HomeMy WebLinkAbout2013-00679 - new structure v t
� , CITY OF ORONO � Z 0 1 3 - 0 0 6 7 9 *
2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1421 NORTH ARM DR
PIN : 07-117-23-44-0073
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 339,957.16
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN IRRIGATION,
WELL(STATE),ELECTRICAL(STATE)
NOTE: AS FOUNDATION SURVEY REQUIRED PRIOR TO FRAMING INSPECTION. INITIAL:��
NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL: p �-
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.
INITIAL:�_
NOTE: PRIOR TO THE START OF FRAMING AN AS-BUI F UNDATION SURVEY MUST BE SUBMITTED AND APPROVED BY CITY
OR A STOP WORK ORDER WILL BE ISSUED. INITIAL:� �,
APPLICANT pERMIT FEE SCHEDULE 2,496.75
DJY CONSTRUCTION LLC PLAN REVIEW 468.00
PO BOX 46154 STATE SURCHARGE(VALUATION) 169.98
PLYMOUTH, MN 55446-
Minnesota State License#: 666062 TOTAL 3,134.73
PAID WITH CC# 8026
OWNER \`
DJY CONSTRUCTION
3452 PILGRIM LN N
PLYMOUTH,MN 55441-
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
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at ue cause.
/ / �/ /�/
Applicant Permitee Signature Date Iss e y �gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
` ' lJ�'N"-
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� l Ci�T� - —— r+.-....�.� � _ n q.'�� 11� ����
BUILDING P r��� l� - N'����:� c��� �� �
��.: n u.� v�.,r�w� ��,., �3�7�
FOR NEW STRt � �' /
� °� �
S 7�e���� , �o l3-DD�7
O�T Mailing Address:
� 1 y PO Box 66 j )� � �
� Crystal Bay, � "''YL�C.C,'"�l�L�� ���/j`t����'W�j��,_ --(g— �3
StreetAddress:' TJ`� �
��, � 2750 Kelley I � �j
�' Orono, MN 5
`qkBSH04� ao�3-o0� �'
Main: 952-249-4600 Fax: 952-249-� ,, �( �i 1�' " - �,''
This application form must be comple � u� ��'�'' � C.-� �mitted.
Incomplete applica �/j,(� � -�
GENERAL INFORMATION: , Q
Job Site Address: �� !,� � �'�' a a � ��� /J(p ,J��'
Will this be a Parade of Homes, Remodelers Sr 3 3� � Yes No
If yes, a special event permit is required with Police Department ar �s service will be
required unless applicant demonstrates sufficient on-site parking is / � /�
l� �
CONTRACTOR/APPLICANT,.I NFORMATION•
Name: ,1 Y C�� 3 f��c.-�c�-����, - G�(�� L�
State License# _ ��J��� � Z 3/ /�
Phone: cell j� - ' �Q•�713 -
Mailing Address: � � �j� �(5 � : �� �l(
Contact Person: �,��,,,,�firc`� G e� �r (Circle One)
Email and/or Fax: '
PROPERTY OWNER INFORMATION: . ,
�
Name: .1�S Y �c•� s�r~��c� �,g� L L
Phone (day): 67 2- � 7r � f�t ZI P: S S �t /
Address: ,3�tS- 2 i f-'r l, •��� L� Cit : l� ��t
Email and/or Fax Gi!r y ca�s �'uC �ztC��t���.�v«-r
���:HITFrz ENGINEER INFORMATIQ�I:
Name: �vct� /3r�xG(l.�y
Phone (day): 763 --3r v-- 34S G
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
,�Z(.�New Construction �Single Family with �Residence
❑Addition attached garage ❑�arage/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 also require ❑ Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding iand) $ ���.� �O�
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STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.)= Number of bedrooms= � ��/ood/Frame
b.Width (ft.)= Number of garage stalis: ❑ Masonry
Areas in sauare feet Attached= 3 ❑ Metal
❑ Pole Bldg.
c. Basement= �������� Detached= ❑ ICF
d. 1 St Story = �l�� ❑ On-site Prefab
e.2"d Story= �2 b
❑ Off-site Prefab
f. '/Story =
❑ Other(please specify):
g.Total Area= '2 33�
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A plicable
❑ Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
�� ❑ Surve meetin all re uirements
❑ Stormwater Pollution Prevention Plan
1�' ❑ Hardcover Calculation 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
y� ❑ 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 $10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: C a_ _ Date: 7������
Owner's Signature: l�-- Date: ��(�I��
1 .
- ����I ���'��� ��E���.6�� F�� ���' �T��'C�'P�f�E� � ��f��TtC��E�
� Ac�dress/Perm[t Number: � �"`� � � � ��1iL l� ,� •
Descrip�ion of�nrork: �C��.� . �� �(�,-C.„�1 J ���
Se tic review b :
P Y � Date Approved: � '� �--�E�
Zoning raview by: Date Approved• �. `
Buildir�g review,bY� Qate Approved� , 'Z "'O�
Gradir�g review by: ._ �,H Date Approved: ;• �
,
Zoning DistMct: �- ~ � � Zoning file#c Reso#: Reso Date:
Zoning: Lot Area: SF/AC i�i�idth: Lot Cov�rage: � SF %o
Sunrey Submitted: �es Q No Date of Survey: �` �•}.,� Revis�d da#e(�)•� ������:
Pro oged Setbacks: _
Front(�k� Rear(S ) l N � E W j °( i� �E 1l�1 j Other Bui[dings WetJand '
Side ' e
' � t ��8 � � r F ��
- � �
g � Peak Height. -�� � FFE:~� s:�-� FFE minus 6 feet=���p
D�flned Het ht: ` D� � , t ' � ,� ,
� (Existing Contou
Ferimeter(finearfaet)= � 50°�_ �F� #of�to�ies�Ok?�1fES � �
}k �j�y+ •
. . . � �.�����Y �..���� �1Y��� . .�c��"��wE� Y i �: �•� � ��'J tl� :1'�Y�s�..
FOR A k3UILDING Wli'1�!A BA3EMENT OR CRAWL SfACE: . ` ' :
�;� � ,.., . Tfie dist�nce between the�owest �OR A BUILDING ON1 A SLAB FOk1NbA71QN;
*c-k START WITH proposed floor(of the basert►ent or c,�aN�l , � , :
v � ^°"" ' space)and the higheat point of the roof. STAR1'WI7H T�distar�ce Efeiween the,top Of�slab�arn
If you have a... the highest.poiiit of the roof. ;
� • GABLE OR MIRP�D ROOF(no ' If you have 8.:. . �
wfriiiows): Sutittact half the ; • GAIBLE.�R WIPP�D ROOF:�no.�
disfance between the highest poiM win�):'�Subtr@ct half 1he distan
' of the roof to the loK+point of the belween the h�ghest pomt of tfie Fo
� SUBTRACTIf?N oorre�pondinp gable or hipped re�f t0���Po��o�lhecorre�pOndii
' . �;.�. . . 3U8T�tACT10N . g�ble or��pped lnof ;
(BAS�D OW t2bOF . GABLE OR HiPPED ROOF(with, ($AS�D ON . . Gq[3{,E:01�F111�i�Eb ROOF,(�nnth
TYPE) windeWs): SWbtraCt half the - ` ROOf-i'YPE) ' winduws�: Su�it#a��ifthe distan
�
dista�ce betvVeen ttie top of the fietween tl1e to�of the�iglidst .
highest window and the highest : wihdow a�d lf�efi�ghest poinf of th�
. point of the roof' - �
; rtrof -
•, ALL OTH�i�ROOF TYP�S(fl�t, •. " ALL O�ER ROOF TYPES(flat,,
marasard.s�):No subtracGon. ' m nsArd ef� No�subtra�Otion.
ADDRIbN AdQ the dlaferS�bbtween the'top of slal
' Subtract the tlistafiCB 8en the H�! �9;9�tle ad)acent�
SUBI'RAGTION (BAS�b ON ari�:the h' hest�ti
�'{��a'. basemenUcrawl spac�11oor snd the
(BAS6D ON`�CFStING EXiSTING the foundatioii.
` 6 i.o '} highest ewsting grade adlacent to the
�f�Y' ' GRADES) , �GRAD.�S , `
/�� �� � � found�tlon�,QR"16.fe�t(whichever�s less�. � � ' � E IJAI� beftned bullding hsigNt �
:"#���' ,� E{�UALS ';, ' . t3eftned buil i�#g f�eight , , . .
��� - ..
5horeiand D�stri�t. MC1lYD�errt�it Received Avera e Lakeshore&etlia�Alfet? � 'Biu�# '
Yes � >� No G N/A � � Yes � Nc
�Yes 0 No ,
� Yes � Ido �'N/A
Permit Number. �`� •�.�� 'Sethack; �
Stortr�water Qualiiy Existir�g i�ro}�osecf
, Ov�rla District i'ie,r , liardcover 4{ardcover Variance Required CUP Requirect
t ,` � Yes IVo Q Yes No
� � ��l P � �� Typ�(s): TYPe�S):
Updated: January 2U13 t �-
v:\fortnslplan review checklist 2013.docx ����} s^ K,^����-.�
,
REhAARKS (in-house):
Fees to be Cha ed ; � �
� �� `�
P1an Review
�n�iy�s': �''". . '�
investigation Fee ✓n
-*�'1�'.' �t _ �,I►'""&'ra:'-
� ��-.� . ; . ,� , . . . _ t ,
F ,..
Ot#�er(speciiy) ` ?9 zv' S-��. -� _ �"
S aare Foota e; S r S uare Foota e' :
Basement ,�/./�
x �oV •23 = S /vd.esj•3�
.e X = $ >°v:�s�'�� _'
1 floor I 1 i c� 9 t!-.2�
2"�Floor � ?.Z-to x q U .23 = $ 7,cs (�2+�4$
Garage 3 6'� X 3�.0 - � 2�.02if.��
Es#ima#�d Constr�ctior Value: � 33°!0 9 5'7.�b :
Orono Inspections Requirecj .Work Requiring'Separate permits Require�l St�►te Perir��ts-
� Site j� Plumbing G Grading/Fdling WeU '
C3 Hardcover Rernoval �°Mechanical � Fire ,J�Electrica!
�^Footir�g _ G Septic G �IUa#�r Connection
Poured WaA �'fi�place �SewEr-Connection
�' Foundafion Survey C Masonry �'`Lavvn Irrigation
�1 Radon i�ock Besl }�°Mf9•
�t Framing, �"Other(specify) : _
` �'1nsulation
j�As-Bui�'$arvey
�' Finaf
0 VNetland B�ffer
G Other(specify) ,
REMARt�S (in-hous�): : , . ,
Ot#�er Review: Rev�ewed by: Date.�lpproved:
Access: Existing: Ct YES t� NO New: p YES � NO
OFFiCfAL REMARK�--TO BE NOTED ON PEI�MlT AND INITIALLED `
Updated: January 2013
v:lformslplan review chedclist2013.docx
__--. _ _
City of Orono
�o�,�� Hardcover Calculation Worksheet
; �, Property Address:
F ��ZI � i9�i� t�.�a/Ut>, �rzG/✓G , �N .
�
`'�f$HQa� Prepared by: Date:
�iv,��s T�+rco� 8�G/-/ �
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate
of Survey (survey must accompany this form). Use�s 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 :2d x30' �=` - - �.ZO S:F:`!
A ,�ov � /�1T1��/Jt� G/�.df'KE Pa,ecp ,S� R� , S.F.
B �wn ��v � � .�oOcR'� u /L/ S.F.
C �o.�r CONC. LJ�C B8 S.F.
D /1 l4f/� t•q.Q � S.F.
E S.F.
F S.F.
G S.F.
H S.F.
� S.F.
� S.F.
K S.F.
� S.F.
M S.F.
N S.F.
p S.F.
p S.F.
� Q S.F.
R S.F.
S S.F.
T S.F.
� S.F.
U S.F.
�/ S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Existin Hardcover 2 , S.F.
Excluclable Mardco�er �See.Gi Code Sec;78-168� : . �
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover S.F.
3 Net Existin Hardcover Subtract line 2 from line 1 S.F.
4 Total Lot Area / ,97S•S`— S.F.
Existing Hardcover Percentage [(3)=(4)] �6,� %
(Proposed Hardcover next page)
January 8,2013
� ����0 C�g�� :
Minnesota State Energy Code Calculations and Mechanical Code Requirements Form
Additional copies can be found by going to: http://www.dli.mn.gov/CCLD/PDF/sbc 1322 cert.pdf
:�T1101.8 CertiScatc � � ��
Suilaera�'amed�'ompsuo�t Da�C: 71 (���� $i'CQ At�(�I'�SS: l�"�� I � �/cl i `_
Contractor Nam�e- ^7 �''Z s f°�.-c� ����., 1 � C �ioense Nuen6er. C6L G'C> �
Location Ty�Cre of In3fa1/eul �YP"� E�'�� ��'
Insu/ation R-Vaf� ��
I�La�ce�e A�ar - ::�� •
Roof Ceili � c c '-
Comh�stion A�ir --��t' "
Walls � /as
Water Neati�t < «�cr ��� I �=4 E z� b c'C�C 7 �C��
Siab-on-Grade
1�i�c�e,l'
Fivor
DUC't5 UUtS�C O�COII�OACI�S O�
Rim Joist I�r .y�� _�
Irrteriar,Exterior or lnoegrd loCa�l7r 11�-Y8/�AC
Foundation Wal l -,1�,- u�s �'t�vc� �^ -I "
Irrter'ior�Exterior or Integra
Avera e l!-Pactor SHGC solar t ain coeffic�ent Ad�*'e
Fen�strati+oK� R Con
Ia t Ra ' Af�ff P4larrt�f LakYr�'artr�rf�t L oss
Heatin 5 r- cis" E-f>�% �".'. cye ! (.� . C�.
T Ra ' Sf�R l�darratfa�iAnt�r �'�o�crl' la�r/' /i4�atGaiva
Caa in S em �r_ . ,,..� , 7 -�,�,, �:.� ,��
Larca,biaurt Cova�iir,nu�oaes r✓e,rr�r�t�ar� Ta�*at l+e�t�fati�r�r
Mec ani�ccal Vent�:lativn, �' C=« c�4 - - -«< ^ .� ' 4'•<<��- • r �
—'�'f'c
Packet Last Updated.� 04/19/2013
Page 19 of 23
Christine Mattson
From: Dmitriy Sechko [djyconstruction@gmail.com]
Sent: Thursday, August 01, 2013 2:39 PM
To: Christine Mattson
Subject: Fwd: 1421 N. Arm Dr. Driveway
Sent from my iPhone
Begin forwarded message:
From: Steve.Groen c(r�e,co.hennepin.mn.us
Date: August 1, 2013, 2:21:31 PM CDT
To: djyconstruction(a�gmail.com
Subject: 1421 N. Arm Dr. Driveway
Hennepin County will not require that you apply for an Access Permit to replace an existing
gravel driveway with a concrete driveway under the
following conditions; that the new driveway be constructed within the limits of the existing
driveway, and that the new driveway is at least 14 feet
wide, but not more than 22 feet wide.
Please contact me if you should have any questions.
Steve Groen
Supervisor, Permits/GSOC Office
Hennepin County DOT
1600 Prairie Drive
Medina, MN 55340-5421
612/596-0337
steve. rg oen(a�co.hennepin.mn.us
https://roadpermits.co.hennepin.mn.us
Disclaimer: Information in this message or an attachment may be government data and thereby
subject to the Minnesota Government Data Practices Act, Minnesota Statutes, Chapter 13, may
be subject to attorney-client or work product privilege, may be confidential, privileged,
proprietary, or otherwise protected, and the unauthorized review, copying, retransmission, or
other use or disclosure of the information is strictly prohibited. If you are not the intended
recipient of this message, please immediately notify the sender of the transmission error and then
promptly delete this message from your computer system.
i
� v" DATE TIME �
CITY OF ORONO CALLED IN ��-
INSPECTION NOTI E /�7 SCHEDULED ��'�- 3 �
PERMIT NO a�� DOV 1� COMPLETED
ADDRESS �7 z� /�/�llY`5�► /`7'/�/'►'1 �
OWNER TELEPHONE NO.�O�2- T9D-�/�,(
CONTRACTOR �I ��`�./ ��� p�� G�-
� DESCRIPTION �'�'�`�'���'1 - ���'K�V`-K ���1�/�✓�DoTl�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W�� SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site.
Inspector.
White Copyllnspector's File Canary CopylSite Notice
1 DATE TIME I /
� �� � V
" " �TY OF ORONO C•�/ — CALLED IN �
INSPECTION NOTICE scHF�DULED 7 � �
PERMIT NO. -��l.�i "�C�r�� COMPLEfED �� "
ADDRESS � �r�� � � f� f %) 1
� —�
OWNER TELE�HONE NO. �l � C�
CONTRACTOR a ���. l�l�c�[
� DESCRIPTION C.�:�,�/�����.t Ci,� 7`f(;'}���`.
� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
0 ❑ TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ S�C FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
c�., COMMENTS:
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor s'
Inspector.
�te Copyllnspector's File Canary CopyfSfte Notice
S� DATE TIME J
CITY OF ORONO CALIED IN �� "�
INSPECTION�N�O1/TICE�j �J SCHEDULED - D- ��' 3(�
PERMIT NO.O�UL�-'vr/��/ COMPLETED
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OWNER TELEPHONE NO.�IZ �D 7�3�D
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Q ❑ TREE REMOVAL
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Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site: � '
Inspector.
White Copyllnspector's File anary CopylSite Notice
� �� D TIME V
CfTY OF ONO CALL D€ Ir� Z- '�3
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INSPECTION NOTICE SCHEDULED �l� �
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� DESCRIPTION
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Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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Ca11 for the next inspection 24 hours in advance. (g ) 249-4600
OwneHContractor on site:
Inspector:
White Copyllnspector's File Canary CopylSite Notice
� AT TIME �/
CITY OF ORONO CALLED IN �`�
INSPECTION NOT SCHEDULED — - �
PERMIT NO. � 7g COMPLEfED
ADDRESS �y2 l /VD�'7�i /�
OWNER � TELEPHONE NO.��2 �Q� 71�0
CONTRACTOA tI C��N/L't"
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Ca11 for the next inspection 24 hours in advance. 249-4600
OwnedContractor on site:
Inspector:
White CopyllnspectoPs File Canary CopylSfte Notiee
p TIME �
CI F ORONO CALLED IN "O ���
INSPECTION NOTICE �� 7�SCHEDULED l — / /d
PERMIT NO. conn LETED
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� DATE TIME
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Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContract n s' e:
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White yllnspector's File Cenary CopylSite Notice
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'1���. . .
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} ) /NIAIUM BUILD/NG SETBACK LINE � �'�� �'�
8 ! / � I � / � � _ ,- __ - � _ � LATH ONIY �T
a ,y62 5 _ --- y�7 _ , 9hR 4 35 _9ggCi� I ❑ HUB OR REROD SET
� � C 9 5 9.9 . � �/ � I � 9 f i R I a' � �� PROPOSED ELEVAT1aNS AT10NS
� I I a 0 35 � f �j � � - PROPO�D DRAINAGE ARROWS
� `�4 a PR�OSED CONC. WsILK � � — EXISIING 2 FOOT CONTOUR L1NE
TOP(�WATEiR � II rZ "� � � ZR"DEAllOAA A I Pf20PQSED 2 F00T CONTOUR UNE
ELEV >959 6 � . �� `�4 , � y69 I
� _._ _ � N o
� LOTS 90 dt 91,
w --�i Z � o - - - ,a no � � i Ho� E -;`, 4 0.0— — 4' � � HIGHA'OOD LAI� 11�INN�?'ONKA,
� /�/ �r� �W.. �� r �vQf � • _ 9) 94 �970Q �
- o � � J W _ ,� � GARA�£ � �y s N , �,y I HL�'NNE'PIN CUUNTY, �[INNESOTA.
� � � � � I � � � N I DRIVEWAY� � � � LOT AREA = 19,975.5 SQ. FT. OR 0.46 ACRES
) I � c�,�S / 9h 3 8 � " �
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Z p � � I � � `� I � , -- - - `,� I PROVIDED TO US.
�
� �— � — — _ — — /�u- 3 �� 22— . �
� 1 � — � —� q� � I o ����� � � NO EXCAVATION OR CONSTRUCTION CAN BEpN UNT1L TNlS
` j ) 14 ASH o a g`gpR s���AK _ �— `~I� - RE7. W.4LL / c� - PLAN !S APPROVED 8Y 7HE LOCAL BUlLDfNG INSPECTOR.
/ .- _`�'� � � � A . 971 3 970>
6'SPRl1Ce • � +� LOMIEST FL0C3R IS SUB,�CT TO SUB-SOtL AND WATER TABLE CONDITIONS.
(-l � 89 34 4n W � 200 O� � 9730 -
` � � � 30"MAPLI:
I � � � � ,p a'� a, � SUB,ECT TO PUBUC RIC�iT OF WAYS AND EASEMENTS OF RECORD IF ANY.
f o+ adl CHA/N LINK FENCE m �
1 � � �' v72 a � � COWTRACTOR TO DETERMINE EXACT LOCATION AND ELEVaTION OF
/ � � 973 2 97z I SEYMER SERVICE.
Iv� EXISIING ( � � THE LOWEST FLOOR ELEVATION IS SUBJECT TO THE ACTUAL DEPTN
AND EIFVATION OF THE SEWER SERVICE.
�
( HOUSE � I NOTE: PRIOR TO ANY EXCAVATION, EXCAYATOR MUST COIJPARE SURVEY
I ( W1TH HOUSE PLAN WITH BUILDER TO VERIFY TYPE OF HOUSE AND FINAL
�vanoN.
�
I � I BENCHMARK ELEI/AT70N = 964.61 FEET--rOP OF WELL CAS7ING
� I PROPOSED ELEVATIONS: FULL BASEMENT WALKOUT
HARDCOVER ITEMS: GARAGf FLOOR= 971.5
� FlRST FLOOR = 973.4
HOUSE dc ATTACHED GARAGE, PORCH: 57.5 x 38.5 -- 1991.8 SQ. FT. � IOWEST FLO�JR= 963.8
ORIVEWAY INSlDE PROPERTY: 40 x 28 -- 1121 SQ. FT. � 66 � � TOP OF FOUNDATIOPia 971.8
I FRONT CONC. WALK: 4 x 22 -- 88 S0. FT. I I VERIFY Wllli CONTRACTOR BEFORE CONSTRUCTION
REAR PATIO SLAB: 3 x 6 -- 18 SQ. FT.
TOTAL = 3.218.8 SQ. FT. OR 16.1� OF PROPERTY AREA i I HEREBY CERTiFY THAT TNIS SURVEY PLAN OR REPORT WAS PREPARED
I � BY A�E OR UIVDER MY pIRECT SUPERVISION AND THAT 1 AM DUIY REqSTER�EC
...
LAND SURVE`!OR UNDER THE LAWS OF THE STATE OF MINNESOTA.
�'��R I.�V�D S�JRP�RS. I�'.
� -� / Z 7 � AUG
213 W. BROADW.4 Y P.O. BOX 179 ������x�' ,/ � B � I
DDJNIS V. TAYLOR G. 0.15233 DATE C�'�0�
,�avncEc.co, MN 55362
PHONE ,/ 763-295-3388 FAX �' 763-295—.3448 DRA�N BY.• CR�L^KED BY.• 8001L PAGI'.• SHLrL�!' OF SCALIs'.• ATlf' DRA�N.• FILE N0.
REV: 07 26 13 AD�ED PER CITY COMMENTS B•TAYLOR D.TAYLOR F-400 / 60 1 1 11N. = 30FT. 07/Ot/13 13121
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To: Finance Department
From: Christine Mattson, Planning Assist n�
CC: Street File
�
Date: November 24, 2014
G/L: 101-22205
Re: Escrow Refund
Building Permit#2013-00679 pertaining to 1421 North Arm Drive is complete. Please refund
$2,500 to the applicant, DJY Construction, LLC.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: DJY Construction, LLC
PO Box 46154
Plymouth, MN 55446
w:�.street files�north arm dr11421�escrow refund form 2013-00679.docx
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2013-00679
Demolition Permit#2013-00680
AGREEMENT made this 7 da,,y of � �S� , 20�3, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City").1�J �� ax�r��C ("Owners").
Recitals
1. A building permit application has been filed for a demolition permit and a building permit for a new
home located at 1421 North Arm Drive, the ("Subject Property"), legally described as Lots 90 & 91, Highwood
Lake Minnetonka, 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
consuftant 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 Orono Building Permit #2013-00679 and Demolition
Permit#2013-00680 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.
CITY: TY OF, RQNO OWNER: -!
By:
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