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Home My WebLink About2014-00378 - addn/remodel/repair ' ' CITY OF ORONO * 2 0 1 4 - 0 0 3 7 B * 2750 KELLEY PARKWAY DATE ISSUED: OS/22/2014 - ORONO,MN 55356- 952) 249-4600 FAX: 952) 249-4616 ADDRESS : 2060 SIXTH AVE N PIN : 27-118-23-31-0002 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RELIGIOUS CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR — ACTIVITY t��..3��STRUCTURES OTHER THAN BUILDINGS /y�yt/ /'�'✓'��L�^.'"-�-� VALUATION : $ 78,000.00 NOTE: MEMORIAL GARDEN NOTE: AN AS-BUILT SURVEY MUST BE SUMITTED AND APPROVED PRIOR TO RELEASE OF ESCROW. INITIAL:�� APPLICANT PERMIT FEE SCHEDULE 891.75 CHURCH,TRINTY LUTHERAN STATE SURCHARGE(VALUATION) 39.00 2060 SIXTH AVE N TOTAL 930.75 LONG LAKE,MN 55356- Payment(s) CHECK 1013 930.75 OWNER CHURCH,TRINTY LUTHERAN 2060 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 consuuction authorized is not commenced within l80 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. ! Z — � /��/� Applic2nt ee Signature Date Issue y Signature Date . CITY OF ORONO �� BUILDING PERMIT APPLICATION � FOR NEW STRUCTURES OR ADDITIONS �O A'O Mailing Address: QIQ/ - 00,3 7 'V PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: �� 2�� StreefAddress:' Received by: tiF � 2750 Kelley Parkway Plan review fee: S�7. (O tq �� Orono, MN 55356 �D/�� 0D3 ,� kES N�� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono �nn 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: � ` (C%v�� t " /� , ,� �. -1 • 1 ' ,J<��J��p Will this be a Parade of Homes, emodelers Showcase Home or other play me? Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �1: � , �,�.� b�_ /_ ��y��.._ State License# Expiration Date: � Phone: (cell) �c i ��- . `i�i - In(`? CY�� (office) �1 L�� -�`�-1� � -- ;, � �_ ��—'1 Mailing Address: ' �_ ( ,, (� A--:/�, �iV ': i E� b` CitY: C':',,,`; r� ZIP: � > �� (�- Contact Person: � r,; , �,_,;wF_ Applicant is: i^e"bntractor / Homeowner (CircleOne) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: `��(i �'L��i �<<o�,2 �('C�� / ��f �L, Phone (day): � I? — '�c.'��t �(n�� ,-� Address: �( Cit : � , -, ZIP: � � Email and/or Fax � : ,��y n � ��.�� v-�--, ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of ro�ect: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& �New Construction Water Supply ❑ Single Family with ❑ Residence Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑Relocation detached garage ❑O�ce/Commercial �-Private Sewer ❑Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑ Public Water **Any earth movement may also require ❑Commercial [�.0ther(specify) MCWD review 8 permits. ❑ Industrial [�.-Rrivate Well Minnehaha Creek Watershed District(MCWD) [,]�Othe�: (spe ify) 18202 Minnetonka Blvd q��^�. ti t-�,� ��a'(��,, Deephaven,MN 55391 � � � �� Phone: 952-471-0590 Fax: 952-471-0682 wwwminnehahacreek.or Estimated Construction Valuation (excluding land) $ � � � Q Q�� , 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 stalis: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 15'Story = ❑On-site Prefab e. 2"d StOry = ❑Off-site Prefab f. '/z Story = ❑Other(please specify): g. Total Area= REQUIRED SUBMITTALS: Ali of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanicai Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calcuiation 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 ❑ ❑ Minnehaha Creek Watershed District Permit s ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Agrees to pay the Ciry 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. r ApplicanYs Signature: �� 'Vl, Date: h � � l� Owner's Signature: Date: ' ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 'G�� S i �'�� `" S�� u.!``t'—�u� Description of work: I�'�.L m0�� '�-- ��2+�e/� ' Septic review by: � � Date.Opp�aacod: 5'q �('T � Zoning review by: � r7 U Date Approved: 5'q'��' Building review by: o �..- Date Approved: s�g ' ��`"� Grading review by: �� Date Approved: Sa i� Zoning District: Zoning File#:'� �� Reso#: Reso Date: 1-�v Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Submitted: �s 0 No Date of Survey: �•�'�� 1 Revised date(?): Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50%_ #of Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract haif the distance distance between the hi hest point betwean e highest point of the roof of the roof to the lo int of the to t w point of the corresponding SUBTRACTION correspondin le or hipped roof SUBTRACTION le or hipped roof (BASED ON ROOF . GABL HIPPED ROOF(with (BASED ON GABLE OR HIPPED ROOF Iwith TYPE) win s): Subtract half the ROOF IYPE) windows): Subtract half the distance ' tance 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 TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRA ON Subtract the distance between the (BASED ON and the highest existing grede adjacent to (BAS N EXISTING basemenUcrawl space floor and the EXISTING the foundation. G ES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building.height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff 0 Yes 0 No � N/A 0 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 Type(s� � �pe s): Updated: January 2013 v:\forms�plan review checklist 2013.docx REMARKS (in-house): Fees to be Cha ed YES NO �'�errrait Plan Review 3t,ate S�rcFaar�e , �<< Investigation Fee � - y`5�1G ��I�er�o�'S`AC Un�lts 'N .,: , _ _ ..� . Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ Z��'�K P�.�YL.vw..— ��Z Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site O Plumbing � Grading/ Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire � Electrical Footing 0 Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection 0 Foundation Survey � Masonry . � Lawn Irrigation � Radon Rock Bed � Mfg. � Framing �0 Other(specify) � Insulation � s-Built Survey Final 0 Wetland Buffer � Other(specify) REMARKS (in-house : � W I � (��'` a 0 � r uw�o �u� -- r5v�a 1 l�� N� �c'wGro � `-� rti Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: � YES � NO OFFICIAL RE ARK ,- Q BE D ON P RMI ND INITIA ,E _ - r 10-e.. �riQ� �b d� C�C,��W• Updated: January 2013 v:\forms\plan review checklist 2013.docx ��o ca�� __—� T - � — � � � c�� P 6 C. 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B 5 e, SB'JIB �'___ i i t'-..""_'_._. .. _..�CTN(CORD PMON13: "" Oly r-11'..9 1/4'RAOIV4 N (21B)2B1-S'J01 � �-�� •T�Oy�/; FACE OF FOUNUATION 7'0�1.fqFy+. 1 ! \_., leoo)zsa-w37 � \' ._...� ` -__� (91:ai-&:4� � 1i�'-1 .: ...,� _. .\`' r—__. ____.. . _._.. ._ N � �, �'�' � ANY IEDCE TNAT IS VEEpEU FOR ONNERS------ � �'�-� ��`-�--CHANCF OF RA�Rtg IMASONpY VE�EER ENDS YI1Sf BE AODFU , � i iT01NE(:OLUYBMIUY FOUVbATiOV ,.. � _..... ..._._ . .., .` � ._�_ ._. �__ � ....., i/ �..�'` / --^L.._ _ y` -, � -...5'.'B i /_'l� � � l,2" ( .9'-a.7i4'RA�IUS F �-�'C��C J FACE OF'FOUN�ATION i ` \`.e.B�.t' ` ` � \ oR0/�rNeN5�0A'J, �` � �� ; � ` i CTp -__ , ..._..._ � � r��DIyF�,SIOA'1,_` / / �-.._ ` \ r�. �'_- � �_ J, _ __ U I� r ____ _ �e e s;, a,wn,s A � �_.__ � � a � FACE OF FOUNDATION- � �`., x` ; / � � 1 __' � ....__ ..." _ ' �( ''-� N ANY Ik:�CF TH1T I'NEEDED FOR ONAc"It�'I U� � � ` �- NA.90�RY VFA'fEft f.NOS YU97'BP.ADDF.D I � r�'� � TO ITIE COLVY[1ARIUY FOUdDATION _ �� i FCL'NDATIO[� REOU'REMENT� �r-e��a-eeows a /s-�f _�.._ � _ _ - _ � W I t'ACE 0�'PoIVUATIOV ' ��1! '�� THI5 [5 TO STATE THE !!lPOHTANCE THAT TfIE FOUNOATION/BASE IS CON3TRUC7ED AS pER 6 l�� .._� ' � E'x'�1 �(c.� —"_—_I-- :J U i OI�R APPkOVEb COLU4BARIUM DRAI�ITGS. MAKF, J'URE THAT TH[ CONTRACTOR RECEIVES AN R - - _ I IAPFROVED SET OF RICKHOF ORAWINGS PRIOR TO STAHTING HIS WORK. THE FOLCAFING ARE D��Mf�'��oN�_` �� 1 '�� , SPECIFICATIOY� THAT VUST BE MET FOR THE FHOPER IYST.4LI�ITION OF THE COLCMBqRlU4: ��_` �/ �� t) 7HE BASE MUST BE SOLID CONCRETE, M107 MOfiTAR MIX. IF THE BASE IS NOT SOLID '-�---� �-E+ i C06CRF.TE, NE WILL N(Yf BE ABLE TO fNSTALL OUR BASE ANCHOR BRACKETS PROPERLY � WHICH !i'ILL VOfD OUR W.4RRpATY. � 2) THE FOU�DATION THAT THE COLUNBARIUM SI'fS ON MUS7' BF. CON57'RU(TED TO THC E'-' � EXACT DIMEKSIONS SHOWN ON OUR DRAWINGS IN RECAR03 TO LENGTH AND KIDTN. IF THE KIDTH (OR DEPTH) 13 T00 NARROW. OUR SLEEVE ANCHORS FOR THE BASE ANCIIOR � [3RACKF.TS WILL BE FEAR THE EDGE OF THE CONCRETC WHICH MAY CpC3C IT TO PLO� OUT ; UPON DC2ILIIYG. (F THE BAa'E IS TOO KIDE, 1T MAY OBSTRVCT THE INSTALL.4T10� OP A6Y BASE TRIM TNAT MAY BE REQUIftED. , I 3) IT IS VERY IMPORTANT THAT THE FOUNUATION BE CONSTRUCTED TO THE EXACT kAUfU� " --J/ "--�-�� I SHOMN ON THG DRAWfNCS. IF YOU FEF.L THAT MORE DIVENSIO�AL INFbRafATIO� IN 1 � I REQUIRED FOR YOU TO ACCURATELY INSTALL THF. FOtiNDATTON, PLEASF. CONTACT US. � +-��•_--�- , _ . _ "�._:..,. 4) THE COLUAIBARIUN UNIT IS FULLY PREASSEMRLE� IV OUR FACTORY l-SINC FOCN�ATfON � ��-- �� -�------ __.__.._.. � ANY IEDGE THAT IkS VEf,0E0 tY1H OYNERB � FIX:CRES 7HAT ARF. FLAT AAD LEVF.L WI1'HIN 1/16" FROM F.ND TO END. KHILE WE HAVE ;_ 4ASONRY\RNFFR AUS?AE ADDED TO j 50kE CAPABIL(1'Y TO ACCOMMODATE IRREGUI.0.RIT(ES IV THE FOU��ATION SURFACE [IURING � � . - THt COLUYBdWl9 FOCVUAiIOV SNOMN I' FIELL INSTii.t,n7'ION. THE TOP OF 'fHE FOUNDATION MUBT MEET TttE FOI.LOWING PAHAM67ER3: T-�� vE(eY vnieas) 'THE P@OFII.E Of THE PIAISNED FOUNDATION MU`'f dE LF.YEL WIT}IIN Sg" F'ROM LND TO ,- a ` � � - �� END. __-. ___._.._ _.__.__ 2-f!� � �• a� �� t1�' . ...__._ _.___ oxa�ivic euws�a.... •THE SURF.ICE lfUSf BE F'WT AVll FREE OF EIWOSEU AGCREGATF OR (ACAU2EU H1C4 NE�RF.QIIRL'FOUNUATION ro Be nu�LT— � 8• � B `�I ORAl1Y BY�F'AY S. , POINTS THAT F.XCEED�/�"AAOVB THE: PROFILE A9 �EFIN6U AdOVE. KEEP IN NiTD THAT s0 Tt6ti Uue s�vE,v�cMOR�s ,� - t ----concReie 4usr Be usED�x u,�t THESF HIGH POl6T3. SHOUI.D THF.1' UCCUR fN THE AREA� 1iHERE THE COLUMBARIA °��N=�/�"�'xov nie exce oe � _-�'1�2��---�--�--�1 POk OUR C�BINFT TO ANCNOR T0. �M1�Ec1�0 STRSICTCRAL SUPPORTS [AND ON THE CONCREfF.. MILC. f1AYF. TO A!; CROWD OOXr. THB FooNDAnoN I ia � ,, not yoirran dix er� oeie: y__ r i < � ...__, __.__ ____ .z_.____ It WE ARRIVE ON S1TE AND THE FOUTDATIUN;'BASE IS 60T CONSY'NIRTEU CORRECTLY. 10E : � HAY HA6'E TO PERFbRM MODIPICATIONS AND MAY NOT BE ABLE TO INS1',U,L THE zs t/z'berrri is neQmet:u—'� ;,,-----�----- COLUBBARICIL THIS MAY REa'ULT tN ADDITIOVAL CHARGES TO COYER iHF. C057 OP voH conceeff BAgC THAT COLUNBARILM STORAGE hLONC WITH � RETURT TNIP. ��Ape c,�.iepeo�ro ..—_.-_ _.__.-. i TN.4SK Y'OL FOR YOUR ATTE6TION T� THIS MA77ER AND PLEASE CAI.L IF' YOU HAVE ANY BA�_I'.__DE�I�AIL � QL�ESTION9 ...m.c:��/e"-r..a. rae MuveeR � 10043 � SIiEET NUYBEN: L___'_...._—___.,... ...___._ ....—_.. ._-_ _ ._.___....._"___ _.�...__.__"._._____....._. __------__-- ---- — -- 2 or� z � � � � � � _ � C� 1�� '��✓ N � � � � � � �- �� -� � � u a, � -- �� .� ` � � � � Q �',-� ' � � � ` �,�� . . t,R," � � �.�,r..�.,,� 1 �s. p �` _�.,_ �� -� • � : : F. .� x.. � °� � � � � y� R (� � �V � � i � .;�;5 � .� 3,�tl { fp�i"k� ... . o-+6§� Y�:. �;��,��- .,, _ , � � �� ` ; �� *�� < ��w�€ �� . _ ,,,- ... .,,:,,`i �� • _ '. - ,. � � � . . - � . � � f� ��C � $ ....,,�� }� I, ir � � .�, `1.. � �� ;.-��.;: , :u:.: � � � r' :� � V :\� � ��1�4 � . � . � �� a _� „6, I � t � � . ��• � 2!' �}� � .! . 1 �. � � �. � r;; ...}. S�. .. . . ' . . '. .:.. f' ... . . '. . � - _ �� • � � � � � � :�� . ."' �_:.. 1 . � � Y � � ! � � �. _ ':, A . . '. . �.�. � _; � .. ...`.fr' ..'.f. '� . .. . . . . . ..-�:'. , . . .. , . . . .�. .• .�� . . '��`-raw^�`w`+a+l�� .. .. • .. . .•" . • � � ... . .. .�. ... . i � F � 4.. � �'�1 . �✓'��,_`_ �.,�:;....�J� . - . � ._ . .. _ L � . � . . r + Christine Mattson From: Jerilyn [thejlowe@aol.com] Sent: Friday, April 10, 2015 1:29 PM To: Christine Mattson Cc: Melanie Curtis; markg@gronbergassoc.com Subject: Re: 2060 Sixth Ave N/#2014-00378 &#2014-00454 Attachments: Memorial Garden As-built.pdf Christine, The proposed memorial wall was on the north end of the garden, I highlighted that in blue. Your yellow highlighted area is approximately where the Memorial Wall was relocated. Due to a number of factors we moved it to the as-built location indicated. Thanks, Jeri Sent from my iPhone On 09 Apr 2015, at 8:09 am, Christine Mattson <CMattson(a�ci.orono.mn.us>wrote: Hi Jeri, Thank you for dropping off the as-built survey for 2060 Sixth Avenue North. Upon my initial review I noticed a memorial wall in the southwest area of the project which was not shown on the proposed survey. A partial copy of the proposed and as-built surveys are attached for your reference. Is the 'memorial wall' proposed? Is it existing? Please have the wall labeled proposed or existing and have the top and bottom of the well elevations shown on the survey. Please don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono � MN � 55356(physical addressJ PO Box 66 � Crystal Bay � MN I 55323-0066 (mailing addressJ "�" 952.249.4620 � 8 952.249.4616 � cmattson@ci.orono.mn.us � �D www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, May 25,2015 <S KM_C654e 15040814400.pdf> 1 DATE TIME " CITY OF ORONO CALLED IN INSPECTION NOTI� �037 SCHEDULED PERMIT NO.ao! � P� ED <� ADDRESS �� N(1 / OWNER TELEPHONE NO. CONTRACTOR i �� D RIPTION � W OOTING O BING FINAL ❑ EXCAV/GRADING/FIWNG ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET Y'OU:_YES_NO y COMMENTS: � � � 0 � 0 W � Q � W � W � J d � WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE ❑ RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance ) 249-460� OwmedContractor on site: Inspector: White Copyllnspector's File Canary CopylSMe Notice ( '71 � � �� DATE TIME v v�� CITY~OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED � ' �%�A PERMIT NO.ZDI4��4' COMPLETED ADDRESS t�� IT��N OWNER `� �;��1� TELEPHONE NO. CONTRACTOR � DESCRIPTION + ,S � �� r�� r'�Vl�'� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4J ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a k.�rK Q�,ou•�s � 6� �e� 5�•��. . � J O . � � J rLl�z �/ ls'/� . � 6etw�e,� .��f� ��.K,.� �o�o �w � l�.�t !�l 'Y��" Q d! • f �d 'S/yltfl i/ 6t � . W� ,jy+io�. ¢ . r�✓ • Q I?�fCMors�C '� ��! �loL` �il.cC �,rt�s.0� �1ts � Sv��i!<Clt r �1'<<s�s ��r tb�/�'�1!- ��-�t� 2 —T W � W � j GW �'WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE W �O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WOHK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. � �� White Copyllnspector's Ffle Canary CopylSfte Notice t M � • • • • � • 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant � CC: Street File Date: May 11, 2015 G/L: 101-22205 Re: Escrow Refund Building Permit#201400378 pertaining to 2060 Sixth Avenue N is complete. Please refund $2,500 to the property owner, Trinity Lutheran Church. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Trinity Lutheran Church 2060 Sixth Avenue N Long Lake, MN 55356 w:�street files�.sixth avenue�2060�escrow refund form 2014-00378.doac ' y ' • r • BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit# ?O/S�-Od 3� AGREEMENT made this�_day of , 20 , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") ("Owners"). Recitals 1. A building permit application has been filed for a Jv�,Yr�Oy� Ol� ��QrdQ�f�l located at ` 1(� �'h � f� the ("Subject Property"), legally described as C�1&L.k.otf✓ , 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$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, 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 mcl d_in�g lanning, engineering, or legal consultant review) associated with building permit # �1�-�U:�"p]f� 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. CI : CI �O�NO OWNER: gy_ 'r � . /�'. . Its: 7-CC � < < . 1.�� - � � ��3 � 2�� 5� R� �1 �� LEGAL DESCRIPTION OF PREMISES : That part of the East 550.00 feet of the Southwest Quarter of Section 27, Township 118 North, Range 23 West of the 5th Principal Meridian, lying north of the northerly right—of—way line of Hennepin County State Aid Highway No. 6. ALSO, that part of Hennepin County State Aid Highway Number 6, Plat 5, as listed in document number 5455483, described as follows: the East 550.00 feet of the Northeast Quarter of the Southwest Quarter of Section 27-1 18-23, which lies southerly of the North line of said County State Aid Highwcay No. 6, plat 5, and northerly of a line drawn parallel with and distant 33.00 feet southerly of said North line, EXCEPT that part of the above described property which lies northerly of a line drawn from the intersection of the west line of said east 550.00 feet and a line drawn parallel with and distant 33 feet southerly of the north line of said PLAT 5 to the intersection of the east line of said 550.00 feet and a lin� drawn parallel with and distant 33 feet southerly of the north line of said PLAT 5. Ci�ty af Or� 2750 Kelley ParkMay Ororro 1�1 55� o 95�-�49-4b40 Rereipt No: 3.010827 Apr 28, P014 Trinity Lutheran Church Previous Balahce; ,� Perwi ts 2�14-OQ37b �U60 5ixth Ave 2,SUD.UU 10i-� Deferred Rev-Developer Deposit Per�its �1��4�75 2060 Sixth 579.54 Ave. N. 101-34410 plan ChecklSite Exa� Fees Peraits �14-00377 �ObO Sixth 1�.� Ave. N. 101-3c�5Pp Zoning Per�it To#al: ---_'_'_---- � 3,179.64 Check ===---____ Ct�eck Fb: 1011 3,I79.G4 Payor; Trinity Lutheran Churth Total Applied: 3,179.64 Change Tendered; �-� 04/28/2U14 01:4�p! �' • . � ' � ' , � CITY OF ORONO * 2 0 1 4 - 0 0 3 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2014 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2060 SIXTH AVE N PIN : 27-118-23-31-0002 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-OTHER PROPERTY TYPE : A��B�#'P�'AL �P.�c�o'wo CONSTRUCTION TYPE : ESCROW FEE-OTHER APPLICANT ESCROW FEE-OTHER 2,500.00 TOTAL 2,500.00 CHLIRCH,TRINTY LUTHERAN Payment(s) 2060 SIXTH AVE N CHECK 1011 2,500.00 LONG LAKE,MN 55356- OWNER CHURCH,TRINTY LUTHERAN 2060 SIXTH AVE N LONG LAKE,MN 55356- 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 sepazate 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 conswction 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.T'his permit may be revoked at any time for due cause. t ` — "` / / Applican itee ignature Date Issued By i nature /1,� Date f ��