HomeMy WebLinkAbout2015-00155/00631-VOIDED ! � ��
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O�O MailingAddress: Permit number: �OfS���v1��
PO Box 66
Crystal Bay, MN 55323-0066 Date received: .S-v���,S
Street Address:' Received by:
y � 2750 Kelley Parkway Pks�-eview fee:
F L Orono, MN 55356
�1kFSNo�`� �al Fee:
Main: 952-249-4600 Fax: 952-249-4616 www,ci.orono.mn.0
This application form must be completed in full and all required i � rmation must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �� Z.. S�tO�('C.�,v�,c � (`�d��,, �O
Will this be a Parade of Homes, Remodelers Showcase Horr��� . other Display Home? ❑ Yes ,�'No
If yes, a special event permit is required with Police Department and City Council oval 60 days prior to the event. Shuttle bus service will 6e
required unless applicant demonstrates sufficient on-site parking is available. h4�$ermitted events will not be allowed.
CONTRACTOR/A�LICANT INF RMATION: �
Name: —1 ,s rcti,c,-{Zo
State License# �6 f Expiration Date: /
Phone: cell Zc.E (office Gj �
Mailing Address: Cit : ti ZIP: �"3
Contact Person: �,� �,,, Applicant is: ra / Homeowner (Circle One)
Email and/or Fax: (��( � q�r Dvn—Sc�,rps� C'dv�n
PROPERTY OWNER INFORMAT O
Name: ��'�`"C"c�S'p Y�
Phone (day): (o�L Qp� ��gp
Address: ,� r". Cit : ('�/�, ZIP: �.$35
Email and/or Fax �-�-r J�,,,�� („�E � � -�-� ��"�
ARCHITECT/ENGINEER INFORMATION:
Name: }�,�k.t, Q E �.�.�2
Phone (day): G�2. G�t,� b 6 g Z
Address: '� Cit : ZIP:
Email and/or Fax: I' c� � aSic,/1 CClw`
PROJECT INFORMATION:;bescription of project:
1.Type of Project ,' 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑ New Construction J% �Single Family with �Residence
" 4ddition attached garage ❑ Garage/Accessory Bldg. �Public Sewer
v Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ���,�` ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑Storage '�f'�ublic Water
**Any earth moveme�may also require ❑ Commercial ❑ Other(specify)
MCWD review&per its. ❑ 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) $ �� �?��
� . �
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
❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 1 S�Story =
e.2"d Story= ❑On-site Prefab
❑ Off-site Prefab
f. '/z Story =
❑Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ Permit A lication
❑ Pro osed Buildin Plans
� ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
�" ❑ Surve meetin all requirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation s)
� ❑ Septic System Site Evaluation Report
� ❑ Access Permit
� ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retaining Walls 4 feet or above
❑ ❑ Minnehaha Creek Watershed District Permit s
❑ ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
❑ ❑ 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;
• Certifles 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 weat r er conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requ e , a'temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure�o letion as-f�uilt survey and all site improvements.
ApplicanYs Signature: � Date: � �S
Owner's Signature: /J�! l � � Date: � ��
• �,�' / � f
� r �
DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we
would like to inform you that your request for a permit or license from the City of Orono or any of its departments
may require you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary
to process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may
become public.
5. You have certain rights under Minnesota State Statute 13.04 (see following page) to review
private data on yourself.
6. Your full name is required to process this application or permit.
� l�-� VO�I 11 So✓�
First Middle Last
�/y3� �'/�0�� ��,��. ��
Address
p�d�u� I�t�,/ Ss3� � b� z � ot. �s��
City State Zip Phone
N
I un stand rights as stated above.
ature
Packet Last Updated: January 2015
Page 13
� ' � � �
�`�
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CITY OF ORONO �a
BUILDING PERMIT APPLICATION �`
FOR NEW STRUCTURES OR ADDITIONS
�
O Mailing Address: Permit 2 D l 5�-C�b S �
�- �O PO Box 66
Crystai Bay,MN 55323-0066 Date ve • G� � (< ` /S
�
Street Address:' Received : Z-l�
.�, . _ -
�` 2750 Kelle P kwa" � � 4� C' • c-' �'l $---_`_
y G� Y Y C k- �, Plan re w fee: ..� —
`� Orono,MN 55�--�_._..�1.� ' _�`_�'.
��'rFSH��� To 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 info ation must be submitted.
Incomplete applications will be returned. (P ase print)
GENERAL INFORMATION: �� � � -
Job Site Address: �� Z,.. �"� v�,� f`lo rp
Will this be a Parade of Homes, Remodelers Showcase Home or er Display Home? Yes No
lf yes,a special event permit is required with Police Department and Clty Council approv 60 days prlor to the event. Shutt/e bus service will be
requtred unless applicant demonsfrates sufficlent on-site parking Is avallable. Non-per tted events wtll not be allowed.
CONTRACTOR/A�LICANT INF RMATION:
Name: -�p `, �
State License# b( Expiration Date: /
Phone: cell Z� office (
Mailing Address: Cit : h, ZIP: S�3
Contact Person: l k, Applicant is: ra / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMAT O :
Name: v V�,
Phone(day): d
Address: r r'. Cit : (' ZIP: ,�,�cj
Email and/or Fax �
ARCHITECT/ENGINEER INFORMATIO :
Name: �
Phone (day): Z, Z
Address: Cit : ZIP:
Email and/or Fax: � ct a
PROJECT INFORMATION: scri tion of ro'ect:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑�New Construction �Single Family with �Residence
" 4ddition attached garage ❑ Garage/Accessory Bldg. �Public Sewer
LJ 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 0 Other(specify)
MCWD revfew&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) $ _ ����
,.
4 . �
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Constructlon �
a.Length(ft.)= Number of bedrooms=
❑Wood/Frame
b.Width(ft.)= Number of garage stalls: ❑Masonry
Areas in sauare feet Attached= ❑Metal
❑Pole Bldg.
c.Basement= Detached= ❑ICF
d. 18�Story =
❑On-site Prefab
e.2"°Story=
❑Off-site Prefab
f. '/z Story =
❑Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your a 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
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Wails 4 feet or above
❑ ❑ Minnehaha Creek Watershed District Permit s
❑ ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
❑ ❑ 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 lnformation 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 befng aware that upon failure to do so,the staff has no altemative
but to reject It until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the inforrnation that you are asked to provide on this application is classffled 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. ConfidenUal data is information which generally cannot be given to either the pubiic 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 agencles
required by law. If you refuse to supply the informat(on,the application may not be issued.
• Agrees that in the event that weat r er conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requ , �temporary Certiflcate of Occupancy may be issued upon recetpt of a$10,000
escrow to ensure�o letion as��iuilt survey and all site improvements.
/
ApplicanYs Signature: � Date: �
Owner's Signature: � Date:� �/2 2/�5
� i
,
N�elanie Curtis
From: Will Haack [will@gordon-james.com]
Sent: Wednesday, March 11, 2015 7:05 AM
To: Melanie Curtis
Cc: Matt Johnson - Edina F2ealty (mattjohnson@edinarealty.com)
Subject: 1432 Shoreline Dr.
Melanie, Mr.Johnson has asked me to withdraw the variance and permit request for his property located at 1432
Shoreline Dr. in Orono. Please return the application and escrow funds submitted directly to Matt.
Thank you.
�o���
Will Haack �l;� n (�� �
D i r e c t o r o f R e s i d e n t i a l C o n s t r u c t i o n (, W' b
� �r��� �.J .
t��'��' �l./Y
,; ,. � �, , �t �,���r�'
�-_
Direct 6i2-889-3247
Office�63-479-3117
Email willna�ordon james.com
PO Box 306
5159 Highway i2 Suite 200
Maple Plain, Minnesota 55359
The information contained in this electronic mail message is confidentfal informarion intended only for the use of the fndiuidual or enrity named
aboue,and may be priuileged.If the reader of this message is not the intended recipient or the employee or agent responsible to deliuer it to ihe
intended recipient,you are hereby norified that any dissemination,distribution or copying of this communicarion is strictly prohibited.
1
C�hristine Mattson
From: Christine Mattson
Sent: Monday, February 09, 2015 3:53 PM
To: 'will@gordon-james.com'
Cc: Lyle Oman; Melanie Curtis
Subject: 1432 Shoreline Drive/#2015-00155
Will,
On February 6, 2015 the City received a building permit application for removal of the southwest section of the home
and rebuild, adding two stories and some remodeling to the existing home. Staff conducted a preliminary review based
on the information provided and the permit cannot be approved. The addition proposed is within 75' of the lake, within
the average lakeshore setback and side setback area.
Let me know if you'd like me to refund the advance plan review fee and return the plans. Please contact me to schedule
a meeting If you would like to discuss further.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono MN ', 55356 (physical addressJ
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
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Monday, February 16, 2015
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Sec.78-305. -Area, height, lot width and yard requirements.
(a) Height. No structure or building in the LR-1A district shall exceed 2%Z stories and shall not exceed 30
feet in height except as provided in section 78-1366
(b) Lots. The following minimum requirements shall be observed:
_ ................... __......------.._..._.... ._._._ .�._.__.
�.._.Lot Lot Front Side Side Yard Rear
..
IArea Width Yard Yard Adjacent Yard
�
;(acre) (feet) (feet) (feet) to Street (feet)
� (feet)
i
__
_ ._ _____............._-- - ._ �......._...
�2 200 50 30 50 50 �
i �
�
Sec.78-1279. -Placement of structures on lots.
When more than one setback applies to a site, structures and facilities must be located to meet all
setbacks. Structures shall be located as follows:
(1) Structure and on-site sewerage system setbacks(in feet) from ordinary high water level:
� Setbacks
iSewage
�
i Public Water Structure Treatment
i
�
�__ _...__�..._....__...._�_..___...___..
__._....�..__......_.._..
�Classification �nsewered Sewered System
�
� ,
'jNE �150 150 150
� i
�R� 100 75 75
�
�GD 75 75 75
�
�
� ____ __...._... __ ... _..__... _
�Tributary 100 75 75
i
i
Page 1
(2) Additional structure setbacks. The following additional structure setbacks apply, regardless of
the classification of the water body:
;Setback from: �� � Setback �
i (in feet)
i
I
iTop of bluff 30 �
�
'i Unp tta el d cemete.ry ��� _ ----_ ._._....._.. 50 �
I
i
Right-of-way line of federal,state or county highway and local public and private roads 30*
" Except for detached garages on lakeshore lots as regulated in section 78-1435 and except
for structures subject to less restrictive side yard adjacent to street setbacks as regulated in the
various zoning districts.
(3) Bluff impact zones. Structures and accessory facilities, except stairways, landings and lock
boxes, must not be placed within bluff impact zones.
(4) Uses without water-oriented needs. Uses without water-oriented needs must be located on lots
or parcels without public waters frontage, or, if located on lots or parcels with public waters
frontage, must either be set back double the normal ordinary high water level setback or be
substantially screened from view from the water by vegetation or topography, assuming
summer, leaf-on conditions.
(5) Fences, docks, retaining walls. No fence shall be placed within the shore setback zone.
Portions of dock located landward of the OHWL shall be considered as a landing, subject to the
regulations for landings per section 78-1282. Retaining walls shall not be placed within the
shore setback zone.
(6) Average lakeshore setback. No principal or accessory structure shall be located closer to the
lakeshore than the average distance from the shoreline of existing residence buildings on
adjacent lots; except that this does not apply to stairways, lifts, landings, lockboxes, flagpoles
and pump houses. Further, the average lakeshore setback shall apply only to classified lakes
and shall not apply to tributaries. The average lakeshore setback line shall be a straight line
connecting the most lakeward protrusions of the residence buildings on the immediately
adjacent lakeshore lots.
a. In instances where the average lakeshore setback can not be met, administrative approval
may be granted at the discretion of the planning director provided no lake views of an
adjacent lakeshore lot are obstructed and adjacent neighbors provide written approval.
(Ord. No. 101 2nd series, § 1(10.56(16)(C)), 2-24-1992; Ord. No. 11 3rd series, § 1, 5-24-2004; Ord.
No. 106 3rd series, §28, 6-10-2013)
Page 2
ordon
ames
DEtiIG�' BUILI� REN()\'�I'k
i432 Shoreline Drive
Remodel Project
We are submitting an application for building permit to remodel a home located at 1432
Shoreline Dr. in Orono.
The scope of the project is to remove the west section of the home and rebuild from the first
floor up. There will be minor re-modeling to the interior of the existing east section of the
home.
The footprint and hard cover of the home will not change from existing.
�_,�/���`°>
WiII Ha�ck �
Gordon James Construction
5159 Main Street-PO Box go6 Maple Plain,Minnesota 55359
Ph�63-479-3117 F�763-479-3i28 Gordon-James.com MN Lic.BC53i96i
, .
� � Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum required
information is included with the submittal. If not, the application will NOT be accepted. Call
952.249.4620 to schedule a meeting with staff if you have questions on application submittal
requirements.
�
'9
=,/-�"` Completed Application
..--�'
Plan Review Fee Paid
Signed Escrow Agreement & Escrow Payment
i.-
� Building Plans (to scale) x2
� ��ertificate of Survey (to scale) showing the proposed project &
��� meeting all requirements x2
Hardcover Calculations (if applicable) :� ��'
I am aware th� Orono will not issue a building permit without a
�opy of MCW� permits (or documentation from the MCWD stating
the propos¢d project does not trigger their permitting
r�s�.uirem�nts). I �nrill contact the MCWD at 952-471-0590
t`` regardi � �his pr �ect.
s �
Signed by: -
Address: Z � - � ��
Permit #:
;PLAN REVIEW CHECKLIST FOR ��Z ����.(,i'�2 ►�.
Address: l'f � r����. ��
— o�dd.i�ar�1 r�m_rr�� dot�.L1c�- C1��.._.
Description of work: ( � - +
� �
Septic review by: �� �Wu �I 7�r
Zoning review by: � ""���---
Building review by: i - -- - "�'"-"
Grading review by: i �-"'
Zoning District: � -� Zoning File#:
Zoning: Lot Area: �Z � SF/AC -.g Width: �
Survey Submitted: � Yes � No Date! �
Proposed Setbacks: "�`--
�
F�(Lake) r(Stree�� ( N S E V�' —_
/ Side ,
Defined Height: Peak Height: FF�
Perimeter(linear feet) = 50%_ �
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:
� � The distance between the lowest proposed
START WITH floor(of the basement or crawl space)and
the highest point of the roof.
If you have a...
,(/y • GABLE OR HIPPED ROOF(no ,
���� windows): Subtract half the distance
between the highest point of the roof
� to the low point of the corresponding
SUBTRACTION gable or hipped roof
(BASED ON . GABLE OR HIPPED ROOF(with
ROOF TYPE) windows): SubVact half the distance
between the top of the highest
window and the highest point of the
roof
• ALL OTHER ROOF TYPES(flat,
mansard,etc):No subtraction.
SUBTRACTION SubVact the distance between the
(BASED ON basemenUcrawl space floor and the
EXISTING highest existing grade adjacent to the
GRADES) foundation OR 10 feet(whichever is less).
EQUALS Deflned building hetght
Shoreland District MCWD Permit �
�
�Yes � No Permit Number: �
� N/A—see attached �
Stormwater Quality Existing Hardcover Proposed
Overlay District o Hardcover Y
Tier circle one (/o and sfl �/,and s
1� 2 3 4 5
Updated: January 2015 �
z:\forms\plan review checklist 2015.docx "'
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REMARKS (in-house):
Fees to be Char ed YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = $
15t Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing 0 Grading/Filling � Well
� Silt Fence/Erosion Control � Mechanical 0 Fire 0 Electrical
0 Hardcover Removal � Septic � Water Connection
� Footing � Fireplace � Sewer Connection
� Poured Wall 0 Masonry 0 Lawn Irrigation
O Foundation Survey � Mfg. � Landscaping
� Foundation Waterproofing � Other(specify)
� Radon Rock Bed
0 Framing
� Insulation
0 As-Built Survey
0 Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: � YES � NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2015
z:\forms\plan review checklist 2015.docx
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Parcel 11-117-23-22-0014 ✓ A-T-B: Abstract Map Scale: 1"=50 ft. N
ID: �Print Date:2/9/2015
Owner L E&J L Born Trustees Market $369,000
Name: Total:
Parcel 1432 Shoreline Dr Tax $4,447.00
Address: Orono, MN 55391 Total: (Payable:2014) I
Property Residential Lake Shore Sale $424,000
Type: PI'iC2: This map is a compilation of data from various
sources and is furnished"AS IS"with no
Home- HOmestead Sale 05/2012 representation or warranty expressed or
St@8d: D8t@: implied,including fitness of any particular
purpose,merchantability,or the accuracy and
completeness of the information shown.
Parcel 0.3 acres Sale
Area: 12,881 Sq ft COd@: COPYRIGHT OO HENNEPIN COUNTY 2015
� ThinkGreen!�
http://gis.hennepin.us/Property/print/default.aspx?C=455907.79000000003,4978888.838599... 2/9/2015
C'i�'RTII�'ICsATE � OF Sv}��''�Y REC�IYED . .
Prepared for :
�U�E�y gpRN FEB - 6 2015
'� 1 cmr oF oRONo
�ARC�L A$EAS• � � ,
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Existiag parce� area . = 8. 135 sq. ft. ,_ :._%�' r..�,.• 22
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Proposed p3.us old parcei = 13,196 sq. ft. ' -% •-..��
Re�aining area af Lot 2 = 13,620 sq . ft. ,-,:�•� ,.',�:�`
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L�GAi� DSSCRIPTI4NS:
EXISTIAIG PA,RC�i,- .
A sLrip af Land in Goveramant Lot F, 5ection 11, Tflvns�hlp 117 North, $enge 23 Kest et the Fi£th
Principal Me'rfdian, said strip of land havirag a uaifarm vfdth of 60.04 feet aad bonnded an the
aaat by the sk�ore ot' La�ce Minaetianka and �on tAe Weat hy th� shore nf Mur3 or Raund Lake (so-
aa2ted). Tite northerly i�ne o� vhich �aid 60.Q0 fvot ettip of land is Aescribed as fQilors:
Begianing at'a point 585.84 feet aoutheaeterly measured alonq a line �rhich bears Son�h 24 �
Q�qrees tast trom tha meander carn�r af th� NQrtheasL carner oE' said Governme.aL Lat IJ thence
Nvzth 57 d�yrees 48 �einutee Last a c3i�tance of 14.3 feet more or less Lo bhe shcre a� I,ake
�[inaAtonkat thenc� South 57 degrees 4$ �ainutes W�at a distance oE 2Q7.27 feet mar� or 1Ra,s to
the ghore of Hud ar• Round Lake (so-called?. 'Che aouthet2y bou�ndary Iina of said 60.00 faot
strfp Deiag � li.x►a paraile,� with �nd 6fl.Qt3 Eeet aauthar�y froao and areasured at a rig�t angle
to Lhs r►es�lser2Y line above descrf6ed iand. Excepting from safd abov� des�ribed strip the
publ�C highvag crossf�g said trac� aii aceording ta the United Statea govern�aent survey
th�r�vf.
f'rap�rEr aeross road not includesi in thfs contraCt.
P8t}ibSED PARCEL: (Laad to be added ta existiag parcel�
3'he aoutt��e�sterly �lT.�3 leet of Lot 2, Hiork t. DHAGOKFLY HILL, according to the recorded plat
thereof, Hertnepia Counb}r, Minnescta. � -
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st�rs�cx ��t�s zqu� ,��_ x�ncov�x �►��a J��,��Nz_ Q� c�v�au►c
0• Lo ?'S' .5S9Q sq. fi. 2563 sq. ft. 4�1L ' .
�5' to 2S0' 26i5 s�. £t. 95$ sq, tt. 38X
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SfiTEACK ZONES ZQrI; 1tH�A E�$3,1CQY'iR a�� FE8C8N? flF COY�!$J1C RGV«� ID��t� �}o cerxPunc�a�ra�� � .
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� I h�ntby cxrtify thQt this sasvs�r, pbn or rspor! ��ALE ,
� A�L'������,� ���� wes ptepand b�r a�e cr under �ny d�raCf supervision � t�� ��
:� � �� � an8 that I om a duly R�qister�d Land S�rrv��t�r ' �
nod�r ths la� of th� Sfafe of Minn�sct�. � K ppjQE
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� 2344 l�oniela Slree? • -
Q. L,anQ Laice, Minnesot4 5535� • ���E � :
;� . Ph: 475-1433 DATE � !$ ���� �E�. No. ���Z� �� '
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant �
CC: Street 8 Zoning File
Date: March 12, 2015
G/L: 101-22205
Re: Escrow Refund
Building Perrnit#2015-00155 and Zoning Permit#15-3721 pertaining to 1432 Shoreline Drive
has been withdrawn. Please refund $2,325.98 ($700 zoning application fee; $700 escrow
and $925.98 building permit plan review fee)to the property owner, Matt Johnson.
The following is attached:
• Copy of cash register receipts showing monies received
Mail to: Matt Johnson
1432 Shoreline Drive
Wayzata, MN 55391
• z:�zoning applications�2015 zoning applications-#3704 thru\15-3721 (1432 shoreline dr)var�application withdrawn
-refund request.doc�c
. , CITY OF ORONO * 2 pJ 1 5 - 0 0 1 5 6 *
2750 KELLEY PARKWAY DATE ISSUED: 02/06/2015
ORONO,MN 55356- �
952 249-4600 FAX: 952 249-4616
ADDRESS : 1432 SHORELINE DR
p� : 11-117-23-22-0014 '
City of OronParkwaY
LEGAL DESC : UNPLATTED 11 117 23 2750 Ke11ey55356 952-24g"4600
: LOT 000 BLOCK 000 Orono MN Feb 6, 2015
PERMTT TYPE : ADVANCED PLAN REVIEW Receipt No: 3.012763
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Gordon James Const ,p0
VALUATION : $ 150,000.00 Previous Balance: 925.98
permits
NOTE: PLEASE FILL IN TI-IE FOLLOWING: 2015-00156
1p1-34410 _____
Plan Check/Site Exam Fees________g25 98
VALUATION OF PERMIT:$ 150,000.00 ________
Total: ==_-__'____
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION REMODEL g25.98
Check 5464
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00155 Check No:
PaYor: 925.98
Gordon iaee�s Const _______
Total App -""--- ,00
Chan9e Tendered: _�_____________
, 02/p6/2015 09:53AM
APPLICANT ADVANCED PLAN RE .��, 925.98
TOTAL 925.98
GORDON JAMES CONSTRUCTION Payment(s)
5159 MAIN STREET E CHECK 5464 925.98
P.O.BOX 306
MAPLE PLAIN,MN 55359-
(763)479-3117
Mi:uiesota State License#:BUIL-20531961
OWNER
BORN,LAUREN&JOYCE
1432 SHORELINE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
T'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 dces
not grant permission for additiona!or related work which requires separate
permits. All provisions of la and ordinances governing this type of work
shall be compied with wh r or not specified herein This permit will
expire and become null en void if construction authorized is not
commenced within 1$0 , ys of the date of issuance,or if construction is
suspended for a per�Sd o3'180 days at any time after work has commenced.
T'he applicant i�spo f ible for assuring all required inspections are
rec�yest�3in copfo ce with th tate Building Code.This permit may be
re`voked at an ti 'for due caus G `^
�- � �� �- � �,�. L.. LL��-vt c�._dt � � (s� �
Applicant e e Signature at Issued By ignahue Date
i
60 Day Deadline:
� r Date incomplete Notice Sent:
Copy of Application Sent to:
Engineer on County on
DNR on MCWD on
LMCD on
Date Property Owners Notified:
Date Legal Notice Published:
PC Meeting(s): Vote:
Vote:
Vote:
Notice of PC Action:
; City Council Meeting(s):
Vote:
'i Vote:
i
Vote:
� ' Notice of Council Action:
� Resolution:
� I �
'�
City of Orono �
Oro�o eMNey55356way 952-249-4600
+ Receipt No: 3.012828 Feb 18. 2015
Matt lohnson
�
Planning and Zoning 700.00
i 15-3721 1432 Shoreline
� Dr
101-22205
� Deferred Rev-Developer Depasit
� Planning and Zoning 700.00
15-3721 1432 Shoreline
� Dr
� 101-34420 .
� Cond Use-Variance-Dev Fees______________
�
Total: ______1_400 00,
! Check 1.400.00
Check No: 5071
Payor:
Matt Johnson �,400.00
; Total Applied: _______________
Change Tendered: ___________00_
`� 02/18/2015 11:54AM