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Home My WebLink About2016-00604 - addn/remodel/repair . , . CITY OF ORONO * Z 0 1 6 — 0 PJ 6 0 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2710 KELLY AVE PIN : 21-117-23-23-0034 LEGAL DESC : VERN-MAR MANOR : LOT 009 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE . ADDN/REMOD�EL/REPAIR V� ��vi l:� ��_3�/ _ '_�� i � . �,y r r_ / UATION : $ 111,05�00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) ADDITION TO HOME NOTE:CONSTRUCTION VALUE WAS CHANGED BY ROGER. FROM$55,000.00 TO$111,056.00. THE DIFFERENCE OF THE COST OF THE PLAN REVIEW WILL HAVE TO BE PAID WHICH IS:$279.63 AND WILL BE INCORPORATED INTO THIS PERMIT COST. APPLICANT PERMIT FEE SCHEDULE 1,185.52 PLAN REVIEW 279.63 ROBIN, RESTORATION STATE SURCHARGE(VALUATION) 55.53 2080 SHORELINE DR WAYZATA, MN 55391- TOTAL 1,5 Payment(s) CHECK 2293 , 1,520.68 OWNER RESTORATION,ROBIN 2080 SHORELINE DR 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 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 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 peri o 0 days at any time after work has commenced. The applicant is re onsibl for as uring all required inspections are requested in con rmance ith th State Building Code.This permit may be revoked at any tSme for d e caus �l�'� / � , � c � ��( ,'. 1 � �,L_� � <�L: �.C' � � � � �� S� ApplicanU,Pe e ignature a e Issued By Signature Date �/ � � ' � RECEIVED � City of Orono �A� � � �� Building Permit Application CITYOFORONO for New Structures or Additions Mailing Address: Permit number: ��0—Dd�Q ��Q A.� PO Box 66 � �V� \ Crystal Bay, MN 55323-0066 Date received: 5 3�-'��o 1 f� StreetAddress:' _ Re ived by: - N ___ 4\':y ,� 2750 Kelley Parkway q� `� --- -- - �` 1 �� k Z �a�review fee: '9' O, Cp _.� ,c. Orono, MN 55356 � �K�s r�o��" Main: 952-249-4600 f�-C _ ___ .,....__ p�.(,j(P—�C� 3 : -..,,_.v._�,,� Total Fee: - Fax: 952-249-4616 www.ci.orono.mn.us \ : ! g This application form must be completed in full and all required information must be submitted. ,� �D Incomplete applications will be returned. (Please print) �h'`S y GENERAL INFORMATION: (��if��j� Job Site Address: � -�7 i ca K � � (�� ,� ;� Will this be a Parade of Homes, Remodelers Sho case Home or other Display Home? ❑ Yes ❑ No If yes, a specia/event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: P��_-��-� ��.;2�,- State License# Expiration Date: Phone: (cell) (office) Mailing Address: City: ZIP� Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �1�c�;� i w1 `��—�1<�c_.l-� Phone (daY): C.v IL;� -��C�- c9�"1 '�? / Address: '�,U�U S Yl6y"�I�YIF, c�. r'i v'�-- City: (,�.�-t,j,�2,,tZL ZIP: S�3G � Email and/or Fax ��-y�, ,� �;-{--�; I � �-{-� �i.' �-� r� , c'_<� r? � ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: Cit : ZIP� Email and/or Fax: PROJECT INFORMATION: Descri tion of ro ect: I�`,�� 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& ❑ New Construction Sin le Famil with Water Supply g y ❑Accessory Bldg./Garage �Addition attached garage ❑ Deck 0'�ublic Sewer ❑Accessory Building ❑ Single Family with ❑O�ce/Commercial ❑ Relocation detached garage �esidence ❑ Other: (specify) ❑ Private Sewer ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater [.��rblic Water "'Any earth movement may 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 P hone: 952-471-0590 Fax: 952-471-0682 ; www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �S C.� n�� Packet Last Updated: August 2015 � Page 21 . . STRUCTURE INFORMATION: � 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction �� a. Length(ft.)= Number of bedrooms= �Wood/Frame�eG�� J/'v� b. Width(ft.)= Number of garage stalls: ❑ Masonry � �`��' r ❑ Metal -�/�� if/J/�� Areas in spuare feet Attached= � L� i L i 6 � ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 15'Story = ❑ On-site Prefab e. 2nd Story= ❑ Off-site Prefab f. '/2 Story = ❑ Other(please specify): g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not 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 G� ❑ 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 Privac Advisor 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-tl�at 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 $10,000 escrow to ensure completi�in of the a -built survey and all site improvements. � � + (: ,.� ApplicanYs Signature: ` ---- Date: " . � . Owner's Signature: ` , Date: �. � /� ; L.._ �,� � ,�� Packet Last Updated: August 2015 L�G� Page 22 �� C��'�� t��CB��,@�� 1� ��'��C`�� @��'�l�� CSCEP@SS: �� @P117I$ NSO.'=�&� •L�i,d�V Descriptior� of Mro�l:: `�� Da�e Ftec'd• � `�� 't � SeptiG re�r��w la�+:�,��- � � Datie Approvec�: Zoning revieti✓b�r: Date 1Appeoved: ' � Buiiding revi�w bY: Date l�pproved: � � Grading revfew by: �i Date Approveci: /c�`t,G.//� Zoning D(strict: ��' Zontng File�: I�eso�G: Reso Date: Zonin tot Area: g: �►PV�' S /AC tMidth: �ot Coverage: -� SF �' Survey&ubmEtteci: Yes G No Date of Survey: �'��' (� Revised date(?�• � Landscape�siar�submit�ec6? � Yes � No Landscaper: Pro osed S�tbacks: Front(L Rear(St e4 ( [� 5 E �' ) ( N S E VN ) 04her Buildings tNetland Sid� Side �,,-Y R � r ��e �--- i De�ined Fieight: Peak Height:�_ FFE: FFE'minus 6 feet= (Existing Contc Perimeter(linear feet)= 50°l0= L.F. below grade , Basement? C7 Yes � No, Stories FOR A BUILDING WITH R BA3EflAENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB�(!(3NDA7'lOPi: : Tbe distance between the lowest proposed at or abovs gr•a11e– floor(of the basement or crawi space)and , STAR7 WCfH the fiighest poir►t of the roof. Naie : . � . �� If you have a... - ��-. , SUBTRACTI�N • GABtE OR HIPPED R�Zoo �y p (BASED ON windows7 SubtractAa�f the distance � ��" i , i�e ROOF TYPE) bet+n�een the hiqtvtst potnt of the roof to the low pgki"t of the corresponding � `— gabte or�i"pped roof ' � )OF • GA�LE OR MIPPED ROOF(with �� .�,� half windows): SubVact balf the distance , : e ..'between the,top of the hfghest ;to . wintlow and the highest poirrt of the ' roof ,� ' %'`� • ALL OTHER ROOF TYPES(flat, �F ;r� mansard,etc):No subtraction. � � .. SUBTRACTION Subtract the distance between the �� ; � n (BAS�D ON basemenUcrawi space floor and the �� / EXA�TING hfghest existing grade adJacen#to tfie if RADES} foundatlon OR 10 feet(whichever is less). s' � � �� i �ES _ � � ' fQUAL U�ned building heipht `�f ' � ��,`� � � Updated: October 2015 z:\forms�plan review checklist 10-2015.docx `. ,.� k � Shorelart� QEstrict ��p�ermi4 �° �' Average Lakeshore S�tback � �� Itl1el! Yes !7 No Permit Number: �, .. �� E� Yes C� No N/A � Ye No � N/A-see attached Setback: Storrrtwater C��ality EnE�ting Proposed Overlay District Tier Hardcover Har�cover Variance Requirect CUP Required circle one %and s %and s ��'.g�.p� O Yes [7 No � Yes � No 1 � 3 4 � ��S� T�e(S). T�e(S). Fees to be Char ed YES NO Permit � Plan Review State Sutrcttarge t/' Investigation Fee v' SAC-Number of SAC Ur�its C� Other(specify) S uare Foota e � er 5 uare Foot e Basement X � � �J� ' $ ""r 1�Fioor (� : X � - ' � 2"� Floor X ' � Garage X - � � Estimated Construction Value: ��0 Orono Inspections Required Work Requiring Separate Permits Footing O Site Plumbing � Grading/Filling O Poured Wall Silt fence/Erosion Controi Mechanical q Fire � Foundation Survey 0 ardcover Removal G Septia 0 Water Connection Fo�ndation Waterproo�ng 0 Other(speafy) � Fireplace � Sewer Connection : Framing 0 Masonry 0 Lawn irrigation Insulation � Mfg. 0 Landscapang As-Bui1t Swrvey � Other(specify) Final � �athe Required State Permits � Other(specify) Q Weli Electrical REMARKS (in-house): OFFlCIAt.RE(iRARKS=TQ BE NOTED QN PERKIT AND tNIT1ALLED: See Builder Acknovrfedgement Form � ' to rel o escrow m ' survey a ca 'ons e submitted,and approved. Updated: October 2015 �•\fnrmc\nlan ravioui nhorklief 1fL9f11.ri rinrv . DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen waming",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. � 4'l'��1�1 Vl � U Y1 t'1 S�l � �f"c� � v �� First Middle Last �C,) �O D ��'l��2.� I !�-� � �'' i � Address ��Ju-�-t 2„--�- �� J �-�� 1 �r a�a go-��>� City State Zip Phone I understand my-rights as st d above. ; Signat e Packet Last Updated: August 2015 Page 7 � Builder Acknowledgement Form Permit #2016- 0604 / 2710 Kelly Avenue �d�,r,,. Builder Representative Name: ��S`I-b/'C�f��1') Permit Conditions: Initials Erosion control mechanisms must be installed and inspected by the City prior to any land disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to /j,�� inspection. (,� Erosion control shalt be installed and maintained throughout the entire project and must � remain until vegetation has been established. ` A haul route shall be submitted to the City Engineer for approval and inspection prior to commencement of hauling from the site.The property owner shall be responsible for cleaning � and repair of roadways for any adverse impacts. Prior to the release of escrow funds an as-built survey and hardcover calculations must be submitted and approved. Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining walls,etc. not currently shown on the approved survey and landscaping plan will require a �-�� separate Zoning Permit application to be submitted and approved prior to the work � �� commencing. Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the height of the lower wall require engineered plans and a building permit to be submitted and approved prior to construction. w:\street files\kelly avenue\2710\builder acknowledgement form 2016-00604.docx � Permit Analication: Seif-Checklist for:Comp�eteness Please no�e, the applicant must initial in the boxes below fo ackno�rledge the minimum required information is included with the submittal. If not, the application arviii NOT tie ac . Cail 952.249.4620 to schedule a meeting with stafF if you have questions on application submittai requirements. ` ' Completed Application : Plan Reviev� Fee paid � "� Signed Escrow Agre�me t & E�crpw P�yrne�tt ' � Buildi�g Plan� .(�o,s�ale) �2 . . ��rt�fcate Qf �urvey tto �ca�e) s��nr�r�� e �ro��.�ro�e�=& m�eting all requireme�i�s x2 4 - .. � - � :"s'� Hardcover �ailcul�t�o-r�s �af a�p1��b��.,� � ; � .- I arn aware �hat�Oro�Q.w��1{�at issue�� b��i�ing p��r�.at w��t�t,a '� i c�py t�f MC�ll�p permits {or tt�t�me��a��tc�t�.��r�r�n..��l�� C�ID �itin,g� th� prop �oject dc�es not �r�igc��r�=�e��;�r�itt�� , , ' . reqWin�mer�� . .� �w�liF�.- �#�e MI�VVb at �5�-��1�,�5�0 :�` � reg, ft�f is _ ;. Signe� by: ,. ---�..�:�.,:�_..;�, . � _ I�ddC25S. � 1��:,'. ' �7� � , Perrriit #��:� �o'�DI�� --0, .�� ,�; � �� t � ` PBdcet Last Updeteai' January 20�5' Page 2 City of Orono ,-��oNo,, Hardcover Calculation Worksheet ; (;,`y� ^i Property Address: � �,�� ,,� , . �, �`�•::� � ./�s'�'. ��'�.i;:�'l t'��+.-� It'�r�✓�a ``'��,�K``�\ prepared by: Date: y¢i ys.�'4�K.'':r Y /� r •:a°�J,('T'�"�.;� /,�r'`'•" ,�'''�'r2�-e'`� Stormwater Quality Overlay District Tier: {Circle one) Tier 1 er 2 Ti+er 3 Ti�r 4 Tiar 5 ��--�.�-.---.._---_.._ Step 1:'� ST1NG HARDC4VE In the following ta e i en i a items of existing hardcover on the property,keyed by letter to Certificate af Staivey(survey must accompany this form). Use as many lines as necess�ry to accurately depict existing hardcover status of the propeity. For Tier 1 properties, identify any features by letter which are split at t�e 75' setback line and calculate hardcover square foatage separately for each portion. Key to Hardcover Item (Describe) Length x Width Total Surve S uare Feetj Exam le Gara e 24 x 30`. 720 S.F. A , � fr. ' � S.F. g .T� ~,� � ,;.=,r S.F. C � ,;.„ �;� l 3,3 S.F. Q f-:, . r: , , S.F. E � �- 5 ? S.F. F ��G a ,�� '� S.F. G �°� S.F. H 7- 1.� S.F. I �� .l S.F. � �� , S.F. K t� t� � L � S.F. L e� t, S.F. Iltl S.F. N � S.F. Q S.F. P $0p S.F. Q S.F� R � S.F. � S S.F. T ' S.F. U S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. _(1� Total Existin�Hardcover 3 55 S.F. �j Excludab'le Hardco�er See C�t C,a�;c�e S�c T'�-1�:84`: ' S.F �� .._ Y S.F.�I — --- �.F. _ l5.1=� i2 Total Excludable Hardcover S.F. {3j PJet Existin Hardcover Subtract line 2 from line 1 5 S.F. 4 Total Lot Area . S.!= Existing Hardcover Percentage [(3)_{4)] �c� 8� a% � (Proposed Hardcover next paye} January b;ZUi3 Z, ��I ��.. �� .�y �,��/��I (n, / /� [� � S!�yl 1 u.c�l w'"� VV��Vl°l/— Gmail-Re:2710 Kelly Ave Orono https://mail.google.com/maiUu/0/?ui=2&ik=54095b86c5&view=pt8csearch=inbox&th=154... � ��C�� Jim Cleary<jimcleary4109a�gmail.com> Re: 2710 Kelly Ave Orono . 3 messages Robin Staloch <robinstaloch@live.com> Thu, May 26, 2016 at 1:13 PM To: Lauren Sampedro<Isampedro@minnehahacreek.org> Cc: Jim Cleary <jim@everlastenterprises.com>, "louiseburtondesigndraft@gmail.com" <louiseburtondesigndraft@gmail.com> Thanks Lauren! Yes, please send an electronic copy too. Sent from my iPhone > On May 26, 2016, at 12:34 PM, Lauren Sampedro <Isampedro@minnehahacreek.org>wrote: > > Hi Robin, � ' � > I did receive everything that I needed, thank you! I completed an initial review of the application. It is currently waiting for a District Technician's final review and then we can issue the permit. It will be ready very soon. You can proceed with the City's permitting process. When we issue your permit the � ______�__ I � City will be notified as welL "�-- � _. _..__ —e��..._ >We will mail you a hard copy of the permit when iYs issued. Would you also like an electronic copy of the permit? I( „ _ �� > Best, �J > > Lauren Sampedro > Lead District Representative > Minnehaha Creek Watershed District > 15320 Minnetonka Blvd > Minnetonka, MN 55345 > 952-641-4580 > > > -----Original Message----- > From: Robin Staloch [mailto:robinstaloch@live.com] >Sent: Wednesday, May 25, 2016 8:57 AM >To: Lauren Sampedro <Isampedro@minnehahacreek.org> > Subject: Re: 2710 Kelly Ave Orono 1 of 3 5/27/2016 12:31 PM Christine Mattson From: Adam Edwards Sent: Wednesday,June 01, 2016 320 PM To: Christine Mattson Subject: Re:2710 Kelly Ave/#2016-00604 Stamped approved Sent from my iPad On Jun 1,2016,at 10:05 AM, Christine Mattson<CMattson@ci.orono.mn.us>wrote: Adam, We received a building permit application for an addition to 2710 Kelly Ave. Please review and provide comments. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono ' MN 0 55356(physica/addressJ PO Box 66 I Crystal Bay 6 MN I 55323-0066 (mailing addressJ 'S 952.249.4620 � 8 952.249.4616 �cmattson@ci.orono.mn.us 0 � www.ci.orono.mn.us Summer Office Hours: (Monday, May 23 through Friday,September 2,2016) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,July 4, 2016 i �` New Construction Energy Code Compliance Certificate Pa NI10).S Btilding Certifiwe.A building ceraificatc shali be posied in a permanmtly visible location inside ihe bwiding.The �°4 Cvtilkate Pahd certifieate sEall be completed by the btilda end shall list informauon and values of componmts listed in Tab)e N1101.8. � Ma�a�Addrrs ef t6e Dw��or Dwdlin�Udt CM7 �."1 1 o Kc.�,� �pt�. �C�h'o N.�.rn�w..er c�a.�ror nnv�x�N�ea � �-�t,�.�s� c..Y r� THERMAL ENVELOPE RADON SYSTEM Type:Check All That Appy pass;ve(No Fme) w. o a� c T � � Active(With fan and monarneter pr � F— � _ �, other system monitoring device) �� — � � U C � O �+ r �/ � a o � tj u � v � I'�OYL ! C'j�ys�^C CTOVs.Ci � � �r �� Q W p] � V a� � ��,, ��{r'.sL VL8•�S Vt¢.�1`� S'Y c � \ > o z q � p, i.... x o Insulation Locatbn a •� o m � � O � w = o y o � � o o � ��oo m t— � Z. w w w r:. � c� cG Other Please Describe Here Bclow Entin Slab Foundat3on W all Type in�ocation:interio exterior r irrtepral � Perimrtcr of Slab on Gnde � Rim Joiut(Foondation) � Type in loca6o �nterior xleriw or intepra� R1ID 7oist(1°FbOT+) Type in lo�ation ntario erioror irrtegcal w,n " c�g,�t c��,�.�itea ' X- Bay Windowa or cantilevered areaa Bonns room over garage Deacrme otLer insnLted sreas Wlndows b Doors Heating or Cooling Ducts Outside Condttloned Spaces Average U-Factor(excludes skylighu and one door)U: Not applicable,all ducts]ocated in conditioned space Solar Heat Gain Ccefficient(SHGC): R-value MECHANICAL SYSTEMS Make-up Air Selecr a Type AppllaneeE Heating System Domestic Water Heater Coo]ing System � Not required per mech,code ��T� �(y��, � Q� .¢.. Passive 1►Lnotaeturer Powered Interlocked with exhaust device. M�� Describe: Input in Capacity in Output in Other,describe: Ridng oT Sizt B�S: Gallons: Tons: Hea[Loss: Heat Gain Location of duct or system: Structure'e Calcalated AFUE ur SEER: HSPF% Calculaled E�eien coolin ]oad: Cfm's "round duct OR Meehanieai VentllaUon System "metal ducc Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air COmbustio�Alr Seled a Typt source heat pump with gas back-up furnace): Not requued per mech.code SJed T�pe � Passive Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: Other,describe: Energy Recover Ventilator(ERV)Capaciry in cfms_ Low: High: Location o fduct or system: Continuous exhausting fan(s)rated capaciry in cfms: � '•'�a"�'V� Location of fan(s),desenbe: Cfm's Capacity continuous ventilation rate in cfms: "round duct OR Total ventila[ion(intermittent+continuous)rate in cfms: "meta]duct Created by BAM version 052009 Lot line, rear, means that boundary of a lot which is opposite the front lot line. If the rear lot line is less than ten feet in length, or if the lot forms a point at the rear, the rear lot line shall be a line ten feet in length within the lot, parallel to and at the maximum distance from the front lot line. On a lakeshore lot, the rear lot line is the lot line that is opposite the natural ordinary high water mark at the lakeshore. Lot line, side, means any boundary of a lot which is not a front lot line or a rear lot line. �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ,��/ SCHEDULED I PERMIT NO. �I Co"(?��O(�7 COMPLETED ADDRESS ��'�� l��_ Il�.1 ^-E .. OWNER TELEPH E NO. �l� `�D �� CONTRACTOR � d� / � �-'�� < � � DESCRIPTION 1 (�� L �� f� �� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ EPTIC INSTALL 2 OWNERICONTRACTOH TO MEEf YOU�YES_NO y COMMENTS: � W a �� . �S `�' �L'C� �' ' � �/ � � � � ��1�� 'GO �. � o �� - Q � � �� / ' � � � !'ls� � � (� 1` L'�' /� CJ�' Z � �OG'S�2.. W � J W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ❑C ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑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 AGCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlCon r on site: �? , , ; Inspector.�;�� i��'- �' % , , White Copyflnspector's File Cenary CopyfSite Notice , Y �/b c� � T� TIME CITY OF ORONO CALLED IN � INSPECTION I�,Q�C _ �q,n��HEDULED --/�-Y-- PERMIT NO. v��l� �/`� COMPLFfED ADDRESS �� i(�/!�1 L��/`� OWNER ` � T�LEPHONE NO�//7 0��'�'.Zg� CONTRACT � � D > DESCRIPTION � � ❑ F TING ❑ DEMO INAL SEPTIC FINAL OURED WALL ❑ PLUMBING RI EXCAV/GRADING/FILLING � FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL � ❑ DON 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a O ` � � ). � � / O � W � Q � C� � c��'�� W � � J O W��k/�SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hou in adv . 52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � � ��I DAT TIME CITY OF ORONO CALLED IN �-a��-6 INSPECTION NOTICE �SCHEDULED � -��i� /�"G`�'' PERMIT NO. ��C l� -�G� COMPLETED ADDRESS_�7�d ��'� �L� OWNER TE EPHONE NO. � J �� CONTRACTOR ��'� � DESCRIPTION `--�`l r�P�i l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 4� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � • W� ��dri'a.ti G�rt{i� /.-r ��4�� — � � �✓�v�4�JG Q��<p.r s�c- /KLslc`r �ol`S (� ` � �� 4'LG�S3 �Q s.�� -� `s?ri af�o..-�, � !`!r ji/j�04�t o rt�` CG/��'L � W � Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CO RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�0 OwnerfContractor on site: �� '�^� Inspecto��T White Copyllnspector's File Canary CopylSite Notice � � �� DATE TIME CITY OF ORONO CALLED IN ��,,� � INSPECTION NOTICE ��/ SCHEDULED �,(1� PERMIT NO. �OI�O"�`v"7 COMPLETED ADDRESS 2 7!� !�-� �L!/ � OWNER TELEPHONE NO. � �Z ` � �ZR�7 CONTRACTOR � rt 5 l.c l�-�i UY� �c�lf . � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ 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 J ❑ DEMO-SITE ❑ EPTIC INSTALL � OWNER/CONTRACTOR TO MEET YO��YES_NO � COMMENTS: � .1L /t,�Qc�S �� W a o �KSu�. �- v-�. -�� y,�l.L - o ,r� - �' ^ Gon'�Er.t��(r �t ��Q�c..�.� 0 6�St. � o / . ��'!'�Cr �1,.�I� �✓llA�'lr wf GCV�<<EIOw��r Q W � �� << �s�� - Q � � e� -��rc- � d'�'J'� lo/r<<-� ,a,;,� � K. �b GO�� ✓ � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-46�� OwnerfContractor on�ite: Inspector.� �h^' White Copyllnspector's File Canary CopylSite Notice � � � � � E TIME CITY OF ORONO CALLED IN '' —�,�– INSPECTION N T C ��(�SCHEDULED �L S�! �o � PERMIT NO. co P�e-r ADDRESS a7G � OWNER TELEPHONE N '�� 9 CONTRACTOR -` � DESCRIPTION l� ❑ 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 �RAMING ❑ 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 Q OWNERICONTRACTOR TO MEET YOU:_YES._NO Z � COMMENTS: C lGG Je� - � �� % W a o � �� , - e� ,� — '" Gl�� cc c �e � � �✓U SS in�a ALG K-S G,f� +- ri4•% /?�.�s e✓ T6 Q �Sll�t �r�sS — or r��r�vo 1��k�•- t- � Gl�sn Corv<<��c. � re-}1�.L ' W - � �eS� �,��v��S �� W � G�rY�r�t n aL �b GGv�r � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � FiECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe n � "nspection�4 hours in advance. (952) 249-460� Ow rlContractor '� �"^� Inspector. White Copyllnspector's File Canary Copy/Site Notice � : . l� � DATE TIME CITY OF ORONO CALLED IN ry INSPECTION OT CE SCHEDULED ""�'� PERMIT NO. ��%' l��'� ' connP�erE� ADDRESS �Z� � �� i ��V OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ��.`� ,�1 l I�� {C ��.'�, �i {'� �'�.�l � ly ❑ 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTiiACTOFi TO MEET YOU:_YES_NO w v�i COMMENTS: a '' � �� '� ��- � ,�� i �V�; or 2 li � �i e� �. � � � U�/`l/G al �''� �P Ci �L'A.Q✓'�"P_.�'I P�,�!��' ,/B✓Ly W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE � �CORRECT WORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY w 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContra on site: inspector. � White Copyllnspector's File Canary CopylSite Notice � • � ♦ • • � • � emo To: Finance Department From: Christine Mattson, Planning Assistant (�J" ' ' \ CC: Street File Date: March 13, 2017 G/L: 101-22205 Rer Escrow Refund Building Permit #2016-00604 pertaining to 2710 Kelly Avenue is complete. Please refund $2,500 to the applicant, Robin Staloch. Mail to: Robin Staloch 2080 Shoreline Drive Wayzata, MN 55391 w:�street filesUcelly avenue�2710\escrow refund 201 C�00604.doac � City of Orono ��-- - ��x`�"�� otio Hardcover Calculation Worksheet ''u� �ots _ � Property Address: 2� -��n,,r . �� o l�F�cY AvFic.,GtF (kF.rTat,�rfo��m.E3f.v�3�10 ��kF5H0o'�'` Prepared by: Date: G/ta.�/d��G f�l.T..�'�eiA�'�'.F�jti'c'. !2-Zv-i6 Stormwater Quality Overlay District Tier: (Circle one) Tier 1 ier 2 Tier 3 Tier 4 Tier 5 Step 1. XISTING HARDCOVE In the following table i en i a 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 �ine and calcu�ate hardcover square footage separately for each portion. Surve� Hardcover Item(Describe) Length x Width Total S uare Feet Exam le Gara e 24'x 30' 720 S.F. A Nou E 7 S.F. B C it�'T rt�:lE a S.F. C �rlt'.�;>.,�„ ��,`✓� I,3 S.F. D ro.�G�e wAtk 5 s.F. E C'.s.., t2 f'�Q .5' S.F. F S.F. G 7'To�✓ �7"' •s t S.F. H ✓t �, �� S.F. � s i� � S.F. J ,s,: �i S.F. K /� �1 </ S.F. L i� ii ii S.F. M -- S.F. N S.F. P MI�!� ��' S.F. L 'n S.F. Q �T � ( VU.� S.F. R S.F. S S.h,i,�t,�t,l.rA,� C�GV�ao�. s.F. T S.F. � S.F. V S.F. W S.F. x S.F. Y S.F. Z S.F. 1 Total Euisti Hardcover `1 S.F. Eucludable Hardcover See Clt Code Sec 78-1684 : G S k .f S.F. S.F. � S.F. S.F. S.F. 2 Total Excludable Hardcover O S.F. 3 Net Existin Hardcover Subtract line 2 from line 1 S.F. 4 Total Lot Area 26 0 0 S.F. Proposed Hardcover Percentage ((3)+(4)] !�: �Z '/, (Proposed Hardcover next page) Subdivision Application-January 2016 This is an information packet regarding Hardcover. Every effort has been made to ensure the accuracy of the information contained herein;however,if any information is not consistent with provisions of the City Code,the Code provrsions wlll prevail. Page 18 2�� F��y � �-�.J �� Q(J'f" /�J- 131d1 l�' . � Christine Mattson From: Adam Edwards Sent: Wednesday, December 28, 2016 9:57 AM To: Christine Mattson Subject: RE:2710 Kelly Avenue/#2016-00604 Chris, The as-built appears to conform to the intent of the approved plan. An inspector should conduct a site visit and confirm the following: 1.The survey accurately depicts conditions on the ground. 2.The site is stabilized to the point the any remaining erosion control can be removed. Adam From:Christine Mattson Sent:Wednesday, December 28, 2016 8:38 AM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject:2710 Kelly Avenue/#2016-00604 Adam, We received an as-built survey for 2710 Kelly Avenue. Please review and provide comments. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN ( 55356(physical addressJ PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ "�" 952.249.4620 � 8 952.249.4616 � cmattson@ci.orono.mn.us � �C www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Friday, December 23, 2016 Monday, December 26,2016 Monday,January 2,2017 Monday,January 16,2017 1 .. . . .._..::�,��.$f�D City of Orono � �o� Hardcover Calculation Worksheet 2ots � Property Address: _,� �� Z �io l�EccY Av�.�,�t� �kFrroR,ari�;s,,- �►o�3f.c��tNO `�kESHOO'E Prepared by: Date: G/l a.�d FR G ��I,�.�';a e�..4�'�S,l�t i'C. !2-Z o -�S Stormwater Quality Overlay District Tier: (Circle one) Tier 1 ier 2 Tier 3 Tier 4 Tier 5 Step 1: EXIST NI G ARH DCOVER In the following tab e'"en i a 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 properry. 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. Surve� Hardcover Item(Describe) Length x Width Total Square Feet Exam le Gara e 24'x 30' 720 S.F. A No�r,JF '� S.F. B r �� c�T�' ;�:�sE .� .� s.F. c �,�P.ti _, �$� �� . :��- �,3 S.F. D Co.a�-t'�t kr',��,,k 3 S.F. E �.�,�,.,�ti f 1� .� S.F. F S.F. G TTG,�✓ F7�- s J�r- i �, S.F. H �� '�` �� S.F. � e si .r S.F. � z,' j �,*' �' S.F. K i� �.� i! S.F. L i� ii ai S.F. M __ S.F. N � �pi�� p�„�„/„ S.F. P �y� ✓VW�- S.F. �� H�- ( IOU� S.F. Q S.F. R S 5�� S.F. T S.F. � S.F. S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. 1 Total Existin Hardcover `1 S.F. Excludable Hardcover See Cit Code Sec 78-1684 : G Z' k � f S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover �l O S.F. 3 Net Existin Hardcover Subtract line 2 ftom line 1 S.F. 4 Total Lot Area 26 D O S.F. Proposed Hardcover Percentage [(3)+(4)] !�: �2 °/, (Proposed Hardcover next page) Subdivision Application-January 2016 This is an information packet regarding Hardcover. Every effort has been made to ensure the accuracy of the information contained herein;however,if any information is not consrstent with provisions of the City Code,the Code provisions will prevail. Page 18 Christine Mattson From: Christine Mattson Sent: Thursday, December 29, 2016 1120 AM To: 'robinstaloch@live.com' Subject: RE: 2710 Kelly Avenue/#2016-00604 Hi Robin, Our engineer has reviewed the as-built survey and finds it appears to conform to the intent of the approved plan. The escrow money will be refunded once the snow melts and an inspector can verify the survey accurately depicts current site conditions and can confirm vegetation has been established. Please don't hesitate to contact me with any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway 0 Orono 0 MN � 55356(physical addressJ PO Box 66 � Crystal Bay J MN I 55323-0066 (mailing addressJ '� 952.249.4620 p 8 952.249.4616 � cmattson@ci.orono.mn.us E � www.ci.orono.mn.us Office Hours: Monday-Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday,January 2, 2017 Monday,January 16,2017 -----Original Message----- From: Robin Staloch [mailto:robinstaloch@live.com] Sent:Thursday, December 22, 2016 2:41 PM To:Christine Mattson<CMattson@ci.orono.mn.us> Subject:2710 Kelly Avenue Hi Chris, The project is complete at 2710 Kelly Avenue. All necessary inspections have been performed and i have dropped off two copies of the As- built survey showing new addition on plat map as well as hardcover calculations. Please remit my permit fees to my home address below as soon as the city signs off. Best, Robin Staloch Robin Staloch 2080 Shoreline Drive Wayzata, Mn 55391 Sent Robin Staloch's IPad �