HomeMy WebLinkAbout2010-01116 - retaining wall ! • �
` CITY OF ORONO PERMIT NO.: 2010-01116
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE�SSUE�: 1U24/2010
' 952 249-4600 FAX: 952 249-4616
� ADDRESS : 2058 SHORELINE DR
i PIN : 15-117-23-21-0003
LEGAL DESC : HARTWOOD
: LOT 004 BLOCK 001
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : RETAINING WALL<4 FEET
NOTE: REPLACE RAILROAD TIE RETAINING WALL WITH STONE AND PAVERS
REPLACE CONCRETE PATIO WITH PAVERS
APPLICANT RETAINING WALL<4' S0.00
TERRY,JOSEPH&KAIMAY TOTAL 50.00
5109 RIDGE ROAD
MINNEAPOLIS,MN 55402-
OWNER
TERRY,JOSEPH& KAIMAY
5109 RIDGE ROAD
MINNEAPOLIS, MN 55402-
AGREEMENT AND SWORN STATEMENT
The work for which[his 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 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 conformance with the State Building Code.This permit may be
:. revoked at any time for due use.
�� �� // K. //�
,Ap licant Permitee Sign re Date Issu By Signature Date
, SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• �
City of Orono
Zoning Permit A plication
�---� Mailing Address: Permit number: a0 /D -d /���P
/�Q \ PO Box 66
�\� Crystal Bay, MN 55323-0066 Date received: ll '"/ � -/O
,' � ; ��'j E�scrowamount: �ZsUd,�
�� ���' '
Street Address: s cra v`i
� '� ��'�� `�y ti�� 2750 Kelley Parkway �Fee: oZ0 /O-O l// 7
������'�,,��,� Orono, MN 55356 ApProved bY: � �� � �
�kESH�4� Notes: G �
�=—= Fax: 952-249-4616 � � e � r �/�-�
Main: 952-249-4600 `N`N`N.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. (P/ease print.)
GENERAL INFORMATION:
Job Site Address:_____.� Z��: �" )Mj� �: ���, �✓� � i�-�J � �(��'r%�
CONTRACTO APPLICAN FORMATION:
Name: . " �5;;:��� -�� �"k'1,�`�
Phone: `j'S � - `i 3 3 4 <L- > Fax:
Address: S�=%- f��`L�'�� City: ZIP:
Contact Person: ContacYs phone number
Email i ' ,_ , ,, ; �, �, Applicant is: Contractor �Ho,meowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: -1 ��.����_�� •i �I�1 L�Y'�" �%l Z� �-��' "�`'S�l �KI'�CL''«�
Phone (day): � '� 1 � { � _ - �S'y - t/_ -55�5' -TT Ce�.c
Mailing Address: � � p C,r{, (La �,P : ZIP: �s-
Email and/or Fax ��_��,, 3 ��'� iA y�q v1 , ���.c . IC� rv,a i` ���r ti C -�� �: ! , 4;�,
Overall Project Description: r L i�'�-p�t� k/{�l(J��}i� Ti�` ic�,��i a✓;,1/W- k1,�t�q W,rnS�j�� � ���/�y_�i
�,—./�
I S C" Y L-a.�� �il,l�e'i�[:�� „��.?�l� Lv� �.l �'�/�'l��-�!
Check TYPE OF PERMIT COST
Box
Residential Dock-Permanent dock on any lake or initial seasonal dock not on $30+engineering review
Lake Minnetonka ermanent dock re uires CUP costs
Commercial Dock $50+engineering review
costs
Escrow for erosion control and en ineerin review costs $2,000
Minor Land Alteration (grading, filling or excavating)-500 or less cubic yards $50+engineering review
outside of lakeshore setback or less than 10 yards in lakeshore setback costs
Escrow for erosion control and en ineerin review costs $2,000
Major Land Alteration (grading, filling, or excavating) more 500 cubic yards or $30
more than 10 cubic yards in lakeshore setback (also requires CUP)
Escrow for erosion control and en ineerin review costs As determined b CUP
Stairway to Lake $50+engineering review
costs
Escrow for erosion control and en ineerin review costs $2,000
Retaining Wall not requiring a building permit(A building permit is required for any $50+engineering review
/ retaining wall that measures more than four feet from bottom of footings to top of costs
'✓ wall. 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
Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e.
Structure Permit for other structures not requiring a building permit but regulated $50+ engineering review
by the zoning code (including, but not limited to accessory building of less than 120 costs
square feet, detached deck or platform and sport court)
Escrow for erosion control and en ineerin review costs $2,500
(over)
.j� ��
APPLICANT/OWNER ACKNOWLEDGEMENT:
Agrees to provide all information required or requested by the Planning Department;
Owner agrees to pay the City of Orono for engineering consultant review costs where applicable;
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 attached Escrow Agreement is completed and signed by Owner;
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.
The undersigned certify that the information supplied is true and correct to the best of their knowledge.
Applicant's Signature: � `!� , Date: / )�//�O/�°��
Property Owner's Signature: -� /'(� Date: �� � ��' ( 20�v
TYPE OF PERMIT: SUBMISSION REGIUIREMENTS:
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
Residential Dock Seasonal Dock—survey showing proposed dock
Permanent Dock-plans as approved by CUP and copy of LMCD permit
Commercial Dock 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD permit
Minor Land Alteration 1. Grading plan including existing and proposed contours
(Less than 10 cu.yds. within 75'of lake 2. Amount of fill to be imported and/or exported and haul route
or less than 501 cu.yds elsewhere.) 3. Amount of earth to be moved around on site
4. Erosion control plan or copy of MCWD Erosion Control Permit
Major Land Alteration 1. Plans as approved by Conditional Use Permit
2. Erosion control plan or copy of MCWD Erosion Control Permit
Stairway to Lake 1. Construction plans for stairway
2. Topographical survey of property with proposed stairs drawn in.
3. 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, grading plan including
existing and proposed contours
3. Hardcover calculation worksheets if in shoreland district
4. Erosion control plan or copy of MCWD Erosion Control Permit
Tree Removal Call 952-249-4600 to schedule inspection.
Structure Permit 1. Plans for structure.
2. Survey of property with proposed structure drawn in and with setbacks to
property lines, other structures on property and the septic system indicated.
The general location of any sewer and water services should be shown if
applicable.
3. Grading plan if grading is required
4. Hardcover calculation worksheets if in shoreland district
5. Erosion control lan or co of MCWD Erosion Control Permit
Last Updated: October,2010
S �
2335 Highway 36 W
St.Paul,MN 55113
Tel 651-636-4600
fax 651-636-1311
www.bonestroo.com
November 24, 2010 � Bonestroo
Melanie Curtis
Planning &Zoning Coordinator
City of Orono
Post Office Box 66
Crystal Bay, MN 55323
Re: 2058 Shoreline Drive
File No. 000139-10000-2
File No. 2010-01116
Dear Melanie:
We have reviewed the plans for the proposed grading, patio, and retaining walls to be
constructed at 2058 Shoreline Drive. The plans are dated 11-9-10. We have the foliowing
comments with regards to engineering matters:
• We are assuming that steps will be placed along the walk way through the retaining wall
area instead of the sidewalk shown at a 30% to 50% grades.
• The proposed north-south retaining wall is shown at the minimum separation distance for
its proposed height. If field changes increase the height or decrease the separation,
engineering design and details must be submitted for review.
• This project will disturb more than 25, but less than 100 cubic yards of material.
Sediment and erosion contro� information meeting the requirements of Orono's City Code
79-7(c)(1) must be submitted. The minimum $2000 sediment and erosion control
financial security should be required of the applicant for this permit.
If you have any questions, please call me at(651) 604-4894 or send an email to
darren.amundsenCa�bonestroo.com.
Yours very truly,
�» `��_��
----,
Darren Amundsen
Cc: Tom Kellogg
l0'�og ?o��N � k�►M,n�y TL-�2�y ����fo
_., F�
r L�T�- �!c�K./ 7��TwOoO �OV Y
�IARDCOVE LCULATION WORKSHEET
SET13:�CT4 ZONE: (CTRCLL rNE) 0-75' 75-250' 250-500' SOOQ@p,p' �8ZO10
Et:ISTING HA1t.DCOV�R IN ZONE '�Y�F
A. House x = S.�RQ/V
Len�tth Width • 0
X = S.F.
X = S.F.
X = S.F.
B. Garage X =
— � S.F.
C, Driveway , x = S.F.
� x = S.F.
D, Sidewalk �^ x = S.F.
X = S.F.
E. PatioNeck x = S.F:
X = S.F.
F. Landscape � x = S.F.
Underlain � x = S.F.
13y Plastic X _
S,F.
Or Fabric '
G. Other .__ x: = S.F.
TUTAL HARDCOVER IN ZONE - O S.F, A
TOTAL PROPERTY AREA II�T ZONE - 6�I S.F. B
A T B X 1 OO — • °/O
PROPOSEll HAI2DCOVLIt TN ZONE
A. I-�ouse x = S.P.
Length Width
x � S.F.
—� X = S.F.
— X = S.F.
B. Garabe x =
s.r.
C. Uriveway x = S.F.
X - S.F.
ll, Sidewalk x = S.F.
— X = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscape __ _____ x:.. = S.F.
Underlaici x = S.F.
By Plastic X _
Or Fabric
— S.F.
G. O tlier x = S.F.
TOTAL HARllCOVER IN ZONE - S.F. A
TOTAT.PROPERTY.A1�;A IN�ONE - S.F. B
`,' � B x 100 = %
. „
,
,
�o -3 0 5 �'o�Q�- � ,��-�M,�y TE�22 y l!�/Ol/c�
�-IARDCOVER CALCULA�WOItKSHEET
SET13:�CT{zON�: (CIRCLC �NE) 0-75' 75-250 250-500' 500-1000'
EXISTING F�A1t.DCOVLR IN ZONE �?�r Wk«S
A. Iiouse x = .33�v S.F. �„1E7—�Ft. ST�,S�
l.ength Width • v�ll)�rL(y20uni
X = S.F. ENTx.�,�rGF
� = S.F.
X = S.F.
B. Garlge — . x = S.F.
C. Driveway x = S.F.
. X = S.F.
D, Sidewalk -' x = /037 S.F.
X = S.F.
E. PatioNeck x = S.F:
X = S.F.
F. Landsca�e X =
S.F.
Underlain , x = S.F.
By Plastic x = S.F.
Or Fabric '
' TFt iv N i,5 [,cr�27
G. Other .-- x: = 7�57 S.F.��1TP/�ZFT.WA�C(,
��7Lal�5
TUTAL I-iARDCOVER IN ZONE - �Z�a S.F. A
TOTAL PROP�R'fY AREA IN ZONE - Z 9 � �U S.F. B
� gZ�� ;- B z9��a X ioo = . ___3%,.� z�. �io
PROPOSEll HAI2DCOV�IZ I1�1 ZO1�IE
A. House X �
_ S.F.
Len�th Width
x � S.F.
—. X = S.F.
— X = S.F.
B. Garage x = S.I'.
C, Driveway _ x = S.F.
X = S.F.
ll. Sidewalk x = S.F.
X = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscape .� ____ x:�, = S.F.
Underlain __ x = S.F.
By Plastic x = S.F.
Or Fabric
G. Otlier _ x = S.F.
TUTAL HARllCOVER IN ZONE - S.F. A
TOTAL PROPERTY.Al2.F;A IN�QNE - S.F. B
A - $ x 100 = %
+ �o _joS �`oscP# � �.'/�/M�i'1 TG�.�2?/ ll/!o/`v
�-IA.RDCOVER CALCULATION W012KSHEET
SET1�:�CT�ZONE: (CIRCL�C rNE) 0-75' 75-250' S0-500' S00-1000'
E�'.ISTING HA.I2.�COV�R IN ZONE
A. House x = 3Z26 s.F.
Lcngth Width
x = S.F.
x = S.F.
x = S.F.
B. Garabc: _ x = S.F.
C. Driveway x = $7�9 S.F.
x = S.F.
D, Side�vaik �1- S�(!1/�A'L�' �c , = CZ�s� S.F.
�(,� ,tf. ul,p�LlG s k�p�rrv = S.F.
3¢Z �-D/�'cl w�t�ats
E. Patio/Deck x = S.F:
/3/ W�w�ur-.P�� x 7 3ste,� 5 ¢,5 = �3 g S.F.
F. Landscape S�v�p,,a� Bo�„ x = 33 S.F.
Underlain � x = S.F.
By Plastic x = S.F.
Or I'abric � �
G. Other Z� �e�t"w��t� x: t� A-/C ,��D.s = '� S.F.
TUTAL HARDCOVER IN ZONE - ,[.s$Z$ S.F. A
TOTAL PROP�RTY AREA IN ZONE - $o Z35 S.F. B
A /.35z� T B �o z3s x 100 = . .L L:g3 %
PROPOSFll HARDCOVER IN ZONE
A. House x = 3Z Z� 5.�,
Length Width
X = S.F.
—, X = S.F.
_� X = S.F.
B. Garage x = S.r.
C. vriveway x = 87q� S.F.
X = S.F.
D. Sidewalk Zg$ l'- x273f 70,(, _ /L7� S.F.
—. X = � S.F.
E. Patin/lleck x = L29 S.F.
X = S.F.
F. Landscape �� W'A-GG� x:•, = lb6 S.F.
Underlain _o�p►�,p�r2 x ' _ ;33 S.F.
By Plastic x _ = S.F.
Or Fabric 5 P�'-'-u- `/ z 5
X'��51� CT LI� b
G. Oth�r x ��C f�OS = �� S.F.
TOTAL HARDCOVER IN ZONE - /,3.6�S.F. A
TOTAL PROPERTY Al2EA IN ZONE - –�0 Z3S S.F. B
� /�3�79 = s 5aZ35 X ioo = z7. 23 °io
, �
.Io-305 �casEptt E �g�u��y TF,�e y ��1011o
I
�I.4RDCOVER CALCULATION WORKSHEET
SET13:1CTC ZONE, (CIRCLC �NE) 0-75' 75-250' 250-500' 00-1000'
EXISTING HA.1t.DCOY�R IN ZONE
A. House x = S.F.
Length Width •
X = S.F.
� , = S.F.
X = S.F.
B. Glrage x = S.F,
C. Uriveway x = S.F.
X = S.F.
D, Side�valk �_ x = S.F.
X = S.F.
E. Patio/lleck x = S.F:
X = S.F.
F. Landscape X =
S.F.
Ui�derlain x = S.F.
By Plastic x = S.F.
Or Fabric �
G, Other �.__ x: = S.F.
TUTAL HARDCOVER IN ZONE - o S.F. A
TOTAL PROP�RTY AREA IN ZONE - 7/�a S.F. B
A -�' g x100 = . %
PROPOSEll HARD�OVEIt IN ZONE
A. House x = _ S.F.
Len�th Width
x � S.F,
—. X = S.F.
-- X = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
X = S.F.
ll. Sidewalk _ x = S.F.
X = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscape ._ -_____ x... = S,F.
Underlaiii _ x = $.F.
By Plastic x = S.F.
Or Fabric
G. Otlier x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY.S12.E;A IN�ONE - S.F. B
A '" B x 100 = %
. ,.
ATE TIME "
CITY OF ORONO CALLED IN 1'�
INSPECTION NOTICE SCHEDULED
PERMIT NO.��a -o/i/� COMPLETED
ADDRESS �"
OWNER TEL HONE NO.
CONTRACTOR _�
� DESCRIPTION �`erQ�����'I (�/� ����"�`
� ❑ 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
�INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
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W ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 t r the next inspection 2a ho rs in advance. (952) 249-4600
OwnerlContr ' it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
. : • .
1 .
emo
To: Finance Department
From: Christine Mattson, Planning Assistant (�(�
G` �
CC: Street File
Date: 8/3/2011
Re: Building Permit Escrow Refund
Building Permit#2010-01116 pertaining to 2058 Shoreline Drive is complete. The Applicant,
Joseph & Kaimay Terry, has requested a refund of the escrow.
The following is attached:
��0� O D
• Escrow Refund Request from Melanie Curtis
• Email from Bonestroo indicating no unbilled WIP on this project
� Email from Campbell Knutson indicating no unbilled WIP on this project
• Original signed escrow agreement
Mail check to:
Joseph & Kaimay Terry
5109 Ridge Road
Edina, MN 55436
w:\street files\shoreline drive�2058\escrow refund memo 2010-01116.doc
Christine Mattson Z��.� -6 0 � � �
From: Melanie Curtis
Sent: Monday, July 11, 2011 1:37 PM
To: Christine Mattson
Subject: Escrow Refund
Please begin processing the escrow refund for 2058 Shoreline Drive (Joesph &Kaimay Terry)—their permit has been
finaled and closed. I don't know if there are any WIP.
Melanie Curtis
Planning &Zoning Coordinator
City of Orono
2750 Kelley Parkway
Orono, MN 55356
Direct Dial: 952.249.4627
Fax: 952.249.4616
Planning &Zoning Office 952.249.4620
Email: mcurtis[�Dci.orono.mn.us ,
Website: www.ci.orono.mn.us
Summer Office Hours (Monday, May 23rd to Friday, September 2nd)
Monday-Thursday 7:30 am to S:OO pm
Friday 7:30 am to 11:30 am
1
Christine Mattson
From: Darren Amundsen [Darren.Amundsen@bonestroo.com]
Sent: Monday, August 01, 2011 7:26 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
No
No
And
No
Darren Amundsen, PE
Associate
Direct 651-604-4894
Cell 651-775-5623
darren.amundsenCa�bonestroo.com
•�'�Qi�E��E`C��3
- --.---e�__ ___.----- _._._ _._ ._..._...__.__ _.. � _ _... _____ _ _.__. _ .. ._..___._
From: Christine Mattson jmailto:CMattsonCa�ci.orono.mn.us]
Sent: Friday, )uly 29, 2011 9:14 AM
To: Darren Amundsen; 'Sherry Charboneau'
Subject: Unbilled WIP
Good Morning,
Any unbilled WIP for:
Building permit 2010-00615 1820 Fox Street Nivin MacMillan
Building permit 2010-01116 2058 Shoreline Drive Joseph & Kaimay Terry
Building permit 2009-00177 3186 North Shore Drive Mike Jones /Glen Neddermeyer
Have a great weekend...stay cool!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway j Orono � MN ; 55356(physical addressJ
PO Box 66 j Crystal Bay ; MN I 55323-0066 (mailing addressJ
S 952.249.4620 8 952.249.4616
� cmattson@ci.orono.mn.us j � www.ci.orono.mn.us
Office Hours(Monday, May 23rd to Friday,September 2nd):
Monday-Thursday 7:30 am to 5:00 pm
Friday 7:30 am to 11:30 am
DUR OFFICE WILL BE CLOSED: Monday,September 5,2011
i
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Friday, July 29, 2011 10:54 AM
To:� Christine Mattson
Subject: RE: Unbilled WIP
Christine:
Nothing for Campbell Knutson.
Have a great weekend.
Sherry
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317• Eagan,MN 55121
'1�(651)234-6230• Fax: (651)452-5550
�scharboneauCalck-law.com•www.ck-taw.com
From: Christine Mattson jmailto:CMattsonCa�ci.orono.mn.usl
Sent: Friday, July 29, 2011 9:14 AM
To: Darren Amundsen (darren.Amundsen@bonestroo.com); Sherry Charboneau
Subject: Unbilled WIP
Good Morning,
Any unbilled WIP for:
Building permit 2010-00615 1820 Fox Street Nivin MacMillan
Building permit 2010-01116 2058 Shoreline Drive Joseph & Kaimay Terry
Building permit 2009-00177 3186 North Shore Drive Mike Jones/Glen Neddermeyer
Have a great weekend...stay cool!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway j Orono ; MN � 55356 (physical address)
PO Box 66 ; Crystal Bay ; MN ' S5323-0066 (mailing address)
'!li' 952.249.4620 i 6 952.249.4616
�cmattson@ci.orono.mn.us ; ;www.ci.orono.mn.us
Office Hours(Monday, May 23rd to Friday,September 2nd):
Monday-Thursday 7:30 am to 5:00 pm
Friday 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday,September 5,2011
1
. . . ✓
ZONING PERMIT ESCROW AGREEMENT
Orono Zoning Permit# v�4/O-CJ///�
AGREEMENT made this��o day of r�c!; 20/�, by and befinreen the CITY OF ORONO,
a Minnesota municipal corporation ("City")and a ("Owners").
Recitals
1. A buildin,g permit application has been filed for a zoning permit for a property located at
���.C�c-�u��,�� ph��/�he ("Subject Property°), legally described as ls- � 1� - i3_Z� - c��o3
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 $�SA�.a'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 zoning permit #o���-����(o 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 retumed 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 ff 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: C�OF ONO OWNER:
By: �.
Its: C
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$ ��. .,,� '� �`� `� �� ��`
�..-.,,..-.
• • • CITY OF ORONO PERMIT NO.: 2010-01117
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 11/16/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2058 SHORELINE DR
PI1v : 15-117-23-21-0003
LEGAL DESC : HARTWOOD
: LOT 004 BLOCK 001
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: ESCROW OF$2500.00 PAID BY OWNER-CHECK#1763 FOR ZONING PERMIT 2010-01 1 16-RETAINIG WALL
APPLICANT ESCROW FEE-APPLICANT 2,500.00
TERRY,JOSEPH&KAIMAY
5109 RIDGE ROAD TOTAL 2,500.00
MINNEAPOLIS,MN 55402- ,
OWNER
TERRY,JOSEPH&KAIMAY
5109 RIDGE ROAD
MINNEAPOLIS,MN 55402-
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. Atl 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 suthorized 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 conformance with the State Building Code.This permit may be
revoked at any time for due cause.
l l � �f /,r DC� / �� / p� /D
Applicant Permitee Signature Date Iss e By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK DTHER THAN DESCRIBED ABOVE.
Checklist for Refunding Building Permit Escrows
Building Permit # �l�-Ol l��
Street Address: 2.05� ��r(;�Q� (��'
Applicant Name: ct�h �- (CA�YY�(X1�,� �'�,('Y�
❑ Escrow request received Date: � - L � ' � (
(to be completed by Barb)
Are all inspections completed Yes No
If not, list what is outstanding: ��- 7"�� �( � �l�
Was there a Temporary Certificate of Occupancy issued? Yes � Date:
Was there a Final Certificate of Occupancy issued? Yes � Date:
Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: 1 "2-Q"� �
Prepare memo for Finance Department �-�- ( �
�
Note amount refunded in program.
z:\fortns�zoning standard forms�checklist for refunding building permit escrows.doc
December 23,2010
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