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Home My WebLink About2012-00396 - addn/remodel/repair ' , CITY OF ORONO * Z 0 1 2 — 0 fd 3 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2905 SIXTH AVE N PIN : 28-118-23-31-0006 LEGAL DESC : GARDEN GROVE : LOT 002 BLOCK 002 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 86,300.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) IiOMF,ADDITION AND GARAGE RELOCATION APPLICANT PERMIT FEE SCHEDULE 959.25 ELLINGSON,JORGEN STATE SURCHARGE(VALUATION) 43.15 2905 SIXTH AVE N LONG LAKE, MN 55356- TOTAL 1,002.40 OWIVER ELLINGSON,JORGEN&YUM[KO 2905 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does 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 construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring ail required inspec[ions are requested in co ance�ith Ihe State Building Code.This permit may be revoked at a y tinle� ' — _ � _ ' 1 � 1��--- ._ � � � .� V�Z� �l /a-f-- ,a_-__ �p�Nc � ermitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions -�— MailingAddress: Permitnumber: ��` — �,�j ��,�.��\� PO Box 66 ��0 r �� Crystal Bay, MN 55323-0066 Date received: ��l—1 �— �"'�'`� Received b �'�'� �I Street Address:' y� ��'� � s, ., _;. a;� / ��',�, �,�� °/ 2750 Kelley Parkway Plan review fee: 5/ �� Orono, MN 55356 �� _ 3 �\xESFIO��' l (SQ ,� 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. (P/ease print) GENERAL INFORMATION: , Job Site Address: � `��i'S �, �� f U�"��-L Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �f�lo li yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service w�ll be required unless applicant demonstrates su�cient on-site parking is available. Non-permitfed events will not be allowed. CONTRACTOR/APPLICANT INFO ATION: I Name: )G �vti tt� ��c�c�.. – ��ST��"c � . �..-�� State License# d �3 Expiration Date: � 2b 1 Phone: � �" '� office ' � Z� Z ��- cell Mailing Address: U U (�� ;-3 c�..�.� .- Ci : I c�,vi ZIP: 3 Contact Person: T „ Applicant is: Contractor I Ofll@OWCI '(Circle One) Email and/or Fax: �o f v��,v�S.� vt.c� c� � �c�--�--�-KS�". �� a.��- -- PROPERTY OWNER INFORMATION: Name: �. .�_- �.� �L�� k� �C%-vt. Phone(day): � r Z � ,Z � � n Address: �'j � ; �(J,v Ci : ,v�U ZIP: — ,(� Email and/or Fax � c%rq ,z� �. �( ( . �q S�'–� .i�,��,�, ��} . �_ «, ARCHITECT/ENGINEER INFORMATION: l Name: ��.�.�. �� (� S I�, , E �.�'. (�,�-..� �1�N1�•L a �SOG, / Phone(day): i Z �L � — Address: � ,L, � � Ci : S�r�<<a1 �.�:�u��: �S Z Email and/or Fax: � ,,� � , �,t,� " c PROJECT INFORMATION: 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 � '�6eck �'Relocation detached garage L,Office/Commercial ❑ Private Sewer ❑Other:(specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑ Public Water **Any earth movement may require ❑Commercial ❑Other(specify) MCWD review&permits. ❑ Industrial J�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) $ �1�, 3 U�' Packet Last Updated: 03-06-2012 -21 - STRUCTURE INFORMATION: 1�Structure Dim sions 1.Structure Dimensions(continued) 2.Type of Construction -r�.,r5s%�Sc,� t��^'� a. Length(ft.)= � Number of bedrooms= �Wood/Frame b.Width(ft.)= Z� Number of garage stalls: ❑ Masonry Areas in sauare feet Attached =,� ❑Metal ❑ Pole Bldg. c.Basement= Detached=� ❑ ICF d. 151 Story = �(�G ❑On-site Prefab e.2nd Story= ❑Off-site Prefab f. Yz Story = ❑ Other(please specify): g.Total Area= �"��L` REQUIRED SUBMITTALS: All of the information must be submitted in order for our application to be processed: Not Enclosed A licable ❑ Permit A lication ❑ Pro osed Buildin Plans �. ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ '� Stormwater Pollution Prevention Plan ❑ '� Hardcover Calculation s ❑ Se tic S stem Site Evaluation Re ort ❑ � Access Permit ❑ � Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above � � Plan Review Fee ❑ ❑ 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$10,000 escrow to ensure completion of the as-built survey and all site improvements. �� l� - ,/ App�icant's Signature: - � Date: �/�� /�-- � � ' ,. %--" S/� / / / ?- Owner's Signat,�r"e:.. ' - Date: �.. �, . — Packet Last Upda e�06-2012 -22 - ' � Plan Review Checkiist for New Structures / Additions Address/ PID/Legai: �"tv� � f IY�- 1 v Description of work: ��, �� - � �, �� C Septic review by: � Date Approved: ��-�� U Zoning review by: Date Approved: 5f2�'j2— Building review by: d Date Approved: � - � - 20�2 Grading review by: �r� Date Approved: � /� ix Zoning File#: �� Resolution#: � {� Resolution Date: Zonin District Fire De artment Post Office School District Zoning: Lot Area: �� s� z�O$ SF/AC Width: 4�v Depth: �I�Q � � Sunrey Submitted: �s � No Date of Survey: "�J��2-� Pro osed Setbacks: ron/ Lake) ear Street) � N ��W ) ( N S E �) Other Buildings Wetland Side � ' " '� r � i p ra�oa ��- �Dtn (a��rlor� crm^� �scs Ta • Q,,,.6.s Bui ding Defined Height: 2�� Building Peak Height: 2i.' "t' #of Stories Ok?: �YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch- e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/crawl ADD the distance befinreen the slab and the highest space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet,whichever is less. EQUALS Defined buildin hei ht • EQUALS Defined buildin hei ht Lot Coverage: SF �(T % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff � Yes � No /A / 0 Yes o � Yes No 0 Yes � No �IV/A Permit Number: / Setback: Hardcover Zones Existin Pro osed Variance Re uir CUP Re uired 0-75' 0 Yes No � Yes No 75-250' f,. Type(s): Type(s): 250-500' � ,.. 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Char ed YES NO Permit , ,-. Plan Review State��$urcharge . ` Investigation Fee ':S�►C `'�Number.of-�AC'Units _ Sewer Connection =JNater;Connection �� ,.. _ _ _ ... Park Fee =.�Site�nspecfion•� � Other(specify) :�Miscellaneous�Fees . � `- _ - Calculated By: S uare Foota e $ er S uare Foota e Basement X = $ 1 S'Floor X = $ 2nd FIOo� X = $ Garage X = $ Estimated Construction Value: $ �3 6,3�v °—° Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site �Plumbing 0 Grading/ Filling 0 Well G Hardcover Removal ,0'Mechanical 0 Fire � Electrical �Footing 0 Septic � Water Connection 0 Poured Walt �Fireplace � Sewer Connection � Foundation Survey � Masonry � Lawn Irrigation � Radon Rock Bed �Mfg. Framing � Other(specify) �nsulation � ys-Built Survey ��Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES � NO New: � YES � NO REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms�plan review checklist.dopc ,.� Minnesota State Energy Code Calculations and Mechanical Code Requirements Form � Additional copies can be found by going to: http:llwww.dli.mn.qov/CCLD/PDF/sbc 1322 cert.pdf - N1101.8 Certificate ,.� � Builders Name/Company �ate: =' ( < I Z Site Address: Z O� � � �� 1'`� � `'-�''� b Contractor Name: yJ o L``� '�`��^e-�r ��'`��i-uc�� License Number: Z`� (� 3 _ __ __ _ _ � __ - --- — Locatian Type of Insta//ed Type Locafion Size __--_ Insu/ativn R-Va/ue - -- _ ____��__ _ _ - ____. _ _ __ __ _ Makeu Air Roof Ceilin a � , � �S Combustion Air Walls ' S ( .Water Heatin _ , � F Slab-on-Grade ` ��' ' Manufacturer '� Mode! —. __ - � Floor � .{'� • . ",� � 3��-__ - T -- � `_ �__�_;.i � o�. �� .� ':Ducrs'Outside of Conditioned'S aces Rim Joist 'F� teri ,Exterior or Integral [tCd�'%Q/I „ R �Vd/�l'e Foundation Wall ' „� �, ; ta;;,�,� � (� �-v tx.w�- Interior, r Integral A vera e U-Factor SHGC so/ar fieat ain coe�cient Passive Active —-- _-—- -- -- __ --- ❑ Fenestration ` Radon Control 11�1. R �' e t�i Z T In ut Ratin AFUE Manufacturer Mode/ Ca/cu/ated Heat Loss Heatin S stem � � �-� C�o �v� � tJ ;� ac� io ,�-c,�rv�li c T e Dut ut Ratin SEER Manufacturer Mode/ Coo/in Laad He�t Gain Coolin S stem �- r r �� Z �t O Ji G T Location Continuous Venti/ation Tota/Ventr/ation Mechanica) V ntila#ion -18- - • � Request for Wetland Buffer Evaluation �`� f ,, �' Property A ress: ,�� i Person Makin Request: / This person is the. Ji`, ❑ Property Owner ❑ Owner's Contractor/Consultant ❑Other i� 1 i i Company Name: �� ,� Address: r City: Zip: i� Daytime Phone: Email: What work is planned? Signature of person making reque Date Staff use only Date received: ❑Two copies of d lineation ❑Two copies of urvey E ` } ❑Two copies of CWD acceptance Date sent to engineer: Date engineers report ceived: �t;� � � .°�� Date engineers repo forwarded to applicant: - 17- Certificafe of Survey & Topographic Survey —— — — — C.S.A.H. , _ NO+��.�_- g� �a,�. ' � .�.�, ��,. ati� K��.; ,�,e �, — ——, os�°� �s.� am �S � o � e n�rmare ��s � � r— .°^.— � — — ——=,a,.— ��;� �xz,,o,o R I N � —IOIE� .� � V �1017— — I �/OIB--I�.p'X.{7AlL �� —_'/O11-- __ — --_—i _I_ __ _ _ \\ �'��_—� —I01B—1 I \ f ____ � I � � �� Q O d �( � `�� \ I I � I i � --IOZY � � �\ I 10 0 IO !0 1T0 � I � f I �(p ' \'O�z� I xss r -. I i :1 \ e�st nan.�^ I � �� __,o�._ \ � cEcarn � j I �� ; i � I ,�ez � - � �� o � ��\��ppp � ' � � _�— ��.o�� I I . 16 a�4� $ f� 'Q' � I —I�1— arIMM pNtNp CarltaM I � � I a�� 00 I —/0!t— MnMa poywW cmfow � O x7025.i2 II . l •fo70.9� � \I I ai0lL/ Owwt�piopasW qwf�Nwtlan I I � p�..s,a.�� x roazI.ea � �./roar.e e..�oew w+,wy+we wwua� I \�i ' xIf018B? X10I892 ` \ 1 � �\ I �}O /` Jwotas 6�r � � � 1 'r I �- a.w�.,y�y.i,. `� I \ � � 2 \\ , � � 1� ,� \ O d�M�tl poNf pdI � � � 2 � ` . � � Ilbe ylO..��s�ws � —.. — anOtsl aY/,noy..ebOdf C� � ° I � � .ua�-ta�aafs(aaun.a�.s1 .� � Zl � ma .i � nQ°-so' . F; � � I x ima9r , �j �1 �� I 'm°-'70� � I 4e-� � � I ■�aee l I I �I �-- I U j � .se � x roras� � . 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R�: • denotes iron monument found pan,or ro m prsporoa by me www.o�socie�.aom p denotes iron pipe set ,�,o-,,,,, Topographic SurHey o/ Jorgen Ellingson �� 9WestD/vklm5rieel ''and marked as shown: �� 5in'°�'Of'+"�'r b"'°}�'s Bullab,ANV 56313 � denotes pk �ail set Lot 2. B/ock 2, �� ►��o� ��M� B denotes soil boring GARDEN GRObE' � aOw"�' $COb� Cnecked By: _ %ji7� ,wb No. w��r c.�i SSOpATEB Fa'c(�i�82� G denotes perco�at�o� test no�e 5/8/12 C.S.O. 1"=40' P.E.O. ��E��^ 1-12-0196 Hennepin County, Mlnnesota o�.: 5-9-/a �.�,� �sc�asurvryo�s,u� , Christine Mattson From: Jorgen Ellingson [jorgen_ellingson@yahoo.com] Sent: Wednesday, May 30, 2012 3:45 PM To: Christine Mattson Cc: 'hoffners nodak@comcast.neY; 'homelanning@att.neY; paul@ottoassociates.com Subject: Re: 2905 6th Ave N / Building Permit#2012-00396 Hi Christine, I have answered the below questions - see below. Per my understanding and how the new additions fit on the lot there are no changes to the survey. Please let me know if my comments aren't satisfactory or you have any further questions. • The survey does not show the proposed contours resulting from the addition being added. JE - the addition will not impact the contour - it will just be placed on existing contour. • The survey does not clearly show how the driveway configuration is going to change as a result of the new garage and addition. What portions of the existing driveway are being removed and how is the new driveway going to tie into this? JE - there will be no change to exis�ing driveway - we will use the existing driveway for new garage. • The existing garage is being relocated to the back of the property. Is there going to be a driveway extended to this location? How is this building going to be used? JE - there will not be a driveway to the relocated garage. the building is going to be used as a shed to store stufF. Thanks, JOrgen From: Christine Mattson <CMattson(a�ci.orono.mn.us> To: "'jorgen_ellingson@yahoo.com"' <lorqen ellinqson(c�vahoo.com> Cc: "'hoffners_nodak@comcast.net"' <hoffners nodak(a�comcast.net>; "'homelanning@att.net"' <homelanninq(a�att.net> Sent: Wednesday, May 30, 2012 2:58 PM Subject: 2905 6th Ave N / Building Permit#2012-00396 Hi Jorgen, Our engineer has reviewed the building plans submitted for 2905 Sixth Avenue North. Please update the survey based on his comments below. If you have any questions, please don't hesitate to contact us. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical address) i . � YO Box 66 Crystal Bay ' MN 55323-0066 (mailing address) � 952.249.4620 B 952.249.4616 � cmattson(a�ci.orono.mn.us '' '� www.ci.orono.mn.us Summer Office Hours began Monday, May 21,2012 Monday - Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am From: Jesse Struve Sent: Wednesday, May 30, 2012 2:51 PM To: Christine Mattson Subject: 20120530 comments for 2905 6th Ave N Christine, I have reviewed the permit application for 2905 6th Ave N and have the following comments: • The survey does not show the proposed contours resulting from the addition being added. • The survey does not clearly show how the driveway configuration is going to change as a result of the new garage and addition. What portions of the existing driveway are being removed and how is the new driveway going to tie into this? • The existing garage is being relocated to the back of the property. Is there going to be a driveway extended to this location? How is this building going to be used? Feel free to contact me with any questions or concerns. Jesse Struve, PE Director of Public Works / City Engineer City of Orono (952) 249-4661 - Direct (952) 249-4616 - Fax www.ci.orono.mn.us 2 • � r t Jesse Struve From: Jesse Struve Sent: Wednesday, May 30, 2012 2:51 PM To: Christine Mattson Subject: 20120530 comments for 2905 6th Ave N Christine, I have reviewed the permit application for 2905 6th Ave N and have the following comments: • The survey does not show the proposed contours resulting from the addition being added. • The survey does not clearly show how the driveway configuration is going to change as a result of the new garage and addition. What portions of the existing driveway are being removed and how is the new driveway going to tie into this? • The existing garage is being relocated to the back of the property. Is there going to be a driveway extended to this location? How is this building going to be used? Feel free to contact me with any questions or concerns. Jesse Struve, PE Director of Public Works/City Engineer City of Orono (952)249-4661-Direct (952) 249-4616- Fax , www.ci.orono.mn.us 1 / �(� D E TIME CITY OF ORONO CALLED IN �v2 INSPECTION OTIC SCHEDULED _� PERMIT NO�/ � COMPLETED �_ ADDRESS �( �� '�� '�� OWNER T PHONE NO. �' gT�-�'Z'Z CONTRACTOR � �� DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o � � �� 6� � �. � 0 � W � Q � z W � W � � W Q�MIORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CARRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. _ . White Copyllnspector's Flle Canary CopylSite Notice � G � �� 0 O DATE TIME CITY OF ORONO CALLED IN � INSPECTION yOTICE �+ SCHEDULED d" �� PERMIT NO.��U�a'��J7� COMPLETED � ADDRESS ��DS �- OWNER �`�h ELEPHONE NO�� g7� ��7�� CONTRA OR �; DESCRIPTION �Zx�G �/ �/v�`l C.e� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a � � O � � O � W � Q � 2 W � W � � d � ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site: Inspector. 1,� White Copyllnspector's File Canary CopylSite Notice � I C� DAT TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE /- SCHEDULED Z � PERMITNO. �/ �I-�3�1� PLETED ADDRE a � � OWNER ✓� � �LEPHONE NO�� -�7��7 a�" CONTR O a DESCRIPTION ' - �-�- �" � ❑ FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL I ❑ LAKESHORE/WETLANDS 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 � ❑ DEMO-SITE ❑ SEPT�C MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS:�C-�— ��'1�/t� a� �a -cro-7�� W a J O >. � O � W � Q � 2 W � W � ��j � W//0�10(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. pPHOTOTAKEN INSPECTOR WILL RETURN �STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on sit : Inspector. � � '� - White CopyllnspectoPs File Canary CopylSite Notice � 7 �?� " I �'" DATE TIME CIN OF ORONO � CALLED IN �� INSPECTIONA�,OTICE SCHEDULED a. PERMIT NO.��f c��L��P COMPLEfED , ADDRESS a � C� � S ` ` � � OWNER ��TEI.EP ONE NO. �� o �� a1� CONTRACTOR �� -��n I�1 t� `��f.--�'( (r � DESCRIPTION �I �� - � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL ��BING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL Q ONfNE ONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a J �"-�a�-A ��N �1� 6r!'��e t4�i- l��4S � � c t o � � �� • �. y t � � � f�4 � c2 � Q�. � `` rt %�TNrten �, � � Go n� c� � e � �'��e� ��}c e l-� c��-�fi r� W � � O W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �.('+QRRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. l�cJ � White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN ��"� "�Z-' INSPECTION NOTIC y�/ SCHEDULED /�2_ •� -� PERMIT NO. �d��dD✓<lC�COMPLETED ADDRESS a9OS ��T�v� �� OWNER l S��LEPHONE NO. ��Z �71� Z 7ZZ CONTRACTO �: DESCRIPTION �� "�""� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � I � � 0 a � 0 � W � Q � z W � W � � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ 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� Z49-46�Q OwnerlConUactor on site: Inspector. 1 White Copylinspector's File Canary CopylSite Notice - T � • • • • • • 1 • • emo To: Finance Department Frorr�: Christine Mattson, Planning Assistant CC: Street File Date: 12/3/2012 �`� G/L: 101-22205 Re: Building Permit Escrow Refund ✓ � Building Permit #2012-00396 pertaining to 2905 Sixth Avenue North is complete. The Applicant, Jorgen Ellingson, has requested a refund of his$2,500 escrow. All reviews were perFormed in-house. The following is attached: • Escrow Refund Request • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Jorgen Ellingson 2905 Sixth Avenue North Long Lake, MN 55356 w:�street files�,sixth avenue�2905�escrow refund memo 2012-00396.doc � BUILDING PERMIT ESCROW AGREEMENT Orono Buiiding Permit#2012-0039�(� AGREEMENT made this ��1 day of � , 20L�by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Jorgen Ellingson ("Owners"). Recitals 1. A building permit application has been filed for home addition and garage relocation located at 2905 Sixth Avenue North the ("Subject Property"), legally described as Lot 2, Block 2, Garden Grove, 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 (including planning, engineering, or legal consultant review) associated with building permit #2012-00395 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incu�red 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 roperty pursuant to Minn. Stat. §§415.01 and 366.012. CITY: C ,�O NO OWNER;.�� By: r /�_,! - � , �, �ts: �;";.�- ' , � � .�. � .. . . . ., 1 �' I �.S i;� fkr ir'�`''JCIo ��Et ��l:E�`� F`3r�k�s:aj �,�..,�•�,r� .r,�ti� � [t�"f±7tU �'d�i . `��i� s.;C �.e Y; .�ib t'�'1. i ti".ill��r {�tp� k" .K)�4 ��cC.�I i �r.ik"R='f; CI�S�i�:?"31i , Ii �� j {�k^?V1�U.� �3fa�5Cl'. � � '��Y01}��a i �US -E►�;� c3�u �i�th 2�C'G�C'"t'�� 'i �v� f� • �S�?' �ct:5 I ��;�:rr-�u i�e�—sl�vN;+��,�r� U�;��st:�.__ _ - i �� ,�!��!�`� � � TO�r�: � ,r � . -... '�� t'.. . . . (•i 54,+A,D.Lk`.i . .... 'Lh��:f: PvC:L 1L�Jt� ¢'avar: dC�Yt!€?i1 �lt1��;;GYt ��jt.t�?.;alj � :3u`��*:•�,:.�.��: __ .__ _-•---- �fi:��ae i�*r,n��^�: ------- .r,t.i� � � ,�� " ��'� f,r;2�5� � � i'�F' 6 II � �• - ' CITY OF ORONO * Z 0 1 2 - 0 0 5 1 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2905 SIXTH AVE N PIN : 28-118-23-31-0006 LEGAL DESC : GARDEN GROVE : LOT 002 BLOCK 002 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500.00 ESCROW IS TIED TO BUILDING PERMIT#2012-00395 -PD BY JORGEN ELLINGSON-CHECK#1600 APPLICANT ESCROW FEE-BUILDING 2,500.00 ELLINGSON,JORGEN&YUMIKO 2905 SIXTH AVE N TOTAL 2,500.00 LONG LAKE,MN 55356- OWNER ELLINGSON,JORGEN&YUMIKO 2905 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 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 autt►orized 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.1'his 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. Christine Mattson From: Jorgen Ellingson [jorgen_ellingson@yahoo.com] Sent: Tuesday, November 27, 2012 1:37 PM To: Christine Mattson Subject: Re: Escrow return for 2905 Sixth Ave N Hi Christine, Just want to followup with the below. Can you estimate when I can get the escrow $s back. I will have the final inspection tomorrow and will stop by the Village same day to make sure all the required paperwork is submitted. thx, jorgen From: Jorgen Ellingson <jorgen ellinqsonCcDvahoo.com> To: "cmattson(cDci.orono.mn.us" <cmattsonCc�ci.orono.mn.us> Sent: Tuesday, November 20, 2012 12:42 PM Subject: Escrow return for 2905 Sixth Ave N Hi Christine, I have my final inspection scheduled for Nov 28th. I was told I should contact you to get the process of returning the escrow ($2500) returned to me. It was provided for a remodeling project at my property (2905 Sixth Ave North) and I am the requestor (contractor). Please let me know what I need to do on my end to ensure a timely remittance of the escrow. thx, jorgen i ;�: � � � � � i U � � � o� n ; �i � , � a o � � � 1 � � , 4: � � L � ! � v LY1 TJ M k � � � z � � � �� u i ` L' � � i � � � _' � � i = �c , �� , � � ti,� �� ,_� �:. �.. �` ; � M- �� ' $ � 1 f - i � df� � ` e � � I I � � � I I i � � I � lL G I C O' �, j � � � _ }7 �`':' � U ! i , � � �� W �. . � � � =a w� � 7'n aia�a� � � � g N NIN � , a � � � , o Q � cy�+a� � ' � - �� ; �� p � �, ,�. � � 6 ��E� o ; � Q� — d m�m�eal � �� 3 �� o d � � i � �I � � r D a � � �j o � � 1-� I �;, � C i � C� � C � +�°+) O � N � c '� C' c+-d�_� c � c, , � �� a++ � no � ` � � �n � w:c � � c��l � � CS � � - � � v - � ol � _ � cn N t+1�v 4 y� � o t'i� � � � � � h ► ► ►. d � p i v # � I� � �7 - � � .� :i� �,, . _ � �.! �