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Home My WebLink About2016-00667 - attached deck CITY OF ORONO * 2 0 1 6 — 0 0 6 6 7 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2570 THOROUGHBRED LA PfN : 04-117-23-11-0016 LEGAL DESC : N/A LOT 004 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL C $TRUC{TION TYPE : DECK ATTACHED VALUATION : $ 22,500.00 NOTE: DECK MODIFICATION&ADDING STAIRS ON STING ATTACHED DECK NOTE: PRIOR TO RELEASE OF ESCROW MONE INSPECTION MUST BE COMPLETED AND ALL DISTURBED AREAS ESTABLISHED WITH VEGETATION. INITIAL: Vv - APPLICANT PERMIT FEE SCHEDULE 402.69 OUTDOOR SOLUTIONS STATE SURCHARGE(VALUATION) 11.25 19311 SOUTHFORK LA TOTAL 413.94 CREDIT PRIOR LAKE,MN 55372- Payment(s) (952)440-4791 CREDIT CARD 6141 413.94 Minnesota State License#:BUIL-BC233792 OWNER LANDGRAVER,KEVIN&HELEN 2570 THOROUGHBRED LA 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 oid if construction authorized is not commenced within 180 o e date of issuance,or if construction is suspended for a peri ays at any time after work has commenced. The applicant is res ib e r assuring all required inspections are requested in c o c the State Building Code.This permit may be revoked at t e r use. ApplicankD6ti Signature Date iZSsLued By 'gnature Date CITY OF ORONO BUILDING PERMIT APPLICATION ��•�'� FOR NEW STRUCTURES OR ADDITIONS Mailing Address: Permit number: sh I 0 oc)(Q(p VO PO Box 66 Crystal Bay, MN 55323-0066 Date received: (D Street Address:' 2750 Kelley Parkway �� `� eview fee: egkFSHO�B EQ' Orono, MN 55356 Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: ZS 70 e-lbup Will this be a Parade of Homes, Remodelers S owcase Home or other Display Home? ❑ Yes 0 No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: U Atls �/G State License# Expiration Date: 3 Phone: (cell) (0123 ala- g3 (office) Z-qi(O -- Y71 Mailing Address: i/ pra City: R Contact Person: L+4>�- ZIP. � 7y LI�'f5 /!V Applicant is: ntractor / Homeowner (Circle One) Email and/or Fax: 6-6 2IAI Ace-.COAA PROPERTY OWNER KATION: Name: y- 46111n/ L,%r10 qVir-R-- Phone(day): - 7 Address: '20 -_X b Cit &i (0 ZIP: Email and/or Fax Af414- ARCHITECT 1LARCHITECT/ ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & ❑ New ConstructionWater Supply J�Single Family with Accessory Bldg./Garage ❑Addition attached garage Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with Office/Commercial ❑ Relocation D detached garage ❑ Residence ❑ Private Sewer ❑ Other: (specify) Multiple Family/Condo ❑ Retaining Wall(s) 2t Adc. ❑ Public 4-feet or greater ❑ Public Water "Any earth movement may also require ❑ Commercial ❑ Storage MCWD review& permits. ❑ Industrial ❑Warehouse El Private Well Minnehaha Creek Watershed District(MCWD) ElOther: (specify) 15320 Minnetonka Blvd ( p ) Other(specify) Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehaha2L2gk.org Estimated Construction Valuation (excluding land) $ ZZ Last Updated: January 2015 STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame (/ b.Width(ft.)= Number of garage stalls: [:1 Masonry �` � ��V Areas in square feet Attached= El Metal �C�eollc El Pole Bldg. / c. Basement= Detached= ❑ ICF d. 15i Story = ❑ On-site Prefab e.2d Story= ❑ Off-site Prefab f. '/2 Story = ❑Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A !!cable ❑ ❑ Building Permit Escrow Agreement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Completed Application Form ❑ ❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set ❑ ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements ❑ ❑ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ ❑ Hardcover Calculations ❑ ❑ Septic System Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD stating no permit is required ❑ ❑ Landscape Walls and/or Retaining Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory Form 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 a as-built survey and all site improvements. Applicant's Signature: Date: 34 Owner's Signature: Date: /// Last Updated: January PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS- Address: 2510 -'horn wl&— tdl Lane, Permit No.: Description of work: Audi ar- 1-- .S .a Date Rec'd: Septic review by: SL �--WC�IN Date Approved: till IP Zoning review by: Date Approved: (a . 1-7 Building review by: A Date Approved: Grading review by: Date Approved: Zoning District: - Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Y Lot Coverage: SF % Survey Submitted: 0 Yes No Date of Survey $'11 q5 Revised dateM: Landscape plan submitted? 0 Yes 0 No Landscaper: Mda T�I' DOuaAkme Proposed Setbacks: Front(L e) Rearr ( veet) ( N S E CW ) ( N S E W ) Other Buildings Wetland Side Side [go 1-14-1 Defined Height: Peak Height: FFF• --- it= (Existing Contour) Perimeter(linear feet)= 50%__ � - L.F. below grade Basement? 0 Yes 0 No, Stories t FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: )UNDATION: The distance between the lowest proposd 4W Slab at or above grade— START WITH floor(of the basement or crawl space)ani measure from highest existing the highest point of the roof. START WITH grade to the highest point of the roof even if fill was brought in to If you have a... elevate home. SUBTRACTION GABLE OR HIP D ROOF(no Slab below grade—mea'lure (BASED ON windows): tract half the distance from highest existing de to the ROOF TYPE) betweenWe highest point of the roof hi hest point of tbeofoof. to thg-I w point of the corresponding If you have gpab1e or hipped roof SUBTRACTION G E OR HIPPED ROOF • GABLE OR HIPPED ROOF(with (BASED ON no windows): Subtract half windows): Subtract half the distance ROOF TYPE) the distance between the between the top of the highest highest point of the roof to window and the highest point of the the low point of the + roof corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract §IJBTRACTION Subtract the distance between the half the distance between BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. 1zEQUALS Defined building height Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Yes J Permit Number: 0 Yes 0 No N/A 0 Ye No 0 N/A-see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s 0 Yes No 0 Yes No 1 2 3 4 5 �/V p`^n IQ,�- -Type(s): N Type(s): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Footing 0 Site 0 Plumbing 0 Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire 0 Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection 0 Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection Framing 0 Masonry 0 Lawn Irrigation 0 Insulation 0 Mfg. 0 Landscaping 0 As-Built Survey 0 Other(specify) Final 0 Lathe Required State Permits 0 Other(specify) 0 Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: S�releas Rmoney Q &l hkfbed QrM okblohed w) V� � Updated: October 2015 7Afnrme\n12n raviaw rharklkt in-gol F rinry Christine Mattson From: Christine Mattson Sent: Monday,June 27,2016 4:24 PM To: 'Icgarin@aol.com' Cc: 'thelandgravers@gmail.com' Subject: 2570 Thoroughbred Lane/#2016-00667 Attachments: Escrow Agreement- Building Permit w Erosion Control 2016-00667.pdf Chris, We have the building permit almost ready to be issued for modifying the deck and stairs at 2570 Thoroughbred Lane. However, before I can issue the permit please have the property owner sign the attached escrow agreement and return with a check for$700. After the project has received the final inspection and all disturbed areas have been revegetated please contact me so I can start the process of refunding the escrow money. Please don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono MN 155356(physical address) PO Box 66 I Crystal Bay I MN 155323-0066(mailing address) 2 952.249.4620 1 8 952.249.4616 ® cmattson@ci.orono.mn.us I -2� www.ci.orono.mn.us Summer Office Hours: (Monday, May 23 through Friday,September 2,2016) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,July 4,2016 1 Survey & Site Plan Requirements a � Planning &Zoning Department 952-249-4620 www.d.orono.mn.us v ESH0 Any building,zoning or general permit application for construction of a new structure, or expansion of an existing structure or land alteration shall be accompanied by a certificate of survey or site plan drawn to scale prepared by a person registered by the Minnesota Board of Architecture, Engineering, Land Surveying, Landscape Architecture, 11 and Interior Design.All surveys* shall be certified by a Minnesota Registered Land Surveyor.Surveyors, Engineers or Landscape architects may certify site or grading plans. A certificate of survey or site plan shall conform to the City of Orono Survey and Site Plan Requirements. Three(3)original,scaled copies and a digital copy of a certificate of survey or site plan, meeting all of the following requirements. The scale shall be of sufficient clarity to indicate the nature and extent of the proposed work. The survey or site plan shall include the following: Administrative Data 1. The name and registration number of the surveyor;date of survey, north arrow,graphic scale. 2. Legal description and address of the property, 3. Total lot area in square feet. 4. Permanent iron monuments must be in place at each property corner and depicted on the survey. 5. All existing easements. Site Information: 6. Location and elevation of any structures on adjacent properties within 50'of lot lines. For lakeshore lots,the principal structure on each adjacent lakeshore lot and average Lakeshore setback must be shown. 7. Primary and alternate drainfield area corners and tank locations(staked in field). 8. All trees over 6"diameter within proposed disturbance area(s) and within 75' of the OHWL 9. Storm utilities including drainage ways, storm sewers, culverts, catch basins, and drain tile stubs with invert elevations. 10. Topographic contours at 2' contours on the entire lot (Lakeshore, 1') and 50' outside of lot lines. Identify all steep slopes over 12%.The source for all topography must be indicated on the survey. 11. Elevations to sea level datum of the top of curb,or if no curb,the edge of the pavement of the street at points where the side lot lines of the property intersect said street. 12. Identify top of bluff, bluff setback,and bluff impact zone. 13. Wetlands and wetland setbacks. 14. Service utilities (water,gas,electrical,and sanitary sewer with invert elevation at connection point) 15. Established high water elevation and structural setback from the Ordinary High Water Level (OHWL) for properties adjacent to lakes, ponds,streams or wetlands, 16. 100 year flood elevation. 17. Stormwater Quality Overlay District Tier(page three of this packet). 18. Hardcover calculations. Provide using the City's calculation sheets. Project Information: 19. All proposed improvements with dimensions. 20. Landscaping, and/or stabilization of disturbed areas. 21. Proposed surface drainage (1' contours on lakeshore properties, 2'on all others), indicate with arrows. 22. Slope of driveway in percent of grade. 23. Elevations to sea level datum of the top of foundation at each transition,garage floor,the first floor and lowest floor at all structure corners, and top and bottom elevations for all walls. 24. Erosion control, construction access, and soil stockpile during construction. Updated:August 2015 *Certification exemption:The certification of the plan by a licensed professional may be exempted by the city engineer if the project meets all of the following: 1)An existing survey accurately describes existing property conditions; 2) Proposed project exceeds the setback requirements by 150%; 3) Proposed project footprint does not exceed 200 square feet; 4) Evidence that the Average Lakeshore setback is met is provided; and 5) Information necessary to ensure the project conforms to City codes and ordinances, including hardcover, grading, and landscaping requirements is provided. Additional surveys may be required,depending on the nature and complexity of your project. Foundation survey: A foundation survey, when indicated on the building permit, shall be submitted upon completion of the foundation work for all buildings and all additions to buildings and include: 1. Verification of the lot dimensions, 2. Verification front, side, rear, lakeshore,and wetland setbacks, 3. Foundation elevation at the same locations depicted on the survey developed for the project. As-built survey:An as-built survey,where required,shall 1. Certify the final topography of the site; 2. Verify drainage patterns; 3. Verify hardcover calculations. 4. Certify all existing improvements Shoreline Setback _J StrUcture StrUcture Setback frorn Setback- Setback- • OH VVL Lot with Septic Lot with Sewer Septic Systeni Natural Environment(NE)Lakes 150 150 150 Lake Classen 974.5 Dickey Lake 985.5 French Lake North Basin 930.5 Sewage Lagoon 934.3 South Basin 930.0 Lydiard Lake 970.9 RecreatlOnal Dever-1 "MIR)Lakes 100 75 75 Long lake Mooney take 988.0 .Tanager Lake 929.4 ;',Hadley Lake Pl `° h 961:4 General Development(GD)Lakes 75 75 75 Forest Lake 929.4 Lake Minnetonka 929.4 Tributary Streams;;.' 100 75 75 Dickey Lake Creek Long Lake Creek Painters Creek (measured from top of bank) Stubbs Bay Creek Wolsfeld Creek Updated:August 2015 mak:■■�� i ri■ nwaM �rr ��:':fir. ' r1ri..:�►r'r---'=��;°= ��♦ ■A �.. sae► .I ■r' jm wild Imm "IH WIN WON WNIN kif SIX Mr �z t t y 1 Permit Application: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. Completed Application Plan Review Fee Paid Fd Lo I v s� Signed Escrow Agreement & Escrow Payment Building Plans (to scale) x2 Hav,<1 DfO_A�0- I Certificate of Survey (to scale) showing the proposed project & �` meeting all requirements x2 der c k 2 is El Hardcover Calculations (if applicable) �er c ►-,2 ) 5 I am aware that Orono will not issue a building permit without a 13 copy of MCWD permits (or documentation from the MCWD stating 13requirements). proposed project does not trigger their permitting requirements). I will contact the MCWD at 952-471-0590 regarding this project. Signed by: Address: 2 5 y `T-h 0"ry��k b-y-ed l--A Permit #: '-2,D i to— C) (o La--1 Packet Last Updated., January 2015 Page 2 Reviewed for Cade Compliance City of Orono City of Orono Dat® 6/2 l D No CopyPlanning&Zoning Plan Review Site Plan Review Date: Reviewer 3g+ PPROVED tU APPHOVED WITH REVISIONS(see notes) E Staff: 8y t-f Q�u.,►�G Continuous grippable handrails i_ _ dos�n bF C�R2r 5`�'t rS I- r 34"-38"high. 1-1/4"-2"did. (�2,�*►�N6-� RE`Up Cd , No closer than 1-1/2"to wall I` - - -____ S Return ends to wall or post. Ir - - ~4 t - - BC -hm6C,-`-" W-CF4 p6c-44 6e4xf fiqj — vZktb -�o -�e i�ks4eoe7 AL.w fueroK STAIRS 7 3/4" MAX.RISER 10" MIN.TREAD RESIDENTIAL6'-8" MIN. HEADROOM 40 GUARDRAILS 5 AT LEAST ONE HANDRAIL REQUIRED �� 7 � Unenclosed floor and roof opening, open and glazed sides of landin sand ramps, balconies, decks or porches which are more ti.an 30" above GUARDRAIL OPEN SIDES grade or floor below, require a guard with a minimum 35"height Open guardrails must have intermediate rails or an ornamental " v pattern so that a sphere 4" in diameter cannot pass through_ 36 minimum Guard height,n All ICY//l� — /�IN,D~ Stairway Ri_ 'ser$ 2576 77/0JEOR�i Open risers are permitted r Q jq the opening between treads does not �Gvl(O �� Permit passage of a 4"dia. sphere. -��CQ-S ��I`f/L•�(, I! [ «ski i RAI Or t � k 4 e7as �_ t Y s � S S Y r` �' , 4 DA E TIME CITY OF ORONO CALLED IN 7- ^I h INSPECTION N TICE -,SCHEDULED PERMIT NO. -:710160-00 /COMPLETED ADDRESS -S 7d OWNER TEL PHWE .��a-3 -S CONTRACTOR 3Z DESCRIPTION 161 W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL El PLUMBING RI ❑ EXCAV/GRADING/FILLING COX ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z RAD SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q E] F ING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W UILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z r ❑ DEMO_ SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a J O O W cc Q 2 Z W cc J d WU ❑WORK SATISFACTORY:PROCEED XPROJECT COMPLETE W ❑CORRECT WORKS PROCEED E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN 11 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. 49-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Ne Notice S7d Established in 1962 INVOICE 40817 LOT SURVEYS COMPANY, INC. F. B. NC N6 9-54 702-66 SCALE I" LAND SURVEYORS o Denotes Iron Monument ORO ® Cop', REGISTERED UNDER THE LAWS OF STATE OF MINNESOTA p Denotes Wood Hub Set 7601 73rd Ave. No. 560-3093 For Excavation Only Minneapolis, Minnesota 55428 x000.0 Denotes Existing Elevation ODenotas Proposed Elevation *urbeporg Certifitate 4* Denotes Surface Drainage EIDEN CONSTRUCTION Proposed grades are subject to results /03 ,'� Proposed Top of Block "---��-`+----- of soils tests. �D�.7 Proposed Garage Floor 023.2 Proposed Lowest Floor Type of Building W/�yi-EiZTc�WN �ZC�AD f�vIlb-99.4Mj-12Ee�7 W►u0vW4 fxp~ l oz'1.4 )✓��OF (31T� _ I027.Z (oZ6.4 1 - U-Tl u-r-( DRAfMAL-il_ E}\SEme j-T- City of Orono 5 5 Planning & Zor, ng Plan Review Site Plan Review Date: �.�;,L(9 PROVED ❑APPROVED.WITH REVISIONS(see notes) O DENIED t1J. Staff:S r� I II o 1 d 1 o--- 1Cip io T 5.4 __ _ 01, 1 b�. X40% 7 1 / 1 ' t 1 N TES \ Io71,4 t d ioz3 3 6 Q lozo.4�— 255.86 - - E e-& of 54-r 16Z'5-6f c 4S S Io21.89 �5 z - ,��o��Eo �. OROtio CO PY Lot 4, Block 1, OLD CRYSTAL BAY ROAD 2ND ADDITION Proposed building information must be checked with approved building plan before excavation and construction. The only easements shown are from plats of record or information provided by client We hereby certify that this is a true and correct representation of a survey �. mss' of the boundaries of the above described land and the location of all buildings and visible encroachments, if any, from or on said land. 4 Signed Surveyed by us this 11th day of August 19 95 R mond A. Prasch Minn. Reg. No. 6743 11j r I`)Aj-G. w Planning • Zoning Depaftment Me o To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: January 4, 2017 G/L: 101-22205 Re: Escrow Refund Building Permit #2016-00667 pertaining to 2570 Thoroughbred Lane is complete. Please refund$700 to the property owner, Helen Landgraver. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Helen Landgraver 2570 Thoroughbred Lane Long Lake, MN 55356 wAstreet files4horoughbred Iane\2570\escrow refund 2016-00667.docx BUILDING PERMIT ESCROW AGREEMENT Arm Swam Perrndt# 616.00667 AGREEMENT made this day of 101'.r1�-/by and between the CITY OF ORONO, a Minnesota municipal corporation City')and Helen La ver("Owners'). Recitals 1. A building permit application has been filed for modifying and deck and stairs located at 2670 Thoroughbred Lana the{`Subject Property'),legally described Lot 4,Block 1,Old Crystal Bay Road V Addition,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 sold review only If the Owner establishes an escrow to ensure reimbursement to the City of Its rzets. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement,the Owners shell deposit$700 with the City. AN 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 corn6ultant 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 Stomswater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The fi ancial security may also be used by the City to eliminate any hazardous conditioner assodated with the work and to repair any damage to public property,or IMrasbucture that Is mused by the work(lhdudi ng planning, engineering,or legal consultant review)associated with building permit#201640667 If compliance with the approved building permit is not accomplis1W. 3. MONTHLY BILLING. As the City receives consultant bids for incurred costs,the City will In tum 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 ths event that the Owners do not mace payment to the City within the trnefrarne outlined in#3 above,slid Issue a Stop Work Order until the Owners pay all expenses Invoiced pursuant to 93. 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. 6. CLOSING ESCROW. The Balance on deposit In the escrow,If any,shag be returned to the Owners when the review has been completed and written notification Is rem from the Owners requesting the furKts. 6. CERTIFY MAID CHARGES. If the project is abandoned by Owners,or ff the elloble expenses incurred exceed the amourit In escrow,the City shall have the right to certify the unpaid balance to the su p rsuarit Stat.%415.01 and 386.012. CITY: C Sr- its: trIu..�Y: Ortgtualoaa,h�hi# aCoptn�toiie�, ac:opysotwnet"tiros. � � '"r •yam f;i 7 f� r+. � �-'-;,-�v J.�-- •-+',� —.- ' I-, !`•.rv'� ' �.�.z 1 c ' r-- �`-•- `, City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.015902 Jul 6, 2016 Kevin & Helen Landgraver Planning and Zoning 2016-00775 2570 700.00 Thoroughbred La 101-22205 Deferred Rev-Developer Deposit --------7 Total: 00.00 Check Check No: 1261 700.00 Payor: Kevin & Helen Landgraver Total Applied: 700.00 Change Tendered: .00 07/06/2016 08:04AM - CITY OF ORONO 2750 KELLEY PARKWAY 'K 2 0 1 — 0 0 7 DATE ISS - 07/06/22 011 6 ORONO,MN 55356- 952)249-4600 FAX: 952 249-4616 ADDRESS 2570 THOROUGHBRED LA PIN 04-117-23-11-0016 LEGAL DESC N/A LOT 004 BLOCK 001 PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW FOR DECK PERMIT#2016-00667-PAID BY:OWNERS,KEVIN&HELEN LANDGRAVER-CK#1261-$700.00 APPLICANT ESCROW FEE-BUILDING 700.00 LANDGRAVER,KEVIN&HELEN Payment(s) TOTAL 700.00 2570 THOROUGHBRED LA CHECK 1261 700.00 LONG LAKE, OWNER LANDGRAVER,KEVIN&HELEN 2570 THOROUGHBRED LA LONG LAKE, 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 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 !► Search-Select Inspection — ❑ X ..................... H Permit# Address Permit Type Property Type Constriction Type Date Time Inspector Inspection TypeStat _ Escrow Refunded 2D16-00775 2570 Thoroughbred La Escrow Fee-Tied to Building Permit Residential Escrow Fee-Tied to 7115!2016 12.00 AM METD Footing{or Rebar) — P.Y 72016 00667 2570 Thoroughbred La Addition/Remodel/Repair Residential Deck Attached - �.........._ T .— --- 7115l2016 12-00 AM METD _ Framing P Y 2D16-00667 2570 Thoroughbred La Addition/Remodel l Repair Residential Deck Attached __ _ __. _ _ 7/15/2016 12:00 AM METD Final P Y ;2016-00667 2570 Thoroughbred La Addition/Remodel/Repair Residential Deck Attached __...___._._—�_. _...___ _..._._..:..------.............__......__... --____. ._. _...._.�� -- _-..__ _.�_ ___....__.. ___ .. -- Christine Mattson 2510 From: Helen Landgraver <hlandgraver@gmail.com> Sent: Monday, December 12, 2016 5:16 PM To: Christine Mattson Subject: Escrow Disbursement Request Ms. Mattson: This e-mail is to request disbursement of escrow funds that I submitted in July 2016 for our deck to be built. Please let me know if you need any information from me to complete this request. Thank you, Helen W. Landgraver i