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Home My WebLink About2013-00557 - shed . CITYOFORO O * z0 13 - 00557 * � 2750 KELLEY PARK AY ppTE �SSUE�: 09/04/2013 ORONO, MN 5535 - (952) 249-4600 FAX: 952 249-4616 ADDRESS : 4185 BAYSIDE RD PIN : 06-117-23-14-0012 LEGAL DESC : NORTH ARM ESTATES 3RD ADDN : LOT 002 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED> 120 SQ FT ACTIVITY 3v�A9'ALL OTHER BUILDING& STRUCT RES VALUATION : $ 8,200.00 NOTE: SEPARAI�E PERMI"I�S RF,QUIRED: ELECTRICAL(STATE) APPLICANT pERMIT F E SCHEDULE 177.00 CROWN CONSTRUCTION STATE SU CHARGE(VALUATION) 4.10 5249 GOLDEN VALLEY RD GOLDEN VALLEY, MN 55427- MISC FEE 0.00 (612) 868-1899 TOTAL 181.10 Minnesota State License#: BC450383 PAID ITH CC# 6297 OWNER REZABEK, ALLAN & SHIRLEY 4185 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant permission for additional or rela[ed 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 thc 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. ,�� /� ��/ �� / / ppli nt ermitee Signature Date Issue By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OT E HAN DESCRIBED ABOV . � CITY OF ORO O � g � • � D , � BUILDING PERMIT AP LICATION FOR NEW STRUCTURES R ADDITIONS O Mailing Address: Permit number: 0�3 -DD ss PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: lP a �`�-� StreetAddress:' Received by: y� � 2750 Kelley Parkway Plan reviewfee: �0�3 - ��,�' Orono, MN 55356 �lS-- `9KFSHO Total Fee: �`S� Main: 952-249-4600 Fax: 952-249-4616 www.ci.oron .mn.us This application form must be completed in full and all re uired information must be submitted. Incomplete applications wiil be retu ned. (Please print) GENERAL INFORMATION: � Job Site Address: � ' G�� j� �� C,�1 y`� f Will this be a Parade of Homes, Remodelers Showcase Home o other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council appro al 60 days prior to the event. Shuttle bus service will be required unless appficant demonstrates su�cient on-site parking is available. Non-perm ed events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: t�(� l;�-'/'�' "` G'�) _`� V C�..� ;� State License# S 3 Expiration Date: -� �� Phone: cell d• � -- �� o ice Mailing Address: C -� � -n, � � 'r� Cit : ZIP: - Contact Person: riU l c. � Applic nt is: n ractor �/ Homeowner (Circle One) Email and/or Fax: �U � �� (JIA.l f�,' G � , PROPERTY OWNER IN ORMATION: Name: ' � �E -� �'�-- Phone (day): ,� � - — � Address: � '�� LC� � Cit ,� � �" ZIP: � � � � , Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: Cit : ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 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 also require ❑ Commercial Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��a �' � 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 stalis: Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bidg. c. Basement= ` Detached= ❑ ICF d. 1 S`Story = L� �� ❑ On-site Prefab e.2"d Story � ❑ Off-site Prefab f. '/z Story = � ❑ Other(please specify): g.Total Area= ��f� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A plicable ❑ ❑ 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 O ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Application Escrow&Agreement ❑ ❑ 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 reque ecj, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure c tinpl�ti�n of e s-built survey and all site improvements. fr , � �' �� ' ' �- l � Applicant's Signature: � Date: �� " � Owner's Signature: Date: PLAN REVIEW CHECKLIST FOR NE STRUCTURES / ADDITIONS s Address/Permit Number: � E .�j � ��'1 � � � � � (� � . Description of work: � �'�- � ; Septic review by: ��_ Date Approved: �"- ''� ,.,� Zonin review b �_ � � 9 Y� � Date Approved: ��'�� Building review by: Date Approved: �' ' �� Grading review by: /i.�.. � Date Approved: ' �� Zoning District: Zoning File#: R so#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF - % Survey Submitted: E3 Yes 0 No Date of Su ey: Revised date ? : ��1� Pro osed Setbacks: i�"��-'� S� (2. (?� � .. Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side � � Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet)= 50% _ #of Stories Ok? 0 YES , FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest F R A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. • GABLE OR HIPPED ROOF(no If you have a... windows): Subtract half the • GABLE OR HIPPED ROOF(no windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the corresponding SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with NPE� windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the behveen the top of the highest highest window and the highest window and the highest point of the point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flai, mansard,etc):No subtraction. mansard,etc:No subtraction. ADDITtON Add the distance between the top of slab SUBTRACTION Subtrad the distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received " Ave a e Lakeshore Setback Met? Bluff / � Yes 0 No N/A � Yes ,No � Yes 0 No 0 Yes 0 No 0 N/ Permit Number: Setback: Stormwater Quality Existing Proposed Var ance Required ` CUP Required Overla District Tier Hardcover Hardcover ,r G� ``,, ,�� ' Yes � Yes No � ��'� `` �TYP (s)� Type(s): Updated: January 2013 v:\formslplan review checklist 2013.docx � REMARKS (in-house): Fees to be Char ed YES NO Permit ' `�y` Plan Review �`^ State Surcharge � Investigation Fee Y SAC—Number of SAC Units Other(specify) S uare Foota e $per S uare Foota e Basement X $ 15`Floor X $ 2nd Floor X $ Garage X $ �� Estimated Construction Value: �°�d �' Orono Inspections Required Work Requiring Sepa te Permits Required State Permits O Site � Plumbing 0 rading / Filling � Well � Hardcover Removal 0 Mechanical � ire 0 Electrical 0 Footing � Septic 0 ater Connection � Poured Wall 0 Fireplace � ewer Connection 0 Foundation Survey � Masonry � awn Irrigation O Radon Rock Bed � Mfg. � Framing 0 Other(specify) 0 Insulation � As-Built Survey °`�Final �] Wetland Buffer � Other(specify) ' ! REMARKS (in-house): Other Review: Reviewed by: D te Approved: Access: Existing: � YES 0 NO N w: 0 YES 0 NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIA LED � � fi Updated: January 2013 I � v:\forms�plan review checklist 2013.docx i � Christine Mattson From: Christine Mattson Sent: Tuesday, September 03, 2013 2:53 PM To: 'rezzy00@hotmail.com' Cc: 'willie@crowmm�.com'; Melanie Curtis; L le Oman Subject: 4185 Bayside Road/#2013-00557 Attachments: Escrow Agreement- Building Permit w rosion Control 2013-00557.pdf Hi Ai, The building permit application is currently be reviewed by the buil ing official. However, before we can issue the building permit,the attached building permit escrow agreement m st be signed and returned with a check for$700. Once the project is complete and all inspections have been approve , please contact me to request a refund of the escrow money. Please don't hesitate to contact us if you have any 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 �3 952.249.4616 � cmattson@ci.orono.mn.us � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm 1 � Christine Mattson From: Melanie Curtis Sent: Monday, August 12, 2013 3:42 PM To: 'Willie Anderson' Cc: 'shirley rezabek'; Christine Mattson Subject: RE: 4185 Bayside Rd Orono; Great, thanks for humoring me on this. It is nice to have for our per it file. Melanie Curtis �' 952.249.4627 � mcurtis@ci.orono.mn.us From: Willie Anderson [mailto:willie@crowmm�.com] Sent: Monday, August 12, 2013 3:42 PM To: Melanie Curtis Cc: 'shirley rezabek' Subject: FW: 4185 Bayside Rd Orono; From: Theresa Zerby [mailto:lZerby@minnehahacreek.org] Sent: Monday, August 12, 2013 3:33 PM To: Willie Anderson Subject: RE: 4185 Bayside Rd Orono; Hi Willie, I As per our discussion as long as you are not disturbing over 5000 sq ft or grading excavating or filling more than 50 cubic yards and since I do not see any wetlands on 4185 Bayside Rd, you ill not be disturbing wetlands or wetland buffers and you are not working in the floodplain so none of the Rules are riggered which would require a permit from the Watershed. This is a small shed project so it does not sound like yo will be triggering any of these rules, no permit is needed. Good luck with your project! Theresa Zerby Regulatory Clerk , Minnehaha Creek Watershed District 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone 952-641-4519 Tzerby@minnehahacreek.or� MINNEHANA CREEK WAtERS�tER D15TgICT 1 From:,Willie Anderson [mailto:willie@crowmm�.com] Sent: Monday, August 12, 2013 3:01 PM To: 'Melanie Curtis'; Theresa Zerby Cc: 'shirley rezabek' Subject: 4185 Bayside Rd Orono; Teresa, I am emailing regarding the project we reviewed on the phone toda . I am building a 200 sf shed at 4185 Bayside Road in Orono for AI Rez bek. The shed will be built on treated wood sleepers and not require any excavation or grading. My understanding is that I do not need a permit from MCWD. The project will not disturb more 5000 square feet land. We will not excavate or grade more than 50 cubic yards of earth. We will not be building in the flood plain or a wetland. Please confirm. Willie Anderson The Crown Construction Company, Inc. willie@crowmm�.com 612-868-1899 fax-763-521-4123 From: Melanie Curtis [mailto:MCurtisCa�ci.orono.mn.us] Sent: Monday, August 12, 2013 10:40 AM To: 'Wiflie Anderson' Cc: 'shirley rezabek' Subject: RE: 130438; Rezabek Sounds good. I would still advise you to contact the MCWD to assu permits are not necessary. Melanie Curtis �' 952.249.4627 � mcurtis@ci.orono.mn.us From: Willie Anderson [mailto:willieCa�crowmm�.com] Sent: Monday, August 12, 2013 10:36 AM To: Melanie Curtis Cc: 'shirley rezabek' Subject: RE: 130438; Rezabek M ela nie, I reviewed erosion control with the building official when I app�ied r the permit. There will be no grading involved with this project as the shed sits on treated wood timbers (sleepers) laid directly on grade. Willie From: Melanie Curtis [mailto:MCurtis@ci.orono.mn.us] Sent: Monday, August 12, 2013 10:22 AM To: 'Willie Anderson' z Cc: 'shirley retabek' Subject: RE: 130438; Rezabek Minnehaha Creek Watershed District. They have overlapping permi ng authority for some specific issues. Erosion control is one. www.minnehahacreek.orq Melanie Curtis � 952.249.4627 � mcurtis@ci.orono.mn.us From: Willie Anderson [mailto:willieCa�crowmm�.com] Sent: Monday, August 12, 2013 10:07 AM To: Melanie Curtis Cc: 'shirley rezabek' Subject: RE: 130438; Rezabek Melanie, I had no idea about MCWD. What is that? Was there information a out that at the city of Orono that I missed when I applied for the permit? Thank you, Willie From: Melanie Curtis [mailto:MCurtisC�ci.orono.mn.us] Sent: Monday, August 12, 2013 9:26 AM To: 'Willie Anderson' Cc: 'shirley rezabek' Subject: RE: 130438; Rezabek With the current workload, our review process (zoning, building &e ineering) is about 3 weeks out... for a small project it may not take that long. Have you contacted the MCWD about any permits they may require. I assume an erosion control permit could be triggered, but I am not sure. Melanie Curtis � 952.249.4627 � mcurtis@ci.orono.mn.us From: Willie Anderson [mailto:willie@crowmm�.com] Sent: Monday, August 12, 2013 8:49 AM To: Melanie Curtis Cc: 'shirley rezabek' Subject: RE: 130438; Rezabek Melanie, We will drop off 2 sets of the survey and 2 sets of the hard cover sh ets today. How long will your review process take? How long for the building plan review? Thank you, Willie 3 From:.Melanie Curtis [mailto:MCurtis@ci.orono.mn.us] � Sent: Friday, August 09, 2013 11:25 AM ! To: 'Willie Anderson' Cc: 'shirley rezabek' � Subject: RE: 130438; Rezabek I Willie I apologize for my delayed response (thank you for the reminder). he attached survey looks like what we need for the permit review. Thank you. � Melanie Curtis � 952.249.4627 � mcurtisCalci.orono.mn.us From: Willie Anderson [mailto:willie@crowmm�.com] I Sent: Friday, August 02, 2013 9:04 AM To: Melanie Curtis Cc: 'shirley rezabek' Subject: FW: 130438; Rezabek Melanie, Please see the revised survey and hardcover sheets for the Rezabek property. Let me know if I can submit these? Thanks From: Tom Bloom [mailto:tom@advsur.com] Sent: Friday, August 02, 2013 8:36 AM To: willieCa�crowmm�.com; 'shirley rezabek' � Cc: Information I Subject: 130438; Rezabek Attached is the revised survey and hardcover sheets that reflect the new shed location. Thank you, Tom Bloom L.S. Advance Surveying and Engineering Co. 5300 Highway 101 South Minnetonka, MN 55345 � Office 952-474-7964 � Direct 952-674-2626 www.advsur.com 4 ' . : • • 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant l� CC: Street File Date: October 28, 2013 G/L: 101-22205 Re: Escrow Refund Building Permit #2013-00557 pertaining to 4185 Bay ide Road is complete. The project is complete and the property owner called requesting hi escrow of$700 be refunded to him. The following is attached: • Email from Bolton 8� Menk indicating no unbille WIP on this project • Email from Campbell Knutson indicating no un illed WIP on this project • Original signed escrow agreement • Copy of cash register receipt showing escrow mount received Mail to: AI Rezabek 4185 Bayside Road Maple Plain, MN 55359 w:�street files�bayside road�4185\escrow refund memo 2013-0055 .doc �� — iG� —f� . �.___..� . _ . _� .__ .___ M_�_ __ -_ _ �. �� _. .s�� I �� __ ___ _.._.._ _ _ . �� 75 - �b l � Z J _ r.....___.�______..� �:c�►�v ��,�.� . �� ,c..� , --- � �� . � � � Christine Mattson From: David Martini [davidma@bolton-menk.co ] Sent: Wednesday, October 23, 2013 1:03 PM To: Christine Mattson Subject: RE: WIP I don't believe we have any time for these projects. Thanks. David P. Martini, P.E. Bolton 8� 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: Wednesday,October 23, 2013 12:57 PM To: 'Sherry Charboneau'; David Martini Subject: WIP Hello Please let me know if you have any unbilled WIP for the following. hanks! Applicant Address Buil ing Permit# Land Use# Rochel, Anthony&Surya 125 Turnham Road 2012 00589 Maple Place LLC 1579 Maple Place 210 00547 Rezabek, AI 4185 Bayside Road 201 00557 Olson, Michael &Jennifer 1860 Fox Street 201 -01177 Landsource, LLC 1535 Minnie Ave 201 -00112 Nafstad, Erik 1370 Cherry Place 201 -00853 Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono MN 55356 (physical addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ `�° 952.249.4620 � 952.249.4616 � cmattson@ci.orono.mn.us ' � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm This email has been scanned by the Symantec Email Security. loud service. i Christine Mattson From: Sherry Charboneau [SCharboneau@ck-I .com] Sent: Wednesday, October 23, 2013 2:50 PM To: Christine Mattson Subject: RE: WIP Hey Christine, We have no unbilled WIP for the matters listed below. Did you ever see the commercial with the camel v�alki g through the office??? It is HUMP day! I think it is so funny! Have a great Wednesday. Sherry Sherry L. Charboneau Legal Assistant CAMPBELL KNUTSON P.A. 1380 Corporete Center Curve•Suite 317• Eagan,MN 55121 '�'(651)234-6230• Fax: (651)452-5550 �scharboneauCa�ck-law.com•www.ck-law,com From: Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent: Wednesday, October 23, 2013 12:57 PM To: Sherry Charboneau; David P. Martini Subject: WIP Hello Please let me know if you have any unbilled WIP for the following. hanks! Applicant Address Buil ing Permit# Land Use# Rochel,Anthony &Surya 125 Turnham Road 2012 00589 Maple Place LLC 1579 Maple Place 2102 00547 Rezabek, AI 4185 Bayside Road 2013 00557 Olson, Michael &Jennifer 1860 Fox Street 2012 01177 Landsource, LLC 1535 Minnie Ave 2013 00112 Nafstad, Erik 1370 Cherry Place 2012 00853 Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono MN 55356 (physical addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ d 952.249.4620 g 952.249.4616 � cmattson@ci.orono.mn.us � www.ci.orono.mn.us 1 � BUILDING PERMIT ESCROW GREEMENT Orono Building Permit#2 13-00557 AGREEMENT made this � day o � �r � 20� by and between the CITY OF ORONO, a Minnesota municipal corporation (°City") AI Reza k ("Own�ers" . Recitais 1. A building permit application has been fi ed for an accessory structure located at 4185 Bayside Road the ("Subject Property"), legally described s Tract F, Registered Land Survey No. 748 and Lot 2, Block 1, North Arm Estates Third Addition, Hennepin Coun Minnesota. 2. Owners request the City to review this applicatio . 3. The City will commence its review of the applic ion and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursemen to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemp raneously with the execution of this Escrow Agreement, the Owners shall deposit $700 with the City. All ac rued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow accoun . 2. PURPOSE OF ESCROW. The purpose of the e crow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including pla ning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible xpenses 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 ha 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 elimina any hazardous conditions associated with the work and to repair any damage to public property or infrastructu e that is caused by the work (including planning, engineering, or legal consultant review) associated with buildi g permit #2013-00557 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives con ultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for pa ment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. n the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a top Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow ccount without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposi in the escrow, if any, shall be returned to the Owners when the review has been completed and written notifi tion is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is bandoned 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`. C�F� OWNER: ; ;� _ "" . By: ___.� � �°� �, Its: �� '�al'�Use Only. ��;�� .� .,. ��. ,.�� 'r�. �� .� ...._�,�.,. � �r� "` ,� m..��i. . ,,,w`�e �� C�i�ty of rw 275U Kelle Rarkway Orano M�I 55356 q5�-249-4Gpp Receipt No 3.009584 Sep 4, 2013 Allar� Reza k Planni�ng a Zoning 2013-0�907 4185 Bayside 704.00 Rd 1�71-22205 Deferred R v-Deveio�r Deposit Tatal: Y 74G.40 Check �� Cherk No 2bU53 140.44 F�ayor: Allar� Re abek Total Appl ed: 7pp,pp Change Te ered: _,pp /G4/2�1s 04:02�M =_--- ' ' ' CITY OF ORO O I*1121111ID 1 3 - 0 0 9 0 7 �k 2750 KELLEY PARK AY DATE 1SSUED: 09/04/2013 ORONO, MN 553_6- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 4185 BAYSIDE RD PIN : 06-117-23-14-0012 LEGAL DESC : NORTH ARM ESTATES 3RD ADDN : LOT 002 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PER IT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PER IT NOTE: TIED TO BUILDING PERMIT 2013-00557 APPLICANT ESCROW EE-BUILDING 700.00 REZABEK, ALLAN & SHIRLEY 4185 BAYSIDE RD TOTAL 700.00 MAPLE PLAIN, MN 55359- OWNER REZABEK, ALLAN& SHIRLEY 4185 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate 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 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 Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. ' � � tlFs .� a.T€ g+., 6JV ,�, � qjL" i� " Q114 ❑'i � � °,�°„ I o �, 'I � -- �� h � �;.f Z? 5,�.,. .IJ =-"'. p- a";i � �. •� � '�. �� .:_ ='i. �. {.. 'a"i�: oF� I != V W I V •� d � 4r'j � Q� /� � a V �..� = I �.. � �� d � (d z i ❑ U7 � a' � c � • ` ' �'� �� a� t� »-� ,': e� � �1 • �n �- a ❑ �0 8 � : � � �, .. �. �u ; w a� -- �' +r : M � � c � � w:� _ � tls -.� — � �] �* y� N � ; c7 m O ?� c+�j ' u� � � �, � r � C �. ' O r� � O ', CV � C � a� . �" '� �` N � c m � a� o- � � _ 'a " �, � � .o — �� ,� *=' �tk Q co � � w .� � n � � � � � � � - � � - - - � '� �� DAT T E CITY OF ORONO CALLED IN �_ +�� INSPECTION NOTICE HEDUIED 9- 2 7-/3 PERMIT NO / — COMPL � ADDRESS `�� OWNER EP NE O. - - �� CONTRACTOR >; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING ILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WE NDS y ❑ FRAMING ❑ MECHANICAL F AL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER ACE ❑ 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 RE OVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/RE OVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED TT'PFiOJECTCOMPLEfE � ❑CORRECT WORK&PROCEED =: ISSUE CERTIFICATE OF OCC PANCY W � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49- 60� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice