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Home My WebLink About2011-00222 - addn/remodel/repair . CITY OF ORONO PERMIT NO.: 2011-00222 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE �ssuEn: 06/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2550 FOX ST PIN : 04-117-23-41-0008 LEGAL DESC : BEAU MARAIS : LOT 002 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 123,655.00 NOTE: SI?PGRATE PERMITS REQUIRED: PLUMBING,MECHANICAL, GLECTRICAL(S"I'ATE) WETLAND BUPPE PLAN AND$1900 ESCROW FOR BUFFER REQUIRED(SEE JOHN SMYTH MEMO 6/9/11&BUFFER REQUIREMENT DRAWING) INITIAL APPLICANT PERMIT FEE SCHEDULE 1,200.75 WOODSTONE RENOVATIONS, L.L.C. STATE SURCHARGE(VALUATION) 61.83 3745 MONTEREY DR ST LOUIS PARK, MN 55416- MISC FEE 0.00 (612)760-8450 TOTAL 1,262.58 Minnesota State License#: 20638985 OWNER MALMQUIST,JAN&CHR[STINE 2550 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to thc approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. nll provisions of laws and ordinances governing this type of work shall bc compicd wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of[he 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 time for duc cause. �'C��C/1 � ��? � �� / / Applicant mit ignature Date [ssued y Sig ure Date SEPARATE PERM[TS REQU[RED FOR WORK OTHER T N DESCRIBED ABO . City of Orono Building Permit Application for New Structures or Additions - -- Mailing Address: Permit number: �G/l— Oa�� ?�v D,j�'�� PO Box 66 "� 0\� Crystal Bay, MN 55323-0066 Date received: �S /� � � Received by: �'l� T �'a ��✓�;� �.� �,�� Street Address' �� , �� 2750 Kelley Parkway Plan review fee: �p �- �� `�kEssoj� Orono, MN 55356 ��— �� --� 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 s� �mitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: r ,y1t� .�Jf ,S� Job Site Address: �„S� �vX -Sf • . �rc�ti� . � 3 Will this be a Parade of Homes, Remodele s Showcase Home or other Display Home? [ ] Yes �,No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttl bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted evenfs will not be allowed. CONTRACTOR/APPLICA T INFORMATION: Name: ��'��5�1'�v�C �E/►�v�t�r�-�q� �.L State License# �� c�� Expiration Date: .�j 3t I Z. Phone: ��,s��;a��'1� (office) �i'Z- 7�v SYSo (cell) Mailing Address: ,�7'�5 �'lohfic.:C %~(V� Cit : Sl--� ZIP: 5�y/l� Contact Person: '�„� t�S�K�u Applicant is: ont� r�/ Hom�owner (Circle One) Email and/or Fax: -t;,,�, rJ ;NocdS�une- rCy��'Gi�'i�c�, _ W,�,� PROPERTY OWNER INFORIV�ATION: Name: JCta 4 C�,�,'�fii�t�'— �'I�i�wiqu�5�' Phone(day): �SZ 2 y� �.Z�y Address: Lu-�O F�x S'*, Cit : C�v-��.� ZIP: sS,3S(o Email and/or Fax ��(�„�,,i,,'��-cz -�yy��`��f,h ARCHITECT/ENGINEER INFORMATION: Name: �h,� f�(�.ti6�,�E.i- Phone (day): 9S� �/�.3 �Z�� Address: p �. �.c• ' 3r Cit : �'� '��1,fi ZIP: $_�3 G ( Email and/or Fax: Cr�r o �C.v 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&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) $ J 43 �p j'S Last Updated: 1/26/2011 - 19- STRUCTURE INFORMATION: 1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= 7 d Number of bedrooms= l� Wood/Frame �Masonry b.Width (ft.)= 2� Number of garage stalls: ❑ Metal Attached= 2- ❑ Pole Bldg. Areas in sauare feet Detached =_� ❑ ICF c. Basement- � ❑On-site Prefab - ❑Off-site Prefab d. 1s1 Story = �;%Ls� ❑Other(please specify) e. 2�d Story= � f. '/z Story = � � � i g.Total Area= /J/�;L� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Ap licable ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Re uireme ts Form � ❑ Surve meetin all requirements) � � 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 app: :ant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, t e 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 classi �d by State law as either private or confidential. Private data is information which generally cannot be given to the public but c n be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or th subject of the data. Our purpose and intended use of this information is to annually update our records and records of othf 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-bui t survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued u �on receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: � Date: (p � Last Updated: 1/26/2011 -20- -,,-__r__Y�-,.� �,_.� _ m��-, _ .__ .� ,.�. . _ , . ,_ �y_ . . w. �„ � . ,,...,_ �.. ,. ___ ,. ...� ... �.0 ,�a.. . - � � Plan �evieone �hec�C�ist for �ew �tr�ctures f additions � - —" �f'r � Address I PID/ Legal: ` �-_ � � �-��; � j .-.�- F 6� ' �; Description of work: �� 'ir'�.. � � �' Septic review by: � Date Approved: � — �` � � � � Zoning review by: �,�� v�9�.�, �+�� Date Approvect: ��' ��E�,.�`��! �� Building review by: Date Approved: f�° ' d�_� l Grading review by: Date Approved: ' Zoning File#: �-= Resolution #: �= Resolution Date: " Zonin District Fire Department Post Office School District ' �� ` - ---� Zoning: Lot Area: ��;�� S�/��`� Width: ;�� Depth: °�� Survey Submitted: '�;Yes � No �� Date of Survey: a� �Z- �� a�fp;�;��;�,�;� � Pro osed Setbacks: p�-�� -��"� ��:�,�y�,�°,,�. ..�� _: �Front ake k eai� Street � � S � '� ( N S E W � � ( ) 1 Other Building�s Wetland Side Sicie �� ,��r � Building Defined Height: Building Peak Height: #of Stories Ok?: � YES FOR A BUILDING W1TH A BASEMENT OR CRAWL SPACE: FOR A BUILDING QN A SLAB FQUNDATION: START WITH the distance between the basement floor/crawl START the distance betwreen 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: gF o�o '' Shoreland District MCI�VD Permit Received Avera e Lakeshore Setback �luff � � Yes >�°No � N/A � Yes ,�No � Yes �� No � Yes �o � N/A � Permit Number. Setback: Hardcover Zones Existin Pro�osed Variance Required CUR Required 0-75' � Yes ,�°`�!o � Yes o � 75-250' Type(s): Type(s): 250-500' � 500-1000' � � REMARKS (in-house): Updated: 09/11/2009 z:\formslplan review checklist.docx � ,>.�,� ,�,,.,� �,��..�..�.� � - . .: .. . ,.._ � , . ..._ � Fees to be Char ed YES NO �.� �. Permit �'" Plan Review ,� ` State Surcharge �� Investigation Fee �" SAC— Number of SAC Units �' Sewer Connection fi Water Connection Park Fee �: Site Inspection �' Other(specify) . �� Miscellaneous Fees �� Calculated By: � t � S uare Foota e $ er Square Foota e x Basement X = $ € � 1St Floor X = $ r � 2"d FIOOr X = $ � Garage X = $ � � � Estimated Construction Value: $ 4 "�� 5� ��' � �' Orono Inspections Required Work Requiring Separate Permits Required State Permits � �' 0 Site - Plumbing � Grading / Filling � Well ; � 0 Hardcover Removal Mechanical � Fire Electrical ; Footing � Septic ❑ Water Connection � Poured Wall Q Fireplace � Sewer Connection " � Foundation Survey � Masonry 0 Lawn Irrigation �' 0 Radon Rock Bed ❑ Mfg. ; 0 Framing 0 Other(specify) � - 0 I�as�lation ` �.,As-Built Survey � al 0 Other(specify) �, � €. REMARKS (in-house): �. , � 3 : Other Review: Reviewed by: Date Approved: � ;; Access:Existing: 0 YES � NO New: ❑ YES 0 NO REMARKS (TO BE NOTED O1� PERMIT AND INITIALLED BY PERSON PULLING PERMlT) " � V��-o� � � (�� d�a t� � r��' �I�� ° �� n��. � �� ,��c��.�� c��J�� ; � Updated: 09/11/2009 z:\forms�plan review checklist.docx �� . �°�Tt �'`��j��`s�'�`$h"��„��'��°fi�:ns�a.��.�-r��7 �?x x" e�� p �.....�t�.. ..,_ � .. . ... . . �< 'S2�',.d�r_ . i y�.6c .Y�,4r.. � ,�.. .aR�a,�.g�",�.. ».:"�c,.�`.� �.�.-«.�u.:�,., w . ,s i�T,:.��§� t ..v,$��' � � '�.._.- �� l%Y6F+�#.7. £.-�.,s`5�"�� Y,.,".T`�.. at�~'�,-V�, h,ui:.,,r �� DAT TIME � / V CITY OF ORONO �iN � INSPECTION NOTIC�E�9� SCHEDULED ��_ PERMIT NO.�OJ� l/C/� OMPLETED ADDRESS �� OWNER TELEPHONE NO.��–�� - �'�8� CONTRACTOR �� ,.��_— >; DESCRIPTION ��/�� (�� Lt� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J • , 1 1'"��./<<�'� t'7 T�'�.J lJ/� � � '� � S .� � � �: (^-F- �(� ' Z`i ° (�I'�� 1-�`-� 1 ,� �2 � � Q z � ` � � � - �.�•,c� C� �� i� � �1 C� L �� W � � GW ORK SATISFACTORY:PROCEED [� PROJECT COMPLETE � ❑CO ECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN 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� 249-46�� OwnerlContractor on site: Inspector. ��.5 White Copyllnspector's File Canary CopylSite Notice �� DATE TIME �/ CITY OF ORONO CALLED IN f�� _�i _�� INSPECTION N-O�TICE SCHEDULED -'�� PERMIT NO.;T�%�� - �6��MPLETED ADDRESS �� _��K �� . OWNER TELEPHONE NO.L�� `�`��-�� CONTRACTOR v��Z�If��1�'1-� - � DESCRIPTION ��<��TIAI�� —�� ',h'f�� lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W � � � O >. � O � W � Q � 2 W � W � � GW�OfORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED �r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on s't4 e: � Inspector. � � White Copyllnspector's File Canary CopylSite Notice �j� C�_� D TIME ✓ CITY OF ORONO CALLED IN Z- � INSPECTION NOTICE SCHEDULED � PERMIT N0. 0�0 f l—DO�a�MPLET � ADDRESS ��S� ��5� OWNER TEL HONE NO. -7�D-��5� CONTRACTOR � v� �� / //I/l 5� - � � c / �j - y �: DESCRIPTION �� `'" �'�'l�'' `�� ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 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 J ❑ PLUMBING RI ❑ SE T FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU�YES_NO � � COMMENTS: � W 4 � (.f ✓-7 1 �� L/ � �1 �{ �1 T�� .i � r� -�� C_� "'_ \ � � �� si.�.. n Si 1 '� (� �:.1�''S' /0 L7 i�� --; � �� S�� J �l� � �� t ' � Q L1 � tS� �3 �. � W � � ' / ��j� S 3� �'t� � �,(•� ,./��C ,�,1'� �" W � � .� GW�]WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on siteF t�� __._j RJ Inspector. White Copyllnspector's File Canary CopylSite Notice �G� ��y� �� D�}E / TIME �� CITY OF ORONO CALLED IN /f ( // INSPECTION NOTICE SCHEDULED � �' � PERMIT NO. :� C1I l��Y^�:��COMPLETED �� ( ADDRESS L�vc� �l% �l �� OWNER TELEPHONE NO. �n��I�-�� C��' CONTRACTOR �-( ��'�Vv�' �' tT,vt� , � DESCRIPTION (�1G�1-7�� ❑ 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�ttdSPE�TION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z w � W � � d � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 Li CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContrac i Inspector. White Copyllnspector's File Canary CopylSite Notice /� DATE� TIME V CITY OF ORONO CALLED IN � INSPECTION NOTI E SCHEDULED l�� '�/ PERMIT NO. �� d'�"' COMPLETED � ADDRESS °'�'SS� �� 7� OWNER TELEPHONENO.��a g�� 7�J�Z CONTRACTOR �; DESCRIPTION �� ❑ 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 J ❑ DEMO-SITE ❑ SEPT�C MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d � ORK SATISFACTORY:PROCEED [� PROJECT COMPLETE W ❑ C RECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (J52) 249-4600 OwnerlContractor on sit : Inspector. �w White Copyllnspector's File Canary CopylSite Notice C� �� DAT TIME " ITY OF ORONO CALLED�t`� �� '� �`}' INSPECTION OTIC�, ,L2Z scr��CEb2' L� � PERMIT NO. �L�� C COMPLETED ADDRESS G�L��C ,� �=J� �� OWNER TELEPHONE NO� �� Jb CONTRACTOR � �`�� Il >; DESCRIPTION �' ��`� � �C� � �� 1 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEP�I�FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:��YES_NO � COMMENTS: � W � J n,t U Lr /-� � -J� C�,� � �..� � U f�G�� '�` 0 '' � �1.0� �%`j 'fi�- � tS - � 0 � ti � � . � "� � � k�—'�-� l ./� /l ..`.,� �/� �� ' ^ ^ �-�` _.�� S ,�� S � � a � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W �cORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O��CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: ' Inspector. � a , White Copyllnspector's File Canary CopylSite Notice DATE TIME V CI�Y OF�C�RON� CALLED IN INSPECTIQN NOTI(CE � SCHEDULED " L�.' � - PERMIT N(�. ��_C.,�1"�.-�1''�'��'" COMPLETED �% ADDRESS 1�� t-`� •�I 1 L� � OWNER TELEPHONE NO. CONTRACTOR � F� �; DESCRIPTION ��.��1 �� ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W ,,.. a j n o �- . y � � � �� W � � 1 l�L�Z.� l � Q � /m�,�i S z W � W � � d W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK&PROCEED rl ISS CERTIFICATE OF OCCUPANCY W 0 ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contra tQ�on site• r t��r'-L� Inspector. �� i fi�Y_).V 4� --, White Copyllnspector's File Canary CopylSite Notice , . ; • . 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant/J►n� t Ir�� \ CC: Street File Date: 6/20/2012 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permit#2011-00222 pertaining to 2550 Fox Street is complete. The Applicant, Jay Malmquist, has requested a refund of his$2,500 escrow. The following is attached: • Escrow Refund Request • Email from Bonestroo 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: Jay Malmquist 2550 Fox Street Wayzata, MN 55391 w:\street files\fox street�2550\escrow refund memo 2012-00222.doc . 3ay Malmquist ' 2550 Fox Strcet . Orono,MN 55391 R��1t1�C� April 19,Zo�2 =�N� �3 201? CITy OF ORONO City of Orono 2750 Kelly Parkway Orono,MN 55356 Dear Chris: �Pt'1P11' �JT��p cit��inspector has been compteted. Please remit the balance of the escrow funds tied tn 3,�t,��irii��I'illSt 2�11-�222[O: ,�a,r�3:.Tm.�;�igf 2550 Fox Street Qro�o.MN 55?91 Sinc ly, ; �' ,�� _ , � Ja�-�� atmquist 952=249-6259 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Christine Mattson From: Darren Amundsen Sent: Wednesday, June 20, 2012 11:36 AM To: Christine Mattson Subject: RE: Unbiled WIP No, and I can pretty much do this without looking anything up now... From: Christine Mattson [mailto:CMattsonCc�ci.orono.mn.us] Sent: Wednesday, June 20, 2012 10:59 AM To: 'Sherry Charboneau'; Amundsen, Darren Subject: Unbiled WIP Hello, Any unbilled WIP for: Applicant Building Permit Address Nivin MacMillan 2011-00573 1685 Fox Street Ja Malm uist 2011-00222 2550 Fox Street William Trubeck 2011-00106 3300 Fox Street Thanks! Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway ! Orono ! MN ' S5356 (physical address) PO Box 66 I Crystal Bay ; MN � 55323-0066 (mailing addressJ `6�' 952.249.4620 i 8 952.249.4616 � cmattson@ci.orono.mn.us ; � www.ci.orono.mn.us Summer Office Hours began Monday, May 21, 2012 Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Wednesday,July 4, 2012 1 Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Sent: Wednesday, June 20, 2012 12:30 PM To: Christine Mattson Subject: RE: Unbiled WIP Hello Christine: No unbilled WIP on these for Campbell Knutson. 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 �scharboneau@ck-law.com•www.ck-law.com From: Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent: Wednesday, June 20, 2012 10:59 AM To: Sherry Charboneau; Darren Amundsen (darren.Amundsen@bonestroo.com) Subject: Unbiled WIP Hello, Any unbilled WIP for: Applicant Buildin Permit Address Nivin MacMillan 2011-00573 1685 Fox Street Ja Malm uist 2011-00222 2550 Fox Street William Trubeck 2011-00106 3300 Fox Street Thanks! Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway i, Orono ; MN ; 55356 (physical address) PO Box 66 i Crystal Bay ; MN ; 55323-0066 (mailing addressJ � 952.249.4620 ' 8 952.249.4616 � cmattson@ci.orono.mn.us ; �2 www.ci.orono.mn.us Summer Office Hours began Monday, May 21, 2012 Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Wednesday,July 4, 2012 1 BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2011-00222 AGREEMENT made this �S day of �/nG 20�� , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and .,aAN ��k�y��fi ("Owners"). Recitals 1. A building permit application has been filed for an addition to the existing home located at 2550 Fox Street, the ("Subject Property"), legally described as Lot 2, Block 1, Beau Marais, 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 #2011-00222 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. CI ,Y: C Y OF QRONO OWNE : ,, - __� � By: . � % ,ll' its: >�� j� ' J Internal Use Only: 0 Original to Planning 0 Copy to Property Owner �Copy to Street File ' � ' CITY OF ORONO PERMIT NO.: 2011-00484 27�0 KELLEY PARKWAY ORONO, MN �53�6- DATE ISSUED: 06/17/2011 952 249-4600 FAX: 952) 249-4616 ADDRESS : 2550 FOX ST PIN : 04-117-23-41-0008 LEGAL DESC : BEAU MARAIS : LOT 002 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW TIED TO BUILDING PERMIT N0.2011-00222 APPLICANT ESCROW FEE-BUILDING 2,500.00 MALMQUIST, JAN R:CHRISTINE TOTAL 2,500.00 2550 FOX ST WAYZATA, MN 55391- OWNER MALMQUIST, JAN 8 CHRISTINE 2550 FOX ST WAYZATA, MN 55391- AGREEME1vT AND SWORN STATEMEIVT The work for which this permit is issued shall be performed according to the approved plans and specifications;applicable City approvals,and [he State Buildin�Code. This permit is for only the work described and does not gran[permission for additional or related work which requires separa[e permiu. All provisions of laws and ordinances�overning[his 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 wi[hin 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 are requested in conformance with the State Building Code.This permit may be revoked at any[ime for due cause. � G � / 7 � � ( , , Applicant Pe itee Si ature Date Issued B� i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . 1►- PermitWorlcs � as� _: ,: �>, , ,�„ - Fil'e TransacEion F�laintain Reports . �` Geabase Properiy Record ��' O '�I - �` Perrs�i� �� '� � �♦ � I i� � ► ►� ❑ � y."* P�� C� °;" � � �♦ --� --� ---j N EUV �LI�i l_r r =1�.I�.�f r'2� �,��: 2a11-UQ222 �-�`'-- � - � j �� PecmRAddeess: 255Q Fox St �*' h�a�i�7 �9'� �i1�1rr5s � �! I ;�� a.., �" Ncl�_litionci! Fi"a �,cicifr�� ," � Genera!� Fees Inspections�B} l p�es � Applicant Uetail� GO Detsi!� ,� Seq Inspection Type Inspector Date Status H Fee Rec ► �� ' �1�°��'�G�� 'i � 2 Poured Wall WGIB 9/2012011 P Y 0 ; •� __ --- -_ __ __-- - � _i __� _ � 3 As-Built Survey ; i ! ; I } � 5 . Framin . -- WGB 81301'2011 P +Y�0 �- - � I f g _ ___ .__. __ _. T-- --_, .- —�-_ __i .� . 4 Final WGIB 4l1912012 P Y 0 I i � 6 Lath "A'GIB 1Q11S/2011 P �0 ; I I ' �__ ____ __. __ _ _... _ I —_'__.� � I ❑ I � I � � �� x —� Add Ne�w a�r�t� — ``� "�`r , ,. .. . . i ; , : .� �,. , � ,. �. . � :,: �� n.«.0 a.Cw;:. uu.f3,.e.�....» .�1.,. .... . .c..a....�J.. ..... .......5m -.:...... . .., �. ... ...... '. . . ��, t P' n 'k'� �S ' . .. * - � • : � . 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant /^ I�,� U� CC: Street File Date: September 18, 2015 G/L: 101-22205 Re: Escrow Refund �, tz�� S �'�� . Please refund $1,900 to the property owner of 2550 applicant pertaining to permit #2011- 00222. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Jay& Christine Malmquist 2550 Fox Street Wayzata, MN 55391 w:�street files\fox street�2550�escrow refund memo 2011-00222.docx R WETLAND BUFFER ESTABLISHMENT ESCROW AGREEMENT Permit#2011-00222 AGREEMENT made this !,f day of (I G _, 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and ("Owners"). Recitals 1. A building permit appiication has been filed for a property located at 2550 Fox Street the ("Subject Property"), legally described as Lot 2, Block 1, Beau Marais, Hennepin County, Minnesota. 2. The City has reviewed and approved this application. 3. The scope of the project which is the subject of building permit #2011-00222 triggers the application of the City's wetland buffer requirement as established by City Zoning Code Article XI Wetlands Protection 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 $1900.00 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 the establishment and development of the required native wetland buffer and to reimburse the City for ail out-of-pocket costs the City has incurred (including planning, engineering or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for as part of the establishment of the wetland buffer. The escrow will also guarantee reimbursement to the Ciry for all out-of-pocket costs the City has incurred associated with permit #2011-00222 if compliance with the wetland buffer establishment 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 compieted, the native wetland buffer established 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: C TY OR OWNE : � By: Its: 4,:. �- :.n., ,�a�ts�-: 3ir�9�e��!�# D Copy:to S#egt�ife � ' CITY OF ORONO PERMIT NO.: 2011-00485 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1ssvEn: 06/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2550 FOX ST PIN : 04-117-23-41-0008 LEGAL DESC : BEAU MARAIS : LOT 002 BLOCK 001 PERMIT TYPE : ESCROW FEE-WETLAND PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-WETLAND NOTE: ESCROW TIED TO BUILDING PERMIT 2011-00222 APPLICANT ESCROW FEE-WETLAND 1,900.00 MALMQUIST,JAN&CHRISTINE 2550 FOX ST TOTAL 1,900.00 WAYZATA, MN 55391- OWNER MALMQUIST,JAN&CHRISTINE 2550 FOX ST WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described ar�d does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming 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 assuring all required iospections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ` 4 / /^I / ( / / Applicant Pe tee gnature Date Issued By ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . CITY OF ORONO PERMIT NO.: 2011-00484 -� 2750 KELLEY PARKWAY f- ORONO, MN 55356- DATE Iss[1En: 06/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2550 FOX ST PIN : 04-117-23-41-0008 LEGAL DESC : BEAU MARAIS : LOT 002 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW TIGD TO BUILDING PERMIT NO.2011-00222 APPLICANT ESCROW FEE- BUILDING 2,500.00 MALMQUIST, JAN &CHRISTINE 2550 FOX ST TOTAL 2,500.00 WAYZATA, MN 55391- OWNER MALMQUIST, JAN&CHRISTINE 2550 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approvcd plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � G / ! 7 / / ( / / Applicant Per itee Si ature Date ]ssued By � nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . �' BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2011-00222 J AGREEMENT made this �S day of UnC. , 20�� , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and ..�AN �1�,�MA��Sfi ("Owners"). Recitals 1. A building permit application has been filed for an addition to the existing home located at 2550 Fox Street, the ("Subject Property"), legally described as Lot 2, Block 1, Beau Marais, 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 oniy 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 Poliution 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 #2011-00222 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. CI ,Y: C Y OF QI�DNO OWNE : � --� / By. � A�� _ � Its: '�% �; J Internal Use Only: �Original to Planning �Copy to Property Owner � Copy to Street File � CITY OF ORONO PERMIT NO.: 2011-00485 '� 2750 KELLEY PARKWAY ORONO, MN 5535G- DATE ISSUED: 06/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2550 FOX ST P1N : 04-117-23-41-0008 LEGAL DESC : BEAU MARAIS : LOT 002 BLOCK 001 PERMIT TYPE : ESCROW FEE- WETLAND PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-WETLAND NOTE: ESCROW T[L'D TO BUILDING PERMIT 2011-00222 APPLICANT ESCROW FEE- WETLAND 1,900.00 MALMQUIST, JAN &CHRISTINE TOTAL 1,900.00 2550 FOX ST WAYZATA, MN 55391- OWNER MALMQUIST,JAN&CHRIST[NE 2550 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to 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 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 au[horized is not commenced��ithin 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 time for due cause. � 4 � f� � � � � Applicant Per 'tee gnature Date Issued By i ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . < WETLAND BUFFER ESTABLISHMENT ESCROW AGREEMENT Permit#2011-00222 AGREEMENT made this /,� day of l/A� , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation (°City") and ("Owners"). Rec ita Is 1. A building permit application has been filed for a property located at 2550 Fox Street the ("Subject Property"), legally described as Lot 2, Block 1, Beau Marais, Hennepin County, Minnesota. 2. The City has reviewed and approved this application. 3. The scope of the project which is the subject of building permit #2011-00222 triggers the application of the City's wetland buffer requirement as established by City Zoning Code Article XI Wetlands Protection 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 F�LLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shail deposit $1900.00 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 the establishment and development of the required native wetland buffer and to reimburse the City for all out-of-pocket costs the City has incurred (including pianning, engineering or legal consultant review) or wili incur in reviewing the plan. Eligibie expenses shall be consistent with expenses the Owners would be responsible for as part of the establishment of the wetland buffer. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred associated with permit #2011-00222 if compliance with the wetland buffer establishment is not accompiished. 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 outiined 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, the native wetland buffer established 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 t OR � OWNE : � � � By: :� ; i �� its: �` � � �2�-� j% I Intei rnal Use Only: �Original to Planning Department �Copy to Street File