HomeMy WebLinkAbout2016-01260 - attached deck CITY OF ORONO * 2 0 1 6 - 0 1 z 6 0 *
' 2750 KELLEY PARKWAY DATE ISSUED: 10/25/2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2340 GLENDALE COVE LA
PIN : 34-118-23-33-0062
LEGAL DESC : GLENDALE COVE
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 20,000.00
NOTE: SEPARATE PERMITS RGQUIRED:ELECTRICAL(STATE)
DECK REPLACEMENT AND ADDITION
SEE BUILDER ACKNOWLEDGEMENT FORM
APPLICANT PERM[T FEE SCHEDULE 356.22
STATE SURCHARGE(VALUATION) 10.00
4 QUARTERS DESIGN& BUILD TOTAL 366.22
16376 JAVAR[COURT
LAKEVILLE,MN 55044- Payment(s)
CREDIT CARD 9343 366.22
(612)237-1881
Minnesota State License#: BUIL-20396175
OWNER
VIERTHALER,ADAM& LEAH
2340 GLENDALE COVE LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
Ihe approved plans and specifications,applicable City 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. All provisions of laws and ordinances governing Ihis 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 l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested ih conformy�nce with the State E3uilding Code.This permit may be
revoked�t?ny time�dr due cause. , /�/�
/�� '� � �- �� - _
� ��� t:�-�. � a ���-�� L.���'�j�-�-��� � ~i--� �/�C,� �y z L, /
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pplicant P� � ee Signature Date Issued By Signature D eat
, CITY OF ORONO �.
, BUILDING PERMIT APPLICATION c� �(.p�'
FOR NEW STRUCTURES OR ADDITIONS�
/�O A,\ Mailing Address: Permit number: , '"�`/� ^
'VO\ PO Box 66
/ � Crystal Bay, MN 55323-0066 Date received: . `��/
� ' � �- C,� _ � Received by: � �. �%�
� ,, Street Address:' ,�.,�
y '� '�� 2750 Kelley Parkway U��� • �� + 1 n review fee: �_��� �� .
F L�
lqKfsHo�� �� Orono, MN 55356
�-�/ lp�� Main: 952-249-4600 Total Fee:
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 applicatlons will be returned. (Please print)
GENERAL INFORMATION: /�
Job Site Address: y S `�O �
t.v, , �1a2, L-D'J� �--� .
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to tha event. Shuttle bus servrce will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be alfowed.
CONTRACTOR/AP LICANT INFORMATION:
�
Name: :�r�� , � c r.c .
State License# ' � 3`}6i�c-- Expiration Date: '� � ��
Phone: cell Z, 2:, ' office
Mailing Address: 41�( Cit : ,-h.�,, ZIP: '
Contact Person: � c,� ^ �,� �- ,,� Applicant is: n rac / Homeowner
(Cirde One)
Email and/or Fax: _ � . < r.�
PROPERTY OWNER �FORMATION:
Name: qn.C��rr, � ZPa� v,�.���«�P�r
Phone(daY)� L��I{) �lG r�ri(�l� (� ��- �Q rv�.
Address: L�<;�;:;�;�: City: ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: CitV: ZI P:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro�ect: lv.r e Q�c,S-t;�,�� �.c:.� z,. ���:.� Jr,�-c,,�� �'�,�
1.Type of Project 2. Proposed Use 3.Structure Ty 4.Sewage Disposal &
Water Supply
❑ New Construction �Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage �Deck 18 Public Sewer
❑Accessory Building ❑ Single Family with ❑Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
�Other: (specify) ��L'��J ❑Multiple Family/Condo ❑ Retaining Wall(s)
❑Public 4-feet or greater � Public Water
**Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other: (specify) ❑ Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.mfnnehahacreek or
Estimated Construction Valuation (excluding land) $ �., a�
STRUCTURE INFORMATION:
� 1.Structure Dimensions 1.Structure Dimensions(continued)
a. Length (ft.)= Number of bedrooms= 2. Occupancy: ��/— /
b.Width(ft.)= Number of garage stalis:
3. Occupant Load:
Areas in spuare feet Attached =
c. Basement= Detached = 4. Type of Construction: .1•� �V
d. 151 Story = �`� � ��
e.2"d Story= 5. Code Edition:
f. '/2 Story =
g. Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our application to be processed:
Not
Enclosed A Ilcable
❑ ..� Buildin Permit Escrow A reement and Fees
❑ � Plan Review Fee
,5� ❑ Com leted A lication Form
,� ❑ Pro osed Buildin Plans–2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set
❑ �- Minnesota State Ener Code Calculations and Mechanical Code Re uirements
� ❑ Surve –2 full size, to scale meetin ALL surve re uirements
❑ � Hardcover Calculations
❑ .�. Se tic S stem Certification
❑ � Minnehaha Creek Watershed District(MCWD) Permit or
Documentation from MCWD statin no ermit is re uired
❑ � Landsca e Walls and/or Retainin Wall Plans
O �- Stormwater Pollution Prevention Plan SWPPP
❑ �H.. Access Permit
❑ ❑ Data Privacy Advisory Form
APPLICANT/OWNER 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;
• Understands 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.
• Agrees that in the event that weather or other conditions prevent the completlon of an as-built survey at the time the
Certificate of Occupancy Is requested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000
escrow to ensure completlon of the as-built survey�nd all site improvements.
ApplicanYs Signature: � Date: / � ��'��
Owner's Signature: V �L- Date: � /�
Last Updated: January 2016
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
, Address: � � ��Q�� �V� 1..�,{�� Permit No.: ��� �����
Description of work: 11� �(,�u�(,�,�7'�� '�— �/ ��� Date Rec'd: I���I�
Septic review by: JtNv U °�- Vv(�� 1 1.Q1'� �� Date Approved:
Zoning review by: ��ry�G' � Date Approved: C' ' L. � �
Building review by: Date Approved: �� �
Grading review by: �� Date Approved: ��c�/�
Zoning District: RI�UD ,Zoning File#: Reso#: Reso Date:
,�f��Z � �
Zoning: Lot Area: � $� SF AC •,lj?j' Width: LQt Coverage: ���1� SF %
Survey Submitted: �Yes O No Date of Survey: "1'�J�'�� Rev sjed dat(?)���{� t—r��
Landscape plan submitted? � Yes �No Landscaper: ��,' �- fi � ��
/ �
Proposed Setbacks:
� � t�
t__�
Front (L e) Rear(St et) ( � S E W ) ( N S� E W ) Other Buildings Wetland
Side �ide
__----- c�� � I a�'
�:�
Defined Height: Peak Height: FFE: s ee = xis ing o
rimeter(linear feet) = 50% = L.F. belo de
Ba ment? � Yes � No, Stories _
. �
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed . Slab at or above grade—
START WITH floor(of the basement or crawl space)and measure from hiqhest existiny
the highest point of the roof. .,t9fART WITH rade to the highest point of the
^ � ' •? roof even if fill was brought in to
If you have a... elevate home. p
SUBTRACTION • GABLE OR HIPPED ROOF Slab below grade—measure
(BASED ON windows): Subtract half dist nce from highest existin the
ROOF TYPE) between the highes int of the roof hi hest oint roof.
to the low point e corresponding If you h a...
gable or hip roof SUBTR,4CTION ABLE OR HIPPED ROOF
GABL R HIPPED ROOF(with (BASED ON (no windows): Subtract half
• win s): Subtract half the distance ROOF TYPE) the distance between the
een the top of the highest highest point of the roof to
window and the highest point of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRAC ON Subtract the distance between the half the distance between
(BASED N basemenUcrawl space floor and the the top of the highest
EXIST G highest existing grade adjacent to the window and the highest
G ES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
Shoreland District MCWD Permit Average Lakeshore Setback g�uff
Met?
�Yes � No Permit Number: 0 Yes 0 No ��N/A � Ye No
/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
�y-,q���V L.-�,��`��rl�- 0 Yes � �No 0 Yes No
1 2 3 4 5 ,� �.�, � Type(s): Type(s):
: ��1� � �=�7 ��, =� �a���.
Fees to be Char ed YES NO
Permit �,/
Plan Review
State Surcharge �.
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1 S' Floor X = $
2"d FI00� X = $
Garage X = $
./'
Estimated Construction Value: $ i ���
Orono Inspections Required Work Requiring Separate Permits
�Footing 0 Site � Plumbing � Grading/ Filling
0 Poured Wall 0 Silt Fence/Erosion Control ❑ Mechanical 0 Fire
� Foundation Survey 0 Hardcover Removal � Fireplace � Water Connection
� Framing ther(specify) � Masonry � Sewer Connection
� Waterproofing/Drain tile ''� l � Mfg. 0 Lawn Irrigation
❑ Foundation Waterproofing / ''��u e- /�G�s p Other(specify) 0 Landscaping
Framing ��
Insulation
0 As-Built Survey
Final
� Lathe Required State Permits
� Other(specify)
0 Well 0 Electrical
a
REMARKS (in�ouse): u��i� �.1�-� ���� /��% i 1,
��,�"�u�� l � C�1 C(�� �'4I �� j L.(� �.�� ,� ;��, ���,� � y�,;,
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
�ee Builder Acknowledgement Form
� Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: May 2016
z:\forms\plan review checklist 5-2016.docx
Builder Acknowledgement Form
Permit #2016-01260 / 2340 �lendale Cove Lane
t
�
��`
Builder Representative Name: . ,�_
� �.
Permit Conditions: `�1 Initials
n
Erosion control shall be installed and maintained throughout the entire project and must
remain until vegetation has been established. �
Prior to the release of the escrow money all disturbed areas must be established with
vegetation and the project must pass a final inspection.
Advisory Comments
Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining �
walls, etc. not currently shown on the approved survey and landscaping plan will require a ,
separate Zoning Permit application to be submitted and approved prior to the work ��
commencing.
�
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the
/�
height of the lower wall require engineered plans and a building permit to be submitted and
approved rp ior to construction.
w:\street files\glendale cove In\2340\builder acknowledgement form 2016-01260.docx
__. ;-.,, _ . _ , ,_ . .
, .. , , ,
e-=
� � " Permit �! lica�ion: Self-Checklist for Com leten
� , � �ss
;
,:
� Please note, the applicant must initial in the boxes below to acknowledge the minimum
� required information is included with the submittal. If not, the application wi{I fVOT be
�° accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
�' application submittal requirements.
�'
G
�`�
, ^.��,
' Completed Application � ` , _ _ _
� �� 1
� � � �a
�'��f ��'� � , , . . �r�t.Ji
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,
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Plan Review Fee Paid � � �y
'-.�L�: ..��� C.�-; , ,
S .� i�.� � , tn �, ��� � ��, �
��� ���� �� *�,+ �. � t
k- � \ ��fi��� � � ��i �;��: � ��10���,�,� � ��� �Lr
�: r � ^� , � � ��-1 �_� 4
�= Signed Escrow Agreement & Escrow Payment �;�� ; . � ,�� � �
� ��� i
� ���f�
������ � r
Building Plans (to scale) x2 �,��.e,.�
;
��� . � � �
, - Certificate of Survey (to scale) show�ng the proposed pr��ect &
� meeting all requirements x2 - � �
C �,�
�
�
`y, Hardcover Calculations (if applicable) ���
�
� � �
I am aware that Qrono wil! not issue a building permit without a
copy of MCV1�D permits (or documentation from the MCWD stating
� the proposed project does not trigger their permitting g�,.
., requir�ments�. I �vil! eontac� the NiCi�1/a at g��-471-Q590 ��-� �'����-
regarding this project.
Signed by: -
�+ddress:
Permit #: � ��.� �;�„��;,
� ��
Packet Last Updated: January 2015
Page 2
�� �r .«�b t.*' �k '�e" '. °�, '�"- £i-�.'. .: k .`� :. �n o '�. � t7c� `s� �,�u� ��,��,r� s u-tirp�'�-�.�.,'� ��-.�x��s
m�ua,.,.:��r.�'..., �..�a,.... ....< . . . ,._ . ? . .s , ... ..� _ . �...� a.ur�.�. .� ��,_ .,<�<r..���.. .tat. .m:�a�b.c �,r��`..-.�..x�,- _, �, .�:� �.` �� .�
��,xw.er�.��,�f.o �. .��_s� � c�4�,.��
. Christine Mattson �� "��Z�C�1
From: Terrence Chastan-Davis <tchastan-davis@minnehahacreek.org>
Sent: Monday, September 12, 2016 10:10 AM
To: Melanie Curtis; Christine Mattson
Cc: Brian Jacobson
Subject: No MCWD Permit required: 2340 Glendale Cove Lane, Orono
Good morning,
There is no MCWD permitting requirements for the proposed deck addition at 2340 Glendale Cove Lane.
Please feel free to let me know if you have any questions or concerns.
Thank you,
Terrence Chastan-Davis
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka Blvd
Minnetonka, MN 55345
952-641-4581
�,,.,a
MINP1�1�l+IMA GREEl�.
'WATER$H�€) DI§tRl�i
1
RE�E��/ED
, OCT - 4 2016
City of Orono
;'�.ti'�, Hardcover Calculation Worksheet C�N OF ORONO
, o�
�� I Property Address: � . _ _ ,
\i� ,; � `7`+:� �.'.C'/!.r G'/y',�C. '�� �a' - ���f.r� ;,' =Cr 7',y'�L`c/;
� r� � �
o-` Prepared by: ,. �7 �„ Date:
� f.
��'Yf 5 H��� �J f J/�i.�C �/: �� i, ''{y' ',I� ✓'„/,,.' .�'",YS ''_' /,�
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 �;Tier 4 Tier 5
__ .__ -_-_____ __. __.__.�--
Step 2:�PROPOSED HARDCOVER�
.�--------_�_.._.
In the following tafile, identify all items of proposed hardcover on the property, keyed by letter to Certificate of
Survey(survey must accompany this form). Include alf existing hardcover items that are intended to remain, as
well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict
proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at
the 75' setback line and calculate hardcover square footage separately for each portion.
Key to Hardcover Item (Describe) Length x Width Total
Surve (Square Feet)
Exam le Gara e 24'x 30' 720 S.F.
A F �.-i;�'�._, ^,- y ? _ %S S.F.
B :��.~: v� � S.F.
. { .,
, .
__ _ . ._ .- _ - -
C _-�,-- -____ _ � . ..� ._.._.�.r-�,_. : ,. a ;_ '�! ____-�--��- S.F.
.-'�:.
� i� r� '��� f"'.� :ic -'s"+ rJ S.F.
E �✓�r...-^ ..r " :,� � °<� ! � 2 S.F.
F `' f t =r' • ' .:��.vG u:f�� '-' • a - ? 2 S.F.
C j' - �' - � ;= S.F.
H S.F.
� S.F.
� S.F.
K S.F.
� S.F.
M S.F.
N S.F.
� S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
U S.F.
V S.F.
�N S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Pro osed Hardcover �'�';' `' S.F.
Excludable Hardcover See Ci Code Sec 78-1684 :
/= ,�'h c i =;+� �' - � ,,� � ' S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover ? � 2 S.F.
3 Net Pro sed Hardcover Subtract line 2 from line 1 �' `' S.F.
4 Total Lot Area ��>. ',�, �'; S.F.
Proposed Hardcover Percentage [(3)=(4)] � -'.=� �� %
Subdivrsion Application-January 2016 Thrs is an information packet regarding Hardcover. Every effort has been made to
ensure the accuracy of the information contarned herein;howeve�, if any informatron is
not consistenf with provisions of the Crty Code,the Code provisions will prevail.
Page f 9
RE�EIVED
OC1 - � 2016
' City of Orono CITY OF ORQNO
�, �No.,, Hardcover Calculation Worksheet
!,�,� � Property Address: ;;:
\f �� �"/O GG���:� �' _ i/ ` _o'�':, i.dG�r'� :1%c'� ;' -�_ ,
\'rfSH��a`,�� Pre ared b . _ _ p w �f
,� P Y� �f��,-.� ��- t ' � �`�. , �, .� ate: 9-.�o-i 5
.,�
Stormwater Quality Overlay District Tier: (Circle one} Tier 1 Tier 2 Tier 3 �Tier 4 Tier 5
_ _ . __.._. _.
Step 1: EXISTING HARDCOVER:
In the following table identify�all items of existing hardcover on the property, keyed by letter to Certificate of
Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing
hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75'
setback line and calcu(ate hardcover square footage separately for each portion.
Key t y Hardcover ttem(Describe) Length x Width S tuare Feet
Surve � q �
Exam le Gara e 24'x 30' 720 S.F.
A ''," ,, . 2 e 7S S.F.
B !'r ,J / S.F.
C DE�N d ^T�"� � 2 2�, S.F.
� �'...� .� �,¢•o :�:,.:ti� � D � S.F.
E �o�✓c <"--c �.�.J` � / S.F.
F tG'��:r:�!'�F' -s �, , .., 33 S.F.
G -- S.F.
H S.F.
� S.F.
� S.F.
K S.F.
� S.F.
M S.F.
N S.F.
0 S.F.
P S.F.
� S.F.
R S.F.
S S.F.
T S.F.
� S.F.
� S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Existin Hardcover "'7�:� S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
'" C``. f� ��iz ,�' -- - ,• � � � S.F.
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover 2,3 2 S.F.
3 Net Existin Hardcover Subtract line 2 from line 1 `' S� � S.F.
4 Total Lot Area !{� :•�:�:=> S.F.
Proposed Hardcover Percentage [(3)=(4)� .� L'. �' =: °/,
(Proposed Hardcover next page)
Subdivision Application-January 2016 Thrs is an informatron packet regarding Hardcover. Every effort has been made to
ensure the accuracy of the informatron contained herein;however,rf any information is
not consistent with provrsions of the City Code,the Code provisrons wr!!prevail.
Page 18
4
v�er �-l.��e�
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� � �
, j ! BeamChek v2010/icensed fo:J L White Co lnc �e�g#.230,8-64395 ;
! i � CEIVED ,
` i ' :.; Date:9/07/16 4 2016 �
• � n� 1
Se/ection i W 10x 17 36 ksi�de Flange Steel '� Lateral Supqort: Lc=4.2 ft max. � ,
• Conditions Actual Size is 4 x 10-1/8 in. �� r -�/ OF ORONO �
I Min Bearing Length R1=0.8 in. R2=0.8 in. (1.0) DL Qe,fl= 0_35 in Recom Camber 0.33�r1 ' I
I ata � Beam Span 16.0 ft . �
I Beam Wt per ft '17.0# Reaction 1 TL 44_ # Reaction 2 TL 4452#
( ! Bm Wt Included 272# Maximum V 44Gr�# '�
! Max Moment 17163'# Max V(Reduced) N/A
� TL Max Defl L/240 TL Actual Defl L/543
�
Aitributes Secfion (ing) Shear(in2) TL Defl (in)
Actual 16.20 2.43 0.35
Critica( 8.67 0.31 0.80
Status OK OK OK
Ratio i 54% 13% 44%
Fb (psi) Fv(psi) E(psi x milj
alues Ref. Value Fy 36000 36000 29.0
� Ad'usted Values 23760 14400 29.0
i diustments YP Factor, Lc 0.66 0.40
I
; �
;
�
�
Loads i
� Par Unif TL Start End
I H=570 0 6A
� I =465 6.0 10.5
� J=5:70 10.5 16.0
i
i
, I J
� � �
I H �
i � 0
R1 =4467 R2=4452
I SPAN= 16 FT
� Uniform and partial uniform loads are Ibs per lineai ft.
�
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To: Finance Department
From: Christine Mattson, Planning Assistant �
CC: Street File
Date: January 4, 2017
G/L: 101-22205
Re: Escrow Refund
Building Permit #2016-01260 pertaining to 2340 Glendale Cove Lane is complete. Please
refund $700 to the property owner, Adam Vierthaler.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Adam Vierthaler
2340 Glendale Cove Lane
Long Lake, MN 55356
w:�,street files\glendale cove In�2340\escrow refund 2016-01260.docx
r r
BUILDING PERMIT ESCRO AGREEMENT
Orono Building Permit#—i��L'1-��v
AGREEMENT made this `( day of ��1 ��'�20�, by and between the CITY OF ORONO,
a Minnesoka municipal corporation("City")ADAIu1 �/:E�Z.I�?A1-CfZ ("Owners").
R itats
1. A building permit ap lication has been filed a
L `f ��'(l�"�-' � iocated at �7�i� ���� CSubject Property"), legally
described as }- o� � G�t(�
2. Owners request the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGRE�AS FfJLLOWS:
��c �i,v
1. bEPOSIT OF ESCROW UNOS. Contemporaneousiy with tltie sxecution of this Escrow
Agreement, the Owners shall deposit$ , 00 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in adm' istering 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 incu�red (including planning, enctlneerina, tn excess ot SS00, o� legal
consultant review) or will incur in reviewing the plan. Eligible expenses sha11 be cansistent 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 accordartce with
the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79.Trte financial security
rnay also be used by the City to eliminate any hazardous canditions associated with the worfc and to repair any
damage to public property or infrastructure that is caused by tt�e work (including planning, engineering, or legal
consultant review) associated with building permit #,`�t)/�,,- n,�,�,� if campliance with the approved
building permit is not accomplished
3. MONTHLY BILLING. As the City receives consultant bi11s for incuRed costs, the City wiil in turn
send a bitl to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'receipt
af 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 abave, shall issue a Stop Work Order until the �wners pay att expe�ses
invoiced pursuant to#3. The City may draw from the escrow account without further approval of the Owners to reimburse
the City for eNgibie expenses the Ciiy has incur�ed.
5. CLOSING ESCROW. The Balance on deposit in the escrow,if any,shall be returned to the Owners
when all requirements related to the project are compfete. City Staff shall review the terms of this escrow agreement
two times per year ta detertnine whether the requirements of the project have been successfully completed and
whether it is appropriate to return the funds. Owner may also request the release of the funds,and such funds shall
be released upon City Staff receiving the appropriate ver�cation that all requirements of the project have been
successfully completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners,or if the eligible expenses
incu�red by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant ta Min�. Stat. §§415.01 and 366,012,
CITY: CITY OF RONO OWNER:
BY: L���- �� ,�,��, Vs���,�,���-� ��
�ts: (�1.�,��-�
Intemat Use Onty: O�riginal to Plannl�g �Copy to PropeMy Owner 0 Copy to Street Flle
Last Updated: Janvary 2016
ADAM AUGUST VIERTHALER '2—v�5o 2 0 91
LEAH ROSE VIERTHALER
I 2340 GLENDALE COVE LANE .� � S�
� ORONO,MN 55356 DA,1,E �� �
'�
� PAY TO THE ° � /y�,/1
� ORDEROF_ � �/ � � (1` 1 I �D /�Q� �O
E -��� ���/Y � O/��� .Cl
�` nr r ARS u ��
� bank.
� Ail of�senring youm
i �o G� ���.�D(A� -
�
�:0 7 )9 � �
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.016643 Oct 5, 2016
Adam Vierthaler
Previous Balance: .00
Permits
2016-01262 2340 Glendale 700.00
Cove Lane
101-22205
DefErred Rev-Developer Deposit
---------------
Total: 700.00
_______________
Check
Check No: 2091 700.00
Payor:
Adam Vierthaler
Total Applied: 700.U0
---------------
Change Tendered: .00
---------------
10/05/2016 03:20PM
' ' CITY OF ORONO * Z 0 1 6 - PJ 1 2 6 2 *
` 2750 KELLEY PARKWAY DATE ISSUED: 10/OS/2016
ORONO, MN 55356-
. (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2340 GLENDALE COVE LA
PIN : 34-118-23-33-0062
LEGAL DESC : GLENDALE COVE
: LOT 003 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
APPLICANT ESCROW FEE-BUILDING 700.00
TOTAL 700.00
VIERTHALER,ADAM&LEAH Payment(s)
2340 GLENDALE COVE LA CHECK 2091 700.00
LONG LAKE,MN 55356-
OWNER
VIERTHALER,ADAM&LEAH
2340 GLENDALE COVE LA
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued sha►1 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 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.
/ /
Applicant Permitee Signature Date Issued By Signature Date
��.-._....._ __. _�_..�. _._._.._.._..._..__._.__._. _..�___...�
Date Time Inspector Inspection Type Stat H Permit# Address Permit Type Property Type Construction Type
_....__...... . _,
s
'__. __.. ___...__ _._ ___..___ _ _._.; _...__ .._..____.__ _---- __ _...__ __ _ _ _ _ _ _. _._ .._ ___.__....
� � .
11122l2016 12:00 AM METJ Mechanical-Air Test P ;Y '2016-01458 '2340 Giendale Cove La PAechanical Residential Gas Line Onty
: _ _ __
Mechanical-Final 2D16-01458 2340 Glendale Cowe La 'Mechanical Residential Gas Line dnly
_ __ ___ > ; : —_ . . _ _ _ <_ _ _ _ _ _
Escrow Refund Requested V 2016-01262 2340 Glendale Cove La Escrow Fee-Tied to Budding Permit Residential Escrow Fee-Tied to Bwlding Permi
___ _ . __ .... . _ __ _.._
Escrow Refunded � 2016-01262 2340 Glendale Cove La Escrow Fee Tied to Budding Pertnit Residential Esaow Fee-Tied to Building Permi
11/28l2016 12 00 AM METJ Footmg(or Rebar) {P Y 2016-01260 2340 Glendale Cove La Addition(Remodel!Repair Residential Deck Attached
11l28/2016 12:00 AM METJ Frammg �P 'Y 2016-01260 2340 Glendale Cove La Addition 1 Remodel!Repair Residential Deck Attached _
�11f2812016 12 00 AM METJ Final „ P Y '2015-01260 2340 Glendale Cove La Addition 1 Remodei i Repair Residential Deck Attached
�11128J2016 12 00 AM METJ Torque Logs P Y '2016-01260 2340 Glendale Cove La Adddion/Remodel 1 Repair Residential Deck Attached
�/� C,� DATE TIME
CITY OF ORONO CALLED IN `� �--�
INSPECTION NOTI� /�I Z�j HEDULED LJ= �-)� �-=—
PERMIT NO. �v� �v � C�MPLEfED
ADDRESS �3� �-�� ��� �
OWNER �_ �PHONE NO. �2 2-�� 37� ��
CONTAACTOA h-E'p-�� S� � ��1.
� DESCRIPTION ��� � �'�
4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAtNT
Q �,FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINERICONTRACTOR TO MEET YOU:_YES_NO
a COMMENTS: ,
� r�wur�Cg � ,t0� ✓' CN�i� ✓I��c.d .� •�ls
o � Tb�'q . r�,0 orts .�r �el�l��r 5 �
� � �Dro✓ i�e,.p ��� ��w�(�
° � ���5�v ✓1�� ���s S` / � � ��i`� �v�t
W —�' '
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2 - s 7�-k r►-S , ��� �� �.�� , s�r.r��.s ` a /c, -
� t
jG°�— c✓w�='� �►�FlrA
� ❑WORK SATISFACTORY:PFiOCEED �P$OJECT COMPLETE
�COARECTiN10RK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUWINCY
�vO CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
csn next' fon 24 hours in advanoe. (952) 249-4600
tractor on site: /^r�
Inspector: w'
v'
White Copyllnspector's Ffls C�nary CopylSit�Notke