HomeMy WebLinkAbout2016-01153 - addition - front & rear steps CITY OF ORONO * z 0 1 6 - 0 1 1 5 3 *
� ' 2750 KELLEY PARKWAY DATE [SSUED: 09/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1035 HERITAGE LA
PIN : 10-117-23-13-0009
LEGAL DESC : FOXHILL
: LOT 003 BLOCK 002
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FRONT/REAR STEPS TO HOME
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 6,282.00
NOTE: ALL DISTURBED SOILS MUS7'BE ESTABLISHED WITH VEGITATION AND A FINAL INSPECTION COMPLETED. INITIAL:
-��
NOTE:CONTACT THE MCWD TO SEE IF YOUR PROJECT REQU[RES A PERMIT. INITIAL: ('S
APPLICANT PERMIT FEE SCHEDULE 154.85
PLAN REVIEW 100.65
SHIMOTA PROJECT MANAGEMENT STATE SURCHARGE(VALUATION) 3.14
5727 FRONTENAC CIRCLE
LONSDALE, MN 55046- TOTAL 258.64
(651)387-3297 Payment(s)
Minnesota State License#: BUIL-BC637001 CHECK 11487 258.64
OWNER
FRITZ,JEFF&ELLEN
1035 HERITAGE LA
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Quilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buiiding Code.This permit may be
revoked at any time for dpe cause.
i� !� � ,)I �(� /�C' ;� ���� �l�l / ��__
Applicant Permit ignature ate Issued By � nature Date
1�� `� �Sg . ta�- City of Orono �,� �,
� ' Buildin Permit A�` lic�� , - ��'OIM.�.3
J pp -
far New Structures or Additions
�0 A T �g � Mailing Address: � ����� .�..�..�.b.� �' __O�� /'_
Permi num er: �Q
`VQ Crystal Bay, MN 55323-0 6 Date received: � �l"�L
StreetAddress:' Rec '
�,� ,� 2750 Kelley Parkway � Pla re i w fe : Q�C'I��'�1��
�` Orono, MN 55356 G/�..,
!�k@SH04� Main: 952-249-4600 T ee: 9D� < V
Fax: 952-249-4616 �n�ww.ci.orono.mn.us
This application form must be completed in full and all required information must su mitt .
Incomplete applications will be returned. (Please print) ���„�M
GENERAL INFORMATION: �/y�S�'
Job Site Address: jm 3 � j-� y 7 �� L (,,�
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 Ciry 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/APP, ICANT INFOJ,2M�4TION:
Name: S �►,, ��q �i � C�r Mu.,w e
State License# (� 3 Expiration Date: ��
Phone: cell !� � - � r office
Mailing Address: ,s�a � /_�o ,�c-n C:-c/ Cit : �,., s �/� ZIP: .$'��G(„
Contact Person: C , Applicant is: Contrac o / Homeowner (Circle One)
Email andbr Fax: S M � „ , �v w�
PROPERTY OWNER INFORMATION:
Name: ����� Frrtz
Phone (day):
Address: /o�� /��� r��y r� C,� City: '1��y Z�-�-r+ ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION: �J
Name:
Phone (day):
Address: � Cit : ZIP:
Email and/or Fax:
ARCHITECT/ ENGINEER INFORMATION: 1Z �
Name: �
Phone (day):
Address: Cit : ZIP:
Email and/or Fax:
PROJECT INFORMATI : Des � ion of project:
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
Water Supply
❑ New Constructio ❑ Single Family with ❑ Accessory Bldg./Garage
Addition attached garage ❑ Deck ❑ Public Sewer
❑ Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation �J� detached garage ❑ Residence ❑ Septic
�] Other: (specify) . :ll- ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Compliance certificate
� ❑ Public 4-feet or greater may be required)
**Any earth movement may require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Public Water
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑ Other(speCify)
15320 Minnetonka Blvd; Minnetonka,MN 55345 ❑ Private Well
Phone: 952-471-0590 / Fax: 952-471-0682
www.minnehahacreek.orc
Estimated Construction Valuation (excluding land) $ �S�o�.. .—
�
Packet Last Updated: January 2016 ���
Page 21
STRUCTURE INFORMATION:
,.. ,,, 1.;Structure DimeAsions. r � . , 1. Stt-ucCure Dimensions (continued)
�� ,�' a. Length (ft.)= ���t�� � � . Number of bedrooms= 2. Occupancy: �C`��
. .
b.Width(ft.)= � Number of garage stalls:
. , ,r . ' - 3. Occupant Load:
= Areas in sQuare feet � Atta�hed= '� ± �`+@� r'��:
�
��,
c. Basernent= Detached = • 4. Type of Construcion: � �
d. 15f$tory�= •
' `e. 2�d Story= ' �.: :k; w ; ° 'w. t '' 5. Code Edition: 20�� �/I �j G
• • ., � , ;;��
f. '/2 Story = �; �_
, �� � . . , . ,
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
� ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements
❑ ❑ Hardcover Calculations
❑ ❑ Se tic S stem Certification
� ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ ❑ Landsca e Walls and/or Retainin Wall Plans
❑ ❑ Landsca e Plan
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
❑ ❑ Data Privac Adviso Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Department;
r
• 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,signedi , �
• Understands some or all of the information that you are asked to:prnvide on this application is ciassified by State law as either
private or confidential. Private data is information which generally canno�be given to the public but can be given to the subject of
the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Ce�tificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued up�on receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements. •
ApplicanYs Signature: Date: ° 3 � �G+
Owner's Signature: Date:
- �� w r-,. ,�� r %� '. .u� :.
Pac�et Last Upd�ated.��Janua'ry 2016
; :.� Page 22 �
�.�
�
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: � Permit No.: ��' �t��
Description of work: t� Date Rec'd: ���'��
Septic review by: ��('! �"— 1f v CN` Date Approved: —""��
Zoning review by: Date Approved: � ' �"! ' l �C/
Building review by: Date Approved: �� �
Grading review by:__ �I�'" Date Approved: `—
Zoning District: �� �1'' Zoning File#: Reso#: Reso Date:
Zoning: Lot Area:��SF/AC Width: Lot Coverage: ���L� SF (���(�%
Survey Submitted: �"Yes 0 No Date of Survey: 1•�0 ' �c� Revised date(?):
/
Landscape plan submitted? � Yes �No Landscaper:
� �.
Proposed Setbacks:
30 3b
Front(�,erk'e Rear(S�et)�D ( N S� E W ) ( N S E W�) Other Buildings Wetlan
Sid� Side �
� � ��i
__—
Defined Height: Peak Height: FFE:� s ee = xis ing o
imeter(li et) = 50% _ . . e o ade
sement? s � o, tories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade—
START WITH floor(of the basement or crawl space)and measure from hiphest existina
the highest point of the roof. START WITH rq ade to the highest point of the
roof even if flill was brought in to
If you have a... elevate home.
SUBTRACTION • GABLE OR HIP D ROOF(no Slab below grad easure
(BASED ON windows): btract half the distance from highes isting grade to the
ROOF TYPE) betwee e highest point of the roof hi hes int of the roof.
to th ow point of the corresponding If have a...
g e or hipped roof SUBTRACTION GABLE OR HIPPED ROOF
GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
• windows): Subtract half the distance ROOF TYP the distance between 2he
between the top of the highest highest point of the roof to
window and the highest point of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF
� mansard,etc):No subtraction. (with windows): Subtract
UBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GRADES) foundation OR 10 feet(whichever is less). point of the roof
/ • ALL OTHER ROOF TYPES
(flat,mansard,etc):No
E�UALS Defined building height subtraction.
Defined building height
EQUALS
Updated� May 2016
z:\forms\plan review checklist 5-2016.docx
Average Lakeshore Setback � g�uff�
Shoreland District MCWD Permit Met?
Yes � No Permit Number: ' � Yes 0 No �N/A � Ye Na
� N/A—see attached s Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
� �j'�p�;�� �J,���� � Yes No � Yes No
1 2 � 4 5 -
,- '� l,- � � . — ' -,,� c�f . Type(s): Type(s):
J �
Fees to be Char ed YES NO
Permit
Plan Review
State Surcharge (�`
Investigation Fee
SAC—Number of SAC Units (�
Other(specify) (/
Square Footage $ per Square Foota e
Basement X = $
1 S� Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $, _�, ���
Orono Inspections Required , Work Requiring Separate Permits
�Footing 0 Site 0 Plumbing 0 Grading/Filling
� Poured Wall ❑ Silt Fence/Erosion Control 0 Mechanical ❑ Fire
� Foundation Survey � Hardcover Removal ❑ Fireplace 0 Water Connection
0 Framing � Other(specify) � Masonry 0 Sewer Connection
� Waterproofing/Drain tile � Mfg. 0 Lawn Irrigation
� Foundation Waterproofing � Other(specify) ❑ Landscaping
Framing
0 Insulation
0 As-Built Survey
Final
Lathe Required State Permits
0 Other(specify)
0 Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
ui e orm �a d� �1�W SOt I� rnc��- �- e�, �t��h�-
� Prior to release of escrow money an-.a�la � c.av�aJculati
I( '� � c .
IA i i ,
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
�` e`�� PremiumMeasurements ����� ,■■■ 1035 He itage Ln, Wayzata, M � -
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��s�2016 HOVER Inc.All rlghts reserved.This dowment and the images,measurement data,format and contents are Ihe exclusive property of HOVER.HOVER is the registered trademark of Hover
� I� • I^c•All other brands.products and company names mentioned herein may be[rademaAcs or reglstered trademarks of their respec[ive hotders. PROPERTY ID:8Z7EG
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PARCEL ID: 1011723130009 Comments:
OWNER NAME: Ellen M Fritz Trustee
PARCELADDRESS: 1035 Heritage La, Orono MN 55391
PARCELAREA: 1.01 acres, 44,194 sq ft
A-T-B: Torrens
SALE PRICE: $675,000
SALE DATA: 05/2008
SALE CODE: Warranty Deed This data(i)is Turnished�asis�W�tn�o
representation as to completeness or
ASSESSED 2015, PAYABLE 2016 accuracy;(ii)is furnished with no
PROPERTYTYPE: Residential Lake Shore Warrantyofanykind;and(iii)isnotsuitable
for legal,engineering or surveying purposes.
HOM ESTEAD: Homestead Hennepin County shall not beliable furany
MARKET VALUE: $533,��� damage,injury or loss resulting from this data.
TAX TOTAL: $6,371.84
COPYRIGHT OO HENNEPIN
COUNTY 2016
ASSESSED 2016, PAYABLE 2017
PROPERTY TYPE: Residential Lake Shore
HOMESTEAD: Homestead
MARKET VALUE: $533,000
City of Orono
4oNo Hardcover Calculation Worksheet
_ � Prc�perty Address: i� r�r�
` �e.<��c� �.c.s`e_
���kFSHOf'� Prepared by: `�os�. �c�� �K� J� `� Date: g Ilo 1
-�_ �
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 2: PROPOSED HARDCOYER
in the following table, identify ali items of proposed hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Include all existing hardcover items that are
intended to remain, as well as all proposed hardcover i#ems that wiil be added. Use as many lines as
necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify
any features by letter which are split at the 75' setbadc line and calcuiate ha►dcove� square footage
se aratel far each rtion.
Key to Hardcover Item (Describe) Length x Width Total
Surve S uare Feet
Exa e Gara 24'x 30' 720 S.F.
A c�� y 3 S.F.
B C � �cri. 1-$ S.F.
C F'ro,� Y �tiro Z S.F.
D C.'S.' S.F.
E \ 9w c�.-�.e.r �u•„S� S.F.
F � �Z S.F.
G k , \\ 5 dc 1� I S.F.
H '�. � . wo-�\ S.F.
I � �.. 3Z9 S.F.
J c_�� o.��o �1 S.F.
K c�, �- Z1 S.F.
L S 3�..�C � T-5 S.F.
M �'�e. to S.F.
N 1 S.F.
p S.F.
p �o X � ,g '�}' S.F.
p �cd�w X 1`�. � S.F.
R S.F.
S S.F.
T S.F.
U S.F.
�/ S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Hardcover l7 S.F.
Exdudable Hardcovar Se�C Gale�ec 7&9B84:
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total ExdudaMe Hardcover S.F.
3 Net Hardcover Sub�ract line 2 irom Gne 1 'J 9 q S.F.
4 Total Lot Area y 3 S.F.
Proposed Hardcover Percentaae [(3)+(4)] ��.�� X
2�LZ s� (�.(�(� �Z�
Thls is an irrfametion padcet regarding Hardcover. Every e#ort has been made to insure the accuracy of the infotmafion coMah�ed
herein;however,if any informatlon is nof consistent w'dh provisions of fhe City Code,the Code pmvisians wFt/prevaH.
Page 9 of 9
��
�c�,�l C��
City of Orono
�oNo Hardcover Calcutation Worksheet
�1 � Property Address: 3 l� n�� -�f`e<<���� �.c.��.
� �
��kESHOp'�' Prepared by: `�os��... �c�� ��� �� �,� Date: g �Ilo 1�
"� -�-—
� .
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the fallowing table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Include atl existing hardcover items that are
intended to remain, as well as all proposed harcicover items that will be added. Use as many lines as
necessary to acxurately depict proposed hardcover status of the property. For Tier 1 properties, identify
any features by letter which are split at the 75' setback line and calculate hardcover square footage
se aratel for each �tion.
Key to Hardcover Item (Describe) Length x Width Total
Surve S uare Feet
Exa le Gara e 24'x 30' 720 S.F.
A :�y� 4 3 S.F.
B C' � cc,t, 2-$ S,F.
C (-'�orJc Y �lro Z S.F.
p ` C.�.' S.F.
E \ 9�,.> co.-ne� l�u.,,5� S.F.
F e. 1 Z S.F.
G 4 . w �\ `.7• dz 1c� 1 S.F.
H '1�. a- . wc�-�\ �.c. S S.F.
� � � 3'L9 S.F.
J �v� a��o �1 S.F.
K � �- Z 1 S.F.
L '� s�4 � �S S.F.
M �'�e. la2 S.F.
N S 1 S.F.
p S.F.
p � X � ,g � S.F.
Q �:d�� x 1`�.3 � � s.F.
R S.F.
g S.F.
T S.F.
� S.F.
V S.F.
yy S.F.
X S.F.
�. S.F.
Z S.F.
1 Total Nardcover '.� l7 S.F.
ExcludaWe Hardcover See C Cade Sec 78-1684:
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Exdudable Hardcove.r S.F.
3 Net P Hardc�ver Su�rad line 2 from Gne 1 �9�1 S.F.
4 Total Lot Area y'3 S.F.
Proposed Hardcover Percentage [(3)+(4)] �'�.(p� 96
This is an information padcet regarding Herdcover. Every effort has been made to insure the accuracy of the informatron conteined
herein;howeve�if any information is noi consistent wiih provisions of the City Code,the Code provisions wilt prevaH.
Page 9 of 9
City of Orono
�oNo Hardcover Calculation Worksheet
s � Property Address: I l�3� �c.� , �a.�e� � ct•.�.
e
���KfSNOwt Prepared by: \ �.. ��r��y :�s Date: ci
ro5@,ti Q.r�.o�
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 ier 3 Tier 4 Tier 5
Step 1: EXISTtNG HARDCOVER
In the foilowing table identify ali items of existing hard+cover on the property, keyed by letter to Certficate of
Survey (survey must accompany this form)_ Use as many lines as necessary to accurately depict existing
hardcover status of the property. For Tier 1 propei-ties, identify any features by letter which are split at the
75' setbadc line and calculate hardcover square footage separately for each portion.
Key to Hardcover Item(Descrlbe) Length x Wfdtl� Total
Surve uarc Fett
Exam e 24'x 3Q' 20 S.F.
A �' z `-I S.F.
g 2,4'� S.F.
C � �- LJ � Q. o.� o �' Z S.F.
D � dlooc -5Yp w�-\`(� \�1 Z S.F.
E 1Zer\ . wa.\\ SW ,r�c.� v., , S.F.
F C 1 Z S.F.
G � . K� e.� 1 S.F.
H k b �-c., S.F.
� � q S.F.
J �.v e.�r' a.�•u � � K... Z'} S.F.
K � a � S.F_
L � � d 1�. S.F.
M e.r.•� Co !e._ S.F.
N ,�-� ► S.F.
p S.F.
p S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
U S.F.
V S.F.
yY S.F.
X S.F.
Y S_F.
Z S.F.
1 Total E�dsti Hardcover �955�.. S.F.
Excludabl�Hardcove� See Ci Code Sec 78-1684:
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Exdudable Hardcover — S.F.
3 Net E�osti Hardcover Subtract Iine 2 from line 1 5 9 4�. S.F.
4 Total Lot Area �)3 ,`hlo S.F.
Proposed Hardcover Percentage [(3)+(4)] �'� ��`{ %
(Proposed Hardcover next page)
This is an information Packet re9a►d+n9 HaMcover. Ewery effoit has been made to inst�re the acceuacy of the irefa►natian cmtained her�sin;
however,if�y irdorrnation is iroi consisten�w�h provisions of the City Code,the Code provesiorts will prevad.
Page 8�9
Christine Mattson
From: Christine Mattson
Sent: Tuesday, September 06, 2016 2:56 PM
To: 'spmeddie@yahoo.com'
Cc: Roger Peitso
Subject: 1035 Heritage Drive/#2016-01066
Attachments: letter.pdf; Hardcover Information Packet -2014.pdf; Survey Requirements - August
2015.pdf; Escrow Agreement - Building Permit w Erosion Control 2016-01066.pdf
Eddie,
Attached is a copy of the letter and enclosures being mailed today. Please don't hesitate to contact us if you have any
questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono E MN � 55356(physical addressJ
PO Box 66 ; Crystal Bay �, MN � 55323-0066 (mailing address)
'S 952.249.4620 s 8 952.249.4616
� 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, 2016
Thursday& Friday, November 24& 25, 2016
1
. �o�o
C�ITY OF ORONO
,>, ,�, Street Address: Mailing Address: Telephone(952)249-4600
y�. G� 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
�.y �, Orono,MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us
`�fSHO�
September 6, 2016
Eddie Shimota
Shimota Project Management
5727 Frontenac Circle
Lonsdale, MN 55046
Re: Building Permit Application#2016-01066
1035 Heritage Lane; Orono
On August 31, 2016 the City received a building permit application for a front stoop. Staff conducted a preliminary
review based on the information provided and recommends the following items be submitted or revised in order for
your application to be considered complete and for the plan review to continue:
1. Certificate of Survey. A survey dated 7-6-88 was submitted with the application, however this survey does not
meet the City's survey requirements. A registered survey can be exempted if it meets the following:
a. An existing survey accurately describes existing property conditions;
b. Proposed project exceeds the setback requirements by 150%; (the required front setback for this
property is 50'. 15036 of 50'is 75; this requirement is not metJ
c. Proposed project footprint does not exceed 200 square feet;(metJ
d. Evidence that the average lakeshore setback is met, is provided;(N/AJ and
e. Information necessary to ensure the project conforms to City codes and ordinances, including
hardcover,grading and landscaping requirements is provided. (See ltem 3 belowJ
A copy of the City's survey requirements is enclosed.
2. Landscape Plan. Will there be any changes to the landscaping with the proposed front stoop? If so, the City
requires a landscape plan be submitted showing all the proposed exterior/landscaping improvements, i.e.
patios,grading,sidewalks, retaining walls, etc. The plan should include the name of the individual perForming
the work. Any proposed patios, grading, sidewalks, retaining walls shown on the landscape plan should also
be reflected on the survey.
3. Hardcover Calculations. The property is located in Tier 3 of the Stormwater Quality Overlay District. Please
have the surveyor prepare hardcover calculations showing existing and proposed hardcover using the City's
Hardcover Calculation Worksheet. Enclosed is a copy of the City's hardcover information packet.
4. Escrow&Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal
of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City
for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee
conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow
amount for this project is $2,500. The escrow agreement is enclosed. The property owner must sign the
enclosed agreement and submit a check for$2,500.
September 6,2016
1035 Heritage Lane
Page 2 of 2
5. Minnehaha Creek Watershed District (MCWD). Your project may trigger the Minnehaha Creek Watershed
District's (MCWDs) permitting requirements; please contact the MCWD directly at 952-471-0590 regarding
your project. Please note,the City of Orono will not issue a building permit without a copy of the MCWD permit
or documentation stating the proposed project does not trigger any of their permitting requirements.
Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on
the above requirements.
Sincerely,
CITY OF ORONO
��'�1►�v I��D11�1-iY` —
Christine Mattson
Planning Assistant
c Eddie Shimota,via email
Ellen Fritz; 1035 Heritage Lane;Wayzata, MN 55391
Roger Peitso, Building Official
enclosures
. , Permit Appiication: Self-Checklist for Compieteness
Please note, the applicant must initial in the boxes below to acknowledge the minimum
required information is included with the submittal. If not, the application will NOT be
accepted. Call 952.249.4620 to schedule a meeting with stafF if you have questions on
application submittal requirements.
�
Completed Application
Plan Review Fee Paid `;�
Signed Escrow Agreement & Escrow Payment �
Building Plans (to scale) x2 .SI
Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
Hardcover Calculations (if applicable)
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stating
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
re rding 's ject.
Signed by:
Address: /�3� / : -1-�c�� � �-► z�+ ���
Permit #: r
Packet Last Updated: January 2015
Page 2
DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we
would like to inform you that your request for a permit or license from the City of Orono or any of its departments
may require you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary
to process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may
become public.
5. You have certain rights under Minnesota State Statute 13.04(see following page)to review private
data on yourself.
6. Your full name is required to process this application or permit.
��I L�c�� C �'1� <�In .`rh U�cl
First Middle Last
��C7 � �rf��L�/�� �.'rL! �
Address
�t�S ���L j`1 v� �� G� ���'3� �—3 Z�j /
City State Zip Phone
I und�tand my rights as ated above.
JJ � '
^ �,,
Signature
Packet Last Updated: January 2016
Page 7
� ✓
DATE TIME
CITY F ORONO CALLED IN �
INSPECTION TICE c �SCHEDULED �� �
PERMIT NO. �� ��y COMPLETED
ADDRESS �o3S �f�
OWNER TEL ONE N��3�����
CONTRACTOR ���
� DESCRIPTION
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTMCTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
�
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� �RK SATISFACTORY:PROCEED ❑ PRQIECT COMPLETE
w ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 j 249-4600
OwnerfCon 3 0��site:
Inspector. ��
White Copyllnspector's File Canary CopylSHs NWice
(� '( TIME
DATE
CITY OF ORONO ����r� CALLED IN �� — �
INSPECTION NOT� SCHEDULED � - — d �
PERMIT NO. MPL s
ADDRESS �O3-� h�
OWNER ' TEL HONE N�S�3���2�/�
CONTRACTOR � �� ' ' � �-
� DESCRIPTION
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING F AL ❑ TREE REMOVAL
Q,�RADON SLAB ❑ MECHANICAL R ❑ SITE INSPECTION
FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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, �
W� //„;v�n �� „0 �.> �- >t/` �/ n.. .,� �
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W ❑CORRECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector:,�, S-,���
White Copyllnspector's Ffle Cenary CopylSM�Notics
��eJ`" ,
�� DAT TIME�
CITY OF ORONO CALLED INi f D' —/
INSPECTION Q/��i. /�YJ SCHEDULED�)1�I !I► �/}r7
_GX.•=�
PERMIT N �� � � CO ED
ADDRESS ` D�✓� _��/�
�
OWNER TE PHONE N � "
CONTRACTO �
, ' .
� DESCRIPTION
lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAIKGRADING/FILLINQ
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNEAICOf�TRACTOR TO MEET YiWJ:_YES_NO
� COMMENT'�
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o GtJGe��� �vu t �vJ
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Q � ��t�S�C I.Je� Sc/'c��.�- �4Z� a� -r1G�'asG
? ,�Ip r� � c( �
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,
� ❑VMORK SATISFACTORY:PFiOCEED ❑PROJECT COAAPLETE
� '�9�ECT VMORK 3 PROCEED ❑ISSUE CERTIFIC/1TE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COMERINO PEqMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Catl tor the next inspectfon 24 hours in advance. (952) 249-4600
Owner�Contractor on sRe:
Inspector:�,1 �"' "'�
✓
White CapyAnspscto►'s Fils C�nary CopylSlt�Notfee
/
� � � - , }� � CERTIFICATE OF SURVEY
� opy _ _
C . - 1035 HERTAGE LANE
4R ,
/ _ � - �a°��z WAYZATA, M N 55391
� .
. . ,
. .
/ �.�,����� 5�,�9 Se`- __ ck 2, FOXH I LL,
, 94y� Lot , o
. , , , .. .
,,. . ��-�,; , , , , �;
- �� �-�� � � Hennepin County, Minnesota
� ar � �
x 94 g49-8
��.= � x94�4 � o so LEGEND
. , `� cr�
• (����c��� �"`�4���� �j �� � _� = CONCRETE SURFACE
_ �° �
� �, X�ari.`' ���, 1 30 FEET �� = PAVERs
� �� ��` � ���,
- - ��,� � xa�%v '6'� � _
4, I BITUMINOUS SURFACE
a
<'� � `�47 9 y /�\ � x a98� = EXISTING ELEVATION
,'� � �yaa-' gaa-� � ���< 9``�� x9°7�4 = EXISTING CONTOURS
r
. a , ga�.`� ', = POWERPOLE
ga%�' �o� 2 r�e
' �' �j M =
,,,_„,,, , 10. � ELECTRIC METER
5� x94� 2 � g4�. �,� �M = GAS METER
x°"� `Go �..�G` `'' " 0 = UIUTY BOX
�a5�2X �44 3 ��,p�� '�'�F�,� � ��P�'� 947�� �� = CENTRAL AIR UNIT
/ � 4' ,
�aa6�� �� ��� �' o°'�� _ 9 • = FOUND MONUMENT
/ 9q4.9 �� �h; �F� "�� 8 g4�� O = SET MONUMENT-1/2"
y g4a�; 9;�4� � ,�,°i � � 9�`�� IRON PIPE 18" LONG
� F<�°� FFF' �o�,�g�ye � �� ;,� g4�5 WITH PLASTIC CAP
yti ���,e 5 �° � ,�ti� �(;;> / INSCRIBED LS# 47465
ti �
�g4�'' `�`e��'o�°J o0h ° �6-2 / �� = HARD COVER ITEM
A p• p ? p g � g.
t
x 941 g X a�3 q ._., , ., 1�'h�p(��. �,yh g47 g46.8
y�o�o Proposed � ,r5 a
� � -Covered Stoop 6
F 943 � y44.5 � `L �� % and RePlaced 946
�1 1� , �ti o Sidewalk PROPERTY DESCRIPTION
93'� ��g � �����'° r g46.7 45.5
� �oo,�y� �(�; �47 � _ ��_� a,� j/ � LOT 3, BLOCK 2, FOXHILL, HENNEPIN COUNTY, MINNESOTA
`�"'c 946-�g47.4.i � \ . `A1 /
g3, . O g44_o x J � g4�.1 gq�.5 . �0 �� V` 4A'� /
! �
xg4a 945 � X94��4 j� ' � / AREA SUMMARY
R 946 3 �lo�A\� /
°ho� y ., � ' wo0o REr waL�-� �.3 �x
9 (1 kg4�5 � LOT 3, BLOCK 2 = 43,867 SQ. FT. OR 1.01 ACRES
�,� �� g45 9 J i
� / f � Existing Hard Cover = 5982 SQ. FT. OR 13.649'
�. � / � / ��� Proposed Hard Cover = 5990 SQ. FT. OR 13.65%
i �� �
�)� ��h�4 � � �
��9y �s� X��, o I l ,�a3����,
'��� � �t,� � � CERTIFICATION
943� // � /� /
�, I HEREBY CERTIFY THAT THIS SURVEY, PLAN OR REPORT WAS
g42`` � � � � PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I
� �42,2 Dc / / / � �-., � . AM A DULY LICENSED LAND SURVEYOR UNDER THE LAWS OF THE
'� ,cg�23 � \ STATE OF MINNESOTA.
O� ���,��
- �+s � �� � - , � �� cop�t
� �ti� c� g42� � ��°��� � \ SCOTT C. TROSEN, MN LS 47465.
ti° � 1' � A�� �
GS,� I
� � ��,23 � ¢�� � � � DATE: 09�16�2016 REVISED:
BENCHMARK ,�"� �940'�� ' ! �,
� 6 � / `-" '��R'���"`� \ �` TROSEN LAND SURVEYING, LLC
FOUND IRON PIPE ��` I g40 s.�
LOCATED AT THE SOUTHEAST CORNER i � �� � � �
236 LEWIS STREET SOUTH
oF �or 3, e�ocK 2, FoxHi�� � �, � � SEP � y �I1�� 1 SHAKOPEE, MN 55379
(SUBJECT PROPERTY) � 9�
g3g.6
ELEVATION = 945.43 (ASSUMED DATUM) � PH: 612-990-1182
\\ / Q / / / / C��OF OROI�Q L A N D S U R V E Y I N G WWWTROSENLANDSURVEYING.COM
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