWNE INFOR TION:
Name:
Phone (day):
Address: Cit : ZIP:
Email and/or Fax
1
ARCHITECT/ENGINEER I FORMATION:
Name: ��„n �
Phone (day): � �1d7
Address: Cit ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro�ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
�ew Construction �ingle 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 also require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial �Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Othe�: (speCify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
�wwv.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ �Y'�, �
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= �� Number of bedrooms=�
� �Wood/Frame
b.Width (ft.)= ��� Number of garage stalls: ❑ Masonry
Areas in sauare feet Attached =� ❑ Metal
�'��) w ❑ Pole Bldg.
c. Basement= ���� vv Detached:� ❑ ICF
d. 15�Story = T�L1'l
❑ On-site Prefab
e. 2"d Story= 1
❑ Off-site Prefab
f. '/z Story = ���
❑ Other(please specify):
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclo ed 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
.SY ❑ Stormwater Pollution Prevention Plan
❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort ('em�
❑ -� Access Permit
❑ Wetland Buffer Im rovement Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
� ❑ Minnehaha Creek Watershed District Permit s
� ❑ 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 ciassified 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. Confldential 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: Date: �/'�l���`��
Owner's Signature: Date: _ �����I �
'` PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
A�dresslPermit Number: ,�Z� � V��A1-��►� r-1 i �-� ���
Description of work: (��� �-v �S
I �
Septic review by: Date Approved: ' 1.
Zoning review by: '� " Date Approved:��i� .�f �
Building review by: --� Date Approved: 5 '`I - �� _�
Grading review by: 'n' f'' Date Approved: 'S" �� �
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: 3•3� SF/AC Width: Lot Coverage: (�1� SF _%
Survey Submitted: �es 0 No Date of Survey: � �'�3 Revised date(?):
Pro osed Setbacks:
Front( e) Rear( eet) � N S E �) ( N S� W ) Other Buildings Wetland
Side Si e
� 7 ' Z-45' �4
Defined Height: , / eak Height: !�•�FFE:�� ..�F€mi�us 6 feet= (Existing Contour)
Perimeter(linear y'1 �`( 50% _ � �`"( ��� #of Storie �Ok? S
�C�'��� �
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:
�� The distance between the lowest UILDING ON A SLAB FOUNDATION:
TART WITH proposed floor(of the basement or crawl
space)and the highest point of the roof. START WITH The distance between the top of slab and
If you have a.., the highest point of the roof.
If you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): Subtract half the distance
/ ( distance between the highest point between the highest point of the rooi
of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
� (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of the between the top of the highest
highest window and the highest window and the highest point of the
point of the roof raof
• ALL OTHER ROOF TYPES(flat,
• ALL OTHER ROOF TYPES(flat,
mansard,etc):No subtrection. mansard,etc:No subtraction.
ADDITION Add the distance between the top of slab
� SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to
� (BASED ON I Mpc; basemenUcrawl space floor and the EXISTING the foundation.
GRADES) ���� highest existing grade adjacent to the GRADES
v foundation OR 10 feet(whichever is less). EQUALS Defined building height
EQUALS Defined building height
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff
Yes ❑ No 0 N/A 0 Yes o
0 Yes �0 0 Yes ❑ No �A
/ Permit Number: ' - � Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overla District Tier Hardcover Hardcover
� ❑ Yes 0 No 0 Yes ❑ No
�` Type(s): Type(s):
1 �
Updated: January 2013
v:lformslplan review checklist 2013.docx
. t
REMARKS (in-house):
Fees to be Charged YES NO
Permit' ;/
Plan Review ✓
State Surcharge< -
Investigation Fee v''
SAC—Number of SAC Units �/"
Other(specify)
Square Foota e $per Square Footage
Basement X = $
1S`Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ °��O`��`�'��L��
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site �'Plumbing � Grading / Filling �Well
0 Hardcover Removal Mechanical 0 Fire �lectrical
�'Footing �" Septic ❑ Water Connection
�'Poured Wall �' Fireplace � Sewer Connection
�" Foundation Survey 0 Masonry �Lawn Irrigation
�Q Radon Rock Bed �Mfg. �
� Framing 0 Other(specify)
,� Insulation
,� As-Built Survey
�' Final
0 Wetland Buffer
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: ❑ YES 0 NO New: � YES � NO
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
I�.� : C�. V�_
�
n
- �d��
Updated: January 2013
v:\forms\plan review checklist 2013.docx
Christine Mattson
From: Christine Mattson
Sent: Friday, May 17, 2013 3:37 PM
To: 'John Sonnek'
Cc: Melanie Curtis
Subject: 3210 Graham Hill Rd /#2013-00294
Attachments: Escrow Agreement- Building Permit w Erosion Control 2013-00294.pdf
John,
The building permit for 3210 Graham Hill Rd is ready to be issued. Please note,the escrow agreement submitted with
the building permit application for 3210 Graham Hill Road contained incorrect property owner information etc. Please
see the attached correct escrow agreement for the above mentioned project. Please have the property owners print
and sign the attached escrow agreement. The permit will be issued upon receipt of the revised, signed escrow
agreement.
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
`d 952.249.4620 8 952.249.4616
� cmattson@ci.orono.mn.us � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
1
BUILDING PERMIT ESCROW AGREEMENT
� Orono Building Permit#2013-00294
AGREEMENT made this day of , 20_, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") Matt& Michelle Mesenburg ("Owners").
Recitals
1. A building permit application has been filed for a new principal structure and detached structure
located at 3210 Graham Hill Road the ("Subject Property"), legally described as Lot 1, Block 2, Graham Hill
Preserve, Hennepin County Minnesota.
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 #2013-00294 if compliance with the
approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owners when the review has been completed and written notification is received from the Owners requesting the
funds.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CITY OF ORONO OWNER:
By:
Its:
Internal Use Only: �Original to Planning �Copy to Property Owner �Copy to Street File
:
WAT�R RI;SOURC�P�R'�TIT APPLICATION—COMB1Ni;D.70INT�tOTIFICA�'ION I'OR11�I
Use this fonn;o notify/apply to the A4iunehaha Creek\Vatershed District(MC1VD),ti�eir enguieering consultAnts,aua the D\TR of a
proposed project or work tivhich may fall with[n thair jurisdietion.These egencies siioutd 2dvisa you ofil�eir jurisdiction orpermit
requirements tivithui 10 day�.Fi(!out this form con�plctcly uid n�ail�vitli your sita plan,maps,etc.,.to tlie�4C1'JD,!3202�Qim;etonkn
Haulevard,Deephaven,NIN 55391.Keep a copy for}�our rccords.
YOU MUST OBTAIN AT,L REQiJIRED AI3THORTZATIO1�tS BF.FORE BEGL'�NIIti�G tVORK,
1.Pi•operty O�vtierNante(First,Last): f�l� W /1'�,¢.SCYi W�
Mailing Address: �y�5' ��ev (�oad _City;�o,� L� State:�_ Zip: ejS3�
Email Address:ma m L'Gal �w o . Phoi�e: Fax:
2.Location ofproposed project(Atta i map vrtli d'rections to site):
ProjectAddress: 32ro Gvah�w• 1-��I� le� City:_ O✓'ono
County:_ eHn Qh�Seciion(s): Section(sa: To�vnship(s); Ra�i�e(s):
I31ock• Z SUVd1VISl0I1: rahav►�1-1-1�H^�vw2 PID: os- l� 7-Z3-ll-
Lot: i , Q�
_. _ _------_ _.__ _
3.Size ofsite: /�F6,76 Ai•ea of disturba�ice: square feet,or acres
Volume ofexcavation(or fill}: 7�FZ cuUic yards Le�igtl�ofshoreline af�ected: N/�4 feet
A�ea of existing impervious surface: N f�- __ Area ofpi•oposed impervious surface: 9Z/o
4.Typa of permit being applied for(Check all tt�at apply):
� EROSION CONTROL 0�VJs"PLAND ALTERA'TION
E� STORMI'VATER MAAtAGEMENT ��VATEItBOAY CROSSIIYU
�-J FLOODPLAIN ALTERATION �SHORELINE/STREAMBANK II��ROVEMLNTS �
� DRBDGING
� OTI-IER DBSCI�IBE}:
5.Project Purposa(Check all that a 1 !
Pp Y)�
� STNGLE FAVIII,Y HOME j�MULTI FAMILY RESIDENTFAL HOUSING(apa�tments,eta} �
- COMMERCIAI,CONSTRUCTION �INSTITUTIONAL CONSTRUCTION(cliurclles,scltools,ete.) �
� ROAD CONSTRUCI'ION []SUBDNISIONS(include number of lots) '
� t3TiLITIES �LANDSCAPI�vG(poots,bernis,etc,) !
� DREDGII�TG 0 SHOREL�'E STABILIZATION(lakescaping,bioe�3giiteering) i
�] OTHER ESCRIDE :
6.NPD$S/SDS Ge�tei�al Storni�vater Pei•mit�ium6er(if a licable): N/�l __ _ �
7.Altematives(Describe any other sites or methods diat could ba used to avoid or minimize impacts to tvater
bodies to achieve t}te project puiposed.Attach additional sheet ifne2ded.) ;
N A i
_- --- ,
8.Project'Timclnic: Sfart Datc: �'Vl a 20�3 Completion Date;_ aec, zor3
9.Applicants Representativo(7,'censed conti�acior,engineer,etc.,.) / f J
BusiitessName: Ch� .�5_,__� I�ovo �.Represeirtativel`Ta�ne: ��wt L� L[SVe �
Business Address: �So 5� 2,3 ALe. itl City:__ f�( rno,Jf'�• SEate: MI�(Zip; Sr,�{y 7 '
Email Addi�ss: '�rn r C� c hart¢s c�dd•ccw, Phoiie: �012� S4-t�39 Fax; ��2-loo�f-�2 39 �
- -- — ._.
10.Names and a resses of'adj qining properiy owners(Attaclt list ifnecessary): ';
ciec �4�(ac ha� ��- �
Pennits have been applied:Ci[y__�_County 0 MN Pollution Controt Agency�_Di�IR_„�(" CQB�
Permits I�ave been received:City Cl County � MN Pollution Cont�nl Agenc � DNR I� COB �J
I hereby notify the recipienls of this form ofthe project proposed hecein and request I be advised ofany permits or otlier
determ'viations concerning i�. roject that I niust obtain,I understand thatproceeding with work before all requireti authorizalions
are obt�i d may be��bjeJ to�ederai,State ancVor tocal adnwiistrati��e,civil and/or criminal penalCes.
_ � �,� J ti
x a `� 1
Si i ture fPropert Owner Date
�
Page 1 of2
���s��RucTrovs-Y�,rnsr;uran r..au�rut,�,y
A copy ofti�is form,���iih copies of all plans,dra�vings,e(e...may nced to be sent to an ageircy;ndicated below...Ple��se check
ihe appropriafe spaces be'.otv to show eve�ywhere yo�t are sending this form.Re��iember to Eceep a copy for your records. ,
���JI�NESOTA POLLUfION CQNTROL AGE�ICY(�IPCA)for NPllES phase IT permik �
�_The LOCr�I,GOVEI2��I1�fENT�V�U1�'[T{LGU},city,couttty or�vater management organizat[ai
�MIi�NESOTA DEPr1l2'I'MENT OF NATUR�'1L R�SOURCLS{V1ll�IR)Regional O�ic�
�US ARI�4Y CORPS OP Eti'GNEGRS(ACOE}at Dept,of the Anuy,Co�ps of Gngineers,St.Paul DishiM
ATTN:CQ-R,190 Pifth St.East,St.Paul,�L�I SSI01-1638
\Totc:The aboveA�encies ntay provide a oopy of pour conzpleted form to the h•finnesotA P�ilution Control Agency(b�II'CA).
iv�'CA tvater qua(ity requirements may apply to your propose�i project.
ATTENTIOiV ffro�i�USDA)�tUiy activity including drainage,dredging,filliug,leveling or other mar,ipufations,including
maintenance;may affect a Iand usei's eligibiliry for USDA benefits under the 1985 Pood Secw�ity Act as amended.Check���iUi
your loeal USDA oftice to request and compiete Fom�AD-1026 p3•ior to initiating activity,
Application is he�'eby made for a pemiit to authorize Uie activities described herein.I certify t12at I am famifiac with MC1VD
Ruies and that tho proposeci activity�vi11_Ue conducted in compliance with these Rule�.I ant familiar wittt tlte information
coniained in this application and,fo the best of nry knowledge and belief,afl infamatton is tnie,complete and accurate.I
fiirther certify that I possess the authority to undertake the proposecl acfivity or I ant actitig as the diily authorized age�t oftne
applicant.
,
,% n ���
K �I �� � 1 x Z- � Z� l3 ;
Si n hueofA �� -- --�
g pphc�ant Prop yOn��er) Date Sigua �raofAgent Date
NOT�:Thc appliration must be signed by the prope�fy o�Fner wiierathe proposed activity is to occur.The application ntay be
signed by a dufy authorized agent if a letter bearing!he origu�al stgnahne ofthe prope�ty onner is submitted stating that thc
agent nofed in the pe�mit application is the authorized agent ofthe lando�nier for all mattcis relating to the permit.Please
provide authorized agent inforn�ation belotiv:
Agent'sName&Title:^ V/� C-�(l�LV2 rv tc7 M_. �_►.�i�r __
Ageitt's Address: /SOS(7 Z�� � l�4.
___ - --- i
i
Agent'sTelephor,e: �o( (Z} 359— 1739 I
i
I
18 U.S.G Section 1001 provides that:�Uhoever,in a�iy ma�aiea•�viihin jurisdiction ofany degarime�it or agency of ttte linited
States knowingiy and willfi�lly fafsifics,conccals or covers up by any Uick,scheme,or device a materia(fact or makes any
false,fictitious or fraudulent statements or representations or�nake�or uses any false�vriting document knowing same lo
contain any false,fictittous,or&audulent statement or entry,s}�all be fiited not ntore than�l0,OG0 or imprisoned not more thail
five ycars,o�•botn.
;
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Page 2 of 2 f
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Minnesota State Energy Code Calculations and Mechanical Code Requirements Form �
Additional copies can be found by going to: http://www.dli.mn.gov/CCLD/PDF/sbc 1322 cert.pdf
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Page 19 of 23
2013 Standardized Concrete Foundation Drawin�ps
Scope of Work:
These drawings apply to the construction of cast-in-place concrete foundation walls for typical residential cases.
These drawings are not to scale and all conditions are to be verified by the contractor. Means and methods of
construction for shoring,water-proofing, insulation,flashing, control and construction joints,and all other non-
structural requirements are to be by others in accordance with the Code and standard industry practice. These
drawings are valid until the end of 2013.
The drawings are to only be used by the contractor noted below or his authorized sub-contractors/clients. These
drawings are to be provided to the building inspection department as part of the permit package.
Index:
S1 -Scope, Index, and Certification
S2-General Notes
S3-Step Footing Detail
S4-Frost Wall Detail
S5-Lookout Wall Detail
S6-Full Height Wall Detail
Materials:
Reinforcing Steel: Grade 40(40 ksi)for#4 and smaller bars
Grade 60(60 ksi)for#5 bars and larger
Rebar Substitution Notes:
1. Two#4's bundled may be used to substitute(1)#6 and vice versa provided they are of the same grade steel.
2. For vertical bars on S6,#5's may be used in lieu of#6's at two-thirds of the noted spacing.
Concrete: Mix design is to be prepared by the concrete supplier to meet the project's requirements
Minimum 28 day compressive strength of 3000 psi
Backfill Sofl: Sand-30 psf/ft effective lateral pressure
Sandy Clay(SC)-45 psf/ft effective lateral pressure
Clay-60 psf/ft effective lateral pressure
I hereby certify that this plan,specification,or
Site Add�eSs: report was prepared by me or under my direct
supervision and that I am a duly licensed
Street: professional engineer under the laws of the state
of Minnesota.
CitY� _�/L�Y_I�Vi M� ' �,�_GS�_��
State: MN Zip: Craig Oswell,PE(MN#4234�)
�
1213/20'I 2
Oswell Engineering and Consulting, L.L.C. 1901 E Hennepin Ave,#201 e,�<w�` ,��•• :_
Project Name: 2013 Standardized Concrete Foundation Drawings Minneapolis, MN 55413 �
�
Description: Scope of Work, Index, and Certification Phone:612-720-4639 `
..'. `-�
Project# 12.100 Fax:612-886-2966 ' `{
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Client Name: Charles Cudd De Novo, LLC www.oswellec.com
Client Address: 15050 23rd Ave N, PI mouth, MN 55447 Page S1 of S6 „V`'� ''_.�, a
General Notes:
1. Wall thicknesses noted are nominal unless specifically stated otherwise. Maximum tolerance is 112".
2. Maximum wall to footing centerline offset is 2". A minimum of 2"of footing is to extend on each side of the wall.
3. Place matching hooks around all wall corners and intersections for each horizontal bar.
4. Horizontal bars may be placed anywhere within the wall thickness provided 2"minimum cover is provided.
5. Bar laps when required are to be at least 32 diameters for grade 40 bars and 48 diameters for grade 60 bars.
6. Allowable bar placement tolerance is 1/2". Tying is not required if tolerances are met and maintained.
7. Dowels may be drilled and installed afterfooting pour unless otherwise noted. Vertical bars may be embedded
into footing in place of dowels at the same embedment. Vertical bars and dowels do not need to align. Dowels
may be bent down for safety and covering then bent back before wall placement.
8. Sill plate sections require at least two anchors with one within 4"to 12"of each end and at all corners and
intersections. Walls less than 24" in length require only one anchor.
9. Anchor bolts 112"or larger in diameter do not require corrosion protection per IRC section R319.3 exception 1.
10. Anchor bolts may be substituted with 112"diameter threaded rod epoxy grouted at same spacing with 7" embed.
11. The presence of form oil on the reinforcing is acceptable for the conditions contained in these drawings.
12. Slope grade 6" minimum downward away from foundations within first 10 feet or provide Code adequate swale.
13. Do not backfill until the concrete has reached at least 70 percent of the 28 day concrete strength. Use of
adequate shoring is required when the final floor and slab systems are not in place.
Cold Weather Guidelines:
The following information is considered to be general guidelines for the placement of concrete in cold weather
conditions. It is the contractor's responsibility to ensure proper means and methods are followed and that the final
in place product is adequate.
1. The contractor is to work with the concrete supplier to obtain a mix design which accounts for the conditions
expected. Use of extra cement, early-strength concrete,and accelerators are recommended at temperatures
below 20 degrees F.
2. Concrete is to be delivered to the site in a timely manner.
3. Placement of concrete earlier in the day to take advantage of latent heat of sunlight is adviced.
4. Do not add additional water. Using water-reducing admixtures is recommended when required.
5. Forms are to be free of snow and ice. Do not place concrete in contact with frozen ground ,snow,or ice.
6. Preheating of rebar is not required, however it is to be free of frost,snow,and ice.
7. Use of form blankets or other approved protection is highly recommended for the top of the wall at temperatures
below 10 degrees F and for the whole wall when below zero degrees F.
Oswell Engineering and Consulting, L.L.C. 1901 E Hennepin Ave,#201 ���" x�w;.�' :�..
Project Name: 2013 Standardized Concrete Foundation Drawings Minneapolis, MN 55413 •p
�
Description: General Notes Phone: 612-720-4639 '�
Project# 12.100 Fax:612-886-2966 � ,`�
Client Name: Charles Cudd De Novo, LLC www.oswellec.com
Client Address: 15050 23rd Ave N, PI mouth, MN 55447 Page S2 of S6 ' ; � .`.
1213/2012
Adjacent steps are to be placed
no closer to either side of the
beam section than twice the
height of the largest step
6'-0"maximum ste
(beam section) Optional control joint each end of
beam section by others
/ (2)bundled#4 horizontal bars top
y/ &bottom w/3"min clearance
'�� extended at least 24"minimum
� � �, beyond each end of beam section
� ; �I 1
; Maximum applied actual , �.
I load=4000 plf uniform or I E ��.: 6"minimum thick cast-in-place
12,000 pound � concrete foundation wall
� concentrated � N,
I I "''
��
�
� HIGH FOOTING
I
I
�-------�
/��E�______._ --- High footing should be placed at 1-
� to-1 (45 degree) line,if footing is
�� closer to step than this line, place
LOW FOOTING ���/ rebar as if it was at this line as
� shown
;�
�
FOOTING STEP DETAIL
Oswell Engineering and Consulting,L.L.C. 1901 E Hennepin Ave,#201 - �� :�
Project Name: 2013 Standardized Concrete Foundation Drawings Minneapolis,MN 55413 �
Description: Step Footing Detail Phone:612-720-4639 �
�
Project# 12.100 Fax:612-886-2966 4� ',
Client Name: Charles Cudd De Novo, LLC www.oswellec.com *'
Client Address: 15050 23rd Ave N,PI mouth, MN 55447 Page S3 of S6 ` . , •
12/3/2012
Wall framing by others Sill plate by others wl 1/2"
diameter anchor bolts wl 7"
minimum embed&standard
washers @ 72"o.c. max or
equivalent metal strap
` anchors
_ Maximum stem height is 12"
(width to match sill plate)
6"Min
6"minimum thick cast-in- �,.,_
place concrete wall w/
optional slab ledge (1)#4 continuous horizontal
bar wlin 18"of top of wall
�
. �,t°:
'.,;x
Provide frost protection per
Code
#4 x 2'-0"long dowels @ 72"
o.c. max w/5"minimum embed -
(dowels are not required if wail 8"minimum thick
is backfilled in equal unreinforced concrete strip
alternating lifts not exceeding footing,required width to be
24"in height) determined per Code by
others
WALKOUT/ SLAB-ON-GRADE FROST WALL DETAIL
Note: Maximum unbalanced fill height may be up to 36"provided the wall is at least 8"thick
Oswell Engineering and Consulting,L.L.C. 1901 E Hennepin Ave,#201 a :_ .
Project Name: 2013 Standardized Concrete Foundation Drawings Minneapolis,MN 55413
Oescription: Frost Wall Detail Phone:612-720-4639 �`
Project# 12.100 Fax:612-886-2966
:' '�
Client Name: Charles Cudd De Novo,LLC www.oswellec.com � '.
Client Address: 15050 23rd Ave N, Plymouth,MN 55447 Page S4 of S6 ``� •'
121312012
Sill plate by others w/112"
Wall framing by others diameter anchor bolts wl 7"
�—"'— minimum embed&standard
washers @ 72"o.c.max or
equivalent metal strap
anchors
�6"Min
6"minimum thick cast-in-
�;
place concrete lookout -��t� (1)#4 continuous horizontal
wall x �`��' • �'��I bar w/in 18"of top of wall
m
E �
.
.
0o s,
M Footing elevation may vary
below slab,provide frost
#4 x 2'-0"long centered protection per Code
dowels wl 5"minimum -' -'
embed wet set or epoxy �' 8"thick x 18"wide minimum
grouted in place unreinforced concrete strip
,�-" footing(16"wide minimum
for maximum unbalanced
6"wall spacin� grade of 2'-6"or less),larger
36"o.c.max for sand, footing width may be
30"o.c.max for SC,& required for specific soil
24"o.c.max for clay bearing conditions to be
determined per Code by
S"+wall spacin� others
aa��o.c.max for sand, LOOKOUT WALL DETAIL
42"o.c.max for SC,&
36"o.c.max for clay
Oswell Engineering and Consulting,L.L.C. 1901 E Hennepin Ave,#201 � - �- :
�.;;'
Project Name: 2013 Standardized Concrete Foundation Drawings Minneapolis,MN 55413
Description: Lookout Wall Detail Phone:612-720-4639
Project# 12.100 Fax:612-886-2966 �
Client Name: Charles Cudd De Novo,LLC www.oswellec.com
Client Address: 15050 23rd Ave N,PI mouth,MN 55447 Page S5 of S6 ' ��" '
12/312012
Wood floor&wall framing by others
Connection of floor � � � �
members to sill plate to 2x6 minimum sill plate w/1l2"diameter
be per Code by others anchor bolts w/7"minimum embed&2"
� wide x 1/S"thick square or round
countersunk washers or alternative
anchor(Anchor bolt clearance between
• edge of both wall and sill plate is to be
� � 6"Min 2.5")(see table below for spacing)
Exterior top of wall may - ; _�r I
have a brick ledge '
provided the stem wall !
formed is at least 6"thick
&no more than 16"high
i
i
; ,
`�_�-Continuous#4 hori2ontal bars,provide
L ' - - at least(2)@ 8'-0"clear,(3)@ 9'-0"
a� ;
'� : �` clear,&(4)@ 10'-0"clear,At
_ ` contractor's option: The lowest wall
� ; horizontal bar may be omitted if(2)#4
c� � continuous horizontal bars are placed in
} the footing
Cast-in-place concrete ��
foundation wall wl#6 or ' #4 x 2'-0"long dowels @ 72"o.c.max w/
equivalent vertical bars ,�—�—_ 5"minimum embed
placed 1.5"from inside �
face,see table below for
spacing
y.
8"minimum thick unreinforced concrete
strip footing,required width to be
determined per Code by others
Footing elevation may
vary below slab
BASEMENT WALL DETAIL
Clear Height and Soil Type Table Notes:
Nominal g� g� �p� (1)= Unreinforced if concrete is 4000 psi or if
Wall clear height is 4"less
Thickness Sand SC Clay Sand SC Clay Sand SC Clay
Vertical Rebar Spacing (2)= Unreinforced if concrete is 5000 psi or if
8" NA NA 36"(1) NA 36"(2) 36" 36"(�) 36" 24" clear height is 4"less
10" NA NA NA NA NA 36"(1) NA 36"(1) 36"
12" NA NA NA NA NA NA NA NA NA Allowed alternate anchors a�e:
Sill Anchor Spacing MAB/ST,MASA/FA3,FWAZ,or 1/2"diameter
Bolts 72" 72" 48" 72" 48" 36" 60" 36" 2q�� expansion bolts w/6"min embed(install in
accordance with the manufacturer's
Alternate 48" 24" �8" 36" �8" �2" 24" 12" a" recommendations)
Oswell Engineering and Consulting,L.L.C. 1901 E Hennepin Ave,#201 ...'�a,�,+�` >•
Project Name: 20'13 Standardized Concrete Foundation Drawings Minneapolis,MN 55413 �'
' ," '-
Description: Full Height Wall Detail Phone:612-720-4639 `
Y+';
Project# 12.100 Fax:612-886-2966 �'.
Client Name: Charles Cudd De Novo,LLC www.oswellec.com
Client Address: 15050 23rd Ave N,PI mouth,MN 55447 Page Ss of S6
12I3I2012
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White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF nRONO CALLED IN
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White Copyllnspector's File Canary CopylSite Notice
�y`�� DATE TIME L /
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ia-S-i_� :30
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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White Copyflnspector's Flle Canary CopylSite Notice
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To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File ,,,�` ��� �J
Date: February 24, 2014 I' � ' �` �
. _,` '�i�
G/L: 101-22205 �
Re: Escrow Refund
Building Permit#2103-00294 pertaining to 3210 Graham Hill Road is complete. The as-built
survey was approved (by in-house staf� on December 3, 2013 and a Certificate of
Occupancy was issued one December 6, 2013. Please refund $2,500 to the property
owners, Matthew& Melissa Mesenburg.
The following is attached:
� Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Matthew& Melissa Mesenburg
3210 Graham Hill Road
Long Lake, MN 55356
w:�street files\graham hill road�3210\escrow refund memo 2013-00294.doc
BUILDING PERMIT ESCROW AGREEMENT
Orono Buitding Permit#2013-00294
AGREEMENT made this �� day of�a 20�, by and between the ClTY OF C�f20N0.
a Minnesota municipal corporation ("City") Matt&Michell Mesenburg {"Owners"}.
Recitais
1. A buiiding permit application has been filed for a new principai structure and detached structure
located at 3210 Graham Hill Road the ("Subject Property`), legaily described as Lot 1, Biock 2, Graham Hill
Preserve, Hennepin County Minnesota.
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 estabiishes 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
Rgreement, the Owners shall deposit 52.500 with the City. All accrued interest, if any, shail be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The p�rpose of the escrow is to guarantee reimbursement to the City
for ali out-of-pocket costs the City has incurred (including planning, engineering, in excess of S500, or legal
consultant review) or will incur in reviewing the pian. Eligibie expenses shaii be consistent with expenses the
Owners would be responsible for under a buiiding permit appiication. 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 compieted in
accordance with the Stormwater Poilution 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 (inciuding planning,
enginsering, or legal consultant review) associated with building permit #2013-00294 if compliance with the
approved buiiding permit is not accomplished.
3. MONTNI.Y BILLING. As the City receives consuitant biiis for incurred costs, the City will in tum
send a bili to the Owners. Owners shali be responsibie for payment to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the �wners do not make payment
to the City within the timeframe outlined in#3 above, shali issue a Stop Worfc Order until the Owners pay ali expenses
invoiced pursuant to #3. The Cify may draw from the escrow account without further approval of ths Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owners when the review has been completed and written notification is received from the Owners requesting the
funds.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners< or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shali have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY• CITY OF ORONO OWN
BY�1;U��4��t�C���---� ,,�
�ts: �� �—
r''1 a��i.,e.,,� �. �,�Q..�, �
Internal Use Only: 0 Original Ln P{anning G Copy to Property Owner G Copy to Str+Eet FHe
µ
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` CITY OF ORONO
�kZO 13 - 00Z 93 *
27�0 KELLEY PARKWAY DATE ISSUED: 04/26/2013
ORONO, MN 553�6-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3210 GRAHAM HILL RD
P1N : OS-117-23-11-0009
LEGAL DESC : GRAHAM HILL PRESERVE-2
: LOT 1 BLOCK 2
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTiON TYPE : ESCROW FEE-TIED TO BUILDING PERMI"I'
NOTE: THIS 52�00.00 ESCRO�'1S TIED"CO BUILDING PLRMIT 2013-00292-PD CHECK#7007
APPLICANT ESCROW FEE- BUILDING 2,500.00
MESENBURG, MATT&MICHELLE ESCROW FEE-EROSION CONTROL 0.00
2525 KELLER ROAD
LONG LAKE, MN 55356- ESCROW FEE-GRADING 0.00
TOTAL �.500.00
OWNER
MESENBURG, MATT&MICHELLE
2525 KELLER ROAD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work f��r ti�hich this permit is issued shall be performed accordin�to
the approved plans and specifications.applicablc City approvals,and the
State Buildine 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 oY laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construct�on authorized is not
commenced within 180 davs of the date of issuance,or it�construction is
suspended for a period of 180 daVs at any time after wark 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 an��time for due cause.
/ / / /
Applicant Permitee Signature Date Issued B}� Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
_ . _ _ _ - _ ._, ,. 1 _�_ � I��
�A'-Permit ___ . __ . �l�_� i�l
..._i H , ► ►I � � .�.J P'� �J �! o•M � �.
P�rfntt i�: 2013-OU294 �._ ,��..-_-.
r' _ .!: • ,. __
Pertnit Address: 321U Graham Hili Rd r- �'c _ ,,.
r Pertnit Issue � Parcel Issue
Generol� Fees Inspections{10��Notes j Aoalicant Deteil�CO Detail�
Seq Inspection T pe Inspector Date Status H Fee Rec
� � -... - - . : i �
� 2 Footing WGIB 5128120'I3iP Y,0
__ _ _ _ ___
� 3 Pouretl Wall WGIB 5f30120t3'P Y D
� 4 Foundation Survey B/d Framing WGIB bf13720�t3�P Y D
� 5 Framing LOMA 6119,`20'I3 P Ip !
� __
�6 fnsulation WGB Bf23J20t3'P Y 10 r
__.__
� 7 Escrow Refund RequQsted '
�8 Escrow Refuntletl
.
�19 Final WGB t215120't3 P Y 0
_ _.. __._
� 10 As-Buitt Survey . LOMA 1213120�t3iP 0
►• X
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