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Home My WebLink About2017-00537-VOIDED � City of Orono Building Permit Application for New Structures or Additions ,.___�. Mailing Address: o�p� -�_��S 3 7 /� QA, PO Box 66 Permit number: / �' `�� Crystal Bay, MN 55323-0066 Date received: ,,�-�a -/ +� � �^ ( J Street Address:� Received by: �f�" ��/ i R , ,� 2750 Kelley Parkway Plan review fee: �� . v . l��t� ��`� Orono, MN 55356 o�d 7 - DO�3 �,,�c�HcJ,/� Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be� � d. Incomplete applications will be returned. (Please print) � ; \`J GENERAL INFORMATION: Job Site Address: 1095 Ferndale Road West ''� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? es � 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Welch Forsman Associates Inc State License# BC005890 Expiration Date: 3/31/2018 Phone: (cell) 612-221-0842 (office)612-827-4455 Mailing Address: 6026 Pillsbur Ave So Cit : Minnea olis ZIP: 55419 Contact Person: Don Forsman Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: don@welchforsman.com PROPERTY OWNER INFORMATION: Name: Bill Toles Phone (day): 952-240-2100 Address: 2510 Crescent Ridge Drive City: Minnetonka ZIP: 55305 Email and/or Fax wtoles1041 na aol.com ARCHITECT/ ENGINEER INFORMATION: Name: Jean Rehkamp Larson, Rehkamp Larson Architects Phone (day): 612-285-7575 Address: 2732 West 43rd St City: Minneapolis ZIP:55410 Email and/or Fax: jeanCa�rehkamplarson.com PROJECT INFORMATION: Description of pro�ect: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& Water Supply ❑X New Construction X❑ Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck �X Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑X Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Storage MCWD review 8�permits. ❑ Industrial ❑Warehouse X❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(Specify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 3,500,000.00 R�� °lr�� 2 Z Packet Last Updated.� August 2015 CITY OF OR41�E4 Page 21 S'�RUCTI�RE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= 92� Number of bedrooms= 4 �Wood!Frame b.Width(ft.)= 99� Number of garage stalis: 2 ❑Masonry Areas in sauare feet Attached= 2 StBIIS ❑Metal ❑ Pole Bldg. c. Basement= N�p` Detached= � ❑ ICF d. 15t Story = 3,856 SF Total Area includes 902 ❑On-site Prefab e.2^d Story= 1,439 SF SF attached garage NON-HAB ❑Off-site Prefab f. '/z Story = 700 SF MEzz ❑Other(piease specify): g.Total Area= 5,995 SF REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable O O Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set ❑ 0 Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ � Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privac Adviso Form APPLICANTIOWNER 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 Gassified 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 o�er c�nditions prevent the completic�n of an as-bullt survey at the tlme th� Cert�cate of�ccupancy is requested,a;temporary Certi�cate of Occupancy may be,issued upan rece�p#af a$10,000 escrow#o ensure completian of the as-built survey and all site improvements. Applicant's Signature: Date: Owner's Signature: ��,� � Date: Mav 19, 2017 Packet Last Updated: August 2015 Page 22 Christine Mattson From: Don Forsman <don@welchforsman.com> Sent: Tuesday,August 08, 2017 12:08 PM To: Christine Mattson Cc: Melanie Curtis Subject: RE: 1095 Ferndale Road W/#2017-00538 Hi Christine, Though transactions are not officially complete, Mr.Toles has sold the Ferndale lot and purchased a new one on Fox Street.Though we will be applying for a permit for a similar house,there will be new documentation for it for the Fox St. address. I believe you can rid yourselves of the current plans, I apologize for any inconvenience. Can the monies that you currently have be applied to the Fox Street project when we apply for permit? Best, Don From:Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent: Monday,August 07, 2017 3:15 PM To: Don Forsman<don@welchforsman.com> Cc: Melanie Curtis<MCurtis@ci.orono.mn.us> Subject: RE: 1095 Ferndale Road W/#2017-00538 Hi Don, On May 30th you had informed the City to hold the review of the building permit application for 1095 Ferndale Road W. Will you please advise us on status of this application? Thank you. Christine Mattson Planning Assistant � City of Orono 2750 Kelley Parkway � Orono � MN � 55356(physical address) PO Box 66 I Crystal Bay � MN � 55323-0066 (mailing addressJ '� 952.249.4620 I g 952.249.4616 � cmattson@ci.orono.mn.us � �www.ci.orono.mn.us Summer Office Hours: (Monday, May 22 through Friday,September 1,201� Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFF/CE W/LL BE CLOSED: Monday,September 4, 2017 1 From: Don Forsman [mailto:don@welchforsman.com] Sent:Tuesday, May 30, 2017 9:35 AM To: Melanie Curtis<MCurtis@ci.orono.mn.us> Subject: RE: 1095 Ferndale Road W/#2017-00538 Hi Melanie, Per our phone conversation this morning, I would like to put a temporary hold on any plan review or permitting of the project for Bill Toles at 1095 Ferndale Road. I expect to follow up within the week with new information as it presents itself. Thank you for the flexibility and assistance in this. Best, Don Don Forsrru,n �12•221•a842 www.wc��o�sm�an.com E02�b P�Ilsbury Avc S �'N�inr�polis� MN 55419 nor�E:Ths�aa,�ted m me u.�.�:.:m is pi��jad.m�d�ir..n��ar�ed ariy for�w�s af f�i�dni�a�ar��nsd a6�ve�If y�oa ua�ot tl�a:�Is�d�a rs�c you an Mrahy er�l�ied t�d anly diedueu�as aaPl�i�.dre�bu�ar0.ar tl��af�ty aaiv� we re�aa a�a the a�sr�+nf�hia trrmmiesia�ia ehictly p�oh�ioed.lF�Ou hws rsoenna�d thie trrnsneeia��e�P�e�ss nao7Y�e asndar�nd�oy frs ari�rl ra�ea�ge td d aopisa 7laonk�at From: Melanie Curtis fmailto:MCurtis@ci.orono.mn.us] Sent: Friday, May 26, 2017 2:29 PM To: Don Forsman<don@welchforsman.com> Cc:Christine Mattson<CMattson@ci.orono.mn.us> Subject: Fwd: 1095 Ferndale Road W/#2017-00538 Hi Don I had a few inspections and wasn't able to respond to your voicemail (which I just picked up) before I left.Our office is now closed for the weekend. Our engineer has reviewed your plans and has made comments below, please review. Has the MCWD issued their permit(s)? Let's connect Tuesday AM to see if the permit is ready. Thank you and have a nice weekend. 2 Melanie Sent from my iPhone. Begin forwarded message: From:Adam Edwards<aedwards@ci.orono.mn.us> Date: May 26,2017 at 14:20:18 CDT To:Christine Mattson<CMattson@ci.orono.mn.us> Cc: Melanie Curtis<MCurtis@ci.orono.mn.us> Subject:RE:1095 Ferndale Road W/#2017-00538 I have reviewed the grading plans and SWPPP as they apply to the land alteration permit and stamped it approved with the following comments. 1. Issuance of the permit should be subject to approval of the MCWDs review of the impacts to the Flood Plain. 2. Any alteration wo the Public Utilities on the site requires a separate utility permit. 3. The source of the fill should be identified. 4. Contractor to provide haul route. Route will not use Orono City Streets except for the Ferndale Road West from CSAH 15 to the site. 5. Erosion and sediment control to be in place and inspected prior to commencement of and land disturbing activity. 6. Grading plan depict retaining walls over 4 ft in height. A engineered design is required prior to their construction. This can be included in the subsequent building permit. If walls are to be installed under the land alteration permit the engineered plans must be reviewed prior to issuance of the permit. Adam From:Christine Mattson Sent:Thursday, May 25,2017 2:33 PM To:Adam Edwards<aedwards@ci.orono.mn.us> Cc: Melanie Curtis<MCurtis@ci.orono.mn.us> Subject: 1095 Ferndale Road W/#2017-00538 This property received a CUP (and variances)for construction of a single family home. The applicant would like to grade the property in preparation of construction of the new residence. Plans are in your in-box along with a copy of the resolution. Any questions...see Melanie. Thanks! Christine Mattson Planning Assistant City of Orono 3 2750 Kelley Parkway I Orono � MN 0 55356(physical addressJ PO Box 66 � Crystal Bay ( MN I 55323-0066(mailing addressJ '� 952.249.4620 0 8 952.249.4616 �cmattson@ci.orono.mn.us 0 �www.ci.orono.mn.us Summer Office Hours: (Monday,May22 through Friday,Septemberl,201� Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday, May 29,2017 4 � • � ♦ � • 1 • � emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: August 8, 2017 G/L: 101-22205 Re: Escrow Refund Building Permit #2017-00537 pertaining to 1095 Femdale Road West has been withdrawn. Please refund the advance plan review fee of$10,890.70 to the builder,Welch Forsman. Mail to: Welch Forsman 6026 Pillsbury Ave S Minneapolis, MN�� , w:�street files\femdale road w11095\escrow refund form 2017-00537.docx