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Home My WebLink About2009-00457 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00457 � 2750 KELLEY PARKWAY • ORONO, MN 55356- �ATE ISSUEn: 09/1 U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1880 FOX ST PIN : 03-117-23-42-0015 LEGAL DESC : WALDRON WOODS : LOT 1 BLOCK 1 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 250,000.00 NOTE: SEPERATE PERMII'S REQUIRED: PLUMBING,MECHANICAL,FIREPLACE, ELECTRICAL(STATE) THEY PRE-PAID A PLAN REVIEW,BASED ON A VALUATION OF$125,000.00. PAID ON PERMIT#2009-00456 IN THE AMOUNT OF $784.39 VIA CREDIT CARD ON 8/5/09. VALUATION CHANGED TO$250,000.00 THUS INCREASING THE PLAN REVIEW BY$487.50 WHICH THEY MUST PAY ON THIS PERMIT. AS OF 8/5/09,WAI"I'ING FOR 3 SETS OF SURVEYS. HE BROUGHT IN 08/06/09. APPLICANT JIM MORAS PERMIT FEE SCHEDULE 1,956.75 12237 NICOLLET AVE PLAN REVIEW 487.50 BURNSVILLE, MN 55337- STATE SURCHARGE(VALUATION) 125.00 (952)736-7545 TOTAL 2,569.25 Minnesota State License#: 20393854 OWNER BLUM, STEVE 1880 FOX STREET WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type ofwork shall be compied with whether or not specified herein.This permit will expire and become nuil and void if construction authorized is not commenced within l80 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 reques[ed in co ormance with the State Building Code.This permit may be re_ ed. an time for due cause. � ; ��;� �_ , , i i , d� � ��L.Q Ei`mCC67 � � -� /� ��(1� plicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I�.�::a�:D ��?i i I I5Q ; � --_:___.�_--- � �;�i` ;pa.�ar.��:?_ a�ue�;;� ! :;'°��^�_.._.. :�ai�c;dG rF�t�;. H"1;'� ��,a a.C; ' :.i�]:'�E:� ,,� [�^� ,_, y , 3ti�4.•T] L j f!„ '�� _i`Rti�,l j h�3'+:) i � --�_- , ��t�'j�' 'iC�`a.l ___�..----....--- ._ ��'�+J�...52n4� n� 'niid ', �f��iv-sl¢t ' � ' t�t;�;�I aa�;�g Kc� r19�i �!;�r'uU-6i!(i? ' S�?i��t�u � a�.��;� e�e�3 ��ii.''=��;a4�+ '��o i;??rh:� .t+)i ' ,�+,l2,.:3j�?� - � GS'.Zo^!. �3,�1�; •.�J '?��i i :.'.7}�t.'�C�--b'�G, s:�[I�,i�,' s{'.U,,1�; �3�t�l�SieF , � J�5�`'.--TQ? �; C;'^•r�j"; ��t�3Mf_ !`�-'_ r"�i ��:<-tb'l.Iik�' ''� 31 CNl•A3,� ' U.ii1Tt� ?l�i9}� �i;(}r; ';T ��ti tjSr'�,;�,'� :t�`�' i�i�:}3�; i i II ��?-��ic-r?�j `��.5� !1� �):tGJ� i r,Pm�,'.t�� (aCIJ;i '�'�i? � � C�iG"�! ,�`� ��Y; i s City of Orono Building Permit Application for New Structures or Additions Mailing Address: - ( > �,�,�. PO Box 66 Permit number: � �� -�� < <�4 � � � Crystal Bay, MN 55323-0066 Date received: �%� � `�.� � � � ` � a �� , Street Address:' Received by: �'•f� �1 i __- �',�, '�� ti 2750 Kelley Parkway:.��('`I� -�'(t(.`�- - Plan review fee: -�t� ��'�:� �� a '�� l ,- L9kESHo4'� Orono, MN 55356 `— Total Fee� �� ,f..,��s� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � 1�� %.� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) '�� .`�J`f GENERAL INFORMATION: � Job Site Address: � d �� /�/J� , �� Will this be a Parade of Homes, Remodelers Showcase Hom or other Display Home? ❑ Yes ❑ No If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the evenk Shutt/e bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: J ' s State License# ,3 Expiration Date: /(� Phone: a — � office cell Mailing Address: / � � / Cit : , ZIP: �3 7 Contact Person: J;,,,,, yy�,iq s Applicant is: ontractor Homeowner �c�►�ieo�e� Email and/or Fax: g� 73�� 7�U� PROPERTY OWNER INFORMAT�Iy: Name: .s�e.�� /vvr� Phone (day): '7�_� �t��as-'�7 Address: ��tj �x S�- City: �/jj/L� ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction ingle Family with �Residence ddition 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 �rivate 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) $ � �5�,).��':�` ` Last Updated: 6/22/2009 - 19 - � 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 garage stalls: Metal Attached = ❑ Pole Bidg. Areas in s4uare feet Detached= ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1S`Story = ❑ Other(please specify): e. 2nd Story= f. '/2 Story = 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 ❑ 0 Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ 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 appiication 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; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidentiai. 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 annuaily update our records and records of other governmentai agencies required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: � Date: �� l Last Updated: 6/22/2009 -20 - Pian Review Checklist for New Structures / Additions Address/ PID/ LegaL ��d 1`O X �'"'� ' � Description of work. ;,� �r,:,• ,�, . , � �j� �,('�c,:'� �' !j, � ,�- , , ,�- Septic review by: U - �U ' U j Date Approved: r' Zoning review by: Date Approved: � Building review by: Date Approved: q� Z - O�( Grading review by: � � Date Approved: � •2i —�� Zoning File#: Resolution #: Resolution Date: Zonin District Fire Department Post Office i School District Zoning: Lot Ar SF /AC Width: Depth: !� � Survey Submitted: Y s � No Date of Survey: 2 Pro osed Setbacks: �Front ake) Rear(Street) ( N S E W ) N S E W ) Other Buildings � Wetland � Si Side / � � i ; �( t �� J /� Building Defined Height: B��ng eak`�ieight: !� / FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement floor/ START the distance between the slab and the � WITH crawl space floor and the highest roof peak, ! WITH highest roof peak, the top of the cornice the top of the cornice of a flat roof, the deck � of a ftat roof, the deck line of a mansard line of a mansard roof, or the uppermost roof, or the uppermost point on a round or oint on a round or other arch-t e roof other arch-t e roof SUBTRACT half the distance between the highest SUBTRACT half the distance between the highest window and highest roof peak of a pitched window and highest roof peak of a roof itched roof SUBTRACT the distance between the basement floor/ ' ADD the distance between the slab and the crawl space floor and the highest existing highest existing grade within the grade within the foundation or 10 feet, foundation whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: N /` l SF % Shoreland ist ict MCWD Permit Received � Avera e Lakeshore Se back BI 0 Yes No I � Yes ❑ No � N�A p Yes ❑ No �q � ❑ Yes No Permit Number: Setback: Hardcover Zones Existin Proposed Varianc quired CU Requ� ed 0-75 � Yes No ❑ Yes No 75-250' �- Type(s): Type(s): 250-500' 500-1000' EMARKS (in-house): 2 �(� v'`� ^� t v -, 1 `�ti 1� �'U �b c��t�� ,;,''c,�'v-� ! , Updated: 07/01/2009 � � ��'T C-1 ��`� �� Qn � ` � ,l z:\forms\plan reviewchecklist.docx ir � -�( . � C; C�,)�� % 7 �y � �� _ �� ' Fees to be Char ed YES NO Permit f Plan Review State Surchar e ✓ Investigation Fee � SAC-Number of SAC Units ✓ Sewer Connection Water Connection Park Fee Site Inspection Other(specify) Miscellaneous Fees � Calculated B : UBC: Construction Type: S uare Foota e $ er S uare Foota e Basement X = $ 1 S Floor X = $ 2" FIOOr X = � Gara e X = $ Estimated Construction Value: $ �S��n � -� Orono Inspections Required Work Requirinq Separate Permits Required State Permits 0 Site ,0'Plumbing ❑ Grading / Filling 0 Well ❑ Hardcover Removal �Mechanical ❑ Fire ,0-Electrical Footing 0 Septic � Water Connection � Foundation Survey .O�Fireplace 0 Sewer Connection ,PrFraming 0 Masonry � Lawn Irrigation Insulation �fg. � Wall Board 0 Other (specify) � -Built Survey Final 0 Other (s ecif REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: � YES ❑ NO New: 0 YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 z:\forms\plan review checklist.docx � 2335 Highway 36 W ' St.Paul,MN 55113 Te1651-636-4600 Fax 651-636-1311 www bonestroo.com ,august 21, zoo9 �Bonestroo Ms. Melanie Curtis Planning and Zoning Coordinator City of Orono Post Office Box 66 Crystal Bay, MN 55323 Re: 1880 Fox Street File No. 000139-09000-1 File No. 2009-0457 Dear Melanie: We have reviewed the plans for a proposed addition to the existing home at 1880 Fox Street. The plans are dated 8-12-09. We have the following comments with regards to engineering matters: • The proposed addition will not create significant changes in the site grading. • This project will disturb more than 25, but less than 100 cubic yard of material. Sediment and erosion control information meeting the requirements of Orono's City Code 79-7(c)(1) must be submitted. The minimum $2000 sediment and erosion control financial security should be required of the applicant for this permit. If you have any questions, please call me at (651) 604-4894. Yours very truly, �_ � .. r--��----�—� _ � Darren Amundsen Cc: Tom Kellogg / '� TE TIME V CITY OF ORONO CALLED IN �� ' INSPECTION NOTICE /y� SCHEDULED � PERMIT NO. —�/ ��COMPLETED ADDRESS �� OWNER TELEPHON NO. �`SD� � l�` � CONTRACTOR �` � � >; DESCRIPTION L�GCJv� �c �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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: � W a � � O � � O � W � Q ti Z W � W � � � -� d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ C RECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN �� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� DAT TIME v CJ`-" . CITY OF ORONO CALLED IN � a� INSPECTION OTICE SCHEDULED a a -�� ;00 PERMIT NO.��`�� ? COMPLETED ADDRESS L g�d � s� OWNER CONTR._`��r�ti�1!�-� I3�c�� TELEPHONE N0. �SZ �� Z Z-o�-S � DESCRIPTION � ❑ FOOTING ❑ MECNANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � ❑ WALL BD. Z ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 � � �f" �� ' � � r � _ � � O � W � Q ti Z w � W � � � GW CI�ORKSATISFACTORY:PROCEED I-1 PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTtON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CA�I TO ARRANGE ACCESS. Call for the next in pe io�24 hours in advance. (952� 249-4600 OwnerlContractor on site• � Inspector_ White Copyllnspector's File Canary CopylSite Notice � _� �� _ ✓ � .DATE/� TIME CITY OF ORONO CALLED IN INSPECTION OTICE �D �-�CHEDULED � --��.. PERMIT NO. /c0 LETED ADDRESS � �� 7Z'�=�--�-/ OWNER TELEPHONE NO. CONTRACTOR �: DESCRI�TION �' � � ❑ 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 ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � fTC�C�� L � C�� :Yf o �Q � ��' � (" � `1 n O � W Q +'�o�--� � � . 6 . �� -� � .. � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ^, ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTtON REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site- � � Inspector. White Copyllnspector's File Canary CopylSite Notice �� DAT TIME CITY OF ORONO CALLED IN � G' INSPECTION E . /�/�(� HEDULED � �s✓P PERMITNO 7`�G.�'T��MPLETED � ADDRESS -C� OWNER CONTR. G�� TELEPHONE NO. � � �7�G1 - � �— Y��l -�IJS � DESCRIPTION ��-��--��._� �� ❑ FOOTING � MECHANICAL RI ❑ EX V/GRADING/FILIING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ IAKESHORE/WETLANDS O -�iNSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a � /v" l�id(�f'�- --�V v��kV �� O >. � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspectio 4 t�ours in advance. (952� 249-4600 OwnedContractor o s' e• Inspector. White pyllnspector's File Canary CopylSite Notice /� �� ,. �� / D�� /p TIME CITY OF ORONO CALLED IN � INSPECTION NO IC �CHEDULED .S d �� PERMIT NO. "� �/ 1CpMPLETE ADDRESS �� OWNER ` � CONT TELEPHONE NO. �� '��5 � DESCRIPTION ��-�'y�uh E�� ❑ FOOTING � MECHANICAL RI ❑ XCAV/GRADING/FILLING y �'F�RAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o —�f r1 M � �' !-'� �I��U`�L� c� ['�� j�� '� ��,.� (} � f- / CJ�>(S ��I � �s`�l� �-� . � � � � � i'1/l � S �� i?�vv•caC' ��;��-tf'�n �' �i n �v Q �`�� " c> � .`; fi . ,n f� ��} /�C, /4 t C� �. , � Z � �'v� �� r� ��5 L�✓� c1 � p, s <<.�s�s.�� j a ' W��WORK SATISFACTORY:PROCEED Ci PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46QQ OwnerlContractor on site: Inspector. �9 � r�� White Copyllnspector's File Canary CopylSite Notice S'�� DATE TIME ✓ CITY OF ORONO CALLED IN �2' 1?'!� INSPECTION NOTICE � SCHEDULED /a.�9 �o� PERMIT NO. ��'OO�S7 COMPLETED ADDRESS �� 0� S� OWNER a�/2 d� TELEPHONE NO.,�O �� v�-91�Oylq CONTRACTOR �: DESCRIPTION � ,. � _..__.-- � �i�� TIME CITY OF ORONO CALLED IN �� i.�TT ! V'eZf% INSPECTION NOTICE SCHEDULED ��_ � ✓6 PERMIT NO.a�� COMPLETED �— ADDRESS ��a � `�� OWNER CONTR. G�'�� TELEPHONE NO. G�`a 'S�� DESCRIPTION ��`� - W ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADINGiFILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLr�NDS Q ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA� O ❑ INSULATION ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Z PROGRESS �L ❑ FINAL ❑ SEWER HOOK-UP � � SEPTIC MAINT. ❑ COMPLA�NT ❑ DEMO-SITE � ❑ FOLLOW-UF � ❑ DEMO-FINA� ❑ SEPTIC INSTALL. _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER RcMO'JA� ❑ PLUMBING FINAL �� FOUPdDA?ION/REMOVAL J ' Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w � � --- J � � )U � Dl� - � 0 � W � Q � Z W --- � W pC --— � Cj i i PROJECTCOMPLETE W KSATISFACTORY:PROCEED � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W TEMPORARY O ❑CORRECT WORK,CALL FOR REINSPECTION U BEFORE COVERING PERMANENT ❑CdRRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ��CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR i� INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. � Whi1e Copyllnspector's File Canary CopylSite Notice � � . : . . 1 • emo To: Finance Department �' � � ��/ From: Christine Mattson, Planning Assistant ,�I �U Date: 5/9/2011 Re: Building Permit Escrow Refund Building Permit application 2009-00457 pertaining to 1880 Fox Street is complete. The Applicant, Steve Blum, has requested a refund of the application escrow. The following is attached: • Escrow Refund Request • Original signed escrow agreement w:�street files\fox street\1880\escrow refund memo 2009-00457.doc � � BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2009-00457 AGREEMENT made this � day of f� , 20 ur� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and >i�'a( i��-��M (°Owner"). Recitals 1. Building permit applications have been filed for a new principal structure located at �`C�l.:.� �� '(` �! r the (°Subject Property"), also legally described as (see Exhibit A). 2. Owner requests 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 Owner 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 Owner 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 #2009-00457 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 Owner. Owner shall be responsible for payment to the City within 30 days of the Owner s receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owner does not make payment to the City within the timeframe outlined in #3 above, the City may draw from the escrow account without further approval of the Owner to reimburse the City for Eligible expenses the City has incurred. The City shall notify the Owner the Owner of such draw and the nature of the expense for which the reimbursement is being made. If the Escrow amount falls below 75% of the original escrow amount the Owner shall deposit additional sums as directed by the City, or the City shall discontinue review and post a Stop Work Order. 4. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owner when the review has been completed and written notification is received from the Owner requesting the funds. 5. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, 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: CIT �OF OWNE . �, �-----,. z By: � gy: Its: � (i�, y�t '�'-,, � By: �� / �,�I�lr'U� � � i i i , i - - � : r" �_" (�� _� v �----------------._.------_--_-.---------------------- ---- -- --------- i � _.,_ ��-� --- -j �; -------- �` �-----V��'�� ---- � - -- 'R 2 g : _ - --.��___.________. - -------------------- ----- �ITYOFOR�C��r� . � � ^ _ _ %---- - �-- - _____..---- -- - - - I � i J_� ��-- � �. v( �'�___ `/'�l 6"`�= ��_--- ' ' ��v----��_��-_�� - __ _--- --'— - � � �-- , ------ -�------____ ' � _ _—_<-L'�� e�� .��' _ �'�':�,� --- -- _ -- ----a G� --- ----- ------------------- i - �---�,� ��------.----------- ; _____ � _ ___ ,� �� _�� _._ � .� � +__ - - � �f ` _ - �I �� s "�=�-� � r�� -� e�'�/-�o�� 1��..� , -- � �— �- /�C�� i � _�`� _ �2.�� -- ; � --- - - � � ��o �� a�`�'c.�;� �, S�5^'�/ � — � -----------------�— - - _ � -------- ----��`� - - - - � �� ! - --- ---------- ----- ----__ � - _ � --- ----- ----..--- -- ----- _. - , � ' I _ - ----- -- - ---- � _----- __ _ _ __ - __ _ ___ __--_ _ ____ _ � i ; �� ._ ,. . . � � ..: : �.._ g01 S ...v _. . _ . � �.� ��=824W27,8 ..:'.-..;��. - r��y*' s-�. �. , ..� � STEVEN D BLUM � �,,,,,� VV BLUM n�� DEBORAH -TRA1L �} ` ;:1 1 31 V�ILDHURST I � -_ �„�,�s�"`i ORONQ,MN 55364 '�r7`�U ; _ � ��" � � ��lars � 6 pa�to the � i "C7rder of a i � _ �ostan � ient�fic , �„ ..'__�_____._---- : .,5 c��'L'��,1 , = �„y,��+��t1""?�° �_-- �'" l 'C.:u" n�9 0 L 8 . Far ': . ;:.;... :' �: 2 ? i99 2`400�: 2 3 L000� 5 ? 5 78 29 nanane�c�a.Ks . .. . � Checklist for Refunding Building Permit Escrows , Building Permit # ��'�� Street Address: � � � -��C':�" Applicant Name: ��,�,�� Escrow request received Date: �C"'Z-�� (to be completed by Barb) Are all inspections completed? es ` No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes No Date: Was there a Final Certificate of Occupancy issued? Ye N Date: r � ��Clin � � �- �-�'�� -. � Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: �`� �1�- � -fh��i� �rom � �{��rr� U.� �� . L.0� Prepare memo for Finance Department ��t/t�-- �� .-�t�� ^' ��'C,�i� `((�(��I�� ❑ t e�-t�►— ----��f��---- �s�a `"_ .� z:\forms\zoning standard forms\checklist for refunding building permit escrows.doc December 23,2010