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2011-01374 - new structure
CITY OF ORONO PERMIT NO.: 2011-01374 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 724 TONKAWA RD PIN 05-117-23-34-0003 LEGAL DESC PARTENS POINT 1 ST DIV LOT 010 BLOCK 000 PERMIT TYPE NEW STRUCTURE PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE SINGLE FAMILY ACTIVITY 101-SINGLE FAMILY HOUSES,DETACHED VALUATION $ 410,000.00 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE,SEWER CONNECTION,LAWN IRRIGATION, WELL(STATE),ELECTRICAL(STATE) NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF OCCUPANCY ISSUANCE. INITIAL: NOTE: BE AWARE,IN THE EVENT 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. INITIAL: -i�- NOTE:AS-BUILT SURVEY SHOULD INDICATE A DEFINED SWALE WITHIN THE BITUMINOUS DRIVEWAY WHICH DIRECTS STORMWATER TO THE PROPOSED SOD SWALE AS WELL AS OTHER REQUIREMENTS/IMPROVEMENTS.INITIAL -� APPLICANT PERMIT FEE SCHEDULE 2,916.75 BUILDING CONCEPTS&DESIGN STATE SURCHARGE(VALUATION) 205.00 80 E LITTLE CANADA RD#5 TOTAL 3,121.75 LITTLE CANADA,MN 55117- (651)274-1894 PAID WITH CC# 4172 Minnesota State License#:20500773 OWNER ZAWOYSKI, STEPHEN&SARA 724 TONKAWA RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction 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 ti for due ca // / 31)A)V li ant Permitee Sign ture Date Issu y Mgnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0"'2.1 • City of Orono Building Permit Application 3/a -75 for New Structures or Additions Mailing Address: Permit number: 37 Ll PO Box 66 p Crystal Bay, MN 55323-0066 Date received: — v, O II �* Street Address: Received by: � \ ti 2750� Kelley Parkway Y Y Plan review fee: l c��j 5. �t\kOrono, MN 55356 cka G —4 ----, 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: 7 A, p Will this be a Parade of Homes, Remodelers Showcase Home oro her Display Home? ❑ Yes ❑ 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 INFO ATION:, Name: 'LO 16fin JK�S State License# 90S C>0'7 Expiration Date: Z ' Phone: -D'79-1 office) ce I Mailing Address: $L Gam- ( An City: ZIP: // Contact Person: DLIJ 4 Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: u o PROPERTY OWNER INFORMATION: Name: Phone (day): Address: ri+• Email and/or Fax ARCHITECT/ ENG,t EER INFORMATION: Name: ` Phone (day): Address: Email and/or Fax: PROJECT INFORMATION: \� 1. Type of Project 2. Proposed Use New Construction ❑ Single Family with Addition attached garage /[ ❑ Accessory Building Single Family with [ ❑ Relocation Al_detached garage ❑ �1 ❑ Other: (specify) ❑ Multiple Family/Condo ❑ N" ❑ Public ❑ **Any earth movement may require ❑ Commercial ❑ MCWD review& permits. ❑ Industrial MCWD El Private Well Minnehaha Creek Watershed District ( ) ❑ Other. (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.ora Estimated Construction Valuation (excluding land) $ 41D(� STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= D [Wood/Frame ❑ Masonry b.Width (ft.)= tJ Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in square feet Detached ='L ❑ ICF �q ❑ On-site Prefab c. Basement= 1 � ❑ Off-site Prefab d. 15t Story = ❑ Other(please specify): e. 2"d Story= I Z f. 'h Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ 1 Permit Application ❑ ❑ Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ ❑ 1 Survey(meeting all requirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: i • 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 agreement to ensure completion of the as-built survey and all site improvements. Applicant's Signature: Date: Plan Review Checklist for New Structures / Addition Address/ PID/ Legal: --?2-q Description of work: j�W H-z�lNl j Septic review by: !V/ Date Approved: 1 l' 3 Zoning review by: Date Approved: — Building review by: Date Approved: Grading review by: _ Date Approved: :at �_j Zoning File#: C,S 2S Resolution#: We 3 Resolution Date: /0 Zoning District Fire Depart ent Post Office School Distri t Zoning: Lot Are / �el^ v SF/AC Width: Depth: Survey Submitted: s No Date of Survey:M2MW Proposed Setbacks: Front ake Rear(Street) ( � S E W ) ( N (S E W ) Other Buildings W tland Slde Ide _ 101 ^ � i Building Defined Height: �J,'7� / Building Peak Height: ";)0, #of Stories 00 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and t e highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or t e mansard roof,or the uppermost point on a round uppermost point on a round or othe arch-type or other arch-type roof roof SUBT 91 half the distance between the highest window and SUBTRACT half the distance between the highe t window highest roof peak of a pitched roof and highest roof peak of a pitched r of SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and t e highest I „ space floor and the highest existing grade within existing rade within the foundation V e foundation or 10 feet,whichever is less. EQUALS Defined building height EQUjgj befined building height Lot Coverage: L 0 SF � % SbLoreland District MCWD Permit Received Average Lakeshore Setback O 4(; Yes �KNo O Yes 0 No N/A Yes 0 No es 0 No 0 N/A 0 Yes Permit Number: Setback: Hardcover Zones Existing Propose Vagiance Required CUP Requi d 0-75' ,(�� Zi ! 0 Y s 0 No 0 Yes No 75-250' ,� ?JZ lv Type(s): Type(s): 250-500' d G6 /I (.�'-y,V-vt A 4-h`a,-eA 500-1000' - {� `'�`J„6,t(IV L REMARKS (in-house): R w��-" I wow&--� Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Perm it Plan Review State`Surcharge Investigation Fee f QAC=Number-df"SAC Units T ,y Sewer Connection Water-.- onnect�on Park Fee Site linspection Other(specify) Miscellaneous.Fees Calculated By: Square Footage $ per Square Footage Basement X = $ 1s' Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ 1--/10, 000 od Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site PlumbingGrading/ Filling Well Hardcover Removal ,Wmechanical 0 Fire Electrical rff Footing Septic n oured Wall irepiace effSewer Connection Foundation Survey 0 Masonry Lawn Irrigation Radon Rock Bed 0�Mfg. Framing 0 Other(specify) sulation -Built Survey Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) � d�i�fl Ke� 5Gt>ale Gvc��� �..e �1 hiyn r�LtD �� v�'��h Gc.�► ��!� L1^f�Gf� We I C,3 Dwe4 Updated: 09/11/2009 z:\forms\plan review checklist.docx Melanie Curtis s O%qpy From: Darren Amundsen [Darren.Amundsen@bonestroo.com] Sent: Friday, November 18, 2011 12:16 PM To: Melanie Curtis Subject: RE: Please Review Looks good and note it on the permit Darren Amundsen, PE Associate Bonestroo, now Stantec Tel 651-604-4894 Cell 651-775-5623 darren.amundsenCcD-stantec.com stantec.com Bonestroo has joined Stantec, a professional services consulting firm recognized for its leadership in sustainability, depth and diversity of talent, and technical expertise. The content of this email is the confidential property of Stantec and should not be copied, modified, retransmitted,or used for any purpose except with Stantec's written authorization. If you are not the intended recipient, please delete all copies and notify us immediately. Please consider the environment before printing this email. From: Melanie Curtis [mailto:MCurtis(5)ci.orono.mn.us] Sent: Friday, November 18, 2011 11:50 AM To: Darren Amundsen Subject: Please Review Darren This was reviewed by you already as Zoning file 11-3525. I think you were fine with it.....? you had a comment about defining a swale in the bituminous area to keep the water directed to the sod swale. Could this be written on the permit and checked with as-built? Can you take one last peek at this as we now have a building permit (Building permit 2011-01347) so I can issue it on Monday sometime.... Melanie i New Construction Energy Code Compliance Certificate Per 1`11101.9 Building(7ertificatc.A building cerrilicale shall be posted in a permanently visible location inside theCnrtiarate P-ted building. ]-he a rtificate shall be completed by the builder and shall list information and values of components listed in Tablc N1101.Rnate. Place your Mailing Addm.of tiro naxaing-IJsvelang Urdt City 724 TONKAWA RD. � Di logo here `fame or Residential('raftartor AIN Li—Number BUILDING CONCEPTS&DESIGN 205 a-7,73 THERMAL ENVELOPE RADON SYSTEM Type:Check All That Apply passive(\o Fan 1 >. Active(1171h fern and(tonometer or >, v nt(rer sustetn monitoring Jenice? r Insulation location _ o C p= z w w T rx ri (titer Please Describe Here Below Entire Slab Rt Foundation NVall �/ X Type in location:interior exterior or integral Perimeter of Slab on Grade w h, Rim Joist(Foundation) V Type in location:interior exterior or integral Rita Joist(1e1 floor+) 41 ,/ Type in location:interior exterior or integral Wall A T� Ceiling,flat fy46 Ceiling,vaulted Bac Windows or cantilevered areas Bonus room over garage H-r-1- Describe other insulated areas Windows&Doors Neating or Cooling Ducts Outside Conditioned Spaces Average I--factor(ecclude5 sk}drghtr and one door)TJ: .21 Ntpble,all ducts located in conditioned space Solar Heat(Jain Coefficient(SHGC): R-value MECHANICAL SYSTEMS Make-up Air Select a D pe Appliances Heating System Domestic Water Iieatcr Cooling System X Nni regidred per niech.code Friel Type NATURAL ELECTRIC Passive Manufacturer BRYANT BRYANT Powered Interlocked with exhaust device. Model 340AAV036080 113ANA030 Describe: Tnput in $0.000 Capacity in Output in 2 1-2 TON (filter,describe- Rating or Size MUS. Gallons Tons: 14=1 Loss: 69.930 Heat Gain: Location ofduct or system: Structure's Calculated AR,TE or 92% U ER 13 xst�r^� Calculated 29.450 Efficient t cooling load: Cfiti's ,.round duct OR � Mechanical Ventilation System "metal duct Describe ari additional or combined heating or cooling systems if installed:(e.g-two furnaces or air Combustion Air Select a Tppe ource tical pump with pas back-tip furnace): \ot required per mech.code Selecl T1pe Passive 1-icat Reeover Ventilator(HRy) Capacity in elms: X Othern dzse-ribe: Energy Recover 1,entilater(ERti�Capacitv in efnis: Low: High: I Location ofduet or system: Z Continuous exhausting fan(s)rated capacity in efms: so f) FLEX MECH ROOM location of fan(s).describe: \fain Bath Cfm s Capacih crnitinuous ventilation rate in cfins: 6" FLEX Total ventilation(itrtermittent—continuous)rate in cf ns: 1200 "natal duct Furnace Size Calculation Worksheet SITE ADDRESS t a � DATE r� i HEATING CONTR4CC CTOR F H I.A__ ".L k, . PHONE GENERAL CON'fRACTORORO'WNER CALCULATIONSPREPARCI)BY.6Lf G ' z^ ,` ;1 4 +Y., * PIiOIYE The design information below must be deterreined from the buildingplaus/speclfications. 13TUB 1. Sq.feet or exposed wall area above grade 31:13 x"U"_L©A-gqtr x SS degrees 7 21 Sq_rect of exposed window area �x full + 3 x 88 degreesS 3. Sq.feet of exposed door area 5,$-x"U" • x88 degrees r -� 4. 3q.feet of telling area z"U"-_0-Qq 88 degrees .2 i 5. Sq.feet of basement floor area 7 BTUBlsquare feet 6. Sq.feet of basement wall area below grade � =j x 3 BTU M/square feet 7. Lin.fret of inffitration for windows s(034)x(LOW x 88 degrees 8. Sq.Peet of infiltration for doors x(0.5)x(1.085)x 88 degrees _ a� 9. Sq.feet of infiltration for sliding glass doors 1(0.5)x(1.0867 x 8$degrees 10. Allowance for kitchen and bath fans: #_j_kitchen fans @4 500 BTUH each # 3 bath fans Q 200 BTU;H each 11. Allowance for fireplaces: #�_©UQ0 STUB each 12. Mechanical Ventilation; Exhaust CFM i a v x(1.085)x 88 Degrees .1 13. Total BTCTH loss for all above items—minimum teaulred faruace outnnt 14. Maximum allowed furnace output}is Line I3 x 1.43 *Furnace output may be oversized to Include a safety factor and pick-up bads but may not exceed 430/� Applicant Sigratare 7:\DaT1%EMdMVA1 eb\FUttmcc SinC*IcW�n Woftbmt 52000 1322.1104 Minnesota Rule Y Page 2 of 9 N1104.2.1.1 Ventilation rate. The continuous ventilation system shall be balanced in accordance with Section N1104.4 2. Exception: If the local ventilation requirements according to IRC Section R303.3 are being met by the continuous ventilation system, it shall be capable of operating at a rate not more than 100 percent greater than required by Section N1104.2.1. N1104.2.2 Intermittent ventilation. The difference between the total ventilation rate and the continuous ventilation rate shall be based on flow rates as designed or as installed. Table N1104.2 Total and Continuous Ventilation Rates (in cfm) Number of Bedrooms 1 2 3 4 5 62 Conditioned Total/ Total/ Total/ Total/ Total/ Total/ space' (in Continuous Continuous Continuous Continuous Continuous Continuous sq. ft.) 1000-1500 60/40 75/40 90/45 105/53 120/60 135/68 1501-2000 70/40 85/43 100/50 115/58 130/65 145/73 2001-2500 80/40 95/48 110/55 125/63 140/70 155/78 2501-3000 90/45 105/53 120/60 135/68 150/75 165/83 3001-3500 100/50 115/58 13 N5 145/73 160/80 175/88 3501-4000 110/55 125/63 140/70 155/78 170/85 185/93 4001-4500 120/60 135/68 150/75 165183 180/90 195/98 4501-5000 130/65 145/73 160/80 175/88 190/95 205/103 5001-5500 140/70 155/78 170/85 185/93 200/100 215/108 5501-60002 150/75 165/83 180/90 195/98 210/105 225/113 1 Conditioned space includes the basement. 'If conditioned space exceeds 6000 sq. ft. or there are more than 6 bedrooms, use Equation 11-1 from Section N1104.2 to calculate total ventilation rate. N1104.3 Ventilation system requirements. The mechanical ventilation system shall be one of three types: exhaust according to Section N1104.3.1; balanced, and HRV/ERV according to Section N1104.3.2; or other method according to Section N1104.3.3. N1104.3.1 Exhaust systems. Fans used to comply with the continuous ventilation part of the mechanical ventilation system shall: 1. meet the minimum continuous ventilation rate in Section N1104.2.1 at the point of discharge; hjt l7.�i.r iINtiUui Y?vicar mn `.i.• 1,...1^.rn-a—,�^" •,• 08128/2010 19-102 9529498355 EDEN PRA-IRIE- "INSPECT PAGE 13 Table 5013.1 Procedure to D&.==e Makeup.Air Quumtity for Exhmt Eq=meat m Dwell'" i REV75DK 1346.0501 One or multiple One or multiple Onespm-assisted le power vent faatmospherically aim herically or dirt vent ` appliances and vented gas-or vent d.gas or appliances or power vent oil appliance or oil a ppliances no combustion or direct vent one solid fuel or s olid fuel appliances' appliancese appliancec appi ances' 1.Use the Appropriate Column to Estk ate House infiltration a)pressure factor (cf n/s. 0.15 0.09 0.06 0.03 b) conditioned floor area(St) (including unfinished basements) Estimated House ` infzltratian (dm): (Ia x 1b] SJ 2. Exhaust Capacity a) continuous exhaust-only ventila#ion "em(cfn): F (mot applicable to balanced ventilation systems such as HRV) b)clothes dryer 135 135 135 135. C)go%of largest - exhaust rating (efM)= 0'1 (not applicable if recirculafing system or if powered makeup air is electricalli urterlocked - and matched to exhaust) d) SO% of next lamest eibau5t not rating(cf1): applicable (not applicable if recirculating system or if powerul makeup air is electrical I interlocked and matched to exhaust) i Total Exhaust i Capacii: (Cfm)' .rr.,r2t,:t_C4)9"•:he Rsnr O`�.:'2`r=< isc:r';(i;snccr=,11 R zi it 88 6�Z81B f B. 9529498355 EDEN PRAIRIE Ih6PEG"C fPAGE, 1 s xno� a� sa :i - 3. Makeup Air Req*ment a)Total-Exhaust Capacity from above) b)Estimated" House Inffttration(from j above) Makeup Air Quantity(cfm) [3a-3b] (if value is negative,no makeup sir is needed) 4 For Makeup Air Opening Sizin&refer to Tabie 501.3.2 "Use:this coh=if tl=e are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances. Buse this column if there is one fan-assisted appliance per venting systei a. Other than atmospherically verbd appliances may also be iacluded. cUse this column if there is one atmospherically vented(other than f -assisted)gas or oil appliance per venting system or one solid fuel appliance. DUse this column if there are multiple.atmospherically vented gas or it appliances using a common vent or if there are atmospherically vented gas:or oil'alThances and solidfuel appliances. Table 501.32 Makeup Air Opening Sizing Table for New and Existizg-Dwellin One or One or one Multiple multiple multiple atmospher- atmospherl-I Passive power vent fan-assisted ically vented ically ventlyd makeup or direct vent appliances and gas or oil gas or oil. air appliances or power ventappliance or appliances openitLg no combustion or direct vent one solid fuel or solid l duct appliances' appliances" appliasicec appliances)' diameteruG Type of opening or system (cfm) (cfm) (ctm-) (cfm) , (inchcs) �I =arn•rtz i"0'2!iC}u+ :he vi^f oz;-Leat--=-_ate o:?,Pixm"e eta Ail?7i:�ts7.an-Iea- HARDCOVER CALCULAIZQNWORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' EXISTING HARDCOVER IN ZONE, A. House x = (,i 39 S.F. Length Width 31Y'6'D i x = —06 S.F. i z x = 143 S.F. 3 x S.F. I B. Garage x = S.F. C. Driveway x = 14ZO S.F. x = S.F. D. Sidewalk x = /4-b S.F. P#LIC3 An t-8 x = Z 2 S.F. E. Patio/Deck DG-G✓G x = 17-8 S.F. x = S.F. F. Landscape A'*&Lle, x = td 7 S.F. Underlain A;is-neZ x = 55 S.F. By Plastic / x = S.F. Or Fabric G. Other x = S.F. TOTAL HARDCOVER IN ZONE - Z&2_7 S.F. A TOTAL PROPERTY AREA IN ZONE 7E 76 S.F. B A Z&2-3 = B 76 Tor x 100 PROPOSED HARDCOVER IN ZONE A. House x = _ S.F. Length Width � x _S.F. _ x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x: = S.F. Underlain x = S.F. By Plastic x = S.F. Or Fabric G. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A + B x 100 = % /N GOT/D �i✓LT�NS �iNT _ rt- __ -PA R—a�ct TO►�Nson1 F.,2s� D�✓is�o�/ 6'�9- / HARDCOVER CALCULATION WORKSHEET SETBACC ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' EXISTING HARDCOVER IN ZONE A. House x = 1 6 S.F. Length Width j x = S.F. x = S.F. x = S.F. B. Garage _ x = S.F. C. Driveway x = S.F. x = S.F. D. Sidewalk PR�S x = Z 0 S.F. WAt K x = Z S.F. E. Patio/Deck x = 3¢3 S.F, DECK x = /0 S.F. F. Landscape x = S.F. Underlain G-+82eG x = Zq S.F. By Plastic P&ASnC— x = /9 S.F. Or Fabric G. Other cove. WI e e s x. /11 f 9 = 14 S.F. TOTAL HARDCOVER IN ZONE - 6 /,3 S.F. A TOTAL PROPERTY AREA IN ZONE 3014 S.F. B A 61,3 + B 3 8 14 x 100 /6. 0 7 PROPOSED HARI)COVER IN ZONE A. House x = _ S.F. Length Width x = _S.F. x = S.F. _._ x = S.F. B. Garage x = S.F. C. Driveway x S.F. x = S.F. D. Sidewalk _ x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape _ X. = S.F. Underlain x = S.F. By Plastic x = S.F. Or Fabric G. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY.AREA IN ZONE - S.F. B A __ + B x 100 = % Address: -7 24- 10f-u44W,4 oq 010NO Core:` '- ,.• Prepared by: 20nt 'F ` r fee •!. . .�., � ,�,; rAy,+.� HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250'250-500' 500-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width X = S.F. X = S.F. B. Garage x = S.F. C. Driveway x = S.F; X = S.F. D. Sidewalk x = 62 S.F.- X = S.F.- E. Patio/Deck x = 3 +3 S.F.-PA 710 X = 10 S.F.r. D1' d F. Landscape x = S.F.- FAV!C Underlain x = ( S.F.-P"5,ro By Plastic x S.F. G. Retaining Walls x S.F.- V/A U H. Other x = S.F. TOTAL HARDCOVER IN ZONE - 613 S.F. A TOTAL PROPERTY AREA IN ZONF_ 3014 S.F. B A 61 = B x100 = 16.07 % PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x = S.F. Length Width X = S.F. X = S.F. B. Garage x = S,F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = 62- X x = 2 0 S.F.,, E. Patio/Deck x = S.F. X = S.F. F. Landscape x = - S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - b' S.F. A TOTAL PROPERTY AREA IN ZONE - —mal Y S.F. B A 2 B x 100 = 2. 15 % RECEIVED - 21 - NOV 2 8 20'1 I Address: Z4 TO,414A�✓1�A°. Q Date: Sft-2- "' Prepared by: C;Q oNaraa, 14SSOCIAI DD HARDCOVER CALCULATION WORKSHEET 5 . SETBACK ZONE: (CIRCLE ONE) 0-75' 5-25 250-500' 500-1000- EXISTING HARDCOVER IN ZONE r� A. House x = 6 3-! S.F. Length Width SI}�a X = 35 S.F. ® x = 143 S.F. B. G/ge ® x = 2,13 S.F. C. Driveway x = W20 S.F. X = S.F. D. Sidewalk x = 146 S.F.-���ra�1C X = 7,z S.F." p�1r7� E. Patio/Deck x = I zA S.�.-^t F-,CA X = S.F. F. Landscape x = 1207 S.F. - R/F Underlain x = S.F. - Rl`✓p By Plastic x S.F. G. Retaining Walls x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE S1F. A TOTAL PROPERTY AREA IN ZONE - _ S.F. B A 7823 + B -7,6*76 x1oo = 36"7 % PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) NZ^v! t'vv<I A. House I IID- H0tl5f x 4-7- '5'>i'70e _ 11 S"7 SIF." + �7)r'p Length Width X = SFF. X = S,F. B. Garage -NEW 6A(M4E x S:F. C. Driveway x = 57/E SI.F. X = S.F. D. Sidewalk x Lu.ltic / 54.4Q = 2 0 Z/ S.F. x = S.F. E. Patio/Deck x PAT�O = 60 S.F. X = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other x 37 S.F. TOTAL HARDCOVER IN ZONE - 2526 S.F. A TOTAL PROPERTY AREA IN ZONE - 7 6 7 6 S.F. B A 2526 + B 7676 x100 = 32. 2 L % -21 - C 5 � DAT TIME CITY OF ORONO 7—CALLED IN INSPECTION NOTICE SCHEDULED /2 PERMIT NO. //- e/) C MPLET ADDRESS /a 42 - OWNER TELEPHO E NO. 4,f 74, -3 ZD CONTRACTOR / > DESCRIPTION t. ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 2 ❑ 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 ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO a COMMENTS: W a J O cc O W W CC Q 2 W z W QC Z) d W J40IWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ElCORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 11 PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. White Copy/inspector's File Canary Copy/Site Notice J"`` �'DATF� I TIME CITY OF ORONO CALLED IN w r INSPECTION NOTICE 7�7 r 7' SCHEDULED I PERMIT NO. D "�13 / COMPLETED / ADDRESS �2_1-4 L "a - 1 OWNER TELEPHONE NO. (PSI -y CONTRACTOR +�,, �0-;C)I�/� nm_ ��, DESCRIPTION ���G- 1 - Nac) M4 , y� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING �C ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL CZ ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS Ia ElFINAL ❑ SEWER HOOK-UP [I COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPFINAL ❑ FOUNDATION/REMOVAL OWN ERICONTRACTOR TO MEET YOU:y¢y YES_NO COMMENTS: W a O a O W CC Q Z W z W U ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor si . Inspector. Whi CopylInspector's File Canary Copy/Site Notice C-5— 6C7�__ .DAE TIME (/ CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED PERMIT NOa�2 —a� 7 COMPLETED Q -, ADDRESS 702 OWNER TELEPHONE NO. 6Si Z 74 .3 c1z� CONTRACTOR DESCRIPTION ❑ 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 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 COMMENTS: cc W CL cc J O a CC O U_ W cc Q f2 Z W z W cc Wajd $WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice 5 of D TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED o?-17-I PERMIT NO. 7 COMPLETED ADDRESS 72- a- OWNER TELEPHONE NO. 2 UP -3©-Lo CONTRACTOR -SUM 7fj - ' DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O El 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 COMMENTS: Cc W a J O Cc O W W Cc Q 2 W Z W QC J O tm K SATISFACTORY-PROCEED ❑ PROJECT COMPLETE QZ W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit . Inspector. ZZi White CopylInspector's File Canary Copy/Site Notice ' t_ af DATE TIME 1 / CITY OF ORONO CALLED IN INSPECTION NOTICL/SCHEDULED — PERMIT NO. ( '�� -.'C7 137/ COMPLETED / ADDRESS _T— I 'j Q OWNER TELEPHONE NOL-5 1 CONTRACTOR 60 D DESCRIPTION fin NC, �L�_� A I ❑ FOOTING ElPLUMBING FINAL ElEXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS C ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZElINSULATION ElWOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W C J O ac O ti cc Q Z W z W cc d 4;P<WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE LU ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice C 3 4DATj TIMECITY OF O� CALLEDIN ' INSPECTION NOTICSCHEDULED PERMIT NO. '/0/1 7COMPLETED ADDRESST ADDRESS 72 OWNER / TEL PHONE NO.01 Alk.3620 CONTRACTOR ` a DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z El 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI El EPTICFINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES—NO y COMMENTS: a j 0 cc 0 2 W cc Q Z W z W 42d AAMRK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on s' r. Inspecto White CopylInspector's File Canary Copy/Site Notice �If"It —5 DATE TIME CITY OF ORONO CALLED IN / INSPECTIONIN9110E SCHEDULED — PERMIT. D/37/ OMPLETED ADDRESS : ��-A-� / OWNERTELEPHO�E NO.��..� a73�7a CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ElPOURED WALL ElMECHANICAL RI El LAKESHORENVETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W a J O O W W cc Q f2 2 W W LU WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site f Inspector. White Copy/Inspector's File Canary Copy/Site Notice 5Df,T,E TIME CITY OF ORONO CALLED IN 8�/ INSPECTION NOTICE '/ SCHEDULED 2- �� PERMIT NO. COMPLETED ��p�^�/ ADDRESS 7Z' �r'7�� '�UQ l�-�� OWNER / TELEPHONE NO. 651 �7& 30z6 CONTRACTOR ld QG DESCRIPTION 4 ❑ FOOTING ElPLUMBING FINAL ElEXCAV/GRADING/FILLING LL Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q El 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 COMMENTS: Cc W a M�n ueT C� C t-1 ,ase C e lam, o W W W Uj ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED E CERTIFICATE OF CUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TE RY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit : Inspector. White CopyMspectoes File Canary Copy/Site Notice T 7 TIME CITY OF ORONO CALLED IN INSPECTIONS IGE � r4 SCHEDULED PERMIT NO.�� WW�t tr bl7COMPLETED ADDRESS -7 2-q '-Oh AIWA OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ElLAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O [I TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W Cc a � 0 W QC Q 2 W W d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE tu W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sitq; Inspector. White Copyllnspector's File Canary Copy/Site Notice ' w i Planning : Zoning Department Memo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: 12/18/2012 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permit#2011-01374 pertaining to 724 Tonkawa Road is complete. All inspections have been finalized and the as-built survey was approved on 8/30/2012. Please refund the $2,500 escrow currently held to the property owners, Stephen&Sara Zawoyski. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Stephen&Sara Zawoyski 724 Tonkawa Road Long Lake, MN 55356 wAstreet filesVonkawa road\ Mescrow refund memo 2011-01374.doc LAND USE APPLICATION#11-3525 DEMOLITION PERMIT APPLICATION#2011-01422 BUILDING PERMIT APPLICATION#2011-01374 AGREEMENT made this IF? day of IV�� 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Stephen &Sara Zawoyski ("Owners"). Recitals 1. A demolition permit(#2011-01422) and building permit application (#2011-01374)have been filed for demolition and new construction located at 724 Tonkawa Road the "Subject Property") described as Lot 10, Partens Point First Division, 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 variance 11-3525, demolition permit #2011-1422 and building permit#2011-01374 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• CET F ORO OWNER: By: Its: iOtwe..rt� l; 1$ea !�IY'_'. k �` .,.<.,19 Orgipat to Planrnrlg '. <.. O=,C�py to,Prpple►ty,Clwner„'„Y;, ,p C,Qpy_to 8tree4 dile LAND USE APPLICATION ESCROW AGREEMENT Application#114525 AGREEMENT made this day of , 20 i r by and between the CITY OF ORONO,a Minnesota municipal corporation ("City') nd Stephen&Sara Zawoyski('Owners°).1 Recitals 1. Owners have filed Zoning Application #11-3525 formally requesting the City to review plans for variances located at 724 Tonkawa Road the°Subject Property')described as Lot 10,Partens Point First Division, Hennepin County, Minnesota. 2. Owners request the City to review said plans which requires City approval including planning, engineering and legal review. 3. The City is Willing to commence its review of the applications and incur costs associated with said review only if the Owners establish 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. 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, or legal consultant review)or will incur in meeting with the Owners, reviewing the plans, and preparing agenda packet material for City Council review of application #11-3525. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a zoning and subdivision application. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs,the City will in tum send a bili to the Owners_ Owners shat 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 outline! in #3 above, shall cease all reviews 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. S. 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. C OWNERS. t� By: Its: By: Cityy of Grno 2750 Kelleyaparkway 952-249-4600 Orono MN 55355 Receipt No: 3.005238 Rug 15, 2011 r ; Stephen & Sara Zawoyski Planning and Zoning 500.00 11-3525 724 Torikawa Rd �, 101-22205 Deferred Rev-Developer Deposit ...... Total: 2,500_00 Check 2,500.00 Check No: 2784 Payor: Stephen & Sara Zawoyski 2,500.00 Total Applied: ------ Change Tendered: - --M--- .00 08/16/2011 01:05PM - CITY OF ORONO PERMIT NO.: 2011-00876 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 724 TONKAWA RD PIN 05-117-23-34-0003 LEGAL DESC PARTENS POINT 1ST DIV LOT 010 BLOCK 000 PERMIT TYPE ESCROW FEE-APPLICANT PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ESCROW FEE-APPLICANT NOTE: THIS$2500.00 ESCROW WAS PAID FOR BY CHECK#2784-TIED TO ZONING APPLICATION 11-3525 APPLICANT ESCROW FEE-APPLICANT 2,500.00 ZAWOYSKI, STEPHEN& SARA TOTAL 2,500.00 724 TONKAWA RD LONG LAKE,MN 55356. OWNER ZAWOYSKI, STEPHEN&SARA 724 TONKAWA RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction 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 Bti Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. PermitWorks t File Transaction Maintain Reports Geobase Property Record * f _ dl —H] PerCAM Update g Permit#: 2011-01374 `I - lare Aciclres Permit Address: 724 To nkawa Rd {* Potain F'IN Address Additional PIN Address General I Fees Inspections f8? I Notes I Applicant Detail I CO Detail Seq Inspection Type Inspector Date Status H Fee Rec -019 P 2 Footing WGIB 212112012 P Y 0 3 Foundation Survey MICUR 12!22!2011 P Y 0 4 Poured Wall LOMIA 121812011 P 0 5 Framing WGIB 511612012 P Y 0 6 Insulation WGIB 2/1712012 P 0 7 As-Built Surrey MCUR 0 _. - - -- 8 Final WGIB 61612012 P Y 0 J Ell ► ] Add Now Delete c a:•e Set