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Home My WebLink About2009-00048 - new structure CITY OF ORONO PERMIT NO.: 2009-00048 � � ` 2750 KELLEY PARKWAY . � ORONO, MN 55356- DATE tSSUEn: 12/1U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1785 CONCORDIA ST PIN : 17-117-23-22-0016 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 000 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 10]-S[NGLE FAMILY HOUSES, DETACHED VALUATION : $ 1,100,000.00 NOTE: SEPERATE PGRM[TS REQUIRED: VLUME3ING, MGCHAN[CAL,FIREPLACE,WATER CONNECT[ON,SEWER CONN�CTION, LAWN IRRIGATION,OTHER-POOL,AND ELECTRICAL(STATG) ADVANCED PLAN REVIEW-PD 10/19/09-PERMIT#2009-00728 SAC GRANDFATHERED IN#1642-09/27/1967 NOTE: SEPARATE PERMI"CS REQUIRED FOR SWIMING POOL NOTE ENGINEER'S COMMENTS ON GRADING PLAN SHED MUST BE REMOVED BEPORE ANY CO IS ISSUED APPLICANT PERMIT FEE SCHEDULE 6,356.75 STONEWOOD DESIGN BUILD �,,,.�T� r,,,,�„,. „� „,. . .. 7404 WAYZATA BLVD � � � 540.00 MINNEAPOLIS, MN 55426- - 6,896.75 (952)697-5075 ..� .:: Minnesota State License#: 20534541 OWNER DULIN, KEV[N&BARBARA 1785 CONCORDIA ST WAYZATA, MN 55391- ;��; -�i�� -:it:; _(;.}ij,_ AGREEMENT AND SWORIV STATEMENT ;�c�.; The work for which this permit is issued shall be performed accordine to U" ` the approved plans and speciYications,applicable City approvals,and dic ''�' ��'�r�f'? 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 wh or not speciYied herein.This permit will r.r,�i, expire and become nu and oid if construction authorized is not ;v�,�. commenced withi 80 d s of the date of issuance,or if construction is � suspended for eriod 180 days at any time after work has commenced. l�he applica i resp sible for assuring all required inspections are requeste with Ihe State Building Code.This permit may bc revok t� e for e se. � l�� , �__ ' lL -' IJ - C.�`�� Ap ' r � ee Signature �Date � �� '� � �� Issued By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � �'( � C�� -� �,� ' �, ►' d�ti� �- ( S �� I � � ( 5'�� C� � S Y � �'1�,�� ti� �' �> �' e, � � � c� ,;. ._,...�.�..�.� ��.�.'_ ��-c..;�--1�,� _: _ ._.._ ..� _.__.. �'. , �� ^----�-�--�._._.,....�- , �> �l�l ��t' S _5' ( C� 1'�l � S C�,,�-c_.�, �' ��.�il�' � s �. h �ti� � � �� Z ; �a C� ` to� �,� ��:� �� .�� 4 '� �� ,,t�;,�� .� ( � �.��s �� -�� > > -�� -,,.,. _ ��, �:��`�'' �_; .�.. , ��, �� .� ,,,..�- 1 � _._ ,. ., _ _ . . a r.. _ __ _.-- �, _.� �--- ... . __. _ � C � L� �`� -� �� C �� C ,� ._ ��,, �� ,� � �� ' ( ��''�-. 1��1,�2. C�c��`� � -�-e, �- � � ( �L'C�.ti!� � L'��,e�.» ��s � � G��C� �� P�. C� T � $ � � 7�� , City of Orono Building Permit Application for New Structures or Additions --_� Mailing Address: Permit number: �Q �� Cr�ysBtal Bay, MN 55323-0066 Date received: � /0 �: ��, � "' �i� � Received by: � ,a f �' �,�, Street Address. ti�' 2750 Kelle Parkwa f 3 , 89 �� , �,. � Y Y Plan review fee: �9kESH�g'� Orono, MN 55356 � Q —Q Q-?� �_- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 wwuv.ci orono rr�n.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: 1 Q�tj Cb Lo p/ �j� tsC�T Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP ICANT INFORMATION: Name: 74/U�G.I�D .�.. Cr. State License# Qf / Expiration Date: Phone: 9 office /Z- Lz-�$�7QSf6 cell Mailing Address: T' Ly , Cit : ZIP: � Contact Person: oL p Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: dAn S .Gom � PROPERTY OWNER INFORMATION: Name: K�fv�ru �u��x.l Phone (day): Address: ��$'$ CDu�fLDI� i City: �Q�ap z�P: ��391 Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: ��L�C,k�Df3LQ �SIl��u ��P Phone (day): q� — '13-g'"177 Address: �{�/ �j.�.ST AfiC[S �Tl��%�T City: �Y�,l} ZIP: rj' J�'�`�� Email and/or Fax: qr�xRGcy('P�d►aI.Gam PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8� 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) $ -�- Last Updated: 6/22/2009 - 19- STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction r a. Length(ft.)= �� Number of bedrooms=� �Wood/Frame � Masonry b.Width(ft.)= � Number of garage stalls: ❑ Metal Attached = �J ❑ Pole Bldg. Areas in sQuare feet Detached= ❑ ICF ❑On-site Prefab c. Basement= �� ❑Off-site Prefab d. 1s1 Story = �� ❑Other(please specify): e. 2"d StOry= � �' f. '/2 Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ 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 ❑ Access Permit ❑ Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ Plan Review Fee ❑ Other �SL �/J 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. ApplicanYs Signature: C�� Date: ��t Last Updated: 9/29/2009 - 18- Pian Review Checkiist for New Structures / Additions Address/ PID/ LegaL � �� ,� C�� :. <A�� Description of work: � c� �W 5R.- t'b (1�� /�,LiC��__� Se tic review b `' P Y� f� Date Approved: ��% ` � �'��% j Zoning review by: .Qi Date Approved: �z 7_/(� '�� Buildin review b `� T 9 Y� Date Approved: � Z •7- o� Grading review by: " � Date Approved: Z Z,3 ZO�O w 1 C.. Zoning File# (��j ' �?j7 � Resolution #: Resolution Date: � � Zonin District Fire Department ; Post Office School District I / Zoning: Lot Area: � o �� SF AC Width: �3� Depth: 2.5 � Survey Submitted: ❑ Yes ❑ No Date of Survey: ' " Z� '0�f �'� . l� ' Z7`�1 Pro osed Setbacks: Front(Lake) Rear(Street) Ii ( N S E W ) '� ( N � E W Other Buildings � Wetland Side �� Side (s�'p�'� ` �� I Gv�— Building Defined Height: Building Peak Height: FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: ; START the distance between the basement floor/ ; START I the distance between the slab and the ' i WITH crawl space floor and the highest roof peak, i 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 I �, oint on a round or other arch-t e roof I other arch-t e roof , SUBTRACT ! half the distance between the highest SUBTRACT I, half the distance between the highest � window and highest roof peak of a pitched /�, , window and highest roof peak of a ' roof ' � �v i pitched roof � i SUBTRACT I, the distance between the basement floor/ � ADD the distance between the slab and the � I crawl space floor and the highest existing � � highest existing grade within the i i grade within the foundation or 10 feet, ' foundation I � ' whichever is less. � '� �� E UAL _ Q S � Defined buildmg hei ht � , EQUALS ' Defined buildin hei ht I �ot Coverage: y�3 S 3 SF �(� . � ��o � Shor nd District MCWD Permit Received ' Average Lakeshore Setback � Bluff � Yes ❑ Na � Yes ❑ No ❑ N/A �s ❑ No ❑ N/A � Yes No � � Permit Number: Setback � , Hardcover Zones ; Existin Proposed ' Variance Req ired CUP Required I. 0-75' ' �� V�, � '� ❑ Yes o es ❑ No 75-250' S S� , (� Type(s): �I Type(s): � 250-500' i 5 � ! �p � �� -�o odp(A-IY� � ! � 500-1000' ' �_ -� �er'f�Yr�tv�C�e.�'t� REMARKS (in-house : I� v Q8 W h'lVY1 tVL C� � ) f Irl � S ( � � Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Char ed YES NO Permit E/' . Plan Review i/' State Surchar e Investigation Fee SAC— Number of SAC Units Sewer Connection ; Water Connection Park Fee Site Inspection , Other(specify) Miscellaneous Fees ' Calculated By: UBC: �- Construction Type: �l� � � Square Footage �, ; $ per Square Footage ' I ' , i , Basement I ' X ' = li $ i 1 S Floor ; X = ! � 2" FI00� ' ; X = ' $ Gara e ' I X ' _ ', � , 1 1 t�c� u o o � Estimated Construction Value: $ � Orono Inspections Required Work Requirinq Separate Permits Required State Permits � Site ,�Plumbing ❑ Grading / Filling ❑ Well ❑ Hardcover Removal 8 Mechanical ❑ Fire Electrical �'Footing ❑ Septic ,0' Water Connection �oundation Survey �( Fireplace �'Sewer Connection �Framing ❑ Masonry ,�Lawn Irrigation �Insulation �' Mfg. ❑�A/all Board � Other(specify) Qod` C'l As-Built Survey �' Final O Other (specif ) 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) 1�s�YY�-e� ��Y'Yv��3 Y Q Q�lv 2c� �Gf � (wt V�t� �oa l ' -2, �iti'S C wl l t�'tn ' �� i � '� �/ �� , � 2.� �., C' � � �S ' �,� �-� Updated: 07/01/2009 z:\forms\plan review checklist.docx ',+ -1--�- �'v��'�� , 1��u'E r� �U l..a,� �C�p�. " — ' C�7.,t:,�; HARDCOVER CALC�TION WORKSHEET�.y-.�,� �o_�8•p SETBACK ZONE: (CIRCLE ONE) 0-75 5-250 250-500 500-1000 9 EXISTING HARDCOVER IN ZONE A. House x = 2��3 S.F.-�Q(�� Length Width x = I�b S.F.-CDI�+�'. ��+ �lp,�1`F,� x = S.F. ��p� o(= ,F�� B. G��ag�e x - I �F'� S,F.-SN,�� C. Driveway x = 2�4� S.F.-C4N�', �?��a,��r,c�;y' x = S.F. GONG, STOvP D, Sidewalk x = 56 S.F-qNtJ ST��s x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G, Retaining � - N��i2fH x � � �,��c� €`!�' _ �� S F -ST�i�� Walis �� s uFF►.� - �L �,� 5�ur-�c.Er�v�aR2� H. Other 2. �2 x T" i �� = 2�� S.F.'AN�? ,�/,� r��i� TOTAL HARDCOVER IN ZONE - S Si S.F. A TOTAL PROPERTY AREA IN ZONE , - � O S,F. B A �1�� + B �C.��1..�' X 100 = 2 . � % PROPOSED HARDCOVER IN ZONE �� A, House x = 3,5� r S.F.- Length Width ' ��' x - 12� S.F.-�'-.►�-r(z.y x - 7t9-. S.F.- �a�� B. Garage x = S.F, C. Driveway x = /b 7 7 S.F-0t2►v�W�� x = S.F. D. Sidewalk. x = �Q�i S.F.- �!�U� x , _ = ll� S.F.�.�OMC. ��p E. Patio/Deck x = ?!Q S.F.-1�� 1r x = S.F, p�� F. Landscape x = S.F. Underlain x = S.F, By Plastic x = s.F. RECEIVED G. Retaining X = s.F. OCT 2 8 2009 W alls � CITY OF ORONO H. Other x = S.F. TOTAL HARDCOVER IN ZONE - �S3 �O S.F. A TOTAL PROPERTY AREA IN ZONE - 2.5, ��i0 S,F. B q 636a = g Z S, 4�p x 100 = 24� 98 % ��.r„�; �vc.i� —1--��--9q— �a�'F�'�S ,�lp�, . -z=-�-r t �� HARDC VER CALCULATION WORKSHEET�-;�ro� � ' SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' � 500-1000�/a-�8- Oq ,v� cN,�,��F EXlSTING HARDCOVER IN ZONE A. House x = 75� S.F, -�10uSE' Length Width x = �'� S.F,-GONC, TO �p+'2,Cfi x = 3�j S.F.-OP�i� PD�'�CK B, Garage x - S.F. C. Driveway x = S,F. , x = S.F. STEPP��t�r D. Sidewalk x = 6 S.F-�ta�E; x = I S' S.F.. RO�NQ COrrLCC, E. Patio/Deck x = 397 S,F.- DECK x = S.F. F. Landscape x = S.F, Underlain x = S.F. By Plastic x = S.F. G. Retaining x = S.F. Walls H. Other x = �� S:F. - A/�G P�1Q TOTAL HARDCOVER IN ZONE - I ZG S S.F. A TOTAL PROPERTY AREP, IN ZONE - 10, 1 RD S,F. B A 126� + B Ifl� � �� X100 = �4 % PROPOSED HARDCOVER IN ZONE A. House x = S,F, Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F, x = S.F. D. Sidewalk. x = S.F, x = S.F. E, Patio/Deck x = S.F, x = S.F. F. Landscape x = S,F. Underlain x = S.F. By Plastic X = s.F. RECEIVED G, Retaining x = S.F, ��T � 8 2��9 Walls H. Other x = S.F. CITY OF ORONO TOTAL HARDCOVER IN ZONE - O S,F. A TOTAL PROPERTY AREA IN ZONE - �o� � 9D S,F. B q = B x 100 = O % Y ��t�!�-1 �-.��,,.'�..t � —r-��'{� �P�F��S r��s ` - �9- LoTs � f l � HARDCOVER CALCULATION WO EET��.�,g:,�q,�,o SE7BACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-5 ' 500-1000' �N'��'�E EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S.F, X = S.F. B, Garage x - S,F. caNcRErE C. Driveway x = 5�3 S,F.-�R�v�W�`j x = S.F. D, Sidewalk x = S.F. X = S.F. E. Patio/Deck x = S,F. x = S.F. F. Landscape x = S,F. Underlain x = S.F. By Plastic x = S.F. G. Retaining x = S.F. Walls H. Other x = S,F. TOTAL HARDCOVER IN ZONE - ��' S.F. A TOTAL PROPERTY AREA IN ZONE + g �� x 100 = �` � � I 1 �2'�'' F B % A ��i PROPOSED HARDCOVER IN ZONE A. House x = S.F. Length Width ' x = S.F. x - S.F. B. Garage x = S.F, C. Driveway x = �� S.F,-�(��l�W'°�� x = S.F. D. Sidewalk. x = S.F, X = S.F. E. Patio/Deck x = S,F. X = S.F, F. Landscape x = S.F. underlain x = s.F. RECEIVED By Plastic x = S.F. - s.F, OCT 2 8 2009 G. Retaining x - W alis CITY OF ORONO H. Other x = S,F. TOTAL HARDCOVER IN ZONE - �}� S,F. A TOTAL PROPERTY AREA W ZONE - �l � S,F. B p� Q�4� � = B �.� � i�� x 100 = �1,�� % t � �1-1 �-1(,,1 CaFt�G�S �A TO ��'• - ��C•/i r�l �U 4 t ti1 w,��D �y�<� .,��,. HARDCQL/ER CALCULATION WORKSHEET ��,� �,� �� SETBACK ZONE: (CIRCLE ONE) �75' 75-250' 250-500' ' 500-1000' EXISTING HARDCOVER IN ZONE A. House x - S.F, Length Width x = S.F. X = S.F. B. Garage x - S,F. C. Driveway x = S.F. x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S,F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. y. G. Retaining x = S.F. Walls H. Other x = S.F. TOTAL HARDCOVER IN ZONE - � S.F. A TOTAL PROPERTY AREA IN ZONE - 10,1$la S.F. B q + B x 100 =—' O % PROPOSED HARDCOVER IN ZONE A. House x = S.F. Length Width � x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. x = S.F. D. Sidewalk. x = S.F, x = S,F. Q � o OE, Patio/Deck x = S.F. ; o � x = S.F. � � 0 W o � F. Landscape x - S�F� W w � Underlain x = S.F. o � By Piastic x = S.F. � H- V G, Retaining x = S.F. Walls H. Other x = S.�. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A = B x 100 = % , � i r��t—�� Cc��'�. ��. �'� ' , ��'c�l �u u� ��+�'�,��,�� t..�, .�-r��.�w HARDCOVER CALCU ON WORKSHEET L„�.�,� �,� �� SETBACK ZONE: (CIRCLE ONE) 0-75' S-250' 250-500' 500-1000' EXISTING HARDCOVER IN ZONE A. House x = 3b� S.F. —�-lC7vs,�" Length Width x = Cz�3 S.F.--PQ�zc.��-�� x = 1 Z I S.F.�Gv,J�ti P� �"raYs B. Garage x = S,F. C. Driveway x - � €�� S.F. -�1 j� ��2�v� x = S.F. D. Sidewalk x = �� S.F.--L,'("��"';Pjp.�G �a"Cr�� x = S.F. E. Patio/Deck x = S,F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. y. G. Retaining x = S.�, Walls H. Other x = S,F. TOTAL HARDCOVER IN ZONE - 5�c�� S.F. A TOTAL AROPERTY AREA�� ZONE T B - ��'�'+?i'� S.F. B ` ` 2�� ZZO x 100 = 2-Z-�b % PROPOSEDHARDCOVER W ZONE A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F, C. Driveway x = S.F. x = S.F. D. Sidewalk. x = S.F, x = S.F. E. Patio/Deck x = S.F. x = S.F, F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining x = S.F. Walls :� /na�� ,� �1' ECK ?� �'A'F9 i��.f F�fl 1w't-/i�"r�,;;+° '�' `� H. Other x = S,F. TOTAL HARDCOVER IN ZONE - �3�3 S.F. A TOTAL PROPERTY AREA IN ZONE - 2S� 22.4 S.F. B q = B x 100 = .,��. 9 `� % ; � �" J� {� r�—� ��-+t;� ��v�"F�'�.�.t,� ��,. `�'c� tL��'N t�( !.� (��-4�1 �� HARDCOVER CALCULATION WORKSHEET �Q �,� � 1� SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 0-500' ' 500-1000' + EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S,F. x = S.F. B. Garage x = S,F. C. Driveway x - r'�'� � S.F�� t�, ��tiJ� x = S.F. D. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. Y. G. Retaining x = S.F. Walls H. Other x = � S.F. " �`� �-��.�� TOTAL HARDCOVER IN ZONE - �`�'`�� S.F. A TOTAL PROPERTY A�ER IN ZONE - -a0 S.F. B A `�� - B '��'� x100 = .35 % PROPOSED HARDCOVER IN ZONE A. House x = S.F. Length Width ' x = S.F. x = S.F. B, Garage x = S.F, C. Driveway x = S.F. x = S.F. D, Sidewalk. x = S,F, x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F, By Plastic x = S.F. G. Retaining x = S.F. Walls H. Other x = S,F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S,F. B A = � X ��n - �i . • . . • . 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: 7/12/2011 Re: Building Permit Escrow Refund Building Permit#2009-00048 pertaining to 1785 Concordia Street is complete. The planning department is requesting refund of their$2,500 escrow. The following is attached: • 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 Mail check to: Kevin & Barbara Dulin 1785 Concordia Street Wayzata, MN 55391 w:\street files\concordia street\1785\escrow refund memo bldg permit#2009-00048.doc � � / BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2009-00048 AGREEMENT made this y�� day of �D,��-,/. , 20�'?, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Kevin T & Barbara G. Dulin ("Owner"). Recitals 1. Building permit applications have been filed for a new principal structure located at 1785 Concordia Street the ("Subject Property"), legally described as Lots 9 & 10 Coffee's Addition to Shadywood, Lake Minnetonka, Hennepin County Minnesota. 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 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 building permit #2009-00048 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 Owner. Owner shall be responsible for payment to the City within 30 days of the Owner's receipt of bill. 4. DISBURSEMENT 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. �f the Escrow amcunt 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 review and post a Stop Work Urder. 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 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. n / CITY: CIT � �� O OWNER: ' �� j i ' � By: ' / gy: f Q�.bCt�.ar ' Its: -'�-t�.� By:� �' � ; S ,, 1 L t�,� r uY`u�3�� r' f'�t E��ar�u��f � � � '� �rori� ��, p:�:s�"i. . , ,a� ,.., P� ., 'rti �r5 �ElJ` R�ca� ��a :,; �o�., .. �%i i j} . � r�� L�'`}� �Me1L� , �21'i"ri I��?,p, � YE'i'fiFi+:�_ %1 4�$!i ��c:)q �t�f'Ft�l� ;i,v�� u1 �rc.'ir �f�'.Kl.;t�j r _ �1r�f'1 f`�L.S'E°4—i'EV€:GCFFsF` :��ii�sf T'vtu': _,�__,�__ .� �i ',��t;,�r,; C!��. — �.___-�_. Gd�� n. ��f`� '' r � }• . _ .��`, ��i : . t'f':'It1 I%�,1�1'!"t � j �Gad; ��1 tp��, i ��2T7G� f PC�Qpr�u�; --�_'' J� `?(F .;r�',, � 1:'%tuiL"� I •��.'4`'t .�� w- __ i �• j i : : ..: _ � � � � , � � � ; . i � � � , Christine Mattson From: Darren Amundsen [Darren.Amundsen@bonestroo.com] Sent: Wednesday, July 06, 2011 2:38 PM To: Christine Mattson Subject: RE: Unbilled WIP no Darren Amundsen, PE Associate Direct 651-604-4894 Cell 651-775-5623 darren.amundsen a(�bonestroo.com �'Banestraa From: Christine Mattson [mailto:CMattsonCa�ci.orono.mn.us] Sent: Wednesday, July 06, 2011 11:42 AM To: Darren Amundsen; 'Sherry Charboneau' Subject: Unbilled WIP Any unbilled WIP for building permit #2009-00048, 1785 Concordia Street? Thank you! 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 ' � 952.249.4616 �� cmattson@ci.orono.mn.us � www.ci.orono.mn.us Office Hours (Monday, May 23rd to Friday,September 2nd): Monday-Thursday 7:30 am to 5:00 pm Friday 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday, September 5,2011 1 Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Sent: Wednesday, July 06, 2011 1:50 PM To: Christine Mattson Subject: RE: Unbilled WIP Christine: No unbilled WIP for us on this one. Sherry From: Christine Mattson [mailto:CMattsonCc�ci.orono.mn.us], Sent: Wednesday, July 06, 2011 11:42 AM To: Darren Amundsen (darren.AmundsenCa�bonestroo.com); Sherry Charboneau Subject: Unbilled WIP Any unbilled WIP for building permit#2009-00048, 1785 Concordia Street? Thank you! / 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 ; 6 952.249.4616 �! cmattson@ci.orono.mn.us ; www.ci.orono.mn.us Office Hours (Monday, May 23rd to Friday, September 2nd): Monday-Thursday 7:30 am to 5:00 pm Friday 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,September 5,2011 1 Checklist for Refunding Building Permit Escrows � Building Permit # �� '�J�' � Street Address: �—j�� ('�v�Y1C.�Y G�.�.t�' .�}'�� Applicant Name: �;iv'1 „ `�h�i � �� ❑ Escrow request received Dat �� (to be comp/eted by Barb) � � ( Are all inspections completed? Yes No � ��1 � If not, list what is outstanding: � Was there a Temporary Certificate of Occupancy issued? Ye No Date: G�L,J—�L� Was there a Final Certificate of Occupancy issued? Yes No Date: � ❑ Were the as-built requirements satisfied? Yes No �� ,�,�Y��► 4-4ec� �:;% _�'l°��sh�;U ��v�C� �'� q i�-r��-i rn� �c r' �!�(en. '� � � � ( � �.:�v�.c�d- ��-I�j,� Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: 1-- (�— ( � ❑ Prepare memo for Finance Department ❑ Note amount refunded in program. z:\forms�zoning standard forms\checklist for refunding building permit escrows.doc December 23,2010 G" D T TIME � CITY OF ORONO CALLED IN � INSPECTION NOTI /� SCHEDULED - PERMIT NO v COMPLETED ADDRESS l7S�S � . � OWNER TELEPHONE N0.6`Z �Z��C� CONTRACTOR � G�.- " >; DESCRIPTION L�l.TG� � lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o �� S`� � � 'r c.,�� rv � � C�� nC' C'��- � �ow�c� � � 1� P�rS 0 � °� � � � � �- -�-c'�` Q � �'Y�� dr��S z W � W � � d W ❑WORK SATISFACTORY:PROCEED f l PROJECT COMPLETE � �ORRECT WORK&PROCEED ' I ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. � . �� White Copyllnspector's File Canary CopylSite Notice �� DATE TIME "`� �/z �o CITY OF ORONO CALLED IN INSPECTION NOTICE �J SCHEDULED �. -� PERMIT NO. �D(Z9 -��0 COMPLETEO ADDRESS ��t g 5 � QnC O/'�i'G� ��' OWNER TELEPHONE NO.�» �7�03 �f�-1/Zt,�� CONTRACTOR .0 �7m n �� LLC � � DESCRIPTION ��'�,�.L�� "/ C�"�ia 1�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � � O � � ��c � � W � Q � Z W � W � 1 � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WlLL 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�� Owner/Contractor o site: Inspector. G White Copyllnspector's File Canary CopylSite Notice � AT TIME V CITY OF ORONO CALLED IN �� INSPECTION OTI E SCHEDULED -/D � PERMIT NO. — � COMPLETED ADDRESS��O � � � OWNER TELEPHONE N0.�5'� ZRZ ��f�p8 CONTRACTOR � �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ��, -4-ef� v r �-�-1 �3 w�,�� O �J 1 �( � � � (,c.),( �1 t �-c�.� l��C�-! CS ��c� r LJ.� 1� F i w > .. °` ��-�- t �c�-� r �/A� Q .v�n S � Z W � W � � d � �VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN �� CITATION ISSUED ❑STOP ORDER POSTED.CALL{NSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector.�� ✓ �. , White Copyllnspector's File Canary CopylSite Notice � � ✓ �ATE TIME CI OF ORONO CALLED IN ��/�G INSPECTION NOTICE SCHEDULED � / ; PERMIT NO. L� COMPLETED � ADDRESS � � � �7 C CJ� �� U /'C�i � ��f : OWNER CONTR.�1 f DYUt_��C�(� TELEPHONE NO. L� I � — � ��j -" oZ�']' —J � ��f'�c�� —�,,� - c� � DESCRIPTION a��`-'��`-�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 Q ❑ DEMO-FINAL � SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVA� � OWNER/CONTRACTOR TO MEET YOU:,c�YES_NO � COMMENTS: �I�i{- �'� h�' C'p t�c_r r D�,� ��'►� W a j O >. � O � W � Q � Z W � W r � � � j d W� ❑WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED !-' ISSUE CERTIFICATE OF OCCUPANCY `�/]d'C:c�RRECT WORK,CALL FOR REINSPECTION TEMPORARY v�EFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN �J CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-460� Owner/Contractor on site: Inspector. ' White Copyllnspector's File Canary CopylSite Notice d� � .�pATE TIME ( �' CITY OF ORONO CALLED IN �� a �� INSPECTION NOT E SCHEDULED �-.3-/D : a PERMIT NO. — �� COMPLETED ADDRESS �� -O�t.GC�7LLf,� SL OWNER CONTR. S O� TELEPHON E NO. l0�a ��.5 0�`�7 7 � DESCRIPTION D� /? — �"J �"" � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FI�LING 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 J ❑ 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 y a � �;-� � �� C� �� /. ? ,,t,�,, i ��:.�� . l� 0 a � 0 � w � Q � z W � W � j d W �ORKSATISFACTORY:PROCEED LI PROJECTCOMPLETE � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETUFN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: � Inspector. �'�r'` �l � �� White Copyllnspector's File Canary Copy/Site Notice