HomeMy WebLinkAbout2011-00103 - addn/remodel/repair ' ' CITY OF ORONO PERMIT NO.: 2011-00103
2750 KELLEY PARKWAY
ORONO, MN 55356- DA7'E ►ssuE�: 04/OS/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2650 FOX ST
PIN : 04-117-23-41-0003
LEGAL DESC : REG. LAND SURVEY NO. 1249
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 215,900.00
NOTE: SEPERA"I�E YERMITS RGQUIRED: NLUME3ING.MECHANICAL,ELGCTRICAL(STATC)
ADV. YLAN REVILW PD2/l�/1 I 20 1 1-00 1 02
ADDITIONAL$390 WAS ADDED"f0 PGRMIT FEE- DID NO�I'COLLF,CT RIGH"l�AMOUN1'OF ADV.PLAN REVILW WAS YAID
APPLICANT PERMIT FEE SCHEDULE 1,756.65
JLF HOMES, LLC
Ia52 INDUSTRIAL BLVD. -SUITE STATE SURCHARGE(VALUATION) 107.95
MAPLE PLAIN, MN 55359 TOTAL 1,864.60
(763)479-0795
Minnesota State License#: 20521437
OWNER
PAULSON, STEPHEN
2650 FOX ST
WAYZATA, MN 5�391-
AGREEMENT AND SWORN STATF:MENT
�I�hc work for which this pcnnit is issued shall be performed accordin�to
the approved plans and specitications,applicable City appruvals,and the
State L3uilding Code. This pennit is ibr only the work described and does
not grant permission for additional or related work���hich rcyuires scparate
permits. All provisions of laws and ordinances governing Uiis type of���ork
�- shall bc compied���i�h N�hcther or not specified hercin.This permit will
expire and bccomc null and void if crnistruction authorized is not
conuncnccd within I 80 days of the datc of issuancc,or if construction is
suspended for a period of 180 da�s at any time attcr work has commenccd.
The applicant is responsible fo��assuring all requircd inspections are
re�}uested iu'conformance witlj�the Statc[3uilding Code.This permit may be
�tevoked tU�any timc lor due Gause.
�? ; � �
i ��.� L �
,.�� /r"C. : 4 � � . ��',. (.��-772LfiT�-� �(��-u�J �/ � J' � �
Applicant Permitye Signalure Date Issu�d'f3y Signature % Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� i
�,
- ,: City of Orono .� �
���`, � Buildin Permit A lication � � ��' �
' `' �� J pp �
for New Structures or Additions
Mailing Address: Permit number: G�LD� � - v D /� �J
�,�,�. PO Box 66
� �\ Q Crystal Bay, MN 55323-0066 Date received: o?-!�- I 1
�',� m
,� f�j��_s�;'��, ,. Street Address:' Received by:
�'�,r����N!'�.� �� 2750 Kelley Parkway Plan review fee: 020/�- DU /D Z-
`�gESHo�'''� Orono, MN 55356
�//35. 3%
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. (P/ease print)
GENERAL INFORMATION: ,j � ��,., �— �
Job Site Address: ,-�c ��� � � ��'i� :�� ���C�J��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a specral 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 will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��- �- !-ft.�, -r-j� �-�-
State License# 13� - �v.svz � Expiration Date: :��'- - �'�`- �vr �
Phone: .�l - �2 - / 5/J"` office l_� - � j - �j�?�J � cell
Mailing Address: � 5-�- ,x .,� � • ;; :�i , / Cit : ,,�-� ,� /�.-� ZIP: S��3 s�
Contact Person: v e " Applicant is: � tractor Homeowner (Circle One)
Email and/or Fax: ��c�< <' .,1 i`fk.��., , c�-,..,
PROPERTY OWNER INFORMATION:�/�
Name: ��_�' �.� � I'"c�-�1So -�
Phone (day): �TS� — �3 �1 - "7 G G
Address: City: ZI P:
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name: _fic.;�I T i/� i f,�c,--.
Phone (day): �/„2 - �.r-� - �y��
Address: Cit : ZIP:
Email and/or Fax: �r,�t��,,,:��✓�^-. � �ol, e�..,,.
�
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8�
Water Supply
❑ New Construction [�Single Family with �f2esidence
�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
fFax: 952-471-0682
�ww.minnehahacreek.or
E.stimated Construction Valuation (excluding land) $ a/:S ��'tJ.. --
Last Updated: 9/29/2009
- 17 -
1 �
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 Bldg.
Areas in sauare feet Detached = ❑ ICF
❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 1 St Story = ❑ Other(please specify):
e. 2"d Story=
f. '/Story =
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
N ot
Enclosed Applicable
❑ Permit A lication
❑ Pro osed Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation(s)
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ 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;
• 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.
�'"
A IicanYs Si nature: `� ' �' � Date: � � �.� — ���� /
PP 9 ; r
Last Updated: 9/29/2009
- 18 -
�, ,,._...+s..,,..,,..,,,,, .x.,_�.,._.,y,,.,_..,.....>-N_..a... .�,,.,....,,..,.»w«..�>*.�„�p;=.,+a�.A.r�c+.�ww�.;,��ww.��e, _ .. .. ._ - .�,_-3�,A�sa�.za-:ti+Y"",�,a _�.. . .
� .. ._,.� � . , . . . � . , -.� , , .. . .:. .,
� .. _.. . .....>. , , ..., ..� a , �...,. . ..,..
P{an Revievv �hecklist for IVew Structure� / Additions
�
��- ,�; _
�'� � =d_ ,' 1_ ` ,, _ —_
- Address/ PID/ Legal: , a �
�f � �,� f �, p�.,�
Description of work: ����� �<J v 1��,/t.�./ a——��� lsp�� � l'c�
Septic review by: Date Approved:�� �� '� � �
Zoning review by: Date Approved: �� � 1
Building review by: � ,.._ Date Approved: 3 --'� — Z.Dc'l
Grading review by: �� '��(������� Date Approved: �"^�— , �
Zoning File#:�J�— Resolution#: Resolution Date:
�", Zonin District Fire �epartment Post Office School District
Zoning: Lot Ar : �'� SF AC Width: Depth:
$.
Survey Submitted: � '� es � No Date of Survey: ��—� � �
Pro osed Setbacks:
Front(Lake) Re (Stre�t) ( N S E VV ( IV S E W ) er Buildings Wetland
Side Sicle �-
� � �,�6
��E ab�Cf
Building Defined Height: �Bilding Peak Height: #of Stories Ok?: 0 YES
FOR A BUILQING WITH A BP,SENVENT OR CRAWL SPACE: FOR A�UILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement floor/crawl START the distance between the slab and the highest
space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof, the deck line of s 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: r�j� SF %
Shorelan istrict MCWD Permit Received Avera e Lakeshore Setback B "
� Yes ❑ No 0 N/A 1 0 Yes �NoJ
0 Yes �o � Yes � No A
Permit Number: Setback:
Hard�over Zones Existin Pro osed Var�ance R , uired CUP Re uired
0-75' ❑ Yes o � Yes � fVo
75-250' Type(s): Type(s):
250-500'
500-1000'
� REMARKS (in-house):
�:
�.
�:
�< Updated: 09/11/2009
p z:\forms\plan review checklist.docx
�:
�
�'
�;
Fees to be Charged YES NO
Permit �'
Plan Review �'
State Surcharge �
Indestigation Fee
SAG—Number of SAC Units
Sewer Connection
Wa#er Connection
� Park Fee
Site Jnspection
Other(specify)
Miscetlaneous Fees
Calculated By:
S uare Foota e $ per Square Foota e
Basement X = $
1 St Floor X = $
2nd FI00� X = $
�.` Garage X = $
u
Estimated Construction Value: $ Z aS �t�U °'
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site �Plumbing Q Grading / Filling � Well
0 Hardcover Removal Mechanical 0 Fire Electrical
Footing � Septic � Water Connection
�Poured Wall 0 Fireplace 0 Sewer Connection
0 Foundation Survey � Masonry � Lawn Irrigation
0 Radon Rock Bed � Mfg.
�'Framing 0 Other (specify)
�Insulation
As-Built Survey
Fin
0 Other(specify)
REMARKS (in-house):
Other Revievie: Reviewed by: Date Approved:
Access:Existing: Q YES � NO New: 0 YES � NO
�.
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
U pdated: 09/11/2009
z:\forms�plan review checklist.docx
2335 Highway 36 W
St. Paul,MN 55113
Tel 651-636-4600
Fax 651-636-1311
www.bonestroo.com
March 2, 2011 � Bonestroo
Melanie Curtis
Planning and Zoning Coordinator
City of Orono
Post Office Box 66
Crystal Bay, MN 55323
Re: 2650 Fox Street
File No. 000139-11000-2
File No. 2011-00103
Dear Melanie:
We have reviewed the plans for a proposed addition to the existing home at 2650 Fox Street.
The plans are dated 3-2-11. We have the following comments with regards to engineering
matters:
• The site plan appears acceptable from an engineering standpoint.
• This project will disturb less than 100 CY of material. Sediment and erosion control
information meeting the requirements of Orono's City Code 79-7(c)(1) has been
submitted. The minimum $2000 sediment and erosion control financial security should
be required of the owner for this permit.
If you have any questions, please call me at (651) 604-4894 or send an email to
darren.amundsenCa�bonestroo.com.
Sincerely,
BONESTR00
�_
h—�------.�--��/�
Darren Amundsen
Cc: Tom Kellogg
Chris Mattson
John Smyth
�5 DA TIME V
CITY OF ORONO CALLED IN 'Z�
INSPECTION NOTI E /, SCHEDULED I�
PERMIT NO. —OV COMPLETED ��
ADDRESS o2�0 ,���Q�C. ��
OWNER TELEPHONE NO. (O �Z $�� S(Q7Z
CONTRACTOR J� � '�s�.�
>; DESCRIPTION ---- I�L����.I:� ( " " V
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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
v ❑ 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
� ���� � �i�_Z� � �� � ���
�
�
O
�
ti
�
Q
�
2
W
�
W
�
j
d
��AVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W O CORRECT WORK&PROCEED ! I ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46�Q
Owner/Contractor on i
Inspector.
White Copy/inspector's File Canary Copy/Site Notice
� � �� DAT TIME �
CITY OF ORONO �ALLED IN L
INSPECTIO NOT/ICEy� SCHEDULED �.�,3�
PERMIT N l r � vD/�� MPLETED
ADDRESS �Cl/� _ 57��
OWNER TELEPHONE NO���v�/����
CONTRACTOR �-
�: DESCRIPTION ���
�
� ❑ FOOTING ❑ P�UMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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
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
�
� l`�';' 1 Z.�' �'Cl�., .
W
�
Q
�
z
W
�
W
�
�
d /�
W� fi�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
.
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 24Q-46QQ
Owner/Contractor site:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
� �� � �
� D ��i � � TIME
CITY OF ORONO CALLED W (
INSPECTION NOTICE SCHEDULED `! � � F�(;
PERMIT NO.��I`,��=,1�71'�� connP�ErEo
ADDRESS �CG�C� �X S 7�
OWNER TELEPHONE NO. �--� �`� ��l���
CONTRACTOR `J l ��r�'N�S
�: DESCRIPTION /�-� ,
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI `" ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
h ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI � SEP C FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRA�iOR TO MEET YOU: YES_NO
/
� COMMENTS:
�
W
C
o �!~cJS S � ,2 i1 ra.��'S Q(�
'� �''` ,13 \ n � /15-�-.e�(' t3 A°�-�
�
� � , � �`r� �� t?,� ? �
W
Q ��.1 eI' �1�/�,�5
�
� � 1��c I �-� ��S � 1,�
W
�
j
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Ca11 tor the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site•
Inspector. � . � ���,���
White Copyllnspector's File Canary CopylSite Notice
� AT TIME v
CITY OF ORONO CALLED IN ���
INSPECTION E SCHEDULED -5 �- -�!/ �
PERMIT NO COMPLETED �� ��
ADDRESS�l � ��j ,�i�S�
OWNER TELEPHONE NO. �LZ� ✓-r �����
CONTRACTOR � L� �J CLS'�Y�
� DESCRIPTION �Gv',V
�
� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
0.
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
O ��/
Wp��/IJ�4VORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�/ �CORRECT WORK R PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractq�.p t :
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
L�/ /� � DATE TIME �
CITY OF ORONO CALLED IN �_-�
INSPECTION NOTICE { SCHEDULED .3 �
PERMIT NO. a��/�D��D✓ COMPLETED
ADDRESS��75� ��C. ��
OWNER TELEPHONE NO.��d ��lD /�s2-
CONTRACTOR ��-- �
� DESCRIPTION �� ' �'` ����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
o c,,J A �- e.s— �-�e .4+cr r3 c a �,., - � �F
� �4 ..,n.c'_l�f v �3 V A L. 'R �L.�<<,cJ s
� � f� ,. �: t 5 -f ��S
�' p¢.--�Q c�-4c�rS c�, r��ti /D Q � Qe c�..
°` �. U •
Q
z S �� r�e � � -�-� c -{-�d l'S �.,�
� ��tf-t (3¢ ���o ..�-.
W
�
�
d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OFDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site: '
Inspector. �. I,���
White Copyllnspector's File Canary CopylSite Notice
�
� � �— DAT TIME
CITY OF ORONO �iN �
INSPECTION NOTICE �SCHEDULED / ..�
PERMIT NO. �I I ' DD�D COMPLETED
ADDRESS ��� �T—
OWNER TELEPHONE NO. �� �� 0� ��
CONTRACTOR
>: DESCRIPTION �L� �
�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti
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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
W
a
o • � � � 2� C-3-c�T �-✓ r �- W'�l
'' � p � U � r'V eI��-f f3 2 c���w(_
�
0
�
Q ���!'A-�' ( I`l�,e._�1,�� �,r'
� �w N S �F.4�^�S � � p er'
Z ��- �-�-.
W
�
W
�
�
d
W ❑WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY
W
0 �QRRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CIT,4TION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. � .
White Copyllnspector's File Canary CopylSite Notice
QD TIME
CITY OF ORONO CALLED IN U �
INSPECTION NOTICE SCHEDULED -
PERMIT NO. COMPLETED
ADDRESS a�5o �o�C, S�
OWNER TELEPHONE NO.
CONTRACTOR
�: DESCRIPTION r'��� n � Q ���"�"-'�
�
� ❑ FOOTING ❑ PLUMBI FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHAN�CAL 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� •
a '" .�;�1 c� � ./t � � � 5 � C`�.�-��.rt v� f-�..�►
� �� 2-�5 l�.�r�� �� t ��-'�:�;-�-�—�-
0
>.. • ,
� �
� �-r�� l oc�� � - 1�t ,�1 �1 i C � -
� � .
� ��',� t �1n � ��[7v� � c� fi.
ZcvS = �� A c'�_ � `�,�1--�' (P�� �
� C-.�—F c� �C � �/ S C-'
j — .�/ C,tf J^ �v' ( (
a
W� ❑WORKSATISFACTORY:PROCEED .�GROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR i� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. � '
White Copyllnspector's File Canary CopylSite Notice
� T
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. COMPLETED
ADDRESS �� �v 5� }—b � ��r-�-�e��
OWNER S � ��i'��d� TELEPHONE NO.
CONTRACTOR
�: DESCRIPTION �' ��- �% �1 �T�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPl1�INT
v ❑ 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
�
� [-s�� c��� � ���- C?�
� �'�,�t.lL� /��/�� � C� �
�
� �� ������ �;�-(--� � —_.
Q ; C �!C� � 5 �lL �--
Z ` � �t�� C��� �
W
�
W �� olf� ( .A [ 1 f7Cfl�_�-S !��►. S �l�-�
� �
GW ❑WORKSATISFACTORY:PROCEED �JECTCOMPLETE
� ❑CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. o � �
White Copyllnspector's File Canary CopylSite Nofice
�',t.� `. ��M i � � ��,�� Y- '�\ ,. ./� y� {:� - r-
', � �� .�` ���- � 1 y • . �� . ry�I' ���
` y �A' �� �,r� ��1 _ •�+ � � ,� •. �: i\ 1 r
ar. `� � r ^1 1 �� 1'�.; . / +/ P
" � ;�'^.� �.�.. % t
f.:. ` �• a. �'a �c � i ` \ � �,� ` .�.
'r' `� ,{' • '�•j•�� .�•fJ '� �� '� ' ' \ `� _ � � ���
r�.k . ��•���� � �7. y':'.. � _ �
1 ` _�' . , � i� * , : .�,
�. • . . .' S ', . � �. 1 ,
��
.�q ( L
;-"qL�fAe+1 Ve� �T �1 � E � + y '� ..
�i" �F•� » ``°. ��►�' (�� ' . �,'A j�� �. .�r. .. . . . � •• �t
� ,y3'1' ,{. a}�{' ���,` � ',;`,, e o'�)�' ; .
�:"` � ,�', w� � ' -:�"`al�'4, �,; �� f�: . �, � . � •�:
�� ��'1��c����� ' r '� IF`qe��-` . ` �� : �, �� .�,d"�'.
.Y � ' t .. � 1'`�!"�i�)�� j���I� '� ;� � � . ` 'f
.,:1M` r ti�'� � �r �:^�f ,l1�' �'�"1. i " '�sa� �.. " � . :��'., ' . ��. \ ��t �
�_ � s . � C, `� 'i''"��,��'.
�Muw�� �,���'4[` � f::,aL� .•. �:'�'I 1 �� : � : � ' � ' � . . . . . ��� r,y�. ,.�• .
�~ 1 ���r�
..g.. Ir� �� .. \~ �� �. It,- �ir. r :'.. .r �e° � -� ! . Y�� � �" a �.� �� r' �
iG. ��•,...� ' � - ` ��I1]+ .� y��� '� S;� t17a i ' �- ��. # �: k�>�r ; • �- ''T:� .
� . � `�: ! �
,r•., t�' 3Q '�,T . , �� , �i�•�,.�' �«r� � ,ir �,� � �„ ;, �,w Av �vw:�,.,tf'�'t,�,� - e�',
x;� i�; �i(q� �'tv�,,.'r� � . +tn+ w�' � �, � �t. . d . ,6:' � �� - .
.; � A �'I e A � � �'�, ' eL � �'�.: . ;N
.., ..� e i- _ �.: :�1 . }: , �
' NL� ��- `��. ����J � �K T � 1�1^y$� _.�� ._ ;`VL\ � �"i�• '7Y�i
� � � �y �k . � Y �.
; � _� '.�, �4``l�If�;�,5 M'� ` �'.* �1�' •'jtr. ,,� �� . . �. !� �\'�.
� � � � X � r � . r,...t + `�^ i
',`��y a,�t,�•, -}��. Z � �';i�M�� �4 ' �� a �li�'��+�� '�'�. � '', ; �l� a$
�., � A` �:� ",�,' y 4 . s`. � s L �*'. ";;� . � � �tY�F• ��.r� ,�s,�, � �✓i.. ��f
It�t a''J
,,,N^. � �*`+' ���1 � '!�3 t� ��rt #� Sl 1��G�.� �� �d� Z,'�y., a i tF.�,�3�, y ,Y _y�t�
r '�'�P ` "�� ' 1 � ¢i � � � ' ,. �> i" # r:l'-r
, -
� . , _ �: P� y �'�� " ' � .�, ` � � � � -
� {�, _.� , � .s � • � . v ,-:� , .�;
���� Y JI�.1 ,�S - fi R�' ,= �% l M +YN �Y�.t
= � F#_� ��:. f#1 1 f " �'���� 1+ -j���+ �., ,� +�O��F". ti , u + ': �'z'�'�j�,
4' �?�` f' �t �' , .• �. � `J `"7r^,�. S .i}"rq-:,� ,z..�'���'��'
� �)- _ ���� • ��i..�`�` .b.. � °t t'�.�-. �s,y#;! _ � ' ,,,,. ,� �� I
. . . -,� - , �,M
� �I' . +_.. t^�-..� I� `' , ^ 7 A . .,.+,,, .„� LL`� '��y ^�'�y"'t` f I
+ u a
�l. , ,, .r � ' '-�.;i . � ' �: �
� ,�l,��Q'r"Z-•,ti � � �� , �,�. • , ' �
r a � � � � '�: �,�'
,�.�i��} ` ��-.. � ♦ ( �: - . � ai'.<M }' . . �� rcy;ut .�,� ,
� s .:.`� t .r I � S _ , �r' ;� .,� �. , ,. ;�K c_ � �
°I A� ,� .,� ��:• / ' t���� ,��' �a"`�,."Yi�`.>._� r�'S - �� � 4.`�� a¢y�_. `s
h �Y�. . I I � �.'� � r � . ►' -0,�.
. .
.
. ,
, f . , . .
..��`��� F . i � .. i ' .' M�\��rl �Z �� '7 i�- ',,' .� �Iw �' t,,�a � `s.'x
..f'� ' ". �� _. ����r �i ' '
'' � _■,f �, I � �� � Y�n..,�n"'};e. , ��, r;:
�. .
' ,� .� � � �' . �}����_ ��.`;�� �� �.� ,
��� � � �. , .
} 47� 1� r T �t ` P� 9,_r x�=.
d ,I,�I' �� � '.M' � I �{����'rj"���*,f�� �,
..- ��,'fI_ �. ,.:- h' � �. � e}�
r f(
�
. +�u`...� ♦ ,.. . 1 t #m ..�� ,
�. �' � �..� � . '� : �6 p
.' �� � � 1 �� �' `� � F
x 7uc r
� i '`���:� �r �� �� - ��-�, > � r,
� ?; , -..�� ��� ,� `���_ �� ,.
` � , �: . ��� ,.y��4��� ` :�,,��;1'�: ,.:� ,;; �.�` .
.
T � �•���� �F i 1 � �•1.
�� � �'F. �� '� � �,y;ic'�r �V ��.j. ' �,"',
y� rt,�,. .��I �� ':� s�` �` . . �
� + . �4��. �. ��� h, :.�M7 .. �-+��: " ,,�t.
, � ., •=i`� '/� '�` � �i'� w '+;t
� ,� - " � i '� ' ��"C j��� +',.
'',l� " ` �i ``� � A,::= r�'�
��'� , • " / '!���� ��J�1.�'��' ���A i. �!
�`.N.�� ' -, �. ^' ���'���� ,+��, `4
2� . t.1/- -•`,���3�., r,, }��,� Y�r� � `` .
I u � 4 ( x
��\' w�I � .'. f } '1 '� �.R'A''�P a,�,J. �,C •}�
G� . , �( .��' � ,�� � � , .,
1�'► t, �� �'� -.j4` .. ' ��, .� � s e� »+';:+
I .+'. �R .
� � . , 1� �'i +��1."VAt� � � i � � �'� � 1f<:
� � � ��� � ,a4� ��' � �i'_�► .+ ; ,���Y�� '1 t 4i- .\:.
►
'�� �(_ ��' ��J� � �; �or � '�, ��'� .��}'
; ��; ��,+�`�� �d;���'1. , � �i�,��6A: , �� ��x`��
. r \ ; ,e _� +� � �'`, ,�t 'y�,' 4,,,, �„ ,.�, , �, _ .T�,.�
I f ' �I � � �� � 8 � � ���• �, - �� �� .. y.�
..,y� ✓ t� � ' ��' � T� .� 4�� a
.
�j �' � 5'i"��"`�.Y`R� l'►�'�.,S !�'.' �( t�� '1'� .�� ;� .fs L� �. ', . �..� �s ..:' �.t �
�rA�r,A � ,,,;;+ � �', �-i G ���"� ' �/$`,'��� ,, :�~ Y +�.'+ ��4a"'�'. :a
y � � � �/.k i�� �I � '\/I �' � �� ' i :s �� ��•. ^!i�� :K r a...
i , ` �� � '��H �� �. �'� •�b`�'�y�l� � ��.,,. $ ,� ..��;�.
. i. . I.,`-r_ 1y� /4 ��'4.�fD s��r / �: � +!� " "
•'r,.' .1 ��� �t'�.: i�l { �; �� N t .„ ..g
� ,`� ,9 `r= y^w I
. �. ;' �:.' ,�;� ` , '�;.`
•- .�
:"� -, ' �
� y.� ���Y`_ �r� �;1� � l�~l�",1• ,''
. �/' �' , � ���. r� : :
"��'�� ` � � ' ��j Lu3 " A� '�
=-�"� -�" � •!.
� q�
/ 1 �
�'
"�. . I . �._ , ...
, .:� �..' ....
�r�-�.
�. :;.yY {o �p ;�.t<
1
f , �`'�'1����'� R .�. �� _ ..
y `� mt�.� x .s`.
��:��� ��`. ; � j F s„�.
,� N:- �,". �' �_�- �, ��
A � � � � !~ 1 dti � ' � ��; �` i` �: "'"
� F . / � ..a�`i� a�� +,..;
� �� �. ,f,� �.3.�-
. ',v .l� _/ ��,... . e'�'y,• 1 �,?..:a��`�` .� 'f�. �' �'.. � +'F
� 1"1_ ���, �;� . ' . � y }� S ,��5 d +� . .� �`
. ,. . .. ._�� , �n r y ,�`� !�•� �q� ,�,i��;� .^° s #!� !}� ��j:•� ' �
r . s I�1�111i
� �..4� ,tr�. O ikz. � !►i'� ^ � ��, Yy
w
T'�" ,� � '_ , 1 , „r � - - . .'- .." �
y . , . ,
, � , ��.=�, c
,�
� [i.r � � � _ ,* .�.4�„�;�^"T�..
� - ` ' - , '��.' . ^ � . � .d'r.
_9. � , 'i��1 . � , . ' y ,. � � ��, �,.����� �,��� i
+..1�['� , � y' �r �� �.
, ' ���� . ^ , ;` • . �.f ,���.
sIt i.
,.. � + . ' ! '��i�. 1� e�
;t `
. ,;,:�: _� ,' r
.�" .` � � �., - •\, ��#-, .r � '?�+ ,5� 4 ',a�€
. . . : �;._'� c,, ecy �`+'� ,F�r-
0. � ' �
' i A
' .. . � . .. . • iJ ;��� �l YVT ���� X .� .
� d ���,.`�{t� �� �_ .:' � }.
��:. �.�., '� + � �'r"W.��i •`��.. .., '' �.. ,y� \ in�J�
� y � ' �� a I t' � .� ���� 'r: + ,, L
'� l ��'�
' '.a- I . ;�, 'k' „ '�'��-
. � � . � � � � ' � ,��
•� � A» ' _ � ,,... -�
� � � ��-
. . -i}., . �. � �'.
. �� ��n. ' � . . .
, j�"�" ,t r -
� ' ��> ��� � i �.. ;-��
- . � 5� a�_�y�.,' � �~~ "_', 1 ��.Y'x �i..�
•���� N .n�� J���`.- .��..��� �. � �. K
-•ieY�in�vy� •� �p �yt*� �� `
. � �{!�� ` 1 6y1\. - �.,:., �9 '-_,t.__
' :� ,�)�'3@� �a� 1 \� a'i � c "�f`
_ - �, 4 ;�� •�` �r � a���'4 �. :�c-�r F�.
� ��. ; �. *;�;� �: >t� �:�
��,.� �
�- ' �
4�\: � 1�: � .n , .. ' y�''fi � ��
. ; • '� �, ;:�6�i� •..y.1
�.� �`�; k�. . ` � i.,d' . '
s. � _ t- .
#t 'llt.v� ��' �
, m ;.S�, . v:_ ���.�.;'. _
-,:.. "�r ....• n �' _ M� . . �....�,
i.,.�+ �' � 1 �'�d'� S'� a
�, r.y- �
r4R�r k���:'�� �. ` a k. ' �� '�F�.:. F�
d� �� �- . y"y �' �? � �
�,�� Y
. � . 1 !�i �T� �a 'M+�
T' � i �' �v + � �'
d y,� k,�� � .�.��� r, ���;'�`�i���� +
{� ? ` � ` ''E .�r�.- ' y��_' '�, �
/
�� ' � ,�,\��� - t� _ �. �� 1� ��
��"` �1+1 i� ��~.:.�� .A'y,': ➢t �. . :.+�{,_,�,cc � . . y,p� A�� � ��t�,¢1 � ��, 7A
^i+ ' `,�#.� .r y � �� .: �,�.�.i �
;; '. -�'ef �h . v `�'. .S )�F- � ' .°,� t
- �- (
��P —' � \',�� i ��� �Y��
� � ..:.. - � ._. .. 1. �y�.� (�� � rt ,...�:
�• . . . . '6� �,a`i,����ri'.��-� r ♦
- I. � ., �:�1R d��-�'h � �
� ,.,
� '
�� . at'i ,�� _ � ';w' ,�.�.�i}-'.� ��.� .�
,
-
l `_ � . . 'i, r :•�l ti A��7y1C�="i,�+t'V��!��r.�~ �`� �.
1F .. �'',�j� •�(F'�f'- .,f�. . . �.
y� f
7/� �I`�5 9 '�Ila .
-.y,� 1 � ,�,y,�� , �. �.�. ._ ; �
. p�'7�t��:�:�t S +`_ -�,. �' y�y����e ..` �-1� �^� '`
�� .a.-;ti F 4€
�'�.�-�3r,ri ��� � ' . v� ��i�1" :.�L ii;. t . > �a,z. .
' � ,(�ui 'u'+ J �.} ` „+'�4� �► � ..
. M �Fa{ V ,l `
��� l� .: .MI '.r � . . � , � 1 �:. �. �.,Si4 P '�' .�€`up' `` �: � X�' �.
�4 3Yfy� �i� �!. 1 N' p
�"1 � �� &, �f. . ..,� � ;, -� .:' Q; -�_:
.,
. : , .
: ��.,� �,�.�� , ��: - � � ,`� E w,,
, ti r ;�;
- .,
' r�� ` '{0 �N<{'-�'� `'\��� .1 �+ i�'•�. .! .`:+d�l',��� i 1��� • ��.' �,-
, -n it . :# ti ;� ' w � t� �.\� .�� Wi N
s� ; i. �n.� K"'�;'R Et' � � � ..� ..
� ^: � � �i
Y 13 , a�}� ' � � t
. . . � � , ���.� ,��;9, �T��.t'� � � # ',�aL� �. \\ q. `R�e `�"
• �_ �,►_ . � , a"� ' . Y:-T' $ rs3, �; ",R
. a+ ' � °i� F'� . y� ' � �
,' '� �' ' �.��� ; `��!,� ��'� �?!
� I� � -,.. �,� ��� , '' ��� t��,:� �� ��,,,�� � '�J,R
. ,� � .y`, "t � � � • y� ���\
s r." +•' ,.x �. .- �� ,. �
{ . i~"" _; . � y � } ,� ` �
. .
.
. .. ,
.. . �y _ . , _
• � _� ..s�'_ "� � :� ,.
' , — _ _� ��� j �,
: . . � •� ��{{ t)\. �,��ii a
i 1 ._.. � } • , � liF,�,,��)P
. �.-= ,� � , �
"�r � :, ��'T;�.� � 1
.
:l� ` ' � . _ - .e �.K ,�t*` 9,5 ��f� '�` �.�"'i,r� µ,�ye.
� 4 ` Y�, � � � � s'V pr�;.f$ `� � �-. �''
i',� ` � ,�s +" x� /
' . . .
.
y � ;
A .. � � A` . .; ^ j � � *� '1Y �#�
4 .-. �`' ..; ' r
.�� ��r �� � t�
�. .� � , � �', ,S,�1 ,�.. � { �_� , ;�t ��: �• 1
1`' ` �l�� : - m ��,�' �3 �
..�',`�l� ta``►�. .4�' ,. 's'.tt!i+�y* . ` . � .
�?.'_ �.�p �i1 4� � . ` .
1 , x1 .�F�i.��� a �`� BiY`� �..[r. ' � �� �yfj�� p .
� , , �.. �+ 4'`�����`j�''* ,� - � !..
,� � 1.
`.7 `. 1� L
• �r��� ,�#�� ji�,��ry,� � �` � .
� �� ♦ ♦�. �.�� k ';:L a� " • • ' I'�
.�r t t'' 41�.. 7y . . �. ,G : -
,, � , t � �at ' 1 e
- � �,�' �� �oe ��' �
� . ,
:. , �.�� �: : .
�W � • �.�'. l t`;, .., ; , . � 9�• . ' �I , a. „
+•�� � � • `� Y ' � � ' � 4 �,4,/* " "f� ` ~r� .',� �►l• ,G ,.,+�
. ��� � �� � �� ���. ��Y��`� F /�� �
. �`. .. ``, y' . .� r ' ,
�
'y \ ',' P .
k�; �..
15�� • �, ' . .i .
M + 4.-* `i � ,��k
,,y�. .�� �'t�i . ,� t t.. eic� �.�. ,� .�v� ��.�n�'s�i*'I � ��
�a'��: ,f�y� ,.�� , i �� � .�;�
t � s r �,�+ ;,�,
` • • � �
��1:1.. < "�rr�4+ 1*
' ,q . , �� � ` j'+ F j-
,
r � Z � f� ,t s � _ � �� � i I -,,..
� l • x �, f i ''f =
.`-..z:.
�
}��V. 'i .k;' k ��� �3
� � � , �'� �- � � �, ,,.� �r ,; s� �i
3 MS r� �� ,�7: ��. �p i�l 4� Y I
��e�� "� ' � �s 4,4`��� +-��� �
� ' s ��� .t. -
;,,,{.,y n. � 'y ��'f .� •,� t� .
� �. ,� �" '4 � S. .
{ y� • y � ,. �.3, p' 4 Y � ,'� � `� tu�ft`9��' ,'�,li . �' ', '- � �y�
;� `1-�` �� �'� , ��I � �L,!,, ", t il 1�"�4 \•+Y���e'' . �'��,�,^l,� �1.7y�; -i�
{�",a'# �ir': * 4� �' . �,�� � i� � s� ,`y�"��� �4r�.r� �s
1�K� t' ��t �:� . ` . �.� '
�^4 ♦ �..�,"` p{. ` .;,ye . �L � ,� �' � ..�^,y: � � ;f�� .
�*��t ��` � Ke�i� � .x;e ♦ ��. , � � -_ �`,`'� � r �S :�"f� � . iI '�i
.,,t �*,� 0. '''����� i� :�'. �r� � '. �2
� . ��+P"��... .+�,�� , ��( r :� A..� .''� �,. �' k +�«e � i�� a� �
' � �. �� •;'� " L`. ' � ..� 1. �d:p��: .:�' ., / 'r '��,
� J
�I � ��'� t • �i w+� 3i` , ,�i ,+ },. ""„�,���, z �y ,� � ` �s
� � P Y: ya � { P Qi�
Y"<�� 'rr> ��° �'a� ' ` `�� � t � • „ '�41 `'• '��A`, ? .r� �
E �.�J 1"...k t ��' �l"� �'� �,, �FF` ga,4 ..�, '� �:+.
� '� � L),��5 � {f �. '� �;�lpx . . '.A ,,.dn 1 r:. ; .. � , rf
1 � S.�St.r Si'4�:{y l l t 7.Sr +a �.�!1t a ' � ;�.
7 ,'�, -i ,;. ,
� - ���,�,t� • . . ��� . :� �`. '�� w; x �� r �'
� ��y �"�w�` �-t° �". .�e• � k rr. y .�}' �";`_ :�,
� '�`tg � Q� � ' � ' ; ,w i ,':a • �i , ,« w .-_:r+�y
.a , � � , a M .. , x
_.`i ,�,.1q► :.�j� . �!�t s's� '� -*y �'.. ' & -�'� L . -��� �'f�r'... ..SM "•
�d• "r �ay, � � � 4 �i. �; `, `� S . , 'w.e.`. �„�#,�"'r- .
. 7�t �4•r� r �1:9r4 �+aT 1 ' .t . � ' ��`�j� ',^���;. "�."'i►
"� r" � �+ .� .� s r � ,., �+ry /
���`,�,�i ��:t Z ��• 'l`�iL3�' � � ,�,�e k : � e � . �.'. y - a� � � .•w.,• '3'i" !fi"s+e� ��r,c ..a_ A
, ,�
• ti � ,}
''� J ��4����lnTai* �r� � jt . � � �� �}�" 4 �� �`4., a`"'�i�.1�' fl�. �".T�„w.,-,ve
►. ,�'� � .i �;,� �sx , , �,S' . .� � � r
3 �'�;� I �'�' �2: �� � ��� � t '! t ,s �• � w��'9q '� � ,s � Y,e �"�' ��:�,.�,+�
� � 'Y�� , �; �s� . s.+ .�' +� - 34•J�4� ���� �"�•' ''�'�'
a�e.� , �� � �r•c �� (��, � .j '4 �'�.iD*°1 � r..�i�k� yYl:�.
'if tI r r� T��•� ���d�r �'` 'R t. T� . ��� . . . :yy ; . s •,u}' .
s�•'��,'�a � �.1y, f� ��4 �{ t�R��, � � x�' � k��
•. A� N'y� vY t. �` 1� 'o i ' �� I
k � _ . .4� t�y.K..i �1. . F. `.'�r�' � ,� � l. ;� �`,�.,qm . �,'- ja Z �a.�
, ., �. .r a.��� � r . . � ' ��,� Y ♦!�. 4�Y, �`-� s. � .l�s
�+s, r t; a �-
.�,rP'�M,` - � , j) � -�� 1M-' ¢.:,� '�'.. �,� a:.��r -�_�����
�.t 1. � 1 ',, r �: ;1' _yq Ri' 1r �..�. �r#S .
�Y , O K` '�;T� - *Rai� .'�.'2,���.
�ia
� �,� � �� 1 �'�r ���,'. ±c� ��
� • �� �
.r � �.�.. B `y� !Y . ��� y�'�• i�?� ;.�ya� ,.
�
..ype r.� � - �'t t a ,w �.. � (� . ^). . , .
1.� �` �",', ` �.'.�. ��� . 4 ��:��� �';�-4- , '�f�• :�`,�.
Ni= � 1 . � < .�,"�,�,'� r.�'�*, ���� .��
� ' � � , ��� i�K�R � rk� w�
� �' ��i• f. �. Y� ��-�w'�^e,a
�. �� i ,�WI` v fr.
� • �,��� °j x ,ya . 4y� .
� �,:i «�Y�.; , �. � �.� ��.
� ph y k� k*�"��' . � t � �.����'`�
� � � �x��� �,�v��,�r:. ���;�' ;,;,
,
# ,� - }. 4���.
,. •. ,&
�„4 � .,� "3. , s W.g ..� � �
t�._, ��� +� 4'�- i,. �. _� ��
t�' , ' � _'�
:�� �;a ��. `� b
� �.x° ``� � ,. ►•_ ,
_
, �, � �
.� , �; , �� ,� ���� ,.
Fr�l�,` .. �j- �N` '��, '� �
�: € , � f-�,y�� •+kb`� �
\ � 1/ �
` �i
\��� � �` l+� � 1 �+ `Y \ � � � }� - " ' *�� � '..����.
�� � i' . � 4 .� If� ,. . . ' r� r" = �t�r ��•
�A��.� } _^ l � 3� � y� �c
�+������ I \ F ,�; h�, �M'� . � � . ., `�<�� _ .A'
� � �� b� � � VI , F''a�=� - p�Ar , I � i �
�n�� � . � ".� �+r`� ?1 . I /�'l,7�`F �' ,��,
�� "�' � � ��. �� .^� .:�` � �, ..�. � . r• {�a. f { ' �.n'�Y�
�f 1 � 'Y� . � 1 ♦�\� 'a1 w, . �'R� _ . � � I: n" ',� � ...�� �s.
��.1 � . . ��� �.� ` � � .. � . :;"�. . �_ ..
` '�� � � ' �� ` '�� ��
,�7,..�+,. t�,�._ i% ,Ls , ,' . �j;: Ii ,: � ;
� �^ � � ��t\ ��� , . �k,�. "y �n
- "�`-�a` � I'� ' '.IR `' �' ^ �,
.. .-h � ` , / I ' . - ' y � �� 7',. 1l.k! .. � , �
^ �.�. � . ,'.j��� � ;'�f r � =� '-^4 � '. f t � t�. � .0 4 t�. :`.,�
� 1�1�� �` '/ M�a � • . � } � ��� r ��.1°r t 4 /i i f`-.
, ,'�.. i •� �� ' I�7 \�'� �n'Y'_ .��` 4 J� � 3�` J
:"P` . �.• ��/ .. . I � � ��� . .: ^ ,�r'i. y �, ky�,,,.
� ,� r �,,f� ��� fi r1., , � . . J�.'' .f��'��.� , !�;; . .
_ � _.� j � M r ' � r•' " � i!; �
ry �� � ) ' i ���," i y a, rvr �"r 3 '� �dgta
; e ' �� , ; � �, � .+ �, �;,�`►' n ` + f ; ��, �� . A it�,,:�.y L,,
„ �. _ wk :.
,•}� ,.'��.� /�� �� .�. .�.^ x�� ..�y�c��•7.���}� � �' ti�., �� �J��";i�y"���,�+„��, �{� :�.j i.., � �F...�.t�,�.
� ' L� 1 r T� ��'a�� � � �4�`?(; :�* '.
- � ' � �" r;3�-�� ���� � � •� t � .,
� . .. y. �. n.� n ,�.
. �' i f I� � �r_��i� � '�y� t�iY'� �+Y .# J { �` �
� I��� �� -�.' � � � ������ .��ty��y�-.�. ��� � � n ;} t-��,�� 4w f� a�`
�
_1 • -� �• +7,SL I�3.—'-- � ^ �
�� t 't � � ., �.�'1 �� — , .
. ,.� � �
, + t v ''�MJ��,,,,\ : � �e�"
; , f�. 2 �
��
.�� � ,.� �� %,b�, � .�/�t5'� ♦`d 1 fJ'� V`♦ ��Y. ��+f�'��,. �.'..�
i � ; t� M��� ��� �`��� � r�
,, � �� �{..� ~ �.�� �� i A�.. �'}i�'�k •1 x'� ' � z
�'d':, , i.,M� '�' 7f � u 'tl� k-'�'�� �,t i '" � „ r.
.. ��,�� � i � y � �¢" v «+ . y ; �r },a�,. V� ,y;;. .
' ■'
�y.. `�►. c X;• r �'� �,� rt
� .�. �f� ��.�:Rf ' � 1.�� � ��� ��'����� �� .� d �'
� . � ,', � „�� � . r ' �` �1� �r y = , �
. _
��"'��,�". .�� �, � M, ' � .. j ,t{ ��� ,e � i"'� ^,�*s..
� - � ,-Y ''• �7 )R� ,y t 'Q� `C �.
,
.
�'- f � � �. �.; g •� .- _ }r i �+
'
R , .
'.y }��.t � ' ' � ln:�_ - 4� � '`1 4 �i
��. " � ;�� �, '.� � t� �t '�� . ,y
��,� 1` .1 � �� ��� �� , � � � ��` �� '�
'��` � � .V t 1.
` ' ���i. � ��` S�t ��'��
� ' �
.�a .., �.' ;- pt��p r�� `��. , /•'.�.�g `" . ' ..
, . rf ' , � � � r .. M.
. , ; �
.�Aq �w
� � � "W... ;!\.�r 1 ��y_� .•I� ._t!��� w��. �\ '\� � ,T
�v, . „:_ r,
` ;� .
Fa :. '�',.�.'.,�y� � �"� . r
�� . . �Y'� �� �� t' � �'S} ...-r�`ttc^�°�s� '1
� "tS, �' '.,M . � Y £ �.:�`
,�.'� �i � �Ij '������ � /!� •��
d�sG� ����� � � � ��'. �� � � �'
1 ' ❑
*`;n�� �,,�����-� , r' ��� f,� y,�;/��,� '•
`:�.. � ''`•`' ``. � �"4 �>� �
.
.,.�"' � � . I �� sA��� , y �^� } ,.__ r j�".
� r' '�� '� _ �� � �' , `�a�� � ��`��� ;k
1I � � �, � -<
7 �_ . . � �,, �� ��� �',' �. , �"W^�..aW x'., .�,?''=
` ,;-� J�.�w �. :`�.� �� �����.. ' � ,+�Y �1� T� _ �r
' \ � `�
- "++s.g': '*.�;a e! V YI� ��.� i�y
� ! +�` ,� s—' ` �`, •r
��" ��� ,�� � v u i ��� �' � ��' 1`ti l� � �"�,
, „ � ,:
' ' , 'I ; A,i "� a i�.. � ,�a,.
. � �
� • rg.. ���n�1� � !�' �d�
.�.'���� � ... i .� � �� � �C'� �'� . .�� . r...,.,::'�L ,,.'� :: ,
'+i2.`3�'^. , ' ' � ,s ; �', ! r[; ii ,.�
� � g . � � '���-� �r�.�, £ . „� �ir'�- �� � 3t• ;
� � � 'u.�: �� ��r � � � � �� :
i � '� � � "''�� ���! ��ii'.
w,�.;�
�, , a;` � ��"' . �►x � ' ` . — �° � ir=
E� . � :' 3,ri'��•..J r �; k �!
�
� , .. . n
, _
,,
a '�:� � -' f I f " , , '�i T � - .'K a � `� �'',#rM �
o �.:�s �v' { •� � � v:'�,,, �t� '�'q;
. 1� � 9�
�'�• �'� �,_� -•. - r a n
`, ♦
ir?±;�� I■ . �y . , �.,��r •�4.��i.� �� �`J'`��51� ,�� ) �� '+x.
� ' I•:�. .�� I ' �r' �' 7�v
I -.,r � .�r . �, t. P t.
.
,r�'' � f. � J'a}.�%'. �,/ a 'ad �� ' � I
� ' �� �. '��.�,�" �� d (a � �,�, '�.�!'� a.�= iF.�;' I
< ,.
. t '.t �� �> ��. - j:��, .� ' `� Y��. ,'�;� ,` p `r, �
� .
:, �
. .
.. ,�' s`�s-�` � b
' �.��� #t�r ._..a .�, �- , _�,.ra
�. .
, . " ,,s�
� ��� .�� , �. �,�� ��t
� . �,� � �', z �' � ''` �x '�,
" "=•+, � ;'����� � �/ " E�� 'rp
; ' . : �, b
�`� �,_�_ # �, �c �, , � �� �,"
� �
�; � j M u �ro
� t ��+�." ,.:
i �a , r �
rt� �.
- � t•'` ♦
�.�� �r� �,�� r- �,- . � . - ,y�
.
.
�3. �'��'�� � �'� �,�����"�* ,
� �
. : • .
1 •
emo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File �
Date: 2/3/2012
G/L: 101-22205
, ;
Re:' " Building Permit Escrow Refund
Building Permit #2011-00103 pertaining to 2650 Fox Street is complete. The Applicant,
Steve Paulson, has requested a refund of his $2,500 escrow.
The following is attached:
• Escrow Refund Request (phone call)
• Email from Bonestroo indicating $84 of unbilled WIP on this project. This amount does
not cause the project to exceed the $500 credit.
• 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:
Steve Paulson
2650 Fox Street
Wayzata, MN 55391
w:�.street files\fox street�2650\escrow refund memo 2011-00103.doc
Escrow Refund Form
Today's Date: � '� " �� Z"
❑ Staff lnitiated f'rom PermitWorks Report
� Request received from applicant .
���- ���
Street Address: Z..(p� �Q�,, ��
Permit Number: ��� --��C�
Applicant Name: `;��-��b.� v `-'
z:1 formsl escrow refund Form•docx
Christine Mattson
From: Darren Amundsen [Darren.Amundsen@bonestroo.com]
Sent: Friday, February 03, 2012 8:10 AM
To: Christine Matts n
Subject: RE: 2011-00� 2650 Fox Street asbuilt 2-3-12
$84
Darren Amundsen, PE
Associate
Stantec
Tel 651-604-4894
Cel I 651-775-5623
darren.amundsen(a�stantec.com
stantec.com
Bonestroo has joined Stantec, a professiona/services consulting firm recognized for its leadership in
sustainability, depth and diversity of talent, and technical expertise.
The content of this email is the confidential property of Stantec and should not be copied, modified,
retransmitted, or used for any purpose except with Stantec's written authorization. If you are not the
intended recipient, please delete all copies and notify us immediately.
� Please consider the environment before printing this email.
From: Christine Mattson fmailto:CMattsonCa�ci.orono.mn.usl
Sent: Friday, February 03, 2012 8:06 AM
To: Darren Amundsen; Melanie Curtis
Subject: RE: 2011-00130 2650 Fox Street asbuilt 2-3-12
Thank yau.
Will you tell me what the unbilled WIP on this project is?
Thanks again!
From: Darren Amundsen [mailto:Darren.Amundsen@bonestroo.coml
Sent: Friday, February 03, 2012 7:16 AM
To: Melanie Curtis
Cc: Christine Mattson
Subject: 2011-00130 2650 Fox Street asbuilt 2-3-12
Darren Amundsen, PE
Associate
Stantec
Tel 651-604-4894
Cel I 651-775-5623
darren.amundsen(a)stantec.com
stantec.com
Bonestroo has joined Stantec, a professional services consulting firm recognized for its leadership in
sustainability, depth and diversity of talent, and technical expertise.
The content of this email is the confidential property of Stantec and should not be copied, modified,
1
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Friday, February 03, 2012 2:58 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
No unbilled WIP for Campbell Knutson.
Have a good weekend.
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317• Eagan,MN 55121
g (651)234-6230• Fax: (651)452-5550
�scharboneauC�a ck-law.com•www.ck-law.com
From: Christine Mattson [mailto:CMattson@ci.orono.mn.usl
Sent: Friday, February 03, 2012 2:05 PM
To: Sherry Charboneau
Subject: Unbilled WIP
Hi Sherry,
Any unbilled WIP for Building Permit#2011-00103 for 2650 Fox Street?
Thanks!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway ` Orono MN : 55356 (physical addressJ
PO Box 66 Crystal Bay ` MN 55323-0066 (mailing addressJ
`� 952.249.4620 6 952.249.4616
� 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, February 20, 2012 (in observance of Presidents Day)
1
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2011-00103
AGREEMENT made this�day of ��.` � ����e�� , 20�, by and between the CITY OF ORONO,
a Minnesota municipal corporation (°City") and S-{f'�r,4-C f/Z �� � ,��-��'li1 ("Owner").
Recitals
1. A building permit application has been filed for an addition to the home located at 2650 Fox
Street, the ("Subject Property"), legally described as Tract A, RLS No. 1249, files of the Registrar of Titles,
Hennepin County, Minnesota.
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 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 #2011-00103 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 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. tf 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 erty pursuant to Minn. Stat. §§415.01 and 366.012.
CIT :Y CITY ,f��NO OWI�ER:
/�
� _,,-k
� �A. �
By. " �'_... -__�.
Its: -�
Internal Use Only: � Original to Planning � Copy to Property Owner G Copy to Street file
!' .
L.;{,�.. r�* �
, r �'i��;g}
:�% ,
n.. ��r E ..j��f,,�p; .
V�'�t y 1) 'NP� -
`-:,4 l���t;', ny4"C�i'�_.�j�[7v{ i
h°�P2!i� �'d��, .��(d(',�fi'f�7 �, + .
+�" ='f', ='(i'i 1
r:,
�J:�x��liF�}; !Fc�l;i.�.�..fF'd' .
i°� `' 1
. .^ r:66l9`;:s9;eF iiYti'� �'ili":tY{C1
L t�: l 9��J.� I'��.�
�u! i.tr.,('r .;.': s6 � 'a'(3i'.:,1%+
JiJ
�'r-•���7'Au i��"i Yf.. 'O ' � �
. Y..J�"�deY' i'i?.7i�,;.
Pis�,�.4. __.._._..._...._�_._ I
'.}i�:f c ii%j
: :'piy'��n,;. '-. ..........._.__._�..._ �
� i,%1c"�(,"!; �`1{l' C�F1L � i
}/.�}y�r. 4����Si,`:�a�:3:: I
wi�":li�'? �'3�i��LV ,
i
"�6G;. r'ia'h%t��.''er„'« .�, �
Gp��;ei�,���.�. � .
i
..i.I�Ei�S' 1��SI�Gv��y��• .....»........�.�...,....._
_....._. .__._�.�1�.- �
r;',•-rr �
�r..i,ot=!'_ w�4i:L�1.'�.f�tl �
1
i
1
i
�
�
�
_ i
i
' i
I�i d �- --- ------- --- ----- � _ �
� ;o � � ;a
�
ial � �
_ __ � .,_
i� �� f� - �
__ � 'r �7� ,�
�� �� .. �. `\�3
� � �� \V
Gi.
� �
t:.� � �
�
1
� �C7 � '�I � 1 ;
'ef• � � , -4- --�- (T�� ,
� ' � i
,1�. I N �� � � ; (
y � pIO' iOlOi0�0�0!
o - —�------r—»-;
� O = >'_I?- '7-'���'_ '};
'�.'9 c� ' -
_,.._ �
_ �,
'� 7_'r°°i al ��� a�a a ,
� -- _ __.__ --- --
a �
�
c ;�,
+r r-���o� �e�
C ��iC? iC710iryi0iN;:
Z4� � � �lN, INItY:��,N��
i
'.69�'sf" O7.S�iN.���
� }
� � �I� ,��, ���S�. i��r'�IlL71Q
L[7 I LL7
�
. . (� ___�_ _ "..,.
'`���� � 6! Y Ln � C� Cfl i m���m,
I � _ $!�� ������!�'�
� � _ ___ _ _ ,
� L �L
� � I���; �
�,. � � � �� ���� - � � .:
�, ,�, , � � ' o, �,! I ta U
� � ' � a a ,
Q , � � � � cn�va
c� � �
.� � � � I � � � � � � I� �
+'°! o ry C � �� .� �
c� ','E �i to aa oa!oa;�
'iq�: � uY u�� in � �• C C C� =L .
� � �
� � � � uo y c �.c �'i�Iu.��:J O' �
,
, � __ __ .___ __ _
� � � � � _
� 6 - � !7 ....,. i UJ ry I th�.st i lli�CO:I��ao CS � '� d
� �., � � . � � � _ ►,,. ►., ► ►.� �'._�_ � ��; �
W �
� � � � � I � � � - �- -- -
€ � �
�- v � ��-"
� � :
� a, '
� ''"' �
Checklist for Refunding Building Permit Escrows
Building Permit # �-6l�"00 l�
Street Address: Z-(n5b �0�, ��
Applicant Name: �CC�e.— �(�,U.�1�`-�
� Escrow request received Date:
Permit Type: � I���
Are all inspections complete�? es No
If not, list what is outstanding:
Was there a Temporary Cer�ificate of Occupancy issued? Yes No Date:
Was there a Final Certificate of Occupancy issued? Yes No Date: _
As-built survey required? Yes, approved on ���J� � NO NA
C,�--
❑ Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent:� 2'3 ���
❑ Prepare memo for Finance Department
z:\formslzoning standard forms\checklist for refunding building permit escrows.doc
Last Updated: 10-31-2011
- , CITY OF ORONO PERMIT NO.: 2011-00102
� • 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �SSUE�: 02/15/20ll
(952) 249-4600 FAX: (952) 249-4616
ADDRI;SS : 2650 FOX ST
� PIN : 04-117-23-41-0003
LEGAL DESC : REG. LAND SURVEY NO. 1249
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPE;RTY TYPE : RESIDENTIAL
CONS�'RUCTION TYPE : ADVANCED PLAN REVIEW
VALUf�TION : $ 215,000.00
NO"I�F.: PLGASG FILL IN TIiG FOLLOWING:
VALUATION 01=PERMIT: $ 215000.00
TYPE OF PERMITTHIS PAYMEN�1'IS FOR: ADDITION TO IIOME
PGKMI"1�#TI lIS PR&PAYMENT IS TIGD T0:201 1-00 1 03
APPLICANT ADVANCED PLAN REVIEW 1,135.39
JLF HC�MES, LLC
TOTAL I,135.39
1452 ITlDUSTRIAL BLVD. - SUITE
MAPLI: PLAIN, MN 55359
(763)4"19-0795 .'` . °
Minnesota State License#: 20�21437 t����� � "��£
����;:,I.
OWNER
MOLITJE, JEFF
2650 F��X ST
WAYZATA, MN 55391-
' �,�i�i'I�f:?isE CX3$i � .
ErCREEMENT AND SWORN STATEMENT _.. -
The���o�k for which this permit is issucd shall bc perlormed according to � �
t;�'i2�n
the appr�ved plans and specifications,applicable City approvals,and thc ������ ���� -�f;, j �-•u,
State[3i ilding Code. This permit is for only the work described and does � '����
P� ��r�:
not grant permission for additional or related work�vhich requires separate J�� ����
permits. All provisions of laws and ordinances goveming this ty°pe ofwork � ��:��:,j y��jliaL�. �r i:,`.
shall be compied with whether or not specified hcrcin.This permit���ill _�___...,__.
expire and become null and void if�construetion au�horized is not : � -�,�-=Y-�;
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 day�s at any ti� �after���ork has commenced.
fhe applicant is responsible Ibr assuring a ;�required inspections are
reque' m co Ibnna with the State �iildind Code."I'his permit may bc
rev �ked at a time �t'�due ca e.
_.''L� ��� l l l l
Appll.eant Pe itee Signature Datc Issued By S� ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE.
CITY OF ORONO PEaM�T No.: 2oii-oolgi
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 03/30/2011
- 952 249-4600 FAX: 952 249-4616
ADDRESS : 2650 FOX ST
PIN : 04-117-23-41-0003
LEGAL DESC : REG. LAND SURVEY NO. 1249
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPGRTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIGD TO BUILDING PERMIT
NOTF: ESCROW TIED TO BUILDING PGRMIT 2011-00103
�
APPLICANT
ESCROW FEE- BUILDING 2,500.00
PAULSON, STEPHEN TOTAL 2,500.00
2650 FOX ST
WAYZATA, MN 55391-
.; �
_=.;a !{eyiAi�et
�-'��L� 1'il� JJ.i�1G � . .
OWNER :�ipt Nt:,: �.::,
PAULSON, STEPHEN
26�0 FOX ST
WAYZATA, MN 55391- � ��
_2cU� . . -.-
��rred Rev-Devei��per Deposi�
AGREEMENT AND SWORN STATEMENT _______.__ .
Thc work for which diis permit is issucd shall bc peribrmcd according to ��1� �y SL'`-:�
the approved plans and specitications,applicable City approvals,and Uic —"—""�'��
State f3uilding Code. 'I�his permit is for only the work describcd and docs � �`k ,,
not grant permission for additional or related���ork which requires sep�rate ���ieCk N�: �e�"� c�SG�,�. ��
-'dyOY;
permits. nll provisions of la�cs and ordinances govcrning this type of work ;z�f�Q�; F'�'l150'fi
shall be compied with�chether or not specified herein.This permit will -�7 L}0^il�c�,: ��J�;t;s, �
expire and become null and void if construction authorized is not _______�.
commenced within I 80 days of the date of issuance,or if construction is -- � �
suspended for a period of 180 da��s at an}�time after work has commenced. � � �
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Buildina Coda This permit may be �
revoked at any time Lor due cause.
/ / / /
Applicant Permitee Signature Date Issued ��S� ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
� BUILDING PERMIT ESCROW AGREEMENT
� Orono Building Permit#2011-00103
• � AGREEMENT made this�day of �-` � ' ���� , 20�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and S-�j,�-C,. f'�t, CL �,�-fd��1 ("Owner").
Recitals
1. A building permit application has been filed for an addition to the home located at 2650 Fox
Street, the ("Subject Property"), legally described as Tract A, RLS No. 1249, files of the Registrar of Titles,
Hennepin County, Minnesota.
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 Owners shall deposit$2,500 with the City. All accrued interest, if any, shali 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 legai
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 #2011-00103 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 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 erty pursuant to Minn. Stat. §§ 415.01 and 366.012.
CIT •Y. CITY�OFUI��NO OW
, , ,,
� n �,
By: �- _
its:
Internal Use Only: . � Original to Planning � Copy to Property Owner G Copy to Street File
Christine Mattson
From: Amundsen, Darren T [Darren.Amundsen@bonestroo.com]
Sent: Thursday, February 24, 2011 4:23 PM
To: Christine Mattson
Cc: Melanie Curtis; Lyle Oman
Subject: RE: 2650 Fox Street
Already talked to him and he is going to get Gronberg to put together a plan that shows the addition draining to the Luce
Line Trail and not the wetland.
Darren Amundsen, PE
Associate
Direct 651-604-4894
Cell 651-775-5623
darren.amundsen@bonestroo.com
� Bonestroo
Vis�t the new Bonestroo.com to sign-up for SourceONE,
our upcoming newsletter.
From: Christine Mattson [mailto:CMattsonCa�ci.orono.mn.usl
Sent: Thursday, February 24, 2011 4:01 PM
To: Amundsen, Darren T
Cc: Melanie Curtis; Lyle Oman
Subject: 2650 Fox Street
Joe with JLF Homes will be calling you. He doesn't understand what you are looking for. He didn't want to
listen to me...only wanted to argue.
Good Luck!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356 (physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
`�' 952.249.4620 � 952.249.4616
� cmattson@ci.orono.mn.us �� www.ci.orono.mn.us
Office Hours: Monday- Friday 8:00 am to 4:30 pm
Office Hours (Starting Monday, May 23rd to Friday,September 2nd):
Monday-Thursday 7:30 am to 5:00 pm
Friday 7:30 am to 11:30 am
OUR OFF/CE W/LL BE CLOSED:
Monday, May 30, 2011 (in Observance of Memorial Day)
1
2335 Highway 36 W
St. Paul, MN 55113
Tel 651-636-4600
Fax 651-636-1311
www.bonestroo.com
February 24, 2011 � Bonestroo
Melanie Curtis ` � �'-'���
��,r ,� ._�
Planning and Zoning Coordinator
City of Orono ,� ��
Post Office Box 66 3� ,.
Crystal Bay, MN 55323 `�'
Re: 2650 Fox Street
File No. 000139-11000-2
File No. 2011-00103
Dear Melanie:
We have reviewed the plans for a proposed addition to the existing home at 2650 Fox Street.
The plans are dated 1-25-11. We have the following comments with regards to engineering
matters:
• There is a Manage 2 wetland on the property that may receive drainage from the
proposed addition. Wetland buffers may be required by ciry ordinance for this project;
however there is not enough information available to fully evaluate the plans against the
buffer ordinance.
• Additional plan information should be submitted to address the following triggering
criteria established in Section 78-1601. A wetland buffer will need to be established if all
of the following three conditions exist:
o The portion of the property disturbed by construction or land alteration activity
drains to the wetland; and
o The amount of grading exceeds 50 cubic yards or the construction activity
involves the disturbance of more than 5,000 square feet of area; and
o The redevelopment activity results in a net increase in the square footage of
impervious surfaces that drain to the wetland, or results in the relocation of
impervious surfaces closer to the wetland, or results in changes to drainage
patterns (slopes, meander patterns, etc) that the city engineer determines will
increase the velocity or rate of runoff to the wetland.
• This project will disturb �ess than 100 CY 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 owner for this permit.
City of Orono Page 2
20 1 1-00 103 February 24,201 1
If you have any questions, please call me at (651) 604-4894 or send an email to
darren.amundsenCa�bonestroo.com.
Sincerely,
BONESTR00
�_ _�i
i — � �
Darren Amundsen
Cc: Tom Kellogg
Chris Mattson
John Smyth
Christine Mattson
From: Amundsen, Darren T [Darren.Amundsen@bonestroo.com]
Sent: Thursday, February 24, 2011 3:18 PM
To: Christine Mattson
Cc: Tom Kellogg; Melanie Curtis; Lyle Oman
Subject: RE: 2650 Fox Street/bldg permit#2011-00103
Attachments: 2011-00103 2650 Fox Street 2-24-11.pdf
With the limited info that I have on the grading plan and strictly applying the wetland buffer ordinance, I'm forced to say
they either need to establish a wetland buffer or provide additional information showing the three criteria are not met.
Darren Amundsen, PE
Associate
Direct 651-604-4894
Cell 651-775-5623
darren.amundsen@bonestroo.com
� Bvnestroo
V�s�t�I�C n2w Bonestroo.com to sign-up for SourceONE,
our upcoming newsletter.
From: Christine Mattson �mailto:CMattson@ci.orono.mn.usl
Sent: Thursday, February 24, 2011 10:32 AM
To: Amundsen, Darren T
Cc: Kellogg, Tom P; Melanie Curtis; Lyle Oman
Subject: 2650 Fox Street/ bldg permit #2011-00103
Hi Darren,
Lyle said the builder is calling him looking for status on this project. My notes indicate a copy of the survey
was sent to Bonestroo on 2-18-2011. Do you have an idea when you will be done with the review?
Thanks!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356 (physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing address)
`�' 952.249.4620 r=� 952.249.4616
`�! cmattson@ci.orono.mn.us � www.ci.orono.mn.us
Office Hours: Monday- Friday 8:00 am to 4:30 pm
Office Hours(Starting Monday, May 23rd to Friday,September 2nd):
Monday-Thursday 7:30 am to 5:00 pm
Friday 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED:
1
Melanie Curtis
From: Melanie Curtis
Sent: Friday, February 18, 2011 9:32 AM
To: 'joe@jlfhomes.com'
Cc: Paul Vogstrom (paulvogstrom@aol.com)
Subject: 2650 Fox St- Permit 2011-00103
Attachments: Escrow Agreement- Building Permit 2011-00103.pdf
Joe
I have begun the zoning review of the permit for 2650 Fox. Please submit 2 additional copies of the full sized survey (for
a total of 3) in order for the review to continue. Also, our septic inspector, Willie Gibbs, is still waiting for the Steve Burns
to drop off the septic permit as welL�==-� ���
Please see the attached escrow agreement form. This form must be completed & signed by the property owner along
with a check for $2,500 before the permit will be issued.
Let me know if you have any questions.
Thanks, Melanie
Melanie Curtis
Planning & Zoning Coordinator
City of Orono
2750 Kelley Parkway
Orono, MN 55356
Direct Dial: 952.249.4627
Fax: 952.249.4616
Planning &Zoning Office 952.249.4620
Email: mcurtisCa�ci.orono.mn.us
Website: www.ci.orono.mn.us
1