HomeMy WebLinkAbout2011-00554 - addn/remode/repair CITY OF ORONO PERMIT NO.: 2011-00554
• �' 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/OU2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3424 EASTLAKE ST
P[N : OS-ll 7-23-13-0044
LEGAL DESC : BAYSIDE BEACH
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTI V ITY : 434-RESI DENTIAL
VALUATION : $ 30,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL
ADV. PLAN REVIEW PAID$303.39 ON PERMIT#2011-00553 ON 06/29/2011
APPLICANT pERMIT FEE SCHEDULE 466.75
RADKE, THOMAS&MARGARET
3424 EASTLAKE ST STATE SURCHARGE(VALUATION) 15.00
LONG LAKE, MN 55356- TOTAL 481.75
OWNER
RADKE, THOMAS& MARGARET
3424 EASTLAKE ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
'I�he work for which this permit is issued shall be perfonncd according to
the approved plans and specifications,applicable City approvals,and the
S[ate[3uilding Code. This permit is for only the work described and does
not grant permission for additional or rela[ed work which requires separa[e
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permi[will
exp�re and become null and void if construc[ion 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in c nformance with the State Building Code.This permit may be
revo at a t� e for due cause.
� G�l� �D / / l1
App icant Permitee ignature Date Iss 13y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
t � BUILDING PERMIT ESCROW AGREEMENT �}�'� /
Orono Land Use Application#11-3509 and Building Permit#'?�� � ' �V�'-�`1
AGREEMENT made this �� day of�u�� , 20 � � , by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and �� �cz �6¢��� ("Owners").
Recitals
1. A building permit application has been filed for located additions to the home at 3424 Eastlake
Street the ("Subject Property"), legally described as Lot 3, Block 1, Bayside Beach, 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,
en �ne ring, or legal consultant review) associated with Land Use Application #11-3509 and Building Permit
# — �"r 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. tn 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 unfil 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 366.012.
CITY: TY ORONO OW ER:
By: ���_�
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To: Finance Department
From: Christine Mattson, Planning Assistant QJ�
CC: Street File t
Date: 1/9/2013
G/L: 101-22205
Re: Building Permit Escrow Refund
Building Permit #2011-00554 pertaining to 3424 Eastlake Street is complete. The Applicant,
Thomas 8� Margaret Radke, have verbally 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: Thomas & Margaret Radke
3424 Eastlake Street
Long Lake, MN 55356
w:\street files\eastfake street\3424\escrow refund memo 2011-00554.doc
BUILDING PERMIT ESCROW AGREEMENT I /� �� /
Orono Land Use Application#11-3509 and Building Permit#�.��� I ✓ U v�"�`7
AGREEMENT made this ����� day of����� , 20 l � , by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and �� ,/�6¢�c� ("Owners").
Recita Is
1. A building permit application has been filed for located additions to the home at 3424 Eastlake
Street the ("Subject Property"), legally described as Lot 3, Block 1, Bayside Beach, 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,
en ne nng, or legal consultant review) associated with Land Use Application #11-3509 and Building Permit
#���(„�-�_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 Work Order until 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 366.012.
CITY: �Y ORONO OWI�ER: �
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By: � v / �.,. %���-�
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Internal Use Only: �Original to Planning � Copy to Property Owner �Copy to Street File
' Date Incomplete Notice Sent:
' Copy of Application Sent to:
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Engineer on IU+'� Co� � � ��-�--�"�
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Date Property Owners Notified:
Date Legal Notice Published: �l�'' "' "
PC Meeting(s): `�;��
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Notice of PC Action: ��
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Notice of Council Action:
Resolution:
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APPLICATION ESCROW AGREEMENT
Zoning Appfication # 1� - ?.� `
AGREEMENT made this�day of� , 20 ( � , by and between the CITY OF
ORONO, a Minnesota municipal corporation (°City") and �1 � � .C'
[a corporation— optionalJ ("Appiicant").
Recitais
1. Applicant has filed Zoning Application # S � - �formally requesting the City to
review plans for V��(�(�1'1i,�
located at �1 Z� �CtSi- Li1,K-C S tl Q��'
the "Subject Property")as more fully shown and described on Exhibit"A" attached hereto.
2. Applicant requests the City to review said plans which requires City approval including
3. The City is willing to commence its review of the application and incur costs associated with said
review only if the Applicant establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNQS. Contemporaneously with the execution of this Escrow
Agreement, the Applicant shall deposit $ Z���C�C� 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, or legal consultant review) or will
incur in meeting with the Applicant, reviewing the plans, and preparing agenda packet material for City Council
review of application #�) _ - '� =� Eligible expenses shall be consistent with expenses the
Applicant 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 Applicant. Applicant shall be responsible for payment to the City within 30 days of the
ApplicanYs receipt of bill.
4. DlSBURSEMENT FROM ESCROW ACCOUNT. In the event that the Applicant 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 Appiicant to reimburse the City for eligible expenses the City has incurred. The City shall
notify the Applicant of such draw and the nature of the expense for which the reimbursement is being made. If
the Escrow amount falis below 75% of the original escrow amount the Applicant 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
Applicant when the review has been completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Applicant, 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.
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C ITY OF O�RONO
� Street Address: Maifing Address: Telephone(952)249-4600
� �
�r ' �� 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
F`
� Orono, MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
"�kFSH o�
January 4, 2013
Thomas & Margaret Radke
3424 Eastlake Street
Long Lake, MN 55356
RE: Building Permit#2011-00554
3424 Eastlake Street
While closing out files I discovered that the final inspection has not been performed for the
second story additions at 3424 Eastlake Street. Please call 952-249-4600 to schedule a final
inspection. After the inspection has been completed and approved, we can refund the $2,500
building permit escrow associated with this project.
Please don't hesitate to contact me at 925-249-4620 or at cmattson(a�ci.orono.mn.us if you have
any questions.
Sincerely,
CITY OF ORONO
��"�
Christine Nlattson
Planning Assistant
. �
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DATE TIME V
CITY OF ORONO CALLED IN �_ 7_� �� �,�.,
INSPECTIO����C�Q��, ( SCHEDULED _�
PERMIT NO. `"f COMPLETED
ADDRESS�7a� �Q-C��L� S�
OWNERTD�'�'1 �� K�-- TELEPHONE NO.���' " ��L ��5 /
CONTRACTOR
�: DESCRIPTION �l ��
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
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
v ❑ PLUMBING RI ❑ SEPTIC FINAI ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor o site:
Inspector.�/�� / �
White Copyllnspector's File Canary CopylSite Notice
� .i�:! � � DATE TIME
CITY OF ORONO CALLED IN �
IN�PECTION NOTICE SCHEDULED l0�Zl0�I� ��,�
PE►�MIT NO. COMPLETED
ADC�RESS �"'Z-�' �C'��� t�-1� SI ri�
OWNER TELEPHONE NO.
CONTFiACTOR
� DESCRIPTION �' \ � � ,J '�
�
W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEM ❑�TIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWN O RACTOFi T MEET Y�OU: YES_NO
ti COM ENTS:
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W ❑WORK SATISFACTORY:PROCEED G PROJECT COMPLEfE
� ❑CORRECT VYORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
iNSPECTOR WFLL REfURN
STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next inspection 2a hours in advance. (952� 249-460�
Owner on site:
Inspect .
White Copyllnspecto�'s File Canary CopylSite Notice
t
City of Orono
Building Permit Application
for New Structures or Additions
_— -_, Mailing Address: p�0/( —Dfj55'cf �
%"��,�j�� PO Box 66 Permit number:
/r �
�i0 , Crystal Bay, MN 55323-0066 Date received: 6`Z�—��
��` /�,�
' �� Received b �iC�J�
�I
�
���a ��"��� .�� ,.;� Street Address' Y�
�����,, ���,�y�,����� 2750 Kelley Parkway Plan review fee: 303. 39 �6��
�RgEsi�o�`'j Orono, MN 55356 ������0 c�3 b�yl��(
— � Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��J
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print) -,
GENERAL INFORMATION: -�-�--5 -��
Job Site Address: �� � � �,�r"� � �� ��,c�(r ,'_ r-¢jrC /'-��!
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 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/APPLI ANT INFORMATION:
Name: �� � aq pK�
State License# ����-
Phone: �� 4i/�(o 2-Z cl � (office) �S� ���= ; `t�� �,1� �G-L (cell)
Mailing Address: ; z � r�,1 L � s-T Cit :L. a <,- L�9- r ZIP: .s�.s-�_s—
Contact Person: �_.� f'v�y�K F Applicant is: Contractor / omeowner �c�r�ie one�
Email and/or Fax: T�� n�r;�F � TC c TF�� S-/j��-f- c c�
PROPERTY OWNER INFORMATION:
Name: �l��l'K� /�I v4-,�� G—�-,f`r T J�141�Kt'
Phone (day): �S�2 9 z s� 3 �'?�;
Address: � y 2 c� ���,- j ���- � T City: L �,�,r( L�q.n�ZlP:s����
Email and/or Fax �'��.� ,���������-��-��E��s-���1- C� �,
ARCHITECT/ ENGINEER INFORMATION:
Name: ��-/9��f� <�- i1'�S c�l /°� �i�= r
Phone (day): ��� - �l7 s� -�� v � - w'�
Address: 1� � o N'� ,('Ty ��2r�..,,.,,C z,� S-� City: S'��i�/L Fy ZIP:�� ��
Email and/or Fax: _ � S� za 7S- g'z ��
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
Nni✓w.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ �c�� � c o ,. �, L
_
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STRUCTURE INFORMATION:
1. Structure Dimensions 1.Structure Dimensions(continued) 2. Type of Construction
a. Length (ft.)= Number of bedrooms=� �.Wood/Frame
❑�Vlasonry
b.Width (ft.)= Number of garage stalls: ❑ Metal
Attached= 2 ❑ Pole Bldg.
Areas in sauare feet Detached = ❑ ICF
� ❑ On-site Prefab
c. Basement= �,�" ❑ Off-site Prefab
d. 1S`Story = ❑ Other(please specify):
e. 2nd 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 A licable
,� ❑ Permit A lication
❑ Pro osed Buiidin 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 ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consuitant 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 appiication 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 appiication 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 Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
i� � / — _
Applicant's Signature: *-�—�—�� Date: C.� � C( l �
� � . a�, . � �_�_ a . � .� - •� _ . . .�
n_., . ,�. ..
,�.. _. , . . . . - _ f.,.
Plan R�view Checkiist for New Structures / Additions
Address / PID / Legal: � C�'"�
� �
Description of work:
Septic review by: Date Approved:
Zoning review by: Date Approved: � �I
Buiiciing review by: � � -� � %( F Date Approved: ��� � �� � � ��� �
«�
�
Grading review by: f� Date Approved:
� " c,��;
Zoning File#: � � � Resolution#: �/�� Resolution Date:
Zonin District Fire Department Post Office School District
�
Zoning: Lot Are : SF/AC Width: Depth:
Survey Submitted: Y s � No Date of Survey:
Pro osed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) S E VI! ) Other Buildings Wetland
Side Side
� �
Building Defined Height: Building Peak Height: �� #of Stories Ok?: ES
FQR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
' START WITH the distance between the basement floor/crawl START the distance between the slab and the highest
` space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof,the deck line of a the deck line of a mansard roof,or the
mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade within the foundation
the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: SF %
A Shoreland District MCWD Permit Received Avera e �ak�shore Setback Bluff
� Yes 0 No � N/A I7 Yes � No
� Yes � No � Yes ❑ No 0 N/A
Permit Number: Setback:
Fiarc�cover Zone� Existin Proposec! �lariance Re uired CUP Re uired
0-75' Q Yes l7 No � Yes ❑ No
75-250' Type(s): Type(s):
250-500'
500-1000'
'!
rs C���
REMARKS (in-house)� � �':� i� � `t i ,. , � �.� -���
l '��f C� � '° `
Updated: 09/11�/2Q � .�-,'��`���
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�.�. . , ,.�_. ..... .. ... . . ..,... : .. ..__ � , _._ ., ., . ._ . _. ... _...... . ,
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Fees to be Char ed YES NO
Permit �'"
Plan Rediew � �"� �
State 5urcharge
Investigation Fee
SAC—Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site inspection
Other(specify)
Miscellaneous Fees
Calculated By:
S uare Foota e $ per Square Foota e
Basement X = $
15t Floor X = $
2nd FIOo� X = $
Garage X = $
Estimated Construction Value: $ � �
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site A Plumbing � Grading / Filling 0 Well
� Hardcover Removal C7`"Mechanical � Fire � Electrical
❑ Footing 0 Septic 0 Water Connection
� Poured Wall 0 Fireplace � Sewer Connection
� Foundation Survey � Masonry � Lawn Irrigation
0 Radon Rock Bed 0 Mfg.
� Framing � Other(specify)
` �¢` Insulation
� As-Built Survey
,C�'Final
� Other(specify)
REMARKS (in-house):
r
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES 0 NO New: � YES � NO
REMARKS (TO BE NOTED O(� PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
;:
Updated: 09/11/2009
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C ITY OF ORONO
,� ,� Street Address: Mailing Address: Telephone(952)249-4600
'�y�, 1 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
�,9 F,� Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
kFSHo�
January 4, 2�13
Thomas 8� Margaret Radke
3424 Eastlake Street
Long Lake, MN 55356
RE: Building Permit#2011-00554
3424 Eastlake Street
While closing out files I discovered that the final inspection has not been perFormed for the
second story additions at 3424 Eastlake Street. Please call 952-249-4600 to schedule a final
inspection. After the inspection has been completed and approved, we can refund the $2,500
building permit escrow associated with this project.
Please don't hesitate to contact me at 925-249-4620 or at cmattson(a�ci.orono.mn.us if you have
any questions.
Sincerely,
CITY OF ORONO
N�1�
Christine Mattson
Planning Assistant
� �-^—��J 1 DATE r TIME ✓
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CITY OF ORONO �-� CALLED w C � �- l ��
INSPECTION �I /�y— SCHEDULED ' � �
PERMIT NO. c���! �—' �I.C�COMPLETED
ADDRESS �J�-�-���--k � -t�c>T C L�..SZ S �
OWNER `��YY� ���c�I I�TELEPHONE NO. �-( I� '`�l�%���o
CONTRACTOR '�= ��� IC`��?,'���(j�?ufO�.fi
�
�: DESCRIPTION ���L� �C''�� � ��'1 t�-��'Y�C�'LQ ( I
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADiNG/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHOREM/ETLANDS
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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � C� DAT TIME �
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED ��
PERMIT NO.d�!�- c�TED � � �'1
ADDRESS �
OWNER I U�YI (`� ��� TELEPHONE NO����Q `�7 �'�
CONTRACTOR �c��C��1 �1it.� Oy/
�; ut�CRIPTION �-� ���� ��-'�
�
111 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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Z
W
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�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next ins ection 24 hours in advance. (J52� 249-4600
OwnerlContra r o � .
Inspector.
White Copyllnspector's File Canary CopylSite Notice