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Home My WebLink About2015-01211 - addn/remodel/repair ► � CITY OF ORONO * 2 0 1 5 - 0 1 2 1 1 * , , 2750 KELLEY PARKWAY DATE ISSUED: 10/OS/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1421 NORTH ARM DR PIN : 0'7-117-23-44-0073 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 18,000.00 NOTE: DECK NOTE: PRIOR TO RELEASE OF ESCROW MONEY, AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTE� AND APPROVED. INITIAL: � .� APPLICANT PERMIT FEE SCHEDULE 325.28 STATE SURCHARGE(VALUATION) 9.00 ERIC MORTENSON CONSTRUCTION TOTAL 334.28 212 22ND AVE NE Payment(s) MINNEAPOLIS,MN 55418- CREDIT CARD 3984 334.28 (612)747-2001 Minnesota State License#:BUIL-643510 OWNER DJY Construction 3452 PILGRIM LN N PLYMOUTH,MN 55441- 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 governing this type of work shall be compied with whether or not specified herein.This pertnit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of l80 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 at any time for due cause. 6 ld � S�/S Applicant Permitee Signature Date Issu y Signature Date r � n, � • �.1TY OF ORONO �� ' Q � v� �� SUILDING PERMIT APP �"v �" LICATIQN FOR NEW STRUCTURES OR ADDITIONS ��r Maili O Box�66: Pertnit number: 020 fS—C��/�i fY0 Crystal Bay,MN 55323-0066 Date received: 9- 02/ l S � � � � � Str�set Address:' � Received by: /�� { � � ' 2750 Kelley Parkway ( Plan review fee: o� . � !,�� Ororro,MN 55356 i c s rt<�F . I Total Fee: oZU!S-O/oZ/ � Main: 952-249-4600 Fa�c: 952-24 9-4 81 6 � � �... x I (•�(✓ This application form must be completed in full and all required information must be s mitted. {ncomplete applications will be retumed. (Please printt ;:icRAL INFORMAT(ON: „oi�Site Address: �II this be a Parade of Homes. Remodefers Showcase Home or other Display Home? Yes No �f}res,a Spedal event permit is required with Police Department and City Council approval BO days orior to the event. Shuttle bus service wrk o- requir�d uMess applicant demonstrates sufficient on-site parkina is availa6le. Non-nemlitted evenrs wrn nor ne arw:.,,, CONTRACTOR I APPLICANT INFORMATIOR: Name: i`1�! /J �'�I°Ml � ,�S i 1�' � �tate License# �xniration Date� �y�� .. �hone: cell � 1 office iviamna Aaaress i 2 � J y. t;icv: �� L«�t�f''rv Contact Persort: 5 . Applicant is: ontracto / Homeowner tcc►ue o�e: Emai1 andlor Fa;: _�M� �r.E�,.c o,�_�'� � �� r �� PROPERTY OWNER INFORMATION: Name: Ta.v�s t SAaa W�wr-�;�_a� Phone lday?� �I 3�-gb�i- k'�I`fi Addres� iN 3.1 �1� A��u A�,v�, Ci#v: Zi� S.;3�y Emai!and/or ra; fi�,�s;.,a;►cQe✓,inernl� ai�na��l.c�::n � �RCHITECT 1 ENGINEER INFORMATION: Name: �' Phone(day�: Adaress: C��. ��c Emai1 andior Fa>. PROJECT INFORMATION: Descri�tion of project: � 1.Type of Project � 2.Proposed Use � 3.Structure Type � 4.Sewage Disposal8� j � ❑New Construction Water Supply � ❑Singte Family with j ❑Residence l ❑Addition attached garage i ❑Garage/Accessory Bldg. � ❑Public Sewer � I ❑A c c e s sory Bui l ding j ❑ Sing le Fami ly wit h �$.Deck � ❑Refocafion � detached gara g e � �]OffiCe�Qommercial � ❑Private Sewer � � ❑Other:(speafy) � ❑Multiple Family/Condo � ❑Warehouse � I ❑Public ❑Storage � ❑Public Water Any earth movement may also require ❑Commercial ❑Other(specifjr} � MCWD review&permits. ❑Industrial ( ❑Private Well Minnehaha Creek Watershed District(MCWD) ❑Other:(specify) � ! I 18202 Minnetonka BNd , ; f deephaven,MN 55391 � � � Phone: 952-471-059Q Fax: 952�71-0682 '�9r�M�� 1 - . Estimated Construction Valuation(excludina land) ' f,��,�Op r . STRUCTURE INFORMATION: I 7.Structure Dimensions I 1.Structure Dimensior�a(corttinued! 1 2.Tvoe of Construction � � a. �engcn�t[.�= 1-� r i numoer or oedrooms= I f�l Wood!Fr�ne I b.VVfidih!ft.)= � i Number of aaraae stalls: I t]Masonry 1 Areas in sauate fieet i f�ttaci�ed= � ❑Met29 • { {�Poie$Edg. I c.Baaemer�t� i �e[ached= 1 �1 iCF i d. 1't Story = ! I ❑On-site PreFab I e.2`�'�Story= 1 I C��site Prefab i ( f. %:Story = � ❑Othe�(p�eaSe Spedty?: � g.7otaf Area= I REQUIRED SUBMITTALS: Alt o#the in�ormation must be submitted in order for vour anpiication to be�rocessed: ar� � . � s i Enciosed i �w�iicacie i I ❑ I ❑ f Permit Aonlipi�on ❑ I p I Pronosed Buddina Plans I ❑ i �- I MN State Eneroy Code Calculations and A7lechanicai Cade Reauiremerns Form u i u j aun►ey�meetinq aii requiremenisj i � i u i �7ormwater roiiution►-reveniion Yian ! ❑ � ❑ i Har�cover Caicuiationis� ❑ I O I Seatic Svstem Site Evaluation Report i ❑ i u i iiccess'rermit u i u I Wetland Buffer Improvemer�t Plan I � � ❑ I Engineered Plans for Retaining Wails 4 feet or abc�ve ❑ i ❑ I Minnehaha Creek Watershed District Pem�iifsi u i ❑ i Plan Review Fee I ❑ � ❑ � Application Escrow&Agreeme�t I p I ❑ I Other: APPLICANT/OWNER ACKNOWLEDGEMENT: i • F�o�ees to provide aif informauon required or requesied by ihe Buiiding Department; i ! • Aarees to pav the City of Orono for enaineering consult�nt review costs in excess of 5500� � ! • Certifies that the information supplied is true and oorrect to the best of his/her knowledge. The aooliqnt recoanizes that thev I � are solely responsible for submitting a complete application heing aware that upon failure to do so,the staff has no altemative � i Du[[o rejeci a unai it is compieie; I • Acknowledqes the Escrow Agreement is comp(eted and signed; I • lfnderstands some or all of the information that vou are asked to orovide on this a�lication is classified bv State law as either ! I private or confiderrtial. Private data is information which generally cannot be given to the public but can be given to the subject � i of the data. Confidential data is infom�ation which generally cannot be given to either the public or the subject of the data. Our I � purpose and intended use of this information is to annually update our records and records of other govemmental agencies I � required by law. If you refuse to supply the information,the application may not be issued. � • Aarees that in the event that weather or other conditions orevent the comoletion of an as-built survev at the time the I I Gertificate of Occupancy is requested,a temporary Certlficate of Occupancy may be issued upon receipt of a 510,000 � I escrow to e�sure completion of the as-built survey and afl site imQrovements. � _��canrs�ignature: Date: �.wner'sSianature: �, �1ate: `3�a��7?/iz//S . .. E�'L�t� ��'[�t� ��C�L[�:�` FC?�. �� E��!l�E� � �,t��'�C�I�� ' �►dC�P88S: ��'�.� ��'! i Fl �/��,�e�� Permit No.• �� --��.` � . Descriptian of work: ��. Date Rec'd: � �l '� Septic review by: _ �Gli'L� a!�/�e,f� Date Approvecl: ` ZoMin review b � � 9 Y� ' Date Appr.oved: �' �/fj ' Building review by: a Date Approved:- l Grading r�view bY: ��' ' Date Approved: �^ Zaning District:�_��' Zoning File#: Reso#: Reso Date: Zaning: Lot Area: SF/AC l+�fidth:� Lot Coverage: SF - % : �urvey Submitteci: �es L1 No Dafie of Survey: �•�(D '�� Revised datel?l• , Pro osed 5etbacks: _ : Front(take) Rear(Str j { [� S E �N �j (� S E W ; Other Buildings ` Wettand ) ide_ Side ., e ! �� De#ined He�ght: -Peak H�ight �FE: FF�minus 6 feet= (Existing Cantoi � Perirne#e�(linear feet) = 50%_ ' '�.F. beloar grade :#bf Stories FOR A BUILDIHG Vl�iTH A BASEMENT OR CRAWL SPAGE:' FOR A BUILDING ON A SLAB FOUNDATIOt�: ' The distance between the lowesY proposed The distance betwsen the lop of. START WITH floor(bf the baserraeM or c�awl spacej and START W#tH� siab and#he highe$t pnint oi the - the hi�hest point of 1he roof. ' roof, _ If you have a.: If you h8ve a.... • GABLE OR HIPPEDROOF(no . • �ABLE OR HIPPED ROOF windows): SubVact half the distance (no win. : Subtract hal� beiween the hig int of the roof ; the d(s between,the to the iow of the corre'sponding h� potrit of the%of to ' SUBTRACTION gab�e pped roafi low point of the ` {BASED ON -' ,,,:�� Ponding gable or . • 8LE OR HIPP�D ROOF(with , 3U6TRACTION ,,-•_ , hipped roo( ��T�E) windows): SubVact haif the distance (BASED ON ,.` . f;ABiE OR H�RPEt3:ROOF. ` ` between the top of the highesE'_ ROO�,IY�� (wkhwindaws); SubtraiCt - ./ window and the highest point af the half the distanoe Uetwegn A' roof �f',� .the{op of the.bi�hest"" : • ALL Q'fHER ROOFTYPES..(flat, �� wfidow and ttie higfi�st maesard,efc�:No subtracYion.' pant;of the toof , . _ . , ' ' ' "� . A41,OTk�ER RQOF�ES . SUB't'�CTIi�N - SubVact the disfiance beYweeo"the ` (flat,inarisard,etc):No. (BASED ON basemenUcra�f;space floor 8nd the ' subtfacti n. EXlS71NG highest existing grade adjacent to tfie ApDIT . Add the distarrce tfetwee�tfie top ' GRAD�Sj foundaflon OR 10 feet(vvhfchever is less). , (BASED ON of slab and ihe highest existing �, • ' �QUAI.S Deftned bullding fistght �CISTING grade adjaceAt to the foundafan. , . . : , _ : ; , GR�ES ` ; LQUACS `Defined buildingfieight Shoreland District . MCWD Peemit ' Average Lakesi�or�Setbac�c g�uff : _ ,. Met? '�. ; ,_, ,� � No Permit Number: . 0 Yes 0 No NfA ' � 'Yes o T P.$ � N/A—see,attaEhed Setbac�c: Storrnwater Qualii�+ Proposed Overla District Existing Hacdco�er � y (%and s� �ardcover , Variance Required CUP Required . � : Tier circle one '/o and � � 0 Yes No Q Yes ' No 1 2 (3/.4 5 TYP��S). Type(S). , , � Updated: January 201'5 z:\formslplan reviewchecklist 2015.docx , RENiARKS (in-house): Fees to be Ghar ed YE5 NO Perr»�t � Plan Review S#ate Sureha�e; . .,. �: Investigation-Fee � SAC—Na�mber of�1j►C Units '� ` Other(specify) - � 5 aare Foota e $ er'S uare Foota e Basemer�t X = $ �5�Floor K _ $ 2"d�loor X = $ Garage X = � $ � Estimated Construction Value: $ � Orono Inspectfons Required 1Nork Requiring Separate Permits Requiced State Permits � Site � Plumbing 0 'Grading/Filling t] ,Wefl C] Siit Fence/�rosion Control � Mechanical 0 Fire O Electricai Q Hardcover Removal 0 Septic fl Water Connection Footing � Fireplace L7 Sewer Connectior� 0 Poured Wali � Masonry � Lawn Irrigation: : � Foundation Survey � Mfg. � Landscaping � Foundation Waterproofing 0 Other(specify) L7 Radon Roc�c Bed � Framing , : C� Insulation . �As-Built 5urvey. Final C1 Other{specify) REMARKS (in-house): : , . �v'sew: Reviewed by: Date Approved: Existing: C] YES � NO New: � YES � NO Of�IC1AL 1�E�VIARKS-TO BE'NOTED h! PERA�fT ANQ 1MiTaALLED ` � � � � � , . Updated: January 2015 z:\fornis�plan review checklist 2015.docx � ,� �!,d� I'}��,0'" . � v I ..�► $ I I � � � �X10 ( � � �� . � � _ -� �� I i .-.,► 1 � � � � � 1 � _ �d ` ;.� � I � � � G':� ".� ___.. _.., �., _._. � _"' I r' � v C �. � � � � • � � � � � -� < � —� � ro w � �. 3''Z' �4`" ro" `� A , 6�� " o �IN1: G�I�'t: �. , � M o Go uG�loN - _.___ _.. � BRIT�i J. JILL � DESIGNER OF HOMES �! FINE HOME DESIGN/REMODELING Offi�e.952 435.1099 � �� r �� I�� bnxjw�ni:.l.dqn«n@gmo8.com 1�1 No�� Perrn lp'� 2Al5- 01 Zl I -D,�,�C.., . 36" minimum Guard height, �..�,��y�� openings less than 4"• 7 3/4" �JfAX. RiScR 10" ��;��. T�;EAD � . _ ._...�.. -•.--------�� 6'-8" f�7!N. HEADROOUi ANDRAIL REQUiRfD � GUARDRAIL OPEN SIDES � o � �� '1"�p � o � �' .:.:v = � j �. � � � � cyn c� v� c� �T v � m � � � � � = ro .p � , � _ nro �,• a� . c�. � N O LZ S O � � fp � � � . O ` � � � � �� . � � �� x�p ��'�'t�`! +�. A z �' �- . � n .a > c � Q ..,_, � � � � ' �:�-f � � _ �� l � ro � �« �+ s ~ib�i �' � co (t'.�i� o � °° � � �; n� '.cn � /� ' — 1 .�..T O N � D' -1�e�p .+ �r�, w g��pp 5r_�n � � � .N-rt � � �"_1 y�� p ��1 ;�F �6" if�if��r1 � , ��inimum Guard heigh , ' = N . fYi�+��'�t'i�iJ r�u'�ilV�4Yi ' ��Y� aq�� SThIrtWAYs �E�e�iings less than 4��. � OF i�A � �IRIG Mo�f�N�oN GoN�f�u�oN � � 13RITT J. WILLIS _ DESIGNER OF HOMES �� fINF HOME DESIGN/REMOOELING OHiw.9S2.435.1099 ' P�AN��y�y2 �� O� � •I I�� vipi.:Gliulc gnFi�y�nmi nrn , + 4nenc%S �,�mpsl b flOOrd' h'F d��ae��f��n��s a r�o f o�U��lTi 'ben 9u l�or b� ae�ks penin� �=_G�v� pattej,�Sor�a�s�Ow,s1�9ur e a e,so wha d�,�a'��S a sph��d v��nt 9cra�a�v�ti ar�z�a s/qr e 4 �n d Q'�'e�ere�a��s o�c.�an 30 a��9s a � �o''e �` ca��nOt pa s th ��f °�h u � � ' � �"' � � '" � s � � �`o� -� �� Q � � � � � �. v� �� e �- �� R � o � s. � �' �-�� a �- -ti �. _ � � �S � N � • � � �., � � � . � � _� � BRITT J. WILLIS DESIGNER OF HOMES � FINE HOME DESIGN/REMODELING ORite�952,495 1099 . PI.A�I�Itil�2 ��- z o F� �1 r�l iti ,..,:_��.��..�,.��,� ,. ,�� . ,�� .�. � � �� ----- ' � -�� ..� �� ■ �- � �� ' ' "� - i � �� .''�� • �� _ � �� '�� ,.,.� ._._. �� i - _.�.. � - ��. ► ;i-�-� ►.��. �� t �� r� ; = i = '��'�. �. �� I � ►� �� ', �� . �� ,�, �� 1 �� , �� ►� �.�� I �� ► � i � � �� , • w� �� ' �� i. �� i�� i�►�� i �� i�� - - �• �u�� _ _ � .�� i��•� ��. .�■�� I � ��■ \�■�� I�� ' , �' , _ �� ■� _ I� �' _ �� \��_ � � � � � � �� , \ � � ' '� ' �� . , '.I �� _ ` �� ! I ','., �'� I � = = _ ; � I � \ = = _ � ; ;' � �� - _ - - - �, �� = _ = - . ��:�.�'._ I� _ _ _--__ � i. V � ►' �� ► I , ' � � � : ' ---- ' . � . . . ., �, ,. r , i � ' � . � Permit Application: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. � ��` Completed Application ; � Plan Review Fee Paid � Signed Escrow Agreement & Escrow Payment � Buifding Plans (to scale) x2 �� Certificate of Survey (to scale) showing the proposed project & , meeting all requirements x2 Hardcover Calculations (if applicable) I am aware that Orono will not issue a building permit without a ,� � copy of MCWD permits (or documentation from the MCWD stating the proposed project does not trigger their permitting ' requirements). I will contact the MCWD at 952-471-0590 regarding this pro' ct. -� Signed by: � Address: `�2 / �j� �,�'� �� t'1� p �� Permit #: Outlook.com Print Message 9/22/15, 12:55 PM PCII]t �.�OS� MCWD No Permit Required: 1421 North Arm Drive, Orono 1�=�ron�: Heidi Quinn (hquinnCminnehahacreek.org) Sent: Mon 9/21/15 12:12 PM To: Christine Mattson (Orono) (cmattson@ci.orono.mn.us); mcurtisCci.orono.mn.us (mcurti s @ci.orono.mn.us) Cc: emortenson52@hotmail.com (emortenson52@hotmail.com) Good Afternoon, Based on a preliminary evaluafion,the proposed 16 ft x 24 ft deck installation at 1421 North Arm Drive does not trigger MCWD rules and no permit is required. Please feel to contact me with any questions or concerns. Thank you, Heidi Heidi Quinn � District Representative � Minnehaha Creek Watershed District 15320 Minnetonka Boulevard � Minnetonka, MN 55345 � Office: 952-641-4506 https://bay181.mail.live.com/ol/mail.mvc/PrintMessages?mkt=en-us Page 1 of 1 � Christine Mattson From: Heidi Quinn <hquinn@minnehahacreek.org> Sent: Monday, September 21, 2015 12:02 PM To: Christine Mattson; Melanie Curtis Cc: emortenson52@hotmail.com Subject: MCWD No Permit Required: 1421 North Arm Drive, Orono Good Afternoon, Based on a preliminary evaluation,the proposed 16 ft x 24 ft deck installation at 1421 North Arm Drive does not trigger MCWD rules and no permit is required. Please feel to contact me with any questions or concerns. Thank you, Heidi Heidi Quinn � District Representative � Minnehaha Creek Watershed District 15320 Minnetonka Boulevard � Minnetonka, MN 55345 � Office:952-641-4506 i ., . ' F� . , `.` y . ;! � , � . - - . �-:` -: - -- , �� - . . . ' = p. - � .£. _ _ . ''\\ � - �� __' `_ - .. ' `` - - - � - �. �M�NH�7^o6,,R,�^fiNToa - ' _ ,: RESIbENT1AL BLDG CONTRACTOR =� - ,i:. �LABOR 8c INDUSTRY . ,'' � , ,i. ' Conatructlon_CodeS and LiCensing DHisbn � Lk:ensfng��d CenNirzqon Servkes 443 Lafayen�Road N SL'Paul,MN.55155 ' Vyebslte: YvwW;�((�in(�:aovkxld.asu Err�i1: �Jf:Nc9rlse(�stafe.mn.us �i� P,Jfone: 851284.5034 � p Tfiis is,to certify that the certificatc holder is licensed as a RESIDENTIAL�U1L�ING CONT�ItACTOR in the state of Minnesota�nd is in � compliance with Minnesota 5tatutes 326B.805,and may build residential real estate,contmct or offer to contract with an owner to bLild _ � residenGal real estate,and contrachbc offer to°contrackwitt�al�ov�yner to improve existing residential real estatc;provide�_the : � � responsible individual is at all t'unes ayQUAL1FX�NG`�UILDER:And the'certificate hotder maintains compliance withthe-requirea general -- _ r ... . _ Itability insurance,and wotkers compenr,auon laws _-- . � � _._- . . - �:�. � � �_ --_ ,� : License 'RESIDENTIAL BtDG CONTRACTOR � 1 � i 'w L'iC Nu111bQ1�`",.� B(i643510 • ERIC MORTENSON'CONSTRUCTIONfNCFi ' + g ;�:F�}fec.tive D��';; o4/Q1�/2ot5 212 22ND AVE.NE � � +, E�piration Date' : 03/31/2tii7 MINNEAPOLIS,MN 554a8� ' � � ° , „y ., . ,. �'� T , . ,;, r / . , , � � � � _� - ' � _ , ,.- :. _ : YERIFY UP-TO-DATE STA�T,US,BOND,AND INSUFiANCE1NF0 AT www.dii.mn.�ov/ccld/LicVeriiv asp(ENTER NUMBER) _ - �_ : -___ ,� _ - ,`.. . . . _: � . � � _ _ - . _ .-. � l. , -_ � _. : ! . .- . . � K • M ' w � _ __ . _ _ _ _. __ -- ._ _ - �-- .. _._.. � � . � � � � � � �Y�t�� `� ��1e�i �1�1�t��I��. �'�� fl� . � � � �I�� t� �� #��t . . ; i s o�� ; . . . ; . . : -, � ` �� Eric Mortenson Construction� � ' ��o �� , � , , , _ � f -, . � _ , � has fulfilled the requirements of the Toxic�ubstances Coritrol Act(TSCA)Section 402,and has received certification to conduct lead- � � based paint renovation,repair,and painting activities pursuant to 40 CPR Part 745.89 i - - ; ''; , j ' � ; 1 .' ', " � � • . � `�_� ` -__. .__. -�--.. ,-- -' ; �� :��.�� o � � .- _ � � ��. - � All EPA Administered States Tribes and Territories � ! This certi8cation is valid from the date of issuance and expires Mey 20, 2016 i . ' f . � �.�J . � NAT-111204-1 Certification# �:��- Michelle Price, Chief � May 11, 2011 �� '• ^'- Lead, Heavy Metals, and Inorganics Branch � Issued On c 1�`�`�;,-�, � i �.\` `U � � ''•;��..y�• ; �._ _......... .____.�__----_'_-__..�_ .'._'-'--._.--_-.-_'._----' ...._. ._.�__._�_._.. .-..... ...._............_._.._. . ..... .�___...__ ..�.-. ..__.. __._._._..... ._....._._. ,_._........ .....__�_ . _..... �n,o Hardcover Calculation Worksheet ,, Property Address: ��Z/ /✓. �! �/�i,U�; Q�PGn�O, /.�1,h! �` s�o�E ��e� b�/; '.--,Date: .�� T��o�z io-z�is Stormwater Quality Overlay District Tier: (Cirde a�) Tie�1 Tier 2 Tier 3 Tier 4 Tier 5 Stsp 9:�IGi l�4i�DC�ER !n the following table identify aU items af exis#ing t�ardc:over on the pnopetty, keyed by letter to Certifica�e of Sunrey(sunrey must acoompany tfiis forrr�). Use as many lin�s as neoessary to accurately depict e�dsting hardcaver status af the PropertY- For Tier 'J properties� identify any f�eatures by !e#ter which are s�rlit at the 75'setbadc line and calcufatie hardc:ove�squa�fiootage se.parately for each por6a�. � Hardcover kem(Describe) Langth x Yli� ToR� t . � a�a�a�a�r�x x'�f, ' v'.< �-v+�, .:r .-� , � �.a y, N ` . . . � . � _ .��d#�Aa ti?,?'.�1. ,.. , .' -,i.: � �� ,�k;� �.�� i��i � r"�"�,:- � �-� ,:,.,, .r, . .. -.a... . . . ,.._�.....� .. . ,° . .. A o A � It� �ClJ 7.S 33t�•5 /. S.F. B Ri6�✓�Y S/�e� � 4l�,� !Z!-!.� S.F. C a.+�r c�c. w.�c,� 2 Z S.F. D �rt iy p A/.� G S.F. f � pECK ti.0 T'A/�S X /�. $.f. F REf•4/�v�roG. t! 7G S.F. G S.F. H S.F. � S.F. � S.F. K .F. � _ _ _ S.F. M S.F. N S.F. � S.F. P S.F. a S.F. R S.F. S S.F. T S.F. V �-F- v S.F. w S.F. X S.F. '� S.F. Z S.F. 1 Total ' ' H�+dcov� 7 .�.� S.f. - r�` �� ss°.�r- �s ,�.p� s+� � : t�n ,.�2, s.�,t. � .'�� Y.✓a' s �'"3" d � _. . . . . �, ._ , , . . . . _e . . �,,. . _ . .�. o.,.��, s,,..��..:.�,� . SF. S.F. S.F. S.F. S.F. 2 Total Exc�tda�bte HardaaNer S.F. 3 Net E�ti H�ver btract�� frorn�ne 1 S.F. 4 Tatal Lot Area / S.F. Proposed Har+dcover P�os�age I(3��4I I ��'�_7 '16 {Proposed Hardonver next Page) This is an'�+nrrnaLfarr psak+�t rep�r►g f�/erdaover. Every efi�at t�as be�n�ade to�d►e aoanacy a/the�oarN�ed hevehl; iww�ever,�any�awre�lon Is rwt cor�sl�nt wAf►p�»s d the C�y Code,the Code P�+��Am� � l�-+1 �� 0�� A�- :P�� u r v� � � �� ✓ DATE �- TIME CITY OF ORONO CALLED IN �- / INSPECTION NOTIC SCHEDULED /n• �/ l� � PERMIT NO. Z`� COMPLETED ADDRESS � � OWNER ` TEL PHONE NO. l � 7 Z�l CONTRACTOR �l � DESCRIPTION � ��—�-� � � l� �{J�OTING ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �yNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � n ' - / a � L I�Lv►�oK� d"s� �'t�S 5 • h� ✓ a S��l O - ,S��j. iS � r!-�r�s�c . �i CL G�oS- �� . � � /�l,L �°o w�,p/�r - W � Q � /�B�r'n•L '�t rt.L�-ts/O 2 W � � ` �S ati � - �'��c � a W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ IS CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pf{OTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: � � Inspecto ►^-�' hite Copyllnspector's File Canary CopylSite Notice � � 4j. ��1 `� DATE TIME ' CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED tl� J X-I� �03� PERMIT NO. ��5 `�I Z� I COMPLETED ADDRESS I4'LI I�1 Oi�� f� VVl �'1' � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � T� � l� �� y/�l� ty ❑ 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 ❑ 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: a �-5�v�`�`iL _ .Sy'' v�� ✓'�-�'/-Cc� Gv�'�''2r17 oS�a d�� =m•'�.�r`zL�m�.ts a_ � -�-�i c.s � -�<•� ,� � 0 � W � Q � z W � w � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952� 249-46�� OwnerlContrac on site: . Inspector. White Copyllnspector's File Canary CopylSite Notice _ _ -- -- - - �-8v1L� srrRv� � � CERTIFIC�!7'E SU.�� EUILT AS STAKED DATED: 0)ff6/t4 - � � � � � r'fJR I ( D�IY CONSTRUC?'ION I � , � , , i � I , , � 9z � � � £ � 1 6� I � � , , } � n�-£ unrE , , 2 i 1 / S 89�3.�'1�~ E )99.65 � _ 964 GRAPHIC SCALE IN �EET � � �9 / o � � o t+� �t.n ' r � � ' ' �'g / / ' ` i DENOTES: 30 6.0 90 � � ' '6" /��a� Q9600 �.F �.9 � �- � r � / � ybll.l $ 30 ( �A//N/AlUA/ BU/LDlNG SETB�I GYC UN£� ( �163 2 � � -� • � � � `967 3 � E iRON i�A0Nt11�1T SET t CA,PPEU RLS 15233 Q � � � � Q,/ �zs _ --- �= � C� uni o�uY sEr ti+7 �7/ , � 967.5 � 968.4 3g �' � �8� l 459. - O HUB OR REROD SET w. ( l) 9 6 S 1 r� � o.m E X i S 7 1 N G G t t O t/M D E 1.E V A i)O N S % . 35 9 i.i � � � PROPOSED ELEVA'AOItS TOP(3F WATER , / � 960 4 ! 6 EX/S77NG . W A L K Q� �j --ar- P R O P 0 5 E Q �A M 1 A f�E A R R Q M I S � o, q I gs8- - 2 Foo� co�TouR ELEV.=959.6 � ', � ' - � %0 � � 28`DF:A()OAK [9_4 AS-$t)IlT EIEVATION � � ��1 I Ll1 TS 90 & 81, 1.. __` ` _' � � �� F � w �' ° � N«isE �,o.o- - �+.� � ' HIGH11 r00D LAKE �fINNE'T�f1 NKA, � �� . � 3.5 �� --.�,�-+ 4 �9�°�� HL�'NNEPI�V COUNTY, �[I�N�SO�"A. � ��{ , 0 z ( , ,�d� a� � 9G3.8; � GAR� � , �IST)NG w � � �i9 � LOT 11REA = 19,975.5 SQ. FT. OR 0.45 ACRES � � � � 960.5��Q oi � ►� � � � � � 9O � � 2 c�►I p�VEWAY �0�' 0 ONLY EASEIrtENTS ON RECOR'Q PLAT N� SHONM ON THIS SURVEY UNLESS � � � '► �/ % .2 14.5 35 9 `, ADDt110NAL DOCUA+IENTATION OF OTFIER EASE'�AENTS OF IiECORD ARE Z t { ! - �o.z ' ,d�'��Aa�i vc�3 � " I� � -- _ _ _ fl'� � �ovrom To us. � /wa� �' �3.i ^ �z s�o.g � � a�- - - - - � - - - � - - b �� o acc�vA�oN oa coNsrnucno►r cc�ww eEc� uNrn t�+�s , 1 � 14 ASH � b'� �4bb( - -'. . ._... ." - . 1 ao I o S•SPRUCE � � a �� 1 9 RET. W.4LL PLAN IS APPROVED 8Y THE IOCAI BUtLpING FNSPEC70R. � '' 96i.i 24"OAK � 20"OAK 9713 `�.5 / �� 6•SPRItCF �'.3'F 'I�I �Y � �O�I.OI ' t�� 30 MAPt.�: LOWEST FLO(lR iS SUB.ECT TO SUB-S01� 11NQ WATER TIABIE COND1710NS. � ` a `r �" � � SUB.ECT TO PUBLfC RiGHT OF WAYS ANO E/1SEAAENTS OF RECORD IF ANY. I I m � o+ °�� °' CNAlN ClNK fE7rK�� m 1 ) ( °A °' I q-�q � I COl�TRACTQR 'f1D DETERAI{NE EXACT LOCAl10N Ah1D ELEVATION � � � 973.2 �� - I �472. i 89 ' EXISIING W � TME LOWEST FLOOft ELEVATION IS SUS,lECT TO n-IE AGTLAI DEP1N � � ANO ELFVATiON OF T�if S�WER SERVICE i � � H�� NOTE: PRIOR '�0 ANY EXCAVATfON. EXCAVATOR AItJST COdIPAFtE S'URVEY � I W11N HOUSE PLAN WITH Bt11LDER TO VERIFY TYPE OF HWS£ AND FtNAt � ELEVATiON. € � � i � � I BENCNM.IRK EL£V.41)ON/ _ �.61 F£ET-TOP AF' NELL GAS7NVC �-: ( �� : HJIROCOVER ITE�iS: PROPOSED fIEVATIONS: F11LL 8A5EMENT 1MALICWT �„�-R1�L7 ELEV, I � � G/1RAG� FIOJR= 971.5- +- - - - - -- - - - - - -972.2 HOUSE k ATTACNED 6ARAt�. PORCH: 57_5 z 38.5 -- 1991.3 SQ. FT. � � LOWEST FLOOR• �3.8- - - - - - - - - - - -- -964.0 DRIVEIMAY INSIDE PROPERTY: 40 x 28 -- 1121 St7. FT. T'OP OF FOUNOAl10N= 971.$ - - - - - - - - - -- - -9725 FROPIT t�NC. 4YALK: 4 x 22 -- $8 SQ. FT. 66 VERlFY MATH CONTRACTOR $EFOR£ COPISIRUCTiON � REAR PATIO SLAB: 3 x 6 -- 18 SQ. FT. � I , ; i I � H�BY C�.liT1FY THAT 11i1S SURVEY PL.AN OR REPORT WA5 PREPARED � 1 � BY AtE OR UNDER 6AY DIREGT St1PERW�ON /Vip 71iAT 1 M�A pUtY REqSTERE I � LAND SURVEYq2 tiNDER 7�1E UWS OF 1HE STATf OF 6M►dNE90TA. �4t1 NOr� T�YLOR LdXD��,,�gY�'�'Q,�_.��. ' � ' �m � � f'/�/� _d14/ 21.3 W. BRt7ADW�1 Y P.O. BOX 179 �rts v. rAnoR c. q,�52� o��e �� MOYV7ICELLO. AIN�55362 ••••�••••- �. �••� ••�••• "••••• ^.••• •• �•••.� �•�� '-- n0/�1V m� rrrsrvs'n DV. n/flfY. D�nf+. t�IJOOti� �ar � . c+n�r n, n�ws nn�rrv_� o.� , � . • , • . � • � • , emo To: Finance Department From: Christine Mattson, Planning Assistarrt � �M /Y ' ` CC: Street File Date: November 2, 2015 GIL: 101-22205 Re: Escrow Ref�fd � Building permit 14-01211 pertaining to 1421 North Arm Drive is complete. Please refund $700 to the property owner, Travis Wildenberg. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Travis Wildenberg 1421 North Arm Drive Mound, MN 55364 w:�streetfiles�rwrth arm dri1421�escrow refund 201�01211.docgc . �r�cimw ✓ ' ' on�o �� IS-�ol�l/ ¢ � , �'T' A�A�r��is �2 �� S�'�T _ �� Ho�v�os� �41Y� 01�, � �- �� (�� '��11: (Al��n-�rJ �R,lr �. � 1. � � � . li� il�a � �Omr � d�C1� � � ��, �� YZ l . NoKTt� ��YN �k'[�,t , 2 (�nae� � 11� �v� m�i+�ar� �i'�m�huc8n a�oin�6 � � �� I�afl�r�i�n�an�eox. 3,. ��if ii�s�ui�arr�fit6�e�fii�rm�m�dt ilm��r� a�Hn�'idt n�aa�evam��i� thneA�aie��'�am�av�� e C�►a�i��. � Ii01�7fB�0i�.TIE PwRi��5/06�EEAS FOE1.�e �i�f�� U_ D�O��Oi�� in� �{`� ��i��Bn ilh�Qilgc. �RII!�anu�in�,aF�,�III H�ga�l��Q�iil�n�iio�ua�1�� farr ii�a�h nm�nue�nie�� nr�. 1. �aF ,�ltf6��aun{��!f��rr�� a� �i��r��Il ��ee�lln�iimcwtn�(�'�+�llu��t�pol�min��ia��in►�mff�l,��►'M�II�a�aoiie� . �r�U amr.uarma n�ci�min��g�nn.�1� �II Ib��i�a� 1Hne�q��e .. i�mr��lam'Ballit�po�eiit�piC��m.l(N��avur�U� n� tlm if�Q�yi�mr�! cs�1��,ri I!�nn�11��un�11�11��mcmnN�i� inn a�ln 11� IP�iltuif'm�m I�m�!ifh��i�i�mlF�Q�1gq�Q�(r�df�ar 71�:.Uf6�fiim�xi�1[�ii��r��u�dl I�i111�Q�i��iimim�ie �v rmaith►��a�ia� ��Ii'�c�'�r�� a�u�d! tl�y 1�aor�fk(�a� Adl�mn+i�, �� r i�l� ��i�i u�lin � !�■� ��LYS�D/.Z// ��eao�in tl��uui6�'n��i�m�ltaa�re�'�. 3. �.V�a� A�tthr�(Ql�in�ii��ait I�'��1lmr im�un�dl�,ilh�G�i�tiv�illl im►tlunm� tailA i!m 1lh��. ��Itl�n�'�d�ff�rr�tmi�4��if��'��1f Na71L .. •� � ��1�E��/IL�� Nm 111��aetttti��mmit re� ib�ith� . 1�g,v u�i�tie�� .. �iim��,�IU ia�m��o��r u�i 1tio��go�+�1 i�p� ��. 1tQoe�lilg�m�r�n ii�it��nitwal�ult��mff11��fhn ee�1��y�nr ��fY�i 5a. QA�s'� 1t}h��rm��t ina tl� �f�rA�b�il!I�� w-ta�n�Ili rt�tii�me�i�eell��It� �S'�iff�1 e�ooi��es�18n��aNv t��ion�po�ry�n'ii��mmiirn�voa�lh�rr��r�uirt��iFiih��Na�c�I�m �ee�uil�i�di�mdh�tlln�r �i� " 1�ne�ivam��ibtnn�. (Daa�rno�r��rt�a�t�lne msff��mm��lnfiaiaad��h�Al lb� iu{�m Cll��Itf n�i�in� ilh� v�imm ith� �ill n�yuin�a�s mff tl�e � ftt�s I�m ii�r �� i. CB[I�Y l�1P�QIII�S. Itf��j�lt i+� ��.aar�f idn��i'�'i�he . im�wm�d!l�ilth�Q�y�iNa��►mwrtit iim�aq,tlh��p B��m�itiim�i��i�llo��j�h p�er�r�fim�'nnm.�it�4k11�,J�11�dl�,6D11�. l C1�X f�iV OF�10 O� .., .. �: �',I�ti'�� ..�-. �: � � ; �. � � --� t-�. - �r � � �n - . - �� ,� ..�� ` � �� ,� CITY OF ORONO ,k 2 0 1 5 — 0 1 2 2 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2015 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 PERMTT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$700 ESCROW IS TIED TO BUILDING PERMIT#2015-01211 APPLICANT ESCROW FEE-BUILDING 700.00 DJY Construcrion TOTAL 700.00 3452 PILGRIM LN N 1'ayment(s) PLYMOUTH,MN 55441- CHECK 1612 700.00 OWNER DJY Construction 3452 PILGRIM LN N PLYMOUTH,MN 55441- 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 sepazate 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 any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date � i TRAVIS W.WILDENBERG 1�� 1612 j 1MOUND,MN A55364 RIVE � �,� 9��1�-i�''°'�,�N � P�Y TO TB6 �r� oF �� "� �oo� ORDEII OF `'lsi►„s�t�i Q" Nb��., nait.eas e '"""" �.. ��n� aim��9� �'�.• ysYo �— l'iB•lN�/��'t— �- . rr T ��' L6L2 �.� . r . City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.014281 Sep 22, 2015 Travis Wildenberg Previous Balance: .00 Permits 2015-01211 1421 N Arm Dr 700.00 , 101-22205 Deferred Rev-Developer Deposit Total: 700.00 --------------- --------------- Check Check No: 1612 700.00 Payor: ' Travis Wildenberg , Total Applied: 700.00 --------------- Change Tendered: .00 --------------- --------------- 09/22/2015 02:34PM . �