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HomeMy WebLinkAbout2015-01375 - barn , CITY OF ORONO *� _ 0 1 3 7 5 * ' 2750 KELLEY PARKWAY DATE ISSUED: 02/O1/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2770 RAINEY RD PIN : 04-117-23-43-0014 LEGAL DESC : TREES TO BE : LOT 001 BLOCK 002 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : �A R I`! ACTIVITY . �3�-7 � '\I c N�c'S i d c v�+ i� j VALUATTON : $ 32,390.00 NOTE: SEPARATE PERM[TS REQUIRED:ELECTRICAL(STATE) ACCESSORY STRUCTURE- 30 X 28-840 SQ.FT. APPLICANT PERMIT FEE SCHEDULE 523.99 PLAN REVIEW 109A2 WYSOCKI, RICHARD&APRIL STATE SURCHARGE(VALUATION) 1620 2770 RAINEY RD WAYZATA,MN 55391- TOTAL 649.21 Payment(s) CHECK 12867 649.21 OWNER WYSOCKI, RICHARD&APRIL 2770 RAINEY RD WAYZATA, MN 55391- AGREEMENT AIVD 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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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 revokdd at any ti e for due cause. �� y� �_ l,�f� i � I I d �5-'� ���-�---�-� ��, � i ,Ap icant Permitee Signat r Da e Issued By Signature Date �• . � City of Orono � Building Permit Application ��9 � for New Structures or Additions Mailing Address: ��Q A;\ PO Box 66 Permit number: O�S' O 1 37 � `V� ��, Crystal Bay, MN 55323-006 Date received: ��� � � � (` � � i Street Address:' \`� Received by: C-'�v 1 ,�f h f 2750 Kelley Parkway �\1 1 YJ Plan review fee: ��S-v/J� 7 �` � Orono, MN 55356 ��/ �r� �qh"F s ri����� Main: 952-249-4600 / Total Fee: �`"� Fax: 952-249-4616 www.ci.orono.mn.us -� , + ^ - 1f � �'• �' This application form must be completed in full and all required information mus e submitted. -- Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: '��0 �C,.n� R� Will this be a Parade of Homes, Remodelers Sho case Home or other Display Home? ❑ Yes g No If yes,a specia!event permit is required with Police Department an City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �/G���'d X ��y�G�.-:,Ci State License# Expiration Date: Phone: _(cell) 6 � ��,/ S (office) Mailing Address: �.? b �' ,E,v Cit : �.�L�,vb ZIP: ��34' Contact Person: Applicant is: Contractor / omeowner (Circle One) Email and/or Fax: /�/c�A,�d w ��QG��i� i'`i�s,c.v �� �ll/i� f—, Count►�/Cu rd me.c.6w► PROPERTY OWNER INFORMATION: , 7 � � Name: !c/��.Nr"��i� �,)lS0<_K/ Phone(day): �i,Z-�.b'J- S��a. Address: -Z,�7 7o j2,+4/,�l F'y �,� City: ��6/V�� ZIP: `� � �� Email and/or Fax �;i�:l.�f?,c;t7,�,,,y��o�,j��n r/5 .C���T ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Descri tion of ro�ect: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with �Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑ Public Sewer �Accessory Building � Single Family with ❑Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family!Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water "*Any earth movement may require ❑ Commercial ❑ Storage MCWD review�permits. ❑ tndustrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) ❑ Other(SpeCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �'� � �J Packet Last Updated: August 2015 1.St�cture Dimensions ����v . 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= 7�� Number of bedrooms= �(Wood!Frame b.Width(ft.)= �� Number of garage stalls: ❑ Masonry Areas in square feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= Detached= :3. ❑ ICF d. 15t Story = �;"I� ❑ On-site Prefab e. 2"d StOry= ❑ Off-site Prefab f. '/2 Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ J�� Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/x 11 set ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ �' Hardcover Calculations ❑ � Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation from MCWD statin no ermit is re uired ❑ � Landsca e Walls and/or Retainin Wall Plans ❑ �, Stormwater Pollution Prevention Plan SWPPP ❑ � Access Permit ❑ ❑ Data Privac Adviso Form 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 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: � i � , — Owner's Signature: j� ' "�`��� Date: "�`'�'•-S �t' Packet Last Uodated.� Auaust 2015 S'� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS ¢ �� � d � �� Permit No.: ��� ' �k.�7J� Aildress: I i Description of work: �� S �1 H�� 2�'� ate Rec'd: �� ' Z� •� �� FS S � Septic review by: Date Approved: � Z� � Zoning review by: Date Approved: 2'�'� Building review by: Date Approved: / Z � Grading review by: I"T� Date Approved: (L'�d '� Zoning District: 1`' �� Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF�r/AC;� Width: Lot Coverage: ����' SF -''����- % Survey Submitted: �'es � No Date of Survey: Revised date(?): � �"I � - � {�urha� C�- h:o e(al�e, Landscape plan submitted? 0 Yes p�No Landscaper: / Proposed Setbacks: 'Rai Y� ,, Front (L e) Rear(St t) J ( N S �E W ) ( N S E W ) Other Buildings Wetland Side Side {-p �`�x j ' ,�' ' ` ��,�" t �---� �, � , ��� , �- �- _.� CH le.d �W- , Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) ° Perimeter(linear feet) = 50% = L.F. below grade Basement? � Yes ❑ No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest proposed Slab at or above grade— floor(of the basement or crawl space)and measure from hiphest existinq START WITH the highest point of the roof. ra ade to the highest point of:he START WITH roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure (BASED ON windows): Subtract half the distance from highest existing grade to the ROOF TYPE) between the highest point of the roof hi hest oint of the roof. to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF �` GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basemenUcrawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the j�� window and the highest GRADES) foundation OR 10 feet(whichever is less). ` point of the roof j • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit �J�� Average Lakeshore Setback gFuff M et? Ir _ �� 2 � Yes � Yes No Permit Number: J w � Yes 0 No N/A No 0 N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf /� � Yes No � Yes No 1 2 3 4 �5 ► �� Type(s): Type(s): U Fees to be Charged YES NO Permit l/� Plan Review State Surcharge Investigation Fee SAC-Number of SAC Units �/` Other(specify) Square Footage $ per Square Footage Basement X = $ 1 S� Floor X = $ 2nd FIOo� X = $ Garage �j`�d X 3c�.J� - � 32 3 � �� Estimated Construction Value: $ �� , ��D � Orono Inspections Required Work Requiring Separate Permits Footing 0 Site � Plumbing ❑ Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire � Foundation Survey ❑ Hardcover Removal ❑ Septic � Water Connection � Foundation Waterproofing 0 Other(specify) ❑ Fireplace � Sewer Connection Framing ❑ Masonry � Lawn Irrigation � Insulation � Mfg. ❑ Landscaping As-Built Survey � Other(specify) Final ❑ Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: �See Builder Acknowledgement Form � Pnor escrow mo - urvey and h ations must n approved. Updated: October 2015 �'\fnrmc\nlan rovia�ni rharklict 1 fl_9M�i rinrv � Builder Acknowledgement Form 2770 Rainey Road / #2015-01375 Builder Permit Conditions Initials Building plans submitted are for an accessory structure of 28 x 30'. The survey shows a proposed structure of 26.9 x 28.7'. If the buildings plans change, an updated set must be submitted and approved prior to �C C� construction. Erosion control mechanisms must be installed and inspected by the City /� proper to any land disturbing activities. The contractor must provide a // �/�j �� minimum of a 24 hour notice prior to inspection. �'�' � � Erosion control shall be installed and maintained throughout the entire /� /n` j,� project and must remain until vegetation has been established. (� 6 �t, Protect septic sites with snow fencing or metal stakes and caution tape. ,� ( �(,l`� Prior to the release of escrow money an as-built survey must be submitted �%��1 „ j� �-- and approved. �-%t ``� ��' Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios, grading, sidewalks, retaining walls, etc. not currently shown on the approved survey /���/��--- and landscaping plan will require a separate Zoning Permit application to be �� submitted and approved prior to the work commencing. Any retaining walls that are over 4-feet in height or tiered walls not . separated by twice of the height of the lower wall require engineered plans � I�2 C���- and a building permit to be submitted and approved rp ior to construction. W:\Street Files\Rainey Road\2770\Builder Acknowledgement Form 2015-01375.docx r�� � .,�-` r ' ,� � . � ' • . i +r,` •'. �' ' ' . . � , � � , ' � ' . 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' . � . . . . . ... � . � '� , ..� +r �7 . • � x�1� � . � x (fl7.7 ` � , \ `��C �Of..� .�„+C�) . . � � . 36.0 ` `�� �- �� � ' ^ - ; • ,�,. �� � • . Z... ,�.,:, c ; ; , � � 44 \ -�`�,.,` ,�r�33 0 � � � ', , ' ;, � � ;., : � \ �� ` ' � � � '� .` � ,�'� °� r� , ' �' .',. � �� � Q � �,_�' ti ,, + r , , � '\ ��, p.� �, � ` ; / � D'� ` ; ` ;' .` � ;'� �� o q''� , ...._ .�� , . � _ � � , '�r, .� . . � , , II•8 )q+�.'t �oi.♦ /'� . .� _ �O' � � Xj a! �� �•' , ' � � � � _ - � p� � ,r '!, " J� � ' � ,,, _,= a � /,� p , � . � R � � �.� � o _ ,; ,r` ,� ` \ � �i y,. � , g e � —...� �. . It2.1 � '� � � . _ , � ` . . , — r Christine Mattson From: Adam Edwards Sent: Thursday, December 10, 2015 1:21 PM To: Christine Mattson Subject: RE: 2770 Rainey Road/#2015-01375 Stamped Approved 1. Perimeter erosion control measures should be installed by the Contractor and inspected by the City prior to any work, including demolition. Contractor must provide minimum 24 hour notice prior to inspection. From:Christine Mattson Sent:Wednesday, December 09, 201510:45 AM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject:2770 Rainey Road/#2015-01375 Adam, Please review and provide comments pertaining to a proposed accessory structure. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway j Orono � MN � 55356(physical addressJ PO Box 66 � Crystal Bay � MN I 55323-0066(mailing addressJ '� 952.249.4620 � 8 952.249.46�6 � cmattson@ci.orono.mn.us � � www.ci.orono;mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Thursday& Friday, December 24&25,2015 Friday,January 1, 2016 Monday,January'18, 2016 1 >,.x.i' �-� ��,r . i '� ���"�'�� � �, - k: r �, �.., .� .:� 'a.—,- �` �,�`�_i� �� v�l , 1� W;� r'�,i( � r �.t , s ,' $� ,��' � 3't'"T' ' '{�� ,�,. .-r, .t'". �:�,t 1 ��"" ' �''r �,. r a��� . .�% r}�+'i �i� � , �� �*.��'� !f{l� . � , ' � ` "� ,�,tu. • �jd � � i ` � f���• » � � � . 1 , r'' y � ��' s ,�. �;_ ���� � _ .;� � � '. � �.:'� 1�,, �.,,� . .� - �" . 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"z � . �It�P� �:�_..c. 4 ,� '.. . . ..:...:. .. �� .'. .. : • - ,. __ __j'� PROJEC" �,�',G:�,�10N 5��.�RCE 'atP. _', _- --� ._ _ _ , _p n Co.,Ar.ce;yv• �ngmeering 1 in = 100 feet � Project Parcel , Hennepin Co.Parcels 0 50 100 200 � O Sample Point ° __ Wetland Field Delineated Feet � -� 4/15/2015 2770 Rainey Road Wayzata, Hennepin County, MN Hennepin County City of Orono P/D:053-0411723430014 State of Minnesota Henne in Coun MN / � Anderson Engineering of Minnesota,LLC D E LI N EATI O N - F I G U RE 5 ;,� ANDERSON 136051stAvenueNorth WYSOCKI WETLAND /�� ENGINEERING s��ce,00 =� Plymouth,MN 55441 D E LI N EATI O N ENGINEERING • ARCHITECTURE • LAND SURVEYING 763-412-4000(0� 763-412-409�(� ENVIRONMENTALSERVICES • LANDSCAPEARCHITECTURE wwvv.ae-mn.com AEComm.#13984 Date:4/7/2015 By:JLA �---�.e... Minnesota Wetland Conservation Act Notice of Decision Local Government Unit(LGU) Address Minnehaha Creek Watershed District 15320 Minnetonka Blvd Minnehaha MN 55345 1. PROJECT INFORMATION Applicant Name Project Name Date of Application April Wysocki 2770 Rainey Road Application Number 4/22/15 W15-15 (Incomplete) 5/13/15 (Complete) �Attach site locator map T e of Decision: �Wetland Boundary or Type ❑No-Loss ❑ Exemption ❑ Sequencing ❑Replacement Plan ❑ Banking Plan Technical Evaluarion Panel Findin s and Recomxnendation if an : ❑Approve ❑ Approve with conditions ❑Deny Summary(or attach): 2.LOCAL GOVERNMENT UNIT DECISION Date of Decision: �Approved ❑Approved with conditions(include below) ❑Denied LGU Findings and Conclusions(attach additional sheets as necessary): April Wysocki has applied for wetland boundary&type confirmation for the wetlands located at 2770 Rainey Road in the City of Orono,Hennepin County, Minnesota(0411723430014). Legal description: Section 4, Township 117N, Range 23W. A wetland delineation was conducted by Anderson Engineering on April 15, 2015. A complete delineation report and WCA application was submitted to MCWD on May 13,2015. One wetland was delineated on site and classified as a Type 3 shallow marsh. The wetland overlaps with a DNR Public Water and an NWI-mapped wetland. MCWD reviewed the boundaries in the�'ield on May 21,2015.MCWD was in agreement with the boundaries of the wetland on-site and a�proves the wetland boundaries and type as delineated in the field and documented in the delineation�report.This decision is valid for five years.A future project located on this property may require a p�rmit from the MCWD. BWSR Forms 7-1-10 Page 1 of 3 .� � ���� RESIDENTIAL � ACCESSORY BUILDINGS ��, � www.ci.orono.mn.us �' 952-249-4620 l�xES H 0�� PERMIT A permit is required for all accessory structures. An application packet may be obtained on the City's website (www.ci.orono.mn.us)or at the City offices. DESIGN � p ' �� Accessory structures 120 square feet or larger located on lots of less than 2 acres must be consistent in design and color with the principal structure (house). Garages located within the rear yard on lots that have frontage on a lake must have windows or other ornamental, architectural features on the wall facing the street or private road. ��' �,� s�zE �, Maximum Individual Accessory Maximum Allowed Total Footprint Lot Area Building Footprint of All Accessory Buildings on a Pro ert * 0.00--1.99 acres 1,000 s uare feet 2,000 s uare feet 2.00--3.00 acres 1,200 s uare feet 2,400 s uare feet 3.01--3.50 acres 1,400 s uare feet 2,800 s uare feet 3.51--4.00 acres 1,600 s uare feet 3,200 s uare feet 4.01--4.50 acres 1,800 s uare feet 3,600 s uare feet 4.51--5.00 acres 2,000 s uare feet 4,000 s uare feet 5.01--6.00 acres 2,200 s uare feet 4,400 s uare feet 6.01--7.00 acres 2,400 s uare feet 4,800 s uare feet 7.01--8.00 acres 2,600 s uare feet 5,200 s uare feet 8.01--9.00 acres 2,800 s uare feet 5,600 s uare feet 9.01 or more 3,000 s uare feet 6,000 s uare feet *Only one accessory building may exceed 1,000 square feet. NUMBER Absent any other zoning requirements there is no limit on the number of accessory buildings per property. STRUCTURAL COVERAGEIMASSING Properties less than 2 acres in size are subject to a 15 percent structural coverage limitation. (See the Structural Coverage information sheet.) HARDCOVER Properties located in Tier 1 though Tier 5 within the Stormwater Quality Overlay District are subject to hardcover regulations. These are typically properties within 1,000 feet of lakes or 300 feet of certain creeks. (See the Hardcover information sheet.) Reference: City Code Sections 78-1279, 78-1288, 78-1404. 78- This is an information sheet. Every effort has been made to 1405, 78-1435 through 1438 insure the accuracy of the information contained herein; however,if any information is not consistent with provisions of January 2013 the City Code, the Code provisions will prevail. Page 1 of 4 WELLS 8c SEPTIC SYSTEMS An accessory building must be at least 3 feet (including overhangs) from a well; 20 feet from the drainfield and 10 feet from other parts of the septic system. LOCATION An accessory building must be at least 10 feet from the house (including a deck or overhang) and 10 feet from any other structure. It may not be placed in a drainage, utility or similar easement. Non-lakeshore lots: An accessory building may not be placed closer to the street than the house. On a corner lot this requirement applies to the narrower street frontage regardless of which frontage the front of the house faces or the address of the house; principal building setbacks may be required. Special setbacks and approval apply to a "through lot" (a lot with a street to both the front antl back.) Contact the Planning and Zoning Department for more information. � . � Setbacks for an accesso buildin of less than 750 s uare feet Zoning District Interior Side Street Side* Garage- Other- Rear Rear R-1 A 10' 35' 10' 5' R-1 B 10' 15'** 10' 5' LR-1 A 10' 50' 10' 5' LR-1 B 10' 35' 10' 5' LR-1 C or LR-1 C-1 10' 15'** 10' 5' RR-1A 10' 100' 10' S' RR-1 B 10' 50' 10' 5' Setbacks for an accesso buildin of 750 to 1,000 s uare feet Zonin District Interior Side Street Side* Rear R-1 A 15' 35' 15' R-1 B 15' 15'*" 15' LR-1A 15' 50' 15' LR-1 B 15' 35' 15' LR-1 C or LR-1 C-1 15' 15'*" 15' RR-1 A 15' 100' 15' RR-1 B 15' 50' 15' Setbacks for an accesso buildin of more than 1,000 s uare feet Zonin District Interior Side Street Side* Rear R-1A 30' 35' 15' R-1 B 30' 30' 15' LR-1 A 30' 50' 50' LR-1 B 30' 35' 30 LR-1 C or LR-1 C-1 30' 30' 30' RR-1A 50' 100' 100' RR-1 B 30' 50' 50' *This setback applies to unimproved street right-of-ways as well as to improved streets."Must be 30 feet if a detached garage with overhead door facing the street side. Reference: City Code Sections 78-1279, 78-1288, 78-1404. 78- This is an information sheet.Every effort has been made to 1405, 78-1435 through 1438 insure the accuracy of the information contained herein; however,if any information is not consistent with provisions of January 2013 the City Code, the Code provisions will prevail. Page 2 of 4 DATA Pf�VACY 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 depa�tments 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 refusal 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 license. 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. ,�/c���� ,C �Jys�c�i� First Middle Last 2. 7 7 6 �2�' ��/z` � �� Address � �2��ub ,�-1N 5-�39� ��a-�.8���� �� City State Zip Phone I understand my rights as stated above. ���� . ignaiure Packet Last Updated: August 2015 Page 7 Christine Mattson From: Christine Mattson Sent: Friday, October 30, 2015 8:35 AM To: 'richard.wysocki@otis.com'; 'countrycupboard@me.com' Cc: Melanie Curtis Subject: 2770 Rainey Road/#2015-01375 Attachments: letter.pdf; Ord 152.pdf; Survey Requirements-August 2015.pdf Richard &April, Attached is a copy of the letter and enclosures being mailed today. Please don't hesitate to contact us if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono � MN � 55356(physica/addressJ PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ '�' 952.249.4620 � 8 952.249.4616 �cmattson@ci.orono.mn.us � �] www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Wednesday, November 11,2015 1 . �-o�o C ITY OF ORONO � � Street Address: Mailing Address: Telephone(952)249-4600 �, Gti 2750 Kelley Parkway I P.O.Box 66 Fax (952)249-4616 l,9 �, Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us xESH�� October 30,2015 Richard&April Wysocki 2770 Rainey Road Wayzata,MN 55391 Re: Building Permit Application#2015-01375 On October 26, 2015 the City received a building permit application for an accessory structure. Staff conducted a preliminary review based on the information provided and recommends the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certiflcate of Survey. The partial copy of the survey submitted does not meet the City's survey requirements (copy enclosed). Please provide two copies of an updated,full size certificate of survey which meets all of the City's survey standards (enclosed) indicating specifically the location of the proposed accessory structure as well as any improvements including proposed grading and the existing primary and alternate septic treatment sites. Please note our engineer has not reviewed the survey,so additional comments may be forthcoming. 2. Wetlands. Based on our available information a wetland delineation was submitted to and approved by the Minnehaha Creek Watershed District. The approved wetland delineation edge must be shown on a survey in addition to with the 35'wetland setback. 3. Minnehaha Creek Watershed District (MCWD). Your project may trigger the Minnehaha Creek Watershed DistricYs (MCWDs) permitting requirements; please contact the MCWD directly at 952-471-0590 regarding your project. Please note,the City of Orono will not issue a building permit without a copy of the MCWD permit or documentation stating the proposed project does not trigger any of their permitting requirements. The above information is required in order for the plan review to continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO � ���Y,� Christine Mattson Planning Assistant c Richard&April Wysocki via email Roger Peitso, Building Official enclosures � �'= 3 a ' OT' LC�'T 1 , BLQC� �, '1'1-��;�� �l�v ts.� HENNEPIN COU�TTY, MINNESOTA - .... S 88°57' 57" E . 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Christine Mattson From: April Wysocki <countrycupboard@me.com> Sent: Friday, November 17,2017 8:35 AM To: Christine Mattson Cc: Wysocki, Richard;Jeremy Barnhart Subject: Re:2770 Rainey Road/#2015-01375 Good morning, Christine, We have decided not to apply for the driveway permit leading off of Old Crystal Bay Road. Instead,we have had trees planted to close off said driveway. We have complied with all extra items which came up after final inspection on the barn. Therefore,we would appreciate due diligence on your part by releasing the escrow check. Please email me and I will come and collect said check. Should you have any questions, please call or email me. 952/476-0222 Thank you, April On Oct 16,2017,at 3:00 PM, Christine Mattson<CMattson@ci.orono.mn.us>wrote: Mr. &Mrs.Wysocki, While you have completed the items required with the approved permit, a second access was added, without prior approval,which changed the scope of the project. Before we can release the escrow refund check,we need a copy of a driveway/right-of-way permit from Hennepin County.The escrow will be retained in case the County requires removal. Please don't hesitate to contact me if you have any additional questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN I 55356(physical addressJ PO Box 66 � Crystal Bay I MN I 55323-0066(mailing addressJ '� 952.249.4620 � �952.249.4616 �cmattson@ci.orono.mn.us E �C www.ci.orono.mn.us Office Hours: Monday- Friday $am to 4:30 pm OUR OFF/CE WILL BE CLOSED: November 10,2017 1 � 'm _ _ �rom:Wysocki, Richard fmailto:Richard.Wysocki@otis.com] Sent: Monday,October 16,20171:08 PM To:Christine Mattson<CMattson@ci.orono.mn.us> Cc:April Wysocki (countrvcupboard@me.com)<countrvcupboard@me.com> Subject: 2770 Rainey Road/#2015-01375 Christine,with regards to the escrow held by Orono for this project,we have conformed to the permit requirements taken out by April and myself to build and complete the structure as you describe in your letter dated 10/16/2017. Based on the completion of the project as applied by the permit, I request the escrow, required for that permit, be returned. If you have any questions,you can contact myself either in writing or by phone. Thank you. Richard Wysocki Sr Operations Manager 0:651-697-7802 C: 612-281-5988 F: 860-660-6364 2 Christine Mattson From: Christine Mattson Sent: Monday, October 16, 2017 3:00 PM To: 'Wysocki, Richard' Cc: April Wysocki (countrycupboard@me.com);Jeremy Barnhart Subject: RE: 2770 Rainey Road/#2015-01375 Mr. & Mrs.Wysocki, While you have completed the items required with the approved permit, a second access was added, without prior approval,which changed the scope of the project. Before we can release the escrow refund check, we need a copy of a driveway/right-of-way permit from Hennepin County.The escrow will be retained in case the County requires removal. Please don't hesitate to contact me if you have any additional questions. 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 S' 952.249.4620 g 952.249.4616 � cmattson@ci.orono.mn.us ; � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: November 10, 2017 From:Wysocki, Richard [mailto:Richard.Wysocki@otis.com] Sent: Monday, October 16, 2017 1:08 PM To:Christine Mattson <CMattson@ci.orono.mn.us> Cc:April Wysocki (countrycupboard@me.com)<countrycupboard@me.com> Subject:2770 Rainey Road/#2015-01375 Christine, with regards to the escrow held by Orono for this project, we have conformed to the permit requirements taken out by April and myself to build and complete the structure as you describe in your letter dated 10/16/2017. Based on the completion of the project as applied by the permit, I request the escrow, required for that permit, be returned. If you have any questions,you can contact myself either in writing or by phone. Thank you. Richard Wysocki Sr Operations Manager 1 2 � , - Christine Mattson From: Christine Mattson Sent: Tuesday, October 10, 2017 11:20 AM To: 'countrycupboard@me.com' Cc: 'richard.wysocki@otis.com' Subject: 2770 Rainey Road/#2015-01375 Good Morning April, The as-built sunrey has been approved. As we discussed, please contact Hennepin County permitting department for the 2"d driveway/access off of Old Crystal Bay Road. They can be reached at: roadpermits@hennepin.us; Phone: 612-596-0339 or http://www.henneqin.us/business/licenses-permits/road-qermits. I have submitted the documentation to the Finance Department for your escrow refund. As soon as I receive a copy of Hennepin County's permit for the second driveway I will mail the check to you. Please don't hesitate to contact me if you have any additional questions. 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S D 3 MPLETEd ADDRESS � �� � � � � OWNER TELEPH NE N0.7�"Z'3��BZ�� CONTRACTOR -���� � DESCRIPTION �'�- — / � ly �FOOTING ❑ DEMO-FINAL %, ❑ SEPTIC FINAL Q�❑�OURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: a 6 �� /r �'d '� i��c✓�r�s� � °� �`' J o t-��ar - �. � ° S��12c�C�S — �� W r - - Q �6�Z� - 6� � z � _f„�� �- ,�v�/ � J W �J�Rft�ISFACTORY:PROCEED O PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspecto . ` e Copyllnspector's File Canary CopylSite Notice DATE TIME CITY O�F ORONO CALLED IN INSPECTION OTICE SCHEDULED T�j� PERMIT NO.����'0�37��� COMPLETED _��f'_�� ADDRESS e? 7 70 �2a,�le y �- OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ���S�o✓1 Q��' . 5�� iNs•F� . 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O'WNERICOI�ITRACTOR TO MEET YWJ:_YES_NO y COMMENTS: a� - � ��e�S t. ,�J r0 fi��V�e.. c/�'�'G� p/" /�GG� 0 r�or �r�vCvu� 4C�CeSS �iaa�. D�Cr� l �.fiy � /(Q/• Ja GI�M•KSGe. �'JK� ���K� Ti�� � �/�0 �• �a rs Ks �rrS��ocL�te%i. • W � Q ' 2 /�1515' .D��Se /�Ps.tL�q..... _Se Gt�' �'c.«'¢ � Z�i��+o 4qitov'�' c+d wS ZS i''4cr1��F�+.i � P �' �! d ra o G�`z'� /( �I/ �v c`�fyt. Q.c , 4 v,s �a.rJ . O W� ❑WORK SATISFACTOFlY`.PROCEED ❑PROJECT CO LETE W ❑CORRECT WORK 3 PF�CEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑OORREC�V1fOFlFC,CALL FOR REINSPECTION TEMPORARY V BEFORE�dVERING PERMANENT ❑CORRE�UNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN IN CTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for tl�e next inspection 24 hours in advance. (952) 249-4600 OwnerlContra on site: Inspector: t ._.- JQ'`� WMb CopyAnspecto�'s FlN Gnary Copy/Site Notiw � �� ��� DATE TIME CITY OF ORONO CALLED IN INSPECTION N-O-�TICE SCHEDULED ���� _�-� PERMIT NO.rZ(,1.1����I.� �� COMPLETED ADDRESS ��'7 `�? �% ' C.� � j'1Q . �d � OWNER `� � � ` TELEPHONE NO. (� I Z-- � I "�"����� CONTRACTOR '' DESCRIPTION t �, �i -Y_��C� ►''"V� t�N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q�AMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INS ALL 2 OMINERlCOKTRACTOR TO MEET YiOU:_YES�NO y COMMENT'� ����^�'? �`,��� � a� �, _ W �/�- �2L � n o e/��r,"c ( ��.s ��•yr.� ' � a � 0 � fJ?Fk�%�•• u// 1�i�.�•�lxis ����o.� �i�ss �� � QG — CL�/G�G� 6 � �ce5 � W CC Q � 1� ��►��. A�►�.���* � t�-L . R°�.- -�-��4 bo�.. � �P� D� '�'�sS �15 �o,� 17�a�_a� fyi.G , , � -� rov��.� o- K. w U L• �ao s ,�r�o� 7� ��s�L. o �F dnN G l�'���G �6. � caut�� � W ❑VMORK SATISFAC70RY:PFiOCEED ,/� �,p ❑PROJECT C�ETE W �RAFCT W'ORK 8 PROCEED ,L�(�`� 4Ia �u� ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT VYOFi1C,CALL FOR REINSPEC710N Gd<<Ga� 'TEMPORARY V BEFORE COVERIN� �'LY���'�qMANENT ❑CORRECTUNSAFECONDITIONWITHIN HWRS. p pf{OTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(3E ACCESS. CaB for the next inspectfon 24 hours in advance. (952) 249-4600 OwnerlContractor on site: InspecM�.���''' �~ Whit�CopYAnspector's FIN Canary CoprfSM�Notlee � � � � � � OATE TIME CITY OF ORONO CALLE IN � � INSPECTION TICE ..1� SCHEDULED __=_�_ PERMfT NO. + COMPLEfED ADDRESS � � � 1 n � OWNER ��<���TELEPHONE NO.������spsf� CONTRACTOR , � DESCRIPTION � '�' � 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING�ING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL _ Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTIO���C Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ` � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC IN LL 2 OWNERICOI�ITRACTOR TO MEET YiOU:_YES�NO � � y COMMENTS: W � ��.r-.�'�c.�r%� � �1,t`�� C J•vl��� � � J O1 � t � .r,�•C' `, ��L�� r�. � t [i O � W �J �, L Q � �C��PL�� G�cG� � cj�I�--�...1��J'"� �G� �. � J . _ .._..,_ ._ . _ __ W! G W � j O W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0���RECT WORK,CALL FOR REINSPECTION TEMPORARY ��" �EFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advarx:e. (g52) 249-46�� OwnerlContractor on site: Inspector: � -' �' � Whits CopyllnapectoPs Flle Cenary CopylSfte Notics ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED PERMIT NO. Z� — ��3� COMPLET D / / / Z�— ADDRESS Z-7 ZO 4'��l� O�d OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION LL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W C o �Ne �r��r � �'J a �1 r.t/' 9 n 'J� �. � � � ° �c,� .���� W � Q � 2 W � W � J d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑C•OSRECT VYORK h PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l forthe next inspection 2a hours in advance. (952) 249-4600 OwnerlContra on site: Inspector. White Copyflnspector's Ffle Canary CopylSite Notice ��� ��� � DATE TIME CITY OF ORONO CALLED IN �77`�.�- INSPECTION N�TICE �1/ •2 ��� SCHEDULED .,c�j;, , � � PERMIT NO. �'i=� -�' COMPLETED ,� �/ ? ADDRESS .�, . Z� ��-` �;���:����r./ �� OWNER �,��'����� �-Li'TELEPHONE NO. ��������f��� CONTRACTOR . � DESCRIPTION l` �`�l�- / "����� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ T-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J DEMO- ITE ❑• 6PTIC INSTALL 2 OWNERICO RACTOR TO MEET Y'OU:�YES_NO ° c�OM11�ENTS: � i�c : ��� - a - i-�7 � . , � �� P��dVitl e� LaaOc Lb ru,�1�4�%Lc QG_s�� !i�G oi i� -�'�a H� a� (J.G � �is.h �aoJ c r ��c�� �' S o /?D� fb 6DGs1 N10/e �!�`C y�` a� — 0 � Q � �I"O�//4-i CsS "�c�.�''� ��r �e� ._- � W � es� o� ��� C��✓9 Cor+'l.t�`G� � ���C�i��� G,/./ `� �41' /'C r itf,�ec��b � J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR PEINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED "�'INSPECTION REW IRED.CALL TO ARHANGE ACCESS_ ��, Call forthe next inspecti�4�rs in advance. (952) 249-4600 OMmer/Contractor on site: Inspector: Whits opyAnspector's Flle Canary CopylSite Notke �'� DATE TIME CITY 4F ORONO CALLED IN � ��� � ��� INSP�CTION NOTICE SCHEDULED �/��-/�/7 ��'- C�b PERN�T NO. � COMPIETED ADDRESS o��7� ��'/�/ �j 0 OWNER TELE HONE NO. ��Z"Z,����� CONTRACTOR ' �C�_V sUC�� a DESCRIPTION � U/� � I�� �Cf� n I�l-1 � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y � FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP ? O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � / / / a -��f GOr�GciT.it �1 S �r^eM� ��'eL�//' /'fa��P� o .�, n �,�►�►n1��7�P� �. 0 � ' SG��X �.✓a�' .��t�L�r.�anr✓ �a�� ��-�`� W / - / / Q �� /1G��� �Oy �n C'A/�('?�/ � W �/'oi���'� � ,n���r.r,� Oh(�� /�J'-.�i..� i:1' �.,�''�YUI � j W WORK SATISFACTORY:PROCEED PROJECT COMPLEfE W �CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORREiCT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. `��'�� L- White Copyllnspector's File Canary CopylSke Notiee � DATE TIME � Cf�Y OF ORONO CALLED IN INSPECTION NOTICE �y SCHEDULED �' '� PERMIT NO. 7 b�S' si�7 l7 COMPLETED � ��a- ADDRESS 2�-t o (�i�n-e OWNER TELEPHONE NO. COI�TRACTOR � DESCRIPTION �I �-�f�S i�' ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(i Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE HEMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMINC� ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO•SITE ❑ SEPTIC INSTALL 2 dWN�TRACTOR TO MEET 1f�U:_VES_NO � C� �N� 4 �V� � o �, I� �VY�� • � � ° I I�� W / Q Z ��� ( ��� �� �e� � � � W aC � , W O WORKSA7ISFACTORY:PIiO('•EED ❑PROJECT COMPLETE � O OORRffCT YMORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OOCUPYINCY OD ❑CORR�CT WORK,CALL FOR REINSPECTION TEMPOFtARY V BEFORE(�VERIN(i PERMANENT ❑COqqECTUNSAFECONW'TIONWffHIN HOURS. O PHOTOTAKEN INSPECTORVWLLRETURN ❑STOP�RDER POSTED.CALL INSPECTOR ��TATION ISSUED O INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. Caq br the next inspecHon 24 hours in advanoe. (952) 249-4600 OwnerlContra site: Inspector: Whib CoPY�napector's Flb C�nary CoPYISIb NoNes � , � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOZICE,.� . scHe�u�Eo PERMIT NO.��h ����' �� COMPLETED y ! � � ADDRESS � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ��"L���� ��'r' � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ ATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLAC ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o u�-A r�, � v�f ��� �� �-��-��Nj � � 0 -f � n� � - � � �e . Q � v�'�� �� � � W � W 2 � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE � ❑CORRECT VYORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �HOTOTAKEN 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. (g52) 249-46�� OwnerfContra on site: Inspector: ' �' , VYhite Copyllnspector's Ffle Canary CopylSite Notice ' _ll�i " DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE,a, SCHEDULED I 0 '�i �l 1 PERMIT NO. �`S � v�,��J COMPLETED ADDRESS �:1�� II�;t,� �,i�-- OWNER ELEPHONE NO. CONTRACTOR � DESCRIPTION ' 'i If l,�f v c,'� �� � "1�' �I .r ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI FINAL V�J� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ AATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNENCOI�fTRACTOR TO MEET Y'OU:_YES_NO y COMMENTS: � � � �� �3CJ�� o - 1('e- CC�a� a� C� �.�-' � b�,l,�t �`t,����- �:a�_ ����-�-�--� o _ Q /��-� ��z-s .���<� ��- ����; �� � W � W � � J 4�j ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECTYYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECANERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHiN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContracter on site• / � Inspector,%��c:� �—,�'� Whits CopYMspector's File C�nary CopYlSib Nofks ^ -- . • , • . • • � • , emo To: Finance Department From: Christine Mattson, Planning Assistant(`1�- �J' CC: Street File Date: October 4, 2017 G/L: 101-22205 Re: Escrow Refund Building Permit #2015-01375 pertaining to 2770 Rainey Road is complete. Please refund $2,500.00 to the applicant, Richard &April Wysocki. Check payable to: Richard&April Wysocki 2770 Rainey Road Wayzata, MN 55391 HOLD CHECK AND GIV,�TO CHRISTINE MATTSON w:�street files�rainey road�2770�escrow refund form 2015-01375.doac BUILDING PERMIT ESCROW AGREEMENT �'f • • Orono Building Permit#_ �,7b!5-OJ 375 AGREEMENT made this �—+� day of � , 20� by and between the CITY OF ORONO, a Minnesota municipal corporation("City")and �(,h Y- A�ar,`I 1+�JSc�r��� ("Owners"). Recitals 1. buildin r it a li �on has been iled for 1� W located at , 9 Pe r' 0?770 /�l� � � the ("Subj Property" legally described as 2. Owners request the City to review this application which requires City approval and may require consultant legal and/or engineering review. 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 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 #�►5-D I 37S 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 pursuarrt to#3. The City may draw from the escrow account without further approval of the Owners to reimburse the Ciry for eligible expenses the City has incurred. 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 return 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 right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: C TY OF ORONO OW R: By: �ts: i�i.��� i��� � �i°��� M. w vSo��C �' ���se�►�y: : e t��,�►��,��;�-��e�t :, �c�,�s�et�t� Packet Lasf Undated: Auoust 2015 APR�t�wvst�cta .1.2818 RICH�IRD K'W1f�OCiC1 ,/ �+o �r�a�FAtntE+,r�oi►D es,z-g�-��o2 01.�0 0' YYAVZ'4'��A,#Iq�5639i : � � � � Ps3r tv ifie �1�'�; � �` �� � ;; �, . . _, .. '. 3' Y `C�' '�• ����. .. �•�� � � 'w��7S'�A "�13�19 ` -��T�;���56 � . . . � - . . � � � . �� . . '� _ . . .. . . . . � � � . �Mf1' '!"'1 f7. !1 C7 F! � � '"1 '1. - " � � � �iL7 City of Orono 2750 Kelley Parkway ' Orono MN 5`i356 952-249-4600 Receipt No: 3.G14535 �ct 26, 2015 Richar�d Wysocki Previous Balance: .00 Permits 2015-01375 2770 Rainey 2.500.OU Rd 101-22205 Deferred Rev-Developer� Ueposit Total: �.500.00 Check Check No: 12818 2,500.OU Payor: Richard Wysocki Total Applied: 2,500.OU Change Tendered: .OU 10/26j2015 02:27FM CITY OF ORONO * 2 0 1 S - 0 1 3 7 6 * Y 2750 KELLEY PARKWAY DATE ISSUED: 10/26/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2770 RAINEY RD PIN : 04-117-23-43-0014 LEGAL DESC : TREES TO BE : LOT 001 BLOCK 002 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: TI-IIS$2500 ESCROW IS TIED TO BUILDNG PERMIT 201�01375 APPLICANT ESCROW FEE-BUILDING 2,500.00 WYSOCKI,RICHARD&APRIL TOTAL 2,500.00 2770��Y� Payment(s) WAYZATA,MN 55391- CHECK 12818 2,500.00 OWNER WYSOCKI,RICHARD&APRIL 2770 RAINEY RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT 1'he work fa 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 des+cribed and dces not grant pennission for additional or related work which tequires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.Th[s 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.'fhis permit may be revoked at any time for due cause. / / Applicant Permitee Signature DBte Issued By Signature Date