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Home My WebLink About2016-00941 - driveway replace � , CITY OF ORONO * Z 0 1 6 - 0 PJ 9 4 1 * 2750 KELLEY PARKWAY DATE [SSUED: 08/15/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3335 CRYSTAL BAY RD PIN : 17-117-23-41-0034 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 007 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : DRIVEWAY(NEW OR REPLACEMENT) NOTE: RGPLACE CRACKED CEMENT DRIVEWAY AND PART OF SIDEWALK. APPLICANT DRIVEWAY 0.00 MINOR LAND ALTERATION 50.00 RAHMAN, PAUL TOTAL 50.00 3335 CRYSTAL BAY RD Payment(s) WAYZATA, MN 55391- CREDIT CARD 1704 50.00 OWNER RAHMAN, PAUL 3335 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 1 SO days of the date of issuance,or if eonstruction is suspended for a period of l80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with Ihe State Building Code.This permit may be revoked at any time for due cause. � d / / �// Applicant ermitee Signature Date Issued Signature Date , , City of Orono � Zoning Permit Application O Mailing Address: Permit number: �� ^ � "! PO Box 66 � O Crystal Bay, MN 55323-0066 Date received: �'� —� Escrow#and ��,r��-, Street Address: amount: LMJ� �b 6� 2750 Kelley Parkway y ; Orono, MN 55356 Permit Fee: F G �,9 �, Approved by: kES H O� Fax: 952-249-4616 Main: 952-249-4600 Notes: www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: �S.S S (�i°,�1� L. �/��i j�>> _ CONTRACTOR I APPLICANT INFORMATION: Name: r7i<;16r ;J��l... ;�. �' 1�G1�vp � D� S1� �J Phone: ` �'� =S�� - ^ c�n� Fax: � " � S�0 • i I � � Address: � �t'� V i�s: W L��, N . Cit : yL.Y�v'��7�1 J ZIP: ",� �J�/� Contact Person: r��j �•,J!VF'7'7'�. �'��+'I!�S��•Contact's phone number 7�3 S��j �c;�� i� Email � ' t� ��" � A/2��t w�7��3 i6N,^��:14pplicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATI,ON: Name: ��+U�-- F LO1 S� /F� �-)/'/Z ,C�lJ Phone (day): I Z o f <7 < �S � � 1 p � Mailing Address: �3 S� C�Q ,✓� j Q �. �,4 Y R� ZIP: s�'3 l ) Email and/or Fax P h c � I�►-, c h ' ' . G o yv� Overall Project Description: �Q/1/�,�Q �� c��( �en-,F�„ o�� P�ay , ,� d,�,.�� 5��.�J�? J ,� �� BoXk TYPE OF PERMIT COST* Dock, Commercial $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 Dock, Residential — Permanent dock on any lake or initial seasonal dock not $50 + engineering review costs on Lake Minnetonka permanent dock requires CUP Hardcover Permit: Driveway, Patio, Sidewalk, etc. (New or Replacement) No charge �� Also requires is a Minor or Major Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 or more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and engineering review costs As determined b CUP , Land Alteration, Minor(grading, filling or excavating)—500 or less cubic $50+ engineering review costs �, yards outside of lakeshore setback or less than 10 yards in lakeshore setback '� Escrow for erosion control and engineering review costs $2,000 Retaining Wall measuring under four feet require a zoning permit. � engineering review costs Retaining walls measuring more than four feet (from bottom of footings to top of wall) require a building permit. (Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and engineering review costs $2,500 Stairway or Lifts to Lake (New or Replacement) $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures not requiring a building permit but $50+ engineering review costs regulated by the zoning code (including, but not limited to accessory building of less than 120 square feet, detached deck or platform and sport court) Escrow for erosion control and engineering review costs $2,500 Tree Removal or other vegetation removal in 0 to 75 foot zone No char e. Pre-inspection required. Temporary Construction OfficelTrailer(associated with building permit) $30 (over) *Permit fee will be collected when the permit is issued. Updated: January 2015 APPLICANT/OWNER ACKNOWLEDGEMENT: � . ApplicanUOwner agrees to provide all information required or requested by the Planning Department; ' . • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; • ApplicanUOwner 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; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • ApplicanUOwner understands their project may require an initial and as-built survey per City Code Section 86-68. • 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 ou refuse to su I the information, the a lication ma not be issued. The undersigned certify that the information sup ied is true and correct to the best of their knowledge. Applicant's Signature: �U�- � Date: 2 7 �i Property Owner's Signature: �L�x. � Date: 7 Z 7 ) SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed TYPE OF PERMIT: application form, escrow agreement (signed by the property owner) and escrow check from owner, two c�opies of all plans, and three copies of all grading plans or surveys/site plans DoCk, CommerCial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit DoCk, Residential Seasonal Dock—survey showing proposed dock Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable) HardCOver Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alteration, Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours (Less than 10 Cu.yds. 2• Amount of fill to be imported and/or exported and haul route within 75' of lake or less 3. Amount of earth to be moved around on site than 501 cu.yds 4. Erosion control plan. elsewhere.) 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without information from the MCWD. Retaining Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of existing wall,submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control pfan 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without information from the MCWD. Stairway or Lifts to 1. Construction plans for stairway or lift, including footings Lake 2. Topographical survey of property with proposed stairs or lift shown 3. Erosion control plan 4. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without information from the MCWD. StruCture Permit 1. Construction plans. 2. Survey of property with proposed structure shown and with setbacks to property lines,other structures on property and the septic system indicated.The general location of any sewer and water services should be shown if applicable. 3. Grading plan if grading is proposed. 4. Hardcover calculation worksheets 5. Erosion control plan. 6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without information from the MCWD. Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/erosion control/management plan re uired for clear cuttin ,buckthorn or other intensive ve etation removal. Updated: January 2015 ' ` PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS Address: �/1 �� "�� Description of work: �I�(� ��i�� iV(��ll �~ ��,. �l(:(�,�N�U�.. Type of permit: Zoning review by: �� Date Approved: ' ��1� Grading review by: � Date Approved: �—' Other Review, Reviewed by: Date Approved: Zonin Information: Zoning File#: Resolution#: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? Yes 0 No Date of Survey: Revision date: g�L3-6co Existin Setbacks: 'v�� S� Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Shoreland District MCWD Permit Receive Average Lakeshore Setback Met? Bluff � Yes 0 No N/A � Yes No �Yes � No 0 Yes � No N/A Permit Number: � � Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover � Yes No � Yes o � [� � ��VY �./ �-� TYPe(S)� TYpe(S)� �� File# File# Updated:January 2013 z:\forms\plan review checklist for zoning permit applications 2013.docx Earth Movement-Cubic Yards In Out Total Haul Route? ? � Yes 0 No Explain haul route in detail: Fees to be Char ed Amount Orono Inspections Required Permit Fee Amount 0 Site Escrow Amount � Hardcover Removal �� Footing Escrow Agreement received? 0 Poured Wall / 0 As-Built Survey � Yes 0 No 0 Planting Plan � Wetland Buffer Escrow Money received? O Final �es � No � Other(specify) Engineering review needed? G Yes No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated:January 2013 z:\forms\pian review checklist for zoning permit applications 2013.docx Christine Mattson From: Miriam Eason <meason@minnehahacreek.org> Sent: Friday, June 03, 2016 2:04 PM To: Christine Mattson; Melanie Curtis Cc: charlyn@drivewaydesign.net Subject: No MCWD permit required for 3335 Crystal Bay Rd project Good afternoon, I spoke to and reviewed plans with Mr. Paul Rehman about his driveway project.This project does not trigger any MCWD rules and does not require a permit with MCWD. Feel free to contact me with any questions. Thanks, MIRIAM EASON District Representative Minnehaha Creek Watershed District 952-641-4586 http://minnehahacreek.org/ �. - MII!�N�#iAHl� CRE€� WATERSktEC� DiS�&I�[S 1 Mediacom Page 1 of 1 Mediacom ' p.rehman�a mchsi.com Driveway From : Chad McShane <chad@blizzardmedia.net> Thu, May 26, 2016 06:19 PM Sender : Chad McShane <chad@blizzardmedia.net> Subject : Driveway To : p rehman <p,rehman@mchsi.com> Paul, You have permission to work on my property in order to realign your driveway onto your designated land. All I would ask is that you replace the lawn on any areas on my property where need be. Regards, Chad McShane 3329 Crystal Bay Road Wayzata, MN 55391 Cell : 952-836-8369 https://mail l.mediacombb.net/h/printmessage?id=198660&tz=America/Chicago 7/27/2016 , ,;� �i�a��.., . CERT FICATE OF� SURVEY �OR : CHAR � ES CUDD C0 . y IN LOT 7 , " WALLACES ADDITION TO R4N 0 COp „ THE V ��AGE OF MINNETONKA BEACH AND IN GOV' T LOT 6 , SEC. 6 - 117 - 23 HENNEPIN COUNTY, MINNESOTA -- �� b�acK 5�;��?�, �r�a 5 = �XISI� n � a�rr�Pu.�a� —� ('�� d � � � �Q a, � ��o�a�ed � re�fa��-rn�n� O� r-z�Nw� �� —� bJa � �< s �a�,ed qr� q, :, are�. -�o be ��d55 �Sod�� / � ,,. P i=`,-- ,- O�� , ;. �� % X ,-=. �� '� � '' � � �� i .. �OG�� ``� / � ... - / ,. P� /j/ ; '', ,e�.p' , � � ' i� � ,� r'� : % �`L'I `'� �---, �' ��;� ,��, 6 PO �°' I �yp7,�> ' 9ry/ ��/� �J��yOo � �O � -N�'' // GJ� � �' � , � ��i%�� Q�� • i X�, ; '� S�P o�,� � °a. / �� e��` ,, ; ; ,� G 6 �i" � EXISTING HOUSE ;� •o. ' cP i /j /'/�' G��'�Py �� ' V i � � r i /� � �FrF � % � � ��F� �yVy,�� i �� 9�� R P .,�` ��p,c�O�,O � ^ ��s, /�\ � ,$A �p�� i � . �i QO / Y „'`�C� �pJ �� i / � o$ i � �'�^ � '(�N ��.:, : !y Q�,P� � ��i' � 'c� �o \S GF- i9. 6' � .9 S�PGi `�o `��'Gp,RP�/ o�6' �,�jy . 'I j'� (.,�� ! s �� BOy�DER ��' Q `J �'L 'F /(�� p ,p Fj�'fAINING 57 R j �' �'`�� / �$ ,y,+ � ��{MALL � �� S� � � �,� � �� ` \ o (/ \\`\�`��, �� '�� i D�� S`j`F'� � # �5 i , \`•g� . /� �9 `'��'�� 1� '�� e/P EXISTING HOUSE . � ��,�- ,6 ��y....,...,, �. / G�G l /�� '(`�`p�('I ' / O ` i� .• \� s ��J°�� Z � ��ey 0 O o�� QP` ,� Q , ,,s � '��- `�� \' �� .o��, � �,;::::::�o c�`b�,�,q'�'' ��P ,, oo;o S ,- -�P �:- -- ----__�I� � "�Y'" � X' IN � �TOP OF WALL O� City of Orono �,�'STEPPING ,;�--___________�� STONES Planning&Zoning Plan Aevi��v �� Site Plan Review Date: g� �5 �'� LEGAL DESCRIPTION OF PREMISES �Q'�PPROVED �p APPROVED WtTy �.EVISIGNS(ses notes) Lot 7, "WALLACES ADDITION TO THE VILLAGE OF MINNETONKA BEACH." pDENIED Also: That part of Government Lot 6, Section 17, Township 117 North, ��M (y _ Ronge 23 West of the 5th Principle Meridian, described as follows: Staff: —�� Beginning at the most Southerly corner of Lot 7 "WALLACES ADDITION TO THE VILLAGE OF MINNETONKA BEACH"; thence on an assumed bearing of North 54 degrees East along the Southeasterly line of said Lot 7 to o : denotes iron marker the most Easterly corner of said Lot 7; thence South 29 degrees East a distance of 16.67 feet; thence South 58 degrees West to an ----g-�g--; denotes existing contour line, intersection with a line bearing South 29 degrees Eost through the mean sea level datum point of beginning; thence North 29 degrees West to the point of beginning. R/P : denotes rock on plastic This survey shows the boundaries of the above described property, and the location of an existing house, garage, topography and Bearings shown are based on visible "hardcover" thereon. It does not purport to show any assumed datum. other encroachments or im rovements. GRONBERG & ASSOCIATES, INC. �herebycertifythatthissurveywaspreparedbymeorundermydirectsuper- SCALE CONSULTING ENGINEERS,LAND SURVEYORS, vision,and that I am a duly registered Civil Engineer and Land Surveyor under 1 "=2 0' the laws of the State of Minnesota. SITE PLANNERS DATE — 445 N.WILLOW DRIVE LONG LAKE,MN.55356 H—2 3—O6 JOB NO. 952-473-4141 06—309 06—309 Mark S.Gronberg Minnesota License Number 12755 �335 Cr y s la t Ba y ta�l Zo�b •o0 91-! - �Vt�rw✓ l.�''0,�.i,�_ . • • . • . � • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: September 21, 2016 G/L: 101-22205 Re: Escrow Refund Zoning Permit#2016-00941 pertaining to 3335 Crystal Bay Road has been withdrawn. Please refund $2,000 to the property owner, Paul& Lois Rehman. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Paul & Lois Rehman 3335 Crystal Bay Road Wayzata, MN 55391 w:�street files\crystal bay rd�3335\escrow refund 2016-00941.docx LAND USE APPLICATION ESCROW AG EEJVIENT Application # a��lv-DD�S</ AGREEMENT made this g�day of , 20�� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") a 0.X1d L.Di S �LvVI [a corporation— optionalJ ("Owners"). Recitals 1. Owners have filed Land Use Application # formally requesting the City to review plans for the property addressed: ��335� C/2'�S 1�l L� I3,d Y �A b (the "Subject Property") legally described as 2. Owners request the City to review said plans which requires City approval and may require consulting legal and/or engineering review. 3. The City is willing to commence its review of the application and incur costs associated with said review only if the Owners establish 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 $�_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 Owners, reviewin the plans, and preparing agenda packet material for i.ity Council review of Land Use Application #�«a-0��4�/. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a land use application. 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 cease all reviews 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 all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 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: CITY OF 013.ON0 OWNE gy: ` � i :�`f )I U�; ,�'�f �/`� B : � � `-��--- Y � � � . ,: . - ►ts: � �-�'l� �ts: Internal Use Only: �Original to Finance Department �Copy to Zoning File � Copy to Street File Updated: January 2015 �� CERTIFICATE OF SURVEY FOR CHAR�ES CUDD C0. IN LOT 7, "WALLACES ADDITION TO THE VILLAGE OF MINNETONKA BEACH" AND IN GOV'T LOT 6 SEC. 6-117-23 HENNEPIN COUNTI�, MINNESOTA — re� � bl4ck Sha�e�Q, Q�eaS =8xi�n9 a�r��eu�a� — ��d S�4ded qrQq, ; ,p�oPoSed � replatemBntO�ri�ewa%1 — blu�k s�aded Q�eq �� a�Qa fo be 9�ass(Soc�� / � F.��P ' / � ' k \�`\� / / \ � � �� ;� �� P �� ---,e� �- � '' % :� �' i' �,�� `'�o �"��j// 5g°� � 6 �l �P P � :�h� �P � x : �. � � yS-�p. �.a °o.. G� ° � EXISTING HOUSE � '� � �� . , . �tl`' ,��'� �06' � �`�'�, i 2 'Dq�y s�`o�� =.�...� t c�6 . a �S n . `0. �� P,� OO�i Q`a'`�� \9`i � ' ��''' q �,�,�`��P F,� �r'�'� � 1h 5f.� `,�.��fy� �sGPR�5p oo. e R '� R� j� �\w\G �'L Y- �6�L,e� � NNING / \v / w � �, F.�'�S S�- '' , �.. � i � �`�8�� _�h°�� o S�'�� ` fl� %q` �� EXISTING HOUSE /� ��4� , �._...,� � � �ot� �, .. - � z P� �� ,5� ��,�� \ �� , '�~o� �"� P r�/�__�..�_ 00,� �O� - -X��N �P ��W,�� STEPP�NC �/�----___�_��+L STONES �� LEGAL DESCRIPTION OF PREMISES Lot 7, "WA�LACES ADDITION TO THE VILLAGE OF MINNETONKA BEACH." Also: That port of Government Lot 6, Section 77, Township 117 North, Range 23 West of the 5th Principle Meridian, described as follows: Beginning at the most Southerly corner of Lot 7 "WALLACES ADDITION TO THE VILLAGE OF MINNETONKA BEACH"; thence on an ossumed bearing of North 54 degrees East olong the Southeasterly line of said Lot 7 to o , denotes iron marker the most Easterly corner of said Lot 7; thence South 29 degrees East a distance of 16.67 feet; thence South 58 degrees West to an --gJg- denotes existing contour line, intersection with a line beoring South 29 degrees East through the meon sea level dotum point of beginning; thence North 29 degrees West to the point of beginning. R/P : denotes rock on plastic This survey shows the boundaries of the above described property, and the location of an existing house, garage, topography and Bearings shown are based on visible "hardcover" thereon. It does not purport to show any ossumed datum. other encroachments or im rovements. GRONBERG & ASSOCIATES, INC. ��raby�aMylhelihisauneywespreperedbymeorurWermydirecleupeo- SCALE CONSULTING ENGINEERS,LAND SURVEYORS, �kwn,and that I em a duy repls�ered CNO Ergineer antl Lerq Suneyor under 1"=2 0' SITE PLANNERS �e lawe of tfw State d Minnesote. DATE 415 N.WILLOW ORIVE LONG LAKE,MN.55358 . 8—23—�6 JOB NO. 952-473-4141 6—309 MaAc S.Gronberg Minnewta License Number'12755 06—309 C '.'�:� x 3�r.'b� .. � ,�.-P.' :t�. • �� . _ ,�� y,,. _ ��'.. � PAUL J.REHMAN 'I O6OG � 3335 CRYSTAI BAY RD WAYlA'fA,MN 55391-9205 ��_��02� V t �b 201DD377U3 ' Date � Or��er o� �✓VD�t�D /� � $ GOoo , o v �w�v� �o�Iar � �� Wdls Far9o�Bd�k,NA �-�_� � �� i� 0 � £br_ �G/'1;�f.'�,✓�Y �S C�'''b t� G�'� �.,�.•,1 M, �_� �i0606 =�� '�� -r�,��_�,�r m� `� �`�'�� ' ',�� ,�� City of Orono �"�� - � 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt Na: 3.016146 Aug 9, 2016 Paul Rehman Previous Balance: .00 Permits 2016-00941 3335 Crystal 2,000.00 Bay Road 101-22205 Deferred Rev-Developer Deposit --------------- Total: 2,000.00 --------------- --------------- Check Check No: 10606 2,000.00 Payor: Paul Rehman Total Applied: 2,000.00 --------------- Change Tendered: .00 --------------- --------------- 08/09/2016 01:24PM � � CITY OF ORONO * Z 0 1 6 - 0 0 9 4 2 * � 2750 KELLEY PARKWAY DATE ISSUED: 08/09/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3335 CRYSTAL BAY RD PIN : 17-117-23-41-0034 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 007 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2,000 ESCROW IS TIED TO ZONING PERMIT 2016-00941 APPLICANT ESCROW FEE-APPLICANT 2,000.00 TOTAL 2,000.00 RAHMAN,PAiJL Payment(s) 3335 CRYSTAL BAY RD CHECK 10606 2,000.00 WAYZATA,MN 55391- OWNER RAHMAN,PAUL 3335 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections 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 Christine Mattson From: p.rehman@mchsi.com Sent: Tuesday, September 20, 2016 11:50 AM To: Christine Mattson Subject: driveway project @ 3335 Crystal Bay Road As per our phone conversation,we will not be moving forward with our driveway project at this time. Please expedite the return of our$2000.00 escrow.Thank you for your time and help. Paul & Lois Rehman 3335 Crystal Bay Road Orono, MN 55391 1