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Home My WebLink About2009-00177 - new structure � , , ' CITY OF ORONO , PERMIT NO.: 2009-00177 ' 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE �ssuEn: OS/2U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3186 NORTH SHORE DR PIN : 09-117-23-32-0010 LEC:AL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATIO[Y : $ 400,000.00 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN IRRIGAT[ON, ELECTRICAL(STATE) SEPARATE PERMIT REQUIRED FOR ANY WORK ON ACCESSORY STRUCTURE SEPARATE PERMIT REQUIRED FOR LAKESIDE DECK-DECK MUST COMPLY WITH AVERAGE LAKESHORE SETBACK PLAN REVIEW PERMIT#2009-00176 PAID 04/24/09 SAC PAID#3785-9/13/1973-RECLAIM FROM DEMO CREDIT -srn� �NN -�;3=;i� :��31:� lY��. :)r��.��ij�'.i p:'•S'� f 1 i� ...ite� APPLICANT � ��`J1+� � 2,856.75 NEDDERMEYER GLEN '�� > F:-'3��IU ' 200.00 709 MINNETONKA HIGHLAND LA �.;lai►�q r�et�e LONG LAKE, MN 55356- '��ri±s 2,500.00 ;::�-•p:.177 ,�.�.� 5,556.75 �t, ,..s:0�1{k? 'E� tr yc,vts-�t�,�+ OWNER ,ti 31; NEDDERMEYER,GLEN �=-------- .s� 709 MINNETONKA HIGHLAND LA .,.-N �;�, ��5 LONG LAKE,MN 55356- . �,�#�der�wv�: =��.�:1.iee: � 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � �"" L�� l�-�-E= ��l �� l � �' ,;�-�t�-�� Uy�'I �t� � � Applicant Permit ' ature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . , �-o� �' � � 5 - �111ED City of Orono APR z � ?.� Building Permit Application cmr oF c�� 5ss�.�s for New Structures or Additions 3�05�.75 Tz,�� Mailing Addiess: Permit number: - �/ 7� Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �, StieetAddress:' Received by: � '� � �. Gtiti 2750 Kelley Parkway Plan neview fee: �5 • Q � '��o�.� Orono,MN 55356 � �� ,1 �y�� Totai�'ee: do 09-vo/7� �` Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This applicatian form must be completed in full and all required information must be submitted. Incomplete applications will be retumed. (Please print) GENERAL tNFORMATION: Job Site Address: 3 g(c PIpR}N HOQ Will this be a Parade of Hornes, Remodelers Showcase Home or other Display Home? Yes o If ye�s,a specia/e�nent permit is required with Polioe Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstiates suflscient on-site pa�ldng is available. Non-permitted events will not be albwed. CONTRACTOR/APPLICANT INFORMATION: Name: G�E�1 �E.'D'DE�1nnF�1 E2 State License# Expiration Date: Phone: (office) Ce I a-9 l�n-'I S O O (ce��) MailingAddress: O M� 't�N �.N ,.► l C� � o�v�, L�K ZIP: S S<o Contact Person: Applicant is: Contractor / omeown �ci�o�� Email and/or Fax: GIE r� eJ KM HEREC�ORS .CoM PROPERTY OWNER INFORMATION: Name: C�\E►.1 Net»F2n�EVEi2 Phone(day): Ce I� —`1!� - "1 S O� Address: "Toq M ��iNE?pNKq Ntc�t+lA�vc� L,v City: �oNy, �AkE Z�P: SS3S�o Email and/or Fax C,��,��kMHER Ec.�oR S.COrn ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disp�al 8 Water Supply �New Construction �ingle Fami�y with esidence ❑Addition attaChed garage �Garage/Acvessory Bldg. �ublic Sewer ❑Accessory Building ❑ Single Family with ❑Dedc ❑Relocation detached garage ❑Offioe/Commercial ❑Private Sewer ❑Other.(speafy) ❑Mu�iple Family/Condo ❑War+ehouse ❑Public ❑Storage ❑Public Water "My earth movement may require ❑Commeraal ❑Other(specify) MCWD review S permi�s. ❑Industrial '�'�rivate Well Minr�haha Creek Wetershed DishiCt(MCWD) ❑p�tgr.(spepfy) 18202 MinnetoN�a Blvd Deephaven,MN 55391 Phaie: 952�71-0590 Fax: 952-471-0682 www.minne ha Estimated Construction Valuation(exduding land) ; l.�mp o ma ,d-�p f -18- �� LIST OF REQUIREMENTS BEFORE RELEASING THIS PERMIT t � � ��--�►'i`�-, , � cy � C;�,/� � Address of Permit: � � � I`�� Permit#: ��-' Completed By: �T Date Completed: �Z�IOCI ❑ L�res ❑ N/A ��t �rn o.✓ 1na..Q �r� ��,1 � -- G[J� `L�''! � �-' �� The resolution to be signed before issuing this permit. Resolution# - ❑ � ❑ N/A Escrow agreement signed and returned to City Hall before issuing this permit. Date agreement was returned: �SGt'cw z��"�,�' S«f v�. �,.� �r,.�.�- — r,�.�s c�gc�.,�ti��ecf / ❑ L►�'Yes ❑ IV/A � ��1 Po�e� CC� S�g��'��, / acm��` gl�t�lc� c�e,� c�p`� c,�►a1r► Pe.vn,,� Escrow Fees to be collected before issuing per�}its. Type of Escrow Fee: �u l��11'�a� ►'v�t i- Amount to be Collected: $�SO � ^ G , i � `U � �� • Dated Collected: � � � �� • Amount Collected: � � � � � � � • Transaction Number#: `J �� ,�� J l ❑ ❑ Yes [�N/A �� •� � r;• �� nt Plan Review Fee to be collected before issuing permits. • Date Collected: , ,,��,; ��i �� re.��.� P�-cC./. • Amount Collected: ` � • Transaction Number#: ��""��`�� `�`��C�� l � ❑ ❑ Yes ❑ N/A ��,�� Additional Remarks/Comments: � , ❑ Date Permit Was Issued: �/�" 1 �v C� Cc: Finance Department, Ch ' Mattson—ANYONE YOU WANT STRUCTURE fNFORMATiON: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= �C Number of bedrooms= y �Wood/Frame ❑ Masonry b.Width(ft.)= X Number of garage stalls: ❑ Metal Attached=� ❑ Pole Bldg. Areas in square feet Detached= ❑ ICF ❑On-site Prefab c. Basement= l�O o� ❑Off-site Prefab d. 1 S`Story = �� ❑Other(please specify): e.2"d Story= o�b-I(o f. '/Story = g.Total Area= J'roZgo� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements O ❑ Hardcover Calculation s ❑ Se tic S stem Site Evaluation Re ort ❑ �' Access Permit ❑ ,B' Wetland Buffer Im rovement Plan ❑ k7 En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the pubfic 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. ApplicanYs Signature: � �� Date: �^ '� �� - 19- CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �"�U`� (� J`j«'(�� `'�-� � �)r� ;,�-r� � �«r PID: DESCRIPTION OF WORK n��r.�, �j�;�;j� �1 �Y,,,��,k,X �;�� ZONING REVIEW BY.• � �jr/ � DATEAPPROT�ED:�S 2 I �Cj BUILDING REi�IEW BY.• DATEAPPROVED: 5-l3- u S FEES TO BE CHARGED: Misc. Fees Calculated By: �� ~ PERMIT Yes ./ No PLA1V REVIEW Yes_/L No SEWER CONNECTION STATE SURCHARGE Yes ✓ No N�ATER CONNECTION INVESTIGATION FEE Yes No �' PARK FEE SAC Yes No �/ SITEINSPECTION Number of SAC Units Qq,A �37 t?� Y- �3•�3 OTHER (spec�) ZONING CHECK LIST ' �'� �� ~�� Zoning District: —� Fire Department: Post O�ce: School Dislrict: Lot Area: Sq.ft. Acres G � �Width �� Depth SurveySubmitted: Yes ��' / No Date ofSurvey: �� 2-0��8 Y'Q-`� . ��9'�� Pro osed Setbacks: �sh��,C P .�sn�(Lake): I'�2 � Rigirt'Side: � (o' Z� � � — S /Z o..�hc�a.��PoaIG Rear �� 2 �—� ��: f d �efY Side: �� • J � 2 3 1s�' � ti��,�,.�8� Adjacent Structures: Wetland: �I�}� �'" 3..� Building Height: Def. Hgt. Z �, �D Peak Hgt. c��. �p �� Lot Coverage: � •�� Grading.� StaffApproval Date: �.f} �{'X�tQs}yoo� By,; ��'1 �ouncil Approval Date: Septic: StaffApp�-oval Date: � By. . Zoning File: # �J� � `��,� Resolution: # Resolution Date: � `�� Shoreland Disb-ict• MCWD Perm � " �Z Avg. Setback: � B1uffSetback: �� Exist� P�roposed Hardcover: 0-75' 75-250' ��,7�( �250-500' �' 3S— �S-°lo �soo-l000� sy,(�2�0 Ha��dcover i�ariance Required: Yes��No� Date of Council App�•oval: ( Z� �J� -� REMARKS(in house): 33 BUILDING REVIEW CHECK LIST UBC: J2 CONSTRUCTION TYPE: V Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Va[ue: $ `-tOC9.C�c'c� `� Inspections Required: Work Requiring Separatc Permits: Site _Lc Plumbing Fire Hardcover Removal � MeFhanical Water Connection ( Footing Septic �_Sewer Connection _�Framing oc' Fireplace �Lawn Irrigation �Insulation oc (Masonry) Other __�d (Mfg.) � Well(State Permit) _�Final Grading/Filling �_Electrical(State Permit) . Other ' REMARKS(INHOLISE): REVIEW BY OTHERS: DATE: Access: Faisting New • Access Approval.� Date By: REMARKS (TO BE NOTED ON PERMIT): SY�trst C� Q�1-�vi � Q v/� �� Fc�' c,c�c�'/C 7 e S v ,e,(��_ D�vm/ i"�0�/r'ec�' � �dQ — r�/� y>'!Us�- e arn p/Y c�� lLe 1 /r�lces�ieu... .1'e,� �sge./< �'�;�- 34 • Z ?.�-D01 �7 iz�zz`/� � �+►�cH�-L. �"onf�s do -34 ►►� a��5 2�.�,, c�.��-�. e�w ��.�� (��.(,� N S IJ � H��2DCOV�R ALCULATION WORT�,SHEET ' .' SLTI3ACIC ZONS:: (CIItCLL ONE) -75 75-250' 250-500' �00-1000' '' �XTSTING�TAl2pCaVT;R Il�t ZONL� A. IIouse x = S.F. �/;' l.enUth Width ' • 'V� " X ' 'y = —'�� J�_�`s�' - X . . _ � . .F. �Fo (J� _ 1� � B. Garube _ x . . _ � $.P. �0�� C. Driveway .____. x ' = OS.FR�/`/O x = S.F. D. Side�valk x = S.F. x � a ' S.F. B. Patio/Decic x � _ � S,F. X = S.F. F. Lazldscap� x . .� • , S.F. Underlain � � � � ' S.F. l3yPlastic ---�� . — ' .a — ' S.F. Or Fabric • , ..�.«;,: G. Other x � = S.F. 'TOTAL�IAI�UCOVER IN 7,.ONE - O . S.F. A TO"1 Ar PROPBRTY AItEA IN�ON� - 3�G 3 C� S.F. B p p + � 3b3o �x loo = . v % z�zi��os�;n �f�x�l�eovFr�nv zoN�. � . A. House ' x = . "' S,F. LengtM Width ' ' x = �S.F. � X = • S.F. X = S,F. � B. G1r�ge _,--- x = S.F. C. Driveway � x • = S,F. X = S.F. D. Sid��vall: � x ' = S.F. — X . . _ .S,F, r. Patio/l�eck x• • = S.F, _.�_T_ X . _ . S.F. ' F. Landsca�e x � = S.F. Underlain ._ x . _ � S,F. � I3yPlastic �x , • = S.F. nr Fabric . G. Other x — � � S.F. TOTAL H�RDCOVER IN ZONE - S.F. A TOTAL 1�ROPGRTY AREA IN Z�NE - � S.F. B A + B x 100 = % � • jJl�C.��G-c- Ton� C��4fL /2/a Z.`eb �a�c.o�ws Z �4-, Cr��S-r7�-� 8�y �k�e..�. . . : � rI��LDCOV�R CALCULAT ON WORK,SHEET .�' SL'TIiACT{Zc�MS�: (CYItCLL ONE) 0-75' 75-250 250-500' �00-1000' a' �XTS"1'TNC�HAlt,l]C:C�V7TR TI�I ZON� A. IIouse x = Z 7Q-q- � S.F. Length Width • . _ . X • = S.F. ----- X . . "' ' = S.F. . X , . _ . S.F. B. Garabe _ x � ' _ ' �,F, C. Driveway � vJ M4t�.. x ' = Z�6 2 S.fi. - X = S.F. D. Side�valk _ �"IG X = Z/ S.F. h1�1'C�L[— _ ?c = /33 S,F. E. Patio/Decic x _ _ � S.F. _ x = S.F. F. Landscape _ x ,_ • , �.F. Underlain x ' _ � ' S.F. 13yPlascic V---- . — , .x — . S,F. ' Or Fabric � w k�1.3 . • , a=•;,,,, G. Other x � _ .3� S.F. 'T'OTAL�TA1�.I�COVER 1N 70NE - ��I 94- . S.F. A TO".l Ar I'it01'ERTY AREA IN�ONE - L y/IO S.F, B A 499�- -� s z►�►o `xioo = . z3,L�°io t�rio�os�,i) rif�T-�1)COVF�r�.IN ZONL ' A. House T --- x . _ ' �.g, Lcngth , Width ' ' _ X = S.F. X = � S.F. f-��Rf ari�C�V x /7X !2 = f 204 S,F. � B. G1r�ge � x = S.F. C. Drivcway � x • = S,F. X — S.F. D. Sid��vall: ____ � x � � � S.F. _ X . _ .S.F. r. P�tio/I�eck __ x. • = S.F. _�. X = . S.F. ' F. Landscape __ x � s S.F. �, U1ICICI�A111 X , = S�F'� � 13yPlastic �x , • = S.F. nr Fabric G. Other _^_, x = � � S.F. TOTAL HARUCOVER IN ZONE - 49 9 4 � �O1j � S�9$ S.F. A TOTAI.1�'RU�'I;RTY A1tEA TN ZONE - . Z/�/� p S.F. B A S!�8 T B 2ii/o x 100 = 24,62..: � % . M�r�+A�� o,�� o -34Z. ��f az��d I1J g1.t7L{l.�j Z l�/ C�1"`l5'f�L �� l4-l2.IL . �T��tDCOVER CALCULATION'WORI T .' SLTl3ACI{ZU14T�: (CIItCLL ONE) 0-75' 75-250' 250-500 �00-1000' ' �XTSTING Ha�t.�Cc�VP�R T�1 ZONE A. IIouse x = -- � S.F. Lcngth Width . . � - - X � = S.F. -- - X � - S.F. � X . _ . S.F. B. Garabe _ x � ' = 4(s�_$.F, C. Drivcway x � = Z85� S.F. ' X . = S.F. D. Side4valk x = S.F. . --- — X = S.F. E. Patio/Deck x = � S.F. --- X = S.F. F, Lan�iscape x = • S.F. Underlain T`_— x � � ' S.F. S3y Plastic � T 'x - S.F. Or Fabric ' G. Other X _ - S.F. 'TOTAL�IAI�COVER IN�ONE - 33Z o �,F. A TO�AT PROF�ERTY AREA IN�ON� - Q'�ao S:F. B A 33zo ;- a g�Qo °x ioo = . 34-.58 °io z�i�o�os�;n �-3E�.r�i�cov��r�,rrr zorr�; � A. House _ x = '. S.F. Length . Width ' ' - x = S.F. X = � S.F. -- . X = S,F. B. G1r�ge x =' . S.F. C. Driveway � x � � S,F. . X = S.F. D. Sidewall: � x ' = S.F. — X = .S.F. I:. Patio/Deck __ x� • = S.F, -- . X = S.F. � F, Landsca�e x � - S.F. . , Underlain X _ � � I3y Plastic �X . _ S,F. �r Fabric � S.F. G. Other X _ � �------ S.F. TOTAL H�IRDCOVER IN ZONE - S.F. A TOTAI.'t'ROP�RTY A1tEA IN Z�NE - S.F. B A -;- $ . x 100 = % • � • la'-34-Z �a/zz/io ��l�c.�r-��c.. �`o��s G�Y�ts�c. B�a-y �+1-�.r.c. . cN 'r3�-ot-�GS z��I- T-IARDCOVER CALCULATION WORT�SHEET .' SLTBACI{Z�NTs; (CIIZCL�;ONE) 0-75' 75-250' 250-500' S00-1000' ' EXTS'1'TN�HAR.DCC�V7;R T1�1 ZONE A. IIouse x = S.F. Len�th Width . � - X � = S.F. - X . , . _ S.F. • X . - . S.F. B. Garabe _ x = � S.F. C. Driveway x ' = Z l3 S.F. ' X = S.F. D. Side4valk _ x = S.F. - — X � S.F. E. Patio/Decl: x = S.F. -- -- X = S.F. F. Landscape x = • �.F. Underlain _____ x • _ ' . S.F. By Plastic _ _ ' x - S.F. Or l�abric ' G. Other x = S.F. � 'TOTAL F•TAI�U�OVER IN�ONE - Z/3 S.F. A TO 1'Ar Z'ROPBRTY AREA IN�pNE - 34U S.F. B a - z�3 + B 390 ��x 100 = 5q-.L�. % PR�POSI;D 1Tf�T�1)COVEP�.TN ZON:� � A. House x , . _ " S.F, Lenb�f� . Width ' ' - X = S.F. - - X = � S.F. X - S,F. B. Gar�ge X _� . -------- S,F. C, Driveway � x • = S.F. . X - S.F. D. Sidewal�: ____ � x = S.F. — X = .S,F. r, Patio/Deck _1 x � = S.F. ---- X = S.F. • F. Landsca�e __ x � = S.F. :,, Underlain X ^ • � IIy�'lastic �X ,� � S.F. Or Fabric S.F. G. Other ^____ x = � � S.F. TOTAL I-i�IRDCOVER IN ZONE - S.F. A TOTAI,1'ROP�RTY A1tEA IN Z�NE - S.F. B A -'' g x 100 = % Address: ��gCo No12TN 5�102� �2\V� Date: 0?009 Prepared by: G2oN�ERV + pl SSo�:o�c��r� (�W nIEF2 HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Dedc x = S.F. x = S.F. F. Weed control x = S.F. weed barrier x = S.F. of any kind x = S.F. G. Retaining Walls x = S.F. H.Other x = S.F. TOTAL HARDCOVER IN'�ONE - O .S.F. A TOTAL PROPERTY AREA IN ZONE - Ce 3 O S.F. B A j- B x 100 = O % PROPOSED HARDCOVER IN ZONE(inGuding exis6ng hardcover to be retained) A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Dedc x = S.F. x = S.F. F. Weed cont�ol x = S.F. weed barrier x = S.F. of any kind x = S.F. G. Retaining Walls x = S.F. H.Other x = S.F. TOTAL HARRCOVER IN ZONE - O , S.F. A TOTAL PROPERTY AREA IN ZONE - 3l030 S.F. B A '- B x 100 = O % -9- Address: 3�g�v NaRTE1 �NO2� �I�c\V� Date: 0?009 Prepared by: G2oNF�E-R(� + a SSOG:ohc�f�u�P ry (�t�!lJE�r2. HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000' EXISTING HARDCOVER IN ZONE �g�S S.F. A. House x = Length Width x = S.F. x = S.F. B. Garage x = � S.F. C. Driveway x = .��S(a� S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Dedc x = �S 8 S.F. x = S.F. F. Weed control x = S.F. weed barrier x = S.F. of any kind x = S.F. G. Retaining Walis x = S.F. H.Other x = S.F. TOTAL HARDCOVER IN ZONE - S.(e�T3 .S.F. A TOTAL PROPERTY AREA IN ZONE - �1}�1 � S.F. B A -} B x 100 = .�Cv.81 % PROPOSED HARDCOVER IN ZONE(including existing hardcover to be retained) A. House X - a ��y S.F. Length Width x = S.F. x = S.F. - B. Garage x = � S.F. C. Driveway x = o� �{�p S.F. x = �S.F. D. Sidewalk x = �e� S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Weed control x = S.F. weed barrier x = S.F. of any kind x = S.F. G. Retaining Walls x = S.F. H.Other x = S.F. TOTAL HARDCOVER IN ZONE - �-1�S�c� S.F. A TOTAL PROPERTY AREA IN ZONE - '�1 S.F. B A + B x100 = � . % -9- Address: ��gCc Nai2TN G.1�1n2E �12\VE Date: 0�009 Prepared by: G2oNF�E�� + Q SSoC.:or�c��iQu��p�'� �W►JEr2 HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = y�0 3 S.F. C. Driveway x = o�8$1 S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Dedc x = S.F. x = S.F. F. Weed control x = S.F. weed barrier x = S.F. of any kind x = S.F. G. Retaining Walis x = S.F. H.Other x = S.F. TOTAL HARDCOVER IN ZONE - 3��O .S.F. A TOTAL PROPERTY AREA IN ZONE - �Cob� S.F. B A � B x�oo = 3y,S8 °io PROPOSED HARDCOVER IN ZONE(including existing hardcover to be retained) A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage X = y(03 S.F. C. Driveway x = e�i851 S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Dedc x = S.F. x = S.F, F. Weed control x = S.F. weed barrier x = S.F. of any kind x = S.F. G. Retaining Walls x = S.F. H.Other x = S.F. TOTAL HARDCOVER IN ZONE - �,3.Z O S.F. A TOTAL PROPERTY AREA IN ZONE - 9.Go O S.F. B A + B x 100 = 34.58 % -9- Address: 3�g�v NaRTE1 �n2E �J2�V� �ate: a0a9 Prepared by: G2oti�,Ef� + �SSoc:orEc c �f��ry �W►JEr2 HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = o��3 S.F. x = S.F. D. Sidewaik x = S.F. x = S.F. E. Patio/Dedc x = S.F. x = S.F. F. Weed control x = S.F. weed barrier x = S.F. of any kind x = S.F. G. Retaining Walis x = S.F. H.Other x = S.F. TOTAL HARDCOVER IN ZONE - o?�3 .S.F. A TOTAL PROPERTY AREA IN ZONE - ?4 O S.F. B A � B x 100 = �4.�o'� % PROPOSED HARDCOVER IN ZONE(inciuding existing hardcover to be retained} A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = 0?13 S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Dedc x = S.F. x = S.F. F. Weed control x = S.F. weed barrier x = S.F. of any kind x = S.F. G. Retaining Walis x = S.F. H.Other x = S.F. TOTAL HARDCOVER IN ZONE - 0��3 S.F. A TOTAL PROPERTY AREA IN ZONE - 3q O S.F. B A + B x 100 = S 4.(o o'� % -9- 30-3/4 [781] � 15-3/8 1 l2 I�g�l ��3� � ' 15-718 � 16-3/8 [403] 8-3/4 I416] � [222� . 8 6-5/8 [168.3j . � 40 [1016] 37.7/g 2-1/4 35-5/8 5_112 [962] [57j [905] [140j 3-9/16 [90] � e . Rj w � �-----36-1/8 -►I � � GASS LINE 6 �9�8� ELECTRICAL ACCESS [�g2� 41 6-7�8 ACCESS [1041.4] L175] TOPSTANDOFFS VENT COLLAR3 HOOD � � CERAMIC F�BER PAD � • � � ;�. Ow U 'i e,�x �' . ' �'� `��y' �J. � �1. .� F # 0 � •�� RATING PLATES D 8 LABELS � t GAS LINE GAS BOTTOM GRILLE EIECTRiCAL ACCESS CONTROLS COVER ACCESS Figure 1. Diagram of the SL-750TRS-IPI-D �� r� � Positioning, Leveling, and 3��MIN.(76mm) ' Securing the Fireplace T'he diagram below shows how to properly position, level, p B and secure the fireplace. O A WARNING: � To ensure proper clearances the front framing header must be installed on its narrow edge and to the E front of the frame. � �' C 1/2"AAIN.(13mm) INODEL VENT A B C D E . SL-750TRS-IPt-D Top 42 1&-1/4 31-7l8 45 63-3/4 F Reank 42 16-1/4 36-5/8 52 73-1/4 S1-550TRS-tPI-D T 37 16-1/4 29-3/8 41-1/2 583/4 Rear* 37 16-1/4 34-1/B 48-1/2 B&1/4 SL-350TRS-C Top 34 1&1/4 2�-718 39-3I8 55-5I8 ! Rear* 34 16-1/4 32-5/8 46-3/8 65-1/8 , � .�� "'NOTE tf venting with{2)90°elbows off rear of unit the dimensions C, D, and E,will change. Figure 32. Proper Positioning. le�eling, and Figure 4. Fireplace Dimensions, Locations, Securing o# a FireQtace and Space Requirements • Place the fireplace �^t:, x�^>�� Minimum Clearances • Level the fireplace fror^ s�� :� s�e �n� fram front to from the Fireplace to Combustible Materials back. In es mm • Shim the fireplacs �.ia� �o�-cti��ust�ble material, such Glass Front .......................................36 ....914 as sheet metal. as neccssa�� Floor..................................................0 ...... 0 Rear ................................................ 1/2.....13 • Secure the fireplace to�e fram�n�g us�ng nails or screws Sides ............................................... 1/2.....13 through the nailing tabs. *Top (SL 750TRS-IPI-D).....................3 1/4 ...83 (SL-550TRS-IPI-D, SL-350TRS-C)..... 1 1/2 ...38 Ceiling.*............................................31 ....787 . * The clearance to the ceiling is measured from the top of the unit, excluding the standoffs (see Figure 37). _ -- - -- Minimum Clearances _ _ _ _ _ from the Vent Pipe to Combustible Materials . Locating the Fireplace �aace and clearance requirements for locating a fireplace Inches m�n Vertical Sections. ............ 1 ............... 25 �°~.hin a room (see Figure 4). Horizontal Sections Clearance Requirements Top.................................. 3 ............... 75 -��to and back of the fire lace are defined b stand-offs. Bottom............................. 1 ............... 25 P P Y Sides ............................... 1 ............._.25 -^e minimum clearance to a perpendicular wall extending :.asT the face of the firepface is 3 inches (76mm). The back At Wa/I Firestops �� t#�e fireplace may be recessed 16 1/4 inches (413mm) Top................................2 1/2............63.7 �-To combustible construction. Bottom............................ 1/2.............. 13 Sides ................._............. 1 ............... 25 i �^e distance from the unit to combustible construction is to �- measured from the unit outer wrap surface to the com- For minimum clearances, see the direct vent termination ' :=..stible construction, NOT from the screw heads that se- clearance diagrams in Figures 29 and 30 in this manual. _; ,:.,re the unit together. 17 . Step 2. Framing the Fireplace Fireplace framing can be buiit before or after the fireplace is CAUTION: MEASURE F/REPLACE DJMENSIONS ANC set in place. Framing should be positioned to accommo- VERIFY FRAMING METHODS AND WALL COVERING date wa11 coverings and fireplace facing material. The dia- DETAILS BEFORE FRAMING. gram below shows framing reference dimensions. The framing headers may rest on the fi�eplace stand-offs. VENT FRAMING HOLE _ O *The center of the framing hole is one(1) inch (25.4mm) above the center of the hori- zontal vent pipe. � O ' •� E �• s Framing should be � constructed of 2 X 4 lumber or heavier. . `` . . . . Model A B C D E a ��\ SL-750TRS-IPI-D 49" 421/4" 16318" 44" 317/8" �� SL-550TRS-IPED 37" 331/4" 163/8" 41" 277/8" SL-350TRS-C 37" 33" 161/4" 361/2" 24 3/8" 3" WALL STUD � ! � � � a NON-COMBUSTIBLE ZONE 2-114" � IS DEFINED BY 3"ABOVE THE ELBOW FOR THE ENTIRE WIDTH AND DEPTH(BEHIND THE FRONT HEADER)OF THE FIREBOX. � - � �� •� Figure 5. Framing Dimensions 1R ' , STRAIGHT OUT HORIZONTAL VENTING H � and SL-D Series Ventinq: Max.Run 36"(914 mm) ST�P 4. Install Firestops #Fe�r Horizontal Runs -Firestops are REQUIRED on both ��f a combustible wall through which the.vent passes. �nE�AT"E: Model DVP-TRAP or SLK-01TRD does not need � � a�cierior firestop on an exterior combustible wall. � ': r�:ail firestops for horizontaf runs that pass through o � � � -nterior or exterior walls: :�� t 2"x 10"(305mm x 25mm) hole through the wall for . � -�.=-�er+es or a 10"x 10"(254mm x 254mm)hole for SL-D- o - �� as�e. The center of the framing hole is one (1) inch :::� =�-�) above the center of the horizontal vent pipe. - '.-_�,�n the firestops on both sides of the hole previ- �� _��y cut and secure the firestops with nails or screws. o � � � ,a '"-�+e heat shields of the firestops MUST BE placed to- «�-�s the top of the hole. H - �-��?inue the vent run through the firestops. ; � �QTE: There must be NO INSULATION or other Use DVP-Series i cQmbustibles inside the framed firestop opening. components only. � Y s:,- a�` �25 mm� Figure 10. Straight Out Horizontal Venting � i --3 7"(25.4 mm) 10"(254mm) 10"(254mm) ,� � 12"�DVP)or 10"(SL) (305mm or 254mm) � - � HOLENEY � �- . � VENT PIPE � t N� EXISTING CEIIING � , FRAMING JOISTS c+gure 24. Hole and Vent Pipe MEMBERS CEIUNG � Figure 26. Hole 8 New Framing Members -FJ�T SHIELD TRIM HEAT SHIELD IF TOO LONG,ADD TO SHIELD IF TOO SHORT EXTERIOR FIRESTOP INTERIOR FIRESTOP �igure 25. Heat Shield, Interior 8 Exte�ior Firestops 33 REScheck Software Version 4.2.1 Compliance Certificate Project Title: Mike 8� Natele Jones Energy Code: 2000 Minnesota Energy Code Location: Hennepin County, Minnesota Construction Type: Single Family Glazing Area Percentage: 10% Climate Zone: 2 Construction Site: Owner/Agent: Designer/Contractor: 3186 North Shore Drive Gonyea Homes Orono,MN 55319 6102 Olson Memorial Highway Golden Valley,MN 55422 763-432-4500 . . . Compliance:34.6%Better Than Code Maximum UA:807 Your UA:528 . . . . �.. . Ceiling 1: Raised or Energy Truss 2076 44.0 0.0 46 Insulated(Sprayed)Rim:Structural Insulated Panels 643 21.0 33 Main Floor Wood Walls:Wood Frame, 16"o.c. 2012 19.0 0.0 99 Window:3064-1:Vinyl Frame,Double Pane with Low-E 27 0.330 9 Window:3876-1:Vinyl Frame,Double Pane with Low-E 60 0.330 20 Window:3476-1:Vinyl Frame,Double Pane with Low-E 72 0.330 24 Window:3323-1:Vinyl Frame,Double Pane with Low-E 11 0.330 3 Window:3076-1:Vinyl Frame,Double Pane with Low-E 32 0.330 10 Window:2927-1:Vinyl Frame,Double Pane with Low-E 11 0.330 4 Door:3-0 SOLID-1:Solid 41 0.150 6 Door:6080-1:Glass 66 0.330 22 Door: 125L-1:Glass 14 0.330 5 Upper Floor Wood Walls:Wood Frame, 16"o.c. 1896 19.0 0.0 103 Window:4260-2:Vinyl Frame,Double Pane with Low-E 18 0.330 6 Window:2919-2:Vinyl Frame,Double Pane with Low-E 8 0.330 3 Window:3064-2:Vinyl Frame,Double Pane with Low-E 53 0.330 18 Window:3048-2:Vinyl Frame,Double Pane with Low-E 20 0.330 7 Window:5076-2:Vinyl Frame,Double Pane with Low-E 26 0.330 9 Window:2927-2:Vinyl Frame,Double Pane with Low-E 5 0.330 2 Window:3864-2:Vinyl Frame,Double Pane with Low-E 17 0.330 6 Basement Walls Concrete:Solid Concrete or Masonry 1725 5.0 10.0 71 Wall height:9.0' Depth below grade:8.5' Insulation depth:9.0' Window:3339-0:Basement<=5.6 ft2:Vinyl Frame:Double Pane 17 0.330 6 with Low-E Window:2919-0:Basement>5.6 ft2:Vinyl Frame:Double Pane with 7 0.330 2 Low-E Window:3016-0:Basement>5.6 ft2:Vinyl Frame:Double Pane with 7 0.330 2 Low-E Floor Joist Over Outside Air:All-Wood JoisUTruss,Over Outside Air 18 21.0 0.0 1 Floor Joist Over Garage:All-Wood Joist/Truss,Over Unconditioned 423 38.0 0.0 11 Space Furnace 1:Forced Hot Air 92 AFUE Project Title: Mike& Natele Jones Report date: 04/14/09 Data filename:I:\Energy Calcs\Gonyea Homes\GH002 Jones Custom 04-14-2009\GH002 Jones Custom E-Calc 04-14-2009.rck Page 1 of 4 Compliance Statement: The proposed building design described here is consistent with the building plans,speaficaUons,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 4.2.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. �a x-��4iK�, �Le�-. ?7 L/- � ¢-�� Name-Title Signature � Date Project Notes: Builder License#2459 Project Title: Mike&Natele Jones Report date:04/14/09 Data filename:I:\Energy Calcs\Gonyea Homes\GH002 Jones Custom 04-14-2009\GH002 Jones Custom E-Calc 04-142009.rck Page 2 of 4 LIST OF REQUIREMENTS BEFORE RELEASING THIS PERMIT �/ ,. �'r _ ` —7 Address of Permit: 3 J � � ��''�� '�Y(� Permit#: ��T�� / � Completed By: G T Date Completed: �Z410�! ❑ LJ�res ❑ IV/A `�L��'k� Y� ��`ls.�, r'`t — Cll� �X � �' �— The resolution to be signed before issuing this permit. Resolution# - ❑ � ❑ N/A Escrow agreement signed and returned to City Hall before issuing this permit. Date agreement was returned: �SGrcw zc�rerz.r�'wn��- S��'�-� �� c�r,sz..- - r��e�s c�RcQ. ��ed ❑ C�5 ❑ N�A ,� �v� �e� cc� s�9v�-�v�e--�/ a� s��c g�,�- �apY �� ,►-►�, � Escrow Fees to be collected before issuing per�}its. Type of Escrow Fee: �ul�C'�I►2c.� �P�'✓►�t t Amount to be Collected: $�SO� - � ( �� oJ • Dated Collected: � [ � � � �/� • Amount Collected: � � � � � � ` • Transaction Number#: 1 ��p� � v� -' . � ❑ ❑ Yes [�N/A ,,�� ^t�� . Plan Review Fee to be collected before issuing permits. • Date Collected: � ��j �(� r�� • Amount Collected: � �'�'' � %?�'i'�l�l�-G�OD /�, • Transaction Number#: ' �y�� 1� ❑ ❑ Yes ❑ N/A �� Additional Remarks/Comments: ❑ Date Permit Was Issued: �/� � �� 1 Cc: Finance Department, Chris Mattson—ANYONE YOU WANT BUILDtNG PERMIT ESCROW AGREEMENT AGREEMENT made this��. � dy of �-rn�y, 2009 , by and between the CITY OF ORONO, a Minnesota municipal corporation{"City")and G\�r�t T, NE'DD�2�M E�E 2 [individual or entity applying for permit]("Applicant"). Recitals 1. Ap li s filed an A lication for a building permit formally requesting the City to review plans for a (circle one) ew principal structure / addltion to a principal structure / accessory structure / addition to accessory stru ure r(explain) located at 31g� 1So22T�1 �HaR� �H2�vE the"Subject Property"), as more fully shown and described on Exhibit"A°attached hereto. 2. Applicant requests the City to review said ptans which requires City approval inGuding �ira�m� 3. The City will commence its review of the application and incur costs associated with said review only ff the Applicant 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 Applicant shall deposit$2,500 with the City. All acc;rued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escxo�ni accourit. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Applicarrt would be responsible for under a zoning and subdivision application. 3. MONTHLY BILLING. As the City receives consultarrt bills for incurred costs, the City will in tum send a bill to the Applicant. Applicant shall be responsible for payment to the City within 30 days of the ApplicanYs receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Applicant does not make payment to the City within the timeframe outlined in#3 above,the City may draw from the escrow account without further approval of the Applicant to reimburse the City for Eligible expenses the City has incurred. The City shall notify the Applicarrt the Applicarrt of such draw and the nature of the expense for which the reimbursement is being made. If the Escrow amourrt falls below 75% of the original escrow amount the Applicarrt shall depos� additional sums as directed by the City,or the City shall discontinue review and post a Stop Work Order. 4. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to the Applicant when the review has been completed and written notification is received from the Applicant requesting the funds. 5. CERTIFY UNPAID CHARGES. If the project is abandoned by Appficant, or if the eligible expenses incurred by the City exceed the amourrt in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuarrt to Minn. Stat. §§415.01 and 366.012. '� CITY: C O O APPLICANT: By: ` By:�-'��"`'"-, �—�-�-�-�� X its:� � By: - 15- � EXHIBIT"A" LEGAL DESCRIPTION ��a LEGAL dESCRIPTiON OF PREMISES : That parts of Btocks 2 �d 4, of Crystol Bay Park and at Yiew Averwe, now vacated lying between said 8locks, described as foqows : Commencing at the most eosterly corner of Lot 5, Bbck 4. Crystat Bay Park; thence northwesteriy along the northeasterly Gne thereof 250.73 feet; thence deflecting left 88 degrees 23 minutes dong o line 10 feet to the point of beginning of the property being described; thence continuing along last soid line to the West 1'sne of Crystd 8ay P�k; fhence North dong said West line to the shore of Loka Miru►etonlca; thence easterly dong said shore to rt� intersection with the northtseterty line of Lof 6, Bbck 2, Crystal Bay Park; thence southeosterly along said northeasterly Gne, its southeosterly extension �d the �rtheaster�y line of Lot 5. &ock 4, C�ystd Boy Park to the most east�ly corner soid Lot 5; fhenct southwesterly dor� the southeasterty line of said Lot 5 Q distance of 22.00 feet; thence narthwesterfy to the point of beginrnng, Hennepin County, Minnesota. - 12 - � DATE TIME V CITY OF ORONO CALLED IN �a�a� INSPECTION NOTICE SCHEDULED �a-a3-09 o2:U0 PERMIT NO. .2009-Dd�7 7 COMPLETED ADDRESS 4. ��_�� )� � OWNER CONTR. TELEPHONE N0. �� `Z��v ��D� � DESCRIPTION f I�, � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J � v ✓k ' � C . � ��}�..U��l S 0 � �- �-� � � U ��cI- � � -�-l.�U�-� ° �9�G G� w,4- �f G G._,�-:�es' � Q � �� -��i-�t ��c ( . �� c c ,e S a • � � e CeS S �-j j v J -t- (�1 -�e Cl�'�' !-�e�'� � ❑�W�OR �A�CT6RY:PROCEED � PRQJECT CO�M'PLETE�S�� W Q'CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White CopyMspector's File Canary Copy/Site Notice d�'�" _ D gT TIME � CITY OF ORONO CALLED IN � ` ' INSPECTION NOTI E SCHEDULED O - 0: PERMIT NO. � -�l7� COMPLETED ADDRESS ��0 i�� OWNER CONTR. �IL��C./Z�C)' ��Y�v TELEPHONE NO. �alZ "�ll0 7�t�C' �f � � DESCRIPTION � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PlUM81NG FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � N �� I �?r 1� �e s �,� Gve.1`Q D�S c�'�s SP . a j O � � � % ,� � �� o ��fi Q 17�) '-i-_�/ �1�--�� S � a W � W � � d W� ❑ ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCV � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION iNITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN • ' ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ; ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on si -�� Inspector. 1.../ � S' ". . White Copyllnspector's File Canary CopylSite Notice �� ` D E TIME � CITY OF ORONO CALLED IN -��—D �--� INSPECTION NOTICE {-y� SCHEDULED �—�0 3`�-1 � PERMITNO. �� -lJ�� COMPLETED ADDRESS � + g lP N • S I/�O re L71Z ° OWNER C�— � I�Q��'��ONTR. TELEPHONE NO. �I/�C�irl � �a - � �D�—� `[ �O � DESCRIPTION ��T�� 1 �`�� f"f�� ❑ FOOTING ❑ MECHANICAL RI 0 EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q p DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO h COMMENTS: � W a � b I ,/s,I 0 � ° (r Tc�C3 Qs G- ��tin:e d �,.�d,�.gc W °C �-� a-eS' .D r sTT3 � z W � W � � � �CNORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor ite: � Inspector. � White Copyflnspector's File Canary CopylSite Notice � �- ✓ r DAT TIME � CITY OF ORONO CALLED IN �- INSPECTION OTICE SCHEDULED - - /= � PERMIT NO —��7 COMPLETED ADDRESS �`8� fUL►Y��2 nS/�-o� � OWNER CONTR.�� P�l��fr[ei/� TELEPHONE NO. f�I Z"3�- 7�{I K U�K. ��C�Lt-�y � DESCRIPTION Q61�l.t.eG� C(�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q p TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAI ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAI.L FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETUFiN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �IPISPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. t�' ` '� � White Copyllnspector's File Canary CopylSke Notice �✓ � �� TE TIME J � CITY OF ORONO CALLED IN � O INSPECTION NOTICE SCHEDULED `��1� � PERMITNO. ��9'��oMPLETED ADDRESS � � � S �� OWNER TELEPHONE N6�!�a ��'�7�a• CONTRACTOR ��..�l��C�.4'�� / (�'J � DESCRIPTION �� a 1 / V�� l�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FWAL ' ❑ SEWER HOOK-UP p COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEi YAU�YES_NO � COMMENTS: W a �, rV �11 /Tr A de Q So� . Dr �r�2�-.��'�— o S ��. � -}-. 'TZ7 �C� 5 �.�n�. ; d--E-�d '' 1 �o � 0 � W � Q y �TISFACTORY:PROCEED ❑ PROJECTCOMPLEfE 'ORK 8 PROCEED �(fISSUE CE ATE OF OCCUPANCY `K,CALL FOR REINSPECTION � TEMPORARY �C' PERMANENT �ONDITIONWITHIN HOURS. p pHOTOTAKEN �ETURN 'L INSPECTOR �CITATION ISSUED ' TOARRANGEACCESS. �ction 24 hours in advance. (952) 249-4600 f � Canary CopylSite Noti� . , . • . . • . 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant�J' CC: Street File Date: 8/3/2011 Re: Building Permit Escrow Refund Building Permit #2009-00177 pertaining to 3186 North Shore Drive is complete. The Applicants, Glen Neddermeyer and Mike Jones, have requested a refund of the escrow. � The following is attached: �Z��pb • Escrow Refund Requests • Email from Bonestroo indicating no unbilled WIP on this project • Email from Campbell Knutson indicating no unbilled WIP on this project • Original signed escrow agreement • cash register receipt Glen Neddermeyer paid the escrow and signed the escrow agreement. Mail check to property owner: Mike Jones 3186 North Shore Drive Wayzata, MN 55391 w:\street files�north shore dr�3186\escrow refund memo 2009-00177.doc City of Orono July 28, 2011 2750 Kelly Parkway Orono, MN 55356 Attn: Christine Mattson Planning Assistant From: Glen Neddermeyer ,709 Mtka Highland Lane Long Lake, MN 55356 RW: Property of 3186 North Shore Drive � Wayzata, MN 55391 Michael &Natele Jones Please refund my $2,500.00 grading bond deposit. The project is complete, inspected and a certificate of occupancy has been issued. Thank You, Glen Neddermeyer RE�Ei��D ��c 2s zpj� CIp�.OF pR�NO Christine Mattson ��-�6(�^]' From: Mike Jones [mike@jonesteam.us] Sent: Wednesday, July 27, 2011 1:53 PM To: Christine Mattson Subject: Escrow Refund for 3186 North Shore Drive My building project is complete for 3186 North Shore Drive and I'm requesting a refund of my escrow money. The refund can be sent to my home address. Please let me know if you need anything from me to process this request. Regards, Mike Jones 612-718-0474 i Christine Mattson From: Darren Amundsen [Darren.Amundsen@bonestroo.com] Sent: Monday, August 01, 2011 7:26 AM To: Christine Mattson Subject: RE: Unbilled WIP No No And No Darren Amundsen, PE Associate Direct 651-604-4894 Cell 651-775-5623 darren.amundsenCa�bonestroo.com .�'B{ai'�L�'S��I� From: Christine Mattson jmailto:CMattson@ci.orono.mn.usl Sent: Friday, July 29, 2011 9:14 AM To: Darren Amundsen; 'Sherry Charboneau' Subject: Unbilled WIP Good Morning, Any unbilled WIP for: Building permit 2010-00615 1820 Fox Street Nivin MacMillan Building permit 2010-01116 2058 Shoreline Drive Joseph & Kaimay Terry Building permit 2009-00177 3186 North Shore Drive Mike Jones /Glen Neddermeyer Have a great weekend...stay cool! Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway ; Orono ; MN ; 55356(physical addressJ PO Box 66 j Crystal Bay ; MN ; 55323-0066 (mailing addressJ `d 952.249.4620 � 8 952.249.4616 � cmattson@ci.orono.mn.us j � www.ci.orono.mn.us Office Hours(Monday, May 23rd to Friday, September 2nd): Monday-Thursday 7:30 am to 5:00 pm Friday 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,September 5,2011 1 Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Sent: Friday, July 29, 2011 10:54 AM To: Christine Mattson Subject: RE: Unbilled WIP Christine: Nothing for Campbell Knutson. Have a great weekend. Sherry Sheny L. Charboneau Legal Assistant CAMPBELL KNUTSON P.A. 1380 Corporate Center Curve•Suite 317• Eagan,MN 55121 �(651)234-6230• Fax: (651)452-5550 �scharboneauCa�ck-law.com•www.ck-law.com From: Christine Mattson [mailto:CMattson@ci.orono.mn.usl Sent: Friday,July 29, 2011 9:14 AM To: Darren Amundsen (darren.AmundsenCa�bonestroo.com); Sherry Charboneau Subject: Unbilled WIP Good Morning, Any unbilled WIP for: Building permit 2010-00615 1820 Fox Street Nivin MacMillan Building permit 2010-01116 2058 Shoreline Drive Joseph & Kaimay Terry Building permit 2009-00177 3186 North Shore Drive Mike Jones/Glen Neddermeyer Have a great weekend...stay cool! Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway ; Orono :, MN ; 55356(physical addressJ PO Box 66 i Crystal Bay ; MN I 55323-0066(mailing address) '�' 952.249.4620 i 6 952.249.4616 � cmattson@ci.orono.mn.us ' ;www.ci.orono.mn.us Office Hours(Monday, May 23rd to Friday,September 2nd): Monday-Thursday 7:30 am to 5:00 pm Friday 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,September 5,2011 1 BUILDING PERMIT ESCROW AGREEMENT AGREEMENT made this�� d�of �m�y, 2009 , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and G\�N T, A1E'DD�r2 M E�E 2 [individual or entity applying for permit] ("Applicant"). Recitals 1. Ap li as filed an lication for a building permit formally requesting the City to review plans for a (circle one) ew principal structure / addition to a principal structure / accessory structure / addition to accessory stru ure r(explain) located at 31g� �o2TN �HoRE �R�vE the"Subject Property"), as more fulty shown and described on Exhibit"A"attached hereto. 2. Applicant requests the City to review said ptans which requires City approva!induding arae4m� 3. The City will commence its review of the application and incur costs associated with said review only if the Applicant establishes an escxow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOVNS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Applicant shall deposit$2,500 with the Ciiy_ All acxxued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Applicant would be responsible for under a zoning and subdivision application. 3. MONTHLY BILLING. As the City receives oonsultant bills for incurred costs, the City will in tum send a bill to the Applicant. Applicant shall be responsible for payment to the City within 30 days of the Applicant's receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Applicant does not make payment to the City within the timeframe outlined in#3 above,the City may draw from the escrow account without further approval of the Applicarit to reimburse the City for Eligible expenses the City has incuRed. The City shall notify the Applicarrt the Applicant of such draw and the nature of the expense for which the reimbursement is being made. If the Escrow amount falls below 75% of the original escrow amount the Applicant shall deposit additional sums as directed by the City, or the City shall discontinue review and post a Stop Work Order. 4. CLOSING ESCROW. The Balance on deposit in the escrow, � a�y, shall be retumed to the Applicant when the review has been completed and written notification is received from the Applicant requesting the funds. 5. CERTIFY UNPAID CHARGES. If the project is abandoned by Applicant, 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 pursuarit to Minn. Stat. §§415.01 and 366.012. CITY: C O O APPUCANT: By: +. By:-'��. �,e� x its:� .� ey: - 15- STATE OF MINNESOTA ) )ss. S' COUNTY OF HENNEPIN ) � v The foregoing instrument was adcnowiedged before me this day of , 20 . by , the of the City of Orono, a Minnesota municipal corporation,on behalf of the corporation and pursuarrt to the authority granted by its City Council. Notary Public STATE OF MINNESOTA ) )ss. COUNTY OFHENNEPIN ) The foregoing instrument was adcnawledged before me this day of � �t''Q�� , 20 d 9 , by �1 E►a T. Nt Eo'DF2 v� �E iZ >the Appliqrrt. 1 X N Public �.:_ . �:x ,. . � �� ,. , � >��i�:��l�� ' ( �, � r 1 r"L'�LIC 1±1f3fvc501'H � �a�`"�;s ` ;;`.�' _.;.^.n txp��es J81L 31,2080� ��f:<:�s:�t' . . ...,.:�";''m+R4, " •� STATE OF MINNESOTA ) )ss. COUNTY OF HENNEPIN ) a � This instrumerrt was �knowledged before me this day of , 20 by [name of officer],the [title of officer),of [entit�s name],a [entity's designafion, e.g. a Minnesota corporation], on behalf of the [entit�s designation),the Applicant. Natary Public - 16- i I � �i �.i�`` -t1 i .�"e3�`e�: � � j L�:� t��llf?�" r`ae'4.}1�v � [jYCP7to:t �°t+ �°'�,:t��l -vGy-,'""' i �, `}�:. ..' �"P�i:1t: � � 1`��'G:.I,!�k 1!�� w ��V��JstK . 1F1�yt ,�� L.`�e''�^` i i y.�., . . u,.�:tt �.'U'�4�`�"ki°i��?" . , i i �'�t3Yil'!lisia �;i[� Lr'?Y�:AY11�' ! E:SCr Qtv �:?prS yt ;_'U:l�—C��=�,�"," "t!!l.C�i�' � �,,; ; �i� r+.tdt'�'�: 'xi�'it7i'� �Y' ' 3,�y:—�'�tCr `�t@1Tt^Eii iifi+V":}E+i'E?�(3€/QY' t��3iY.12, � ; __..____.�____ � '1 ��+ll�:: � . � `i��'a'��y. � Y.i��', .__..._�.....__....._. i L�1�:?i ,�4'��' F*.J.�r .. V,��i��.; � �`�1[t!'p s`a � :71�i7 ttc's"�tdE's"SQIk't'>` � Tl;:�! C'sa��'.ie�:; ; C�yW,.;;,�,. �'!ls2rri'�e� i�1`�&t^�u: .__..._e._.�(; i -_..�._W_.._.___. � , � �j��` 1'f''i ri7;:r�'fa � i i i 1 Checklist for Refunding Building Permit Escrows Building Permit # 2�4Q �C'�6-1-1 Street Add ress: 3�gc� N��h sh.or� �71'' Applicant Name: �I� J�� ❑ Escrow request received Date: � "2-7" � � (to be completed by�C;yV� Are all inspections completed? Yes No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued?� � Date: �"�`�0 9-�-Z5�lD Was there a Final Certificate of Occupancy issued? es � Date: � � Z� �� a� O�tptO�e� 7 • l�- � � L�Ce.6man �- -jp'"`�',�(� Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: � 7�q-II Prepare memo for Finance Department $��--( ' ,�� 14� amount refunded in program. z:\forms�zoning standard forms�checklist for refunding building permit escrows.doc December 23,2010