HomeMy WebLinkAbout2010-00781 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2010-00781
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 09/13/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 60 MYRTLEWOOD RD
PIN : 36-118-23-33-0020
LEGAL DESC : REG. LAND SURVEY NO. 0446
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 120,000.00
NOTE: SEPERA'I'E PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
ADVANCED PLAN REVIEW OF$764.89 WAS PAID BY CONTRACTOR-V[SA 3447-PERMIT#2010-00780 ON 8/30/10
NOTE:ALTHOUGH NOT REQUIRED THIS BUILDING ADDI"I'ION WOULD BE AN IDEAL TIME TO HOOK INTO CITY SEWER AND
WATER.
APPLICANT PERM[T FEE SCHEDULE 1,176.75
PLEKKENPOL BUILDERS PLAN REVIEW 0.00
401 E 78TH ST
BLOOMINGTON,MN 55420- STATE SURCHARGE(VALUATION) 60.00
(952)888-2225 TOTAL 1,236.75
Minnesota State License#: 1797
OWNER
HARTMAN,TODD
60 MYRTLEWOOD RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
S[ate E3uilding Code. This permi[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 no[specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within I 80 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 a,�t��a..—n-y—�t—ime for due cause.
/�'���'z��—�---�2� �� l /3 / /(� l l
'-A�pplicant Permitee Signature Date
Issued y 'g ature at
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOV .
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City of Orono `���1�� '��
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Building Permit Application
for New Structures or Additions aio - vo�8/
Mailing Address: Permit number: �p�0 r�70 b l�
O,¢Q 1��0 PO Box 66 � � �j2YIeK�
�`r Crystal Bay, MN 55323-0066 Date received:
Street Address:' Received by:
� �� Gti� 2750 Kelley Parkway Plan review fee:'�
� , ol�,,y, Orono, MN 55356
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Main: 952-249-4600 Fax: 952-249-4616 www ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
tncomplete applications will be returned. (P/ease print)
GENERAL INFORMATION: , - '
Job Site Address: -. .' '7; `�Z ��
Will this be a Parade of Homes, Remode{er howcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is repuired wifh Police Department and City Council approval 60 days prior to fhe event. Shuttle bus service wiH be
requrred unless applicant demonstrates sufficient on�rte parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: t��.�:1=,IC�►�P�c, ��,���t5
State License# Expiration Date: 3 / 3L/i i
Phone: y 5� �& - z7�.Z 5 (office) (�/Z -��& ��3�c (cell)
Mailing Address: t,�'v/ CA � 7 *� �-2- � Cit : - ,;�r,�r�c-c�.% ZIP: 5` � Z -
Contact Person: ��„4 .�•:;��c.� Applicant is: n ra , / Homeowner (CirdeOne)
Emailand/orFax: RZ+�� C,��tkke:�P�'�.- G'�^�^'t S� �f�$ '�ZS�
PROPERTY OWNER INFORMATION:
Name: TcJ17 Ft�-�� !a�"�� ffiy���1►'J<1�.?
Phone(day): l:i 2- g1� - 2'2�i/
Address: r� /1'Iy�2T l.t;�...� �c fl 2��� C�Y� [�(Z�n1 c ZIP: 5�39/
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Dlsposal8�
Waber Supply
❑New Construction �Single Fami�y with �Residence
,�'Addition attached garage ❑Garage/Accessory Bldg. ❑Public Sewer
❑Accessory Building ❑ Single Family with ❑Deck
❑Relocation detached garage ❑Office/Commercial ❑Private Sewer
❑Other:(speafy) ❑ Multiple Family/Condo ❑Warehouse
❑Public ❑Storage ❑Public Water
'"�Any earth movement may require ❑Commercial ❑Other(speafy)
MCWD review 8�permits. ❑Industrial ❑Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other:(specify)
18202 Minnetonka Blvd
Deephaven,MN 55�1
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation(excluding land) 3 / Z D C7�
Last Updated: 9/29/2009
- 17-
STRtJCTURE INFORMATION:
1.Sfructure Dimensions 1.Structure Dimensions(contlnued} 2.Type of Construction
a. Length(ft.)= Number of bedrooms= � �,Wood/Frame
❑Masonry
b.Width(ft)= Number of garage stalls: ❑Metal
Attached= � ❑Pole Bldg.
Areas in sauare feet Detached=sL ❑ICF
❑On-site Prefab
c. Basement= 1 3 ��! ❑Off-site Prefab
'��� ❑Other(please speafy):
d. 1�Story =
e.2nd Story= 2C Y�
f. %2 Story =
g.Total Area= �%
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our a lication to be processed:
Not
Enclosed A licable
�p}. ❑ Permit A lication
❑ Pro osed Buildin Plans
❑ ❑ MN State Ener Code Ca�culations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calcu�ation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ 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 information required or requested by the Building Departmerrt;
• Agrees b�pay the City of Orono for englnee�ing consultant review cwsts in excess of�500;
. Certifies that the information supplied is true and correct to the best of his/her Imowledge. The applicant recognizes that they
are solely responsible for submitting a complete applicafion being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Aclaiowledges the Escrow Agreement is completed and signed;
• 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 tt�e 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.
_._�---.� � �3 a
ApplicanYs Signature: �1..�-t,_i Date: � _
Last Updated: 9/29/2009
- 18-
Plan Review Checklist for New Structures / Additions
� � �
Ad�ress/ PID/ Legal: _ �� /�� '��� 1Q ���
Description of work:
Sepfic review by: Date Approved:_ �. /
Zoning review by: �J" Date Approved: (,
Building review by: Date Approved: � ' 7 - ► v
Grading review by: GU c Date Approved: � � �
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire Department Post Office School District
�
Zoning: Lot Area: l,Q, �p SF/AC Width: Depth:
Survey Submitted: ❑ Yes ❑ No Date of Survey:
Pro osed Setbacks: �(�,�� �,C ( {�e�� �v � - �
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other ildings etland
Side Side
Building Defined Height: Building Peak Height: # of Stories Ok?: ❑ YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement floor/crawl START the distance between the slab and the highest
space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof,
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-type �I
or other arch-t e roof roof
SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window i
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof �
SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade within the foundation
the foundation or 10 feet, whichever is less. EQUALS , Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF o�o
� Shoreland District MCWD Permit Received ! Avera e Lakeshore Setback g��ff i
� 0 Yes ❑ No ❑ N/A �
� � ❑ Yes Q No �
� ❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A
Permit Number: Setback:
Hardcover Zones i Existin Proposed Variance Required CUP Required
0-75' ❑ Yes ❑ No ❑ Yes ❑ No
75-250' Type(s): ' Type(s):
250-500' I
500-1000' I
REMARKS (in-house):
Updated: 09/11/2009
z:\forms�plan review checklist.docx
Fees to be Charged YES NO
'Permit: r,�'
Plan Review
State:Surcharge -
Investigation Fee '
:�SAC `�;N:umber ofi:SAC:Units
Sewer Connection
1Nater;'Connection '
, , _
Park Fee
'S�te�ln5pecfion�, ' . .,♦:, .. ;;
Other (specify) -
"Misce!Ilaneo�s-Fees= ._. ., .;., ., : <, �.
, � �
Calculated By:
Square Footage $ per S uare Foota e
Basement X � _ $
15S Floor X = �
2nd Floo� X = $
Garage X � _ $
Estimated Construction Value: $ /�,UC�O �
Orono Inspections Required Work Requiring Separate Permits Required State Permits
❑ Site Plumbing ❑ Grading / Filling ❑ Well
❑ Hardcover Removal Mechanical ❑ Fire � Electrical
�Footing ❑ eptic ❑ Water Connection
❑ Poured Wall �ire lace ❑ Sewer Connection
❑ Foundation Survey �asonry 0 Lawn Irrigation
❑ Radon Rock Bed ❑ Mfg.
,� Framing ❑ Other(specify)
�Insulation
❑ /js-Built Survey
�Final
❑ Other (specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO
REMARKS (TO BE NOTED ON PERMlT AND INITIALLED BY PERSON PULLING PERMIT)
A 1 T�nr,uy�1 ��i �� 0"��!�P � `�L�,' S (3u, � � � c; /�c�c�t -f-�� .L!
� �;L% � � B �Z �n �' r-� �1 f T r� o TO ����� l � TO
- � �^-+- �-1 SP c.,��1�' /��.c� � A •-�eT-
Updated: 09/11/2009
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Page 1 of 1
Keith Christensen
From: Ben Carlson [benc@arrowheadec.com]
�Sent: Wednesday, August 25, 2010 10:15 AM
To: Keith Christensen; Becky Houdek; Catherine Bach; Jenny, Melissa M MVP; Doperalski, Melissa
(DNR)
Subject: 60 Myrtlewood Road; Orono-Wetland Delineation
Attachments: 10-019 60 Myrtlewood Orono_AEC_August 25_C.doc
Greetings everyone,
�;
Attached is a wetland delineation report for 60 Myrtlewood Road in Orono, MN.
The landowner is proposing some minor modifications to the house,the wetland (at its closest
point) is about 100' from the house. Both wetlands are considered "Preserve" wetland requiring
a 50' buffer setback...so, all work will be outside of the buffer setback and a non-issue.
Anyway, please review the report and let me know if you have any questions.
I'll be mailing hard copies with submittal forms today.
Thanks!
Ben
Ben Carlson, WDC
Ecologist, Owner
Arrowhead Environmental Consulting
2909 Meadow Lane
Mound, MN 55364
Phone: 612-237-5996
Fax: 952-472-8157
benc(a�arro wheadec.com
www.arrowheadec.com
8/25/2010
, �� � ATE �} TIME ��/
ITY OF ORONO � CALLED W /"
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INSPECTION NOTICE SCHEDULED �:�
PERMIT NO.�-�/1�O�?�'���COMPLETED
ADDRESS r�� , (,l�.f f��',���'� �
OWNER TEL PHONE NO. � ��� 3��
CONTRACTOR " /e(�l�'r��'��l�i''�' ��
� DESCRIPTION ��%(:T�/�� "�Q�c�� •
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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 ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
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OwnerlContractor on site:�
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: 11/2/2011
G/L: 101-22205
Re: Building Permit Escrow Refund
Building Permit#2010-00781 pertaining to 60 Myrtlewood Road is complete. The Applicant,
Amy&Todd Hartman, has requested a refund of the escrow.
The following is attached:
• Escrow Refund Request
• Email from Bonestroo 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:
Amy&Todd Hartman
60 Myrtlewood Road
Wayzata, MN 55391
w:l.street files�myrtlewood rd�0�escrow refund memo 2010-00781.doc
Christine Mattson
�� - � ����
From: Amy Hartman [amylshartman@gmail.com]
Sent: Thursday, October 27, 2011 4:57 PM
To: Christine Mattson
Subject: escrow refund
Hi Chris-
I am writing to request our escrow refund. Plekkenpol has completed the job at our residence, 60 Myrtlewood Road and
the work has passed final inspection. Please let me know that you have received this written request, whether you need
any additional information, and when we can expect to see the refund.
Thank you- Amy Hartman 612-518-2291.
1
Christine Mattson
From: Darren Amundsen [Darren.Amundsen@bonestroo.com]
Sent: Wednesday, November 02, 2011 7:27 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
nope, never heard of it...
Darren Amundsen, PE
Associate
Bonestroo, now Stantec
Tel 651-604-4894
Cell 651-775-5623
darren.amundsenCa�stantec.com
stantec.com
Bonestroo has join�d Stantec, a professional services consulting firm recognized for its leadership in
sustainability, depth and diversity of talent, and technical expertise.
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From: Christine Mattson [mailto:CMattsonCcc�ci.orono.mn.us]
Sent: Tuesday, November 01, 2011 10:42 AM
To: Darren Amundsen; 'Sherry Charboneau'
Subject: Unbilled WIP
Good Morning
Any unbilled WIP for:
2010-00781 60 Myrtlewood Rd Amy &Todd Hartman
Thanks!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway ; Orono ! MN �! 55356 (physical addressJ
PO Box 66 : Crystal Bay MN 55323-0066 (mailing address)
S' 952.249.4620 8 952.249.4616
� cmattson(c�ci.orono.mn.us � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Friday, November 11,2011 (Observance of Veterans DayJ
1
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Tuesday, November 01, 2011 2:05 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
Christine:
No unbilled WIP for us on this matter.
Have a good afternoon!
Sherry
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curoe•Suite 317• Eagan,MN 55121
� (651)234-6230•Fax: (651)452-5550
��charboneau(alck-law.com.www.ck-law.com
From: Christine Mattson [mailto:CMattsonCalci.orono.mn.us]
Sent: Tuesday, November 01, 2011 10:42 AM
To: Darren Amundsen (darren.AmundsenCa�bonestroo.com); Sherry Charboneau
Subject: Unbilled WIP
Good Morning
Any unbilled WIP for:
2010-00781 60 Myrtlewood Rd Amy&Todd Hartman
Thanks!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway � Orono ' MN ' S5356(physical addressJ
PO Box 66 ; Crystal Bay ', MN 55323-0066 (mailing addressJ
8' 952.249.4620 ; 6 952.249.4616
� cmattson(�ci.orono.mn.us ,: ; www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Friday, November 11,2011 (Observance of Veterans Day)
1
. . /
BUILDING PERMIT ESCROW AGREEMENT i
Orono Building Permit 2010-007� �� 1
AGREEMENT made this �� day of , 20�� , by and befinreen the CITY OF ORONO,
a Minnesota municipal corporation ("City") and f i d oc.w_ ("Owners").
Recitals
1. A building permit application has been filed for an addition to the existina home located at 60
Mvrtlewood Road, the ("Subject Property"), Hennepin County Minnesota.
2. Owner requests 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:
'i. DEPOSIT OF ESCROW FfJNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$2,000 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
aecordance 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 2010-QQ7r80 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, shali 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 erty pursuant to Minn. Stat. §§415.01 and 366.012.
CI � : C O O OWNER:
BY: S-• �-�,��-__._� �f��° �( �J
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Checklist for Refunding Building Permit Escrows
Building Permit # �� —����
Street Address: (,.� lMU I���O(� �
Applicant Name: � I'�
�Escrow request received Date: ld " L� ' I
Permit Type: !�(�G�� 1 �(�,�1/�
Are all inspections completed? es No
If not, list what is outstanding:
Was there a Temporary Certificate of Occupancy issued? Yes No Date:
Was there a Final Certificate of Occupancy issued? Yes No Date:
❑ As-built survey required? Yes, approved on NO NA
Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: �=�
❑ Prepare memo for Finance Department
z:\fortns�zoning standard fortns\checklist for refunding building permit escrows.doc
Last Updated: 10-31-2011