HomeMy WebLinkAbout2011-00448 - pool CITY OF ORONO PERMIT NO.: 2011-00448
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUED: 07/29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2940 FOX ST
PIN : 04-]17-23-31-0017
LEGAL DESC : STUBBS FARM
: LOT 001 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : POOL- IN GROUND
ACTIVITY : 329-STRUCTURES OTHER THAN BU[LDINGS
VALUATION : $ 35,000.00
NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL AND ELECTRICAL(STATE)
ADV. PLAN REVIEW FEE PD 6/10/1 1 201 1-00447$338.33 -INGROUND POOL
OTHER INSPECTION REQUIRED: FINAL WETLAND BUFFER INSPECTION
* SUBMIT REVISED PLAN.INDICATING WHERE WETLAND BUFFER PLANTING AND SEEDING WILL OCCUR PRIOR TO
PLANTING. (INIT[AL)
** BUFFER ESCROW WILL BE HELD UNTIL PLANTINGS AND SEED HAVE SATISFACTORILY ESTABLISHED._ � �INITAL)
APPLICANT pERMIT FEE SCHEDULE 520.50
ATLANTIS POOLS STATE SURCHARGE(VALUATION) 17.50
4321 68TH AVE N
BROOKLYN CENTER, MN 55429 TOTAL 538.00
(763)560-0103
OWNER
MEINS, DAVID&VALERIE
2940 FOX ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifiications,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 180 days of the date of issuance,or if construction is
suspended for a period of l80 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.1'his permit may be
revoked at any time fo e cause.
�
_�-���-- 7 / �-`? / /� � � `7/ �� 9/ /
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� I/^:� ���
V�' 1 ��?- �, �
City of Orono �
Building P'ermit Application �" ��'���
� �l
for New Stru�ctures or Additions
�O=_.�' MailiPO Bo�r66. Permit number: �l� �
�V Crystal Bay, IVdN 55323-0066 Date received: � �a /
, o .�� o
�� � y:
��,a +�''�,� '� � , Street Address:' Received b
�'�, � �,�"�,� Gti / 2750 Kelley Parkway Plan review fee:
\�E������ Orono, MN 55356
,,____��04 0�0//-00��7
-----' Total Fee: �
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 33g•33
This application form must be completed in full and all required information must be submitted.
Incomplete appfications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �7�C� �c�X Si�-,L.iZ�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �-fdo
If yes,a specral event permit is required with Police Department and City Counci!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 wil!not be alfowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: O`f%G�N���S �v�G= �
State License# Expiration Date:
Phone: '�,S 3 - ���_ �J� � (office) G/� - -7G/�- �>,a-J--1- (cell)
Mailing Address: �/3}-/ ��r.� �,.�r ,�.. CitY: ,��1,�,��.d,�:#ZI P: �S�i�s
Contact Person: �,,`��L Applicant is: ontrac - �/ Homeowner (Circle One)
Email and/or Fax: �ti,� �,¢�L�,�,,�--,3�C,�c s i�-C"-�.��r"l
PROPERTY OWNER INFOR�VIATION:
Name: ,!��4�J;:� /`�i�-�N S�
Phone(day):
Address: �5'Llv /�'�� �,�t City: ��,r-�U ZIP:
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8�
New Construction Water Supply
�� ❑ Singte Family with ❑ Residence
❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑ Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
�-6ther.(specify) ����oJ.v� �z ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
*"Any earth movement may require ❑ Commercial '�flther(specify)
MCWD review 8� permits. ❑ Industrial
❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other. (specify) � Gi2v✓�v� ���(�
18202 Minnetonka Blvd
Deephaven,MN 55391 �� U
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ��5���
� _ . �.��,� _, .-�.. �;`
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms= ❑Wood/Frame
❑ Masonry
b.Width (ft.)= Number of garage stalls: ❑ Metal
Attached = ❑ Pole Bldg.
Areas in spuare feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 15t Story = ❑ Other(please specify):
e. 2"d Story=
f. '/2 Ston� _
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ ❑ Permit Application
❑ ❑ Proposed 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 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 altemative
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 govemmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow agreement to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date:
Plan Review Checklist for New Structures / Additions
� � �..( �.% (�-' � ���f /�i�. ;f--.
Address/ PID/ Legal: ,
Description of work: __��d I
Septic review by: � Date Approved: � " � � �� l �
Zoning review by: Date Approved: � � Z L�
Building review by: Date Approved: 1 � � — � �
Grading review by: �(� Date Approved:
Zoning File#: Resolution #: Resolution Date:
Zonin District Fire Department Post Office School District
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submitted: 0 Yes 0 No Date of Survey: _
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Building Defined Height: Building Peak Height: #of Stories Ok?: 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement floor/crawl START the distance between the slab and the highest
space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the
mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade within the foundation
` the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff
0 Yes 0 No � N/A � Yes 0 No
0 Yes 0 No 0 Yes 0 No ❑ N/A
Permit Number: Setback:
Hardcover Zones Existin Proposed Variance Required CUP Required
0-75' � Yes 0 No � Yes � No
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house):
Updated: 09/11/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO
Permit
:,
Plan Review
p State Surcharge
'� Investigation Fee
SAC— Number of SAC Units
Sewer Connection �
Water Connection
>
Park Fee
Site Inspection
� Other(specify)
Miscellaneous Fees
Calculated By:
Square Foota e $ per Square Foota e
Basement X = $
1 St Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ �5,a p�tl�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing 0 Grading / Filling 0 Well
� Hardcover Removal �0 Mechanical � Fire �Electrical
ooting 0 Septic � Water Connection
0 Poured Wall � Fireplace � Sewer Connection
� Foundation Survey � Masonry � Lawn Irrigation
� Radon Rock Bed � Mfg.
� Framing 0 Other(specify)
� Insulation
� s-Built Survey
Final .
Ot��(slpleci���,��"� � �'�., ��� �
v rv►' � ��,��v�
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES 0 NO New: 0 YES 0 NO
�MARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
��.�1i1�'i�1� E7� �°�1J LN �lG/�i 1/�f q/�/Ifi�-� (NCTl�A `)e-- (���PrGI
,J� 0/v I,i.�, c��R— T� (�UrJU j 1 , -
l�li l.L 1� l/L L ���1 S � �►�TtiS G�Z�I�
L������
Updated: 09/11/2009
z:\forms\plan review checklist.docx
Melanie Curtis
From: Darren Amundsen [Darren.Amundsen@bonestroo.com]
Sent: Wednesday, July 27, 2011 2:32 PM
To: Melanie Curtis; John Smyth
Subject: RE: 2940 Fox St Permit#2011-000448
I have no issues with this plan
Darren Amundsen, PE
Associate
Direct 651-604-4894
Cell 651-775-5623
darren.amundsen@bonestroo.com
�Bvnestroo
From: Melanie Curtis [mailto:MCurtis@ci.orono.mn.us�
Sent: Wednesday, July 27, 2011 1:42 PM
To: John Smyth
Cc: Darren Amundsen
Subject: 2940 Fox St Permit #2011-000448
John
More follow up on the pool permit for 2940 Fox Street(2011-00448). The property owner provided a $4000 escrow for
the wetland buffer as you indicated in a previous email. We also hold an escrow for the pool permit. If you or Darren
have no objections/comments on the plans I will issue the permit tomorrow AM.
Please advise.
Melanie
Melanie Curtis
Planning & Zoning Coordinator
City of Orono
2750 Kelley Parkway
Orono, MN 55356
Direct Dial: 952.249.4627
Fax: 952.249.4616
Planning &Zoning Office 952.249.4620
Email: mcurtisCa�ci.orono.mn.us
Website: www.ci.orono.mn.us
Summer Office Hours (Monday, May 23rd to Friday, September 2nd)
Monday -Thursday 7:30 am to 5:00 pm
Friday 7:30 am to 11:30 am
1
� R ORONO COPY
MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER QUALITY OF LIFE
�
DATE: July 1,2011
The Minnehaha Creek I
TO: City of Orono
Watershed Distnct is
FROM: Catherine Bach, Minnehaha Creek Watershed District
committed to a
leadership role in CC: Nick Galanos, Atlantis Pools, Inc.
protecting, improving �: Proposed Pool Installation at 2940 Fox St, Orono
and managing the I
surface waters and To Whom It May Concern,
affiliated groundwater On July 1, 201 l, Minnehaha Creek Watershed District(MCWD) staff inet with a
resources within the representative from Atlantis Pools, Inc. at 2940 Fox Street in Orono to review the location of a
proposed pool installation in relation to the wetland on the northern portion of the property.
Distnct, inc(uding their Upon review of the location of the proposed pool installation as marked in the field and shown in
relationships to the the survey dated 6-6-2011(attached), it was determined that the proposed location of the pool is
entirely in upland(non-wetland), and a wetland delineation will not be required for the project.
ecosystems of which they However, a MCWD permit will still be required for this project under the Erosion Control Rule
are an integra(part. (5000 square feet of disturbance and/or>50 cubic yards of excavation or stockpiling).
We achieve our mission Please contact me at 952-641-4504 or cbach@minnehahacreek.org with any questions.
through regulatron,
Sincerely,
capitat projects,
�
education, cooperotive
endeavors, and other
programs based on Catherine Bach
District Technician
sound science,
innovafive thinking, an
informed and engaged
constituency, and the
cost effective use of
pub(ic funds.
18202 Minnetonka Boulevard, Deephaven, MN 55391 • 952-471-0590 • Fax:952-471-0682 • www.minnehahacreek.org
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Wetland Buffer Area Restoration/Landscape Plan > � ( �-Q('����
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The wetland buffer area, immediately north and adjacent to the pool construction area, will be restored to a
condition consistent with the wetland protection strategies and protection classifications laid out in section
78-1605 of the Orono City Code. Per discussions with Catherine Bach of the Minnehaha Watershed District,
the wetland is classified as a "Manage 3" based on the wetland protection strategies established in the Orono
Surface Water Management Plan (SWMP) (December 2002).
The buffer area shall be planted with a seed mix as detailed below:
Custom Seed Mix for 2940 Fox Street ��� ���
�
Grasses
Common Name Botanical Name Ibs/ac
Big bluestem Andropogon gerardii 4
Bouteloua
Side-oats grama curtipendu/a 1
Fringed brome Bromus ciliata 1
Virginia wildrye Elymus virginicus 4
Fowl bluegrass Poa pu/ustris 2
Indian grass Sorghastrum nutans 2
TOTAL Ibs/ac 14
**''Mix must include a minimum of four species form the above list of grasses
***Mix must include at least 12 Ibs/ac of grasses
Forbs
Common Name Botanical Name Ibs/ac
Marsh milkweed Asclepias incarnata 0.5
Liatris
Prairie blazingstar pychnostachya 0.5
Blue vervain Verbena hastata 0.5
Purple prairie
clover Da/ea purperea 0.75
Wild bergamot Monarda fistulosa 0.75
Heliopsis
Early sunflower helianthoides 1
Black-eyed susan Rudbeckia hirta 1
TOTAL Ibs/ac 5
***Mix must include a minimum of five species from the above list of forbs
***Mix must include at least 51bs/ac of forbs
Cover Crop
Common Name Botanical Name Ibs/ac
Oats Avena sativa 20
Winter wheat Triticum aestivum 20
***Use oats as a cover crop if planting in spring or summer.
***Use winter wheat as a cover crop if planting in the fall.
Additionally, we will remove by hand any buckthorn that currently exists in the wetland buffer area
immediately north and adjacent to the pool construction area.
� 'RECEIVED
David J. Means
JUL 2 7 2011
CITY OF O�i0N0
i
TYPICAL. INSTALLATION D�E:TAIL �i �
—M+ot� aru�K�r I ;
'• AV.L VERTIGIL �Ii.IENSIONS I I
Th'READED 3 .V2E TO FlNISH GR,1DE M1D
ROo ( Z' OVERDIG TASCEN FRO�! L'NER BE.4� TRICK
N;:'�e�' ' � (2) 5/8" NUTS 4' THK. CONCRE7E
������ ���. DECK, SLOPE 1/4' PEft
� REYERSE ANC�E Ff. AWAY FRO�! POOL 1�;h�MUTA SLOPE 1/2" PER F00T I
���' I AWAY FR0�1 POOL FOR 10'
. YHRE�PF�' POD DETAI� I
, ' ' ' ' '� SHORT DECfC BR,ICE ANG;E
C1TY OF QRONt) �°Pn°"""� �
14 C,1. CJLVANIZED ' \
STEEL' 15'/.LL PMlEL
BUILDlNG P F !T L.A.N REVIEW " ' //\/�j\\/�� LONC DECK BFLtCE M'CLE I
� 1NSPECTOR a/s•� ,uo� ��. , . /�j/// (oanor�) �
(1) BOLT IN ,1LL HOIES.
DATE ?•?.d—N _p�;�;�����fi�o. af iNsioe Row H� ro
Q{�(iS�::.�1.i��:i:..;�1 TE� POOL) ,�S A �IINI�lUN �
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- // // �— UND1STUR8ED EI,RTH I
2' BOTT0�1 •' \ \\\ �
�dti7ERV,l, ' i
� ♦•/ \\\� \\ \\ —6' CCNTINUOUS �
// //\// //\ //\ CONCRETE COLLVZ
VA/ �A //�A i �
—N07CHED SHORT ,INGLE I
2"x 8'x 1 H' P,1T10 BI.00K � �
AT E.ICH P,WEL JOINT
M!D CORNER FOR NOTE: BACKFIIL TO 8E SAND, CR.lVEL i I
LEVEUNC, AT OR OTHER NON IXPMISIVE 1.lATER4�L
I � , CONT1t.lC70RS OP710N I
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�.�ti�Sl;i NSPI-5 1 995 S'"ANDARD � � i
����; �oot �, 9ga ,-c��e �2 � . , , �2� S�'E�EL EDIT�IO ?�T �
. . ____� �
� � �
� THis BROCHURE IS FOR ILL.USTRATIVE PURPOSES Or��LY
IThs monufactur.r mak�s only thor• npns�ntations which an statsd fn its written I
I worranty, My other repna�ntatlonr, stot�m�nta, or contracts mada by th• d•olar cnd/or
the contracto� to th• cwtom�r r�qardln9 any mat�riala produc�d b�i the manu(acturar are
attrlbutobls to ths d�olar and/or th� eontractor only. Ths d�olar or controctor who aells
� InSC�I)02io�'iS �0 58 I�'i CCCO!"�a�Ce or Installs your pool la an lnd�pand�nt contractor and not cn aganl: or employ�s o( ths
wifh �.�cr1UfQCtU�eS �E;COf71�71e�dCtiOf1S manufactun�, Th• conatrvctlon m�thodt Illwtrot�d or� iu99�stlona and cpply only to
normal qround� condlUons. Th�r��moy b• addltlonal pr�cautlons and/or m�thoda o/
conatr�ctlons, Th• r�aponalb(Ilty la th• contractors, I
- - - ALL :TE�SS FOUND ON THIS PAGE APPLY TO ALL POOLS CONTATNED IN THIS BOOK - - -I
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Area Capacity Pool L � ,_
389 �Q,QQQ 3�-9' MIN
Sq.Ft. Gallons � ��
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ALUMINUM CONCRETE RECEPTOR LAYOUT
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70' (6) 72' STRAICHT ��.
(10) CLIPS
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PACKAGE TYPE `"�8
STEP
PARTS QTY
DIG DIMENSIONS , e' LIGHT PANEL �
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8� PANEL S
1' PANEL 4
2' RADIUS CORNER 4
A-BRACE ASSEMBLY 14
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x 28' RECTANGLE (2' RAD) Page 2 of 2 ST- 1208
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��� �� AT TIME V
CITY OF ORONO CALLED IN �/� ��
INSPECTION NOTICE SCHEDULED � �
PERMIT NO.�G l—C�o � co PLETED l � <a�.�
ADDRESS ��'I � S��
OWNER T HONENO���' ��3"�5��
CONTRACTOR /��
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j; DESCRIPTION D S
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11� ❑ FOOTING ❑ PLUMBING FINAL ❑ XCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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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:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor site�
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
� , AT TIME
CITY OF ORONO CALLED IN /D l � _�
INSPECTION NOTICEDGy���SCHEDULED �
PERMIT NO. � �7 COMPLETED
ADDRESS � � �i��
OWNER ELEPHO NO � � �� �0•7�
CONTRACTOR S
�: DESCRIPTION �i� ��
�
11i ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
�
O ❑ 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 RI ❑ S TI FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONT TOR TO MEET YOU�YES_NO
v, COMMENTS:
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0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 ho rs in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�.. Pru�ert Name:
� Lot 1, Block 1
II'�I�Ip;ii � STUBBS FARM
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ti(',1I�1? I ' Lot 1,Block 1 and Outlot A STUBBS FARM,according to the recorded plat thereof,
Hennepin County,Minnesota.
Orono,h1innesota
Notes: Owncr.De���u,ec
S��RV'EY �EGE,�� — EX�ST�NG C�N�IT��NS t.PleasenotethatwehavenotplacedaGopherStateOneCa��tortnissurvey. I)�vidMedns
There may or may not be other utilities serving this site. Therefore extreme
;(-> � r_aIC;N Ba>ud �-- STOPM SFwEF caution must be exercised before any excavation takes place on or near this •
-� �=�' site. Before digging,you are required by law to notify Gopher State One Call .'Y4D�ox Stmc�
O STORM MANHOLE ---�--->ANITARY SEwFF at least 48 hoUrS in adVanCe at 6511454-0002. Ofono,MN SS.i56
�J SANITARY MANHCLE —I—�WATERMAIN
•� WATER MANHOLE -�—F+�E UNDERGROUND FLf_t:1i'i�..
, i1YDRANT --�•� UNDERGROUND GAS
..4TE VAWE --*E�� UNDERGROUNC ' ���-r-� . Benchmark�.Roor level at north entrance to house,as shown hereon.
-� � �- - Elevation-�969.87 teet(r.ity of Orono Datum)
. ':LEFHONE PEDESTAL ---�--OVEEHEAD UTIL�'�
- �`7WER POLE —� -� CHAIN UNK ��E": �._
_ ._i;H7 POLE --�—CONCRETE CU�_� Pro(essional Services:
.. >,.uxa�STONF PF tl�I�.�� „ _.
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ASSOCIATES
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Ma��le(:rov�•,Minnesot�55 in4
1elephone:116J1a14�5505
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� � _ p i Y
a ._ '. itECE�V '�'� I i Surve
� Pru ect No.:
I
� JUL 1 1 2011 o5o3�A
Sheet No.:
$ CITY OF ORONO 1 nf ?_
� ,. � \ \�� ro ec[Name:
I � \ �1
£ '�`1 Lot 1, Block 1
i � _ —� �`' ��r
� � f\ - ed e o�.eua�a pe� �vn.'
, �, �� -o�o�,5,�6,FARM_ . ,�— STUBBS FARM
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� �66�� �o ������q �a u���r,c; � � �- � � Lot 1,Block 1 end Outlot A STUBBS FARM,aeCordin to tbe recorded lat thareof,
� - =sbeo �� ,__- .E e,n F�P�o�oi ... r g I Henne InCoun ,Minnesofa. g P
� . �srues FaR�-�---__I� � .a6 � P b
� 96'=x o°'`96' _��� � `ss' _ / I Orono,Minnesota
`'e .. � \ ��fi` � I Notes: ner eve o
� P,,96B o,o ,,,. -� �\ . _vn-96 r - .96 .. . . I eas .
� sss. ,vcs. -. � o' . -�' r.
� � - y�� P � e° �.zeeo `�W- -" I "o° � .e � ef °� I 1.Please note that we have not laced a Go her Stata One Call for this survey.
sbso � � P i � -� �= oe� , i p p David Means
� � � � s seg 5�ya Q�` Q�� ,�,�,s rgs„ . ��� � There may or may not be other uHlities serving this aite. Therefore e�Areme
� "' � 96g6z8 9�368 �o�o J°' ,..�a ���"� x9 , , yse.� ^ � '�y�g 2 cautlon must be exercised before any excavation takes plaee an or near this 29q0 Fox$treet
site. Before di in ou are re uired b law to noti Go her State One Call Orono,MN 55356
��� ' - ,1.. 6J968.J3 ss�e 968.73 -.� 99 9�Y Q Y �Y P
� 9J4 9- �� s'- - �p+ � ' � al least 48 hours in advance at 651/454-0002.
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To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: 5/21/2012
G/L: 101-22205
Re: Building Permit Escrow Refund
Building Permit#2011-00448 pertaining to 2940 Fox Street is complete. Staff is requesting ,
on behalf of the applicant, David Meins, a refund of his $2,000 escrow.
The following is attached:
• 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: David Meins
2940 Fox Street
Long Lake, MN 55356
w:�street files\fox street�2940\escrow refund memo 2011-00448.doc
Christine Mattson
From: Darren Amundsen
Sent: Wednesday, May 16, 2012 9:17 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
None for us
_.__ ____ ... ._.._ _ .___ _._..
From: Christine Mattson [mailto:CMattson(c�ci.orono.mn.us]
Sent: Monday, May 14, 2012 4:26 PM
To: Amundsen, Darren; 'Sherry Charboneau'
Subject: Unbilled WIP
Hello,
Any unbilled WIP for the following?
Zonin A lication Address �N�P
11-3533 3980 Dahl Road O
Buildin Permit
2011-00236 1265 Bracketts Point Road O
2011-00339 220 Wakefield Road O
2011-00417 1255 Dickenson Street O
2011-00448 2940 Fox Street O
2011-00010 f/k/a/155 MacKinnon, now 155 Kintyre O
Lane
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway � Orono I MN E 55356(physical address)
PO Box 66 � Crystal Bay � MN i 55323-0066 (mailing address)
'� 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
Summer Office Hours begin Monday, May 21,2012
Monday-Thursday: 7:30 am to 5 pm/Friday 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, May 28,2012 (Memorial DayJ
1
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Tuesday, May 15, 2012 10:53 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
Christine:
No unbilled WIP on any of these for Campbell Knutson.
Have a good day.
Sherry
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317•Eagan,MN 55121
'�(651)234-6230•Fax: (651)452-5550
�scharboneau(a�ck-law.rnm•www.ck-law.com
From: Christine Mattson fmailto:CMattsonCa�ci.orono.mn.us]
Sent: Monday, May 14, 2012 4:26 PM
To: Darren Amundsen (darren.Amundsen@bonestroo.com); Sherry Charboneau
Subject: Unbilled WIP
Hello,
Any unbilled WIP for the following?
Zonin A lication Address
11-3533 3980 Dahl Road
Buildin Permit
2011-00236 1265 Bracketts Point Road
2011-00339 220 Wakefield Road
2011-00417 1255 Dickenson Street
2011-00448 2940 Fox Street
2011-00010 f/k/a/155 MacKinnon, now 155 Kint re Lane
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway � Orono � MN i 55356(physical addressJ
PO Box 66 � Crystal Bay ; MN ! 55323-0066 (mailing addressJ
�'952.249.4620 i g 952.249.4616
� cmattson@ci.orono.mn.us ; � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
i
� BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2011-00448
AGREEMENT made this l�� day of �-— 'L , 20�, by and befinreen the CITY OF ORONO,
a Minnesota municipal corporation ("City") and � �. ; �` � • �'►�<�h � ("Owners").
Recitals
1. A building permit application has been filed for pool located at 2940 Fox Street the ("Subject
Property"), legally described as Lot 1, Block 1, Stubbs Farm, Hennepin County Minnesota.
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:
�!. DEPOSIT OF ESCRO�UNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$2,�D0 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 #2011-00448 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 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 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.
r,._.....
CITY: CITY F ORO OWNER:
� RECEIVED
By� 20 2011
�
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' CITY OF ORONO PERMIT NO.: 2011-00487
' 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 06/20/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2940 FOX ST
PIN : 04-117-23-31-0017
LEGAL DESC : STUBBS FARM
: LOT 001 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2,000.00 ESCROW IS TIED TO BUILDING PERMIT-2011-00448
APPLICANT ESCROW FEE-BUILDING 2,000.00
MEINS,DAVID&VALERIE TOTAL 2,000.00
2940 FOX ST
LONG LAKE,MN 55356-
OWNER
MEINS,DAVID&VALERIE
2940 FOX ST
LONG LAKE,MN 55356-
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 hereia T'his pemtit 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 By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� Checklist for Refunding Building Permit Escrows
Building Permit # �� �� ��''
Street Address: 2.�� � ��Y�
Applicant Name: 1v`�l Y� � ��4 �
Escrow request received Date: � n !�a.�
Permit Type: ���('i
Are all inspections completed? es 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 �
❑ Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent:
❑ Prepare memo for Finance Department
z:\forms�zoning standard forms\checklist for refunding building permit escrows.doc
Last Updated: 10-31-2011
4� RermitWorks � � �' �. .
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