HomeMy WebLinkAbout2013-00945 - attached deck � CITY OF ORONO *� 3 - 0 0 9 4 II11111*I
2750 KELLEY PARKWAY pATE�ssvE�: 09/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 9/13/2013
ADDRESS : 3480 SHORELINE DR
PIN : 17-117-23-43-0093
LEGAL DESC : NAVARRE HEIGHTS
: LOT 017 BLOCK 006
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 2,700.00
NOTE: ATTACHED DECK
APPLICANT PERMIT FEE SCHEDULE 88.50
BLOCK, JAMES PLAN REVIEW 57.53
3480 SHORELINE DR
MINNETONKA, MN 55391- STATE SURCHARGE(VALUATION) 1.35
MISC FEE 0.00
TOTAL 147.38
OWNER
BLOCK, JAMES
3480 SHORELINE DR
MINNETONKA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
[he approved plans and specifications,applicable City approvals,and [he
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 la�as 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
commenccd 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 res onsible for assuring all required inspections are
requested in onfor ance with the State Building Code.This permit may be
revoked at a tirr�e or due cause.
G� �t� �����3 � � /�S � �
Applican ermitee Signature Date lssu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Christine Mattson
From: James Block[farmerjim1960@yahoo.com]
Sent: Thursday, August 08, 2013 3:19 PM
To: Christine Mattson
Subject: Permit Application#2013-00743
Dear Ms. Mattson,
I am interested in replacing a deck on my house at 3480 Shoreline Drive. the
above permit # is listing the incorrect address, It is listed there for 3472
Shoreline Drive.
Please call me when you get a few moments to discuss this plan. I am unclear
why I need to get the property surveyed and hard cover calculations etc. when I
am replacing an existing deck. The deck size is 10X12 ft.
Thank You,
James Block
612.720.7943
�
. From:ALLSTAR CONSTRUCTION 19529427464 07/30l2013 14:05 #219 P.001/011
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS �I � ���
?�"
�OA TO Mailing Address: Permit number: ..o
<V PO Box 66
Crystal Bay,MN 55323-0066 Date received: �`3 ��
Street Add�ss:' Received by:
y � 2750 Keiley Parkway Pian review fee:
`�t � Orono,MN 55356 JI ^�
��FSH��� TOtal Fe@: /�/ / •�
Mein: 952-249�600 Fax: 952-249-4616 www.ci.orono.mn.us / !'
7'hi�"applic�tian form anus;k�e cpmp�ted tn#�,�11 arid all requ�r�1 irifam�atiii�must'�s�br�itted;`
In�ompl+�t�appMis:�kiQris wlll.#�e re�urr�i�d: (Please print)
GENERAL INFORMATION:
Job Site Address: 3�f�Z? SHoe�z.,�� .��r✓£ �Ro�a
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
!f yes,a spec/a/e�nt permit is required with Police Department and City Couna7 apprcva/60 days prlor to the event. Shutt/e bus servke wlll be
required unkss applka»t demonsdates suNkierM on-site parking!s ava!lab/e. IVon-permMled events wllf not be allowed.
CONTRACTOR!APPLICANT INFORM TION: ` ' 1 t ,. �1
Name: l411,5�-�4R-- �S-�L-1-ic�+ I'hRnR�CG►v►er►7` " � rrT /'T�fGmG�-✓I
State License# 8 3/575 Expiration Date: 3/ Zai�/
Phone: cell Ce�Z- 2 i— 9 office S2 - 9f�z� 75/
Mailing Address: $ry5 f h f �f*t- ^ ii-e ?a3 Ci : A� IL 1.4i ZIP: 5 3S ,
Contact Person: ��rn A- Applicant is: / Homeowner rc���one�
Email and/or Fax: "y„ ai�S ar�� 9st �9 y�.- 7 y(o�{ ',
�— '
PROPERTY OWNER INFORMATION:
Name: J A.+'•c s B IoG�- '
Phone(day): [e�2 - 7 2�^ 7 9 y3
Address: 3y7Z Sh�RGLinG ���✓C City: Qr�G►JD ZIP: s,�.�q/
Email and/or Fax '
t4RCHITECT I ENGINEER INFORMAjlON:
Name: /V/A
Phone(day):
Address: City: _ ZIP: ,
Email and/or Fax:
PROJEC7 INFORMATiON: Descri tion of ro'ect:
1.Type of ProJect 2.Proposed Use 3.Structure Type 4.Sewage Disposal& '
Water Supply
❑New Consttuction ❑Single Family with ❑Residence
❑Additfon attached garage ❑Garage/Accessory Bldg. ❑Public Sewer
❑Accessory Building �Single Family with Deck
❑Relocation �K detached garage �Office/Commercial ❑Private Sewer
�Other:(speafy) ❑MulUple Famify/Condo ❑Warehouse
❑Public ❑Storage ❑Public Water
"*My earth movement may also require ❑Commercial ❑Other(specify)
MCWD revtew&peRnits, ❑Industrial ❑Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other:(speCify)
18202 Mlnneionka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehah eek.or
Estimated Construction Valuation(excluding land) 5 Z� 7dCJ ^
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 =
❑ On-site Prefab
e.2"d 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 application to be processed:
Not
Enclosed A licable
❑ ❑ Permit A lication
0 ❑ 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 Walls 4 feet or above
❑ ❑ 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 information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
. Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: Date: T) � ' �d l�
Owner's Signature: Date: � " �3 ' O����
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O�O Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address:' Received by:
y ` 2750 Kelley Parkway Plan review fee:
`� G Orono, MN 55356
`qkESHO�� 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:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e 6us service will be
required unless applicant demonstrates sufl5cient on-site parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name:
State License# Expiration Date:
Phone: (cell) (office)
Mailing Address: City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal 8�
Water Supply
❑ New Construction ❑ Single Family with ❑ Residence
❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
"*Any earth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review 8�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) $
� � � �
:
.,. _
_ _ ..
_ <...�_�._ ,�,�
. Fro�m:ALLSTAR CONSTRUCTION 19529427464 07l30/2013 14:06 #219 P.002/011
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensfo�s(continued) 2.Type o(Constructlon
a. Length(ft.)= 1� Number of bedrooms=
�Wood/Frame
b.Width(ft.)= I � Number of garage stalis: Masonry
Areas in sauare feet Attached= ❑Metal
❑Poie Bidg.
c. Basement= Detached= ❑ICF
d. 1�Story =
❑On-site Prefab
e.2nd Story= ❑Off-site Prefab
f. '/�Story = ❑Other(piease specify):
g.Totai Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our a licat+on 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
O ❑ Surve meetin all r uirements
❑ ❑ Stormwater Pollution Preven6on Plan
❑ ❑ Hardcover Calcutation s
� ❑ Se tic S tem Site Evaluation Re rt
0 ❑ Accass Permit
❑ ❑ Wetland BufEer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walis 4 feet or above
❑ O Minnehaha Creek Watershed Distnct Permit s
❑ ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
O O Other:
APPLICANT/OWNER ACKNOWLEDGEM�NT:
• 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 5500;
. 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 untfl it is camplete;
. Adcnowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is dassified by State law as either ,
private or confiden6al. Private data is information which generally cannot be given to the public but can be given to tl�e subject ,
of the data. Confidential data is information which generalfy 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 applica6on may not be issued.
• ' �ipr��1►:a�in th�.ewenx that�►�a�sr or,p'ther�o�iiqc�ns'�revent�he�omP��pn oi�n�s�u��sui�reX at th��ime tha.
Ce�#lfi�a�q af Ck�up�tney#s��e�ted,,a��m,pa�rY�e,r�lf�Cats of��uPan�Y.may be aep�tpd uPcr�rec�ipR:of a��p;0'�
eaarowi W:e,ri"sure:+�omple�lon af the as-du.ilt s.arvay:and,alt:stta�mp��nents:.'
ApplicanYs Signatur � Date: 7/.3�r�/3
Owner's Signature: Date: :
PLAN REVIEW CHEC�CLIST FOR NEW STRUCTURES / ADDITIONS
Address/PermitNumber: 3`l$� S►-�u2��-��v� 102�V�
Description of work: �- G1,�C
Septic review by: N �1 Date Approved:
Zoning review by: � 'r �, r Date Approved: '" '
Building review by: Date Approved: �'Y ` � �3
Grading review by: V�11 la Date Approved:
Zoning District: LR- 1 �- Zoning File#: � ! � Reso#: � Reso Date: '—
Zoning: Lot Area: G,'72�•�S SF/AC Width: Sa �-r3y.s Lot Coverage: �d� SF I)_°t%
Survey Submitted: 1�'es � No n�te of Survey: � • 3�- �3 Revised date(?):
Proposed Setbacks: �.1
f /C`
Front(Lake) Rear(Strep*' ,(�,(��� �(Ik � � N S�� W ) Other Buildings Wetland
�� �' � �/'
�7� S 2. �� V' � 3 N/r4 N��
,C�� � _.
Defined Height: n/ /J� L ,��J � FFE minus 6 feet= (Existing Contour)
�
Perimeter(linear feet) _ '— ,�S � _ #of Stories Ok? 0 YES
,�
�
DING WITH A BASEMENT OR C,
The distance� FOR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor ,.rawl
ce)and the� .,r the roof. START WITH The distance between the top of and
If you ha the highest point of the
If you have a...
. GABLE OR - ROOF(�o . OR HIPPED ROOF(no
windows): Subtract h windows): Subtract half the distance
distance between the highest between the highest point of the root
of the roof to the low point ot the to the low point of the corresponding
SUBTRACTION corresponding gable or hipped roof S CTION gable or hipped roof
(BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with
TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance
distance between the top of the �, between the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF S(flat, ALL OTHER ROOF TYPES(flat,
mansard,et o subtraction. rd,etc:No subtraction.
ADDITION Add the distanc een the top of slab
SUBTRACTION Subtrac distance between the (BASED ON and the highest existin de adjacent to
(BASED ON EXISTING enUcrawl space floor and the EXISTING the foundation.
GRADES) highest existing grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQUALS Defined building height
EQU Defined building height
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff
� Yes � No � N/A O Yes �No
�Yes 0 No � Yes � No � N/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overla District Tier Hardcover Hardcover
. . � Yes @�No � Yes � No
3 �Z•3(� 3`�•�l QJ TYPe(S)� Typ�(s}:
Updated: January 2013
v:\forms�plan review checklist 2013.docx
REMARKS (in-house):
Fees to be Cha ed � �����,��� �;e ,�.�_ �, ��, � �
Pian Review
investigation fee
Other(sPecrtY)
S uare Footg e $ er S uare Foota e
Basement X = $
1°�Floor X = $
2'�Floor X = $
Garage X = $
Estimated Construction Value: S 2.�����
Orono inspections Required Work Requiring Separate Permits Required State Permits
G Site G Plumbing 0 Grading/Filiing � Well
� ardcover Removal G Mechanical � Fire 0 Electrical
Footing G Septic 0 Water Connection
O Poured Watl G Fireplace � Sewer Connection
0 Foundation Survey O Masonry � Lawn Imgation
C Radon Rock Bed 0 Mfg.
� Framing G Other(specify)
� 1nsulation
G -Built Survey
Final
� Wetland Buffer
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date l4pproved:
Access: Existing: 0 Y�S G NO New: � YES O NO
OfFICIAL REMARKS-TO BE NOTED O ERMIT AN INITIALLED
.
. '.
uh 'i �r�c��r' ��., arr�S iS Ps lis at _ ��ini '
Updated: January 2013
v:\forms�plan revievv chedclist 2013.docx
ADVANCE SUR VEYING & ENGINEERING CO.
I hereby certify that this report was prepared by me or under my direct supervision and
that I am a licensed professional engineer and a professio�al land surveyor under the
laws of the State of Minnesota.
��,m,�, .�e. ���-�,
lames H. Parker P.E. & P.L.S. No. 9235
Step 2: PROPOSED HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to
Certificate of Survey(survey must accompany this form). Use as many lines as necessary to
accurately depict existing hardcover status of the property.
ey o
Survey Hardcover Item (Describe) Length x Width Total (Square Feetj
(Example) Gara e (24'x 30') (720) S.F.
A House tructura Har cover 8
Dec Structura Har cover 1 .F.
C rave Drive
D Retaming Wa s 7 .F.
oncrete
F
H S.F.
J .F.
K
L
.F.
S. .
" .F.
S. .
R S.F.
T S.F.
U
V .F.
W
X S.
Y .F.
1 Total Pro osed Hardcover 2 432 S.F.
Excludable Hardcover See Ci Code Sec 78-1684
0 S.F.
Retaining Walls 77 S.F.
S.F.
5.F.
2 Total Excludable Hardcover 77 S.F.
3 Net Pro osed Hardcover Subtract tine 2 from line 1 2 355 S.F.
4 Total Lot Area 6 730 S.F.
Proposed Hardcover Percentage[(3)/(4)] 34.99�
City of Orono
�°�o Hardcover Calculation Worksheet
Property Address: 3480 Shoreline Drive (our survey 130589)
y� �,: Prepared by: James H. Parker P.E. & P.L.S. No. 9235 Date: 9/9/2013
!q'rE S H O�tc.
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to
Certificate of Survey(survey must accompany this form). Use as many lines as necessary to
accurately depict existing hardcover status of the property.
ey o
Survey Hardcover Item (Describe) Length x Width Total (Square Feet)
(Example) Gara e (24'x 30') (720) S.F.
A House 6
rave Driveway .F.
oncrete
Retaining Wa 77 .F.
.F.
I
1 .F.
.F.
L .F.
S. .
N .F.
O
P S.F.
Q
R .F.
S S. .
T .F.
U
V
X S.F.
1 Tota) Existin Hardcover 2 851 S.F.
Excludable Hardcover See C Code Sec 78-1684
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover 0 S.F.
3 Net Existin Hardcover 2 851 S.F.
4 Total Lot Area 6 730 S.F.
Existing Hardcover Percentage[(3)/�4)] 42.36%
� , , ,
�O� V�
C ITY OF ORONO
� � Street Address: I Mailing Address: I Telephone(952)249-4600
y�, 1 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616
1 �' Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
"�kFSHo��
August 5,2013
Jim Alleman
Allstar Construction
5145 Industrial Street#103
Maple Plain, MN 55359
Re: Building Permit Application#2013-+00743
3472 Shoreline Drive
On July 30, 2013 the City received a building permit application for a deck. 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. Certificate of Survey. Please provide two copies of an updated, full size certificate of survey which meets all
of the City's survey standards (enclosed) indicating the location of the proposed deck (and any proposed
grading).
2. Hardcover Calculations. The property is located in Tier 3 of the Stormwater Quality Overlay District. Please
have the surveyor prepare hardcover calculations, showing existing and proposed hardcover. Attached is a
copy of our hardcover information packet.
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. Since ttris
project appears not to involve grading, the required escrow amount for this project is $700. The escrow
agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$700.
Your project may trigger the Minnehaha Creek Watershed District's(MCWD) permitting requirements; please contact
the MCWD regarding your project. Please note,the City of Orono will not issue a building permit without a copy of
MCWD permits or documentation from the MCWD stating the proposed project does not trigger any of their
permitting requirements. 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 on the above
requirements.
Sincerely,
CITY OF ORONO
r l��1�
Christine Mattson
Planning Assistant
c James Block;3472 Shoreline Drive;Orono, MN 55391
Lyle Oman, Building Official
enclosures
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Parcel 17-117-23-43-0094 A-T-B: Torrens Map Scale: 1"=50 ft. N
ID: Print Date: 8/2/2013 �}�-
Owner James A Block Market $99 000 �
Name: Total:
Parcel 3472 Shoreline Dr Tax $835.46 �
Address: Orono, MN 55391 Total: (Payable:2013)
Property Residential Sale $115,000
Typ@: P�iC@: This map is a compilation of data from various
sources and is furnished"AS IS"with no
HOme- Homestead Sale 09/2012 representation or warranty expressed or
St@8d: D8t@: implied,including fitness of any particular
purpose,merchantability,or the accuracy�ind
completeness of the information shown.
Parcel 0.15 acres Sale
Area: 6,721 sq ft COd@: COPYRIGHT OO HENNEPIN COUNTY 2013
� Think Green!
http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=451764.2610307978,4975889.7... 8/2i 2013
�,� v � �-�}�TFi TIME '✓
CITY OF ORONO CALLED IN G�J'7'
INSPECTION N SCHEDULED -��,��- �-
PERMIT NO. COMPLETED r-
ADDRESS �
OWNER T L PHON � ''a�'� �
CONTRACTOR
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� DESCRIPTION _
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Q ❑ POURED WALL ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICA INAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNE IREPLACE ❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP OfiDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
, CIT.'�F ORONO CALLED IN �
lNSPECTION f�IQ��CE 0��� SCHEDULED
PERMIT NO. lA COMPLEfED � ��
ADDRESS �`G�� ��Sf-fOILC.�UNQ
OWNER ��►'� '�JC��.G� TELEPHONE NO.
CONTRACTOR
�; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContract n si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
130589 17/117/23 BLOCK, JIM
AD VANCE S UR VE�ING � ENGINE�R.��VG CO.
5300 S.Hwy.No. 101 Minnetonka,MN 55345 Phone(952)474 7964 Fax(952)225 0502 www.advsur.com �, � I
suRVEY FOR: JIM BLOCK � � �� CC���
` ���
�I S 89 37'35" E (
5URVEYED: August 20, 2013 DRAFT'ED: August 21,2013 r
REVISED: August 23, 2013 to show proposed deck for review _ _ _ � ,.-- --50.04-- 1-_, found cap j133t9
REVISED: August 30, 2013 to show part of gravel drive converted to lawn. ! � ; � - - -
REVISED: September 9, 2013 to show hardcover reduction revised. � � ,' � �-- "`""'""�'�'" �
LEGAL DESCRIPTION: � ^� %� `� � ��
Lot 17, Block 6, Navarre Heights, Hennepin County, Minnesota. � \ �e �'___ � S'�TE PLA� ._.,..�. Q��a ���
SCOPE OF WORK: ' �r°�I SU�f a `�� �APpF�QRQI�ED 1M�TH R�11S►ON
, , a
l. Showing the length and direction of boundary iines of the above legal description. The ' [1 p�pp V�='D
scope of our services does not include determining what you own, which is a legal matter. . �'�r- '"- -- �- ' - �Y
Please check the legal description with your records or consult with competent legal counsel, if �' i � _�—Zp�3
necessary, to make sure that it is correct, and that any matters of record, such as easements, that you ;� ' � � -
wish shown on the survey, have been shown. � ; , con�rete g g
2. Showing the location of existing improvements we deemed important. ; I r 2s s
3. Setting new monuments or verifying old monuments to mark the corners of the property. ; �
4. Showing and tabulating hard cover and area of the lot for your review and for the review of such � � i �
governmental agencies as may have jurisdiction over hard cover requirements. �' �u � '�` I � ��5t�`g� � � �
5. While we show proposed improvements to your property, we are not as familiar with your plans as This area to be ; " � � , ' � ,�e� N � '
y o u a r e n o r a r e w e as f a m i l i a r w i t h t h e r e q u i r e m e n t s o f g o v e rn m e n t a l a g e n c i e s a s t h e i r em pl o yee s a re, conve rtec�to grass yar d-_;; �' � � o i ��4 � N ,�
We su g gest that you review the surve y to confirm that the pro posals are what you intend and submit ��� O � I �i I `O �6 2 9�4 � O
t h e s u r v e y t o s u c h g o v e rn m e n t a l a g e n c i e s a s m a y h a v e �u r i s d i c t i o n o v e r y o u r p ro�e c t t o g a m t h e�r
approvals if you can. ', p j � ' PROP. o I O
{ i DECK I �
STANDARD SYMBOLS & CONVENTIONS: ��� � I � A
" • " Denotes 1/2" ID pipe with ptastic plug bearing State License Number 9235, set, un less �� I � �
�
otherwise noted. `, � � , �
`. I � � �
CERTIFICAT'IO'.v:
.\ � ,
I hereby certify that this plan, specification, report or survey was prepared by me or under my direct � � ��y �
supervision and that I am a licensed Professional Engineer and Professional Surveyor under the laws ��, , �
of the State of Minnesota. L_�� � �� �
�
Signature: ��aim.e�. ,}�. �av�.¢� Typed Name: James H. Parker �
� �
�
Date: September 09, 2013 Reg. No. 9235 � ,,-Ret. woiis
� ' �
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Found 1/?'\ d fYl Na�
�- --50.00-- ��
GRAPHIC SCALE S 89'39'08" W
20 0 ,0 2o ao
Sho�eline Drive
cIN � �
��3�589 20��.3 09 09 �l JP
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emo
To: Finance Departmerrt
From: Christine Mattson, Planning Assistant
CC: Street File � �
Date: June 23, 2014
GIL: 101-22205
Re: Escrow Refund
Building Permit Application #2013-00945 pertaining to 3480 Shoreline Drive is complete.
Please refund $700 to the applicant, James Block.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: James Block
3480 Shoreline Drive
Wayzata, MN 55391
w:�street files�shoreline drive�3480�escrow refund form 2013-00945.doac
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2013-00�3-L�L�C
AGREEMENT made this� J day of � T , 20�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") James Block("Owners").
Recitals
1. A building permit application has been filed for a deck located at 3480 Shoreline Drive the
("Subject Property"), legally described as Lot 18, Block 6, Navarre Heights, Hennepin County Minnesota.
2. Owners request 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 $700 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 #2013-00743 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, 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: CITY OF ORONO OWNER:
By: �`� ' �,
Its:
C�i_ty of Orono
P750 Nelley Parkway
Orot�o hflV 55356 �.�2-249-46�
Receipt No: 3.409657 5ep 13, P013
Ja�es Bl�k
Previous Bala�e: .�
Persits
P013-�946 - 3484 740.40
Shorelir�e Dr
1Q1-Z2245
Deferred Rev-Developer Deposit
Total: �-
Check - '�---
Gheck I�: 5599 700.�
Payor:
Jaa�s Bl�k
Tatal Appl ied; 7�,�
Change Ter�ere�; � .�
09/13/2413 09:1--�—
� CITY OF ORONO * Z 0 1 3 - 0 0 9 4 6 *
2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3480 SHORELINE DR
PIN : 17-117-23-43-0093
LEGAL DESC : NAVARRE HEIGHTS
; LOT 017 BLOCK 006
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$700 ESCROW IS TIED TO BUILDING PERMIT#2013-OO�PD CHECK 5566-BY JAMES BLOCK
�I h�
APPLICANT ESCROW FEE-BUILDING 700.00
BLOCK,JAMES ESCROW FEE-EROSION CONTROL 0.00
3480 SHORELINE DR
MINNETONKA,MN 55391- ESCROW FEE-GRADING 0.00
TOTAL 700.00
OWNER
BLOCK,JAMES
3480 SHORELINE DR
MINNETONKA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
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 consuuction is
suspended for a period of 180 days at any time after work has commenced.
The appiicant 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.
_ .,.
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3472SHORELJNE DR `"�,�����'��`. -
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Pennit#: 2�13-OU945
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