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HomeMy WebLinkAbout2014-00085 - addn/remodel/repair � � ' CITY OF ORONO * 2 0 1 4 - 0 0 0 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: 0?✓18/2014 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2655 NORTH SHORE DR PIN : 09-117-23-42-0001 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 210,000.00 NOTE: ADDITION APPLICANT PERMIT FEE SCHEDULE 1,716.75 PILLAR HOMES STATE SURCHARGE(VALUATION) 105.00 1700 NIAGARA LANE N TOTAL 1,821.75 PLYMOUTH,MN 55447 Payment(s) (763)475-1700 CHECK 36052 1,821.75 OWNER VAN RIEMSDYK,JAMES 2655 NORTH SHORE DR 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,applicabie 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 pertnits. 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 1 SO 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. � �,� ti f !� a-� l �' � Applicant Permitee Signature Da e Issu By Signature Date ���..._ .�_� ..w..�...b.. � __ �_ . _.__.. �..__ _ .,_ - -- — _........�-- �- ,�.:....n.�es.��d.,�.rv:.. - - C , � �� � ! CITY OF C�RONO � ��2 ��.� BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS " t �F � Q p. Mailing Addresss �� � r�`vO PO Box 66 Permit number:q�/ �fl Crystal Bay,MN 55323-0066 Date received: /— oZ 7—/ ' �4 a Street Address' Received by: � �,j y� �.'� 2750 Kelley Parkway Plan review fee: � //$. �9' ' `�9kFSH��� Orono,MN 55356 4' � Total Fee: ��� � �� �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn us �� This appiication form must be completed in full and all required information must be submitted. �; Incomplete applications will be returned. (Please print) �` GENERAL INFORMATION; ;' Job Site Address: ����' �Z 1 �,.��� �,,L`� � ��r-� �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No u /f yes,a specla(event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shuftle bus service w///be required unless appticant demonstrates su�cient on-site parMng 7s avaitable, Non-permitted events wiN not be allowed. CONTRACTOR!AP ICANT INFO MATION: " Name: G � � ��� ; State License# �:., c' Expiration Date: -, � Phone: cell I - . 2�L�=— - office Mailing Address: } Cit : , Z�p_ �'� Contact Person: -� � Applicant is: Contract r / Homeowner (Clrcle One) �' Email and/or Fax: € � PROPERTY OWNER INFORMATION: � � Name: '��Q � � �.�,t �Il z Phone{day): �� ��j _, c- t� � Address: c c~- 6 6-u�� �,�c Cit :�q-�47 ZIP: � Email and/or Fax �i . ` � � . � ARCHITECT/ENGINEER I�OR TION: r '" Name: I � ICt,� r2a mr� � � C'�v`1 � Phone(day): • � � �LU� ' n :� � . Address: � �'��- �[, City'�Ct�,n,,,� ZIP����-`�-� Email and/or Fax: �,��w'��p �t PROJECT INFORMATION: Descri tion of ro'ect• �' 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Su I ��' �New Construction PP Y ; ❑Single Family with ❑Residence Addition attached ara e ❑Accessory Building g 9 ❑Garage/Accessory Bldg, `�Public Sewer ❑Relocation 0 Single Family with ❑Deck detached garage ❑Office/Commercial ❑Other:(s peci f y) ❑M u l t i p l e F a m i l y/C o n d o ❑W a r e house ❑Private Sewer ❑Public ❑Storage �Public Water **Any earth movement may also requlre ❑Commercial ❑Other(specify) MCWD revlew&permits. ❑Industrial ❑Private Well Minnehaha Creek Watershed D(strict MCWD 18202 Minnetonka Blvd � � �Other:(specify y Deephaven,MN 55391 S��Q'�` ��U1�f Phone: 952-471-0590 J� , J� � Fax: 952-471-0882 LLA/I .minnehaha eek.or �'�' Estimated Construction Valuation(excluding land) $ � L�./ �� �� STRUCTURE INFORMATION: 1.3tructure Dimensions 1.Structure Dtmenslons(contlnued) 2.Type oT Constructlon e. Length(ft.)= Number of bedrooms= ❑Wood/Frame b.Width(ft)= Number of garage stalls ❑Masonry Areas In sauare feet Altached= ❑Metal ❑Pole Bldg c.Basement= _ Detached= ❑ICF d. 15�Story = ❑On-site Prefab e. 2rO Story= ❑Off-site Pr�efab f. i4 Story = ❑Other(please specify).______.___ g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for our application to be processed: --- __ _ --- Not _. ..__ Enclosed Ap Ilp cable _ ___._._ __._._______.. _. O Permit A Ilcation — -- ----- -._ ___--- __ __. �----_____—._ ----- ❑ Proposed Building Plans '0. � O� � MN State Energy Code CalculaUons end Mechanical Code R ufroments Fortn __ _ _. '6 O Surve meetin all requtrements) ____ ❑ ❑ Stormwater Pollution Prevention Plan 'fl. _ O � Hardcover Ca�ulation s� ❑ O Se Uc S stem Site Evaluation Repai ��_ ____, O � O - -- Access Permit � O WeUand Buffer I rovement Plan O O En ineered Plans tor Retafnin Walls 4 feet or above -- ---- _ _ ❑ ❑ Minnehaha Creek Watershed Distrfct Permi s ❑ O Plan Review Fee ❑ � Application Escrow 8�Agreemanl -------- --.__---- _______ _. o o ___ otne� APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provtde all(nfortnation required or requested by the Bullding Depertmenk • Agrees to pay the Clty of Orono for engineering consultant revtew costs in exceas of;500; . CerAfies thal the intormatian supplied is true and correc!to the best ot his/her knowledpe. The applicant recognizes Ihal they are solely reaponslble for submifling e complete appi(cation being awaro fhat upon failure lo do eo,the staff hes no alternative but lo rejecl it unlfl It is complete; • Acknowledges lhe Escrow Agreement Is completed end signed; • Understands some or all ot the Information that you ere esked to pmvida on lhla ep�lcalion Is clessf8ed by State law as eflher pdvate or confidendal. Private data is Information whfch generally cennot be piven to the publio but can be given fo the subJecl of the data. Confldentfal data(s iniormation wh�h generally cannot be given to eilher ihe publfc or the subJect of the data Our purpose and inlended use o(thls informaUon Is to annually update our records and recorda of othar govemmental apendea required by law. If you retuse to supply the Infortnalfon,ihe applicalion may not be Issued . Agrees that in the event that weather or other condltions prevent the completion of�n as-built aurvey at the Bms th� Certiflcate oi Occupancy is requested,a temporary Certiflcete of Occupancy may be issued upon recelpt of a:10,000 escrow to ensure completton of the as-built survey and all site tmprovements. ----- ---_ ' r � �,/ ' � ���{ ��'�'�"�' - ApplicanYs Signature: �� ��iL� ` � _ � ' Date: � a�'��`� � Owner's Signature: Date: � I�J ° I �- � ' C�L:_�:.��� E�;[���[��.�'�F �ff������E��[�`�' €���; �� ��.�� ����E������G�[�[�� � f�.�'[��E��C���f� �dc�ees�/�e�n�it i�urveber: �vs� o•'u� �c- � , s Descecptio� ofi�ort�: ��f�� � � . . �,!'�,�, , Se��ic �evie�+bY� , � D��,��pprav�c�: �or�ie�� ���ievv by: '� ��,���P`� Dat��,ppr��ec�: i.� � � L� C �� � ' �aitc�ir�g� r�v�e�b�: � � �c.e. [?at� �,pp�o�ec�: 2- i�s - t`��. �rac£�€�g r�vie�by: `�'Y � ' �at��,ppcovecE. a �/ /`/ � � ��"� LQ[tiCl� FEIe#: E��sO�'r: E'�e�0 6��fe: Zc�ti� �i�teic�� �--�t�.• ��" �dr�ir�g: P ofi�.���:_�SF AC �i:eid�P�: E.no$�aveca��: �� SF _°/a �c���� ��b�E�fi��: �'Yes C� No C��te a��u�ey: _� ` �' �� Revised date(�l� f�ro o��ci S��f��ck�: �' �(La�:�) .�e(�tree�t) Q � � [�� 4� � � �" S � �tq � ��he���Elcf@r�g� �e�iar�c� 1 S�� Sid� 1 5� f ���d �' �� ���^R^ �' �(�t�-'a��� a �,_ � �`.� N "; +i_ ..r.. t3efir�ec� Ne€�E�C:�•A'j� � ��a�: E�er�t��: �FE: �F� rn€e�u� G f�eti= (Exb��i�g C��to�! �'��"m'`_"'._'. €�erime��c(i�r����f���w� �.Q%_ ��t�t�rie� ���C��YES I�OR k,BUILQIi�I's lri�l7fi�4 BASEAiiEMT OF�CR/e!'�L SP�,CE: The distance between the iowest FOR A BU{LdI1vG OI�A SL/AB FOUR'DATIOF�: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. �-��P. � START WITH The distanee belween the top of slab an If you have a... � ��'�' the highest point of the roof. GABLE OR HIPPED ROOF(no If you have a... � windows): Subtract half the � • GABLE OR HIPPED ROOF(no distance between the highest point � .�; a ( windows): SuMract fialf the distan of the roof to the low point of the ` !���(��� between the highest point of the ra SUBTRACTION corresponding gable or fiipped roof � to the low point of the correspo�dii SUBTRACTION gable or hipped roof TBA EED ON ROOF � GABLE OR HIPPED ROOF(with (BASED ON e GABLE OR HIPPED ROOF(with � windows): SubUact half the ROOF TYPE) windows): 5ubtract half the distan distance between the top oi the between the top of the highest highest window and the highest window and the highestpoint of th� point of the roof roof � ALL OTHER ROOF TYPES(fiat, a ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. mansard etc;Mo subVaction. ADDITION Add the distance between the top of slat Subtract the distance befiveen the ^' � g g grade adjacent� SUBTRACTION r� �,� (BASED ON and the hi hest existin (BASED ON EXISTING basemenUcrawi space floor and the "1� EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Deftned building height EQUALS Defined buiiding hefght SteoeeEa�d C?i�t�ict C�C��'��� E��Per�i� E��ceE�+eci t���ra e E���C�s��ore S�t6acE�E�e�? �t�� " �� Yes � t�o €� iV/A • / � Yes �!c .� Yes � �!o �Yes � IVo � NIA Permit t�umber:� A , Setback: �t�rrrne.a��Cee f���IB�1� �ui�ficc�g �c��os�c� f��°�eb� �e���@cfi�'E�r �ardco`+er �far�eLcove�' le�fi�i'tC� �@C6t�lE�°�C� ��I� ��qui��e6 � * ' E� Yes No � Yes No i ; '�" m-z �.� � ��-` � � � `I Type�s�' TYPe�s�� �;�f , Updated: January 2013 �L��� •, , _ " � � v:\forms\plan review checklist 2013.docx -' ' l�Ei��R[�� (in-house): F�e��a b�C��ar er� �ES �tCA ��rr��t � Ptato �evi�erd � 5f�f�S�r�E�ar�r� �`"� invest�gatian Fee 5�4�—F�B�ts�E��e at`�k,C Cf�iY� r Other(specifyl S uare Eoota e $ er S u�re Foota e Basement X � _ $ 18�Floor X 2"d Floor X � Garage X $ �s E�timaa�ed �a�sfiruction Valu�: � '���� ' �'°�'�' �for�o Ins�ectbons �egu�eea ��ork Ft���aerie�� S�p�ra�e l�ermits Requie�d �tate ReraniY� � Site ��Piumbing � Grading/Filling � We11 4� Hardcover Removai ,�f�echanical � Fire ,� Electrical �' Footing E� Septic � Water Connection ��oured Wall �R Fireplace � Sewer Connection Eoea�cE��ion ��ae�re� � Nllasonry [7 Lawn Irrigation ,,�Radon Rock Bed � �fs� �"Framing l� Other(specify) , ra insulation r�'P►s-B�itt��arve� �inal 17 Wetland Buffer C3 Other(specify) t�E�i�RKS (in-house): ' �ther�e�fe�: �e�ieu+�c! ��: ���e Appre�ec�: �cc��s: Existing: E� YES � NO f�eW: C� YES ❑ N� dFFIGE�.L.RE���,F�K�-TO�E i�CS'��E2 ��! (��f�f<R6�'�F�� 1F�iTE�,LL�E3 Updated: January 2013 v lfortns\plan review checklist 2013.docx Christine Mattson From: Brett Eidem [BEidem@minnehahacreek.org] Sent: Tuesday, February 18, 2014 3:28 PM To: Pillar Homes Cc: Christine Mattson Subject: RE: 2655 North Shore Drive-Orono Bonnie, As long as the total site disturbance stays under 5,000 sf, this project will not trigger any of the District rules.With the slab on grade and no existing/potential wetlands in the disturbance area, and with the project being far upland of the � floodplain, MCWD will not require a permit for this project. The proposed perimeter control would be sufficient for us to contain exposed sediment from leaving the disturbance area. If you have any other questions or concerns, please feel free to contact me again. Thanks, Brett Eidem District Representative Minnehaha Creek Watershed District 15320 Minnetonka Boulevard Minnetonka, MN 55435 Direct: (952) 641-4517 Main Office: (952)471-0590 Fax: 952-471-0682 www.minnehahacreek.or� __—/� 1NINN�HI�HA CREElC WAtERS�Et? aiSTE1CT From: Pillar Homes [mailto:info@pillarhomes.com] Sent:Tuesday, February 18, 2014 1:50 PM To: Brett Eidem Subject: 2655 North Shore Drive -Orono They are adding a carriage house only Bonnie Planting 1 Office Manager Pillar Homes 1700 Niagara Lane North Plymouth, MN 55447 763-475-1700 Fax 763-476-1700 BL# BC213765 Winner of Best Website—WWW.PILLARHOMES.COM Member Builders Association of Twin Cities Former President of BATC 2008, Former Tres&Vice President of BATC 2006&2007 BAM Member and Board Member NAHB Executive Board Member 12 Consecutive years on Twin Cities Luxury Home Tour Parade of Homes/Dream Home 2012 We have Built over 300 homes/24 in Wayzata alone! Some of the Awards won over the past 17 years are: Pillars Homes' Imagination Renovation won a Remodeler of Merit(ROMA)Award Reggie Award Peoples Choice Award Trillium Awards Luxury Home Tour WOW Factor Award z Christine Mattson From: Christine Mattson Sent: Tuesday, February 11, 2014 12:09 PM To: 'PillarHomes' Cc: Melanie Curtis Subject: 2655 North Shore Drive/#2014-00085 Attachments: Escrow Agreement- Building Permit w Erosion Control 2014-00085.pdf; 2655 NSD bldg permit app.pdf Hi Bonnie, Thank you for speaking with me this morning. The building permit aPplicat�on for 2655 No j Shore Drive is almost ready to be issued. We just need a couple of items: 11�\ ,, ,� � f `�1 J scrow Agreement a Escrow cfieck. Attached is a copy of the building permit escrow for the proposed ro'ect at 2655 Ngx�h�Shore Drive. Please have the ro ert owner si n the attached buildin ermit escrow �� p J _ p p Y g gp �'� �an.d.return with a check from the property owner for$2,500. We understand sometimes the contractor will pay ;��' the escrow money on behalf of their client/property owner. Please be aware per the City's policy the escrow � money will b refunded to the property owner of record at the time of release. • Building P rmit Application. Please have the property owner sign the building permit application. A copy is attached. �A' • Balance o rmit fe�due. The building permit balance due is$1,821.75. ✓ Once we receive all of the above information, we can issue the building permit. If you have any questions, please don't hesitate to contact us. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono MN 55356 (physical addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ �' 952.249.4620 8 952.249.4616 � 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: Monday, February 17,2014 1 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 �LLU�1..,�•Crriificr�tr. •� ,�/o f [�,, �r � Buildric:Nnme'�'ompnm• �'��: �� ��li��` �1��t�[�1'�55: �V�"c�� �V����1, �.��'`L� ����2�,�{�\rl)�L� l' ` -. '`��C"�i��"'�°`��: �� ��r��,;� Car�tr�ck+�r f'�ame:� 1 r� � �� �l Y Lic�r�Numh��cr: E ur,e[rur� Ty�rr uf �rlsi�e/�tv1 Fj-�rr Luc.afici►r.r Sicr In�rrl'af,sa�rr ,r! t�alr�c M1y eu Air 12aQt Ceili F . '� �onifs�an ,a�r �IfYa Ils `� _ - WaCer FleaGny Slab-on-6ra�c �:� � �1'arr actrrrer Floor Itl��[J.I l�iPora nf 1 txrlti�r�rPr1 ti rrc R11Y1 J�DIS[ � - I ,�; Irttvior,E�eriarorintcgr� CDrd�ivfl R-Ya�tfe Faundation Wal) i m-wirr:,Fsrtuirr�r fntn�r.�I rlvP�ra �fi-taw�tn,� SfiY,df cnl�rJra��f rrr r_n�flrrrPnf F'accrv� Ar7rw� FCurslrctL�e�e� � Fia�ue� CuuLrul T �ir uf.Rai'rn �14FL�E Manrrfactrr,ner a►lode,r CaJou/ated Hcat�ass Hpann ti �m T �Pr ut.r2�tr SFFR FfarrufaetaK,r JHudc�' Coa,�i Lwd HcaE�Grin Coolin S em � Lnr�Fiafr Carrtirruurif trcntfl�tin,� Tota� l�rnti�aftr,� Mechan�cal If�ntil ation Packet Last Updated: 04/19/2013 Page 19 of 23 Per N1101.8 A buiWi�certiFinte shaN be postcd'm permanently visibk bcatan inside the Enildl�a�l muu be completed by tAe bui�er and shap Nst tn(ormation and valaes of comporients�sted In Taf�6e N1101.8: /� �/J !��i/1/ � g� Oate Cert'�f'icate Posted: 5ite Add r. �!��� YU�/�c�f�J v'/��/Ci Y� 4 Building Contractor Name: = r.r�"1t..- , Cf�,A7/%-�� Licensefi: � Mechaniql Contractor ldame: Heatine&CooCm�Two.Inc. Bond ffi: M6003401 tnstatled ype of Insulation R-Value Type location Size � ; � a a urer e d � i iron - a ue ' �, enor, enor or Int 1 S! n nor, enor orint I � verage - actor so r at ga�rt coe ue�t assrve '- 0 ❑ ype nput tmg �rer o cu eat s � ;r p�+o "`.� � r�o ype ntput atmg eer Manu cture� o u�g eat ain J. o✓�°o orm ype , n dnuaus enC� t�on ota cmt atwn � �" Do.^'S '' �L.+c-r k ew`idieg Contractor Signature Mechartical Signature ?` _._ ..� �__.�___.-.,._.�.�__ ._ ,�.��- - --___ ___.....�.....�. . ,: m.__ ._..�.__._�___ ��._..,- _.�.�_. .� t., _ _ �. _. . � - _. w b � t __ _...__--. _ _ y- s._ �. .- 1 ' ' ' Cfty Of Oi'OIlO O �0�� -�����;�;�_. �����-dca�ver Calcula�ior� Work /`�' °��� \ �i (��o�.�erty !.�1�;,e�={: �6:� � � �D�T�/.lN'v�c" �t ��°�' CJ'�a�Fs� ���R«.�r���,� '�''^�� F'r�_�.•�i�c.d by: -- Date: , , � � �'�_��,�ru��?���:��t' A..��'a� /� �"��%;� A�� . /.. �'�'/�;�` :-tun���ater ��_iality r���ie!lay Ci�trict Tier: (Circ�e onej Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Siep 1: �Xli��iN(:a iiAF;GC�UFR Ir� the follov,�ing tabic iclentify ail_items of existing hardcover on the property, keyed py letter to Certificate af�-�n�ve�;-(survcy!�nust �ccompariy this farn�). Use as many lines as necessaiy to accurately deE�ict existillg ha+'dCove�'Stdt�is e�the �;rnpc�ity Far Tier 1 properties, identify any features by letter which are s�li�at li�e 7:�' set��ack i���r ar�� calculate h�rdcever square footage separately for each portion. `�ey t° j tiardccver Item {�escrib�} Length x Width Total urvey Square Feet) �Exam e' {GGr���?� __ 24'x 30'� {720 S F.) --- --- ------------- �--�' -T---�--_...-_1����.' � _��-/� S.F. �--�� 1----------��R'�-�-- --- - _ (.__�� ' S.F. �-'�� —�----- ---�%��---- ---- _-1 �� �.F. � ,—_--�12f'��+�r_r;��,r ----- --�6�.F. E ���":i':.�.a �' Pa.�'��i� S.F. �--�------- c��.r___�,�,�L_���^ - ----- --� ��,�, �.F. --,- - --- -- G -�-----------�'���rz_f7��P — --� S.F. �J -�—Cd��1'�.'�'C1'c'`bF' __ _.21i'___ S.F. � —�-- C4rt��': ��7"�'Q _ --�--- 3 y,.� S.F. J ' —12��c � � �6',� S.F. K ; �9/C o.r�s -�1_ 'i� S_F. �� .� GE'NE��.RT'�i!� �'.f t� �,,,� S.F. M I �o,�/��, -- �., S.F. _—N �--_-� ` S.F. -- C'--�------_--- = S.F. P i S.F. ---�-�---------- ---_ -�� - S.F. --F\ �------------ - — S.F. ----� --{------- ------- --- — - S.F. -----T---��------ ---- -------- S.F. �—�----------------- ---- S.F. V � S.F. W I-------------- -- _�_ �-- S.F. - -- --- ----- — - Y � �— S.F. -- Y ;, ---------- " S.F. Z -r--------------- - ------------ S �_ 7 ; -- --- - ---,�-_� - � � (1)__Total_Existiny Har�cov�C----------------- ---------�..�,.����.�c°..d.e�s�.r6;...:1 Excludable Hardcover See Cit Code Sec 78-1684 : __ - — --�------ r . _._______--..____...-----......____.___...-,---.___�___.____._ , .�S.r. I ________.�___�_ �_.__�____._.______..._.__,_------------.------------- , ' '' F _____...__.__..__._. . .. _r------_.___.._._....._�._.._._...____..___...._,..__,"T . . ..__-------____.._..__.�.__.______.�.._______..-_.._._._.�� ! � �. - __._..__._.__---...,..._...._..__.._._.___......___..__. � ��.�'. ------------._-._ ___ , - �----._____,.______----,-----.----__..------ ' � F _--------_..._____..w_.____._._____ ___��_---i -._r..____.___._.� .____._____,--,--,- - __....__._ _ _.__ _- --_ _---__. ..__.T_ _._,____.__.__.___.----- S F. _ � �_� s, , (2} Total Exciudable Hardcover ��wry3' Q S r �j -- k---- (3j Net Existiny Haidcovei �5ubtract line {�)from line i1?] ��'��� S F �! __.. _.. l4J Total Lot Ai ea �'�C_�4 Mt.+�1��_. �2 t �... ' rf,..z` �; ,,,r c� :d 8'.� .2.�`7 + c � �� _.. _...__�_. _ .M;.___�.1 ��t�- !' _._ �.____T_��..� ____, , ���.� �.�,�.a�n��_ Existing Hariiccver Percentage [ (3}:- (4) � � ��- ,�-��,, % ! --- ---___ . _____ ------ � -- ------------ ------t.. s�,.�,.�..�.._,..,.n ..._ (Propos�d Hai�c�cover ��e;�� ���a�P) J�nua r y S,<J13 A '' � City of Orono ; �o�o� Hardcover Calculation Worksheet l,``�( � `vil Property Address: 2�55 itJ�RTN .J�NdR E' �Il d"d/�` �iTi+I�M�,J� Y,l,t/,!/F'�t,�'�0�-r�� �'k���,�,�-, Prepared by: Date: G=.t�d,r,�,Q F�t � .� �J1'/'o� /.� rF1'� �.�c /�?—���' Stormwater Qualiiy Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Step 2: PROP�S�ED HARDCOVER In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey(sunrey must accompany this form). Include all existing hardcover items that are intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed 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 se aratel for each ortion. Key to Hardcover Item (Describe) Length x Width Total Surve S uareFeet Exam le Gara e 24'x 30' 720 S.F. A L! S.F. B 7 S.F. � S.F. D S.F. E S.F. F wi S.F. G -D S.F. H o RFD �02C � S.F. � S S.F. � S.F. K �.t0 / S.F. L t�iU ,tTcr �1 Q S.F. M S.F. N p o S.F. 0 i• S.F. P �� !C p S.F. Q /� � S.F. R S.F. S S.F. T S.F. � S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. 1 Total Pro osed Hardcover /y',2 9 S.F. Excludable Hardcover See Cit Code Sec 78-1684 : Q /.�0� J'E�'! /,3� S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover / S.F. 3 Net Pro osed Hardcover Subtract line 2 from line 1 / S.F. 4 Total Lot Area E r�y ,v ,Valt r a Giir -�.► 7? !`S.F. Proposed Hardcover Percentage [(3)+(4)] /7. /? % January 8,1013 /' ' � � � � AL�1/10(1� � Daily Soil Observation Notes Project No: Date:2--`' Z-O - f t/ Report No: Project Name:Z.�-S � �Or�-i-+ ' Project Location:('7(c���� M r/1 ;� � Clfent:-1�� � � lrt'� Temp/Weather�.1 o<3c�t�,C,r�c��,.� �� Project Manager. Time Arrived: Departed: . • . . Areas Observed: Building Pad ❑House Pad ❑Roadway ❑Parking/Walks ❑Footing ❑Proof Roll Other(describe): Soil report available? ❑ Yes No Report reviewed? ❑Yes o Report prepared by;: Finish floor evaluation: Bottom of footing elevation: Bottom of excavation elevation: Approved plans availablel ❑Yes ❑No Specified compaction: Fill source: � Oversizing appears adequate7 NA ❑Yes ❑No Soils observed agree with Soils report? QYes ❑No Soils appear adequate for design loads? Yes ❑No Proposed proJect bearing capacity(psfl: � Contractor notified of results? ❑Yes No Name of person notified: Was a copy of this report left on site? Yes �(No If so,whom was it submitted to7 ��� 1►_� � � �J N n , Notes/Comments: -}�,• ('�j�j�r a,,� �+,' CG,-Y�'.'t,. �n �" �'S' '4J-,S � � r � � ,�l�) ..l -�. � - �A.S � -� � � e..�- -�,� 3 v��- •�.s►, bo�Ow� �it�S Cov� W �� � v� t t �'�-�W AS �.�in ` J` ;5-�-- , Performed By: I ``r Reviewed By: Date: This ts a preliminary report and is provided solely as evidence that field observations and/or testing was performed.Observations and/or conclusions and/or recommendation conveyed in the final report may vary from,and shall take precedence over,those indicated in a preliminary report. �_ � � D E `/ TIME ✓ CITY�F Q�iiONO � CALLED IN � �T� � INS`�PECTION OTIC CHEDULED — ' PERMR NO. � MPLETED ADDRESS d�PS.� /l • ��Z.D�i.�' OWNER T LEPHONE O. � - 5�'" 7 CONTRACTOR � DESCRIPTION ��OOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FIWNG Q L POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS y ❑ FRAMING O MECHANICAL FINA� ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDAl10N/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: �7 '` �l�.S `- Dl� a �a�f�w,� - aa �u $ `' '- �,/ � .�4 `s o �i�r�Ze.�.-�� l5 - o? - 3'y 3' P�s �- � �r w�l� ^ � - O � W Q o2 � �v ��3 'v��a'' e�i�C -�5.�— � a � ��L J Ir'e�d'"� f�c r rv��— �rL-7�`�4.� j ��"/�i� +�'�o� �i�f t2�w ,�-' � O WORK SATISFACTORY:PROCEED `'' l��"��f p RO EC�CO�EfE � ❑CORRECT VYORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. C •nspection 2a hours in advance. (J52 j 249-4600 Owner ctor on site: � Inspector: � White Copyllnspecto�'s File Canary CopylSiM Notke / �`'"' �D T � TIME CITY OF ORONO CALLED IN INSPECTION oNZO�� `���SCHEDULED 3—✓�'� � .31� PERMIT NO. COMPLETED ADDRESS a�S S .tiDY'� S`L�cQ / OWNER TELEPHONE NO.��°Z"7S��Z76 6 CONTRACTOR �� C�YIC� � DESCRIPTION �/ �����C �`'`�Y � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � �'POUHEDWALL ❑ MECHANICALRI ❑ IAKESHORENVEfU1NDS Q���RAMING ❑ MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEH REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl10N/REMOVAL 2 OWNERlCONTFiACTOR TO MEET YiOU:_YES_NO c� COMMENTS: � � �/ � /� �t� %Du✓e� !�4<�� A . 0 I.CDGuc.ls .�11 G ' d� / � � f►Ore�,�Q � r�� �� l�S� � �O W i � I ���f l,�.� � t�// �6 �+�5,dS �6 "a�C Q � w� �� ,�•�ro,�� �a �o� - z � _ r'l�a�tac' Qs — D� � �_,� �/�G�� �G rt,C/'G{. J � RKSATISFACTOR�F.PROCEED ❑ PRWECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR YVILL REfURN O 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 OwnerlCorrtractor on site: Inspector. /f'"'' e Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2 6/�����R 5� COMPLETED � � ADDRESS ?�� ^ '" ��'�' OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP OLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO c�., COMMENTS: � � L �/ � �X���"/tDd' Ct//��rS Cm � ,dl�Fi7"C�i oC��a��� �- 1���, '' 2 r✓l a 0� 0 � W r`eqwc� S�v��v�eX' � Q z l�I e c �n��,l � s��,�.� ��r� � ��a � , � W � J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECTY1fORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-460� Owner/Contract�r ay�site: Inspector: / � White CopyAnspector's File Canary CopylSite Notice V� �.n TIME ✓ CITY OF ORONO DOO g�CALLED IN �'�� INSPECTION NOT HEDULED �� �'� PERMIT NOp�D�� MPLETED ADDRESS a�OSS /U�/7'T/� S� � OWNER TELEPHONE NO�D�a� � ,�G�Z CONTRACTOR . . � DESCRIPTION r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHOREJWETLANDS y �FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z6lNSULATION ❑ WOOO BURNER/FIREPLACE ❑ SITE INSPECTION 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�U:_YES_NO y COMMENTS: F�CG• � T' —bK W � � /f�I`QVyAG '�Y"k.55 ��e-� '{6/" � ��' -�i-c�sS �1 �3 as aO���D-- o � � � Fc�i���G �-G�-�rc S o ' W �`�Sz` — �,� � Q � W � W � � J O W� ❑VIFORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE W �CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 Ow tractor on site: � Inspector: � Whita CopyllnspectoPs File Canary CopylSite Noties �� _D�Tfr TIME V CITY OF ORONO CALLED IN �-t� INSPECTION OT D��EDULED - • PERMIT NO — COMPLEfED ADDRESS aG��� iUG%S��c c�2� ��J OWNER `�� TELEPHONE NO.g�Z Z�O �iG� CONTRACTOA CJt�S�/ � DESCRIPTION ������ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POU WALL ❑ MECHANICAL RI O LAKESHORENVETLANDS y ❑ F MING 0 MECHANICAL FINAL Q ❑ TREE REMOVAL Z NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl10N/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: ac W C � , O >. o� O � W � Q � W � W � j a W RKSATISFACTORY:PROCEED O PROJECT COMPLETE � ❑CARRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR •�CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95 ) 249-4600 OMrnerlContractor on site: Inspector: White CopyAnspector's Flle � Cenary CopylSite Notice �n % ' / �— � pL�c�� TIME `'� CITY OF ORONO ` CALLED IN =� INSPECTION OTIC SCHEDULED - PERMIT NO.��� '� S COMPLEfED ADDRESS a ' ����� OWNER ELEPHONE NO.bI����' CONTRACTOR � , � � DESCRIPTION ��� � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �/�FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J��O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL Q OWNERICONTRACTOR TO MEEi YOU:_YES_NO �Z � COMMENTS: �'��- F�H�r— �'� Y � � �1� /'c�✓n�-G rrl e�. �,.r�C j o � r e•�.��c . D�Q . 1'D tJQ�r,� G�e — �. ar 0 � Q �/�r��i��•�� G�SG G//�!S �l� � � W � W � J W O WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �oRRECT WORK,CALL FOR REINSPECTION TEMPORARY V� BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: inspector: � ""' � White Copyllnspector's File Canary CopylSite Notice . • . • • • • � • , emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: May 4, 2016 G/L: 101-22205 Re: Escrow Refund Building Permit#201400085 pertaining to 2655 North Shore Drive is complete. Please refund $2,500 to the property owner, James van Riemsdyk. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: James van Riemsdyk 2655 North Shore Drive Wayzata, MN 55391 w:�street files�north shore dr�2655�escrow refund 2014-00085.doac . ✓ BUILDING PERMiT ESCROW AGREEMENT Oro�o Building Permit#201400085 AGREEMENT made this 1�day of 1' 20�, by and between the CITY OF ORONO, a Minnesota municlpal corporation("Ciry")James Van Riems ("Owners"). Recitals 1. A buiiding pe�mit applicatfon has been flled for a Ca�riage House located at 2856 North Shon D�ive the("Subject Property"), legally desc�ibed as That part of Government Lot 4,Sectlon 9,Township 117,Range 23, desr.ribed as foilows: Commencing at the North quarter corner of�aid section; thence on a bearing ot 3outh 0 degrees�minutes 00 seconds East(the North line of tl�e Northeast Quarter of said sectlon being aesumed to have a bearing of South 88�ees 51 minutes 00 seconds East for purposes of this desalption)a distanae of 2878.55 feet; thence South 70 degrees 37 minutes 31 seconds East a distance of 838.42 feet to the point af beginning of the properly being described; thence South 67 degrees 19 minutes 23 seconds Ea�t a distance of 268.25 feet; tl�ence South 32 degrees 16 minutes 30 seconds West a distanc�of 380 feet,more o�less,to the shore of Lake Minnetonka; thence westerly along said shore to its intersectlon with a Ilne drawn on a bearing of South 23 degrees 15 minutes 29 seconds West from the poiM of beginning; thence North 23 degrees 15 minutes 29 seoonds East a distance of 393 feet,more or less,to the point of beginning. 2. Owners request the City to review thfs appiication. 3. The City wfll commence its review of the application and incur costs associated with sald review only if the Owner establishes an escrow to ensure reimbursement to the Cfty of Its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneousiy with the executlon of thls Eecrow Agreement, the Owners shall deposit$2,500 wlth the City. All accrued intereat, if any, shail be pald to the City to �eimburse the City for its cost in administering the esc�ow account. 2. PURPOSE OF ESCROW. The purpose of the esc�ow is to guarantee reimbursement to the City for ali out-of-pocket costs the City has incuRed (including planning, engineering, in excess of $600, or legai consultant review) or will incur in reviewing the p1an. Eligible expenses shall be conslatent wlth expenses the Owners would be responsibie for under a building pertnit application. The escrow will also guarantee reimbursement to the City for ali out-of-pxket costs the City has incurred to assure that the work is completed in acconiance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 78. The financial security may also � used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastnicture that is caused by the work(including planning, engineering, or legal c�nsultant review) associated with building permit #201400085 if complianoe with the approved building permit is not accomplished. 3. MONTHLY BILLiNG. As the City receives consultant bills for incurred coats, the City wili in tum send a bill to the Owners. Owners shall be responsible for payment to the City withln 30 days oi the Owners' receipt of bili. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In tha event that the Owners do not make paymeni to the Ci1y within the timeframe ouUined in#3 ebove,sFrell Issue a Stop Work Order untll the Ownera pay ell expenaes invoiced pursuant to #3. The City may draw from the escrow account without furthar approval oi the Ownere to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shetl be retumed to the Owners when the review has been compteted and written nottficatfon is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. ff the project is abandoned by Owners,or ff the eligible expenses incuRed by the City exceed the amount in escrow, the City shail have the right to certify the unpaid balance to the subject property pursuant to AAinn. Stat.§§415.01 and 368.012. C1TY: .I OF RONO NER: r By. Its: � �� .,� ,..t � .,� x . �., �� - � � � - � s �.� _°-� � �t±�n_�IaC�w4. .�C .�, . .�� tn._ §��'��n11�0� : .�°� RW�f:� ��4wI�`-�,.���.3���1�°� ; , _ , j �iEV r�° ��i's:�� �7� K�i i�Y ,'��';��y �; � �r�:'If �Y. 1��e". . . � . . i � � �� '�°!-y�+Jf.i ; I �'��L�:� r�iro.•� 'Zj.4`i�.�oX t � ; �. . � -, ti� • . � ��a��i� ��'�a�. � -.. � I _ .. . ' . .. . � - �-' �� � ''�1 F Y•�ii� !�."DPa�'? ! j Pt'��A�t r. �'a'lat�.~ea i j r3�?����3 .;t,^. ; 5�i�� �Y'� f�J� �iia{"��i.. ..,w��.!IJ . i , 3�J1 �;�� I ��+��!YP'�� PP;�=��frlU�Ms� �'p�i�-,y}6 i :�7#:nl.; --- _.s:. ,, + � . - �ti..'�f.�t�a��^ �� 'y'!t�{� . ' ' -,.;-�w-..�M , i:�'��k P�� .'�"r0,`N� ; �s'���rn=e �;��`r..t��,, , r ' �:�r �ia��"«: ; trc�i �n,;��[+£tt J �t�'��1 i:,/. . � «Aac$F�', t el"h'�,o}+�ip ---- r � /� � i�I{# 4 `Jl.�Li.:��Jd�C-1J{ 'p�6~µ � �, .. i. . . . . . +.� /-:',i`i'.y . � ' . �� . �. .. - ' . � . I _ � � . � � ' � � . � .�:.I ... . . . . ... � � � �� ,.: .. . . � . �: . . ; . . : '. �_,� . : ...'..' . ..�I � � ., .. . _. �. .._..'�.� . _.. .. .. .�: __, " ,; I .. .. _ � .. �. . � ... � � ...�-..� ' � � � CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 4 - P1 0 1 4 2 * DATE ISSUED: 02/18/2014 ORONO,MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 2655 NORTH SHORE DR PIN : 09-117-23-42-0001 LEGAL DESC : LTNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT-2014-00085-PAID FOR BY CHECK#36054-BY PILLAR HOMES APPLICANT ESCROW FEE-BUILDING 2,500.00 ESCROW FEE-EROSION CONTROL 0.00 PILLAR HOMES ESCROW FEE-GRADING 0.00 1700 NIAGARA LANE N TOTAL 2,500.00 PLYMOUTH,MN 55447 (763)475-1700 Payment(s) CHECK 36054 2,500.00 OWNER VAN RIEMSDYK,JAMES 2655 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved pians 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 goveming 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 consWction 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 at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date Date 7irtre Inspecxof Mspedior+�YPe Sta[ H Pemrt� Address Pemat TYPe _ �►RP�Y TYFe Construction TYPe _... ,....:.:. :.:._..: ' I _�_�_.� ---- ��L�L.�—�i__�` i �� —�.� ---__._T � � _ _ 5f16/2018 12:Ef0 AM ME1D Mechan�cal-Air Test _�P Y 20140Q417 '.2555 tdarth Shore Dr Mechanical Resi�trtial Mechani�l-Multiple 5J6/20'14 12:00 AM MEiD Mechanicai-Rou�In �P Y 2111b-004'!7 ;2655 North Shore Dr �echanical __ Residenti� _Mechanical-Multiple 8►5l2014 i2:�AM METJ Mkchanicai-Final `.P _Y 20i400417 2655 North Shore Dr j Mechanical Residential f Mechamcal-Ntullipie — �__ ____� _..__ r..--------- — - -----__—_�_. _�.-----_._..._.__._.__....._—____.. 2/9Pl015 t200 AM METJ Plumbing-Rou�tn 'P Y 2014-00401 2655 North Shore Dr �Plum6ing Rasidenti� (Fixtute __ �_ 2/9f2015 �1200 AM ME'fJ Plumbin -Final ^;P Y 20140040f ;2b551�rth Sho►e Dr Plumb+n Residenti� ;Fncture �— r ------- 219120i5 !1200 AM METJ Plumbinc�-Raugh!n __� P Y 2014-�399 ';2655 North Shore Dr Plumbin�__________ Residerrt� Foctures-Muki e - --- -- _. —--- ?i9f2015 12:00 AM METJ Plumbin -Final ;P rY 2014-00399 ;2655 North Shore Dr Plumbing Resideritial Foctures-Muki le� _— 5/6l20i4 �12:Q0 AM METJ �umeiog_Rou�N� __� _P __�Y 20140039i �2555 North Shore Dr_Plumbin�---_ _ ___..__.._____..__Residetitia! �Fixturea-Multiple_---_--___ _.._._____.---.._............_______. e -- -�___. 7►7J20t4 12:Q0 AM�METD 'Plumbin Final P � 201406391 2555 NorEh Shore Dr ,Plumbing �Resiclential Fxtures-Multi e __ � �._—___-------- — ---__. �—_-- + —__ ___ _--- � -- � Escrow Refund Requested 20't400142 ::2&55 Narth 5hore Dr j Escrow Fee-Tied to Buil�ng Pertrrit Residen6� _�Escrow Fee-Tied to Buildng P ---- ----�--- ---- -------- Eacrow Rafunded 20td-0a142 c 2b55 Narth Shore rD Escrow Fee-Tied to Huilding Pertnit Resider�tial I Escrow Fee-Tied to Bu�d'i�g P ' _ -.-----.--.-- ____..---. �_._._.__._�--- _.._--- _,��..__. —_._.... _.._.__._.___......___ _ _____�___. ___�_,�__----- .._..._.._.._._____ _.....__��__. _..___.... .._. 31412014 12:00 AM f METJ Footing(w Reba� P �Y 2(114-00085 2655 North Shote Dr Ad�tion!Remodel/Repair �Resi�rrtial Addn/Remodel 1 Repair �_ -------- — _�� ��. ----- 3i5/2014 12_00 AM�N�'fJ Poured WVail(Faundah�)__ P �Y 20°[4-0�85 2655 North Shore Dr i Add'ition!Remodel f Repair i2es�dert[ial Addn!Remodel!Repair ah 3116f2018 12:00 AM�ROGP � Foundation 5urvey 8I4 Frarrang �P Y 201400085 .2b55 North Shore Dr 'Addition!Remodei!#2e air Residetrtial Addn!Remodel 1 Re r _ _ �. P - r_____-..----��----- - --____._._._ __ �_ -_. _� 5119V2014 12:00 AM'FAETJ Framin P �Y 20i4-00085 2655 t�rth Shore Dr �Ad� dRion I Remode�!Repair __ Reside�rtial �A�n I Remo�l!Re�a�ir___ �__��__----._�_��.— _� — 5123l2014 12:OD�[u�TD k�sulation I P 'Y 20140D085 2655 Nodh Sho r e D r �Addtion/Remodel/Repair__________ Residential__I Addn/Remodel!Repair____._........._. ki __..______._.._._,��� �.�...�.___ ___..._.... __........_.. _____---- -----------;_..----�._.�._..__. 4128I201& 12:00 AM;CMAT r�-a�n s�ey P Y 201400a85 2555 North Shore Dr Addtion!Remodel/Repair _ ResideMisl �Addn!Remodel!Repa�r ____ �'�'--� --' ---'Radon Rock Bed —T � �^20140f1085 2655 North Shore Dr :Add�tion!Remodel f Repair Res�dential ��Addn!Remodel!Repe�r_^ _._ -- _ _ _._ _._�— __ ' --�---- (��v)__ � . 7l2112t114 i2:�AM�METJ Fnal ;F IY 2t1i400085 2655 North Shore Dr�Ad�tion/Remode!!Repair � i Residerrtial IAddn!Remodel/Repair �_�__ __.e _ ___v__�_. _ _. __. �.._.�____ 3/3/20i6 _12:�AM(ROGP Fnal REINiSPECTlON ______P___IY 20't4-00085 '2655 No�th Shore Dr �Addition!Remodel!Repair ___ r Residerrtial _1A�n!Remodel!ReQair_____ 1 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 101�f 4OO K COMPLETED 11:D0 ADDRESS 24'55" IVc h S©04' a i ve OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION �5k, /-7L- / /4 5, PC-/dn W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU: YES NO cc., COMMENTS: W Csa ,4-Cbar 1-/- ��/U� le �rvc cc C-4II/ ' ert4 r0naG/ ovs Itis W ct Q W z W 2 CI W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW CI CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY OO CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra on site: Inspector. c.17,4 White Copy/Inspector's File Canary Copy/Site Notice Christine Mattson From: Adam Edwards Sent: Friday, April 22, 2016 9:12 AM To: Christine Mattson Subject: RE: 2655 North Shore Drive/#2014-00085 Chris, The as built appears to be in keeping with the intent of the approved plan. An inspector should conduct a site visit to confirm all work is done and that the as built accurately reflects the condition on the ground. Adam From: Christine Mattson Sent:Tuesday, April 19, 2016 2:41 PM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject: 2655 North Shore Drive/#2014-00085 Adam, We received an as-built survey for 2655 North Shor Drive. Please review and provide comments. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway 1 Orono MN 155356 (physical address) PO Box 66 Crystal Bay MN 55323-0066 (mailing address) 952.249.4620 8 952.249.4616 cmattson@ci.orono.mn.us ' www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm 1