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Home My WebLink About2012-00709 - addn/remodel/repair t � CITY OF ORONO * z 0 1 z - 0 0 7 B 9 * 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2755 CASCO POINT RD PIN : 20-117-23-23-0007 LEGAL DESC : AUDITOR'S SUBD. NO. 265 : LOT 007 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R ACTIVITY : 434-RESIDENTIAL VALUATION : $ 8,000.00 NO"I'F,: DGCK **AS-}3UILT SURVLY AND{IARDCOVER CALCULATIONS REQUIRED PRIOI2"1'O ESCROW[ZELEASE. (INITIAL) APPLICANT PERMIT FEE SCHEDULE 162.25 KUHL DESIGN& BUILD, LLC STATE SURCHARGE(VALUATION) 4.00 1515 STH STREET SOUTH HOPKINS, MN 55343- TOTAL 166.25 (952)935-9469 PAID WITH CC# 3719 Minnesota State License#: BC390161 OWNER BASKFIELD, MICHEAL& SHARON 2755 CASCO PT RD WAYZATA, MN 5�391- ACREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performcd according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit is for only the work described and docs not grant permission lor additional or related work which requires separate pennits. AII 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 conunenced within 180 days of the date of issuance,or if construction is suspended for a period of 18 ays at anv � � r work has commcnced. Thc applicant is responsi c � r ing 1 require inspections are rcqucsted in c mai e � i the St• uilding de.This permit may be revoke � an ime � ue c / //� �� /� Ap ic Pen i �e Signature Date Issued ��Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � ---__ . � � 1��'" i/' City of Orono - Building Permit Application � �l � for New Structures or Additions ��. �gg ::-- Mailing Address: Permit number: d��! �7U _,�., j:�,0,jv.`�\ PO Box 66 '� � Crystal Bay, MN 55323-0066 Date received: 7—�J��— �;'O .il.. O� !�I� ��-='"� � Received by: �,� r �,�; Street Address:' �'S',�, ;�� xt� �ti�' 2750 Kelley Parkway Plan review fee: ,S• �qk��og,�% Orono, MN 55356 a� /a—�� / �_, `=_ -� 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: 2755 Ca.Sen �o�.•rr �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [� No H yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: kv1.t �1 e.Si.g•., �v�� State License# 2p3�n� (D� Expiration Date: 3 - 3 - I 3 Phone: 95 Z� 935 - ��-14q (office) (ce��) Mailing Address: � , 5'� Cit : �o k'a S ZIP: 553y3 Contact Person: AN ('nvR � Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: '�a,N � �c�I,�l �S;•w v�� . CoM PROPERTY OWNER INFORMATION: Name: M,Ke � S�.o.co.� �as l�C i e.l.c�, Phone(day): 5 2 - y-�� .,2y 2� Address: �( Z�55 Ca5 co 'P�'�wt � city: O roN� ziP: 5539 / Email and/or Fax M basK�:eld. A B�-skC:e1 , cor� ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: 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 I—I Additinn �+tached garage ❑Garage/Accessory Bldg. ❑Public Sewer ngle Family with �Deck re, � �tached garage Office/Commercial ❑Private Sewer �aN ��v T� \{ Itiple Family/Condo ❑Warehouse y blic ❑Storage ❑ Public Water 1 mmercial ❑Other(specify) ustrial ❑ Private Well � ier.(specify) �j��`��'"� �1 �'� � �r- �r �d� � ��`i�."��, �o�., �C.�•�. /� ;� �1 �- �-1� 0 --0� 33 f �`R STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= �� Number of bedrooms= / ` r �Wood/Frame u� b f b.Width(ft.)= y r' Number of garage stalls: ❑Masonry Areas in spuare feet Attached = ❑Metal ❑Pole Bldg. c. Basement= Detached= ❑ICF d. 15'Story = ❑On-site Prefab e.2nd Story= ❑Off-site Prefab f. Yz Story = ❑Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable � O Permit A lication l'� ❑ 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 Certi�cate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of theas-built survey and all site improvements. � ' C .--___.__.—P -� ApplicanYs Signatur � .-` � �-- Date: �__..,. Owner's Signature: Date: PL�4N REVlEV�I CHECKLIS�T FOR IVE11V STRIlCTURES / /4DDITIONS Address/Permit Number: ��`� ��L��B��`� Description of work: �� Septic review by: �� Date Appeoved: `� ��"t�f �' Zoning review by: �� Date Approved: �� C� �� Buildinc� review by: 1--�� Date Approved: � �! �� Grading review by: � Date Approved: ''' Zoning �istrict: � Zoning File#: �� Reso#: Reso Date: ��' Zoning: Lot Area: ��L= SF AC Width: Lot Coverage: ,� SF�_-0�/�� Survey Submitted: Yes � No Date of Survey: L��'� �� Revised date(?): f Pro osed acks: � � Front ake)� Rear(Street) N S E V11 ) ( N S� E W ) Other Buildings Wetland Side 'de , Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) � Perimeter(linear feet) = 5�% _ #of Stories Ok? � YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR 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 the highest point of the roof. If you have a... If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the dista�ce distance between the highest point between the highest point of the roof of the roof to the low point of the to the Iow 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 e GABLE OR HIPPED ROOF(with NPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top of the between 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(flat, mansard,etc:No subtraction. mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basemenVcrawl space floor and the EXISTING the foundation. GRADES) highest existing grade adjacent to the GRADES foundation OR 10 feet(whichever is less). EQUALS Defined buiiding height EQUALS Defined building height Shoreland District IVfG4�i� �ermit Received �4vera e �akeshore Setback Il�et? B� � Yes � fVo ❑ N/A �: 0 Yes �_z�lo � es � No Yes � No � N/A Permit Number: Setback: Stormwater Gtuality �xisting Proposed Varia e Required CUP Required Ov�erla - Qistrict Tier Harcicoder Har�cover ' es 0 No � Yes o �� Type(s) - ;� � Type(s): ��C�G�V Updated: January 2013 v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Char ed YES NO Permit � Rlan Review �� State 5urcharge � � Investigation Fee � ; SAC—Number of SAG Units F Other(specify) $� S uare Foota e $ er S uare Foota e Basement X ' $ 151 Floor X - $ 2nd Floo� X - � Garage X - $ Estimated Construction Value: $ ��Z�a � � Lf� Orono Inspections Requirec! Work Requiring Separate Permits ftequired State Permits i- 0 Site � Plumbing � Grading/ Filling 0 Well �' � Hardcover Removal 0 Mechanical � Fire � Electrical � Footing 0 Septic 0 Water Connection � Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. � Framing 0 Other(specify) � Insulation Rs-Built Survey �-1 � 0 Final �'�,t/'i�C�"� 0 Wetland Buffer 0 Other(specify) � REMARKS (in-house): Other Rediewr: Reviewed by: Date Approded: � Access: Existing: � YES Q NO New: 0 YES 0 NO OFFICi/�1L REMARFCS -TO �E NOTED QN PERMIT AND INITIALLED ��' �'�ld.�� S l�(�L�� c� N IY"'�'��!�£°�f LG't�� '��L�.�:✓�i cl' (;7d"/L}a0 �-�: (�J C�' t�e-�.� � � � ! "�� Updated: January 2013 v:\forms�plan review checklist 2013.docx , . City of Orono ; ��o;vo� Hardcover Caiculation Worksheet �,,�� Property Address: fi�l .Z 7.a`".� C,4'1'C'G /��!r�7' R G�t r,'� (��i1 f.K!'r e 4�� `�'�\ �� '�`'��,�1��K` Prepared by: Date: ___ G�c��vQE2G d ASl'ae e�4 �"��",,_,��cA �� 'w/.� Storinwater Qualiry �verlay District Tier: (Circle one) Tier 1 Tier 2 Ti�er 3 Tier 4 Tier 5 Step 1: EXISTING HARDCOVER In the following table identify all items of existing hardcover on the propeity, keyed by letter to Certificate of�ivey(suivey must accompany this form). Use as many lines as necessaiy to accurately depict existing hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover square footage separately for each portion. Key to Hardcover Item {Describe) Length x Width Total Survey (Square Feet} Exam le Gara e 24'-x 30' 720 S:F: ' A a��f S.F. B � S.F. C F��c �r �' S.F. D < � � ;�- C tc ,�I�G� S.F. E C/�T'�'� r u �' � S.F. F Ca,r.Ec'k T= �°'�an/ �� S.F. G CoNC'RFrE �. � / S.F. H �o,R M�c',� .0 E e te Fd�.�' iVae� �'6n�r�'v�v O S.F. I ��' c�Rx�!�1JF ac�.J'� ,�' ' S.F. J ,q�'r ,�p S.F. K a /� o� � � G o„� S.F. � c�Nc�Fr .�D S.F. M U�p ,�,� S.F. N G,t Er. t,,.��r e,c.S �2 S.F. O ,� /G A�rr�ip - - �-c^� S.F. P � IaF' ,�2 � S.F. Q a, r S.F. R S.F. S S.F. T S.F. U S.F. V S.F. U1,1 S.F. X S.F. Y S.F. Z S.F. _��Total Existing Hardcover Sc��' S.F. Excludable Hardcover See Cit Code Sec 78-1684 : /�___ �cr e t< dn.� Fit.�Y,/z r c r'%`� � S.F. �u �a 4S / ?� S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover ��.4 � S.F. 3} IVet Existin Hardcover Subtract line{2 fi�om line 1 yY�''� S.F. 4 Total Lot Area 1�;�.�'�'c� S.F. Existing Hardcover Percentage [(3)i(4} ] Z � �7. % (Proposed Hardcover next page) M�Y 3 � �a�� Cl71�d��`y�i��3N0 ' � C��/ RECEIVED � � � � 2. PROPOSED HARDCOVER DEC 0� 201? In th� �� , �i I items of proposed hardcover on the property, keyed by letter to Certificate of Survey (survey must accompany this form). Include all ex�S�iF�OF oRONo hardcover items that are intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. Key to Hardcover Item (Describe) Length x Width Total Surve S uare Feet Exam le Gara e 24'x 30' 720 S.F. A hia - 2.3 �U S.F. B 1'l�ED Z 5 S.F. C �< 3 � S.F. � k� r N � S.F. E ./ k�a D�t r l�F�e.� /r 2.3 s.F. F co�v��t�T� ��c�v 6 S.F. G C'o.vc.e e~��- G�� ck� /8 S.F. H t�- (To 6 E R FM�i�/FD ._.�g-r�-� S.F. I J'TF.�I' d�7N CF Gr�J'�' ,5'6 S.F. � � S.F. K a G . t /03 S.F. � .e .� Q s.F. M G p s.F. N � c o - ccs / 72 s.F. � -!1 _ �-��'� Ta c4 F�C ,�e vv -z 9- S.F. P �v o Ec� 5 s.F. Q Gc.� p�T�v ou !'i4 - F D` K 2 S.F. R s.F. S S.F. �" S.F. �J S.F. �/ S.F. �/�/ S.F. X S.F. Y s.F. Z S.F. 1 Total Pro osed Hardcover 57o s.F. Excludable Hardcover: K .t , a.ri — i o 3-7 s.F. 6d�cQE�t t.S z S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover iz o g s.F. 3 Net Pro osed Hardcover Subtract line 2 from line 1 y y g� s.F. 4 Total Lot Area �,s 3 g s.F. Proposed Hardcover Percentage [ (3) = (4) ] Z g_,�y % Council �pN Exhibit G` Ocfober2012 ' • O City of Orono RECEIVED �V � Hardcover Calculation Work�� pkC o5 20�2 �� ; G �^Kf5H0�� Property Address z �SS C�9fCo f'd��T �' GA� �-� Prepared by GR o,va'F,�G �A 1:^o c�, �r•'�', �wc_ Date /1�°��F ORONO Stormwater Quality Overlay District Tier: (Circle one) ier Tier 2 Tier 3 Tier 4 Tier 5 1. EXISTING HARDCOVER In the follovring table, identify afl items of existing hardcover on the property, keyed by letter to Certificate of Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing hardcover status of the property. Key to Hardcover Item (Describe) Length x Width Total Surve S uare Feet Exam le Gara e 24'x 30' 720 S.F. A ous �,3� S.F. B 3 !1 ZS S.F. C DE'CK B� ,/'/�ED S.F. D �•�ic�� BY o crk ��-��Fo �7 S.F. E BG�t c'KTan D/��C�u.�.t Y /,� S.F. F ca.✓ca f rC Ao�c�v 66 s.F. G coiv�R • . t,��!c/< 8 Y s.F. H DEc�< 1 rr��R Z s,3 s.F. � 1'r P a ri � 56 s.F. J l C Q S S.F. K a o, � - ,� � /03? s.F. � a c k Fr� P.e S.F. M wa�0 ur,�L�-.1' 8 7 s.F. N Bou�DFr� ..c..��EJ' ��2 S.F. O ��T�o vKT's�Q F aF F 2� S.F. p S.F. Q S.F. R S.F. S S.F. T S.F. �J S.F. �/ S.F. 1 Total Existin Hardcover S7o / s.F. Excludable Hardcover: /� �P�CK ON FABR �C �p�7 S.F. /V O!.!Gl1c�R l 72 S.F. ' S.F. S.F. S.F. 2 Total Excludable Hardcover �l p s.F. 3 Net Existin Hardcover Subtract line 2 from line 1 y y 9 2 s.F. 4 Total Lot Area /S, �8 s.F. Existing Hardcover Percentage [ (3) = (4) ] Z y, � 9 % 2, Proposed Hardcover (Over�) BUILDING PERMIT ESCROW AGREEMENT lic ' 2-3� Orono Building Permit#2012-00709 �--� AGREEMENT made this��day of � _��ti�ti�� , 20��by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and �t1��w�� } �t��l�� ("Owners"). ��i��SF'� ,c u�� Recitais 1. A building permit application has been filed for a lake side deck located at 2755 Casco Point Rd the ("Subject Property"), legally described as Lot 7, Auditor's Subdivision No. 265. 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 land use application #12-3581 8 building permit #2012-00709 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 Wor1c Order until ihe Owners pay all expenses invoiced pursuant to #3. The Ciry 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 esc�ow, if any, shall be retumed 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: CI Y OF ORONO By: �z C��— e�"`�� c};�r-� '��' _ ��1�- ' , , '. _ '� _ � � ,h ItS: -�i rJ l�Y:i C.�� \S2L�J� i��/ ' � '' ' Internal Use Only: O Original to Planning O Copy to Property Owner 0 Copy to Street File � . . � . . � . � • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File �/ � Date: June 20, 2013 �� G/L: 101-22205 Re: Land Use& Building Permit Escrow Refund Zoning Application (#12-3581) and Building Permit #2012-00709 pertaining to 2755 Casco Point Road is complete. The Applicant, Michael & Sharon Baskfield, has requested a refund of their$2,500 escrow. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Michael & Sharon Baskfield 2755 Casco Point Road Wayzata, MN 55391 .� j j� 4 � L,)� � � < < �, �,Q n� �G, ti�- �j'') � �- �I `-� r �S/ (. ��C_.%�� -✓ w:\street files\casco pt rd�2755\escrow refund memo 12-3581 &2 BUILDING PERMIT ESCROW AGREEMENT Land Use Application#12-3581 Orono Building Permit#2012-00709 AGREEMENT made this_�day of a�`�v�� , 20 \ �fiy and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and j1��w�c` � `�a 1�� ("Owners"). ,-, . ��.,y^.`�F=� c u'� Recitals 1. A building permit application has been filed for a lake side deck located at 2755 Casco Point Rd the ("Subject Property"), legally described as Lot 7, Auditor's Subdivislon No. 265. 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 planni�g, engineering, or legal consultant review) associated with land use application #12-3581 8 building pertnit #2012-00709 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incuRed 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 Woric Order until the Owners pay afl expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for efigible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be retumed 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: CI Y OF ORONO PW�4�� (" j�� y. ( � �� 1�; . '� 7�' . � '� _.� ,, ___- ff ` � ItS: -�r� r.i P � is'2L�i�: _�',=t�`( ('�l.-..,��E-�`^�-�'-6►cc�E ��- Intemal Use Onty: O Original to Planning O Copy to Property Owner �Copy to Street File APPLICATION ESCROW AGREEMENT Zoning Appiication #�Z - �_�� AGREEMENT made this�day of l.J�.� , 20 I� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and (U\i KSL t�Shf)110Y1 [a corporation—optional] ("Owner"). Recitals 1. Owner as filed Zoning Application #�� - ��I formally requesting the City to review plans for located at 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 3. The City is wiliing 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 $_�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 ali 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#_i Z - ,��.. Eligible expenses shali 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. DlSBURSEMENT 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°/o 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. CI OF OR I�10 OWN R By: ,�, '� �� 'l�.J��, BY: � �t � �tECElVED itS: �'' its: � VarianceApplicationUpdated: January31,2012 �CT � 6 2��2 �Il"Y �,�ORONO C �� DATE TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE .7 � SCHEDULED '�7�- � �ERMIT N�. II a �U I C�M�LETE� ADDRESS Z7SS CQSC-O (��' �� OWNER TELEPHONE NO. ��z- �g� 0 Z 33 CONTRACTOR ��-� �: DESCRIPTION r � „�'� �e� � � FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C o n, � 1�. �'A .e �- t3�J �e 5 � �/� 1 � ° �'I�N � 3/'�F ' -Ta �=� �st- Q S -4-e r� � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on si : Inspector. �. J/�� White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. Z�IL �OO�Oq COMPLETED b-13-�3 ADDRESS �� 5 5 �� Qo��.,+ r OWNER ��As�.r� ��z.,CfiELEPHONE NO. CONTRACTOR ��}L >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a j /� Q /q'3 [Juivf �Sv/Lv'�i'A ��/�/ /IiYJ�.�I� a � � l.v�r �1 ��C'^� L�D W�LN �A� �S W � J�en,�G�, �',o w�0 I►�.nr L.P Q - -� _.—T � z W � W � � a � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor n ite•, Inspector. White Copyllnspector's File Canary CopylSite Notice � `� ��'/( T�� 2 TIME � C OF ORONO �` �CALLED IN . 'J f INSPECTION NO ICE SCHEDULED L ,�'j� PERMIT NOz -� ' COMPLETED ADDRESS �� -��J � �C�S�'C' �`�f �C-�/ � OWNER TELEPHO E NO. �'� �� ?� CONTRACTOR � S �C�1 ' C1 >; DESCRIPTION f `-'t-'( /F�(.'�I (��C l�� ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a o � D v� O !� ��4 �- -� � � i �, � o �-� ��s- W � Q � Z W � W � � � �1p(QSK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlContractor on site: Inspector. „cl� White Copyllnspector's File Canary CopylSite Notice