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Home My WebLink About2011-00598 - new structure CITY OF ORONO PERMIT NO.: 2011-00598 � 2750 KELLEY PARKWAY f ORONO, MN 55356- DATE ISSUED: 08/1U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3315 GRAHAM H[LL RD PIN : OS-117-23-11-0007 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 6 BLOCK 1 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : O`�B�tBI�1.(� -LTNI�F.FI�_ � l;I s i v��l� � �-3�� l�-Y_ �� VALUATION : $ 1,450,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,SEPTIC,FIREPLACE,LAWN IRRIGATION, WELL(STATE), ELECTRICAL(STATE) NOTE: BE AWARE, IN THE EVENT WEATHER OR OTHER CONDITIONS PREVENT THE COMPLETION OF AN AS-BUILT SURVEY AT TH�TIME T�ERTIFICATE OF OCCUPANCY IS REQUESTED,A TEMPORARY CERTIFICATE OF OCCUPANCY MAY BE ISSUED UPON RFe OF A$�0,000 ESCROW TO ENSURE COMPLETION OF THE AS-BUILT SURVEY AND ALL SITE IMPROVEMENTS. INITIAI;: ' ' ( T�; " , ADVANC�I}i'°t.�N REVIEW WAS PAID ON PERMIT#2011-Q ,ON 7/7/1 1 WITH CK#021345 IN THE AMOUNT OF$5,041.89. � f i�, * FOU C[ON AND AS-BUILT SURVEYS REQUIRE[�. ([NITIAL) * A I ANT�OWNER MtJST INITIAL THE ENGINEER'S A%I OS REGARDING RETAINING WALL INSPECTIONS&VF.,RIFICATION �([N1�I'IAL) APPLICANT PERMIT FEE SCHEDULE 7,756.75 CHARLES CUDD LLC STATE SURCHARGE(VALUATION) 680.00 15050 23RD AVENUE N TOTAL 8,436.75 PLYMOUTH, MN 55447- �) Minnesota State License#: 20635245 OWNER HEURUNCT, MARK& SUE 225 6TH ST S#2900 MINNEAPOLIS, MN 55402- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall bc performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This pern�it 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 typc 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 re sible for;&ssuring all required inspections are r:�quested in o an�e with�Ehe State Building Code.This permit may be revol:ed at�any t�m�for tiue.e �se. � , }` .�!� �;\' / �( / ( � / / Applicant Permit� Signature Date Issued B S' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � ' � I �` � 7� �u� 5�`� city of orono g � 3(� � � Building Permit Application for New Structures or Additions Mailing Address: Permit number: b��- �J� ��►„�,�. PO Box 66 ,, \ Crystal Bay, MN 55323-0066 Date received: � '�� ( I �I X�s�� I Received by: � `'„� � 1,�,� ` ,,�, Street Address:� �\��'�,�� Gti 2750 Kelley Parkway Plan review fee� �� , g�� L�� l ��'�� Orono, MN 55356 qhESH�4 �`-___ ' 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'�� , � �1 �V"l/ (�"r�tJU Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes,a special event permit is required with Police Department and Ciry Council approva/60 days prior to the event. Shuttle bus service i/l be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � �f �/O State License# ' Expiration Date: Phone: - ' •Z- � office cell Mailing Address: `(�5(� � fl - , Cit 7'I�Q(� ZIP: Contact Person: �� J�- Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: ,,��N��--L C�D�wi�,>G-i��l,,r�/�/l PROPERTY OWNER INFORMATION: Name: I,/l�(G- �..X� SUC }-i(�/�LUN�-�- Phone (daY): �i�i2 -221 � ��Z4� Address: Cit : ZIP: Email and/or Fax (+✓1��-� e ()��1�' C N�V1 A/� • (O�V� ARCHITECT/ENGINEER INFORMATION: Name: ��'� � CCf�1��[�=-� Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply �New Construction �Single Family with �Residence Addition attached garage �0 Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial �Private Well Minnehaha Creek Watershed District(MCWD) � Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ ��U STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction r � a. Length(ft.)= �U� �(D Number of bedrooms= � Wood/Frame f I1 �] Masonry b.Width(ft.)= �V 'O Number of garage stalls: � ❑ Metal Attached =� ❑ Pole Bldg. Areas in square feet Detached=� ❑ ICF /� ❑ On-site Prefab c. Basement= �j�J(/ ❑ Off-site Prefab d �st Story - ,�,s7y�,'1 ❑ Other(please specify): ri�-I�_L e. 2nd Story= �?U f. '/�Story = _� g.Total Area= �_(�%C/ REQUIRED SUBMITTALS: Ali of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ Permit Application ❑ Pro osed Buildin Plans Iffi ❑ 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 Walis 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 app�ication 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$10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: Date: � �� ` Plan F�e�ri�� heckli�� ,��r �lev�r �tr��ctu�r+es I �c�di#i�n� � �aa�ar�ss i Pi�i�e�ai: � � �� "S - � �� `�+��, � � �� ` � � ��,��,'� � � � � - Description of work: __ �� `��' SEptic reu�iew by: r �•��.� � �`` D.�fe:Ap{aroved: �,_ .,� � Znning re�riew�by: D.ate-�Approv.e�i: ; '-�. .� �.� Buitding�e�ieanrby: Date•Appr.ov�ecl:; :''7 -�.6 -,�� ` Grading-rQview by: Da#e Ap�roved: � �' � r Zoning File#: Resolution#: �:i�esolu#ion Date: �onin Distri�t �Fire�De artmen#- ' �ost.Office Schonl District Zoning: Lot Area: SF/AC Width; Depth: Surv�y Submitted: �' Yes � I�o Date of Su►vey: �' , ,.,/ _ f'ro osetl Setbacks: ��c� t.(L�ke) � �tear�S'�ree#) � N � � '�► ) : ( 'S E � ') �ther$uilciinc�s. Vilstiand Side :Side l. � ` �,�° � �� , �b r � Building Defined Meight: Building Pea�C Height° �`� #of S#ories O ?: �'FS - - . �z FDR A BUILDIN:G WIT°li'A;BASEII+iENT DR:CRAJINL SP.AGE: �OR A'BUILDING;bN A SL�B FDUNDATION: � START WITH the distance`between the:basement flopN crawl START the distance between the slab and the highest � ` space floor and the highest roof peak,#he top of V1/ITH roof peak,the top of'the.r.ornice of a�flat coof, (�� fhe:aornice of a flat ronfi,the�ieckJine of a the de.ck line of a mansard roof,nr,the 1� mansard roof;or the uppermost point nn a round uppermost point nn a rourad oc other acch-type �n�°� � �or other arch-: e roof roofi �� SUBT half the distance between the highest.window and 'SUBTR,ACT haif fhe distance betwesn the tiighest window � �� hi hest roof eak of a itched roof and hi hest roof eak of..� itched<roof Su�T, RACT the riistance between thE basemenT.floor/crawl ADD the distance be#ween�ths slab and'the highest � �? g� space floDr antl the highest existing grade•within exisfin rade within the fioundafion �p� the foundation:or 10 feet,whichever as less. EQUHLS Defined buildin hei ht EQUAL Defined buildin hei ht Lot Co�e a9�� SF % 5t�oreiand Uis :ict >'MGV16D Permit Receiv.ed �4vera e Lake:shore Setback 81u � Yes � No � _N/A � Yes o �; � `Yes o � Y:es 0 No � l�/A Permit Nurriber: �etback: HacdcnverZox��s Existin Pro :osed `�/ariance f� CUP R� u ed 0-75' .0 Yes Q Yes :o 75-250' TYpe(s): TYPe(S)� 25"0-5'DD' _ 50D-1000' REMARKS (rn-house): - Updated• 09/11/20D9 z:\f�rmslplan rQview checklist:docx Fees to be Char.ged - YES �)O �Pa""'�,... ; F k } Plan Re�iew �_ - - M�estigation Fee a �� :� Sewer Connection t Park Fee - ,� . Other_(speciiy) ; ��-� - - "�,�'°"��F- Calcufated By.: S uare Foo.ta e $ er S uare Foota e Basement X = :� 15t Floor X = $ 2"d Floor X = $ Garage X = $ f Estimated Constructio�n Value: $ �e ��o �� - ;Orono Inspe�tions Required 1Mork Requiring �eparate'Permits Rez�uired State Permits 8 Site �Plumbing `;0 Grading / Filfing � II Q Hardcover Removal Mechanical � Fire r: Electrical �Footing �(Sepfic 0 Water Connection �Paured Wall Firepiace � eanrer Connection ; . nundation.Survey ❑ Masonry �ewn trrigation �ftadon Rock Bed �Nlfg. x' �'Framing ❑ Other(specify) � In�ulation ` s=Built Survey k:: G rnal ' ❑ Other(specify) : y � REMARKS (in-house): � ; Other Revie�v: Reviewed by. Date Approved: Access:Existing: 17 YES D NO New: � YES � NO REMARKS TO BE NOTED ON PERMIT AND INITIALLED BY PERS(JN�PULLING PERMIT) �v � �.-�- s ��ca,�,� � �� - ° �--f-�„' ' ' r ��t� �,� � � # � � Updated: D9/11/20D9 z:\formslplan review checklist.docx � l �llilllllllll11111 _l y y � ... ��'4�a t� �, 1 , f J ;'. > �� ` ' �.� ' �'� .�! y�'� � ai�,� �r �� d y ' .. �..z i�k�r r h�� a'�:, �'��` '� � �`�� "�q rfd�� 1�. r �" .� ) � f/�� j��V��z W�M�� S�. '+e. � rd,d� ,��,'�' �" �`� '�� '�� 4 +��i. � � �� .t�. IM �� i3• � �'��s�t� � ��r�� f e ,�' :,�'. � ' J - ,y.. �' ��F.f t 12��§�'� 1 � .�{u'�� uJ'll"a, '.. .t��°.� ��S�fi��u y�j �� ', , � �K�Y � � -.. ,.� s �' �'- �"�YS �. �` �. 'c�'�s*� ,��`.`� ;,; � � �r `�" � �x - �.'��`,�� Y y g�� i 4 ',�„��'�, r � '� � I : �� g�� - d4r�. �%k � � �t �.� 9T,� .� 9s �' }�� ..' 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CONTRACTOR I�I� o�Ai� C� � DESCRIPTION �I��f�.'t/�-- �"�:�Jl�t I� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED I�I ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. - �� White Copylinspector's File Canary CopylSite Notice Sv ' DATE TIME ✓ CITY OF ORONO CALLED IN S•3 D ��-��., INSPECTION NOTICE SCHEDULED � "�l �az.L PERMIT NO. �� "' U��COMPLETED ADDRESS 33!J� �j'/`�t�`''''� �� OWNER TE EPHONE NO.lv�z O �'7�7 CONTRACTOR � �� >: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � /�! .^v S � � � � V �d � ^ (' `'�p�� J, .r� r�i� �e �e c rL �,/� ��c� 0 � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED �/PAOJECTCOMPLETE 4� W ❑CORRECT WORK&PROCEED ��fGSUE CERTIFICATE OF OCCUPANCI(� � 0 ❑CORRECT WORK,CALL FOR REINSPECTION TE 6RKRY �\'�/ V BEFORECOVERING PERMANENT �� j ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. '� White Copyllnspector's File Canary CopylSite Notice - C'� � \ J p f' A E TIME CITY OF ORONO `1��J� iN � � � INSPECTION NO ICE D SCHEDULED PERMIT N0� C MPLETED ADDRESS � � OWNER T EPHONE O.��. �"7 g�� 9b� CONTRACTOR �C/I �(iL- �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ KESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ REE 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � I' W I � � � � �iIORKSATISFACTORY:PROCEED LI PROJECTCOMPLETE W ❑CORRECT WORK R PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W{LL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46�� OwnerlContractor on site: C�� / Inspector. White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE�`�p SCHEDULED /l- ( — I l �� PERMIT NO.�� i� � •o COMPLETED ADDRESS 3� � J Cf'��`� �" �1�� OWNER �-� �� TELEPHONENO.��'��C CONTRACTOR �: DESCRIPTION ! `� W� ` re-J��f�� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti 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 = 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � . Ti(Q �-Ga�� r (ZA c��J � -t� . � ��K 2�1 �-C� /� ,,... W (�. C-�,f�s �,�-`A . 7e� � Q � z W � W � � GW �ifORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT i.-�CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WlLL RETURN �:�STOPORDERPOSTED.CALLINSPECTOR �CITATION ISSUED INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � ��J White Copyllnspector's File Canary CopylSite Notice ��, �� ^ �1 DATE TIME � " � � lo—I I a�< p rr� CITY OF ORONO cAe D IN �-I INSPECTION NOTICE SCHEDULED �rt� �•��:��'` PERMIT NO.�1 C��( OC�S`t�C COMPLETED I_ �, ,� A ADDRESS �I i�� 't��I'�" � � � �-EJ� OWNER TELEPHONE NO.�� '"^��j�'�'�U�2IQ CONTRACTOR C��fL(' �(,�G�G� — n'1 /��i � DESCRIPTION �--- L � �l�GZ.�'�l nGI � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ S�P�IC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � GW �4tQRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContract r on sit� �� Inspector.� � White Copyllnspector's File Canary CopylSite Notice + �� ,-� c�' f';� t� � ��;-�� AT� �� TIME CITY OF ORONO CALLED IN INSPECTION NQTICE SCHEDULED �'�� `' �" r � �.�7 - =;C� PERMIT NO. •'��- I I - �`C `�`i�' COMPLETED ADDRESS ,_-� �> � ` ' (_ -�i (; �`c�v'1�1 `�--�I ��c� OWNER TELEPHONE NO. ��L�`"'�� "1 e��a� � CONTRACTOR �� ' ��' �� . >; DESCRIPTION I V� l /��1 �`{ ( � - _ f'�� i.( �Ctj�1 G;1�) � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:�YES_NO -_----- � COMMENTS: � W � o �/� �� L� ,C/\ � ,��i� �`-�U/�� 0 � W � Q � Z W � W � � d W i51�CORK SATISFACTORY:PROCEED 1� PROJECT COMPLETE � W ❑CORRECT WORK&PROCEED C] ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for ihe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor qli�si� v Inspector. White Copyllnspector's File Canary CopylSite Notice � (i� Q 2 T TIME � CITY F ORONO �� CALLED IN V v`� � � INSPECTION N�Q�IC �GJ� SCHEDULED PERMIT NO. 4�� —� � COMPLE D ADDRESS �� ✓�d�'�'��l/I�I �G�� OWNER ELEP O E NO. 'g�-�7� CONTRACTOR �� i(/� >; DESCRIPTION �d��Gi (/(.�C��c ��(��-t`'�`l � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEP IC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ TIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTO 0 MEET Y :�YES�NO _ . -� . , ; _ -, ,K -;. _..�.,,, _ - _ - � COMMENTS:' ' � ="" � W � � � O >. o ,�-� _� ��J�- W ��l �� Q � Z w � W � � d ��=14�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: �� ,�;' . � Inspector. lo,�-lG"�-j�,� � White Copyllnspector's File Canary CopylSite Notice —� � D TIME V CITY OF ORONO CALLED IN �� / (� INSPECTION NOTICE �( SCHEDULED __s`�� •��4,m PERMIT NO. .�� !� OO��U COMPLETED ADDRESS �� t S G�rc�i^ o�-rv� `-�.i � I rc�}, OWNER TELEPHONE NO.��a' o �a —��T CONTRACTOR �—�.��►'' t��P� � DESCRIPTION �L��I � Q�.�R:.� �--�C�l'YIC� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J � / � ^'� $-, v 4 `�' �J o � � ti � Q � z w � W � � � W �VVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ CORRECT WORK 8 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 OFDER POSTED.CALL INSPECTOR '�CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: ^ Inspector. L�,/ _ � White Copyllnspector's File Canary CopylSite Notice DATE TIME ,/ CITY OF�RONO CALLED IN V INSPECTION N'Oh�ItC�E.,��; SCHEDULED 'L� ~ PERMIT NO.�L�_� COMPLETED ADDRESS .i'�I � �`�L�I�U m � �J' 1 � OWNER TELEPHONE NO. CONTRACTOR �: DESCRIPTION I�J ' I � S u� � � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J . � � .�� O � W � Q � Z ,.� W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED �SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY V BEFORE COVERING _ "�pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. ��C��'� White Copyllnspector's File Canary CopylSite Notice S� � D�� TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �a-- � PERMIT NO.�(L '�[ ooS9B COMPLETED �� N ADDRESS �3�c5 (�'CC+�-�il��vt o,��'�----d�� OWNER TELEPHONE NO. �O�a �b �77� CONTRACTOR �'l� �; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINA� O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o'— o /Vo v � ILQ ��,�r1.4� � o� S/��— 5i Y��/1 S a � 0 � W � Q � z W � W � � d � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY ��CORRECT WORK,CALI FOR REINSPECTION TEMPORARY �j� BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN C CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContra r si : Inspecto White Copyllnspector's File Canary CopylSite Notice FOUNDATION AS-BUILT � �� oasnHc NousE � � FlR=r�._,ozs.o s�� °�s, � �� RECEIYED FOR� CHARLES CUDD CO. ,,,��N i A P.� ADDRESS� 3315 GRAHAM HILL RD. �� °;��° �-` �'p �� SEP 15 2011 - ��s� � �,. - �w�� z�, � � =��' >>� - � �\ �� CIfiY OF ORONO , � ,t :.�,� � � � .-t o � � � � �G A � � � T\ � � � � p , Q � � ' O (Meas. 9�2�11) � � � PROPOSED ELEFATIONS aS-BUIL'C ELEVATIONS ,_.. , , � � �� ' � �. � , GARAGE FLOOR = 1024.0......................7024.0 assumed � �, � ` \ TOP OF BLOCK = 1024.5.............................1024.5 � \ BASEMENT FLOOR = 1014.8.....................1014.8 assumed � ;� \ D\'� x � . � �'s'� TOP OF FOOTING = 1014.5.............................1014.5 � ��A SUNKEN BASEMENT FLOOR = 1013.8.......................1013.8 assumed � � �� GYMNASIUM FLOOR = 1012.8.......................1012.8 assumed � � = FIRST FLOOR = 1026.3.......................1026.3 assumed ' / � 15 �' I �, . ��✓ i 5' ��n'��( .n, � � ,`�� --= S �., , z �, ------- Y �^.5r ------iozz------ � � o �- �, �/� ------- � ' �OT 6 �,,' , s �Ea„ � , , , , , � , , , ' , / `J� / 'B � I / / / I / / / / // �� f / \ / �., i _........-_ / / / / / I // \ � / \��,V � � � �� 0�� ❑ NORTH � � �� 1 G2�DE 0 S�PR POSEDBELE AT10N. i � ��- /j � � x t 01 L 2 DENOTES EXISTING ELEVATION. i � \ � �- DENOTES DIRECTION OF DRAINAGE. i ( �N eeeT) �� __---orcar+ce r�+ce i � DENOlES WOOD HUB/METAL SPIKE 1 inih= :j�fL / \ � i � DENOTES BITlJMINOUS / / � �� E%1S11NC HOUSE /. ,� DENOTES EXISTING TREE i \ // ' CMRCE F1-1012.0 �'� i �� 5 ,� ��' � DENOTES PROPOSED fZETAINING WALL �� t�� DENOTES EXISTING CONTOUR i � y�� s� � i � � / �\ � ._., , „ I � � �o I � I �\ � i I I �\ I � I _ �� TES o � sec•oo'oo^E - - HOUSE PLACEMENT AND ELEVATIONS SET BY OWNER. � o so.00 -� � � / � - FIELD SURVEY CONDUCTED ON MAY 11T}i, 2011. � o I 6 S\ �O� ° - BEARING'S SHOWN ARE ON ASSUMED DATUM. o � I �H`O�� `�s"�� - CONTRACTOR TO VERIFY HOUSE DIMENSIONS, LEGAL DESCRIPTION � � `� � AND SEWER AND BASEMENT DEPTHS. �-1 � � "��3 - FlNISHED GRADE 10 FEET FROM PROPOSED BUILDING Lot 6, BIOCk 1, GRAHAM HILL PRESERVE, ��x I � ,a,o, SHALL BE 0.5 FEET LOWER THAN THE FINISHED GRADE Henne in Count Minnesota. :7 c� I � '"�-p°°�0° AT THE BUI�DING. P Y' ^� E°F-°°6°O - FlNISHED GRADE ELEVATIONS ARE TO FINISHED (.,a *m-oaa.eo � SURFACE WITH TURF ESTABLISHMENT. z~ I II - DRIVEWAYS ARE SHOWN FOR GRAPHIC � . PURPOSES ONLY. FINAL DRIVEWAY DESIGN AND I LOCATION TO BE DETERMINED BY CONTRACTOR I I I � i I hereby certify that this plan, survey or report was prepared by me or under my direct supervision and that I am a duly Licensed � Land Surve or under the lows of the State of Minnesota. r4CRE LAND SURVEYING ;o. � �� JOB#11159FAB Y l /� �/ s &alne,MN 55449 �I I I � � \ 's � �/ 1/ � �'=7B3-238-6278 js.acrelandsurv ry(�gmail.com 556�� , o � �� ' i> � �9 Ro 4S Sy�<Y-F � C�\Land ProJects 2006\11159hs-Charles C.�dd\dwg\11159fab.dwg 9/8/2011 1�48�11 PM CDT JO HUA P. SCHNEIDER Date: 9-8->> Reg. No. 44655 ��'�� 1, ' . • • � • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: 9/18/2012 � G/L: 101-22205 Re: Escrow Refund �,j , ��,�y�, The builder, Charles Cudd DeNovo, has r ired a refund of the escrow pertaining to building permit#2011-00598, property addressed 3315 Graham Hill Road. Please refund $2,500 to the property owners, Mark& Sue Heurung. The last invoice received regarding this project was September 2011 with payment being made on October 28, 2011. I did not contact Bonestroo or Campbell Knutson. The following is attached: • Copy of signed escrow agreements • Copy of cash register receipt showing escrow amount received Mail to: Mark & Sue Heurung 3315 Graham Hill Road Long Lake, MN 55356 w:�street files\graham hill road�3315\escrow refund memo for 2011-00598.doc BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2011-00598 AGREEMENT made this �� day of �u 9us� , 20 /(, by and between the CITY OF ORONO, a Minnesota municipai corporation ("City") and ("Owners"). Recitals 1. A buiiding permit appfication has been filed for a new residence located at 3315 Graham Hill Road, the ("Subject Property"), legally described as Lot 6, Block 1, Graham Hill Preserve, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner estabfishes 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 wiil incur in reviewing the plan. Efigible 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 efiminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering; or legal consultant review) associated with building permit #2011-OQ598 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. fn the event that the Owners do not make payment to the City within the fimeframe outlined in#3 above, shall issue a Stop Work Order untif 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 Bafance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the su ' pro rty pursuant to Minn. Stat. §§415.01 and 366.012. CITY• C ONO OWNER: � � /� By: � � � ._.-li��<?Glif' / � , /. j�` ItS: . ._, _ inte.r.nal'kllseDn�: ' „ „"�Ar�;gir�al�o:P�lannin,g , "r�Gop;y�to�'Proper#y.O:wner .:�; ,�tCopy°�o:?5treetFile • � CITY OF ORONO PERMIT NO.: 2011-00842 27�0 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEv: 08/1ll2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3315 GRAHAM HILL RD PIN : OS-117-23-11-0007 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 6 BLOCK 1 PERMIT TYPE : ESCROW FEE-TIED TO BUILDiNG PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW FOR BUILDING PERMIT 2011-00598 APPLICANT ESCROW FEE-BUILDING ?,500.00 CHARLES CUDD LLC " 15050 23RD AVENUE N TOTAL 2,500.00 PLYMOUTH, MN 55447- �) Minnesota State License#:20635245 OWNER HEURUNCT,MARK& SUE 225 6TH ST S#2900 MINNEAPOLIS, MN�5402- 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 permissio�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 ali required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � / / / / Applicant Permitee Signature Date Issued B��S� �ature ate SEPARATE PERMITS REQUIRED FOR WORIti OTHER THAN DESCRIBED ABO i sI � � -*--1. , ____ ----_ __.__.�_�— - � .....____.._ �r_ ; °� i i E ; �� i � � a � ��:� � , � ��, 1' �; . . . . _ _ . I� � � —_ I � �� ' �i I� � C'. f"� CZ ' i - CO '- � � II ... __..___ ..._...___..-,.. ..__.__'__ _._._... �. � I � - P ' - �� . �. � -- � — ...--- �- lL OI�S�CIC7�0 � �iC7� I z _-w___� �, `++ _ �'?- �i� ?-;7- };�� o � � '� — — - W r _ � y � � U 6 7-'n a,a ri �n. a:a LL. cL � c:� - - ---- -- _.. _..__; � ---•�- � ' ' . ,� ��' '�.N�N' c- ��.C7�� e- � �� C?+OjN�t7 O �.. ! � � �!O i N;N��i� N i ry; r„ ad Ni61 ['�+�1�ryi��Ni[�+9 e''-�. ' C ❑ ooi6�i' Oo�� '�E'd i.�[ f�` =b� � ` -. c __ `a ' " � as d m m�m,m�mif- ,�i�� -' � �,'- c�+c��c��c� c�;��a��` , � �'�� _ '�� v.� , _ � , � �__ _ a � �, � � � � � I � � i � . �� z ,p,. y � ,x��; � �a cEo on ' �' ; i�. �5 o � ` � G 7r � ;�.,. � a � � ' � �� Ea � Q =7i� ��. �` � �� GG � � 'j' � fli s�� I � I � � H � ,� � C U1� ` �: � �' �i � � � . �'.�; C'C� � ' I Cv�; • � CI 'i [+'] � � Q�'�` �� QI O,� ,.� +��i � � � , !� � � ��.��. C ��.._ r � p, .p' C�, 5 � E� ��.m �. W' atl�. rol � � � �ry . p; �..: p � c`d rn. � C;. C, � u� ._ ' .' � y C 1 LLILLr� 'lL �''KL LL.�l1.. � . � j � �y �W � ; - � — --` � _ � C� S � � I.fl N``''''``��.��t+l''''''��V=LLS�tD!h-�dO�Qs�� '! �� 9 �• �1��1� � � ��,. `� a- � �* �¢ � o � �, �, � � � �. a� � �, � , c1. � ' � � � � � � �' � � i �:. � � � � '�' �- 2011-00598 3315 Graham Hill Rd ea�ance 3315 Graham Hill Rd $o.00 Summary All Variances-Permits get a a500 Engineering credit and a 567.50 Legal $0.00 Legal credit(2008 and later) Mark&Sue Heurunct Engineering $1,276.50 225 6th Street South#2900 Subtotal $1,276.50 Preliminary Plat Application Fees Paid Minneapolis,MN 55402 Credits -$500.00 Payments ($776.50) Balance $0.00 Total Application Fees $0.00 Legal Invoice Date Activity Invoice# Amount Prelim Plat Improvement Fees Total $0.00 Fees Paid Applicable to Engineering Prelim Plat $0.00 Engineering Invoice Date Activity tnvoice# Amount 09/30/11 July eningeering 20110230 $ 499.00 09/30/11 Aug engineering 20110230 777.50 Final Plat Application Fees Paid actual invoice 776.50 due to credits Total Final Plat App Fees $0.00 Total $1,276.50 Final Engineering Fees Paid Fees Paid Applicable to Engineering Final Plat $0.00 Credits Date Payment Type Check# Amount eng ($500.00) Total Fees Paid $0.00 Total ($500.00) Payments Date Payment Type Check# Amount 10/28/11 ($776.50) Total ($776.50) 9/18/2012 Check(ist for Refunding Building Permit Escrows Building Permit # �«-d('�SQ� Street Address: 3��J" �,1'�1�1/L �t �� Applicant Name: �-- Escrow re uest received Date: ��'�� `-� � q � �r� ��o(� Permit Type: I Y( , Are all inspections compieted? Yes No If not, Iist what is outstanding: Was there a Temporary Ceriificate of Occupancy issued? Yes No Date: Was there a Final Certificate of Occupancy issued? Yes No Date: � `�• As-built survey required? Yes, approved on � '� �C � NO NA ❑ Email CK & Bonestroo to see if there is any unbilied WIP. Date email sent: ❑ Prepare memo for Finance Department z:\formszoning standard forms�checklist ror refunding building permit escrows.doc Last Updated: 1G-31-2011 BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2011-00598 &#2012-00239 -�-, AGREEMENT made this i J day of /��ri� , 2012-, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Mark & Sue Heurung ("Owners"). Recitals 1. A building permit application has been filed for a new residence and pool located at 3315 Graham Hill Road, the ("Subject Property"), legally described as Lot 6, Block 1, Graham Hill Preserve, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit #2011-00598 & #2012-00239 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO OWNER: , By: � �ts: y � Internal Use Only: �Original to Planning �Copy to Property Owner �Copy to Streef Fite BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2011-00598 AGREEMENT made this �� day of /�u uSf , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and MUY� � :>�I� 1-�',.�t'U(1�}" ("Owners"). Recitals 1. A building permit application has been filed for a new residence located at 3315 Graham Hill Road, the ("Subject Property"), legally described as Lot 6, Block 1, Graham Hill Preserve, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or wiil incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit #2011-00598 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the su � pro rty pursuant to Minn. Stat. §§415.01 and 366.012. CITY• C ONO OWNER: � 'i By: = � „�'G2Cl�� Its: - ' Internal Use Only: 0 Original to Planning �Copy to Property Owner O Copy to Street File !liC"C� N"4`i 55."s`o y:r�:-��.`-'`+t.'.)'�; � �£+C'.?1C�fi ��: �.��1'+�f�t�; Clli�( ii� �i�l'. i,t'�arla_s C;�dt! ' �+^tviu��3 �alar.rr; .�u� ��er�i;;s •'L+:1-i�':�d�:� ;�"sl; �r�h�t �.`��i.�i.+ i Hx12 �:d � 5,�:?i—c�r".t?7 ' �ef��t� R��r-�1e�r�i.�,�Er• �a:�it � YGt d).; ---......-_t 1:}�'i l.r`i(i �lk �,�idYv_-2C �:��.�').'.�" :;he�k � C�tec��. 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