HomeMy WebLinkAbout2013-00471 - new structure � ` CITY OF ORONO *�1 3 — 0 P1 4 7 1 *
4 � 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952 249-4616
ADDRESS : 4315 NORTH SHORE DR
PIN : 07-117-23-43-0028
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 018
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED
VALUATION : $ 1,500,000.00
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION, ELECTRICAL(STATE)
NOTE: AS FOUNDATION SURVEY REQUIRED PRIOR TO FRAMING INSPECTION. INITIAL:
NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL:
NOTE: BE AWARE,IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT
THE TI TF-�E CERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED
UPON P OF A$10,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS.
INITIAL•
NOTE: PRIOR TO THE START OF FRAMING AN AS-B LT FOUNDATION SURVEY MUST BE SUBMITTED AND APPROVED BY CITY
OR A STOP WORK ORDER WILL BE ISSUED. INITIAL•
APPLICANT pERMIT FEE SCHEDULE 7,956J5
MSI CUSTOM HOMES,LLC STATE SURCHARGE(VALUATIOl� 700.00
15101 STONE RIDGE TRACE
WAYZATA,MN 55391- TOTAL 8,656.75
(612)867-5955
Minnesota State License#: BC639727
OWNER
CLEVELAND,BRADLEY&PAT
4520 JLJNEAU LANE N
PLYMOUTH,MN 55446-
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. 1'his permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances 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 construction is
suspended for a period of 180 days at any time after work has commenced.
T'he applicant is responsible for assuring all required inspections are
requested in con ance with the State Building Code.This permit may be _
revo d a for due cause.
8i � i l l
App c t Permitee Signature Date Issue y gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O E.
. �
. �.�
��� City of Orono g� 5� .�S'
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: ��3—6Z��7�
Q�r PO Box 66
� `V� ��� Crystal Bay,MN 55323-0066 Date received: � �Q '�3
�� StreetAddress:' Received by:
y� � 2750 Kelley Parkway Plan review fee: ����. �
c,� Oro�o,MN 55356
`qkfSHO�� � Main: 952-259-4600 Total Fee: av� ��`�7�
Fax: 952-249-4616 �, � ���� ���( -uQ-
This application form must be completed in full an�d all required information must be submitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: 4 3 i o 5 ,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates su�cient on-site parking is evailab/e. Non pemritted events wil/not be allowed.
CONTRACTOR!APPLICANT INFORMATION:
Name: -.I Gu sT" o r��S L c,
State License# 8�- �3 9'1 z'1 Expiration Date: a 3 31 i
Phone: (cell) G it - ��7 _�9 5,�'j (office) �`3-�4(-� ��9
MailingAddress: � Sro,�� P��v TR U+c Cit : w ��'G� N ZIP: 5 ?q
Contact Person: �.s MvL.R.$�{NJ�ry Applicant is: Contractor / Homeowner (Clrcle One)
Email and/or Fax: w,d(re,�,.a►. �...,r�c.Mtte�.hewcs .c.nti
I�1 U i r�e.r�����y'1
PROPERTY OWNER INFORMATION:
Name: �R•t9 �' P�T G�-�c�si..�-r►o
Phone(day): 1�?-5�'I -�5�1
� Address: �'j v.o J v N E�t v �� �tv_ City: (�-Y+�ou t}l ZI P: �5 �l,
Email and/o az ���- ��q - 2b*�9
ARCHITECT/ENGINEER INFORMATION:
Name: SK9 AP��u+r�cTS
Phone(daY)� '7�3 - �41 -G 1�5
Address: t�1�o N�`f 55� S?"�. ,� City: p�.�,,.o��,+*a ZIP: ��5 d.�.�
Email and/or Fax: ?c 3 - 5y� - 6��q
PROJECT INFORMATION: Description of ro'ect:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Dlsposal&
Water Supply
� New Construction ❑Single Family with �Residence
❑Addition attached garage �Garage/Accessory Bldg. �Public Sewer
❑Accessory Building � Single Family with ❑Deck
❑ Relocation detached garage ❑Office/Commercial ❑Private Sewer
❑Other: (specify) ❑Multiple Family/Condo ❑Warehouse
❑Public ❑Storage ❑Public Water
"*Any earth movement may require ❑Commercial ❑Other(specify)
MCWD review 8�perrnits. ❑ Industrial
�Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other:(specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation(excluding land) $ �,,�ao aoo or
7-+
Packet Last Updated: 04J19/2013
Page 22 of 23
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
�. /..
a.Length(fl.)= y�j%L Number of bedrooms= I
�� Q Wood/Frame
b.Width(ft.)= 0���_3 Number of garage stalis: ❑Masonry
Areas in sauare feet Attached= 3 ❑Metal
❑Pole Bldg.
c.Basement= �_ Detached=� 0 ICF
d. 151 story = 20 3 !
❑On-sile Prefab
e.2'�Story= �_�� ❑Off-site Prefab
f. '/�Story = `�
❑Other(piease specify):
g.Total Area= ,� �1
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our application to be processed:
Not
Enclosed A licable
6� O Permit tication
� ___ � _ Proposed Building Plans�
0 MN State Ener9 Code Calculations and Mechanical Code Re uirements Form
6 O Surve meetin all re uirements
❑ � Stormwater Pollution Prevention Plan
I� ❑ Hardcover Calculalion s
O .� � Se tic S stem Site Evaluation Re ort
❑ � Access Permit
❑ `d Wetland Buffer Im rovement Plan
❑ � En ineered Pians for Retainin Walls 4 feet or above
6i ❑ Minnehaha Creek Watershed District Permit s
SI ❑ Plan Review Fee
❑ ❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineerfng consultant review costs in excess of$500;
• Certifies that tl�e information supplied is irue and correct to the best of his/her knowledge. The appiicant 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;
• Acknowiedges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is informalion which generally cannot be given to the pubiic but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required hy ta�v. If you refuso to supply the information,the application may not be issued.
• Agrees that in the ovent t17at weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Co�tificate of Occupancy may be issued upon receipt of a$10,000
escrow to ensure completion of th�as-bullt survcy and all sitQ improvements.
�
-- -. .. - __ __. _ R_ _ ._.�__---- ----------_ _ _._ _ _ ___----_--._.---------------
Applicant's Signature: ___ _ Date: �y,p [ �l�
Owner'sSignature: __ Date: June 7, 2013
Packet Lasf Updated: 04J 013
Page 23 of 23
DATA PRIVACY ADVISORY
in accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen
waming", we would like to inform you that your request for a permit or license from the City of Orono or
any of its departments may require you to fumish certain private or confidential information.
You are notified that:
1. The information you fumish will be used to determine your qualification for the permit or
license requested.
2. You may refuse to supply data, but refusaf may require that the City deny the permit or
license.
3. The information may be shared with other local, state or federal agencies to the extent
necessary to process the permit or Iicense.
4. If your requested permit or license requires Council action to approve, some information
may become public.
5. You have certain rights under Minnesota State Statute 13.04 (see following page) to
review private data on yourself.
6. Your full name is required to process this application or permit.
I �:e. � '�o.(�p r--4— 1 Y\J ��--C r\�.c� ..�
First Middle Last `
_('S/O l `J`�11 F �: dai P �I 1`�C �
Address
_ W�t�l �� !/Y ► N 'Js3� l �P/�•�67• 59'SS
City State Zip Phone
I understand my rig s s ted above.
\ �c
Signa e
Packet Last Updated: 04Ji9/2013
Page 20 of 23
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Bu�ilcDing re�vi�w by, .,,,,: �at��►pproved.
Grading review by: !f� �� . Da�e�Cppro��d: �'�►q'.�',�
Zo�ning District: : Zon�ng File#: Reso#; � ` R�tso D��e;�� ;,.
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- The tiEstacice 6et�aeen the lowest ' FOR A BUII.DING ON A SLAB FOUNDATIpI�:
ST/ART WITii propos�d�floox�bf the-b�emeM ar Grawl 'F1ie d[star�Ce beivueen the to t�
space)and tfie hf�hQsk palnf c�f the ropF. STlRRT WfY'ki p oi str�b and
If You have a,., th�higt�eat pWSat ef t�e roaf..
lf you have a..,
, + GABLE OR Hi#�PED ROOF(no . GABLE OR HIPPEb RQOF(rio'.
•:window�s)� $ubtract half the wlrid4iws): Sabtred half the s�tstence i
;diStanc6.;betwe8n th@ hlQhBst po3rrt be/W�n tI1B hlghBSt pCiAt Of the r00f
�. af#he roof#o the low polnt of the to tfis low poi�t bf the corte�ponding_�
SUSTIiAC'i'IQW aorreepCni(irag gable ar hipped ioof, SUH'iRAC'f10N 8able orhipp�r,00f
(Bi►SLD ON RaDF. ; . : G1�484E Q�H�'pFD R00�'(with . ' s (BP,SEU ON y • GABLE 0131�11PPE�i�L30F(with �
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distanCe b�tweeh the tCp 6f the, .. tie2vveen the.top ot�#�e highest
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��, . ��AlL OTWE�t ROQ�'T'YPE���{flat, � mar+ .�tc:�in sdhftac�dn. ��
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. SUBTRACTION �Suf�ct the distar�e between the (BA5ED OW . and the fiighest ezisdng grade�cent t4;
(�4S�D ON EXISTING basement/i�+l spaCe floor and the- . EX1S'fING ttre foundation.
GRA�ES}., +��9hest e�dstlng grad�e atljacieM#a.tNe GRADE,�
R� touRdation QR 10 feet(whiehever is less)."; � FQUAL3. Ds�necl 4uilding`ireight
; EflliAiS Defin�!bullding fieigirt
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- _�Ja�.,.�c:�:.�`�.,�'s.
Christine Mattson
From: Robert Bean [bobbe@bolton-menk.com]
Sent: Wednesday, July 30, 2014 2:06 PM
To: Christine Mattson
Subject: RE: 4135 North Shore Drive
Christine,
Yes, this is what I was looking for. The plan is now acceptable.
Thanks,
Robert E. Bean, Jr, P.E.
LEED Green Assoc.
Bolton & Menk, Inc.
P:(952) 448-8838, ext 2892
F:(952) 448-8805
email: bobbeCa�bolton-menk.com
-----Originai Message-----
From: Christine Mattson [mailto:CMattsonCa�ci.orono.mn.us]
Sent: Wednesday, July 30, 2014 2:02 PM
To: Robert Bean
Subject: 4135 North Shore Drive
Ahha!! The survey submitted with the CUP application shows a new contour....Sorry for all the confusion. I
assume this will meet with your approval and I can issue?
-----Original Message-----
From: admin On Behalf Of admin@
Sent: Wednesday, July 30, 2014 1:55 PM
To: Christine Mattson
Subject: Scanned image from MX3100
Reply to: admin(a�ci.orono.mn.us <admin(c�ci.orono.mn.us> Device Name: MX3100 Device Model: MX-3100N
Location: Orono
File Format: PDF (Medium)
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2
� � � �OROHO �PY
City of Orono
C���tio Hardcover Calculation Worksheet
,�j'�' �.;� Property Address: ; �
... _
`�., �..: yo�r,�� .�,.�vn ;:� ���. .;�:��� ��.; �.% c��.�Ta,�.r ���,�;M
....
� - s
'�,,�,,,w� Prepared by: 'sk.ar✓8 Frt G �i9.� ,",:�:��r r� .�. .,�� Date: _f-3a-,�y- .�
�-g�,y
Stormwater Quality Overlay District Tier: (Circle one) �Tier Tier 2 7ier 3 Tier 4 Tier 5
� Step 2: PROPOSED HARDCOVER
i
i 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 uare Feet
Exam le Gara e 24'x 30' 720 S.F.
'� G•";"-,"G" ?" � S.F.
B '' „',�,-�. �� �, . / 0 7 S.F.
C �, �=r�;.� Y S.F.
� �o,�-- ;-� -;,;� Z92 S.F.
E wA�'< / 7% S.F.
F o, �;; 66 S.F.
G 5� � ,:�.c:,, - ��'�� S.F.
H '-ir n =,'a� � ;���' S.F.
� R --_ ,� 3r5 S.F.
� c . ° � c ,c- _ rr � �5 S.F.
K E� Ld,�.+��<� S.F.
L /f, i � !S�' S.F.
M .� Bo T . � ��;- S.F.
N :'�, - ;,�,�,s> } S.F.
� - � , ..� 2 y S.F.
P - �.'. . ,..C . � ,�_; - _ _ S.F.
Q . ' �✓<•:.c'<%,_� - . l,. . _��'' 28 S.F.
R - ' /,.>� _ c',r 335 S.F.
S S�T��:� F�,��. �� S.F.
T - Z 8 S.F.
� �r 9 s.F.
V � � �;
S.F.
W . .
r S.F.
X f"1f � '��- T ':'/'e G
S.F.
Y
S.F.
Z S.F.
1 Total Pro osed Hardcover ,�; 6 S.F.
Excludable Hardcover See Ci Code Sec 78-1684 :
- :!' :`.•.ci �' T� , _ <'�. Z /�' /� S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover
l,.�/ S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 �7 Sy S.F.
4 Total Lot Area �,� � ���,, .; �a.. ,,�;:, � -� ' �8 3?O S.F.
Proposed Hardcover Percentage [(3)=(4)] 2�� ��' %
RECEIVED
January 3,ZD13
JUN 1 g Z014
CITY OF ORONO
• � BOLTON � M �N K , I NC�
. � Consulting Engineers & Sunreyors
�� � 2638 Shadow Lane, Suite 200•Chaska, MN 55318-1172
Phone(952)448-8838• Fax(952)448-8805
www.boiton-menk.com
Juty g,2014
City of Orono
Attn: Melanie Curtis
2750 Kelley Parkway
Orono, MN 55356
RE: Building Permit Number 13-00471
4315 North Shore Drive
Engineering Review#1
Dear Melanie:
As requested, we have completed an engineering review of the documents submitted for the above
referenced project. Our current review is based on the following submittal items:
• Final Construction Plans prepared by SKD Architects, dated 6/5/2013
• Certificate of Survey prepared by Gronberg&Associates, Inc., dated 7/30/2013
We offer the following observations, comments,and recommendations for your consideration:
1. The plans show grading work outside the proposed silt fence line. Any proposed silt fence should be
installed outside the construction]imits.
2. The plans show a loose laid retaining wall on the west side of the pool, and appear to indicate
retaining walls in other locations around the pool,as well as near the detached garage, for which no
plans have been submitted. Retaining walls four feet or greater in height must be designed by a
Professional Engineer, and plans submitted for review and approval. The plan should be revised to
provide more detail for all proposed retaining wall work. Provide top of wall and bottom of wall
elevations in key locations(i.e. grade changes and alignment changes).
3. Perimeter erosion control devices should be installed and inspected by the City prior to any land
disturbing activities.
4. Disturbed areas should be permanently stabilized within 7 days of completing construction.
5. The proposed pool has a footprint of 512 square feet. Any pools larger than 1,000 square feet are
subject to special setback restrictions(Sec. 78-1404).
Please let me know if you have any questions or need additional information.
Sincerely,
BOLTON & MENK, INC.
�� �� �
Brian D. Simmons, P.E.
Project Engineer
Christine Mattson
From: Dan Mulrennan [mulrennan@msicustomhomes.com]
Sent: Tuesday, July 15, 2014 10:56 AM
To: Christine Mattson
Subject: RE: 4315 North Shore Drive/#2013-00471
Christine,
Thank you for the review by Bolton & Menk. A few comments:
1) The silt fence is already installed outside of the construction limits.
2) The loose laid retaining walls are being done by Natural Landscapes of Minnesota who have submitted their
plans to the City for a Conditional Use Permit.
Dan
�
�� 'i
�l'I'41�NI IIIM1[S�
ll.�n ,riulrenn:�n
MSI CUSTOM HOMES,LLC.
15101 Stone Ridge Trace,Wayzata,MN 55391
mulrennan(c�msicustomhomes.com
PHONE(612)867 5955
FAX(763)591 6119
View our designs at ww�ti�.msicustomhomes.com
Builders License#BC639727
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent: Tuesday, July 15, 2014 10:32 AM
To: 'Dan Mulrennan'
Cc: Melanie Curtis
Subject: 4315 North Shore Drive/ #2013-00471
Dan,
Attached is a copy of the engineers review of the plans for a patio surrounding pool, walls surrounding pool and new
patio areas south of the rear terrace.
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
Summer Office Hours: (Monday, May 19 through Friday,August 29,2014)
Monday-Thursday: 7:30 am to 5 pm
�
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, September 1, 2014
2
MEMORANDUM
Date: July 1, 2014
To: Bob Bean, City Engineer
From: Christine Mattson, Planning Assistant
c Melanie Curtis, Planning &Zoning Coordinator
Dave Martini, City Engineer
RE: Building Permit Number 2013-00471
4315 North Shore Drive
Attached are revised plans and a survey for patio surrounding pool, walls
surrounding pool and new patio area south of the rear terrace. Please review the
attached information and provide comments by Tuesday, July 8, 2014.
Please contact me at cmattson@ci.orono.mn.us or at 952-249-4620 or
Melanie Curtis at mcurtis@ci.orono.mn.us or at 952-249-4627 if you need
additional information or if you have any questions.
Thank you
Christine Mattson
From: Christine Mattson
Sent: Tuesday, July 15, 2014 10:32 AM
To: 'Dan Mulrennan'
Cc: Melanie Curtis
Subject: 4315 North Shore Drive/#2013-00471
Attachments: 4315 North Shore Drive.pdf
Dan,
Attached is a copy of the engineers review of the plans for a patio surrounding pool,walls surrounding pool and new
patio areas south of the rear terrace.
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
Summer Office Hours: (Monday, May 19 through Friday,Auqust 29,2014)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, September 1, 2014
1
. p' � ,.._ : .,: ..: . . .., ;..: '_ , ' , ..
,'L . :.. �. �_. . . . .. . . . . .. .. ...:
� P�►1� R�1ilE�i111 �HEG;�CLIST F�R Ii�EVU STRUC7°U�'2E$ / 14�D1TIOIVS
; .
( �ddress/Perm�tNutnbsr: �'�� t � ��''�"� �����c ��m �s"�
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��
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� � � ;.
� Septic rev�ew by:� �D�te kpprovecJ �.' � �"` �-�. �
� � Zoning reWiew by: l�at�e ApprQved: � � ��� �- �' `�
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.
.
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� Zon�n � Lot Ar��; 3 � /AC . WidtM � Lot Crsve e �F °lo `
� J• �� �9
� .: 'Suwey Submt�tted: ��es G No Date of Surv�y: �~�0`� " Revised dat�(?):���D'1�
�� Pr ed S�tback�•
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7
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� , �'11e dis�nce between the lowest, - v fOR A BUI�.tlING ON A SL.A�3;FOUNDATION
�'t�1`-, START UVITW pmposed ftoor{of the 68seinent Gr crawi � 2^ '
f ��a"4-' s�ce)end;he higheat,�rir�t of the roof. . ihe disstience be1'+�een 4he top 9f s�ab antk',
Y' � 6TAR'L.WI�'H' ttte hi�h8st�int cf the roof,
� . N you have a... N yau have,�... .
� ' `CABL,E OR HIPH�D i�00F(no • '- �}16CE OR HI�PED ROOF{na
w)hdow8): S�btrat:t fi�if the, windo�Nsy,-Sr�btr�d italf the�ciisl8nc��
, dtafanEe betweeti Ure higt�esE pant . between the highest,poicrt pf the�of;
_ , ' ; � ,ttf tlte rgof.to tha low poir��of the � ' ' < to���the lovv�oird ot the,corr�poriding`;
� �'�`� SU�TRACTIbN ` correspondin9 gable or hipped roaP + SUBTRACTION, .9�bfe ar�tpp�i raaf `
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T�� win�o+arS): 5ubttact hatf� R�OF T1'R� . Win�ovus}: Subtract half ffie dfstar►ce;
distance between#he iop qi the beiween the toP of the#�4�t '
� . hi�h�t wi�dow atad the higheat wl�dobr and the fit9fiest pWnt:of U1e"'
' p6fnt ot`the r�f , raeif
• ` ALL'O'FFIER ROC1F'1'YPES(flat,� • ALL CY`i'H�t2 itOOF TYP�S(filat,
; mensettl,etc):Mo subCtaction. mans�rd,�fG::No�subtractlon. `
� � �AbD ION� � Rdtl thQ,distanae befi�reen�e top of s18tl :
���� , Sttp�rac�t tfie dis�8n�befiveen tlrte SED ON" antl the h
, SUBTRAC7'aON {BA 'hig �t�tlng�retle adjacent to�
�. �s�menfilcrawl spaGe floor�nd Yhe �, EJGI3TIWG� tfie ToAlmdatlon. �;>
�'`�. (BAS��ON EXI$'�ING highegt e�dstlng grade 8dj�c�errt to the GftAD�S
P'�i,�,� ��G�'' GRlyDE8}- 1ouL�de!Uon OR 10�f8ef(W(tichevei'is�ess 4
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�� ��� ��� ��
. City of Orono O �O�
;- �o�;��� Hardc�ver Calculation Works �
; o�
I ,� ^,� Property Address: Y3/5 �rioR T.�,� J'Ha�e F B��ei� �I'KD /4�'C�//T C t'��"'�"',�
��
�`'A<_„�<,w``'� Prepared by: Date:
- GRa�v,���2G ,�,gffoc�Arfr, i�c. 7-2 �=t„�
Stormwater Quality Overlay District Tier: (Circle one) Tier Tier 2 Tler 3 Tier 4 Tier 5
Step 2: PR�P�SED HARDCOVER
In the following table, identify all items of proposed hardcaver on the propeity, keyed by letter to
Certificate af Survey(survey must accompany this fa�m}, Include all existing hardcover items that are
intendec! to remain, as well as all propose�l hardcover items that will be added. Use as many lin�s as
nec�essary to accurately depict prapased hardcover status of the propeity. For Tier 1 properties, identify
any features by let�er which are splat at the�5' se#back line and calculate h�ardcover sguare�ootage
_se�arately for each portion. ___ __�__
Key to Hardcover Item (Qescribe} Length x Width Total
Surve S uare Feet
� Example Gara�e ;24'x 3Q' ,: ; 720 S.F, ;
A oa�r YYs s.F.
B n _p i a S.F.
c ,�� v- w.� �9�' S.F.
_ D -�tort,-r r�voP 292. S.F.
E LK /72 S.F.
F �. .vA�k Y 6 S.F.
G S�a �k,, c � S.F.
H EAR 'tRRif - �/ $.F.
� R P.o t o !5 S.F.
� r�i,� -� d!< 7`t S.F.
K .� � �/C /'�/ S.F.
L /e Ck ,S S.F.
� M �� ea G-� S.F.
N R vC� ' z S.F.
4 w�t �� S.F.
P n., AGer ,�r'it ,�'�"T c: d�C. a3 S.F.
Q •� � c. C � S.F.
R �c.� x�' c &"/ S.F.
S �,� S.F.
T t�, ,Z S.F.
U S.F.
V S.F:
W S.F.
x S.F.
Y S.F.
Z S.F.
(1) Total Pro osed Hardcover %6 y � S.F.
Excludable Hardcover(See City Code Sec 78-'1684):
!> ��ri,i-r-.r�� a�1coE�� �'T, t�.acL 7 S.F.
T r,vA t�,t� Y G Z 8 S.F.
S.F.
S.F.
S.F.
(2) Total Excludable Hardcover 1 p S.F.
(3 Net Pro osed Hardcover Subtract line 2)from line 1 /6 ,�7 S.F.
4} Total Lot Area E'x c c y CG. �co. �9 cr 78; 3%�o 5.�.
Proposed Hardcaver Percenta�e [{3)={4y] 10, c�0%
�����,��y a, zor.� J U L :� CI 2 Q 13
CITY OF ORONO
' , ����� �����
� . New'c:onstruction Energy Code Compliance Certificate
Per N l 101.8 Building Certificate.A building certificate shall be posted in a permanently visible Iceation inside ihe Date Certifinte Pmted
building. The certificate shall be completed by the builder and shall list informafion and values of componenis
listed in Table N 1101.8.
Mailing Address o(the Dwelling or D�vdling Unit City
4315 NORTH SHORE DRIVE ORONO, MN
Name of Residential Contncror MN Licrnse Number
M S I CUSTOM HOIIAES, LLC BC639727
THERMAL ENVELOPE RADON SYSTEM
Type:Check All That Apply X Passive(No Fan)
w
o „
ti c
T � �, Active(With fan and nrononaeter or
F' A >, other system monitorrng device)
�a � � , b a a�
�
a�i Q o �m V °' -� � �
� Q m CO a�i U � � �,
� O ' ui O a�i A � V
Msulation Location � o z � � � o, w W o
r�t �ia o on �a�o � � � .c .d
� � � � a �
�—° � z w � w u°. � rx i� Other Please Describe Here
Below Entire Slab �� X
Foundation Wall 2� X Integral ICF
Perimeter of Slab on Grade �� X
Rim Joist(Foundation) 22 X irxeno�
Rim Joist(1�Floor+) 22 X Interior
Wall 21 X
Ceiling,flat 5� X X
Ceiling,vaulted 44 X X
Bav VVindows or canfilevered areas 38 X
Bonus room over garage
Describe other insulated areas
Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces
Average U-Factor(excludes skylrghts and one door)U: 0.30 Not applicable,all ducts located in conditioned space
Solaz Heat Gain Ccefficient(SHGC): 0.32 R-value
MECHANICAL SYSTEMS Make-up Air Se[eer a TyPe
Applianees Heating System Uomestic Water Heater Cooling System � Not required per mech.code
Fuel Type NG & ELECTRIC INDIRECT GEO/ELECTRIC Passive
Manufacturer LENNOX/WF/ TRIANGLE TUBE ATER FURNAC Powered
Interlocked with exhaust device.
Model EL296& NSW SMART 80 NDZ �escribe:
Input in 9Q000 Capacity in go Output in 5 Other,dCSC[ibC:
Rating or Size B7'US: Gallons: Tons:
Heac Loss: 101,435 Heat SQ770 Location of duct or system:
Structure's Calculated Gain-
AFUE or 96% SEER: 4.3 COP
HSPF% 3J COP
Calculated 4,'7'J
Efticienc� coolin load: Cfrrt's
SELECT MECHANICAL SERVICES ^round duct OR
Mechanical Ventilation System "metal duct
Combustion Air Se[ect a Type
Describe any additional or combined heating or cooling systems if installed:(e.g.two fumaces or air
ource heat pump with gas back-up fumace): �` Not required per mech.code
Seleet Type Passive
Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: Other,describe:
* Energy Recover Ventilator(ERV)Capacity in cfrns: Low: High: 200 �cation of duct or system:
Continuous exhausting fan(s)rated capacity in cfms:
Location of fan(s),describe: Cfm's
Capacity continuous ventila[ion rate in cfins: "round duct OR
rea e y version
, �
1�`tal ventila6on(inteimittent+continuous)iate in cSns: 200 "metal duct
Created by BAAA version 052009
�eleGt
8219 Cambridge St
St Louis Parfc, MN 55416
852-826-4488
G.CON'TRACTOR: MS 8 I-Custom Homes
JOB NAME: Cieveland Residence
JOB ADDRESS: 4315 North Shore Drive
JOB NUMBER:
IFGC / SECTION 1346.0501.3.1
NEW CONSTRUCTION / MAKE UP AIR CALCULATIONS
One or mul�Power vent One or multiple fan assist One atmospherically Multiple atmoapherically
or direct vent appliances applianees 8 power vent vented gas or oil appliance vented gas or oil appHances
or no combuaUo�a I. a pliancea. or one aolid fuel a Ilance. or solid fuel a liancea
Pressure Fnctor , 0.09 0.06 0.03
Conditioned SQFT 50T0 0 0 0
Estimated Imfiltration 76' 0 0 0
Ciothea Dryer Exhauat 35 135 135 135
Kkchen Hocrd CFM 600 0 0 0
Hood CFM(aa SMk sII0 0 0 0
Next Largest Exhaust N!A 0 0 0
Exhaust CFM�80°� N/A 0 0 0
Total Exhauat Capacity 615 135 135 135
Total Makeu�p 615 135 135 135
inflkratlon 'F� 0 0 0
Makeup Air Required -146 135 135 135
CFM CFM CFM CFM
4" P,ASSIVE 1-36 1-22 1-15 1-9
5" P,AS$IVE 37-66 23-41 16-28 10-17
e^ P,4SSiVE 67-109 42-66 29-46 18-28
7" PASSNE 110-163 67-100 47�9 29-42
e" PASSIVE 164-232 101-143 70-99 43-61
�o•�PqSSivE 233-317 144-195 100-135 62-83
PaSSIVE W/MUT.DAMPER 10" 318-419 196-258 136-179 84-110
PASSIVE W!MUT.DAMPER 12" 420-539 259-332 180-230 111-142
PASSIVE WI MUT.�AMPER 12" 540-679 333-418 231-290 14&179
aoWERED MUA 679+ 419+ 290+ 179+
(.�'elect
6219 Cambridge St
St Louis Park, MN SS416
952-926-4488
G. CONTI2ACTOR: M S 8 I CUSTOM HOMES
JOB NANNE CLEVELAND RESIDENCE
JOB ADDRESS: 4315 NORTH SHORE DRIVE
JOB NUMBER:
IFG� / SECTION 1346.6012 / APPENDIX E, WORKSHEET E - 1
COMBUSTION AIR 1994 - PRESENT
Fan Assist Non Fan Assist DIRECT VENTED
1994-Present 1994-Present 1994-Present
0.075 0.105
Non Direct Vent 0 0 C
Appliance's BTUH
CombusUon Air Space 0 0 v
Mechanical Raom CU FT
Standard Method p p o
Known Air Infiltration Rate
KAIR Method p p p
RATIO
Total Required Volume 0 #DIV/O! p
Standard Methc�d
Total Required Volume 0 #DIVlO! p
Kair Method
Reduction Factar #DIV/O! p
Standard Method
Reduction Factor #DIV/0! p
Kair Method
Combustion Air Opening SQ IN
Total BTUH in C�AS 0 0.00 p
Mlnimum Combustion Air Opening #DIV/O! 0
Standard Method
Minimum Combustion Air Opening #DIWOI 0
Kair Method
Standard Round Kair Round
Mimimum Hard Duct Size #DIV/Ol #DIV/Ol NON
Minimum Flex Size #DIV/0! #DIVlO! REQUIRED
Fuli Size Flex 1
(�%�elect
6219 Cambridge St
St Louis Park, MN 55416
952-926-4488
G. CONTRACYOR: MS & 1 - Custom Homes
JOB NAME: Cleveland Residence
JOB ADDRES:S: 4315 North Shore Drive
JOB NUMBER:
AIR EXCHANGER SIZING
EQUATION 11.1 =HOMES GREATER THAN 6,000 SQFT
CONDITIONED SPACE: 5,070
BEDROOMS: 3
TOTAL VENTILATION RATE(CFM): 161
NUMBER OF BEDROOMS
CONDITIONED
SPACE � 2 3 4 5 6
CFM=TOTAL/CONTINUOUS
1000-1500 60/40 78/40 90/45 105/53 120!60 135/68
1501 -2000 7'0/40 8b/43 100/50 115/58 130/65 145/73
2001-2500 �0/40 95/48 110/5b 125/63 140/70 155/78
2501 -3000 80/45 105/63 120/60 13b 168 150!75 165/83
3001 -3500 100/50 715/58 130/65 146173 160!80 175/88
3501 -4000 11i0/55 125/63 140/70 155/78 170/86 185/93
4001 -4500 120/60 135/68 150!75 166!83 1 BO/90 195!88
4501 -5000 130/66 145/73 160/80 175/88 190/95 205!103
5001 -5500 140/70 1 b5/78 170/85 185/83 200/100 215/108
5501 -6000 15ip/75 165/83 180/90 195/68 210/105 225/13
�� DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION�OTICE /� SCHEDULED — � ��'3D
PERMIT NO. DI�' �V l ��COMPLETED
ADDRESS `�3 l 5 /U�'°�, d�-o�,P /�'��
OWNER TELEPHONE NO.,/o/Z 3�3 Z���j
CONTRACTOR �S� C:���"�r✓� G���
�� � �
�: DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/F�LLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
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W� /�7P�RK SATISFACTORY:PROCEED C i PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED l-1 ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
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) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� �,o p� nME V
CITY OF ORONO CALLED IN O"�O
INSPECTION O E scHeouLED � '/�� •�
PERMfT NO � 7l COMPLETED
ADDRESS
OWNER � TE PHONE NO. ��L � �S�
CONTRACTOR
� DESCRIPTION �0�K �� ` �Y�
4� ❑ FOOTING ❑ PLUMBING FINAL � EXCAWGRADINGIFIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFNVEI'LANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REAAOVAL
Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPWNT
v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FlNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUIVbATIOWREMOVAL
�C OWNERICONTRACTOR TO ME YOU:_YES_NO
Z (
� COMMENTS: � M-• � � � �'i'e,,
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� �RKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION �Mppqqpy
V BEFORE COYERINO PERMANENT
❑(ARRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANtiE ACCESS.
Catl for the next inspection 24 hours in advar�. (952) 249-4600
OwneNCorrtractor on site•
Inspector: �
White CopyAnspectoPs Flle Canary Copy/Slte Notfee
n � Q,ATE� � � TIME
�.CITY OF ORONO � � CALLED IN `'f � v
INSPECTION NOTICE SCHEDULED -�f f(r �' �
PERMIT NO.,����_y,I COMPLEfED
ADDRESS �.�% � /V � � /'l t.Y�f' 1��
OWNER TELEPHONE NO. ���' `3�'� ��!'
CONTRACTOR /���15 � �� P,��
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� DESCRIPTION � � � ��^��� ( �ti I I �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfIANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � FINAL ❑ SEWER HOOK-UP D COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPT INAL ❑ FOUNbATION/REMOVAL
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V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
r � � DATE TIME �
CITY OF ORONO CALLED IN p�/�_
INSPECTION NO ICE _��y SCHEDULED /D-��/ 3 _�
PERMIT NO. l �� COMPLETED �
ADDRESS /V-
OWNER TELEPHONE NO.S���1 .3� oV�
CONTRACTOR �
>`; DESCRIPTION ���
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on sit :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DAT �TIME �
CITY OF ORONO CALLED IN I O-Z
INSPECTION NOTICE_��� / SCHEDU�ED ( - -/ 1D'.3�
PERMIT NOc�O I 3 � COMPLETED
ADDRESS ��� � . J ��.(/(/�-L�
OWNER TEL HONE NO� ' '� �
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Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
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❑ 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 REMOVAI.
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V BEFORE COVERING PERMANENT
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INSPECTOR WlLL 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
OwnerlContractor on sit :
Inspector.
White Copyllnspector's File Canary CopyfSite Notice
�U���� �� D TIME V
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED - �
PERMIT NO. 02 � COMPLEfED
ADDRESS 7�I5 N�S
OWNER TELEPHONE NO. �O�J I Z�C� 107.3.3
CONTRACTOR �N�� ,
� DESCRIPTION / "�P'�''
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Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORFJWETLANDS
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� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O 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 ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOfi
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex ins ion 24 hours in advance. (952) 249-4600
Owned nVactor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
�� A TIME "
CITY OF ORONO CALLED IN �
INSPECTION NOTI E ?� SCHEDULED ' -� �
PERMIT NO.����-DD� COMPLETED
ADDRESS �31 -'�� /�B"� z��2
OWNER TELEPHONE NO.��I Z�g�733
CONTAACT�A /�L S �
� DESCRIPTION � n����� �L
� � FOOTiNG 0 PLUMBING FINAL ❑ EXCAV/GRADING/FI G
Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROORESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
? ❑ DEMO-FINAL � SEPTIC INSTALL 0 HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUN�DAl10N/REMOVAL
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0 INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
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Inspector:
White CopyAnspector's Flle �'� Canary CopyiSlte Notiee
� � � DATE TIME V
CtTY OF ORONO CALLED IN
INSPECTION NOTICE/�I�C� / SCHEDULED — ! /.'
PERMfT N�`3 �/'� � �/ COMPLETED
ADDRESS ��65 ���S�7v/. _���
OWNER TEL PHONE N . ��-
CONTRACTOR �
� DESCRIPTION � ^'
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y ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS
Q ❑ FRAMING p MECHANICAL FINAL ❑ TREE REMOVAL
Z �INSULATION ❑ WOOD BURNERlFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ pqppqE�
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v O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OYYNERICONTRACTOR TO MEET YOU:_YES_Np
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INSPECTOR WFLL RETURN ❑�ATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
Call for the next inspection 24 hours in advar�. (952) 249-4600
`ractor on sfte: �ji��
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•Ansp�tor's Flle Canary CopyiSite Not�e
�/
/� , TIME
CITY OF ORONO ALLED IN — — -L�
INSPECTION I�O_T�C� ���� SCHEDULED�— �
PERMfT NO.�� � COMPLETED
ADDRESS 3 � /v •S � dJY' V
OWNER ELEPHO E NO. 5 " ����
CONTRACTOR 1
� DESCRIPTION ' S H `
� �OOTING ❑ PLUMBIN FI ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL O MECHANICAL RI p UIKESHORENVETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
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v 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbA710N/REMOVAL
2 OWNERlCONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECT(ON REQUIRED.CALL TO ARRAN(3E ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCorttra�ctor on site:
Inspector: �
White CopyOnspector's Flle Canary CopyJ3ke Notice
� �`��� � DATE TIME v
CITY OF ORONO CALLED IN �p
INSPECTION OTICE �\ 7 SCHEDULED �ji � � � -,,�i�
PERMIT NO. �/�/�• CO LETED �.��
ADDRESS_��L� /V � e- c l 7`ti V��
OWNER TELEPHONE NO. � � � ��
CONTRACTOR �
� DESCRIPTION wG��
� � FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FIWNG
Q �,�POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q ❑ FRAMING O MECHANICAL FINAL � TREE REMOVAL
Z ❑ INSULATtON ❑ WOOD BURNERlFIREPLACE ❑ SITE INSPECTION
Q ❑ RAQON SLAB ❑ WATER HOOK-UP ❑ PR0f3RESS
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v O DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
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? OWNERN:ONTRACTOR TO MEET YOU:_YES_NO
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❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS.
Call forthe next inspectfon 24 hours in advance. (952) 249-4600
OwneriCor�tractor on site:
Inspect . �'
White Copyflnspector's Flle Canary Copy�Ske Notfce
�� DAT�, TIME
CITY OF ORONO CALLED IN 7 ��
INSPECTION OTICE SCHEDULED �-1 7-/� '
PERMIT NO. d 'Q � � COMPLETED
ADDRESS �.3�J� ��'� S�1�ChQ ��✓
OWNER TELEPHON NO. 65l Z�� ���3
CONTRACTOR s � -
>; DESCRIPTION f'I Su-La-r�� — �. � 6
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (95 9-4600
�
OwnerlContractor on site: � ' `
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
��� � �
�- � DATE , / TIME
CITY OF ORONO CALLED IN _ `t�
INSPECTION TICE � SCHEDULED - •� �
PERMfT NO. '�� l COMPLETED
ADDRESS_����5 • !Sl�l.� '�
OWNER TELEPHONE NO.�5�-�`��-��33
CONTRACTOR �S r
��' DESCRIPTION
�OOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI G/FIWNG
Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z � INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FIWAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: �6f•N�� .i� r ec� �s r �/�
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V BEFORE(:01/ERING PERMANENT
❑CORRECTUNSAFECAIdDI710NWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETIJRN
❑STOP ORDER POSTED.CALL INSPECTOR �CRATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlCor�tractor on site: �"�/1
Inspe�tor: /�
wmtte coprnnspectors�ie Canary CopylSRe NoUce
S . ,
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �13 •�6`��� COMPLETED �-,�..` (� �Z��
ADDRESS << </� N C��'�-'t` � ��I'�_ �.
OWNER TELEPHONE NO.
CONTRACTOR ,
� DESCRIPTION � � �� '�u I� �5�.�. V�S L�
ll1 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
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2 OWNERICONTRACTOR TO MEET YOU:_YES�NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContract r on site:
Inspector.�� �
White Copyllnspector's File Canary CopylSite Notice
/� ���� DATE TIME �
�
CITY OF ORONO CALLED IN //�—� /��
INSPECTION NOTICE SCHEDULED '
PERMIT NO.aO�.3 -GYJ�7� co LETED _�
ADDRESS '�`5 � ' � �V`�
OWNER TELEPHONE NO. ��� '��
CONTRACTOR ��l �S��j �
�; DESCRIPTION
�
� �FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD G FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR LANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO ` '
� COMMENTS: �a��-c�. ��`' �'�.L.�•.2E.,�� c.1El�_
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C ' spection 24 hours in advance. (952) 249-4600
Owne ontractor on site: �4
Inspector. ��' �
White Copyllnspector's File Canary CopylSite Notice
� q� �ME �
CITY OF ORONO CALLED IN I � /���
INSPECTION OTI SCHEDULED ` —' ' � ' �"
PERMIT NO�������I COMPLETED �
ADDRESS �f 315 N. �:Y l�Y�- �l�--
OWNER TEL PHONE �r�7
CONTRACTOR ,�-�'" ` �
t�'' DESCRIPTION ,,,! V�� —� w
N ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q
y ❑ FRAMING � MECHANICAL FINAL � TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS
�INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
= 0 DEMO-FlNAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
J � PLUMBIPIG RI ❑ SEPTIC FINAL 0 FOUNDATION/fiEMOVAL
2 OMMEWCONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS: �I�. �ivls�/ " E��
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINt3 PERMANENT
❑CORRECT UNSAFE CUND!'TION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
�SPECTION REQUIRED.CALL TO ARRANC3E ACCESS.
all forthe ne �t�ours�n advance. (952� 249-4600
dCorrtractor on site-
Inspe�tor: �
wnne covrn�:�mrs Fl� Canary Copy/Site Nottce
����D E TIME
CITY OF ORONO CALLED IN
INSPECTION TICE �,/��CHEDULED J�- ` ���
PERMIT NO. J?- 7� MPL ED
ADDRESS ��� � � � G����
OWNER ELEP ONE N s��'a 7'��
CONTRACTOR ��l s��-��"""- ��'
�: DESCRIPTION
. C�tO"1�
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lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/ RADING/FIL�ING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� '�FINAL ❑ SEWER HOOK-UP p COMPLAINT
J��❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �E��vtta� �5/'S GtG� 60l�� ��(� a2
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0 ❑CORRECT WORK,CALL FOR REINSPECTION ��TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOPORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: (4
Inspector. �
White Copyllnspector's File Canary CopylSfte Notiee
__ ,
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� ' PROP�SED $F9E�TCId�IX ,�
--_ IMPERVIOUS SURFACE:0'-75' A1 SIYE PLAN
� CERTIFICATE OF SURVEY FOR ---_ �� \ 51 FOUNDA710N PLAN
� SHARON O�SON NESBITT ` ,�� � �, ,�..,���
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nuowm o 5Q vr. A3 MNN LEVEL PUN
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To: Finance Department
From: Christine Mattson, Planning Assistant /'�N�
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CC: Street File
Date: August 3, 2016
G/L: 101-22205
Re: Escrow Refund
Building PeRn�#2013-OQ471 pertaining to 4315 North Shore Drnre is complete. Please refund
$10,000 to the applicant, Bradley A. Cleveland Trust Dated 10-10-08.
The following is attached:
• Original signed escrow agreement
• Copy of cash register rec�ipt showing escrow amount received
Mail to: Bradley Cleveland
4315 North Shore Drive
Mound, MN 55364
w.`street files�north shore dr143151escrow refund 2013-00471.d�c
�
TEMPORARY CERTIFICATE OF OCCUPANCY
ESCROW AGREEMENT
Orono Building Permit#2013-00471
Demolition Permit#2013-00429
Pool Permit#2014-00826
Land Use Application#14-3680
AGREEMENT made this�day of �VQV'e,N��k�Y_, 20�, by and between the CITY OF
ORONO, a Minnesota municipai corporation ("City")and Bradley A. Trust Dated 10-10-08("Owners°).
Recitals
1. Construction of the new residence located at 4315 North Shore Drive the ("Subject
Property"), legally described, see attached Exhibit A, is the subject of building permit
application number 2013-00471 has been completed.
2. Winter conditions cuRently prohibit completion of exterior improvements, final grading,
and vegetation establishment. An as-built survey cannot be accurately conducted at this
time.
3. Owners request the City issue a temporary certificate of occupancy ("TCO°) to the
Owners so that the Owners may occupy the new residence.
4. The City will issue a TCO only if the Owners establish an escrow to ensure completion of
exterior improvements, continuation of erosion control and submittal of an as-built survey
to the City.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$10,000 with the City. All accrued interest, if any, shall be paid to
the City to reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to assure completion of any
exterior improvements, final grading, establishment of vegetation as well as 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 Owners would be responsible for under a building permit application. The escrow will
also gu�rantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that
the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of
Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any
hazardous conditions associated with the work and to repair any damage to public property or
infrastructure that is caused by the work (including planning, engineering, or legal consultant review)
associated with building permit #2013-00471 if compliance with the approved building permit is not
accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will
in tum send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of
the Owners' receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make
payment to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners
pay all expenses invoiced pursuant to#3. The City may draw from the escrow account without further approval
of the Owners to reimburse the City for eligible expenses the City has incurred.
155441
TEMPORARY CERTIFICATE OF OCCUPANCY
ESCROW AGREEMENT
Orono Building Permit#2013-00471
Demolltion Permit#2013-00429
Pool Permit#2014-00826
Land Use Application#14-3680
EXHIBIT A—LEGAL DESCRIPTION
Tha#part af Lots 9, 10, 91, and 12, Block 16, Saga Hili Revlsed, whlch lies westerly of the�following
desci�ibed Ilne� and tt`s ex�ens{ans; Commencing at the paint�of lntersectiAn�f the West line af sald
l.ot 9 wtth the shorellne of Lake Mlnnetonka;ttyet�ce on an assumed bearing of Narth � degre�53
minutes East atong the West llna of�ald l.ot S to tF�e Northwest conter oi said Lot 9�tF�ence
easterly a distance of 233.50 feei along a curve not tangentlal with tha last describ�!line� said
curve is concave to the South, has a radius of 1043.tm feet�a c�ritra�angle of 12 degrees 49
mfnut9s 37 seconds and the chord of said c�rve bea�rs South 76 degt�es 06 minutes 32 seconds
East ta#he point of beginning oi the iine being described;thenrs South 11 degrees Ob minutes
18 s�ccnds West to the shoreline of Lake Minnetonk�, and said Itn�there ending.
155441
, ,
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to
the Owners when all requirements related to the project are complete. City Staff shall review the terms of
this escrow agreement two times per year to determine whether the requirements of the project have
been successfully completed and whether it is appropriate to retum the funds. Owner may also request
the release of the funds, and such funds shall be released upon City Staff receiving the appropriate
verification that all requirements of the project have been successfully completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible
expenses incurred by the City exceed the amount in escrow, the City shall have the �ight to certify the
unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012.
7. ACCESS TO SUBJECT PROPERTY. The Owners hereby grant to the City, its agents,
employees, officers and contractors, the right to enter upon the subject property for the specific purpose
of inspecting and completing any exterior improvements, final grading, establishment of vegetation and
the restoration of the subject property should the Owners not complete the work by the specified dates.
CITY: CITY OF ORONO OWNERS:
�
By: �Y���
�ts: � ;
�ttt,ema!Use.�n � ;,�"�'���;£�;.,_ ina�to Financ�;[#epi�rtri�s»t"`�_`���1 C'��q�f�_�F€�
155441
PATRICIA CLEVELAND 17 y�a � -_
OR BRADLEY CLEVELAND a.'Z�$G
763-557-9891
4520JUNEAU W.N pA,� �� �/� .►-/'�
PLYMOUTH,MN — �� ,.� „.
PAY TO THE /� � �••:..° � �•""«
OROER OF V� ,
�� � �=Q��i
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C�bank. All of�senring�ou• ._ ,
MERAO
6P
City of Orono i�' 2 3 6
2750 Kelley Perkway
. Orono MN 55356 952-249-4600 �
Receipt Na: 3.012374 Nnv 26. 2014
s
eradley Cleveland
Previaus Balance: .00
Permits
Temp C 0 Escrow 4395 N 7,500.00
Shore Dr
101-22205
Deferred Rev-Developer Deposit
---------------
Total: 7.500.00
---------------
Check -------------
Check No: 12386 7.500.00
Payor: '
Bradley Cleveland
Total Applied: 7,500.00
---------------
Change Tendered: .00
---------------
---------------
11/26/2014 12:11PM
, � • ' CITY OF ORONO * 2 0 1 4 — 0 1 3 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 1 U26/2014
ORONO,MN 55356-
(952)249-4600 FAX: 952)249-4616
ADDRESS : 4315 NORTH SHORE DR
PIN : 07-117-23-43-0028
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 018
PERMTT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: THIS$7500 ESCROW IS TIED TO THE TEMPORARY CERTffICATE OF OCCUPANCY.
APPLICANT ESCROW FEE-APPLICANT 7,500.00
ESCROW FEE-DEVELOPER 0.00
CLEVELAND,BRADLEY&PAT TOTAL 7,500.00
4520 JLTNEAU LANE N Payment(s)
PLYMOUTH,MN 55446-
(763)557-9891 CHECK 12386 7,500.00
OWNER
CLEVELAND,BRADLEY&PAT
4520 JUNEAU LANE N
PLYMOUTH,MN 55446-
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.
1'he applicant is responsible for asswing 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
1 �
BUILDIN�PERMIT ESCROW AGREEMENT
Orono Buildin�Perm(t#2013-00471
Demolition Permlt#2013-00429
Pool Permit#2014-00826
Land Use Applicatlon#143880
AGREEMENT made thia�day of �c � f— 20[� by and between the CITY OF ORONO,
a Minnesota municipal corporatlon(°City")Bradley�i4. ru�10-10-08(°Oamers°).
Rec s
1. A demolitlon permit application and a building permit application have been flled for demolitlon of
the principal sb�uciure and two (2) accesaory stnictures and construc�on of a new principal s�ucture, one (1)
accessory structure and in-ground �ol located at 4315 North Shore Drive ths (°SubJeat Aroperty°), legally
descril�ed In Exhib�A,attached.
2. Owners request the Cit�r to review thts application.
3. The City wiil commence i�revlew of the applicatlon and incur costs essocieted with said revlew
only if the Owner eatabliahes an escrow to ensure reimbureement to the C(ty of its coata.
NOW THEREFORE,THE P�►RTIES AOREE A8 FOL.LOWS:
1. DEP081T OF ESCROW FUNDS. Contemporaneously with the executifln of this Escrow
Agreement,the Owners ahall deposit$2,500 with#he Ctty. All accrued interest, if eny,shall be paid to the City to
reimburse the City for its cost in admintste�ing the escrow acx�unt
2. PURPOSE OF E9CROW.The purpose of the escrow Is to guarantee reimbursement to the City
for all out of-pocket costs the City has incumed (Including planning, engineering, in excess of $600, or legal
consultant revtew) or will incur in revlewing the plan. Eligible expenses shall be consistient wifh expenses ttie
Owners would be responsible for under a building permit applicetion. The escrow will also guerantee
reimbursement to the City for eli out-of-poaket costs the City has incurred to essura that the work is completed in .
accordance with the Stormwater Pollutlon Prevention Plan and the provisions of Orono City Code Chapter 79. �
The ftnencial security may aiso ba used by the City to eUminate any hazarclous conditions associatal w�th the :
work and to repair any damage to public propertyr or Mfrastructure that is cauaed by the work(including planning,
engineering, or legal consuitant review) assxlated wlth demolitlon penrdt �2013-004�� buliding permit
#Z013-004T1� pcal permlt 201+4-0OB26 and land use applicatlon �k143680 if comptiance with the approved
building perm(t is not accomplishsd.
3. AAONTHLY BILLING. As the C(ty receives consultant bills for incurred casts, the C(t�r will in turn
send a bill to the Owne�s. Ownere shell be respanelble for payment to the Clty vvitthin 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City vuithin the dmeframe ouUined in#3 above,shall tsaue a Stop Work Order urrtil the Owners pay all ex�nsea
invoiced pursuant to #3. The City may drew from the escrow account w�hout further approval of the Owners to
relmburse the Cityy for eltgible expensea the Criy hea(ncurred.
6. CLOStNG ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to the
Owners when the review has been completed and written notification is recsived from the Owners requesdng the
funds.
6. CERTIFY UNPSID CHAROES. If t�e proJect is abandoned by Owners,or if the eligfble expenses
incurred by the City exceed the amount in escrow,the City shall have the right to certify the unpaid balanc�to the
subJect property pursuant to Minn.Stat§§415.01 and 366.012.
CITY: OF ONO OYVNER•
8y: �1
��: • Bradley A. Cleveland
BUILDING PERMIT ESCROW AGREEMENT
Orono Bulldtng Permit#Z07S-00471
Demolition Permtt#2073-00429
Pool Psrmit�2014-00826
Land Use ApplicafJon#14-3660
EXHIBIT A-LEt3AL DESCRIPTION
The#part of Lots 8, 1�, 11,er�!92,Block 76,Saga Wi�Revissd,whlch�ea w�terly of the fopowtnq
descrlbed Iine,and it's exter�stons:Commencing�t the pofnt of lntereec�lon ot!he West Hna M sald
I.ot 8 wHh the shorellne of Lelce MlnneMnka;thence a�an�ned beering of Nar�h 4 degrea b3
minut�East atong the Wea!Iln�of eeld Lat 9 to ttTe Northw�t came.r ot seid Lct 9;thence
easterly e distan�s of 233.50 teet along a curve not errt�l with the la�t described line,said
cmve Is concaue ta the Sou�,hes a radlt�of 1Q49,�a central angie of 12 degrees 49
minutas 87 seaorxls and the chord oi said�rve b�urs 6outh 78 degrees 06 mirwt�32 seconds
Eest to the polr�t ot beglnN�oT the itns baing deacribed;thet�ce South 11 de�rees Ob minutes
18 s�conds West to ths shoreline of Lake Mlnttetonke,and sald Itne there endfig,
BUILDINO PERMIT ESCROW AGREEMEIdT
Orono Building Permit#2073-004fi1
Demalitlon Permit#2013�A0429
At3REEMENT made this�7,_(Q day of �-1 r�� . 20,� by and between the CITY OF ORONO,
a Minnesota municipai c�orporafion (°City°) Bradiey A Cleveland Trust�(°Owners°j.
Recit�ais
1. A demoNtlon permit applicatlon and a buildfng permit applicadon have b8en filed far demoli�on of
the principal struc�ure and two (2)accessory structures and construc�on of a new principal structure and one(1)
acxessory sirUcture {acated at 4315 North Shore Drive the (°Subject Property°), legally descriDed in Exhibit A, j
attached.
2. Owners request the Cttyy to review thi�application.
3. The City will commence i� reviear af the applica�on and incur c�sts associated with said rsview
onty if the Owner establishes an escrow to ensure r�eimbursement to the City of its costs.
PIOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporan�usiy with the exectrtion of this Escrow
�reement,the Owners shall depos�$2,500 with the City. All arxn�ed Interest, if any, shall be paid to the City to �
reimburse the City for its cost in administering the escrow acxount �
2. PURPOSE OF E8CROW.The purpose of the escrow is to guarantee reimbursement to the City �
for all out�f-pocket c�sts the Cit�r has incurred (including ptanning, engineering, in excpss of $50d, or legal �
consulbnt review) or vvill incur in revie�aufng the plan. EUgible expenses shall be consistent wi� expenses the
Owners would be responsiWe for under a building permit application. The eacrow mrif[ atso guarantee
retmburseme�t to the City for all out-af-pocket costs the City has incurred to assure that the work�s campleted in
accordanc�vvith the Stomiwater Pollution Prevention Plan and �e provisions of�rono Cit�r Code Chapter 79.
The flnancial securlty may alsa be used by the City to eliminate any hazardous cflnd�ions associated with the
work and to repair any damage to public property or infrastruature that Is caused by the wark(i�duding pfanning,
engineering, or legat consultant review) associated with demolitlon permit�2043-0�29 and buiiding penr�it
#2Q13-00471 if compliance wtth the approved building�mit is not acxompi'�shed.
3. MONTHLY BILLING. As the City receives con�ultant bills for incii�ed costs, the City wrill in tum
send a bill fo t#�e Owners. Owners shall be responsibie for paymen#to the Cit�+vvithin 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. in the everrt that fhe Ovmers do not make peyment
to the City within the timefreme out�ined in#3 above, shaA i5sue a Stop Work Order untll the Owrners pay all expenses
invoic�d pursuant to #3. The City may draw from the escrow accourd without further approval of the Owmers t� �
relmburse the City�ior eligible expenses the Cit�r h�as(ncurred.
5. CLOSI(dG ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to the
Ovmers when the review has been compisted and written notifica�on is rec.elved ftom the Owners requesting the
funds.
6. CERTIFY UNP�►ID CHSRGES. If the project is abandoned by Owmers,or if the eligible expenses
incurred by the City exc�ed the amount in escrowr,the City shatt have the r�ght to certify the unpaid bafance to the
subject property pursuant to Minn. Stat§§415.01 and 366.012.
CITY: C1F ORONO OWNE
� By: 1�h� UI� �-
��:
- � � � i
. � �
BUILDING PERAAR ESCROW AGREEAIIENT '
Orono Building Pennit#2013-00471 �
Demolition Permit�2413-00429
EXHIBIT A-LEGAL DESCWPTION �
That part of Lots 9, 10, 11,�nd 1Z, Block 18,Saga HiU Revised,which lies westerly of the fatlowing
described li�,and i�s exten.sions: Cammencing at the Ralnt of Mtersectlon of tl�e West Ilne of said
Lot 9 vvith tlie shoreline of Lake Mtnn�onka;thence an an assumed bearing of Narth 1 degr+ee 53
� minutes East along the West line af said Lot 9 to the Northwest comer of said Lot 9;thenca
' easteriy a dtstance of 233.50 f�t alang a curve not tang�tial with the last desc�bed line,said
� cunre is cancave to the South, has a radi�of 1a43.00 feet�a�ntral angle of 12 degrees 49
mfi�t9s 37 ser.onds and the chord ot said curve bears�outh 76 d�rees 05 minut�32 seconds
East to the poic�of beginning af the line being descxibed;thenc�e South 11 degrees 05 minutes
18 s�cronds West to ttre shoreline of Lake Minnetonka, and said line there ending.
� ' CITY OF ORONO * 2 0 1 3 - 0 PJ 5 7 3 *
' ' � 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013
ORONO,MN 55356-
952)249-4600 FAX: 952 249-4616
ADDRESS : 4315 NORTH SHORE DR
PIN : 07-117-23-43-0028
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK O18
PERMTT 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#2013-00471 AND DEMOLITION PERMIT#2013-00429-PD CHECK#12250
BY BRADLEY CLEVELAND
APPLICANT ESCROW FEE-BUILDING 2,500.00
CLEVELAND,BRADLEY&PAT ESCROW FEE-EROSION CONTROL 0.00
4520 JiJNEAU LANE N
PLYMOUTH,MN 55446- ESCROW FEE-GRADING 0.00
(763)557-9891 TOTAL 2,500.00
OWNER
CLEVELAND,BRADLEY&PAT
4520 JUNEAU LANE N
PLYMOUTH,MN 55446-
AGREEMENT AND SWORN STATEMENT
1'he 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 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 construction is
suspended for a period of 180 days ai any time after work has commenced.
The applicant is responsible for assuring all required inspecdons 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
SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
--..._..___ . _ _
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brad�ey Cle�eeYand �
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CERTIFICATE OF SURVEY FOR
SKD ARCHITECTS
IN LOTS 9-12, BLOCK 18, SAGA HILL REVISED
HENNEPIN COUNTY, MINNESOTA
S
• • IVO .
A 10R rSo
CO L:z. 50
Silo
Ui
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l l r i •'7"•••••....... •.
NORT
I -�SpU ''( ••CHORD"-• -•..OTS 9 RYINI�� \\
ER S q R/Gy� U=+23 ssFA+I^/G ' 1 ° ??+ F OF 043.00 .
/ n DOC A— NO. 1nO WAY \
it
EXISTING
GARAGE
r
r
i
r� BLACKTOP
/
--_-g74---moi
------- \
N
929.4
CON
LINE
AS
LEGAL DESCRIPTION OF PREMISES: (from previous survey, verify with title description)
That part of Lots 9, 10, 11, and 12, Block 18, Saga Hill Revised, which lies westerly of the following
described line, and it's extensions: Commencing at the point of intersection of the West line of said
Lot 9 with the shoreline of Lake Minnetonka; thence on an assumed bearing of North 1 degree 53
minutes East along the West line of said Lot 9 to the Northwest corner of said Lot 9; thence
easterly a distance of 233.50 feet along a curve not tangential with the last described line, said
curve is concave to the South, has a radius of 1043.00 feet, a central angle of 12 degrees 49
minutes 37 seconds and the chord of said curve bears South 76 degrees 05 minutes 32 seconds
East to the point of beginning of the line being described; thence South 11 degrees 05 minutes
18 seconds West to the shoreline of Lake Minnetonka, and said line there ending.
o : denotes iron marker
(962.5) denotes existing spot elevation, mean sea level datum
972.0 : Denotes proposed spot elevation
----962 — — —: denotes existing contour line, mean sea level datum
--Ese -- : Denotes proposed contour line
Bearings shown are based upon an assumed datum.
This survey shows the boundaries of the above described property, the location
of four existing buildings, and the location of all visible "hardcover" thereon and
the proposed location of a proposed house, garage, driveway and other improvements.
It does not purport to show any other improvements or encroachments.
Cj�q
1 Cly _
-I- — — — o —
I r"
co
----------
o I
0
,UST t
j
_ I
LOCUST , , \ City of Orono
'Planning & Zoning Plan Review
12" I e Plan'%viOw Date:
.000ST ELM ' `
PPROVED \ \
26"I ❑APPROVED
OAK WITH REVISIGN�S
OAK I ❑ DENTE motes)
�Sr
1 Staff.
ASH' I `
\ I —
1 .
.......-.+� \\
\ �� \A
\
SCALE
PROPOSED ELEVATIONS (PER ARCHITECT)
1) GARAGES = 972.0
2) MAIN FLOOR = 973.0
3) LOWER FLOOR = 962.5
.M •
REVISIONS
ESIGNE I hereby certify that this survey, plan, or report
by direct supervision
DATE
7-30-13
G RO N B E RG & ASSOCIATES, INC.
was prepared me or under my
SCALE
DATE BY REMARKS
and that I am a duly Licensed Land Surveyor under
DRAWN
1"=20'
CIVIL ENGINEERS, LAND SURVEYORS, LAND PLANNERS
6-24-13 REVISIONS PER CITY LETTER
7-26-13 REVISED HOUSE POSITION, HARDCOVER
the laws of the State of Minnesota.
JOB NO .
13-169AI(
445 N. WILLOW DRIVE LONG LAKE, MN 55356
CHECKE
SHEET
OSHEETS
PHONE: 952-473-4141 FAX: 952-473-4435
DATE MINN. LICENSE NUMBER Z7l
i
/
i
------- \
N
929.4
CON
LINE
AS
LEGAL DESCRIPTION OF PREMISES: (from previous survey, verify with title description)
That part of Lots 9, 10, 11, and 12, Block 18, Saga Hill Revised, which lies westerly of the following
described line, and it's extensions: Commencing at the point of intersection of the West line of said
Lot 9 with the shoreline of Lake Minnetonka; thence on an assumed bearing of North 1 degree 53
minutes East along the West line of said Lot 9 to the Northwest corner of said Lot 9; thence
easterly a distance of 233.50 feet along a curve not tangential with the last described line, said
curve is concave to the South, has a radius of 1043.00 feet, a central angle of 12 degrees 49
minutes 37 seconds and the chord of said curve bears South 76 degrees 05 minutes 32 seconds
East to the point of beginning of the line being described; thence South 11 degrees 05 minutes
18 seconds West to the shoreline of Lake Minnetonka, and said line there ending.
o : denotes iron marker
(962.5) denotes existing spot elevation, mean sea level datum
972.0 : Denotes proposed spot elevation
----962 — — —: denotes existing contour line, mean sea level datum
--Ese -- : Denotes proposed contour line
Bearings shown are based upon an assumed datum.
This survey shows the boundaries of the above described property, the location
of four existing buildings, and the location of all visible "hardcover" thereon and
the proposed location of a proposed house, garage, driveway and other improvements.
It does not purport to show any other improvements or encroachments.
Cj�q
1 Cly _
-I- — — — o —
I r"
co
----------
o I
0
,UST t
j
_ I
LOCUST , , \ City of Orono
'Planning & Zoning Plan Review
12" I e Plan'%viOw Date:
.000ST ELM ' `
PPROVED \ \
26"I ❑APPROVED
OAK WITH REVISIGN�S
OAK I ❑ DENTE motes)
�Sr
1 Staff.
ASH' I `
\ I —
1 .
.......-.+� \\
\ �� \A
\
SCALE
PROPOSED ELEVATIONS (PER ARCHITECT)
1) GARAGES = 972.0
2) MAIN FLOOR = 973.0
3) LOWER FLOOR = 962.5
.M •
REVISIONS
ESIGNE I hereby certify that this survey, plan, or report
by direct supervision
DATE
7-30-13
G RO N B E RG & ASSOCIATES, INC.
was prepared me or under my
SCALE
DATE BY REMARKS
and that I am a duly Licensed Land Surveyor under
DRAWN
1"=20'
CIVIL ENGINEERS, LAND SURVEYORS, LAND PLANNERS
6-24-13 REVISIONS PER CITY LETTER
7-26-13 REVISED HOUSE POSITION, HARDCOVER
the laws of the State of Minnesota.
JOB NO .
13-169AI(
445 N. WILLOW DRIVE LONG LAKE, MN 55356
CHECKE
SHEET
OSHEETS
PHONE: 952-473-4141 FAX: 952-473-4435
DATE MINN. LICENSE NUMBER Z7l
RECEIVED
JUL 3 0 2013
CITY OF ORONO