HomeMy WebLinkAbout2015-00943 - detached garage CITY OF ORONO * 2 0 1 5 - 0 0 9 4 3 *
, � ' 2750 KELLEY PARKWAY DATE ISSUED: 08/12/2015
ORONO, MN 55356-
952) 249-4600 FAX: 952 249-4616
ADDRESS : 3210 GRAHAM HILL RD
PIN : OS-117-23-11-0009
LEGAL DESC : GRAHAM HILL PRESERVE-2
: LOT 1 BLOCK 2
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
COPTSTRUCTION TYPE : GARAGE-DETACHED
ACTNITY : 438-ADDNS OF RES GARAGES&CARPORTS
VALUATION : $ 150,000.00
NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) -'"�'�
NOTE:PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. INI ��-_
��.�-`�-_
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APPLtCANT PERMIT FEE SCHEDULE 1,424.59
STATE SURCHARGE(VALUATION) 75.00
KONEN HOMES INC. TOTAL 1,499.59
20545 LINWOOD RD Payment(s)
DEEPHAVEN, MN 55331- CREDIT CARD 4456 1,499.59
(952)949-2485
Minnesota State License#: BUIL-BC103407
OWNER
MESENBURG, MATT&MICHELLE
2525 KELLER ROAD
LONG LAKE, MN 55356-
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 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 inspections aze
requested in conformance with the State Building Code.This permit may be �� �
revoked alarty time f6?duc cause-
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� ' ant E�rrnitee Signature Date Issued By Signature Date
, ' City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: �°Jr` � �
�D�O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address:' �_ ceived by:
� ,� 2750 Kelley Parkway u"\�� �8'
yF c,` Orono, MN 55356 � P review fee:
`qkESH��� Main: 952-249-4600 T tal Fee: ' �� '���
Fax: 952-249-4616 �vvt�s:.ci.oronu.n�in us
This application form must be completed in full and all required information mus be sub � ed. rt�l��,,,
Incomplete applications will be returned. (Please print) (,,,1r.s�'r Y%��/�—
GENERAL INFORMATION: , /" � [ tJ��� � �
Job Site Address: � ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APP�CA�T�NFO MATION: ��n �mM� n ��'
Name: � v�� r vw
State License# C p / Expiration Date: — -
Phone: cell , - office S,2 -„�
Mailing Address: Cit : > ZIP: � ,�'' -�',,,,'�'
Contact Person: � Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: ����_p� � �� o� ��,�� r �f � �i�t,-,
PROPERTY OWNER INFOR TION:
Name: Q C
Phone (day): - j -
,� Cit : � �r� ZIP:��{� �,
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I
/ �ff Ko y�z-y4y_�
nen M�b,�e �,
nc�r�llcon��r�tnr 612-.sti�_ City: ZIP:
_---�__ .Ikunen�ko �'�';
nenhon�r.,,,�
��o`��� pee� �
�ha��e�, �1�,� ,, � oject: � � �� � � ���� ���'
osed Use 3. Structure Type 4. Sewage isposal &
Water Supply
❑ New�����.._ �le Family with Accessory Bldg./Garage
❑Addition ached garage ck ❑ Public Sewer
�AccEssory Building �_ ngle Family with ❑ Office/Commercial
�❑�2elocation detached garage ❑ Residence ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
*'`Any earth movement may require ❑ Commercial ❑ Storage
MCWD review 8�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.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ �/� "`
Packet Last Updated: January 2015
Page 20
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction ,
a. Length(ft.)= �� Number of bedrooms= '
� �Wood/Frame
b.Width(ft.)= � Number of garage stalls: '�"W Q ❑ Masonry
Areas in spuare feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= � Detached =�
�. ❑ ICF
d. 1 St Story = �
❑ On-site Prefab
e. 2"d Story=
❑ Off-site Prefab
f. '/z Story =
❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ Buildin Permit Escrow A reement and Fees
❑ Plan Review Fee
❑ Com leted A lication Form
❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h 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
❑ Stormwater Pollution Prevention Plan SWPPP
❑ Access Permit
❑ Data Privac Adviso 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 completion 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 $10,000
escrow to ensure completion of the as-built survey and all site improvements.
� / ,
Applicant's Signature: � ���� Date: �� ' 10 �
Owner's Signature: Date:
Packet Last Updated.� January 2015
Page 21
PLAIV REVlEW CHECKLIST �OR �EVN STRUCTURES / /4DDITIOIVS
'Address: ��� ���� ITD ' � Permit �lo.: I� "'�q��
Description of work: 1�..�$o� ��l(.�(�'Q. Date Rec'd: �" �+,' I �
Z. �32 =
Septic review by: � Date Approved: �`,�
Zoning review by: Date Approved: ' t '
Building review by: Date Approved: g /
��.�
Grading review by: �""�: - Date Approved. ��� �r .':;"_ /gfj
;:
Zoning District: � Zoning File#: Reso#: 12eso Date:
Zoning: Lot Area:_y�SF/A� VUidth: Lot Coverage: � SF ---� %
Survey Submitted: �es 0 No Date of Survey: ���-3 ' 'C3 Revised datet?):
Pro osed Setbacks: �' ��(1� S���
Front(L,�c) Rear(S et) ( N S' E ( N S E W ) Other Buildings r Wetiand
S de Side
' �c�` l�b
� �� ����pr�c�:€�� �<� ����
�.
Defined Height: Peak Height: 29�? FFE: FFE minus 6 feet= (Existing Contourj
Perimeter(linear feet) = 50% = L.F. below grade #of Stories
i� FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed The distance between the top of
START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the
the highest point of th�roof. roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(no
(no windows): Subtract half
windows): Subtract half the distance the disfance between the
between the highest point of the roof highest point of the roof to
to the low point of the corresponding the low point of the
SUBTRACTION gable or hipped roof
corresponding gable or
(BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof
ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF
between the top of the highest ROOF TYPE) (with windows): Subtract
window and the highest point of the half the distance between
roof the top of the highest
• ALL OTHER ROOF TYPES(flat, window and the highest
mansard,etc):No subtraction. point of the roof
• ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distance between the (flat,mansard,etc):No
(BASED ON basemenUcrawl space floor and the subtraction.
EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top
GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing
EQUALS Defined building height EXISTING grade adjacent to the foundation.
, GRADES
EQUALS Defined building height
k
� Average Lakeshore Setback
Shoreland District MCWD Permit Met? Bluff
Permit Number: � Yes 0 No N/A � Yes Q
0 Yes �lo
S N/A—see attached Setback:
#
Stormwater Quality Existing Hardcover Proposed
Overlay District o Harcicover Variance Required CUF Required
Tier circle one (/o and s� %and s
0 Yes � No 0 Yes Q No
1 2 3 4 � Type(s): Type(s):
� Updated: January 2015
z:\forms\plan review checklist 2015.docx
�
� .
REMARKS (in-house):
Fees to be Char ed YES NO
Permit
Plan Review �/'
State Surcharge 1/'
lnvestigation Fee t/'
SAC—Number of SAC Units
Other(specify)
S uare Foota e $ er Square Foota e
Basement X = $
1S�Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ 1��i ���
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site 0 Plumbing 0 Grading/ Filling 0 Well
O Silt Fence/ Erosion Control Mechanical � Fire lectrical
� Hardcover Removal Q Septic � Water Connection
ooting 0 Fireplace � Sewer Connection
� Poured Wall � Masonry � Lawn Irrigation
0 Mfg. � Landscaping
0 Foundation Waterproofing � Other(specify)
0 adon Rock Bed
Framing
nsulation
As-Built Survey
Final
0 Other(specify)
REMARKS (in-house):
; Other Review: Reviewed by Date Approved:
e
Access: Existing: 0 YES 0 NO New: � YES � NO
OFFICIAL REMARKS-TO BE NOTE ON PERMIT AND INITIALLED
° 1� S • i �- Sl,l ��
a
r�
}2�. ��t,t�o�+1i �rl �k-- J?t�l<
Updated: January 2015
� z:\forms\plan review checklist 2015.docx
�:;
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a..s a.v.�,.ra. �%�`s..�..�t, . k r . :_F, .�o...?e.1 .. r�:... !'. . . _ . a i?�-.,,... �.- . ...e+F ,N,. ,t , .� 'x :fX ..'�a.,i�s'8.e`:
�o�;o�
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General Information Sheet �qkE_H�o-E
Date: �� I� I l S Time: [� Counter ❑ Called
Property Information
Property Address:
?� �. I O � r cz f�czc� f—1 � ( I �
City, Zip
� 01'� �c� i�
Zoning Classification: Map Attached: Yes ❑ No
�'- 1-1��
Contact Information
Name: �
�"�1�� 1 ��i-+- Vl��� ;s���b�:��--���
Home Phone:
l
Cell Phone: � � -Z _ �?D� ( _ i ' ��
�_�
Email:
QUC'StIO1lS Handout(s) Given: Yes ❑ No
❑ Animal Regulations(Type: ) ❑ Hardcover Regulations
[g] Building Permit (Type: j�f . C—Ta �"cAUe ) ❑ Land Alterations(_Minor/_Major)
❑ Building Permit Status ❑ Rebuild Questions
❑ CUP Process ❑ Retaining Walls (_<4'/_>4')
❑ Decks � Setbacks
❑ Demo or Teardown Process Stairway to Lake
❑ Escrow Questions or Escrow Refund ❑ Subdivision Process
❑ Fence Regulations (_Lakeshore/_Non LS) ❑ Variance Application Process
❑ Other/Additional
Other/Additional Questions
�-j ����-4 �---�; ����� \� �'-� � �-�`�C�c ��ec-� ��a r����
� ��,
vhristine Mattson
From: Terrence Chastan-Davis <tchastan-davis@minnehahacreek.org>
Sent: Monday, August 03, 2015 4:39 PM
To: Christine Mattson; Melanie Curtis
Subject: FW: 3210 Graham Hill Rd, No Permit needed
Attachments: 3210 Graham Hill Rd, No permit needed.pdf
Hello Christine and Melanie,
Here is my original message send to Jeff on Tuesday July 28. I am not sure why it didn't go through the first time. Please
let me know if you have any other questions or concerns.
Thank you,
-Terrence
From:Terrence Chastan-Davis
Sent:Tuesday,July 28, 2015 2:08 PM
To: 'jkonen@konenhomes.com' <jkonen@konenhomes.com>
Cc: Christine Mattson (Orono) <cmattson@ci.orono.mn.us>; 'mcurtis@ci.orono.mn.us' <mcurtis@ci.orono.mn.us> �
Subject: 3210 Graham Hill Rd, No Permit needed
Good afternoon Jeff,
You will not need a permit for your garage project at 3210 Graham Hill Rd, Orono. Please make sure you are cleared with
the city of Orono before proceeding. Please let me know if you have any other questions or concerns.
Thank you,
Terrence Chastan-Davis
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka Blvd
Minnetonka, MN 55345
952-641-4581
� a.
MINNEHAHA CREFK
+A+ATER$HED DI$FR9C'�
1
5
new homes ■ remodeling ■ additions
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By
��` �.
_._�
7/20/15
Minnehaha Creek Watershed District
RE: Mesenburg Garage Project at 3210 Graham Hill Rd, Orono MN 55356
This is our written notification that Konen Homes, Inc. will not be moving more
then 50 cubic yards of dirt in order to build the garage structure.
If there are any issues or any information needed,
please call me at 612-382-6724.
Thank you,
Jeff Konen
General Contractor
-- �f
�
20545 Liizwaod Road,Deepliaven NII�d SS�31 � 952-9�9-24�5 ; Li�ense Itiro. BC013407
� �0...2 c��► C� ��.��'�, �v��.t , Gv�
CERTIFICATE OF SURVEY FOR z��
; MATTHEW & MICHELLE MESENBURG ���
' OF LOT 1, BLOCK 2, GRAHAM HILL PRESRRVE F;�
'� HENNEPIN COUNTY, MINNESOTA �o<,
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CITY OF ORONO
,� � Street Address: Mailing Address: Telephone(952)249-4600
y�, Gti 2750 Kelley Parkway P.O.Box bb Fax (952)249-4616
�,q F, Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
kFSHO�
July 31, 2015
1eff Konen
Konen Homes, Inc.
20545 Linwood Road
Deephaven, MN 55331
Re: Building Permit Application#2015-00943
3210 Graham Hill Road
On July 27, 2015 the City received a building permit application for an accessory structure. Staff conducted a
preliminary review based on the information provided and recommends the following items be submitted or revised in
order for your application to be considered complete and for the plan review to continue:
• Certificate of Survey. The survey submitted is not to scale. Please provide two copies of an updated,full size
certificate of survey which meets all of the City's survey standards(enclosed) indicating any proposed grading.
If a� exterior/landscaping improvements, i.e. patios, grading, sidewalks, retaining walls, etc., are being
proposed they must be shown on the survey along with the individual or business that is performing the work.
Please note our engineer has not reviewed the survey, so additional changes or corrections may be
forthcoming.
Your project may trigger the Minnehaha Creek Watershed District's (MCWD) permitting requirements; please contact
the MCWD directly at 952-471-0590 regarding your project. Please note, the City of Orono will not issue a building
permit without a copy of MCWD permits or documentation from the MCWD stating the proposed project does not
trigger any of their permitting requirements. The above information is required in orderforthe plan review to continue.
Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on
the above requirements.
Sincerely,
CITY OF ORONO
� ��
Christine Mattson
Planning Assistant
c Jeff Konen via email
Matt Mesenburg,via email
Roger Peitso, Building Official
enclosures
WELLS&SEPTIC SYSTEMS
An accessory building must be at least 3 feet (including overhangs) from a well; 20 feet from the drainfield antl
10 feet from other parts of the septic system.
LOCATION
An accessory building must be at least 10 feet from the house (including a deck or overhang) and 10 feet from
any other structure. It may not be placed in a drainage, utility or similar easement.
Non-lakeshore lots:
An accessory building may not be placed closer to the street than the house. On a corner lot this requirement
applies to the narrower street frontage regardless of which frontage the front of the house faces or the address
of the house; principal building setbacks may be required. Special setbacks antl approval apply to a "through
IoY' (a lot with a street to both the front and back.) Contact the Planning and Zoning Department for more �
information. �
. �
Setbacks for an accesso buildin of less than 750 s uare feet
Zoning District Interior Side Street Side* Garage- Other-
Rear Rear
R-1A 10' 35' 10' 5'
R-1 B 10' 15"`* 10' 5'
LR-1A 10' 50' 10' 5'
LR-1 B 10' 35' 10' 5'
LR-1 C or LR-1 C-1 10' 15'*" 10' 5'
RR-1A 10' 100' 10' 5'
RR-1 B 10' S0' 10' 5'
Setbacks for an accesso buildin of 750 to 1,000 s uare feet
Zonin District Interior Side Street Side* Rear
R-1A 15' 35' 15'
R-1 B 15' 15"`* 15'
LR-1 A 15' S0' 15'
LR-1 B 15' 35' 15'
LR-1C or LR-1C-1 15' 15'** 15'
RR-1 A 15' 100' 15'
RR-1 B 15' 50' 15'
Setbacks for an accesso buildin of more than 1,000 s uare feet
Zonin District Interior Side Street Side" Rear
R-1A 30' 35' 15'
R-1 B 30' 30' 15'
LR-1A 30' S0' 50'
LR-1 B 30' 35' 30
LR-1C or LR-1C-1 30' 30' 30'
RR-1A 50' 100' 100'
RR-1 B 30' 50' 50'
'This setback applies to unimproved street right-of-ways as well as to improved streets."'Must be 30 feet if a detached garage with overhead door
facing the street side.
Reference: City Code Sections 78-1279, 78-1288, 78-1404. 78- This is an information sheet. Every effort has been made to
1405, 78-1435 through 1438 insure the accuracy of the information contained herein;
however,if any information is not consistent with provisions of
January 2013 the City Code, the Code provisions will prevail.
Page 2 of 4
� �-��� RESIDENTIAL
ACCESSORY BUILDINGS
y � www.ci.orono.mn.us
� G~
`qkFS H��� 952-249-4620
PERMIT
A permit is required for all accessory structures. An application packet may be obtained on the City's website
(www.ci.orono.mn.us) or at the City offices.
DESIGN � p " ��
Accessory structures 120 square feet or larger located on lots of less than 2 acres must be consistent in design
and color with the principal structure (house). Garages located within the rear yard on lots that have frontage
on a lake must have windows or other ornamental, architectural features on the wall facing the street or private
road.
SIZE \�/\D�
\
Maximum Individual Accessory Maximum Allowed Total Footprint
Lot Area Building Footprint of All Accessory Buildings
on a Pro ert *
0.00--1.99 acres 1,000 s uare feet 2,000 s uare feet
2.00--3.00 acres 1,200 s uare feet 2,400 s uare feet
3.01--3.50 acres 1,400 s uare feet 2,800 s uare feet
3.51--4.00 acres 1,600 s uare feet 3,200 s uare feet
4.01--4.50 acres 1,800 s uare feet 3,600 s uare feet
4.51--5.00 acres 2,000 s uare feet 4,000 s uare feet
5.01--6.00 acres 2,200 s uare feet 4,400 s uare feet
6.01--7.00 acres 2,400 s uare feet 4,800 s uare feet
7.01--8,00 acres 2,600 s uare feet 5,200 s uare feet
8.01--9.00 acres 2,800 s uare feet 5,600 s uare feet
9.01 or more 3,000 s uare feet 6,000 s uare feet
*Only one accessory building may exceed 1,000 square feet.
NUMBER
Absent any other zoning requirements there is no limit on the number of accessory buildings per property.
STRUCTURAL COVERAGE/MASSING
Properties less than 2 acres in size are subject to a 15 percent structural coverage limitation. (See the
Structural Coverage information sheet.)
HARDCOVER
Properties located in Tier 1 though Tier 5 within the Stormwater Quality Overlay District are subject to
hardcover regulations, These are typically properties within 1,000 feet of lakes or 300 feet of certain creeks.
(See the Hardcover information sheet.)
Reference: City Code Sections 78-1279, 78-1288, 78-1404. 78- This is an information sheet. Every effort has been made to
1405, 78-1435 through 1438 insure the accuracy of the information contained herein;
however,if any information is not consistent with provisions of
January 2013 the City Code, the Code provisions will prevail.
Page 1 of 4
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Christine Mattson
From: Adam Edwards
Sent: Wednesday, August 05, 2015 9:55 AM
To: Christine Mattson
Subject: RE: 3210 Graham Hill Rd /#2015-00943
Chris,
I reviewed the grading plan and have no issues. Stamped it approved.
Adam
From: Christine Mattson
Sent:Wednesday, August 05, 2015 8:16 AM
To:Adam Edwards
Subject: 3210 Graham Hill Rd/#2015-00943
Adam,
We received an application for an accessory structure at 3210 Graham Hill. Please review and provide comments.
Thankyou!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ', Orono ' MN 55356 (physical addressJ
PO Box 66 Crystal Bay ';,, MN ' S5323-0066 (mailing addressJ
`�' 952.249.4620 ?- 952.249.4616
��� cmattson@ci.orono.mn.us �� www.ci.orono.mn.us
Summer Office Hours: (Monday, May 18 through Friday,Auqust 28,2015)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, September 7, 2015
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant l,� ;�
CC: Street File
Date: December 8, 2015
G/L: 101-22205
Re: Escrow Refund
Building Permit#2015-00943 to 3210 Graham Hiil Road is complete. Please refund $2,500 to
the property owner, Matt Mesenburg.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Matt Mesenburg
3210 Graham Hill Road
Long Lake, MN 55356
w:�.street files\graham hill road�3210�escrow refund form 2015-00943.docx
BUILDING PERMIT ESCROW AGREEMENT �/
, - Orono Building Permit# 0�015-D��
AGREEMENT made this�day of ��� , 20�, b� and between the CITY OF ORONO, a
Minnesota municipal corporation (°City") and �f� - �t s�'�^ �;�„-•�e�, ("Owners").
�
Recitals
�� 1. �` building permei� a ,plication has been filed for ��-����� -C located at
t�� �.ar".ECf�_.=�R �i i �{_��� the ( Sub�ect �ro rty"), legally described as
2. Owners request the City to review this application which requires City approval and may require
consultant legal and/or engineering review.
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# �v65"���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 all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement
two times per year to determine 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 verification 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 i urred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance
to th ubject roperty pursuant to Minn. Stat. §§ 415.01 and 366.012. „
CITIC: CITY I OWN /,
By. — �/\
Its: �ti� /
internal Use Only: �Original to Finance Department �Copy to Street File
Packet Last Updated: January 2015
Page 22
�
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MATTI-IEyy J 11qEgENBURG �
MlCHELLE M MESENBURG ,42$O
3210 GRqNqfe�y�LL RD
LONGLAKE,MN 55356-55pp .�1 ��-�is�os�5
--+1 1 3979742555
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PAY FO THE � � DATE
; ORDER OF \ b O
-T'...� 1,, �,-J�.,� ,-� $ aSo�.�
weus ra � DOLLARS � �«.
� Minnemp g�'NA
wellsiaryo,�� � .
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--_.�"�'_�—,—.—.__.M
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Cit of Orono � I
275G Keliey Parkway 952_249-4600
Orono MN 55356
Receipt No: 3.013872 Jul 27. 2015
Matthew Mesenburg
Planning and Zoning 2,500.00
2015-00945 3210 Graham
Hill Rd
101-22205
Deferred Rev-Developer Deposit ___
Total: _____ 2 500 00_
Check 2,500.U0
Check No: 4280
Payor:
Matthew Mesenburg 2,500.00
1ota1 Applied: _______________
Change Tendered: ______ ____ 00_
07/27/2015 03:05PM
.
: CITY OF ORONO � 0 1 5 - 0 0 9 4 5 *
2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3210 GRAHAM HILL RD
PIN : OS-117-23-11-0009
LEGAL DESC : GRAHAM HILL PRESERVE-2
: LOT 1 BLOCK 2
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#2015-00943 FOR DETACHED GARAGE. PA[D BY OWNER MATTHEW MESENBURG CK
#4280-$2,500.00
APPLICANT ESCROW FEE-BUILDING 2,500.00
MESENBURG,MATT&MICHELLE TOTAL 2,500.00
2525 KELLER ROAD Payment(s)
CHECK 4280 2,500.00
LONG LAKE, MN 55356-
OWNER
MESENBURG, MATT&MICHELLE
2525 KELLER ROAD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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. Ali 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 inspections are
requested in onform e wit the State Building Code.This permit may be '�
revoked at y time r ue u . �
�O 1 ��E`�S� � a
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Appli nt Pe ee S' na Date Issued By Signature Date
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� Cate ?!me Inspector InspedionType Stat H Permit# Address PermitType PropertyType ConstructionType
iG.�.�F. ..
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1�;�-'.' ROGP Final � � Z�tE-��9<3 3�1�;raham H,� Ptl .-ccesscr;�tr�ct�re Rerdential Garage-Ceta,hed
I��s,�,
12C�:;!.i ROGP insulation F Y 2�15-Ou9»3 321�3rahamHiliRtl �.ccessoryStructure Res�dentfal Garage-Ceta;hed
� "` 12:00 AM Ch1AT ,4c-Built Survey P Y 2015-00943 3210 Graham Hill Rd Accessory Structure Residential Garage-Detached
i 12:00 AM rv+�o Framing REINSPEGTION P Y 2015-00943 3210 Graham Hill Rd Accessory Structure Residential Garage-Detached
� 12:00 AM b1ETD Framing F Y 2015-00943 3210 Graham Hiil Rd Accessory Structure Residential Garage-Detached
� 12:OOAM �a1ETJ Mechanical-AirTest P Y 2015-01164 3210GrahamHillRd Mechanical(>5500� Residential Pdechanical-�olultiple
� 12:00 AM b1ETJ Plumbmg-Rough In P Y 2015-01165 3210 Graham Hill Rd Plumbing(<5500i Residential Fixture
12:00 Ahi METD Poured Wall(Foundation) P Y 2015-00943 3210 Graham Hill Rd l�ccessory Structure Residential Garage-Detached
� 12:00 AM ROGP Footing(or Rebar; P Y 2015-00943 3210 Graham Hill Rd Accessory Structure Residential Garage-Detached
12:OOA��1 Io1ETJ Plumbing-Final P Y 2013-01228 3210GrahamHillRd Plumbing�>5500i Residential Fixtares-��4ultiple
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 2-JD�7 ' ` (,,CO�OMPLETEDL
ADDRESS 2-I r W .1_J` 11
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION �u VA �- 1
111 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
*4uil� � UU ✓cy r6 �'��cTs
o /11d /4c Cin d•' S zr'
CC
W
Q
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W
W
QC
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d
W ❑WORK SATISFACTORY:PROCEED (j PROJECT COMPLETE
Cc ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
[ISTOP ORDER POSTED.CALL INSPECTOR LI CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Ownerlcontra On site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
Christine Mattson
From: Adam Edwards
Sant: Friday, November 13. 201512:O4P[W
To: Christine Mattson
Subject: RE: 321OGraham Hill Road /#3015-0OS43
Chris,
The subject as-built appear to be in keeping with the intent of the approved plan. 4city inspector should conduct asite
visit toensure the survey accurately reflects current conditions.
Adam
From: Christine Mattson
Sent: Friday, November l3' 2O1S1l:SlAM
To:Adam Edwards<aedvvards@d.uronn.mn.us>
Subject: 3210Graham Hill Road/#201S'00943
Adam,
We received an as-built survey for the newly constructed detached structure at 3210 Graham Hill Road. Please review
and provide comments.
Thank you!
Christine Mattson
Planning Assistant
City ofOrono
27S8Kelley Parkway | Orono MN | 5S3S6 /ohys/co/oddress/
POBox66 [rysta| BayMN SS3Z3'O066 (mailing address)
W952.249.4620 4952.249.4616
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Office Hours: Monday Friday 8amto4:30pm
OUR OFFICE WILL 8ECLOSED: Thursday 8Friday, November 26& J7, 2025
Thurzdoy& Friday, December 24@J5, 3025
Friday,January 2, J016
1