HomeMy WebLinkAbout2016-00491 - addn/remodel/repair ', � , . CITY OF ORONO * 2 0 1 6 - 0 0 4 9 1 *
2750 KELLEY PARKWAY DATE ISSUED: 06/OU2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2695 KELLY AVE
PIN : 20-117-23-14-0008
LEGAL DESC : CARMAN COVE
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTMTY : 434-RESIDENTIAL
VALUATION : $ 5,000.00
NOTE: DECK PERMIT
NOTE: PRIOR TO RELEASE OF ESCROW MONEY,¢q�'INAL INSPECTION MUST BE COMPLETED AND ALL DISTCJRBED AREAS
ESTABLISHED WITH VEGETATION. INITIAL: _ ��
APPLICANT PERMIT FEE SCHEDULE 123.87
STONEWOOD,LLC PLAN REVIEW 80.52
153 E LAKE STREET STATE SURCHARGE(VALUATION) 2.50
WAYZATA,MN 55391- TOTAL 206.89
(612)462-4000 Payment(s)
Minnesota State License#:BUIL-BC594315 CHECK 12087 206.89
OWNER
HIEPER,POLLY
2695 KELLY AVE
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of]aws 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 after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any rime for due cause.
� � ► i� r� �� L � � , � ,1-�
App icant Permit igna Date Issued y ignature Date
I �'
�' � � �
�
� ' CI�Y OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
OA, Mailing Address: Permit number: �l(p-l� ��
� f VO PO Box 66
Crystal Bay, MN 55323 00 Date received: '�D " ��
a �
Street Address:� ` Received by:
y�, G� 2750 Kelley Parkway Plan review
lqKfSH��� Orono, MN 55356
Main: 952-249-4600 Total Fee: a�/„� g g
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: 2(�9� ►�;�1 �4ve aCr,�W ,�,�r� 5� 5 i r
Wili 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: �tco��,.x.��� LL��
State License# �C,bs�CZ� Expiration Date:
Phone: (cell) �52-- �,��-�I"L9 t�u 1 - l� I Z (office) E�L-r�G� -�cc�:
Mailing Address: �c�3 L.�.k� S{ ���St City:y�,���� ZIP: r53�t
Contact Person: RI�X � �a ng Applicant is: Ce�acte� / Homeowner (Circle One)
Email and/or Fax: �,lex� �{-�;��wcr�..c�,�,
PROPERTY OWNER INFORMATION:
Name: �1�:ci: r.r�� �'o� I'��2f
Phone (day): NrA
Address: Z��s I�,t�y Av�c �'�4�� ;,M4J 553 31 City: OC�,�v zIP: 55331
Email and/or Fax ��A
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZI P:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro�ect: �C�' �ic �s
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal &
Water Supply
4New Construction 0.Single Family with ❑Accessory Bldg./Garage
�y Addition attached garage � Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may also require ❑Commercial ❑ Storage
MCWD review & permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other: (speCify) ❑ Other(speCify)
15320 Minnetonka Blvd
Minnetonka, MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ S�6(�
Last Updated: January 2016
�
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued)
a. Length (ft.)= � ( Number of bedrooms= 3 2. Occupancy: //1 �`! ,�
b.Width (ft.)= $`�' �� Number of garage stalls:
3 3. Occupant Load:
Areas in square feet Attached =
c. Basement= ►,S�s� Detached= � 4. Type of Construction: ���'
d. 1S'Story = i,GC�i -
e. 2"d Story= i� b�N 5. Code Edition: �(i'���' /
f. '/z Story =
g.Total Area= �I,`6��
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
,lil ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans-2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 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
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
❑ ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to
reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of
the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date: S��/�b
Owner's Signature: Date:
Last Updated: January 2016
_ _
� PLAN REVIEW CHEC�(L�S"T FOR NEW STRUCTURES / ADD1T10NS
=Address: � ��...► Permit No.: ��Y�_–�;,,��
Description of work: �� Dat�Rec'�1� � �.r�,�
�
_ � � ,� ,
, .--. ..�.— . � .-.
��Septic revi,ew by: ��'�rr �- yY�'� date Appro�ed:__r�__„',�,,"`�.,�
' �y;� � , . , __ � ti � ,,,..
� �
�cning t��'iew by; Dat�e��iprf9Y�d ��"''F� ��t�.
r �. �,: ''�—'^"�
E ., _. ,,. , : � � •', ', �rtys
�upidin$.re�riew�by - ���j�ptav�tl;� ��.�.
{ Gradit�g rev�ew':�y �": �.�;� -: t ��5 Da�e�'���rsc�; �'"""'�" '
�„ �
: �
. �. s ., '��! � i:fa. �+i+����!�.�r r�- rr,�. - 4F+4 �ri.� '��r�-'�
� �Qn�ir�g Distr3Ct: �'1�.� Zb�iing�1�# f °.R��o'#: " ` ��so,�ate ':"
� � �,�,, `
� �.
` ��i1i�g Lbt Are�: :.S�f l/�{; ` �IV�d#h, L.at GdVe�'a�e ,�� �%
.. �
�
� .. .. �
.u, - � ;, . ,. .
� , �
,,�_� �:
; S�lrva�Sutimitteii �es �11�� fl�o�S�t�rY$y-��"`�'" ' "��7�is�d��#�(2:)� ` _
,
� • � ` .,,...__
,, �� ,_ �.. ��� - t
4anc�$��p�`�lan�irbrr�i�ea�. a Yes La�lo ��asca�i,er 4' ' �
..' � r � "�..�=n r +t. ��—.�.r..., �
t �� ��T^r!T.��, �-� j � } �"^ 1 i�• `�i S ; k �� } ��
'.
�'
. i
n
�. . _ r .r . ,w .., r s ` '*
s' Fm
. ,<, x . - . �a ". `1<I,
��f „ '� t .�,,�� : t. . � � 1 r" �� .. x� ; � �tr �. :. .5 �
E, , �,�t4a�� � �t�tr�et) � �I $� � �" { :u� � � � ;� ���� ;� ,{"ln���ia,.#�t�` ,
� - � �i�. � � �,, ��$u � s
..
� � : ,�� �. � �� � �,
-
. .
n �
.. , � � �x, .,.. �� - � F
,a _ _��: , � �. ..
i
� `_.rc �. 4 '� i x ;�vr��
_ s,.: - � _ .i.
t 4 . J :
'' ,,r ' , � ��- at �r 3" ; -� ' ,_ x+..�, � ...M1 .; ; ; .y�, g �
#,� s � �� ����������4�} +� ��` a *�'�'�(�I'I�i7��.r�� �� t��,,,,�,�F��,�S•4+�lf������ � "`�_ ��� �����,��d"'s� �� '�:
�3 A€ ��.. .. 4 � �: ��. ��.,. 5 . � w , `�h. � . y r 4 T+ a
¢ ,� ... ;� ..,� r - -� .�� 4> �a^v ;�� `�h s ;� � �*�z '^�. ' 2 ..�' k�n �'pr��.
� .} @�"^.� ;y y�y, . M :y._� � , k4�. �'�'` a : '� s�r d}��� $ i< s ,S .�. � n"t"� . �
�4� � ��������14��i��i�� �x ���14p� � x1� �: b � �°'��; �ciF��ky���RS�� � a"�~ TJ1 3 .
��� � x ax�Y �a ,a a � ., se : '` � , r -t 'S�Y�i " ° t� ,� �`�, � u x'''�r �"� '� ;a �'
�' �Ap7M�e�.3�.-����.t ���7 .�..�y..�����.1, ' �; ;` �� ; i �� x° �s `a `� � ' � � �r �'ur' :�
{ �t ��xt, '���`_ fi �'""`. F - �q cs;;s� r i �'��� a �`� ��`s e �+�` ���,, v'�` ,��'��� � '��� � �� � � ��,P��"���.:
S K. 0.•'� � ): Y . ��_,.�
: i `
( . . . '..�. ... _ !. �
� .�. . �1 , ` S 7 � � � i��� �-
., �� � 1 4 ._ . , M �,: � .- ., AF ; s:�.
� `•s �� (F �Y� /�q, .�r,��,y..,j y� r j,y`i �._ ; i .,p i*+, :1.� •�`�:-Yj f �b �, ��R`��■'�x"j��Y'��S+�'�ws s �{ , �a}. � �c �."t y,:',� .r� .e��,�.t� �.tsN�.✓yr '
� �f �R�"��4'�{y�F�'�N�I��A�„�����������*,�.�}R* :� M +�5 Y ��.+�R�'���1"W+I�,V'��1\ ��,��V���� i"Cdr.�"s- �F �' �.,��t �4.�r � ,.
� a 5 - i .. .�t F° . �. . .,: �,¢w� � ' �"���`..: �a ,4;,�.
!� {f � 'n-.:. f .2 `A f'-,.��� 5 i.. J %`�V4J���YI'l�y � �'�������4f ,��d'y�Y ���Y�F�., k�'�'��. �4�'�'.A a � ``f`�.,�°R 4 �"� '� q�f' �r'�.
� � a�.� "� � <;r`. �- `���� �� a � � �" ` h ��'` '� * � � `�' ��° �'�°,
r �.� �a� �. ,+ ���l�h�X����h����''.C�Cfi a� � .ci ` - x ,a. '-ti�ye �AA��'��J�'': i �'�`.: yy��n :
��- r. .�',�a y, y < �'' f"r,.� r� .` . 't _4'��, s !»�� $� s�:r &��: t #'�i d°.r. �i �r I � �. �4, �..
0 ✓ ���1 � ?;�
y .; a ` Y +� c y",'� :'!tc}f��'���Yr,r,�"��`;;,� 3,�'•;'� � �.°�.� s.. -"„,�'�'' t ��;:�z 4u���w � `� .z�„f^��r' �°�,.?" '!o���' i �» �r a �'4,y ���
��4� � e ,c � �l� ��.��.�`-�,� '�: �7�l�k. � .R ��y%�, ��..�J� -{ � ;���.�� _ k`�s7zY'>4.,���,�t ,� "{��� c^�'-. �S � �,=
k fi t t f � .. '!� k y�, ""i. -.� 4 s Y '"1 4 r � � ?JY" +� 2�"
[��.x - . ��,�t > n d ; � aM171 �� ��i, ,� � ';f i fi �• �'"� s��:� k s'��5` �.t, r� e � �'
E'� v� �` �. -" �� a ��✓ ��� ` �,:�- � �.��� :�`� ��'�, � "� � • �` � "fl ��.:�1@P[� ��
� ; *r C � " 1 �r �,�,� ����'� ing `*`� � s�.�,��, t�r� � r{� � �8;`. � ^��.r��� ,�;w
^� � ��r y � ��v
l r�+'x k ��, r "� `. "1�4�.��s,. h:» 5 t� ,+� �� �,, �:- � �.tyb�;, 'ti `�• xk^�g h�t ..� .� t"'Ue�
� ,v t'� v�`. � "` z � ..�;.�,4 �'n }�� t'� k ��ib j�S� � ,r•.� i , ��'� �`,�,,,/,`,�'S s����� r ~ y � � �
tY,c � ;Yy � � f �i�ij���]�{ �� ��p�i7s7u�„ �a '* Yd r'Kr °'*" � :i �� �;� �t � r x _ �. . Ny�
C 8 :'� V_i 5.q•4�'w '�}k ��1M�S',�/��, � N�"�1@d�� �3 '' .. �,ij M��, ��H�"r'��"?�x , Y r'a�6.���,�r yS: .Q�'� �j .
t
� .� v� �� ttet�V�ep �� � �` �. e� , k* ,� � �s ,� � "'�,��'��.
-�`,� � `��y��,y�� � � � � �
y F� � �; r .Afii �I�d�J� �� j 4Lt LA� :� _,� } R� Y$ 3 �l �� � '�` ��:�zY�'�.:.. �,� ....t�� .'� R., .
� � " �f' � � �� e� � ,� �' � i"��' a ar �`�� mar_4 ,�,�Lt a x
��: 1 t � ':c��r� . e
� r' .�/4LL;�����Q�'�f�� �I�tl: ` ? � a �€��'Ql'��������'.
. � .SUB CT�ON :Su ' , ; yr � � �ttt�r,n�,4"� � �
a
, � � ' .
� �� r- d '���
- z � �� - ;
d�'1�t11�81�#,�C�'��15t1�1��,"o�f�o , �# a � k � ,� �
' A ON �. �� .� � � F � fi�f��ev istar�t�� ..
%( Y � 8�1 �VIl��B{v� ��Pd '3 s� n. ' x g �hE� ��; �` � aa.
` ST�NG; � tiigh�',e5as�n��prad�£`fa E�1t'�o�e u � r ,,` � � ���d�r����i�ies�
C$AD��S)- fi0t#YI�Id�iGFi'�.R�,Q�`{�it�1J��@I'�41�$) '� «.: ':� 'i � , �i1�t ,j�tJ fOpAt m��r ��p,s�,-
4 y a . s �' _ � • �. �� �v��'"�W.v�._
�4��4�ky,r � ��Irigd DuN(linq 1181gM >� �, x ���8i��i�,'¢t4�� No
,�_
. .. .::. � ' : . ,. �- } �( + �j�
� 5 F.� f'''�h ..� ���Y � �IQI��� '�y',
. ., . ... . . ..x
. .; , .. . .. .
' .' i . . � '� ' . . ,. .. _ ' {::.� w
�d�i� � F
e} `�:,
� �
- .. . . � ; • - .
, .
_� _ . . , . .w . ,: � �:��.•,. _ �.�.
`,. ;. � �. , . r . „.
, _ ��� •-� . ..:+. .. „� .::� . .��, . : _. .-. , •. - „ ,:. �.' �'
Upiiated: Odober 20�5,
� z:lforms�plan review chsc)clist�'(`0-20i5.docx
�
. ; .
h Shoreland District AACIND�ermit , :: . *Av�rage La�Ce��o�Setback 4 $�u�¢ �
.,,. ,r ,ri�, .=- ` _ -
� , ,. y ,.. . _ :., . } . , . ;, �
c - �#'t. -
�
� ���es � � ��� ��Per�rn�t Number: Yes� �3�;NO � fl NfA � Y N�i
E ,�_� ' �� . '. . � " k t ... .
t��� : ' /�1�-�eeattact�ed '. ' ° �tt��ck;
k 5 �
S�t"1 � �`� aUt�!� �xi$#11'r� , �J''i��t�@�I ,, . . �
, , .
s : t d�a������st�7ier �a�ilQoa��r �i�l '�er ce,�eqa t��hqu re�t{
` ` �o ' 11�r��n ires� ��.�� i' 4
� " �e � %�i�d� � °l��r�d s �, r
� , 3 ,:�a ' �
� � �z� ��� "` "` ��� '�`� � ` �+"�i��� ��S x � Nta �`� � �� ` ��
1 � �� � � � � � � ,
� � �
� �� �� x �� �.'�����- � � ��'� �'�� '`���f�� ,� ��:. � , �
�� � � � � �� � � ��.
� . , { .�� � k �. ;} � �,
.;y r ��'z L„� �.r,�fy � '�, T� ` ,�3 d�.E 5 J .� �;.
� � ± t a t+�.�g r orr F,z" � �k ��� :. a �'F.�, ..?� T� '" a �, �� t,, � v � 4 d1 ,r r r�r,, � ki�t,,
' ;
P *A,y��
�rc�
� �' x�� .,.. 4a .` �' �.�-1 . , -': ;>d <., �; � �+s,i.j.F ,.�m° .-� v�`�t�� r "rf� '�' �', z&. as ���� '���
. � iv J�16�E :
�'s s ` �' �''�`��s � ,.� �' � y �
t �`� - r t� '�" ° ;�iLt�ti�; � .x a .�`,�r. ;3L� 4 � -:n�
��� - � �d��`� �k '�. - .< ^+ _ '. � -�' t �,
� y. . ,i �'� �U3 "�� "`.?* ,�".
F e�i£ y, `� 7 �i�.¢ ` -t�� r �, K-.u ,� 5 �`}=".
� �
}' � `` 8 �, hs�,x°': ,t„!x � �t � �:
' ._ �3*._ ]�(�,�>. _ .: c .
t,� r, t "�._ � �E� �:.� ���+�..r �.^:� � .!�4�h .. ¢ '��:l�fy �`VN j �� 4 � � ..k�:
�
$ w , F
L^ T : .� f �' `�-�i��� ��K �� `� °� ri s �� �f+C �.±-�. ,
� H,- - n. r y,�,
� $ m
� � � a r., �������` d s� �"`k�� .� ^6 4 g ,� � �, .y� y z'�*{ �' �
{ `'� t.f �', � s � „�;� � a�.: t t v�4 x z.- F�k'��� 3�• "v ,i'�,:i 7 � ;,�� ��� � �u �,. ' ti � 3�t a.;
+ .#4' s �� 5 r t � <
'��#`t . " �; P x r�;r 7 '��; rt :. 4._ �a a �P �' ,n'`'` � �'� +t � s F�<
�` ' ' i ��3 # , t,. �. ., F .�y.s� .�n r� r e r
� a� �., 3..f bi''� :..�{ .'ri � r Ll4� �� �' l :' ! �p�''� a "x �r�t.e N' ��` *,� ���, .
��� ,�1 . �'�$ '^r� ,�a d�� .�t q � a r�� �� �--�;�^° � 1��� ? �. �" �-� �" �' � � e - 6 c� � �.`�� s 7 �`�'�.
�-,a��! n �' '� ' �` £- z � .� ,�, a� a � �,. } .. ,�f�'�J" � s t : ,��. ,� �4 �- � ",z.,p� �'��
b S '�. tt $ '�^ � -h Sf I � � ��i�.
�� � �
� �`�. ♦ � _ �, �" � ,,.�y,i�v,�i• .K � �ss rey, � .. . �. �.Jr � � � + �'` �� �. *��� zt . .�C:`.
'�"+i� �'y.�l. ��i � < a-�' �, =.��r s k` ski'��r'i° a" ^� �� �.� ��j. t' � k : 7� s�9«a�^ �}��'� `.
�,� fi ��'�� '�f n �. � .r+�,A i"v � �� �.�' - ° . r � r`x �rs'v � �.,-w Y'.: "t s '�`.�
: , ���
��� "�s� 4.s t g. w�,�h ,� � e,�� �. :r F� t w � ie�_F` �!. h'e� a pw� 1 .F;, -� w . h-t � r
a � r� tY� r� `l �.` �, 1 ��'i�' �� 5 , s : -� r r�'.
x� �� `�'+,;,�'� r r� • n �� ,�� �,t "<. �� i��h �t �,, �,,:, r �Z � ,��ja � ; ,� s�f �}$� `
„ ;
r b�.,
, ,t-r ���r ..`•'� f. , '��� .,�..-. . . ���. .<<� ,.a,� .' ..�t .. ,,..�. x _ '✓,�"¢ �'� �'? �.�i�`�
t� s �. w� .'�•� , R _ f 4 `d >q9� k n ��2 ' 4 'i � .. ry h7'j� w
��4 r,. ,*�'���5 � �$.� -� =k L,� *�R�;%.�c^�,r > �, � � �e��z���4� � � '�'�'S� �`:� -� :�'� '+�.� > �' r"� t r ��.s,+£z��rw;f:� � ;,�r, �'�:;.
.
iT� �.Y" .r f : aY "if 1 .. ��+'. . �i'�` ^P'e i `1 H $ "" �` .. .. � A� �
�
� �� x�.
k
���``��e'� '�r- �" �� � 'r� �t� "�Y�"� '�� •°� ,� aTy.s�'a,�3���.�,s d��'{��`��� `'� ��� �r�Y�X�'��� ��s,� M
�% "� I��-5+ ,� j,� ; t� � .. Y
�� "',� g�3r-�c 'F',�" � "k ,.€�� �,� � ,,. a r t a�r�e �'-� ,. ''� t x � '1 x„ k�`s.�r„ �'�� "
.;
. . �
�s� � '�Fxt , "-fi'z �i'#'a'�R�; � a'�S, ;`�`"t "� .ya���.k�,� . � �w� '�. iy,%�.� �a� `��p h,�,.,#� ,n�,�fY`.
.�
c- � -. .. � -. „r
`� � �ilw�n�e 7r+�"5+' F .�.s'r .�
,eP'.�:'n�5, Rs+ `�`;s�r-* ��'«�:' �.3k ,., , , ..�k,?� �,{, .,:k,. s�+a���:a{{ 4 r:s� '•:�, :. 'a. a.�� p �re� :6i'�h 5 !S��.�"'�. -`',�,`�+'x.-... tkmb '�� c�`� t
� {�� �rf �.,xi� ��§ z' � �� � �.� ,�,., ;��� "M 3: F �-''� -�. � � � �'" � ;.�fi� �`� -r
z f" �^ -r. �r -$� ;, � y ��� !.� 'w ;�.�y' t w .. a �.r � :.;'m'v ��:a�a �;�;{' € . �' '3�� •,
r� .�y .. � St , � 'a'i .:��#�Y z+T .-} i . � #,,.
� '°y�� z.� � " y �. .. �_ ,� �y3��,�g „� :.�,��y �� ��,�i
.
�
:, s .. �J y�['
��,u ���- a �v^.`µ� t i5�4 ff 4' . sy� Z ,._ "�,` g"dr�.^'i� �`Y� ; v re- .� �t d .
b C ��
'���r`� ��y✓" � m k' x't'�-v�n �?. �` .��,��`� ��` `���s � �� � �'�Z Mt ' v c. z ia� a� o � �.
� s"'3 '�°�,"-s.��rt� �wi� k . a �, ,A�' � � � �� �,�' #�,y ,t x �3 y-e'��'�w,z+sa�c� .� �� ��.�' i���- � ��r
v..��:. -3' ,�� k.¢�a,. � i i "� � ,^a �3`: � +'�' x�'�' �`v �,,� y _ ���� ��. z.'�.���„� � � �" �`^: +'��,,.
�"""°a 4`pt�c d+`�yT #1 �fi y �'� � g �'�''� � *� �� { '�'S�'� � .. �� ,���^+£
� , � �.�!�3�A`7���;e�i� � ,� ��t f i. y�,k�,�§���S� , � _ � l:'i �, . R vY� �`�"�, .,��i
� ^M1 :r rr'� '�'��. �'�, �+Y���� �' °�" � 8"�1.��� �'�=#. �,,: `{C ! �����"�, �� `�
e
} s t ��ts ... �: �ra�3� . �,�e�`,�`''''�`'� r�" -,. "��1riy� T __,:�'',
z t
`', r ' � . aT7T�T s+�9��} � .�` �� .��s *�5��:����.�, h .. �:�� 'i' a� �� ,*� �1at(�+�4�y T`'�'
h
�'d-��=� �:t ..��:;.�t++Y4� �r.'�"'�;.�Grt3' s'+��" ,::a��`+ .,<�,� ��,�y�'"�f :s. �t' t kwp�a �}:'4 Y''a.��r�`.��, , �`�� >:,�!'y'�„F��, �,.'t�•�
� ,
� � � "�°x"� �N" .�g��- �'�-� :"��3�,�*' ���m ��`i �'�'3A �� ��s�� �v '�kT. o�� +C ` '�' +#�� �'� �.�'�' t xs��y`
S
��i � �� `� �,��Y� -J���'� w'Y t:,�;a"'� �i .y>,�._��`r � ' .s � uey .�cE`3�y��t"�� '" x.� s+c °;���"J'� s � '�. a�"rv��w �§ g� -,"''� $:y.
�'r � r.. ,� �5.� µ-',�,��s ��� :�S x� 4���{'� ,,��* �` M..u.. *;:�+,� 4 �.yt`��=� "�«�'�.�5�-3�'+�`k��'��'? �;��G..
tS�.k*- �e �, � fi r,.�� �- x£ �; �a -�,�" . " � � �'a7` •� '�ir���'r.�'Z��.}w�,� ,,. r�.
�d�`i � � . ���t F'�k"re`��?`�� �.����,� .'�".�X �Ga+�`i�,�"w�" W;._d��d'rs..a�,����,;.#.� nr" L,n`�t '1'�v '-`t .+�- ���� ., � ���.''�,�a`�`.£"��°2���` �
1�,�
' 'y_ .��.�,.; '��' ���� a,. y,:.�a� 4rx..n e �.: .��,�-�s ..�*cx 3 s;��z�x ,':a s =• .-r,. .. w,� .xi.
�� ���yY�L�`"�� ��°�' a'a 4 't,t�.-<�5. '�"� �a�np��'c���' � �+, �' ..� r �
�d' R
n[ y'r#�:� s `�;'�a���;�'�`�'a�s, r �.�'✓�'�"�� t.+zf��,�. r`'"``�� �� �x�e �*. �A�R x �:: r`4} ,�r` _ � �'�.>.����g � ,��. �3����...
�,g' �r' '�,"�4 � ' u �'� 1a 5� ��- e�r ',p§ s r� �, i.- �; .`�,
d x , `s`S _,� �y'�z. a �`$'� � �.� Y��, ss0.s y �,re Y�' � `I`'��i'� ��e" z�1�J'�,`+a�J."' .a,'-'�r'.
a. �: � � �� g� '�^.�+�s � °I �`e. �rc � ,. �,e '^f «�. �'a N x, a c� t�. �� .
� k i }� �{ r� �k� i g � M '-.y '.,#' �� ��� �,<s z�u" y ,r 3
t �-�. a,�' � �"� � �'�.�z � ��"� w-''�"�+�'s`"� -ca�f-��*� "�"g�4�. �.� ,�,�^�`��;f�"�._'�ti�."' `� :. �, .-� �.�'S ,'��: ��+����..c„� �?'�3:
@g� �'.. � P ;, �: �. E'" -� r ;" }-t , `� b � �` � 1 .,a+.
"����� ;� � `�'� '+� ° M`'�`a�' �'�' � �a�` .�� � x��. u�� � �"e+�fa�"�",r '� �- � �`E4 � - r �'�' ,a�t 1- .c r��'`�?
' �Y #," .a ,$, `� 3' �u''' 3 �'0�'" .�` .� ,�- a�'"� }r�a, -a �' 2 .�`e'� �,
� a-..� s^ .V�. . .. N ,�.k S +,'�- �' k� .� `y•
t s t . � f�' � x A ::Y �' `�' r��'f :+'q, t .�c xe �a+�� k+ �t� .� F�a,Y�.
x�.- l � Y «r aF i �-v � � -r t ,�� fiC "x'� '�;.
4�tN. �� . : as.4}: 2�. �"K( '� � � ,�9� . k 1� i �.,i € +�z, � ) ,.s_"v. S'f1��Y? �. � 6 .4 ,�,*S,� ..
e�
����.�*� 'S���.,.r{� �L �'�r�� ,�s �'�„ �•'.'�'x�4�+�._�� ���»,az �x$ �; '�.��„2��`�i�'� � }:� '::�"� �..�;t?'�G �,���,?'��-,y� �" �#_k �,��:��,,,„ �. a�`tr' .. �.# ��'s� ,;�
"�° �',�� s..� .�" �w ��.'�if!".- :+ '�Se�Fav� „z'�•.,r- s'r._ """ ...2 aa,�: ,,�'tl�".,`N. �a':. �:`9 _ ,� a$_ s A'x ,.'�`?&3 i ,.4�, .gr.� aa r
�bs_'r,��Yr�'�,A{M k> �� 1'�.^� ��..^ � , ...;"�".�'� � '".a � f.3 xn r '�a -��-a� �' �,:.� �+'�'"� t� 4 aa ,�t�,x � .� .«.� "J.`� �`,'`� ��w N ?„�"�s f .
�a�� �+'�t vF u- n...;. 4.�-F .,1 ':n t' �. �(� fi � '�� *�' '�a:��`q�i :,a r'� . ,. , .„, f t.
4 �(%e �.;� .3'` t '�. �.� !" ;g..yN . YSw 4�* �t „'�q',4 $� 't T �. k L x S
3 '�"�'Y d+F �� �`� V'��i°�x_`'j�k.+'�}`4 Y' aP t .�c . Y� ��� ^'a .. '��• P �r rf ..�.rL R.�y � x' y;:E6 l �¢ � '� :
t s� c *�{g a, � R�d S a ., i w. .�. q.�. ��r,.��u�s�;:kq+,�,�p x: '�,` �� � `wxt .-�,, c` G�` �� .Sv� �# ^r� �,. ,E �`M1 "r� y
� �� ����`+ �,�.Yp 3y� +7, :w �� ����,� �`e`�q ' � ,c, ��i z {,� t by��-� a �� k��t".n?aTto- a"'�tlf +rw��� C� `�y�`pF,s � ,t; x �:- �.`�'.� � �".-+�-..
'� "4f �+ 'K+3 �N� i@�.� bb� �. � �.
s �, � <` a � �1 s � �C e �x° �. � i�. f'��,. ��'�}� �r.�,z�.�," *rt�1Vy e ,� Y�. t�, -���ay, aS` .
y`"s ��["4 � � ;���!"d�j��y�'������ `.� a� �1 �n§'��F �'i p'1''?�iTiY�'�� �f. �2 'Rf' �� 9 h? .�
� ;^�`^a:. � �'rfs,��.S�r� x� '�i ..i��� +.d �"� .x :. `��*< r x. `E +�. ;.i ��{,� � id'�i� �i�` �` b�T 4 Y .. : � . ��„
5'z f , � . ' "£ ;"r � . �4SY ,y �,�� � ��.. '7� '*+' �a z.'a s:.. tw µ a �,�:�
� s e, ,. � .._ _ _ � J :� '4� ,;�.� ,s�zi4' � �wF�cC§:$'�'i�` `�'��L .gr'^ :.: yr�sa ; � '
�`� c. � � °sf, ����:h �'" ,�^ ��X`'; &���(] �t � `� '"*K � { ��,�' � ��x � � ��s�•'� �°
�f-° �-'+l / �� �".����� �'R � � �. '� � '"@.l. 1 F )�"
�„ �r n�` . � , ,4� � _
,Pd '+t k e' �s� x -'"fi � �"-. , �. �' � r-'m '�'`"" � '�� ���.
� �,,�, YY� t � � � `� � g t �r.,.T�
F5 � '` 4 �t" T�. ,ti ,��:t. j�.� � , �. � - �•
, ,, �
, < . �.
e �' F'� '
�, � .1 's.. �, � { $„ r... � � ,a2.�
. ,.
6 �
s .'���t�: �O�t`�r}�� � , -z
. ,` ,+i'�lfpti'm�\t11ah`,rwviow'(1�a�,iru¢t 1f1.Qf5��{.r�ni� . ` ~-� :,
Christine Mattson
From: Lauren Sampedro <Isampedro@minnehahacreek.org>
Sent: Wednesday, May 25, 2016 3:28 PM
To: Melanie Curtis;Christine Mattson
Cc: Alex Lang
Subject: 2695 Kelly Ave Deck Addn-No Permit Needed
Good Afternoon,
MCWD completed an initial review of a proposed deck addition project located at 2695 Kelly Avenue. No permit will be
needed from MCWD for this project as proposed.
Please let me know if you have any questions.
Best, �
Lauren Sampedro
Lead District Representative
Minnehaha Creek Watershed District
15320 Minnetonka Blvd
Minnetonka, MN 55345
952-641-4580
JMINNEMAMA CRitK
w«�erxNre Qasrncr
1
. � City of Orono RE�E�v�D
�%oN� Hardcover Calculation Worksheet MAY 2 4 2016
Property Address: 2�95 K�� /1��
�j' n
� � F ORONO
�'kFt,��a% Prepared by: A1�� � Date: S- Zy��6
Stormwater Quality Overlay District Tier: (Circle one) Tier Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate 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 properties, identify any features by letter which are split at the
75' setback line and calculate hardcover square footage separately for each portion.
Key to Hardcover Item (Describe) Length x Width Total
Surve (S uare Feet
Exam le Gara e 24'x 30' 720 S.F.
A HouSe 2 9�o S.F.
B F o F Poc z� s.F.
C c.K (�3p S.F.
D F oyi S�c 45 S.F.
E ov.� Wa K Iy0 S.F.
F po.};o S.F.
G D�"�Y� 1030 S.F.
H S.F.
� S.F.
� S.F.
K S.F.
� S.F.
M S.F.
N S.F.
� S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
� S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Existin Hardcover S H90 S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover e S.F.
3 Net Existin Hardcover Subtract line 2 from line 1 5 S.F.
4 Total Lot Area Zl 000 S.F.
Proposed Hardcover Percentage [(3)=(4)] RE`+�i 20,33 %
1
(Proposed Hardcover next page)
MAY 2 41016
c�rY oF nN�
This is an information packet regarding Hardcover. Every effort has been mac/e to insure theoa�cZ�i7�C'y of the information contained herein;
however,if any information is not consistent with provisions of the City Code, the Code provisions will prevail.
Page 8 of 9
_ . City of Orono R�C��`��p
�oNo Hardcover Calculation Worksheet MAY 24 ����
�
,,\ `l Property Address: 2�95 ke,IIH Ave, CITY nF
\�f����"` Prepared by: I� Date: S�Zy �� �RONO
� � � �
Stormwater Quality Overlay District Tier: (Circle one) ier Tier 2 Tier 3 Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Include all existing hardcover items that are
intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as
necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify
any features by letter which are split at the 75' setback line and calculate hardcover square footage
separatel for each portion.
Key to Hardcover Item (Describe) Length x Width Total
Survey S uare Feet
Exam le Gara e 24'x 30' 720 S.F.
A ov e. 9�0 S.F.
B < <�^ 2g5 S.F.
C �K S.F.
D �6„�}
S S.F.
E c, K U S.F.
F Prn�� O S.F.
G pc'ive�,.w. 30 S.F.
H }' 'b I'i� S.F.
� S.F.
� S.F.
K S.F.
� S.F.
M S.F.
N
S.F.
� S.F.
P S.F.
Q S.F.
R
S.F.
S S.F.
T S.F.
� S.F.
V S.F.
W
S.F.
X S.F.
Y
S.F.
Z S.F.
1 Total Pro osed Hardcover
5 3 S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 5 G38� S.F.
4 Total Lot Area S.F.
Proposed Hardcover Percentage [(3)=(4)] 26 �� �/,
MAY � 4 201�
This is an information packet regarding Hardcover. Every effort has been rr�27d ins�ureOtheoa NuOracy of the information contained
herein;however,if any information is not consistent with provisions of the City Code, the Code provisions will prevail.
Page 9 of 9
Christine Mattson
From: Christine Mattson
Sent: Wednesday, May 25, 2016 729 AM
To: 'Alex Lang'
Subject: RE: 2695 Kelly Ave Hardcover Calcs
Good Morning Alex,
Yes,the signed agreement is here, but the$700 fee needs to be paid yet.
In preparing the file to pass to the building official for review I see the survey is not printed to scale. When printing the
survey be sure to select actual size not fit. If you have the survey electronically you can email it to me and I can print up
to 11 x 17 copies here.
Christine^'
From:Alex Lang [mailto:alex@stonewood.comj
Sent:Tuesday, May 24,2016 3:53 PM
To:Christine Mattson<CMattson@ci.orono.mn.us>
Subject: 2695 Kelly Ave Hardcover Calcs
Christine,
I just re-did the hardcover calculations for 2695 Kelly Ave,they are attached. Have you had any luck finding the
escrow agreement? Please let me know asap. I would really like to get this moving.
Thanks,
Alex Lang
Stonewood, LLC/Revision, LLC
153 East Lake Street
Wayzata, MN 55391
612-462-4000 Office
952-607-6129 Cell
952-697-5591 Fax
stonewood.com
revisiomm�.com
1
Christine Mattson
From: Christine Mattson
Sent: Wednesday, May 11, 2016 8:12 AM
To: Alex Lang
Cc: Roger Peitso
Subject: 2695 Kelly Avenue/#2016-00491
Attachments: Escrow Agreement- Building Permit w Erosion Control 2016-00491.pdf; Hardcover
Information Packet-2014.pdf; Survey Requirements -August 2015.pdf; letter.pdf
Alex,
Attached is a copy of the letter and enclosures being mailed today. Please don't hesitate to contact me if you have any
questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono � MN � 55356(physica/address)
PO Box 66 � Crystal Bay I MN I 55323-0066(mailing addressJ
'�' 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
PLEASE NOTE: Summer OfFice Hours start Monday, May 23,2016
Monday-Thursday: 7:30 am to 5 pm/Friday 7:30 to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, May 30,2016(Memorial DayJ
1
� , �
��l V�
C ITY OF ORONO
,� �„ Street Address: I Mailing Address: Telephone(952)249-4600
`y�, ti� 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616
l,q �,�' Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
kESHOR
May 11,2016
Alex Lang
Stonewood, LLC
153 Lake Street E
Wayzata, MN 55391
Re: Building Permit Application#2016-00491
2695 Kelly Avenue
On May 6,2016 the City received a building permit application for a deck addition. 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 4-28-2016 was submitted, however additional information is required.
The survey appears to be an existing survey and it does not show the proposed deck addition. Please provide
two copies of an updated,full-size certificate of survey which meets all of the City's survey standards(enclosed)
indicating the location of the proposed deck.
2. Landscape Plan. Will there be any changes to the landscaping with the proposed deck addition? If so,the City
O� 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 1 of the Stormwater Quality Overlay District. Hardcover
calculations are on the survey and appear to be existing conditions only. 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$700. The escrow agreement is enclosed. The property owner must sign the escrow
agreement and submit a check for$700.
. . . , .
May 11,2016
2695 Ke1lyAvenue
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 wiil not issue a building permit without a copy ofthe 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� 0' ' �, `iT/��
�
Christine Mattson
Planning Assistant
c Alex Lang,via email
Mark&Polly Kieper;2695 Kelly Avenue; Excelsior,MN 55391
Frank Cardarelle via email
Roger Peitso, Building Official
enclosures
' Permit Application: Self-Checklist for Completeness
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 (�,D-� S� �� � I��
S i n e d E s c r o w A r �1 U�"" I r l G I L I.�e�
g g e e m e n t & E s c r o w P a y m e n t
�
Building Plans (to scale) x2
� Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
Hardcover Calculations if a licable
C �r )
�am aware that Orono will not issue a building permit without a
/copy of MCWD permits or documentation from the MCWD statin
( 9
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
regarding this project.
Signed by: ���/
Address: �
Permit #: �
Last Updated: January 2016
:��� o S'�-- �,%.
qTE �` TIME
CITY OF ORONO �ICALLED IN S"�[—I 1��
INSPECTION NOTICE � SCHEDULED��(� �
PERMIT NO. - — c P� ED
ADDRESS �" -S �' � ���� �
OWNER TE EPHO E NO. �`�P�7�v�Z�/
CONTRACTOR G�
� DESCRIPTION � -"'
ly �OOTING ❑ DEMO-F L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUM G RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLU BING FI AL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECW�NI 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS: s C�/�tG�GS ' 6 Y
�
a � /�l e✓ '��,���C r 14K.
J
O
� �p,� � ��
0
�
W �K � �a4/
�
Q
�
2
W
�
ti
�
J
� �KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C tor next inspection 24 hours in advance. (952� 249-4600
Owner ctor o �/�E'X
Inspector. r--
ite Copyflnspeetor's File Canary CopylSite Notice
� " � � � ,
DATE TIME ��
CITY OF ORONO CALLED IN !- -/
INSPECTION N�iTJC� ���j SCHEDULED l/3�� ��
P E R M I T N O. �v � C M P E T E D
ADDRESS ���S
OWNER - TEL��VE NO. ����7 ��2�
CONTRACTOR '��Z�l �-/ �—
� DESCRIPTION �%' �l �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERlCOI�ITRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
� R _�1 Lt [1
� `I�C7 ^� �"' "` O
� d ' e t-
� ' � �' _ � � �
° � ,: o
� � Q � .
2 - 01� � c�n..� � /
� _ D e.�r-� o � u,K
� !� ��:f �w J �.- s✓�.>�J. !C
J
� ❑WORK SATISFACTORY:PROCEED '�W ECT COMPLETE
W ❑OORRECT NfORK R PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
O ❑WRRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerfContractor site:
Inspector: �r��L
yyhib Copypnspsctor's Flle C�nary CopylSits Notke
. r
9
HARDCOVER �pP� � O � \\��
EXISTING `
HOUSE = 2970 SF `�� 0`� �g�g � —,.. ��2�• �� ��
FPORCH_ 285 SF �\`�� �O�'� � �40 � �`� � :
DECK - 63Q SF `,I 9� � � �
FSTEP = 45 SF Cj� O � y, \ \� �s r �'
FWALK = 140 SF � 02� \ � o T
PATIO = 39Q SF 1 \ � 'f'
DRIVE = 1030 SF C.J h \\ \\� j� ��� �"k��`
TOTAL = 5490 SF/20 0 � �
PROPOSED - 93� \ �G�
DECK = 148SF/0.69 —'f~~.�`� �
TOTAL EXIST G ,,!,-_—_""�-� � �� � .s>, 9�.�2
AND PROP ED .
= 5638 /20.89 �!"�..� \\ � ��'�`�
.,—'"� ', �
� '� �— �
a� \ � `\ �,9k�,6
9� -''!r' \ ` � �� �'�.
� \ 11 �O� O \
\ \ j t� � \ � \'`
� � 'h°'' 0 �
, � %� _�� -� � � �\�
�g�y6 � ,--�36 .\ ,, �\ � /
` r �\ _.__ '�^ \ \ , \ �96 \ / \
., .�
�/ 1� \ ... _/ �9.y58 \6'9 \I ,-�`�'/ �� / �pK 942 �
... .. �s � ..,---�--'"' �� 6,�
t � \ 1 �.-• `L � �&�a QQ ...... ,
i �,�
i \ � iJ\ .•'� CONC WALK �.��
i \ �%' \ % \�9
�/' Q
��� � p� \ �% \ �'/ $ / ' 0 17.0 c�•'� 2 g���� �
�� � �� � ( � 9�25 / � G��/ I
,� � �� � ( PORCH�5 � 18.5 I
l \ �
, � �2 � l N 18.0 t� //� +j'i� � / FJ
\ � ��i cV 9 / tij�`.
i, N G; � t $9 EXISTING �, ;� � � ,
,t � ���..\�`\ 19`,�6,� � 15 0 HOUSE t��.F'C'� 20.0 �0.0 �ry ' g41.1
- ��`'� �.,, `� [�ICa $�,�' '�O �
'` � � �� � ��� 0 1.8 COH °�� � �1��
�, � r' c^ �, o � '�� !�p � GFE=941.6
� 2'�Z \ N o 14.0 � o,�y96 . � �-�-
�; � � LFE=933.4 �n 77.5 � m o, ;, � �a �
! � �,� 0 37.4 cV \ � M� ''f' / � �,
{ 11LI / �
�, � \ 9"� � �cO _ OYERHE DECK i 2 /` �.
/ �� ' � l2� � � �., ,o '�' _ 26. ,56� o`v': EXISTING
�9,����2�7,� � � � f qP�\�"��� �,-.�° 10.0� .,� o ��_ o� �\ HOUSE
� � � �\ G��G 9�� '\`` � 1\ ___., f!j ~�.,`.
i � I � �.__ \ ,�o�.
i \ � � � I II �'r-..__`�__�.� 13.0 LFE=934.2
EXISTING �+ 2�`'� � � 5�F�%9�� _ ---'-_ _ T.— .� - +--- r� � g��� 9'��g
HOUSE �� ��- I ► � ��'� ' 1oN p�cK
� � - � - -r- - -+- - --r- - � � - - ti -� �
,�� � � � � � � � 9��. � �
� � ' ; ' � ' -PROPOSE DECK�
���•., \ � i � ►�► MA TCH EXl TING
� .-=`� �oo�`�- ,_s32 � i � �'� g3?_ ��:�'VA TION (1/ERlFY)
J a�o � ..�.�.I�_._._.__.i.o___._----��—___...rt.__...._..__._.._---- NO�' lGNIFI�ANT GRADING
.-
j- o�o \ ,� � ��- °�, � ,� lS R UIRED FOR
� o � � i i � g-� � CONSTAz G`�/ON
J�� �O � �
� ` � � � / ���.
I 1
�� 0� \ � � � � �
0 20 40 60�� �0\ \ i � � � �
i
� �
SCALE IN FEET j� �� �� � � ; ,'
9�� = T G SPOT ELEVATION. � � \ � � I _ -
.�e EXIS IN � _ -. �
� / g � -�_�-�- --��� � 9.�0� LEGAL �SESCRIPTION:
T- - - -=--t_ LOT 2. BLOCK 1, CARMEN COVE,
X(998.0) = PROPOSED�PIIT-€L�VATION �`-__._._�► �g� RAP .y� �NNE(�!N CO., MN.
��••�'' = DIRECTION SURFACE DRAINAGE L AKE OHW = 929.4 M�NNETO KAAooREss �L� KELLY AVENUE
COH = CANT{LEVERED OVERHANG SURVEY IS SUBJECT TO CHANGE PER p�D 20-117--23 14�-0007
TITLE OR EASEMENT INFORMATION # �
OHL = OVERHEAD UTILITY LINE VERIFY ALL DIMENSIONS AND LOT AREA = 27000 SF/�9.62 AC
GFE = GARAGE FLOOR ELEVATION ELEVATIONS WITH PROPOSED PLANS X 259� = 6750 SF HC ALL011�ED
LFE = LOWEST FLOOR ELEVATION VERIFY ALL SETBACKS WiTH CITY �
�°T '�. �°K DECK BUIL DING
°�,�R" 28, 2°,6 PA� PERMIT SUR VEY
REVtSIONS Land
PREPAREO fo� K�/PER RES/DENCE Frank R. Cardarelle Surveyor
ME 0 R MY c arw
w�r � A;DULY D LAND SURVEYOR 6440 FLYING CLOUD DRIVE
. L•'AWS ST E � �ESOTA. REVISIDNMN LL C EDEN PRAIRIE,MN 55344
��J , � 952-941-3031
FR '{2. ARD . 6
__ _ __.. .. _ . _ __ _ _. . _.
_ _ _.
HARDCOVER �oP� � Q � \�'
�X;�Tlfvu � 2 � ``•
HOUSE = 2970 SF �n P 0`� r./yg�9� �' � _� 5. �'� ��
FPORCH = 285 SF \'' Oc,�' �-� � �g4� � �� �
DECK _ 630 SF �� P � � � \ �; �i F�, ��
FSTEP 45 SF Cj �O i Q �
FWALK = 140 SF o2� � �� sa �iT`
PATIO = 390 SF 1 \ �' �j �'O �`
DRIVE = 1030 SF CJ � \ \'��� �p �'`\�`����. _
TOTAL = 5490 SF/20. o � LL ��
�''�.
PROPOSED � --- 938 \ `\ G�
DECK = 148SF/0.69 . ,� "�� ��� ,, � '�;
TOTAL EXIST G
-� � � �
_.----' i� �'' \ �,, 9��?
AND PROP ED -��""J � �
� •�
= 5638 /20.89' � .Z \�,, \ `'� "�
- - ��� 0 \ \�-- �
�$o � `�, � \�. �9°`2a
�.°� \ � 1 � �<" �.
\ O �� �O� �•`
� � �
\ � � �s
� � � �g'` 0 �'�
�9�y6�` � Y�Y936 � ` � �� \ � / ���
� �' ��, f l;; .... \ /,;' � -5g 6 � / � \
%� �0 - a �: i °' � �,
5
;`\, \ '....___�._-'' �g'� • �6,9 � _ �� I/ 6 �p.� 9�2 �•,... �
_. /
.� �
s ` ......� �,
� __-
; i ,.''�� `L �.�g QQ ` _ .. .
`y \ � ,-�\ CONC WALK -�r�� \ �
� � � � ��
'" �- Qo
,��` \ a i� � ��.o � 20.0,�o� �
\ � � v- g�$ � G���g�
��' � � ( ` 25.5 I
`� � ��� � 5 PORCH ^ 18.5 , /
% \ i o
I /
''i; � �� � �; � � 18.0 r%� i� l g��� / h
\ ' � ,�Dc•
, N G� \ �\ �9 N EXISTING ��, % I �
��` o <�'���\, g� HOUSE �-� '� ` �
��<< � � \ �, 9���'� 15.0 F.�- 20.0 �10.0 � � I g41.1
f� ..��` \ �� lJ p,�'��i ��l7 I
,�, � � �� � 0 1.8 COH ��•'� � I GFE=941.6
`�
� J (n \ O N
� _ \ � ..�� N Nj � ^�j� �
� �' �2 � 0 14.0 r- 0,39� �;' � -I-
� LFE=933.4 �n 17.5 v- m � '�',•� �
� � \ 37.4 c•i ��^ f' ''•.�,
� � �
\o� "� j' �' �
�� � � g��1 � OVERHEA DECK �'�8� ' �� �
', �. � 2� � �� � — —' �`2 � �o,J, o' EXISTING
�
g3�$ ' S`�,'( � � � Q P���'��� � _ 1,�° 10.0��". -- 26,p o,^�'l ` O� ''` HOUSE
`L . G ---=- ' -_. . '
�' '� � \ � G�� 9��,I � ,\ - .._.._ ,��
, � � .,. � .
.. ,' �.
; � � ��._h � ,��;,
, \ � h � � I�'�-�._..__.._.,_.__._.,__�'` 13.0
� � LFE=934.2
E XISTING � 2�`'� � � ��Fd�9�� - �— _ �— -� - -+----- I N � �-�� ��-��
HOUSE � � �`��� I � I i �---�- - a ' N oE��
� -�� _ �- - --�- - —+-- - —�— - �t� - \ - - ��2 � l
: \\ \ � I � � \ � g / ` \�
�� o \ � , � ► ' -PROPOSE DECK
�d��..,,\ i ►�i 2 MA TCH EX/ TING
� �O \���-- _..932 � i � °'i !,93--- E�-�VA T/ON� (I/ERIFY)
`, r. ; ��o � _, �._I____ _ ----i o- ____ --_�.I_ _____- I ___. . _ - NO �'�IGNIFI�ANT GRADING
o�o \ �. � � �- °�, lS RE��?U/RED FOR
�'��//J o�`� \ � � , � ��1� CONS Ti��J4�lON
�'��o i i i � y..
� i � ��..
� �
�
I�o o\ � ; i , � �
0 20 40 60'� o\ \ , i �
� � �
\o \ �� i � ► i
SCALE IN FEET �� � \ I , ,
� '
992y = EXISTING SPOT ELEVATIO j � Q �
� � _-I- �--�-`-s=-� _— -- � — -yo�LEGAL ¢ESCRIPTION:
' �-- T- - - —�=---t 9 LOT 2, BLOCK 1, CARMEN COVE,
X(998.0) = PROPOSED�PIIT�€L�VATION ��— -- _ � _. ,_�g� RAP ,L�. k1ENNE�IN CO., MN.
= DIRECTION SURFACE DRAINAGE �AKE OHW = 929.4 M��NETO KA �'` UE
� SURVEY IS SUBJECT TO CHANGE PER ADDRESS - �b�5�KELLY AVEN
COH = CANTILEVERED OVERHANG TITLE OR EASEMENT INFORMATION PID#20-117-23-14�0007
OHL = OVERHEAD UTILITY LINE \
GFE = GARAGE FLOOR ELEVATION VERIFY ALL DIMENSIONS AND LOT AREA = 27000 SF/�0.62 AC
ELEVATIONS WITH PROPOSED PLANS X 25� = 6750 SF HC ALb A�IED
LFE = LOWEST FLOOR ELEVATION VERIFY ALL SETBACKS WITH CITY �
PROJECT N0. BOOK D�CK BU/L DING
�A�RIL 28, 20,6 PAGE PERMI T SUR VE Y
REVISIONS � Land
I HEREBfj �I��j TfF�(�IS f�' 1� PREPARED �Or KE/PER RES/DENCE Frank R. Cardarelle SUrV�
BY ME O UNDER MY CT PERVIS{ON AND
THAT I A o�Y �,s D LAND SURVEYOR 6440 FLYING CLOUD DRIVE�
UNDER TFIE LAWS r sr E aF ���ESOTA. RE VlSIONMN L L C EDEN PRAIRIE,MN 55344
�.�,� , ;
�-' � 952-941-3031 �
FRANK��Z. .ARDAR . . 65
t� O (O O
� � � � �
�
O �
,� (` �'
�
.
.
�
.
0
m
O °
— — — — — — — — — — �
� — — — — — — — — — — — — — � — � �
/ �
0
/� � Z
�
� Ww
+ �I O I +
� �Q�
� � W �- o
� � o
n �
I � WYo
o W�
i _ _ _ _ _ _ � 5151��N�W ZXIZ T11� SYP @ IZ" O.C, � '� �
� 1'0 �X'G J0151'S, 13Y-pA55 OV�p�X'G
� / � n�Opp�n 5XI21"1b 13�AM5
' I
I �
v
y Qz
I + W °
� oQ
�+� � �- - - - - - - - - - - - - - - - - � d
I I � - - - - - - � �
I II �
V
I I I �
�+� - - - - - - - - - - = J � ���rJ, �
— —
— — — — — — — — — — — �
�
�I - #I N�W 1�A1�n n�Opp�n 13�AM5 5" X IZ" TO MA1'CN �XI511NG A5 C1.05� AS �
� � I'0551[31.� o
� - #2 N�W pOST�1'G5 USING MIN� 3500 p51 CONC�1� SONOTU6� 1'0 MIN� �}2" �
13�I,OW G�� ANn f3�l.l.�n OU1"1"018" A1"f30'i"1"OM z
-6" X 6" T1b pOST SUpp0�1"5 ON APp�OV�n p051"f3A5� �A51�N�p �
� v
n
DA1E:
5/b/Ib
sc�,�;1/4°
. s��r,
A-2
r
• W
i
0
m
I�}' I�'-6�� o
�
�
�
0
0
Z
;
_ j ,%'�' w w
v �
� ' � '�'�, wwz
%� W } O
� � � �r � Z
�
/
�"� ��� �� � + o�c
� w �p
�o ��. �,� w�
O ;' �"� ' , � � N�W n�CK A�A Af�b1110N'Y � � �
— , ; �� , � �
� , / `�, , / ;� % 5�� C��11�ICA1� 0� SU�V� �
�� i/',. �.� � ,-� � ,.j� �0�511� pI.AN. —
. , � �
i �' /� �
, �
� �
. �'� ��- � � � �
i ,� � , � p �
W �
OQ
� �
�p � O�C
�
�
� �
�
�
�
b
n
�
n
>
0
�
�
�
�
z
K�YNOT�S, � �I
- Ip� I�ONWOOn n�CKING f�I.INn �AST�N�n r0 MA1'CN�X'G ACJAC�N1'n�CKING nA��
- OU1"Sln� �IU51'0 MATCN�X'G ��I.�C1�n �IUS 5/6/I6
- G�� I.IMI1'S�QUI� �AII.ING51'0 COb�; pAII.ING51'013� AI.I. W�OUGNT I�ON
- SKI�I1NG 1"0 MA1'CN�XI511NG AS CI,OS� AS pO551f31.� sc�,�:1/4"
- �X'G n�CKING 1"0 f�MAIN ANn�3� ��INISN�b 50 AI.I. MA1'CN�51'0 N�W
. s��r;
A-I
YD T PA TA8
LABEL TITLE DESGRIPTION GOMMENTS
P-1 PROJEGTOVERVIEW
Reviewed for Code
Compiiance City of pn�no Proposed deck addition square foofage is 140.
. �
Dabe � � - �.;� _=.��_: _-_- ,
_ o
�
- rr r.r N
Reviewer ' " L � W
0
+ ��• I J m
m
mo� w•s� n�-r• zr� e�� �i F W
§ ����oq� GUAftDR.AiLS I p j
a +
r�aas.+rneo 6,-0. se^nnira.r;f.i::��.:� �rc
��-o s�-o� i�-a 3�-0� ro n•-�• 4'MAJC.O('LiJ,h:C3 W
� K
F
�� !'-P D S'-O' 4'-8' 5'-6' S'i' 9'i' 6'i• 7'-O' I'-e' e'i• y'-Y Q
�� �
N•
� K
�
t QE� Z
I I �
I uto I �eo.a I O b � rxrah..w. �d�. O I I I Z
]- LYL W�l )- LK IOR
=1 ' ]-r}'L ICM1 ����
_ c/oE�o �
„ � �- Yf�i'lvL N�f[ r-0. ! ♦ I y ; lOFHI
� � f
� � YA' 4'A' �4'-9' I'-3• I a
Y V
OPtY1 G/pIY Q��G1Pdw � ���I�
f-tl{'L�L IOR 1; r
S - Y�ct� I I I� V �Im �C16
« � b
s --� , , o � i �I�� � e�'
7 rs ti�-e• r� m-r• �.a i �� • 6�� h
� o
� I II i p�
.e+r I I �I \u•�wwia uao iwwm\ �
i o ,� � �r ve• �r� ��-r r-c �-�'a� �
�
� I r nm �
s � � ` I 9 - ,.�'
�
s� --� § r 4 I w�� �
�� � �
\" _ � °'o"'I——_ r � euce�
„ ' _M rom ele�s I
. 71 8,i. s�i. g��. 7 y, y„o.. N^ Y-7 �-0''P � 3'ti � D'-�V!' �
� \n�ius � • � � aer �� I �
!/!'qlf.ODE ���eore p�py § i+ `/
� I I�t�1:K KL�.Q*'�� � � L1Lpy + � � Y � � •W
��M�Q� ^ �
� r I I �` -��v"Q' MG�bIRlfl y' �
$ L _ .� � -- � o � �-- � �.�� c >
�r '� Y O
�•.� ,
i I I � _ R�6 � � STAIRS
� r-r r a-ie� s.e� e^n�nx.RniseR s•.�N�R=.�a V
p 6'-0'MIN.HLAiJF:00.M �
i � . _ ti ' AT LEAST ONE HANDKA!L FEQ�IINFD •1
Y o _ GUARDRAII OF'EN SIUES O
�¢ �� � R�e � ` it
I I ""a""'z ' '���� ��� ' -- +� SPECIAL I�tOTE
RID r!L) LYLIOR CCWO�
� � SEE ATTACHED SFFEEI"
�� r-�r ' z ��-r �-r e�-r ! e�-s� !�� 3 wnr�eE FOR r.��.,.ert���
r . r ' } pp �p CODE REQUIFE;�i�NTS
� n.ac� q,pae � a�.�r��'p cw � ij� 'y
I �y� I�µ aaoa n.as p�('ja I 'f
cw.w f ��-rv rwane ��" �
rcau+e
un oesc o ' u -="I��KwR - - - �er�Kwiz§_ y SPECIAL P�OTE
I� I� MIL46TOR-!� - --- _
SEE ATTACI-9EC SHEET
�� � •�.i�ua q •-0, Y-0, r;. FOR_.�w•••.c IIa�rtve�t
�� �,o,� CODE REGU7REh;�i,�-S
I� I� r�va• r�a• r-��s• r-ia ! s�-s• ! r-ir r- s ----�
' � >
I I § r-aJ m
' n w
s*°nrt Ir q, Q
!R �
� � N' r{• E'-O' f j• � o
. I I �� a
�
r.rw� � �
a�mertiwme _ z
--- - --- --- - 3
✓.ro.oR � § o
10'-0' ID'-0' i'�' Y-!' �_j.
m�n rr� e�-v r•-m� e•�r sau�wmac� DATE:
nr�� w.im.
U°PER LEVEL KI{.25•
��`'� ��' 4/7/16
rrn.ei 4eno'
.r+o� 3eom�
RESIDENTIAL GUARDRAILS �,,,,�„o� SCALE:
Unenclosed floor and roof o enin o '°°ro�°�^"'
p 9. P��d gfated sides of landings and n MAIN L�vEL FLOOR PLAN
rar ips, balconies, decks or porches whkh an,•tnare than 30"ap�ve 4 °`',�'°4•.��-�
grade or floor below, require a guard wilh a rtanimum 36"_lie;;nt. RECEIVED SHEET:
Open guardrails must have intermediate rails or an ornamental ,
pa�iem so that a sphere 4" in diameter car.not pass through. ; ' P-�
MA� 0 6 r��1� _-
1 st Floor
CITY OF ORONO
f.
• �
� • • � •
1 • •
emo
To: Finance Department
From: Christine Mattson, Planning Assistant ('11 V \ ,
�Jr
CC: Street File
Date: January 20, 2017
G/L: 101-22205
Re: Escrow Refund
Building Permit#2016-00491 pertaining to 2695 Kelly Avenue is complete. Please refund$700
to the property owner, Mark&Polly Kieper.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Mark&Polly Kieper
2695 Kelly Avenue
Excelsior, MN 55331
w:�street filesUcelly avenue�2695�escrow refund 2016-00491.doac
BUILDING PERMIT ESCROW AGREEMENT
� � Orono Building Permit#2016-00491
AGREEMENT made this /"1 day of �� , 20�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City")and Mark& Polly Kieper("Owners°).
Recitals
1. A building permit application has been filed for a deck addition located at 2695 Kelly Avenue the
("Subject Property"), legally described Lot 2, Block 1, Carmen Cove, 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 $700 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
consuttant 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 #2016-00491 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• C TY F ONO OWNER:
.
BY: �11[N�L �" l�P'�I'
Its: ��r`� w r �'
�
. . . �. � . ,_
rv
�
�_ � . .�.� :,. . � �e. �. � , � � � _ ��. � .. . x���:� ,._
i ; ,
� ' M.��e.a s.��,► 12D98
� RE�/IS10N LLC a�s�t►r�treet�sEe 2eoo
i 1$S Lake SN'eet E Mlnn�apolis,M�1 s5402
Wayzata�MN b5391 7�-57nsa.
' tB12)462-4000 5/31/2016
ORDER OF City af Orono � � **700.U0
Seven Hundred and Ob�10
DOLLARE
City of Orono
2750 Kelley Parkway
Orono MN 55356
MEMO �
KiEp�r, 2695.PCeil�y-Ave . ��HoarzEus�arurw�
u'0 �9 5 0 4 2u■
. . :
City of Orono
' 2750 Kelley Parkway
Orono MN 55356 952-2A9-4600
Receipt No: 3.015701 Jun 1, 2016
Revision LLC
Previous Balance: .00
Permits
2016-00491 2695 Kelly 700.00 ,
Ave
1�1-22205
D�ferred Rev-Developer Deposit
--------------- '
Total: 700.00
---------------
---------------
Check
Check No: 12098 700.00
Payor:
Revision LLC
Total Applied: 700.00
---------------
Change Tendered: .00
---------------
---------------
. 06/01/2016 08:50AM
� CITY OF ORONO
* 2016 - 00616 *
, , 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2016
ORONO,MN 55356-
(952)249-4600 FAX: (952 249-4616
ADDRESS : 2695 KELLY AVE
PIN : 20-117-23-14-0008
LEGAL DESC : CARMAN COVE
: LOT 002 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$700 ESCROW IS TIED TO BUILDING PERMIT 2016-00491
APPLICANT ESCROW FEE-BUILDING 700.00
KIEPER,POLLY TOTAL 700.00
2695 KELLY AVE Payment(s)
EXCELSIOR,MN 55331- CHECK 12098 700.00
OWNER
KIEPER,POLLY
2695 KELLY AVE
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if coastruction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
1'he applicant is responsible for assuring all requ'ved inspections are
requested in conformance with the State Building Code.1'his permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
LAYOUT PAGE TABLE
LABEL TTITLE IDE56RIFTION COMMENTS
APR - 7 2016
CITY OF ORONO
SCALE: 1/4" • 1'-V"
1st floor
NOTE:
MAN LEVEL LLNDG3 AND DR
A LEVEL FLOOR
O PAN WD$. TO
BE SET AT S-@°
._
}
O
v
'o
L
m
0
LU
r)
ry
Ua
U)
z_
0
DATE:
4/7/16
SCALE:
SHEET:
P-1
z
0
w
w
m
Q
w�
�
�Q
LU
z�
o}
LU
�
LU
U'
w
m0
i
Z
._
}
O
v
'o
L
m
0
LU
r)
ry
Ua
U)
z_
0
DATE:
4/7/16
SCALE:
SHEET:
P-1
z
0
w
w
m
Q
w�
�
�Q
LU
z�
o}
LU
�
LU
U'