HomeMy WebLinkAbout2010-00090 - pool � '� CITY OF ORONO PERMIT NO.: 2010-00090
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �SSUED: 03/23/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2905 FOX ST
PIN : 04-117-23-34-0007
LEGAL DESC : AUDITOR'S SUBD.NO. 230
: LOT 035 BLOCK 000
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : POOL- IN GROUND
ACT[VITY : 329-STRUCTURES OTHER THAN BUILDINGS
VALUATION : $ 15,000.00
NOTE: ADVANCED PALN REVIEW PERMIT#2010-00091
POOL MUST BE 10 FEET FROM ANY OTHER STRUCTUR� ([NCLUDING FU"CURE PFRGOLA)�
APPLICANT
PERMIT FEE SCHEDULE 265.50
PERFORMANCE POOL& SPA STATE SURCHARGE(VALUATION) 7.50
1890 WOODDALE DRIVE
WOODBURY, MN 55125 TOTAL 273.00
(651)731-3440
OWNER
FRANCIS, MICHAEL&BERIT
2905 FOX ST
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be perfomted 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 authorized is not
commenced within 180 days of the date of issuance,or if consVuction is
suspended for a period of 180 days at any time atter work has commenced.
'�he appl' ant -re�po Ie for assuring all required inspections are
request i conformance ith the State Building Code.This permit may be
revoke any ti for e c e.
. � ?
Applicant Permitee Signatu �Date � � � � �� �� � ���"� ��
Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
! �
City of Orono
Building Permit Application
for New Structures or Additions
���� Mailing Address: Permit number: / — �aa O
�v�.(��\� PO Box 66
Q �:\ � ,, Crystal Bay, MN 55323-0066 Date received:
'�i�e;-1.
,� �'�"'�;�-�;' i� Received b
�u Street Address:' Y�
�c� � "����`"��,, �� 2750 Kelle Parkwa /�p�,S� �j,�
L , � o Y Y Plan review fee:
qkESHO�� 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 submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: ?-�j� � �� ��a
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �'No
If yes, a specia/event permit rs required wrth Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed.
CONTRACTOR/ LIC NT INFOR�q.�p�
Name: � --a�a� �—
State License# ; Expiration Date:
Phone: —� — (office cell)
Mailing Address: q fl tv .S'T�. Cit : ZIP: �S')Z�
Contact Person: Applicant is: o trac / Homeowner (Circle One)
Email and/or Fax: � —g Z
PROPERTY OWNER INFORM N:
Name: � c� .�- "f- �R C i
Phone (day): L 33�} 'SC��
Address: Z S' �pX ��- City �12G(�CJ ZIP� �,3 S�
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: _ Cit � ZIP�
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal &
❑ New Construction Water Supply
❑ Single Family with ❑ Residence
❑ Addition attached garage ❑ Gara e/Accesso Bld
❑Accessory Building ❑ Single Family with ❑ Deckg ry g� ❑ Public Sewer
❑ Relocation detached garage ❑ Office/Commercial �Private Sewer
� Other: (specify��-�Q,ovr� �cY� ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
'"`Any earth movement may require ❑ Commercial ther(specify)
MCWD review&permits. ❑ Industrial �s �rivate Well
Minnehaha Creek Watershed District(MCWD) �her: (specify)
18202 Minnetonka Blvd ��
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or p
Estimated Construction Valuation (excluding land) $ I � �
Last Updated: 9/29/2009
- 17 -
� �
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction
a. Length (ft.)= "� Number of bedrooms = ❑Wood/Frame
Z � ❑ Masonry
b. Width (ft.)= Number of garage stalls: ❑ Metal
Attached = ❑ Pole Bldg.
Areas in square feet Detached = ❑ ICF
�{On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 15t Story = ❑ Other(please specify):
e. 2"d Story=
f. 'h Story =
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
� ❑ Permit Ap 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 compteted 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.
ApplicanYs Signature: � � Date: ��I�/ I�
�-`�
Last Updated: 9/29/2009
- 18 -
. . �
Plan Review Checklist for New Structures / Additions
) �j (.� � �-,
Address/ PID/ LegaL `�` �� G' X -��i "
Description of work: _ 'r� �-����1.� ; ' ���=c,: � "
Septic review by: / V �'a Date Approved: �� - 1� jU
Zoning review by: � � Date Approved: � � %�
Building review by: —( ,� - Date Approved: � - 3 - I�
�
Grading review by: Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire Department Post Office School District
' �, - I/�
:
Zoning: Lot Area:_ C� C�r� �AC Width: `��� �J Depth: ��'�y
Survey Submitted: GYYes ❑ No Date of Survey: � '��L� "�'��
Pro osed Setbacks:
Front(L-al� Rear(S��set� ( N S E VVj) ( N S �W ) Other Buildings Wetland
Side Side
,�, . '� / - � !� ,� r l
�'��_d ��ri,� ���. ��__. �l � v- �,��� ��/�
Building Defined Height: Building Peak Height: #of Stories Ok?: � YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING 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 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: SF %
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff
Yes ❑ No ❑ N/A � Yes ❑ No
❑ Yes �No ❑ Yes ❑ No ❑ N/A ,
c���u��n _-�i�;�la,-�-�! Permit Number: ��_�(�j Setback: �
-���r,�-� �, �,� :�7,� r�Y ,l�c btir[�r�a9 w., t,�vs��-+
Hardcover Zones Existin Proposed Variance Required CUP Required
0-75' � Yes ❑ No ❑ Yes ❑ No
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house): UC ���� �� � /C'C�t�� �L � /��r'�r; '� / ? .f���_ C-i,
�.�(C/i''�'�`'-�y_� — /-�;'DiC��w�l � '�:_(� �• %c�' �����
Updated: 09/11/2009
z:\formslplan review checklist.docx
� , .
Fees to be Charged YE$ NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
Square Foota e , $ per S uare Foota e
Basement � X = $
1 S' Floor X = $
2"d FIoOr X = $
Garage X = �
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site ❑ Plumbing 0 Grading / Filling ❑ Well
❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical
� Footing ❑ Septic ❑ Water Connection
❑ Poured Wall � Fireplace � Sewer Connection
❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation
� Radon Rock Bed ❑ Mfg.
❑ Framing ❑ Other(specify)
❑ Insulation
❑ As-Built Survey
�Final
❑ Other(specify)
=f�,S��� y
REMARKS (in-house): _ E-'�3C�,'1'C.l�: � �C.�� ,��'' 4
�
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: ❑ YES � NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
��� rv� ��, � -I� f c�c; i �r � � h� (<� ����- �;;v�-� ���� ��t
�_ { Q- �� ��Lhiv� ►� ,1�1��'�� � u }v'�� Q ��>r�i
Updated: 09/11/2009
z:\forms\plan review checklist.docx
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� ��-/ `� ' DATE TIME �
� /�
CITY OF ORONO CALLED IN `v
INSPECTION NOTIC SCHEDULED � _�L�
PERMIT NO � 0 co LETED
ADDRESS
OWNER TELEPHONE N . � 77S 37�
CONTRACTOR � ��r
>; DESCRIPTION ��i / " �
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�QJC�66@TING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ��ORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED �:. ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-46��
OwnedContractor on site:
Inspector. +�
White Copyllnspector's File Canary CopylSite Notice
� ,
• : • .
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant , �
CC: Street File
�`
Date: 9/6/2011
Re: Building Permit Escrow Refund
Building Permit #2010-00090 pertaining to 2905 Fox Street is complete. The applicant,
Michael & Berit Francis, has requested a refund of the $2,500 escrow.
The foilowing 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
w:\street files\fox street�2905\escrow refund memo 2010-00090.docx
August 20, 2011
R��E�VED
City of Orono A�� 2� ����
Oro�no, M nnesota 55356 C'����R�NQ
To Whom it may concern,
My name is Michael Francis and I am writing to request a return of any
remaining escrow funds associated with our building project at 2905 Fox
Street, Orono MN 55356. Our Permit Number is #2010-00090.
I see from the original document that a written notification is required to
release any remaining funds. I have attached a copy of the original receipt
and Escrow Agreement.
Please let me know if any additional information is required. I may be
reached by phone or mail and have included below my contact details.
Kind regards,
�
,
r��i'-��
Michael and Berit Francis
2905 Fox Street
Orono, Minnesota 55356
Office: 612-696-2822
Mobile: 612-269-0481
BUILDING PERMtT ESCROW AGREEMENT
_ Orono Building Permit#2Q10-00090
AGREEMENT made this /� day of��1�/'- , 2010 by and befinreen the CITY OF ORONO, a
Minnesota municipal corporation ("City") and MICHAEL R. & BERIT K. FRANCIS ("Owner").
���
Recitafs
1. A building permit appfication has been filed for a swimming pool located at 2905 Fox Street the
("Subject Property"), legaliy described one the reverse side of this page.
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
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 Owner shal( deposit �2,500 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal
consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the
Owner would be responsible for under a building permit application. The escrow will also guarantee
reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in
accordance with the Stormwater Pollution Prevention Plan anct 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 #2010-00090 if compliance with the
approved building permit is not accomplished.
3. MONTHLY BlLLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owner. Owner shall be responsible for payment to the City within 30 days of the Owner's receipt
of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owner does not make
payment to the City within the timeframe outlined in #3 above, the City may draw from the escrow account without
further approval of the Owner to reimburse the City for Eligible expenses the City has incurred. The City shall
notify the Owner the Owner of such draw and the nature of the expense for which the reimbursement is being
made. If the Escrow amount falls befow 75% of the original escrow amount the Owner shall deposit additional
sums as directed by the City, or the City shall discontinue review and post a Stop Work Order.
4. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owner when the review has been completed and written notification is received from the Owner requesting the
funds.
5. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
C TY: IT RONO OWNER:
By. �� � ,�/��",Yi"'/1
ItS: /�����"Gt�/tD/1�'�
Infernal:Use Only__._'_. __ p Or,ginal to_F�nance;Department _ D Copy;to Street-File
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Christine Mattson
From: Darren Amundsen [Darren.Amundsen@bonestroo.com]
Sent: Friday, September 02, 2011 12:20 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
No and no.
Darren Amundsen, PE
Associate
Direct 651-604-4894
Cell 651-775-5623
darren.amundsen@bonestroo.com
�Banestroa
Bonest�oo nas signed a letter of intent to join Stantec, a professional
services consulting fi�m recognized fo�its leadership in sustainability;
depth and diversiry of talent, and technical expertise.
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent: Friday, September 02, 2011 7:34 AM
To: Darren Amundsen; 'Sherry Charboneau'
Subject: Unbilled WIP
Good Morning,
Any unbilied WIP for:
2010-00090 2905 Fox Street Michael & Berit Francis
2010-00721 601 Minnetonka Highlands Nathan VanCamp
Thank you!
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 i- 952.249.4616
!,� cmattson@ci.orono.mn.us � www.ci.orono.mn.us
Office Hours (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 W/LL BE CLOSED: Monday, September 5, 2011
1
Christine Mattson
From: Sherry Charboneau (SCharboneau@ck-law.com]
Sent: Friday, September 02, 2011 3:44 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
Christine:
No unbilled WIP for the projects referenced below.
Have a good weekend!
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
� scharboneauColck-law.com.www.ck-law.com
From: Christine Mattson [mailto:CMattsonCa�ci.orono.mn.us] �� ��
Sent: Friday, September 02, 2011 7:34 AM
To: Darren Amundsen (darren.Amundsen(c�bonestroo.com); Sherry Charboneau
Subject: Unbilled WIP
Good Morning,
Any unbilled WIP for:
2010-00090 2905 Fox Street Michael & Berit Francis
2010-00721 601 Minnetonka Highlands Nathan VanCamp
Thank you!
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, 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: Monday,September 5, 2011
1
Checklist for Refunding Building Permit Escrows
Building Permit # �>�� - ����
�
Street Address: 2-�� }'0'� ��t.' ;
Applicant Name: �t��tQ�,�.. �-- ���.��-� �,�
C.� Escrow request received Date: �i "Z.�� � �
(to be completed by Barb) .
Are all inspections completed? Yes No
If not, list what is outstanding: ����} `�'Z�'�U �1 � r � � J �'Z-��G
Was there a Temporary Certificate of Occupancy issued? Yes No Date:
Was there a Final Certificate of Occupancy issued? Yes No Date:
❑ Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent:
❑ Prepare memo for Finance Department
❑ Note amount refunded in program.
z:\formslzoning standard forms\checklist for refunding building permit escrows.doc
December 23,2010