HomeMy WebLinkAbout2012-00630 - attached deck ' ' I CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 Z — 0 (d 6 3 0 *
DATE ISSUED: 08/22/2012
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 1347 REST POINT CIR
PIN : 07-117-23-31-0016
LEGAL DESC : REST POINT PARK LAKE MTKA
: LOT 004 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 2,000.00
NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE)
FRONT PORCH - ADV PLAN REVIEW PD 2012-00629$47.94
*PRIOR TO RELE F SCROW MONEY,AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS TO BE SUBMITTED
AND APPI�OVED.�(INITIAL)
APPLICANT pERMIT FEE SCHEDULE 73.75
PINEGAR,WILLIAM&REBECCA STATE SURCHARGE(VALUATION) 1.00
1347 REST POINT CIR
MOUND,MN 55364- TOTAL 74.75
OWNER
PINEGAR,WILLIAM&REBECCA
1347 REST POINT CIR
MOLJND,MN 55364-
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 dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspectibns aze
req ed in canformance wit e tate Building Code.This permit may be
re o d at any time f d e us '
/�/ � �
Applicant Permitee Signature Date Issue y Signat e Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� � -� � � ,� �
City of Orono �' � ,� �'
Buildin Permit A lication '�'�` 5�
J pp � 2-
for New Structures or Additio � � �
MailingAddress: Permitnumber: 0�01�-Om63�
O�,�,�.0 PO Box 66
Crystal Bay, MN 55323-0066 Date received: 7'Z' � Z
,� a StreetAddress:' Received by: �''
'�, ° �ti`� 2750 Kelley Parkway Plan review fee: b oZ-OU�O?f
�9gESH�g�' Orono, MN 55356 ,(�,p'
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: L
Job Site Address: �{ „Q S � DI J n r Ci .r
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If 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.
CONTRACTOR/APPLICANT INFORMATION:
Name: ���i(, 4 rh P � h t.S A✓�
State License# Expiration Date:
Phone: �f S� - `�� �' D 73 g (office) (cell)
Mailing Address: t- e �v��C .2 Cit : o � d ��� G
Contact Person: ' � ;.�a q✓ Applicant is: Contractor / omeowner (Circle One)
Email and/or Fax: •, Q R ✓' A; C 0
PROPERTY OWNER INFORMATION:
Name: (�(/� f�,a vyJ t �'►.P -�j Gf�'
Phone (day): � � 2- �-f 7 a- D"73 q �.
Address: ,o g p/r!t � Cit : K q� ZIP: '�5 ��
Email and/or Fax P,'�.e ✓' f
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZI P:
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 ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with 0'beck
❑ Relocation � • �� / detached garage ❑ Office/Commercial ❑ Private Sewer
[�'Other: (specify) , �0 n G i2 c �1 ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
**Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) � ��Q a
Packet Last Updated: 03-06-2012
-21 -
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.)= Number of bedrooms= �Wood/Frame
b.Width (ft.)= Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 1 S`Story =
❑ On-site Prefab
e. 2"d StOry=
❑ Off-site Prefab
f. 'h 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
Enclo ed A licable
❑ Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ � Stormwater Pollution Prevention Plan
❑ Hardcover Calculation s
❑ Se tic S stem Site Evaluation Re ort
❑ Access Permit
❑ Wetland Buffer Im rovement Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for 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: Z U
Owner's Signature: �/" � Date: �
Packet Last Updated: 03-06-2012
-22 -
Plan Review Checklist for New Structures / Additions
Address/ PID / Legal: � � 1 � ' `�`�`-S � 1�-��';r,2)�y- C � �
Description of work: � � C. V
Septic review by: F"1 Date Approved: �� � ��
Zoning review by: � V� r Date Approved: � "� -�L
Building review by: L�U` pp �� ,,��-
Date A roved: �= ��
Grading review by: r�f � Date Approved:
Zoning File #: Resolution#: Resolution Date:
Zonin District Fire Department Post Office School District
L - l,U
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submitted: p'�es � No Date of Survey: � � —'���2
�
Pro osed Setbacks:
Front ( e) Rear(Street) ��� S E W ) ( N('� E W ) Other Buildings Wetland
Side ���gide
�5� ' Z� ' ��
Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ 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 I 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 Average Lakeshore Setback Bluff
0 Yes No � N/A 0 Yes No
�es � No 0 Yes 0 No �/A
Permit Number: Setback:
Hardcaver Zones Existin Proposed Variance Required CUP Required
0-75' ❑ Yes No 0 Yes No
75-250' Type(s): Type(s):
250-500' ����la Z;J���
500-1000'
REMARKS (in-house):
Updated: 09/11/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
Square Footage $ per Square Foota e
Basement X = $
1 S' Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site 0 Plumbing 0 Grading / Filling � Well
��ardcover Removal 0 Mechanical ❑ Fire 0 Electrical
�' Footing � Septic 0 Water Connection
0 Poured Wall ❑ Fireplace � Sewer Connection
0 Foundation Survey ❑ Masonry 0 Lawn Irrigation
�adon Rock Bed � Mfg.
Framing 0 Other(specify)
0 Insulation
�'As-Built SurveY�.-`'�Md�Gv�e1�� ��,t,lQ�j6�
�Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: 0 YES � NO New: ❑ YES � NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
�o r�. crow o� an ur suYv
�- s m
.
Updated: 09/11/2009
z:\forms\plan review checklist.docx
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Address: ,�� L,f 7 �Q S � �i �+ � � � � � Date: Z�
Prepared by: / 4 i r[ 'e r
HARDCOVER CALCULATION WORKSHEET
SETBACK�ZONE: (CIRCLE ONE) 0-75' 75-250'250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House �2� .3 x a �. Z = ��d�, �S.F.
Length W idth
2a.3 X � _ s __s.F.
�— X = s.F.
B. Garage ��, �.�� �4� i n x!f O� S� = S.F,
C. Driveway �6 x d� = 1 �a� S.F.
x = S.F.
D. Sidewalk Z � x y = �0 S.F.
� � x 3 = � Z s.F.
E. Patio/Deck 37. s x ) � _ ���_S.F.
/� x l D = / �/� S.F.
F. Landscape • �a x _ � S = ��1 (� S.F.
Underlain 1 `] x , _ ,?_�,� S.F.
By Plastic � � x �', s = / 7v S.F.
G. Retaining Walis x = , S.F.
Pan� �, s�s Y.� � 4,�
H. Other 5 l�,e� 7, � x ?� 5 = S� � Z- S S.F.
TOTAL HARDCOVER IN ZONE - y9 7� S.F. A
TOTAL PROPERTY AREA IN ZONE - 1 ! S.F. B
A _ �'�� + 8 / 9 a� l x 100 = �S�,� °/a
PROPOSED HARDCOVER IN�ZONE (inciuding existing hardcover to be retained)
A. House x Z 4• 2 = � �Q7. 7 S.F.
Length W idth
��.3 X � s . � = 3sy. 6 s.F.
l� x �_ = 3 � S.F.
B. Garage � n c�U C�.� C� / �l x� d �t S � = S.F.
� C. Driveway 8� x 20 = I�aa S.F.
x = S.F.
D. Sidewalk /`f x y = Sb S.F.
� y x �3 = �� s.F.
E. Patio/Deck 3 �-� x 2- _ �S a S.F.
/y x ! — _ / �D s.F.
F. Landscape �l 4 x �, � = a�2 � S.F.
Underlain j S x _____��� = C�7.S S.F.
By Plastic �g.� x R �� _ �S�. �S S.F.
G. Retaining Walls x = S.F.
�oizc� �p 8 -- O
H. Other St,��J '>.� x �, S = S(o� �- S S.F.
TOTAL HARDCOVER IN ZONE - `� 5t �,� S:F. A
TOTAL PROPERTY AREA IN ZONE - l9D 3 1 S.F. B
a U �' �?�3 = a f 90 3 / x �oo = �.,�.s__ °io
-2� - JUL 3, 12012
cinr oF oRONo
Address:
/�2 ,5 T a ,�. � � �2 Date: Z 7 �Z
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Prepared by: c
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE u�
A. House x 2 / _ / / � � S.F.
Length Width
z 3 X i� = 361'l s.F.
_SP x —� = 3 F, S.F.
B. Garage Z �'( , x /6 = 3�'� S.F.
C. Driveway � l� x Z� _ / 7 �� S.F.
x = S.F.
D. Sidewalk 20 x � _ �J� S.F.
y Y X � = 7 Z S.F.
E. Patio/Deck 3 7• S x � Z = SO S.F.
/y x /o = / O S.F.
F. Weed control YD X � _
/b� S.F.
weed barrier �7 x � - ' (08' S.F.
of any kind 2 D x d = / h D S.F.
G. Retaining Walls x = S.F.
S. S �f.S = L y � S s.F.
H. Other Pg�� �( x --�-L,�—
c/ ?_ S t y S.F. A
TOTAL HARD OVER IN ZONE ? S '
T07AL PROPERTY AREA IN ZO�.E - �Z3(v O S.F. B
q � 1S � 7 = B �a 3 �D x 100 = �j. � %
PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained)
A. House
x = I /� � S.F.
Length Width
X = 3 6 8" s.F.
X = 3 6 S.F.
B. Garage x = 3�'� S.F.
- 172D S.F.
C. Driveway X '
X = S.F.
Lf �,� S.F. �C�
D. Sidewalk � `� X -
� y x .3 = �_S.F.
E. Patio/Deck 4$' x � _ �y�� S.F.
x = /�/1� S.F.
F. Weed control y a x `/ _ ��o� S.F.
weed barrier � S x = 6D S.F.
of any kind �,�- x �' _ /N f�' S.F. \
G. Retaining Walls x = S.F.
/D � X � _ � S.F.
� i . i
TOTALrHARDCOVER IN ZONE �� - r - s Ua c"S�' S.F. A
TOTAL PROPERTY AREA IN ZONE ' - Z� 3 � 1� S.F. B
A �g"�� - B �.? ,3�o� x 100 = 2 !• �_%
- 13-
� ��
O ,, O CITY of ORONO
��_�,.,, ,�, Municipal Offices
�•aEi, .,
�•�j -�' D•, Street Address: Maiting Address:
� �-l:::.
. � '/� ,�,�' 2750 Kelley Parkway P.O.Box 66
'� ' G
,� Orono,MN 55356 Crystal Bay,MN 55323-0066
��kESHOg'
July 20, 2012
William Pinegar
1347 Rest Point Circle
Mound, MN 55364
Re: 1347 Rest Point Circle
Building Permit Application#2012-00630
On July 2, 2012 the City received a building permit application for front porch. Your application is incomplete.
The following items must be submitted or revised in order for your application to be considered complete and
for the plan review to continue:
1. Certificate of Survey. Please provide 2 copies of an updated, full size certificate of survey which meets
all of the City's survey standards (enclosed) indicating the location of the proposed front porch (and any
proposed grading) as well as all existing buildings, structures, landscaping, retaining walls and hardcover
on the property.
2. Hardcover. The hardcover calculations prepared depict sidewalks, patio/deck, a porch and a shed, yet
these items are not shown on the survey. The items listed on the hardcover calculation sheet must
match the survey.
3. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require
submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee
reimbursement to the City for out-of-pocket costs incurred during the review of your plans.. Additionally
this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and
stormwater. Since this project has footings and no grading involved, the required escrow amount for
this project is $600. The escrow agreement is enclosed. The property owner must sign the escrow
agreement and submit a check for$600.
The above information is required in order for the plan review to continue. Please feel free to contact me at
952.249.4620 or by email at cmattsan@ci.orono.mn.us if you have any questions.
Sincerely,
C OF ORONO
Christine Mattson
Planning Assistant
c Lyle Oman, Building Official
enclosures Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
Y � � .
DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen
waming", we would like to inform you that your request for a permit or license from the City of Orono or
any of its departments may require you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or
license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or
license.
3. The information may be shared with other local, state or federal agencies to the extent
necessary to process the permit or license.
4. If your requested permit or license requires Council action to approve, some information
may become public.
5. You have certain rights under Minnesota State Statute 13.04 (see following page) to
review private data on yourself.
6. Your full name is required to process this application or permit.
(i(��l l i a `rJ �� n P S 4 r'
First Middle Last
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Address
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City State Zip Phone
I understan my rights a$stated above.
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igna ure
Padcet Last Updated: 03-06-2012
- 19-
�� ,�/`�/�� ` /�/;� TIME V
CITY OF ORONO CALLED IN �/`''�S �
INSPECTION NOTICE SCHEDULED __�'��"`_
PERMIT N0.2�G/,� "C��� COMPLET�
ADDRESS 1 3 � �S�� °
OWNER �� � TELEPHONE NO. ���7 7a`CI�
CONTRACTOR
� DESCRIPTION �)�T/ � `/✓�-Ce�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINA� ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FIN�L/ ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES.,1�NO
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� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNiN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on ite:
Inspector. ,�_ � �
White Copyllnspector's File Canary CopylSite Notice
I "� DA TIME �
CITY O�F ORONO CALLED IN � ��
INSPECTION NOTICE SCHEDULED �°1'���Z ��-��d
PERMIT NO.�/�-�Q83� COMPLETED
ADDRESS �3� � �f w
OWNER �Q �� TELEPHONE NO. �7Z �7Z �73�'-/
CONTRACTOR
� DESCFiIPTION �
� ❑ FOOTING � PLUMBING FI ❑ EXCAV/GRADING/FILLING
Q ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W� �(QRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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0 ❑CORRE�T WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRE�T UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspecto�r. ,4� �j,,�
I White Copyllospector's File Canary Copy/Site Nodce
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CITY OF ORONO CALLED IN ��^ �
INSP�CTION NOTI CHEDULED /'�-g-/ y /��:30
PERIII�IT N0. �I�-��COMPLETED
ADDRESS�� ,t��,� ��-,�� � �l
OWNffR TELEPHONE NO.��� ��������
CONTRACTOR
� DESCRIPTION / ���� ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
•Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �IiOJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED r❑�SUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CAIL FOR REINSPECTION TEMPORARY
� BEFORE C�IERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next inspection 2a hours in advance. (952) 249-4600
OwnerlCQntractor on site:
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WhHe Copyllnspector's File Canary CopylSite Notice
NAI� SET IN CERTIFICATE OF SURVEY FOR
1(' BLACKTOP
� �������-��-�-... WILLIAM E . PINEGAR
R�P�WPY IN LOT 4, REST POINT PARK
o� HENNEPIN COUNTY, MINNESOTA
� �' WOOD RETAIhINlG
WALL (LEANS NW'LY) �
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0�� st City of Orono
�� �� Pianning 8 Zoning Ptan Heviear
� � oF�LOT L4� �� Site Plan Rev�ew Date: ��'( �
o�'oo ss: �Rov�o
�� � O APPROVED WITH FEVISIGNg(see note
c�,o�c D DENl�D
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LEGAL DESCRIPTION OF PREMISES :
That part of Lot 4, REST POINT PARK, lying southwesterly of a line described as follows: Beginning
at a point on the northwesteriy line of said Lot 4, distant 104.00 feet northeasterly from the most
westeriy corner thereof; thence southeasterly to the angle point on the southeasterly line thereof,
distant 114.4 feet from the most southerly corner thereof, and there ending.
• : denotes iron marker found RECEIVED
Bearings shown are based upon an assumed datum. JUL 3 1 2012
CIN OF ORONO
This survey intends to show the boundaries of the above described property, the location of an
existing house, driveway, rock on plastic, and fence, and the proposed location of a proposed wood
stoop and steps thereon. It does not purport to show any other improvements or encroachments.
7-25-12: PROPOSED STOOP ADDED
G R�N B E R G A N D I hereby certify that this plan, specification, or report SCALE
was prepared by me, or under my direct supervision, 1"=20'
A S S 0 C I A T E S I N C. °nd that I am a du ly License d Lan d Surveyor un der
the laws of the State of Minnesota. DATE
CONSULTING ENGINEERS�, LAND 6-2�—�2
SURVEYORS, & SITE PLANNERS > % -' JOB N0.
445 NORTH WILLOW DRIVE LONG LAKE, MN. 55356 ? � - f� ��'
Eco 952-473-4141 Mark S. Gronberg Minnesota License Number 12755 12-204A
12-204A �e� G I t/l,� l�i�C�2
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To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File v
Dabe: 1/29/2013
G/L: 101-22205
Re: Building Permit Escrow Refund
Building Permit #2012-00630 pertaining to 1347 Rest Point Circle is complete. The
Applicant,William&Rebecca Pinegar, has requested a refund of their$600 escrow.
There was no grading involved with this project,therefore all review was performed in-house.
The following is attached:
• Escrow Refund Request
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: William&Rebecca Pinegar
1347 Rest Point Circle
Mound, MN 55364
w.�street filesVest point arde\1347�escrow refund memo 2012-00630.doc
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RECEIVEp
OCT 2 6 201?
C��F ORONO
BUILDING PERMIT ESCROW AGREEMENT
Orono Buiiding Permit#2012-00630
AGREEMENT made this�day of � , 20�L by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and William Pinegar("Owners").
Recitals
1. A building permit application has been filed for a front porch located at 1347 Rest Point Circle the
("Subject Property°), legally described as that part of Lot 4, REST POINT PARK, lying southwesterly of a line
described as follows: Beginning at a point on the northwesterly line of said Lot 4, distant 104.00 feet northeasterly
from the most westerly comer thereof; thence southeasterly to the angle point on the southeasterly line thereof,
distant 114.4 feet from the most southerly comer thereof, and there ending.
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 $600 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 #2012-00630 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. DlSBURSEMENT FROM E�CROW ACCOUNT. fn the event that the Owners do not make payment
to the City within the timeframe outfined in#3 above, shall issue a Stop Woric 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 efigible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid bafance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY• C OF O�ONO OWNER:
B : �
Y
Its: �
21ty of �'°parleway
���y� �-���-�o
�celpt No: 3.047337 Jul 31, 2012
Williai Pine9ar
Plannin�g�a�md13471n�gst b00.�
�412-0063i►
point Cr
Def����veloper �eposi�-
600.00
Total: -�
Check 600.00
Check No: 14b89 .
PaYo�'�
Willia�ai�9ar J,bqp,�
Total ApP .�
Change Tendered: �------'=
07/31/2012 01:�
' � CITY OF ORONO * z 0 1 2 - 0 0 7 3 5 *
2750 KELLEY PARKWAY DATE ISSUED: 07/3]/2012
�RONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 1347 REST POINT CIR
PIN : 07-117-23-3]-0016
LEGAL DESC : REST POINT PARK LAKE MTKA
: LOT 004 BLOCK 000
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: TIED TO BUILDING PERMIT 2012-00630
APPLICANT ESCROW FEE-BUILDING 600.00
PINEGAR, WILLIAM&REBECCA TOTAL 600.00
1347 REST POINT CIR
MOUND,MN 55364
OWNER
PINEGAR, WILLIAM&REBECCA
1347 REST POINT CIR
MOLJND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued y S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
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���a���: 1347 Rest Po��t Cir �' het�ii7 PIt� F�d�_ir�sg
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Ge�ral� P+e�s I�rs�e�earna.l�� I Ilates� App6cart O�etai I CO Detail'
5eq InspectionT�pe Inspector D�ate Status H Fee Rec
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� 3 ►4s-Built Su�nrey G�AT 112'�iPZ�?13 P D
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. 4 Final �VG16 1�9VZ�?12 P Y Q
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��� �
Christine Mattson
From: Christine Mattson '
Sent: Monday, October 2�9, 2012 11:46 AM
To: 'wepinegar@hotmail.com'
Cc: Melanie Curtis
Subject: 1347 Rest Point Circle/Building Permit#2012-00630
William,
As-built hardcover calculations were received on October 26, 2012, thank you. According to the building
permit, an as-built survey is to be submitted also. Once the as-built survey is submitted, it will be reviewed.
After the as-built survey has been approved, I can continue the escrow refunding process.
Please don't hesitate to contact me if you have any questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway � Orono � MN � 55356(physical addressJ
PO Box 66 ! Crystal Bay G MN ; 55323-0066 (mailing address)
'S 952.249.4620 � 8 952.249.4616
� cmattson@ci.orono.mn.us i � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
n a November 12 2012 W
OUR OFFICE WILL BE CLOSED: Mo d y, ,
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