HomeMy WebLinkAbout2014-00247 - demo CITY OF ORONO 111111111111111111111111
* 2 0 1 4 - 0 0 2 4 7
2750 KELLEY PARKWAY DATE ISSUED: 04/03/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4705 WATERTOWN RD
PIN : 31-118-23-22-0003
LEGAL DESC : UNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE
ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES
NOTE:
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. INSPECTIONS DONE BEFORE BACKFILLING.
DEMO BARN-VARIANCE APPROVED DEMO
APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00
STATE SURCHARGE DEMO 5.00
PRCHAL, DEREK&KELLY TOTAL 55.00
4705 WATERTOWN RD
Payment(s)
MAPLE PLAIN, MN 55359 CHECK 2759 55.00
OWNER
PRCHAL,DEREK&KELLY
4705 WATERTOWN RD
MAPLE PLAIN,MN 55359-
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 fora 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 fora cause.
Applican ermitee Signature Date Issue By Signature Date
City of Orono FOR CITY USE ONLY
/ szLok P.O. Box 66 Date Received: 3/zt/sq, Permit# 2r/tl C'C" /7
2750 Kelley Parkway
Crystal Bay,MN 55323 Amount: $ SAC Credit:
(952)249-4600
>, Homeowner(s)Signed: Yes
y*01E,
�� Resolutions(if any)Signed:0 Yes 0 None Required
Kf s H o'- Zoning Disclosure Signed: 0 Yes [None Required
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site / Owner Information:
Type: 0 Residential ❑ Commercial
Site Address: \ 11705 A)47-4:4-7-0 40A1 ,
Owner: 662.0: kEtc_y RCggc_ Mailing Address: 11705- 7bo,/ 'c
(/pon
City: iD I Zip: 555S4/
Phone: ((QIZ Z32 - 63920 Email: KEZLtj , b,--72E@M4,co vlr
Contractor/Applicant Information:
Contractor/App.: /JE K f'R I-I4L Contact Person:
Address: 3441E 45 ,46ak State License#:
City: Zip: 4. Expiration Date:
K
Phone: Email:
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions:
1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc.
2. Work must not begin unless the permit card is available on the job site.
3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600.
4. Sewer must be discontinued at the City service by qualified contractor before demo permit is
issued.
Demolition by means of: [ Manual Disassembly ❑ Heavy Equipment ❑ Other
H1\ Permit(s) Issued: E Sewer Disconnection ❑ Well Abandonment#
In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to:
1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which
structures are to be demolished.
2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in
accordance with Chapter 79, Construction Site Runoff Control.
3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The
City will not issue a demolition permit without a copy of the permit(s) from the MCWD or
documentation stating permit(s) are not required.
4. Submit a $2,500 escrow and an escrow agreement signed by the property owner.
5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete.
6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific
prior approval is obtained in writing for temporary use thereof.
7. Completely remove foundation(s) from the ground.
8. Completely dispose of all demolition debris off site in accordance with all applicable PCA
requirements.
9. Abandon water wells in accordance with State Health Department regulations.
10. Call for an inspection when all debris has been removed, before backfilling.
11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site
shall be left clean and clear of all debris, with any excavation filled with earth level with the
adjacent ground elevation (except when such excavation is to be used as part of a new building
and such new building is actually under construction).
12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped,
crushed and filled with native soils. An inspection is required after the tanks are pumped and
before the tanks are crushed and filled.
13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono,
its agents, employees and assigns from and against all claims, damages, losses or expenses,
including attorney fees, against the City, its agents, employees and assigns arising out of or
resulting from the demolition described herein as performed by the property owner, his
employees, agents, subcontractors or assigns.
PERMIT TYPE AND FEE CALCULATION
(l $75.00 – Principal Structure $
$50.00 –Accessory Structure x / (how many) 13A-0N10< —
1. Subtotal of above permit requested $ 5o
2. State Surcharge 5.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $ 5-C. —
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do
all the work in a strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and correct.
Applicant's Signature: I / Date: 3/Z6P/4
Owner's Signature: )4441: �, Date: 3/2-L./LK
Approved By: Date: `/- I - /
(Building Official)
Zoning Disclosure Required? ❑ YES NO
a *This must be filled out by Zoning Department— For either answer, a Zoning Official must sign all applications.
1f * Approved By: 0i/1611/1\0501Date: 442-1
(Zoning Official)
1
CERTIFICATE OF SURVEY FOR
DEREK PRCHAL
IN THE NW 1/4 OF SECTION 31-118-23
HENNEPIN COUNTY, MINNESOT
i
iI Oq t�
PROPOSED
i 7:7-7:'.1.
�� BARNQ ' 3�.6 'u91 f ( SILt D NCE ry/:.CD I I f_3T1NCiIf if i Rf
�i n ,� -_ 15 OTO P►20�0.SED BARN- �� N
•5 le„...'1 ( 1 -3TO60S
m iT}NG BARN-
\ \
_ i Y _ �.\ ..
; 100.85 feet thence North 29 degrees 56 minutes 30 seconds East a distance of
, / / EXISTING HOUSE 70.53 feet thence Northerlyalonga tangentialhaving
y N 31D #4705
curve concave to the West
v 24.
7 a central angle of 22 degrees 11 minutes 30 seconds and a radius of 150 feet,a
distance of 58-10 feet thence North 7 degrees 45 minutes East tangent to the
' last described curve a distance of 65.58 feet;thence North 9 degrees 30 minutes
71 i' 61';',/./"?' East a distance of 275 feet thence North 12 degrees 30 minutes East a distance
•
\� ���� 203.0U of165 feet thence North 20 degrees 30 minutes East a distance of 44.11 feet;
MOST NORTHERLY CORNER OF J N81-31./1"W
81, thence Northeasterly along a tangential curve concave to the Southeast having
LOT 2 BLOCK 2 MCCULLEY FARM 31'11'W 374 01 1pe \ a central angle of 57 degrees 17 minutes 18 seconds and a radius of 75 feet a
NORTHERLY LINE OF LOT 2 distance of 74.99 feet;thence North 77 degrees 47 minutes 18 seconds East
BLOCK 2 MCCULLEY FARM �•-.. I
tangent to the last curve to its intersection with said centerline of County Road
\‘•, MOST WESTERLY CORNER OF No.6 and there terminating.
LOT 1 BLOCK 2 MCCULLEY FARM
- • • - ` This survey shows the location of an existing house,barn and driveway,and the
\ proposed location of a proposed barn.It does not purport to show any other CO
•_ improvements or encroachments.
Iron marker found
Iron marker set
WO Existing contour line
-fes Proposed contour line
1975.5): Existing spot elevation
97+7: Proposed spot elevation
Bearings shown are based upon an assumed datum
Note: Existing contours within detail area were shot by us. CA
Outside of detail the contours were from Hennepin County maps. O
NS
REVISIONS DESIGNEE I hereby certify that this survey,plan,or report DATE 111114
DATE ' BY ' REMARKS 'NaspreParedbYmeor�ndermydreawpervisan t�17-74 GRONBERG ASSOCIATES, INC.
-- --- and that I am a duly Licensed Land Surveyor under s
1-27-14 REVISED BARN POSITION DRAWN the laws of the State of Minnesota. 1"=50'X ___ CIVIL ENGINEERS,LAND SURVEYORS,LAND PLANNERS
2-28-14 REVISED BARN POSITION_- CHECKED 14-021 445 N.WILLOW DRIVE LONG LAKE,MN 55356
DATE MINN.LICENSE NUMBER sErs
PHONE:952-473-4141 FAX:952-473-4435
.5 — ..----.
e3\ DATE TIME J
CITY OF ORONO CALLED IN 3
INSPECTION NOTICE SCHEDULED - -
PERMIT NO.aDLi"--1:Za--7 COMPLETED
ADDRESS _�-2 o5 (1,w I�Z � e
OWNER _�L_I 7ik TELEPHONENO0A- a---to c7,JO
CONTRACTOR
>; DESCRIPTION -P \J - Qi rn
I_
IQ ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN
4.
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
cd/ 0 FRAMING ❑ MECHANICAL FINAL
Q El TREE REMOVAL
• ❑ 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 EDFOUNDATION/REMOVAL
2
OWN ER)CONTRACTOR TO MEET YOU:_YES X NO
• COMMENTS: .5R7 Fe nee /S /w ,4C e._
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Li , 40 A4,a rQo 4S `talo /¢LS Q iD
ct
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1�/D✓�* Of S-174 r KCe M -i
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WU 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
cj 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 site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
AT TIME J
CITY OF ORONO CALLED IN IATA."
INSPECTIONOTIC�� 47 SCHEDULED V- 2 9/ /: BO
PERMIT NO.C'a COMP ED
ADDRESS I-1765 765 kix/_yC
OWNER / h'r.TELEPHONE NOS .
CONTRACTOR
DESCRIPTION
❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING 0 MECHANICAL FINAL
0 TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS
is FINAL 0 SEWER HOOK-UP ❑ COMPLAINT
DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
2 ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
2 COMMENTS: Jowl , pre+cc -
a Cccbbre. AacaGoa ofr sfa-
ce
cc
W
CC
IQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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/Contra r on site:rr
.-
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
Planning & Zoning
Department
Memo
To: Finance Department
From: Christine Mattson, Planning Assistant
/k A
CC: Street File
Date: August 11, 2014
G/L: 101-22205
Re: Escrow Refund
Land Use #14-3649 and building permit #2014-00247 pertaining to 4705 Watertown Road
are complete. Please refund $2,500 to the applicant, Derek& Kelly Prchal.
The following is attached:
• Documentation from Campbell-Knutson stating they have no unbilled WIP
• Documentation from Bolton-Menk stating they have unbilled WIP in the amount of$52.
There is no other WIP for this project, so it falls under the $500 credit.
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Derek& Kelly Prchal
4705 Watertown Road
Maple Plain, MN 55359
w:\street files\watertown rd\4705\escrow refund request for 2014-00247.docx
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Tuesday, August 05, 2014 5:04 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
Christine:
I still happen to be working tonight.
NO UNBILLED WIP for our firm on the apps listed below.
Sherry
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317• Eagan,MN 55121
It(651)234-6230• Fax: (651)452-5550
®scharboneau(ack-law.com•www.ck-law.com
From: Christine Mattson [mailto:CMattson(aci.orono.mn.us]
Sent: Tuesday, August 05, 2014 4:53 PM
To: Sherry Charboneau; David P. Martini
Subject: Unbilled WIP
Hi.
Any unbilled WIP for the following? I would greatly appreciate a response before noon tomorrow, Wednesday,August
6th. Thank you.
Applicant Address Building Permit# Land Use#
Reynolds, William & Mollie 665 Orchard Park Rd 2013-00100
Ashfeld, Dan 1376 North Arm Dr 2013-01306
Prchal, Derek 4705 Watertown Rd 2014-00278 14-3649
Maenner, Bradley 3590 Northern Ave 2013-00431
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono MN 55356(physical address)
PO Box 66 Crystal Bay ` MN 55323-0066 (mailing address)
lit 952.249.4620 g 952.249.4616
cmattson@ci.orono.mn.us www.ci.orono.mn.us
Summer Office Hours: (Monday, May 19 through Friday,August 29,2014)
1
Christine Mattson
From: David Martini [davidma@bolton-menk.com]
Sent: Wednesday, August 06, 2014 3:30 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
It looks like we have the following WIP:
$104 for 2013-00100
$52 for 2013-01306
($52 for 2014-00278
$124.50 for 2013-00431
David P. Martini, P.E.
Bolton & Menk, Inc.
P: (952) 448-8838 ext. 2458
M: (612) 756-4315
email: davidma(a�bolton-menk.com
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Tuesday, August 05, 2014 4:53 PM
To: 'Sherry Charboneau'; David Martini
Subject: Unbilled WIP
Hi.
Any unbilled WIP for the following? I would greatly appreciate a response before noon tomorrow, Wednesday, August
6th. Thank you.
Applicant Address Building Permit# Land Use#
Reynolds, William & Mollie 665 Orchard Park Rd 2013-00100
Ashfeld, Dan 1376 North Arm Dr 2013-01306
Prchal, Derek 4705 Watertown Rd 2014-00278 14-3649
Maenner, Bradley 3590 Northern Ave 2013-00431
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono MN 55356 (physical address)
PO Box 66 Crystal Bay MN 55323-0066 (mailing address)
`t 952.249.4620 8 952.249.4616
cmattsonPci.orono.mn.us www.ci.orono.mn.us
Summer Office Hours: (Monday, May 19 through Friday,August 29, 2014)
1
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2014-00278
Demolition Permit#2014-00247
Land Use#14-3649
AGREEMENT made this � day of ' , 20I,, by and between the CITY OF ORONO.
a Minnesota municipal corporation ("City") Derek Prchal ("Owners").
Recitals
1. A building permit application has been filed for a accessory structure located at 4705 Watertown
Road the ("Subject Property"), legally described as That part of the Northwest Quarter of Section 31, Township
118, Range 23, lying Northerly and Westerly of the plat of McCulley Farm; Southerly of the centerline of County
Road No. 6 as shown on HCSAH No. 6, P/at 5; and Easterly of the following described line: Commencing at the
most Westerly corner of Lot 1, Block 2, McCulley Farm; thence North 81 degrees-31 minutes 11 seconds West,
assumed bearing, along the North line of Lot 2, Block 2, said Addition, to the most Northerly comer of said Lot 2 and
the point of beginning of the line to be described;thence North 30 degrees 41 minutes 28 seconds East a distance
of 100.85 feet; thence North 29 degrees 56 minutes 30 seconds East a distance of 70.53 feet; thence Northerly
along a tangential curve concave to the West having a central angle of 22 degrees 11 minutes 30 seconds and a
radius of 150 feet, a distance of 58.10 feet; thence North 7 degrees 45 minutes East tangent to the last described
curve a distance of 65.58 feet; thence North 9 degrees 30 minutes East a distance of 275 feet; thence North 12
degrees 30 minutes East a distance of 165 feet;thence North 20 degrees 30 minutes East a distance of 44.11 feet;
thence Northeasterly along a tangential curve concave to the Southeast having a central angle of 57 degrees 17
minutes 18 seconds and a radius of 75 feet a distance of 74.99 feet; thence North 77 degrees 47 minutes 18
seconds East tangent to the last curve to its intersection with said centerline of County Road No. 6 and there
terminating, Hennepin County Minnesota.
2. Owners request the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal
consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the
Owners would be responsible for under a building permit application. The escrow will also guarantee
reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in
accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79.
The financial security may also be used by the City to eliminate any hazardous conditions associated with the
work and to repair any damage to public property or infrastructure that is caused by the work (including planning,
engineering, or legal consultant review) associated with building permit #2014-00278, demolition permit
#2014-00247 and land use#14-3649 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.
Page 1 of 2
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2014-00278
Demolition Permit#2014-00247
Land Use#14-3649
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�CITY OF ORONO 0 ER:
By jW i 1
Its:c. ,nf .•
6 i re
Internal Use Only:- #9 Otjakialite O$gnaI to Planning . ..p Gctipy'to PriiP®rt3►Ownax : 10-Copy,tc►StreetFfle
Page 2 of 2
APPLICATION ESCROW AGREEMENT
Zoning Application# I t4 - LI
AGREEMENT made this -1-'\ day of a-M11-11/1 , 20 H , by and _bgtween the CITY OF
ORONO, a Minnesota municipal corporation ("City') and J DPL l2A
[a corporation—optional] ("Owner").
Recitals
1. Owner has filed Zoning Application# ( H - /27(1211 6 formally requesting the City to review
plans for a of C Mat(.fit erk- 27)l'( k2LA 1 if I r —V Gry 1 RyaGe n>, [O 1r -fl Cv' located
at n nn fr G1 the
"Subject Property")as more fully shown and described on Exhibit"A"attached hereto.
•
2. Owner requests the City to review said plans which requires City approval including pt 44 t`"�� >
%1 v1 L vi
3. The City is willing to 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 Owner shall deposit $ 2-S0 with the City. All accrued interest, if any, shall be paid to the
City to reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering, or legal consultant review)or will
incur in meeting with the Owner, reviewing the plans, and preparing agenda packet material for City Council
review of application # (L.( - .PttGj . Eligible expenses shall be consistent with expenses the Owner
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 turn
send a bill to the Owner. Owner shall be responsible for payment to the City within 30 days of the Owner's receipt
of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owner does not make
payment to the City within the timeframe outlined in #3 above,the City may draw from the escrow account without
further approval of the Owner to reimburse the City for eligible expenses the City has incurred. The City shall
notify the Owner of such draw and the nature of the expense for which the reimbursement is being made. If the
Escrow amount falls below 75% of the original escrow amount the Owner shall deposit additional sums as
directed by the City, or the City shall discontinue all review.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owner when the review has been completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, 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 OF ORONO OWNER
By: By: 1
Its: tom, F1 I 1 Ciao r c4 / /.t r Its:
Packet Last Updated: 09/2013
Page 10 of 28
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City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-46(10
Receipt No: 3.010330 Jan 21, 2014
Derek Prchal
Planning and Zoning
14-3649 4705 Watertown 2,500.00
Road
101-22205
Deferred Rev-Developer- Deposit
Planning anZoning 700.0(}
14-3649 4705 Watertown
Road
101-34420
Cord Use-Variance-Dev Fees
Total: 3.200.00
Check 3,200.00
Check No: 2754
Payor:
Derek Prchal 3,200.00
Total Applied: ___
Chance Tendered: .00
`-
01/21/2014 04:20PM
CITY OF ORONO l 111111111_ 11110 X101 00 61111
2750 KELLEY PARKWAY DATE ISSUED: 01/22/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4705 WATERTOWN RD
PIN : 31-118-23-22-0003
LEGAL DESC : UNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: THIS$3500 ESCROW IS TIED TO ZONING APPLICATION#14-3649
APPLICANT ESCROW FEE-APPLICANT 2,500.00
ESCROW FEE-DEVELOPER 0.00
PRCHAL,DEREK&KELLY TOTAL 2,500.00
4705 WATERTOWN RD
Payment(s)
MAPLE PLAIN, MN 55359 CHECK 2754 2,500.00
OWNER
PRCHAL, DEREK&KELLY
4705 WATERTOWN RD
MAPLE PLAIN,MN 55359-
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
EXHIBIT "A"
LEGAL DESCRIPTION
RECEIVED
JAN 21 7011
Packet Last Updated: 09/2013 (.4.1
Page 11 of 28 ,+�
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PIN 4.1
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Update Address
Permit#:
2014-00278
c: Main PIN Address
Permit Address: 14705Watertown Rd c Additional PIN Addiem,s
t- Permit Issue
General 1 Fees Inspections 11) 1 Notes 1 Applicant Detail 1 CO Detail I
Seq Inspection Type Inspector Date Status H Fee Rec
1 Final itatETD E515/20141P Y 'i0
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