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Home My WebLink About2012-00072 - addn/remodel/repair I CITY OF ORONO . 2750 KELLEY PARKWAY * 2 0 1 2 - 0 PJ 0 7 2 * � DATE ISSUED: 03/22/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2690 RAINEY RD PIN : 04-117-23-43-0016 LEGAL DESC : TREES TO BE : LOT 003 BLOCK 002 PERMIT TYPE' : ADDITION/REMODEL/REPAIR PROPERTY TI�PE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR � ACTIVITY : 434-RESIDENTIAL VALUATION : $ 90,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,AND ELECTRICAL(STATE) SEE CITY ENGINEER LETTER DATED 02/10/2012 APPLICANT pERMIT FEE SCHEDULE 981.75 C.T.CONSTRUCTION STATE SURCHARGE(VALUATION) 45.00 P O BOX 46182 TOTAL 1,026.75 EDEN PRAIRIE,MN 55346- (612)327-7843 PAID WITH CC# 5153 Minnesota State License#: BC588723 OWNER SMITH,JASON&JODY 2690 RAINEY RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be p¢rformed 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 gant permission for additional or related work which requires separate pernuts. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herain.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 bf 180 days at any time after work has commenced. The applicant is res onsible for assuring all required inspections aze requested,.�n nfo auec wi �the St de.This permit may be n revo at y ' Y ause. �- ^ � � � U�--- �/ �� A 1' t Perm e gnature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - �� . . � � o� . �s . � � � City of Orono Building Permit Application � ,� � �� for New Structures or Additions � �—= Mailing Address: a�f��. {j(,�7 '�,L,�,� PO Box 66 Permit number: � � � ,1 Crystal Bay, MN 55323-0066 Date received: � .�— ��3 . a `�'�y��`' s. � StreetAddress:' Received by: R�,Q_., �'�,n � 4 '"� �ti 2750 Kelley Parkway Plan review fe /�— � � L�sg��.g,*v Orono, MN 55356 Esx � �— Total Fee. �� Main: 952-249-4600 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: r�-�' Job Site Address: �J ��J � l� � �(�� 1'1U "��3� l , , Will this be a Parade of Homes, Remodelers Showcase Home or other Displ y Home? ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutfle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INF RMATI N: Name: �� e,,G.�j'�v"l State License# �� ti��]� � Expiration Date: '3•-3/i� Phone: �' office ' � z - , �� (cell Mailing Address: � � Cit : / � � t��r ZIP: Contact Person: � �� S� Applicant i . Co acto / Homeowner (Circle One) Email and/or Fax: „� - � �z,, ry ��o ��- 1f PRGPERTY OWNER INFORMATION: � Name: `� )c'i'�� C�� ZS`(� ��(� 1�'�� Phone (day): , j , _ Address: ` � Cit : D'�;yt ZIP: c ` Email and/or Fax ' � , � i �- ARCHITECT/ ENGW R INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8 Water Supply ❑ New Construction �Single Family with ❑ Residence Addition attached garage arage/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(speci ) MCWD review 8� permits. ❑ Industrial �,t.°I n�2: �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) $ .. � Last Updated: 4/26/2011 �f/ - 19 - �1i�� '�'�. �Cs , �. . '.�w• ' STRUCTURE INFORMATION: • 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= �� Number of bedrooms= � Wood/Frame ( ) � Masonry b.Width ft. = Number of ga ge stalls: ❑ Metal Attached= � ❑ Pole Bldg. Areas in sauare feet Detached= '� ❑ iCF ❑On-site Prefab c. Basement= ❑ Off-site Prefab d. 1S�Story = ❑ Other(please specify): e.2nd Story= f. %2 Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed . '.A licable � ❑ ❑ Permit A lication ❑ ❑ P osed Buildin Plans ❑ MN State Ene Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ ❑ StoMnwater Pollution Prevention Plan � ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ WeUand Buffer Im rovement Plan ❑ n ineered Plans for Retainin Walls 4 feet or above ❑ Plan Review Fee ❑ ❑ ther APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informafion required or requested by the Building Department; • Agrees to pay the City af 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 altemative but to rejeGt it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is infoRnation which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: � J� � L:p' �� Last Updated: 4/26/2011 -20- � � Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: � � � L� �� ' `� � �� ' �� Description ofwork v c'��C (.-( ' ,` �� Septic review by: I f Date Approved: � �" � y � Zoning review by: Date Approved: L/ � � � l � � Building review by: � , Date Approved: 2 —22 ` � Z-- Grading review by: �� Date Approved: � ' �� Zoning File#: � �7�� Resolution#: Resolution Date: � �� Zonin District Fire Department Post Office School District Zoning: Lot Ar a: G ( SF AC Width: Depth: Surve Submitted: es � No Date of Surve : '— �/ Y Y Pro osed Setbacks: Fron (Lake) ea (Street) ( N S� W ) ( N S E W ) Other Buildings Wetland Side l(C�,` Z�}� � -f'` � � N� --- �- Building Defined Height: ilding Peak Height: #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof, the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Received Avera e Lakeshore S back Bluff , 0 Yes ❑ No 0 N/A �, � Yes o 0 Yes N � Yes ❑ No `� Permit Number: Setback: Hardcover Zones Existin Proposed Va ' nce Required CUP Requ' 0-75' es 0 No 0 Yes No 75-250' Type( : Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO � k Permit � �� Plan Review �j � State Surcharge ,�' Investigation Fee SAC— Number of SAC Units Sewer Connection ' Water Connection Park Fee i Site Inspection �, Other(specify) Miscellaneous Fees Calculated By: Square Foota e $ per Square Foota e Basement X = $ 1 S' Floor X = $ 2nd FIOOf X = $ Garage X = $ Estimated Construction Value: $ �Of p dn o D Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site ,H�Plumbing � Grading / Filling � Well � Hardcover Removal 0 Mechanical 0 Fire Electrical �' Footing 0 Septic � Water Connection 0 Poured Wall 0 Fireplace � Sewer Connection 0 Foundation Survey ❑ Masonry 0 Lawn Irrigation � Radon Rock Bed ❑ Mfg. �Framing 0 Other(specify) Insulation A -Built Survey ,0'Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES 0 NO New: � YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) �� Gc- .2�V1�ia'L K-P�I� (,�� a 2' �(� -- �� Updated: 09/11/2009 z:\forms\plan review checklist.docx MEMORANDUM Date: February 9, 2012 To: David Martini, City Engineer From: Christine Mattson, Planning Assistant c: Melanie Curtis, Planning & Zoning Coordinator , RE: Building Permit Number 2012-00072 2690 Rainey Road We have received a building permit application for a screen porch addition and a garage addition to the home at 2690 Rainey Road. Attached are copies of: • Building permit application • Survey, to scale Because we only have full-sized plans, please review the information while you are in the office today and provide comments by Friday, February 17, 2012. Please call Melanie Curtis at 952.249.4627 if you need additional information or if you have any questions on the attached information. Thank you, , , � - � � . �� i� *_ � �� { � gATN � �� : " . ` . � � ' ,� � '� 1 ��, �i i� n ; �� °° F R ;a- ( ( , , a .. �_ -.. , 1 . G� . c-c_ :.�....�,;�- .T-�.--� - � - UlREME � vA,�. 1 ._.�- _ _ i � „�,, ' - ^ .r, — "� -/ I � _ ._ Lr,� L� _ _ _ .� , ,� ; � - � °1 � � , W � .� � T. I + � '� , s d ��rE� r� � _ ; ��. . . I ±:�� . �.� ¢ � ��_ . ,� .J=.-,. -h STt� .i3SiAT 5►�SH � - � .��t � __ ' �` . �N /� � heetsock � • _ ��;�� : � - .p'��5c��, `¢�o � f J �"�V.V� � , �• `�� " �'�� t �-o�Nc i � � - � . �fairs And Wa1f� ' i : : ;, , � � p�� . , . - � , ;� : �p.�N t�`�'�;�.'��.'��'� " � � �,_ �, „ . 4 � . . s'–��„ ' 6 –��'' � �M�5'- . , i �� . _��v� ,� �-- �' , � . ( in .,,�+, t�'t- �_*�� 3'--2' . . _ . ,, - � t',��R N �� t . �, �1. p i � , ,� . - s€� .s�T�C�t+,- /5 J .� - ��ht � � � �Q� .�.._,:,.. _.._..T,:� .-_ ; ��T� �`° �� _ • . � .: . , .__.. _.�.._. ..._ ..._. _ , � { � � �:'� ,. . . �:r .�, L,��' -e:�ss �wfl .�•+in :�=ab ].. Bn•aq ty. r.� ..ss�e,• n�� . �'1 � , . . . . . .. , _ . ' ._ . .... �� ' , –4 '• � > ,�� -10" 3�" � ., � 8. ,� _ _ � �� . . � v � �UP 15 R. CONC S1'A!R � � � ; , Q i . �� C. . _ �i . .- _ � ►' a � ;� � , � -+.-+, � � . � �� ' ( — — — ` - — 1��+� r �� + � 7'–g".r �–��i�r-- — — � . �'�� o j ' � � �� ;- �t��,� � /�, /� �y /� /,T �l�" � � t',��a:T-- —� -- —•�. . . . e �' � � 1��1� JL/1� 111 ' 4x8 ClJRB �BLK .. ` � � \ __ ._.._ (� � � N � � STAIR LANDl6 G 8" CONC BLK , JO! .� � ( -� 70 BE 4 E��Qi�! 16x8 CONC FTG , �a��+� �.,�..�...�..�.,�.t�.�.� •� 3" Cu,dC 8ih � � ( =; Uo � � RS'�T SL�,� _ �`��'��' ��::� ( (2. COURSES) r �- _ • � I 12" CONC 8LK � i o � � I I , - � i 20xB Cc�yC fTG { � N r � � . . . : 4 � ; � � - F . � � � ,�` � .- � ��. I j ! � � � !! 4xs cuRa �u; - _ � �2° coxc a�x . �.'` . ` ?. � j ll��X. 1 ^ � ZoXB ca�vc �7c - : N s ,� � �-- . - -- ! � i1fd�t�AVA�� . a 1 � �� — — -- -- --- _._._ --� �`F� � i . � . � �� a � � . -i . - - - - -- -- - -- -- 1 4 �`, —1�" CONC SLK • BRtCK � � f_EDGE � �� . j � __ � � � � �xii f_�},�.� E?t_K i. �• J � . � �I-+ � - OF MINNESOTA i ' . . t { ; � CONSTRUCTION: R—VALUE .; -------------------------- + WALL FRAMING SECTION= . — �) ' 2) 1> INTERIOR AIR FILM 0. 68t 1 3 �) 1/2" DRYWALL U. 45C f � 3> 5—f/2' � SOFT WOOD 6. 88�: �' 4) 4> 3/4" SHEATHING 2. 06C rj� 5) SIDING 0. 81�: 61 6) EXTERIOR AIR FILM __O_17C i TOTAL R—VALUE: l i. 05� ; i u = i i R = a. G��. � � ; WALL SECTION (INSULATED> : :, { �� 1 ) INTERIOR AIR FILM a. 68� ', 2) ?) 1/2" DRYWALL 0. 45C �; 31 3) 5—i/�" I NSULAT I ON 19. UO� " � 4> 3/4" SHEATHING 2. �6c:- 4'� 5) � SIDING O. 81C. �j� 6) EXTERIOR AIR FILM 0. 17C. � 6� TOTAL R—VALUE: 23. 17�=: � � U = 1/R = O. d4� RIM JOIST SECTION: � 1 > INTERIOR AIR FILM 0. 68C� 1� �) 5-1/�' ' I NSULAT I ON 19. OOG 2) 3> 1-1l2" SOFT WOOD 1. 8AC: _ 31 4) 3/4' ' SHEATH I NG -- 2. 06U �1 5) SIDING 0. 810 ; q'; 6) EXTERIOR AIR FILM O. 17a �j� -------- 61 TOTAL R—VALUE: 24. 600 � . J � _ _ � , U 1/R 0. 041 a , . . � , • �� FOUNDATION SECTION: ; • , 2 . � 1) INTERIOR AIR FILM 0. 68G • • 3� 2) RIGID INSL. 5. 400 ; '. . . 4� 3) 12' ' BLOCK 1. 280 4) EXTERIOR AIR FILM 0. 170 ; TOTAL R—VALUE: 7. 53� � , � U = i/R = 0. 133 : � b i . �& . ; ,.,.,,,�. ?' QF MINNESC7T'A ' � . ' i' ; �' � CONSTRUCTION: R—VALU; :� CEILING SECTION tINSUL. > : � 1) INTERIOR AIR F.ILM 0. 61 2) 5/8" DRYWALL 0. 4� � ' 3) 14' ' HLOWN I NSL. 44. 04� `� 4> EXT. AIR FILM t$TILL> 0. 61�, ' 3� ------- � 4� TOTAL R—VALUE: 45. 67 U = i/R = 0. 02 VENTED CEILING FRAMING SECTION: 1 ) INTERIOR AIR FILM 0. 61� 5� AIR �� /8" DRYWALL 0. 4�� FLOW a> ia-ii�� ow�v INSL. 3a. ac�� , 21 4) EXT. AIR FILM (STILL> a. 61� � � 5) 3-1/�" SOFT WOOD 4. 38� TOTAL R—VALUE: 44. G5� U = 1/R = d. 02: a 1 � ,` � ,� j .. :� ! .�r,. .,�v,.F.,.- .....-.-r.-.�n-.�.....r.--_, ..-..,-........-.- .r._.....,,..,.L...__.__.._..�___,...--i-.,_.-.-:.-..-,_.,-t..-......�., -,_..�.:r r.�___,...... �._ . . . . _.�..,,.:..-.---....._....,......-„-.-�e ...,,...'.,..,...�.. ...-.-..-..,..,�,.,,�...,.......+x-...... . � � �/� � � DAT TIME �, CITY OF ORONO CALLED IN � � INSPECTION N T CE SCHEDULED �— PERMIT NO. ��" ��7a C MPLETED ADDRESS d gO � �� OWNER TELEP NE NO�� 7D� CONTRACTOR • � � ��C �/—�`� �; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALR ❑ 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O o r��l-� 5 �� " -�� s �:_�� 7 Z; � [U�- W � Q � Z W � W � � GW �iIORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. /� -5�C White Copyllnspector's File Canary CopylSite Notice 5� DA E TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED - - Z' :�� PERMIT NO. ��'��a-�cOMPLETED ADDRESS a�9� � OWNER LEPHONE NO. ��Z- Z b 7 (oZ O� CONTRACTOR CT ��'Q�. �; DESCRIPTION �007��!'L � � ❑ FOOTING ❑ PLUMBING L ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o l��. c h j.ti.� � ►�vt � ;n c-�..�`_ � � a � S ; i �T �=�'��t � ,�. 0 � W � Q � " �� L-r ��! C�.. '� L_7C l % �� ,f Z- Z W � W � � d W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� pH0T0 TAKEN 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. �95Z� Z49-46�� OwnerlContractor on site: Inspector. �~� � White Copyllnspector's File Canary CopylSite Notice p1�� ATE . TIME V CITY OF ORONO CALLED IN � �� I �� INSPECTION NOTICE SCHEDULED G 1 '� PERMIT NO. --�C.'/:� "��COM�ETED ADDRESS �Lr �r(; �C. Cc �/tiR�/ � OWNER TELEPHONE NO. � �� 3��'� 7�SC�� CC�ITRACTOR ��l� T �f�p f � } ► C�`1�1I V'lC' >`. D�ESCR1PTIbN LL. C�� .' , � ,� ' l� '�'1 � � ❑ FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP INAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOFi TO MEEf YOU: YES_NO � COMMENTS: �^� � W a � � O � � O � W � Q � Z W � W � � d W�/B�l�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on s e: � � Inspector. ` White Copyllnspector's File Canary CopylSite Notice � ��E�� DATE TIME�� CITY OF ORONO CALLED IN c� INSPECTION NOTICE SCHEDULED c��l—� � . �J PERMIT NO. � V��,��;�� COMPLETED ADDRESS ��' �( i��rG �p,�_ _ �S<.�--=��G--�cC�� OWNER TELEPHONE�� _ � �S � CONTRACTOR -- S+� � :..� ��'��h j; DESCRIPTION �1- �,/1� l'[ �� ! (,1`1 - �--�R-i�-�-C� J�}{ . � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEf��T/�E FINAL ❑ FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:L YES_NO Z �1-.-...__._.._.__.__._�_._., � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W��I'WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: � Inspector. Whiie Copyllnspector's File Canary CopylSite Notice i� IV AT TIME ✓ CITY OF ORON CALLED IN � INSPECTION T /�I�) ZSCHEDULED " ' _ _�� P�iMIT NO. ��/�—COMPLETED ADDRESS�� OWNER TELE�HONE NO.��Z 3Z7 `a „_ CONTRACT�R . f � DESCRIPTION �1��"�' ^ � �� ?� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING I ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ NVSULATION � ❑ 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 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED /�ROJECTCOMPLEfE W ❑�CORRECT WORF�QJ&PROCEED r❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑�CORRECT WORp,CALL FOR RE�NSPECTION TEMPORARY V �EFOREC�/ERING PERMANENT ❑'CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER PO6TED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OWner/Contractor on site: Ir�spector. White Copyllnspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN INSPECTION N�yOIT, ICE/y SCHEDULED PERMIT NO. K�I�- �"V�1 L COMPLETED � � ', I Z-�- ADDRESS 2-��O �Cl I YI��I �3�� OWNER TELEPHONE NO. CONTRACTOR , nL � ,(� �: DESCRIPTION K"S'.�.11 �l SU�U �I vL�l 1 � � ❑ FOOTING ❑ PLUMBING FINAL � ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q ti Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor n s' e: Inspector. � � ��- White Copyllnspector's File Canary CopylSite Notice . • , . . • • � • , emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File � Date: 11/6/2012 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permit #2012-00072 at 2690 Rainey Road pertaining to screen porch and garage additions are complete. The Applicant, Jason 8�Jody Smith, have requested a refund of their $2,500 escrow. The following is attached: • Escrow Refund Request • Original signed escrow agreement � Copy of cash register receipt showing escrow amount received Mail to: Jason &Jody Smith 2690 Rainey Road Wayzata, MN 55391 w:�street files�rainey road�690�escvow refund memo 2012-00072.doc , Christine Mattson From: Jody Smith [Jody@VintageVillasHome.com] Sent: Wednesday, October 31, 2012 9:06 AM To: Christine Mattson Subject: RE: Escrow money... Great,thank you! Jody Smith From: Christine Mattson (mailto:�MattsonCa�ci.orono.mn.usl Sent: Monday, October 29, 2012 8:00 AM To: 'jody@vintagevillashome.com' Cc: 'jason smith' Subject: RE: Escrow money... Hello, We received the as-built survey, thank you. Our engineer will review the survey and we will contact you if there are any questions or concerns. I will confirm any or all other requirements have been met. All expenditures, including escrow refunds, must be approved by the City Council. My next opportunity for submittal is the November 13�' council meeting. Checks will be mailed following the meeting. Please don't hesitate to contact me if you have any additional questions. Christine� From: Jody Smith fmailto:Jody VintaqeVillasHome.coml Sent: Friday, October 26, 2012 6:58 PM To: Christine Mattson Cc: 'jason smith' Subject: Escrow money... Hi Christine! My husband, Jason, turned in all of our final paperwork, including the"as builY'survey regarding our remodel this moming. What is the process for receiving our escrow money? Do you need any additional information from us? Please let me know how this works. Thanks for your help! Jody Smith 2690 Rainey Road 1 Feb'� ,_07:17a Jason Smith 480�64-4838 p.1 BUILDING PERMIT ESCROW AGREEIAENT ' Orono Building Permit#2042-00072 and LAND USE APPLICATION ESCROW AGREEMENT , Application#11-3527 AGREEMENT made this��cfay of t� • 2Q� by atxi between the CITY OF ORONO, a Minnesata municipai corporat�on("Git�and Jason a d Jody Smith ("4wners°). Recitals 1. Owners have fited Building Permit Applica6on #2012-00072 and Zoning Applicatan #11-3527 fom�ally requ�esting the City to review plans fo�a scree� porch and garage adddions loca�ed at 2690 Rainey Raad. the 'Subj�ct ProperE�') legally described as Lot 3, Block 2, Trees to Be, together with the appurtenant easement(s) contained in Document No. 5441457, according to the reco�ded plat thereof or�file and of record in the office of the County Recorder, Hennepin Courrty, Minnesata. 2. Ovmers request the�City to review saicf.plans which requires City approva! inGuding a variance and bu�ding permit _ _ - - � ' ' �' 3. The'City is wiqing to oommence its review of the applicatan and incur oosts assocfated with said review only if the Owners establish 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. AA accrued interest, if any,shatl be paid to the City to reimburse the City for its cost in adminisbering the escro�w accouM. 2. PURPOSE OF F_SCROW. The purpose of the escrow is to guarantee reimbursement ta the City for all aut-�f-pocket costs the City has incuRed (induding planning, engineering, or legaf consultant review)or will incur,.in meeting with the Owners, reviewing ti�e plans, and preparing agenda packet material fcr City Council review of building permit apptication #2012-OOa72 and varianee application 11-3527. Eligible expenses shalt be consistent w�th e�enses the Owners would be responsible,for under a zoning and subdivision applicafion. 3. MONTHLY 61LLING. As the City recenres consultant bills for incumed cosfs, the City will in turn send:a bill to the Owners. Owners shall be responsible for payment to the City wdhir� 30 days of the Owners' �receipt of bilL . � � 4. DiSBIIRSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall cease all reviews urrtil the Owners pay all expenses invoiced pursuarrt to#3. The City may draw frflm the escrow account wiiha.ut further approval of the Owners to reimburse the City fo�efigible expenses the.City has incurred_ 5. CLOSING ESCROW. The Balance on depasit in the escrow, if any, shall be returned to the Owners when the review has been cornpleted. ,, ,6. CERTIFY UNPA�D CHARGES. If the project is abandoned by 4wners,or if the eligible e�enses incu�red by the City ex�eed the amount in escxow,the City shall have the right to certify the unpaid balance to the subject�roperty pursuant ta Mim. Stat.§§415.01 and 366.012, ' z :1'� r, . i CITY: OF ONO OWNERS.,.�;; � : ; ` ;' ' x � ' � sy: Bv: - � - � � ; ItS:, � , 1t5: In6ernal Use Only: �Origin�l�o Fl�nce QepartmeM �Copy to 2oning File 0 Copy to 9trsmt File APPLICATION ESCROW AGREEMENT Zoning Application#�_ - �;�� AGREEMENT made this 3) day of SP��t,.,bes , 20�� , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City')and TAso., uncA a'ad , ti�n��,A nd �cQ hl�� n.5%f��r5 � ,.4�e.L(��+�'��1 i.G�'{� A�- e�.L�°JD l�c�i ��,C)i�r'nn �A/ ��3�1 � [a corporation-opfionalJ("Applicant"). Recitals 1. Applicant has filed Zoning Application#�� - �Z formally requesting the City to review plans for �o.r��.c � �-�.. J- r c r >r. �G�-c� located at t� i"Z,� 3 the"Subject Propert�')as mo fully shown and described on Exhibit"A" attached hereto. 2. Applicant requests the City to review said plans which requires City approval including��e 3. The City is willing to commence its review of the application and incur costs associated with said review only if the Applicant establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUND� Contemporaneously with the execution of this Escrow Agreement, the Applicant shall deposit $�D�� 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, or legal consultant review) or will incur in meeting with the Applicant, reviewing the plans, and preparing agenda packet material for City Council review of application#,�[� - ��,�_ _�__�_: Eligible expenses shall be consistent with expenses the Applicant would be responsible for under a zornng and subdivision application. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Applicant. Applicant shall be responsible for payment to the City within 30 days of the Applicant's receipt of bill. 4. DlSBURSEMENT FROM ESCROW ACCOUNT. In the event that the Applicant does not make payment to the City within the timeframe outlined in#3 above, the City may draw from the escrow account without further approval of the Applicant to reimburse the City for eligible expenses the City has incurred. The City shall nofrfy the Applicant of such draw and the nature of the expense for which the reimbursement is being made. If the Escrow amount falls below 75% of the original escrow amount the Applicant shall deposit additional sums as directed by the City, or the City shall discontinue all review. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Applicant when the review has been completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Applicant, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: TY O ORONO APPLICANT/OWNER: � � � � E B By� R CEIVED ,, �ts: Yl I V �ts: SEP 2 0 201,.1 - 10- CITY�F ORt�NO ' Copy of Appiication Sen:to: Engineer on County on DNR on MCWD on LMCD on Date Property Owners Notified: Date Legal Notice Published: j PC Meeting(s): Vote: Vote: Vote: � Notice of PC Action: ' City Council Meeting(s): i � i Vote: � � Vote: � _ Vote: � Notice of Council Action: 1' ; � Resolution: � � I r ;i ,� � � , y Li'�}+ �?�' t`.1}"O�C � C.t� 'rv',Q I�E�: CSdP��CW3b' "• �. r � �1^�SriU ?�1 ��..'.�.t"'"'j' ' i � rr, ��J1'h� � . i �C•-��G_��r!� '.`.ci� �Ci+�}� Hd7`�.Wdy !�'r�'t/iv ('�1 ,�.�•J:i�i ;.�i;"L4+�'-.��41j! �LC�;j7L e'�i�: +ie tl�.�.s'� ��1 L'Qs �.'��1 , `�-�r'ni�'� ��r�: ..�i�.��',��J4:� �� .:�� :'�t J� �..;,..1 :`��+,1 t�3iYt�� hQ30 / �,1-,�.rG� �,r2tf711nR ar `-°"!l� �]aYPt�y M�2taf} J 1�-,:,ac.� ( �19I'�li� •,�,50 � �/`�`��H��yIR9f�?�� - S }�K�l} �iJ3�� !S4'�12+[r.: � 7(��.{'��} f!5� ,��,�,?� 3�3��.� 3 i PiYY(iy�7� 3iid LOM?T,I� ' J,�Jd�I � f �li��Tl � .� ��'1 f� R�2I`�.'Y{�� .� �S�...Jv�l Me.JC } X��;�• � :�.� pf!'�lL��1 �. 3�rT�a��n� .f�t�t'i � ,ZOI��i . . ^ ' '�k� Gl�LLi� � €,G}I� 't{�'jc"b�MAi:tY2f"P"D6�Y Cf?'R?S il,.; n i f�.r,�d !`eev_�ve?c�c�� 5��si}. ! I`�.�#a�e .._.__._..____._._, � i _ �.._...�__._.._. :�;a11,€�W �ita . :i.iir��.:�� `t�'�hffic: t�o. :S()�; ._.�_.�_�----_ , �;i�c!c+ —=---T__.�____, � I��vcr� ?t�.^�`ao �i�eer. �: �C+3� " Jc'�t'.u6ti � �t� � F d�Gl'° =a � �'�`� P�G:��i 1 ;j-a�r�r° ! y �dlTd� �df� a. c r�'��i � f�1° �,q t f �5�t? �- � ; a�.-:..,�' ��.vr, .;� I �'LL'A�.`::fJ� %111;�w 4r'lM �',y 1 � r �} � l:i��Ft i�;9t�E?""`F21�: ....__'..' �..-� 4C� is; �1��1.a�: _��{+i�ij�;j ,'�� -._�.___.__.__. ; �f�r:_�%'. '•)i;:;L�-�` -._..__.�., s:'idRt4E: l�is"C"r�Y'�:t7: ,�}('• ; !.E3i�t^,`��'4"1�.9 f)t�+�'��Pi.—.__..__�.._ i i � ' � � CITY OF ORONO PExMiT rto.: 2011-01091 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/20/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2690 RAINEY RD PIN : 04-117-23-43-0016 LEGAL DESC : TREES TO BE : LOT 003 BLOCK 002 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CO1wSTRUCTION TYPE : ESCROW FEE-APPLICANT NO'IE: THIS$2500 ESCROW IS TIED TO ZONING APPLICATION 11-3527 APPLICANT ESCROW FEE-APPLICANT 2,500.00 SMITH,JASON&JODY TOTAL 2,500.00 2690 RAINEY RD WAYZATA,MN 55391- OWNER SMITH,JASON&JODY 2690 RAINEY RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accotding to the approved plans and specifications,applicabie City approvals,and the State Building Code. This permit is for only the work described and does not gant permission for additional or related work which requires separate permits. All provisions of iaws and ordinances goveming this type of work shali be compied with whether or not specified herein.This permit will expii+e 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 aftel�work has commenced. The applicant is responsible for assuring all requirBd inspections aze requested in conformance with the State Building Code.This pern►it 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. IJ � � �:: �'. � ❑ � ' ��I � +� � � �' � � � a ll � e, � � � � � � � ■ I a a� '¢ � � � � � � � �. Q �n �: � � o ti ;�, c � m -r� � �L '�: �. � a. �':. `t� — . a � ��i � � �'� u..1 0o ao � _' !' .� � � � � �{ � � �ri� a a a �� B !! N � c•� � � ; � � .°'; � � �' � �� N �� u� � � _ � � � � `,. - � o � : QI — �i mm mm � a. � b �: � � � � : � �' � �" ° � � , ` g � � �: � � �� N �9 C' C � V � r Ci7 yO�R � N V C ij� C :" .'= O � Y, . � U a E � m ea �h � y � � M m; e`a wv�� c .v�e � C: IL � Q lL W � �� ; � - . � — t�i; �vr� � �neo � � �, �ri � d � ►� t; ►; ►: ! ►', d � � � � � '�° � � � _ , � � � � +� _. _ _ . _�.. ,,. ,. __ _ _ _ _ _...___..,. � � � Checklist for Refunding Building Permit Escrows Building Permit # 2.,��Z� ��Z-- �� Z� Street Address: � Applicant Name: �e� � �� - � Escrow request received Date: -l.. ' Z- Permit Type: Are all inspections completed? Yes No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes �Vo Date: Was there a Final Certificate of Occupancy issued? YesN� Date: As-built survey required? Yes, approved on NO NA {.51��1 � � �q�� rvY � Email CK &,��uas�ee to see if there is any unbilfed WIP. Date email sent: �� ❑ Prepare memo for Finance Department z:\formslzoning standard fortns\checklist for refunding building permit escrows.doc Last Updated: 10-31-2011