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Home My WebLink About2011-00643 - escrow fee � ; CITY OF ORONO PERMIT NO.: 2011-00643 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuEv: 07/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 141 CHEVY CHASE DR PIN : 36-118-23-41-0026 LEGAL DESC : HILL O'WAY MANOR : LOT 021 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-T1ED TO BUILDING PERMIT NOTE: THIS$2500 ESCROW 1S TIED TO BUILDING PERMIT 2011-00476 AND 2011-00625 APPLICANT ESCROW FEE-BUILDING 2,500.00 REMARK, ROGER&MEGAN TOTAL 2,500.00 141 CHEVY CHASE DR WAYZATA, MN 55391 OWNER REMARK, ROGER&MEGAN 141 CHEVY CHASE DR 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 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 aze requested in conformance with the State Buildin�Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .� - BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2011-00476 and 2011-00625 AGREEMENT made this�_day of � , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Roger Rem rk ("Owners"). Recitals 1. A building permit application has been filed for two proposed additions located at 141 Chevy Chase Drive the ("Subject Property"), legaily described as Lot 21, Block 1, Hill O' Way Manor, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City wil! commence its review of the application and incur costs associated with said review only if the Owner estabfishes 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 (inGuding ptanning, 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 appficafion. 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 Pollutian 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 assaciated 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 #s ZQ11-00476 8� 2011-00625 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City wi�l in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 3� 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 untif 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.Q12. CITY: CITY OF ORONO OWN R: By: � �� its: � �� Internal Use Only: G Original to Planning D Copy to'Property Owner fl Copy to Street File - City of Orono �„� ,5� . Buiiding Permit Application ��g for New Structures or Additions Mailing Address.� Permit number. � �U�� `CX.�� .,� �,L,0,� PO Box 66 ��, � Crystal Bay, MN 55323-0066 Date received: 7� /Z - �� ,� �' ' " �, StreetAddress:' Received by: �9..5 e,t> �'.�n "'� � 2750 Kelle Parkwa t� w � ! ��'^' o Y Y �xl- ��lo � _-. Plan re iew fee; S� �• S t�'kESHOg'� Orono, MN 55356 ��'��3� otal 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 sub � . Incomplete applications will be returned. (Please prrnt) GENERAL INFORMATION: Job Site Address: ( C eV ��Ot e- Y'. Will this be a Parade of Homes, Remodeler Showcase Home or other Display Horne? ❑ Yes No If yes, a specral event permit is required with Police Departmenf and City Council approval 60 days prior to the event. Shuttle bus service ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP ICANT INF RMATION: Name: e,i ' ;r� LL State License# ZD(o Z��S �vy Expiration Date: - Phone: - (,Q- office cell Mailing Address: {1 Cit : a � q�„n ZIP: Contact Person: „� i��,r Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATIO I- Name: �p�e,r ��vyla� rK� Phone (day): q�Z -e{75- 9'19�f Address: /y ( GGt�✓u CGcasc �r City:�Va►�O ZIP: SS �� Email and/or Fax ARCHITECT/ ENGINEER INFORMATION:� Name: �. (�xaK�! J �S%a v� �✓a u p Phone (day): `j5Z-V73- 87�7 Address: Qp( �, �a,� S,t- City: (itJay�.t�, ZIP: '.�s�q � Email and/or Fax: 952 _ �G�r7Z - �?ZZ A � PROJECT INFORMATION: �a r-1-1� D � n�v� l�p�c� i�-�,�r� 1.Type of Project 2. Proposed Use 3. tructure 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 ❑ 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) $ 7� .�� Last Updated: 4/26/2011 � - 19 - CITY OF ORONO PERMIT NO.: 2011-00643 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEv: 07/13/2011 , (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 8/9/2011 ADDRESS : 141 CHEVY CHASE DR PIN : 36-118-23-41-0026 LEGAL DESC : HILL O'WAY MANOR : LOT 021 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 201 I-00476 AND 2011-00625 APPLICANT ESCROW FEE-BUILDING 2,500.00 REMARK,ROGER&MEGAN TOTAL 2,500.00 141 CHEVY CHASE DR WAYZATA, MN 55391 OWNER REMARK,ROGER&MEGAN 141 CHEVY CHASE DR 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 the State Buildin�Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 ]ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.