HomeMy WebLinkAbout2014-00160 - new structure s
� . ' CITY OF ORONO * Z 0 1 4 - 0 0 1 6 0 *
, . 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2014
ORONO, MN 55356- •
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1575 MAPLE PL
PIN : 08-117-23-33-0032
LEGAL DESC : CRYSTAL BAY VIEW
: LOT O10 BLOCK 006
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 329,775.48
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPTIC,FIREPLACE,SEWER CONNECTION,LAWN
IRRIGATION,WELL(STATE),ELECTRICAL(STATE)
NOTE: PRIOR TO THE START OF FRAMING AN AS-BUILT FO ATION SURVEY MUST BE SUBMITTED AND APPROVED BY THE
CITY OR A STOP WORK ORDER WILL BE ISSUED: INITIAL:
NOTE: PRIOR TO ISSUANCE OF R ATE OF OCCUPANC AN AS-BUILT SURVEY IS REQUIRED TO BE SUBMITTED AND
APPROVED BY STAFF. INITIAL:
NOTE: IN THE EVENT OF WINTER CONDITIONS OR OTHER UNFAVORABLE WEATHER CONDITIONS(WHICH PREVENT THE
COMPLETION OF THE EXTERIOR IMPROVEMENTS AND/OR AN AS-BUILT SUR )A TEMPORARY CERTIFICATE OF OCCUPANCY
(TCO)MAY BE NECESSARY. A TCO REQUIRES A$10,000 ESCROW. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 2,436.75
PLAN REVIEW 503.10
ATLAS HOMES INC STATE SURCHARGE(VALUATION) 164.89
14450 117TH AVE N
DAYTON, MN 55369- S.A.C. 2,485.00
(763)691-9044 TOTAL 5,589.74
Minnesota State License#: BUIL-BC20269686 Payment(s)
CHECK 003272 5,589.74
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD,MN 56303-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit is issued shall be perfortned 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 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 time for due cause.
�.._.__....
/ / 1 !
App ' ermitee Sig ature Dat Issu By Signature Date
` ,��5.�9,� 51
CITY OF ORONO i
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�--��;"� Mailing Address: Permit number: Q� ` �
f iV� PO Box 66
f ` Cr ystal Ba y, MN 55323-0066 Date received: �/
( 1 Received by: q�— —
� �, �f Street Address:' G
�''+`2 �f 2750 Kelley Parkway Plan review fee: � � Q • %
\� li .
�t,� ti Orono, MN 55356 d�� �,��� ,�
�kF���,�
_ Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 tnr�nrw ci orana mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: ', S�S ✓l'`���� ����
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes f�No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil/be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��4 S }-�o�...c_S �i,.��
State License# �G Z�n(�� 4� Expiration Date: v y / ��
Phone: cell �,2 �ti � �o��� office ��> ti 2 S � � 3 3
Mailing Address: �t�~c, i� �� ✓ti.. 'U Cit : +�_ ZIP: S� � c�`1
Contact Person: N(,,,� i,��,�! Applicant is: ontractor / Homeowner (CircleOne)
Email and/or Fax: �:�,�,� �, �� }-�ay L,�v,��,y ,n,l,•�, _ c o�v�
PROPERTY OWNER INFORMATION:
Name: ✓�'�ti��` �14�-c._ �� / .
Phone (day): c�e� i Zg Z. ---��s 5 3
Address: �c,� a5'� ,�.�,` � City:�-�-�� ZIP: $(Q3p'3
Email and/or Fax l�,�,�;S,�� lCa�.a..'�` o A�..: L• �—^
ARCHITECT/ENGINEER INFORMATION:
Name: j�l�� ( ,n �
Phone (day): y c ? 3��; �+3 7�� -,
Address: �� �;�y���-',\ 4,- City: �`>S�U ZIP: L;�� >F�`�
Email and/or Fax: _r,}a a��(�,,, v !>� . � c��
PROJECT INFORMATION: Description of pro�ect:
� �yna nf P�ninr♦ � �"'-"'-�d Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
/�� �' � � amily with 8 Residence
�d garage ❑Garage/Accessory Bldg. �Pubtic Sewer
/ O �D. � � =amily with ❑ Deck
ed garage ❑Office/Commercial ❑ Private Sewer
Family/Condo ❑Warehouse
� ❑ Storage ❑ Public Water
, � rcial ❑ Other(specify)
al 0 Private Well
�pecify)
$ L � I � UOU : (>�
� � � 7 75. ��
�
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= ��" Number of bedrooms= -�
v �Wood/Frame
b. Width (ft.)= � Number of garage stalls: ❑ Masonry
Areas in square feet Attached= i ❑ Metal
❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 1 St Story = !�3 7
❑ On-site Prefab
e. 2"d Story= l�7�' 7
❑ Off-site Prefab
f. '/z Story = —
❑ Other(please specify):
g.Total Area= Z 3 � �
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ ❑ Permit A lication
❑ ❑ Pro osed Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ ❑ Stormwater Poliution Prevention Plan
❑ ❑ Hardcover Calculation s
❑ ❑ Septic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Minnehaha Creek Watershed District Permit(s)
❑ ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
❑ ❑ 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 not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
� � p Z - Zv �l �
ApplicanYs Signature: °""t �vY Date:
� J � — ZJ �— /�
Owner's Signature: ° ' Date:
r
� E.���`��ti �,��'���.��,f ��i������� �"�� G���.F c���������� � �.�'���'����
�c�c�ress/�err�sit Rurv�bec�: ��7� ����� u-°T
' De�criptior�of�oe[�: �l���e/ ��
Se�tic r��riew by: �ate�,pprovec�:
ZoningredieHrby: �d€t� Qate�4p�proved: •� ` �-j� ��'
__ _ @�aildir�g ee�ievr b�+: Dafe�tpproved: Z• � �l
�rading reeiev✓h�: �r�< _ -- Date�.pprodec�: /3 / �L ' �i �
�+�� � �
Zartir�g Distric�: Zonir�� Fi6e#�: Reso#: Reso t�ate:_L-,��
,::�
zo�,��g: zot�fe�: �.�ti�'�' ��AC l��''6c��h: LQt Covera�e: ��°� �C,��f- SF ��io
Survey Subrnitte�: /,,C'(Yes !� No Dat� of 3urvey: � �- �-'4�� r.,� Revised date(?l: -�' ,�'A�
Pr� c�ec�.�etbacks: � � '"'� " �
. .r�,..� � . � .
�ront(l.a�Cej ,�'E�eai��tr�et3 ( x� E V� ? f � �• E � ) Othee�ui�cEir�g� tf�eYtar�c�
'�''' S�t�� �id�
t;�� � i � ' ,
.� . �,;�
/16,- , ��. * /,,�� J
��f�reed F6eig[�t: ��° �,a,� �eak�ei�h�: �'� FFE: �'`T`'�� 1 FFE m�nus 6 feet= �� �� (ExtstEng Cant�ui
E�erirneter(lineac feet)= 5�%_< #of Stoeies�Qk? YES
��•- �`�;:�°�:.�-�' �
�OR A BUILDII�G VY��IITk P�BASEIViENT OR CRkYdL SPACE:
The distance between the lowest FOR!�BUILQit4G ON�Stl�B FOUNDATfON:
� � START WITH proposed floor(of the basement or crawl
.-_o';f; space)and the highest point of the roof. The distance between the top of slab anc
START WITH me highest point of the roof. `
lf you have a... Ii you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
�� /:�' windows): SubVac�half the windows): Subtract half fMe distanc
.1 s' distance between the highest poiM between the highest point of the ro�
/" of the roof to the low point of the
: SUBTRACTION coResponding gatile or hipped roof SUBTRAC710N to the low point of the cortespendin
gable or hipped roof
(BASED ON ROOF . GqgLE OR HIPPED ROOF(with (BAS�D ON � GABIE OR HiPPED ROOF(with
�' ' .°'' TYPE) windows): SUbUact haN the ROOF TYPE) windows): SubUact hatf the distan<
.i r �,;,,j distance between the top of the between the top of the hiphest
highest window and the highest window and the higMest point of the
point of the roof roof
• ALl OTHER ROOF TYPES(flat, o ALL OTHER ROOF TYPES(flat,
/��� mansard etc:No sabtradion:
mansard,etc):No subtraction. AODITION Add the distance between the top of slab
� SUBTftACT10N � � Subtraa the distance between the (&RSED UN and the hi hest existin
��; � " (BASED ON EXISTING basemenUcrawl s ace floor and the 9 g grade'adJacent t
P EXISTING the foundation.
�G"'�� GRADES) < highest existing grade adjacent to the GRAbES
!}��� , r ����� foundation OR 1 O feet{whichever is less). EQUALS Deflneti build8�height
� ,; ; . EQUA�S . Deflned build(ng height
_ � �9��;,
Shareaanc� Q@s�ract [t�Cl►�'E�Permit Rece��vec� Avera ¢ lakesho�e S�tback 14►iet? �tu4f
� Yes � I�o � �!/A .� 0 Yes Nc
�Yes �I No ` O Yes � No �N/A
Permit i�umber. i�- � Setback:
Storrnwrater(�ualEfy Existin� F�roposed �/ariance Re��a6rec� Ct�F f�eguir�ct
OverEa f3ist�ict Ti�r FE�rc€cover �arcicover
�� Z?�,f�� ,_� � Yes o ❑ Yes o
:-,"�`:�
Type(s): Type(s):
.�.� , ,, � e
Updated: January 2013 '3 �r 3 i � i; '`: +���; i��� ;•;.� �'♦ s— ;r�`' " 4 , � •
v:\forms\plan review checklist 2013.docx �A�7� , --,
���� ��
E�Et�f�RK� (in-house):
l�e��to E�e Char ect YE� �(7�
�er�it �"
Ptan Re�Rew A✓
Staf� Surchar�e d�
--. _ .-- -- --- --- ---------- -----
.Fnvesfiga�ien-Fe� ------------ ----- -----
SAC—�tumt��r o�S��t�r�its �
Qt��r(sp�cify/) ��
S uare Foota e a er S uare Foota e
Basement X �'�.`�� _ $ �� �� • ��'
A�O�
18`Floor !0��. X �i6S•'P� _ � °� ��7�• �b
2nd Floor g��'Z. X CD$•"B.� _ $ �°A ��� •��
Garage �(� X �'�.�@ Q = $ 6(� 9�``,�
E�t�rn�tec� Constr�ctiot�Valwe: ��'3'8���- -
Orono{n�pections Requlred �'or�c Rec�uiring S�e{��ratePe�mits Required State Peccni�s
CP Site ,�Piumbing L7 Grading/FiUing �Gllell
t� hiardcover Removal �'IViechanical � Fire �Electricai
�ooting �l Septic � Water Connection
�Poured WaU �'Fireplace �'"Sewer Gonnection
�Fcunc�atior�Survey � N�iasonry �Lawn lrrigation
�Radon Rock Bed ��f9•
jrs''Framing � Other(specify)
�Insulation
A�-Bullt Survey
�Final
C3 Wetland Buffer
� Other(specify)
REl�iI�F�KS (in-houss):
Other Review: t�ev'iet�vec4 E�y: Date Apprcdec�:
�.ccess: Existing: C1 YES � NO New: � YES f� NO
OFFtCikL REIVikRKS -TO BE t�QTEa ON PERli�iT A�D tNIT1RLLED
Updated: January 2013
v:lforms�plan review checklist 2013.docx
Christine Mattson �
From: Christine Mattson
Sent: Wednesday, December 10, 2014 3:33 PM
To: 'mark@atlashomesmn.com'; 'Jamison KohouY
Cc: Lyle Oman; Melanie Curtis
Subject: 1575 Maple Place/#2014-00160
Mark,
On December 4, 2014 we received an unsigned survey dated 12-26-13 and construction plans with a revision date of
4/1/2014. The plans show that the garage is one foot longer than originally approved. Please provide an updated
survey showing the garage expansion along with updated hardcover calculations.
The footings and poured wall were inspected on 12/3/2014 & 12/5/2014, respectively. No further work including
framing is to commence on this property until we approve the changes in writing.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono MN 55356 (physica/addressJ
PO Box 66 Crysta) Bay MN 55323-0066 (mailing address)
� 952.249.4620 g 952.249.4616
�I 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: Wednesday-Friday, December 24-26, 2014&
Thursday,January 1,2015
1
City of Qrono '
� � ����o Hardcover Calculation Works�V��NO COPY
! � i PropertyAddress: �s-��. �jA,oG�" ���tcG �AT�,�,� /,r,��;+��,�.�
=�,�,; :� ____� _
_ Prepared by: Gftvnd'�'�'R_G: � AJ'.h�[�P,��"�.,r;, ii✓C. Da#e: ��.�__�-�"-- �2_,�o ./�t`
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 ier 2 Tier 3 Tier 4 �'ier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the prop�rry, kel�ed h� lefitcr to
Certificate of Survey (survey must accompany this form). Include all e?cistinc� hasdcovPr item��ti�at are
intended to remain, as well as all proposed hardcover items that will be added. lJ�e as mar�y lineu as
necessary to accurately depict proposed hardcover status of the property. For Tie�r 1 prc�ertie�, ider�tifir
any features by letter which are split at the 75' setback line and calculate ha��co��er•,quare foota�e
se aratel for each ortion.
Key to Hardcover Item (Describe) Length x Widttt I �a7al
Surve --.---�-�,�c�re f_eet)
Exam le Gara e 24'x 30') i '720 S.F.
�--•--- --- — --�-----
A --- --�- __I_`�'-''.�-'�-' S.F.
B o,. -- ------�3�--- S.F.
C � _� S.F.�
D tw° �° `r' Y4 S.F.
E ,r _ �,2`�_ S.F.
F Q _ S.F.
G S.F.
H __ _— � F.
� ----------- S.F.
� — -� ------- 5.f=.
K �---------- ---�---.._.---�.F. �
� --------�__.__...._...�----- S.f�.
M - --- --��--�--._._�__.—_�;.F.
— -- c; �-
N ---1�_----------'.. -.
� ------- ------------;,'.F, j
P --�- �--�--�----------`.(�--,
------------ --%------�--._... . �
Q --.._.._.._`_,_:.._,
I ', f
R — — -----�-------F---.___._.._---------\,-r.=-�
S � �;_�.
T -----. , -_ —_------- ---�.F
� ------------- ---�---�----�;.F.
U - --�._.._._--�--------------�.F.
W —�---�--•— - S F.
X �--S.F.
Y �____ 5.r=.
Z S.F. i
1 Total Pro osed Hardcover � 2��S `:�n��i�
----._------�J..�>.��,.�__..o......�... _.,..�
Excludable Hardcover See Cit Code Sec 78-1584 : ______�______. ____._______._._ _.A�
� ,'.I' I
--�--__==�=z-:-_.�_--=__-:�__�--;�_�:.:�
i , :.F. �
—� —��--�--._. -l --n....�n,�,�:���,�,_ __-�
�� ;�,.�-.
2 Total Excludable Hardcover �� y���
4 � � F::�
3 Net Pro osed Hardcover Subtract line 2�from line �'Ij�_ ____ ___ : _ d Zo ��` ;,yf�,�
.--.- ..�..
4 Total Lot Area ....,., � ��],��' ,��yf_,.Jq
Proposed Hardcover Percentage [(3;= (4)RECEIVED Z,,� ��'°� i,
--------___--___---- ---• „ .,... �:�
DEE 1 1 2014 -
January 8,201.3
CITY OF ORONO
� � ' RECE�VE�
� City of O
��tio Hardcover Calc eet��B � 0?014
�,,�' .- � PropertyAddress: /5�.� /h'APCC' �'��tcE' C.I�"C.t S /�'�+r�tt�'5����F�RO►VO
� `�� �`�' Prepared by: G�0n�d°ff�.G' � A/',/1?C�,�T�.� ii✓� Date: �_ 7_/`f''
Stormwater Quality Overiay District Tier: (Circle one) Tier 1 ier Tier 3 Tier� Tier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the prop�rty, keyed bv letter to
Certificate of Survey (survey must accompany this form). Include all existinr� hardcover item5 t�at are
intended to remain, as well as all proposed hardcover items that will be added. Use as maray lines as
necessary to accurately depict proposed hardcover status of the property. For TiE�r 1 prcperfies, identifij
any features by letter which are split at the 75' setback line and calculate ha��dcm�er>quare foat�ge
se aratel for each ortion.
Key to Hardcover Item (Describe) Length x 1Nidth �otal
Surve .�c�uare Feet)
Exam le Gara e 24'x 30') j ;720 S.F.
A — i--_!_Y�a' S.F.
B Tv _ ,� S.F.
C G' t,v-t S.F.
� «''' �' S o S.F.
E � 2 � S.F.
F � S.F.
G S.F.
H S.F.
� ----- S.F.
� - -- S.F.
K -------- ------•--- S.F.
L � —_�_�___.__..._.___.--- S.F.
M - --�-----�-�---�—�.F.
N - ----1----------��
� - - ------- _;� F. I
P --�.�---�- -�------------`��.—�
-_f�__.__.__'�___'_'_.__. f .
Q �'���_�� .�..._'__" . � -,�j
I
R — - -------- - ---------._ -S.f-.--
S - ------� --------�
v.f.
T ---� ---- ------- -- 5.F'—
U - ---- -- -------�>.F.
V ---_.----�------ —S.F.
W T S.F.
X �-- ---- .— S.F.
Y S.F.
Z S.F.
1 Total Pro osed Hardcover _ .__�.__ ��' 2 0 76�;;�f�
Excludable Hardcover See Cit Code Sec 78-1684 : ���� �
---r----------�----
�
- ___�.�- ______.___�__ :�.-'���J
_,_______________;_; _
, �._ _,;_�.-
.:.F.
--� _-_.--- ----�--- -- ''=' =1
— ---------�---- �,..�_.v�. S.F.�;,
2 Total Excludable Hardcover _�_ _ _ _ �� p ,�.,.F. �
3 Net Pro osed Hardcover Subtract line 2 from line 1'
.Z--�.)1----�--�---------__._...�--�,,,�, 2 a.?�d s.�`��,
4 Total Lot Area �� � s��'�
�? �.f=.�
-------------�---,....._...._.�...�.��..�?-�,yu.�...
Pro osed Hardcover Percenta e 3� 4 �
p 9 [( ,' ( )l i �,�, Q�%
---- --�---- ---�.� . _.,,. �.,..._,;i
>anuary 8,2013
Christine Mattson
From: Christine Mattson
Sent: Friday, March 14, 2014 2:15 PM
To: 'Todd Holmers'; 'Jamison Kohout'; 'Mark P Way'
Cc: Melanie Curtis
Subject: 1555 Maple Place/#2013-00811
Attachments: Escrow Agreement- Permit 2013-00811.pdf
Todd,
The property ownership information listed on the permit application does not coincide with Hennepin County's property
record information. Please resolve the conflict.
Attached is an escrow agreement. The OWNER of the properly should complete and sign the agreement and submit
payment of the $2500 permit escrow.
We can issue the building permit once the above information has been submitted.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono � MN � 55356(physical addressJ
PO Box 66 � Crystal Bay � MN � 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
/
/ , '
l � �
� � - 1 �
_ , � / /� J
\ 1 �
/
�. � � �- ----------------S �g�2 6� 3 7" E
� �ir � � 9� � ..:� 180.06- - -
� r � ! � � __ ,
� � � � �
l:' I �
1 �o
� �W � � 936 - s�T FE►� g3 `� � 942 ���
� o.
1� � � � � � �
� � �
1 1 1 � 32.0 r.'a (a) Qo "'w
� I I rn '° o PROPOSED wALK F
n ;
. 7
� -- '- ---^- --•--^-------------- - •
M O ' d-� � ` � i r' � � PROPOSED 4.0, ._20A—�.. ` 40A - -----�--- Q
,
�3 ' q/ ���
O �n I � � \ � , A � ? \ _ _- __ -� p
rn p� � c�n M .�— rn � " l �n_
� � � �I ` ,� ►'� rn , m �- o �.; PROPOSED � �
O :. � I � rn I � / i' �1575 (� KouT) N � DRI EWAY 93g — � � I
� � � � � / —� D ;
z �� �� w � � � ,
I � I � RET WALL� o E(�E C
� � 1 l �_ I �o `�" o: �
� ! s42 �:
� 1 / •�,•� � I � g38 �� ��r
� � � f � � �' � �' '` �
� � I � �-
; � ----.N �89°2 6' 37� ' W � ' ' ¢ I
: I � � 180. 10------------=="� Z�
I � a>
, � � �w
c��
Z�
1—W
�-., ;� . ��
,� �'. a ..r, � ,� < . . X W
.------- r+r.�,«:�a.....+wr. W(!�
4� /� ,
, J � �
LEGAL DESCRIPTION OF PREMISES :
v. �. �3 � t�'
Lot 10, Block 6, CRYSTAL BAY VIEW `?' �
�. �7 6'6 .
o : denotes iron marker �"—"
.�� o . 2 _ �-5 ,
�nno z� . ,.�...,..i-- - ' �• . .
0
ROHo copY� .
_�___.__ ___ _ __ _ ____ _ _ ___ _ . _ _ __ __ ___ ___� :
stiT110i.s Certificate � • 1
� �
Buildcrs Name/CompanY Date: � �� - } �`j _-----.�-. Slte Add!'e55: __._. � �`' t <<�' � --��-'4 Ti �� - '' � .
1 ;
; Contractor Name: License Number: ___________. I
- .. --- . - - - - -- - - -- -
location Type of � Insta//ed Type ; Locatian � Size '
� Insulatian _R-Value � ! I
} - -- -- ——-- - - _ _ r _ — ,
- --- .
—� Makeup A�r : �-��- ,,,r., ...�, _ __� �' �� _�"_�� f_�.
-- - --------- - - ` � '.1 � C T •��
- - - — --.r� _ _ �
i Roof/Ceiling- ! �'�1c�, •� ' -- 4-- `{�- - ,
- - -� --� �. - - � ---
i j Combustion Air ,�''„s�,,r� �
_�_._!- - --- ------ - - _
I Wails _ l7 ,�-�- _r - 1`I - -- -
� __ ----- - -- ,
, - -.
; Water Heatin � �� , - _ _._ _
_ _ _ • r - �-- - ---
r
��^ ;
� _
, Siab on Grade � ; � - {_ .L�r� ._ _ -- - � � __ _� `L ,:'
�----- - . � - .�Manufacturer' �;� -.Mor�e/ ` : ��i, �_�
_ . __ - • --- .____ - -- - ---___ _ -- --
, �
- �
i Floor __ � �� ' t `�-- __�_ - � � '-.
_, - _
, _ D�cts 0utside of Conditioneil Spaces i _ _ ��:t} �. ,__
� Rim�Joist �-r - - , -` �°' - -- - - - . _ ..� :^ Y ; ----
��•,�.,
f Intenor, Exterior or Ititegral ., ,,;,LOCc�f%O!7'� .�R�-Vc'�IUB.
-
---- --- ---— --- ----.,__
Faundati4n Watl T ° 1�5 `<<Y : .; _
--- --- ---__ . _ . .__ _____ - ---- -- -_ __ -- —
� Int�nor, Fxteriur or Tntegr�l
--- -- _----_ _._.._ __�__ ___ __ _— _ _ .._
. '____—T— •
r ___ _ Avera e U-Factor SHGC so/ar heat gam coe�cient __ _ _ Passive 1 Act�ve
- - - -�---t
� Fenestration Radon Control � �. `•_.� '
—_ _ _ _..,_- - -- — -- _ _ _ ____ -- — -- - _ i - -- _ ---�—_ _ - -1
-- - -- -- -- _ _ - - -_ __ _
� ( Type____�_ In ut Ratin _AFUE Manufacturer _ _ Mode/ � Ca1cu/ated Heat Loss �
� ,� ��:� `� L : :. _.t��,�: G IC =i ~ '4 � ' ;,� � U�, �,; c; " -- ---- -
Heatin S stem � i=- ,� .� �. _. �
.. - -- - - - __ _ . _-
--- --------' ___ __ ___._ --- - - --
� ------ � �--- -- -� -�
�--- - -___ _ _--- .
-- -- _.___ .�___ T_ .__.__ - ------ - . --- --- - _ .
Type T_Output Rafing SEER ; Manufac['urer Mode/ Coo/ing Load/Heat Gain
- - - - - - - - - --
_ ^ , . - . . ._
�
Coolin Sysfiem �-� � =, .� >��-�e �3 1 �� •.(�,�.` _ ' n 1 ���,. ' `�� ` � ` -
-- �` -�-- — - -- � - -- ---- __-__� '
;
---__-- ---- - - - - --- --- -- -- --_ . _ - -- -
Type Locatinn Continuvus Venti/ation __ Tota! Venri/ation___
--- -- -- - -_ ____ -- _ ------- ---
Mechanica( Ventilation -f�,�-?--_ __._ _ `' ' s��,t r `-- :��`���.; � �. � .'�� _.-- � 3C� - ---
�. ,.
City of Orono
-���flN���, Hardcove� Caleulation Worksheet
r� � �,
�OT,d
I, .�.► r I Property Address: ''�c��'`��
�S'7s �1.tN�F !�'��c F <�rTc wr �t�i�r FJ� r�c�1�.�c d�a � rr�a�c�
��\�%_,�,�`..� Prepared by: Date:
G R�,c,�BF,eG f,As�a e l�r�s,; ��c� 7�2 8-iS
Stormwater Quality Overlay District Tier: (Circie one) TI�r 1 ar 2 Tier 3 Tier 4 Tisr 5
Step 1: EXISTING HARDC�VER
In the following tabie identify all items af existing hardcover on the property, keyed by letter to Certificate
of�lirvey{suivey must accompany this form). Use as many lines as necessary to accurat�ly depict
existing hardcover status of the propeity. For Tier 1 properties, identify any features by letter which are
split at the 75' setback line and calculate hardcover square footage separately fQr each portion,
Key to Hardcover Item (Describe} Length x Width • Total
Surve S uare F�et
. _. . _. .. . ..
Exam le
:Gera e :;i.,2`�t`X;;3'0',. , . . . 720-:S.F:� :
A - S.F.
6 S.F.
C c. S.F.
D ,0�'�t/ Gr/ S.F.
E c*. S.F.
F S.F.
G S.F.
H � S.F.
I S.F.
J S.F.
K S.F.
L S.F.
M S.F.
N S.F.
� S.F.
P _S.F.
Q S.F.
R � S.F.
S S.F.
T ' S.F.
� S.F.
U S.F.
W � S.F.
X S,F.
Y S.F.
Z S.F.
__��_Total Existing Haidcovei � Zt� S.F.
_Exc:l��ddbie H'ardco,�er Se:e Cit ;G'Qd�,S�;�7$^1��8,�'r:: � ` �'
._.__..___ ._.__ � ._.,. .__._....._.._.__S�F �
______.. S.F.�
__�_..__ ______._._.._ S.F.
._._..___� _...._ ._. __._i_ � _._.._. ?�F•
.. 5.1=.
2) Total Excludable Hardcover j� �,F, '
(3) IJet Existing Hardcover [Subtract line(2�from line(1�] ! �.�i S.F��
_�4LTotal Lot Area __, p O�Y;;.�=.�
� Existin� Hardcover Percenta�e [ (3j+(4) ] �� Z y, �6 �/�
. w.,..,....,,............
����,g�,s�l Harcli:over next rage)
��,7�,��,�s;zv�.� AUG 1� 0 2015
CITY OF ORONO
�. T�
Christine Mattson
From: David Martini <davidma@bolton-menk.com>
Sent: Thursday, August 13, 2015 2:48 PM
To: Christine Mattson
Cc: Adam Edwards
Subject: 1575 Maple Place Road, 2014-00160
Christine,
As requested, I have reviewed the as-built plan for 1575 Maple Place Road. The plan appears to accurately depict the
as-built condition and is consistent with the approved plan with one exception. The elevation of the drainage pond in
the backyard is approximately two feet higher than what is shown on the approved plan. Since this is in the middle of
several new homes that are being or have been constructed in this area, I assume that the elevation of the pond is high
in all areas. Before the letter of credit for the mass grading of the drainage pond is released, an as-built plan for the
pond should be required and any grading that is necessary to match the approved grades should be required.
Let me know if you have questions.
Thanks.
David P. Martini, P.E.
Principal Engineer
Bolton � Menk, Inc.
Consulting Engineers 8�Surveyors
2638 Shadow Lane, Suite 200
Chaska, MN 55318-1172
P: (952) 448-8838 ext. 2458
M: (612) 756-4315
F: (952) 448-8805
email: davidma@bolton-menk.com
www.bolton-menk.com
DESIGNING FOR A BETTER TOMORROW
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
i
. ,
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite#500 - Savage, MN 55378
Telephone: (952)890-7366 Fax: (952)890-5883
November 21, 2014
Atlashomes Phone: 763-425-3333
14450- 117th Avenue North Fax: 763-390-0039
Dayton, Minnesota 55369 mark@atlashomesmn.com
RE: 1575 Maple Place
Orono, Hennepin County, Minnesota
As requested, site visits were conducted on November 19�h and 20`h, at 11:58 AM and 10:20 AM to
evaluate and test soils for the construction of a single-family residence. A certificate of survey for
the property, dated 12-26-13, was available for review.
At the time of the initial inspection, TMS Construction, was excavating toward the rear of the
residence. The material being removed consisted of uncontrolled, undocumented fill with debris.
The excavator was instructed to keep digging until hitting native soils, which was found to be
saturated, grey, poorly graded, silty sand. The elevation was measured to be 925.7 feet using a
nearby marked elevation stake located by others.
The excavator was instructed to keep removing the uncontrolled fill and debris until the same or
similar soils were discovered. Proper oversizing of fill below footings should be achieved on a 1:1
horizontal to vertical ratio from the bottom of the footing.
It should be noted that water was percolating into the excavation from the sidewalls but appears it
will not rise above bottom of footing level. Pumps may be required to control water during
excavation and backfill procedures. From previous inspections in the area, the anticipated
groundwater in spring conditions may rise above bottom of footing level. In order to prevent the
sump pump from running as much we recommend cutting a ditch towards the rear pond at footing
elevation and backfilting with 18" of sand. Native on-site cohesive soils can be placed on top of the
sand. This should minimize the amount of time the sump may run by allowing water to daylight itself
towards the pond in the rear.
The following day, November 20th, a site visit was conducted to check on the status of the
excavation. Upon arrival, the southwestern quarter of the house had been excavated to native soils.
Clean washed sand was being imported for fill material. Approval was given to place the sand on
the southwest corner of the residence. A ramp was also constructed using the sand to aid in
allowing access to perform the rest of the soil corrections. No compaction efforts were made in the
southwest quarter of the residence during importing. This was just used as an area to store the fill
sand until more of the residence is sub-cut and filling operations can begin.
We recommend a bottom inspection be performed for the rest of the residence before fill sand is to
be placed. During placement of the fill, we recommend being cailed back out for density testing.
The fill should be placed in loose lifts of 12" or less, exercising caution near the saturated soil, to
avoid pumping of the subgrade.
Sincerely,
ITCO Allied Engineering Company Reviewed By:
, -�,i-�C�'�`�=_ ��c�,� �
Joe Carlson, E.I.T. Robert P. Sullentrop, P.E.
Inspector Minnesota Reg. # 17823
CC: City of Orono Building Inspections
701 - 1 / #605-2 /#606-0.5/#610—'/4 /#304-0/ #612- 110
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite#500 - Savage, MN 55378
Telephone: (952)890-7366 Fax: (952)890-5883
December 1, 2014
Atlashomes Phone: 763-425-3333
14450 - 117�h Avenue North Fax: 763-390-0039
Dayton, Minnesota 55369 mark@atlashomesmn.com
RE: 1575 Mapie Place
Orono, Hennepin County, Minnesota
As requested, a site visit was conducted on December 1 at 10:58 AM to evaluate and test soils for
the construction of a single-family residence. A certificate of survey for the property, dated 12-26-
13, was available for review.
At the time of the inspection, TMS Construction, had completely filled the residence with sand up to
the bottom of footing elevation. Therefore, no bottom inspection could be performed. We have
assumed that the excavating contractor did remove all uncontrolled fill and debris until native soils
were reached as previously recommended.
Additionally, no density testing was performed during fill placement as recommended. Therefore,
the excavator was asked to perform test pits to various elevations so after the fact density testing
could be performed. Four(4)test pits were performed, all to shallow depths due to static water level
being around 3 feet below bottom of footing elevation. Therefore testing could not be performed on
fill material below the water table elevation. The density tests all passed specification. The results
will be conveyed under separate cover.
To evaluate the foad bearing capacity of the soil, dynamic cone penetrometer tests (DCP)were "
conducted at bottom of footing elevation. The (DCP), employs an eight kilogram (17.6 pound)
hammer to drive a 20 millimeter diameter conical point into the soil, with the penetration recorded in
millimeters per blow. From the DCP readings, a per blow, penetration average was recorded and a
N-value derived. This N-value is an empirical relationship we have established to equate the
dynamic cone data to the more familiar blows per foot(BPF)standard penetration soil boring test.
Results of this test are shown below.
Estimated N- Estimated
DCP Test# Location Depth value Allowable Bearing
Ca acit
� SW Building 430 mm 23 > 4000 PSF
Corner
2 NW Building 240 mm 25 > 4000 PSF
Corner
3 Between Garage 255 mm 22 > 4000 PSF
& House, Center
Based on DCP and density testing results, it appears the fill has been placed with adequate
compaction.
It should be noted that during excavation for the test pits, a 12"thick layer of frost was encountered
around 2 feet below bottom of footing elevation. This was in the slab area, and was not found below
footings. If frost is found below any of the footings, it should be removed before footing placement.
The test pits indicated no frost along footing lines. We have decided to allow the frost to remain in
place below the slab, as the fill soils are clean sands.
The excavator shall be made aware that all excavation areas should be protected against frost
including slab areas. In the recently frigid temperatures, double frost blankets may be required.
We recommend being retained to perform density testing during fill procedures for the basement
slab.
Sincerety,
ITCO Allied Engineering Company Reviewed By:
�.Gj7-C_%�= �,,<�,-�-.�. �.��"��
Joe Carlson, E.I.T. Robert P. Sullentrop, P.E.
Inspector Minnesota Reg. # 17823
CC: City of Orono Building Inspections
701 - 0 / #605— 1.2 /#606— 1 /#610—'/4 /#304—3/ #612—55
ITCO ALLIED ENGINEERING CO.
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial, Residential and Municipal
7125 West 126th Street, Suite#500 - Savage, MN 55378
Telephone: (952)890-7366 Fax: (952)890-5883
DENSITY TEST REPORT
Atlashomes
14450 - 117'h Avenue North
Dayton, Minnesota 55369
Project: 1575 Maple Place,Orono
Date Sampled: 12-1-2014 Reported: 12-2-2014
Performed By: Ken Schaaf
In-place Density Results
Test Number: 1 2 3 4
Location: Between North Footing South Footing West Footing
Garage& Line Line Line
House
Depth Below Footing Grade: 2' 1' 2.5' 2.5'
Visual Soil Class: Sand, SW Sand, SW Sand, SW Sand, SW
Proctor Curve Number: 14-01 14-01 14-01 14-01
Percent Moisture: 12.6 12.3 13 12.9
Optimum Moisture: 13.3 13.3 13.3 13.3
Relative Moisture, Percent: 95 92 98 97
Field Density, PCF: 109.2 107.0 111.3 110.7
Standard Maximum Dry Density, PCF: 109.2 109.2 109.2 109.2
Relative Density, Percent: 100 98 102 101
Required Minimum: 98 98 98 g8
Remarks:
Copies To:
Charge Codes: Job Site #601 0
Charge Per Test #306 4
Mileage #612 55
rs��.�2r..��> .�,•�c{:.-�'s��
Signed:
Gordon J.Kopacek,Professional Engineer—Registration No. 7254
/ e �^} /�
E
` � �,�.■��.
� � � �� �E�� � �,�� �� 0� �� a �;�� a
'`�. � �� r��� ���>
k �,.
� s � .x�,��
, `:
� � .,�. �rr ��
., _
.
� , .:� , ., . ;
'�` � y� t- �
� !S!'6 �� � .�_pkp µg �'�'. ,� ��y�
� � � ;� � ;�� ��' � ��� � �� �. � .
—,..3 � �'.a. .$�� � ik. ��`�3 t' ����q g �� f . a�'
'�.. �_+� �, ����� �' ,�� �.'� � � .�• _ „.
��� �� �� �;��r,'��c ��z,� '����.�"�" �� . � `^�' �;
g„� � ,w � � ' ,r✓ �•
�,`� ,...�� � � � s.��.: � � 3� t� � � m-t � & �� � #;�
'`f`�" � �'' kjY a�; t. ;�* e �
. \j_ � � . h�F� �� ��� � � % �� Q` "�� . . ..�k�
� �� �
�
.�-�?g � � � �;'
V y� . � �l d�a � � ��;� �� .
� � � ° "�5ek�� �
,
.� �� �� � ,� k�� tA► . � r
�- ��� � � � .� �� ���
� �� ,..,� t/1 � �+ � ,� �,
� .A '� .. � �� � �k;' �� '�
1�` ?� � �'" �� � �
� r� � �„ � � �„ '�� ��„' ���'�
i'"� �, � � � � �� '� � �� �"
a � Q � �°
r � '� � �✓ � �:.� �` :;�G _� � ;� �
`�` � ---� � �i p � � �, �
W,.� v � ���� �,� ?'� • �x;
fi�' � � � � � s ,,.R.. �, �
� � , �` � � � ����� �,�� ��� �
� � a r �>7w �g. y� `�s�k � . k�
�i '�" ` � >` x � � �
� �
� �� ��', � +�� � � ,� �,�; � � � � �.
,� � � � ��.� ' �4
� � �a�� rw '� xw � ���'���
� . . ���� � � ��� ��;r sy� � , � �,
�� . �R � . ' +H` �MNa.�� Q � '�i '��w ^��r 4 9 .. . A.�, , �'�`1�V � � .�-.���� '�
� a , . � �, :., _ . - °a
(�.. � t�a .3,,.. �''� ',� � � .. uv
, �q+�w�\s�+.4
�j t' � s .. §y.„ '�''� � td��s�'v�`��
�'+� � ' '4a `"�n,ry % a . ,. �t �`�;4' �'�e�b��? YB
�J :�.� (,� .. ,v`,�=. 6"� �� ..win�r t . �,��4 � .. ,,� �
'� � a; � , � �. . �� .
�$ «.,�.,� •x ►
� 4'
�
�
, � ",,�° , , ,�. ' . ��
.�
� -
. ,
3. . �� �� .. � . �" , a . � �,. �� ... . a.
� � � _ . R �t. r � �� � . .� ia� ,� � 1��
.„.
� '
�` �,
. � � �� � � . .. �
'� � . _. �,. , :�� „�<y. `"'�Z
� � �
, � . �
� m�
, .
; ., x . . . . �. , . •,. ,.
— - s. ". , . �. , , a'.. ' .
...� ,e .,o ,�„`� .. �; �.
�� . n- ... . , . . ... � ���.
t , eaCi` , . . . " ., . F
.
, , ' � � �F�K
� � �„ � � , �_., '.
� , <, � �,r�w � ._�.: >
� �t^ �, � � ��� u�". �
� <
� �� �
� ,�M, � < e� � � � � �� ��
�'��,p.-�� "' "`��,°,� `��. � � a�<..;.
� I" "<"�a� � x� ���a
� � � � ' � ' � " �
�:,
s r`
� �; � � ���� c
. , �F, �' � ^,� nro
.*
�
a.4 "
fi .
.... ... �.�� � .
� •v,� . ,., .
,. .,`_ . � '�"
„µ
.,. .... . �i..,� t � n hr: .. � ,
� y� ..... o�': q
ti,
3 vi �
M�.. � �'* �' �v
� �" ��r, �
�� ��� � ,��
, �,�
� �
� �� � ������� `„
�^ �� �
, �„ � •:
� ; ��� � �„ ..,
� M � ���- �
' .. � �. ��. �
- �
��� ; � ,�,�ti� �,ww
�� 4 � �.. ���� �m
-- nns � � YP�
t100Y6F F10f;R IfL001i 2 2 �R
� ' �D:��L{�ZtPd6�0�Ytw1%� � INi02eTanXPbM��YNV�CN�BR y
o-�.e ssa
H� xse ,.,.e ,.+a a�-e
I--I r �� F�,t:392
�
G ��f ��0.�/.
1.BoC1 I �_ �"� ���
�.aoo n �n= �.aeo n sx+= s,�s�+- �= tans=
� 2 � s a e 7 s�- 9 e�n2= a�e u
+s
�$
78 /7 /6 15 td
�6= 4x!= S�FP= 9�8= 4�= 4x/0=
titOd
at
vaa :a� .a> >zaw �a: a�-a
IOADINO(p� SPACWG 2-0-0 Cil DER 4� (loc) Vdall Ud P�A7Es tiR�
rcu �o.o Prw inora.,e �.ao Tc o.� v.r�u� .o.za�s�s >a� �eo �o �e�nas
Tco� �o.o �umb.rincred. �.ao � o.ee wrqn) a.��5-ts >sz2 zao
BCLI 0.0 Rep SO+as Ir�r NO W8 O.BS Fb�ajTl) O.OY 13 N� nh
BCDI 5.0 CotN MNSRClTP12002 (MsVbc) Vlkiphl:179� FT s 20%F.11%E
_ w __.--- -------- ---._ --------- -
I.WII�ER BRACMIG
TOP CH� aa1 SPF Na2(1N�q TOP CHORD 3Uucptral wood d�satl�in9 dirodb appbed or&O-0 x pu�nc,
BOT CHORD aat SPF I�b.Z(Il�q'ExapC �zapt�nd wrticsis.
er.va svF 2�0��.e�e.q eor c►wRn wom ar�o ana�y.�.a or�aaa a w.dnD.
vYEBs ao1 SPF SWd(Mt)'E�w�pt'
VYb:2a1�F No.�
a�►cnoHs (wr.�.) ts-�sovo�-o �m�.at-a�,�s■a�a�ro��o (min.a��
F�tCE$ (�)-Nbx Comp.fM�x.Ten.-/1M faoas 2b0(i�)or Mes ezoept�tlwwn. ,
TOP CHORD 2-3�3�ISM,3-4*�94SI0.1-3�al0l10,3�8'�900lf0.8-7�l0lID.7-l�-7640W,
b9�-iS7910,10-11�-11.186/0
BOTCHORD ta-1Y�Of24�3.1T-tB�W67a1.19-t7■OMi7e1,iS18=OP/366.11-1�W11087,
1�-11a0161,'d
WEBS 2-18�-279810.2-16�WZ21S,4-18�-766�10.41NW11B0.7-18■�80910,8-1S�W1069.
t0�15�-�SIO.10�14■-3217/Q,9�10••31�010,61068S1W0.11-13�8/0,
11-1���6727
NOTES
1)Fa�bn huqu bOMlw oo tct a s tl�e tmit as px etindwd indw6y dNail�or b�s aro to bs wsnlY�pPIMd lo aN p�es.
Ta Atqch teEon Obdt b Uws wNh 3-tOd nNe�ppY�d fo 11M fao�.
S)TM F�brtCWion ToMnna�t jobd 10 m 7%
�)'sa�.�qw prr++r..w wro,e�aw h..a��er.ne mcxy r�vwa u.ea�n,s.nsya.«a daq�ar n�a a�.
s�R.00mm.�d�ee wonq�.d�..a+«q..�vo.a.�,ao.o x■,d r.u«�.a eo..on wa.win,�-,oa ro.,s,•x s-�n.�.
Suorpadu a b�anadwd b wrk at the�ou1�r ends or rodrdned by offix msans.
LOAD CAiE(�Slandrd
t)Owd r Foor UV�(b�lr�o�d)�L�xnba 1�1.00.Plata Incnas�1.00
UnMorm lw0r(plf)
v«t�s�a•.�o,�-9•.�ao.�a�s•-�oo
conc«m.e.e�o.G�(Ib)
Wrt�-�e0b
`� � ATE TIME �
t�. .
CITY OF ORONO CALLED IN
INSPECTION OTI E SCHEDULED a- ��
PERMIT NO �� COMPL ED
ADDRESS
OWNER TELEPHONE NO.� I���o�'���3
CONTRACTOR �
�
�; DESCRIPTION
�
� �600TING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL
ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. �/�� ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: SeL S 1 �t�
� ,�j�4�1� uK
a �
o �' /�bYw�. r �kn -
�" " (�Q .�►' CZ�' �i'�L
�
° ' ✓Xai�c�. � ��•��t,��� -�'a- �h4✓
W `
� - SDtG �,r�' /dti zn.� , r��a� — /t�rer�
Q
�
Z �; c
� //'� .t�/�Uf/1�Q- Qi051�/1 C'U��'�l arcx� •�
? �✓t�✓H G��/ r
GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (J52� 249-460�
OwnerfContractor on site:
Inspector. w
White Copyllnspector's File Canary CopylSite Notice
�_� �=-�-- -- ,
DATE TIME V
CITY OF ORONO CALLED IN ( -�.-
INSPECTION NOTICE SCHEDULED /2 -/ / ��
PERMIT NO.�/�l-LSO� �o� COMPLETED
ADDRESS �S 7 S ( Q C�.�
OWNER TELEPHONE NO. � ' -
CONTRACTO
� DESCRIPTION —�1-���
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
`� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME . -
�
a -
�
j
0
�.
�
o �
�
W
�
Q
�
2
W
�
W
�
j
W ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CO ECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. �
Call for the next inspection 24 hours i • 9 ) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice
C�/ �� ? DATE TIME •
� NO CALLED IN ✓ � �
(iR0 -
INSPECTION OTIC SCHEDULED �`'' � �
PERMR N�� ��� conn LETED
ADDRESS �� ?✓� ,/
OWNER TELEPHONE NO. " �-`���
CONTRACTOR �
� DESCRIPTION � Q�
W ❑ FOOTING ❑ DEMO-FINAL ❑ S TIC 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERlCONTRACTOR TO MEEf YOU:_YES_NO
c� COMMENTS:
� , .
� �tat�►� l'o✓►'Cc��o�s .D/'OUtd�n —
O ��w w��4�F�/� � v�l�!�? T�t���ie asc �
r -
� �D�el/L �/o•/ t i�c�5 '
�O
W ` -
� � 9�� LOfic✓ a�'Et.i !/P/��c�.
Q
�
2
�
W
o�
�
�
d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
��RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WffHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site: �•
Inspector. �. t�-- d�
YVhite Copyflnspecto�'s File Cenary CopylSMe Notiee
C- �� �
DATE TIME
CITY OF ORONO CALLED IN ,3_a7 —
INSPECTION NQ�C I�/ SCHEDULED -�-I S 1.�
PERMR NO. �� COMPLETED
ADDRESS �-s
OWNER T EPHONE NO � ��r 9
CONTRACTOR
� DESCRIPTION
W ❑ 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 ❑ MECHANICALFINAL ❑ PROGRESS
� ❑ INSULATiON ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:,�r�SS - QG IQ-���l� �,,.�•� -
� ��K � ���K �
o � ��ovrq� �i,,��CeL�S t -�'�K•�s �o� o� S�s o�r
� �b�c�a/e �/es. �
� �i �l��fr4f /^� 4�r�1C ,�G✓ .$d�G�
�O '
W
� C�� 4�J�e-Br�✓ S 0
Q
�
W
�
j �l� �•� - 3 -e�Gr-�/.5—
a
� ❑WOfiK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C� }'�`ARRECT WORK CALL FOR REINSPECTION TEMPORARY
� �FORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pf{OTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwneHContractor on site:
Inspe�tor:
White CopyAnapector's File Canary CopyfSMe Notke
C-� �
� DAT� TIME
� CITY OF ORONO CALLED IN ��'S
INSPECTION NO ICE(� SCHEDULED / l /�� �1J_
PERMIT NO. �� ` ���COMPLETED
ADDRESS �✓��S i� - v l a �'-�/
OWNER TELEPHONE N0.7��������
CONTRACTOR ��J---���Q'�i4
� DESCRIPTION �G��� � "" �'�- C��
l� ❑ FOOTING ❑ DEMO- L ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
�AMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
�
� �rartit..h,� ��Y�Gv��on, dJ/od/�OC� •
Q � L'�l9��G/��'+-,�' �YOv/t�C� �o.� �/aa-✓ �rkf�
�.
� Go n�C��i do� �
O
�
W �/
� hL� ��U� ✓
Q
�
2
W
�
W
�
`
J
W �KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. �/� �
White Copyllnspector's File Canary CopylSife Notice
� I J DATE TIME
r �CITY OF ORONO CALL D IN
v INSPECTION E SCHEDULED �
83�-c���a ���
PERMR NO� COMPLETE
ADDRESS ,/ J �-5 /���/��
OWNER TELEPH0�4 ��3�7�"�.�1
CONTRACTOR //�S ���a.c
� DESCRIPTION <=-+v�' [� l �/� r "��1v1
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
_ ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
�LATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SE R HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOUf YES_NO _
� C� Ts: tsZa�l�� /?-/4 w ' v�o✓ �.r�a.� '
� - r r.�i /ye �t ..c � c �c�!/
o � l��of�s�p aivc�� .P��w�.k i:, ar�,. r �"` �
�. G s e - I+'l•�. � �'0%1 - '
� a r�, E �o �
� � F�r� 6�ar,� ah �c. azrf �o o �.:� on �r.t .
� b w� .r��s /nv�rd s .t �..rs,� ♦K N, • ue
Q r � /' . �fr
ki ��K�i(.�.r �i►� 6N�iiwJ �/!� � s fl�4�7tr'�-
W � �i�riLt�.i��,t jjT�c!''"y1�-��- is" at�6
� -. �/oo� �a r bo fa�v o�av� .� .t ct ..s�s�rJ.
� •S t►wiG � �
j G D�f�tG.t � t�,(� �/ -�is►wL/l�
O
W� ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
iNSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�PECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerfContractor on site: ��G2LY1�
Inspector: � �
White Copydnspectw's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN ��
INSPECTION�NQTIC SCHEDULED � 077%S /���
PERMR NO� � � COMPLETED
ADDRESS �✓� ���
OWNER LEPHONE .�� - �-�J
CONTRACTOR
� DESCRIPTION ' � S� Q��
4~j ❑ FOOTING ❑ DEM -FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
_ ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� �1SULATION ❑ WOOD BURNER/FIREPLACE ❑COMPIAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 01NNERICONTNACTOR TO MEET YiDU:�ES_NO
y COMMENTS:
� -' �bl�'�v�i.wi-s D.�u u��i.'p �-
j
0
� U�C �r-- GO 7/�e � ,
0
�
W —
� j i'Y�'��rJ-� `✓�... .G O S�c�
Q
2 �� rr�s �
�
W
�
�
W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
��RRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITiON WRHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
ca� t inspection 24 hours in advance. (952) 249-4600
ctor on site: �
�ns
yyhite Copyllnspectw'a Ffle Cenary CopylSNa Noties
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�D/y'G��dD COMPLETED �r�
ADDRESS �S ?S /�4,0% • �la��
OWNER TELEPHONE NO.
CONTRACTOR ���tS- �a,•c��
� DESCRIPTION ���
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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
� F.�w� o�' ��t� -�r ��a•'�t �,.f.•�, -
� -' � I�syd/S G�a�� d /s-�G� -
� GJ e�a .':�Y'r s.?s ,�/'c�.e�� —
0
�
W
Q � �j�c•1 (,�ce.� ,SGictQ ?� Gc�rc✓ataC a�c
2 �Ou'G� S��.c, v� •,�rsst�
/+ r
� � r �^l(GNI� �Q��
� l
� 1 ��� / O� �r�CV� �j � �
d ���
W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
RECT W'ORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR YVILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site:
Inspector. --�
YVhite Copyllnspector's Flle Canary CopyfSite Notice
� � DAT TIME�
CITY OF ORONO CALLED IN � ��T
INSPECTION N�L TICE SCHEDULED � S
PERMIT NO. d L COMPLETED =a
ADDRESS �J �
OWNER — TELEPHONE N ��P� "y�J�"7,9�..�0�
CONTRACTOR �� N77� � ,�l�-P
� DESCRIPTION ��-�� --LJ✓�/'�-/
ly ❑ FOOTING v ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATfON WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� INSULATION L.�� ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO `
� COMMENTS: ` ��.�K
a Z/15�/�/on - /CUry�t��lc� �,.��Q�f ' CIaSQ�G�!/
oS�r'aT �aa»1 '
� �/ � � ,/ .
� � /"�t�G.e �4 Ll— �t�t•�c S t��• L�1 �-/�6�' ,�4 ir<</
� � I"/'ov�q c /h 54� �G�✓ �aGr � �o�s•cal�ro�
W
Q � e�►-�s� a.�,wac� �. � �� k.ce� ��/
�
W a r r��.t �
� G d/C �' G'o�r/
W
�
�
J
GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
�,�iFiECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Ov❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-46��
OwnerfContractor on site: d ��
�
Inspector. �
White Copyllnspector's Flle Canary CopylSite Notice
��
DAT TIME
CITY OF ORONO CALLED IN `-�-2�
INSPECTION NOTICE SCHEDULED � /�
PERMIT NO:�c�`�� �^� � �'=C COMPLETED
ADDRESS � �a ��5 ��C�;���c_ ���r��.��
OWNER �t��� ��'��� TELEPHONE NO.
CONTRACTOR �,e� �' `�Cc 3 �L l O � �;I��
� DESCRIPTION ��-=��`2=-� \ �c}-��� �-'n '
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SE IC 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 �,L� ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Q OWNERlCONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS: �i�eC- 1�,� � � i�b� "!5
W L.L. `iss.,.c� — O l�
a
o � ,�r��a �j��.��•,� c/os� ��avD�
�' Cre%�� -
� �
0
�
QCo { r c�t --c dl,� � ��c S��� -
�
W �
� �.�l�c.s...i @/v,f �G r� Cd✓ll�i ./O
W
�
j
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �66A'RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. y"�'
White Copyllnspector's File Cenary CopylSite Notiee
c� ��--
,p� DyT,E TIME
CITY OF ORONO CALLED IN U ��U �.�
INSPECTION I SCHEDULED �}'-� /b•'dfl
PERMIT NO. �� r��� MPLETED
ADDRESS � � �
OWNER EPHONE Nc�l� ��
CONTRACTOR �
� DESCRIPTION �� �
4i ❑ 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 ❑ F ING ❑ MECHANICAL FINAL ❑ RATED WALLS
��Q SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� NAL ❑ WATER HOOK-UP
❑ FOLLOW-UP
w AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMEN :
� - /
� �-
j � i � �
O �
'� S '
�
0
�
W
� t �Il
Q _
� �
2
W
�
W
�
j
d
W ❑ SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� RRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W -
� ❑ RRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 9-46��
OwnerfContractor on site:
Inspector.
White CopyAnspector's File Canary CopylSite Notiee
� ✓
�� ��.--
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION yOT C 7� SCHEDULED
PERMIT NO.�� ��v COMPLETED
ADDRESS ���5 ��� �
OWNER TELEPHONE NO. 76����' �`'a�
CONTRACTOR f QS ��Yyt�C
� DESCRIPTION � �-Z�� 7"—� �� �l �DY
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � �
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN�/FILLING .
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RA ON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ F MING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE EPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: '' YES_NO
c�.� COMMENTS�ID��
�
W
a
�
�
O
>.
�
O
�
W
2
Q
�
2
W
�
W
�
j
d
W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 8�PROCEED ❑I E CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52 49-46��
OwnerlContractor on site:
Inspector.
White Copyllnapector's File Canary CopylSite Notice
DATE TIME
CWY OF a�ONO CALLED IN
INSPECTION NOTICE SCHEDULED � 'f3 �f�
PERMIT NO. 2014-(`�1lOC� COMPLETED
ADDRESS � 5� IIV�.Q Y�� P�C2�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �J� r�J�� �� ����'I�
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
k1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNENCOKTRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
�
�
�
J �
O
a�
O
�
W
�
Q
�
�
W
�
�
O
W� ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CARRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advanoe. (952) 249-4600
OwnerlContractor on site:
Inspector:
Whke CopyAnspectors Ffle Cenary CopylSite Notiee
DATE TIME �
Cl�lf OF�RONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. � � �O COMPLETED � Z -I�-t�}'
ADDRESS 15�5 � ,�� a� ,
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION � � � ��!/"<<
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
�
W
o.
� 1�.J lJ�f I� �
0
�
0
� .
W ut
�
Q
z s� ,
� �
� 011 I Z - ���t4
a
W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46�0
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
. �
' . • : � •
� • ,
e�mo
To: Finance Department
From: Christine Mattson, Planning Assistant �,.��('`
���-
CC: Street File
Date: September 1, 2015
G/L: 101-22205
Re: Escrow Refund
Building Permit#2014-00160 pertaining to 1575 Maple Place is complete. Please refund the
$2,500 to the property owner, 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 filesUnaple p�1575�escrow refund 2014-00160.doac
, ,
' ' BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2014-00160
AGREEMENT made this��day of , 20�, by and befinreen the CITY OF ORONO,
a Minnesota municipal corporation ("City") u�Q� �Lkc,� �c-- ("Owners").
Recitals
1. A building permit application has been filed for a new principal structure located at
1575 Maple Place the ("Subject Property"), legally described as Lot 10, 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 #2014-00160 if compliance with the
approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owners when the review has been completed and written notification is received from the Owners requesting the
funds.
��
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CI • CITY F ORONO ER:
By. ..__
its: ��' .
' . , i.
- . - --- ----_ - - -- -- -- - —,. I
I . �
1 �
� Clt 0� s .
����Y �N�DffO `�
� .�:�4 Nellcy �arl�aay � i
! dr.at�a :'I�f �6. "' �_�,e..49-�� - _ i
� �'�ei�t i�:s: �.Uf�OS�9;:, > -Pfar 24i c"�?l� ;
, . �
,
I :. �I,ap1� P�ace tiC . �
� Px�virws:Baiar►�: ,i�. i
�it5` I
� - �1�*�c."Q3 . ��'i(a{ile `c';�:0{� � . i
� , lt#;-� ^�, :. `.�
ifef�rr�d: R�v Develap�`Di�asit � ;
� .�.._...:.�.�..._ ;
j To�I: � P,�:;t�o - '1
� < : ==�=-...-�_ �
� - ,
� (�eck Fk�r 4�3�� .�-�� �,5ti(►:iK� ;
' #�ayor: z�:� , i
� '�� �, t� pi� u:c �. : . . ;
���a� ����t: �,�p:� � �
� �-�._._._ ;
` � i��age Te�dl+r�: �,�, ;
I 1
� Q3Jl4>20t4 0's;� " , �
�
I . �
;
! .i
I _. �__ __.. __ _. ._ _ i
, � CITY OF ORONO * 2 0 1 4 - 0 0 2 0 3 *
2750 KELLEY PARKWAY DATE ISSUED: 03/14/2014
ORONO, MN 55356-
� 952)249-4600 FAX: 952 249-4616
ADDRESS : 1575 MAPLE PL
PIN : 08-117-23-33-0032
LEGAL DESC : CRYSTAL BAY VIEW
: LOT O10 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#2014-00160
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 003268 2,500.00
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 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
expire and become null and void if construction authorized is no[
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ /
Appl�cant Permitee Signature Date Issued By Signature Date
• R
Christine Mattson
From: Adam Edwards
Sent: Friday, June 19, 2015 10:27 AM
To: Christine Mattson
Subject: RE: 1575 Maple Place/#2014-00160
Chris,
The driveway change meets all applicable city standards.
Adam
From: Christine Mattson
Sent: Wednesday, June 17, 2015 2:46 PM
To: Adam Edwards
Subject: 1575 Maple Place/ #2014-00160
Adam,
A building permit was issued to 1575 Maple Place on 3/14/2014 for a new single family home. On 6/17/2015 we
received an updated survey dated 6/17/15 which modified the driveway. Please review and provide comments.
Thank you.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway i Orono € MN 55356 (physical address)
PO Box 66 Crystal Bay ! MN 55323-0066 (mailing address)
If 952.249.4620 8 952.249.4616
Mcmattson@ci.orono.mn.us www.ci.orono.mn.us
Summer Office Hours: (Monday, May 18 through Friday,August 28,2015)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Friday,July 3, 2015
1
•
City of Orono
\opo Hardcover Calculation WorkshIRONO COPY
\, Property Address: /s 7.5- AM,4 C~ /IC it C In C Y //pin€S,
Prepared by: —
GR vNB(AC )t WAY C/d rx'1', iN c`. Date: r--'=-a- -.7
6-/7`4S
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 MEP Tier 3 Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Include all existing hardcover items that are
intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as
necessary to accurately depict proposed hardcover status of the property. For Tior 1 properties, identify
any features by letter which are split at the 75' setback line and calculate hardcover square footage
separatel for each portion.
Key to Hardcover Item (Describe) Length x Width Total
Survey j_!(:yuare Feet)_
(Example) (Garage) (24'x 30') i 720S_Fi_
A yr+dr.r` i_— lyyyy S.F.
B ,17-0 o _.._._ 3 y____ S.F.
C
6-GA -.r..T GvEL4, — $ S.F.
D Ll,rY'/1,f7AC,a4 Y Zy S.F.
E GtJavDa,,✓ LU61_4 2, S.F.
F Lr1.rLae q`p S.F.
G S.F.
H S.F.
S.F.
K --_— S.F.
M S.F.
0
S ---- .._- _---- S.F.
F.
T — -- -- -- -- - -- S.F.
•
S.F.
V
W -- S.F.
X --- —•-------•— S.F.
Y - _ S.F.
(1) Total Proposed Hardcover 222]"
Excludable Hardcover(See City Code Sec 78-1684): 4.
S.I'
S.
— --------.. — -
F.
(2) Total Excludable Hardcover
(3) Net Proposed Hardcover [Subtract line_g_from line (1)] d .2 2 2 7 u F ..{i
(4) Total Lot Area -
---_ .�..w,200 S.F
Proposed Hardcover Percentage [(3)= (4)] l Z y, 73`.
---------..__._JUN 1 7�0�5�-- .... - ".....,
January 8,2013
CITY OF ORONO