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Home My WebLink About2012-00597 - land alteration - CITYOFORONO * z012 - PJ0597 * 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2012 � ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2224 SHADYWOOD RD PIN : 17-117-23-42-0003 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT O10 BLOCK 001 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 HOW DID THEY PAY? CHECK# 17607&WHO PAID?MARK GRIFFIN ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2012-00597 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS ZONING PERMIT FOR LAND ALTERATION APPLICANT MINOR LAND ALTERATION 50.00 GRIFFIN,MARK&SUSANNE ENGINEERING REVIEW COSTS 2224 SHADYWOOD RD TOTAL 50.00 WAYZATA,MN 55391- OWNER GRIFFIN,MARK&SUSANNE 2224 SHADYWOOD RD WAYZATA,MN 55391- 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 sepazate 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 State Building Code.This permit may be revoked at any time for due cause. `'� / / / / Applicant Permitee Signature Date Issue By ignature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. City of Orono Zoning Permit Application � Permit number: — Mailing Address: O.Q,� II� PO Box 66 Date received: lp -O�O� /o� f' �`VO Crystal Bay, MN 55323-0066 � Escrow#and �� Street Address: amount: � � ti 2750 Kelley Parkway Permit Fee: ,�G�� G� Orono, MN 55356 'tyh,�H�g,'w Approved by: Fax: 952-249-4616 Notes: Main: 952-249-4600 �ci orono.mn.us This application form must be completed in full and required inforrtaation mus e bmitted. (P/ease print.) Job Site Address: ��-�� lsVQ4 /�. CONTRACTOR/APPLICANT INFORMATION: � Name: �'�1 C �v� �J'�� Phone: � � S Fax: Address: , Cit : ZIP: Contact Person: � C Contact's phone number '7 3 -.S� , G`� ,,� ' Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: �,/� C 1 � � ,�n/� � Name: l' tl�/�� -�Vl/��`'�L� 15�1'IT��. Phone (day): Mailing Address: ZIP: Email and/or Fax �(� , � . fV�j1(1 �'1 �,�C;�1. �(y�V1,�,J Overall Project Description: Check TYPE OF PERMIT Box COST* Dock, Residential - Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs Lake Minnetonka ermanent dock re uires CUP Dock, Commercial $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Driveway Permit(New or Replacement) No charge Also re uired is a Minor or Ma�or Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50 more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and en ineerin review costs As determined b CUP � Land Alteration, Minor(grading, filling or excavating) -500 or less cubic yards $50+ engineering review costs outside of lakeshore setback or less than 10 yards in lakeshore setback Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review costs Retaining walls measuring more than four feet(from bottom of footings to top of wall) require a building permit. (Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and en ineerin review costs $2,500 Stairway to Lake (New or Replacement) $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures not requiring a building permit but $50+ engineering review costs regulated by the zoning code (including, but not limited to accessory building of less than 120 square feet, detached deck or platform and sport court) Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. (over) *Permit fee will be collected at the time the permit is issued. Updated: April 23, 2012 HF'F'LII.HIV I/VVVIVCK Hl.�'IIVVWLtUI�tIYItIV I: • A�piiean`�Owner agrees to provide all information required or requested by the Planning Department; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; • ApplicanbOwner 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; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • ApplicanUOwner understands their project may require an initial and as-built survey per City Code Section 86-68. • 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 aY is information is to annually update our records and records of other overnmental a encies re uired b I . f refuse to su I the information, the a lication ma not be issued. The undersigned certify that the infor lied is true and correct to the best of their knowledge. _.. / 9h�'�1/ Applicant's Signature: -.-�Dafe: (% yq� � Property Owner's Signature: :�!1(x�''✓r Date: �%' l ='�f ��' � � SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits TYPE OF PERMIT: require a completed application form, escrow agreement (signed by the property owner) and escrow check from owner, two copies of all plans, and three copies of all grading plans or surveys/site plans Dock, Residential Seasonal Dock—survey showing proposed dock Permanent Dock- plans as approved by CUP and copy of LMCD permit Dock, Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Driveway Permit 1. All Minor or Major Land Alteration Permit requirements 2. Hardcover calculations, existing and proposed 3. Driveway plans Land Alteration, Major 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Control Permit Land Alteration, Minor 1. Grading plan including existing and proposed contours (Less than 10 cu.yds. within 75' of 2. Amount of fill to be imported and/or exported and haul route lake or less than 501 cu.yds 3. Amount of earth to be moved around on site elsewhere.) 4. Erosion control plan or copy of MCWD Erosion Control Permit Retaining Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of existing wall, submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control lan or co of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway, including footings 2. Topographical survey of property with proposed stairs shown 3. Erosion control plan or copy of MCWD Erosion Control Permit Structure Permit 1. Plans for structure. 2. Survey of property with proposed structure shown and with setbacks to property lines, other structures on property and the septic system indicated. The general location of any sewer and water services should be shown if applicable. 3. Grading plan if grading is required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control lan or co of MCWD Erosion Control Permit T�ee Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ management plan required for clear cutting, buckthorn or other intensive vegetation removal. Updated: April 23, 2012 1 �. ��=_ �.: � � _ .`. _ �.. � �,� '�..�. �� , � {. � �,. }-� ��,._. ,,. ��,�V �'' ',� �aa, 4. ,c� -�� 4 ��"� �; ��— � �. #F- ' . .� � � � . S J�t.,; �''i ;�� _ • �.a„ � �4 �� - s" � � ,-5,,•r��', � i '` �� ; � q €`.` ^g `� � , �� &=Y . �� '� - ��' �, .� _ , .;�"Y' ,`� .T . 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"-.S�� Type of permit: Zoning review by: �/ Date Approved: � ' ��' ' � Grading review by: Date Approved: Other Review, Reviewed by: Date Approved: Zonin : Zoning File#: Resolution #: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? es No Date of Survey: $,,�I _� I Existin Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff / 0 Yes 0 No ❑ N/A 0 Yes No � Yes � No 0 Yes 0 No /A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Requ� d CUP Re uired 0-75' � Yes No � Yes No 75-250' Type(s): Type(s): 250-500' Zoning File#: Zoning File#: 500-1000' Resolution#: Resolution#: Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx � Planning Review Checklist for Zoning Permit Applications Page 2 of2 • Cubic Yards In Out Total Haul Route? ? 0 Yes � No Explain haul route in detail: K Fees to be Charged Amount Orono Inspections Required Permit Amount 0 Site Escrow Amount 0 Hardcover Removal 0 Footing Signed escrow received? 0 Poured Wall 0 As-Built Survey 0 Yes � No � Planting Plan 0 Wetland Escrow amount received? � Final 0 Yes 0 No � Other(specify) Engineering review needed? 0 Yes 0 No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Created: March 29, 2011 z:\forms\plan review checklist for zoning permit applications.docx 1 Ghristine Mattson From: Christine Mattson Sent: Tuesday, June 26, 2012 9:50 AM To: 'mitch@shorelinebuildersmn.com' Cc: 'sgriffen@ci.minnetonka-beach.mn.us'; Melanie Curtis Subject: 2224 Shadywood Road/Zoning Permit#2012-00597 Attachments: admin@ci.orono.mn.us_20120626_093807.pdf Hi Mitch, Attached is a survey of the property at 2224 Shadywood Road. Please show on the survey the driveway area being replaced and the portions being removed. Once we have the new location shown we will be ready to issue the permit. If you have any questions, please don't hesitate to contact me. Christine Mattson •�� , Planning Assistant �Y�� City of Orono 'nI�� Y ` � ��1�� 2750 Kelly Parkway Orono MN 55356 (physical addressJ �� PO Box 66 Crystal Bay MN 55323-0066 (mailing address) �C� - v�� 952.249.4620 8 952.249.4616 l � � cmattson@ci.orono.mn.us � www.ci.orono.mn.us �,�� \�,,`� � Summer Office Hours began 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: Wednesday,July 4, 2012 ` ` ,� \ � \� � � � � �� •`O � i C.- � �f DATE TIME �/ CITY OF ORONO �xrC�E�iN �7 INSPECTION NOTICE '--7 SCHEDULED � /j;[?� PERMIT NO..r�j=I�1�(�`7 l COMPLETED ADDRESS o�o�� 'lG�U�1��C.^�cI �� OWNER ��A..�'lY1QL-TELEPHON NO. ��a 70/ -O! �I'g CONTRACTOR �� (�� l.c/ I�E'�S � DESCRIPTION �r� �`�`�v4-�l �-.Lf ��L�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ", f�-Ptl7R�NG RI ❑ SEPI'ICjFINAL ❑ FOUNDATION/REMOVAL ��O��ONTRACTOR TO MEET YOU:y�YES_NO � COMMENTS: r � W � o �'�� I�� - � _ � � � 0 � W � Q � z W � W � � d W� ❑WJORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL�NSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice �[ �� ` r �/� � Fje� ��v ot,o� � 8 y �� _-- �' ,Shor �jo,\ �o '\�.. e��e 929 �`'i V�,_ �S_� ,;' � 929� �., �'_ x� �o� ' �.. � facir \ ,�oi '-- �. � ��, � ;';, -- ^X � S � �ti � Shed � �"� !U 6.6,g9�•�C��e � Shed \I � �� !g�g�, � � ^; �> �; ^> �,; � �Cl \ ,S S � � e�`bp n, �°/r �CJ ►� ti,, � � � «,; �� i� LOT 1 1 �, ��' �`� � i7�' o — Denotes iron monument � Lowest ftoor elev.= 934.3 _��__ L0�' 10 X D00.0 Denotes existing elev. k ^), � _ _ .. o,' C� u;'` -�lV,�� 1 c� � � o� �. � - �, , � Adjacent /o,g� \ � � �. - �,,� No�se `� �s��„ LOT 9 ,'�% � 3�.z �1 o, �� g t<� , � ;� � f�� , ,� � � �� \ ,,�'^v / r ` �°` �� s / '�' � .�.� ; � � , _��. �� 4� t� ' �,; ; c� � g V i; / l i� C� '��3 � �� 1� �./� �v �Z c� , , ,' / (' � � � � � :� � y ��-�3a(� �c�..�� , 1�� , � ,5 Adjacent EXISTING AREAS House 5'4,. . ��"�S '��J � HARDCOVER 0-75' ZONE �� ., � `o � ' fo" ,�� '�,; 5�,.� o,' . TOTAL NAROCOVER — 0 SQ. FT. ��'� " J`'V � � TOTAL AREA 0-75, ZQNE — 3,766.3 SQ. FT. 2.s_�s-- � � ' PERCENT OF HARDCOVER 0.0% � . zo� . � :� � � � ��'S,� k • ' HARDCOVER 75'-250' ZONE � Ch . �bvc/r EXISTING BtJILDINGS — 1,484.6 SQ. Fr. � °j • Q� u, . ORNE — 1,313.7 SQ. �. Adjacent � � .. � . ;� Gar. � M • � ; ' WALK/DECKS/CONCRETE/GRAVEL — 826.2 SQ. FT. . �., �a � _ , � 3.�„_ _ ^ �,' - TOTAL kARDCOVER — 3,624.5 SQ. FT. Y � �J • TOTAL AREA — 9,340.9 SQ. FT. ,� 5;.>. •> Y '�-.;o � PERCENT OF HARDCOVER 38.8% o ' v �� z, � HARDCOVER 250' + ZONE ;, �� EXISTING BUILDINGS — 771.5 SQ. Ff. �� , � - DRIVE — 1078.5 SQ. FT�. .\ � e _ � WALK/CONCRETE — 450.5 SQ. FT. � � ' - Adjocent TOTAL HAROCOVER — 2,300.5 SQ. fT. " Gar. �r 6�s6; � ��'' ��"�'�r� TOTAL AREA — 3,818.7 SQ. FT. �`�� D ' �„+ tiZ ' - PERCENT OF HARDCOVER 60.2� 3-� � � z. . . S� � ��' °'r' TOTAL AREA TO 929.4 CONTOUR=16,925 SQ. FT. �� C x , o,�'�/�,y � l �� OD �ccFSS �, h'� � -� .�O �• I�� .I� LEGAL DESeRIPTION � Lot 10, Block 1, WILEY'S PARK File No. . 1 hereby certify that this survey, plan or report was prepared by me DEMARS—GABRIEL or under my direct supervision and that I am a duly Registe�ed Land 1 1421 B CERTIFICATE OF SURVEY LAND SURVEYORS, INC. Surveyor under the Laws of the State of M�nnesofa. .. n�� Book—Page FOR 3030 Horbor Lane No. (,�f 400-51 KATHERINE Pl mouth, MN 55447 David E. Crook P�one:(763) 559-090� — TAYLOR Fax :(763) 559-0479 Scale � Date: �� 7 �� tifinn. Reg. No._22414 j „=3v H�M�J • � . • , • . • • � • , emo To: Finance Department From: Christine Mattson, Planning Assistant ' CC: Street File Date: 7/10/2012 GIL: 101-22205 Re: Escrow Refund Zoning Permit Application#2012-00597 pertaining to the driveway replacement is complete. The Applicant, Susanne Griffin, has requested a refund of her$2,000 escrow. The following is attached: • Escrow Refund Request • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Note: There was no outside engineering review of this project. Mail to: w:\street files�,shadywood road�2224�escrow refund memo 2012-00597.doc � e Christine Mattson From: Susanne Griffin [sgriffin@ci.minnetonka-beach.mn.us] Sent: Tuesday, July 10, 2012 2:32 PM To: Christine Mattson Subject: RE: 2224 Shadywood Road/Zoning Permit#2012-00597 Willie gave us the big thumbs up today!! From: Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent: Monday, July 09, 2012 4:24 PM To: 'Susanne Griffin' Subject: RE: 2224 Shadywood Road/ Zoning Permit #2012-00597 No worries...I completely understand. Just let me know after the inspector has performed the final inspection. Have a great evening. Christine� �____.__ . .�_____. _ , .,.. _ From: Susanne Griffin [mailto:sgriffin@ci.minnetonka-beach.mn.usl Sent: Monday,July 09, 2012 4:20 PM To: Christine Mattson Subject: RE: 2224 Shadywood Road/Zoning Permit #2012-00597 Thanks,sorry to be so annoying, but that's a lot of$$.. From: Christine Mattson [mailto:CMattson@ci.orono.mn.usl Sent: Monday, July 09, 2012 3:50 PM To: 'Susanne Gri�n'; mitch@shorelinebuildersmn.com Cc: Melanie Curtis Subject: RE: 2224 Shadywood Road/Zoning Permit #2012-00597 Yes, either you or Mitch need to call for a final inspection. You can call 952-249-4600 and ask for a final inspection of the driveway at 2224 Shadywood Road. Christine� _ _ From: Susanne Griffin Lmailto:sgriffinCa�ci.minnetonka-beach.mn.usl Sent: Monday, July 09, 2012 2:49 PM To: Christine Mattson; mitchCa>shorelinebuildersmn.com Cc: Melanie Curtis Subject: RE: 2224 Shadywood Road/ Zoning Permit #2012-00597 Do I need to schedule the inspection and if so,with whom? From: Christine Mattson [,mailto:CMattsonCa)ci.orono.mn.usl Sent: Monday, ]uly 09, 2012 2:26 PM To: 'Susanne Griffin'; mitchCalshorelinebuildersmn.com 1 Cc: Melanie Curtis Subject: RE: 2224 Shadywood Road/Zoning Permit #2012-00597 Hi Susanne, I received your voice maii message, but just haven't had a moment to return your call, so thank you for following up with an email. I see a final inspection needs to be performed regarding the driveway replacement (Permit#2012-00597). Once a final inspection has been approved, I will start the papervvork to refund the escrow money. All expenditures, including escrow refunds, must be approved by the City Council. I'll have the request ready for the July 23ro Council Meeting. If your project is approved before then I will mail the check on July 24tn Please don't hesitate to contact me with any additional questions. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway ( Orono j MN I 55356(physical address) PO Box 66 � Crystal Bay � MN � 55323-0066(mailing addressJ '� 952.249.4620 � 8 952.249.4616 �cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Summer Office Hours: (Monday, May 21 through Friday,August 31,2012) Monday-Thursday: 7:30 am to 5 pm Friday:7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,September 3,2012 From: Susanne Griffin [mailto:sgriffin(a�ci.minnetonka-beach.mn.usl Sent: Monday,]uly 09, 2012 2:15 PM To: Christine Mattson; mitch@shorelinebuildersmn.com Cc: Melanie Curtis Subject: RE: 2224 Shadywood Road / Zoning Permit #2012-00597 How do I go about getting my escrow money back? Do you still need the measurements from Mitch? I can measure and send them if you haven't heard back from Mitch. Please let me know what you need from me. Thanks, Susanne Griffin From: Christine Mattson fmailto:CMattsonCa�ci.orono.mn.usl Sent: Tuesday,June 26, 2012 10:05 AM To: 'mitch@shorelinebuildersmn.com'; 'sgriffin@ci.minnetonka-beach.mn.us' Cc: Melanie Curtis Subject: FW: 2224 Shadywood Road/ Zoning Permit#2012-00597 Mitch —One last thing, since we have an accurate pre-existing survey(see previous email), please provide the measurements of the newly installed driveway so we can assure the hardcover level has not been increased. 2 Thanks. From: Christine Mattson Sent:Tuesday,]une 26, 2012 9:50 AM To: 'mitch@shorelinebuildersmn.com' Cc: 'sgriffen@ci.minnetonka-beach.mn.us'; Melanie Curtis Subject: 2224 Shadywood Road / Zoning Permit#2012-00597 Hi Mitch, Attached is a survey of the property at 2224 Shadywood Road. Please show on the survey the driveway area being replaced and the portions being removed. Once we have the new location shown we will be ready to issue the permit. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway ' Orono ( MN � 55356(physica/addressJ PO Box 66 � Crystal Bay ! MN ! 55323-0066 (mailing address) '� 952.249.4620 d, 8 952.249.4616 � cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Summer Office Hours began 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: Wednesday,July 4,2012 3 ZONING PERMIT ESCROW AGREEMENT Permit# o?O/a DO�S9?' AGREEMENT made this o��day of � , 20� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and f`(Yx� �� ttaR+�n� 6't','�f:rr ("Owners"). Recitals 1. A building permit application has been filed for a zoning permi for a �roperty �Ocated at 2��-�- 51,�9�0�, I�c� the ("Subject Property"), legally described as �c� 1(5� ��ock. 'rW i�� f�t�l�, Hennepin County Minnesota. 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 reimbursernent to the City;of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: � 1. DEPOSIT OF ESCROW FUN�. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $ ' 44� 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 reirribursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering or legal:consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses tl�e`�wners would be responsible for under a zoning 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 b the wor�C (including�planning, engineering, or legal consultant review) associated with permit # l Cb� if compliance with the approved zoning 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. Dwners shall be responsible for payment to the City within 30 days of the Owners' receipt of bilL 4. �flSBURSEMENT FROM':ESCROW �CCOUNT. 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 expertses the City has incurred. 5. CLOSING E�'GROYII The Balance on deposit in the escrow, if any, shall be retumed to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UI�PAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the su ' erty pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CI F O NER: � � _....... , By: �^� its: � , tn�erna��i�f�. ``��g�`��o��iara��i�1��8��;�"� "rt��¢��e.�e Updated: April 23,2012 • . ,. .� . .. . . . I �I�V LU�t�;:�tk., � �,�t(7Yi�l1t?�r,°��rc��Y�C�ils'?� - . . � . . . I`rn � -�;�� . . . . .. �. � .r.NC^C;�'1�..._.�i�' . , , � ��E,j°�.1��.f� IKs:F:. �.��j 1�(}. , � � � � ' ,�lit ;:.f_'. � �w'�� , �4d�s3Yri'N. �ir'1°'i i k'� �idY13:2Pi� ati�' LC7t5ip,, �tc:�9 �'iixi�}"�iF.:ai7t� r`F�'ki� `.i'S". r ',� � � ��1'^�.�_�C�� ...,�. �,y;p(� 1,F4�T � . �'t�3^?"�%[' �ny._�V�?Ot3Fi• �npt,i�4� �U�fa�, '•— -- _._..__ : . . C.or;1(,G:ii.. . . . �J1�C:: c___.,.__.._..y..__._ =�f��`� �kar 37�C�? �. ~� ' ��yvi•: c,`%U>; CHi �Sa;arsn� �rs f��r, >_��a�;d }'�FAii��; [� . � .. V4 i.f��„i•I�1� . � �IdT1�� tE�s�2F'�; � '� —_�_�_.._ � s��; , �It!"' ,ti-q �'— . .. �--•_-...... ' J.i'„C,�0.L�1�! .;'{ '7 n . - .. , e7,t�; ; � .. . ... . �;.'� �f ;� 3 �� a t�* .. - . • • CITY OF ORONO * Z 0 1 2 - Pl 0 5 9 B * 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2224 SHADYWOOD RD PIN : 17-117-23-42-0003 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT O10 BLOCK 001 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2,000 ESCROW IS TIED TO ZONING PERMIT#2012-00597-PD WITH CHECK# 17607-BY MARK GRIFFIN APPLICANT ESCROW FEE-APPLICANT 2,000.00 GRIFFIN,MARK&SUSANNE TOTAL 2,000.00 2224 SHADYWOOD RD WAYZATA,MN 55391- OWNER GRIFFIN,MARK&SUSANNE 2224 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 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 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. Checkiist for Refunding Building Permit Escrows Building Permit # ��1.--� �� Street Address: 2�� V� Appiicant Name: � n � �� n� Escrow request received Date: � ' �• �� , , � ��,,,, t � Permit Type: �/V�/ Are all inspections completed. Yes« No If not, iist what is outstanding: Was there a Temporary Certificate of Occu�ancy issued? Yes No Qate: N'�_ Was there a Final Certificate of Occupancy issued? Yes No Date: N� � As-built survey required? Yes, approved on NO NA ��mai! CK & Bonestroo to see if there is any unbilied WIP. Date email sent: Prepare memo for Finance Department z:\fortnslzoning standard forms\checkiist tor refunding buifding pertnit escrows.doc Last Updated: 10.31-2011