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Home My WebLink About2013-00102 - addn/remodel/repair ; ' CITY OF ORONO * z 0 1 3 - 0 0 1 0 z * 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4320 SIXTH AVE N PIN : 31-118-23-12-0009 LEGAL DESC : SHARON HILLS : LOT 004 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 83,600.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) ADDITION AND DECK APPLICANT pERMIT FEE SCHEDULE 936.75 ROELOFS REMODELING PLAN REVIEW 608.89 4917 BEACON HILL ROAD STATE SURCHARGE(VALUATION) 41.80 MINNETONKA,MN 55345- (952)512-0110 TOTAL 1,587.44 Minnesota State License#: 1095 OWNER COLEMAN,JOHN&CAROL 4320 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT 1'he 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 goveming this type of work shall be compied with whether or not specified herein.This pertnit will expire and become null and void if construction authorized 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 conformance with the State Building Code.This permit may be revoked at any time for due cau . �� i � i �3 � �i i �� Applicant ermi ee Sig ure Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ��/�� Cit of Orono � �� 7� `�� y , Building Permit Application for New Structures or Additions �� `�7��✓' Mailing Address: Permit number: /�j'"da`� O��,�.0 PO Box 66 �J Crystal Bay, MN 55323-0066 Date received: —�oL.�� '""°° Received by: � "�{' �, StreetAddress:' p � ;�,�� G� 2750 Kelley Parkway Plan review fee: ��O• g \l�''��'�'rog,� Orono, MN 55356 _ Esx,� p�a��j � �.3 �"`=_—_-' Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: / �� ,�� Job Site Address: `�l-` Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 0 No lf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFO�JVIATION: � Name: , � `�.>---� �-�� r� L-�".-._ � �4._�0��;� ,�-> ,� �—� State License# �b� �— Expiration Date: ��-��% 3 Phone: �� Z , S�Z . o li� (office) �'�Z. �S� � �i y�- (cell) Mailing Address: /�i � ��z�-,.- ,�� -��+-o Cit : f7,��;-�-� ZIP: s-s3��s Contact Person: ��2n- �� Applicant is: C�ontra _L- Homeowner (Circle One) Email and/or Fax: --�'f�._.r .�-�.�, i �z�z,-7 �-7�,�-��.`c,- , �G� PROPERTY OWNER INFORMATION: Name: -- �,.-�� ,�,_,,_� C�� 4 �y�---� Phone (day): �;s- z, y � 3, /i 3 Z Address: �3zo S�x�r /1�� ;�..,--�r City: l�',c�rJ�� ZIP: :`�- �s� Email and/or Fax �— ARCHITECT/ENGINEER INFORMAT�ON: Name: ,��._d�=3 /! r��_G.,� Phone (day): Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction � Single Family with � Residence �Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with Deck ❑ Relocation detached garage Office/Commercial '� Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water ? *"Any earth movement may require ❑ Commercial ❑ Other(specify) � MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� Ec='�= . ��C,> . ,� �, �� " �� ,-=, . � � ;.�. _ . , _ _., ..,, a ';E': STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2. Type of Construction ��U ;;�7e `— a. Length (ft.)= �� Number of bedrooms= Wood/Frame b.Width (ft.)= L � Number of garage stalls: ❑ Masonry Areas in s4uare feet Attached= ��' ❑ Metal ,/� ❑ Pole Bldg. c. Basement= y_� Detached = ❑ ICF d. 15t Story = y 5`' ❑ On-site Prefab e. 2"d StOry= ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: x��' Not Enclos d A plicable ❑ 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; �=v-;_: �`_; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; ,�. • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; � • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information, the application may not be issued. . Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: ` /�-�--��'� � >-�^ Date: 2��z/z�i � �° Owner's Signature: Date: {_; . _�: <.: .;. � , : .� ,: � ...: , ; . � ; . . � � ' � � , ' ; _ � ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: 7 �Z U 5�i x T W /Q�j� ,iV U i+'Z T'i� Description of work: 14 ,�� ! T?0� "'M' �J�2 C.I� Septic review by: l;` �• Date Approved: `2 • l `�f � _7.�r � Zoning review by: Date Approved: �� Building review by: Date Approved: - / �--- � Grading review by: � �� Date Approved: ,� i Zoning District: /Z R - 1 /1- Zoning File#: �– Reso#: " Reso Date: � Zoning: Lot Area: . 'SF/AC Width:�JL Lot Coverage: �0 7� SF �% Survey Submitted: es 0 No Date of Survey: Z- -�'i – I 3 Revised date(?): Pro osed Setbacks: Front(�alEej Rear(�Stfeet) ( (� S E W ) ( N � E W ) Other Buildings Wetland Side Side 1 Z-� •L. 2�-1 0 ' f Z .� .�I - Z 5 y �p�' + De�ned Height: . C Peak Height: — FFE: -- FFE minus 6 feet= '— (Existing Contour) Perimeter(linear feet)= 50% _ �— #of Stories ---- Ok?�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 the highest point of the roof. If you have a... If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with NPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. mansard,etc:No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING �semenUcrawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined buliding hefght EQUALS Defined building height Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff � Yes �No 0 N/A 0 Yes �8' No O Yes �No 0 Yes � No �N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overia District Tier Hardcover Hardcover / � Yes No � Yes �'No /V� A N /� dl�1 /� TYPe(S)� TYPe(S)� Updated: January 2013 v:lfoRns\ptan review checklist 2013.docx REMARKS (in-house): Fees to be Char ed YES NO P�rmit x ��-.;..�.�'"a�n Plan Review ,/ �Sfate�ur�hacge,�. � , .` �� Investigation Fee :S�AC, �rl�mber�f�SA�C Un�ts,�� . ,n� ��'� �� ,. ��, ` . . . Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1°�Floor X = $ 2nd Floor X = $ Garage X = $ O,L� Estimated Construction Value: $ ��o(O� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site Plumbing 0 Grading/Filling 0 Well � Hardcover Removal �Mechanical � Fire J�Electrical �Footing 4 � Septic 0 Water Connection � � Poured Wall ,0"Fireplace � Sewer Connection oundation Survey 0 Masonry � Lawn Irrigation 0 adon Rock Bed [d' Mfg. ,�Framing � Other(specify) Insulation As-Built Survey Final O Wetland Buffer � Other(specify) REMARKS (in-house): ��'� g�� -�'1� � Other Review: Reviewed by: Date Approved: Access: Existing: G YES 0 NO New: 0 YES � NO OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms�plan review checklist 2013.docx i i �� u �.� �� I`� �(°l d yb�y� z. 6 �c C Y� .� �- .�' -+- 2y.s) -i- Y �c z y S' � � t '�, -�o � [ �b� f- �� = t 9 � � !�t'�Q Z Z � � — Z 6 ^ Z� aC 2 2 - J b X . � 5 7Z -- ('� C Y�C (o .�'� a = Z = � S 5 7 Z� - , 5 - p��G � rb.�-c Q-eG�Zo o� Z� — 3 � z S - Z � � ' � �/d� - 3 �• s � °•� � � � � , ,. �� = � � �rq � = . �-r.�Z OAK RIDGE HOTEL&CONFERENCE CENTER Hennepin County GIS - Printable Map Page 1 of 1 - - Int�ract�i�r�e PI'Opel�y ; t�� Map �� p� , �... l� � :: , b �1,�0, �' � 'f- �- ',a >_ '�Y g'� -#i , ' r�' .� M ., . . ` �, . �'�' ..� �� . ..,ry�,r., / �. .. �,.W; J/, y� �'�., �y � a; f��t a��'»dis' ._i. � k; i � 5s�t � � s K' � � � � � � ,� �ii //y,ii '. 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N ID: 31-118-23-12-0009 A-T-B: Abstract � Print Date: 2/27/2013 � Owner Carol I &John M Coleman Market $28�000 � ; Name: Total: Parcel 4320 Sixth Ave N Tax $3,027.58 Address: Orono, MN 55356 Total: (Payabie: 2012) ; Property Residential Sale Type: P�ICe: I'This map is a compilation of data from various ';sources and is furnished"AS IS"with no HOme- S81@ representation or warranty expressed or ( HOfTleste2d ' i implied,including fitness of any particular € , SteBd: ', Date: i purpose,merchantability,or the accuracy and i,completeness of the information shown. Parcel 1.5 acres Sale ' Area: 65,274 Sq ft ', COd@: 'COPYRIGHT OO HENNEPIN COUNTY 2013 _ _ _ � '` s�^�t C;�� _._ . _ _....1 _...... http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=450036.3 8719999976,498213 8... 2/27/2013 Jesse Struve From: Jesse Struve Sent: Tuesday, February 26, 2013 10:15 AM To: Melanie Curtis O�o�� O� Cc: Christine Mattson � Subject: 20130226 4320 6th Ave N Melanie, I have reviewed the permit application for the proposed addition and have the following comments: • It is my understanding the applicant is planning on placing the dirt excavated for the new addition on site. The survey should show proposed grading around the new building. • If the applicant is planning on placing dirt around the existing shed,the survey will need additional existing and proposed contours around the shed and neighboring property. 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 DATE TIME V CITY OF ORONO CALLED IN �� '2-�� ' ,,�o INSPECTION�O 3 E DD' 0 � SCHEDULED �`I 1rZd� '� l '.�— PERMIT NO. COMPLETED ADDRESS �� S(k� l J�V p N � OWNER �C,�-e� � _ I�n�r�d��LEPHONENOG�" �a"��U CONTRACTOR �� -��-� >; DESCRIPTION �"< < � � FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q O POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNEFi/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � �� - fi�/Lt� o C3C'- /n., � � � ;�'�$ ,�QG fiYc�nl 0 � W � Q � Z W � W � � d W��V�(ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice �( (/ ' AT TIME � CITY OF ORONO CALLED IN `� � INSPECTION NOTICE SCHEDULED � � PERMIT NO. d1D�r3' DD�D� COMPLETED/I ADDRESS `�3� �y�� N ' OWNER TELEPHONE NO. CONTRACTOR ��U TJ >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ SEPTIC MAINT. ❑ FOL�LOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W !�lOfBFiK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. E White Copyllnspector's File Canary Copy/Site Notice d�-�- ATE TIME � CITY OF ORONO CALLED IN 5 INSPECTION NOTICE SCHEDULED � � PERMIT NO.��3 l��O Z COMPLETED � ADDRESS��ZO ��`� � � OWNER TELEPHONE NO.�SZ S lZ D/l� CONTRACTOR �� -� � �: DESCRIPTION `�'��a'��\ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P NG RI � Sf��fi/��'4(�IAL ❑ FOUNDATION/REMOVAL � NERIC NTRACTOR TO MEET iNU:yL1 YE�_NO �� MENTS: � W a � J O � /�,� r -� �- � < s - �o � ,� �=��Y3 � � ��,�� - Q � z W � W � j d Q��.Iy�RK SATISFACTORY:PROCEED CI PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. C�tv f� � � White Copyllnspector's File Canary Copy/Site Notice �J/ DATE TIME ✓ CITY OF ORON CALLED IN 3 INSPECTIONNOTICE D� SCHEDULED ��/-/3 __ ��— PERMITNO�� '�� COMPLETED ADDRESS OWNER TE PHO O �� — � CONTRACTOR -S i � DESCRIPTION � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a o �r.��A-� �3c� �cI M.. �. � 0 � W � Q � 2 W � W � J d W� ❑WORK SATISFACTORY:PROCEED �JECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pf{OTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. . White Copyllnspector's File Canary CopylSite Notiee DATE TIME "' CITY OF`ORUN`O CALLED IN �,�� INSPECTION NOTICE SCHEDULED PERMIT NO. L'-%l> ' ��,��,i;i-- connP�ErE� �l-17-1 i ADDRESS ��--' ;�i�'� �'�-� OWNER TELEPHONE NO. CONTRACTOR >; DESCRIPTION ��'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 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"1 �;��'\ _.� � . �U `� �� n �� =s � O �? � ��: � � // I � r � � r � � � -p �, � 111 �` � �,� �� I I � � o t'� v � D � /� ; � u� - � - r I � m ;� �- � , � -,° , , i , m \ � �(��(�� Coleman Residence W -o orn � 432Q Sixth Avenue N. � � � � ` RENI4DELIN� & RENC�VATIQN !�'� W rn� N . . Long Lake, N1N 55356 . . , , , . • , • • • • � • , emo To: Finance Department From: Christine Mattson, Planning Assistant ; CC: Street File � Date: October 8, 2013 G/L: 101-22205 Re: Escrow Refund Building Permit #2013-00102 pertaining to 4320 Sixth Avenue North is complete. The Applicant, Carol Coleman, has requested a refund of her$2,500 escrow. As-built survey was reviewed in-house. The following is attached: • Escrow Refund Request • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Carol Coleman 4320 Sixth Avenue N Long Lake, MN 55356 w:�.street files�socth avenue�4320�escrow refund memo 2013-00102.doc i �� r , , 1 1 � � i � i , � c i �_� � �S cy _ � es — o - as � v 1 � - - 3 � . a V N � � , � �'�.3.�`.6 � - � ��- y ��- ! �3�.. � � � � � i � 4__-- _ i � � � � i i _ i ', i BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2013-00102 AGREEMENT made this_�day of � , 20� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and John M. &Carol I. Coleman ("Owners"). Recitals 1. A building permit application has been filed for an addition located at 4320 Sixth Avenue North the ("Subject Property"), legally described as Lot 4, Block 1, Sharon Hills, Village of Orono, 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 #2013-00102 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: ITY OF ORONO OWNER: � _ By: i � � �-- �_ �� its: , G� �(. � C -�-. � . . Cit� ,�f Dront; P7`,� K�llev Parkwa�� Ororro MN `55356 � g5��3-46t�Ca Receipt No: 3,008524 Mar i, �p13 2023-UG10c^ / 43E'0 Sixth Ave N Planning and Zaninq 2413-001�2 Escrav aeposit �.5U0.� I41-2�Ep5 Deferred Rev-Bevelo�e;� Dep�,s:± Tat�l; =-----c,,`�0-�i,f3r'_ Gheck =---___--_---_ Check Nu: 2?3? 2,`04.G0 PaYor: cUis'-OfllOc� / 4�2U Six't!t rlve N TU�a� AGplied: c'.500.00 Change Tendered; �� -�� _=--__-----� Us'/01/�413 11;4�p� ' ' ' CITY OF ORONO * Z 0 1 3 - 0 0 1 4 0 * 2750 KELLEY PARKWAY DATE ISSUED: 03/OU2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4320 SIXTH AVE N PIN : 31-118-23-12-0009 LEGAL DESC : SHARON HILLS : LOT 004 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIv TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: TIED TO BUILDING PERMIT 2013-00102 APPLICANT ESCROW FEE-BUILDING 2,500.00 COLEMAN,JOHN&CAROL TOTAL 2,500.00 4320 SIXTH AVE N LONG LAKE,MN 55356- OWNER COLEMAN,JOHN&CAROL 4320 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 goveming this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I � � U , � � - � � : �o� 's' I � ( f 1 i �i � k. ; � � � 7� 97 C7 � � � � . . �_.. � bJ �J t � � � �� m ` � � � " � � o' ` Ts d � � � � � ;' _, c� � �'- .., � = � � a � f'; �'. 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