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HomeMy WebLinkAbout2015-00642-VOIDED A �•� • � ����� W ���n' of Orono � y �7�� �J�id (y� � w-- 'ermit Application ictures or Additions .� . Permit number: �� S����i-� � �N 55323-0066 Date received: •Z.. — ___ . _,. _. ....__ . . _.m....� ..__._�_ �. . ..__.__ ... .,�, y�' ' � 356 a�?�-•}�5 �-���� Plan review fee: P �G� tq� �O _. ----..� _......____- _. .— -�21{�C2'_""..______.�_ D V/1/�/dl'4'.CI.GI"Vl�li) I' �"I.US I in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �`�� �-�� ��- S �ic-{�f! �� . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ,e(No /f yes, a special event permit is required with Police Department and Cify Counci/approva160 days prior to the event. Shutt/e bus service wil/be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFO,R, �ATION: Name: �'116T�- /V'��%�� ��-�,��/c.�:��-rU� State License# ���;����r� Expiration Date: `� - �j--Z���7 Phone: cell -� _ -���- office {_ � Mailing Address: �,� �, � � Cit : _c>/(,.��� ZIP: ��35 . Contact Person: p � Applicant is: ContractoF-r Homeowner (Circle Orej Email and/or Fax: -� D^ S d �1 •���,��-C o v� PROPERTY OWNE INFORMATIOrN: Name: �,c c..A V w�f�� Phone (day): Address: 7��/S p/`�- S �l v� �"� City: ����j ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATI N: Name: ��� '�> ,t SS �ic-cfv�«-� ��c l•��� �' s Phone (day): c.z _ ����� � � �— Address: �,� t�-7 �o�ts �- S�. City:��.�.�v� ZIP: � �C�z <{ Email and/or Fax: l� � PROJECT INFORMATION: Description of project: Z�'x �Z f`v�' S�`'� �r f �jv �`S.� � 1. Type of Project 2. Proposed Use 3. Str�Type 4. Sewage Disposal 8� Water Supply ❑ New Construction ❑ Single Family with Accessory Bldg.+6e�a�� ❑��dition attached garage ❑ Deck ❑ Public Sewer I�'Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑ 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�permits. ❑ Adustrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District MCWD �� ( p (y� ❑ Other(speCify) ( ) Other. s eci 15320 Minnetonka Blvd �f��� �,�,,�� � �G���, Minnetonka, MN 55345 �� Phone: 952-471-0590 �� t�cf �'�'�l % � �-S Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ g�, ��� Packet Last Updated: January 2015 Page 20 �.. STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= Z� Number of bedrooms= � Wood/Frame b.Width (ft.)= �Z _ Number of garage stalls: � ❑ Masonry Areas in square feet Attached= �Metal /�/�� }��d ��� �'"s ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 15t Story = Z`�� ❑On-site Prefab e.2"d Story= �� ❑ Off-site Prefab f. Yz Story = ❑ Other(please specify): g.Total Area= ��U REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Ap licable ❑ ❑ 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'/z x 11 set ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ Surve —2 full size,to scale meetin ALL surve requirements ❑ Hardcover Calculations ❑ 0/ Se tic S stem Certification ❑ ❑ Watershed Di trict W Permit or � umentation form MCWD statin no ermit is re uired /v0 ��-�r!� �2 ❑ Landsca e Walls and/or Retainin a I ans ❑ Stormwater Pollution Prevention Plan SWPPP ❑ Access Permit ❑ Data Privac Adviso Form APPLICANT/OWNER ACKN01/VLEDGEMENT: . 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 infornation 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 govemmental 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-buil4 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: Date: ,����� /� Owner's Signature: Date: �,���� "' /� Packet Last Updated: January 2015 Page 21 �-i � -�s- i: _ _ ��/-� � vc. �c� rdio� y�/ld w �h�� t,✓r� �-��- � � c� i �'— c�C�� `�Z �u.'� t�-s J �ticti'�i �%�e C.-�-�� /�!'�� �—�c� c�� 7��i/'r� /� � �/l�` ��v� � c�"� � c�� �d/� S �1 C�„/'� �t'. , �� � �� � ��i�_ __ ; �5t� 5 �. _ Ar� ,p �._ � �� ; � f: _ , : , _.___ .:__ ; � ; __ _ _. __ .; � _ _ � , , � , _ _ . �^ _ _ _ _ � : , , _ _ _ _ , ; _ �. _ _ _ . ___ _ __. _ _ _ �._ _ ___ _ , , __ � _ ___ . �_. __ _ _ __ _ _ _ ___ � __ _ _ _ _ _ �..... ..__.._ ._.. .... . . . ... . }_ ._. . ... . .. . ..... .. . _ .. .. .. .. . ._.. .. ..._.. . . _ .... .. ......... . _. �. I ; ......._..__._..__ .... .... ._.. . ... _..�,._. ....._ . . _. . . . . .. . . .... . .. _. . . i ', � '. __"'_"' ,r:y .. _ ._,,.. .. .._...._._. _ .....__ .........__. � _.. . . .. .. �� .. . . . . . . . . .. . . . ' � I .. . . .. _ .. ,�.{. , . _ . . . . . .. . . _. .... . . ... ..... .. .... .. .. .. . . . . .. .. .. _. _. ...._ .. j ! _. _ __ __ ,1.r""..... _._ .__ .. . .__ . ____ _.. ._. ....._ ....._.__ . _._._... .,..._. ......._... . .__.. �..... . ._... -{-� . __ , _. .. i .__ _ _ � ; (,��.��.�� C�.i���f��.��� ��E����C�E(��il �-���; �������� ���E�[�t��:E:1'��:� � �,.����[��� �,cFc�rc�s: �`�'� ���'�,� 6'�J e Perer�B�f�o.: �1v�'� � � [��scri�tea�Qf��r�:: '� '�'� � �'��������� ��� �ste R�c'd: ���� ��' S�ptic r��te��y: ,�`��t��� �' �� Date���roNec�: � �enin�� revi��t�y: �ate�provecE: �6.IEIC�IE'R� P@\°i@�b}r. �ate�}�pro�e�: Z Gradir�� rewEev+�bZ�: �at�/�,ppr�vecE: �ae�@r�g E�istrict: �-i� � ��� Zor�ie�g File�: �eso#�: Re���a4e: Zonin�: Lot�4.rea: SF/AC �'it�th: t o#Cov�ra��: SF % S�s�+�l��u��i��ed:���E� Yes � f�o �at�af�c�rve�: Revised date(?): �ra��o�ecb �etbacks: ,:f: � , • ; �'4� ' � ' ,"� , � c�� �3 l�rc�"'(La[�e� R�r(�treet�a � �` � � � 1 f � � � �' � Ot�er�uitc�ings �etfar�cE � - �i�� �Ec�e .�-- ��.� � �----- - ��.�( ` ��fE�ec6 F��i�hS,: P�ak �Geig�ht: FF�: F�E�ir�us 6�ee�= (Exi�tiir�g Conto� P�Ptt'Ytit:�i�P(�6RB�i'��Lj= �Q%= �.F. E�eta��ra�ei� �afi S�or@es �QFd 6:QUILDYivG!{t/t�H�,B�.SEEdi�f�T OR Ci�eAl4ii'L SPf�CE: FOR A��tt��li�G OR'A SLA�FOUE�DA�'EQP�: The distance between the lowest proposed The distance between the top of START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the the highestpoint of the roof. roof. If you have a... : If you have a... o GABLE OR HIPPED ROOF � GABLE OR HIPPED ROOF(no (no windows): Subtract half windows): Subtract half the distance the distance between the between the highest point of the roof highest pofnt of the roof to ta�ttie low poiM of the corresponding SUBTRACTION gabie or hipped roof the low point of the (BASED ON , � GABLE OR HIPPED ROOF(with SUBTRACTION horresponding gable or ROOF TYPE . pped roof ) windows): SubVact half the distance (BASED ON � GABLE OR HIPPED ROOF between the top of the highest ROOF TYPE) (with windows): Subtract window and the highest point of the half the distance between roof the top of the highest • ALL OTHER ROOF TYPES(flat . window and the highest mansard,etc):No subtraction. point of.the roof � ALL OTHER ROOF TYPES SUBTRACTION Subtract the distance between the (flat,mansard,etc):No (BASED ON basemenUcrawl space floor and the Subtraction. EXISTING highest existing grade adjacent to the ' AqDITION Add the distance between the top GRADES) foundation OR 10 feet(whichever is less). {BASED ON of slab and the highest existing E(2UAlS Defined building height EXISTING grade adjacent to the foundation. GRADES EQUALS Defined buildirtg height 5BtoreEancE�€strict p���,,,rp����y�t �derage Lak�shore Set��ct: �'�� R�et? �Yes � �o Permit fVumber: Yes � No � N/A � Yes � f�o CS N/A—see attached Setback: Sfiormv�atE�f�ualify 4�ro�ses�eci Qverla �i�irict �xE�t€n�(�ardco�ec ,, y (%and sfl �y�rc�cov�r Variar�c�E:equirec! CtJ6�Req�ired '�ier circle one %and s . , � Yes � No C� Yes � R�o � 1 j 2 3 4 5 Type(s): Type(s): ,� Updated: January 2015 z:\fortnslplan review checklist 2015.docx �FEfef�eRE�� (in-house): F�s ta t�� C�ar ed 1�ES E�O €�e�crti� f�ian E2evie� �tate Surchar�� tnvesti�a�io� E�ee � ��C--i�arr��er af��tC �6nits Other(specify) S uare Foota e S er S uare Foota e Basement X = $ 1s�Floor X - $ 2nd FIoOf X - $ Garage X - $ ��tirnatecE Gonstr�ctian dal�e: � �� �� �eor�o ir�s�ections Rec��ired l�ark I�equirbng S�parat�Permit� Requirecf �tate P�rrr�its � Site C� Plumbing � Grading/Filling E� Well � Silt�ence/ Erosion Control l�echanical 0 Fire Electricai !� Hardcover Removal � eptic � Water Connection Footing j�i`O V�d e �"p/'�v� � Fireplace � Sewer Connection � Poured Wall I v�5 � Masonry 0 Lawn Irrigation f� four�c�a4ioe� Srarvey � Mfg. Ol Landscaping CE Foundation Waterproofing � Other(specify) � Radon Rock Bed Framing Insulation -Buift�urvey Finat 1ther(specify) !�. 0�7� 6��A�kRK� (in-house): Qtl�er Reviev�c: Revied✓ed b�: �ate�.pprovec�: {�cc:ess: Existing: f�� YES � R�O New: C� YES C3 f�0 OFFtC6!►�t�Eti�l�E�KS-Ta �E C��'E°E� �P�F �,��R�[T�t+f� f�'t'�tI�.LL�� Updated: January 2015 z:\fortns�plan review checklist 2015.docx BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2015-00642 AGREEMENT made this day of , 20_, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")Abigail Vanorden ("Owners"). � Recitals 1. A building permit application has been filed for a 240 sf accessory structure located at 2545 North Shore Drive the ("Subject Property"), legally described in Exhibit A, attached. 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 Ciry 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 #2015-00642 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: CITY OF ORONO OWNER: By: its: �.- e ., r� K a. �:. . ,. . . . , . . BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2015-00642 EXHIBIT A—LEGAL DESCRIPTION All that part of Government I;ot 5, Section 9,Township 117,Range 23, described as follows: Commencing at a point in the centerlinc of County Road No. 51,which point is 437.4 feet West of a point in the East line of Government Lot 5, , distant 1260 feet South of the East '/<comer of said Section;thence Northwesterly along the centerline of said road a distance of 534.6 feet to the true point of beginning of the property being described; thence continuing Northwesterly along the centerline of said road to a point 265.25 feet Southeasterly n�easured along the center line of said road from its intersection with the West line of Govemment Lot 5;thence Southwesterly with an interior angle of 90 degrees and 41 minutes a distance of 435.7 feet more or less to a point in the West line of said Govemment Lot 5,said point being 507 feet Sout]:►of the intersection of said West line witli the centerline of said County Road,said point also beiug on the shore of Crystal Bay,Lake Minnetonka,thence Southeasterly along said shoreline to its intersection with a line drawn through the pourt of begiuuing and foiming an interior angle of 84 degrees and 29 minutes with the centerline of said road;thence Northeasterly along last described line a distance of 435 feet,more or less tb the true point of beginning. Subject to a perpetual easement for roadway purposes for ingress and egress,on and over a strip of land 7%2 feet wide, abutting and adjoining the Southeasterly line of tlie above described premises on the West side tliereof and commencing with the centerline of County Road No. 51, and extending Southwesterly along the South line of the above described prenuses a distance of 300 feet. Together with an easement over,in and upon a strip of land 7%2 feet in width adj oining the . above described easement along the Easterly side and lyi.ng Easterly of tlle above described Southeasterly boundary of flie above described premises,commencing with ths centerline of County Road No. 51 and running Soutliwesterly along said . boundary liue 300.feet for roadway purposes and ingress and egress to said premises. Hennepin County,Minnesota t � � � � �Ol V� C ITY OF ORONO � �„ Street Address: Mailing Address: Telephone(952)249-4600 �. Gti 2750 Kelley Parkway I P.O.Box 66 Fax (952)249-4616 l.q s�, Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us kESHO� June 1, 2015 Mike North Mike North Construction 800 North Brown Road Long Lake, MN 55356 Re: Building Permit Application#2015-00642 2545 North Shore Drive On May 21, 2015 the City received a building permit application for a 240 sf accessory structure. Staff conducted a preliminary review based on the information provided and recommends the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. The City Engineer has reviewed the partial copy of the survey submitted and made the following comments. Please provide two copies of an updated survey or site plan addressing the comment below. a. A drainage swale is shown running directly under the proposed accessory structure. Please show how the drainage pattern will be adjusted based on the proposed addition. 2. Wetlands. Based on our available information, it appears there is a wetland within the subject property. This wetland appears to be located within 150 feet of the proposed project. Because Orono City Code requires a 35-foot setback from any wetland for structures or hardcover,the location of the wetland must be indicated on the survey. Setbacks must be verified with wetland delineation information. ❑ leve/2 Delineation is required. A Level 2 delineation shall include the exact surveved boundarv of the wetland shown on the certificate of survey. 3. Hardcover Calculations. The property is located in Tier 1 of the Stormwater Quality Overlay District. Please have the surveyor prepare hardcover calculations, showing existing and proposed hardcover. Attached is a copy of our hardcover information packet. 4. Animals. City Code Section 62-181 states five (5) or more cats require a residential kennel license. Contact Rachel Dodge at 952-249-4603 for additional information. Attached is a City of Orono Kennel License application and code sections. 5. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow amount for this project is$2,500. The escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$2,500. 6. Separate City Permits Required for: a. �exterior/landscaping improvements, i.e. patios, grading, sidewalks, retaining walls, etc., require a Zoning Permit. t _ . , June 1,2015 2545 North Shore Drive Page 2 of 2 Your project may trigger the Minnehaha Creek Watershed District's (MCWD) permitting requirements; please contact the MCWD directly at 952-471-0590 regarding your project. Please note, the City of 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 any of their permitting requirements. The above information is required in order for the plan review to continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO � � ���� Christine Mattson Planning Assistant c Mike North via email Abigail Vanorden; 2545 North Shore Drive;Wayzata, MN 55391 Roger Peitso, Building Official enclosures