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Home My WebLink About2015-01109 - demo CITY OF ORONO * Z 0 1 5 - PJ 1 1 0 9 * � � 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1050 EDGEWOOD HILLS RD PIN : 02-117-23-13-0003 LEGAL DESC : REG. LAND SURVEY NO. ]098 : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL ��, [''r i��,��I `�1 ��tC-}�t�c CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE NOTE: L FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&D[SPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. NOTE: A 2448 HOUR NOT[CE[S REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONT[NUED AT THE C[TY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS[SSUED. CHECK TO MAKE SURE THIS PERM[T HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. APPLICANT DEMOLITION -PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 1.00 STREETER&ASSOCIATES TOTAL 76.00 18312 MINNETONKA BLVD WAYZATA, MN 55391 Payment(s) (612)449-9448 CREDIT CARD 7453 76.00 Minnesota State License#: BUIL-1380 OWNER STEINER, BARBARA 1050 EDGEWOOD HILLS 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 Sta[e 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 I80 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 c se. , :, �,, . _, ' - �.ZZ�l.S 0 � ��e � � l 9� ��15 A cant Permitee Signature Date Issue By ignature Date �O City of Orono o c �r rs�o;v�v p �O P.O. Box 66 Date Received��Permit# �5�/� % �� 2750 Kelley Parkway Crystal Bay, MN 55323 Amount: $,�� SAC Credit: (952)249-4600 '' �` Homeowner(s)Signed: ❑Yes F �,` �� Resolutions(if any)Signed: �Yes ❑None Required !�K£S ti�� ( �� Zonin Disclosure Si ned: ❑Yes ❑None Re uired "t� �xr1iW �r(j�i�tix:'i f� 1'L�'��. CITY OF ORONO - DEMOLITION PERMIT r l�v�w �� (All permits must be approved by the Building Official and/or Zoning Department) Job Site / Owner Information: Type: � Residential ❑ Commercial Site Address: I O SO ��W U0� �� S �.UGI � P�r�xz�c:{ Sf�i ri�r Owner: Qt- `�p� "=��s � �Ur , Mailing Address: I g 4� V�i 11 pW l�. 1� City: (�.� I �'l GI Zip: 55 3�-o Phone: 71�3 ' �� — �3�5 Email: Gh I G. Gh i�-h.� @ �j'n�� I � CA'rn Contractor/Applicant Information: � ��bGtX�a � Contractor/App.: S�"Y'�fiP�lf' d- {�,SSO(�1��ontact Person: Sfi��'"� S�E'�te r Address: ��3� � M}'� �l J� State License #: BL�O � ✓g O City: V�GI �G1 Zip: 55�1 1 Expiration Date: � �31 �`3�1 �v Phone: G�-�, y�-�-C1 — �'-�� Email:��'r 1'P��,�I'� (�� S�PX+Q Y��"1C�0+(Y�1�S= C�(`� SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions: 1. You may be required to nh+�' permits, i.e.: well abandonment, sewer, etc. 2. Work must n�+ "� �it card is available on the job site. 3. A 24-4� S� inspections. Call (952) 249-4600. 4. Sewer r �� `y service by qualified contractor before demo permit is issued. �� < Demolition by me � �f11�' �ly Heavy Equipment ❑ Other . � � �� - Permit(s) Issued: �� '�n.,'I I LJ Well Abandonment#—��5 In return for issua��ce of said Demolition Permit, the undersigned owner hereby agrees to: 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are to be demolished. 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with Chapter 79, Construction Site Runoff Control. 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating permit(s) are not required. �I� _�� 4. Submit a $2,500 escrow and an escrow agreement signed by the property owner. 5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereof. 7. Completely remove foundation(s) from the ground. 8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 9. Abandon water wells in accordance with State Health Department regulations. 10. Call for an inspection when all debris has been removed, before backfilling. 11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be left clean and clear of all debris, with any excavation filled with earth level with the adjacent ground elevation (except when such excavation is to be used as part of a new building and such new building is actually under construction). 12. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are crushed and filled. 13. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, employees and assigns from and against all claims, damages, losses or expenses, including attorney fees, against the City, its agents, employees and assigns arising out of or resulting from the demolition described herein as performed by the property owner, his employees, agents, subcontractors or assigns. PERMIT TYPE AND FEE CALCULATION � $75.00 — Principal Structure $ ❑ $50.00 —Accessory Structure x (how many) 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ ��. � The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all the work in a strict accordance with th inances of the City and the regulations of the State of Minnesota, and certifies that t me s mad on this application are complete, true and correct. Applicant's Signatu • Date: ��'�� Owner's Signature: f �41�., G� � Date: �-/0- �� A � Approved By: Date: l � � uilding Official) * Zoning Disclosure Required? � ' YES ❑ NO '`This must be filled out by Zoning De artment— For either answer, a Zoning Official must sign all applications. * Approved By: �� j�� Date: �'�� (Zoning Official) Orono, MN Code of Ordinances Page 1 of 3 Sec. 78-72. - Lots of record. (a) A lot of record is any lot for which a deed or registered land survey has been recorded in the office of the register of deeds or the registrar of titles for Hennepin County prior to January 1, 1975, and after approval by the council if required. (b) A lot of record located within an R(Residential) or RR(Rural Residential) district but not within the Shoreland Overlay district, RS Seasonal Recreational district, or any of the LR-Lakeshore Residential districts, which does not meet the requirements of this chapter as to area or width may be utilized for a single-family detached dweliing purpose, provided that in the judgment of the council or administrative approval by the planning director, such use does not adversely affect public health or safety and the following requirements are met: �n R districts of one acre or less and served by public sanitary sewer. A lot of record existing upon January 1, 1975, in any R district of the city of up to and including one acre, which lot is serviced by public sanitary sewer and which does not meet the requirements of this chapter as to area or width only, may be utilized for single-family detached dwelling purposes without council approval if all other requirements of the underlying zoning district are met, including but not limited to required yards, setbacks, lot coverage by structures, hardcover, etc. However, the lot of record shall not be more intensely developed unless combined with one or more abutting lots or portions so as to create a lot meeting the requirements of this chapter. In R or RR districts of�reater than one acre and served by public sanitary sewer. A lot of record in any R or RR district in the city in excess of one acre which does not meet the requirements of this chapter as to area or width only may be utilized for single-family detached dwelling purposes by administrative approval if the planning director finds that the following conditions are met: � ;I lp a. It is at least one acre in size, and the average width of the lot is at least 100 feet; �eS b. It is served by public sanitary sewer; and c. It otherwise meets the requirements of this chapter or other applicable Code provisions. (3) In R or RR districts not served by public sanitary sewer. A lot of record in any R or RR district in the city not served by public sanitary sewer must meet the area and width requirements of this chapter and shall not be utilized for single-family detached dwelling purposes without council approval. Administrative approval may be granted for a lot of record not meeting the lot area and width requirements if the planning director finds that the following conditions are met: a. The lot area and lot width each meet at least 50 percent of the district standard. b. Suitable primary and alternate septic sites are identified on the property and are protected from future development by execution of a covenant. c. All other zoning ordinance requirements must be met, including but not limited to the following: 1. Setbacks. 2. Hardcover. 3. Lot coverage by structures. 4. Accessory structure requirements. (�) about:blank 9/10/2015 Orono, MN Code of Ordinances Page 2 of 3 A lot of record located in any shoreland district, including the Shoreland Overlay district, RS Seasonal Recreational district, and any of the LR- Lakeshore Residential districts, that does not meet the requirements of this chapter for lot size or lot width shall be subject to the following regulations: (1) A nonconforming single lot of record may be allowed as a building site without variances from lot size and width requirements, provided that: a. All setback requirements can be met; b. A Type 1 sewage treatment system consistent with Minnesota Rules, chapter 7080, can be installed or the lot is connected to a public sewer; and c. The impervious surface coverage meets all hardcover location and square footage restrictions of this chapter and the total square footage of hardcover does not exceed 25 percent of the entire lot area. d. All other zoning district standards can be met. (2) In a group of two or more contiguous lots of record under a common ownership, an individual lot must be considered as a separate parcel of land for the purpose of sale or development, if it meets the following requirements: a. The lot must be at least 66 percent of the dimensional standard for lot width and lot size for the shoreland classification consistent with Minnesota Rules, chapter 6120; b. The lot must be connected to a public sewer, if available, or must be suitable for the installation of a Type 1 sewage treatment system consistent with Minnesota Rules, chapter 7080, and local government controls; and c. Impervious surface coverage must meet all hardcover location and square footage restrictions of this chapter and the total square footage of hardcover must not exceed 25 percent of the entire lot area; and d. Development of the lot must be consistent with the comprehensive plan. (3) A lot subject to either subsections 78-72(c)(1) or(2) remains subject to the hardcover restrictions of this chapter, as follows: a. Where the hardcover square footage allotment as calculated based on the assigned tier exceeds 25 percent of the entire lot area, hardcover shall be limited to 25 percent of the entire lot area. b. No portion of the impervious surface square footage allowed shall be placed within in 75 feet of a lake OHWL or tributary bank, except for those items normally allowed in such location as regulated elsewhere in this chapter. (4) A lot subject to subsection 78-72(c)(2) not meeting the requirements of subsection 78-72(c)(2) must be combined with the one or more contiguous lots so they equal one or more conforming lots as much as possible. (5) Notwithstanding subsection 78-72(c)(2), contiguous nonconforming lots of record in shoreland areas under a common ownership must be able to be sold or purchased individually if each lot contained a habitable residential dwelling at the time the lots came under common ownership and the lots are suitable for, or served by, a sewage treatment system consistent with the requirements of Minn. Stat. § 115.55 and Minnesota Rules, chapter 7080, or connected to a public sewer. (6) about:blank 9/10/2015 Orono, NIN Code of Ordinances Page 3 of 3 In all variance requests, zoning and building permit applications or conditional use requests, the property owner shall address, when determined as appropriate by the city engineer or city staff, stormwater runoff management, reduction of impervious surfaces, setback increases, restoration of wetlands, vegetative buffers, sewage treatment and water supply capabilities, and other conservation-designed actions. (7) A portion of a conforming lot may be separated from an existing parcel as long as the remainder of the existing parcel meets the lot size and sewage treatment requirements of the zoning district for a new lot and the newly created parcel is combined with an adjacent parcel. (Code 1984, § 10.03(6)(A); Ord. No. 9 3rd series, § 1, 5-24-2004; Ord. No. 92 3rd series, § 1, 3-26-2012; Ord. No. 95 3rd series, § 1, 10-8-2012; Ord. No. 108 3rd series, § 1, 7-8-2013) about:blank 9/10/2015 RECEIVED ' PRINCIPAL STRUCTURE DEMOLITION PERMIT �0�� ZONING DISCLOSURE � DECLARATION SEP � 7 2015 �, � , � cirY oF o�n o � � ; To the property owner: Demolition of the principal dwelling structure on a property `�� ` `.� �� automatically terminate certain rights which may have accrued to the property by virtue of the ��'__'f!`�� continued existence of that building. This means you may give up some or all of the zoning rights currently associated with the principal structure (setbacks, hardcover, size of building, etc) with its removal. • Rebuilding on a substandard lot of record (i.e. a lot that does not meet the zoning district required lot area or width standards) may, with few exceptions, require variance approval by the City Council, and such approval is neither automatic nor guaranteed but requires that a practical difficulty be demonstrated. • Additionally, all current zoning standards will have to be met by the new principal dwelling including setbacks, and building footprint, hardcover (impervious surface), & height timitations, etc. • Where municipal sewer is not avaitable, provision of two (2) conforming on-site septic treatment sites is mandatory for a new dwelling. • Unless specifically approved by the City, all seasonal and permanent docks must be removed at the time of principal dwelling demolition. They may not be re-installed until a new principal dwelling has reached the framing stage. The following information is presented for the purposes of advising the property owner of the implications of removal of the rinci al dwellin on the ro e 1. Property Address: 1050 Edgewood Hills Rd PID# 02-117-23-13-0003 2. Zoning District: RR-16 Required Lot Area: 2 acre Required Lot Width: 200' Shoreland? Y N Actual Lot Area: 1.16 acre* Actual Lot Width: 180'* *per survey dated 5-22-15 Lot area varian is i not required. Lot width varianc is i not required. � 3. Required Setbacks: Front 50' Rear 59' Side 30' Side Street 50' Lakeshore Lot: Lake (Front) NA Street(Rear) NA Average Lakeshore Setback: must be me is not a licable. 4. Massing & Lot Coverage by Structures limited to 15%Qf lot ar�a does not applv (lot area > 2 acres 5. Hardcover limitation • Are NOT applicable or - Are applicable. 6. Municipal sewer is available. 7. A potential wetland is present; a 35-foot setback is required. If the wetland is within 150 feet of the project a wetland delineation will be required for setback determination. Minnehaha Creek Watershed District approval is required prior to issuance of permits from the City of Orono. **Please contact the Minnehaha Creek Watershed District directly at 952-471-0590. The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials ��c�baho�, /►�- �S�a� /�- � " �� Property Owner's Signature Date (Original: Street File; Copy: Property Owner) ' "�ec. 18-72. - Lots of record. (a) A lot of record is any lot for which a deed or registered land survey has been recorded in the office of the register of deeds or the registrar of titles for Hennepin County prior to January 1, 1975, and after approval by the council if required. (b) A lot of record located within an R (Residential) or RR (Rural Residential) district but not within the Shoreland Overlay district, RS Seasonal Recreational district, or any of the LR-Lakeshore Residential districts, which does not meet the requirements of this chapter as to area or width may be utilized for a singie-family detached dwelling purpose, provided that in the judgment of the council or administrative approval by the planning director, such use does not adversely affect public health or safety and the following requirements are met: (1) In R districts of one acre or less and served by public sanitary sewer. A lot of record existing upon January 1, 1975, in any R district of the city of up to and including one acre, which lot is serviced by public sanitary sewer and which does not meet the requirements of this chapter as to area or width only, may be utilized for single- family detached dwelling purposes without council approval if all other requirements of the underlying zoning district are met, including but not limited to required yards, setbacks, lot coverage by structures, hardcover, etc. However, the lot of record shall not be more intensely developed unless combined with one or more abutting lots or portions so as to create a lot meeting the requirements of this chapter. (2) In R or RR districts of greater than one acre and served by public sanitary sewer. A lot of record in any R or RR district in the city in excess of one acre which does not meet the requirements of this chapter as to area or width only may be utilized for single-family detached dwelling purposes by administrative approval if the planning director finds that the following conditions are met: a. It is at least one acre in size, and the average width of the lot is at least 100 feet; b. It is served by public sanitary sewer; and c. It otherwise meets the requirements of this chapter or other applicable Code provisions. (3) In R or RR districts not served by public sanitary sewer. A lot of record in any R or RR district in the city not served by public sanitary sewer must meet the area and width requirements of this chapter and shall not be utilized for single-family detached dwelling purposes without council approval. Administrative approval may be granted for a lot of record not meeting the lot area and width requirements if the planning director finds that the following conditions are met: a. The lot area and lot width each meet at least 50 percent of the district standard. b. Suitable primary and alternate septic sites are identified on the property and are protected from future development by execution of a covenant. c. All other zoning ordinance requirements must be met, including but not limited to the following: 1. Setbacks. 2. Hardcover. 3. Lot coverage by structures. 4. Accessory structure requirements. (c) A lot of record located in any shoreland district, including the Shoreland Overlay district, RS Seasonal Recreational district, and any of the LR- Lakeshore Residential districts, that does not meet the requirements of this chapter for lot size or lot width shall be subject to the following regulations: (1) A nonconforming single lot of record may be allowed as a building site without variances from lot size and width requirements, provided that: a. All setback requirements can be met; b. A Type 1 sewage treatment system consistent with Minnesota Rules, chapter 7080, can be installed or the lot is connected to a public sewer; and c. The impervious surface coverage meets all hardcover location and square footage restrictions of this chapter and the total square footage of hardcover does not exceed 25 percent of the entire lot area. d. All other zoning district standards can be met. (2) In a group of two or more contiguous lots of record under a common ownership, an individual lot must be considered as a separate parcel of land for the purpose of sale or development, if it meets the following requirements: a. The lot must be at least 66 percent of the dimensional standard for lot width and lot size for the shoreland classification consistent with Minnesota Rules, chapter 6120; b. The lot must be connected to a public sewer, if available, or must be suitable for the installation of a Type 1 sewage treatment system consistent with Minnesota Rules, chapter 7080, and local government controls; and c. Impervious surface coverage must meet all hardcover location and square footage restrictions of this chapter and the total square footage of hardcover must not exceed 25 percent of the entire lot area; and d. Development of the lot must be consistent with the comprehensive plan. ' '` �3) A lot subject to either subsections 78-72(c)(1) or(2) remains subject to the hardcover restrictions of this chapter, as follows: a. Where the hardcover square footage allotment as calculated based on the assigned tier exceeds 25 percent of the entire lot area, hardcover shail be limited to 25 percent of the entire lot area. b. No portion of the impervious surface square footage allowed shall be placed within in 75 feet of a lake OHWL or tributary bank, except for those items normally allowed in such location as regulated elsewhere in this chapter. (4) A lot subject to subsection 78-72(c)(2) not meeting the requirements of subsection 78-72(c)(2) must be combined with the one or more contiguous lots so they equal one or more conforming lots as much as possible. (5) Notwithstanding subsection 78-72(c)(2), contiguous nonconforming lots of record in shoreland areas under a common ownership must be able to be sold or purchased individually if each lot contained a habitable residential dwelling at the time the lots came under common ownership and the lots are suitable for, or served by, a sewage treatment system consistent with the requirements of Minn. Stat. § 115.55 and Minnesota Rules, chapter 7080, or connected to a public sewer. (6) In all variance requests, zoning and building permit applications or conditional use requests, the property owner shall address, when determined as appropriate by the city engineer or city staff, stormwater runoff management, reduction of impervious surfaces, setback increases, restoration of wetlands, vegetative buffers, sewage treatment and water supply capabilities, and other conservation-designed actions. (7) A portion of a conforming lot may be separated from an existing parcel as long as the remainder of the existing parcel meets the lot size and sewage treatment requirements of the zoning district for a new lot and the newly created parcel is combined with an adjacent parcel. (Code 1984, § 10.03(6)(A); Ord. No. 9 3rd series, § 1, 5-24-2004; Ord. No. 92 3rd series, § 1, 3-26-2012; Ord. No. 95 3rd series, § 1, 10-8-2012; Ord. No. 108 3rd se Christine Mattson From: Christine Mattson Sent: Wednesday, September 16, 2015 9:15 AM To: 'sstreeter@streeterhomes.com' Cc: 'chic.chichi@gmail.com' Subject: 1050 Edgewood Hills Rd /#2015-01109 Attachments: Zoning Disclosure Principal Structure Demo 2015 Nonconforming Lot.pdf Steve, Attached is a copy of the zoning disclosure form. Please have the property owner sign and return. Don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway "" Orono ' MN `.` 55356 (physical addressJ PO Box 66 Crystal Bay '; MN ' S5323-0066 (mailing addressJ �' 952.249.4620 ' = 952.249.4616 � cmattson@ci.orono.mn.us � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFF/CE WILL BE CLOSED: Wednesday, November 11, 2015 1 Hennepin County GIS - Printable Map Page 1 of 1 . _ � , � � Ner�ne�n r � !!..�,� µ..� . ,. _ • . � � . - , . �, � ��w�' ��!'� _ _' � ,� ; �'` ,' ,,'- ,:� ,� x �' ;y'� +��„�'L . E � ',�qs,.1- T-�, �.i+�Y�,� "� ��.h�.a �*r � �' ��,� } 4 � Y�g � ..� +3;� ,'�' .. `"�"-,..,ti� �� `��'111t`". . °��'.��",� .�_`. .. 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"��"�': v � 1 i r r � .�.. � , � , : •, .:, , .� � , , � _ , . ,�< ., � � y�,. ��• ry �` � .- . ,r ':', 4''y„�:.�� aii�'. .- .aw °` ° .. q"� , .i: �::a.�r.r�... �� Parcel 02-117-23-13-0003 A-T-B: Torrens Map Scale: 1" =50 ft. N ID: � Print Date: 9/10/2015 Owner Market Name: T Rassieur& Barbara Steiner Total: $317,000 Parcel 1050 Edgewood Hills Rd Tax $3,692.72 Address: Orono, MN 55391 Total: (Payable:2015) P rtY � Pro e Seasonal-Residential Rec Sale $525,000 Type: Price: This map is a compilation of data from various Home- Non-HOmestead Sale 05/2015 sources and is furnished"AS IS"with no stead: Date: representation or warranty expressed or implied,including ftness of any particular purpose,merchantability,or the accuracy and Parcel 1.51 acres Sale Other—See Certificate completeness of the information shown. 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ATTN: Steven Streeter 18312 Minnetonka Blvd. Wayzata, MN 55391 Re: Pre-demolition Asbestos Inspection SF Residential Structure 1050 Edgewood Hill Road Wayzata, MN 55391 Introduction On June 12, 2015, Sheltertech Corporation collected samples of suspect asbestos-containing materials in preparation for the planned demolition of the single-family residential structure located at 1050 Edgewood Hill Road in Wayzata, Minnesota. The inspection was conducted by Sheltertech representative George Zortman (Minnesota Asbestos Inspector #A11455). The site was occupied by a one story, multi-level residential building constructed of wood frame walls with vertical wood/brick siding, flat roof, and a full basement. The house was heated with five natural gas forced-air furnaces and cooled with four central air conditioning systems. The presence of vermiculite was not identified within the attic or those wall cavities accessible to visual inspection. According to Hennepin County property records, the building was constructed in 1970. Laboratory Analysis After completion of the field sampling activities, the bulk samples and accompanying chain-of- custody (COC) documentation were submitted to Carolina Environmental, Inc. of Cary, North Carolina. Carolina Environmental, Inc. participates in the analysis of standard bulk samples through the National Voluntary Laboratory Accreditation Program. Its NVLAP Accreditation number is 101768-0. The examination for the presence and identification of asbestos fibers in bulk samples was performed using crossed polarized light microscopy (PLM) and dispersion staining particle identification technique in accordance with USEPA, Method for the Determination of Asbestos in Bulk Building Materials, EPA 600/R-93/116 (July, 1993). Bulk samples containing multiple layers were analyzed per layer. The samples were analyzed utilizing a positive stop method, where indicated. j� eH �.., . . _ ._ � �_ ,, � June 15, 2015 Sheltertech Corporation Paqe 2 Facility/Address: SF Residential Structure 1050 Edgewood Hill Road Wayzata, MN 55391 Analytical Results: Asbestos Three (3) material types were found to contain greater than one percent asbestos (material quantities are estimates only): • 470 SF Ceiling Texture, North Stairwell; SW Bedroom & adjacent Hallway, Mezzanine; North Hallway, Main Floor • 150 LF Transite HVAC Duct, South Lower Mezzanine (sub-slab) • 3 SF Roofing Sealant, Roof One (1) material type was found to contain less than one percent asbestos (material quantities are estimates only): • Sheetrock/Joint Compound (composite wall system), North stairwell One (1) material type was assumed to contain greater than one percent asbestos (material quantity undetermined): • Waterproofing Material (unknown quantity), Foundation Exterior No asbestos was detected in the remaining material types. Asbestos inspection results are presented in the following table. All PLM results of "none detected" indicate asbestos free materials. All PLM results less than one percent (<1%) indicate non-asbestos-containing materials, in accordance with the Minnesota Department of Health (MDH) asbestos rules. Only PLM sample results greater than one percent (>1%) are asbestos-containing materials. Friable materials are those which when dry can be crushed, pulverized, or reduced to a powder by hand pressure. Materials that were determined to contain greater than one percent asbestos are categorized as friable or non-friable and are indicated in the table by shading (actual friability may be determined by the degree of disturbance imposed upon the material during demolition, removal, or transport). Material quantities are estimates only. j� 'SHELTERTECH � �„��.. ,3 �.I cii��g June 15, 2015 Sheltertech Corporation Page 3 Facility/Address: SF Residential Structure 1050 Edgewood Hill Road Wayzata, MN 55391 ASBESTOS INSPECTION RESULTS Material Sample Location Approximate o� Reference (Sample location in italics — Quantity ° Sample# Sample Description extent of material listed for (total for Asbestos Friable ositive materials onl material � Type Wall Sheetrock/ 1 Joint Compound, North Stairwell N/A �1/ Yes (white/beige) Chrysotile Flooring Mastic, None 2 (brown) Landings, North Stairwell N/A Detected N/A Ceiling Texture, ° 3 (white) North Stairwell 70 SF Chrysotile Yes Wall Sheetrock/ None 4 Joint Compound, North Basement N/A N/A (white/off-white) Detected 15% 5 Transite Duct, (gray) South Lower Mezzanine 150 LF Chr 2�tile; pot'I.* Crocidolite Flooring Mastic, None 6 (brown) South Lower Mezzanine N/A Detected N/A Wall Sheetrock/ None 7 Joint Compound, South Bedroom, Mezzanine N/A Detected N/A (white/off-white) 8 Sheet Flooring, South Bathroom, Mezzanine N/A None N/A (off-white/gray) Detected 9 Wall Tile, (white) South Bathroom, Mezzanine N/A None N/A Detected 9 Wall Tile Grout, South Bathroom, Mezzanine N/A None N/A (white) Detected Wall Tile Adhesive Mezzanine N/A None N/A 9 (brown) South Bathroom, Detected Stone Floor Tile None 10 (brown) South Mezzanine N/A Detected N/A Stone Floor Tile Grout None 10 �grav� ' South Mezzanine N/A Detected N/A None 11 Wall Tile, (white) SW Bathroom, Mezzanine N/A Detected N/A Wall Tile Grout, None 11 (White) SW Bathroom, Mezzanine N/A Detected N/A Wall Tile Adhesive, None 11 (tan) SW Bathroom, Mezzanine N/A Detected N/A �� SHELTERTECH �� r.,. �..,., e .,�.��r��g. June 15, 2015 Sheltertech Corporation Page 4 Facility/Address: SF Residential Structure 1050 Edgewood Hill Road Wayzata, MN 55391 Material Sample Location Approximate o� Reference (Sample location in italics — Quantity ° Sample # Sample Description extent of material listed for (total for Asbestos Friable ositive materials onl material � Type None 12 Floor Tile Grout, (gray) SW Fireplace, Mezzanine N/A Detected N/A None 13 Fire Brick Grout, (gray) SW Fireplace, Mezzanine N/A Detected N/A 14 Ceiling Texture, SW Bedroom& Hallway, 250 SF 2� Yes (white) Mezzanine Chrysotile 2' X 2' Ceiling Tile, None 15 (ti,hite) North Rec. Room, Mezzanine N/A Detected N/A 2' X 2' Ceiling Tile, None 16 (White) North Rec. Room, Mezzanine N/A Detected N/A 2' X 2' Ceiling Tile, None 17 (white) North Rec. Room, Mezzanine N/A Detected N/A 18 Ceiling Texture, North Hallway, Main Floor 160 SF �� Yes (white) Chrysotile None 19 Floor Tile, (beige) Master Bathroom N/A Detected N/A Floor Tile Grout, None 19 (white) Master Bathroom N/A Detected N/A Floor Tile Adhesive, None 19 (tan) Master Bathroom N/A Detected N/A 20 Wall Tile, (beige) Kitchen N/A None N/A Detected Wall Tile Grout None 20 ' Kitchen N/A N/A (white) Detected Wall Tile Adhesive, None 20 Kitchen N/A N/A (tan) Detected Ceiling Texture, None 21 (white) Garage N/A Detected N/A Wall Sheetrock/ None 22 Joint Compound, Kitchen N/A Detected N/A (white) Roofing Sealant, ° 23 (black) Exhaust Duct Penetration, Roof 1 SF Chrysotile No 24 Roofing Sealant, p�umbing Stack Penetrations, Roof 2 SF 5/ No (black) Chrysotile Flashing Sealant, None 25 (gray� Chimney Penetrations, Roof 120 SF Detected N/A � SHELTERTECN ' �n�c, i i ,..: 8 ,.v �� June 15, 2015 Sheltertech Corporation Paqe 5 Facilitv/Address: SF Residential Structure 1050 Edgewood Hill Road Wayzata, MN 55391 Material Sample Location Approximate o� Reference (Sample location in italics — Quantity ° Sample# Sample Description extent of material listed for (total for Asbestos Friable ositive materials onl material � Type Exterior Samo led Waterproofing Foundation TBD ASA�M d No p Material, (black) *Pot'I. _ "Potential Friability" Requlatory Discussion ACM can be either friable or non-friable. The non-friable materials can be broken down into two categories. Category I includes floor tile, roofing, packings and gaskets. Category II includes all other non-friable materials. Regulated ACM consists of the following types of materials: • Friable materials • Category I non-friable asbestos that has become friable • Category I non-friable asbestos that will be sanded, ground, cut or abraded • Category II non-friable asbestos that has become friable • Category II non-friable asbestos that has a high probability of becoming friable during demolition or renovation The Minnesota Pollution Control Agency (MPCA) and the MDH regulate the removal of ACM in Minnesota. The Occupational Safety and Health Administration (OSHA) regulates worker protection. The MPCA administers the requirements of EPA's National Emission Standards for Hazardous Air Pollutants (NESHAP) regulations. The MDH Asbestos Unit regulates how asbestos is removed and administers the Model Accreditation Program for asbestos professions. �. SHELTERTECN �E. .�... 3 a� s, June 15, 2015 Sheltertech Corporation Page 6 Facility/Address: SF Residential Structure 1050 Edgewood Hill Road Wayzata, MN 55391 Asbestos Materials Manaqement Friable Materials The following asbestos-containing materials are classified as friable materials according to EPA 40 CFR Part 61 National Emission Standard for Hazardous Air Pollutants (NESHAPs). Friable materials are to be removed prior to disturbance in accordance with applicable state and federal regulations. Material quantities are estimates only. • 470 SF Ceiling Texture, North Stairwell; SW Bedroom & adjacent Hallway, Mezzanine; North Hallway, Main Floor • 150 LF Transite HVAC Duct, South LowerMezzanine (sub-slab) Category I non-friable materials The following asbestos-containing materials are classified as Cateqory I non-friable materials according to EPA NESHAPs. Category I non-friable materials must be removed prior to disturbances by renovation or demolition in accordance with applicable state and federal regulations. Material quantities are estimates only. • 3 SF Roofing Sealant, Roof Cateqorv II non-friable materials The following asbestos-containing materials are classified as Cateqory II non-friable materials according to EPA NESHAPs. Category II non-friable materials must be removed prior to disturbances by renovation or demolition in accordance with applicable state and federal regulations. Material quantities are estimates only. • Waterproofing Material (unknown quantity), Foundation Exterior � . SHELTERTECN ' ��, � �� __ ,s �� , � June 15, 2015 Sheltertech Corporation Paqe 7 Facility/Address: SF Residential Structure 1050 Edgewood Hill Road Wayzata, MN 55391 HAZARDOUS MATERIALS SURVEY Sheltertech Corporation conducted an assessment of the subject property to identify miscellaneous non-asbestos materials which may require special handling and/or disposal per local and state regulations. The following types of special hazardous waste or items of potential concern were observed in the facility. • (4) Central A/C Units • (5) Furnaces • (1) Water Heater • (1) Water Softeners • (1) Pool Heater/Water Pump • (2) Wine Coolers (wall mounted in wine cellar) • (36) Compact Fluorescent Lamps • (2) 1' Fluorescent Light Fixtures with Lamps • (3) 4' Fluorescent Light Fixtures with Lamps • (6) 8' Fluorescent Light Fixtures with Lamps • (10) Light Dimmers • (7) Mercury Thermostats • (2) Digital Thermostats • (2) Outdoor Motion Sensors • (1) Sound System • (4) Smoke Detectors � (1) Security System • (1) Lawn Irrigation System Control • (2) Garage Door Openers with Controls � . SHELTERTECN r . . ..., .,�a�.��ng June 15, 2015 Sheltertech Corporation Paqe 8 Facility/Address: SF Residential Structure 1050 Edgewood Hill Road Wayzata, MN 55391 COMMENTS: The presence of concealed or inaccessible materials may not have been identified by this inspection. If previously unidentified suspect asbestos-containing or hazardous materials are exposed during demolition, they should be sampled and analyzed for content prior to any disturbance. Other items not covered in this inspection may require further inspection or specialized removal or disposal prior to demolition. Buiiding and site conditions reported represent those conditions which existed at the time of the inspection only. Sheltertech cannot guarantee and does not warrant that this inspection has revealed all adverse environmental conditions affecting the site or, that conditions will not change over time. Thank you for the opportunity to be of service to this project. �2e.---- 06/15/15 / ,�.-.------ _-�_ 06/15/15 eorge . Z an �n Forsman Asbestos Inspector, MN. Lic. #A11455 Asbestos Inspector, MN Lic. #A18648 � � � ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED�� -�-z�°� \`c�� PERMIT NO. �`-�'.�-�%t\C��f COMPLETED ADDRESS � �G �.� � �w � -�+� � �, � OWNER `� �-�-��-� TELEPHONE NO. CONTRACTOR `��r�� `� ��C-` � �\� � C�� - `7.<-�'� -�� DESCRIPTION ��' `- �-`�� lli ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAI 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY \ \ ' EW`�R HOOK-UP ❑ FOUNDATION/REMOVAL J� DEMO-SITE�(��j�(�-�S�7NSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � l�ll ��a ��,o�� _ � � J O � �fOl/G�,t� roC-k �w �r�v,�.�rcy �' ° G�h ,�i�c d►r�t f'i✓•tuC'� -. W � Q � 2 W � W 2 � J W ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerfContractor on site: Inspector.�/w White Copyllnspector's File Canary CopylSlte Notice �l '/� � —/ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE _� ��, SCHEDULED �c , I`�1� �— PERMIT N0.�=�U�`' �f i COMPLEfED Ve�-' C��'t, c:�'��C� � I�C� ADDRESS t OWNER TELEPHONE NO. 12 ��'I��-" CONTRACTOR ��-�%" ` �� DESCRIPTION �'�� 1:��c� ��i - i�.�;�� t1� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIAEPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: W � � �• G�/ � L�orne� p -� �v�..��4��0�, o � 0 �o4SC - �O ""d ' U,�— GD�L�.�c/��,, � � (�l�Git✓ !>S1 oC G��'S ' � � � �4�f'?• l� � O T�•S I�O r'�w �, W � Q � 2 � W � J � RKSATISFACTORY:PROCEED O PROJECTCOMPLEfE W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ ❑ pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREWIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector: �`-� VYhits Copyllnspector's Flle Gnary CopylSfts NWke `� � C�� DATE TIME✓ � CITY OF ORONO CALLED IN �� INSPECTION NOTICE /� SCHEDULED � ____�L�1�L PERMR NO.�`f�'✓(�/f�` � COMPLETED � ADDRESS / �:'��' ��'l.a�(�'i', � ��`S OWNER TELEPHONE NO. %�� C ` �� CONTRACTOR -��'�� DESCRIPTION ' `/�'�'��"�_l ��C� rl ct� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVA� 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEW.ER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ TIC INSTALL Q OWNERICONTRACTOR TO MEET YOU: � YES_NO Z � COMMENTS: � 3 �a'�� r�.- - / �� • � /fj �/'a v��d e �'%/'4r��r�L. 0 �h�.r1s�✓S repa�f a� �n,y $��r� c,Li.��cTeS- � � /�s,�e��ad., W/ re rx — O �,�4V r`�, Q�� Gt�r.t.f ,Q�f. �/G Wl ��)O` ��d�'1 ^ v Q 1 Stl �"��l � -Fa�c Kc�4�b�L i I�� , W � � GG� !� �✓ t rt�Dec�aS�, � W ❑WOFiKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED '�q�$PECTION RE(]UIRED.CALL TO ARRANGE ACCESS. �i - Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: t,?�✓�- Inspector: h-- � Whits Copyllnspector's File Canary CopylSite Notke Planning & Zoning Department Menlo To: Finance Department From: Nola Dickhausen, Management Assistant CC: Street File Date: February 7, 2018 G/L: 101-22205 Re: Escrow Refund Building Permit#2015-01109, 2016-00088 & 2017-00098 pertaining to 1050 Edgewood Hills Road are complete. Please refund $2,500.00 to Barbara Steiner. Mail to: Barbara Steiner 1050 Edgewood Hills Road Wayzata, MN 55391 w:\finance\escrows\requests\1050 edgewood hills road.docx BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2016-00088, Demolition Permit#2015-011099 and In-ground Pool Permit#2017-00098 AGREEMENT made this 1 day of ivUrC4 i , 20 11, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Barbara Steiner and Tom Rassieur("Owners"). Recitals 1. A building permit application has been filed for a new single family home located at 1050 Edgewood Hills Road the ("Subject Property"), legally described as Tract H, Registered Land Survey No. 1098, Hennepin County, Minnesota. The boundary lines of which have been established by judicial Landmarks as shown on Plat of Survey and certification as to location thereof filed October 29, 1963 in Torrens Case No. 15271, in District Court, Fourth judicial District, Hennepin County, Minnesota. (Per Certificate of Title No. 1389468). 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, engineering, or legal consultant review) associated with building permit #2016-00088, demolition permit #2015-01109 and In-ground Pool Permit #2017-00098 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: CITY OF ORONO OWNER: By: 6mK) Its: TUnnt -6Soleee 16a,aba icc. f(j. 51ezir Internal Use Only: D Original to Planning D Copy to Property Owner 0 Copy to Street File BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2016-00088 and Demolition Permit#2015-01109` AGREEMENT made this 2-"!''��/'day of AP/ ( , 2014P, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Barbara Steiner and Tom Rassieur ("Owners"). Recitals 1. A building permit application has been filed for a new single family home located at 1050 Edgewood Hills Road the ("Subject Property"), legally described as Tract H, Registered Land Survey No. 1098, Hennepin County, Minnesota. The boundary lines of which have been established by judicial Landmarks as shown on Plat of Survey and certification as to location thereof filed October 29, 1963 in Torrens Case No. 15271, in District Court, Fourth judicial District, Hennepin County, Minnesota. (Per Certificate of Title No. 1389468). 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, engineering, or legal consultant review) associated with building permit #2016-00088 and demolition permit #2015-01109if 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: CITY OF ORONO OWNER: By ` SieLik Its: 'f ut if Il Isla/II- -Internal Use Only: O Original to Planning 0 Copy to Property Owner 0 Copy to Street File SIT ESCROW AGREEMENT Orono Building Permit# o?D/ $-D//e, Yr AGREEMENT made this q day of , 20 15, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and al(Ow?), ("Owners"). Recitals 1. A building permit application has been filed for cum or , tom/ - located at 1050 RC/4W Li)Li) the ("Subject roperty"), legally described as 2. Owners request the City to review this application which requires City approval and may require consultant legal and/or engineering review. 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, engineering, or legal consultant review) associated with building permit#c?C/SU//OJ 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 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 ORONO OWNER:!z (' / By: ej`�l l��hiuLt`,- D'V--' &itkc Zat_ Its: 17(nnLe311 1" Internal Use,Only, ,,, > ' , a 0 Original to Finance Department 0 Copy to Street File Packet Last Updated. January 2015 Page 22 YJw O n City of Orono P °' o « 1 2750 Kelley Parkway O` 69. H Orono MN 55356 952-249-4600 N \4 Receipt No: 3.014121 Sep 1, 2015 • 4 `1♦ d 0. • 1 Barbara Steiner 0• Previous Balance: 1141kO Permits .00 "V 2015-01110 1050 Edgewood 2,500.00 No; nr1 101-22205 Ln O Deferred Rev-Developer Deposit Total: 2,500.00 D- 4 4 , ', r++ _______________ R, Check !� O Check No: 104 2,500.00 O Payor: •lbco Barbara Steiner c ro Total Applied: 2,500.00 m .. --------------- z %`� 3 cor+ Change Tendered: ° .• .00 _______________ Ca o Z o r�i, 09/01/2015 10:30AM 2 , Ti a 0 �O vw ru 4Jg y— . r. ',... —= cc ru CO 3 c7 o O , ' 4 cl.o >,-,0 �_ " 0_0 o CITY OF ORONO ! [ �' '' ! I' �'; I'I II11 * 20 1 5 - 0 1 1 1 0 * 2750 KELLEY PARKWAY DATE ISSUED: 09/01/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1050 EDGEWOOD HILLS RD PIN : 02-117-23-13-0003 LEGAL DESC : REG.LAND SURVEY NO. 1098 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500 ESCROW IS TIED TO DEMO PERMIT-2015-01109 APPLICANT ESCROW FEE-BUILDING 2,500.00 TOTAL 2,500.00 STEINER,BARBARA Payment(s) 1050 EDGEWOOD HILLS RD CHECK 104 2,500.00 WAYZATA,MN 55391- OWNER STEINER, BARBARA 1050 EDGEWOOD HILLS 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