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Home My WebLink About2010-00336 - new structure CITY OF ORONO P�xM�T No.: 2010-00336 2750 KELLEY PARKWAY . ORONO, MN 55356- DATE ISSUED: 06/08/2010 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2172 SHADYWOOD RD PIN : 17-117-23-42-0010 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 000 BLOCK 001 PERM[T TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIViTY : 101-SINGLE FAMILY HOUSES, DETACHED VALUATION : $ 755,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE, WATER CONNECTION,SEWER CONNECTION, ELECTRICAL(STATE),OTHER INSPECTION: HENNEPIN COUNTY DRIVEWAY PERMIT ONLY TWO FULL WIDTH GARAGE DOORS CAN BE INSTALLED. THIRD DOOR CAN BE NO WIDER THAN 6'. PLAN FOR LAKESHORE BUFFER MUST BE SUBMITTED BEFORE ANY CO IS ISSUED. � DRNEWAY PERMIT REQUIRED FROM HENNEPIN COUNTY TRANSPORTATION DEPARTMENT(WORK IN THE RIGHT-OF-WAY). (INITIAL) ADVANCED PLAN REVIEW PAID ON PERMI"I'#2010-00335-PAID W/CK#11232 APPLICANT PERMIT FEE SCHEDULE 4,731.75 TRUE NORTH HOMES INC STATE SURCHARGE(VALUATION) 377.50 410 LAKEVIEW AVENUE TONKA BAY, MN 55331- TOTAL 5,109.25 (612)281-2540 Minnesota State License#: 20636839 OWNER DORE, STEVEN 8351 WEST 109TH STREET BLOOMINGTON, MN 55438- 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[he 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S te Buiiding Code.This permit may be revoked at an e for ue caus �� l,,.. �.__. G i � l (� �/�. ��'�-� l� i�`�(� pplicant rmitee Signature Date Issued By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . , �liy oi �,°oYx; �75U }�,elley Garkway Orar�o MN 55356 952-�49-4bU4 Receipt Na: 3.a0c723 Jur� G8, c01U Steve ik�re Rerraits c'OlU-OQ376 - c172 5hady� TS.Oa od Rd �� 1U1-32514 Building Per�its Rermits �OiG-UG376 - 2172 5hadywo S��.Oti t,d Rd .�-- lU1-3251U $uilding Permits Perraits PU10-00376 - 217c �adywo .5�1 c,d Rd 101-20802 Due to govts-5tate . Permits �(�lU-U033b - 2172 Shadywo 4,731.75 _�d Rd �—' ':if1-32510 • ��?ildir�g Perraits �'errsits �i�1u-OG335 - 217� 5hadywc, 37__ 7.5� od Rd 101-2G8Uc^ Due to govts-5tate Tutal: 5,�s4.75 ----------- Check Check No: 11193 5,234.75 Payar: Steve Dore Tatal Applied: 5,�34.75 Change Tendered: .(� 06/08/1t� c74:G5PM . . �1 � �� ,o � � . ` City of Orono � Building Permit Application for New Structures or Additions Mailing Address: Permit number: dld�d6 gv 0� PO Box 66 0 � Crystal Bay, MN 55323-0066 Date received: /D �, ��T, a ��`�j;�,-��` s.i StreetAddress:' Received by: /t-�!C o;� �� i�"��.� �� 2750 Kelley Parkway �� /Z�� Plan review fee: � .3 D 7.S `� t�'kE9H�4� Orono, MN 55356 C,�1C-+�'IlZ3 �� d_ ��3�T 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: Z�72 5��r�y�uooc� /��G� 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 even:. Shuttle bus service will be required unless appficant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �� (I�o�7� �,l�r�Fs i�.c State License # 2p6 3/ S z9 Expiration Date: /V�G��, zo�� Phone: �� _2g�—� y o office (cell Mailing Address: y/o Ll�-k vi ei.w {4� Cit :�'o,v�G / <y ZIP� �5�� Contact Person: ctq ce ve��.r Applicant is: ontractor ,, / Homeowner (Cirde One) E m a i l a n d/o r F a x: -,��.,��,,�;,s(�,,; I r2 (� av�,co� PROPERTY OWNER INFORMATION: Name: STe�� o�-e Phone (day): 952- 2 5— 5 0 �S Address: 2� » Sh4��wc vcP City: Oeo�p ZIP� 5�.3�( Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: �DS �s�h.�Pc�--S Phone (day): 6l Z_ gl �' — �6�� Address: Cit : �� n�o�-f�, ZIP: Email and/or Fax: IrS i df� i�r� C`ew�(�as,—, ti�P'T— 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 ❑ Gara e/Accesso Bld ❑ Accesso Buildin g rY 9• � Public Sewer rY 9 ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ❑ Multi le Famil /Condo ❑ Private Sewer p y ❑Warehouse ❑ Public ❑ Storage [� Public Water `*Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8�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) $ ',�S 5 �oo, c�o Last Updated: 9/29/2009 - 17 - STRUCTURE INFORMAI�ION: Y 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction r a. Length (ft.)= �_ Number of bedrooms= [�Wood/Frame ❑ Masonry b.Width (ft.)= Y U Number of garage stalls: ❑ Metal Attached =�_ ❑ Pole Bidg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 151 Story = ❑ Other(please specify): e. 2"d Story= f. '/2 Story = g. Total Area= REQUIRED SUBMITTALS: All of the inforrnation must be submitted in order for your application to be processed: N ot Enclosed Applicable ,�1 ❑ Permit Ap lication ❑ Pro osed Buildin Plans � ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form m ❑ Surve meetin all re uirements � ❑ Stormwater Pollution Prevention Plan 4� ❑ 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 7� �z'�� 1G�S Lt�� v"liwi�lyS CmP�f'.S �"vf�1�1 �C�UI� CI � ��QP`��N� /�7/�-l/7(�1%tiG� ��Z� 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$50Q; • 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; • 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. Applicant's Signature: Date: ��—�Q Last Updated: 9/29/2009 - 18 - �� 4. � � � � New Construction Energy Code Compliance Certificate � Per N I 101.8 Building CeRificate.A building certificate shatl be posted in a pertnanently visible location inside Date Certificate Posted the building. The certificate shail be completed by the bwlder and shall list infortnation and values of � . co nents listed in Table Nll01.8. Z/ZZ��O Mailing Address of the Dwelling or Dwelling Unit Orono.MN 2»2 s��(y c�;o�� . . Name of Residential Contractor MN License Number True North Homes Z�'6 3 6 ��3 � THERMAL ENVELOPE RADON SYSTEM Type:Check All That Apply X Passive(No Fan) o � c a `' Active(With fan and monometeror �' � T othe�system monitoring device) `° = � ° Y w � a� at o- R '� Q Q� � � U dj 'O C � O ui vi O � � � T V Insulation Location � � z � � � o � W o a o �° °.° E E � � � � .n � b-0 W � � � � _ ,Z� i�.. i.�. w° w° � ci: u: Other Please Describe Here Below Entire Slab X Foundation Wall X Typeinlocation:intenoreutenororintegral Perimeter of Slab on Grade X Rim Joist(Foundation) X Typeinlocation:intenorexleriororintegral Rirtl JOISt(1't FIOOf+) R-19 X �nterior wall R-19 X Ceiling,flat R-44 X Ceiling,vaulted R-44 X Bay Windows or cantilevered areas X Bonus room over garage R-38 X Describe otherinsulated areas Windows 8 Doors eafing or Cooling DucTs Outside Condifioned Spaces Average U-FacCor(exC/udes Sky/ights and one door)U: 032 Not applicable,all ducts located in conditioned space Solar Heat Gain Coetlicient(SHGC): 029 R-value MECHANICAL SYSTEMS Make-up Air Se%ct a Type Applianees Heating System Domestic Water Heater Cooling System Not required per mech.code Fuel Type Natural Gas Natural Gas Electric PasS��e M anufactu re r Powered Interlocked with exhaust device. M ode I Describe: Input i� Capaciry in Ou[put in Other,describe: Rating or Size BTUS: Gallons: Tons: Heat C.oss: Heat Location of duct or system: Structure's Calculated Gain: 90"/o SIiBR: C'alcula[ed E ff I Ci E fl C coolin�load: C fm's "round duct OR Mechanical VentilaKon System "metal duct Describe any addi[ional or combined heating or cooling systems if installed:(e.g.two fumaces or air Combusfion Air SBIeC(a rype ource heat pump with gas back-up fumace): Not reyuired per mech.code Se%ct Type Passive Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: Other,describe: Energy Recover Ventilator(ERV)Capacity in cfms: Low: High: Location of duct or system: Continuous exhausting fan(s)rated capacity in cCms: Locatio�of fan(s),describe: Cfm's Capacity continuous ventilation rate in efms: "round duct OR 1'otal ventilation(intermittent+continuous)rate in cfms: "metal duct tl�A1�'H�n-�� 5 tg� l� �c.o�-tc- ! 6J�GE`l5 �'i�-�2,��. �rem#os-cc �ndj{,y-osiroizo��-- . Fi[e#1 D-3456��tal Pages�u6j 9f2�f�a _'� �-IA.RDCOVE�LCULATION WO12.KSHEET , SET13:1CIC 7,ONF,; (CIRCL��N�.} U-75' 75-250' 250-SOQ' S00-1000' , E3:TST�NG HAl2.�C0'V�R IN ZOI�IE A. T-T�t�se x = S.F. Lenglh Width x = S.F. x = S.F. x -- S.F. B. Garaye x — S.F. C, Uriveway x � S,F. x = S,F. D, Sidew�lk x — S,F, _ x = S.F, E. Patio/Deck x — S.F: x = S.F. F. Landscape x = � S.F. Und�rlain x = _ S.F. l3y Plastic x — S.F. Or�'abiic � G. Otl�er x: = 5.�. TUTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPER'I'Y AREA IN ZONE - S.F. B A + B x100 — . � - % PROP�S�D HA�nCOVER TN ZONE A. IIouse x = S.P, [.engtl� Width � X =- S.F, .�. x — S.F. _ � X = S.F. B. Garage x -- S.�'. C. DrivewaY � X = S.F. X — S.F. ll. Sidewalk __ x = 5,�:, x = S,F. E, Yatio/ll�ck ! x = s,p, -- X — S.F. F. Landsc�pc - -- x.-. — S.F. Underlain � � x — S.F. By Plastic x = S.F. Or F�bric G. Other � x = S.F. R�CEI�� r �t - rJ Q1AI.HARllCOV�R IN ZONE - � D �7�1'. .CZ /^n ^ /� ��1�TAL PIZOt'L''RTY A1tEA IN�ONE - ��3 ,3 p S.F. B _�r� T B Q t3 3 O x 100 = c� % ` ^_�" �J1�ON� � ��„�R�� . � Item#08-CC Agenda-OS/1 i F� Frle#1 D-3456[Total Pages 40J �' �IARDCOVER CALCULA W4RKSHEET 4�z8/io , � SET�3 ACIC ZO1VE: (CIRCL�4NE) 0-75' 75-250' 250-500' �500-1000' - �7CISTIN ' ��,],2,,�C,OVLR IN 7�ONE � A. Housc x = � � � 5,�, l.caglh Width • X a S.F. • X � O.i'. X " $.F. B, GAragc X s s.�'� C. Uriveway x ' = S.F. _�_ x = — S.F. D, Sidewnik x = g,g, _.__ X a S.F. E. PatioNeck x • . = S,g; X a S.F. F. Landscape x = ' S.F. Undcrlain x _, _� – g,�, IIy Plastic x = S.F. Or Fobric � ' G. Other �� x: � S.F. TUTAI.HARDCOVER IN ZONE - S.F. A TOTAL PR�FERTY AREA IN ZONE - S.F. B A T B x100 Q . % PRUPOSED HARI)„�OV�R TN ZOi!I� ' A. House �� x = _ s��s�� S.P. • Length Wtdth C�YF�F�o oF�K/ F,e�e�cc� x �. /fJ 8' �.F. X = S.F. X = S.F. B. Garage x � = S.F. G. Driveway � �� x m !l.3+� S.F. x – S.F. D, Sidewalk x = .��.� g,g, +�/�. �� . X , _ � �. S.F. E. Patio/Ueck x � = S.F. � X = S.F, � . F. Landscape � x:. � g,�, .�-�..�T^" Underlain x � _ $,�, By Plastic X _ S.F. () Or Fabric . • � � � G�Jther x = S:F. � � � P11 TOTAL HARDCOVER IN 20NE - � . �,�p �,g, p � � C TOTA�.PROF�RTY A1tEA IN ZONE _ /�►�� S.F. B Z q v � ��.�6';' + B �� x 100 = _ :�5. .��1 % fl � . . . ' � �G�.7+�,j/,�c,� � . � Item#08-CC Agenda-OSLj;Q�,�i�},��,,., G d�}�:� File#10-3456�t��age1ss ��2`r '' �IARY?COVER CALCULAT�ON WOI2KS '�`' g��p , SETI�ACi4 ZONE; {CYRCL��3N�) 0-75' 75-250' S0-SQ4' '500-1000' � EXI�(�I�A,,1tDCOY�R IN ZONE A. IIouse x � � ' 5.�. Length Width • X 3 S.F. � x = S.F, X =- S.F. B. Gara�t �_ x � S,g, C. Driveway x ' a g,g, ..._�_ x � S,F. D, Sidewalk x = 5,�, X — S.F. E. Patio/Decic x � , = S,g; X � S.F. F. �ndseape x = ' S.F, Under[ain x — S.F. By Plastic x = S,g, Or Fabric ' ' G. Othcr �:.._. X- = S.F. TOTAL IiARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A �' B x l0U = . °/a PR�POS�])_HARDCOV�R iN ZONE � A. I�io«se ' x ' _ ____ S.F. � Length W[dth X i S.F. X � S,F. X � S.F. B, Garage x a S.F. C, Drivewuy x � = �2� S.F. X — S.F. D. Sidewalk x ti S,g. . X � S.F. E. Patio/Deck x � = S.F. - X , . ._ = S.F. i ' F. I,aadscup� __ x f, _ . S.F. Underlain � x = By Plastic _ $.F. X S.F. .� Or Fabric � � � � � Otlier x = S.F. m 7 N � TOTAL HARDCOVER IN ZONE - � 6Z C,' g,g, p � � m TOTAL PROPERTY Al2EA IN 20NE - Z�/S S.F. B t � rn � 6 z s �- B �.5�� X ioo � 2 .� �ia . � � - i • � , i I�v�• I�DoZi�- yU.•��s 2-��-i� �.Ii4��'`g P�RK L�C, I�-1i�1 � �N I.v�S tp,�iq, f3c.vue � HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) - 5' 75-250' 250-500' ' 500-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = ' S.F. x � = S.F. B, Garage x —. S,F. C. Driveway x = S.F, x — S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S,F. x = S.F. F. Landscape x = S,F. Underiain x = , S.F. By Plastic x - S.F. G, Retaining x = S.F. Walls H. Other x = S:F. TOTAL HARDCOVER IN ZONE - � S.F. A TOTAL PROPERTY AREA IN ZONE - �f- 3 S.F. B A + B x 100 = % PROPOSED HARDCOVER IN ZONE A. House x = S.F. Length Width ' x = S.F. x = S.F. B. Garage x = S.F, C. Driveway x = S.F. x = S.F. D. Sidewalk. x = S.F, x = S.F. E, Patio/Deck x = S,F. ' x = S.F. F. Landscape x = S.F. Underlain x = S.F, By Plastic x = S.F, G. Retaining x = S.F. Walls H. Other x = S,F. TOTAL HARDCOVER I.N ZONE . - S.F, A TOTAL PROPERTY AREA IN ZONE - S.F. B q = B x 100 = % , s l t�V�.. �0�'2�t"� �pM�'� Z-17- �r �Ilt.1�Y'�, ,�L�� w �.+�ty t�'HA, 4�+�o�t�/ HARDCOVER CALC ION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-2 ' 250-500' ' S00-1000' EXlSTING HARDCOVER IN ZONE A. House x = 26 d$ S.F. Length Width x � S.F. x = S,F. B. Garage x -. S,F. C. Driveway CP�YwOG!) cUyF�t�NG ��'E,� = 1 �3Y S.F. x = S.F. D. Sidewalk x = 90 S.F. x - 96 S.F, co✓6feco c�JA�K E. Patio/Deck x = 1 0 $ g,F,cov�s�efo T�R��cE x = S.F. F. Landscape x = S,F. Underlain x = S.F. By Plastic x = S.F. G. Retaining x = . S.F. Walls H. Other x = � 5 S;F. �'�lG �'�'�S TOTAL HARDCOVER IN ZONE ' - Y.4S/ S.F. A TOTAL PROPERTY AREA IN ZONE + B x 100 = t!��Y 9 3S. 38 B % A PROPOSED 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 = _ S,F. x = S.F. E. Patio/Deck x = S.F, ' ' x _ = S.F, F. Landscape x = S.F. Underlain x = _ S.F. By Plastic x = S.F. G, Retaining x = S.F. Walis H. Other x = S.F. TOTAL HARDCOVER IN ZONE . - S.F, A TOTAL PROPERTY AREA IN ZONE - S,F. B q = B x 100 = % ` � t ! /� �-17-�l `/��r�.EY� �� l,A�ttG�.� , ' �V� C`�t�'�"� �'^�.►��S !+J �d Tg ��+I'9 �`�rG+� , r HARDCOVER CALCULATION WO EET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 0-500' ' 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 �Pcrws,o e'�✓�'x�vc �'"'�� - b 2 6 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 Plastic x = S.F. G. Retaining x = _ S.F. Walls H. Other x = S;F. TOTAL HARDCOVER IN ZONE - �Z� S.F. A TOTAL PROPERTY AREA IN ZONE - 2S15 S.F. B A + g x 100 = Z Y. 8 9 % PROPOSED HARDCOVER IN ZONE � A. House x = S.F. I.ength 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 Plastic x = S,F. G. Retaining x = S.F, Walls H. Other x = S.F. TOTAL HARDCOVER W ZONE - S.F, A TOTAL PROPERTY AREA IN ZONE - S,F. B p = B x 100 = % i �\ �\ � ��+ /� �� m / �� Reso 66 � � �r / / X � �� ExhibitA I � � �I � � � �� i � � � � I I I � I / I / / ` �� I \\ I I I / �l � 1� \� �O I � � �� c � - '��i � � \ � � �n i � � � � _— �� / �` J � m �� i j �/� I ��► �oo I / / LINE PAF2ALLELL WITH .. 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Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on te: � Inspector. ` � White Copyllnspector's File Canary CopylSite Notice S� /� AT TI M E � .r ORONO �q�.I.� f"e �� .sPECTlO /Q TICE /� /��,�f�Du►C�'o �. PERMIT N�(/ O—D✓ �'cOMPLETED ADDRESS � OWNER TELEPH E NO. ��'/�� CONTRACTOR � (.vt10�S — l� �: DESCRIPTION � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � l .L �l -r ��, � � o , � � ° � !1�1� c� `'� � Q � j i� � z W � W � � � GW �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL FETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnedContractor on$ite: Inspector. L y White Copyllnspector's File Canary CopylSite Notice / �� DATE TIME �� CITY OF ORONO��CALLED IN c9/��1, �� INSPECTION NOTIC SCHEDULED -��L� PERMIT NO�' COMPLETED ____�� ADDRESS `� � OWNER TELEPHONE . l '"a �f<a CONTRACTOR � >; DESCRIPTION �Ct�C�"YJ /"✓��L��fi��l � � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP T ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU: YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z w � W � 1 � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALI{NSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice � �� ATE / TIME CITY OF ORONO CALLED IN ��`�� — INSPECTION NOTICE SCHEDULED � PERMIT NO. .��COMPLETED ADDRESS �� ,�Z � OWNER TELEPHONE NO. � �� CONTRACTOR �� - ��-� � DESCRIPTION r l-�,�� )-.(�,�-,�.� �"f�— W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU�YES_NO � COMMENTS: � W a � J O � ,. � i� I c� � - a � W � Q � Z W � W � � GW �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on s�te: Inspector. �- � �, �� White Copyllnspector's File Canary CopylSite Notice �� 1�� DATE TIME � CITY OF ORONO CALLED w � b� C INSPECTION NOTICIE'1 SCHEDULED l�� `�QG PERMIT NO. J� L l V"�.�}.3�OMPLETED �� ADDRESS ��7� � �lII�1L�1(�� !�� OWNER TELEPHONE NO. � 4`� �y��5 CONTRACTOR � A ti�L��}�� ' 'S �; DESCRIPTION ��S�� r�� L� 'U,� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING�jn Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Vjj y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 1 � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 ❑ S T FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU�YES_NO � COMMENTS: � W a � J O � � O � ti � Q � Z W � W � � GW �OORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �O CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContra o . Inspector. White Copyllnspector's File Canary CopylSite Notice ��g �:�C3•�— E TIME ✓ CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED � � / � PERMIT NO.o?�!�'�� PLETED ADDRESS OWNER TEL E NO.�/l��5� CONTRACTOR � � DESCRIPTION j�� ?�Y � D � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y MMENTS: a �- � Sc T3 ' � N �1 /��S'r o �� ° . v � -� ,` I Q '?Z `�T�� /� , h '� O�C��-��=�, � Z W � W � � � W ❑�ifORKSATISFACTORY:PROCEED � PROJECTCOMPLEfE � CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ RRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN iNSPECTOR WILL RETURN ❑STOP ORUER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cat1 forthe next inspection 2a hours in advance. (952) 249-4600 OwnedContractor on site- Inspector. White Copyllnspector's File Canary CopylSite Notice „♦ d^� ” DATE TIME * CITY OF ORONO CALIED IN �NSPECTION NOTICE /- SCHEDULED ' -�� PERMIT NO.a a�b- D d 33 �P COMPLETED �� ADDRESS a� 7 a sh a-�'`I w�� OWNER TELEPH NE NO. ��a a�i aS�a CONTRACTOR / /u� �V4�'� �r'��y � DESCRIPTION ��'�. � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑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.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspecti n 2a hours in advance. (952) 249-4600 Owner/Contractor on s' e: Inspector. White Copyll spector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �z� SCHIEDULED PERMIT N0. w�U "Ol.�� COMPLETED ADDRESS Zl1 L- SY�Q�(��LINOBd I�l� + OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION �I� � �� 'I h�� C(,�CJ� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING F��I l�G� 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO v�, COMMENTS: a � C��JQ ��.10 Y� — � (�KQ,� .�Ql' S , C�1c�P�'OUa��' o - � o � - _ `� re.� � � Q z 21 — U� W � W n�, � �� e +� ;i! ��Yb�(I�V `� � � -1-- a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED �UE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�IERING �pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATtON ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. �C�IU �.� White Copyllnspeclor's File Canary CopylSite Notice . • . • . • • � • emo To: Finance Department From: Christine Mattson, Ptanning Assistan�J' _ CC: Street File Date: 8/12/2011 Re: Building Permit Escrow Refund Building Permit #2010-00336 pertaining to 2172 Shadywood Road is complete. The Applicant, Steven B. Dore, has requested a refund of his$10,000 escrow. The following is attached: • Escrow Refund Request • 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 w:�,street files�shadywood road�2172�escrow refund memo 2010-00336.doc 1 � Christine Mattson From: Steve Dore[STEVED@indelco.com) Sent: Tuesday, July 26, 2011 10:33 AM To: Christine Mattson Subject: Escrow Money. Hello Chris, I'am requesting funds held in escrow for the property at 2172 Shadywood Road. If you have any questions please contact me requarding this matter. Please note: The check should be mailed to: Steve Dore 6530 Cambridge Street St. Louis Park, MN 55426 Thanks. Steve Dore ....�'�'"' /N�ElCO Plsstic:Cotporatioa Steve Dore Vice-PresidenUOwner Indelco Plastics Corporation www.indelco.com Main Phone 952-925-5075/800-486-6456 Main Fax 952-925-1758 This email has been scanned by the MessageLabs Email Security System. For more information please visit http://www.messa�elabs.com/email i Christine Mattson From: Darren Amundsen [Darren.Amundsen@bonestroo.com] Sent: Thursday, August 11, 2011 8:44 AM To: Christine Mattson Subject: RE: unbilled wip no, but we do have $82 coming for 10-3456, same address with our July bills. _. ►� � Darren Amundsen, PE �� Associate � Direct 651-604-4894 �Y� �� Cell 651-775-5623 � �, darren.amundsenCa�bonestroo.com � ��anestroo �� , � �� . _ _ From: Christine Mattson jmailto:CMattsonCa�ci.orono.mn.u� Sent: Tuesday, August 09, 2011 10:47 AM To: Darren Amundsen; 'Sherry Charboneau' Subject: unbilled wip Any unbilled WIP for building permit#2010-00336, 2172 Shadywood Road, Steven B. Dore? Thanks� Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway ; Orono � MN t 55356(physical address) PO Box 66 � Crystal Bay ; MN � 55323-0066 (mailing addressJ '�li' 952.249.4620 ! 8 952.249.4616 � cmattson@ci.orono.mn.us ; � www.ci.orono.mn.us 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 OUR OFFICE WILL BE CLOSED: Monday,September 5,2011 1 Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Sent: Tuesday, August 09, 2011 11:33 AM To: Christine Mattson Subject: RE: unbilled wip No unbilled WIP for Campbell Knutson on this one. Sherry L. Charboneau Legal Assistant CAMPBELL KNUTSON P.A. 1380 Corporate Center Curve•Suite 317• Eagan,MN 55121 "J�"(651)234-6230• Fax: (651)452-5550 �scharboneauCa�ck-law.com.www.ck-law.com From: Christine Mattson [mailto:CMattsonCa�ci.orono.mn.us] Sent: Tuesday, August 09, 2011 10:47 AM To: Darren Amundsen (darren.AmundsenCa�bonestroo.com); Sherry Charboneau Subject: unbilled wip Any unbilled WIP for building permit#2010-00336, 2172 Shadywood Road,Steven B. Dore? Thanks^' Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway E Orono i MN ! 55356(physical addressJ PO Box 66 ! Crystal Bay j MN � 55323-0066 (mailing addressJ "lid' 952.249.4620 ( 6 952.249.4616 � cmattson@ci.orono.mn.us ( ;www.ci.orono.mn.us 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 OUR OFFICE WILL BE CLOSED: Monday,September 5,2011 i TEMPORARY CERTIFICATE OF OCCUPANCY ESCROW AGREEMENT Orono Building Permit#2010-00336 AGREEMENT made this 16th day of February, 2011, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Steven B. Dore("Owners"). Recitals 1. Construction of the new residence located at 2172 Shadywood Road the ("Subject Property"),legally described as Lots 18 and 19, Block 1, Wiley's Park Lake Minnetonka, Hennepin County, Minnesota in Orono, Hennepin County Minnesota, is the subject of building permit application number 2010-00336 has been completed. 2. Winter conditions currently prohibit completion of exterior improvements, final grading, and vegetation establishment. An as-built survey cannot be accurately conducted at this time. 3. Owners request the City issue a temporary certificate of occupancy ("TCO") to the Owners so that the Owners may occupy the new residence. 4. The City will issue a TCO only if the Owners establish an escrow to ensure completion of exterior improvements, continuation of erosion control and submittal of an as-built survey to the City. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $10,000 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 assure completion of any exterior improvements, final grading, establishment of vegetation as well as 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 #2010-00336 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. 155441 . 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. 7. ACCESS TO SUBJECT PROPERTY. The Owners hereby grant to the City, its agents, employees, officers and contractors, the right to enter upon the subject property for the specific purpose of inspecting and completing any exterior improvements, final grading, establishment of vegetation and the restoration of the subject property should the Owners not complete the work by the specified dates. CITY: TY O ORONO OWNERS: B : �'�, �� v �ts: !�l r�t n��-�f'� ,..,,�. , .v.. ,,, , , L .y..� �: � � . �e�a,�,.:se_On�:'�;��'a��'�'�p O�gina��l,��!�'��9:;�s�s'tant...�.�r 3��_�as..�.}�',., �`�Go `to treet File .. ._.P.Y._... S _. . �: . 155441 City of Orono CERTIFICATE OF OCCUPANCY �TEMPORARY CERTIFICATE� Building Address: 2172 SHADYWOOD RD PIN: 17-117-23-42-0010 Legal Description: Wileys Park Lake Mtka Block 001 Lot 000 Zoning District: Permit No: 2010-00336 Work Activity: Single Family Construction Type: VN Occupancy: Residential Occupant Load: Fire Sprinkler: N Applicant: True North Homes Inc Applicant Address: 410 Lakeview Avenue City,State,Zip: Tonka Bay, MN 55331- Owner Name: Steven Dore Owner Address: 8351 West 109th Street �� ;3� �,,�.,,,r ,3� � � � � City,State,Zip: Bloomington,MN 55438- � �Pf}" � S�s�2� THE FOLLOWING ARE NOTED AS INCOMPLETE OR MISSING. THESE MUST BE CORRECTED OR COMPLETED AND REINSPECTED WITHIN THE SPECIFIED NUMBER OF DAYS OR THIS CERTIFICATE WILL BE VOID Failure to correct these deficiences will cause occupancy violation citations to be issued As Built Survey must provided within 30 days. I1 ereby agree to make�/�g ve rrections and to call for reinspection wit/�t/te time nl[o�ved: �,,. ,��, �. _._. 2, � � /, � Owner/Contractor Date �i' �l(� ! � Bui ding Official&Zoning Administrator Date °ai....;x;..a:.� �`��..5'��. ��'m�'�°`" m� w�°��'��' �, . � :��, ��.16 _ 75—�11 ,.. n ��;. :, : , . . � STE�IEN B.D�R��-boa� �A�� " �1 8351�109'fH ST. 55438 °� ".�1 c BLOONIINGTON,� � � �fiC�. fi� �., +.. _ . � �� ppLLARS lJ `¢..�s.e� e , �� PAY TO �( �ff tE ORD�� I'1�� 1 g � �� 8�� •�m t��_—�____.�— wr chorl3^e��'�'� �•—'---'"'' An ____— � 300 , ��. �, �,L6� �r�.. MEMO Q 2 C�O�4 ; ��.e� ,��.:�;��' �5�2 3 ��• .�.�� •096� F� �� • � ��,;�,�� u ��,�:� . �,�:,�.��,�,��.�� ,�.� ?�F'� _ _ . � -- _.. . --.., - � i � � i ; � C`lty �f � �r� Ke�ey°p rkway 55„� ; keceipt pfo. 3. �c-�49-4600 (Ki4 i46 ' Steven Dur� Feb �6� PO11 � Planrrin �� 2UY0-00�3b EscQrtin ' Idin Rermit �" �or 9ui , lU1-� IG,O�G.fip , Defe� `' I "ed Rev-Ikyelop�r DePasit total: _ ' L�t�k r IG,OOG,pp 1--------�� r'No: 111b0 Steven pore i4,�iG.t�i Total �Pnlied: Chanqe jg�e�; � 10,OUG.�p `-�------ _ _ .Up 02/16II1 1C,4Gp17 r' y__� CITY OF ORONO PERMIT NO.: 20��-oo�os 2750 KELLEY PARKWAY ORONO, MN 55356- DATE�SSUED: 02/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2172 SHADYWOOD RD ' PIN : 17-117-23-42-0010 � LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 000 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW TIED TO BUILDING PERMIT#2010-00336 APPLICANT ESCROW FEE-BUILDING 10,000.00 DORE, STEVEN TOTAL 10,000.00 6530 CABRIDGE ST MINNEAPOLIS,MN 55426- (952)358-3303 OWNER DORE, STEVEN 6530 CABRIDGE ST MINNEAPOLIS,MN 55426- 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 By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . . . • . � • emo To: Finance Department From: Christine Mattson, Planning Assistant Date: 2/18/2011 Re: Building Permit Escrow Refund Building Permit application 2010-00336 pertaining to 2172 Shadywood Road is NOT complete. In order for the homeowner to close, we issued a temporary certificate of occupancy and received a $10,000 escrow. This replaces the $2,500 escrow received on May 24"', 2010. The Applicant, Steven B. Dore has requested a refund of the $2,500 escrow. Because we received a second escrow, we can refund the first one without contacting our consultants for any unbilled WIP. Please mail the check to: Steven B. Dore 6530 Cambridge Street Minneapolis, MN 55426 w:�.street files�.shadywood road�2172�scrow refund memo 2010-00336$2500.doc � � ��lJ�'�.L1 DEMOLITION AND BUILDING PERMIT ESCROW AGREEMENT �/ c, _1 , � Orono Building Permit Application#2010-00336 L��b F AGREEMENT made this�day of ��1cc� , 20L, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Steven . Dore ("Owner"). Recitals 1. A building permit application has been filed for demolition of the existing residence and construction of a new home located at 2172 Shadywood Road the ("Subject Property"), as more fully shown and described on Exhibit"A" attached hereto. 2. Owner requests 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$2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazarr��^ -- '� associated with the work and to repair any damage to public property or inf��+-•�-� (including planning, engineering, or legal consultant �o,-��-' ompliance with the approved bui�^'°-- 3. Q � � � �-�� (i�Q� 1 the City will in turn send a bill to ��S �S�U,J �S /� �1� �—(�j 1 �ys of the Owners' receipt of bill. ��`� � 'J�� (�J �/ � li 4• � ` � �,�� 5� �ot make payment to the City withi c s-�'�v e�� . � pay all expenses invoiced pursu� � C� � of the Owners to reimburse the C �� t� � �(��3 � 5• � � returned to the Owners when tr .� � �� '"� � s requesting the funds. �L �' � 1f �� 6• � � 1 �gible expenses incurred by the C _.., .,�� unpaid balance to the subject roperty F _ ._. CITY: CI F�Gr�NO OWNER: By. S'1 E✓� �o �'c � �—�l1,(i Its: ��3 D C�-^^'3�Q a �� 1 1 (� ��S� ,�1^"� �Sr�-2(p ��,�;,��gmal to Fi�an�e Depar#ment=' "� �o 'to Stxeet F�e �.�!?�.�.,�l�,Y�.�,a•. ''._. __ .�.. . ..._ `�.�Q,_._pY, _ ..�„ . .,. . Steve Dore From: Steve Dore Sent: Friday, August 20, 2010 10:14 PM � � � ' � � To: 'eturner ci.orono.mn.us' � ,� @ � Subject: Hello Evelyn. Tracey Weathers has informed that I have some money being held in an escrow account that can now be retuned. Cauld you piease get the process going? It should be mailed to the following address: Steve Dore 6530 Cambridge Street Mpls, Mn 55426 (Also please see if yau can notify the right person that the above is my mailing address fo�all mail.) Things are being mailed to my old address of 8351 West 109th St. Bloamington, Mn 55426. Zoning file#10-3456-FOR 2172 Shadywood Road. {Future residence.} Resolutian #5932 Thank You far your help. Steve Dore Vice-President/Owner Indelca Plastics CQrporation www.indelco.com Main Phone 952-925-5075!80Q-486-6456 Main Fax 952-925-1758 �p.�� V,Yr' v'� � � �`�_ �p3 rr ��. Y� �� . � � �� ,�-�� `n�P c�`,�� , L- � �1- Z��° siaoi?ol o City of Ororro 2750 Kelley Parkway �_�� Orona MN 5535b Receipt No: 3.002b33 �lay 24, �U1U 5teven B. Dore Planning ar� Zaning 2 �.� 2010-00377 C172 �adyaood , Rd 102-2�45 Deferred Rev-➢eveloper ➢eposit NN tatal: �'5�'� �-- -- Check Z�SQQ.� Check 1+�: 10955 Payor: 5teven B. Dore 2��pp.00 Total Rpplied: _�_. _� Change Ter�dered: .� ____------_ 45/24/14 0�:2�4 . . . . Checkiist for Refunding Building Permit Escrows Building Permit # �lb--6�3� Street Address: 2��Z ��IV�J� '� Applicant Name: ��II�1 �. �� ❑ Escrow request received Date: � L '�' (to be comp/eted by B�b Are all inspections completed? Yes No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes No Date: 2'�0—� � Was there a Final Certificate of Occupancy issued? es No Date: � �� ,� 1�- � �Y- L I I� " Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: O � �� ` � ❑ Prepare memo for Finance Department ❑ Note amount refunded in program. z:\forms�zoning standard forms�checklist for refunding building permit escrows.doc December 23,2010 Quantity Symbol Scientif is Name Common Name 4 rn Cornus sanguinea 'Cato' 50 Geum trif forum Prairie Smoke 4 0 Rhus aromatics 'Gro -Low' 13 lSchizacharium scoparium Little Bluestem Grass 34 W Schizacharium scoparium Little Bluestem Grass 19 jp Sporobolis heterolepsis Prairie Dropseed 100; Viola peolata Bircl's Foot Violet 0 o( )o U � Resl CPR t�J �� \ e�v \�AG o�JovovovovoUovovo�; ol Vo HO OO 0-- �. O 00000 0 111, 3: 0 0 01111, ................ .. .... .. ( , 0 0 0 0 00 or& 0 Aid. X (I.) — ..a- ..Abw WA. - 61, — N4 LANDSCAPE DESIGN FOR 'HE DORE RESIDENCE FORELAND BUFFER 27 SHADYWOOD DRIVE ORONO, MN 55331 0 000*0 �f 5q0. 425E 1 1 I I I I 1 i I I I I t I I I t I t 1 I 1 1 1 t 1 4 t I I I I I 1 I DESIGN INFORMATION SCALE This Drawing contains proprietary information 1875 EAST 50TH STREET which belongs to Southview Design & Const. �� }�� INVER GROVE HEIGHTS Inc. Any unauthorized duplication or use is DESIGNISALES REP:QOB RENAHn REVISIONS '� = 4 MINNESOTA 55077 --� -- strictly prohibited. Released By: _----------------- DESIGN ASST:. -SEAN NICHOLAS Date Released: DATE. q,2,2010 i +uu IMULZ r • r +1 �