HomeMy WebLinkAbout2012-00547 - new structure , , , , CITY OF ORONO * Z 0 1 2 - 0 0 5 4 7 *
2750 KELLEY PARKWAY DATE ISSUED: OS/02/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1579 MAPLE PL
PIN : 08-117-23-33-0033
LEGAL DESC : CRYSTAL BAY VIEW
: LOT O11 BLOCK 006
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET
VALUATION : $ 246,533.94
NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL, FIREPLACE,SEWER CONNECTION,LAWN IRRIGATION,
ELECTRICAL(STATE)
NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITI?�,!�'� �
NOTE: BE AWARE,IN THE EVENT 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.
INITIAI��"�
APPLICANT pERMIT FEE SCHEDULE 1,938.75
DEAN JOHNSON HOMES,INC. PLAN REVIEW 393.90
4700 CTY ROAD 19 STATE SURCHARGE(VALUATION) 123.27
MEDINA,MN 55357-
(763)479-4820 S.A.C. 2,435.00
Minnesota State License#: 20639439 TOTAL 4,890.92
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 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
permiu. 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
` � Z ��'�� ��i�
Applicant Permitee Signature Date Iss By i nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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. City of Orono � �'�
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Building Permit Application i �i�
for New Structures or Additions
_ _ Mailing Address: Permit number: / �' " �� ��`
�,�Q� PO Box 66 /� •
,Q� �� Crystal Bay, MN 55323-0066 Date received:
� �� Received b .
��. ,,�..�, ` y.
�� "�l� 1 p„I! Street Address:'
� ��`J �/ 2750 Kelley Parkway Plan review fee: ' '•
. C
�r '.1,,��• �'��' Orono, MN 55356 .��,/�-C CT�c� "
R��'SKOg Total Fee:
Main: 952-249-�1600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: � �� Q ►11���.. t�- �,o.r�..-
Will this be a Parade of Homes, Remodelers Showcase Home or other Dispfay Home? ❑ Yes ❑ No
If yes,a special event permit is required with Polrce Department and City Council approva160 days prior to the event. Shuttle bus service wil!be
requirecl unless applicant demonstrates suffrcient on-site parking is avarlable. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: �
Name: � � �n. �
State License# Z..O �3 Lt- Q Expiration Date: 31`3 i � 3
Phone: `[ �,- - 'Z,:c, office '7 to - 4'Z� 1�G � cell
Mailing Address: 4-'[oo �1?-.�_ ► �i Cit : vl � ' ,.��- ZIP: S S 3�.�
Contact Person: F� c�--.- Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax: � c� ►�c, `' L t
PFtpPERTY OWNER INFORMAT
Name: ��nLa.. ��G.c.s� j^�^�
Phone (day): ZIP:
Address: City:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: Z�P�
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
�New Construction �,Single Family with Residence
❑Addition attached garage �Garage/Accessory Bldg. �Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer
❑Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑Storage ❑Public Water
**Any earth movement may require ❑Commercial ❑Other(specify)
MCWD review& permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other: (SpeClfy)
18202 Minnetonka Blvd
Deephaven,MN 55391
P hone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ 1 tv�,O O V
t
� STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a.Length(ft.)= 5 � Number of bedrooms= � ��ood/Frame
'U Masonry
b.Width(ft.)= z.°� Number of garage stalls: ❑Metal
Attached=� ❑Pole Bldg.
Areas in sauare feet Detached= ❑ICF
❑On-site Prefab
c. Basement= ❑Off-site Prefab
d. 1 S�Story = `3'��. 1(O7 ❑Other(please specify):
e.2nd Story= ��
f. �Story =
g.Totai Area= Zl
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
❑ ❑ Stonnwater Pollution Prevention Plan
❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
O � ❑ Wetland Buffer Im rovement Plan
❑ : ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Other
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all inforrnation 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 th�t 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 suppty 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�ime the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date: l.Q l � 5 I I �
a i.�i.<�°�,+'�.� `}��� �r��..:,�*��.r�'�� .�i.�' '�ar`��e�,����� �O�O �0�
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TOTAL PRC?t��RTY AREA lCi3 ZON� _ -�'�;�uZCo �.�. A
� �.sa��c�_Sr�_..._� ` � x 1fX3 �_�''�O �S.F. B
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. , . ���� E���c�� ��������� ���° f��� ��r����c�� � �c����F���
Address!PID/Legal: � �� ` �'�'�-- ��C�-� �
Description of work: ���� �����
Se�tic r�view+�y: � , D��te RRpeode�:� �" ,
P
Zor�Eng revie�►+t�y: E�ate Approvecf: �f/
Bu�lc�ing revi�w by: Dat�Appr�ved � " � "�ti Z_
Gracfing reviev✓by: `f�i � Dafe�provecl: ���.
Zoning �ile#: Resolution#: Resolution Date:
Zon�r� f?istrict F�re C3e artmer�t Po��affice School District
Zoning: Lot Area SF/AC Width: Depth:
Survey Submitted: �s L� No Date of Sunrey: �"����
Pro osed Setbacks:
Front(L� I�ear(Stre�tj � �J S E � _ ( PE S' 1N ) Other Building �ile#IancE
S�cf� • e.
t(�t ' �(�� �
. � �
Building Defined Height: Building Peak Height: � #of Stories Ok2: YE�
FOR A BUILDIf�G WITH A BASfMENT OR CRAWL SPACE: FOR A BUILDING ON A SL/1B FOUNDATION:
START WITH the distance befinreen the basement floor/crawl START the distance between the slab and the highe
space floor and the highest roof peak,the top of VVITH roof peak,the top of the comice of a flat rooi
the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or the
mansard roof,or the uppermost point on a.round uppermost point on a round or other arch-tyE
or other arch- e roof roof
SUB� half the distance between the highest window and SUBTRACT half the distance be#ween tfie highest windo�
i hi hest roof ' ak of a itched roof and hi fiest roof eak of a itched roofi
�^ „� SUBTRAi T the distance bet�veen the basement floor/crawl � ADD the distance befween#he slab and the highe
l� ,, �� space floor and the highest existing grade within existin rade within the foundation
the foundation or 10 feet,whiehever is less. EQUALS Defi�ed buildin hei l�f
EQUAL$ Defined buildin hei ht'
Lot Coverage: ---��SF ' _ %o
Sheretanc� District h�fCN4�D i�errnit Rece�ve� Avera 'e L.ake�hore Setback �����
O Yes C! No � N/A � Yes Nc
�es � No CI Yes No !� NfA
,/ Permii Number. Setb�ck:
� {�aPcicdver Zone�. Existin Pro osed �fariance Re ui d CUP Re �ired
0-75' � Yes No � Yes o
75-250' � TYPe(s): Type�S�;
250=500'
�[��,��� 1�-
500-1000' �
REMARKS (in-house):
Updated: 09/11/2009
z:\forms�plan review checklist.docx
Fees ta �e Cha.r ed YES �!O
P�rrrai� +
Plan Re�+ee� (�
$ir�t��tttci��rge l/
tnvestigatioe� Fe�
S1�C-:t��m�er ofi SAC lir�ifs � �''
Sew�r Connection
��4l�tar Connectios�
Fark Fee
Si#e,�n�pecfion
Other(specify)'
�tiisceilat��ous��ees
Caicufatec9 By:
S uare Foota e $ er S uare �oota e
8asement �,��u� X �!�, '�.0 = $ I i� 13� C:�
1�'Floor i• �i� X. t� 2.3 = $ '�1 �t'`�3.22
2"d Floor t ��� X `� � 2,`� _ $ ��� V`T 3."?'-
Gara9e ��c: X �"'.� - $ 1�: �3�,L�
Estimated Construction Value: � �`t�o���•y`'�
Oreno Inspections Reguired flillork Requiring Separate Perrrpits Rec�uirecl State Perrnii�s
0 Site Plumbing � Grading/Fiiling � Well
C] Hardcover Removal �!Mechanical L7 Fire �Electrical
J�'�'ooting � Septic r .� Water Connec tion
� Po�red Wall ,p'Fireplace �""Sewer Connection
oundation Survey � Masonry �'Lawn Irrigation
Radon Rock Bed �'Mfg.
Framing E] Other(specify)
nsulation
: As-Built Survey
Final
f] Other(specify)
REMARKS (in-house):
Other Review: R�vsewed t��+: Date A�prodetl:
Access:Existing: Li YES C] NO New: P� YES Q NO
REM6ARKS(TO BE NOTED OP! PERfVflT ANd ENE�TtpLLED BY PERSQN RUL�.II�G PERMIT)
Updated: 09/11/2009
z:\fortnslplan review checklist.docx
Christine Mattson
From: Christine Mattson
Sent: Monday, July 30, 2012 3:33 PM
To: 'toddholmers@gmail.com'; 'djohnson@deanjohnsonhomes.com'
Cc: Melanie Curtis
Subject: 1579 Maple Place/ Building Permit#2012-00547
Attachments: Escrow Agreement- Building Permit w Erosion Control 2012-00547.pdf
Hi Todd,
Someone from our permitting staff will call you with when the permit is ready to be issued and will tell you
permit fee that is due. In addition to that, you are required to pay the following:
• Storm Water 8� Drainage Trunk Fee - $1,152.90
• Escrow- $2,500.00 (escrow agreement attached)
If you have any questions, please don't hesitate to contact me.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356(physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
S' 952.249.4620 g 952.249.4616
� cmattson@ci.orono.mn.us � www.ci.orono.mn.us
Summer Office Hours: (Monday, May 21 through Friday,August 31,2012)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday,September 3, 2012
1
1 �
City of c�rono
;;-=J�oNo� Hardcover Calculation Worksheet
� � 1 J Property Address: is-�9 ,y�Pc f Pl�t C F (�DE't�v To�✓,�t/laN iS/OWI F„!'�
\�� , ,
•��A�.,�i���`�� Prepared by: Date:
__ G'�v�v�Ea G' � .�J'soc i�T�!'�,��..�c . �o-�-.,�
Stor��water Quality �verlay District Tier: (Circle one) Tier 1 er Tter 3 Tier 4 Tter 5
Step 1: EXISTING HARDCaVER
In the following table identify all items af exis6ng hardcwer on the property,keyed by letter to Cert�cate
of SUivey(survey must accompany this form). Use as many lines as necessary to accurately depict
existing hardcover status of the property. For Tier 1 properties, identify any features by letter which are
split at the 75' setback line and calculate hardcover square footage separately for each portion.
Key to Hardcover Item {Describe) Length x Width Total
Surve S uare Feet
Exam le Gara e 24'x 30' 72Q:S.F:
A / S.F.
B /.0 u�.( GI< /2 S.F..
C o 36 S.F.
D .[ 3 S.F.
E S.F.
F S.F.
G S.F.
H S.F.
I S.F.
,1 S.F.
K S.F.
L 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.
U S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
_j1) Total Existing Hardcover 22 O S.F.
Excludable Hardcover See Cit Code:Sec 78=1684 :
S.F.
— __._. S.F.
.__..___.�._ _� - S.F.
_.__._._.__. S.F.
_..__.__...__._ S.F.
2 Total Excludable Hardcover O S.F.
(3) Net Existing Hardcover Subtract line 2 from line 1 22o S.F.
�4� Total Lot Area OD S.F.
Existing Hardcover Percentage [(3)+(4� ] Z y, S/ %
(Proposed Hardcpy,�r�it�age)
Kt vED
January b;2013 OCT G 4 �u�.i
CITY OF ORONO
�
R��IO ��'Y
New Gonstruction Energy Code Compiiance Cert�cate
Per Nl 101.8 Building Cectificace.A building certificate s1ia11 be postecl in a prnnaneffily visible locataon iruide @�e lhre Ce�ttll�ete Pomd
' building. 'Fhe certificate sIla2t be completed 6y the buildei and shali list inftxmation�1 values of campoa�nta
listed in Table N11U1.8. �/ � � 4 ��ar+� )Dur
Maittag Address of tl�e Dwelling er 1hse�ng Udt Ca!
���� logo here
LOT 11 MAPLE PLACE
Name ot Reaidential Contractor MN LicenseNwnber
DEAN J�HNSON HOMES t3G L%3 �-'�J
THERMAL ENVELOPE RADON SYSTEM
Type:Check All That Apply Passive(NoFan)
w
o [
� � Active(With fan and monotneter or
F.�'. = � other systern monitoring denice)
� � � —' � a °.3
° a o � U � a° bm �
� Q C1� 0.1 d � a � v
o Z � a Cj �'j' w W °
Insulation Location a •.. � R "
� � � � �° � � � v ei
� on ao
F°- ,$ Z w w w w � c� a Ot1�er Please Desc:ribe Here
Below Entire Slab
Foundation VV811 �" { � X Type in location:mtwior e�Qerior or integrak
Perimeter of Slab on Grade
Rim Joist(Foundarion) � `��. !t, Type in location:iMerior eMenor or integral
Rim Joist(1�Floorl-) �-�Z � Type in location.interior exterior or integral
Wall x
Ceiling,flat �" x
Ceiling,vaulted x
Bav�'�ndows or cantilevered areas �' �
Bonus room over gurage R'�� �
Describe other insulated az•eas
Windows 8�Doors Heating or Cooling Ducts Outside Conditioned Spaces
Average U-Factor(e�ccludes skylights and one door)U: Not applicable,all duct..a located in conditioned space
Solaz Heat Gain Coefficient(SHGC): R-value
MECHANICAL SYSTEMS Make-up Air Setect a Type
AppGanCes Heating System Domestic�'ater Heater Cooling System Not required per mech.code
Fuet Type NATURAL ELECTRIC Passive
Manufachu•er BRYANT BRYANT Yowered
Interlocked with e�aust device.
��e� 912SA48080S17 113ANA030 Describe:
Input in 80,000 Cap��tY� Output in 2 1/2 TON Other,describe:
Rating or Size BNS Gallons: To�
Heat Loss: 62,735 Heat Gain: Loeation of duct or system:
Structure's Calculated
!�F'[IE or 92% SEER: 13 SEER
HSPF%
Catculated 29,600
EfScienc cooling load: Cfin's
"round duct OR
Mechanical Ventilation System "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 wiUi gas back-up fumace): Not required per mech.code
Passive
Select Type
Hea2 Recover Ventila2or(HR� Capacity in cfms: Low: High: Qther,describe:
Energy Recover Veutilatar(ER�Capacity in cfms: L.ow: High: L,ocation of duct or system:
t Continuous eadiausting fan(s)rated capacity in cfins: 80 CFM 6 FLEX MECH ROOM
11' Cfin's
Locatiou offan(s),describe: MAIN BATH
Capacity continuous ventilation rate in cfms: 6" FLEY
Total ventilation(intermitteut+crnrtinuous)rate in cfins: 250 "metal dud
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_ Fnrnac�Si��Calcula�tion dYarksheet
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H£a,TIl�iG COIVTR�CTOR� ,� E`'(< 4 + �-�- . � - « � .: PHUNL. ':j .r :'• ��'���- � � '
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� CALCULATI�Ng PREPARL�D BY. � , ; {�'1 e :_E: .,, : ,_�F ti �� < PHUlY� �-F �`-�;<....,.i ! �'` �`
The desi�n informsiion below mnst bt determieed frvm t1�e bwid'utg pt�sfspeeffications, R�
L Sg feet a!exposed wall arsa�Above g�sde_;r;;1 x"L"� +� x S$degre�s s ; 'j ''
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z: -sy.rect ot�posc�,�aaw a�a,,:'?`r x���t7�' � �.3:ss a� ,i�
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3. �q.teet of e:tpossd door lrea�_z"LT" •�=88 dr�rees d '._r l
4. $q.ieet of ee�in�area 1?�?.s s"U"�D•�x 8S dep,tees .1 :�`� c'
. 5. Sq,feet qf bnsemeut�oor aYe�I�-'!� s Z S1`IIHlsqaare feet .�'"� -' ;r,
6. Sq.Te�bf�etaeat�v►alI ar�s helmv-grude y;:;`:!x 3 BTfTl�laqasre feet �U.3`j
?. I.ia.feet 4f inflts3t�on foT rr�dows.S����� z(03�a(1.Q8S7 x 89 tl��rets �.�. � "�
. S. Sq,feet o�iafiltrstlon far doors �%`� x(Q.5)z(1.08�a 88 degrers � '' ;
9. Sq.feet af infiitration for siidiug glass daa ra � �7 z(0.�a(1.U85)x 88 degree; .
1D. A�ow��fer ktte5en and bath fans: # ""` kitcheu fans(a�500 STUTi e�ch "
_ _ #�bath fans a�}Z00 BTU�i eac� ��'�-,,�
1L AHa�raacE for firepincPs: # � Q 1,30Q BTUI3 escIt ' =-' >
lZ. Mee$�ic.�l Yeut�latlon: �aast CFM 1�, 3(i�.iF85}t 8S Degreas � `� ~
�.
13. Tot3i�Ti1H Ias for a1L:dwve items-minimu j � t�
�rtmlre�finrnste antnat � �=-, t=� �
id. lbia_ aimnm allowe�i i'brnaee antant�is Liae 13 x L�3 `� `. .� 1 I
"k'�snacE attpnt may be oVexsixed tro�acdnde a sai'My i'sietor aad picic-t�p
losds bui may aot eacaed 43°Ja.
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?ip�p�ieant Siava#are __..__
J:ll�amiBldg!VYP194"ab1FJ[�ca 3is C3icui3tian iYork3��t 5/"�
' 1 IC�V 1JVtC i�LL.11 V'F
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, continuous may have automatic c�clinj controls providing the average flow ra#e
for each hour meeting the requirements of Section Nl 104.2.1.
; 4.
Equation 11-2: ;C.� �'� ; „3: ;,:�� � r
' ` G � ��•��' .c � 41
Continuous ventilation tcfin) = total;ventilation rate/2
;
N1104.2.2.1 Ventilation rate. The continuous ventilation system sha11 be
balanced in accordance with �ection Nl 104.4.2.
Egception: If the local ventilation req�irements accordin�to IRC Section R303.3 are
bein� met by the continuous ventilation system, it shall be capable Qf operating at a
rate not more than 100 percent�eater than required by Section Nl 104.2.1.
_ ' _ ,
, _
N1104.2:2 In#�miftent ventilatiqz�: The difference bet�veen the totai ventilation
rate and tlie continiious ventilatro�i_rate shall.be based on-flow-rates as�desrgned
or as instatied.
-- _ _ ..._. -_ - �
'Table i 1�11.04.2
Total and Continuous �Ventilation Rates (in cfin)
N�niber of Bedrooms
I 2 � 3- 4 'S 6z
Gonditioried '
spacel (in sq 'TotaU TotaL' To / Tota1l TotaU TotaU
ft_) Continuous Continuous; Co tinuous Continuous Continuous Gontinuous
; _ .
Y000-1500 60l40 75/40 "901�5` 105%53 1�0/60 135168
150i=2000 70/40 85/43 `10 /50 I15/58 130/65. 145/73
2Q01.:250Q. 80/4Q 95%48 i�4/55 T25/63 1:4OL70' 155/7:$
�501-3Q00 90/45 105/53 12(�/6Q 135/68` 15Q/75 165%83
3001�.500 l 0El/50 115/S8 -�13(�/65 145/73 160/80 175/88
�501-4000 110/SS' 12S%63. :._,14(�/70 � 55/78`` 170785 185/9.�
4QOI-45U0 �120/50� 135%68 15 /75 165/83 180/90 195/98
450I-5000 I3 Q/65 Z 45%73 1.6C�/80 175X88 190/95 2051I03
500.1-5�00 140/70 :i55/78 :17�/85 i85193 200/100 215/108
�501-6000=� 150%75 165/83 18d/90 195/98 21Of105 2�5/113
1 Gonditioned space includes_the basement;
'" If conditioned space_exceeds 6000"sg. _�ft._ or there are more tharz-6 bedrooms, use
Equation 11-I from Section N110�2 to calculate total ventilation rate.
Copyri�ht�2009 b}t3�e Revisor of Statrites,State of Miunesota AII Ri�hts Resen�ed.
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SC�"-- DATE TIME V
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Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
� DATE TIME �
CITY OF ORONO CALL" E�iN
INSPECTION NOTICE '/ SCHEDULED �-30 -/3 �
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Inspector.
White Copyllnspector's File Canary Copy/Site Notice
� � �y�/ DATE TIME ✓
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Inspector. r�iT �
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Surv e ��� 's Ce r t2 2 c a te
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SURVEY FOR :Dean Johnson ORONO COP
DESCRIBED AS :Lot 11, Block 6, CRYSTAL BAY VIEW, City of Orono, Henrepin County,
r Minnesota and reserving easements of record. •
CiTY OF ORC�HO City of Orono
SITE PLAN x GRADING P!.AN Planning 8 Zorting Plan Rsview
❑ APPROVED WITH REVISIONS Site Plan Review Date: � "l "� �'
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House = 1,447 sq.ft.
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Drainage Directions = Front —30 House Side — 10
Denotes Offset Stake = • SCALE: 1 inch = 30 feet Rear — 30 Garage Side —10
JOB N0:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 12R-046
HEDL IJND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING ENGINEERING SURYEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS HOWN.
2005 Pin Oak Drive
Eagan, MN 55122 DATE _�/ 15/� �• CAD FILE:
Phone: (651) 405-6600 J R D. LINDGREN, LAND VEYOR MiSC-12
Fax: (651) 405-6606 NESOTA LICENSE NUMBE 4376
�57�( V�p�- �l�i� �1Z-�4�
Surve or 's Cert Zcate
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SU R VEY FOR :Dean Johnson
DESCRIBED AS :Lot 11, Biock 6, CRYSTAL BAY VIEW, City of Orono, Hennepin County,
Minnesota and reserving easements of record.
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Proposed Elev. _`� MIN. SETBACK REQUIREMENTS
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Drainage Directions = � Front —30 House Side — 10
Denotes Offset Stake = • SCALE: 1 inch = 30 feet Rear – 30 Garage Side – 10
JOB N0:
HEDL UND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTAl10N �2R-046
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING ENGINEL�'RINC SURYEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS HOWN.
2005 Pin Oak Drive �
Eagan, MN 55122 oA� _6 / 15/� CAD FILE:
Phone: (651) 405-6600 J R D. LINDGREN, LAND VEYOR
Fax: (651) 405-6606 NESOTA LICENSE NUMBER 4376 MISC-12
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emo
To: Finance Department
Fran: Christine Mattson, Planning Assistant
CC: Street File
Date: October 28, 2013
G/L: 101-22205
Re: Escrow Refund
Building Permit#2012-00547 pertaining to 1579 Maple Place is complete. A final certificate
of occupancy was issued on October 17, 2013; therefore please refund $2,500 to the
property owner, Maple Place, LLC.
The following is attached:
• Email from Bolton&Menk indicating no unbilled WIP on this project
• Email from Campbell Knutson indicating no unbilled WIP on this project
• 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 files�rnaple p�1579�escxow refund memo 2012-00547.doc
T r
Christine Mattson
From: David Martini [davidma@bolton-menk.com]
Sent: Wednesday, October 23, 2013 1:03 PM
To: Christine Mattson
Subject: RE: WIP
I don't believe we have any time for these projects.
Thanks.
David P. Martini, P.E.
Bolton � Menk, Inc.
P: (952)448-8838 ext. 2458
M: (612) 756-4315
email: davidmaCa�bolton-menk.com
From:Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Wednesday,October 23,201312:57 PM
To:'Sherry Charboneau'; David Martini
Subject:WIP
Hello
Please let me know if you have any unbilled WIP for the following. Thanks!
Applicant Address Building Permit# Land Use#
Rochel,Anthony&Surya 125 Turnham Road 2012-00589
Maple Place LLC 1579 Maple Place 2102-00547
Rezabek,AI 4185 Bayside Road 2013-00557
Olson, Michael&Jennifer 1860 Fox Street 2012-01177
Landsource, LLC 1535 Minnie Ave 2013-00112
Nafstad, Erik 1370 Cherry Place 2012-00853
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono i MN i 55356(physical address)
PO Box 66 " Crystal Bay � MN ' 55323-0066(mailing addressJ
'S 952.249.4620 � 8 952.249.4616
� cmattson@ci.orono.mn.us �: �l www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
This email has been scanned by the Symantec Email Security.cloud service.
1
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Wednesday, October 23, 2013 2:50 PM
To: Christine Mattson
Subject: RE: WIP
Hey Christine,
We have no unbilled WIP for the matters listed below.
Did you ever see the commercial with the camel walking through the office???
It is HUMP day! I think it is so funny!
Have a great Wednesday.
Sherry
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317•Eagan,MN 55121
"a"(651)234-6230•Fax:(651)452-5550
�scharboneauCa�dc-law.com•www.ck-law.com
From: Christine Mattson [mailto:CMattsonCa�ci.orono.mn.usl
Sent: Wednesday, October 23, 2013 12:57 PM
To: Sherry Charboneau; David P. Martini
Subject: WIP
Hello
Please let me know if you have any unbilled WIP for the following. Thanks!
Applicant Address Building Permit# Land Use#
Rochel,Anthony&Surya 125 Turnham Road 2012-00589
Maple Place LLC 1579 Maple Place 2102-00547
Rezabek,AI 4185 Bayside Road 2013-00557
Olson, Michael &Jennifer 1860 Fox Street 2012-01177
Landsource, LLC 1535 Minnie Ave 2013-00112
Nafstad, Erik 1370 Cherry Place 2012-00853
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
'�' 952.249.4620 ; 8 952.249.4616
�cmattson@ci.orono.mn.us � �] www.ci.orono.mn.us
�
� BUILDING PERMiT ESCROW AGREEMENT
Orono Building Permit#2012-00547
AGREEMENT made this�day of r G� , 20�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and Maple lace LLC ("Owners").
Recitals
1. A building permit application has been filed for new principal structure located at
1579 Maple Place the ("Subject Property"), legally described as Lot 11, 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 #2012-00547 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 incuRed.
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`� CI OF OWNER:
_..
By: � ___ c-"''—; ' ��
Its:
City af G:^uno
275t, KeIiey Parkway
Oror�, 1Mfv 55356
�c'�P�$-46Gr
Recei�i Noo 3.�►Q�797 �Eay C. 2Gi3
hlapi� Place LLC
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' � � CITY OF ORONO * z 0 1 3 - 0 0 2 B 0 *
2750 KELLEY PARKWAY DATE ISSUED: 05/OZ/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1579 MAPLE PL
PIN : 08-117-23-33-0033
LEGAL DESC : CRYSTAL BAY VIEW
: LOT O11 BLOCK 006
PERMTT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: ESCROW TIED TO BUILDING PERMIT 2013-00547-PAID CHECK#11027
APPLICANT ESCROW FEE-BUILDING 2,500.00
Maple Place LLC ESCROW FEE-EROSION CONTROL 0.00
550 25TH AVE N
ST.CLOUD,MN 56303- ESCROW FEE-GRADING 0.00
TOTAL 2,500.00
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 perfottned according to
the approved plans and specifications,applicable Ciry 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 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 aze
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
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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