HomeMy WebLinkAbout2012-01055 - pool - in ground f
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CITY OF ORONO * z 0 1 z - 0 1 0 5 5 *
� 2750 KELLEY PARKWAY DATE [SSUED: 1U2U2012
,
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2990 SUSSEX RD
PIN : 04-117-23-31-0020
LEGAL DESC : FOX BEND
: LOT 3 BLOCK 4
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : POOL- IN GROUND
ACTIVITY : 649-ALL OTHER BUILDING & STRUCTURES
VALUATION : $ 130,000.00
NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL AND ELECTRICAL(STATE)
24 X 60 FOOT IN-GROUND POOL
*C.U.P.FOR BATHROOM/SHOWER/PLUMBING KEQUIRED PRIOR TO RELEASE OF ESCROW.�(INITIAL)
* SUBMITTAL OF ENCROACI IMENT G EEMENT REQUIRED PRIOR TO ESCKOW RELEASE. �_(INITIAL)
*AS-I3U[LT SURVEY REQUIRED.�(IN[TLAL)
APPLICANT PERMIT FEE SCHEDULE 1,236.75
QUALITY POOLS STATE SURCHARGE(VALUATION) 65.00
10350 WOODHILL BLVD TOTAL 1,301.75
LAKEVILLE, MN 55044
(612)985-7665
OWIYER
KELLY,JUSTIN& SUSAN
2990 SUSSEX RD
LONG LAKE, MN 55356-
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 governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become nall and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construc[ion is
suspended for a period of 180 days a[any[ime 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 cause. �� 0�
,�� .�� .l / /G/ /���-. �R..� �Syt��c� `'� / �/( _ �� _ �
Applica Permit Sig ature Date [ssued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE.
101?�126�12 ' 04: 17 9529855323 QUALITY POOLS PAGE 02103
.
' Cit of Orono � � � '�
Y �
Building Permit Application �� �d�
for a Swimming Pool
Mailin�Add�ss: a0��_
'Q��� PO Box 66 permit number: �ld,�`j�
Q Q Crystal Bay, MN 55323-0066 Date.received:. ' ' ����'j���
a �. StreetAddress: Recefued by:
�i ��`' 2750 Kelley Parkway Plan'reVieVu fiee:• � ..g
��sxoa� Orono, MN 55366 ' �
ia-���o �, ,
Main: 952-249�600 Fax: 952-249-4816 www.ci.orono.mn.us Total Fee:
This application form must be completed in full and all required information must be submitted.
Incomplete applications wi(I be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: c� � �u € �o Q � �
CONTRACTOR/APPLICANT INFORMATION:
Name: ��L����j �.
State License� Expiration Date:
Phone: — — Fax:
Address; ' Ci : ZIP�
Contact Person: . Contact's phone number
Email a o g A licant is: ontractor Homeowner (Circle One)
PROPERTY owNER INFORMAT�oN:
Name: C(�
Phone(day)�
Mailing Address: Q � s g ZIP: s'
Email and/or Fax
ENGINEER INFORMATION:
Name:
Phone:
Address: Cit :
Email ZIP_
Fax:
PROJECT INFORMATION:
1. Pao�Dimension9: a.Accessory tn� 5. Pool Type: 6.Sewage Disposal&
— � (,� _ �Q. Weter Supp�Y
�X feet �g;ngle�amily ❑Above ground
2. Heated? ❑ Public Sewer
❑Multiple Family/Condo �In-ground
❑Y�� ❑ no
❑ Public ❑ Other(specify) �Private Sewer
3. Excavated materiais wlll be: ❑ Commercial ❑ Public Water
�removed from site ❑ Indus#rial 6.Retaining Walls? �Private Well
❑ used on site ❑Other: (specify)
❑yes �no
❑Other,(specify)
Height__
Total Cubic Yards
' Estimated Construction Valuation $ 3O Q
last Updated: 10/28/2010 •
-�-
10/3�/2�12 04:17 9529855323 QUALITY POOLS PAGE 03/93
.
REQUIRED SUBMIITALS: �
AA of the ir�fomlation must be submitted in order for our application to be rocessed:
.. .. . . . .; .
. �.. . . .;, - .
�.: ...,. .,.. . .
.��...� �.; � . . .. � � ....�..�.�.:., . .��. :� . . . . . . .
'� .. �•�Etfclbs:�ed��;���....;• :.A .Iicable:: �..•. � �.� . ' . . .. . , : . , , , : . . . , . .
� ❑ Permit lication
0 ❑ Plan Review Fee
❑ ❑ Pool Plans
o ❑ Surve includes radin lan
❑ ❑ Hardcover Calculation WoMcsheets
❑ 0 Erosion Control Plan or co of MCWD Permit
O O Se tic S stem Certification �
� � We�and Buffer Im rovement Plan
� ❑ Escrow&Escrow reement •
❑ ❑ Other
C7 O Other
O D Other
❑ ❑
APRI.1Cf1NT ACKNOWLED(�EKAENT: . - __ _.... .__,.
1 Agrees to provide all information required or requested by the Planning&Building DepartmeMs;
1 Certifies t�at the information supplied is true and co�to the best of his/hsr knowledge. The applicant reoo9nizes ti�at they
are solelyl responsible for submitting a complete application being aware that upon fsilure to do so, the staff has no alternative
but to rejed it urrtil it is complete;
• Som@ o�all of the information that you are asked to provide an this applica�on is dassified by State law as either private or
cortfiidential, Private data is irrfcrmation which generally cannot be given to the public but can be given to the subjed vf the dsta.
Corfidenb�al data is infortnation which generally cannot be given to either the public or the subject of the data. Our purpose and
intended Yse of this�information i�to annually update our records and records of other govemmerrtal agencie�s required by law.
lf you refu�se to supply the i�ormation,the permit may not be issued.
Applicant's Sign . Date: — U v
. l� l t�,_
Owner's Signature Date:
�
�
I
I ' . .
I
.
. Plan Review Checkiist for New Structures / Additions
• Address/PID/ Legal: �,'tt�1 t� r5 �-'SSL� (�o�
Description of work: t� � � �—
Septic review by: Date Approved: �� '��'�L--
Zoning review by: �L Date Approved: � �' � '(1--�
Building review by: Date Approved: i n -3u �-�i Z.,
Grading review by: ������`�/1�- Date Approved: o d ��-� l���-
�
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire Department Post Office School District
�,�
Zoning: Lot Area:✓• SF/AC Width: Depth:
Survey Submitted: I 'es 0 No Date of Survey: (�'�1'�Z--
Proposed Setbacks:
Front (L e) Rear(�et) ( N � E W ) ( N S E W ) Other Buildings Wet{and
Side Side '(�
22Z lQ� � L 0' 73 '
Building Defined Height: Building Peak Height: #of Stories Ok?: � YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A$UILDING 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,orthe uppermost point on a round uppermostpoint on a round or other arch-type
or other arch-t 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 ffoor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade withinthefioundation
the foundation or 10 feet, whichever is iess. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
Shoreland District MCWD Permit Received Average•Lakeshore Setback Bluff
/ ❑ Yes � No � N/A ❑ Yes No
❑ Yes [�/1VO � Yes ❑ No �
/ Permit Number: Setback:
Hardcover:Zones Existin Proposed Variance Requi CUP Require
D-75' I 0 Yes No ❑ Yes No
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house):
Updated: 09l11/2009
z:\forms\plan review checklist.docx
� _ �
Fees to be Char ed '�'fS �10. . .
� . ;
_ _ .,.. _ , . ,
_ . .._ _ .:.._ -- . ,. ._
Pian Review �
_. � -,�,.�,.� ::,... _
investigation'Fee
_ . ,.,.-,. ,L. . . _._ _ .._ _
Sewer Connection
Park fee
� .
Dther�specify)
Calculatec!'By; -
S uare Foota e $ er uar$ Foota e
Basement X = $
1�Floor X = $
2nd Floo� . ' , . � _ $
Garage X = �
.Estimated Construction Vatue: � (,3 cJ,��U °J
Orono;fnspe�t�ons R�q�ired �11crk`Requiring`Separate Permits Required State PQrmits
0 Site :� Plum6ing fl Gratling/Fifling ,D Well
� Hardcover Removal echanical � Fire �Electrical
�FoDting . � 5eptic � UVater Connecfion
� Poured=Wa11 � Fireplace 0 'Sewer�onnection
� Foundation Survey � Masonry n Lawn tcrigation
; � Rad�n RAck`Bed � Mfg.
� 'Framing 0 Other(specify)
_� lns�lation
� •,As-6uilt Surarey
;�Final
0 Other(specify)
REMAF�KS {in=house):
C)ther ft�u�e�nr; Reviewetl by; l3ate�ppr��red:
Access:Existing: � 1'ES � MO New: '� YES 0 ND
�EMAR ` TO BE NOTED'ON PEi�M�T Ai�iD! 1TlALLED B �ERSflN PU:LLI 'PERMIT)
.
`���►'�`��V 1 �,Y`�"
`Updated: 09/11/2009
z:lformslplan review chedc(ist.doac
� �-but�l- burv� r�e�quir�.
DATE TIME V
CITY OF ORONO CALLED IN �
INSPECTION NOTI SCHEDULED 1 � '
PERMIT NO. �«�COMPLETED
ADDRESS � � L a �tl���OC �
OWNER TELEPH NE NO.
CONTRACTOR �1P� ��� ��y,�,,,�
>; DESCRIPTION �0��I� 1
�
���OTING ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. �/l��i�i=
White Copyllnspector's File Canary Copy/Site Notice
. . ,
. •
, • . • •
� • .
emo
To: Finance Department
From: Christine Mattson, Planning Assistant �
CC: Street File
Date: September 18, 2013
G/L: 101-22205
Re: Escrow Refund
Building Permit numbers 2012-01052 & 2012-01055 pertaining to 2990 Sussex Road are
complete. An as-built survey has been submitted and approved. Please refund $2,500 to
the property owners.
The following is attached:
• Email from Bolton 8�Menk indicating no unbilled WIP on this project
• Email from Campbell Knutson indicating no unbilled WIP on this project
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Justin 8�Susan Kelly
2990 Sussex Road
Long Lake, MN 55356
w:�street files�.sussex road�2990�escrow refund memo 2012-01052&2012-01055.doc
, �
Christine Mattson
From: David Martini [davidma@bolton-menk.com]
Sent: Thursday, September 19, 2013 8:41 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
I don't see any time associated with these projects.
Thanks.
David P. Martini, P.E.
Bolton � Menk, Inc.
P: (952) 448-8838 ext. 2458
M: (612) 756-4315
email: davidmaCc�bolton-menk.com
From:Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Thursday,September 19, 2013 8:20 AM
To:'Sherry Charboneau'; David Martini
Subject: RE: Unbilled WIP
Good Morning,
1 need to submit my request to the finance department soon. I am wondering if you will have a chance to look up this
information this morning?
Thanks!
From: Christine Mattson
Sent: Wednesday, September 18, 2013 2:47 PM
To: 'Sherry Charboneau'; David P. Martini
Subject: RE: Unbilled WIP
Sorry, I knew as soon as I'd hit send, I'd think of one more....sure enough
1565 Orchard Beach Place Zoning#13-3614 Herbert Pfeffer/Fred Johnson
Thanks again!
From: Christine Mattson
Sent: Wednesday, September 18, 2013 2:43 PM
To: 'Sherry Charboneau'; David P. Martini
Subject: Unbilled WIP
Hello,
Any unbilled WIP for the following:
Address Building Permit Applicant
1
, ,
2990 Sussex Road 2012-01052 &2012-01055 Justin &Susan Kelly
1545 Maple Place 2013-00029 Maple Piace, LLC
1587 Maple Ptace 2012-00436 Maple Place, LLC
Thanks!
Christine Mattson
Planning Assistant
City of Orono
2750 Keiley Parkway ; Orono i MN ! 55356 (physical addressJ
PO Box 66 ; Crystai Bay i MN ; 55323-0066(mailing addressJ
'� 952.249.4620 j 8 952.249.4616
�cmattson@ci.orono.mn.us � �] www.ci.orono.mn.us
Office Hours: Monday-Friday 8 am to 4:30 pm
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
2
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Thursday, September 19, 2013 9:09 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
Hi Christine:
Just wanted to make sure that Soren did not have any outstanding time that he has not given
me to post yet - he responded this morning that he did NOT have any additional time.
However, there is a previous balance outstanding on Zoning # 13-3614 in the amount of
$202.50 from our statement to the City for services rendered through August 31, 2013.
Other than that, there is no unbilled WIP for any of the items listed below.
Have a good day!
Sherry
Sheny L. Charboneau
Legal Assistar�t
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317• Eagan,MN 55121
'a'(651)234-6230•Fax: (651)452-5550
�scharboneauCa�ck-law.mm•www.ck-law.rnm
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent: Wednesday, September 18, 2013 2:47 PM
To: Sherry Charboneau; David P. Martini
Subject: RE: Unbilled WIP
Sorry, I knew as soon as I'd hit send, I'd think of one more....sure enough
1565 Orchard Beach Place Zoning#13-3614 Herbert Pfeffer/Fred Johnson
Thanks again!
_ _ _ __
From: Christine Mattson
Sent: Wednesday, September 18, 2013 2:43 PM
To: 'Sherry Charboneau'; David P. Martini
Subject: Unbilled WIP
Hello,
Any unbilled WIP for the following:
Address Building Permit Applicant
2990 Sussex Road 2012-01052 & 2012-01055 Justin&Susan Kelly
1545 Maple Place 2013-00029 Maple Place, LLC
1587 Maple Place 2012-00436 Maple Place, LLC
Thanks!
�
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit�s 2012-01052 and 2012-010bb
AGREEMENT made this �� day of ��''� ,20 i a-;by and between the CITY OF ORONO,
a Minnesote municipal corporation("City")and Justin and Susan Kelly,("Owners").
Recftals
1. A building permit application has been filed for an in-9round nool and cabana buildin� located at
2990 Sussex Road the("Subject Property"), iegally described as Lot 3 and the northerly 53 fee of Lot 4, Block 3,
Fox Bend,Hennepin County Minnesota.
2. Owners request the City to review the applications.
3. The City will commence its review of the applications 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 shail deposit$2,500 with the City. All accrued interest, ff 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 c�sts the City has incurred (including planning, engineering, in excess of $500, or legal
consultant review) or will incur in reviewing the plan. Eligib� expenses shafl be consistent wlth expenses the
Owners would be responsible for under a building permit application. The escrow will also guarantec
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 Stortnwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79.
The financial security may also be used by the City to eliminete 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 consuttant review) associated with building permR �F2012-01052 and 2012-01065 if
compliance with the approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consuttant bitls 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 bitl.
4. D13BURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe ouflined in#3 above,shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to �t3. 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 retumed 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
incuRed by the City exoeed the amount in escrow,the City shall have the right to certify the unpaid balance to the
subje pursuant to Minn.Stat.§§415.01 and 366.012.
�3
CITY: CITY F R OWN
.�
By:
Its: " . .�
M»tnal iJse Only: _�O�imd-to:P�anniny .�CoPY10 Propertr t�wner O Copy to S�est'Flle
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I� 3'..�}-,... I� �..� �...�.,A., �[�,U,�1 � �t-�...� .,,,.�P ,�� .
N��� '� _
LAURA JEAN HAWKINS
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' � • � CITY OF ORONO * z H 1 2 - 0 1 1 6 z *
2750 KELLEY PARKWAY DATE ISSUED: il/13/2012
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2990 SUSSEX RD
PIN : 04-117-23-31-0020
LEGAL DESC : FOX BEND
: LOT 3 BLOCK 4
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOT'E: THIS$2500 ESCROW IS TIED TO BUILDING PERMITS 2012-]052 AND 2012-01055
PAID WITH CHECK#1107 BY SUSAN KELLY ON 1 U13/2012
APPLICANT ESCROW FEE-BUILDING 2,500.00
KELLY,JUSTIN& SUSAN TOTAL 2,500.00
2990 SUSSEX RD
LONG LAKE,MN 55356-
OWNER
KELLY,JUSTIN&SUSAN
2990 SUSSEX RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction 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 Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.