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Home My WebLink About2010-00182 - addn/remodel/repair � � CITY OF ORONO PERMIT NO.: 2010-00182 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 04/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2477 SHADYWOOD RD PIN : 20-117-23-11-0027 LEGAL DESC : REG. LAND SURVEY NO. 0088 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY , � �,�� a r--r �,-,c,.rT.�. o_,.rn�.i��n�rc��.�rrn� L�,3� VALUATION : $ 500,000.00 NOTE: ADVANCED PLAN REVIEW WAS PAID 3/30/]0 CK#10046 ON PERMIT#2010-00181 ADDITIONS-ENTRY&REAR DECK APPLICANT PERMIT FEE SCHEDULE 3,456.75 PROFORM THERMAL SYSTEMS, INC. STATE SURCHARGE(VALUATION) 250.00 10401 JAMESTOWN STREET BLA[NE, MN 55449- TOTAL 3,706.75 OWNER IMF , IMF 1109 EAST MORE LAKE DRIVE FRIDLEY, MN 55432- 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 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 assoring all required inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time fo cause. �� / � / � �7`�-�- / / App i nt Permitee Signature Date Issued B ignature — SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED ABO � � L� �-/�-/o � � City of Orono , Building Permit Application for New Structures or Additions � 37o6.7s p�- �-- � Mailing Address: Permit number. ��-� � � � �-'�'i<`�'- /-+¢,�,�. PO Box 66 � Q� Crystal Bay, MN 55323-0066 Date received: —'��` ��l O / � ��.�� , I • Received b � �--�-� ��'-. ,� r ,� ..r �, , Street Address: _-y�-- '�,�,��{�� ti 2750 Kelley Parkway � � �^ ,, � Plan review fee: 2 2L( �7 � �� Orono, MN 55356 �" f` ��`�� 9kEsxo4 �_—� 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: �` �7% S �� I�,�� Will this be a Parade of Homes, Remodelers S owcase Home or other 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 su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICA T INFORMATION: ! �d�l� � Name: ��/rr-- ��Y► � ^� C_ , State License# Expiration Date: Phone: '"7 - 7' - (.3 (office " / - � 9 C>7 �- (cell) Mailing Address: / t�°�� r>,<s' Cz- y � r. �, City: �7; �� ; ZIP: � Contact Person: � cr Applicant is: ontracto / omeowner (CircleOne) Email and/or Fax: ��,{-ii � ��=j;r.-� % i.f�i-,s}/ , C�+-.. PROPERTY OWNER INFORMATION: Name: �r�` ` \r� Phone (day): ,"7!o� .,- ..�r--7 I _c- (d �7 /� � I / r,\��/ Address: �/�l ��' /�c�vi�-f �/t- ,�-[ U,^ ��+'f' City: ��:s� /`�+/� ZIP: �'�y�� Email and/or Fax �..r��r� /,� ai-� �od.� T ARCHITECT/ENGINEE� INFORMATI N: Name: O�' .�� .��L-� Phone(day): , /-- � -'� 1 n Address: � .sl�� 'ro�C-�� Cit : T. �w� ZIP: , //J' Email and/or Fax: �/� �3�� j(zs 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 ❑ Garage/Accessory Bldg. �Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation ��/ detached garage �Office/Commercial ❑ Private Sewer �Other: (specify) -7✓h- , ❑ Multiple Family/Condo Warehouse ❑ Public ❑ Storage h�Public Water **Any earth movement may require �Commercial ❑ Other(specify) T� MCWD review&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'(�U�Q(f G' � Last Updated: 9/29/2009 - 17 - i ' � �TRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame �Masonry b.Width(ft.)= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in sauare feet Detached= ❑ ICF ❑On-site Prefab c. Basement= �� ❑Off-site Prefab d. 1 S'Story = � ❑Other(please specify): e.2"d Story= ��/J 1 ( f. 'h Story = g.Total Area= �� REQUIRED SUBMITTALS: All of the information must be submitted in order for our ap lication to be rocessed: Not Enclosed A licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements O ❑ Stormwater Pollution Prevention Plan O ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no 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 inforrnation 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. ApplicanYs Signature: Date: � Last Updated: 9/29/2009 - 18- •' � Plan Review Checklist for New Structures / Additions Address/ PID/ Legal: � � � ? tjh /� �.y�j�,��j /1 � Description of work: _ �d��Yk� —�-��✓��G(�G� Septic review by: �,�� Date Approved: .3� .�� 'jC.} Zoning review by: ��%�� Date Approved: `7 ' �� U Building review by: Date Approved: '� - I b - 1 � Grading review by: GZ Date Approved: �'�'I�� Zoning File#: �'�� 5 Resolution#: ��f('� Resolution Date: ��- q—6 cf Zonin District Fire Department Post Office School District Zonin Lot Area: � �G✓2-- SF AC Width: �'J�2- � ��,� 9� Depth: ��'cJv Survey Submitted: � Yes �No Date of Survey: � ��P"- ��'J Pro osed Setbacks: Front(Lake) ear Street) � N`�de W ) ( � Side W ) Other Buildings Wetland �� ,GI� S �Dfl� t Building Defined Height: Building Peak Height:_ �P� � .ri►��'� #of Stories Ok?: YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: �� SF 1 G % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff Yes ❑ No ❑ N/A 0 Yes No � Yes ❑ No _' � Yes No ❑ N/A Permit Number: '(,1 �� Setback: � � - -Z C� Hardcover Zones Existin Proposed Variance Required UP Required 0-75' es ❑ No Yes ❑ No 75-250' Type : Type(s): 250-500' �� G 500-1000' �l S- `�l o r�'� «',3 � c�?.� l �� REMARKS (in-house): Z �jj . 6� � C_ �J � �. S ( � �d Updated: 09/11/2009 z:\forms�plan review checklist.docx Fees to be Char ed YES NO � �. Permit': Plan Review °State=Surchar,ge �,,- Investigation Fee SAC'=�VV�iYrberii�F,S�C Units . Sewer Connection 'INater_Cora neiction Park Fee 'Stte�inspect�on�� Other(specify) �41�sce�la�sous�ses;. , � Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1 S' Floor X = $ 2nd FIoO� X = $ Garage X = $ Estimated Construction Value: $ S'ot��b� "—" Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site �Plumbing � Grading/Filling � Well 0 Hardcover Removal ,0'Mechanical � Fire � Electrical �Footing 0 Septic � Water Connection � Poured Wall Fireplace 0 Sewer Connection � Foundation Survey 0 Masonry D Lawn Irrigation � Radon Rock Bed �'Mfg. ,�Framing � Other(specify) �nsulation �As-Built Survey �Final � Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES 0 NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.docx � � MINNEHAHA CREEK ��, WATERSHED DISTRICT QUALITY OF WATER �;_;:-= QUALITY OF LIFE Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, The Mir�nehaha Creek maps, and ail other supporting data submitted by the appiicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant tvatershed a,strict is named below for use and development of land in the Minnehaha Creek comrr�itted to a leadership Watershed District. ro[e in pratecfing, Issued to: International Ministerial Fellowshiq Permit No: 10-145 imp�aving and managing tne surFace evaters and Location: 2477 Shadvwood Road. Orono a�;�;ated groun�w�ter Purpose: Erosion Controi — Landscaping/commercial resources v:�ithin the Date of Issuance: 6/1/2010 Date of Ex iration: 6/4/2011 District,incEuding their By Order of the Board of Managers re�ationships to ti ie e�osystems of vlhich Becky oude they are an;nteqral pa�t. District Technician We achieve our mis�ion This permit is not transferable without District approval, and is valid to the date of expiration. No activity is authorized beyond the expiration date. If the permittee throu�h reg«tat�or,, requires more time to complete the project, an application for renewal of the cap;tat proje�t�, permit must be received by the District at least 30 days before expiration. e�ucation, caoperative The applicant is responsible for compliance with all District Rules and for the endeavors,and�ther action of their representatives, contractors, and employees. pragrams hased on Conditions: Project to be completed as described in plans submitted to the MCWD office on June 1, 2010 according to the provisions of this sound science, permit. irmoratrve thinlang,a�� • Properly install and maintain all required erosion control measures until the disturbed areas are re-stabilized infonned a-nd engaged • When the site is re-stabilized and the MCWD staff has pertormed a final inspection, all silt fences must be removed constituency,and the cast efFe`tive use of pub��c f�nc��. (Statement concerning fees for inspections, violations, etc... on following page) 18202 Minnetonka Boulevard, Deephaven, MN 55391 •Office: (952)471-0590• Fax: (952)471-0682•www.minnehahacreek.org f - ' . , . . __ MINNEHAHA CREEK � WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE Insqection/Analvsis/Monitorins� Fees The Minnehaha Creek A site inspection and monitoring by District staff will be performed where the Watershed District is activity involves: committed to a Leadership � a commercial/industriaVmulti-family residential development role in protefing, . a single family residential development greater than 5 acres or of any size if within the Minnehaha Creek subwatershed improving and managing . any alteration of a floodplain or wetland the surFace waters and • dredging within the beds, banks or shores of any protected water or wetland • a violation affiliated groundwater . any project which in the judgment of the District staff should be inspected resources within the due to project location, scope, or construction techniques District,including their In these cases, the applicant shall pay to the District a fee equal to the actual relationships to the costs of field inspection of the work, including investigation of the area affected ecosystems of which by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shall be at least$35. they are an integral part. 'Ne achieve our mission through regulation, Standard Fee Schedule capital projects, District professional staff $ 55.79* education,cooperative �istrict interns $ 34.24* District clerical staff $ 50.40 endeavors,and other Consulting Senior Engineer $contracted rate Consulting Engineer/Technician $ contracted rate programs based on District Counsel $ contracted rate sound science, AppliCation fee $ 10.00 Copy costs $ .25 + actual staff time ; innovative thinking,an Co101'COpy COsts $ 1.00 + actual staff time Audio tapes $ 20.00 each ' informed and engaged Watershed Plan (Paper) $ cost of production � constituency,and the Watershed Plan CD $ 10.00 each j CIP $ 10.00 each I cost effective use of I public funds. � * Hourly 18202 Minnetonka Boulevard,Deephaven,MN 55391•OfFice: (952)471-0590• Fax: (952)471-0682•www minnehahacreek.org �/ D E-� TIME � CITY OF ORONO CALLED IN � � INSPECTION N'O`T'ICE /� �f SCHEDULED _�� PERMIT NO. �'�Y��`�` COMPLETED ADDRESS 2�77 SGI GL� l�� OWNER � TELEPHONE NO. ��s�� iD9I CONTRACTOR r07�`Orh'L � DESCRIPTION /'�D0�/��l � ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a o � y �L'110� � � l � ��v� � � 0 � W � Q � 2 W � W � � � W �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: � Inspector. ��t� � ` White Copyllnspector's File Canary CopylSite Notice � � ,� ATE TIME � CITY OF ORONO CALLED IN cS �3 � =y� INSPECTION N T CE SCHEDULED PERMIT NO. �� co ETED ADDRESS � � OWNER TELEPHONE �'��l�D� CONTRACTOR � �/ j: DESCRIPTION ��%�� F ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNER/ ETY�YES_NO � � COMMENTS: � W a � � O � � O � W � Q � Z W � W � ��/� GW,70.WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W. I ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: , Inspector. r�i White Copyllnspector's File Canary CopylSite Notice �— � ��`�I T-� �ATE TIME CITY OF ORONO CALLED IN ✓, `� D INSPECTION N TICE .,s CHEDULED � /� 3(Z PERMIT NO. ��`�'�oM ETED ADDRESS T�� OWNER TELEPHO O. �� - � � CONTRACTOR �K — �: DESCRIPTION �Ul U�(- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/G ADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � 1 �� S 1 '��L _ � 19-/� � /� �1� � l 1 /� f� Q l e 'l� L S ��^�� ( -� 1� � �5 W � Q z C��S��S S � (�- TC� �,•� W � W � � a W� � RKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPEC70R ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: /' Inspector. White Copyllnspector's File Canary CopylSite Notice c � - <� y� TIME ,i CITY OF ORONO CALLED IN G� � INSPECTION NOTICE SCHEDULED ,lo'� PERMIT NO.�O/D-DO/� COMPLETED �� ADDRESS 7 OWNER TELEPHONE N 3� � CONTRACTOR � � a 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a ��.�J �- �G U�: � J O >. � O � W � Q � Z W � W � � d � WORKSATISFACTORY:PROGEED ❑ PROJECTCOMPLEfE w CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on it Inspector. White Copyllnspector's File Canary CopylSite Notice C � ��M DAT TIME � CITY OF ORONO CALLED IN ��a� �O INSPECTION N T��_��¢�SCHEDULED 7 � ___Ii� PERMIT NO. o COMPLET ADDRESS `�`"7 �� OWNER TELEPHON N . -�77 � CONTRACTOR �� DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a j � �� (� � C�C,-� f O/�3 0 :f2� Q < < � � C�n�ov� I s�' rt o �- S�.e A +�.:�S Zo5 /�� t � -� z s e c � v� W k � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �RRECT WORK,CAIL FOR REINSPECTIOIJ TEMPORARY V B FORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑IIVSPECTIONREQUtRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on ite: r Inspector. �7�1 Q White Copyllnspector's File Canary CopylSite Notice �� DAT TIME � CITY OF ORONO CALLED IN 7 INSPECTION NOTICE SCHEDULED " 4 � � PERMIT NO.��/l7-DDL� �e� ADDRESS ' � OWNER TELEP E Nd�� CONTRACTOR — � DESCRIPTION �� " � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING R ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL � OWNE TRACTOR ET YOU�YES_NO c�., COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � W�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� Owner/Contractor on site: Inspector. l 1�J ��• � White Copyllnspector's File Canary CopylSite Notice 5`--�" D�T TIME V CITY OF ORONO CALL� �� ` INSPECTION NOTICE SCHEDULED //-�. - � PERMIT NO.�� — U�� COMPLETED ADDRESS a��7 Sh�� — OWNER TELEPHONE NO.7�3 •S�Z ZZDO CONTRACTOR �ro-�v r�r►� COr1 5 t I�ja�� : DESCRIPTION F��a'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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLU G RI ❑ S P I AL ❑ FOUNDATION/REMOVAL � OWNER�CTOR TO MEET YOU�YE _NO � COMMENTS: � W a � � O �/ � �� f�-• C� � Q-� � � ��/L.Q c�� '�i G�J S '�� W �Ta C' -f-�,` ��r,a-e e 'rZaa x.� � Q . � Z W � W � � a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ,��RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � ��/`—1 ( White Copyllnspector's File Canary Copy/Site Notice �� g RATE TIME � CITY OF ORONO CALLED IN I '� �'/-/Y INSPECTION I�OTICE SCHEDULED �l- ��3�y � 'o� PERMIT NO.��o�b-G`O� �Y COMPLEfED ADDRESS ��77 ��G1�-��-�� OWNER TELEPHONE . CONTRACTOR �� DESCRIPTION ��` � � �`�r � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING O MECHANICAL FINAL ❑ TFiEE 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 O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNEFi1CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C � � O � � ( I (�/ nn . �---� 0 � W � Q � Z W � W � � W �WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: � Inspector. White Copyllnspector's File Canary CopylSite NoNce � w � . • • • � • � • • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: June 4, 2013 G/L: 101-22205 Re: Escrow Refund Building Permit#2010-00182 pertaining to 2477 Shadywood Road is complete. The as-built survey was submitted and approved. Please refund$2,500 to the Applicant. The as-built survey was reviewed in-house by Jesse Struve. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Frank Masserano Intemational Ministerial Fellowship PO Box 100 Navarre, MN 55392 w:�street files�,shadywood road�2477(inYl ministerial felloHrship)�escxow refund memo 2010-00182.doc . _, / BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2010-00182 AGREEMENT made this�day of �L-- , 0 �� by and betw en t e CITY OF ORONO, a Minnesota municipal corporation ("City") and � � ("Owners"). Recitals 1. A building permit application has been filed for additions to the existing building located at 2477 Shadywood Road the ("Subject Property"), legally described as Tracts A & B, Registered Land Survey No. 88, files of Registrar of Titles, 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 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 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 #2010-00182 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, the City 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 fu nds. 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 perty pursuant to Minn. Stat.§§415.01 and 366.012. 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