HomeMy WebLinkAbout2012-00936 - detached garage CITY OF ORONO * Z 0 1 2 - 0 0 9 3 6 *
2750 KELLEY PARKWAY DATE ISSUED: 10/30/2012
< ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1380 FOX ST
PIN : 02-117-23-31-0009
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 013
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIY TYPE : GARAGE-DETACHED
ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS
VALUATION : $ 10,000.00
NO"I't:: SEPERATE PGRMI"I S REQU[RED: 6LEC"1'RICAL(STATE)
REBUILDING A DETACHF,U GARAGE,OLD ONE ALREADY TORN DOWN. WANTS IN A DIFFERENT LOCATION.
*AS-[3UILT SURVEY"1'O BE SUBMITTED AND APPROVED PRIOR TO RELF,ASE Or ESCROW FUNDS. (INITIAL)
APPLICANT PERMIT FEE SCHEDULE 191.75
SUSSEL CORPORATION PLAN REVIEW 124.64
654 TRANSFER ROAD
16B STATE SURCHARGE(VALUATION) 5.00
S"T. PAUL, MN 551 14- TOTAL 32139
(65l)645-033 I
Minnesota State License#: BCOOl934
OWNER
ASD Consulting Services, LLC
P.O. BOX 1 F MTKA
MINNETONKA, MN 55345-
ACREEMENT AIVD SWORN STATEMENT
�I�h��cork ti�r which this permit is issucd shall be performed according to
thc approved plans and specifications,applicable Ciry approvals,and the
Statc[3uilding Code. '�his permit is for only the work described and does
not�rant 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 specitied herein.This permit will
expirc 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 confor ance with the State Building Code.This permit may be
revoked at any ti enfor duc cause_ _ � � � �
� `�/ �L� ,/�l l --��1 � ��
L' �
pplicant ermitee Signature Date Issued By Sig re Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED BO
f '°`
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: / -OZJ
;=�,0,�. , PO Box 66
+f 0 Q,;, Crystal Bay, MN 55323-0066 Date received: �-�g-/�--�
�
�I ,. I� . Received by:
� a �y '�. . a.;, Street Address:
;��e, �r���j�x��� G�-% 2750 Kelley Parkway Plan review fee:
���`�gEs��Ho4,�,% Orono, MN 55356 ���.
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STRUCTURE INFORMATION:
1�. Structure Dimensions 1. Structure Dimensions(continued) 2. Type of Construction
a. Length (ft.)= �Z/ Number of bedrooms= �IVood/Frame
b.Width(ft.)= � Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
� ❑ Pole Bldg.
c. Basement= Detached = S ❑ ICF
d. 1s1 Story =
❑ On-site Prefab
e. 2"d Story=
❑ Off-site Prefab
f. 'h Story = �
� ❑ Other(please specify):
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 Buildin Plans
❑ MN State Ener Code Calculations and Mechanical Code Requirements 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/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information, the application may not be issued.
• 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 completio f the as-built survey and all site improvements.
ApplicanYs Signatur : Date:
,,
Owner's Signature: ti� � Date:
����1���
OCT 0 4 2012
CITY OF UHONO
._, _ . . .__. , . _ - :_ .
�, . ,. .. __ _ __
�ian �e��e�c ��ec�li�� for t�ew S���c�ures / �dditi��s
Address/ PID/ Legal: � � �� ��� �'�"`
Description of work: j��° � � ��
Septic review by: �� Date Approved: �'" � � P ��
" Zoning review by: �'���!� � � � � .�; ���� � :�����``'� Date Approved: �� � �� •�� �
Building review by: Date Approved: t�- — /�
Grading review by: �sr� Date Approved: �° a7��
�
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire De artment Post Office School District
D S
Zoning: Lot Area: SF/AC Width: �` Depth: C
Survey Submitted: �,,0`Yes ❑ No Date of Survey: � ' � (�.,
�
Pro osed Setbacks:
Front (Lake) Rear(Street) ( ►� S E )' ( N S E W ) Other B ilciin s Wetland
Side Side
��� d , �6,
z Building Defined Height: Building Peak Height: #of Stories Ok?: � YES
FOR 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 �� % ��:.�=��� � �r� '
� � ,�
Shoreland District nIICVi/D Permit Received Avera e Lakeshore Setback Bluff
0 Yes ❑ No ❑ N/A 0 Yes � No
Yes � No 0 Yes ❑ No 1/A
�'� Permit Number: Setback:
F�ardcover Zones Existin Proposed Variance Re uire CUP Re uired
K
0-75' � � Yes .� No � Yes No
' 75-250' � TYPe(S): Type(s):
250-500' �, � � �` '
�G
500-1000' �
REMARKS (in-house):
` Updated: 09/11/2009
z:\forms�plan review checklist.docx
Fees to be Char ed YES NO
Permit
` Pian Review
State 5urcharge ;,��`
Investigation Fee �
�
SAC—Number of SAC Units
� Sewrer Connection
Ydaf�6 Co�nection
,�
Park Fee
Site fnspection �:
Other(specify) '^
�
Miscellaneous Fees
Calculated By:
fi S uare Foota e $ er S uare Foota e
Basement X = $
1S' Floor X = $
2nd Floo� X = �
Garage X = $
Estimated Construction Value: $ b��'�� �1t `_�"
Orono Inspections Required Work Requiring Separate Permits Required State Permits
, ❑ Site 0 Plumbing � Grading/ Filling � Well
0 Hardcover Removal ❑ Mechanical � Fire �'"Electrical
� � Footing 0 Septic 0 Water Connection
� Poured Wall � Fireplace � Sewer Connection
� Foundation Survey ❑ Masonry ❑ Lawn Irrigation
0 Radon Rock Bed � Mfg.
� Framing � Other(specify)
� Insulation
As-Built Survey
Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES 0 NO New: 0 YES ❑ NO
REMARKS (TO BE NOTED ON PERMIT ANQ INITIALLED BY PERSO�E PULLiNG PERMIT)
- � � �v s i� 6� fo e�
r
Updated: 09/11/2009
z:\forms\plan review checklist.docx
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City of Orono
, Building Permit Application
for New Structures or Additions
Mailing Address: ; � � - ' � ��
g,0,�. PO Box 66 Permit number. � � /�=- � �. �, - ��;
O Q Crystal Bay, MN 55323-0066 Date received: ��' 1�
.
'' ---- Received �
t a ' -:: a. , Street Address:' . � _ __
.;-, • r�� -
,,ti 2750 Kelley Parkwa� ��� r,C' S/3 Plan r iew fee: � L , a� �
\t � fi w�' Orono, MN 55356 ----- -
��Ko.
_- T al Fee:
Main: 2-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This ap �cation form must be completed in full and all required inf mation must be submitted.
Incomplete applications will be returned. lease print)
GENERAL INFORMATI /�
Job Site Address: �� ,f�1�. S�'� �/�v n �s���
Will this be a Parade of Homes, emodelers Showcase Home o other Display Home? ❑ Yes No
If yes, a special event permit is required with ice Department and City Council app val 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates suffrcient -site parking is available. Non- rmitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATIO '
Name:
State License# Expiration Date:
Phone: ffice cell
Mailing Address: Cit : ZIP:
Contact Person: plicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
�
PROPERTY OWNER INFORMATION:
Name: L� o/ISu �in -C.�'t�/��� C�L G
Phone (day): C - �, `�
Address: ' , s Ci � !?'��"�t� ZIP: 5�3�,�
Email and/or Fax Z — �
ARCHITECT/ENGINEER INFORM ION: �� ��� `' ,�`�`���. ��������� ��
Name:
Phone (day):
Address: Cit : ZIP:
Email and/or Fax:
PROJECT INFORMATI N:
1. Type of Project 2. Proposed Use 3.Structure Type 4. Sew e Disposal 8�
Water upply
❑ New Construction ❑ Single Family with ❑ Residence �
❑ Addition attached garage [�Garage/Accessory Bldg. ❑ Public Se er
❑ Accessory Buildin [✓�Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewe
❑ Other: (specify) �'�A'(-e-- ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
"`Any earth mov ment may require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ /�/ �vv
��ss e� � � C3 rh� rL-� /v C�c� �/��' r�-n o.�r v..i � c r y ?�°/L
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction
a. Length (ft.)= _� Number of bedrooms=
�od/Frame
b.Width (ft.)= Z � Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
Z ❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 15t Story = ❑ On-site Prefab
e. 2"d Story= ❑ Off-site Prefab
f. '/z Story =
❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ ❑ Permit A lication
❑ ❑ Pro osed Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
� ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ O Plan Review Fee
❑ ❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
. Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information, the application may not be issued.
• 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.
Y ���,�� ���
ApplicanYs Signature: ES� ., ., �7 � "��_ Date: /Cf'( L
,�-
Owner's Signature: Date:
w -
�O� VD
CITY OF ORONO
� ,y, Street Address: Mailing Address: Telephone(952)249-4600
y�, ' �1 2750 Kelley Parkway � P.O. Box 66 Fax (952)249-4616
- l,y - - -s�, - - Orono,-MN-55356- L-rystal-Bay,MN-55323 -www.�i.arono.mn.us - ----
kFSHo�
October 10, 2012
Lee Slagter
Sussel Builders
654 Transfer Road #16B
St. Paul, MN 55114
Re: 1380 Fox Street
Building Permit Application#2012-00936
On September 18, 2012 the City received a building permit application for a new garage. Additional information
was received on October 4, 2012. Your application is incomplete.
The following items must be submitted or revised in order for your application to be considered complete and
for the plan review to continue:
1. Certificate of Survey. The survey dated September 19, 2012 received on October 4, 2012 is drawn with
a 20' scale, not 30' as the survey shows. The size of the structure states is 20 x 22' yet it measures 21 x
22'. The western setbacks have been modified and written in. (A copy of the survey received is
attached.) The survey should also show the existing concrete pad (to be removed) and how the existing
driveway will tie into the proposed garage. Please provide 2 copies of a full size certificate of survey
which meets all of the City's survey standards (enclosed) indicating the location of the existing garage
and the proposed garage (and any proposed grading) as well as all other existing buildings, structures,
landscaping, retaining walls and hardcover on the property.
2. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require
submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee
reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally
this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and
stormwater. The required escrow amount for this project is$2,500. The escrow agreement is enclosed.
The property owner must sign the escrow agreement and submit a check for$2,500.
The above information is required in order for the plan review to continue. Please feel free to contact me at
952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions.
Sincerely,
CITY OF ORONO
�Y� �1� 11�����
Christine Mattson
Planning Assistant
c Lee Slagter with Sussel Builders at leesla�ter@susselbuilders.com
ABD Consulting Services, LLC; PO Box 1F; Minnetonka, MN 55345
David E. Crook; Demars-Gabriel Land Surveyors, Inc.; 6875 Washington Ave S#209; Edina, MN 55439
Attachments: City of Orono Survey requirements; copy of survey dated 9/19/2012 and escrow agreement
, _
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2012-00936
. AGREEMENT made this day of , 20_, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and ABD Consulting Services, LLC ("Owners").
Recitals
1. A building permit application has been filed for construction of a new deck located at 1380 Fox
Street the ("Subject Property"), legally described as Lots 10, 11 & 12, Block 13, including '/ of adjoining vacated
alley, Minnetonka Bluffs, 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 shali 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 #2012-00936 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:
Its:
tnternal Use Only: O Original to Planning O Copy to Property Owner 0 Ccpy ta Street File
�v, ATF� TIMED �
CITY OF ORONO CALLED IN /� / �'/'`�3
INSPECTION NOTICE SCHEDULED /l-�Q -/Z �
PERMIT N0� � COMPLETED
ADDRESS ���� �� st
OWNER TELEPHONE NO. �5� 7�2- 76�
CONTRACTOR S ��� G� ����'
�: DESCRIPTION ��� � �� G��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y � FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED � PROJECTCOMPLEfE
W ❑CO RECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952) Z49-46��
OwnerlContractor on si e: �
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� � DATE TIME V
CITY OF ORONO CALLED IN �/' -
INSPECTION NOTICE �+�,/ SCHEDULED l���/� �
PERMIT NC1�O�o�' �% J� COMPLETED
ADDRESS �� �
OWNER TEL PHONE NO. � �-��✓ 6�^
CONTRACTO
�: DESCRIPTION �/4 �Z�'�- - �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ 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
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ tNSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-460�
Owner/Contractor on si :
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
✓
DATE TIME
CITYrOF OR�NO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMITNO. Z�12��:�' COMPLETED _�i' '
ADDRESS ��� �S�YC�.�
OWNER TELEPHONE NO.
CONTRACTOR
�; DESCRIPTION ��l ll
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ 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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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. —�I►�U�l`�- — �� ��1.�I V �1,�� _
White Copyllnspector's File Canary CopylSite Notice
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%s \'� �\\ , , \\� ��` \ � 4 \�2� `-�__----'�18',1k�e���� ` ��� reuised: 8/15/2012 t ZO��
9� -6 -_ Z � - - s"s�„ce ' - � revised: 8/30/2FI12 proposed garage �e�d �� y�'
���t� ;.
-- ----' -- - --�"Q�----"-���/ '�/ �evised: 9/�9�2012 move proposed garoge
o Denotes iron monurment —x , � -
• Denotes €ound monument 9�--'� �� �- __N_&9'J�a�2J��� W 133.�6�I12e��:------`-��� '12.� SlTE ADDR£SS:
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x o00.o Denotes existing e/ev. `----------- 1380 FOX ST.
�� �-�`arg7m�t-___------ ----�
(Q00.0) denotes Rroposed elev. � ~ ��' ORONO, MN
_= Denotes surface drainage
DEMA�RS-GABRIEL � hereby certify that thrs survey, plan or report wos prepared by me Fle No.
or under my direcf sapervision and that i am a duly Regrstered Land 14Q 15 g CE�RTlF1CA7�E OF SURVEY FOR:
�N� SUR�'YaRS, I�C'. Surveyor under the Laws of the State o{ A�f;nnesota.
6875 Woshington Ave, So. �`/V� � Baok-Poge � •
Suite 203 + ��� d �
Edirro, ll4N �`5439 David E. Grook �j ��� �
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er�lc e� I��G
Phone: 952 76�-0487 Scale � �
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Fax: (952} 76�-0�90 Date: July 17, 2012 Mrnn_ Req. No. 22414
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To: Finance Department
From: Christine Mattson, Planning Assistant �F'
d ��CC: Street File �` �
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Date: 2/6/2013
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G/L: 101-22205
Re: Building Permit Escrow Refund
Building Permit#2012-00936 pertaining to 1380 Fox Street is complete. The Applicant, ABD
Consulting Services, LLC, has requested a refund of th nscrow.
This application was reviewed by Jesse Struve. � 2„�rj00.00
The following is attached:
• Escrow Refund Request
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: ABD Consulting, LLC
PO Box 1 F
Minnetonka, MN 55345
w:�street files\fox street\1380\escrow refund memo 2012-00606.doc
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BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2012-00936
AGREEMENT made this Y S��day of CU C-'� , 20�L, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and ABD Consulting Services, LLC ("Owners").
Recitals
1. A building permit application has been fifed for construction of a new detached garage located at
1380 Fox Street the ("Subject Property"), legally described as Lots 10, 11 & 12, Block 13, including '/2 of adjoining
vacated alley, Minnetonka Bluffs, 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,
engineering, or legal consultant review) associated with building permit #2012-00936 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 �RpNO OWNER:
By: ,l! '"���'� ��� 1 ' �'�-� ��' °� '���" ��
° � ��'-�����
its: '� �� � %�
Internal Use Only: O Origir�al:to Plarac�ng �Copy to Property Owner �Copy to Street File
L`ity of Gr�no
�?5U Yeliey �arkwav
Orona �N 553�6 `
�c-c45-46GG
Receipt No: s'.UO,'7?c �ct i�, c�I�
f�8� Fax St ,� #2uf�_Or�3�
Plar,r�inq and Zoning
Escrow aep+;sit - h �-•
#2t7i�-(}C�93E �+��'G+•Gt,�
If,��-��2�E5
Deferred Rev-Dev�l�ap�r Deposiw
T�;�ai: ---------------
�}if7U.(7s)
Chec�: __--__—____--_
Check Na� 31��;;
F'3y�7Y: ���i1�°,i1��
2,}�t} fr'OH �i t` #�Qii-�IG�Q�`�
TO�3� �ipG;ll�:
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�hd�i0� '2fltlBt't�: _`------------
.GC�
i�I/i,_�7iiL`ft�� ���iR���l �� ___�_
CITY OF ORONO * z 0 1 z - PJ 1 PJ Z 9 *
27�0 KELLEY PARIiWAY DATE ISSUED: 10/1�/2012
ORONO, MN ��3�6-
(9�2) 249-4600 FAX: (9�2) 249-4616
ADDRESS : 1380 FOX ST
PIN : 02-117-23-31-0009
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 013
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS $2500.00 ESCROR'1S TIED TO BUILDING PERMIT 2012-00936-PD CHECK#3103
APPLICANT ESCROW FEE- BUILDING 2,500.00
ABD Consultin�Services,LLC TOTAL 2,�00.00
P.O. BOX 1 F MTKA
MINNETONKA, MN 55345-
(952)567-1365
OWNER
ABD Consulting Services,LLC
P.O. BOX 1 F MTKA
MINNETONKA, MN 55345-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall he performed accordin�to
the approved plans and specifications,applicable Citv approvals,and the
State Building Code. This permit is for onl}�the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit wil]
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 anv time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buildins Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued Bv Sienature Date
SEPARATE PERMITS REQUIRED FOR WORIt OTHER THAN DESCRIBED ABOVE.
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i ',` ��oP�Y Address:
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Stormwater Quality Ovehay District Tier: (CirGe onel Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
'sen 1: EXISTING HAROCOVER
I;,: the followinq table identify all items of existing hardcover on the property, keyed by letter to
�:ertificate of SurveY(survey must accompany this form). Use as many lines as necessary to
:.,ilraEelV C1�2DICI eXlstlna F1�oCov@f SiBtUS O'F ih�DfQp@rty.
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