HomeMy WebLinkAbout2013-00007 - new structure CITY OF ORONO * 2 0 1 3 - 0 0 0 0 7 *
2750 KELLEY PARKWAY DATE ISSUED: 02/15/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 495 OXFORD RD
PIN : OS-117-23-41-OOII
LEGAL DESC : STIELOWS ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : NEW STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTNITY : 101-SINGLE FAMILY HOUSES, DETACHED
VALUATION : $ 1,150,000.00
NOTG: SEPERATE PGRMITS REQUIRED: P1,UMBING, MECHANICnL,SEPTIC,TII2EPLACI�,, SF,WI�,R CONNGCTION,LAWN
IRRIGATION, ELEC7'RICAL(STATE)
NOTG: A FOUNDATION SURVEY REQUIRED PRIOR TO PRAMING INSPECTION. [NITIAL��
NOTE: CITY APPROVAL OF AN AS BUILT SURVEY REQUIRED NRIOR TO C O ISSUANCF. INI"I�IAL�
NO"1'F: BE AWARE, IN THE EVENT WEATFIER OR OTHER CONDITIONS PREVGNT THE COMPLGTION OF AN.�S-13UII;I'SURVGY AT
THE"I'IME"I'HE CERTIF[CATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICA'I'E OF OCCUPANCY MAY BE ISSUED
UPON RECEIPT OF A$10,000 ESCROW TO ENSURE COMPLETION OF"I'HE AS-BUILT SURVEY AND ALL SITG IMPROVEMENTS.
INITIAL�
���
APPLICANT PERMIT FEE SCHEDULE 5,664.95
STONEWOOD, LLC
7407 WAYZATA BLVD STATE SURCHARGE(VALUAT[ON) 560.00
MIN7JEAPOLIS,MN 55426- TOTAL 6,224.95
(952)u97-5590
Minnesota State License#: 20594315
OWNER
SAMPLE, MIKE&ANNE
1449 BAY RIDGE RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
'I'he work for whicii this permit is issued shall be performcd according to
the approved plans and specitications,applicable City approvals,and the
State Building Codc. This permit is for only the work described and does
not grant permission for additiona]or rclated work which requires scparate
permits. All provisions of laws and ordinances governing tl�is typc of w�ork
shall be compied with whether or not specified herein.This permit will
expire and b om�null and void ifconstruction authorized is not
commenc with i 180 days of the date of issuance,or if construction is
suspenc��d for a eriod of 180 days at any time after work has commenced.
The ap licant i csponsible for assuring all required inspections arc
req�e� � c fo mance with the State Building Code.This pennit may be
revo e t ��� tim for due cause.
2 / �� / r �� Q�/ �,S/ �
A � ' ant mitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE.
, � ��� c1� � �� Pl c�-ao���
O � ao�a
�5 t53•� .
8� .�° __
City of Orono ' '�����.�o ���'�
Building Permit Application � b �
for New Structures or Additions
MailingAddress: Permit number: aot3�QO DO?
�%�O,j�j.� PO Box 66
'+;'�0 Q�, Crystal Bay, MN 55323-0066 Date received: � �, d
'k��' 7� � Received by:
���'a '�l �,;, StreetAddress: /-
�\�',�e,t,�����, ��!` 2750 Kelley Parkway Plan review fee: �1� �.�
��`�gEsi�og�/ Orono, MN 55356
`_`-___ � Total Fee: 02013-�(�OB
Main: 952-2491t600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: Nas a F�-Z '� -. Z
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
!f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
COiVTRACTOR/APPLICANT INFORMATION:
Name: s�o�.-c�..rcc.2 _ �� c.,
State License# Zo5`1y31� Expiration Date:
Phone: q S 2 -�a'1-55 4 0 (office) (cell)
Mailing Address: ? n �1� -�.,T... 31� Cit : -�. �,,,�i �� ZIP: 55c.n,6
Contact Person: SVc� G►�-��+ Applicant is: C trac r / Homeowner (CircleOne)
Email and/or Fax: SJ<� 0� S-�cn<.J�L.��� —
PROPERTY OWNER INFORMATION:
Name: M:K.� �s Rrn-� Sw�,��-c-
Phone (day): �tSZ- S`t7- 3�59
Address: _ v��r o�,.rZ Mr� City: ��cw� ZIP: 55"i'�t
Emd'll 2tld/Oi F2X M�i � 5w►.�(1�t � V�.�.00. C c�--
AR�HITECT/ENGINEER INFORMATION: �N� � S c+-rx�I�G
Name: �c.��i., ��C„�,�..f
Phone(day): q5 y�y 3_ g��-�
Address: �/n1 Y�+�'i 5'�" � Ciry: �yzh-fti ""
Email and/or Fax: _�,,r� k���!„r �.;,�,� �„�..,,,,� . � �_ ���� ����..����
PROJECT INFORMATION: � r�,{
1.Type of Project 2. Proposed Use 3.Stru� � �� aV�- � � ����0.�
��� �v��
� New Construction (�Single Family with �Resic ��_ (/�' �.
❑Addition attached garage �Garac C��/�� `""
❑Accessory Building � amil with ❑ Deck �I ,�
❑ Relocation � det ❑Office/ �,I.U�v'�
❑Other. (specify) ❑ Multiple Family/Condo ❑Warehi �("L.{��J �
❑ Public ❑Storage �
**Any earth movement may require ❑Commercial ❑Other(s
MCWD review&permits. ❑ Industrial t- �GJ�
Minnehaha Creek Watershed District(MCWD) ❑Other. (speCify) � i
18202 Minnetonka Blvd �� � ,C �`j�� ,
Deephaven,MN 55391 � ,q n
Phone: 952-471-0590 � � - . �( F'��-(%
Fax: 952�71-0682 j-��� W '
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ �� 1 S� , >S
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. L�ngth(ft.)= �L Number of bedrooms= �' _
�Wood/Frame
b.W'dth(ft.)= H�) Number of garage stalis: ❑ Masonry
Areas in sauare feet Attached= H � ❑Metal
� ❑ Pole Bldg.
c. Basement= 2�33 Detached= Z ❑ ICF
d. 1S�Story = �o� tt
❑On-site Prefab
e. 2"d Story= Z�6°1
❑Off-site Prefab
f. Yz Story =
❑Other(please specify):
g.Total Area= 5��
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ Permit A lication
'1� ❑ Pro osed Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ Surve meetin all re uirements
❑ Stormwater Pollution Prevention Plan
^�Y ❑ Hardcover Calculation s
❑ �1 Se tic S stem Site Evaluation Re ort
❑ � Access Permit
❑ �d Wetland Buffer Im rovement Plan
❑ � En ineered Plans for Retainin Walls 4 feet or above
❑ x Review F �I f.�.2 Z. -
�i 4�
❑ ❑ Other:
APPLICANT/OWNER 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;
• 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 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 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 by law. If you refuse to ply the information, the application may not be issued.
• Agrees that in the even hat w�ather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occu y s r uested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000
escrow to ensure pl ion f the as-built survey and all site improvements.
ApplicanYs Signature Date: � ` 3� ��i
Owner's Signature: Date:
�
� , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: �-f�1�� �X�G��%�
Description of work: N� S� � ��L11�,�� ,, �''�`�5�
Septic review by: �� Date Approved: l� � � l�
Zoning review by: Date Approved:
Building review by: Date Approved: r � � 6 � 7�c:I 3
Grading review by: ���� Date Approved: � aS �
Zoning File#: Resolution #: Resolution Date:
Zonin District Fire Department Post Office School District
Zoning: Lot Area: ������ /AC Width:���i, ot Coverage: N SF %
Survey Submitted: Yes � No Date of Survey: �2I� I L 1/ Revised date(?):
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
�
Building Defined Height: ?�� �� Building Peak Height: � #of St�i�Ok : YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
_ `� The distance between the lowest The distance between the top of slab and
p j START WITH proposed floor(of the basement or crawl START WITH the highest point of the roof.
space)and the highest point of the roof. If you have a...
If you have a... • GABLE OR HIPPED ROOF(no
GABLE OR HIPPED ROOF(no windows): Subtract half the distance
windows): Subtract half the between the highest point of the roof
�� • to the low point of the corresponding
� distance between the highest point SUBTRACTION gable or hipped roof
of the roof to t kuv�poi�Y.Qf t� (BASED ON . GABLE OR HIPPED ROOF(with
- SUBTRACTION corre mg gable or hippe of ROOF TYPE) windows): Subtract half the distance ;
(BASED ON ROOF . ABLE OR HIPPED ROOF(with between the top of the highest
NPE) \ , windows): Subtract half the window and the highest point of the
�Qy� distance between the top of the . roof
highest window and the highest ALL OTHER ROOF TYPES(flat,
�� � point of the roof mansard,etc:No subtraction.
� � �� f/ • S(flat, ADDITION Add the distance between the top of slab
� � Z. L r mansard,etc):No subtraction. (BASED ON and the highest existing grade adjacent to
EXISTING the foundation.
SUBTRACTION Subtract the distance between the GRADES
basement/crawl space floor and the
r� /ja�� (BASED ON EXISTING highest existing grade adjacent to the EQUALS Defined building height
� �s GR�DES) foundation OR 10 feet(whichever less).
� ,. /
� �� , Defined building height
�� �
�
S reland District MCWD Permit Received Avera e Lakeshore Setback Met? Blu
❑ Yes 0 No � N/A � Yes o
es 0 No � Yes 0 No � N/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Requir d CUP Required
Overla District Tier Hardcover Hardcover
��/
�� ❑ Yes o � Yes 0 No
. I l " I�, I l,l� '�J , � (� . �� TYPe�s)� TYpe(S)�
E
Updated: January 2013 '�" ���
v:\formslplan review checklist 2013.docx
REMARKS (in-house):
Fees to be Charged YES NO
Permit =-�'"�
Plan Review r,,--�""
State Surcharge y/
Investigation Fee ✓
SAC—Number of SAC Units (�;� -i-rwt,� - w,t- ���� '
Other(specify) �i�
Square Foota e $per Square Foota e
Basement X = $
15`Floor X = $
2nd Floo� X = $
Garage X = $
���-
Estimated Construction Value: $ l�(� C�, �UC�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site Plumbing 0 Grading / Filling 0 Well
0 Hardcover Removal �'Mechanical 0 Fire �'Electrical
Footing ,p'Septic 0 Water Connection
Poured Wall Fireplace �Sewer Connection
oundation Survey 0 Masonry .8'Lawn Irrigation
�'Radon Rock Bed �Mfg.
,H" Framing � Other(specify)
�' Insulation
As-Built Survey '
,�
Final
� Wetland Buffer
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: � YES � NO '
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
1
Updated: January 2013
v:\forms\plan review checklist 2013.docx
? �'�
� City of Orono �NO��
;%�oNo.., Hardcover Calculation Wo
;,\w� ! Property Address: l�.9 5 (�X�,�(Z, (� R,o A D
:�
\',t�,�,F�:%� Prepared bY: RA►���/ STLC�-N Date: � 16 l?�
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 .
Step 2: PROPOSED HARDCOVER .
In the following table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey(survey 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 e Gar e 24'x 30' 720 S.F.
A O S.F.
B I A V 5 s.F.
C G S.F.
� D G S.F.
E S.F.
F O S.F.
G E 00 S.F.
H — S.F.
� S.F.
� S.F.
K S.F.
� S.F.
M S.F.
N S.F.
� S.F.
P S.F.
0 S.F.
R S.F.
S S.F.
T S.F.
� S-F-
� S.F.
W S.F.
x S.F.
Y S.F.
Z S.F.
1 Total Pro osed Hardcover 2 5 S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
I p S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover O S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 S.F.
4 Total Lot Area S.F.
Proposed Hardcover Percentage [(3)i(4)] �?j, 1 �,
January 8,1013
�. Y
City of Orono
��o�o�., Hardcover Calculation Worksheet
'`i� � Property Address: L�aJ�j D X Fb� � 2.��-1 D
�'` �` .`'
'�`�,�,,,�,•.``•' Prepared by: �A N D�J ST�E le(� Date: ► I�I {3
StoRnwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER ',
In the following table identify�II items of existing hardcover on the property, keyed by letter to Certificate
of Survey(survey must accompany this form). Use as many lines as necessary to accurately depict
existing 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 separately for each portion.
Key to Hardcover Item(Describe) Length x Width Total
Surve S uare Feet
Exam e Gar e 24'x 30' 720 S.F.
A i v 2 x z a o s.F.
B S.F.
C S.F.
D S.F.
�E � S.F.
F S.F.
G � S.F.
S.F.
I S.F.
J S.F.
K S.F.
L S.F.
M S.F.
N � S.F.
O S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
U S.F.
� S.F.
�N S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Existin Hardcover OOD S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover � S.F.
3 Net Existin Hardcover Subtract line 2 from line 1 00 O S.F.
4 Total Lot Area 7 9 O 0 S.F.
Proposed Hardcover Percentage [(3)+(4)] 3.Q °/,
(Proposed Hardcover next page)
January 8,2013
Melanie Curtis
From: Melanie Curtis
Sent: Friday, January 11, 2013 11:33 AM
To: 'Gustafson, Sven'
Cc: 'm91sample@yahoo.com'; 'Kathryn Alexander'; Randy Sterns; Jesse Struve
Subject: 495 Oxford Rd /#2013-00007
Attachments: Hardcover Calculation Worksheet 2013 .pdf; Hardcover Information Packet-2013.pdf; Survey
Requirements -2013.pdf; Escrow Agreement-2013-00007.pdf
Sven
I briefly reviewed the proposed survey and plans with our engineer, Jesse Struve. In order for our plan review to
continue it appears we need clarification and/or additional information on the survey, as follows:
1. Show the average lakeshore setback line—verify all other required information is included (see attached list);
2. Clarify existing & proposed driveways—there appears to be missing information on the survey;
3. Show proposed grading and driveway for the proposed detached garage;
4. Provide calculations for the dirt work— in and out of the site. It appears there will be a good deal of dirt imported
to the site. Please clarify; a conditional use permit may be required; and
5. Assure that the proposed grading in the lake yard does not direct drainage on to adjacent properties. As
currently designed, it appears to do just that.
The attached escrow agreement should be signed by the property owner and submitted with a check for $2500 prior to
permit issuance.
Finally, please have your surveyor complete the attached hardcover calculation worksheets — proposed walls, garage, new
driveway and hot tub should be included. The hardcover calculations should be keyed to items on the survey by letter.
See the hardcover information packet for more detail on this.
Let me know if you have any questions.
Thanks- Melanie
Melanie Curtis
Planning &Zoning Coordinator
City of Orono
2750 Kelley Parkway
Orono, MN 55356
Direct Dial: 952.249.4627
Fax: 952.249.4616
Planning&Zoning Office 952.249.4620
Email: mcurtis(a�ci.orono.mn.us
Website: www.ci.orono.mn.us
City of Orono Office Hours
Monday - Friday 8:00 am - 4:30 pm
1
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Cr�ated by BA.M version 652Q09
Load Short Form Job: Sample
"��" �/�����Q'�" Date: Aug 31,2012
Entire House By: Mike
Horizon Contractors, Inc.
8197 Horizon drive,Shakopee,Mn 55379 Phone:612-508-9226 Fax:952�45-4367 Email:michaelsNg(�yahoo.com
� • ' • •
For: Sample,Stonewood
� - • • •
Htg Clg Infiltration
Outside db(°� -15 91 Method Simplified
Inside db(°� 68 75 Construction quality Average
Design TD(°� 83 16 Fireplaces 0
Daily range - M
Inside humidity(%) 50 50
Moisture difference(gdlb) 51 32
HEATING EQUIPMENT COOLING EQUIPMENT
Make Bryant Make Bryant
Trade BRYANT Trade EVOLUTION SERIES SINGLE STAGE...
Model 986TA42060V17A Cond 1866NA036****A
AHRI ref no.4740263 Coil CNPV*3617A"+ggg42060V17**'
AHRI ref no.
Efficiency 96.3 AFUE Efficiency 12.4 EER, 15.2 SEER
Heating input 60000 Btuh Sensible cooling 22960 Btuh
Heating output 58000 Btuh Latent cooling 9840 Btuh
Temperature rise 50 °F Total cooling 32800 Btuh
Actual air flow 1093 cfm Actual air flow 1093 cfm
Air flow factor 0.024 cfm/Btuh Air flow factor 0.047 cfm/Btuh
Static pressure 0 in H20 Static pressure 0 in H20
Space thermostat Load sensible heat ratio 0.94
ROOM NAME Area Htg load Clg load Htg AVF Clg AVF
(1�) (Btuh) (Btuh) (cfm) (cfm)
Office 249 10246 4372 241 207
Up Starir 150 6705 2123 158 101
Master Bed 347 5929 4777 140 227
Powder 36 896 532 21 25
Laundry 99 1988 1477 47 70
Master bath 214 4670 2972 110 141
Master WIC 222 3438 1079 81 51
Bed 3 298 4297 2972 101 141
WIC3 49 347 152 8 7
B Bath 120 1130 49 27 2
Mech/Stor 168 1892 85 45 4
Bed 2 256 4836 2450 114 116
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
y�_�r��,� 2013Jan-04 08:55:44
1�� Right-Suite�Universa12012 12.0.07 RSU07800
Page 1
...serslMike\Documents\Wrightsoft HVAC\Stonewood Sample Rightrup Calc=MJ8 Front Doorfaces:
.��. � Load Short Form Job: Sample
�/ �� Date: Aug 31,2012
Entire House By: Mike
Horizon Contractors, Inc.
8197 Horizon drive,Shakopee,Mn 55379 Phone:612-50&9226 Fax:9524454367 Email:michaelstrigQyahoo.com
� • ' • �
For: Sample,Stonewood
� - • • •
Htg Clg Infiltration
Outside db(°� -15 91 Method Simplified
Ins ide db(°� 68 75 Construction quality Average
Design TD(°� 83 16 Fireplaces 0
Daily range - M
I�side humidity(%) 50 50
Moisture difference(gNlb) 51 32
HEATING EQUIPMENT COOLING EQUIPMENT
Make Bryant Make Bryant
Trade BRYANT Trade EVOLUTION SERIES SINGLE STAGE...
Model 986TA60080V21 Cond 1866NA060****A
AHRI ref no.5039825 Coil CNPV*6024A**+986*A60080V24*"`
AHRI ref no.
Efficiency 96.5 AFUE Efficiency 12.7 EER, 15.5 SEER
Heating input 80000 Btuh Sensible cooling 37450 Btuh
Heating output 78000 Btuh Latent cooling 16050 Btuh
Temperature rise 41 °F Total cooling 53500 Btuh
Actual air flow 1783 cfm Actual air flow 1783 cfm
Air flow factor 0.029 cfm/Btuh Air flow factor 0.052 cfm/Btuh
Static pressure 0 in H20 Static pressure 0 in H20
Space thermostat Load sensible heat ratio 0.91
ROOM NAME Area Htg load Clg load Htg AVF Clg AVF
(ftZ) (Btuh) (Btuh) (cfm) (cfm)
Dining 270 7640 6774 219 355
Wine 40 1694 296 48 15
Foy/Stair 440 8032 2552 230 134
Kitchen 374 3135 2187 90 114
Gathering 420 8300 9366 237 490
Pantry 50 1999 675 57 35
Mud etc. 238 8269 2061 237 108
Media 320 5164 5146 148 269
Game 320 1313 262 38 14
Lake Entry/Bar 189 2176 2039 62 107
Lake Mud 63 1781 176 51 9
Lake Bath 112 1806 253 52 13
Guest Bed 144 2100 728 60 38
Exercise 264 3598 1019 103 53
Mech 98 3428 443 98 23
B Stair/Hall 190 1879 88 54 5
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
2013�1an-04 08:52:10
`' ����Q� Right-SuiteQsl Universal 2012 12.0.07 RSU07800
Page 1
C:\UsersUAike�Documen4s\Wrightsoft HVAC\Sto�ewood Sample Left.rup Calc=MJS Front Door faces:
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Tab#e 5t31,3.1 �
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daea v�ni maY be+�t3_I
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G:��wms\V�nYMaicu{sCcatabAirCa�}dl5ki.dacx ����O#�
Entire House 3532 62315 34064 1783 1783
Other equip loads 0 0
Equip.@ 0.96 RSM 32701
Latent cooling 3286
TOTALS � 3532 � 62315 35988 � 1783 � 1783
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
2013-Jan-04 08:52:10
w���� Right-Suite�Universa12012 12.0.07 RSU07800 Pa e2
9
C:\Users\Mike\Documents\Wrightsoft HVAC\Stonewood Sample left.rup Calc=MJ8 Front Door faces:
Entire House 2208 46376 23040 1093 1093
Other equip loads 0 0
Equip.@ 0.96 RSM 22118
Latent cooling 1449
TOTALS � 2208 � 46376 � 23567 � 1093 � 1093
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
2013-Jan-04 08:55:44
�''r. ������ RightSuite�Universa1201212.0.07 RSU07800 pa9e2
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❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUtRED.CALLTOARRANGEACCESS.
Ca��tor the next inspection 2a hours in advance. (952) 249-46��
OwnedContractor on site:
Inspector. _�
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CITY OF ORONO CALLED IN �
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� v ��� DATE TIME ✓
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CITY OF ORONO CALLED IN 1���13
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�` � DATE TIME �
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To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File �
Date: December 9, 2013
G/L: 101-22205
Re: Escrow Refund
Building Permit#2013-00007 pertaining to 4�5 Oxford Road is complete. The as-built survey
has been submitted and approved and the cert�cate of occupancy has been issued. Please
refund $2,500 to the Applicant, Michael&Anne Sample.
The following is attached:
• Email from Bolton& Menk indicating no unbilled WIP on this project
• Email from Campbell Knutson indicating no unbilled WIP on this project
• Original signed escrow agreement
� Copy of cash register receipt showing escrow amount received
Mail to: Michael &Anne Sample
4105 Oxford Road
Long Lake, MN 55356
w:lstreet filesbxford rd�495�escrow refund memo 2013-00007doc.doc
Christine Mattson
From: David Martini [davidma@bolton-menk.com�
Sent: Wednesday, December 04, 2013 10:10 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
It looks like we may$50.50 for 825 Willow Dr. The others, including 1065 Tonkawa are good. Let me know if you have
questions.
Thanks.
David P. Martini, P.E.
Bolton 8� Menk, Inc.
P: (952) 448-8838 ext. 2458
M: (612) 756-4315
email: davidmaCc�bolton-menk.com
From:Christine Mattson [mailto:CMattson@ci.orono.mn.usl
Sent:Tuesday, December 03, 2013 2:34 PM
To:'Sherry Charboneau'; David Martini
Subject: Unbilled WIP
Hi.
Please let me know if you have any unbilled WIP for the following.
Thank you!
Zoning Permit# Building Permit# Address Owner
13-3643 825 Willow Drive S John Brunello
2013-00007 495 Oxford Road Michael Sample
2012-01245 3805 North Shore Drive
2011-01537, 2012- 3340 Graham Hill Rd Leroy& Lisa McCarty
00762 &2012-00904
2012-01042 2643 Thoroughbred Lane Judson &Aleya Champlin
13-3619 1380 Briar Street Paul&Jessica Warner
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono : MN ; 55356(physical addressJ
PO Box 66 ; Crystal Bay ; MN ; 55323-0066(mailing address)
'a' 952.249.4620 � 8 952.249.4616
� cmattson@ci.orono.mn.us ; �] www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
1
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Tuesday, December 03, 2013 4:13 PM
To; Christine Mattson
Subject: RE: Unbilled WIP
Christine:
YES -there is unbilled WIP on 13-3643 (825 Willow Drive So) in the amount of$45.00 for
Soren's review of staff report.
Other than that - no unbilled WIP on remaining permit apps.
Sherry
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317•Eagan,MN 55121
'a'(651)234-6230•Fax: (651)452-5550
�scharboneauCalck-law.com•www.ck-law.com
From: Christine Mattson fmaifto:CMattsonC�ci.orono.mn.usl
Sent: Tuesday, December 03, 2013 2:34 PM
To: Sherry Charboneau; David P. Martini
Subject: Unbilled WIP
Hi.
Please let me know if you have any unbilled WIP for the following.
Thank you!
Zoning Permit# Building Permit# Address Owner
13-3643 825 Willow Drive S John Brunello
2013-00007 495 Oxford Road Michael Sample
2012-01245 3805 North Shore Drive
2011-01537,2012- 3340 Graham Hill Rd Leroy& Lisa McCarty
00762 &2012-00904
2012-01042 2643 Thoroughbred Lane Judson&Aleya Champlin
13-3619 1380 Briar Street Paul&Jessica Warner
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono ; MN ;: 55356(physical address)
1
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2013-00007
�
AGREEMENT made this �� day of�P��t+�wl , 201�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and Michael&e Sample ("Owners").
Recltals
1. A building permit application has been filed for a new single familv residence and detached
arg acae located at 495 Oxford Road the ("Subject Property"), legally described as Lot 3. Block 1. Stielows
Addition, Hennepin County Minnesota.
2. Owners request the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the 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 guarantee
reimbursement to the City for alt 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 #2013-00007 if compliance with the
approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'
receipt of bilL
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owners when the review has been completed and written notification is received from the Owners requesting the
funds.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CITY OF ORONO OW R:
By:
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� ' ' CITY OF ORONO * Z 0 1 3 - 0 0 0 4 9 *
2750 KELLEY PARKWAY DATE ISSUED: OU18/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 495 OXFORD RD
PIN : OS-117-23-41-OOlI
LEGAL DESC : STIELOWS ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2500 ESCROW IS TIED TO BULDING PERMIT#2013-00007-PD CHECK#5980-BY MICHAEL SAMPLE
APPLICANT ESCROW FEE-BUILDING 2,500.00
SAMPLE,MIKE&ANNE ESCROW FEE-EROSION CONTROL 0.00
1449 BAY RIDGE RD
WAYZATA,MN 55391- ESCROW FEE-GRADING 0.00
(952)847-3159 TOTAL 2,500.00
OWNER
SAMPLE,MIKE&ANNE
1449 BAY RIDGE RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections 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 OTHER THAN DESCRIBED ABOVE.
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Penntt Address: 495 C]�xfor+d R�d � �ll�in P!� ,��������
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Generai� Fee� Inspections{1Z� I Notes� Aa�plicant D�tail� CO D�tail�
Seq Inspe�ion Typ� Inspectof Date Stat�s H Fee R�c
� 1 j R�don PrEvertfton Irtspect�on ___ ( ! � �
- -
� --- - -- --
--- — -
_ _ - ---§
_�---
� 2 Favfing---:--_ WGIB ,2/2712013 P Y �0
_..._ . _. ______.
_ f-- __. �--Y � - _......
• 3 Poured w11aGf T. WGIB 3!8l2013-_ _- '-- . _
_ _ __ __ ___ .. _ __ _ _
• 4 �Foundation St�rvrey BJ4 Frarn�ng CMAT 4t1912013 P fl
�._ _ ._ ____. ------- ---- -. ___. ___._.....
� 5 iFramin_ LOMA 615J2013 P 0
_----
• 6 Insutation __ _ . __-_ . _ _._ _ -_ �GIB 6119/2013 P --- - IY U
__.._ _____._.. _._..._____..... .._.__�._
_._...._...___�_.___ ..__-�
---, ----_ _ __. _._...._..
�_ 7 Escrow ReTund Ft�q�ested _�,_
_ _-- --- —-- - ---- -- - -
� 8 - Escrow Refum�ied
..
___. _----- ._.. ____ _----
• 9 --_ Fin�at - .___._.___. _._____.____.--- 1NGIB 11/18/2013 P Y 4
� .
• 11 Lath WGIB 7/1112013 P Y fl
-- - ----� _---
• 12 Erosion Carntrvf- _.._ _._..----_._.__ ,�GIB 7/1112U13 Y 0
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