HomeMy WebLinkAbout2013-00168 (Deck) � - CITY OF ORONO * z 0 1 3 — 0 0 1 6 e *
2750 KELLEY PARKWAY DATE ISSUED: 03/20/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1384 BALDUR PARK RD
PIN : 08-117-23-31-0004
LEGAL DESC : BALDUR PARK
: LOT 019 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 4,000.00
NOTE:
REPLACE DECK IN KIND
APPLICANT PERMIT FEE SCHEDULE ]03.25
PEARSON, CRAIG& LISA PLAN REVIEW 67.1 1
1384 BALDUR PARK RD
WAYZATA, MN 55391- STATE SURCHARGE(VALUATION) 2.00
TOTAL 172.36
OWNER
PEARSON, CRAIG& LISA
U84 BALDUR PARK RD
WAYZATA, MN 55391-
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 [he
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsibie for assuring all required inspections are
requested in conformance with the Sta[e Building Code.This permit may be
revoke�at any ti r due cause.
�_./' ` l �� l �� � � /Zli l ��
Applicant rmitee Sig ctre Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: d d�3�D �
O�,�,�.0 PO Box 66 �
Crystal Bay, MN 55323-0066 Date received: �- l����
,� ,A�, �, StreetAddress:' Received by:
�',�, �ti�' 2750 Kelley Parkway Plan review fee:
L9kESH��`'� Orono, MN 55356 �
Total Fee: � �� ,��j
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 submitte� �
Incomplete applications will be returned. (Please print) � �
GENERAL INFORMATION: ._.� nn
Job Site Address: '� � �� � c���-f �c�c �'— 'J�' - � � ���=�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes
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/APPLICAf�.T INFORMATION:
Name: ��1� �c,�✓�-e .--
State License# Expiration Date:
Phone: (office) (cell)
Mailing Address: City: ZIP:
Contact Person: �.:e S�Q� �,�� .- �1 Z-Sz'J o-�j 3,� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: WGa�y SS �J �a{�0•C9ryv`
PROPERTY OWNER INFORMATION:
Name: t� � �`�. �(F 1 �.- i:�u ��E'l.���-���
Phone (day): ��, y;��,`1� v��:��'t 3 C211�
�
Address: ' 4s � +�- c� ` 11�c�� Cit : �J��. 7a c:�_ ZIP: �� ���
Emailand/orFax cr��,u7�c�r���b";�;w�yfu�n�c� •�:z%�--�
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ARCHITECT! ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZfP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal &
Water Supply
❑ New Construction ❑ Single Family with ❑ Residence
❑Addition attached garage ❑ Garage/Accessory Bldg. �'Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage �Public Water
"*Any earth movement may require ❑ Commercial her pecify)
MCWD review&permits. ❑ Industrial ��1►ce �L,., 'n�- ❑ Private Well
Minnehaha Creek Watershed District(MCWD) �"f�ther: (specify)
18202 Minnetonka Blvd ���.y��N}{e .��i�:r�\
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
,��
Estimated Construction Valuation (excluding land) � /��
Packet Last Updated: 03-06-2012
-21 -
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: ❑ Masonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 1 S`Story = ❑ On-site Prefab
e. 2"d Story= ❑ Off-site Prefab
f. '/z Story = ❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
Enclosed A licable
❑ Permit A lication
� Pro osed Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
� Surve meetin all re uirements
❑ Stormwater Pollution Prevention Plan
❑ Hardcover Calculation s
❑ Se tic S stem Site Evaluation Re ort
❑ Access Permit
❑ Wetland Buffer Im rovement Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
❑ Plan Review Fee
❑ Other:
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 of the as-built survey and atl site improvements.
� �
; � � �� �,. �
ApplicanYs Signature: r� " �Y � � �' �� � � i,��l Date: � �� 3
' / � ,
Owner's Signature: � .�-r�� r ` '"���(^��� Date: �� �.>
J
Packet Last Updated: 03-06-2012
-22 -
REMARKS (in-house):
Fees to be Charged YES NO
Permit �
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Foota e $per Square Foota e
Basement X = $
15�Floor X = $
2nd FI00� X = $
Garage X = $
c��_
Estimated Construction Value: $ `���(.�%
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing � Grading / Filling � Well
� Hardcover Removal O Mechanical 0 Fire � Electrical
� Footing 0 Septic � Water Connection
� Poured Wall 0 Fireplace � Sewer Connection
� Foundation Survey � Masonry � Lawn Irrigation ;
�
0 Radon Rock Bed 0 Mfg.
�Framing � Other(specify)
0 Insulation
� As-Built Survey
^
Final � ,il.. (G� ✓` �
0 Wetland Buffer
� Other(specify) i'I , - �— � �_��.
_ (' r'� � A C C/�-�: t r
REMARKS (in-house): , ` ��� � i � � J �
x .�' � ,�i �j � �
L �
Other Review: Reviewed by: Date Ap� , r ' ,I / /�
cJ l. �
Access: Existing: � YES 0 NO New: �
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms�plan review checklist 2013.docx
Christine Mattson
From: Christine Mattson
Sent: Tuesday, March 19, 2013 2:03 PM
To: 'craigpearson62@yahoo.com'
Cc: 'wesleyfoss@yahoo.com'
Subject: 1384 Baldur Park Road / Permit#2013-00168
Attachments: Escrow Agreement- Building Permit w Erosion Control 2013-00168.pdf
Craig,
Your building permit for the in-kind deck replacement is ready to be issued. Wesley asked that we contact him
directly with the permit fee amount that is due, so I will have the permit technicians contact him later today.
Per our phone conversation, attached is a copy of the escrow agreement we discussed. Please read, sign and
return along with a check for $600. We cannot issue the permit until we have the signed escrow agreement
and money. Wesley should bring the signed escrow agreement and check along with him when he picks up
the building permit.
Please don't hesitate to contact me if you have any additional questions.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356 (physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
� 952.249.4620 8 952.249.4616
� cmattson@ci.orono.mn.us � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
1
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CITY OF ORONO CALLED w � ��
INSPECTION NOTICE SCHEDULED _��—
PERMIT NO. .3'���� OMPLETED
ADDRESS ��
OWNER LE NE NO�����������
CONTRACTOR �l �
j; DESCRIPTION � � —�-�=��—�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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a�SATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
OCORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑iNSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on 'te:
Inspector. n
White Copy/inspector's File Canary Copy/Site Notice
7 � D E TIME �
CI�GIi�NO CALLED IN
�--����
INSPECTION TI�, SCHEDULED ��f " /� �
PERMIT NO� �l� C MPL ED
ADDRE $ � �
OWNER • ELE NE N �a �
CONTRACTO ���i'vC -
�; DESCRIPTION ��� /���c�
�
� ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
v�, COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �pJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next ins ion 2a hours in advance. (g52) 249-4600
OwnerlContractor on sit ` -
Inspector.
White Copyllnspector's File Canary CopylSite Notice
. ; • .
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: July 18, 2013
G/L: 101-22205
Re: Escrow Refund
Building Permit #2013-00168 pertaining to 1384 Baldur Park Road is complete. The
Applicant, Craig Pearson, has requested a refund of his $600 escrow.
No engineering review was necessary with this project.
The following is attached:
• Escrow Refund Request
• Originat signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Craig Pearson
1384 Baldur Park Road
Wayzata, MN 55391
w:\street files�baldur park rd\1384\escrow refund memo 2013-00168.doc
Christine Mattson ,L�� ���C(�-�
From: Craig Pearson [cpearson2@farmersagent.com]
Sent: Wednesday, July 03, 2013 9:25 AM
To: Christine Mattson
Subject: Earnest money
Hello Christine,
Stopped by the city office and they said to email you for a refund of our earnest money that we have with
you for building permit # 2013-00168. The final was signed on 7-1-2013. Let me know if there's
anything you need from me to complete the process.
Thank You!
Craig Pearson
Farmers Insurance
13911 Ridgedale Dr#253
Minnetonka, MN 55305-1771
952-443-2288 (Office)
952-443-2450 (Fax)
�earson2�farmersagent.com
http://www.farmersaaent.com/cpearson2
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BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2013-00168
AGREEMEiVT made this <�O day of ���.LZ-�'�'t— , 20�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and Craig & Lisa Pearson ("Owners").
Recitals
1. A building permit application has been filed for an in-kind repiacement of a deck located at
1384 Baldur Park Road the ("Subject Property"), legally described as
Hennepin County Minnesota.
2. Owners request the City to review this appiication.
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 $600 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 appiication. 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 (inciuding planning,
engineering, or legal consultant review) associated with building permit #2013-00168 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: CITY OF ORONO OWNER: %�
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Internal Use Only: �Originai to Planning 0 Copy to Property Owner �Copy to Street File
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