HomeMy WebLinkAbout2011-00383 (advance plan review) CITY OF ORONO PERMIT NO.: 2011-00383
' 2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE �ss[1ED: 05/24/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1473 BAY RIDGE RD
� PIN : 10-117-23-34-0005
LEGAL DESC : REG. LAND SURVEY NO. 0192
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 24,500.00
NO"1'E: PLEASE PILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 24,500
TYPE OF PERMIT THIS PAYMENT IS FOR: ROOF TRUSSES
PERMIT#THIS PRE-PAYMENT IS TI�D TO:201 1-00384
APPLICANT ADVANCED PLAN REVIEW 268.45
MEYER& SONS CONSTRUCTION TOTAL 268.45
8360 AFTON RD
WOODBURY, MN SS125
(651)271-4739
Minnesota State License#: 20006613
OWNER
MCCUNE, THOMAS
1473 BAY RIDGE RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
d�e approved plans and specifications,applicable City approvals,and tlie
State Building Codc. 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 beeome null and void if construction authorized is not
commenccd 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 applican[is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be ��
revokeJ at any time for due cause. /�
l l ��'� C��'y/���� �� �_v����
� Applicant Permitee Signature Date Issued By Signature Date
' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
i
�
• � City of Orono �.�r-� � C���� � � �P�VQ�
• . Building Permit Application for Internal Work �1�-�I r +
(windows, doors, siding, re-roof, etc.)
!O� Mailing Address: permit number:
\ PO Box 66 r
�O� �O� Crystal Bay, MN 55323-0066 Date received: �/ � �)
��- -�- Received by:
'a �j�t. �, Streef Address:
�,�, ,�,� ��,'� Gti,E" 2750 Kelley Parkway �(�I �•GO Plan review fee: t� �
�t '�;��r��'f'w Orono, MN 55356
�Rk�H�g
-- ---- Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application faRn must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: 1473 Bay Ridge Road
Job Site Address: ---
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
ff yes,a specia/event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus s ice wil!be
required un/ess ap�!'rcarft demonstrates suff'�cient on-site parking is avaitab(e. Non-pennitted events wiN not be atlowed.
CONTRACTOR/APPUCA[�T��1FORMATION:
Name: Meyer & Sons Construction
_ _--- - —�
State License# 20006613 Expiration Date: 3/31/2012
Lead Certification Number. Expiration Date:
(for work on homes that�re�nstnsct�i�arlor to 1978
Phone: �?52-898-58f�1 (office) 651-271-4740 (cell)
Mailing Address: $360 AftOf1 R01d City: Woodbury ZIP: 55125
Contact Person: Kirk Meyer Applicant is: ! omeowner �ci��bo��
Email and/or Fax: ktsl'tlnl8yer@an'��II_Cam
PROPERTY OWNER 1�"'�^�?!"'�ATION�
tvame: �Thomas McCune
Phone(day): 45?-473-3245 �/a zata MN
Address: 1473 Bay Ridge Road City: Y ZIP: 55391
Email and/or Fax tmmccune@me.com
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review &permits:
❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven,MN 55391
❑Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590
,�Re-roof ❑ Fire Damage Fax: 952-471-0682 .
www.minnehahacreek.ar
Overall Project Descrlption: New trusses, roofing, and insulation over 65' x 26' 1960 structure
_— __--
Estimated Construction Valuation of Project(excluding land) $ 24,500
APPLICANT ACKNOWLEDGEMENT:
Agrees to provide all information required or requested by the Building Department;
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 altemative
but to reject it until it is complete;
Some or all of the information that you are asked to provide on this application is Gassfied 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. Confldential data is information which generalty 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 reoords and records of other govemmental agencies
re uired b law. If ou refuse to su I the information the a licatio�ma not be issued.
��� � Ma 20, 2011
Applicant's Signature: -� Date: Y
Last Updated: 03-01-2011 Thomas McCune
�; .
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3
C�l�ty Of OI"OTMO •
P750 Kelley Parkrwy � �r Oror�u
Ol"ono hNV 55356 95P-249-4b40 't i� ►S�+Iley p��lcway
+ Receipt Na: 3.004b21 ')rurrn MM�! �53�6 �3�.'.�;3J}�"�FGvU
May 24, P011 'te�ipt Ik,: 3.�Jt1�6�g , „ ,
Thonas McCune Kay �4, cG,I
���c,�as 1dcCune
Per�its
2011-00383 1473 Bay Rid9e 268.45 '°�^raits
� :v,'.1-�7U?„� 1473 ba}� Ridge 258. f,,
101-34410 a,� ,��
Plan Check/Site Exa� Fees ii;-34ai�
Total: ---------- ��n ChecklSit� Era�a ra_�5
268.45 :t a i; _._,.�_.____�._
Check —�`_"'-" �5�.�►c
Check No: 1�894 268.45 � ����k =_-__�_.__.__
T Tha�as McCune ��hec�k tdo: Z�8y4 �.Y._
ayar: 25�.%�;
atal Appl ied: �g.�5 7tzc�s MeCur,e
-------_� :ial AAp]iee�:
Change Tendered: .QO e�._...McS�.45
-�_�__ .. .. r,r;�:::,s��; '-�-
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05/24/11 08:55Ah1 ----_-.____�_
;'aii 1 OE:�g �
, . �� •
CITY OF ORONO PERMIT NO.: 2011-00260
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1473 BAY RIDGE RD
PIN : ]0-117-23-34-0005
LEGAL DESC : REG. LAND SURVEY NO. 0192
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: ESCROW PAYMENT FOR VARIANCE APPLICATION 1 1-350�
APPLICANT ESCROW FEE-APPLICANT 700.00
MCCUNE, THOMAS TOTAL 700.00
1473 BAY RIDGE RD
, WAYZATA, MN 55391-
31. : '
''�4 � •�`
�'C�I�1� �:-.�
OWNER ,_ +��
� MCCUNE, THOMAS
1473 BAY RIDGE RD �'�,g ,.
WAYZATA, MN 55391- '-�.:r,� 14JJ �ti«a� ,
�`,�-34'+�G
��_�,�i Use-Var•��:nc�--I►��,
AGREEMENT AND SWORN STATEMENT
'.�+at:
�� Thc work for�chich this permit is issued shall be performcd according to � �.._____
thc approvcd plans and spccitications,applicable City approvals,and the �_;����;. �
State Building Code. This pennit is for only the�vork described and does ::i1Lt'k 1�0: :�8� ji!�
not grant permission for additional or related work which requires separate �ay�,�p �
permits. All provisions of laws and ordinances governing this type of work '�C�3S �;�{�pE,
shall be compied with whether or not specified herein.This permit will T'vf8! �G�)i'�d; 7Q'�
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 widi the State[�uilding Codc.This pennit may be
revoked at any time for due cause.
L_._. / /
/ /
�. Applicant Permitee Signature Da�e Issued By Signature llate
, SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
,
RECEI�/ED
APPLICATION ESCROW AGREEMENT APR c�. �' � .,� �
Zoning Application#�_ - .�SD.�
CITY OF ORONO
AGREEMENT made this�day of ;_.� � � �-- , 20 - , by and between the CITY OF
ORONO, a Minnesota municipal corporation ("City") and ' �,-,.��� �'. wl�'—CD�.v't �
[a corporation—optionalj ("Applicant").
Recitals
1. Appti ant has filed Zoning Application# /� - 3�� formally requesting the City to
review plans for C���� (��C
located at �` �'?c�� ����� u[t� C�r��i lv� � �, ����
the"Subject P operty") a�more fu y shown and describe on Exhibit"A"attached hereto.
2. Applicant requests the�ity to review said plans which requires City approval including
7�` � �5�'f���/l '�'r<<;�i� i� c �
3. The City is willing to commence its review of the application and incur costs associated with said
review only if the Applicant 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 Applicant shall deposit $ `ac�� �° 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 Applicant, reviewin the plans, and preparing agenda packet material for City Council
review of application#� - 350� . Eligible expenses shall be consistent with expenses the
Applicant would be responsible for under a zoning and subdivision application.
3. MONTHLY BILLING. As the City receives consuitant bills for incurred costs, the City will in tum
send a bill to the Applicant. Applicant shall be responsible for payment to the City within 30 days of the
ApplicanYs receipt of bill.
4. DlSBURSEMENT FROM ESCROW ACCOUNT. In the event that the Applicant 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 Applicant to reimburse the City for eligible expenses the City has incurred. The City shall
notify the Applicant 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 Applicant 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 retumed to the
Applicant when the review has been completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Applicant, 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: C nY NO APPLICANT/OWNER: '���;�,��, ���. (i���s{ 1�Td��"7_���
, ll � ��ZCrv�nS !'2� �'�C ������
By: j By: 1�,er,. r� � .� � �Z�cn'�
Its: ���� ��'"—` Its: �'� (.e�6'1C�'� �^I�S�E �
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LEGAL DESCRIPTION
1473 Bay Ridge Road
Wayzata (Orono)
Minnesota, 55391
Property I.D. # 10-117-23 34 0005
i will pro�id� �h� fule, d��aiied legal de�cri��i�n it r�quested.
— 11 —
y , .
CONSENT TO ESCROW AGREEMENT --
- b_)ld� c%�-c��- i���������45 � l�� � �����, 1����sfee
�, �� �� , . �.tS r��Q i-��61a f--(. (��� �i��i e, � b"ccSr��
� ���v 6l 1 rs �, (�� ����,� �lr(�C Ca�f� �� t and , ('Property Owners")
are the owners in fee simple of all or part of the property more particularly described in the foregoing Application to
Escrow Agreement, and for good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, do hereby join in, consent to, and agree to the terms and conditions subject to the foregoing
Application to Escrow Agreement.
PROPERTY OWNER(S):
By: �.�h.o'�^r� W'�' i�• f� � ��s_
; � Its: � ��� ^� ��' i� �� -tt 5����
t �y
By:.�,;
!�l �L c�"��.� � ___.�:��C t �"�-� ��
�
Its:
� ,r�.c � (�_c_-�.
STATE OF MINNESOTA )
)ss.
COUNTY OF HENNEPIN )
The forego g instru ent was acknowledged before me this U'�—' da of , , 20�, by
s�L�-S . �� �, i��_ , husband of �' �f: � u � , the Property
Owner����,�5 rP�
��� � ��
Notary Public
�4, LESUE C.MARCUM
STATE OF MINNESOTA ) �ryP����
)ss. " �h�•�onB�N�esd.►81.a.m5
COUNTY OF HENNEPIN }
The fore oing ins�yment was acknowledged�fore me t �s oZO� day of 20/ /, b
i����C%-V-{'�t�. �� �c (�_�C,i�1� , wife of � I (rtiowt� �. lV�,t�.�1� , th��rty Owner',S� ��'r�u5��
�
�
otary Public
� , LESUE C.MARCUM
STATE OF MINNESOTA ) ` NotaryPubAo-Minnesota
' Mr ca++��+r�+�re��.n st.zo�s
)ss.
COUNTY OF HENNEPIN )
This instrument was acknowledged before me this day of , 2008 by
[name of o�cer],the
[title of officer], of [entity's name], a
[entity's designation, e.g. a Minnesota corporation], on behalf of
the [entity's designation].
Notary Public
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