HomeMy WebLinkAbout2013-00926 - new structure �_
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� ' CITY OF ORONO
�" 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 9 Z 6 *
DATE ISSUED: 03/10/2014
ORONO, MN 55356-
(952) 249-4600 FAX: 952) 249-4616
ADDRESS : 1565 MAPLE PL
PIN : 08-117-23-33-0031
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 009 BLOCK 006
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 338,965.56
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL, FIREPLACE,WATER CONNECTION,SEWER CONNECTION,
LAWN IRRIGATION,
WELL(STATE),ELECTRICAL(STATE)
NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FOUN ION SURVEY MUST BE SUBMITTED AND APPROVED BY THE
CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL:
NOTE: PRIOR TO ISSUANCE OF A C I ATE OF OCCUPANC AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND
APPROVED BY STAFF. INITIAL:
NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WE HER CONDITIONS(WHICH PREVENT THE
COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SURVE A TEMPORARY CERTIFICATE OF OCCUPANCY
(TCO)MAY BE NECESSARY. A TCO REQUIRES A$1Q000 ESCROW. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 2,490.75
PLAN REVIEW 538.20 ,
Maple Place LLC STATE SURCHARGE(VALUATION) 169.48
550 25TH AVE N
ST. CLOUD, MN 56303- S.A.C. 2,485.00
Minnesota State License#: 20639439 TOTAL 5,683.43
Payment(s)
CHECK 3270 5,683.43
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD, MN 56303-
�
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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if wnstruction authorized is not
commenced within 180 days of the date of issuance,or if conswction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in wnformance with the State Building Code.This permit may be
revoked at,any.time for due cause.
N O / /
Appli rmitee ' nature Da e Issue By S'g ature Date
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� Ci�r o� �RONo �
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BUILDING PERMIT APPLICATION :
F�R NEW STRUCTURES OR ADDITEONB ,
�A F Malnng Address: Permit number. 4/3 -O� �.�
�y � P08ox88
0 Cryeial Bay,MN 55323•Q088 Date recalved:
SttgetAddresa:, Recelved by: ` / � �• .
�� ` - 27B0 Keiley Parkway Plen revlew fee: �/3 `� OD 7 .
� Orono,MN S53S&
�"�kasrto��' Total Fee:
Maln: 9b2•249-4800 Fex; 952�249-4616 �y,y,�j.arono.mn.us
Thla applir�tion farm must be campleted in full and all requfred iniormatlon must be submltted,
tnaomplete appltcatlans wli!be retumed. (Please print)
GEN�RAL 1NFORMATION:
Job Sfte Adcfress: r � �e, P I nG�
Will this be a Parade of Homes, Rernadelers Shawcase Home or other 171aplay Home? Yes No �
1l yes,e spedal everrt p�rmft ls requJrecl wlth PoAae Aepa�rnent enct Clty'Gound!e�vval QD days prfor fo the evanG Srn,�Je bus ssrvMe wl!!!be
requkad q�fess aAA��cant demonadates aurth�ent on-slt�pe�fdng 1s evw�ebfe. Non�ert»ltted events wnl nvf be e!lowed. �
CONTRAC70R 1 APPLICAt�T IN�ORMATfON: � � :
Name: � ,��4-ta� Ho wu�S — �
St�te license# p�L z,�,a�p}� •Expiratlon Dete: 3„��j �
Phone; celi "k offlce Z 3 N�S 3 33�
Malling Address: d� -�+ Cit : +ti- Z.iP: ' 6 �
Contact Persan: n� �. ' Appll�ant ie: on rac or I Hameawnsr �c�cio anel
Emall end/or�ax; 1 0 �• o
PROpERTY OWNER INFORMATlON: '
�vame: . �, � q�l e.. ���k L��- ,
Phone(day): voo � �
� Addrasa; c, �� o�• 50 N1fo���a��+�C, �r City: `��1' PaJ ZIP: rj � ���
Email$ndlor Fax ���,����,r�n�� __ '
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ARCHI"tEC'F!ENGiNE�R INFQRMATIQN:,
Name: R� �, ( v�✓�n v�
Phone(day): �-Z- �q� �1 7� �
Addre$s: ,� G�y�.ro r City: ��S� ZI P, J'rS 36
�mall andlor Fax: • .
PitpJECT [NFORMATlON: Descrl tlon of ro ect: �
1,Type af ProJect 2,proposad Use 8.8tructure Type �d.8awag�ptspoeal&
Water 3upPty
�New ConetrucRon � �.Single Famity with �Residence
AddUton atmcher!gerage 0erega/Accessory BIdB. �Pubitc Sawer
❑Aa:essary Bufldln8 � ❑ Single FamEy wfih ❑Deck
❑Relocation dotaehed garage []C3fflcalCommercisl �]Prive�te$ewer
❑0lh�r.(speci�y) Q Muftlpte Family/Condo ❑Warei�ouse
❑Publlc ❑Storage ❑Public Water ;
•'Any earth movement may also require D Commerclal ❑Othe�(epecify)
MCWb r�vi�w 8�permlts. ❑Indusirlal � �Pdvate We8
Mlnnehnha Greek Waterehed C11atr�ct(MCYVp) [J 01her.(apeclfy) .
18202 Mimtatordca Blvd
Deephavan,MN 55391
PhcMe: 982-47i-Ob40
Fa�c 952-471-0882
� , Esilmated Constructlon Valua�on(exduding land} � a 4 / ��. 4Z�
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STRUGTURE 1NFORMA'TION:
.8truature Dlmenslana 1.Structure Dimenslons(coallnued� 2.Type af ConatrucUan ,
s,Lengih(it,)= Number oi badrooma� (]�o�d/Frnme
b,Wtdth(ft.)� � Numbe�of gerepe staUs; �Maaonry . , ' .
Araea in sauaca feei Aiteched� ❑Meta1 � �
Q Pole Bldg. , �
c.Basement� Deteched s • ❑ICF
d,i``Story = �']On•aite Prefab
e.2n°8tory� ❑Qtf»slte Prefab
t� '�S Slory a ❑dthei(plea89 8pedfy):
g,Tota)/kean ' ,
. ;
REQUiRED SUBM1TTAt,S: � !
All of the Informaiion rnust be submitted in order for our a licatlon to be rocessed: ' .
Nok
' Ertcloaed ' A iloable '
O C] Permit A Ilcafian
� [7 Pro o ed Bulldin Plans
O � MIV State Ene Cade Calculallone and e anEcal Code Re uiremenle Farm
O 8urve m e sll utrements
� O ❑ 3tormwater Poltuttan Praventlon Plan
l7 liacdcov r Calculet on s •
❑. ❑ 3e Uc S etern SEte�vetluallo Re rt
0 0 AGcesa Petmit �
CJ O Wefland Buffer Im rovemeM plan ;
• O 0 � Ineered Plana for Retal in WelEa 4 fset pr above
0 Plan Review�ee
❑ � Cf Appttcetlan Escraw&Aereement
0 Other;
APpUCANTlOWNER ACKN4Wl.EDG�MENT: �
• Agrees to provtde all�nfotmation requlred or raqueated by fhe Bullding Department;
• Agreee to pay the C[ry o!Orono tor angineering aoneul�ant revlew coste In excass of 5800;
� Ceriii�ea thet the intonnetivn euppfled la trua end correct 10 tha beet ot hielher knowkedge. The eppltoent racagnizas that they
� ara solely reeponsEbls tor submlttl� a camplete appHcation being aware that tspon faNure to do ao,the stafF hea no aitamallve
but to rejeat It unkil It Is aamplete;
� Ackrtawledgas Iho Eacrow Agreament Is compleled and sJgned;
• Understands some or ell af iho intormallon that you are eskad io pravEde on this epplicatlon Is dassiQad by Slale law as elther
private or canfide�ntlal. Pdveta deta is Iniocmatlo�whict�generally cannat be given to the publlc but can he given to the subJect
af the deta. Confiden�al dats ia lniortnalton whEch generally cennot be glven b eiiher tha public or lhe subject oi the Qata. Aur
purpose and tMended use of Utls intartt�ation 1s to annually update our recctde and r�carda of oiher govemmentaf agancias
r9qWred by law. �f you re1'use 10 supply the InfarmaUun,the applicatfo+t may not he Issued.
. Agravs tiiak in tha event that waather or other conditlons prevent the completian af an as-bullt survey at the tlme the
Certtfiaate aF Occupanay la requested,a temporary Certlflcata oP Occupancy tr�ay be Isaued upon reaefpt of a 5�4,Op0
�scrvw ta eneure aompletion of fhe ae�butlt aurvey and a11 slte Improvemente.
Appilcant'a Sfgnature: � � Dete, l2"�' �.�' "'" � �
� Ownec's Signature: ' bate; Z ' Z� " ��
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Ci�nr oF oRONo
BUtLDING PERMtT APPLICATI�N �
F4R NE1N STRUCTURES OR ADDITlONS
� n� Ma!!Mg Addresa: Permit number: D/3 -Ba ��
j��� PO Box 86
0 Crystal eay,MN 553Z3-0088 Date recehred:
Sbeet Addreas:. Recelved by: � � �•
�y� � 2780 Kelley Parkway Plan revlew fee: �/3 `� 00 � .
�'�$65H��'�G Orono�MN 55358 ,
Total Fee:
Main: 652-248-4800 Fex: 952-249-4616 yp�pp�,�.orono. n.us
This appUcadon form must be complebed in full and all required infortnatlon must be submmed.
Incomplete epplications wlll bs returned. (Plesae print)
G�NERAL INFORMATION:
Job Slte Address: ; �► t¢, P I�u�.
Vlfill this be a Parede of Homes, Rernodelers Showcase Home oc o�er Dlsplay Home? Yes No �
!t yea,a speda!event pemdt Is requrrod wiOh PoNce Rspsrfmwrt e►�d Gfy Cound!epptvvel e0 days pdor b the eve►rt. ShulUe bw sarvtce wNl be
rsquhod wdsas appll�nt domonabatss auAfclent o»�site peddr�ts avallable. No�rperm)tted ewnb wi9 nd bs alb+Med. •
CONTRACTOR 1 APPLICANT INFORMATION: �
Name: h�F-la� Hc �
Stete License# p�� y��Se �Expiration Dete: 3/ 3 I �
Phone: cell •�ti oiflce z 3 �ZS 3333
AAeiting Address: D -L^+ C : ,� w Z1P: 6 �
Contact Person: �• ' Applicant is: n c or 1 Homeowner �c�aio one�
Emall and/or Fax: 1 0 �- a
PROPERTY OWNER INFORnAAATION: '
H9(11@: L4k4 SOJ�[P
� Y�� � �
Phone da y�,, o D
� Address: �l,� �1✓b Su� SD NI�eS 5i�ailin� Qr City: ���� PM/� ZIP: rj S ���
Email and/or Fax ��e� s�s _�on v '
ARCHITECT/EWGINEER INFORMATI N:,
Name: ��-�, G� �q v�-
Phone{day):� — �� H �
�aress: � �,7�.,0 � c�tv: DSS� z�P: 5-,�. 3b`l
Emafl andJor Fax: • �
PROJECT INFORMATION: Descri tion of ro ect:
1.Type of ProJect 2.Propoeed Use 3.Structuro Type 4.Sewage Dteposal d�
Water Supply
�New Construction �.S(npb Family with �Resldence
AddfBon attached garage Garege/Axaseory Bidg. �]Public Sewar
❑Axessory Bulldlnp ❑ Single Famdy wHh ❑Dedc i
❑RelocaUon detAched garage ❑Offlce/Commerdel �Private Sewer
❑Qlher.(apedfy) �Mul�ple Fam�y J Condo ❑Warehouse
❑PubIIC ❑Storage ❑Publlc Waier ,
••My�rth movament may also requlre ❑Commercial ❑Oth�(specify)
MCWD review 8 permlts. ❑Irsdueitial �Pdvate We11
Mlnnehaha(�eek Wate�shed Olebtd{MCVW) ❑pfher.(apec�iy) ,
192a2 Minnetonka Blvd
Qeephaven,MN 55581
Phorte: 962-475-0860
Fax 952-471-088Z
� . EsUmated Constn�ctlon Valua�on(excluding landy $ a D / �, DZ�
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STRUCTURE INFORAAATfON: �
1.Struaturo Dlme�lons 1.Stnicture Dlmansions(co�rtlnued) 2.Type of Construcflon ,
e,Length(ft.)= IVumber oi bedrooma� []yvood/Frame
b.Width(ft.)= Number of gerape stalls: �Meaonry . ' ,
Araes In sauare feet Attached a ❑N�etel
❑Pole 91dg.
c.Basemant� Oetad�ed= � �ICF
d'�a story s ❑On•aite Prefab
e.2n°3tory= ❑Of�site Prefab
f. '�4 Story = ❑Other ease a e
� P ��
g.Total Area� ' ,
REQUIRED SUBMITfALS: • •
Ap of the information must be subm�ted in order for your a lication to be rocessed: .
Not
Enclosed llcabla
O 0 PermR A flc�tioa
O 0 oged Buil�n Plane
O 0 MN Stata En Code CalculaUons and Mechanicsd Code R uiremoMs Form
O 3u me ell Wroments
O O Stom�wate�Pdlution Prevemlon Plan
O C7 H rdc�ver Calculation s
O. O qc etem Stta Evaluatlan Re rt
O � A�ceas PermR
O 0 WeUsnd Bu(ter Im rovement Plen :
� O � E Ineered Plana tor Retalnln Welle 4 feet or ebove
� O Plan Review Fee
� 0 Applkatlon Escrow&Agreem�t
O fJ Oth�:
APPUCANT/OWNER ACKNOWLEDGEMENT: '
• Agnees to provfde afl Iniormetio�requlred or requested by the BuiWing DepaNneM;
• Agrees to pay the Clty of Orono for enginaering conaultant review costs in excess of SS00;
• Ceriifies tF�at tha infortnatfon suppBed Is trua and wrrect to ihe best ot hislher kn�ledge. The eppllcaM reoopnizas that they
are solely nesponsible tor aubmitdnp a complete applEcaHon bainp aware thst upon fellure to do so,the ateff has no akemative
but to re)ect K uMil It ls complete;
• Acknowledpas tha Escrow Ag�eamen!is completed end slgned;
• Unde►stands some or all ai the infortnaHon that you are asked to provtde on Utis applicatlon is daoafflod by Slate law as eNher
privete or oonfideMial. Private data Is infortnation which generally cannot be given to the publlc but can be glven to fhe subject
of the dete. CoMldeMtal dste Is IntortnaUon whfch generaly canno!be give�to either the publlc or lhe subjed of the alata Our
purpoas and tMendad uee oi thle UtormaUon Is to annually update our recorda and recards of other govemmontal agenc�s
required by law. ii you refiise to aupply the informaUon,the applica�on may not be isaued.
• Agrees that in the event that wsather or other condiUons prevent the compistlon of an as-bupt survey at the time tha
CertMtcats of Occupancy Is requested�a temporary Certlflcate of Occupancy may be Issusd upon reaelpt of a 510,000
eacrow to ansure completion of the as•built survey and atl site Improvaments.
,�/ -- I � i
ApplicanYs Signature: �"(_ � Date: �Z `�' �
Owner's Signature: Date:
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STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= �•�� Number of bedrooms= `�" �'Wood/Frame
b.Width(ft.)= �-�1 Number of garage stalls: ❑ Masonry
Areas in square feet Attached= Z--. ❑ Metal
❑ Pole Bldg.
c. Basement= ��� Detached= ❑ ICF
d. 1S�Story = I �'_t ❑ On-site Prefab
e.2"d Story= E �Z..�. ❑Off-site Prefab
f. '/z Story = ❑ Other(please specify):
g.Total Area= Q_��L'
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be ,�ro��sse�
;.,R ��, ��p-}c���,r�, � r - ��, � �,
� --Uj i � $f�C�} t:.A a .1�.:� t 4 ii3 ?";.i
�, : i � c
1� -r� v�{,.�. _ -� - ��
� + ❑ Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
`� ❑ Surve meetin all re uirements
O ❑ Stormwater Pollution Prevention Plan
O Hardcover Calculation s
p ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetiand Buffer Im rovement Plan
❑ ❑ En ineered Pians for Retainin Walls 4 feet or above
❑ Plan Review Fee
❑ ❑ Other:
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$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may n�t be issued.
. Agrees that in the event th2t weather or other conditians,prevertt the completion of an.as�builtsurvey �t the time':the
Ce�tificate of Occuparlcy is requestad,a terqporary�Gertificate�of;Occupancy may be�issued,upon re¢eipt of;a^$�0;000
escrow to ensure completion df'the as-bullt survey antl all'site�improvemet�ts.
,
Applicant's Signature: ,�� J��•�-- �-�'— Date: C�^( Z �� / � ->
Owner's Signature: Date:
Packet Last Updaled: 03-06-2012
-22-
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� �c��,�����E���� ��-��������-r ��� �'��,� ���.���r��.�� � t����-�c���
Address/Perenit Ftusnber: t��� ��t.�% Qt�4 C,��
�e��cri�tscn e��v��drk: ��e"� �
Sep�ic review lcy: Date Apprcved;
Zo►tir�g r�view t�Y� �� Date APpro�►�d: 2 • ��''��
�uilcEittg reviernr bY� �ate Apprcved: / - .
Ge�dEng revlern+bY� rr Date Appraved: /� �
Zor�ing Districf: �1_�.'Zonin File#: Reso�k:
� Reso Date:
i.oF ��� tE�,� ..�.« �:,,.
Zonir�c�:iot Are�: SF/AC 1h�€dth: Lot Cover�ge: �"6"�� ����F ��% �� �
Sucve�Submitt�cf: �Yes L� No D�te of Surv�y: _�Z�..�-�� Revised date(�)• ,���'(�{
Pro ased Sefbacks: �,'
�
Frant( e) R�ar(Street} ( � � E � ) (��! S E �f ) Other Buiidings {f4►etlanci
Sfc�e �,� �icte
•`� � � ,P�~ ° ���
f,,;' :°`_ � i-3��t
D�fneci Height: -�- � �---✓ P��k i��ig�ht: FFE: �`�•� FFE mir�us 6 f�et= ��{��
�; �_(Exi�ting Contcu
, Perimeter(lirte�r feetj- a'��-f,., SQ%_ ^�,``°'` • #of Staries �._�:��� �Z- 2�►-�;
;}, � _?�'_::, �,�l, �.�� � �.; , a � �"° Ok?�YES
i ,�-�,/ � y �.i s;a�:„S i aR�.z.., �._ '..:' u.-`•- , �'�' � ' ''4 r
,� � FOR BUILDINC=WITH A BASEMENT OR CREIWL 3PACE: °�' '�-� y��c� �
The distance between the lowest FOR A BUILDthlG ON A SLAB FOUNDATIONl:
��{ ' START WIl'H proposed floor(of the basement or crawl
�� space)and the highest point of the roof. The disffinCe'beMreen the top of sfab arn
START WITH �e highest poiM of the roof.
Hyou have a...
• GABLE OR HIPPED ROOF(no 1f you have a:..
• GABLE OR HiP(�ED RO.dF(no
/ winclows): Subtrad half the windows): Suytract haff 7fie diatan�
�l i�1�� disiance between the highest point between the hi hest
.* of the roof to the low point of the 9 PoiM of the ro
• �:, to the low r�t of the corre$pondir
,.� .
,,f+,� _��, �� SUBTRACTION cortesponding gable or hipped roof SUBTRACTION gabie or hipped roof
�. � ` (BASED ON ROOF • GABLE OR HIPPED RO.OF(wi{h . (BAS�D ON • GABLE OR HIPPED ROOF(with
TYP� windows): Subtrad half the ROOF TYPE) wirldows): Subtracthelf 1he distarn
distance between the top of the beiween the top of the fiiphest
highest window antl the highest . window and tAe highest point of th�
poiM of the roof . �{
• ALL OTHER ROOF TYPES{flat, • ALL OTHER ROOF TYPE$(fiat,
mansard,etc):No subtraction. rF�ansartJ etc:No subtraction.
,: �+�:� �-; Subtract the disfance between the ADDITION Add the distance between the top of slat
1-; � � SUBTRACTION (BASED ON and tt�e highest e�dating grade adjacent i
- (BASED ON F�CISTING �SemeMlerawl space floor and the EXISTING the toundation.
� ' � highest existing g[ade adjacent to the GRADES
�'? GRADES)
p`!..: .i foundation OR 10 feet(whichever is less). EQUALS Defined building heigM
�e"t �� EQUALS Defined building height ,
,
�����
3��;�
:.��. :
ShoreEand Qistrict 6�C�Q�'erm[t Receeved Aker� e Lak�shar�Setb�ck 14�et? 6EufF
� Yes � t�o t� N1A B] Yes Nc
�Yes � No � � Yes � !�o j�`N/A
�
Permit I�umber: � - �" Setback:
St�crr�v�ater(��a�Eity Exi�tEe�� �ro�osed Vaeianc�Rec{uir�ct CUP R uired
Qverl� DistrictTier E�ardco�+er t�ardcaver �
�� � � �._,���:��
Q Yes �!o CI Yes �d`o
G'"" t� F j � TYPe(S)� • T e s .
,_ YP � )'
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Updated: January 2013 ��,�'� �n-i�
v:lforms�plan review chedclist 2013.docx y' � �� l
A !
��� ���� �� � � � �
. � . F )
RE�tf�Ft6CS (in-house):
F�es ta be Cf�a ed YE.� ��'
��3�
Pt�n Re�iew ✓
�fe�it1�Ch�s'ge.
lnvestigation Fee
��-:��r?O�F��►�C Un�
Qther(specify)
S uare Foota e S r S uare Foota e
Sasement �O Z� X ."�3 = � �� �t�• ��
1�`Fioor t U Z� X �D S• 'T j = $ �p�,�QI�_`f�
2"dFloor ��1(o X q�5 • �3 = $ g2�',`��30.��
Garage �CO X �0, � ' $ 4 ��"�,
Estimatetf Constructior�Vatue: � .3��s`��$�
Orono lnspecfions Requireti lA�ork Requiring Separate Permits Required State Permits
E� Site �'Plumbing � Grading/Filiing ,P�Well
f� Hardcover Removal �Mechanical � Fire �'Electrical
�7l Footing ' � Water Connection
�' Poured Wall �Fireplace ,� Sewer Connection
�' Foundation Surorep � Masonry �Lawn Irrigation
�'Radon Rock Bed �Mfg.
�'Frami�g � Other{specify) �
jd'inswiation
�'�As-Built Survey
�i Final
� Wetland Buffer
� Other(specify)
RElt�ARKS (in-house):
Other Review: Reviev�red bp: Date�hpRraded:
Access: Existing: I� YES C� MO New: C YES CE NO
aFF[C{1iL REMaRKS-'FO [�E F�C3TED QRt PEFt�ftT AC�6C�tF�lTtALLED
Updated: January 2013
v:\formslplan review chedclist 2013.docx
� 1 L •.• � � , LLVV11 �, �1� 1 ►J 1 t1L .�n 1 v 1� rv
HENNEPIN - COUNTY, MIN�TESO-TA =
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PROPOSED ELEVATIONS : (ver �
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, , , ,
Christine Mattson
From: Christine Mattson
Sent: Wednesday, February 12, 2014 2:54 PM
To: 'Mark P Way'
Cc: 'Mark'; Melanie Curtis
Subject: 1565 Maple Place/#2013-00926
Attachments: 1565 Maple Place .pdf
Mark,
We received a survey dated 2-11-14 showing the 937.0 elevation. It appears the lowest level does not meet
our basement requirement. My calculations are attached.
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 address)
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
d 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
OUR OFFICE WILL BE CLOSED: Monday, February 17, 2014
1
� � �
ORONO COPY
City of Orono
,:��oNo, Hardcover Calculation Worksheet
�,s�� ,1 Property Address: y.56'�5 /!'f,�,��E �t�t�� ffD€/.ai Ta.r,�,�,.f�'o,✓ .N��c'.�',�
. c;
'�`^A��=,,,,�`' Prepared by: Date:
Gko,��B�'�.G � e��.ro�r,��F1'�f�c/c. 8-i6'-13
�
Stormwater Quality Overiay District Tier: (Circle one) Tier 1 ier Tier 3 Tier 4 Tier 5
,+� oiv�.r Z.s' '�� .9�.�er.�.r�,0 Frs�e r/✓�.�' �'At��',��
Step 2: PROPOSED HARDCOVER
In the folfowing table, identify ail items.of proposed hardcover on the property, keyed by letter to
Certificate of Survey(survey must accompany this form). Include a!I existing hardcover items that are
intended to remain, as well as all proposed hardcover iterris that witl 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
se aratel for each ortion.
� Y
Surve� Hardcover Item(Describe) Length x Width g tuare Feet
Exam le Gara e 24'x3Q' 20,S.F.
iA /WoGrJ' r S.F.
B .�'�'2aEa.r� .3.� S.F.
� C SlOF'Gc%tGK _ CJ S.F.
� D 2 ad� .t r � � S.F..
I E ,Ei� ��"S e��ar.+.� e�'�'�t /1G'r, ,• ? S.F.
F r.te F�'✓et Ge+r�c.�ate.lt�eJ� '' S.F.
� G B.F.
H S.F.
� � S.F.
� S.F.
K S.F.
� S.F.
M S.F.
N S.F.
p 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 �2�'7 S.F.
Excludable Ha�dcouer See Clt Code Sec 78=1684 :
�c F^r �,G�D . ..� .. � S.F.
c.r1 Lc. Fd+c l.es� � �'�.c,.. S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover y' S:F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 .,�'2 p 3 S.F.
4 Total LotArea z S.F.
Proposed Hardcover Percentage [(3)i(4)j 2�; `9'�°�o
January 8,2013
� � ' � �
City of Orono ` �
�.
; �o�o, Hardcover Calculation Worksheet
f I Property Address: �5-6-�- �/,,,r /
1�� , �! /% �'+�`� � pL/t C l C !)�.1�./ .r'✓.�'/C.'r�'OX�'� fl)�2�,,�'�
\`�'�����'-�� Prepared by: Date:
G�'arvB6�� � i6.1��'raC'r,�rEl.�,vc. 8-�6'-/3
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 ier �Tier 3 Tier 4 Tier 5
,�k ��v�.r �s �� .��cG��,� FDr�' T!✓�.1� iit D i���,�.�
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 welt as all proposed hardcover items that wilt 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
se aratel for each ortion.
Key to Hardcover Item (Describe) Length x Width Total
Surve S uare Feet
Exam le Gara e 24'x30' 720 S.F.
A Ot.�J' ,� S.F.
B �'T"po 33 S.F.
C tOt'Gc/.rG t� S.F.
� Rd&'= .t 6 F S.F.
E t�� e".�,�` a,s,�.�Gcu �2;:�1.. /l�r 7 S.F.
F r,�, f'�x Gur.���accr�"` S.F.
G S.F.
N S.F.
I _ S.F.
J S.F.
K S.F.
L S.F.
M S.F.
N S.F.
O _ S.F.
P 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 Pro osed Hardcover 2 2 y'? S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
G.F'rP Lc.�it.-�3 =.r..�'. -' r, r � S.F.
J� F f .i C�(/ LC. F!"JiL �Le'9 v , 1, ...•" o�:GA�' � '� J.F.
5.�.
S.F.
S.F.
2 Total Excludable Hardcover SI� �.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 .�?Z Q 3 S.F.
4 Total Lot Area .����_ ���S.F. i
"��F• I
Proposed Hardcover Percentage [(3)+(4)`] ` �c� �f+�;'9
- �.u�rus�c� _ -�-.i,..•J
� ��� ,ry, �,- d;� JAN
� `�� i ' . .
>anua 8 2013 $`��' � �+ . ,.�
ry � C�y(� ORONO
��� ��� �
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C ITY OF ORONO
� � Street Address: Mailing Address: Telephone(952)249-4600
��, ` 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
�AKESH�R�G Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
January , 14
Mark Way
Atias Homes
14450 117�'Ave N
Dayton, MN 55369
Re: Building Permit Application#2013-00926
1565 Maple Place
The City received a building permit application for 1565 Maple Place. This application is incomplete. The
following items must be submitted or revised in order for your application to be considered complete and for the
plan review to continue:
1. Certificate of Survey. A survey was submitted dated 12-27-13, however does not show existinq
topography. Please provide finro copies of an updated, full size certificate of survey which meets all of the
City's survey standards (enclosed). Please note additional existing topography and spot elevations are
necessary to determine whether or not the proposed home meets the City's height and number of stories
requirements.
a. Building Height. All buildings in Orono are allowed a maximum defined height of 30 feet and
must not exceed 2 '/z stories as defined within City Code Section 78-1. With the information
currently provided, the home measures 31.85 feet in height and appears to be 3 stories.
2. Building Permit Application. The property owner listed on the application is Landsource...the property
owner according to Hennepin County is Maple Place, LLC. Please resolve this discrepancy and provide
us with proof of ownership. The proqertv owner must sign the building permit application and return it to
us as soon as possible. A copy of the application is attached.
3. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require
submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee
reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally
this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and
stormwater. The required escrow amount for this project is $2,500. The escrow agreement is enclosed.
The propertv owner must sign the escrow agreement and submit a check for$2,500.
Your project may trigger the Minnehaha Creek Watershed DistricYs (MCWD) permitting requirements; please
contact the MCWD directly at 952-471-0590 regarding your project. Please note, the City of Orono will not issue
a building permit without a copy of MCWD permits or documentation from the MCWD stating the proposed project
does not trigger any of their permitting requirements. The above information is required in order for the plan
review to continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if
you have any questions on the above requirements.
Sincerely,
CITY OF ORONO
_ 1�'
Chri tine Mattson
Planning Assistant
c Maple Place, LLC; 550 25'"Avenue N; St. Cloud, MN 56303
Mark Way, via email
Jamison Kohout via email
Lyle Oman, Building Official
enclosures
,
� � �
., .
f'
Christine Mattson
From: Mark P Way [mark@atlashomesmn.com]
Sent: Monday, March 03, 2014 8:22 PM
To: Christine Mattson
Subject: FW: 1565 Maple Place form 1108 is attached
Attachments: 2014-03-03 HVAC Form N1101.8 - 1565 Maple Pl.pdf
Christine,
I sent this email to Lyle but his autoreply says he is out until 3-12. He requested the attached document. Please call or
reply with questions.
Thanks,
Mark P Way
Atlas Homes. Inc.
14450 117th Ave N
Dayton, MN 55369
Building Contractor License#BC269686
Since 2000
763-425-3333 Office
763-390-0039 Fax
763-691-4099 Mobile
www.atlashomesmn.com
From: Mark P Way [mailto:mark@atlashomesmn.com]
Sent: Monday, March 3, 2014 8:12 PM
To: 'Lyle Oman'
Subject: 1565 Maple Place form 1108 is attached
1565 Maple Place form 1108 is attached
Thanks,
Mark P Way
Atlas Homes, Inc.
14450 1172h Ave N
Dayton, MN 55369
Building Contractor License#BC269686
Since 2000
763-425-3333 Office
763-390-0039 Fax
763-691-4099 Mobile
1
--- --- - - ---- - _- _ _ - - - - -
Nl 10i.$ ('ertificatc ,, � � � �� �) _
R�iildcrs Name/C:nmpanY Date: ' � �` � --__. _ site Addi-ess: __ � y�'� �'�a j�C: ! �04- _�_"��
� Contractor Name: __'�i���f�.��� ���'� r' � �' �`�°�y'�� License Number:� "`' ���`G'�
---- ------ _ . _ .. _ - ._ __ _-- - ---�- - - --
locafion Type of Insta/!ed Type Location Size
Insu/ation R-Value
-- - - � -- -- ---- _ _ ----- - - - _ _ �- _
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Makeu Air �,;,��,�vc.,� ,r�� �.,��,c.r �rli �;�� L rM
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Roaf Ceiling ----�c�.., � �� �'1� -_ . _. -- -- � -�
Combustion Air , �,4,, ,�. � _._ _!_ __
Walls .. �� .�-�- -�T��� -_� --- --___- - __ _ - - --
Water Heatin -� _ .__-
--- ---- - ___ - - -— -
; �- � _.
Slab-on-Grade - �� - - - :��'�- - -- - - - _- - � �
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_ � _ _ ---- _
Floor a1� L�_i _,_ ;_�". _ ___ __ -- - ` ' -
Ducts Outside=of Cond�ti�an�ed�Spaces i �
_ -- -- - - --r-- -- _
ti
Rim ]oist �c�� ' } ��. _ :� J' �. : ! = _ _
�--- � `- - r Interior, �teriar or Integral --- -- - —— {Lvcation -�'� �`"f�-Va�L/B . _,__
= - -
-- -- -- --- _ ._�_-- — _
Foundation wall �sG,i� �?��•� ' �. �
------ ----T�--� _ _ --- - - - _ . ---_-- ' --- .
� Intcrior, Fxtcrior or Integral
-- _ - -- - —- —------- - — - -
A vera e U-Facto� ; SHGC(so/a�heat yain coe�cient �_ Passive I_,_Active �
-- ------�2 -- - �=-_-1
_
Fenestration I ._ _ ___ Raclon Control (`�--~ .� __,
- - � ___ _._ - -- - -_ __ • . _ .
j
i '
yp _ Input Ratin AFUE Manufacturer ! Mode/ , Ca/culated Heat Loss i
----- _� -- vT e , _ _ -__ - -
Heating 5 rLstem ,:_,�.1 �-_,:__ -,_.�� C_ _ -�Z _ "-- +�� _ _ ! .,� �- `',;� ��7��-t � ___�1 � �:S�'- i
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T�pe _ Out up t Rafing_ SEER ; Manufacturer E Mode/ � Coo/ing Load/Heat Gain
Cootin4 System -����,;1 ' " � j ' 't ''� '�- �c __. _ . _
-- .- . - .. :(.- ---��` i. L _ 1 �. ____ 1 _i��.��L��y1i1v\ � � � � � � �Z 7L'
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,
1565 Maple PI Orono
HVAC Load Calculations
for
DeanJohnson
Medina, MN
Prepared By:
Todd Boyum
Sabre Plumbing& Heating
15535 Medina Rd
Plymouth, MN 55447
763-473-2267
Thursday, September 05, 2013
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
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sa���r���� � ���b � � ��, ����������,'����� � . �� y���k d;�� �
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Pro"ect Re ort
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Project Title: 1565 Maple PI Orono
Designed By: Todd Boyum
Project Date: Jan 8, 2013
Client Name: Dean Johnson
Client City: Medina, MN
Company Name: Sabre Plumbing& Heating
Company Representative: Todd Boyum
Company Address: 15535 Medina Rd
Company City: Plymouth, MN 55447
Company Phone: 763-473-2267
Company Fax: 763-473-8565
<1:/�, i Bv;x'ai�C .��"f'k` �"' =ak ra�Air,�u�..�u� s.li1 ��v�b;,.
Reference City: Minneapolis, Minnesota
Building Orientation: Front door faces East
Daily Temperature Range: Medium
Latitude: 44 Degrees
Elevation: 834 ft.
Altitude Factor: 0.970
Outdoor Outdoor Outdoor Indoor Indoor Grains
Drv Bulb Wet Bulb Rel.Hum Rel.Hum Drv Bulb Difference
Winter: -15 -12.38 100% 30% 70 27.02
Summer: 90 73 45% 50% 72 38
�h�Ck''�i tires � �„ =� �,��"',� � ' „ :
Total Building Supply CFM: 1,127 CFM Per Square ft.: 0.335
Square ft. of Room Area: 3,363 Square ft. Per Ton: 1,380
Volume(ft')of Cond. Space: 27,916
57 �1�� ':� � i n� � ���Itu�'"o��r r '����'��i r w9 i t�,'-�; v�;" �F,��
�d. � .. . . . . , > . _: . . � „ t
Total Heating Required Including Ventilation Air: 52,314 Btuh 52.314 MBH
Total Sensible Gain: 24,054 Btuh 82 %
Total Latent Gain: 5,194 Btuh 18 %
Total Cooling Required Including Ventilation Air: 29,248 Btuh 2.44 Tons(Based On Sensible+ Latent)
�
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Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition,Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
C:\...\Dean Johnson 1565 Maple PI.rh9 Thursday, September 05,2013, 12:42 PM
' � ��'� ! �
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Load Preview Re ort
Net ft.2 Sen j Lat Net Sen H?S CY�S A� Duct
Scope Ton lfon Area Gain i Gain Gain� Loss CFM CFM CFM Size
.. . ........._..._.....__......... _.__..___..._.4__�..... ....... .... ......... . ._........_. ..... -- ----.__._. -.�_ ............_ . _.._.:.__.._. .. ...._.__ .. ....._..._.-_..
Building 2.44 1,380 3,363 24,054 5,194 29,248 52,314 700 1,127 1,127
System 1 2.44 1,380 3,363 24,054 5,194 29,248 52,314 700 � 1,127 12x16
Duct Latent 82 82
Humidification 2,277
Zone 1 3.363 24,054 5,172 29,166 50,037 700 � 1,127 12x16
1-Basement 1,013 2,135 155 2,290 7:801 109 � 100 1-6
2-Main floor 1,013 10,794 3,215 14,009 18,647 261 � 506 5-6
3-2nd floor 1,337 11,125 1,742 12,867 23,589 330 � 521 5--6
C:\...\Dean Johnson 1565 Maple PI.rh9 Thursday, September 05,2013, 12:42 PM
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Low E Builder Grade: Glazing-Builder Grade Low E 382.6 10,733 0 11,786 11,786
Windows&Sliding Door.33 U value .33 SHGC, u-
value 0.33, SHGC 0.33
11 J: Door-Metal-Fiberglass Core 37.8 1,927 0 657 657
15A-10sffc-4:Wall-Basement,concrete block wall, R-10 116 493 0 0 0
foam board to floor, no framing, no interior finish,
filled core,4'floor depth
15A-10sffc-8:Wall-Basement,concrete block wall, R-10 808 2,884 0 0 0
foam board to floor, no framing, no interior finish,
filled core, 8'floor depth
12E-Osw:Wall-Frame, R-19 insulation in 2 x 6 stud 2166.4 12,522 0 3,006 3,006
cavity, no board insulation, siding flnish,wood studs
16B-44: Roof/Ceiling-Under Attic with Insulation on Attic 1343.9 2,513 0 1,567 1,567
Floor(also use for Knee Walls and Partition
Ceilings),Vented Attic, No Radiant Barrier, Dark
Asphalt Shingles or Dark Metal,Tar and Gravel or
Membrane, R-44 insulation
21A-28: Floor-Basement, Concrete slab, any thickness, 2 1013 1,894 0 0 0
or more feet below grade, no insulation below floor,
any floor cover, shortest side of floor slab is 28'wide
20P-38: Floor-Over open crawl space or garage, Passive, 324 826 0 126 126
R-38 blanket insulation, any cover
Subtotals for structure: 33,792 0 17,142 17,142
People: 6 1,200 1,380 2,580
Equipment: 448 1,532 1,980
Lighting: 0 0 0
Ductwork: 346 82 74 156
Infiltration:Winter CFM: 175, Summer CFM: 137 15,899 3,464 2,627 6,091
Ventilation:Winter CFM: 0, Summer CFM: 0 0 0 0 0
Exhaust:Winter CFM: 120, Summer CFM: 120
AED Excursion: 0 0 1,299 1,299
Humidification(Winter)6.21 gal/day : 2,277 0 0 0
System 1 Load Totals: 52,314 5,194 24,054 29,248
Ch :Fi u es �"-� � <
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Supply CFM: 1,127 CFM Per Square ft.: 0.335
Square ft.of Room Area: 3,363 Square ft. Per Ton: 1,380
Volume(ft')of Cond. Space: 27,916
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Total Heating Required Including Ventilation Air: 52,314 Btuh 52.314 MBH
Total Sensible Gain: 24,054 Btuh 82 %
Total Latent Gain: 5,194 Btuh 18 %
Total Cooling Required Including Ventilation Air: 29,248 Btuh 2.44 Tons(Based On Sensible+Latent)
elaA�Jt�a Y��§ 4 i � u 1 Y4 .# �� � ,trv..
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Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition,Version 2,and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
C:\...\Dean Johnson 1565 Maple PI.rh9 Thursday, September 05,2013, 12:43 PM
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New Construction Energy Code Compliance Certificate
Per N 1 101.8 Building Certificate.A building certificate shall be posted in a permanendy visible location inside Date Certificate Posted
the building. The certificate shall be completed by the builder and shall list information and values of
components listed in Table Nl 101.8. 9�6��3 place your
Mailinq Address of the Dwelling or Dwelling Unit C��,
1565 Maple Place Orono �ogo here
Name of Residential Contractor MN License Number
Dean Johnson Homes BC639439
THERMAL ENVELOPE RADON SYSTEM
Type: Check All ThaT Apply Passive(.�'o Fan)
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Below Entire Slab R-10 X
Foundation Wall R-11 X Type in location:interior exterior or integral
Perimeter of Slab on Grade
Rim Joist(Foundation) R-29 X X Type in location interior exterior or integral
Rim Joist(151 Floor+) R-32 X X Type in location:interior e�erior or integral
WaI1 R-21 x
Ceiling,flat f2-44 X
Ceiling,vaulted R-44 X
Bay Windows or cantilevered areas R-30 X X
Bonus room over garage
Describe other insulated areas
Windows S Doors Heating or Cooling DucTs Outside Conditioned Spaces
Average U-Factor(excludes skylights and one door)U: 0.28 Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliances Heating System Domestic Water Heater Cooling System Not required per mech.code
Fuel Type Nat Gas Nat Gas R-410A P�S;�e
Manufacturer B 8tlt Rheem B ant Powered
Interlocked with exhaust device.
Mode1 912SA48080S17 43VP50 113ANA030 Describe:
Input in $Q000 Lapacity in 50 Outpui in 2,5 Other,describe:
Rating or Size BTUS: Gallons: Tons:
Heat Loss: 62,735 Heat Location of duct or system:
Structure's Calculated Gain:
AFUE or 92 SEER: 13
HSPF%
39594
Efficienc Cfm's
"round duct OR
Mechanical Ventilation Sysfem "metal duct
Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up fumace): Not required per mech.code
Select Type x Passive
Heat Recover Ventilator(HRV) Capacity in efms: Low: High: Other,describe:
Energy Recover Ventilator(ERV)Capacity in cfrns: Low: High:
Continuous exhausting fan(s)rated capacity in cfins:
Location of fan(s),describe: Panasonic FV08VQ11 C��s
Capacity continuous ventilation rate in cfms: 90 6" "round duct OR Flex
Total ventilation(intermittent+continuous)rate i�cfms: 180 "metal duct
Created by BAM version 052009
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� �RRECT WORK,CALL FOR REINSPECTION �C� TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�QZISPECTION REQUIRED_CALL TO ARRANGE ACCESS.
_ �
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site: /9'���
Inspector. XI/►w `7"6
White Copyllnspector's File Canary CopylSite Notice
� �� TIME V
j CITY OF ORONO CALLED IN �� �`��—
INSPECTiO�j TI�iE SCHEDULED � ��
PERMIT NOYJd�� �_�� COMPLETED
ADDRESS �S �� ��l –���� �
OWNER TELEPHONE NQ��' � � ' ���
CONTRACTOR ���
� DESCRIPTION
�� - ������.1 �
�
W ❑ FOOTING ❑ PLUMBING FINA� ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI O SEPTIC FINAL � FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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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.
Call for the next inspection 24 h urs in advance 952 g-46��
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSfte Notice
1 1 � � 1
CERTIFI
cATE oF S�RVEY FOR
�
.
6 CRYSTAL BAY VIEW
pF L4T 9, BLOCK �
HENNEPIN
COUNTY , MINNESOTA
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• denotes iron marker 3) Top of foundation = 941.7
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To: Finance Department
From: Christine Mattson, Planning Assistant , �
CC: Street File
Date: September 8, 2014
G/L: 101-22205
Re: Escrow Refund
Building Permit Application #2013-00926 pertaining to 1565 Maple Place is complete.
Please refund the$2,500 to the applicant, Maple Place, LLC.
The following is attached:
• Original signed escrow agreement
� Copy of cash register receipt showing escrow amount received
Mail to: Maple Place LLC
550 25�'Ave N
St. Cloud, MN 56303
w:�street filesMaple p�1565\escrow refund form 2013-00926.doac
BUILDING PERMIT ESCROW AGREEMENT
� � Orono Building Permit#2013-00926
AGREEMENT made this�day of ' , 20�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") i L ("Owners").
Recitals
1. A building permit application has been filed for a new single family home located at 1565 Maple
Place, the ("Subject Property"), legally described as: Lot 9, Block 6, Crystal Bay View, 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$2,500 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
consultant 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 #2013-00926 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 Ciry 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: CITY OF ORONO OW .
By:�' ,��ti �i'� � ��#��-�
,
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internal.Use Onl �'�"�'� �- �`'�`'�`T"��"'
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CITY OF ORONO * Z 0 1 4 - 0 0 1 9 3 *
� � � 2750 KELLEY PARKWAY DATE ISSUED: 03/10/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1565 MAPLE PL
PIN : 08-117-23-33-0031
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 009 BLOCK 006
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT#2013-00926-PAID CHECK#3269
APPLICANT ESCROW FEE-BUILDING 2,500.00
ESCROW FEE-EROSION CONTROL 0.00
Maple Place LLC ESCROW FEE-GRADING 0.00
550 25TH AVE N
ST. CLOUD, MN 56303- TOTAL 2,500.00
Payment(s)
CHECK 003269 2,500.00
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD, MN 56303-
AGREEMEIYT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
erpire and become null and void ifconstruction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time aRer work has commenced.
The applicant is responsible for assuring alI required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
� . �
�a�r � x�'r�"`�a�'*��a�$�°,Y �
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J
P�rtnit[�: Update Addr��s
2013-00926
C' �v;aiti P9N Adctress
P�rmltAddnss: 1565 Map�PI C' addiTional PIN Acfc!ress
r Parmit Issue � Parcel Issue
c.�e�i I F�. ���I+��r�,�a�i�M�u�co�n►
Seq Inspectlon Type Inspedor Date Status H Fee Rec
� 1 'Ratlon Preventfon Inspec�lon METD '6/132014 P 'Y 0 '
�— ---- -;---!
,3/1212614 P Y 0 �
— --- __
� 2 FOotlr� METJ `
--- -- '
. 3 Pouted Wall Y _ � METD !3N3/2014�P ,Y A �__�
� 4 Found�ion Surve &4 Framf {CMAT -fM2/2014 TP
-- -- - _-- r � �--—�a
� 5 Framing METJ � �Y 0
,5/12/2014,P
_- _--- -�.—�_i___ � , �
6_ Jnsuladon --- q METJ 5l19/2014 P Y 0 _ �'
. 7 Escrow Refund Re uested � !
�- ;
� 8 Escrow RefurWed - -- r--;
� 9 —':Final ---- _ _METJ '8J14l2Q14�F :Y'0 , ;
—,-- —- - — -— r ------+
• 10 'Flnal RQNSPECTION METJ '.8/20/2Q14 F 'Y 0 � �
� 11 !FinaIREINSPECTION-- -�METD --^!8121/2014}P --'U- I---�
► �
►+ X
Add Naw DH�te
•
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /
PERMIT NO. COMPLETED 4.L . �I--
ADDRESS I S tD5 �-fV�X�I
OWNER 1 TELEPHONE NO.
CONTRACTOR
• DESCRIPTION 1 1\PL' l H'
W ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING
W 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORENVETLANDS
h
0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL
• 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
• 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
• 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
✓ 0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
0 PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
cc
cc Oraj Y\KOAJ CalkititUre., 40 '116
CC
to
W
cc
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor o site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
•
City of Orono
( � l Hardcover Calculation Worksheet
Property Address:: /.56-5 M of !'LA E �A T4
41 /, 0 s, /Nc.
Prepared by: t, Date: _l3_/f/
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 3 Tier 4 Tier 5
% oNLy 25'Z 41_,eoulCi at/ 7//e)' "Coq tie
Step 1:(EXISTINGDHARDCOVER
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.
Yl
Survey Hardcover Item (Describe) Length x Width (Square Feet
(Exampie) (Garage) � (24'x 30')
A _ QSE _
g c'GvEitE fl 33 S.F.
SSD EGvr s k
— — /et0C'! ,d r _ .
ECO-k :{'f ev4svOpGv' ; S.F.
—F---�---.._._ S.F.
r—-- S.F.
H _ S.F.
MEMK S.F.
N S.F.
O S.F.
_ P S.F.
Q i _ S.F.
S.F.
S S.F.
T l S.F.
U i — S.F.
V
V �._ S.F.
S.F.
X S.F.
---�, �--- — S.F.
� � - --- S.F.
_(-1i_ Total ExistincjHardcover — _ 22Yr S.F.
Excludable Hardcover(See City Code Sec 78-1684):
EGA FrrGu/MOU1 ATT, WA 9 S.F.
S.F.
S.F.
S.F.
(2„)Total Excludable Hardcover
(3) Net Existing Hardcover [Subtract line(2)from line(1)] 2231,,, S.F.
._(4) Total Lot Area --_. � 2,222 S.F.
Existing Hardcover Percentage [(3)_(4) ] 2 %j
- '— — (Proposed Hardcover next page)
I945 Mme- P.act-
January 8 2013 2013-00`124
A3-13u i N- catoAlafia4D