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Home My WebLink About2009-00513 - new structure '• �I CITY OF ORONO PERMIT NO.: 2009-00513 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 09/23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 200 BEDERWOOD DR PIN : OS-117-23-12-0027 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT MB BLOCK MB PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED VALUATION : $ 293,600.00 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN IRRIGATION, WELL(STATE),ELECTRICAL(STATE) ADVANCE PLAN REVIEW PERMIT 2009-000512$1443.49 ESCROW PAID PERMIT-2009-00585 APPLICANT PERMIT FEE SCHEDULE 2,220.75 ROLLINGBROOK HOMES 7378 WHITEHALL RD STATE SURCHARGE(VALUATION) 146.80 SHAKOPEE, MN 55379 TOTAL 2,367.55 (763)227-0700 Minnesota State License#: 20296303 OWNER AZAD,ALISHAH 200 BEDERWOOD DR LONG LAKE, MN 55356- 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 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 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[he S[ate Building Code.This permit may be revoked at any time for due cause. / / � / �/ Applicant Permitee Signature Date ssu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , .� i� � � ,;� I , , �I)� : � City of Orono Building Permit Application � for New Structures or Additions �; � � 7 SS �� Mailing Address: Permit number: 9_ /3 � j_� � PO Box 66 /Q\,,} 0\, Crystal Bay, MN 55323-0066 Date received: 8"Z�D 9 � a ��'�m-��;; s. j Street Address:� Received by: �� "'�� 2750 Kelle Parkwa � y y Plan review fee: /��/3 , L9xE3H�g� Orono, MN 55356 aDQ -Q05/�. 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: �� j�,��ZV�p�� D� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes, a specia/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/APPLICANT INFORMATION: Name: _��1_l..l��$�-�C-� '}�}�1�'1�5 , IJlIC.� State License# �fj��{rp3 3 Expiration Date: 3--3 � - I O Phone: 3 ,�1 -d� pp office �A�'1� cell Mailing Address: �3� NV��-} i �-FAL� iZD Cit :�'� ,O�E� ZIP: �53 7 Contact Person: Kl?R1" R b�i�J(.� Applicant is: / Homeowner (Circle One) Email and/or Fax: K�R�' �{�,f1�l�p��p(_.K�, �� Q� (�r i�) [�C�S- �"b£33'.� PROPERTY OWNER INFORMATION: Name: Phone (day): Address: Cit � ZIP� Ema�l and/or Fax 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 Addition attached garage ❑ Gara e/Accesso Bld ❑ Accessory Building ❑ Single Family with ❑ Deck9 ry g' � Public Sewer ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ❑ Multi le Famil /Condo ❑ Private Sewer p y ❑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) $ -20 - STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction / 1 a. Length (ft.)= 1L�� Number of bedrooms= � �Wood/Frame ( Masonry b.Width (ft.)= � Number of garage stalls: ❑ Metal Attached = _i ❑ Pole Bldg. Areas in square feet Detached =� ❑ ICF ❑ On-site Prefab c. Basement= � ❑ Off-site Prefab d. 152 Story = _�� ❑ Other(please specify): e. 2"d StOry= � f. '/z Story = L�— 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 q/ �J E- ❑ Se tic S stem Site Evaluation Re ort ❑ J� Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above � 0 Plan Review Fee ❑ ❑ Other APPLICANT 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; • 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. 0 ApplicanYs Signature: L Date: �J�� —�� -21 - Plan Review Checklist for New Structures / Additions Address/ PI D / LegaL ; �. i'��' ' Description of work: ��-� '� '`�� - ' �� % ' '� Septic review by: /v �/'\� Date Approved: Zoning review by: �Qj�-1��l�' ('(�,'��'�' Date Approved: `�/ Building review by: G'� Date Approved: � �� Grading review by: Date Approved: �'—l� ` O� Zoning File#: � Resolution #: Resolution Date: Zonin District Fire Department Post Office School District �� i f. Zoning: Lot Are : < < / SF AC Wy�n �� -� Depth: Survey Submitted: Yes ❑ No Date of Survey: � � I I �� Pro o Setbacks: Fro (Lakej � Rear( treet) ( N S E W ) ( N S E W ) Oth r Buildings Wetland Side � ide ; ,� �;: � / Building Defined Height: �� ` �, Building Peak Height: �j� FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement floor/ START the distance between the slab and the i WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the cornice ; �� the top of the cornice of a flat roof, the deck � of a flat roof, the deck line of a mansard ! ��' line of a mansard roof, or the uppermost roof, or the uppermost point on a round or oint on a round or other arch-t e roof other arch-t e roof SU TRACT half the distance between the highest SUBTRACT half the distance between the highest /, window and highest roof peak of a pitched window and highest roof peak of a � roof itched roof ��0 SUBTRACT � the distance between the basement flooN ADD the distance between the slab and the ��J�1. � � crawl space floor and the highest existing highest existing grade within the � , grade within the foundation or 10 feet, foundation whichever is less. -, EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht /�.-i � �', Lot Coverage: 2 J �c..� SF �'�� _� ��o Shoreland istrict MCWD Permit Recei ed � Average Lakeshore Se ack BI 0 Yes o � Yes � No N/A p Yes ❑ No N/A � Yes No Permit Number: Setback: Hardcover Zones Existing Proposed Varian Required CUP equired 0-75' � Yes �1 No ❑ Yes ❑!No 75-250' ' Type(s): I Type(s): 250-500' I �} U 1 500-1000' ; REMARKS (in-house): Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Char ed YES NO Perm it c/" Plan Review V State Surchar e Investigation Fee SAC— Number of SAC Units Q �q � G•Z b• ✓ Sewer Connection � Water Connection �/ Park Fee ✓ Site Inspection ,i Other(specif ) � Miscellaneous Fees Calculated By: UBC: 2 Construction Type: �/ Square Foota e $ er S uare Foota e Basement I X = $ 1 S Floor X = $ 2" FIOOr X = $ Gara e X = $ � i Estimated Construction Value: $ Z�i3,600 �� Orono Inspections Required Work Requirinq Separate Permits Required State Permits � Site .�Plumbing ❑ Grading / Filling ,� ell � Hardcover Removal Mechanical � Fire Electrical � Footing ❑ Septic � Water Connection Foundation Survey �' Fireplace �ewer Connection �' raming 0 Masonry Lawn Irrigation �nsulation ,�Mfg. ❑ all Board 0 Other (specify) As-Built Survey inal Other (s ecif ) 2qpdnl Gk..� REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms\plan review checklist.docx � �� . � � �� REScheck Software Version 4.2.2 Compliance Certificate Project Title: Job 1031 - 2 Story Energy Code: 2000 Minnesota Energy Code Location: Hennepin County, Minnesota Construction Type: Single Family Glazing Area Percentage: 13% Climate Zone� 2 Construction Site: Owner/Agent: DesignerlContractor: 200 Bederwood Drive Kurt Rolling Orono,MN 55356 RollingBrock Homes,I�c. Permit Date:8-24-09 7378 Whitehall Road Shakopee,MN 55378 763-227-0700 kurt@rollingbrock.com . • Compliance:17.7%Better Than Code Maximum UA:690 Your UA�568 s,� � -,��}.-� � �,�wnu i_ i-i��:eiuuu ui �cisscn (,uss iv.;_; -. . _ .. _ _... Main Floor Wall:Wood Frame, 16"o.c. 1834 i9.0 0.0 76 Windows:Above-Grade:Wood Frame:Double Pane with Low-E 449 0.350 157 entrance doors(3):Solid 99 0.350 35 Upper Floor Wall:Wood Frame, 16"o.c. 1514 19.0 0.0 83 Windows:Above-Grade:Wood Frame�Double Pane with Low-E 101 0.350 35 Walkout Wall:Wood Frame, 16"o.c. 539 19.0 0.0 27 Windows�Above-Grade:Wood Frame:Double Pane with Low-E 78 0.350 27 9'Foundation Wall:Solid Concrete or Masonry:fnterior Insulation 963 11.0 0.0 89 Furnace 1: Forced Hot Air 92 AFUE Air Conditioner 1: Electric Central Air 13 SEER Complrance Statement• The proposed building design described here is co sistent with the building plans,specitications,and other calculations submitted with the permit application.The proposed building ha n designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 42.2 and to comply with the ory uir ents listed in the REScheck Inspection Checklist. K�rzr �� uc� �_�� __ ___ Name-Title Sig ture Date Project Notes: 200 Bederwood Drive Orono,MN RollingBrock Homes,Inc. 7378 Whitehall Road Shakopee,MN 55379 Project Title� Job 1031 -2 Story Report date: 08/24/09 Data filename:C:\Documents and SettingsWdministratorlMy Documents\RollingBrock Homes\1031 (Azad)\Energy Calculation_1031.cck.rck Page 1 of 1 . , . : • . 1 . emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Melanie Curtis, Planning &Zoning Coordinator Date: 1/4/2011 Re: Building Permit Escrow Refund The applicant, AI Azad, has requested a refund of his $2,500 escrow which pertains to Building Permit application 2009-00513 at 200 Bederwood Road. I verified this project is complete and there are no open inspections. The following is attached: • Escrow Refund Request from applicant � Email from Bonestroo indicating no unbilled WIP on this project • Email from Campbell Knutson indicating no unbilled WIP on this project • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received w:�street files�bederwood drive�200\escrow refund memo 2009-00513.doc Christine Mattson From: a.azad@mchsi.com Sent: _ Wednesday, September 15, 2010 8:48 PM To: Christine Mattson Subject: escrow release Hi Chris, Thanks for returning my call today. Here is the info. you requested regarding the refund of my escrow funds. Our address is 200 Bederwood Drive and the Permit number is #2009-00513. The inspector from the city was here yesterday and give us a slip showing 'PROJECT COMPLETE'. if there is anything else that you need, please let me know. My phone number is 612-735-1542. Your quick processing of the paperwork will be greatly appreciated. Thanks, AI Azad i Christine Mattson From: Amundsen, Darren T [Darren.Amundsen@bonestroo.com) Sent: Thursday, December 23, 2010 8:43 AM To: Christine Mattson Subject: RE: Unbilled WIP No and no. Darren Amundsen, PE Associate Direct 651-604-4894 Cel l 651-775-5623 darren.amundsenC�a bonestroo.com �Banestroo Visit the new Bonestroo.com to sign-up for SourceQNE, our upcoming newsletter. From: Christine Mattson ,[mailto:CMattson@ci.orono.mn.usl Sent: Wednesday, December 22, 2010 2:11 PM To: Amundsen, Darren T; 'Sherry Charboneau' Subject: Unbilled WIP Hello, We have escrow refund request from the following. Do either of you show any unbilled WIP for these projects? Building Permit 2009-00513 200 Bederwood AI Azad Zoning Application 10-3482 1985 Fagerness Pt Rd Michael Gallus Construction / Briggs Residence G..Iv'ii,a-{inz M.a�{-bon, Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical address) 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 8:00 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Friday, December 24,2010 and Friday, December 31, 2010 1 Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Sent: Wednesday, December 22, 2010 2:36 PM To: Christine Mattson Subject: RE: Unbilled WIP Christine: We have no unbilled WIP on the matters listed below. Sherry HAPPY HOLIDAYS! _ _ _.. __ .�,_�._�u�.w,__ _.__�..___ _._.._. From: Christine Mattson [CMattson@ci.orono.mn.us] Sent: Wednesday, December 22, 2010 2:11 PM To: 'Amundsen, Darren T; Sherry Charboneau Subject: Unbilled WIP Hello, We have escrow refund request from the following. Do either of you show any unbilled WIP for these projects? Building Permit 2009-00513 200 Bederwood AI Azad Zoning Application 10-3482 1985 Fagerness Pt Rd Michael Gallus Construction/ Briggs Residence Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physica/addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ �' 952.249.4620 6 952.249.4616 � cmattson@ci.orono.mn.us ; www.ci.orono.mn.us Office Hours: Monday- Friday 8:00 am to 4:30 pm OUR OFFICE W/LL BE CLOSED: Friday, December 24, 2010 and Friday, December 31, 2010 1 z��-�� BUILDING PERMIT ESCROW AGREEMENT AGREEMENT made this d��' day of �'v�I , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and 1��LLi�I��K -�-}�r�i�� ("Owner"). Recitals 1. A building permit appiication has been filed for a (crrcle one) w rincipal structur� I addition to a principal structure / accessory structure I addition to accessory structure I Other(exp{ain) located at ,�� 0�� the ("Subject Property"), as more fully shown and described on Exhibit"A" attached hereto. 2. Owner requests 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 Owner 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 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 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% of the original escrow amount the Owner shall deposit additional sums as directed by the City, or the City shall discontinue review and post a Stop Work Order. 4. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owner when the review has been completed and written notification is received from the Owner requesting the funds. 5. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, or if the eligible expenses incurred by tt�e 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. ( j CITY: CfTY.(�F,O OWNER: gy: _.____---� gy: �J�. I " l.�C1 / �3 ,., Its: ` � By: - l ' ' CITY OF ORONO PERMIT NO.: 2009-00585 27�0 KELLEY PAP.KWAY ORONO, MN 5�356- DATE ISSUED: 09/14/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 200 BEDERWOOD DR PIN : OS-117-23-12-0027 LEGAL DESC : AUDITOR'S SUBD.NO. 203 : LOT MB BLOCK MB PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW PERMIT 2009-00514 WAS VOID-ESCROW PAID BY CONTRACTOR. THIS ESCROW PAYMENT OF$2500.00 WAS PAID ON 09/14/2009 BY THE HOMEOWNER,AL AZAD. PERMIT#2009-00585 PAID WITH CHECK#959412661 ESCROW TIED TO BUILDING PERMIT#2009-00513. APPLICANT ESCROW FEE-BUILDING 2,500.00 AZAD,ALISHAH 200 BEDERWOOD DR TOTAL 2,500.00 LONG LAKE,MN 55356- OWNER AZAD,ALISHAH 200 BEDERWOOD DR LONG LAKE,MN 55356- 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. AI►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 Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 2335 Highway 36 W St.Paul,MN 55113 Tel 651-636-4600 Fax 651-636-1311 www.bonestroa.com October 26, zo�o �Bonestroo Ms. Melanie Curtis Planning and Zoning Coordinator Ciry of Orono Post Office Box 66 Crystal Bay, MN 55323 Re: 200 Bederwood Drive File No. 000139-10000-2 Building Permit No. 2009-0513 Dear Melanie: We have reviewed the as-built site plan for 200 Bederwood Drive. The plan is dated 10-12-10. We have the following comments with regards to engineering matters: • The plan is acceptable from an engineering standpoint. If you have any questions, please call me at (651) 604-4894. Sincerely, BON ESTR00 �--____..� ____.�---�--� Darren Amundsen Cc: Tom Kellogg Checklist for Refunding Building Permit Escrows Building Permit # ZCC� — dQ`�i� Street Address: �� }F��;�' VUOOC�` �� , Applicant Name: �� ZQ� � Escrow request received Date: '1 '�r'J ��O 1� (to be completed by Barb) Are all inspections completed? Yes No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? es No Date: Z L> l� Was there a Final Certificate of Occupancy issued? � No Date: �C��7--�� ` � �° ' ,� � � �t�-av�d ��_ ` !�-�.�� . � Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: I Z�ZZ-�� Prepare memo for Finance Department ❑ Note � refunded in program. z:\forms�zoning standard forms\checklist for refunding building permit escrows.doc December 23,2010 �� (� D TE TIME CITY OF ORONO AC LLED IN � � � INSPECTION TICE SCHEDULED �� PERMIT NO. '��C� co LETED ADDRESS -�� OWNER CONTR. TELEPHONE N0. � 1�Y� �� DESCRIPTION ��!��- C�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE/ ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � �`� 1L �r�s �. 0 � W � Q � Z W � W � j a/��" W, y�vVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W `_ ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on sit . Inspector. � � White Copyllnspector's File Canary CopylSite Notice � `�� T TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTI E SCHEDULED ��_ PERMITNO. � J��COMPLETED ADDRESS e �� 1��=�-� �� OWNER CONTR.�^�� TELEPHONE NO. �� ^ �� — �( ��F' � DESCRIPTION �� T-� N�J �� 1� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU YES_NO � COMMENTS: � W a o � l 7� >�� '�e �1 � � ��U /'c o c.��'�c� C.cl� i I ° �itS j�� iU/� W � Q z �J ��f1 ,�j�� J��c�-i,� �� W � W � � d W ❑WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � �`RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. o�� —r White Copyllnspector's File Canary CopylSite Notice � I � � AT / TIME � CITY OF ORONO CALLED IN /�� / � INSPECTION NOTICE SCHEDULED �� PERMIT NO.��9'OD��„3 COMPLETED � ADDRESS �� 4�--- ��.lili`e� OWNER CONTR. � / G TELEPHONE N0. � ��-gL "�I' 4��s � DESCRIPTION �OGt�'C,C�1l�—�fi0� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLINC� Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 �)�,i� �� r1 '� ��1/l� % . / �] '�"� I�r OiJ��11 � � � ('01 l v C :�-.,, S . c� � �I r� e' V✓'C- O � W °� �1�►' � . � �i .� i C �l ,� ; - a c� �^ � c� •.�T Q � z W � W � � d W� (�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on ite: Inspector. / /� � 5 l� � White Copyllnspector's File Canary CopylSite Notice J� �DATE TIME CITY OF ORONO �CALLED IN 1Z��'o� INSPECTION NOTI�, SCHEDULED -L—,.�� Z PERMIT NO. ��C�� " -��'� COMPLETED ADDRESS ��;�1�� - r`Il-7� l,l;CY�r-I--�� OWNER CONTR. �1�� ..� 1 b'l�l � ITl� TELEPHONE NO., I I K� �(' (�� C��' ,�C��,� ----, � DESCRIPTION `�'��\ ��I (,�'1 ��/V{'-�-�-� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL�s� ❑ FOUNDATION/REMOVAL � OWNER/CONTR�ME YOU: YES_NO � COMMENTS: � K �I� G��' �► ti � � � ��-f r3�F�� 3U ��,� s �- a o � �'� P,' �e T',�J '' C, r'c.J , '�� l�ov.�-� !�/l.��-E- � 0 `� �� r7 c.'�P Cl� ` � 1—� J"+1c-�1.«l.C� � � ��.q-�S %�C� A� Q � z � - 5�� v � l�' •n�r jl�A f t�O v'� �t�S l,k-�.�i� �.J l� � I a W ❑WORKSATISFACTORY:PROCEED fl PROJECTCOMPLETE � �CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. l _ � White Copyllnspector's File Canary CopylSite Notice � � �� DA TIME V CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED � � PERMIT NO. ��``j�OMPLETED ADDRESS �-- OWNER CONTR. �� 4��aYX�•D TELEPHONE NO. f - ��3 � �a7`O�OD � DESCRIPTION � /�LC G(� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q� FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YO�YES_NO � COMMENTS: � �r � `� ?�� -}', -�-e � �_ O � �� e `�'S -�� :� - �� W � Q � Z W � W � � d W �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � �GORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY Wr . O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � �-� (�� ,1 ,-.�m White Copy/l�spector's File Canary CopylSite Notice �� S—"" DAT TIME " � CITY OF ORONO CALLED IN G�/ l INSPECTION OT CE SCHEDULED � � �- PERMIT N �.J� co PLETED ADDRESS ��`�s �/L/.(J-"d�� .(/`�- OWNER CONTR. TELEPHONE NO. i(/1�T - �Cv�7 - ��—��d� � DESCRIPTION �L�'I,� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FtREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �fiINAL � SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � C M NTS: a � ��`r j O � �, 1 r� . �. � ��-�c.� ,�r -- ��r n l�pv� � � � },� !� �v/�/ G-,l'i4c� �' W Q �'cjC� /� � � �Cf� 1 � � �O � �, � 1� S 3cJ�1� 5�('Ue� Tt� 13P �u c3M.�' t-r-Q� z � -�,�e t � �c,ro � K � 1 •-r r��°c' '�"o iZCr�u-A-,,n v � �-�-�'� t F'.�..� ( W ❑WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE v � � � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY EFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on ite: ' Inspector. � ) � White Copyllnspector's File Canary CopylSite Notice �� A� TIME CITY OF ORONO CALLED IN '/ INSPECTION OTICE SCHEDULED ��"�� 1,' -� PERMIT NO.��9 ' ODS�� COMPLETED ADDRESS aDD ,�p G� �1�' OWNER TELEPHONE NO.��.�Z 7i3S �STL CONTRACTOR , �`��I rOD�c-- ��ff�//f.�Q- � DESCRIPTION L�a'L �� v � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA GRADING/FIL�ING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS ti � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL •.,..-....,��r+ni�niCiDCDI n;E ❑ SITE INSPECTION < � ❑ PROGRESS F , ❑ COMPLAINT � ❑ FOLLOW-UP � � �� ❑ HARD COVER REMOVAL Z ❑ FOUNDATION/REMOVAL C ��V� . t C l c ( � � z � �� , � � W � � y GW ❑WORK SATISFACTORY:PROCEED �7�PROJECT COMPLETE � «v W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. f � � White Copyllnspector's File Canary CopylSite Notice + CITY OF ORONO PERMIT NO.: 2009-00585 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 09/14/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 200 BEDERWOOD DR PIN : OS-117-23-12-0027 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT MB BLOCK MB PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW PERMIT 2009-00514 WAS VOID-ESCROW PAID BY CONTRACTOR. THIS ESCROW PAYMENT OF$2500.00 WAS PAID ON 09/14/2009 BY THE HOMEOWNER,AL AZAD. PERMIT#2009-00585 PAID WITH CHECK#959412661 ESCROW TIED TO BUILDING PERMIT#2009-00513. APPLICANT ESCROW FEE- BUILDING 2,500.00 AZAD,ALISHAH TOTAL 2,500.00 200 BEDERWOOD DR LONG LAKE, MN 55356- OWNER AZAD,AL[SHAH 200 BEDERWOOD DR LONG LAKE,MN 55356- 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 da[e 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 Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.