HomeMy WebLinkAbout2013-00047 - building permit (interior remodel & deck) � " CITYOFORONO * z0 13 - PJ0047 *
2750 KELLEY PARKWAY pATE 1SSUEll: 02/06/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1354 REST POINT CIR
PIN : 07-117-23-32-0062
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/ REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 18,250.00
NOTE: SEPERATE PERMITS REQUIRED: PLUM[3ING, MECHANICAL,FIREPLACI�„ ELEC"CRICAI,(S"I'A�I�E)
IN"fl?RIOR REMODEUDGCK
ADVANCED PLAN REVIEW PAID W/CC ON#2012-00046,Ol/18/2013
+ �
* DECK WILL BG A MAXIMUM OF 18"FKOM GRADE AND WILL NOT HAVE RA[LINGS. r-'�''`� (INITIAL)
* AS-13UILT SURVEY TO E3E SUBMITTED AND APPROVED PRIOR TO RELEASE OF ESCROW. ��INIT[AL)
APPLICANT PERMIT FEE SCHEDULE 324.50
LECY BROS HOMGS
15012 HWY 7 STATE SURCHARGE(VALUATION) 9.13
MINNETONKA, MN 55345 TOTAL 333.63
(952)944-9499
Minnesota State License#:20325555
OWNER
AMANDA HEIEN, DENNIS WALSH&
1354 REST POINT 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 specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and docs
not grant permission lor additional or related work which requires separate
permits. All provisions of laws and ordinanccs governing this rype of work
shall be compied widi whether or not specitied hercin.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 I 80 days at any time atter work has commenced.
I'he applicant� responsible lor assuring all required inspections are
requested in don rmance with the State Building Code.This permit may bc
re ed at y ti e for duc c• ise.
��� Z1 � / 1 h �,/
Applicant Permitee Signaturc � Date ��"��� � � � � � �
Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. �
City of Orono
� Building Permit Application
� � for New Structures or Additions
� Mailing Address: Permit number: � —(�UC�] (
O.g,D,�.O PO Box 66
Crystal Bay, MN 55323-0066 Date received: , �_ `( �
�, .. _.
a ,y s. ; StreetAddress:' eceived by:
'�,�, �ti � 2750 Kelley Parkw ��I a�e(;�p Plan reviewfee: � . g � �/��
L�kESH�/ Orono, MN 55356
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 infiormation must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: l�� ���'� �'v�r��s ����'
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No
If yes,a special event permrt 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: L�G �j�aoy, �-{�►-�E�
State License# � F�� �,� Expiration Date: 3 3� ?�I�~
Phone: ��-�'✓-Z "f4��1'—`�4�D`� (office) (cell)
MailingAddress: � l5r5sZ �-tw Cit : �.e.�r�'-�'���;ca-ZIP: �""
Contact Person: �.4,.�,..�. �a[.s� Applicant is: ontract / Homeowner (CircleOne)
Email and/or Fax: 1��'tt�co� � t..,Ee��d 1���, C�r-�t
PROPERTY OWNER INFORMATlON:
Name: ��� � ���a�-.s:� d..���
Phone (day): �a� 64=- �"jr..��'".�
Address: �it-�''T� ,.�+Ra •�%�",�a,!� City: ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
�
Name: �;:-� �v���-'�-- d���"P
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal &
Water Supply
❑ New Construction ,�Single Family with ❑ Residence
,�Addition attached garage �arage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with Deck
❑ Relocation ,., detached garage ❑ Office/Commercial ❑ Private Sewer
�Other: (specify) ��►a��r�""- ❑ Multiple Family!Condo ❑Warehouse
�,��.;�-���„ ❑ Public ❑ Storage ❑ Public Water
*�Any earth movement may require ❑Commercial (�Other(spec,�Y)
MCWD review&permits. ❑ Industrial M'1��'jt"'�'�'�4'�" �� ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify)
18202 Minnetonka Blvd ���
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
wvwv.minnehahacreek.or
Estimated Construction Valuation (excluding land) � ` �'a �""J`�
Packet Last Updated: 03-06-2012
-21 -
City of Orono �3�� �3
Building Permit Application (�.�I- 3��7�'�
for New Structures or Additions �
�_-,> Mailing Address: Permit number: - ��C y (
�,0,�.� PO Box 66
� ; � Crystal Bay, MN 55323-0066 ?U- Date received: �_ `( �
� � I
� �'ay ab�;, ,,�� Sfreet Address:' eceived by:
.�,L G�/� 2 7 5 0 K e l l e y P a r k w ��'��(;� P lan review fee: � . � � �C�
�kESH�/ Orono, MN 55356
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:
Job Site Address: l��- ����"�"— `���� :��"" .�'"��'�,:c..�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes f�No
/f yes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service wi//be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ;:.,.�,4a- 4°`.,���r, �t�►--'4��
State License# (��G �' Expiration Date: 3 �1 ,?�1�'
Phone: �9y y �ay�{- — q q-�� (office) (cell)
Mailing Address: l5t�1Z �-lw Cit : M�����_�'����-ZIP: �
Contact Person: c,e} � o� Applicant is: ontract / Homeowner (Circle One)
Email and/or Fax: ��sfi�..to u� �+ {..-�G�� ��r..��; ��-�t
PROPERTY OWNER INFORMATJON:
Name: b�r.�.�.r�" � �-1-n.�w�_ i;:�!�•s.�'�
Phone (day): �t2 !�f- -�'j��°�
Address ��M'1� ,�� �',;�� City: ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name: ���" �.>v����f�-- {��t 1`'v.
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
❑ New Construction ,�Single Family with ❑ Residence
,�Addition attached garage �arage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with Deck
❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer
�Other: (specify) �^�-�F a r�,`""" ❑ Multiple Family/Condo ❑Warehouse
��•,,�,:-s�����„ ❑ Public ❑ Storage ❑ Public Water
*`Any earth movement may require ❑ Commercial �"Other(spe,,,c.��Y)
MCWD review 8�permits. ❑ Industrial �`il�l'�'T"�i'?�" �� ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) �`
18202 Minnetonka Blvd }�'°�'ih�''a���.
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ � �� �`�
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.Wipth(ft.)= Number of garage stalls: ❑Masonry
Area�in square feet Attached= ❑Metal
❑Pole Bldg.
c. Ba�ement= Detached= ❑ ICF
d. 1s1 Story =
❑On-site Prefab
e.2nd Story= ❑Off-site Prefab
f. 'h Story = ❑Other(please speci
fY):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your ap lication to be processed:
Not
E closed A iicable !
❑ Permit A lication
❑ Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ SunYe meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ Har cover Calculation s
❑ Se ic S stem Site Evaluation Re ort
❑ Ac ss Permit
❑ Wet and Buffer Im rovement Plan
� En neered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ ❑ Oth�r:
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 suppli�d 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 Agreeme�t 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 infarmation which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this irhformation 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.
•� ` ��►�t t�t�11��4�#� �`�'�`����� ��k�����tp��tn o��,a��Ht�#����;����'�e
G`��'e:i�E��,���� ,� ' ���i���y i4t�i�t��i�i`irV�e���'a�1 a,t�00
e���c�pr'�b�i�s��r�t�n $�=t�a�F� '.�#����-ir�i��r+�fti�.
�� i l
ApplicanYs Signature: Date: �/'�l�'E�
Owner"s Signature: I Date:
Packet Last Updated: 03-06-2012 !
-22-
, � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: � � `� � C' �` '� ' � � �'��~ � ��
Description of work: 2-L�L'l��c� (� � ��
Septic review by: � Date Approved: '� � .�
� '`�°� a � %�
Zoning review by: �� �����,.� ���_ Date Approved: � �� -_
Building review by: Date Approved: Z l3 �- z o � 3
Grading review by: �`� � Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _%
Survey Submitted: �Yes � No Date of Survey: � ��� -� y- Revised date(?):
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% _ #of Stories Ok? 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:
The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(of the basement or crawl
space)and the highest point of the roof. START WITH The distance between the top of slab and
If you have a... the highest point of the roof.
GABLE OR HIPPED ROOF(no .f you have a...
• windows: Subtract half the GABLE OR HIPPED ROOF(no
� windows): Subtract half the distance
distance between the highest point between the highest point of the roof
of the roof to the low point of the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with
NPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of the between the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat,
mansard,etc:No subtraction.
mansard,etc):No subtraction. ADDITION Add the distance between the top of slab
SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to
(BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation.
GRADES) highest existing grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQUALS Defined building height
EQUALS Defined building height
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff
0 Yes � No 0 N/A 0 Yes �No
�Yes � No � Yes 0 No � N/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overla District Tier Hardcover Hardcover
i /L , r,� , �� 0 Yes No 0 Yes No
I /-�✓ �-t ���� TYPe(S)� TYpe(S)�
Updated: January 2013
v:lforms\plan review checklist 2013.docx
REMARKS (in-house):
Fees to be Charged YES r NO
Permit
Plan Review �'
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify) i
S uare Foota e $per Square Foota e
Basement X = $
1 S'Floor X = $
2"d FIoO� X = $
Garage X = $
Estimated Construction Value: $ i `� , ZS�°C
Orono Inspections Required Work Requiring Separate Permits Required State Permits
O Site Plumbing 0 Grading / Filling 0 Well
0 Hardcover Removal Mechanical 0 Fire Electrical
,0"Footing 0 Septic � Water Connection
0 Poured Wall � Fireplace � Sewer Connection
0 Foundation Survey 0 Masonry � Lawn Irrigation
� Radon Rock Bed 0 Mfg.
,�Framing � Other(specify) ''
0 Insulation
�s-Built Survey
Final
� Wetland Buffer
0 Other(specify)
, � � ,
_
� . ' .��t�, � _,_ . ,�, ?
:
REMARKS (in-house): � _ , � ; � ,�,� � �� ;�__ ' � �-�� , _
� "� �
Other Review: Reviewed by: Date Approved:
Access: Existing: ❑ YES 0 NO New: 0 YES 0 NO
� OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
, , �, -
y ,
\ � • � F r s � . ' � �
f
� - }- -r r
e.��W•
Updated: January 2013
v:\forms\plan review checklist 2013.docx
�'��0 City of Orono
Hardcover Calculation Worksheet
%,` `�' Prop�rty Address: , 3 e5l� �Q�5.�. po�n�' � rr�/�
�kfSNOw�' Prepared by: Date:
OE/rf/.MS �.��r�«� �ha1 ���c� � � rar
Stormwater Quality Overlay Distrlct Tier:(Circle one) Tier 1 Tier 2 Tler 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following table identify ali items of existing hardcover on the property,keyed by letter to
Certificate of Survey(survey must accompany this fortn). Use as many linea as neceaaary to
accurately depict existing hardcover status of the property.
Sunre� Hardcover Item�Desc�ibe) Length x Width TOd�
uare F
Ex° G° 'x 90' S.F.
_ A t+0 u s E e .-.c s o x 4 .8 g p' s.F.
,. B EcK l Y Q G /G 3 S.F.
, � �� G x i Z.f /9 S.F.
.. � '' d K/ .Z
S.F.
E ,� S x S.F.
- F .� 8 X/ .5
G 3 Z S.F.
- .. L a 4,l X 3¢.8 S.F.
_ H rwbei W .S 3 S.F.
— � oaic �J l ?.6r Y.6 �T 7 S.F.
_J .. /. � 2 S 3 � S.F.
K �� � � ! . X S.F.
� c.•��� . X $9 ! T S.F.
__M u na�nau r s G X S.F.
N on W�a � .l 4�2. 25'9 S.F.
O
P S.F.
Q S.F.
__ R _- S.F.
. S S.F.
- T S.F.
_U S.F.
-V S.F.
W S.F.
X S.F.
--Y - S.F.
Z ------ S.F.
,� Total F�cistinq Hardcover S.F.
__ S S.F.
Excludabla Hardcover Se�C Code Sec 78-1684:
- � � S.F.
-- o S.F.
-- � o S.F.
_..-.---�--- . C S.F.
S.F.
;2) Total Excludable Hardcover U S.F.
i3�_Net Existin Hardcover Subtract fine 2 from line 1 (. S.F.
4ZTotalLotArea _____ 31 f 4 S.F.
_.____._.,---_._ Proposed HaMcover Percenta9e I(31*l4)I Z O.Q' °h
(Proposed Harcicover next page)
�ovemder30,2011 .
PDF created with pdfFactory trial version www.pdffactorv.com
, -
Property Address: I 3 J�1� �r s ,� poi h� �'�rc lc�
Prepared by: Dt M,��s �wBR��c �4hd s Date: � �g 2oi 3
�rv�ys.�
Step Z:FROPOSED HARDCOVER �T
In the following table, identify ali items of proposed hardcover on the property, keyed by letter to
Certificate of Survey(survey must accompany this foRn). Indude ali exisfing hardcove�items that
are intended to remain,as virell as ap proposed hardcover items that will be added. Use as many
lines as necessary to accurateiy depict proposed hardcover status of the property.
Surve Hardcover Itsm(Describs) Length x Width T��Fe�t
i'x . 8.f.
A p � ,a i o � q 0� Z.� 3 �57 S.F.
B Ecic R g•G ! g s.F.
C �� t2.� 19 s.F.
D " r 2.Z 4 S s.F.
E ►� Ex fG.S �;� S.F.
� F ��
5.3,c (,.4 4 S.F.
G �fi �•s fv Laks ./ �3�g ! �3 s.F.
H �►+,br, wAtc: o.sx �9� rq� s.F.
I Oc�� w (3 42.L z (,,� Z77 S.F.
J h �• 1 x 75.3 ]g S.F.
K S crttn sreh. I.9 x / �F (r6 S.F.
L A f10 L.scK3 �. I YS7 7 S.F.
M I�tJMt^OD9 J�rl ! I(� X T4 � S S.F.
N C mne W 4�!< �i.l x 42.4 151 S.F.
O S.F.
P s.F.
Q S.F.
R S.F.
S S.F.
' T S.F.
U S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Pro osed Hardcover ra os�d k�7��(� /G3 S.F.
Euda�fl�li�rd�e' Cod�8�c 7e-16�4•
S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Exciudable Wardcover v S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 5 3c+ S.F.
4 Totai Lot Area 3 t s.F.
Proposed Ha�cove�Per�entage [(3)+(4)] Z D. `l %
Mo►bmbar30.1012 . '
PDF created with pdfFactory trial ver�ion www.pdffactorv.com
Christine Mattson
From: Christine Mattson
Sent: Monday, February 04, 2013 2:43 PM
To: Denny Walsh (ftkdenny@aol.com)
Cc: 'Brian Arnold'; Melanie Curtis
Subject: 1354 Rest Point Circle/ Permit#2013-00047
Denny,
We are nearly complete with our review of the building permit application for the interior remodel and deck.
One final item we must receive before we can issue the permit is a signed escrow agreement, copy attached,
and a check for$2,500. The escrow must be paid by the property owner and will be refunded to the property
owner upon final approval of all inspections and submittal and approval of an as-built survey.
Once we have received the signed escrow agreement and $2,500 we will notify the builder the building permit
application is ready to be picked up. If you have any questions, please don't hesitate to contact us.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356 (physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
S 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: Monday, February 18, 2013
i
� � �C� TE TIME �
CITY OF ORONO ��E�irv ' -�
INSPECTION NO ICE /L SCHEDULED ao�-1 3 �
PERMIT NO. � "�77 co ETED
ADDRESS f��� ��������
OWNER ELEPHONE NO.����7�3 ���
CONTRACTOR � `
�: DESCRIPTION �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
� 1 —u � d�-r�
0
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� •
O
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W
�
Q
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Z
W
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W
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W R�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
O INSPECTIOfV REQUIRED.CALLTO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-460�
Owner/Contractor on site:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
�� � AT TIME ` /
CITY OF ORONO CALLED IN "�'� .3 V
INSPECTION NOTICE t� SCHEDULED " �
PERMIT NO.��I3'�� / � co LETED
ADDRESS ��✓�7 -�-�p / / ����.�
OWNER ELEPHONE NO. l � �� �
CONTRACTOR �%� S �
�; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBI FIN L ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHA C I ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnedContractor on site:
Inspector.
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� r� C � DATE TIME V
CITY OF ORONO CALLED IN —
INSPECTION TI SCHEDULED d- -r •�/�
PERMIT N O — OMPLET . '
ADDRESS
OWNER TELEPHONE NO. ' " 5d
CONTRACTOR
� DESCRIPTION �
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ 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
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WlLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. 9 249-46��
OwnerlConVactor on site:
Inspector.
White Copyflnspector's File Canary CopylSfte Notice
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To: Finance Department
From: Christine Mattson, Planning Assistant
CC: St�eet/Zoning File �
Date: May 27, 2014 �
G/L: 101-22205
Re: Escrow Refund
Building Permit Application #2013-00047 pertaining to 1354 Rest Point Circle is complete.
The Applicant, Denny&Amanda Walsh, has requested a refund of their$2,500 escrow.
An as-built inspection was performed in-house by Jesse Struve.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Dennis&Amanda Walsh
1354 Rest Paint Circle
Mound, MN 55364
w:�street files�rest point cirde\1354�escrow refund 2013-00047.doac
BUILdING PERNiiT ESCROW AGREEMENT
Orono Buitding Permit #2013-00047
AGFtFEMENT made this�day of I� 1't . 20 ,��7, by and between the CITY OF ORa1V0,
a Minnesota municipal co;poration('City"}and Denny& Amand Walst� ,°�wners"1
Recitals
1 �1 buifding permit application has been 4iled for a d��k lacated at 1354 Rest Point Circle th�
("Sub�ect Property"), legally describesi as Lot 11, Subdiv�sion of Lot 14 Rest Po1nt Park. Lake Minnetonka and Lot
13, 8ubdivislan of Lot 14 Rest Point Park Lake Minrtetonka, Hennepin County Minnesota.
2 Owners request the CRy to revEewthis app{��ation
3. The City�nrtfi commence its review of the application and incur costs associa'ted w�th said review
only�f the Owner establishes an escrc�w to ensure reimbursement ta the CRy of Its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. QEPf}SIT OF ESCR�W FUNDS. Contemporaneausly with the executEon af this Escrow
Agreement. the �wners shali deposit$2,50Q with the City A!i accrued interest, it any, shall be paid to the Gity to
reimburse the City far its cost in administering the eserow account
2. PURPOSE OF ESCROW. The p�rposa of the escrow is ta guarantee reimbursement to the �ity
for ail out-of-packet costs the City has incurred f including planning, engmeeri�g, m excess of �50Q, or legal
consultarrt reviewj or will incu� �n reviewmg the plan Eiigible expenses shall be consrstent YJlth expenses the
Owners would be resp�nsible for undar a building permit apR6cation The escrow w�ll also guarantee
reimbursement to the City for all out-af-pocket costs the City has mcurred to assure that the work is completecl in
accordance �nnth the Stormwater Polfution Prevention P1an and the prov�sions af Orono;City Code Chapter 79
The financial security may also be used by the C�ty to el�minate any hazardous conditians associated with the
work and to rep8ir any damage to pubfic property or mfrastructure that rs caused ny the w�rk r rnciudmq planning,
engmeering or legal cansultant review) associated unth building permit """`" �""" ` --�-'•--�-, .-'� the
approved auilding permiE is not accomplished /�J"I� ��
3. MONTHLY BILLING. As the City recaives consultant bills l urn
send a bill to the bwners Owners shall be responsibke for payment ta t ^ I ^ �� �r�.'
receipt of bill G y�
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4. DISBURSEMENT FROM ESCROW ACCOUMT. In the ev�r �ert
ta the City with�n the timeframe outlined in#3 akmve, shali issue 2 Stap Work ses
invoiced pursuant to #3 The Glty may draw from the escrow account wit a te
re�mburse the City for eiigibfe expenses the City has incurred
5. CLOSING ESCROW. The Balance on deposlt in the e� the
Owners when the revlew has been completed and written notificatinn is re� the
funds
6. CERTfFY UNPAiD CHARGES. If the pro�ect is abandoned by Owners, or if the ellgible expenses
incurred by the City exceed the amoun4 in escrow, the Gity shall have the nghf to certify the unpaid baiance to the
sub�ect property pursuant to Minn Stai §t 415.01 and 386.012.
GITY�CITY OF ORONO OW(�R ^ , �
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tnternal Use Onfy: G Originat to Plannfng O Copy ta Property Owner p Copy Eo St�eet Flle
CitY uf Drono
2750 Kelley Parkway
Orar� �N 'S��56 952-=49-4bQ4
Receipt I�b; 3.ppg397 Fe6 5, �613
201.;G0047 1 .3`.,4 Res± Pvir�t Circle
Previau� Balance: ,�j
Ger�its
cscrow 2 500.�
10!-22�05 '
�efierred Rev-Developer Deposit
Tatai: r �2,504.00
Cash YM 2,544.00
Pa or:
24�3-40Q47 f 1354 �test �oint Circle
Tatal p�plied; � gqp,pp
:
Change Ter�ered: ------.00
t)�'!�5/c'013 08:15Ab1___.� -_-_--
� � � CITY OF ORONO * 2 0 1 3 - 0 P1 0 8 8 *
2750 KELLEY PARKWAY DATE ISSUED: 02/OS/2013
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1354 REST POINT CIR
PIN : 07-117-23-32-0062
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW F�E-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW F�E-TIED TO BUILDING PERMIT
NOTE: THIS$2500 ESCROW IS TIED TO BUIL�ING PERMIT#2013-00047-PD CASH-DENNY WALSH , .
APPLICANT ESCROW FEE-BUILDING 2,500.00
AMANDA HEIEN,DENNIS WALSH& ESCROW FEE-EROSION CONTROL 0.00
1354 REST POINT CIR
MOLTND,MN 55364- TOTAL 2,500.00
PAID WITH CASH 2,500.00
OWNER
AMANDA HEIEN,DENNIS WALSH&
1354 REST POINT CIR
MOiJND,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 descrpbed and does
not grant pemnission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing tl�is type of work
shall be compied with whether or not specified herein.This�etmit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if copstruction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspecCions aze
requested in conformance with the State Building Code.Thi's permit may be
revoked at any time for due cause.
/ / / /
Applicant Parmitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� Permit ( 0 1'...a_ tt I
PIN � o*N � �4
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Permit#: 2013-Ofl047 �p d s t� �,����: ,:
� Main PIN Adciress
PermitAddress: 1354 Rest Point Cir C' p�dditianal P!N Addr�ss
f� Pertnit Issue � Paroel Issue
General� Fees Insp�ections(4} � Notes � ApRlie,�ant Detail� CO Detail�
Seq Inspedion Type Inspector Date Status H Fee Rec
� 1 Footing u11GIB 5/81201'3 P Y 0
• 2 Framin�g WGIB 3122f2013 P Y 0
' � + �.. � � � �
• �4 Fin� 'METD 2f28120���4 P �w�'0
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