HomeMy WebLinkAbout2016-00420 - detached garage CITYOFORONO * z016 - 0042PJ *
� 2750 KELLEY PARKWAY DATE ISSUED: OS/09/2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3414 LIVINGSTON AVE
PIN : 17-117-23-43-0023
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 002
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GARAGE-DETACHED
Ac'r�vITv : '-t�3�s f��H_r��� v� -i�s Er.�;-u�dC�
VALUATION : $ 21,466.00
NOTE: ACCESSORY STRUCTURE-20 X 20
APPLICA1�iT PERMIT FEE SCHEDULE 387.20
STATE SURCHARGE(VALUATION) 10.73
WESTERN CONSTRUCTION TOTAL 397.93
4301 HIGHWAY 7-SUITE 115 Payment(s)
MINNEAPOLIS,MN 55416 CREDIT CARD 4978 397.93
(612)920-8888
OWNER
BORG,CARL&CAREN
3414 LIVINGSTON AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which[his 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 permi[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 time for due cause. ��`J
C' . �
�� .., —�-� � c� � y�-� 0 5 ��' � �
Ap licant Permi Signature Date Issued By Signature Date
� �
� ' ' CITY OF ORONO �
BUILDiNG PERMIT APPLICATION
� �
FOR NEW STRUCTURES OR ADDITIONS
�. �A_',` Mailing Address: Pertnit number. ����0' �T /�{,�
�� .��'V�'`_,, PO Box 66 Date reoeived: �� — ,�7
1 Crystal Bay,MN 55323-0066
i ' y
� i Street Address:' eceived b : 'Y�
.1`,.;�� :;' 2750 Keliey Paricway i� Plan reviewfee: O�SI• �p �'
` t" Orono,MN 55356 ,� �/
` ���r���.,�,: p�Q(i6-OC, T�
_. _ Main: 952-249-4600 lij Total Fee:
Fax: 952-249-4618 wwv+ci.oronb mn us ES(rA,�( ✓
This application form must be completed in full and aii required information must be su ed.
Incomplete applications will be returned• (Piease print)
GENERAL INFORMATION:
Job Site Address: 3414 livin ston Avenue Orono, MN 55391
Will this be a Parade of Homes, Remodeters Showcase Home or other Dispiay Home? Yes ■ No
if yes,a special event permit rs reQurred with Police Department and Gty Counpl approva/60 days prior to the event. Shuttle bus�rvice wiU be
requir�d un/ess applicant demonstrates sufficient on-srte parlUng is availeble. Non-pevmiKed events wil/not be al(owed.
CQNTRAGTOR/APPLiCANT INFORMATION:
Name: Westem Construction inc.
State License# BC316811 Expiration Date: 4-1-18
Phone: (cell) 612-306-8888 (office) 952-920-$888
Mai�ing,4ddress: d301 HiQhway 7#115 c�y: Minneapolis ZiP: 55416
concact Person: Bradley Chazm Applicant is: Contractor / Homeowner �c+.c�o��
Emaii and�or Fax: bradCc�westemconstructioninc com
PROPERTY OWNER INFORMATION:
rvame: Caren & Carl Borg
Phone(day): 952-471-0843
Address: ��� � ��rinaStan Av����p C�y: OrOnO z�P: 55391
Email and/or Fax .CbOf�luflo.00171
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone{day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATIOPI: Descri tion of ro'ect:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage D�poaal8
Water Supply
0 New Construction ❑Sing�Family with �Accessory Bldg.J Garage
❑Addition attached garage ❑Deck ❑Public Sewer
�Acxessory Building ❑ Single Family with ❑Office/Commercial
❑RelocaGon deffiched garage ❑Residenoe ❑Rrivate Sewer
❑Other:(speay) ❑Muftipte Family!Condo ❑Retaining Wall(s)
❑Public 4-feet or greater ❑Public Water
"My eartfi movemerrt may also require ❑Commercial ❑Storage
MCWD review 8 permits. ❑Industrial �Warehouse ❑Private Well
Minnehaha Creek Watershed Distrid(MCWD) ❑pther.(spedfy} ❑Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952�d71-0682
wwv�minr.ehahacreek.or
Estimated ConsWction Valuation{excluding land) s $21.466.00
Last UDdated• Januarv 2016 `�"�(�!�=!I�Gf���
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• STRUCTURE INFORMATION:
� , �1.Structure Dimensions 1.Structure Dimensions(continued)
� a. length(ft.)= 20 Number of bedrooms= 2. Occupancy:
� b.Width(ft.}= 20 Number of garage staNs�
3. Occupant Load:
� Areas in souare feet Attached=
c. Basement= Detached=2 4. Type of Construction: Ff8t71@
d. 1$'Story =
e.2n0 Story= 5. Code Edition:
f. '/�Story =
g.Total Area= 40Q
REQUIRED SUBMiTTALS:
Ail of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ ❑ Buildin Permit Escrow A reeme�t and Fees
O � Pfan Review Fee
❑ O Com ieted lication Form
p ❑ Pro ased Buiidin Plans—2 full si2e sets,to scale and 1 reduced 11 x 17 or 8'/:x 11 set
❑ 0 Minnesota State Ener Code Calculations and Mechanical Code Re uiremertts
❑ ❑ Surve —2 fuN size,to scale lmeetin ALL surve re uirements}
❑ � Hardcover Calculations
� ❑ Se tic S stem Certification
❑ ! O Minnehaha Creek Watershed District(MCWD)Pertnit or
Documentation from MCWD statin no ermit is r uired
❑ ❑ Landsca Walts and/or Retainin WaII Plans
� ❑ Stormwater Pollution Preverttion Plan SWPPP
❑ ❑ Access Permit
❑ � ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Oepartment;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of S500;
• Certifies that the information supplied is true and correct to the best of hislher knowledge. The applicant recognizes that they are
solely responsible fior submitting a cc�mplete application being aware that upon failure to do so,the staff has no altemative but to
reject it until it is complete;
• Rcknow4edges the Escrow Agreement is completed and signed;
• Understands some or all of the inforrnation that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is i�fortnation which generally cannot be given to the public but can be given to the subjed 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 govemmental 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-buitt survey at the time the
Certificate of Occupancy is requesbed,a temporary Certificate of Occupancy may be issued upon receipt of a S1U,000
escrow to ensure completion of the as-built survey and all site improvements. �
ApplicanYs Signature: ��� Date: 7 Y�����
Ovmer's Signature: '� �.'. ;.L�i��� '�� L-G�� y !-' ' ��s: ' Date: 3-29-2016
Last Uodated Januarv 2016 ;�
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Addres's: ��� Perrrtnit tVo.: �+� '��
Description of+�rork: P ��4.��� �'1 �=�S� ate R�c'd� �'�•��O
' Se t@c review b � ��'� �--�(�,f� r--.."',""`
, p y. Date Approv�d•
Zoning reviewr by: Date Approved• � ti� '
Building review qy: Date Approved: �
Grading review by: , Date Approvecf:�i��t,_
Zonin , DEst�ict: L tC ,
9 ' .` Z�ning fil�#: �Jgd Reso#:�� _ Reso Date: �.'�'
Zoning:Lot Area:�Qs � SF AG lEVidth: L.ot Coverag�, �.3�,�gF �"' '
�!lOYV lao0 a .
Survey.Submltted: �Yes t3 No Da#e of Surv�y: �'L��. Revised date(?1•
Landscape plar�submitted? 13 Yes p No �ancls�aper:
Pro osec! Sefibacks: ; .
t�V+ . � :- , .
Froa e) Re�r(S� , ( �! S � yV ) ( i� S E 1A1 ) Other Bteildengs Wetland
Si� Side :-�p
, . , , , .
� 25,L� ; l�.3` g� �
De�fined Weight: Peak Height: FFE: FfE rr�inus 6 feet= (Facisting Conto
Ferimeter(linear feet)_ � 50°l0= _1..F. t�ei�ow grade
� _
� Basernent7 �Yes G�Vo, �_Storie� -. .
�
, . � ; _ .
, ,
, �OR A$WILDINCs Y�lITH 4►9A9fAlIENT OR C�'tAV�IL SPACE: = FOR A Bl1�L•DI1�G ON A$LAB`FOUNDAT10A1:,`
'1'Ne tlPstance�etween Uie idwest prcposed �lab' b��boye g'rade=
START WI�H floor(of tMe b�9semeM or erawi spac�and r4�ea8nre f�Qm
the hiefiest p�irrt of the roof. • START WtTH 1he h�gfi".`' t of�the .
ui ���.
. _ • . , k ` ' (rot even"If fill ,:rougt#iri to -�
� lf you Havg a:..�:� � eteva�e..�
� SUBTRACTION , • �4BL ` NIPPED ROOF(n4 St �r Qrad6-rt�8,gure•.
� . (�ASEt�ON wm j: Subtract haif#tie distan�e . rr�fi��hest exisstir�g grade'�a She:
i
�� i200FTYP�J �� �rthe#�iph�t'point,ofthewof � hest":��toft�ei�aof, �
16
the ic�w poirn of the correspcindin9 ` 'if yau have a..
gable o�hipped r4of. SUB 710N " ����dR k11PPED ROOF
` � • GABLEiOR H1PPEb ROQF(with , ' (BAS �OM ���'indows):'Sllbtt2cf;h�if
� , v+nnd }�� SubUac�t�alf ttie di�at�c� R TYPE) `��ist8nce,treiwesrl the
es,
- betw�tltetop oT the highest hi�tiegt pqint o�tfie roof to :
Nnndgw nd the hig�est poii�fi of the � fihe 1aw-point of th9 �
rooT �`' � cotr�spot�diri�gatiie or
. .. � . , . - `. , -
. Mip�d roof �
� • ALL OTHER ROQ�IYP�S(flat, • (�,e,BL£QR HIPF�D ROOF
mansat�;etc):No subtraction: � (wifh wintlow�): 5t�btraot.
SUQTRACTIdPI Subtra�t ttie djstance belween the hagtkis distarlce 6eiween
(BAS�D ON baserr�enUcr$Wl space tloor and the ttie't¢p o�T the higtis�t
E�XISTING highest exfsH►�g gtade adjac�#to� � wlndow and 6�e highest
GRADES) . foundation OR 1b feet(whicMever:is less): poik�t of the roof ,
. ,. � AtL QTHER ROOF TYRES
EQUALS Gefined bulldin Mei ht � 'tflat,manserd,ete):Nq
, ; . 9 9 gutrtractien.
' Deflried building " ght
EQUALS
Updated: Odober 2015
z:\forms.�plan review checklist 10-2015.docx
Average�ake�D�or� Setback
Shorel�nd [3istrict �C���'��6� Met? Bluf�
Permit NLmber: 6 Yes Q No NiA � Y�
Yes 8i �to Nfl
N/A-see attached Setback;
Stormwater Quality F�cisting Proposec!
Overiay District Tier Hardcov�r Hardcover Variance Required CUP Required
circle'one %and s %and s
. ��j.7�0�0 �..(D� Yes Ct No 'G Y�s No
1 � 3 4 5 Z.�2- $"� TYP�(S): ` TYpe(sj:
1�� �s� .
_ runrd �r,r�e.t� sfiuc, v�.
Fees to be Cha. ed YES' t�
P�rn� : �,,,�'':
Plan Review �
St�s�C1�tt�e ; , , : t/''`' ,:.
�nvestiga#ion fee
�+��C�,�:of�AC�itil� ,
OtNer(specify) .
S uare Foota e � r S u�re Foota e
$asement X = � ;,
1'��loor . : X : > _ $ , .
'2nd�100f � , x - _ ;$ .
Garage X = �
£stimate+d Cor��ction�'alue: � . �- ��
Orono�nspectfons-Required Work Rec�uiring�Sspar�te Per�its
footing f � Site tl Pltl+�bing fl Gradin�/Filling
� t] Pnuned lAlail � � �� G Si1t F�r�cefEfasi�n Control _� O Meeh�niial , _ L7 �irs, :;� � '
D Fout�dat�on�urvey, ,; fl Hardcaver Rernoval i3.Septic �-1N�ter•GQr�n�ctiora
; C3 ��untfation�Waterprocifin� fl dther(specify) ' C� �i�e�lace"' Q':Se�iver=Con��ctian
F�arrfing�` . ' O M�sonry- `D�Lawr+�lm�ation
�t��tasulatior� � Mfy. ,� � #�`,L'andse�ping
�a as-Buiit survey� n oti,er{s�aci�y)
.
�inal
C! Lathe �equired S�te f'ermixs
fl U#her{s�ci�) :
O V11ell �1`E1e�trical
`REM�IRKS.�n=house): : .. ;� .
OF�'ICiAL REMAR�CS�TO BE NOTfD:ON pERNi1T AND#I+�ITIALtED:
See Buifde Acknowiedg�r�ent Form
rio - uilt survey a ver calc ' : e an pproved.
Updated: Odober 2015
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Address 3414 Livinqston Avenue - •'
� ,•
__._ _._.-•-
Customer Caren 8� Carl Borg 4301 Highway 7, Minneapolis, MN 55416
Phone: 952-920-8888 Fax: 952-920-1172
Phone 952-471-0843 W/C : Cborg �uno.Cor11 State License#BC316811
Salesman Bradley Lot Typ . Corne , Reverse, In-Side Lot Size
Garage: 20 x 20 x 2
Wire mesh �i2°° Rods conduit �te�iewed fior C�de
4000#, 6 Bag Mix, 4%Air Entrained C0111pIi�I1C@ City Of O�OnO
ABU 4 L Front 8 R Front pa� `
10 L Rear 16 R Rear
Reviewer
Driveway: Owner Asphalt
Cement Asphalt � 0���� �
� ���
Sidewalk j
Block: 1 Row 6x8x16 2+ Rows 8x8x16 � �,+"�
1 Left 1 Rear 1 Right 1 Front \._ �►�`� �:rs
v��0 \ ��a�
Damp Proof/ Backfill: Western / Owner �,g J�
1� (�
,�`..�y�dG
Overhead Door Size 16x7 Steel v •
Offset L Centered Offset R � x���
Always Use A 16'3" RO ����,fi � � � �
��
� /�\`���e� .
Service Door 32" 36'� �U � �
1 Row RO 2'8" = 34" 3'0 = 38" �C�
2+Rows RO 2'8" = 37" 3'0 = 41" ' � oo �
'/z"Anchor Bolts Located Not More i�5 ��''� �+
Than 6'o.c. And Within 12" Of Each ��` J� O��
End Piece. Both Side Walls Will Start 3��
� �tiP f
With A 12' Bottom Plate From The Front.
;
�
� ,.._
� ' '� •�•' ''�'�� GARAGE SPECIALISTS SINCE 1949
• � � .• � . STATE LICENSE#BC316611
. . . • � .••� 4301 HIGHWAY 7,#115 MINNEAPOLIS,MN
�' '�-•-��""��� 55416-5807 FAX:952.920.1172
BUS: 952.920.8888
SITE ADDRESS: �14 Livinqston Avenue Orono email: Info@WestemConstructioninc.com
COMMON AND/OR HIP SET TRUSSES�24"O!C
(� 2"X 4"STRONGBACK LAID HORIZONTAL
Roof Height 12� I 2"X 4"-45°GABLE BRACE TO STRONGBACK(WHERE APPLICABLE)
Truss Mid Point ICE&WATER SHIEID FRQM ROOF EQGE TO 24"BEYOND PLATE LINE
12 15#FELT UNDERIAYMENT,SELF SEALING SHINGLES.
Q 4. �� EXTEND SHINGLES 3/4"BEYOND FACE OF 1"X 2" DRIP EDGE
— �� 12
RAKE O" 1"X 2"LEDGER
2"X 4"LOOKOUTS(USE TRUSS TAI�CUT-OFFS)
3/8"CEDAR PLYWOOD SOFF�T
Trussto PiateConnecto 1"X 6"FASCIA WITH 1"X 2"DRIP EDGE
FacxcxyTruss Rai�rType 1 HOUR RATED FIRE WALIS WITHIN 5'OF LOT LINE,5/8"NPE X EXTERIOR
� ��� ��� � GRADE GYPSUM ON EXTERIOR SIDE 5/S"NPE X ON INS►DE WALL
7/16"OSB WALL SHEATHING
OH DoorS¢e 16x7 Steel SHEATHING EXTENDS TO ROUGH OPENINGS,UNDERSIDE OF RAFfER
OH Door Header 2-ZX�Z ZO� TAILS AND TO UNDERSIDE OF ROOF SHEATHING AT GABLES.
SidingType VIf1y) FLASH ALL ROUGH OPENINGS
� sn�ery� Architectural 2"x a"STUDS�16�oic
Fre WaR Location NA 2"X 6'TREATED SOLE PIATES&SEAL
DOUBLE 2"X 4"TOP PLATES-STAGGER TOP PLATE SEAMS 48"MIN-
WaQ Height 8 RooFPdch 4 INTERLOCK AT CORNERS 8'0"CEILING HEIGHT(SLAB TO TOP PLATE)
Truss(ubd PatY Roof Heic�t �2�
� FLOATING MONOLITHIC SLAB
a � °° 4000#/6 BAG MIX/4°�AIR-ENTRAINED
4"MIN THICK SlA6,8"WIDE X 8"THICK PERIMETER
— . --------� 6X610 GA.WELDED WIRE MESH RE�NFORCED
2�1/2"REBAR PERIMETER,SHARP BEND @ CORNERS
<
- 2"MIN COVERAGE ON ALL REINFORCEMENT
S 4"MIN COMPACTED GRANULAR FILL BASE
TOP OF SLAB 6"MIN ABOVE GRADE
1 COURSE 6"CONCRETE BLOCK
�----'--��` 1/2"X 12"VERT REBAR�48"O/C GROUT SOLID
P P������ 2"X 4"STUDS�� 24"CONCRETE APRON-1/2"EXPAN510N JOINT-SLOPE AWAY @ 1/4"/FT
� SEALER � \\
f \ 1!2"X 16"RIGHT ANGLE ANCHOR BOLTS-7"EMBEDDED,2"MiN EXPOSED
1 CS � � 7"FROM OUTSIDE CORNERS-EACH WAY,6'0"MAX SPACING
6"X8'�16"CONC \
BLI(GROUTED \_-_ \ GROUT CORES SOLID AT ANCHOR BOLT LOCATIONS
50CID AT ANCHOR �T \
BdLT LOCATIONS ��MIN �
� l '
� „ l
I �
1 fi2"ANCHOR 1
BOLTS WITH � (2) REBAR �
NUT&WASHER 8�� 3��M�N /
EMBEDED 7" �
MIN INTO EMBEDMENT�
FOU ATION, /
LOCA IN CENTER 1/3 OF SOLE �
PLATE,Sl4(�CED AT 6'MAX AND WITHIN � '
12"OF PLA�6.E\DS. �/
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2015 Minnesota Residential Code CHAPTER 6 WALL CONSTRUCTION
NARROW WALL DETAIL
R602.10.6.3 Method PFG: Portal frame at garage door openings in Seismic Design Categories
A, B and C.
Where supporting a roof or one story and a roof,
a Method PFG braced wall panel constructed in accordance with Figure R602.10.6.3
SHALL BE PERMITTED ON EITHER SIDE OF GARAGE DOOR OPENINGS
a
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C,hristine Mattson
From: Rachel Workin <rworkin@minnehahacreek.org>
Sent: Friday, May 06, 2016 8:20 AM
To: Christine Mattson; 'brad@westerngarage.com'
Cc: Carl E Borg
Subject: RE: 3414 Livingston Avenue/#2016-00420
Good morning Christine and Brad,
Based on my phone conversation with Brad,this project will not require an MCWD permit as it does not meet the
thresholds for an erosion control permit(50 cy excavation; 5,000 sf of disturbance) nor is it located in the
floodplain/wetland. If plans change and this is no longer true, please let us know.
Thank you both!
Kind regards,
Rachel Workin
Permitfing Technician
Minnehaha Creek Watershed District
15320 Minnetonka Boulevard,Minnetonka,MN 55345
952.641.4518
www.m inneha hacreek.ora
From:Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent: Friday, May 06,2016 8:15 AM
To: 'brad@westerngarage.com'<brad@westerngarage.com>
Cc:Carl E Borg<cborg@juno.com>; Rachel Workin<rworkin@minnehahacreek.org>
Subject: RE: 3414 Livingston Avenue/#2016-00420
Brad,
Thanks for the information.
Rachel,
Please send us an email stating a permit is not required from the watershed district.
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN E 55356(physical addressJ
PO Box 66 � Crystal Bay � MN � 55323-0066(mailing addressJ
1
'� 952.249.4620 I g 952.249.4616
� cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
From: brad@western�ara�e.com [mailto:brad@western�ara�e.com]
Sent: Friday, May 06,2016 8:05 AM
To:Christine Mattson<CMattson@ci.orono.mn.us>
Cc:Carl E Borg<cbor�@iuno.com>
Subject: RE: 3414 Livingston Avenue/#2016-00420
Hi Christine,
Thanks for the heads up with regards to the WCWD possible permit.
I just spoke with Rachel Workin and she said we don't need a permit from them and if you had any questions you could
give her a call.
Are we getting close?
Thanks for your help!
Bradley Chazin
President
Western Construction, Inc.
952-920-8888
From:Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Thursday, May 05, 2016 9:56 AM
To: 'brad@westernconstructioninc.com'<brad@westernconstructioninc.com>
Cc: 'cborg@juno.com'<cbor�@iuno.com>; Roger Peitso<rpeitso@ci.orono.mn.us>
Subject:3414 Livingston Avenue/#2016-00420
Brad,
We are nearly complete with our review of the building permit application for an accessory structure at 3414 Livingston
Avenue, however l don't see a permit or documentation from the Minnehaha Creek Watershed District. Your project
may trigger the Minnehaha Creek Watershed District's(MCWDs) permitting requirements; please contact the MCWD directly
at 952-471-0590 regarding your project. Please note,the City of Orono will not issue a building permit without a copy of the
MCWD permit or documentation stating the proposed project does not trigger any of their permitting requirements.
Please don't hesitate to contact me if you have any questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono � MN � 55356(physical addressJ
PO Box 66 � Crystal Bay � MN I 55323-0066 (mailing addressJ
2
Christine Mattson
From: Christine Mattson
Sent: Thursday, May 05, 2016 9:56 AM
To: 'brad@westernconstructioninc.com'
Cc: 'cborg@juno.com'; Roger Peitso
Subject: 3414 Livingston Avenue/#2016-00420
Brad,
We are nearly complete with our review of the building permit application for an accessory structure at 3414 Livingston
Avenue, however l don't see a permit or documentation from the Minnehaha Creek Watershed District. Your project
may trigger the Minnehaha Creek Watershed District's(MCWDs) permitting requirements; please contact the MCWD directly
at 952-471-0590 regarding your project. Please note,the City of Orono will not issue a building permit without a copy of the
MCWD permit or documentation stating the proposed project does not trigger any of their permitting requirements.
Please don't hesitate to contact me if you have any questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono I MN � 55356(physical addressJ
PO Box 66 � Crystal Bay � MN I 55323-0066 (mailing addressJ
'a' 952.249.4620 � 8 952.249.4616
� cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
1
. � Builder Acknowledgement Form
3414 Livingston Avenue/#2016-00420
Builder
Permit Conditions Initials
Erosion control mechanisms must be installed and inspected by the City
proper to any land disturbing activities. The contractor must provide a
minimum of a 24 hour notice prior to inspection.
Erosion control shall be installed and maintained throughout the entire
project and must remain until vegetation has been established.
According to the resolution, prior to the release of the escrow money 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 rior to construction.
w:\street files\livingston ave\3414\builder acknowledgement form 2016-00420.docx
.
� Permit A�plication: Seif-Checklist for Completeness
Please note, the appiicant must initial in the boxes below to acknowledge the minimum required
information is induded with the submittal. If not, the atipiication wili NOT be acceoted. Call
952.249.4620 to schedule a meeting with staff if you have questions on application subm'ittal
requirements.
Completed Appiication
Plan Review Fee Paid
Signed Escrow Agreement Escrow Payment
Building Plans (to scale) x2
Certificate of Survey (to scale) showing the praposed project &
meeting all requirements x2
Hardcover Calculations (if applicable)
I am aware that �rono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stating
the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
regarding this project.
Signed by:
Address: 3414 Livingston Avenue Orono, MN 55391
Permit #: �p l �-Od Z,L7
Last Uodated: Januarv 201 fi
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
1
Call for the next inspection 24 hours in advance. (g52) 24 -46��
OwnerlContractor on site: ���-
Inspector. -����� ��
White Copyflnspector's File ` Cenary CopylSite Notice
. ,
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant//'" '
l
CC: Street File
Date: October 19, 2016
Ca/L: 101-22205
Re: Escrow Refund
Building Permit#2016-00420 pertaining to 3414 Livingston Avenue is complete. Please refund
$2,500 to the property owner, Carl 8�Caren Borg.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Carl&Caren Borg
3414 Livingston Avenue
Wayzata, MN 55391
w:�street filesUivingston ave�3414�escrow refund 2016-00420.docac
t BUILDING PERMIT ESCRO AGRfEMENT
Orono Butlding Pern�it# O
4nA t.��l uu- Pr�,prc4 v�- �v.3tco J
AGREEMENT made this � da of i ,20�0 , by and betv�en ths CITY OF ORONO,
a Minnesota municipai corporation("City') 4,/' {"Owners').
Recitals
1. A building permit appiication . _ h s d been filed a
G located at 'th��5ubject Propeity"), legaily
deSCribed L.8'1� ?.Z-V� OU�- /'/'
2. Owners request the City to review this application.
3. The Cityr will cammence its review of the application and incur costs as.sociated vui� said review
on{y if the Owne�establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneousiy with tfie execution of this Escrow
Agreement,the Ovmers shall deposit$2,500 with the City. All accrued interest, 'rf any,shall be paid to the City to
reimbu�the City for its cost in administering the escrow accouM.
2. PURPOSE OF ESCROW.The purpose of the escmw is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, en ineenin�. in excess of 5500, or legal
consuftant review) or will incur in reviewing �e plan. Eligible expenses shall be consistent v,Ath expenses the
Owners would be responsible for u�der a buitding permm�application.Tt�e escrow will aiso guarantee reimbursement
to the City for all out-of-podcet costs the City has incurred to assune that the vw�rk is c�mpleted in accordance with
the Stormwater Pollution PreveMion Plan and the provisions of Orono City Code Chapter T9.The financial security
may also be used by the City to eliminate any hazardous conditions assoaated with�e work and to repair any
damagc to public property or infrastrudure that is aaused the rnroric ('mcluding ptanning, engineering, or legal
consuitant review}associated with building pertnit# a�0�lp-DO�o�O if campGance with the approved
budd'mg�it is not acxomplished.
3. MON7'HLY BILUNG. As the City receives consultaM bills for incurretl costs,the City will in tum
send a bill to the Owners. Owners shall be responsible for payment to the Ciry within 30 days of ihe Ovmers'receipt
of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make paymeM to
the City within the timeframe outtined in#3 above, shaU issue a Stop Work Order uMil the Owners pa�r all expenses
invoiced pursuant to#3. The City may draw ftom the esaow acxount without further approval of the Owners to reimburse
the City for eligib�expenses the City t►as incurred.
S. CLOSING ESCROW. The Batance on deposit in the escrow,if any,shaN be retumed to the Qwners
when all requiremerrts related to ths project are complete. City Statf shall rtview the terms of this escrow agreement
two dmes per year to determine whether the requirements of ihe project have been successfulty completed and
whether it is a�ropriate to retum the tunds. Owner may also requesi the release of the lunds,and such fu�ds shaq
be reteased upon City Staff receiving the appropriate verification that alI requirements of tl�e project have been
successfully completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners,or if the eligible expenses
incurred by the City exceed U�e amouM 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: (TY OF OF�ONO OWNER:
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Internal Use Ooly: G Original to Piaoning O Copy to Property Owner �Copy to Street File
Last Uodated- Jenuarv 20f6
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cAwt eo� 12930
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DEC 1 � �0►�
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.-. , CITY OF ORONO * 2 0 1 6 — 0 0 4 4 1 *
2750 KELLEY PARKWAY DATE ISSUED: 04/2'7/2016
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3414 LIVINGSTON AVE
PIN : 17-117-23-43-0023
LEGAL DESC : NAVARRE HEIGHTS
: LOT 000 BLOCK 002
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: T'HIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2016-00420 AND ZONING PERMIT 16-3801
APPLICANT ESCROW FEE-BUILDING 2,500.00
TOTAL 2,500.00
BORG,CARL&CAREN Payment(s)
3414 LIVINGSTON AVE CHECK 12930 2,500.00
WAYZATA,MN 55391-
OWNER
BORG,CARL&CAREN
3414 LIVINGSTON AVE
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,appticable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant pertnission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
exp've and become null and void if construction authorized is not
commenced wiU►in 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This peanit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
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City of Orono
o, Hardcover Calculation Worksheet
i ' ! Property Address: c
�./ 3 // / L/ /,r/ iTO.t./ A YE. rBOAG
`�A'ESH� Prepared by: Date:
GRo/t/$ERG 1.4, ac/.i 'c_,,iNo c. 3 -/6
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier t Tier 3 Tier 4 Tier 5
Step 1:CgXISTING 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
Survey Hardcover Item(Describe) Length x Width Total
(Square Feet) _
(Example) (Garage) (24'x 30')
(720 S.F.)
A S.F./yr�/1 E S'6-/
B DECK f STc FT 13 0 S.F.
0 CawC/t ErE Jore 25 S.F.
D .E',Q. 77E° /.r:,4LL.
3o S.F.
E Gds. 'i.'ot CtJ - 6 S.F.
F A/c PAID
Q S.F.
G Coit/C R CTE f 1.4 Et.tiA G./C / 9 0 S.F.
H _ ieGcx Pr,ti - /5 S.F.
.
1 /,D1":k' l,,u.S I-4. 1 yS.F.
J .&AreroP Q�tlf/C-"f X y i/9/ S.F.
K if. R. T/C S 2,5 S.F._
L CGS✓CRt T 44.4`)A�y'* 3�j' S.F
M C.tt4 cE //2 S.F.,
N Co vr,ecre" 9 S.F.
.
0
0 S.F.
-
Q S.F.
S.F.
R
S.F.
R
T S.F.
S.F.
V
S.F.
W S.F.
x S.F._
Y S.F.
Z S.F.
S.F.
(1) Total Existing Hardcover
Excludable Hardcover(See City Code Sec 78-1684): 2 Z 5 / S.F.
S.F.
S.F.
S.F.
S.F._
S.F.
(2) Total Excludable Hardcover
0 S.F.
(3) Net Existing Hardcover [Subtract line(2)from line(1)] 225 / S.F.
(4) Total Lot Area 2o3/ S.F.
Proposed Hardcover Percentage [(3)+(4)] 24493 %
RECEIVED(Proposed Hardcover next page)
Subdivision Application-January 2016 This is an information packet regarding H o ievery effort has been made to
ensure the accuracy of the inform " on a in;however,if any information is
not consistent with provisions of the City Code,the Code provisions will prevail.
Page 18 CITY OF ORONO 3314Ltvl yn t
2010 ' Op4 Lo
Ai-Mui41— 14-t. C.a(cs
Christine Mattson
From: Adam Edwards
Sent: Thursday, October 13, 2016 2:14 PM
To: Christine Mattson
Subject: RE: 3414 Livingston Ave/#2016-00420
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.
From: Christine Mattson
Sent: Wednesday, October 12, 2016 3:36 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>
Subject: 3414 Livingston Ave/#2016-00420
Adam,
We received an as-built survey for the detached garage at 3414 Livingston Ave. Please review and provide comments.
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway 1 Orono MN { 55356(physical address)
PO Box 66 Crystal Bay MN 55323-0066 (mailing address)
tir 952.249.4620 8 952.249.4616
Ilcmattson@ci.orono.mn.us ; www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Friday, November 11, 2016
Thursday& Friday, November 24& 25, 2016
1
DATE TIME 1/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _
PERMIT NO. 2-fu LU - 0C12i' COMPLETED //9/s� /'2 `
ADDRESS + L-1 V k_ i c'
OWNER TELEPHONE NO.
CONTRACTOR �7 _
DESCRIPTION U I i `� �l 4� C'
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
• ❑ FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
c(., COMMENTS:
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cc CO4 �7L X01 11,‘ >L/%-ot e
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Q A.dss 4'e enc ,e,s 4 e
W
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Ci
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCCI CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED-CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner!Contra« • •n site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice