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Home My WebLink About2012-00258 - detached garage � � CITY OF ORONO * z 0 1 z - 0 0 z 5 8 * 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1685 FOX ST PIN : 03-117-23-44-0004 LEGAL DESC : HANSER ADDN : LOT 002 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : GARAGE-DETACHED ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS VALUATION : $ 6,500.00 NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) STORAGE BARN SHOP MUST BE 20 FEET FROM SEPTIC SYSTEM ADV PLAN REVIEW PD$95.88 ON PERMIT 2012-00257 APPLICANT PERMIT FEE SCHEDULE 147.50 HORNIG, STEVEN STATE SURCHARGE(VALUATION) 3.25 1685 FOX ST TOTAL 150.75 WAYZATA, MN 55391- Minnesota State License#: 2654 PAID WITH CC# 8926 OWNER HORNIG, STEVEN 1685 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�hc work fi�r which this permit is issued shall be performed according to the approved plans and specitications,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 cons[ruction 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 a[any time for due cause. �/ c� l 2 c�� 7 i / a— Applicant Permrtee Signat Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono � � �� .�7 5 Building Permit Application for New Structures or Additions ,.- -- Mailing Address: � _.� � � PO Box 66 Permit number: / ,� �� '`� Crystal Bay, MN 55323-0066 Date received: /o�.-� �� .v._ �;� `( �i;.�, ti� �`,` �r �,;, StreetAddress:' Received by: \��' � ��,'' ti�'�, 2750 Kelley Parkway Plan review fee: 5 (� e�-' �'�' `i;,t � +a�.'� p,/,, � t �'�� -%� Orono, MN 55356 ��a _ �� `\A�stto4.�. � ---_ ' Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �� -� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se�vice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �nvvt� C��;.��, � State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORM T N: � Name: / �� Phone (day): �— Address: l Cit :� ZIP: Email and/or Fax ` ` ` C ARCHITECT/ENGIN E I FOR TION: /�� Name: � (9 Phone(day): — / � Address: ,�i l� Cit : / ZIP: g� ��,� Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction ❑Single Family with ❑ Residence ❑Addition attached garage �Garage/Accessory Bldg. ❑ Public Sewer �.Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other:(specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑Other: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms=� �Wood/Frame b.Width(ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached= � ❑ Metal � ❑ Pole Bldg. c. Basement= �_ Detached= ❑ ICF d. 1S`Story = ❑On-site Prefab e.2nd Story= � ❑ Off-site Prefab f. 'h Story = f� ❑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 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 ❑ -�8— Wetland Buffer Im rovement Plan ❑ -8-- 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 completion of the as-built survey and all site improvements. � ApplicanYs Signat re: � c.�+ Date: � t� , i . � Owner's Signature: Date: � � V�i\� W City of Orono Building Permit Application `��SO��S for New Structures or Additions — Mailing Address: .C�� ` � PO Box 66 Permit number: �0/�- D �' ;,;Oy' �O�,,y Crystal Bay, MN 55323-0066 Date received: `f 9 .2_. !i �' I • Received b Q�.S �,,� .,��r �,!? Street Address: Y� ��`'�' �� ' 4` 2750 Kelley Parkway Plan review fee: 9S 88 �✓ C ;,�� „� �x��p�;� � ��.�x.�, g % Orono, MN 55356 _ sHo ,- a7oia-aaa -_–= " Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be re�urned. (Please print) GENERAL INFORMATION: � C„ ' Job Site Address: �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLI A T NFORN�4T� ION: � Name: �fsSdG/ State License# 6 - Expiration Date: 3-3 I-1 7i� Phone: - -/S7'Q office cell MailingAddress �[�Q� /,�/�¢c/z �¢ � City:S / ZIP: 5��/�- Contact Person: Applicant is: ��, n`�--� / Homeowner (Circle One) Email and/or Fax: 7`-�yyt L � .�/ i` �s� ��i�G� � C'ot.v(. `i- �',�/IQI'��J17� .�u�ll��(0(�l PROPERTY OWNER INFORMATION: � G�� ''^'�� Name: ��j/j�2 /�J¢L��/�l Phone (day): _�S� � _ -��y� Address: /��-' �� S�i City: �iZ�JL�v ZIP: Email and/or Fax ARCHITECT/ ENGINEER IN ORM ION: Name: ` 4 Phone (day): - - �c�� Address: C c Cit : ZIP: S�'y�� Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8 Water Supply ❑ New Construction �Single Family with ❑ Residence ❑Addition attached garage (�Garage/Accessory Bldg. ❑ Public Sewer �Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8�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) $ �', S"� , STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2. Type of Construction a. Length (ft.)= Number of bedrooms=� �Wood/Frame ❑ Masonry b.Width (ft.)= Number of gar e stalls: ❑ Metal Attached =� ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= � ❑ Off-site Prefab d. 1S`Story = ❑ Other(please specify): e.2"d StOry= � f. 'h Story = � g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit A lication ❑ ❑ Pro osed Buildin Plans ❑ `Q-- MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ —B'� Se tic S stem Site Evaluation Re ort ❑ �_ Access Permit ❑ --�-- Wetland Buffer Im rovement Plan ❑ —8-- En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering 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. ApplicanYs Signature: Date: ��(O �` � � o� O :, O CITY of ORONO � Municipal Offices �k„�:�,�z, ,a �� Street Address: Mailing Address: ,� � :,��, �� "�'�� ' � v n�,� ,ti,�' 2750 Kelley Parkway P.O. Box 66 ,� �'',�� Orono, M N 5 5 3 5 6 Crys ta l Bay,M N 5 5 3 2 3-0 0 6 6 �k.ESH�4 April 16, 2012 Nivin MacMillan 1685 Fox Street Wayzata, MN 55391 Re: 1685 Fox Street Building Permit Application#2012-00258 The City is in receipt of your building permit application which was received by this office on April 9, 2012. After a cursory review, 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. Please provide two (2) full-size certificate of survey meeting the City's survey standards (enclosed) indicating the location of the existing house and proposed accessory structure, showing existing topography and proposed grading as well as all other existing structures, landscaping, retaining walls and hardcover on the property. 2. Hardcover. Please have the registered land surveyor preparing the survey, calculate the hardcover, using the attached calculation worksheets. 3. Wetland Delineation. Northerly of the home is a wetland. Please provide a wetland delineation report. The wetland delineation must be approved by the Minnehaha Creek Watershed District (MCWD). The delineated edge of the wetland must be shown on the survey, along with the required buffer and structure setback. _ 4. Escrow 8� Escrow Agreement. Building 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. Additionally, the City's wetland regulations and wetland buffer requirements may be triggered by the project. Please review the enclosed information sheet regarding Construction near a Wet/and and following the instructions provided. 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(a�ci.orono.mn.us if you have any questions. Sincerely, CITY OF ORONO ' u�hr�U��-- C ristine Mattson Planning Assistant c Tom Larson & Charles with Aulik Design Group (via email) enclosures: Survey requirements, Hardcover calculation worksheet, Construction near a wetland handout and Escrow agreement Telephone (952) 249-4600 •Fax(952)249-4616 www.ci.orono.mn.us �la� Re�rie�r �hec�C�ist for �iew S�ructur�s / Ac�ditions p` ' %r Address / PID / Legal: �4 �� ` '� � `t � ,�� Description of work: M ,�:� ��l� ��, ��, � � ��,,,,,�� E Septic review by: '�r'l�s �'" Date Approved:__ �I — � I `' �� Zoning review by: ��' `°"�' a' ��y'� ��•" �� Date Approved: � '�"��' �,�� ;': Building review by: "•,,,.. Date Approved: � —S —�� Graciing review by: �l�i- Date Approved: --��'"�f� Zoning File#: '�'� Resolution#: �ID Resolution Date: "m`�"'�` Zonin District Fire De artment Post OfFice School District Zoning: Lot Area: �-t��%' `-�^2�y �6 tt>, �6 SF/AC Width: Depth: Survey Submitted: � 0 No Date of Survey: �� P� � Pro osed Setbacks: Front L e� Rear Street � � 5 � � N S E W �1 ( ) 1 ( � Other Buildings �!l6et-h�`id , Si Side �-�r�;,,*�� <� � � C�'� f�; ! �u f �j e � E : ' � d Building Defined Height: � BuildYing Peak Height: �=� #of Stories Ok?: 0 YES FOR A BUILDING WITH A BASEMENT OR CRAVVL SPACE: FOR A BUILDING O�!A SLAB FOUNDATION: t�� 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 flooN 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 ---'� % Shoretand District IViCWD Permit Received Avera e Lakeshore Setback Bluff 0 Yes � No 0 N/A � ❑ Yes No �es 0 No 0 Yes ❑ No Cd` N/A Permit Number: Setback: � Hardcover Zones Existing Pro osed Variance Require CUP Required yK> 0-75' o � �� ❑ Yes o � Yes o 75-250' ��•0`�"�4 ��'•�� TYPe�s)� Type(s): 250-500' �,'�'()�� 500-1000' �,�� , REIVIARKS (in-house): - Updated: 09/11/2009 z:\forms\plan review checklist.docx �. _.w __ _ _ . __ . �_: :_.. � � = E i L '� � � n. d � � c�n `;� .a � ,�/� a�. U �� = U � N N d °z � � W � �� ❑� � � w � a ' cfl tfl e» � � � o z `� � fn � � .c U "C � y _ � N O � � �I � � '`� II II II II � � � � � ' Z r � � o �j .a' ° ❑ a � � ez. Z �„' a � U L C3 � C � a�+ (0 N >�p � � � � � �� '�� r ` C.7 LL > (n J � W � M la �- ty a�'i � � C] L7 ❑ � ❑ � �-�.e . � N �` � c a�i � a, '� Z W t�= � v� .� � � � �� 1.� L � � ��/ � QL � �� _ � Q. LL � L U� r U � � � rn .� u� o n. Z � p c C U � � y�: � Q u.7 � � � U Q � p) � � �`� � � � C � d X X X X � � � � � � � � � � 6, � � � o � o � A iJ a � cnii ❑ 0O � '�'� � ti � c � � a�i o ;�` a m m � 000 � C, � �; 3 s o � G v �� a a�i �a O � ° u' :? � � o o d n. c e `" n- ' �; • a z � � � � z t) V � � �n �a � o � Z ;;� = � � y I � � u- � � d � �- � � �, 0 � } � � C ++ C1 � ?� �+ Y � Ct � ` � '� � Q J x aac�i� � v�iin � ainO � U 3 � � 9, . . � w p � � � f� p � � G� � 4D �- � �c C ' U � � O � � a�i a�i � d � 00 n rn� 't;� +`.. V � _ � m � .� � � � , 0 3 ;;, c � � o n, � � o o iA a"i �� 3 � � � N> � � o o � U � o � -� a � mo � u��i cn > �x � e rn � � � � IL � � O U c � C O � � � L Y G1 W � '�^� o m � " = C� � c � � o � � a � � m @ � � � iri � -o� �_ °° � `� � ° cn = �ia° �° � �i � QiiO � s � � � € F� w � � 0 17 � � �,;0 �� O Q � �N �. �_ . �. __ , . � __.._., � __ .a>..__. � .�. �. _ .. .. .. W._.�. _ . _, T _. .. ._ .� . .... .. .�. .. .._ _.. , _ _ _ _ ♦ � �l' 1,;� k ,t ,r ...�r�..1 � -��1� �-TARU CO VER CALCIJLAT WORK.SHEE1' �� `�'" �``� SET13:1CT4 ZON1;; (CTRCL�? ��1�E) 0-75' 75-250' 250-500' 500-1000' EXIS'1'ING T-��...It.DC;OVI.R IN ZONF, A. I-Iousc T_ x = �t�.b� S.F. Length Width • �.IG'�':i� +�'Cak�G.Ft x = ��iCs S.F. S}}�1� � = I oZ S.F. x = S.F. B. GaraSe ----- x = S,F, C. Di-ivew•ay x = �a3'�D S.F. -- X = S.F, D. s�d��,i�: ��sr X = z5s s.r. r�l_.�h�•r _ x = t -3 s.F. 5ov,•,'; � 3 E. Pa�io/lles�. _ :�s� �� ' x �t��".� 4b = �5r.� S.F. -,�-nos � w 40� x E 3 d' = 7 55 s.F. /J�-r.� 3 9 S F. Landscape. w R�.t-5 x = G�8 U S.F. Underlain '� r�.,� x = Z�^�- S.F. 13y Plastic __ x = S,F. Or I'abnc � G. Other _._ ___ x, = S.F. � � 8 TUTAL HARDCOVER IN ZONE - !Z2 0� S.F, A TOTAL PR�P�RTY AREA IN ZONE - � �"S 5 S.F. B A _ !Z 2 c 7 T B `��aCc� x 100 = . ! 3 .O 4 % 1'ROPOST?,ll ]�.�F1R1)(:OVrIZ TN ZONr A, I-Iouse _ x = S.F. Length Width x == S.F, .__._ x = S.F, _..—. X = S.F. I3. G�irngc x = S.I'. C. Driveway _ x = S.F. T X — S.F. ll. Sidc�F�alk _�_ x = S,P. X = S.F, ��-�t c�.��= r 0,,r-,I � /a 2, � E. Patio!Deck _ /'�r��-.rr� I'tt'>°�O x = -� 3 6 9 $ S,F. � N Z �.,�,,,- :�,,;. �r;�� ^�-a�� X = � 2 � S.F. W � �. � N F. Landsc�tpe •— - -- ;t'. = S.F, W I� 0 UIl(jZl'181I1 x � � By 1'lastic x _ S.F.W � O Or Fabric � � U G. Otlier ___ x = S.F. TO"1'AL HARllCOVER IN ZONE - /2 2G7'y��6 t g = !S 8 2 � S.F'. A TOTAL PROPLRTY ,�RE:A IN ZONE - �!35$�_S.F. B A /5�:� r� _ = B � ��$a�' x 100 = �l 6. 9 / °/a ♦ �,�, �� , ��.:�,��►,..� L- 2. r3 f �,�►�se�. ��a �-YA.I�COVER LCULATION WOItKSHEET �`��"! � � SET'13:1CTt �:ONI:; (CIitCL►; f�NE) 0-75' 75-2�0' 250-500' 500-1000' '��"��2 y�r'��'"� E�:IS1'ING T-��lt,�COVLR IN ZONF, A. I-Iouse T x = S.F. Lcnglh Width x = S.F. � = S.F. _ x = S.F. B. G�rase ._---- x — S.F, C. Driveway _ x = S.F. -- X = S.F. D. sidew<,lb: ---- x = s.r. _._, __ X = S.F, E. Pario/lleck .� x = S.F�. -- X = S.F. F. Landscape ^T x = S.F. Uuderlain � x = S.F. 13y Plastic �_ x = S.F. Or F'abi�ic G. Othcr W ALI� _ __ x: _ �� S.F. TOTAL HARDCOVER IN ZONE - �S S.F, A TOTAL PROP�RTY AREA IN ZONE L�.$�/L>C'�S.F. B t� _ c�� T B 489av X ioo = . , o.» �io y�opos�:z� �.�t�zz7�covrn rn� zorrr A. z-iot�s� _ X = s,�', ��,y�i, w�a�n x -- S.F. __._ x = S.F. --- -- X = S.F. B. G�ira�e x = S.I'. C. Driveway __ x = S,F. _ X = S.F. D. Sidewalk --- x = S.F. _ X = S.F. E. Patio/Deck _,_ x = S.F. — -- X = S.F. F. Landscape .— -- x, = S.F. UIl(�Zl'111I1 X = �' F' By 1'lastic x = S.F. 0 N Z Or Fabric -- W o O > N � G. Other ^__ x = S.F. (iJ `r � - V � Li. rl'U'1'AL HARDCOVER IN 20NE - S.F. � � � TOTAL PRQPLRTY,Al2k;A IN ZONE - S.F. � ---• — T B x 100 = % (, t � k�lr, ��.�..r�'�tG,..�,,..�-,n;:} �/' A 1 '��'t� �I.4T�COVER CALCULATION WOIZKS `5��°2 '`'`' c'y,�,�� SET13:\CTt 2;ON1;; (CI.ZCL►; r.iNk:) 0-75' 75-250' 250-500' 500-1000' I.�IS`1'ING T��_1tDC0V�R IN ZONF, A. I-lc�lise }_ x = S.F, Lcngth Width x = S.F. Y = S.F. _ x = S.F. B. Garagi; ^_--- x — S.F, C. Driveway ._ x = 4'�4-3 S.F. �_— X = S.F. D, Sidewalk ----- x — S,F. --- -- X — S.F. E. Pa�io/lleck _ x = S.F. �_ X = S.F. F. Landscape _� x = S.F, Uiiclerlain � x = S.F. 1�y Plastic _� x = 5,�, Or Fabric G. Other �.— ---- x. = S.F. TUTAL HARDCOVER IN ZONE - �'�¢ S.F, A TOTAL PROP�RTY AREA IN ZONE - 7S� C� S.F. B � _ 4943 + B ?,7�'U x ioo = . , o °io YROPOSFll �.�ARI)COVrIZ TN ZONE A. I-Iouse _ x = S.F. Len�;di Width -- X == S.F. __._ X = S.F. ---- -- X = S.F. 13. Garagc x = S.I'. C, Driveway _� x = S.F. _ X = S.F. D. Side�valk --- x = S.F, ^ X = S.F. E. Pa�io%Deck __�_ x = S.F. -- X = S.F. F. Landscnpe _ __ s:.. = S.F. Underiai.i _ x = S.F. IIy i�lastic x = S,g, O Or��abric � N Z w a o G. Other --- x = S.F. � `" Q W � 'f'U'1'.4L HARllCOVER IN 20NE - S.F.WA Q � 1'OTAL PR(�PLRTY,41�;A IN ZONE - S.F.�B � } A ---_ — � B x 100 = °/a F— � U r � 111 �. l�l � � �r��f L L!�� -IAI2�COVER CALCULATTON WOI2�{,SHEET s��'i2 �.'a ��t,+�,c SET13:1CTi 2:ON1:; (CIRCL►.'; ��NE) 0-75' 75-250' 250-500' 00-1000' E�I>'1'ING H�1Z.�COV�R TN ZONF, A. I-Iouse T x = S.F. Length Width _ x = S.F. Y = S.F. - X = S.F. B. Gara��c .__._--- . X — S.F, C. Driveway __ x = L33I S.F. --- x = S.F. D, Sidewalk ----- x = S.F. --- -- X — S.F. E. Patio/lleck � x = S.F. �_ X = S.F. F, Laudscape ^_ x = S.F. Underlain � x = S.F. 13y Plastic ^' x = S.F. Or I'abi-ic G. Other �._ _..__ � = S.F. `fUTAL HARDCOVER IN ZONE - /�3 S.F, A TOTAL PROP�R"I'Y AREA IN ZONE - �O¢ S.F, B � _ l33� T B Sd�� x ioo = . a,�, 37 �io �Ro�os�r> �i��it�c.ovrn r�r zoNr A. I-Iotisc _ x = S.F. ��,yc�, w�acn -- X =' S.F, -_._ x = S.F. _..__- -- X - S.F. 13. G�ir,lge x = S.r. C, Driveway _� x = S.F. — x = S.F. ll. Side�valk ---- x = S,F. — X = S.F, E. Patio/Deck -- — x = S,F. — -- X - S.F. F. T.andsc�pe .— ---- x''. = S.F. UIl(�Z1'�illll _._^ X = $.F. B}�1'lastic x = S.F. O Or Fabric Q N Z G. Otlier x _ W o O�, ---- - S.F.� � Q � W � � 'I'U'1'AL HARllCOVER IN ZONE S.F,C�A r 0 TOTAL PROPLRTY,�12�;A IN ZONE - g.p,W g � � � ---• — - B x 100 = % � U __'_��— DAT TIME . / CITY OF ORONO CALLED IN � �� INSPECTION I�O�C n/��SCHEDULED �o � ID. � PERMIT NO. ot 7J�� C LETED ADDRESS � OWNE� TELEPHONE NO. - -��`5�" CONTRACTOR � �� ; DESCRIPTION ��d' �� ❑ 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 ❑ SE�C FINAL ❑ FOUNDATION/REMOVAL � OWN�CONTRACTO— p T�i�l EET YOU• YES_NO � COMMENTS: � W � � J O � � O � ti � Q � Z W � W � � d W� �MVORKSATISFACTORY:PROCEED C,i PROJECTCOMPLETE W C CORRECT WORK&PROCEED r` ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ;� pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR =7 CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. w �'�' t White Copyllnspector's File Canary CopylSite Notice �,� `� e~Y ✓ / DATE TIME \ CITY OF ORONO CALLED IN �� g INSPECTION OTICE SCHEDULED � �� PERMIT NO. �I �-� �� COMPLETED ADDRESS � rC�X OWNER ��`� ��-��`��ELEPHONE NO�a�� — CONTRACTOR �� ; DESCRIPTION �� "'�y'l� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�.YES_NO � COMMENTS: � W � � J O � � O � W � Q ti 2 w � W � � GW �ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED C INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALIED IN �2 '� _� INSPECTION�TI E o�� SCHEDULED � - J•' 3v� PERMIT NO. / '��t� COMPLETED ADDRESS OWNE� ELEPHONE NO. ��^ � � �� CONTRACTOR "� �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � 2 w � w � � a � ❑WORKSATISFACTORY:PROCEED �PR6JECT COMPLETE W ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� Owner►Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice ' . : • • � • emo To: Finance Department From: Christine Mattson, Pianning Assistant CC: Street File ��/ Date: 1/4/2013 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permit#2012-00258 pertaining to 1685 Fox Street is complete. All inspections have been finalized. Please refund $2,500 to the applicant, Nivin MacMillan. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Nivin MacMillan 1685 Fox Street Wayzata, MN 55391 w:\street files\fox street\1685\escrow refund memo 2012-00258.doc BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2012-00258 AGREEMENT made this �f7 day of , 20��by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Nivin Ma illan ("Owners"). Recitais 1. A building permit application has been filed for an accessory structure located at 1685 Fox Street, the ("Subject Property"), legally described as Lot 2, Block 1, Hanser Addition, 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 reimbursernent 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 administenng the escrow accouni. 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 #2012-00258 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 responsib�e 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 eligibie expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subjee�--pr�perty pursuant to Minn. Stat. §§415.01 and 366.012. _ CITY: CI�Y Q,F O OWNER: By: � � '`� . , . �.�. �—/ I ts: ___�1�..-�''�r?_.��-�.s'4�� internal Use Only: �C7riginal to Planning, 0 Capy to Pr4perty O�nit�er ' a Copy to Street Fite i ( , � .. , I 1�; � IYIYf�fi . � � 7.�. t,i � tK:• : :"�:�{�j�� .. � , �� .. �! �;�4V�9.. ("�f: l�...��..1?, � E� ie {�' � . .. �.. ..�' �tt.�}: , ' y}.'�•r:.. .. . 'i:''c� � e_� I P�"d i, _�_._ j . . �-f�brw7r f� "4.h,..�,'J`i, � . . . .. .. 9p'ra.`i;; ��' :r;i ry :�iiC ' 'o ' .�. ;i'ata..# �'s1a �� ti .�.. � ' ... u` :.o�. . �?T,i;'U,fii(. r3 1'fF° 'r 1"r'i—r�',F%tii)CFmI" i�c�f��-rai: �. � :.i�. �,__ ,.. .._ .., . r�;r; , i;1 i. . . . � --_..............-__..,L...xc : GiiC'!'F, �..iS:=�{ 1w:.,;c;..i�,u'"' . � �.. . ��. s. ,.s._.. i,t`f . � i-�i1 Jr'. i iL�75,rbF�Y�Xdt3("�(��ai43', � � I�t:�a� l"��.=`'�` :r�i. ,,,. �`�µ�n�,�'. t�'t�tG�;':3R; .__. ._._.... ry.�..e � ., _�,.--.._�..__.�_�._...._�_ ..__ _ .__.._.._ j � ��v;;tj 1�`i!!i_` .tc .i�;1��' i .. � � .� � . . . � . . ... � . I � j �� .. . . . . . . . . . . f � .. . . . . � . � �� CITY OF ORONO * Z QJ 1 2 - 0 0 3 4 6 * 2750 KELLEY PARKWAY DATE ISSUED: OS/OU2012 ORONO, MN 553�6- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1685 FOX ST PIN : 03-117-23-44-0004 LEGAL DESC : HANSER ADDN : LOT 002 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: TIED TO BUILDING PERMT 2012-00258 PD BY NNIN S.MACMILLAN CK 7763 APPLICANT ESCROW FEE-BUILDING 2,500.00 HORNIG, STEVEN 168�FOX ST TOTAL 2,500.00 WAYZATA, MN 55391- OWNER HORNIG, STEVEN 1685 FOX ST WAYZATA. MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for tihich this permit is issued shall be performcd accordin�to the approved plans and specifications,applicable City approvals,and the State Buildin�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 perniit 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformancc with the State Building Code.This permit may bc revoked at anv time for due cause. / / / / Applicant Permitee Signature Date Issued Bv Si�nature Date SEPARATE PERMITS REQUIRED FOR WOKI�OTHER THAN DESCRIBED ABOVE. €3� +� _ __ _. _.__._ _____.. .._ __. ._. .__ __._ ,__. 0 � _ __ _ . � �: � � ', � 0 _ � y' - U t. i.. o•' `^" � � � �� o � o � .-.� V LL ,�'0 O � S� � � pp v� G � w � c �'i ;a a _� � I a �ci N N a �'.S3 [V , d 'c�,N ij � � r— � ��7 Oy N '..0� � � aC :�N � . � ❑ �- w « � o � � Q a�r , ,mrn , v v�,' L? L7 d � �o � i� � � � I o � N c Q � i a, _ �i � � o � �y � � N �i � C � .y ' � � N � � � �' I �� ' � � � � �c � _ � � � ` � � �' �, � � � � � � C C � D '_ L(1 :,.__�, N � � 9 -�L � � E � w a��i I�10� � � i o � �, � � °J i c � a a+ � � o � a a � � w � "� o. v j �- � � I � , Christine Mattson From: Christine Mattson Sent: Wednesday, December 19, 2012 10:26 AM To: 'toml@aulikdesignbuild.com' Cc: 'nivinmac@gmail.com' Subject: 1685 Fox Street/ Permit#2012-00258 Tom It has come to our attention insulation and final inspections at 1685 Fox Street have not been completed. Before the $2,500 escrow can be refunded to the property owner, the inspections must be called for and pass. Please call 952-249-4600 to schedule the inspections. Please don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical address) PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ `�3 952.249.4620 � 952.249.4616 � cmattson@ci.orono.mn.us � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday& Tuesday, December 24& 25, 2012 Tuesday,January 1, 2013 ��—�� v - `��r .. � �f ;� , �_ a �'.�'�� . % � -, r - �� ` ��J'� f . � / ; nf ' ��ia�F .�� . 1 �� I �r G ' ( �^� Jtl J J '�� '��,,�,,�.�� --� _ 1� � � r ,,. j��i� � I�� ^�`r; � _�..�. r; ,^y�� e� �� . �w„� � � (� �� ; x tl' ,,�; ,�" - � � , �'' - � .� ~`� v 9 1