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HomeMy WebLinkAbout2011-01213 - land alteration CITY OF ORONO * 2 0 1 1 - 0 1 z 1 3 * 2750 KELLEY PARKWAY DATE ISSUED: 07/03/2012 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4555 SPRUCE WAY PIN : 30-118-23-31-0003 LEGAL DESC : iJNPLATTED 30 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: AFTER THE FACT PERMIT-FILL TO LEVEL OUT BACK YARD $2,000 SB COLLECTED M ESCROW FEE HOLD ESCROW UNTIL VEGETATION IS ESTABLISHED. (INIT) APPLICANT MINOR LAND ALTERATION 50.00 FRAZIER,GARY&BEVERLY MISC FEE 50.00 4555 SPRUCE WAY TOTAL 100.00 MAPLE PLAIN,MN 55359- OWNER FRAZIER,GARY&BEVERLY 4555 SPRUCE WAY MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMEIYT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and ttie State Building Code. This permit is for only the work described and dces not gant 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 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. / / / / Applicant Permitee Signature Date Issue y ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB i , , Cif� �� t3�rvr�+ c7�� Kelley F�arkNay � Groiav P1hi .�n�.�6 ?5t..'4:.-�54C I! ��ceipt t�; 3.�ti?i77 Jui �, 2G1P iGary �'ra�;er , , � �+revioes B�alar�.�e: ,ra� 'i p�r�its� , c'4�1-Ut213 4�5 Sp�ace �4J.J4 , �y �' lsl-3�3(1 i i�le�^htaait^ai!Septic;i�ther _ __ ' Tatai: ' �1�.1�0 I i , __._-_ ' � � City of Orono f���l� T�� ��T � � Zoning Permit Application , � � �\ Permit number: o?���-� d �3 �3 Mailing Address: .Q,Q_J�,, PO Box 66 Date received: �d' 7— �� QY `r Crystal Bay, MN 55323-0066 ��� Q Escrow#and � ��,� �-,� �_`°" Street Address: amount: �LJ '� '� ;�� � � 2750 Kelle Parkwa � Y Y Permit Fee: �c� � p� Orono, MN 55356 '�y w Approved by: kEsB��' Fax: 952-249-4616 Notes: Main: 952-249-4600 �•ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) GENERAL INFORMATION: Job Site Address: ���� ��� �.,- < ��,�, CONTRACTOR/APPLICANT INFORMATION: ' Name: �� �� � � Phone: (n i Z - 2 j- �1I� �'7 Fax: Address: y 5J� S�C s;,ti�,�_ w��, CitY:/�.k,�-,�t }D��,,;,` ZI P: �S3 S� Contact Person: !-'�, �,�,��,� �� ContacYs phone number � �— t Email Applicant is: Contractor ; Homeowner (Circle One) �.�--. PROPERTY OWNER INFORMATION: Name: ���< � �r�z:�- � Phone (daY): �;��- �I -� �/Gi�7 Mailing Address: y S�J SIDYWC,< �.v�,, ,/'I� ��� �'l��_,-,� ZIP: �"� ��� Email and/or Fax Overall Project Description: �,� (� � ; ��" — I �.v R.� ;�-,.c,t h�x��., 1� y�� -�. Check TYPE OF PERMIT Box COST* Dock, Residential— Permanent dock on any lake or initial seasonal dock not on $30 + engineering review costs Lake Minnetonka ermanent dock re uires CUP Dock, Commercial $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Driveway Permit(New or Replacement) No charge Also re uired is a Minor or Ma or Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $30 more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and en ineerin review costs As determined b CUP Land Alteration, Minor(grading, filling or excavating)—500 or less cubic yards $50+ engineering review costs � outside of lakeshore setback or less than 10 yards in lakeshore setback Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review costs Retaining walls measuring 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 separated by twice the height of the lower wall.) Escrow for erosion control and en ineerin review costs $2,500 Stairway to Lake (New or Replacement) $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures not requiring a building permit but $50+ engineering review costs regulated by the zoning code (including, but not limited to accessory building of less than 120 square feet, detached deck or platform and sport court) Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e. (over) *Permit fee will be collected at the time the permit is issued. �4PPLICANT/OWN�ER ACKNOWL�EDGEMENT: � , .--,-� • Applicant agrees to provide all itrFormation required or requested by the Planning Department; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; ` • Applicant 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 alfernative but to reject it until it is complete; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • 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. The undersigned certify that the information supplied is true and correct to the best of their knowledge. �' /�- 1� Applicant's Signature: Date: 7— Property Owner's Signature: � Date: �d� 7 '� 1YPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed application form, escrow agreement(signed by the property owner) and escrow check from owner, two copies of all plans, and three copies of all grading plans or surveys/site plans Dock, Residential Seasonal Dock—survey showing proposed dock Permanent Dock-plans as approved by CUP and copy of LMCD permit Dock,Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Driveway Permit 1. All Minor or Major Land Alteration Permit requirements 2. Hardcover calculations, existing and proposed 3. Driveway plans Land Alteration, Major 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Control Permit Land Alteration, Minor 1. Grading plan including existing and proposed contours (Less than 10 cu.yds. within 75'of 2. Amount of fill to be imported and/or exported and haul route lake or fess than 501 cu.yds 3. Amount of earth to be moved around on site elsewhere.) 4. Erosion control plan or copy of MCWD Erosion Control Permit 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 lan or co of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway, including footings 2. Topographical survey of property with proposed stairs shown 3. Erosion control plan or copy of MCWD Erosion Control Permit Structure Permit 1. Plans for structure. 2. Survey 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 required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control lan or co of MCWD Erosion Control Permit Tree Removal Call: 952-249-4600 to schedule inspection. Last Updated: April,2011 . P�lan Review Checklist for Zoning Permit Applications Address: `7�� 51��]�f (� �iL�Q�j Description of work: Type of permit: �-��'� �-(�� C(/t,-�'I��� �/l, Zoning review by: ���/�� �i� Date Approved: 1 �� � Grading review by: �/{��`e�'1 — Date Approved: ���"J� � Other Review, Reviewed by: Date Approved: Zonin : Zoning File#: Resolution #: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? 0 Yes 0 No Date of Survey: Existin Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wettand Side Side Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Shoreland District MCWD Permit Received Average Lakeshore Setb ck Met? Bluff , � Yes � No 0 N/A � Yes � No 0 Yes Permit Number: 0 Yes ❑ No �A Setback: :�� €, '� Hardcover Zones Existin Proposed Variance Requir CUP Re u'red � 0-75' � Yes No 0 Yes o ' � ':� 75-250' Type(s): Type(s): ,� 250-500' G Zoning File#: Zoning File#: 500-1000' Resolution #: Resolution#: y� �� � Created: March 29,2011 `� z:\forms\plan review checklist for zoning permit applications.docx '� �� � Planning Review Checklist for Zoning Permit Applications . , Page 2 of2 Cubic Yards In Out Total ` vv Haul Route? ? � Yes ❑ No Explain haul route in detail: Fees to be Charged Amount Orono Inspections Required Permit Amount�G�/���� `�(� � ` � Site Escrow Amount e�C/�" � Hardcover Removal ❑ Footing Signed escrow receive ? 0 Poured Wall � As-Built Survey es 0 No ❑ Planting Plan Wetland Escrow amount received. Final es � No � Other(specify) �'•, Engineering review ne ded? �� Yes 0 No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) �';�Ut� I.� (�'J Created: March 29, 2011 z:\forms\plan review checklist for zoning permit applications.docx City Of Orono Melanie Curtis Planning and Zoning Coordinator Re: 4555 Spruce Way Building Permit Application#2011-01213 The certificate of survey is completed by Gronberg and Associates. Approximately 400 yards of fill dirt was brought in and spread out smoothly over an area Of the backyard that is 75 ft. x 105 ft. 150 ft. of silt fencing was installed around the lower perimeter. Additionally I have laid down a layer of straw over the surface area for erosion control. A check is included for Escrow. Gary Frazier 4555 Spruce Way Maple Plain, MN 55359 612-281-4617 � o � � CITY of ORONO � ��.�, O MunicipalOffices ,�-�- � �, �► Street Address: Mailing Address: "�'',� :� G,ti,�' 2750 Kelley Parkway P.O. Box 66 ,� Orono,MN 55356 Crystal Bay,MN 55323-0066 �`�kESH�g' October 26, 2011 Gary Frazier 4555 Spruce Way Maple Plain, MN 55359 Re: 4555 Spruce Way Building Permit Application#2011-01213 Your application for an after-the-fact land alteration permit was received by this office on October 7, 2011. After a preliminary review, we have determined your application is incomplete. The following items must be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Certificate of Survey. Please provide three (3) copies of an updated, scaled certificate of survey meeting the City's survey standards (enclosed) indicating the location of the existing house and proposed .accessory structure (and any proposed grading) as well as all existing structures, landscaping, retaining walls and hardcover on the property. 2. Calculations. Please provide calculations of fill imported, exported and/or moved around the site. 3. Erosion Control Plan. Please provide an erosion control plan or a copy of the Minnehaha Creek Watershed District Erosion Control Permit. The site must be protected with erosion control measures until vegetation is established. 4. Escrow 8� Escrow Agreement. Building permits involving grading and/or review by the City's engineer require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow amount for this project is $2,000. The escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$2,000. Because the material has already been brought to the site and the work (for the most part) is completed, this is an after-the-fact review. We request submittal of the above information by Monday, November 14, 2011 to avoid becoming a violation. Also, please be advised our review may result in required changes to your project as constructed. Additionally, the City's wetland regulations and wetland buffer requirements may be triggered by the project. Please review the enclosed information sheet regarding Construction near a Wetland and following the instructions provided. The above information is required in order for the plan review to continue. Please feel free to contact me at 952.249.4627 or by email at mcurtis@ci.orono.mn.us if you have any questions. Sincerely, CITY OF ORONO ���, C�� �cw� �lelanie Curtis Planning &Zoning Coordinator c Lyle Oman, Building Official enclosures Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us Hen.nepin County Property Map Print Hennepin County Property Map - Tax Year: 2011 The tlata contained on thls page is derived from a compilation of records and maps and may contain discrepancies that can only be disUosed by an accurate survey performed by a licensed � land surveyoc The perimeter and area(square footage and acres)are approzimates and may contain dis�repancies.The information on this page should be used for reference purposes only. - � Hennepin County does not guarantee the accuracy of maferial herein contained and is not responsible for any misuse or misrepresenta[lon of this information or Its derivatives. .. y. �� _ . , , � .. � y _ .��, . 4 6 2 5 � a ti 0 0 �-•+. ��'",�:a-... , �,t.� -'�.. fi0 w; .. . . . . . -�;.�.. ',.� u� Aq� ^4„�-. _ _.. .. 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'0� � .�1 �.. �t .;.�J .�q r k'*�ar y�, aI"" ti x�!��.'�F:� 2 b d- � � ���^�t N 7^. .A tM } ry,�: s ix `` �,pr:s .r .'��" i v . �r,th . �w.. w.�.'�cf. . .a-�;:.�'F�.. ., .�.i.,.'d�i.. ., a .nJ.�•✓'; . .�_��e� .. r . .. �� , µ�W.. �t'�:r:.�..�.,t<.'• Selected Parcel Data Date Printed: 10/10/2011 3:50:49 PM Parcel ID: 30-118-23-31-0003 Current Parcel Date: 10/5/2011 Owner Name: GARY L FRAZIER Parcel Address: 4555 SPRUCE WAY,ORONO, MN 55359 Property Type: RESIDENTIAL Sale Price: $116,178.00 Homestead: HOMESTEAD Sale Date: 06/1996 Area (sqft):438965 Sale Code: Area (acres): 10.08 A-T-B:ABSTRACT Market Total: $230,000.00 Tax Total: $1,971.12 http://gis.co.hennepin.mn.us/HCPropertyMap/Locator.aspx ,.�:.. .. ZONING PERMIT ESCROW AGREEMENT ' � Permit#2011-01213 AGREEMENT made this �/ day of �C�t/ , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Gary Frazier("Owners"). Recitals 1. A building permit application has been filed for a zoning permit for a property located at 4555 Spruce Way the ("Subject Property"), legally described as the East Half of the West Half of the Northeast Quarter of the Southwest Quarter of Section 30, Township 118 North, Range 23, West of the 5t" Principal Meridian, lying South of the railroad right-of-way, Hennepin County Minnesota. 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$2,000 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#2011-01213 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 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 sub� erty pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CI OWNER: By: its: R..�,�. ���...����..�.��.������+��� ��-����,a�,��±�� .;, ��'. �o� � .a �. `4� Rr� eet��#e . � 2 � �' O � � z O 13� � Y � V � � � � � J � �� � � � � i ��� G7 1.�+-� L .:� �� � \ �; � �� � � � w� v �,� � � �� �3 � s � w � w: 1 '� ` `, � `^ v� ' m ` � � � K � � � _ � p � :� Y : � � � ± c� �� �a �° �� �. � ' � l��J t � •' G� �.,`-� �M �-� � � �`` ' �' � � .� � �� n � � :: .:�: � �; `, � �3 1� ` V � ��• � � � ��� �`, �� �� ' � „ , ��. � �:: � .� `� . r � ��'3''�3- R�� ^' �'i '��� 1';��,.�t t ' � ����"+�w• �i •��� a va'x "�"',.�+� . 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' - —- .: i ` � � ., �� _ - '4 \'\� �, �-�. / �1; i/ _ � � - •� �`. ` � � <\ � � ( _ -i��Y'_ I �.. .. rI ,)� � �• � ( • .... ._. I � _- _ � , ` . .. � �. i ` � ) \�\ � � � __ � � ���.� �' \. `�-- — �. � �1�` , -_ _ ��, .> � : rj ' � \ � \\ j �� � _ . _� , ��1 '} � , � � ��' �`1 � _ A , , �`J � , � '�-- T� '�- � I J � i \ � � f �'\ � I � ! � � � r' - � �J '' i `I\ `I` 'I \ \ I, � � C � C� i ;A � _ I � , • , • � ^, �� r ; .� ;� ; � � � � � ; � � � i _ , _ , � . ' ! . � � � , ,l � � � � (,') �. �.'1 � �, �`�i . -�S — i �;- � � i �'_ . � �` � �� � _ _ �< < i i � ; - � jI i � •C � ' � � � I �� � �, i _ I _ _ - �. � � � L I J _ .� �.�-_i � , ` � j �'_I-� c � ' � f�U�� r- ' ,,.._ --� �."��., , o -r-- j '....� L � -�_ � ' i � -L i ') I ;� 1- _ �- -- � �- _ - ' f � �, , � ' � , �_ � �.�' � S�A, ��`:;�;�� T � � � � _ -� � �. � �`; , �f-�A IZF, � Er ' �tiJ i � � t -L. � i _� � �\ � � � ; � {' - ��- � �` - � -- � ;.�3 �"�- ' , ' C� �� I C � : 4; � C� `=('� t � � f I a�� "'_- ! �� �� `"1 � l_�_ ! .r,i� j-- � + � � '� t � l � � ti. � ; ; C Jf i i� ) i C,� ; + �1.. � - � e; \, �`. � � i � ^ � (� � J ' � � . �. � � f I i • � �' , � � ' • . • • . 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant C�, CC: Street File Date: 7/2/2012 G/L: 101-22205 Re: Zoning Permit Escrow Refund Zoning Permit #2012-01213 pertaining to 4555 Spruce Way is complete. The Applicant, Gary Frazier, has requested a refund of his $2,000 escrow. The following is attached: • Escrow Refund Request • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Gary Frazier 4555 Spruce Way Maple Plain, MN 55359 w:\street files�spruce way�4555\escrow refund memo 2012-01213.doc � ZONING PERMIT ESCROW AGREEMENT Permit#2011-01213 AGREEMENT made this !�l day of NC�1/ , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Gary Frazier("Owners"). Recitals 1. A building permit application has been filed for a zoning permit for a property located at 4555 Spruce Way the ("Subject Property"), legally described as the East Half of the West Half of the Northeast Quarter of the Southwest Quarter of Section 30, Township 118 North, Range 23, West of the 5th Principal Meridian, lying South of the railroad right-of-way, Hennepin County Minnesota. 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 $2,000 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 Ciry 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#2011-01213 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 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 sub' erty pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CIT OWNER: By: its: ��r�:�Rt t�.�.,;��, "'�""�:G O�iginal to�Planning D�partrneri#� .. �Ct Copy�toSt�aet F�le . , 2 � � 0 a� � z O � � r � v � � � � �; a � ,� � � � . � � � G� � :� �� � � .�� � �> � � � `� � �-� � � � :� � W` e`.: 1 �1,�+ '�] v� � O � ♦ A , � � f ' � � y i � �` � '��+ � � ~'O- ` ' ; �� -a - � o � � � r � r � �� � v ., � C�� -�� �'� � `' � <`. � .:, -+' �� �� � � .� r?y �T� > +1 � �j .: ;: ti '� ` ♦ `y � � ��` �C� � .� �, , F.� l..7 _ . C. t'r. ��•.���- � � �� . • , . .. C�i�ty af Oro� 2750 Kelley Parkway Oro� pNd �6 952-249-4600 Reeeipt Na: 3.006U54 Pbv 16, 2�i1! 6ary Frazier Planning and Zoning POlI-Olci3 45�55 Spruce 2lOOO.tM} Q1-2�205 Deferred Rev-Devela�r Deposit Total: � 2,O�.OQ Check ��'� t�teck Na: #918 2,t�i4.t�4 Payar: 6ary Frazier Total Applied: �t�,� Change Tendereci: wM�.� 11f15/'c01101:t?cPM r � . , . CITY OF ORONO PERMIT NO.: 2011-01446 2750 KELLEY PARKWAY ORONO, MN 55356- DA'rE[ssuEn: 1 U16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4555 SPRUCE WAY PIN : 30-118-23-31-0003 LEGAL DESC : UNPLATTED 30 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL COI�TSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: ESCROW FOR ZONING PERMIT 2011-01213 APPLICANT ESCROW FEE-APPLICANT 2,000.00 FRAZIER,GARY&BEVERLY TOTAL 2,000.00 4555 SPRUCE WAY MAPLE PLAIN,MN 55359- OWNER FRAZIER,GARY&BEVERLY 4555 SPRUCE WAY MAPLE PLAIN,MN 55359- AGREEMENT AIYD 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 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 after work has commenced. The applicant is responsible for assuring alt 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.