HomeMy WebLinkAbout2015-00678 - grading/parking lot plan revised CITY OF ORONO * Z 0 1 5 - 0 0 6 7 8 *
> 2750 KELLEY PARKWAY DATE ISSUED: 07/2U2015
� ORONO, MN 55356-
(952 249-4600 FAX: (952) 249-4616
ADDRESS : 725 SIXTH AVE N
PIN : 26-118-23-44-0006
LEGAL DESC : UNPLATTED 25 1 18 23 �� � -�'j�IS
: LOT 1 BLOCK 2
PERMIT TYPE : ZON[NG PERMIT �� • ��
PROPERTY TYPE : COMMERCIAL-BUSINESS � �' �
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CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) �� ��r �r�� � _ /
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APPLICANT MINOR LAND ALTERATION 50.00
TOTAL 50.00
Spring Hill Golf Club Payment(s)
725 SIXTH AVE N CHECK 1648 50.00
WAYZATA, MN 55391-
City of urorio
OWNER 2750 Ke11E:y�Parkway �5�_�qy_460U
Oruno MN �5356
Spring Hill Golf Club Receipt No: 3•�138z7 Jul 21, 2015
725 SIXTH AVE N
WAYZATA, MN 55391- 5pring Nill Golf Club
Previous Balance:
.00
Permits 5p.00
Merhanical/SePtic/Other
AGREEMENT AND SWORN STATEMENT 101-32530
Mechanical/Septic!Other _ _____
The work for which this permit is issued shall be performed according to 50.00
the approved plans and specifications,applicable City approvals,and the Totel: _____,_��-_--__
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate CheCk 50.00
permits. All provisions of laws and ordinances governing this type of work ChP.Ck N��; 1 G48
shall be compied with whether or not specified herein.This permit will Payor: ,;,, r_�,1 f r.l��b �
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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 conforma with the State Building Code.This permit may be
revoked at any t' r due cause. /
� �
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App ' t ermitee Signature Date Issued By Signat Date
City of Orono
� ' Zoning Permit Application
.
O Mailing Address: Permit number: J'v V�j��
�, �O PO Box 66 Da t e re c eiv e d: �� �
Crystal Bay, MN 55323-0066 �;!/'w
Escrow#and
Street Address: amount:
2750 Kelley Parkway
� ; Orono, MN 55356 Permit Fee:
F G
�,9 �, Approved by:
kES N O� Fax: 952-249-4616
Main: 952-249-4600 Notes:
www.ci.oror�o.mn.us
This application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: 72.� �q�/����� �}�77rC.j(�1' ����'�C7
CONTRACTOR/APPLICANT INFORMATION: /'
Name: `���,�.. �o r'�+-aS�� r�✓ ��N� ��_ �—b�..�C��/i�
Phone: Cj�--q-t b -e�.��- Fax:
Address: 725^Gp�s�Y j'Z,c�p � City: pnQ,N p ZIP: S-�'•Zc���
Contact Person: ��w�, �o yat,•i So v ContacYs phone number
Email .�,�„�,�_SR�' ��.�. h�il aG, ��;�PPlicant is: Contractor Homeowner (Circle One)
PROPERTY OWNE�NFORMATION:
Name: ��ti�:;[,,._}�-.t,l o �.�= �u-�-- J-t+^� �o bA-,�vgp.`!
Phone (day): ���"Z-4T�- 4g�?�"'
Mailing Address: 72S'Co.�r?'i" QoA�p 4 w»...fz.r�r'�- �Md Z�P� �`3�1 {
Email and/or Fax ���_� r�������� �Q,��
Overall Project Description: �oc,F- ?1Zp�ro�a,,�,�, �a�,
CBoXk TYPE OF PERMIT collected whenE ermit is issued
Dock, Commercial $50 +engineering review costs
Escrow for erosion control and en ineerin review costs $2,000
Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50 +engineering review costs
Minnetonka ermanent dock re uires CUP
Hardcover Permit: Driveway, Patio, Sidewalk, etc. (New or Replacement) No charge
Also requires is a Minor or Ma'or Land Alteration Permit
Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50
beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback
(also requires Conditional Use Permit)
[Reference: Citv Code Sections 78-967. 78-1247 and 78-12861
Escrow for erosion control and engineering review costs As determined b CUP
Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs
%✓ lakeshore setback OR 50 cubic yards or less within the lakeshore setback
�� (Reference: Citv Code Sections 78-967, 78-1247 and 78-12861
Escrow for erosion control and engineering review costs $2,000
Retaining Walls which exceed two feet in height above existing grade; or result in more $50 +engineering review costs
than 20 cubic yards of imported fill; or are located less than five feet from the property line.
Escrow for erosion control and engineering review costs $2,500
fReference: Citv Code Section 78-1405(5.1)1
Retaining Walls which measure 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 se arated b twice the hei ht of the lower wall.
Stairway or Lifts to Lake(New or Replacement) fReference: Citv Code Sections 78-12821 $50+engineering review costs
Escrow for erosion control and engineering review costs $2,000
Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs
regulated by the zoning code(Reference: Citv Code Section 86-66)
Escrow for erosion control and en ineerin review costs $2,500
Tree Removal or other vegetation removal within 75 feet of lakes No charge.
lReference: Citv Code Section 78-12851 Pre-inSpeCtion required.
Temporar Construction Office/Trailer associated with buildin permit $30
Updated: May 2015
APPLICANT/OWNER ACKNOWLEDGEMENT:
• ApplicanUOwner 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; �
. ApplicanUOwner 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;
• Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner;
• ApplicanUOwner understands their project may require an initial andlor 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 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
ou refuse to su I the information,the a lication ma not be issued.
The undersigned certify that the infor ion supplied is true and correct to the best of their knowledge.
Applicant's Signature: �' Date: J`� �j_p �'—'�
�—�—
Property Owner's Signature: Date:
SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed
TYPE OF PERMIT: application form, escrow agreement (signed by the property owner) and escrow check from owner,
two copies of each,where applicable, plans, landscape plans,grading plans, surveys or site plans.
Dock, CommerCial 1. Structural plans for the dock
2. Survey/site plan showing the proposed location of the dock
3. Copy of LMCD permit
Dock, Residential Seasonal Dock—survey showing proposed dock
Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable)
HardCOver Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate
2. Hardcover calculations,existing and proposed
3. Survey
Land Alteration, Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit
2. Erosion control plan.
3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a
buildin ermit without information from the MCWD.
Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours
2. Amount of fill to be imported and/or exported and haul route
3. Amount of earth to be moved around on site
4. Erosion control plan.
5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a
buildin permit without information from the MCWD.
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 plan
5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a
building permit without information from the MCWD.
Stairway or Lifts to 1. Construction plans for stairway or lift,including footings
Lake 2. Topographical survey of property with proposed stairs or lift shown
3. Erosion control plan
4. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a
building permit without information from the MCWD.
Structure Permit 1. Construction plans.
2. Survey/site plan of property with proposed structure shown 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 proposed.
4. Hardcover calculation worksheets
5. Erosion control plan.
6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a
buildin permit without information from the MCWD.
Tree Removal Call: 952-249-4600 to schedule an inspection for removal of an individual tree(s). A re-planting plan/erosion control/
mana ement plan ma be required for clear cuttin ,buckthorn or other intensive ve etation removal.
Updated: May 2015
�PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS
Address: �� '
Description of work: � (ti�� vl �W
Type of permit: I W��� �.�'V' Y/� /�Ctt"'
Zoning review by: Date Approved: � �l (�
Grading review by: __ Date Approved: ��/� � ��
Other Review, Reviewed by: Date Approved:
Zonin Information:
Zoning File#: 1�_��2� Resolution#: Resolution Date:
l
Lot Area: SF/AC Width: Depth:
Survey Submitted. s � No Date of Survey: � � Revision date:
Existing Setbacks:
Front(Lake) Rear(Street) � N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Proposed Setbacks:
Front(Lake) Rear(Street) � N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
,��� �C�`' -� ���I
Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff
Yes 0 No � N/A � Yes � No
0 Yes No 0 Yes � No 0 N/A
Permit Number: �GJ _ ' Setback:
�
Stormwater Quality Existing Proposed Variance R quired CUP Required
Overlay District Tier Hardcover Hardcover
0 Yes No Yes � No
Type(s): Type(s):
File# File# 'f
Updated:January 2013
z:\forms\old stufflplan review checklist for zoning permit applications 2013.docx
Earth Movement- Cubic Yards �
In Out Total
Haul Route? ? � Yes 0 No
Explain haul route in detail:
� Fees to be Charged Amount Orono Inspections Required
Permit Fee Amount
0 Site
Escrow Amount � Hardcover Removal
� Footing
Escrow Agreement received? 0 oured Wall
s-Built Survey
� Yes 0 No 0 Planting Plan
0 Wetland Buffer
Escrow Money received? 0 Final
0 Yes � No 0 Other(specify)
Engineering review needed?
0 Yes 0 No
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
t
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated:January 2013
z:\forms\old stufflplan review checklist for zoning permit applications 2013.docx
Cl�ristine Mattson
From: Christine Mattson
Sent: Tuesday, June 02, 2015 1:07 PM
To: 'timj@springhillgc.com'
Cc: Melanie Curtis
Attachments: Escrow Agreement-Zoning Permit w Erosion Control 2015-00678.pdf
Hi Tim,
I left you a voice mail, but I can imagine you are extremely busy right now. In reviewing the proposed grading plan at
725 Sixth Avenue North there are a couple of items we need submitted before we can issue the grading permit:
• Escrow Agreement. Please sign the attached escrow agreement and return with a check for$2,500. I will start
the escrow refund process for the$700 land use application escrow that was previously submitted.
• Minnehaha Creek Watershed District (MCWD) Permit. Your project may trigger the Minnehaha Creek
Watershed District's (MCWD) permitting requirements; please contact the MCWD directly at 952-471-0590
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.
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 items.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN � 55356(physical addressJ
PO Box 66 � Crystal Bay � MN � 55323-0066(mailing addressJ
'� 952.249.4620 � B 952.249.4616
� cmattson@ci.orono.mn.us � �C www.ci.orono.mn.us
Summer Office Hours: (Monday, May 18 through Friday,August 28,2015)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Friday,July 3, 2015
1
� MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER QUALITY OF LIFE
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements
and information contained in the permit application, correspondence, plans,
The Minnehaha Creek maps, and all other supporting data submitted by the applicant, and made a part
watershed oistrictis hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant
named below for use and development of land in the Minnehaha Creek
committed ta a leadership �Natershed District. �� � t/
r
role in protecting,
impraving and managing Issued to: Spring Hill Golf Club Permit No: 15-117
the surFace waters and Location: 725 County Rd 6 Orono
affiliated groundwater _Pu_rpose: Erosion Control, Stormwater Mqmt— Commercial Construction
resources within the
Date of Issuance: 06/29/2015 Date of Ex iration: 06/29/2016
f}istrict,inctuding their
By Order of the Board of Managers
retationships to th�
ecasystems of which ��� '�����'��-'=_.�--
Tom Dietrich
they are an integral part. District Technician
We achieve our mission This permit is not transferable without District approval, and is valid to the date of
through regulation, expiration. No activity is authorized beyond the expiration date. If the permittee
requires more time to complete the project, an application for renewal of the
capital prajects, permit must be received by the District at least 30 days before expiration.
educat�on,co�perat��e The applicant is responsible for compliance with all District Rules and for the
endeavars,and other action of their representatives, contractors, and employees.
p���ms����o� Stipulations: Project to be completed as described in plans submitted to the
saund science, MCWD office on May 12, 2015 according to the provisions of this
permit.
innovative thinking,an • Properly install and maintain all required erosion control
measures until the disturbed areas are re-stabilized
in�ormed and engage� . When the site is re-stabilized and the MCWD staff has
constituency,and the performed a final inspection, all silt fences must be removed
cost ef�ective use a�
pubtic funds. (Statement concerning fees for inspections, violations, etc... on following page)
15320 Minnetonka Boulevard,Minnetonka, MN 55345 •OfFice: (952)471-0590• Fax: (952)471-0682�www minnehahacreek.org
. � � ,
• MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER QUALITY OF LIFE
Inspection/Analvsis/Monitorins� Fees
Tt�Minnehaha Creek A site inspection and monitoring by District staff will be performed where the
activity involves:
Watershed Distri�t is
comrnitt�ed ta a Lea�rship • a commercial/industrial/multi-family residential development
• a single family residential development greater than S acres or of any size if
rote in protecling, within the Minnehaha Creek subwatershed
impraving and managing • any alteration of a floodplain or wetland
• dredging within the beds, banks or shores of any protected water or wetland
the surfaee waten and • a vlolatlott
� any project which in the judgment of the District staff should be inspected due
affitiat,ed groundwater to project location, scope, or construction techniques
resaurces within th�
Distrtct,inctuaing their In these cases, the applicant shall pay to the Oistrict a fee equal to the actual
retationships to the costs of field inspeotion of the work, including investigation of the area affected
by the work, analysis of the work, and any subsequent monitoring of the work,
ecosy�stems af which which in the case of a violation shall be at least$35.
they are an irit,e�ral part.
We achieve our mission
Standard Fee Schedule
through regulation,
District professional staff $ 65.51*
�P��P►�]�� District interns $ 40.35*
education,caoperative District clerical staff $ 46.69*
Consulting Senior Engineer $ contracted rate
endeavors,and other Consulting Engineer/Technician $ contracted rate
District Counsel $ contracted rate
programs based on Application fee $ 10.00
�u������ Copy costs $ .25 + actual staff time
Color copy cos#s $ 1 AO + actual staff time
innovative thinking,an
inform�l and engaged
������rr�na� * Hourly
•..s
cost efFeclive use af
public funds.
15320 Minnetonka Boulevard,Minnetonl�, MN 55345•Office: (952)471-0590•Fax: (952)471-0682•www.minnehahacreek.org
' z�c ��—c����
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ORONO, MINNESOTA ����� ��� �� �
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GRADING, DRAINAGE, UTILITY, 8c ERO S IO N CO NTRO L PLANS � z � �
FOR W � �
SPRING HILL GOLF CLUB a� � �
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725 COUNTY ROAD 6, WAYZATA, MN 55391 INDEX w � �
!a Q 3 �
� , PHONE: (952) 476-4875 FAX: �952) 404-9827 TITLE SHEET i.i � � � �
SITE INFORMATION 1.2
�_.}, _ s - ' ., . .
FINA�,'EROSION & SEDIMENT CONTROL PLAN & DETAILS 2.1
_ � ,,,_.; _ � ^^ • .
z , , FINAL GRADING & DRAINAGE PLAN 3.1
0
'3; �' �� ' FINAL UTILITY & SITE PLAN 4.1
� �„ • +
a.�� �.� � ° PRELIMINARY LANDSCAPE PLAN 4.2
n..•��� � � ��e ° o�. + • DETAIIS 5.1 ��
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LOCAl10N MAP � '_ •�� ° o . � � � ° ; I-ACIIITY � ,�� a Q �w ��
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TN1N CITY AREA 651-454-0002 e � c > > EbSnNG Siatu s�w�e �
MN. TOLL FREE t-80�-252-1166 Q � z
Q� 31 EbSTING L1GNT POLE C.�
PROJECT COORDINATES � �—"'�Q�. � �,. o: '°�'° EwrnNc�or E�vnna� z ��
N 44 59' 48� . . . . �. � f � 703�� PROPOSED CONTOUR 1N--1 a n
J/ � i; W
W 93°32' 28" � C �� . -� . . ,. . . _c .. PROPOSED REINNING WALL (/2
` /�ROA " � � ._ . � . .� .-. ��o�o�� a
PROPERTY LEGAL DESCRIPTION � . �
LOT i. BLOCK 7 AND L0T 7, BLOCK 2 • � �---�= PROPOSED STIXtM SENfR
SpRING HILL GOLF CLUB ' .
SITE AREA . •� � + • PROPOSED SANITARY SEWER
194.56 ACRES DRAWN BY
� PROPOSED N£LL
CJK
� PROPOSED CONCRETE SURFACE 3�18�15
a REVISIONS
�n ,ot9.n
PROPOSED SPOT ELEVATION
/-06-15 IiENS�D PER WA7�24ED
� �1 PROPOSED HEA4Y-DUTY StLT FIIJCE cprFMS
o �� -PRIOR TO CONSTRUC710N �-7o-75 Sp�Bperws
v> PROPOSED SILT FENCE �ost5,�mm w�Dscn�vuv
� -POST TO CONSTRUCTION t�ts�n Utun[5
NPROPOSED ROG(CONSIRUCTION EN7RANCE
� -PRIOft TO CONSINUCTION
�; PROJECT CONTACTS ��C��4A��
a PROJECT ENGINEER: KURT OVAINTANCE. P.E. - JAMES R. Hlll, INC. (952)-890-6044 (0) Y �-� PROPOSED INLET PROTECTIIXJ
a, (612)-508-8890 (M) -PRIOR TO CONSTRUCTION
�n GOLF COURSE SUPERINTENDENT: T1M JOHNSON (952)-476-4875 (0)
� MAY ��� PROPOSED INLET PROlEC110N
o (612)-812-0374 (M) � � ?�1� �,� -PosT cor+srnucnor+ CAD FILE
a DIRECTOR OF PUBLIC WORKS/CIN ENGINEER - ORONO ADAM EDWARDS (952)-249-4667 (0) 8519-40TS
°f SCALE IN FEET NPDES OFFICER: MER HASTINGS - b1PCA (657)-757-2882 (0) PROPOSED DITCH CHECK-ALT FENCE/BIOR0;1
� 0 400 S00 1200 GENERAL CONTRACTOR REPRESENTATIVE: TO BE DETERMIP;Ep �I7'�J/1Zw�a� `� -POST CONSTRUCTION PROJECT NO.
� 1 inch = 400 feet �� T t��' �� �� � SqL BORING LOCATIIXJ 8519�40
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� � �l5 -00�--� �
EROSION CONTROL RULE(MCWD) �o.No7�cnnor�arm wsrEcnox. ' � . �
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` i ERUSION CONIROL PLAN.1Le em wntrol pLn is e�land-elone (a)UISPEC770N: � � �� L S ���(/�.J�J�. � U
von
docummt�Lat sM1sll mclude ilx folloWwg. ' . . . - / 1 � - —
. (1)IM udiriduei drntdied n bemg rosponmble fm�mplem�ting �.. � . . �
@)Plens a�specificaUons musl be pmvided shovnng all propoml`woQ ��%��o�l pW mu�routmeh'mapea Ihe con t�uction rite -:. . . � ... . J � �
apec -.- _. _.- . _. . -
conWl.aoAon peveulio4 sedimeul conDnl md temporerv md pammenl once evay xvm Jays dunng achve conmucnm aal witLm 24 hows -' -" -- - . . _ . .
sod stab�Lutioo measiues.iv eccordence with 1he folloxing cnaria: aflu e�amlai]evml grrata Nen 0.5 mches m 24 hows. "_ __ _ _. .' _ . . . . . .. �n
._...._ .___ �- ... .. - '_.' � .
.._ .. __.. .'_.'' ' _ ' _ . .'_.' _ _" . ...... . ..
i r,��a �no�sn.0�r�,o mr r cz>nu�e�..oa���«<a��ea a����oo __ 6 TM A VE N
1 V�s�ovao : _..__.._. __ ._'"'__. _ _.,'. . � . .. . . �'. � � ty
m a be recmded in wril md thoe r«ord mnm be retmned mN - .. .� w
(5tmmwetuComplimceA.xsiAnoceToolk�iforSmallCoagWctiw �E .' �" ' .. .' - ' . .�.: -..__.�.... ..-'_.'_'_' _. . � . ..... . . .. .. �
openars'anJ/or Ne"2005[vW Stu�m��atrr Mmual."fMimemta the aoson cootrol plan aod ouJe avail.ble a�t6e DistricPs request ��• . -. __-: _.. _ __.._-.._._.-__ _._ . .... �
Pollu4on Covtrol Agary,20P1) wiWin 24 hwus.Records of each inspectiw md meiMmmce ocaviry 1 . �_'�`'_� _.'.- � ,- .�.._ -.. -_'_ -' _'_"' - -. . _� � a�'D
ahallincNde. .�_._ -' .'.-:,F-,_. ." ,-.: ., . _.__ ' ` _ . -...._.... _ _.
(2)All ero�on�d aedimmta�ion controls DroPo�d Cor<omptim�m : � , �: . '"� �-..� __'_ ... . __ _'_" _ ' _-' . ..
"____
- � � . __.-__- -�
wiW thu�ule aholl l+c in ploce Ixfure any Inml.iiaud+mg activi�Y (i)Dam md nme of m+P���s: �� .... :.` . . `/-� ._.__��.__ .. -..' ;; ..._. - ___ _._ - _.._.___ - m
i _
-__._.__ . ' � - ',.
commmces. � . . � ..__. - '. _.__ _ ,
.__ . �*� _i, - _ -.- ,- W - m
c�>wmeor�a�om����� _ - l.� __.._ � _. _ - - --- - -_ - �- _ _` - � �
�a�r��uwo.�ae��w«tpa«orsoa«ahumaze,;w . . . . �,�_ - �:, .,�._ , _.___ ,' -- ,-- r -- ___ ._ - — - ; -- -� _�,-� _ f,' _. ---------�-r<�-----_---- 1 � � � <
xulgrct to emaion M wmd m xaia sha0 be covaed vegetifed. (iiw)FmJioga of iuspecaoa+.mdudm6 rtommmdatioae fm . � � � �� ., .�� : -'__''. __'___' � - — .. ��. _
comctire ecti .._,.__ .___-. _.��...�.__.__. '.� '� ; ,-� ' � �
1�'
. .__ -- � . __
mcloaal,f edonthedo�mgladiwtaideorolhmvi+� ^^� � -. _ - . _ _ _ .. - _ `_ __ _ _ . • �
eti�vel�Dmtected tiom emmon m acco�deoce xith Ne emowl uf � � �, Y.�.,•..-• � -�.�:.- �-...�.c._ `..'-.�..._e�� `.1.A.... � " _ --_ j .
J ___ � ;.,� .._ . . . . _
,v c�«��-e��w«n�i� �a.�a , ___ -- � ----
�me ms mmenai niu ne un vice ma we meon«urv pmpoxa� C) ( s ames. vom � � --s>`---- ___..._. __. .._._. _�... ` r �_. _ __V_ `i ..��� -�-�� ��. �� . � _
_ � . _ _
completio6 mdntemnce activinab md .� j` �:' 'l - -'-- ._.._._ _.. ___ ---- " .�.y.' ''�� _ -�\,� / \ �
�
: � 4^'-�--=.--------�-----,--.�.
m mm to Sectionv 3886.1 ew138862.Standard � ~-�...' ' ___-... . _-'_..__-'.-- .,.'_'_. "_. ...__ ._'_- ".'_..- - ,riT E.'"�.
(4)S�tf ceshall nf . � ^� "�" .
' ' ' ot (v)I7atemdamoumofallniufallwrnts&ntatbm0.5 ` .. , ._ - ,..._, ,,_... ..-��'.:z. -____'._._.__._' '."._-'-_ .._.-.-_-. _._.. ,`\ .'' . _ .�.�-��-P-"''� � � uNY
�_ �`
_ ` �'. -s..� ,,: , W �
Spec�hca6oas tor CousOucGo4 Mlw�emla UNaNneot . - _ � - - ..'��' '� `1`1 _
ifmapoifntwnR000ed).esnmeyhammdei. �heain261aws. �.\ .�_` '"'.;c__".__v__ .�✓ _. ',��,._ _-•.'_...._.�'._._ ._. .."'. _'--_ "_'"'_. ... _ ....-J,__� _.._..._.-3' _"-- ` -. � Z V o'
J . ' � ��..� _.--_ _ _ . .
�s)r��u c��waz su r��r a u�r��,ao ma N)xmu�cnnor�.n�.W��.�a�;ss��m a��i sn.0�u�r� - �� �.:—-----�---_ _ __ �-� -�:,�� n.��_ _ �
-- - - __ - - - ---- - - ---- - ' `s
sedimenm�ion cowol md all oUcer temW�'<ontrolx shal]rot lie , D�d m writin6 at U�e follon.v�g pomts(large puMic pmJ�ts meY+W% ,� � -- _ --__ � - ' - _ .__ _-_,__- _- .
6
removed Yotil Ne Du4ic[hes dNamined that Ihe aite hai M1eeY ahadUve mti(4on thNugh ux oCon an on4ih xtitteo bg otihe '�-. ., . .. �..� ^. i. � -"�.� ' - �__ I`/<U� ' � N d
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� .-a. "`---__ 1 R� �.- ���. � J g �
petmmmtly mstabilad end shall M removed wiNin 30 days foWxmg pomb): 1-••" . .. - . _ . `� ... :e•'..
_� -�__-, _ , . : . • \� -.•` .-� • �
- ..� � \ .•.�- : � -�_..< \\i � \, ..
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Ti 2
ihaeafla. (1)Ouwmyletm8inna0ationofperimetoeroaonmdxdvnmlation �. . `�,�.' t��..r � -..�� i!�« �"�-.....�._ � . ��,, '
(6)Plms shell�eonde fm pemmmt stabilva4on of ail erees subj«t ro��+. l� . . .. � . ' _�_ � ' .
_ ' _ __. ._ _- , \ I\ g _ �� ._ .� .� �`�"'- �`�.-�_�
to Imd GsnuDeuce.retedwn o(mnve Npsod on Ate wtereva -. .'.._, !� . _ �_ -� ..
2 On com k� Im�bd�envbin8 activitiea v�d � W Lce .� T'-.'�'�'"__.-_—_'_—___.e�_ c
prxacel md feavbk.and speciC;at Inv vx incha ot copwil or () P �8 W�B N P � , 1 � i! � � ��-� .. 'I � "�-•�=.H, '_._ _ �,.�.' � '��.
o�m��x�a.oa m�o,wre�a�o m��Nms��� m�ro�r�d�o��aenaa.000�a m��eo�. i ,� � � E' . 7 � . .
. �+.. ' + << .---1
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a�gf�s���o-nm,ewwtR�.R�opeo�mane�rtmo.ea. �,� .� i >�- -:-. . . �� � -- , '"�'-�__ � '�,- - ---. -.� � � � '�'_l _ . _.
�a�rdor�o.wa�en�wnw;os. . , � , ,, .. . / , a . �_ . . - _ . �22 . \ ," �
(7)A Jemiled x6edWe wdi<efiug d�to and xqnmce of �. . ; � � _ - ti r- .. _ _'
Imdahaelion ecnvitiea.vnPlemminlro4•^••^� ^•,_•md removW (4)Whrn Mc ste hoe hm pvmenmtlY slabilaed md revegemted . , , : � ', ' '�� �/.. �
/ _ V`"� •� � i
� �; � �
of vodon md aedmenta�wrvsonwl memurs,and Pmnenrnt �/.� ' % �, /-� � � � L � � _ � � �"°�
mm.�n�o,a�m�ts. (s�wnweu����.�yQomoo.�wammmmeoo��owi:na.�n� �� , �� , / ' ,� '� � : � � � � � � �
rmwveasommeaa. .' � '�/, ��� , �` '�. , � j -- .
9.MAINTENANCE.The pelmmee aLall be rtaponnbk al all limrs foc Me // �� . /' � '��,-„_ ,' '' ,\� ��* 4 � . • j � � o o �
mmntrnmce e�d Pr^Pc upw�on ot'ell emmon md aedimmt control manqqanrnt � . . , - '/� .' �` . �1 , � . �
(me<L<�.Oa mV pmpelty ou�vhNh IeGddiNmbu�q aztiv�ty hes oc<umM(nusuenl � . . k .
/.
i / ('�
to a v���isaued�uda this�ule.the permmee slull.at a m�mn�,main�ein ena , � i /,�/' / #` n _ _ ��_�_�_�I � �.. t1 . � ,' � ?,� r . n i p r°. �. i
Rp.�r.0 mswnoa�at .oa mi so,ron�a nwmmi<o�w�m�s�m� • . , . _ / � 'Y o 0
�����e -�n�wv�iao m�e:.�c,.•my�wh�pen'«moa on me A�e. u , . � � . . � n� ? � � � � ���x �r�� ���. �\ �l �� --- �5���€
specific mnintrnm�e requGmw�ere w rouu.n. . �� .j � .� , i , #�.:�_._.r�_� �� � �\ j �� �_. � �-� - %�� . '�• =g���S" �
enm ,�
' i �
�e�nu�.�a�a�.�m�ee��a<a.��mro�m���a�a i � � ,� � � v�� � � �030 �� �'�-_-�-�-�----.""`"'._ � 2�8E���
, �/ �
e.or�emmoo��mcan�aia an�m�co�no��e.�nrm , . ' ,����� � - � .._ ' / I ,�. � _� - " � -
�eaz�rt,000ruKmm�.����.�;tyor���ay��a. , ; _ _ _ _- _i�� '•,. ;�.__- -- �T� ... ,�-.., "%� _-� � ��8�� o
s.
dmnmsw�thetarems��aw�mm��������m�ea rc� , , . � "."'Y-""`" v�v ,. J' - - _ , �g�ae5�
must be slabilizat Stabitizetion mun be completal x�thm 24 homs ot , ��..,,r- . . ___ .�,-��'�� "�i�� �-/ � "- .
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omechnB to a smface xster Poniom ofihe dnch that m wder . - ' - T . - - ,..�... -� . � ._ .: .
wostivctwu muss be s�aM1�Lzed vnlhin 1A 6ours a8tt the conswction - i . . - � , -�//
actl�ry-mtlutpaUonhncea.+e1 l�� '�i / � . :�/ � ' _ � _ . , �
, %,= _ / . . . / , f�1
�<lsd�mm«o-otcn�i,<�m�m�n+m�<�m5om��� � � i �� /; � , , -- /�` ._ . ;' ,�j ,'i " � - i / � .�- �' � ' w �
suface.�aters,indWin6 cwb ana gunu ryAems an�l s s �ml ts. �.-�' ,�. •':� /.� '� � , � _ ._ .
, ' ' , . � A
�a)sedimrni 000no�pm�n �.- r . .�. �� � - j� . , i . � � � I ' -..._ �!f
�m����ed�.��.� � � a
, _
�„�c�ro.���„�na��i�a-��ms����n���n� � \
pactiees el�ell remem m Plac imul ihe DWnet hm detefmined that ihe xite . _// � '/�" . %.���� /� , _ � , , /' / , - - . . . . �m
. ," ,.� , i v � ,.a�
soilshavebeenpammmtlystabil¢ed SCALE IN FEET . � � � � ,- � - � . . �� �
�e)r�n�oe ornK;�smu.noo o�a���aono-oi�noa m.r� 0 20 40 60 � , � . , , �,�� � � �/ � 'I � U
edju�led to acwmmodete short-Ium e<�ritles such av clearing or grvbbing � �. , �� , /�� /�� // ' - �/ , ,. � I � �
or pasa�e ot ve�ucles..4nv shon-wm.ctiv�9�mun be<omplecea e.soon 1 ineh= 20(eet � " , � � /� � . . . . ���', . . �
ss�le md the mdweat conwl cncee mum be wtalled�mmedu�eN u � / . . . O a�p � �~
e�Na�he a�;nviry�s completM.Ho�a,sedwmt wnWt Feactic<s muat be � /� i -� .'/ . i�.� '�/ , i!� �/ .� . . , . , . . , �. . .. . . , . , . . �� ._� . . r/� �a
Wtalledbef Ihenatptecipitationevee�eveuiflhex4vmisnot /: , . ��� . _� /� _.. ._ �'// . .._�.! � :'1 /i ./ � . ./_ ��/. �Z U �M�
V 3
completed. a
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cn au no�m m�����c n��ca��ey sn�a��mea m we �� �a�
Diatrict�o be appmpriete.dw�ng cumtruction mtil all soucces wilh potmtial O �
Imdixha[gmg�oNeiNethavebemNnbilized. MEAW pLTv�LT FEN�AT RAE'D ENO gGTON Z �..1<
lOP OF SLT FENCE i0�LW2R MAN ��p Y}I O
�6) We� P� e��Y��P�°^ aFY .1/x'wc� �RA L0IKSTAOJACENiOVERROW M 1' � w�
� W�musl be vided��n16 t ent m �d� 9U�W�tt �i.�O
di pari Ihin 24}wurs of c �tlon to a siuface wal . y'.2'.eea er new r«ws oen � �Z7
e'�..�rwn a uwi r.c.ver(i-o�). �� r� o
(h)In order m memrom yheet flow md mioimize rills m�d gullia.tl�ere ahell a'�ti...ep«i�p ,N�M�,,,y� � v �
be nu wb�okm 9bpe Imvth OI greeta thm 30 fuI f 1'alopes wiW 0 gnde a'°�"��'�O�-°"^O�fe°^� a"'�"""" � //� v
!'w�e IeNn t'i�wrwi� NPIG1L PFORCIIW MWMO / �N� iURm ENO 4CilON Z 0 N
o[i:l or simpv. �00�'1°�b� �M'�� S PROiILE
Lq taxk M en�mrsn �IN Mntrnvn J PL�N
p tio(50 O.Mvi�) � Y ~, a^
(i)Tempo slockpiks musl have eliective sdimmt coutrols m place to i °� ��°w bntli rw wK m�C.
p���m�a��tiareo m an�e..nc��onw�e ao�wem��o��ey���n � wm,.a�aw w . ce wrwuna) ,,,,,,,, >...� «.�
�,�„ FLARED END SECTION INLET PROTECTION ^
e a�^°"R roaie w�u�mr xas-i ' �ry
e3CNbe�d Ultc. 0!6'�iOM) ur1�lab:c 6' �/�
M twlm at]'MawY. � �/j
MFAW DVIY SILT iENCE Y wm� d' �
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REMOVEO,IT IS 1HE RESPSON5180.1TY Oi 1!ff COHiRACTOR TO NOTIFY
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+ Nm �v A oo � D SPRING HILL GOLF CLUB James R Hill� �n� � �
do O �D f*I U � ORONO, MINNESOTA ■
;, A� ,�� o �� � � P R E L I M I N A R Y L A�N D S C A P E P L A N P L A N N E R S / E N G I N E E R S / S U R V E Y O R S n ._
�z �m n �' j SPRING HILL GOLF CLUB zsoo w.cn Ro.az,s�h�zo, BuroSwL MN ss��
� PHONE: (952��-6044 FAX: (952)890-6244
725 COUNTY ROAD 8,WAYZATA, MN 55391
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant �i/� /�
CC: Street File n�1� \
Date: October 19, 2016
C/L: 101-22205
Re: Escrow Refund
Building Permit numbers 2016-00678 & 2016-01451 pertaining to 725 Sixth Avenue North is
complete. Please refund$5,000 to the applicant, Spring Hill Golf Club.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Spring Hill Golf Club
725 Sixth Ave N
Wayzata, MN 55391
w:�.strcet files�escrow refund form 201�00678 8�2015-01451.docx
� BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit# 0��/5�l3/t/S/
AGREEMENT made this �d��y of /1�0 l�Yr�0��, by and beiween the CITY OF ORONO, a
Minnesota municipal corporation("City")and - � ("Owners").
Recital
1. A building rmit application has been filed for ��7(Lll�l���{tl, �Ot.�r �Lt� located at
'� he ("Subject Property"), legally described as
�0 2 rJ Z(, — Ct..v
2. Owners request the City to review this application which requires City approval and may require
consultant legal and/or engineering review. .
3. The City witl commence its review of the application and incur costs associated with said review only if
the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement,
the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City
for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all
out-0f-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-pocicet
costs the Ci#y has incurred to assure that the work is completed in accordance with the Storrnwater 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
# 20!� -N�f51 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 shali be responsible for payment to the Ciry within 30 days of the Owners' receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the everrt 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 Cit�r has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to the Owners
when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement
two times per year to determine whether the requirements of the project have been successfully completed and whether
it is appropriate to retum the funds. Owner may also request the release of the funds,and such funds shall be released
upon City Staff receiving the appropriate verification that all requirements of the project have been succc�ssfully
completed.
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
prope ant to ' Stat.§§415.01 and 366.012.
CITY: F OWN :
By:
its: %�- c�tot,r— (,�v�
Intemal Use Onty: 0 Original rq Finance Department G Copy to Street Fite
Packet Last Updeted: August 2015
Page 23
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0 2750 Kelley Parkway
o Orono MN 5535b 952-249-4600
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N Receipt No: 3.014646 Nov 12, 2015
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c�y Spring Hill Golf Club
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� Planning and Zoning
� ^ 2015-01456 725 Sixth Ave 2,500.00
� � � N
`� � 101-22205
� o cn � Deferred Rev-Developer Deposit
�, �
� � � 0 Total: 2,500.00
Cz _______________
� o Check
� Check No: 32129 2,500.00
B `� Payor:
� Spring Hill Golf Club
` Total Applied: ______2,500_00_
''� Change Tendered: .00
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' � CITY OF ORONO * 2 0 1 5 — 0 1 4 5 6 *
� 2750 KELLEY PARKWAY DATE ISSUED: 11/12/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 725 SIXTH AVE N
PIN : 26-118-23-44-0006
L�GAL DESC : UNPLATTED 25 118 23
: LOT 1 BLOCK 2
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: ESCROW TIED NEW STRUCT'URE PERMIT#2015-01451-PAID BY:SPRING HILL GOLF CLUB-CK#32129-$2,500.00
APPLICANT ESCROW FEE-BUILDING 2,500.00
Spring Hill Golf Club TOTAL 2,500.00
725 SIXTH AVE N Payment(s)
WAYZATA,MN 55391- CHECK 32129 2,500.00
OWNER
Spring Hill Golf Club
725 SIXTH AVE N
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 1'his 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 goveming this type of work
shall be compied with whether or not specified heroin.This permit will
expire and become null and void if construction authorized is not
commenced within I8 days of the date of issuance,or if construction is
suspended for a peri o 80 days at any time after work has commenced.
The applicant is r ible for asswin required inspections are
requested in co ce with ate Building Code.This perrr►it may be ��
revoked at � or use.
c-
(, �-�� 1� l /�f-- /
Applic t Permitee Signature Date Issued By Sign re Date
_.- --- -
._._. ...... ._. .
. _ ._
� _ _ . . .
1 .. ... . .
_
� � SPRING HILL GOLF CLUB 312 0
PH.952-47&1500 ��n�
725 COUNTY ROAD 6 Atlafi�aeM�OYa�'
� � WAYZATA,MN 553g1-7600
17•2-910
031205
TWO THOUSAND FIVE HUNDI�D DOLLARg & 00 CENTS (US)
`T� 2�15 $2, 500. 00US
City of Orono � �
2750 Kelley Parkway �
Orono , NIIJ 55356 �
/,.�� � .
nun�oa¢r�sanUn�
Cit of Grono � � -
_ .
2i5 Kelley Parkway
Orono MN 55356 952-249-4600
keceipt No: 3.013826 Jul 21, 2015
Spring Hill Golf Club
Planning and Zoning
N015-00912 725 Sixth Ave 2,500.00
101-22205
Deferred Rev-Developer Deposit
Total: � 2,500.00�
_______________
Check .
Check No: 31205 2,500.00
Payor:
Spring Hill Golf Club
Total Applied: 2,500.00
Change Tendered: ,00�
07/21/2015 02:33PM=====_____�_
, ✓
ZONING PERMIT ESCROW AGREEMENT
Permit#2015-00678
AGREEMENT made this �1 day of J v�-`"� , 20 n��y and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and Spring Hill Golf Club("Owners").
Recitals
1. A zoning permit application has been filed for a property located at 725 Sixth Avenue North the
("Subject Property"), legally described as Lot 1, Block 2, Spring Hill Golf Club.
2. Owner requests the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering 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#2015-00678 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 all requirements related to the project are complete. City Staff shall review the terms of this escrow
agreement two times per year to determine whether the requirements of the project have been successfully
completed and whether it is appropriate to return the funds. Owner may also request the release of the funds,
and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the
project have been successfully completed.
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 OWNE
�
By: � -- — -
�
its: � S ,�z.. l�iu,�c7�#''Ct..v2S
� ' � CITY OF ORONO * 2 B 1 5 - 0 0 9 1 z *
2750 KELLEY PARKWAY DATE ISSUED: 07/2]/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 725 SIXTH AVE N
PIN : 26-118-23-44-0006
LEGAL DESC : UNPLATTED 25 118 23
: LOT 1 BLOCK 2
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: ESCROW FOR LAND ALTERATION PERMIT#201�00678-PAID BY SPRING HILL GOLF COURSE CK#31205-$2,500.00
APPLICANT ESCROW FEE-APPLICANT 2,500.00
Spring Hill Golf Club Pa ment s TOTAL 2,500.00
725 SIXTH AVE N y � �
WAYZATA,MN 55391- CHECK 31205 2,500.00
OWNER
Spring Hill Golf Club
725 SIXTH AVE N
WAYZATA,MN 55391-
AGREEMENT A1�TD 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 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 suthorized is not
commenced within 1 SO 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 confortnance with the State Building Code.This permit may be �
revoked at any ti f due cause. � p
I
Gi � �- �J I�l�.�1 J� ��c�-� � �
Appli ermitee Signature ate Issued By Signature Date