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Home My WebLink About2011-00894 - retaining wall CITY OF ORONO PERMIT NO.: 2011-00894 ' 2750 KELLEY PARKWAY , ORONO, MN 55356- DATE ISSUEn: 09/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1350 REST POINT CIR P[N : 07-117-23-31-0024 LEGAL DESC : REST POINT PARK LAKE MTKA : LOT 012 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RETAINING WALL<4 FEET NOTE: TH[S PERMIT INCLUDES BOTH LAND ALTERATION AND RETAINING WALL INSPECTIONS REQUIRED: PLANTING PLAN,INSPECTION WHEN ALL DONE,AND FINAL * PLANTING PLAN REQUIRED TO BE SUBMITTED AND APPROVED. * SATISFACTOY INSPECTION PRIOR TO RELEASING OF ESCROW *PROVIDE TIMEFRAME FOR PLANTING(BY FALL) * PLACE A NET/SHORTT ROSION MAT OVER FNISHED PLANTING * PLANTS NOT SEED. � ITIAL) APPLICANT �TAINING WALL<4' S0.00 CORNERSTONE IND. INC. MINOR LAND ALTERATION 50.00 P.O. BOX 374 TOTAL 100.00 EXCELSIOR, MN 55331 (6l2)226-8344 OWNER JORDAN,CLAUDE& DEBORAH 1350 REST POINTT CIR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 nul]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. 7'he applicant is responsible for assuring all required inspections are requeste�.�o�for nce with the State Building Code.This permit may be /9;„� w revo d at a t� e for due cause. i // / % / i�- �� l L�'r!li'�1:::`"� ��- � � -/� / / ican ermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � t City of Orono , Zoning Permit A plication -- Mailing Address: Permit number. �.jZ (,;� � " �� .Q.,Q 11� PO Box 66 Date received: � � � 1 � y �`V Crystal Bay, MN 55323-0066 Q , Q Escrow#and e�/�1 � ' � ��^- StreetAddress: amount: �� -��) `� , ?� �" 2750 Kelley Parkway Permit Fee: �� Z " pti� Orono, MN 55356 � �9kESFi��'� Approved by: — Fax: 952-249-4616 Notes: Main: 952-249-4600 �ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (P/ease print.) GENERAL INFORMATION: Job Site Address: � 37� R��T ,�,�� c:c /1�I�,:�s( , ��,� 5;3�, �-� CONTRACTOR/APPLICANT INFORMATION: Name: Gr,,--��rst.�t �"�cC�7�1"rrc5,�� Phone: �,�y-2z�-��,yy Fax: ..— Address: �O �ot 37� EzccJ�;�:-;rvc+V 5 53'�� Contact Person: �j..,,, ��J- ContacYs phon Email cs� ja�ds��r��yaticr.�c��pPlicant is: Co Homeowner (CircleOne) PROPERTY OWNER INFORMATION: Name: G1��.(.� a�L �.1��:�L. ��:�1.0_-,� Phone(day): f- - S�Z-L Mailing Address: 1350 ,2e�,1' o;�t G�f. t/U1c�� , v1,1A/ ;�3t,y Z-1�: Email and/or Fax .� Overall Project Description: z�a;r exi 5�:�.v ✓'��",u n�✓�c� ��L/I. c��r wecc�S a�o( iY15t�/� cMvl��n ;vv -Gc ✓L✓, 'VC �Xc.�ti-�/cc- �o.� ne� �,' / w b. Check TYPE OF PERMIT Box COST* Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $30+ engineering review costs Lake Minnetonka ermanent dock re uires CUP Dock, Commercial $50+ engineering review costs Escrow for erosion control and en ineering review costs $2,000 Driveway Permit(New or Replacement) No charge Also re uired is a Minor or Ma�or Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $30 more than 10 cubic yards in lakeshore setback (also requires CUP} Escrow for erosion control and en ineerin review costs As determined b CUP Land Alteration, Minor(grading, filling or excavating)-500 or less cubic yards $50+ engineering review costs outside of lakeshore setback or less than 10 yards in lakeshore setback Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review costs Retaining walls measuring more than four feet(from bottom of footings to top of wall) require a building permit. (Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and en ineerin review costs $2,500 Stairway to Lake(New or Replacement) $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures not requiring a building permit but $50+ engineenng review costs regulated by the zoning code(including, but not limited to accessory building of less than 120 square feet, detached deck or platform and sport court) Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e. (over) *Permit fee will be collected at the time the permit is issued. AP�LICANT/OWNER ACKNOWLEDGEMENT: � . Applicant agrees to provide all information required or requested by the Planning Department; . • Owner agrees to pay the City of Orono for engineering consultarrt review costs where applicable; • Applicant certifies that the information supplied is true and correct to the best of his/F�er 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 reject it until it is complete; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • 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 govemmental agencies required by law. If you refuse to supply the information, the application may not be issued. The undersigned certify that the in at' n supplied is true and correct to the best of their knowledge. Applicant's Slgnature: Date: 8-/S-I J Property Owner's Signature: Date: TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed application form, escrow agreement(signed by the property owner) and escrow check from owner, two copies of all plans, and three copies of all grading plans or surveys/site plans Dock, Residentlal Seasonal Dock-survey showing proposed dock Permanent Dock-plans as approved by CUP and copy of LMCD permit Dock,Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Drlveway Permit 1. Alt Minor or Major Land Alteration Permit requirements 2. Hardcover calculations, existing and proposed 3. Driveway plans Land Alteratlon, Major 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Control Permit Land Alteration, Mlnor 1. Grading plan including existing and proposed contours (Less than 10 cu.yds. within 75'of 2. Amount of fill to be imported and/or exported and haul route lake or less than 501 cu.yds 3. Amount of earth to be moved around on site elsewhere.) 4. Erosion controt plan or copy of MCWD Erosion Control Permit Retaining Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of existing wall, submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control lan or co of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway, including footings 2. Topographical survey of property with proposed stairs shown 3. Erosion control plan or copy of MCWD Erosion Control Permit Structure Permit 1. Plans for structure. 2. Survey of property with proposed structure shown and with setbacks to property lines, other structures on property and the septic system indicated.The general location of any sewer and water services should be shown if applicable. 3. Grading plan if grading is required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control lan or co of MCWD Erosion Control Permit Tree Removal Call: 952-249-4600 to schedule inspection. Last Updated: April,2011 , ,.. ..„ � . .; . ��:, . . ,. . , � .� .; _ -, a. y.-. ,. .. .. , � . .: > r� ,h "'� -E z��:' . ^�.�;� _ F.,.. . ,.. .w. w.v.. ,. °n'� ,,:;+ . . ._ . . . .- . o-f�.. ,. . . .. , Plan Review Checklist for Zoning Permit Applications �Address: ��) �;PJ��►�-��l�j�� rL 'C� ,� ,� . Description of work: ��r �t s'�I�G7'�if�JGLf �d.�`��-� r ��'��_�� ; .��.� , � , - � ' �, �; . Type of permitl/1�1�(N-(� ��"� ��"�' �L-�C,�1 � �iVG(�� QQ.�Q��j ��",`�-1 v�-oj ��(�-�L... �i Zonin review b � Date A � ' 9 Y� pproved: Grading review by: Date Approved: Other Review, Reviewed by: / Date Approved: s� '7- /( Zonin : Zoning File#: Resolution#: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? 0 Yes � No Date of Survey.�-� � �' �>,�% y ` � � Existin Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff ❑ Yes � No 0 N/A 0 Yes � No � Yes � No � Yes � No 0 N/A Permit Number: Setback: Hardcover Zones Existin Pro osed Variance Required CUP Required 0-75' 0 Yes ❑ No 0 Yes 0 No 75-250' Type(s): Type(s): 250-500' Zoning File#: Zoning File#: 500-1000' Resolution #: Resolution#: Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx Planning Review Checklist for Zoning Permit Applications Page 2 of2 Cubic Yards In Out Total Haul Route? ? 0 Yes ❑ No Explain haul route in detail: Fees to be Charged Amount Orono Inspections Required Permit Amount � _ �:.��.�� 0 Site Escrow Amount � Hardcover Removal �� '� .' � Footing Signed escrow received? � Poured Wall 0 p►s-Built Survey p �Yes 0 No ,p, Planting Plan - ��S PeC-I""1 �JVt.2�'► � � 0 Wetland a�� Escrow amount received? ,� �nal � 17� Other(specify) �`�� ❑ Yes � No . - Engineering review needed? 0 Yes � No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) F � ' ;J. :'��"�� ;�1� `�;�Y�"�� ;•"��' `�' Vd�� cL S (�'1--Z�✓ °�' C;�t�M I�c 61� � i��' �-��, �� ' �� '�--t. . � �. �'�^� " ' � �N ��. � �4- (� �vw-� .�:�'�;�r� ✓►na� ��S �� r� � ��-- ��. � Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx , �, RECEIVE� � oR,� r� rT T.�- „��, . �� :�� RO�i� �:�p � f Address: /.35G �'r', , F.:<�: — � r - _ .: �ate: � " - � � 0�� Prepared by: Gf�tid�;: c: r f_ . �, ;�* � • C+��d HARDCOVER CALCULATION WORKSHEET SETBACK�ZONE: (CIRCLE ONE) 0 75 75-250' 250-500' S00-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F, x = S.F. D. Sidewalk x Co��- ITFP.�' ,��,�,�..,,�,,�, � _ ;��'�� S.F. X GU�c'i9 1'T�Pl'< C�•C.�t',,,�.,�- _ �' `� S.F. E. Patio/Deck x !,��'rh`S = �?�;'"t:' S.F. x = S.F. F. Landscape x . = S.F. Underiain x = S.F. By Plastic x = S.F. G. Retaining Walis x = �°�"�' S.F. H. Other x F/RE �✓T = � S.F. TOTAL HARDCOVER IN ZONE - '�`''��f` S.F. A TOTAL PROPERTY AREA IN ZONE - SD..�G S.F. B A �1�D + B SC+3 G x 100 = f;�, �� % PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x = S.F. Length W idth x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Piastic x = S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A = B x100 = % -21 - � , . caR�v cR f ra�,✓E' �,�.o�,f��c i�r, ,,t,,� _ RECEIVED Address: /..350 /P FJ'T /�t�s�s' t"�'� �"L F � Date: � �" 1 i . Prepared by: GRd,t/B FR G ,� AJ'.I�O C` /i!�'(=I', ��.�c'_ �T�O�O HARDCOVER CALCULATION WORKSHEET SETBACK�ZONE: (CIftCLE ONE) 0-75' 75-25 '250-500' S00-1000' EXISTING HARDCOVER IN ZONE A. House x = / c��e� S.F. Length W idth x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S Y! S.F. x = S.F. D. Sidewalk x = �'O S.F. x = S.F. E. Patio/Deck ��l T�O x = f/S S.F. P�'/R CN x = �S S.F. F. Landscape x = S,F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - 2 ✓�3 S.F. A TOTAL PROPERTY AREA IN ZONE - `'? /�_S S.F. B A 2593 + B 9i35 x�oo = 2�. 39 % PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Piastic x = S.F. G. Retaining Walis x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B q �- B x100 = % - 21 - � —7 DAT TIME v CITY OF ORONO CAL ED IN / �� INSPECTIO OTICE SCHEDULED / / PERMIT NO�I l-�1 tS'c/ COMPL � ADDRESS � �� OWNER TELEPH E N . �'�-��-�v CONTRACTOR �� — 1 I/l�i � �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIO(V REQUIRED.CAI.L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. 1�. � White Copyllnspector's File Canary CopylSite Notice ' . • . � • emo To: Finance Department / , +��,�/ From: Christine Mattson, Planning Assistant �v �� CC: Street File Date: 2/3/2012 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permit #2011-00894 pertaining to 1350 Rest Point Circle is complete. The Applicant, Claude & Deborah Jordan, has requested a refund of their$2,500 escrow. The following is attached: • Escrow Refund Request(phone call) • Email from Bonestroo indicating no unbilled WIP on this project • Email from Campbell Knutson indicating no unbilled WIP on this project • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Claude& Deborah Jordan 1350 Rest Point Circle Mound, MN 55364 w:lstreet filesUest point circle\1350\escrow refund memo 2011-00894.doc �scrow Refund Form Today's Date: I � �C Z— ❑ Staff /nitiated from PermitGtlorks Report Request received f'rom applicant �1��-�- � Street Address: � �� l �� Permit Number: ��1 ` �� c(�.a��e. � �� '� �� Applicant Name: `�r� � � D�rr►�a(n ��-�` - c� } v�/��' "� � 1�� -,� � � �� }�� .� �- � �� z:1 forms\escrow refund form•docx Christine Mattson From: Darren Amundsen [Darren.Amundsen@bonestroo.com] Sent: Thursday, February 02, 2012 3:53 PM To: Christine Mattson Subject: RE: Unbilled WIP None and none! Darren Amundsen, PE Associate Stantec Tel 651-604-4894 Cell 651-775-5623 darr�n.amundsenCcDstantec.com stantec.com Bonestroo has joined Stantec. a professional services consulfing firm�cognized for its leadership in sustainability, depth and diversity of talent and technical expertise. The content of this email is the confidential property of Stantec and should not be copied,modified, retransmitted, or used for ar�y purpose exc�pt with Stantec's written authorization. If you are not the intended recipient, please delete all copies and notify us immediately. �Please consider the environment before printing this email. Front: Christine Mattson jmailto:CMattson@ci.orono.mn.us] Sent: Monday,]anuary 30, 2012 9:12 AM To: Darren Amundsen; 'Sherry Charboneau' Subject: Unbilled WIP Hello, Any unbilled WIP for: Building permit#2011-00894 1350 Rest Point Circle Ctaude 8� Deborah J ordan Building permit#2009-00727 2720 White Oak Circle Charles M. Kelley Thanks! Christlne Mattson Planning Assistant City of Orono 2750 Kelly Parkway ; Orono ; MN � 55356(physical addressJ PO Box 66 ; Crystal Bay ` MN i 55323-0066(mailing addressJ 'S 952.249.4620 I 8 95�2.249.4616 �cma�tson@ci.orono.mn.us ¢ �U www�.ci.or_ono.mn.us Office Hours: Monday- Friday 8 am to�4:30 pm OUR OFFICE WILL BE CLOSED: Mondoy, February 20,2012(in observance of Presidents Day) 1 Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Serrt: Monday, January 30, 2012 10:26 AM To: Christine Mattson Subject: RE: Unbilled WIP Good morning Christine: No unbilled WIP on these two for Campbell Knutson. Have a good week. Sherry Sheny L d�arboneau Legal/1�istant G4MPBELL KNUTSON P.A. 1380 Corporate Center Curve•Suite 317•Eagan,MN 55121 '�'(651)234-6230•Fax: (651)452-5550 �scharboneauCa�ck-law.com.www.dc-law.com From: Christine Mattson [mailto:CMatt�onCalci.orono.mn.us] Sent: Monday,January 30, 2012 9:12 AM To: Darren Amundsen (darren.Amundsen@bone�.com); Sherry Charboneau Subject: Unbilled WIP Hello, Any unbilled WIP for: Building permit#2011-00894 1350 Rest Point Circle Claude& Deborah J ordan Building permit#2009-00727 2720 White Oak Circle Charles M. Kelley Thanks! Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway ! Orono j MN � 55356(physical addressJ PO Box 66 � Crystal Bay ! MN ° 55323-0066(mailing addressJ 'S 952.249.4620 ; 6 952.249.4616 � cmattson@ci.orono.mn.us � ;www.¢i.orono.mn.us Office Hours: Monday-Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Mondayl February 20,2012(in observonce of Presidents DayJ 1 20NING PERMIT ESCROW AGREEMENT Permit# �1 I — UU�'�I t� AGREEMENT made this I✓��day of l�,ra, , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and C1�wdt � �.?e�bar�a.k T�,�oL.�,,, ("Owners"). Recitals 1. A building permit application has been filed for a zoning permit for a property located at 13So �Qosf�.•,tG�r. the ("Subject Property"), legally described as Hennepin County Minnesota. 2. Owner requests the City to review this application. 3. The City will commence its review of the application and inci�r costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the�ity'of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with �l1e execution Af this Escrow Agreement, the Owners shall deposit $Z,�DD with the City. A�I,accrued interest,Tif,>.any, sh�ll`be paid to the City to reimburse the City for its cost in administering the.escrow account. 2. PURPOSE OF ESCROW. The pur�e of the e��crow istaguarantee r.,eimbursement to the City for all out-of-pocket costs the City'has incurred (inclui3ir�g;,planning,s�ngineerirxg,or le�.��lrconsultant review) or will incur in reviewing the plan. Eligible expenses shall be c�nsistent with expenses�a�:�vners would be responsible for under a zoning permit application. The �scrow will alsp�,�ua�;�ntee reimbursernent to the City for all out-of- pocket costs the City has incurred to assure°th�#�:the work-`'#s.=eompleted in accordance with the Stormwater Pollution Prevention Plan and the provisions ofu�orr��ity Cod��hapter 79. The financial security may also be used by the City to eliminate any hazardous coRciition�_associated�rvith the work and to repair any damage to public property or infrastructure t ` {�as caused b � wur'�;�(includin��planning, engineering, or legal consultant review) associated with permit� �t�l--.�� .;.if cor�tpliance with the approved zoning permit is not accomplished. ;,� ,, � 3. MONT�!lLLY�ILLING As��he City re�efires consultant bills for incurred costs, the City will in turn send a bill to the Owners.` s'Owners shall be responsibtE��ar payment to the City within 30 days of the Owners' receipt of bill. .�; . =1 4 �_:ff�SBURSEM��IJT FRQM��'�ROW'�4CCOUNT. In the event that the Owners do not make payment to the City within the timeframe�utlined=in#3 abc�u�, shall issue a Stop Work Order until the Owners pay all expenses invoiced pu�uant to #3. The C ��ay draw from the escrow account without further approval of the Owners to reimburse the��ity for el�ible expen es the Ciry has incurred. � 5. CL`O�ING E�ROW, The Balance on deposit in the escrow, if any, shall be retumed to the Owners when the review has be8n completed and written notification is received from the Owners requesting the funds. 6. CERTIFY i;11�iPAID 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 su ' erty pursuant to Minn. Stat. §§415.01 and 366.012. CITY: O O OW By: ��i�u�/�- ��i�✓ Its: , .c �C.. �i� af p�� t'�Kelley Parkway �rona t�( �y� 9`�-�49-460G keceipt Noe 3.pp�b� Aug 18, 241i �laude & Debflral� .I,�rdar� Previous Balance: Per�its .pp Escrow ±iQd tc� �r11-44935 ��.� F354 Rest Rt Cir 14I-22205 Beferred Re��-I}�ve�ouer• De��sit Tatal: ----.._____ � h� �alar�ce: �,SdC.u� �heck �___�'_SO��s_ Check ��: 5545 � �ayar: �,50G�.OG Claude � Deborai� ,ior�fan Total ppAlied: Change T2ndered; ---- `�,5t1L�.t}r] _"____--- .�t1 G8/18/20i1 G�;p�i X'�_:-r. ' � • CITY OF ORONO PERMIT NO.: 2011-00895 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/18/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1350 REST POINT CIR PIN ; 07-117-23-31-0024 LEGAL DESC : REST PO1NT PARK LAKE MTKA : LOT 012 BLOCK 000 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS ESCROW IS TIED TO ZONING PERMIT#2011-00894 FOR MINOR LAND ALTERATION AND RETAINING WALL APPLICANT ESCROW FEE-BUILDING 2,500.00 JORDAN,CLAUDE&DEBORAH TOTAL 2,500.00 1350 REST POINTT CIR MOUND,MN 55364 OWNER JORDAN,CLAUDE&DEBORAH 1350 REST POINTT CIR MOLTND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performec�according to the approved plans and specifications,applicable City apprqvals,and the State Building Code. This permit is for only the work descr,ibed and does not grant permission for additional or related work which r�quires separate permiu. 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 h�s commenced. The applicant is responsible for assuring all required inspectlions are requested in conformance with the State Building Code.ThiS permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � Rerrr�it�iNvrles ��t ' �°� � ,.�.� � , • �n,, , ,.��r. ,�9 ,. �� .. ; y�� : File Tr�r�s��tion I�lainta'tn Repo� 1�`. t�easE��Er��e�.y R�tQrr� ", _ , , ._. , ,:. . . __. , . . :,. �_._0� � � #�• �"4� �E.} - -� �.�.�: � �� r � � � � N � ► ►� f 1 I � �� C� °�" � ,Q♦ �J Permit#: 2IF11-QQ894 � fl��ist.+e �cidr?ss - -- _ Pertnit/4�dd�ess: i 350 Rest Pvint Cir �" ti�a i n f�l F�i �r.l cl re s s �` �r�C{iti+�r�al F'IF;I Rdcir�gs Gen�ral) Fees Inspe�tiarns C'�� (MaRes� ApplicarYt Detail� CO Detail I Seq tnspection Type [nspector Date Status H Fee Rec � � a ►� ,� ad�N� o�e�e Checklist for Refunding Building Permit Escrows ,., Building Permit # '�� d� Street Address: �� J� ��" �� rC� Applicant Name: �� 4 ,�YC�,�10�� V1 ❑/ Escrow request received Date:' �' �� f�- / Permit Type: �� Are all inspections completed? Yes' No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes No Date: Was there a Final Certificate of Occupancy issued? Yes No Date: ❑ As-built survey required? Yes, approved on NO NA � Email CK�& Bonestroo to�see if there is any unbilled WIP. Date email sent: � '��( 2— �,��v �3-t� ❑ Prepare memo for Finance Departrnent z:\fortns�zoning standard fortns\checklist for refunding building permit escrows.doc Last Updated: 10-31-2011