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Home My WebLink About2012-00272-voided permit � t City of Orono Building Permit Application �� '�C for New Structures or Additions � �� ;-:_--- Mailing Address: Permit number. �O�� - D U� 7 +�/ �,�,�\ PO Box 66 0 , Q�� Crystal Bay, MN 55323-0066 Date received: -/O-/Z �� ' -. �1 Received by: �6 s `,a y '��:�... s,�; Street Address:� \`��, �,rt �'tF�� G�� 2750 Kelley Parkway Plan review fee: /7�•58 �c� \��o�� Orono, MN 55356 , a7o/ -DDa7 i '---" 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: l��; �-j,c��;�,_� �� r�� S ,�C, �� Will this be a Parade of Homes, Rem delers Showcase Home or other Display Home? ❑ Yes ❑ No lf 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: �'r Name: �.'-� �`�v i Cr% �r�S Tn.�r j-,Z:�-�. State License# �� (� Expiration Date: ;-�;j- �t-,�Y Phone: i, —c- � office (cell Mailing Address: Z � , City: . ,c��,rc ZIP: .S" Contact Person: r o r v 12- �,v�y. Applicant is: n ra�r / Homeowner (Circle One) Email and/or Fax: (�;'S� � Z — C�� PROPERTY OWNER INF �MATION: ,J��' `�'`v�� l r Name: , N I ` __��-t�c/ Phone (day): (�i� ` - ., Address: � c�t : ��,��:n� ZIP: SS f `"� Email and/or Fax ' � • � � ' �? �� ,. r�,--,.-_ ARCHITECT I ENGINEER INFOR TION: Name: �� ?��i��'L;�►<<�� _ Phone (day): Address: City: ZIP: Email and/or Fax: ��ee� PROJECT INFORMATION: I� � � /1 L �rz:;nt - I�c, olA cic�ck�cc:nc� ' "�� Sar��u `��,�s."� ��ck�ZC�.'��:,..--� 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) >f-C`_� ❑ Muitiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water ""`Any earth movement may require ❑ Commercial �Qther(specify) MCWD review 8 permits. ❑ Industrial I�c�'� IL ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) � 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ j� jC � ( r STRUCTURE INFORMATION: 1. Structure Dimen'sioAs • , 1. Structure Dimensions(contir:ued) 2. Type of Construction a. Length(ft.}=.*� � � J � Number of bedrooms= �]Wood/Frame ' ` ` C� Masonry b.Width (ft.)= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bidg. Areas in sauare feet Detached = ❑ ICF c. Basement= � � ❑ On-site Prefab � ��j��; G (��j L x �� ❑ Off-site Prefab d. 15t Story = � � ❑ Other(please specify): nd �LL,L�-Z c z�X�Z. "'�L, �(�y 1'� ��-L� e.2 Story= f. 'h Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Appiicable ❑ Permit A plication ❑ Pro osed Buildin Plans � � MN State Ener Code Calculations and Mechanical Code Re uirements Form � ❑ Surve meetin all re uirements � Stormwater Pollution Prevention Pian ❑ ❑ Hardcover Calculation s ❑ l�' Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ C�- 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; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow agreement to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: "��'i " �Z 1 1 � O� , O O CITY of ORONO ,��, Municipal OfSces � �, Street Address: Mailing Address: '�+�� t ,�,�' 2750 Kelley Parkway P.O.Box 66 ,� G Orono,MN 55356 Crystal Bay,MN 55323-0066 �'k'ESIIDg'� April 11, 2012 Brandon Midthun 1gt Choice Construction 2143 Diamond Lane Mound, MN 55364 Re: 4156 Highwood Lane Building Permit Application#2012-00272 The City is in receipt of your building permit application which was received by this office on April 10, 2012. The property is located in the LR-1C zoning district, which requires a side yard setback of 10' and is limited in hardcover and structural coverage. After a cursory review, we find your application is incomplete. The following items must be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. Please provide an updated, full size certificate of survey meeting the City's survey standards (enclosed) indicating the location of the existing house and structures (ie. landscaping, sidewalks, stairs, retaining walls)and showing proposed structures(decks) and any proposed grading. 2. Hardcover. The property is located in our shoreland district. Hardcover calculations must be prepared by a registered land surveyor and submitted. Attached is our hardcover information sheet and the hardcover calculation sheet. 3. Structural Coverage. Lots under 2 acres are limited to 15 percent structural coverage. Attached is an information sheet on structural coverage. Please submit the structural coverage calculation for the property. 4. Escrow 8� Escrow Agreement. Building permits involving grading and/or review by the �ity'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. If this permit requires engineering review, the required escrow amount for this project is $2,500. Please feel free to contact me at 952.249.4620 or by email at cmattsonCc�ci.orono.mn.us if you have any questions. Sincerely, CITY OF ORONO � I�+�J ��vAJ�1/ 1' Christine Mattson Planning Assistant c Kelli Foster; 4156 Highwood Road; Mound, MN 55364 enclosures Telephone(952)249-4600•Fax(952)249-4616 � www.ci.orono.mn.us i t �' ��, Christine Mattson From: Brandon Midthun [brandon@1 stchoiceconstructiomm�.com] Sent: Monday, April 16, 2012 12:10 PM To: Christine Mattson Cc: Kelli Foster Subject: RE: 4156 Highwood Lane/ Buildiing Permit#2012-00272 Christine, The property owner for the above referenced permit application has elected to not pursue the proposed construction at this time, due to the substantial financial implications and other factors. Please close out or withdraw the application for building permit & advanced plan review on the above property. If there is anything further I or the property owner must do to close out the file, please advise me. Additionally, if there is any portion of the $172.58 Advanced Plan Review fee I paid on 4-10-12 which can be refunded, please advise me. I can pick-up any available refund from your office, or it can be mailed to: lst Choice Construction, 2143 Diamond Ln. Mound, MN 55364. Thank you for your assistance. Sincerely, Brandon Midthun (763)242-9049 Thank you for choosing Ist Choice Construction! Brandon Midthun Director of Pro ject Development (763)242-9049 -------- Original Message -------- Subject: 4156 Highwood Lane / Buildiing Permit #2012-00272 From: Christine Mattson <CMattson@ci.orono.mn.us> Date: Wed, April 11, 2012 10:58 am To: "'brandon@lstchoiceconstructiomm�.com"' <brandon@lstchoiceconstructiomm�.com>, "'kfoster0826@gmail.com"' <kfoster0826@gmail.com> Brian, Per our conversation yesterday, attached is a copy of the letter being mailed today detailing the additional information required to review the application. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical address) i Plan Review Checklis# for New Strucfiures / Additions co ,� Address/PID/Legal: �`� y�� /��ff t�vOO� �Of1� _ Description of work: SN �-��J f�..�.c.t� � d (p��,r�/'f Sep#ic review by, Date Approved: � Zoning-review by: :Date Approved: Building-review by: �.- Date Approved: S'- / � 1 Z Grading review by: /tJ /1� Date Approved: ning File#: Resolution#: Resofution Date: Zonin District Fire De artment Pos#Office School Di ct Zoning: of Area: SF/AC Wid#h: De . Survey Submitted: �Y�s � No Date of Survey: Pro osed 5etbacks:' Front(Lake) Rear treet) { N S E 1N ) ( N S :E W ) ther Buildings Wetland � Side Side i Building Defined Height: Building'Peak Height: #of Stories Ok?`. � YES FOR A BUILDING WITH A BASEMENT OR CRAINL SPA F A BUILDING ON A SLAB FOUNDATION: START WITH the distance be#ween the basement fl r/crawl START the distance befirveen the slab and the highest space floor and the highest roof peak,th op of WITH ' roof peak,the top of the comice of a flat roof, the comice of a flat roof,the deck line of a the deck line of a mansard roAf,ar the rnansard'roof,orthe uppermost point on a ro ` uppermost point on a round or other arch-type or other-arch-t e.roof roof SUBTRACT half the distance between the highest wi ow and SUBTRACT half the distance between the>highest:v�+indow � hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the dis#ance between the basemen oor/crawl DD #he distance,between the slab and the fiighest space floor and the highest existi grade within existin racie within the foundation the foundation ar 10 feet,whic ver is less. ,EQ LS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District C1AID Permit Received Avera e Lakesh e S�tback Bluff Yes d No , � N1A � Yes � No G Yes � No � Yes 0 No N/A Permit Number. Setback: Hardcover�one Existin Pro osed Variance Re uired CUP Re uired 0-75' 0 Yes � No � ss � No 75 250' TYPe�S)� TYpe(s)` 250- 0' 5 -10D0' , REM KS (in-house): /vU Cffr9N��. Updated: 09/11/2009 z:\formslplan review checklist.docx Fees to be Char ed YES �10 , -. u.. .;_�. ;.��..� _.'.��'��'�.�� . ..�, Plan Review ` t, •- ,. - .• �...r� , <.-.� ,. .. �, _ , 7 . . . - a . _�.. .. _ . �:. ,. , ,. s'>r. . ..,� _. .. Investigation Fee .�,; t. . -. _ ..w x ;-�. ..�. , �_ . ..,� , .. , Sewer Connection Park Fee , . , _ . Other(speci#y) . _ . _ _ . _ __.. . . . Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1�Floor X = $ 2nd FIOo� ` X _ $ Garage X = g Estimated Construction Value: $ �{(�C�D °� Orono Inspections Required Wark Requiring Separate Permits Required State Permits � Site � Plumbing � Grading /Filling � Well 0 Hardcover Removal � Mechanical � Fire D Electrical Footing; � Septic 0 Water Connec�ion G Poured Wall � Fireplace � 'Sewer Connection G Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. ' Framing � Other(specifiy) � Insulation D �is-Built Survey Final :0 Other,(Specify) REMARKS (in-house): Other Review: Reviewed by; �ate Approved: Access:Existing: '� YES � NO New: � YES 0 NO ' REMARKS`(TO BE NOTED ON PERMIT AND INITIALLED$Y PERSON PULLING PERMIT) Updated: 09/11/2009 z:�forms�plan review checklist.doac t � • : � . 1 . emo To: Finance Department From: Christine Mattson, Planning Assistant ^ �� CC: Street File Date: 4/17/2012 G/L: 101-22205 Re: Advance Plan Review Fee Refund Building Permit #2012-00272 pertaining to 4156 Highwood Lane has been withdrawn. The Applicant, Brandon Midthun with 1St Choice Construction, has requested a refund of the $172.58 advance plan review fee paid. The following is attached: • Refund Request • Copy of PermitWorks#2012-00271, showing advance plan review fee received Mail to: Brandon Midthun 1 St Choice Construction 2143 Diamond Lane Mound, MN 55364 w:\street files\highwood road�4156�advance plan review fee refund memo 2012-00272.docx +�- . Christine Mattson From: Brandon Midthun [brandon@1stchoiceconstructiomm�.com] Sent: Monday, April 16, 2012 12:10 PM To: Christine Mattson Cc: Kelli Foster Subject: RE: 4156 Highwood Lane/Buildiing Permit#2012-00272 Christine, The property owner for the above referenced permit application has elected to not pursue the proposed construction at this time, due to the substantial financial implications and other factors. Please close out or withdraw the application for building permit & advanced ptan review on the above property. If there is anything further I or the property owner must do to close out the file, please advise me. Additionally, if there is any portion of the $172.58 Advanced Plan Review fee I paid on 4-10-12 which can be refunded, please advise me. I can pick-up any available refund from your office, or it can be mailed to: 1st Choice Construction, 2143 Diamond Ln. Mound, MN 55364. Thank you for your assistance. Sincerely, Brandon Midthun (763)242-9049 Thank you for choosing Ist Choice Construction! Brnndon Midthun Director of Project Development (763)242-9049 -------- Original Message -------- Subject: 4156 Highwood Lane / Buildiing Permit #2012-00272 From: Christine Mattson <CMattson@ci.orono.mn.us> Date: Wed, April 11, 2012 10:58 am To: "'brandon@lstchoiceconstructiomm�.com"' <brandon@istchoiceconstructiomm�.com>, "'kfoster0826@gmail.com"' <kfoster0826@gmail.com> Brian, Per our conversation yesterday, attached is a copy of the letter being mailed today detailing the additional information required to review the application. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant � City of Orono 2750 Kelly Parkway � Orono � MN a 55356 (physical address) • i CITY OF ORONO • * Z 0 1 2 — 0 0 2 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4156 HIGHWOOD RD PIN : 07-117-23-44-0019 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 023 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RES[DENT[AL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 15,000.00 NO"I'E: PLGASG FILL IN"l HE FOLLOWING: VALUATION OF PERMIT: $ 15,000.00 TYPG OF PERMIT THIS PAYMENT IS FOIL• I3UILDING PERMIT PGRMI'I'#'I�HIS PRE-PAYMEN"I'IS TIED'1'0:2012-00272 APPLICAI�IT ADVANCED PLAN REVIEW 172.58 1ST CHOICE CONSTRUCTION LLC TOTAL 172.58 2143 DIAMOND LANE MOUND, MN 55364- (763)242-9049 Minnesota State License#: BC639165 OWNER FOSTER, ERIC 4156 HIGHWOOD RD MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. "I'his permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compicd 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 Yor a period of 180 days at any time afrer work has commenced. The applicant is responsible fo assuring all required inspections are requcstcd in conformance wit lhe State F3uilding Code.This permit may be revoked a ny tii due use. � �tc� � r Z � � A plicant Permitee Signature Date Issued k3y i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCR[BED ABOVE.