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Home My WebLink About2012-00548 - pool ' � CITY OF ORONO * Z 0 1 2 - 0 0 5 4 8 * • � 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1300 F'RENCH CREEK DR PIN : ]0-117-23-32-0015 LEGAL DESC : FRENCH CREEK : LOT 007 BLOCK 002 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : POOL-IN GROUND ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS VALUATION : $ 25,000.00 N07'E: ADV PLAN RGVIEW COLLF,CTED 6/15/12$268.45 2012-00544 IN GROUND POOL * WETI.AND 13UFFER SIGNAGE REQUIRED * AS BUIL I'SURVGY SHOULD INCLUDE MCWD APPROVALO OF WETLAND DF,LINEATION APPLICANT PERMIT FEE SCHEDULE 413.00 PRESTIGE POOLS 3 E. LITTLE CANADA RD STATE SURCHARGE(VALUATION) 12.50 ST. PAUL, MN 55117 TOTAL 425.50 OWNER DEBORAH HOPP, CHRISTOPHER DAHL 1300 FRENCH CREEK DR WAYZATA, MN 55391- ACREEMENT AND SWORIV STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does nol grant pem�ission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. T'he applicant is responsible for assuring all required inspections are requested insb�orman with the State Building Code.This permit may be revoked at ny ime f due cause. �� 'y '�l� S if � � ` � � ppl cant Pennitee Sj�gnature Date Issued y ' nature D te SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO . l 7 �t� . c �,`� City of Orono Building Permit Application �� for a Swimmin Pool `�� 9 O�\ Mai1iP0 Bo�r66 � Permit number: �10I -DO.� S y_ �\\� Crystal Bay, MN 55323-0066 Date received: ' '� � 0 .�� , �u:�>.�_ �� ,� �� , Street Address: Received by: S �' ��'�`�� ti � 2750 Kelley Parkway Plan review fee: o2Dl � -Ol7$��{ L�v'�� M1'lug� Orono, MN 55356 kESH� / �� (�` Total Fee: •J Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: /,j pp �2�� ,2�F�� 2,J� CONTRACTOR/AP�LICANT INFORMATION: Name: f:��5�bf �ir��S State License # Expiration Date: Phone: �s/-�90•/�9 f Fax: 6�i•/pO•3�/ Address: 8� �� i�,9,0 �si Cit : .� � ZIP: ss�i Contact Person: ContacYs phon�� Email �p�,�� s � oT�rA�� . c�+'� Applicant is: Homeowner (Circle One) PROPERTY OWNER INFORMATION: N a m e: �-�i� �4f-�L �, �{,Q�L �ls� +�1tL_l �--- Phone (day): ,?. 723-��G � T T Mailing Address: /�x� y��s,� ��.� i� , ZIP: 553`i/ Email and/or Fax �j Q��_�� ENGINEER INFORMATION: Name: Phone: Address: Cit : ZIP: Email Fax: PROJECT INFORMATION: 1. Pool Dimensions: 4.Accessory to: 5. Pool Type: 6. Sewage Disposal 8� �B X �� feet WaterSupply �Single Family ❑ Above ground ❑ Public Sewer 2. Heated? ❑ Multiple Family/Condo � In-ground �yes ❑ no ❑ Public (,�Private Sewer ❑ Other(specify) 3. Excavated materials will be: ❑ Commercial ❑ Public Water (,�] removed from site ❑ Industrial 6. Retaining Walls? �Private Well ❑ used on site ❑ Other: (specify) ❑ yes [� no ❑ Other: (specify) Height Total Cubic Yards Estimated Construction Valuation $ �5 �� Last Updated: 10/28/2010 - 7 - REQUIRED SUBMITTALS: ' ' All of the information must be submitted in order for your application to be processed: ' . Not Enciosed Applicable ❑ ❑ Permit Application ❑ ❑ Plan Review Fee ❑ ❑ Pool Plans ❑ ❑ Surve includes radin plan ❑ ❑ Hardcover Calculation Worksheets ❑ ❑ Erosion Control Pian or cop of MCWD Permit ❑ ❑ Septic S stem Certification ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Escrow & Escrow A reement ❑ ❑ Other ❑ ❑ Other 0 ❑ Other ❑ ❑ APPLICANT ACKNOWLEDGEMENT: � • Agrees to provide ali information required or requested by the Planning &Building Departments; • 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; • 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. Confidentiai data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annuaily update our records and records of other governmental agencies required by law. If you refuse to supply the information,the permit may not be issued. ApplicanYs Signature: �/� Date: ��/-1�' �Z— Owner's Signature Date: � �'!an �Revievtr Checkiist for New Structures / Additions Address/PID/ Legal: � `��_��+ �� ;�.�� r� �;'�� Description of work: � f ' � ' � � � Septic review by: � ��a� Date Approved: �''�-� �� I� Zoning review by: Date Approveci: Building review by: _ .._.;,�� '�P Date Appraved:�-�� - �� "� Grading revievsr by: � �, Date Approved: 1 r � Zoning File#: Resolution#: Resolution Date: ; r'� Zonin District Fire De art�ent Post Office School District ,�. �" -� �; Zoning: Lot Area: I ,.��_�F/pAC Width: Depth: Survey Submitted: es 0 No Date of Survey: � '`�-�`� � Pro osed Setba�cs: t' � Fronfi (L e) Rear(Street) ( N �S E W ) � N S E W ) Other Buildings Wetland � � Side Sitie �i ' �t � � "�� P �._��c � �� '�� ` ,� �, Building Defined Height: �`�b� Building Peak Height: �`� � #of Stories Ok?: � YES FOR A BUILDING WITH A BASEMENT OR CRA4'�L SPACE: FOR A BUILDING QN A SLAB FOUNDATION: � START WITH the distance between the basement floor/crawl , - START the distance between the slab and tl�"ighest �: space floor and the highest roof peak,the top WITH roof peak, the top of the corni �a flat roof, the cornice of a flat roof,the deck line of the deck line of a mans oof, or the mansard roof, or the uppermost p ' on a round uppermost point or� ound or other arch-type or other arch-t e roof roof �"_� SUBTRACT half the distance betwe he highest window and SUBTRACT half the�i� ance between the highest window hi hest roof eak itched roof and�a; hest roof eak of a itched roof SUBTRACT the distance�laetween the basement floor/crawl ADD e distance between the slab and the highest space r and the highest existing grade within existin rade within the foundation th undation or 10 feet,whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: SF % Shoreland District AIIGWD Permit Received �,vera e Lakeshore Setback �luff 0 Yes ❑ No C� N/A 0 Yes No Yes � No � Yes 0 No /A Permit Number: Setback: Hardcover Zones Existin Pro osed Vaeiance Re uir ci CUP Re uired 0-75' ❑ Yes - No ❑ Yes o 75-250' Type(s): �' Type(s): �, 250-500' 500-1000' � �� REMARKS (in-house): � � � B� � � �' ��A � e Updated: 09/11/2009 z:\forms\plan review checklist.docx �. .:�,��F2��e.��..;.�.. z � �, ., � .,��..�,.. .,-.�.. �. . �.__A d.,_�,a_�. a....M�� «_.m.._...___.� , _.. ��.. . ,w.. �_.. e�,.m�___e ..._�_____ Fees to be Char ed YES NO Permit Plan Review State Surcharge � Investigation Fee SAC—Number of SAC Units � Sewer�onnection Water Connection � Park Fee Site Inspection � Other(specify) Miscellaneous Fees Calculated By: Square Foota e $ er S uare Foota e Basement X = $ 1 St Floor X = $ 2nd Floo� X = $ Garage X = $ Estimated Construction Value: $ "�� '��`° `�" �" �rono lnspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing O Grading / Filling ❑ Well 0 rdcover Removal �Mechanical � Fire �Electrical Footing � Sepfiic � Water Connection � Poured Wall ❑ Fireplace � Sewer Connection � Foundation Survey � Nlasonry ❑ Lawn Irrigation � Radon Rock Bed 0 Mfg. � Framing � Other(specify) 0 Insulation 0 As-Built Survey inal 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES ❑ NO New: ❑ YES � NO REMARf6S TO BE NOTED O PERMIT AND INlTIALL D B P SON P LLI G PE IT x � ' ' �� !{0 5� �� e u c �C e✓�aJ 6c.. 2 � S✓�..e.. t,�t S �L� ..,�.. 'ft� ( t��i • ' ��t �-�- � ��IP�/v� ��`r/ � � �U U ted: 09/11/2009 C� -� � z:\forms\plan review checklist.docx (��a l�s� ��°1�� V� v 3 �/ ✓� �94. ��ei�. C�-f rz�s rr P�� 7��ri'� /300 �.eENcµ c:��E,� Ur�. 6/la�/Z G 713 v �/��N ,��,/�.��. HARDCOVER CAL.CULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-SOQ' 500-1000' EXISTING HARDCOVER IN ZONE . A. House x = SZ¢3 S.F. Leng:Ji Widfh X = S.F. X = S.F. B. Garage x = S.F. C. Driveway �LA�G/LTO x !zl g�34.3z = 465/ S.F. NG, x = 7a3 S.F. D. Sidewalk 193+� •�"'��,�„3�1�.�� x 84 }.�5� = ZS$' S.F. �__ _._ X = S.F. � f E. Patio/Deck �U ¢U -/ /RS `� X = /ZZS S.F. T•� v ` -� �-. ,x - , i3Z> s.F. 1 r � ,, F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining /30 � l6 f�� X = �$O S.F. Walls H. Other �i o�0�2� X = 4'7�''J S.F. TOTAL HARDCOVER IN ZONE - �ZS 9.G S.F. A TOTAL PROPERTY AREA IN ZQNE - 6Q,��1� S.F. B A J2S9� } � 6�,�z/ x�oo = /9•S� °ia PROPOSED HARDCOVER IN ZONE ��'��'pl'�� 6-/9-i,2, A. House x = S.F. Length �dth X = S.F. X - S.F. B. Garage x = S.F. C. Driveway x - S.F. x = S.F. D. Sidewalk x = S.F. X = S.F. E. Patio/Deck �°�Oa�jFo P�r�� X /� x ,��' � -� �gg S.F. /.�ao�t�� /+�oc ��rk x - � 8 7 o S.F. .Q�'.v�o v E G'�'c r� - 47 7 F. Landscap� x = S.F. Underlain .@F,P.,�i�.�� fro,+.c'daRpFRf = - So S.F. By Plastic x = S.F. G. Retaining x = S.F. � N Z Walls � U,J o O > N � H. Other Poo� �:�ac.��.�,��.; X = '` �/ S.F. W `— O N E'r' c^iu'A N�G' . 0 0 2 („� � tL '1"OTAI.HARDCOVER IN ZONE i2, G4�6 f �00 Z, - 1384{� S.F. A W � o TOTAL PROPERTY AREA IN ZONE - 6Q,�p2� S.F. B � � �. A /.3848 �- B 64 �rzi_ x �oo = ��.4� °ia V ' ' GRONBERG &ASSOCIATES, INC. � SURVEVING,ENGINEERING AND LAND PLANNING 445 N.WILLOW DRIVE LONG LAKE,MINNESOTA 55356 .. ._.. .... __ 952-673-4141 Fax: 952-473-4435 LAND ALTERATION CALCULATIONS FOR CHRISTOPHER DAHL 1N LOT 7, BLOCK 2, FRENCH CREEK July 11, 2012 1. Excavation for pool. Avg. 5' depth X 36' X 18' = 3240 C. F. = 120 C.Y. 2. Grading SE of pool for pool deck. = 25 C.Y. Total = 145 C.Y. RECEIVED JUL 11 1Gi� CITY OF ORONO � DATE TIME CITY OF ORONO * � CALLED IN INSPECTION NOTICE � SCHEDULED PERMIT NO. '%�.i I.-�-��`'�`b co PLE � ��I�Y� V� ADDRESS I�� r�^`� `—/�` � OWNER TELEPHONE NO. CONTRACTOR a 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 ❑ SEPTIC MAINT. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � l!a—c 6,..�r.e�✓ S5 S he �n I'� i/vs,a.--, �c � O 4✓� � � � � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK R PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT 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.CALLTO ARRANGE ACCESS. Call forthe next ins ction urs in advance. (952� 249-4600 OwnerlContracto site: Inspector. 'f`> /a � White Copyllnspector's File Canary CopylSite Notice , � � 'r 11- 1.�� 1Z _ � �� u� � �� ( I � I� � I 2 . l�- w �� ccN� c�� S{�,wl 6� � l i ��- � �l�o�— �� G�`��n C� . �� — � � � DATE TIME CITY OF ORONO CALLED IN 7� /�� . � INSPECTION NOTIC �/Q SCHEDULED , �/�' � PERMIT NO��d- �--�TO COMPLETED � ADDRESS � �C�(J ��f �/� 1J1�� OWNER T P NE NO. ��7�� 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 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 � � � O >. � O � W � Q � Z W � W � � d ��RKSATISFACTORY:PROCEED f7 PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ;-, ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR —�' CITATION ISSUED G INSPECTION REQUIRED.CA�L TO ARRANC�E ACCESS. Call for the next inspection 24 hours in advance. �QSZ� Z49-46�� OwnerlContractor on site: - Inspector. o'—� � White Copyllnspector's File Canary CopylSite Notice � DATE TIME V CITY OF ORONO CALL-E�iN -� � INSPECTION NOTICE �5�0� SCHEDULED ��—�� PERMIT NO.G�D�d - a COMPLETED ADDRESS +� i3�U �r�c� e�..�C� � OWNER TELEPHONE NO.�05� O �3�l Cl CONTRACTOR l�/11�� u(TC .�� >: DESCRIPTION ��r� � l� ❑ FOOTING ❑ PLUMBING FIf�AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a ? � f . � 1� 1� (�� (1�--�� O � o Ji fy� , � S � � � � �' � , � Q � - �-,; � � z W � W � � GW ❑WORK SATISFACTOFY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: ' Inspector. � �.� � White Copyllnspector's File Canary CopylSite Notice . ; • . 1 • emo k, � To: Finance Department � From: Christine Mattson, Planning Assistant �� . � � �CC: Street File �� Date: 12/17/2012 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permit #2012-00548 pertaining to construction of a pool is complete. The Applicants, Christopher Dahl & Deborah Hopp, have requested a refund of their $2,500 escrow. The following is attached: • Escrow Refund Request • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Christopher Dahl & Deborah Hopp 1300 French Creek Drive Wayzata, MN 55391 w:\street files\french creek dr�1300\escrow refund memo 2012-00548.doc SUILQING PERMIT ESCR�W AGREEMENT Orono Buiidi�g Permit#2012-D0303 AGREEMENT made this��da of 20 t 2 b and betv✓een the CITY OF ORON Y � , Y Minnesota municipal corporation("Cizy"}a�d Chris opher Dahl and Deborah Ho�p("Owners"). Recitais 1. A building permit appiication has been filed for a swimming pool IocatEd at 130Q French Cre� rive the{"Subject Pr4perty"),legaily described as Lot 7.Black 2, French Creek,City of Orono, Hennepfn Cour iinnesota. 2. Owners req�es#the City to review this application. 3. The City wili commence its review of the applicatian and incur cosis associated with said revie �ty if the Owner establishes an escrow to ensure reimbursement to the City of its costs. OW THEREFORE,TFiE PARTlES AGREE AS FOLLOWS: 7. DEPOSIT OF ESCROW FUNQS. Contemporaneously with the executio� of this Escrc gresment,ihe Owners shaii deposii 52.500 with the City. Ail accrued interest, if any,shall be paid to the City airr�burse ths City for its cast in administering the escrow account. 2. PURPOSE OF ESCRQW.The purpase af the escrow is to guarantee reimbursement to the C u all out-of-pocket costs the City has incutred (mcluding planning, engineering, in excess pf $500, or tec �nsuitant review) or wi11 incur in reviewing the plan Eligibie expenses shaii he consistent with expenses t! �wners wouid be responsible far under a building permit appiication. The escrow wiil aisa guarant+ >imbursemenC{o the City for ai(out-af-pocket costs the City has ineurred to assure that the work is compieted �cordance with the Stormwater Poliution Preventio� Pian and the provisions of Orono City Code Chapter i he financial security may aiso be used by the City to eliminate any hazardous conditians associated with t' ork and tc�rep2ir any damage to pubiic propeRy or infrastructure that is caused by the work(including plannio ngineering; or iegai consultant reviewl assaciated with buiiding permit #2Q12-00303 if compAance with ii pproued buiiding permit is nat accomptished. 3. MONTHLY BILLING. As the City recsives consultant bilis for incurred casts, the City wili in tu �nd a b+ll to the Ownsrs. C?wners shait be responsibie for payment to the City within 30 days of the Owne �ceipt of hili 4. DISBURSEMENT FROM ESCROW ACCOUNT, In the event tnat the Owners do not make payme �the City withm the timeframe outlined in#3 above,shall issue a Skop Work Order untii the Owners pay aif sxpens :voiced pu�suant to #3. The City rnay draw frorn the escrow account without further approvaf of the Owners �imburse the City for eNgibla expenses the Giry has mcurred. 5. CLOSING ESGROW. Th� Balance an depasit in the escrow, if any, shal! �e rewmed to t; �wners when the review has been completed and written notification is received from the Owners requesting ti mds. 6. CER7lFY UNPAID CHARGES. If the project is abandoned by Ownerc,or if the eligible expens curred Gy the City exceed the amount in Escrow,the City shall have the riqht to certify the unpaid balance to t: �taject property p�rsuant to Minn.Stat. §�Q15.0': and 356.Q12. �`f � ITY:,�1 OF C�RONQ E . y r �r r ��V`-� y ��v— �ts � 4' `�-' G�d�'�',�/ — � � ftemat iJ:se Qnty; ,, :"�Kh3gfn�il ta'Ptanrz`m� ,+. 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II { I I � f I � ' � il E ( I ' CITY OF ORONO * Z 0 1 2 - 0 0 5 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: 06/19/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : ]300 FRENCH CREEK DR PIN : 10-117-23-32-OO15 LEGAL DESC : FRENCH CREEK : LOT 007 BLOCK 002 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT#20]2-00303-PD BY DEBORAH]-IOPP APNLICANT ESCROW FEE-BUILDING 2,500.00 DEBORAH HOPP, CHRISTOPHER DAHL 1300 FRENCH CREEK DR TOTAL 2,500.00 WAYZATA, MN 55391- OWNER DEBORAH HOPP, CHRISTOPHER DAHL 1300 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordin�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 reyuires separate permus. 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Buildina Code.This permit ma} be revoked at any time for due cause. / / / / Appl�cant Perm�tee Signature Date Issued B��Si�naturc Date SEPAf.ATE PERMITS REQUIRED FOR WORI�: OTHEF THAN D�S�P.IBED FtBOV��. '�- FermitWo�lcs „_ . File Transactian f'v9aintairi Reporfs _ _ __ _ - - _ _ _ _ — -- 9`` Geobase Rrcp�rh�Record � � � � '��_� '�` Permif _ _ _ _ �u I� � �I�I « I _�� i _ � � PI�_ � CI _� �; � �'* _ _ ___ t��rm�t#: 2012-OQ548 1i,cl�. F ��;; PerrnitAddress: 130QFrench Cr�ekQr . _ �'' �%'�� iF, ,�ci�liF:=: i �"' ,�.; , : _� � .,�:i:l; i, General� Fees Ertspections{3} � �ates � AppE�cant Detail� CQ Qetait� ' Seq InspectionType Inspector Date Status H Fee Rec � ► L� �� !, _ B �2 Final '!t'GIB 9I11/2012 ,P jY �0 ' ` u3 't5s-BuiltSurreY ' ' I _. ��`U 1�� I�� °-�' � z-- i � � i ---� i ; �' ! i ►� x A d d M ew Detete Christine Mattson From: Deb Hopp [DHopp@mspmag.com] Sent: Wednesday, July 25, 2012 1:58 PM To: Melanie Curtis; Christine Mattson Subject: permit#2012-00303 Hello, Melanie and Christine.Thank you again for your help in our securing the permit for 1300 French Creek Drive. Per the information you sent to me last month, today I am formally writing to request the return of the funds we sent to you for escrow and also wonder when we might expect to receive them. If you require anything further of us to release them, please do let me know. Have a great rest of your week.All Best, -Deb. 1 Checklist for Refunding Buiiding Permit Escrows 2.c�( � - ��.��- v� �� Buiiding Permit # �1.. --� Q �.�� Street Address: �� • Ap p I ica nt Na me: �'lS �(,Q,/� �-- � Escrow request received Date: �" �'�2-- Permit Type: �� ( Are all inspections completed? es No If not, list what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes�No Date: Was there a Final Certificate of Occupancy issued? Yes ��k' Date: � As-built survey required? Yes, approved on NO NA �;d II� Z• ( Z- ^f�l� Email CK & Bonestroo to see if there is any unbilled WIP. Date email sent: ,.� ❑ Prepare memo for Finance Department �:\rormslzoning standard forms\checklist ror refunding building permit escrows.doc Last UoGated: �0-31-2011