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Home My WebLink About2012-00651 - land alteration t , CITY OF ORONO * z 0 1 2 — 0 0 6 5 1 * 2750 KELLEY PARKWAY DATE 1SSUED: 07/18/2012 ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 AL�DRESS : 1265 SHORELINE DR PIN : 02-117-23-34-0010 LEGAL DESC : REG. LAND SURVEY NO. 1 123 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: $2,000 S/B COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 HOW DID THEY PAY? CK#2612&WHO PAID? OWNER ROGER MCCABE ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2012-00684 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS THIS PGRMIT IS FOR LAND ALTERATION&DRIVEWAY REPLACEMENT APPLICANT MINOR LAND ALTERATION 50.00 SOUTHV[EW DESIGN& CONST DRIVEWAY 0.00 1875 SOTH ST E INVER GROVE HEIGHTS, MN 55077 TOTAL 50.00 (763)226-9705 PAID WITH CC# 0401 OWNER MCCABE, ROGER 1265 SHORELINE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "I�he 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 specitied 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 applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be rev ke t any time for due cause. � �'� / '� i i�-v�2- �� ~ /�--C---� L��Y�c c<rt i i 7 --/�— pplicant Pe +�ee Signature Date Issued By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono Zoning Permit Ap lication • Permit number: �D/a - DO�S'1 Mailing Address: .d,�J��. PO Box 66 Date received: 7-/�- �Z 0� ��' Crystal Bay, MN 55323-0066 0 Escrow#and Street Address: amount: 2750 Kelley Parkway Permit Fee: �� / �G�� Orono, MN 55356 �.tf�Kp�¢ APProved by: Fax: 952-249-4616 Notes Main: 952-249-4600 �•ci.orono.mn.us ' This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: � uQ� S��..�t f� �� CONTRACTOR/APPLICANT INFORMATION: Name: � -�S� Phone: 2b`S- m�s- Fax: -� '� Address: ' S' �tsC�t ST- Cit : � IP: S"'�o'? Contact Person: ContacYs phone _ '?�,'� ,. 22�. ��or Email �,g��„�„p�,�,�, Ce.M Applicant i Contractor �omeowner (Circle One) PROPERTY OWNER INFORMATION: IVame: '�-c,��,1, ��c--r C1�� . Phone(day): Mailing Address: 2t�; SF��=.,_;� 4�;�.,��c� Z�p. Email and/or Fax 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 o lacement No charge Also re uired is a Minor or Ma'or Lan eration 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 H�'t'LII.HIV I/VVYIVCK Hl,t'IIVVYYLGUIstlYICIV I: • ApplicanUOwner agrees to provide all information required or requested by the Planning Department; • Owner agrees to pay the City of Orono for engineering consultan#review costs where applicabie; • Applicant/Qwner certi�es 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 upan 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 classi�ed 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 overnmental a encies re uired b law. If ou refuse to su I the information, the a lication ma not be issued. The undersigned certify that the information supplied is true and correct to the best of their knowledge. Applicant's Signature:=� �� ' �-�'�__.___ - r Date: � �' �.- � Property Owner's Signature: Date: �—� ` � � �� TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits 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, Comme�cial 1. Structural plans for the dock 2. Survey showing the proposed location of th�dock 3. Copy of LMCD permit Driveway �ermit 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 cc�py 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 shawn 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, ather 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 �ro$ion Control Permit Tree Removal Call: 952-249-4600 to schedule a sing{e tree removal inspection. A re-planting plan/ mana ement lan�e uired for clear cutiin , buckthom or other intensive ve etation removal. Updated: April 23,2012 � Plan Review Checklist for Zoning Permit Applications Address: �� e��'��`'C- Description of work: ` — Type of permit: �l '� n Zoning review by: � J,�rl1,�,�, �--J Date Approved: /�� Grading review by: �� Date Approved: Other Review, Reviewed by: Date Approved: Zonin : Zoning File#: Resolution #: Resolution Date: Lot Area: I � SF/AC Width: Depth: Survey Submitted? � Yes No Date of Survey: 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 j � Yes 0 No � N/A � Yes o �s � No � Yes ONo /A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Requir CUP Re uired 0-75' 0 Yes No � Yes No 75-250' Type(s): Type(s): 250-500' Zoning File#: Zoning File#: 500-1000' Resolution#: Resolution #: � . 1 �/' Created: March 29,2011 I�� z:\forms\plan review checklist for zoning permit applications.docx � ��C�?� . Planning Review Checklist for Zoning Permit Applications Page 2 of2 Cubic Yards In Out Total Haul Route? ? 0 Yes 0 No Explain haul route in detail: Fees to be Char ed Amount Orono Inspections Required Permit Amount �� ite Escrow Amount , Hardcover f�emoval-- , � Footing Signed escrow received? � Poured Wall � � As-Built Survey � B'Yes 0 No � Planting Plan � Wetland Escrow amount received? �' Final � 0 Other (specify) �:-� Yes ❑ No Engineering review needed? i � Yes CI��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 � o� - p 0 CITY of ORONO �, Municipal Offices r� ,;,, �, Street Address: Mailing Address: �'',� G,�,�' 2750 Kelley Parkway P.O.Box 66 .� ,� Orono,MN 55356 Crystal Bay,MN 55323-0066 �k'E8S�g' July 17, 2012 Bob Renaud Southview Design 875 E 50th Street Inver Grove Heights, MN 55077 Re: 1265 Shoreline Drive Zoning Permit Application#2012-00651 On July 10, 2012 the City received a zoning permit application for driveway replacement. Your application is incomplete. The following items must be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Zoning Permit Application. The zoning permit application must include the property owners signature. Attached is a copy of the second page of the application. 2. Erosion Control. The wetland edge is very close to the area being disturbed. Please show on the attached plan the erosion control measures to be taken. 3. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater.The required escrow amount for this project is$2,000. The escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$2,000. The above information is required in order for the plan review to continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions. Sincerely, CITY OF ORONO r- ristine Mattson Planning Assistant c Roger& Nancy McCabe; 1265 Shoreline Drive;Wayzata, MN 55391 Lyle Oman, Building Official � enclosures Telephone(952)249-4600• Fa�c(952)249-4616 www.ci.orono.mn.us � Henne�iri County GIS - Printable Map Page 1 of 1 - _ _ Interactive Property . Maps�,,,�f Map ��/� ��vyr _ . ��.��:� .y�.�, .'-,�.f,, � .;; . - i,✓� -�- . . . ^ � � �� j' � . �.�. ��-�� .�'.. �-; 1 �� . ��'.1 ja�y '��,' A�� e„d ',` .t �� , Z .°, �pQ, ��,�'�j�`�,' .��' •j;'/� .�.. �'` •.�,. � ��N � , ;e► ,��.i .'}"t=�� °J)r+. ''� . , � S�,,OpE '. � �. 1 ;��''�'',�t . •,, ti,-�, ��, �•,r.ti�: '� • ^,� . '" �*��,y �'`;' Y';' '" `. - �,•ti F ` '*,- -, ...�''. .A;N,.�.� � _�� ( '1 ' �,.. ✓ •, w. �� ,. � T '�.� ,• ' . :_,.�,�•: -�. .• .� � � r -�y. =� _ ".pi * { �u��: ', �' : r � '�`�� ,� , ,�� y��, ,��Y�: ... . ;i� ._ �.;= �. �. �� '`�,`'-� . (`�►:-��`"', ,r �t�,,,� r r , . �� ''.- :�`. � •.� � . � � r � �, �,,,�' q �� ` �� 4 � !' `'� 1� .*� , � �'��v� �,• ` ,� ��, �', , . . . � ' � �' -� * • ' . ��• �� •/ °;� t+ ' .1 ;� �` :�� ` . ,.� rt '` i '•C , -��'b's.. ,� "� „ `� - � . . ��.� � , � . . _ � , y _ ' �, 'y , � �. �' r�„ . - 11 � ��' �� , � ;a�' � _ � "'� -•••-�` `�' �, � ``:t '�^ l �^r\�"� ` ` , ` i�i „J � ti '�+Q� t� -' � �� 1� �1� '� _ � =`-�-.. t •�� .,�..y� ,. . "��-f -+�'�s _ ' ,„ � �r i ' � L.R � --�" ` ,,� �..� r�Y . ..�t . . .� �� : �` .. � . � . Parcel 02-117-23-34-0010 A-T-B: Torrens Map Scale: 1"= 100 ft. N ID: Print Date: 7/16/2012 � Owner Roger K&Nancy Mccabe Market $2 370,000 Name: Total: Parcel 1265 Shoreline Dr Tax $30,375.28 Address: Orono, MN 55391 Total: (Payable:2012) Property Residential Lake Shore Sale $4,500,000 � Type: P�ICe: ;This map is a compilation of data from various 'E sources and is fumished"AS IS"with no i Home- Homestead Sale 04/2008 ' representation or warranty expressed or implied,induding fitness of any particular stead: Date: � purpose,merchantability,or the accuracy and completeness of the information shown. Parcel 1.2 acres Sale ' Area: 52,191 sq ft COd@: COPYRIGHT OO HENNEPIN COUNTY 2012 ' _. _—_ -- ' � _� ^, Green' -_ _ _ _ ---- _ _ _ _ _. __.. http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=456331.23 3 5 8270264,4979390... 7/16/2012 E� �n-2-/� ✓ a0/o7 - Q'��oJ� � TIME CITY OF ORONO CALLED IN INSPECTION N QT�I� D�7g �HEDULED PERMIT NO�vf COMPLETED �«-- ADDRESS �2� �S � � OWNER TELEPH NE NO.�(�3 z�0 ( 7`�'-' CONTRACTOR �: DESCRIPTION �r I V � � ❑ FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � '� ( ��P� �� Q -� e � a � W � Q � z W � W � � GW ❑WORK SATISFACTORY:PROCEED �$ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � i White Copyllnspector's File Canary CopylSite Notice , '�� 15 � . �� . oPa � . �,�� : / . , ,GOv � ,; � ,. , _/� �;S �f:' � , , , � �• . �Y� ''Y 1 I (J .(. . � � . • � . �� _ '{ � . . � . , �� , �. � ��r�� , �ay'1% . . � �,,s�'�'�� , � N . �� .,��, ; , h t � �r� �� , t Y _ ti � ' ��:5��;w;��` . � .�� "� ��R 7 `� 1 ,�Yy; . �� kr�rti�;�� j � � �,;�.��; ; ' i,,�tt�,�?w�r � �F, -�t;�� ` �' �,�� ' f.�, �'� � �� ,� � I E A � ;-r;,h ; ; �l1 J� , �?'�:��'�' 1 -- ---- - � Y �C � . � , ' �' , � "'1 �•� � . � , p '` ' ' �;� .� ('.;�r,r' ` t7 "= w 4 :J�,�+��. � �U� �''�,`� �� . � . � ��r�x��,'�� ,^ . .'t �F�'�Mh.. 1� . V• !• � . 'f`��`l,ti�' �'• . � � �y�•.�''� , C� ao ' '� �jj�r�l1.,� � � � - - � ��0�� i��..�'� . . .�� :: .� \ � �� "��h ` � `, ��4��ti•�'�'�}y��!' ,� � (!•'>'� , ,��'��; � � . � � iJ';.�' �.. ,�.' . , ,l.• Sy,+. � � � :. ' �. � , . . ' . �f�� \� ��/`,\ � ' . / \ f. � i�� ♦ � /� ' • � � . .� /�+ �{��'�7' ' � . . ��"�p xi��y !�'/ � � N � ��,t�f'�. . � Wo: , , � `\ /. ' ' , J • ��,. � �� . _ .. . � �PG�f' � >:�;'��'`�� •� �.,\` ` $� ��'.� . � . �+'+ � ;•`�b�� ., � .`,`�s •�O ...�.. . ^� ��t� '�f� 7s� � ��"": `. / �� , (�. �c,� ,r;. �,`� , �',�, � . . � t .' .. � N _ � _ ; �, �' r '�/� `'� .:_ , � • ---- p� _ ._ �e r��1�� .��'f_. � / . U ��`.^�`�..� � 'r`x�n � �. ��,. �' r�,�,�� , +�'hkh a�` ¢ ' �' '�,' r°r��, �y ,x,.1 ��},� � � � ��•_�� p. . . }r�'�1�r'��' )�1��`�fi-4'1C� ''f "`^rr, r �� ; A�}l�� fi � K ! ` .. . ' _ . / .. � � i� tt� � � �i�i �l � Y1��i.. }� �:r , � � , , . ,r y � ��:� ,�� ?� ,y;z ; / .�, t�?'��'{��tP,��'��`;``��'��}�it';d� `� � �- � *� �''�j�'��'�'�.t ��t � < <��w � � P�x, j. . �� a�d ��'L� ,�3n� . 4 r , � ,�� / ' ... ��14*�4��;'�li�"��yr��i r y ,�s 4� .1Q' �r;��s,�,��'�" > - , l Z�� iF � .t^.tl°�rl�✓ �S�+y�'. :' /� � � �. „.t:�„�• ��, 47w{��tr��=��I'Y ' �' � •9 ��' q��i .l i iY 1�fi �'�S i�l��f efj '/ ,� -� �, ; ) i�� Ry�,k r r. ;»'� ''„ n' �''J �, �n a� r ��7`i� '1 � �� rv.{ y l�t,. 14� �r , rJ�rp , , �� N /• • 3'��,' ,7`�t � 1�� i f'� . 't3 h�;,�y,�ij!'�� ` �� a" .'r�F• 'i�� t H^� i� )a ) ��1 . . . . . �� l . �� ..�ti.iV� ��H.t:. . ' - �' / � �,�;..:, ,. ;,i��., � �..1 .�� c�,1�s�'s.:4,��'�. �� Q ,t;. . i::;::�kr�� E f,)1. 0 =`f` /- � � �' #t. ,r � � . �.3 . 3p'1 :� � ^ V `. NOIjsE �4� �.�,�yE- . / ��.o ,,u ,. /[gp.C,� U�Y � /./! .��Cy Nd ��• �,, ._, °'° `' ,�5 F�. � �� . r.L.�'`1'`'`� � , " P F''� P� b� P 04� � P P� /� � � / ��51�'�.."• / . �. 5'` � �� J�/ . a�6� 5 � .i�� F , . �Z � --c� ��r �v pRE��s � N� ��2g� �f l�/en� ��J�'V� .S� . / �i � � � �r . �'ep�n• y M°• �.r23 .. �,:, � �,,�' ��N . � � � , � t/o qho� � , �/as of � �� k '� �NN a°t/o t�� b e9igt�o� ` P�� b/s ,,hq d°f OR ,�nd�r jes � _hed. ��. c��er�.ek/sfi.,.. �1` t�,_ . . . • • • • � • , emo � To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: 10/18/2012 G/L: 101-22205 Re: Zoning Permit Escrow Refund Zoning permits #2012-00651 & #2012-00794 pertaining to 1265 Shoreline Drive are complete. The contractor, Lake Country Builders, on behalf of the property owner, Roger McCabe, is requesting their$2,000 escrow be refunded. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Roger McCabe 1265 Shoreline Drive Wayzata, MN 55391 N:,,; ;:-�. w:�.street files\shoreline drive\1265�escrow refund memo 2012-00794&2012-00651.doc ' ZONING PERMIT ESCROW AGREEMENT Permit#2012-00651 AGREEMENT made this ��r day of -J , 20 (�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Roger an Nancy McCabe("Owners"). Recitals 1. A zoning permit application has been �led for a property located at 1265 Shoreline Drive the ("Subject Property"), legally described as Tract A, Registered Land Survey No. 1123, Files of Registrar of Titles, County of Hennepin 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 $2,000 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 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 reviewing the plan. Eligible expenses shall be consistent with expenses the Owners 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 by the work (including planning, engineering, or legal consultant review) associated with permit#2012-00651 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. Owners shall be responsible for payment to the City within 30 days of the Owners' � receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY OF ORONO OWNER: By: OJG�.a-� .�d• ��2. � �ts: �_.r,�, .C�- ,. Inte�na1�.11se3DinIY �_.��..��..��l�r�gir�al�o�?tarr�ii�gM�epai�nent3";; . ,�G=�opy�to�Str�et�ile Cit of �rono P�Ke1�leY pa�r�aY 95P-249-4fi00 Aeceipt No: 3.0p7P4b Jul 19, 201P Rog� NcCabe Plarmin and 2oning�� Escrow �it - 1265 2,�.00 5hareline Dr 101-22205 Deferred Rev-Developer Deposit Total: ��p�.� Check Check No: �612 2l400.00 Payor: Roger h�Cabe Total Appl ied: g�p�.� Change Ter�red: .� Q7/18/2012 OB:17Ap1 - � " CITY OF ORONO * z 0 1 Z - PJ 0 6 8 4 * • 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1265 SHORELINE DR PIN : 02-117-23-34-0010 LEGAL DESC : REG.LAND SURVEY NO. 1123 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: ESCROW TIED TO ZONING PERMIT#2012-00651 APPLICANT ESCROW FEE-APPLICANT 2,000.00 MCCABE,ROGER TOTAL 2,000.00 1265 SHORELINE DR WAYZATA,MN 55391- OWNER MCCABE,ROGER 1265 SHORELINE DR 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 oniy 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. � � ! � ! � � � �� i � � � � � � ,=� � � �' L � � V.� �1 . 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L�x�.#rn.,�lOpLui%�' s��S.- ' ,z��=`_ ,+� ��' ,« °i� „�`� ..�"'�,�� Oj � � ��3a��ad��d as�e��a� .� � �__ — s}��da� ure�u:ie� aami��l �A� x��.�..��a,�, �...e,: �. �s�;>;.-, -,�-, r ..: � ; � � � , _ � ' �� : �.. _: �N43!�ad -4 Checkiist for Refunding Buiiding Permit Escrows �� -��7R� rermit � ��'� � Street Address: �� Y��t�/� • Appficant Name: ❑ Escrow request received Date: �,� Permit Type: Are all inspections completed? Yes No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes�-No Date: Was there a Final Certificate of Occupancy issued? Yes No�Date: ❑ As-built survey required? Yes, approved on NO (�N ❑ . sent: lv � ❑ Prepare memo for Finance Department z:\formslzoning standard fortnslchecklist for refunding building permit escrows.doc Last Updated: 10-31-2011