HomeMy WebLinkAbout2012-01177 - new structure '" � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 2 - 0 1 1 7 7 *
, DATE ISSUED: 12/18/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1860 FOX ST
PlN : 03-117-23-42-0016
LEGAL DESC : WALDRON WOODS
: LOT 2 BLOCK 1
PERMIT TYPE : NEW STRUCTURE
PROPF.RTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SINGLE FAMILY
ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED
VALUATION : $ 750,000.00
NOTE: SEPERATE PF,RMITS RN.QU[RED: PLU�v1BING, MF;CI IANICAI„SEPTIC. I�I[ZEYLACI�:. LAWN IRRIGAI�ION, WGLL(STA'I�E),
GLEC'I'RICAL(S"I'A"I'E)
NO"I�E: AS [3UlLT SURVEY REQUIRED PRIOR TO CGRTIFICA�I�E O1�OCCUPANCY ISSUANCF.. INITIAL:�'�.�
NO"I E: BE AWARE, IN THF, EVENT WEATHER OR OTHER CONDIT[ONS PREVEN"I'TI IE COMPLETION OF AN AS-BUIL"I SURVGY AT
"I�H1:TIMF,THE CERTIFICA"CE OF OCCUPANCY IS REQUESTED,A TEMPORARY CER'TIFICA7�E OF OCCIJPANCY MAY 13E ISSUED
UPON RECEIP"I'OF A$10,000 ESCROW TO ENSURE COMPLE"�ION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS.
INI"I'IAL:�
APPLICANT PERMIT FEE SCHEDULE 4,706.75
SWANSON HOMES STATE SURCHARGE(VALUAT[ON) 375.00
1360 HAMEL ROAD
MEDINA, MN 55340- TOTAL 5,081.75
(763)478-0320
Minnesota State License#: 627982
OWIVER
OLSON, MICHAEL&JENNIFER
3924 UPTON AVE S
MINNEAPOLIS, MN 55410-
AGREEMENT AND SWORN STATEMENT
The work f�ir which this permit is issued shall be performed according to
thc approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant pennission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this rype of work
shall be compied with whether or not specified herefn.'I'his pennit H�ill
expire and become null and void if construction authorir.ed is not
commenced�vithin 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 t��� (/e caus�
: /
` i i2 i l� iiZ- i i
Ap ic ant Permitee Signature Date Issued Bv ignature Dalc
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A .
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City of Orono
Building Permit Application
� for New Structures or Additions
Mailing Address: Permit number: /ot—D/ / 7 7
�i,0,� PO Box 66
� 0 Crystal Bay, MN 55323-0066 Date received:
� a StreetAddress:' Received by:
��� G�F 2750 Kelley Parkway Plan review fee: � id-D//7�
�ESHOg� Orono, MN 55356
Total Fee: 3j �S� 3�j
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: l �(,� �; �:� S-� �'�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? �Yes ❑ No
lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: `� i..�.-�,�`���,� :��
State License# C,�j ;�7 Y� = Expiration Date: /3
Phone: �, 7 " � ��; ��; office I Z 3 . � �� 5 cell
Mailing Address: c;��� �t,•K,c1 ��� � Cit : � � ,�,� ZIP: S�� -
Contact Person: cc.'�--� �w A,.y x,�., Applicant is: ntractor� / Homeowner (CirGe One)
Email and/or Fax: � �L�� � �,,.��-,��,,.,N,�,�S. ��_�
PROPERTY OWNER INFORMAT�ON:.
Name: J�1� � �,�r c-� ct�r-�k j�N�i�-�� G�So s�I
Phone (day):
Address: ���2� � ,� „�
Email and/or Fax �l' � S��'' City: ��L� ZIP: 55�{(C
�IC �( �.. 2, � l���, �.;_,+�
ARCHITECT/ENGIN�, INF MATION: •
Name: ,Jz `
Phone (day): _ Z � �
Address: _ �j'i vc= (�..� (}-�,�.,�..r.�. City: ����;�`� ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal&
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) $ � �� CTClv
Packet Last Updated: 03-06-2012 ,
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STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions(continued} 2.Type of Construction
a. Length (ft.)= Number of bedrooms=� ��/,/ood/Frame
b.Width (ft.)= Number of garage stalis: ❑ Masonry
Areas in square feet Attached =� ❑ Metal
� � ❑ Pole Bldg.
c. Basement= ; �� � Detached =� ❑ ICF
d. 15f Story = � 5 ❑ On-site Prefab
e. 2nd Story= 1 � ( I ❑ Off-site Prefab
f. '/z Story = ❑ Other(please specify):
g.Total Area= 5�3 5
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
❑ ❑ 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 I
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.
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Aprlicant's Signatur ,_�
� Date: j % �s_�� Z___
Owner's Signature: Date:
Packet Last Updated: 03-06-2012
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Plan Review Checklist f�r Nevv Structures / Adc�itions
�' ` Address/ PID/ Legal: �� �� �'""-� � �^�-s
s , � �
Description of work: Y�'�` �' •�� � f�
Septic review by: � Date Approved:�- ��' ��
��" P a� .
� Zoning review by: � ��G�d� '�� ���'Date A roved: � k
"b PP � �, � E�'�v��
Building review by: Date Approved: Z -1 D �o
Grading review by: � R� Date Approved: / oJ �i
Zoning File#: �'�e�'`� Resolution#: �°k�� Resolution Date: �'r����
Zonin District Fire De artment Post Office School District
� �c�.� � e`�. ���" fd'�'�d%� a,� � �d� ,.��
Zoning: Lot Area: �� . �;� SF/AC Width: �;��.� Depth: �° ���QE�'� `"�
Survey Submitted: I�1'es ❑ No Date of Survey: e<°e'� �:�� L�t° �
Pro osed Setbacks:
� Front(�Ice) Rear(�et) � � �� E W 1 l �' � E � ) Qther Buildings Wetland
` Side Sicie
� �(��` � �e�� `� � `��;�� � `� ;� �.
� a� � � ��
; Building Defined Height: �� .�� Building Peak Height: �� � #of Stories Ok?: ,���YES
FOFt Q,BUILDING WfTH A BASEMENT OR GRlBWL SPACE: FOR k BUILDING ON A SLAB FQUI�DATION:
� 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: �" F� SF � %
Shoreland District MCW� Perrr�it Received Avera e Lakeshore Setback Bl�ff
� Yes 0 No � N/A � Yes � No
� Yes �{ No 0 Yes � No N/A
Permit Number: Setback:
Hardcover�ones Existin Pra���ed Variance Re uirec� CU� Required
0-75 � Yes No � Yes J�'No
75-250' Type(s): Type(s):
250-500'
500-1000'
�
REMARKS (in-house):
Updated: 09/11/2009
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Fees to be Char ed YES NO
Perrnit
Plan Review
State Surcharge
� investigation Fee
SAC—Number of SAC Units � � �
Sewer Connection
,`
Water Gonr�ection
Park Fee
Site Inspection
Other(specify)
Miscelianeous Fees
Calculated By:
Square Foota e $ er S uare Foota e
Basement X = $
1 St Floor X = $
2nd Floo� X = $
Garage X = $
;':
Estimated Construction Value: $ �I 50�t300 °�
3
� Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site Plumbing � Grading / Filling ell
� 0 Hardcover Removal echanical 0 Fire Electrical
Footing Septic � Water Connection
Poured Wall Fireplace � Sewer Connection
Foundation Survey 0 Masonry [fYCawn Irrigation
Radon Rock Bed �Mfg.
Framing 0 Other (specify)
nsulation
� s-Built Survey
�inal
Q Other(specify)
�
REMARKS (in-house):
�
Other Review: Reviewed by: Date Approved:
Access:Existing: � YES 0 NO New: � YES ❑ NO
ftEMARFCS (TO BE NOTED ON PERMIT AfVD INITIALLED BY PERSON PULLING RERMIT)
Updated: 09/11/2009
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New Construction Energy Code Compliance Certificate ����� ���
Per N 1101.8 Building Certihcate.A building certificate shall be posted in a pennanently visible location inside the uate Certificate Posted
• building. i he certificate shall be complered by the builder a�id shall list infonnation and values of components
IistedinTab1eN1101.8. ����• ��•
Mailing Address o(the Dwelling or Dwelling L'nit Cih�
1860 Fox Street Orono 212320
Name of Hesidential Contracror MN I.icense Number
SWANSON HOMES, LLC
THERMAL ENVELOPE RADON SYSTEM
Type: Check All That Apply X Passivc(No Fan)
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n, T Active(With fan and monometer or
H p � other system monitoring device)
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Insulntion Location � '� � � � V � � � r
� � �° °.o � � � -o �ti
� 7 � ^J rJ b � C ?D CO
�° ,= z° 'r.�,'_, � � �.°, � z �, Other Please Describe Here
Below Entire Slab �0 X
Fbundatlon N��all �J X Type in location:interior eMerior or integral
Perimeter of Slab on Grade 5 X
Rim Joist(Foundation) 2 1/4�� X Type in location:interior ez�erior or integral
n
Rim Joist(1s'Floor+) 2 1/4 7ype in�ocation:intenor extenor or integra�
H'ap 19 X
ceiling,flat 44 X
Ceiling,vaulted 35 X
Bay Windows or cantilevered areas 35 X
Bonus room over garagc 3$ X
Describe other insulated areas
Windows 8 Doors Heating or Cooling Duds Outside Conditioned Spaces
Average U-Factor(exc/udes skvlights and one door)U: 0.31 Not applicable,all ducts located in conditioned spacc
Solar Heat Gain Coeflicient(SHGC): 0.31 R-value
MECHANICAL SYSTEMS Make-up Air Seleeta Type
Applianeas Heating System Domestic Water Heater Cooling Systein X Not required per mech.code
Fuel Type Nat Gas Nat Gas Elect Passive
Manufacturer Br ant Rheem B ant Powe�'ed
[nterlocked with e�aust device.
Model AAV042100 Power Vent ANA13048 ���r�be:
[nput in 100,000 Capaciry in 75 (hitput in 4 Othec,describe:
Rating or Size BTUS: Galbns: I ons:
Heat Loss: 80,1 16 Heat Gain: 40,841 Location of duct or system:
Structure's Calculated
AFUF'or y2 SFER: 13
HSPF°6
48.000
Efficiencv Cfm's
"round duct OR
Meehanieal Ventilation Sysfem "metal duct
Describe any additional or combined heating or cooling systems if installed:(c.g.two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up furnace): Not required per mech.code
Select Type X Passive
X Heat Recover Venrilator(HRV) Capacity in cfins: L,ow: I 10 High: 150 Other,describe:
Energy Recover Ventilator(ER�Capacity in cfins: Low: High: L-ocation of duct or system:
Continuous e�austing fan(s)rated capaciry in cfins: 100 Furnaee room
Location of fan(s),describe: Main/Master/Panasonic Whisper Cfm's
Capaciry continuous ventilation rate in cfins: ��Q 6" FLEX 4.2
Total ventilation(intermittent+continuous)rate in cfins: 330 "metal duct
\�� DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED — �' �
PERMIT NO. �� -D ��7 7 COMPLETED �
ADDRESS �� � _ �
OWNER ELEPHON NO. � �
CONTRACTOR ���'�C��'Yt �P�J � ����
>; DESCRIPTION G����¢��
lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F�LLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOH TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. ��s
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN J- z�/-1 3
INSPECTION �i�IC SCHEDULED �—�v� 3 "" ✓�
PERMIT N0. �`�' � dl� � co LETED
ADDRESS �
OWNER TELEPH NO �a ^��� �
CONTRACTOR ��/l� �
>; DESCRIPTION ��/���'K/� " "�� �fi�
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
T ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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❑STOP ORDER POSTED.CALL INSPECTOR -, CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN ���z�' ��
INSPECTION N�TICE SCHEDULED 1� --�-�-t�''r�
PERMIT NO. � C/� C'��� 7 7 COMPLETED
ADDRESS � �Ll' C� �� L%�1' ,S� �_ ,__ �
OWNER TELEPHONE NO. �( I� - ��k�����-3
CONTRACTOR c>�,�e�i"�SL��'1 �I(.�`YYt'�.�
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4~j ❑ FOOTING ❑ PLUMBING FINAI. ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORENVETLANDS
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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
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �952� Z49-4600
Owner/Contractor on site:
,
Inspector. 4���.�
White Copyllnspector's File Canary CopylSite Notice
5`� ' DAT TIME �
CITY OF ORONO CALlEO N — ��� ��
INSPECTION yOTIC�E D/�77 SCHEDULED �a'� ' �a'" ��� �
PERMIT NO. ��D/�� COMPLETED
ADDRESS ���� " ( �- �
OWNER TELEPHONE NO.��� �d �g��
CONTRACTOR ��2��
�: DESCRIPTION ����� �
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL fNSPECTOR ']CITATION ISSUED
C INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. i � �
White Copyllnspector's File Canary CopylSite Notice
TE TIME �
CITY OF ORONO CALLED IN �
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PERMIT N � � LETED
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
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v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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❑ INSPECTtON REQUIRED.CALLTO ARRANGE ACCESS.
Call torthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site: I �/ . �"'7 _� ��
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � D TE TIME
� �
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INSPECTION N'OnTICE SCHEDULED -
PERMIT NO. �`�/�2- D �� OMPLETED
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� DESCRIPTION �
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HP�RB'COVER REMOVAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
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❑ INSPECTION RE�UtRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on sjte: .
Inspector. `
White Copylinspector's File Canary CopylSite Notice
� � � AT TIME ,/
ALLED IN — "— � "
CITY OF ORONO c �
INSPECTION NpZIC� a�/,� SCHEDULED — � �� �
PERMIT NO.oLU/ OMPLETED
ADDRESS �� �
OWNER TE HONE NO. ��G`���
CONTRACTOR �i�����--
� DESCRIPTION /����'� �� �a��'� ,
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
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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
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� COMMENTS:
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V BEFORECOVERING PERMANENT
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCont t te:
Inspect
White Copyllnspector's File Canary CopylSite Notice
�S � DATE TIME V
CITY OF ORONO CALLED IN
��
INSPECTION �;I�E SCHEDULED ,O� �
PERMIT N���L "�`l COMPLETE
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>; DESCRIPTION �`'�v�-- �. O.
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y
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerfContractor on site:
Inspector. � -�
White Copyllnspector's File Canary Copy/Site Notice
. •
. . • .
1 .
emo
To: Finance Department �i i►-'
From: Christine Mattson, Planning Assistant
C �
CC: Street File
Date: October 28, 2013
G/L: 101-22205
Re: Escrow Refund
Building Permit#2012-01177 pertaining to 1860 Fox Street is complete. A final certificate of
occupancy was issued on October 11, 2013. Please refund $10,000 to the property owner,
Michael & Jennifer Olson.
The following is attached:
• Email from Bolton 8� Menk indicating no unbilled WIP on this project
• Email from Campbell Knutson indicating no unbilled WIP on this project
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Michael & Jennifer Olson
1860 Fox Street
Wayzata, MN 55391
w:�street files\fox street\1860\escrow refund memo 2012-01177.doc
Christine Mattson
From: David Martini [davidma@bolton-menk.com]
Sent: Wednesday, October 23, 2013 1:03 PM
To: Christine Mattson
Subject: RE: WIP
I don't be�ieve we have any time for these projects.
Thanks.
David P. Martini, P.E.
Bolton 8� Menk, Inc.
P: (952) 448-8838 ext. 2458
M: (612) 756-4315
email: davidma(a�bolton-menk.com
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Wednesday, October 23, 2013 12:57 PM
To: 'SherryCharboneau'; David Martini
Subject: WIP
Hello
Please let me know if you have any unbilled WIP for the following. Thanks!
Applicant Address Building Permit# Land Use#
Rochel,Anthony &Surya 125 Turnham Road 2012-00589
Maple Place LLC 1579 Maple Place 2102-00547
Rezabek, AI 4185 Bayside Road 2013-00557
Olson, Michael &Jennifer 1860 Fox Street 2012-01177
Landsource, LLC 1535 Minnie Ave 2013-00112
Nafstad, Erik 1370 Cherry Place 2012-00853
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono MN 55356 (physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
� 952.249.4620 J 952.249.4616
� cmattson@ci.orono.mn.us � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
This email has been scanned by the Symantec Email Security.cloud service.
i
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Wednesday, October 23, 2013 2:50 PM
To: Christine Mattson
Subject: RE: WIP
Hey Christine,
We have no unbilled WIP for the matters listed below.
Did you ever see the commercial with the camel walking through the office???
It is HUMP day! I think it is so funny!
Have a great Wednesday.
Sherry
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317• Eagan,MN 55121
� (651)234-6230• Fax: (651)452-5550
� scharboneauCo�ck-law.com•www.ck-law.com
From: Christine Mattson [mailto:CMattsonCa�ci.orono.mn.us]
Sent: Wednesday, October 23, 2013 12:57 PM
To: Sherry Charboneau; David P. Martini
Subject: WIP
Hello
Please let me know if you have any unbilled WIP for the following. Thanks!
Applicant Address Building Permit# Land Use#
Rochel, Anthony&Surya 125 Turnham Road 2012-00589
Maple Place LLC 1579 Maple Place 2102-00547
Rezabek, AI 4185 Bayside Road 2013-00557
Olson, Michael &Jennifer 1860 Fox Street 2012-01177
Landsource, LLC 1535 Minnie Ave 2013-00112
Nafstad, Erik 1370 Cherry Place 2012-00853
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono MN 55356 (physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
`I�° 952.249.4620 � 952.249.4616
� cmattson@ci.orono.mn.us �U www.ci.orono.mn.us
i
TEMPORARY CERTIFICATE OF OCCUPANCY
ESCROW AGREEMENT �
Orono Building Permit#2012-00�1"r7�' ��
AGREEMENT made this � day of -��='l� ,,20�, by and between the CITY OF
ORONO, a Minnesota municipal corporation ("City°) and,�Vlichael&Jennifer Olson ("Owners").
Recitals
1. Construction of the new residence located at 1860 Fox Street the ("Subject Property"),
legally described as Lot 2, Block 1, Waldron Woods in Orono, Hennepin County
Minnesota, is the subject of building permit application number 2012-01177 has been
completed.
2. Winter conditions currently prohibit completion of exterior improvements, final grading,
and vegetation establishment. An as-built survey cannot be accurately conducted at this
time.
3. Owners request the City issue a temporary certificate of occupancy ("TCO") to the
Owners so that the Owners may occupy the new residence.
4. The City will issue a TCO only if the Owners establish an escrow to ensure completion of
exterior improvements, continuation of erosion control and submittal of an as-built survey
to the City.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit $10,000 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 assure completion of any
exterior improvements, final grading, establishment of vegetation as well as 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 #2012-01177 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.
155441
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.
7. ACCESS TO SUBJECT PROPERTY. The Owners hereby grant to the City, its agents,
employees, officers and contractors, the right to enter upon the subject property for the specific purpose
of inspecting and completing any exterior improvements, final grading, establishment of vegetation and
the restoration of the subject property should the Owners not compiete the work by the specified dates.
CITY• F OF�ONO OWNERS:
By:
��—�
�tS:
;`i
C
lriterrial Use Only: ��riginal to Einance'Department '-1�GopytoStreetfile
155441
uf 0.•onc� ,
`'R�ir Ke11ey [�aricway ?5;-c49-�+6�G
���. ;5?5G
Receiat No: �.U�v9i9� �u: "c, �'i)i�
5wa���s�7r; �ioine. ,�i�
Freviou5 r6'ai3Y��e,
;�Et~mit5 '.�'vG.i"�
�U12.-U060it iBE,il "t��;
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it'Jl-�c�U� ------
➢��erred Rev-De���eluper Ueuo�i� ?,5i�i;.i`�
3t�ta1: —__=-___""="--
Lhec4�.
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Cneck. No: 3i6��
Gavvr•: ��Sr;�.C�l?
�WdY�50Y� �t�Td�S _---
ir�t�i �;GP%ied: _._-----~___ �tiJ
Cnar,ge T�Y�dEi"��: =____=_-___-'-
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�,i i � v. ._,�_�_ . � F C YJ 1 � r� ,v v .. ,
2750 KELLEY PARKWAY DATE ISSUED: 07/02/2013
ORONO, MN �5356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1860 FOX ST
PIN : 03-117-23-42-0016
LEGAL DESC : WALDRON WOODS
: LOT 2 BLOCK 1
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIv TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: TIED TO BUILDING PERMIT#ZO12-Ol 177-PAID BY:SWANSON HOMES CK#31602
APPLICANT ESCROW FEE-BUILDING 7,500.00
SWANSON HOMES TOTAL 7,500.00
1360 HAMEL ROAD
MEDINA, MN 55340-
(763)478-0320
Minnesota State License#: 627982
OWNER
OLSON,MICHAEL&JENNIFER
3924 UPTON AVE S
MINNEAPOLIS, MN 55410-
AGREEMENT AND SWORN STATEMENT
The work fbr which this permit is issued shall be performed according to
[he 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 assurin all required inspections aze
requested in conformance with th tat ilding Code.This permit may be �j
�evoked�Y�iv time tbr d aus ���
� �.i� �i�- � % i �7�-/ 3
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2012-01177
AGREEMENT made this I���day of � �nv�Vl{�t� , 20 ��,- by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and Michael &Jennifer Olson ("Owners").
Recitals
1. A building permit application has been filed for a new principal structure located at
1860 Fox Street the ("Subject Property"), legally described as Lot 2, Block 1, Waldron Woods , 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 #2012-01177 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 NO� OWNER:
� � � ` ��� �, l�
By: �� ; �
its: -5"��� ���h-�-� �
tr�ernal;:Use Qnly: 0 Originai to Pi�nning ; L1 Copy to Property t3wner �Copy to Stre�'�fte
� � CITY OF ORONO * z 0 1 2 - 0 1 z 5 2 *
27�0 KELLEY PARKWAY DATE ISSUED: 12/18/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1860 FOX ST
PIN : 03-117-23-42-0016
LEGAL DESC : WALDRON WOODS
: LOT 2 BLOCK 1
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: ESCKOW TIED TO BUILDING PERMIT#2012-01177 FOR NEW HOME,PAID BY BUILDER: SWANSON HOMES CK#30375
APPLICANT ESCROW FEE- BUILDING 2,500.00
SVb'ANSON HOMES
1360 HAMEL ROAD TOTAL �,500.00
MEDINA, MN 55340-
(763)478-0320
Minnesota State License#: 627982
OWNER
OLSON, MICHAEL&JENNIFER
3924 UPTON AVE S
MINNEAPOL[S, MN 55410-
AGREEMENT AND SWORN STATEMENT
The work fbr��hich this permit is issued shall be performed according to
thc 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 rclated work which reyuires 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 afrer 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
'evoked at any time for due se.
�� � IZ / 18 / (z- l l
Appl�cant Permitee Signature Date Issued Bv S' nature D
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOV .
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NAVARRE.MN 55392 Z750 KELLEY PARKWAY/P.O.BOX 66
CRYSTAL BAY,MINNESOTA 55323 �5��
(952)249-4600 �t0
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10/28/2013 'S 10,000.00
""Ten Thouaand and 00I100 Dollara"'
PAY �^
TO THE MICHAEL OLSON
ORDER 1860 FOX STREET
OF WAYZATA MIV 55391
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