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Home My WebLink About2013-01085 - addn/remodel/repair CITY OF ORONO � * 2 0 1 3 - 0 1 0 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2013 � ' ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2248 SHADYWOOD RD PIN : 17-117-23-43-0126 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 007 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 75,000.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) GARAGE ADDITION ***AS-BUILT SURVEY AND HARDCOVER CALCULATIONS REQUIRED FOR ESCROW RE . INITIAL: � ***PLANTING PLAN MUST BE ESTABLISHED PRIOR TO ESCROW RELEASE. INITIAL:,�1� APPLICANT pERMIT FEE SCHEDULE 869.25 PAUL SORENSON CONSTRUCTION STATE SURCHARGE(VALUATION) 37.50 525 COUNTY ROAD 92 MAPLE PLAIN,MN 55359- TOTAL 906.75 (612)868-5138 OWNER LAGERSTROM,ED 2248 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 aze requested in conf rmanc ith the State Building Code.This permit may be revok any e for e cause. ,�- ra �a3 � ��3 � � Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � � ' CITY OF ORONO �� BUILDING PERMIT APPLICATION �o� FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: � Permit number: ��'��D� g- �O PO Box 66 �� Crystal Bay, MN 55323-0066 � Date received: �j� —/� Street Address:' ��- ,"1�'�� Received bY: - y� ��'' 2750 Kelley Parkway �� Plan review fee: ��J- /O � t L Orono, MN 55356 8 q'�FSH�� ✓ COJ�� I 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. Incompiete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: o��-� �� Will this be a Parade of Homes, Remodelers Showc e Home or othe Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wiH not be allowed. :$ CONTRACTOR/APPLICANT INFORMATION: 1 :i Name: �� o/`r�.h/<�.N �O.Nc7�"'lYx:7-i��tJ Zs1�C= � State License# ,�G �',"Q�� Expiration Date: ' �/t� Phone: cell office -9, �- �' Mailing Address: Cit : ,�; " ZIP: Contact Person: Applicant is: ontra / Homeowner (Circle One) Email and/or Fax: ' - ► . �1/ 9 3�- :;� PROPERTY OWNER INFORMATION: Name: � l yctr'/`�7'11a,�'1. Phone (day): Address: � y g ��,� �� City: ��.v� ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: ;�� , ,� ' , C� Phone(day): -.� - `'�� Address: J 1 3H�' /�v rU Cit : S ZIP: p�� Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑Addition attached garage (aGarage/Accessory Bldg. ❑ Public Sewer �Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer - ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ M1 thef: (speC fy) _ 18202 Minnetonka Blvd � �,rct � Deephaven, MN 55391 � Phone: 952-471-0590 "� Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��, �p� ' � �.�, zT.-e�"�.�,�...,��._,�,-�,�... �s �. .t .. ��..� - _ �---�-�-- � STRUCTURE INFORMATION: • 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= _�� Number of bedrooms= � �Wood/Frame b.Width (ft.)= _�� Number of garage stalls: (� Masonry Areas in square feet Attached = � ❑ Metal a�' ❑ Pole Bldg. c. Basement= '7�o Detached =� ❑ ICF d. 1 S`Story = a Q� a ❑ On-site Prefab +�, e.2"d Story= N� ❑ Off-site Prefab f. '/z Story = �� ❑ Other(please specify): g.Total Area= q �6 REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ Permit A lication Gd ❑ Pro osed Buildin Plans ❑ T� MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ; c v�u ❑ ❑ Hardcover Calculation s �:;>> ', �� ❑ � Se tic S stem Site Evaluation Re ort ❑ Access Permit ❑ Wetland Buffer Im rovement Plan ❑ .S� En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement �,rj }.�� `Li ❑ . ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information 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; • 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 governmental 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 to ensure completion of t as-built rvey and all site improvements. /�i � I�'-�"'� Date: /�� ,� � ApplicanYs Signature: � � s Owner's Signature: � Date: l � I � . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Acldress/Permit Number: 7 Z`{� �H1a1��/�00%� (�0'4t� Description of work: �GT��ft c�� GU4�h �� Septic review by: 1 � Date Approved: Zoning review by: � Date Approved: � Building review by: Date Approved: l U - (fl � ?-oi3 Grading review by: ��t� Date Approved: /a a i Zoning District: Ll2- � �- Zoning File#: l 3 �3�i�8 Reso#: Reso Date: Zoning: Lot Area: 1'-� �(o� SF/AC- .33 Width:� Lot Coverage: 223� SF ��/o Survey Submitted: �Yes 0 No Date of Survey: "7-� �- �� Revised date(?): Pro osed Setbacks: �rarrt(Lake) Rear(Street) ( N S � W ) ( N S E �) Other Buildings Wetland Side Side 22.� `�" Z� 1 Q r L O•`{ Cf � N ( f� Defined Height: C9 •�� Peak Height: — FFE: - FFE minus 6 feet= � (Existing Contour) Perimeter(linear feet) _ -- 50% = r- #of Stories -- Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: " The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed Floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(Flat, mansard,etc):No subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenVcrawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff � Yes 0 No 0 N/A l� Yes � No � Yes 0 No � Yes � No 0 N/A Permit Number: Setback: N 119 Stormwater Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover ,0'Yes � No � Yes 0 No � Z,Z . I Z� .1 TYpe(S)� �92✓J �a TYPe�S)� .s'rRNcrvfVkc-�o��A Updated: January 2013 • (�."1►R�S7'�`�se i B�9�K v:\forms\plan review checklist 2013.docx . REMARKS (in-house): , Fees to be Char ed YES NO Permit Plan Review � State Surcharge � Investigation Fee � SAC— Number of SAC Units � Other(specify) ✓ Square Foota e $ er S uare Foota e Basement X = $ 15�Floor X = $ 2nd FIOOf X = $ Garage X = $ 00 Estimated Construction Value: $ �$�.� � Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing � Grading / Filling 0 Well � Hardcover Removal 0 Mechanical � Fire � Electrical ,�Footing � Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed 0 Mfg. ,B" Framing 0 Other(specify) 0 I sulation � s-Built Survey �' Final 0 Wetland Buffer � �.., � �Other(specify) �%�,/�,vl%� ► ' � REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: � YES 0 NO New: � YES � NO ICIAL EMARKS -TO BE NOTED ON PERMIT AND INITIALLED ��" '� ��A� �� -��-�`-� , �t.�' f� .�-fa�4�d " � ��-�J �� Updated: January 2013 v:\forms\plan review checklist 2013.docx ESCROW AGREEMENT ORONO BUILDING PERMIT #2013-01085 DEMOLITION PERMIT #2013-01044 LAND USE APPLICATION #13-3618 AGREEMENT made this � day of � ��-��, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City°) and Edward &Julie ("Owners"). Recitals 1. Permits have been filed for construction of a new detached structure (garage) located at 2248 Shadywood Road ("Subject Property") legally described as Lot 7, Block 1, Wiley's Park Lake Minnetonka, Hennepin County, Minnesota. 2. In conjunction with the demolition and construction, erosion control measures are required as shown on the approved plans for building permit#2013-01085. NOW, THEREOFRE, 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 (including planning, engineering, or legal consultant review) the City has incurred to assure that the erosion control measures are installed and maintained so the property complies with 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. If compliance with the approved permits is not accomplished within the allowable time period, the City may bring the project into compliance by use of the security. 3. RIGHT OF ENTRY. The Owners hereby grant the City, its agents, employees, officers and contractors the right to enter the property to pertorm all work and inspections deemed appropriate by the City in conjunction with the required erosion control measures, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owners' contractor not complete those improvements by the date specified herein. 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. Any remaining amount of the financial security deposited with the City for faithful performance of the plans and specifications and any related remedial work will be released after the completion and inspection of all such measures and the establishment of final stabilization and required landscaping for the Subject Property. 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 pr rty pursuant to Minn. Stat. §§415.01 and 366.012. CITY:�CI'fY O OWNERS: . By: x its: , � ---�� ' , , �—.. ,� _._ Lnternal Use�.lnty; ��Original to Finance Department 0 Copy to Street File c � �� ' ✓ /O DAIE % � TIME CITY OF ORONO /CALLED IN � INSPECTION TICE � SCHEDULED �a"� � �� PERMIT NO.� "Ol C TED ADDRESS OWNER EP N NO'�°�� ' � � CONTRACTOR �� - - � . >; DESCRIPTION � � � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTO TO MEET YOU:_YES_NO � COMMENTS: c��.� � ��7"�� W 0. � J O � ' I�(Pl i �Q✓V�� L�I,Z� o - � W � Q ti Z W � W � � d W 7�KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hour�advance. (J52� 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice CITY OF ORONO CALLED IN l��G W �ME L-� INSPECTIO OTICE � SCHEDULED �1�� -t�— PERMR NO. �" ��'� COMPLETED ADDRESS 2 Z t-�2� S�0.d-�yt.�tcD (� OWNER I p c�.�sfi1r�� TELEPHONE N�O.��2 �� 13� CONTRACTOR � ��^ �-� � DESCRIPTION `^� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADiNG/FIWNG Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS �3 ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ pRpC,RE$� � 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL � ❑ FOUNbATION/REMOVAL 2 �NNERICONTRACTOR TO MEET YOU:_YES�NO y COMMENTS: � a j �O � O � — W � Q � W � W � � � O W WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑ RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95 ) 249-46�� OwnerlContractor on site: Inspector: Whits Copyllnspector's Ffle Canary CopylSfte Notfee DATE TIME CITY OF ORONO caLLED IN INSPECTION NOTICE � SCHEDULED y PERMRNO. (�� 0�G� COMPLETED �aL � 9� [I� ADDRESS o�� -�.Q�. k/�a� �c:(� . OWNER TELEPHONE NO. CONTRACT�R l ��'��SQ�'t -�o��, � DESCRIPTION r/� � �IQ�G 4�Cio-,�, W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PIUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �CEIDIAL ❑ WATER HOOK-UP �$FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICOI�fTRACTOR TO MEET YiOU:_YES_NO y COMMENT� � ��riS ,/✓e .-.,,�� ..aa l� a�h �-a/-�y � � Ltn.�✓ t�ro .� pa.-.N� i'Ccc.rc,�Q✓ SGi3 •�tc� ¢ 0 /./� r-, l � '_ [/�L //j�Q�!�•/� S �'�/� �H. �r�! � QN F� � W aC � J d W� ❑W'ORK SATISFACTOHY:PROCEED �ECT COMPLETE W �CORRECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑COFtRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINCa PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p p��pTO TAKEN INSPECTOR WILL RETURN ❑�TATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (g52) 249-4600 Owr�erlContractor on site: ��5�«: c� ,„�, � -� DATE ME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.a?6/3 'a/�S.Z� COMPLETED -��?_ -/S ADDRESS ��!g ��i....L�aO � OWNER —TELEPHONE NO. CONTRACTOR Q,�/ �Sa/�.�1.So•-j�� , � DESCRIPTION �aG✓�s� ��•P� �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT r�INAL ❑ WATER HOOK-UP �OLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP �J HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z 01NNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � n � a I`L�✓r�t��.` � /��r �. �'�D� G� t/ �i 4- 0 �s�14 L /r1s��L`/b:,. -' � �/�/oe,,� '� AS -64. L c� s'G�vc-� 0 W � /lG O�- �o w!e Q � � � _ �S� ca.rY,� Oraro c i?�, �Gl 7� cS �e��e � � � �i�� 5�fo.n. D r c,�J� Qk u 9'�L�C�ira�c W O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: inspector: ^�-� White Copyllnspector's File Canary CopylSfte Natk:e . , . • , • • • • � • . emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street Date: March 4, 2015 G/L: 101-22205 Re: Escrow Refund Building Permit #2013-01085 pertaining to 2248 Shadywood Road is complete. Please refund $2,500 to the owner, Ed Lagerstrom. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Ed Lagerstrom 4425 W 52`�Street Edina, MN 55424 w:�street files�shadywood road�2248�escrow refund form 2013-01085.docx ESCROW AGREEMENT ORONO BUILDING PERMIT#2013-01085 DEMOLITION PERMIT#2013-01044 LAND USE APPLICATION #13-3618 AGREEMENT made this � day of C.C�+ � �, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Edward&Julie("Owners"). Recitals 1. Permits have been filed for construction of a new detached structure (garage) located at 2248 Shadywood Road ("Subject Property") legally described as Lot 7, Block 1, Wiley's Park Lake Minnetonka, Hennepin County, Minnesota. 2. In conjunction with the demolition and construction, erosion control measures are required as shown on the approved plans for building permit#2013-01085. NOW,THEREOFRE,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 (including planning, engineering, or legal consultant review)the City has incurred to assure that the erosion control measures are installed and maintained so the property complies with 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. If compliance with the approved permits is not accomplished within the allowable time period, the City may bring the project into compliance by use of the security. 3. RIGHT OF ENTRY. The Owners hereby grant the City, its agents, employees, officers and contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in conjunction with the required erosion control measures, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owners' contractor not complete those improvements by the date specified herein. 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 Ciry 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. Any remaining amount of the financial security deposited with the City for faithful performance of the plans and specifications and any related remedial work will be released after the completion and inspection of all such measures and the establishment of final stabilization and required landscaping for the Subject Property. 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 pr rty pursuant to Minn. Stat. §§415.01 and 366.012. CITY: EITY O OWNER : By: ; its: � DEMOLITION PERMIT 2013-01044 Land Use#13-3618 ESCROW AGREEMENT AGREEMENT made this�day of��'�ib[.� , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporaiion("City")and Edward&Julie("Owners"). R ci I 1. An application for a demolition permit has been filed for a detached structure (garage) located at 2248 Shadywood Road ("Subject Property") legally described as Lot 7, Block 1, Wiley's Park Lake Minnetonka, Hennepin County, Minnesota. 2. In conjunction with the demolition, erosion control measures are required as shown on attached Exhibit °A� NOW,THEREOFRE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contempo�aneously 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 (including planning, engineering,or legal consultant review) the City has incurred to assure that the erosion cont�ol measures are installed and maintained so the property complies with 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. If compliance with the approved Land Disturbance Permit is not accomplished within the allowable time period, the City may bring the project into compliance by use of the security. 3. RIGHT OF ENTRY. The Owne�s hereby grant the City, its agents,employees, officers and contractors the right to enter the property to perform all work and inspectians deemed appropriate by the City in conjunction with the required erosion control measures, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owners'contrador not complete those improvements by the date specified herein. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in tum send a bill to the Ow�ers. 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 tirneframe outlined in#3 above, shall issue a Stop Worlc Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without fu�ther approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. A�y remaining amount of the financial security deposited with the City for faithful pertormance of the plans and specifications and any related remedial work will be released after the completion and inspection of all such measures and the establishment of final stabili2ation for the Subject Property. 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 �ight to ce�tify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY•r'CI Y OF ORONO r OWNERi� -- - - ' � �,�; By; � �,� �`� p,��`�'v �� - ' � r / � �/ ItS: � i G,l� Q � J Internal Use Only: O Ori�inAl to Finance DepArimeat L7 Copy to St�eet File , � . � APPLICATION ESCROW AGREEM�N�� Zoning Application#�� - �(O AGREEMENT made this � 7 day of , 20�, by and between the CITY OF ORONO, a Minnesota unicipal cor oration �"City" and �N'l�. l /1�1 [a corporation—optionaQ ("Owner"). Recitals 1. Owner has filed Zoning Application# � � - ��formally requesting the City to review plans for v f 1i' located at � the "Subject Property") s more fully shown and described on Exhibit"A"attached hereto. 2. Owner requests the City to review said plans which requires City approval including �a0'io.�ct..r � 2� �.5'r Sha.��L.�D�. /�(hvL� Hll/ _ 3. The City is willing to 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 Owner shall deposit $ �S � with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in a ministering 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, or legal consultant review) or will incur in meeting with th�e Owner, reviewi g the plans, and preparing agenda packet material for City Council review of application# l?7 - 1��. Eligible expenses shall be consistent with expenses the Owner would be responsible for under a zoning and subdivision application. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owner. Owner shall be responsible for payment to the City within 30 days of the Owner's receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owner does not make payment to the City within the timeframe outlined in#3 above, the City may draw from the escrow account without further approval of the Owner to reimburse the City for eligible expenses the City has incurred. The City shall notify the Owner of such draw and the nature of the expense for which the reimbursement is being made. If the Escrow amount falls below 75% of the original escrow amount the Owner shall deposit additional sums as directed by the City, or the City shall discontinue all review. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owner when the review has been completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, 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. CITY OF ORONO t OWNER� By:��it By: its: � its: L. � - � ��,�1�, ��e��r�� Packet Last Updated: 03✓29/13 Page 10 of 31 �` �� EXHIBIT"A" LEGAL DESCRIPTION �Dr 7, �� G�� l��1��- Packet Last Updated: 03/29/13 Page 11 of 31 60 Day ueaaiine. ; � i � Date Incomplete Notice Sent: � ' 1) � Copy of Application Sent to: Engineer on County on DNR on MCWD on LMCD on Date Property Owners Notified: �� s-3-� �� °� Date Legal Notice Published �§ PC Meeting(s): �� q '« � Vote: � t �'�a�l� Vote: � �� E �� i`. �/Ot2: �� ,�. t, �. Notice of PC Action: 't � �� '✓ " City Council Meeting(s): - �� `��'� Vote: � ;s.; Vote: �. , Vote: �� ! .;c, Notice of Council Action: Resolution: r �` tb f � �3' � r �' s � —�— Yc �� p 525 Co.Rd.92 , �_ ; I� � Maple Plain,MN 55359 '� ��;`i �:i 'i:f i4 ��'�'JI: � ��! it��' 1 `� �'.'� ifP1�: +tS'FrYv� '`�`� �'iJ.i�le '.'i�—�'fxt.:;�.t; � PAUL SORENSEN CONSTRUCTION INC. ,�} >,�if,w� ,,�,; ;?,�F ��•;�� .jr�� '.+;, . General Contractors 4 {J3'."'�5 �.i l?e`a f;.: ,a BRIAN � 952-930-9856 Fax:952-938-6183 � '� •��st�;j d?.'C,` .ct� i�z Mobile:612-865-5138 brian_sorensen�comcast net , �u :i,i? =_"'t� {N'1s�Y';:rtt: �.;4.:��:i' y�G ' q i t}1-,��\'Q:�11 . -.-.. . �� _ 5;'„_� ) Y'� �-�—_-�. -_ l« � �3P':i �l i_c5 s—'�� , �lf�t�:tTta st��, tar.i�4� ;5 Si,+.� �''{�� i��:-f'��! ,a G��:ii��,;�) Pa • � - .lt`�).'�� ...,__".__..._.._._..._ �s . � St C I�1� {:t ��'?f'-.��1�'�.C,st�;;i. s�8�:�'31* 4�" rki...i�.', - ?n t_i�ir.j,afi+i � +c^*}'� � - .__.._,.,._.....D,_._.._..� :j ��H�;�S! . . . . "ti'1 y.��':�-'L."1 ,-'r�i f�tia.�4t �i15��.�'.o��f .. 1!�`':��'' . .' . l�'wr'� � k.�'p.".f��l+tt�l":� 3 �i.k:1 Y. ��:rJ%a�..t�i. � �.,d_X.�t.�.-:.+ � ....._..._._�_....._>_.... �# t'�..*.i;F: ��,at,(!,7r'.:;j; (µ: ,�,1 »- :..._�v.._...__....:...-..._ }p- ��tj;-.��..,5�r 'i.f�'i�� - i�.. � :� ,. .,. �Ff' ..__�_. . ,:,„. .:... �� . ��r�,_,.. . ._s � ' ' ` CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 3 - 0 0 6 5 3 * DATE ISSUED: 07/16/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2248 SHADYWOOD RD PIN : 17-117-23-43-0126 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 007 BLOCK 001 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2500 ESCROW IS T[ED TO ZONING APPL[CATION 13-3618 APPLICANT ESCROW FEE-APPLICANT 2,500.00 LAGERSTROM,ED ESCROW FEE-DEVELOPER 0.00 2248 SHADYWOOD RD WAYZATA,MN 55391- TOTAL 2,500.00 OWNER LAGERSTROM,ED 2248 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 l80 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with[he 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.