HomeMy WebLinkAbout2009-00696 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2009-00696
- 2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUEu: 1U04/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 95 HACKBERRY H[LL
PIN : 33-118-23-44-0013
LEGAL DESC : DANIELS LONG LAKE HEICHTS
: LOT 007 BLOCK 002
PERMIT TYPE : ADDITION /REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUAT[ON : $ 47,345.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL, ELECTR[CAL(STA"IE)
ESCROW PAYMENT RECEIVED 10/16/09$2500.00 2009-00714
PLAN KEVIEW FEF,RECEIVED 10/12/09$429.16 2009-00695
APPLICANT PERMIT FEE SCHEDULE 660.25
M& M HOME CONTRACTORS STATE SURCHARGE(VALUATION) 23.67
205 WINKLER TRAIL
COLOGNE,MN 55322- MISC FEE 0.00
(612)554-2556 TOTAL 683.92
Minnesota State License#: 20560376
OWNER
SULANDER, DUANE
95 HACKBERRY H[LL
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 I3uilding 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 specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if consVuction is
suspended for a period of 180 days at any time afrer 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 y time for due cause.
C,�� �S-u�.�-�,...�.e�, l( / � / 0 � �l/ D 7� �
Applicant Permitee Signature Date I s By Signature Date
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE.
i
� . City of Orono
Building Permit Application
for New Structures or Additions
�_
STRUCTURE INFORMATION: � .
1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction '
a. Length (ft.)= ,Z� Number of bedrooms =� Wood/Frame
�Masonry
b.Width (ft.)= Z Z Number of garage stalls: ❑ Metal
Attached = ❑ Pole Bldg.
Areas in square feet Detached = ❑ ICF
c. Basement- SZ� ���''"� ❑ On-site Prefab
SP � ❑ Off-site Prefab
d. 1 S`Story = 5 Z`cs ❑ Other(please specify):
e. 2"d Story =
f. Yz Story =
g. Total Area=
REQUIRED SUBMITTALS:
All of±he information must be submitted in order for your application to be processed:
N ot
Enclosed Applicable
�' ❑ Permit A plication
❑ Pro osed Buildin Plans
� � MN State Ener Code Calculations and Mechanical Code Re uirements Form
� L� Surve meetin all re uirements
� � Stormwater Pollution Prevention Plan
� ❑ Hardcover Calculation(s)
� Se tic S stem Site Evaluation Re ort
� �. Access Permit
� �.. Wetland Buffer Im rovement Plan
� � En ineered Plans for Retainin Walls 4 feet or above
� ❑ Plan Review Fee
� ❑ Other
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Some or all of the information that you are asked to provide on this application is cfassified by State law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data.
Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other governmental agencies required by law.
If you refuse to supply the information, the application may not be issued.
ApplicanYs Signature: Date: �U�Z��R
Last Updated: 9/29/2009
- 18 -
. Plan Review Checklist for New Structures / Additions
Address/ PID/ Legal: _ ��'� �"�}�- � � (�p� r„� 1�i / /
Description of work: �� (� �U��- �l��- "� II�,�CGf'� ��Q�((G( �
Septic review by: lV Date Approved: f(�� fJTj g
Zoning review by: '� Date Approved: [���-�1 ��
Building review by: � Date Approved: f d�n�'�7 - ��(
Grading review by: �� �'� � l Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zonin District Fire Department Post Office School District
.
Zoning: Lot Area: G �1�0 SF/AC Width: f OQ Depth: z��
Survey Submitted: es 0 No Date of Survey: �n��2�0�
Pro osed Setbacks:
Front(�L-ei� Rear(Sd�aB�) (� S E W ) ( N ((� E W ) Other Buildings Wetland
Side Side
YX� C��— J (C) �( � �10 c � Z 7 `
S r v��(c e. s h mc's L e ,�c.(cl� v�,
Building Defined Height: Building Peak Height: # of Stories Ok?: ❑ YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the basement floor/crawl START the distance between the slab and the highest ;
space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof, the deck line of a the deck line of a mansard roof, or the
mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type
or other arch-t e roof roof
SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window
hi hest roof eak of a itched roof and hi hest roof eak of a itched roof
SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest
space floor and the highest existing grade within existin rade within the foundation
the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht
EQUALS Defined buildin hei ht
Lot Coverage: 2. Z Z F 1� • � %
Shoreland District MCWD Permit Received vera e Lakeshore Setback Bluff
� Yes � No � N/A 0 Yes ❑ No
❑ Yes No � Yes ❑ No 0 N/A
Permit um r: Setback:
Hardcover Zones Existin Proposed Variance Requir CUP Required
0-75' ❑ Yes No 0 Yes 0 No
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house): �-Xish c�a S�. = � 3056 �
r��( lSI1�Gc �('er A�C. ��� �
Updated: 09/11/2009 �Ll���
z:\forms\plan review checklist.docx
SL� �
(�E-rht � 2 2?3 `'�� �'�,�`� ��, �a �
� �c ��s �
Fees to be Charged YES NO
Permit �
Plan Review � �
State Surcharge �
Investigation Fee �
SAC— Number of SAC Units
Sewer Connection
Water Connection
Park Fee
Site Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
Square Foota e $ per Square Foota e
Basement X = $
15� Floor X = �
2nd FIOo� X = $
Garage X = $
Estimated Construction Value: $ `17�3�5 �
Orano Inspections Required Work Requiring Separate Permits Required State Permits
0 Site ,� Plumbing � Grading / Filling ❑ Well
0 Hardcover Removal J�' Mechanical � Fire �f Electrical �
�'Footing 0 Septic 0 Water Connection
� Poured Wall 0 Fireplace � Sewer Connection
❑ Foundation Survey 0 Masonry ❑ Lawn Irrigation
0 Radon Rock Bed � Mfg.
�'Framing ❑ Other(specify)
Insulation
0 As-Built Survey
�Final
❑ Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: ❑ YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
z:\forms\plan review checklist.docx
� � � °�
0 0
� �
CITY of ORONO
� � ;rN `�I � G�tS� ' Municipal Offices
� �` .� Street Address: Mailing Address:
��fEggO�' 2750 Keiley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
14 October 2009
M & M Home Contractors, Inc.
205 Winkler Trail
Cologne, MN 55322
Re: Building Permit Application # 2009-00696
95 Hackberry Hill
INCOMPLETE
The City is in receipt of your building permit application which was received by this office on
October 12, 2009. This permit for the construction of an addition is incomplete.
The following items must be submitted in order for your application to be considered complete
and for the plan review to continue:
1. Certificate of Survey. Please provide an updated certificate of survey meeting the
City's survey standards (enclosed) indicating the location of the existing house and
proposed addition (and any proposed grading) as well as all existing structures,
landscaping and retaining walls on the property.
2. Escrow & Escrow Agreement. Building permits involving grading and/or review by
the City's engineer require submittal of an escrow and an escrow agreement. The
purpose of the escrow is to guarantee reimbursement to the City of out-of-pocket costs
incurred during the review of your plans. Additionally this escrow will guarantee
conformance with City Code Chapter 79 relating to erosion control and stormwater.
The required escrow amount for this project would be $2,500. The escrow agreement
is enclosed. The property owner must sign the escrow agreement and submit a check
for $2,500.
The above information is required in order for the plan review to continue. Please feel free to
contact me at 952.249.4627 or by email at mcurtis(c�ci.orono.mn.us if you have any questions.
Sincerely,
City of Orono -
t L���i..7'
Melanie Curtis
Planning and Zoning Coordinator
c: Lyle Oman, Building Official
Carol Sulander, Property Owner
Attachments
• Survey Requirements • Structural Coverage
• Height Limitations • Escrow Agreement
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
NOV-04-2009 12�59 P.02i02
d n ����z
+ �"�� ` ��� � ���s �°��� �� � j� �(`� '° '"', 4 r� , �, .,
' ����+�� t �� � 7��,�������V. s �y�����r� -I I�• rd'i��+�lII��./�IJ������I��IJ��h � k�'. � ,
� �
� 1�'"�:� rv o � , G:�rz;:. . _ �
���.,;.. ��^����,��u'��y��1,,>� � .
IMPROVING QUALI]'Y OF WATER, aUALITY OF LIFE
I Pursuant to Minnesota Statutes Cha ter 103D and on the basis of sta
p , . tements
� and information contained in the permit application, correspondence, plans,
heMinnehaha Creek maps, and all �ther supporting data submitted by the appiicant, and made a part
hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant
atershedOistrictis named below�or use and development of land in the Minnehaha Creek
committed to a Watershed Di�t�ict.
leadershrp role in
pratecting,imprvving Issued ta: Duane Sulander Perrnit No: 09-322
and managingthe Location: 95 Hackberry hill, Orono
surface waters and Purpose: Rule B� Erosion Control
a liatedgroundwatcr
Date of Issuance: 11/04/2009 Date of Ex iration: 11/04/2010
sources within the
Dis �cc,inctud;�y rne;► By Order of the Board of Managers
.
elation�hips to Che
tosyste�sofwhich BBCky udek
District Technician
they re an m�egral part.
Weachieve�urmission This permit is not transferable without District approval, and is valid to the date of
expiration. No activity is authorized beyond the expiration date. If the permittee
t rough regulation, requires more time to complete the project, an application for renewal of the
I �aP��l projects, Permit must be received by the District at least 30 days befiore expiration.
ed t�o��,FooPerarive The applicant is responsible for compliance with all District Rules and for the
endeavor�,and other action of their representatives, cohtractors, and employees.
� progra�sbasedon � CO�dltlons: Project to be completed as described in plans submitted to the
MCWD office on Ocfiober 30, 2009 according to the provisions of
soultd srience,
= this permit,
innovative thinking,an • Properly install and maintain all �equired MCWD Ruie B,
erosion control measures until the disturbed areas are
infnrmedan engaged restabilized
constituen ,and the • When the site is restabfilized and the MCWD staff has
performed a final inspection, all silt fences must be removed
tost eff� ve use of
�
public funds.
(Statement cancerning fees for inspections, violations, etc... on following page)
�
�
1qOA9 Uiw....a,.,.l..D....I...._...1 n...._�_.�_� uu ee�n� nr.� �I-,. nrnn r_.._n.n r.. •.n. . . , . . . ,
I TOTAL P.02
/��rt-DO J�
� lc�5 Ha�k��ry h��/i
, BUILDING PERMIT ESCROW AGREEMENT
• Orono Building Permit#2009-00048
• AGREEMENT made this � J day of (�;--�-,-,G�..� ; , 20��, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and �c%nr��.,��t�� �.����C S�c��!�.•���.� ("Owner").
Recitals
1. Building permit applications have been filed for an addition located at 95 Hackberry Hill the
("Subject Property"), as more fully shown and described on Exhibit"A" attached hereto.
2. Owner requests the City to review this application.
3. The City will commence its review of the application and incur costs associated with said review
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 Owner 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
Owner would be responsible for under a building permit application. The escrow will also guarantee
reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in
accordance with the Stormwater Pollution Prevention Plan 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 #2009-00696 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 Owner. Owner shall be responsible for payment to the City within 30 days of the Owner's receipt
of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owner does not make
payment to the City within the timeframe outlined in #3 above, the City may draw from the escrow account without
further approval of the Owner to reimburse the City for Eligible expenses the City has incurred. The City shall
notify the Owner the Owner of such draw and the nature of the expense for which the reimbursement is being
made. If the Escrow amount falls below 75% of the original escrow amount the Owner shall deposit additional
sums as directed by the City, or the City shall discontinue review and post a Stop Work Order.
4. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owner when the review has been completed and written notification is received from the Owner requesting the
funds.
5. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§ 415.01 and 366.012.
CITY: CITY OF ORONO OWNEF�'
� ,�
By: ,� BY� �./ .u..r�-,
� � i
Its: � �� By: � l�� �L��°:.��.�'ti..-
Internal Use Only: � Original to Finance Department � Copy to Street File
� ' � �`/��' TE TIME "
CITY OF ORONO CALLED IN /� ���
INSPECTION NOTICE SCHEDULED d -���'�
PERMIT NOQ� '�D COMPLETED
ADDRESS
l L�
OWNER CONTR. y
TELEPHONENO. /�%I� ' �la � S�cS � 43�>.> �
� DESCRIPTION � —
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q�.�RAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
o �� ,.�Z'�C /� ` � ,�', J��'�a-��
� /�} L 6(�1 +-� ��SL� � . �..� 'l� ��
° (�.� �'u �' `7G�c� (�M.A x �}t
W
Q � ` ` � �� �— t1l� !/1w .
�
Z
W
�
W
�
j
d
ORKSATISFACTORY:PROCEED C1 PROJECTCOMPLETE
W / RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. r�- pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on site:
Inspector. �,.c� ;� � �
White Copy/lnspector's File Canary Copy/Site Notice
�� � D E TIME V
CITY OF ORONO CALLED IN `�'�
INSPECTION NOTICE / SCHEDULED - � : -3C'
PERMIT NO. ����'CGG.�S� COMPLETED �
ADDRESS ���� �2�°+� ���
OWNER CONTR.�/�7`�
TELEPHONE NO. ��� �'�y n���sG�
� DESCRIPTION l�����G�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
�
J
° � CUC l
�
0
�
W
�
Q
�
Z
W
�
W
�
�
GW�ORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE
� ❑ ORRECT WORK&PROCEED ❑ 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
❑ CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on s' e:
Inspector_ �� _,
White Copyllnspector's File Canary CopylSite Notice
� J ��
L� TIME
CITY OF ORONO CALLED IN ��� ,�
INSPECTION NOTICE SCHEDULED � _���.z
PERMIT NO. �L���C�I��COMPLETED
ADDRESS `% � .]L,L�' C %C- ,L�'f r�/ �
OWNER CONTR. /,�'� ff� �7"� CG'�Yl�.
TELEPHONE NO. �� C
� �
� DESCRIPTION �.(�`T/lv�-� � ��
� ❑ FOOTING � MECHANICAL RI T—❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTORTOMEETYOU:�YES_NO
� COMMENTS:
�
W
C
�
�
O
�
�
O
�
W
�
Q
ti
Z
W
�
W
�
j
d
W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8�PROCEED '= ISSUE CERTIFICATE OF OCCUPANCY
W
� O CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN i.�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C] INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. �� / � 7 �
White Copyllnspector's File Canary CopylSite Notice
�
��� ,;
�" /�P�E� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICF� SCHEDULED � �+ O //�.' 1.7
PERMIT NO.��a y ��"�`�� conn LETED
ADDRESS S � L��"y't- � �
OWNER CONTR. " �
TELEPHONE NO. � �la��� — ���
� DESCRIPTION ����� C����-C// �-OYL
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
� INAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
ti
Z
W
�
W
�
j
d
W� ORKSATISFACTORY:PROCEED ROJECTCOMPLETE
❑CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTION REQUtRED.CALlTO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (952� 249-46��
OwnerlContr s�te:
Inspecto �----
White Copyllnspector's File Canary CopylSite Notice
����� ����� .
�S � �� l
� � � am,�.. o���lf�����d�� _
������ �� ��
��►R N�- �u������ 4��=.�P, /
� �`�5 ���C4C�F R,�Y �-41u.
' � � , ;�;- � �E�
fF�roUNua2" i�A�?. � �tio�3 z,_ �
/-� _.,., __• 3 C'7(�
\-_ �� �I7�V ��'1=(� LI�Q: U�._.�,A,E{=l�C� 1010Q �Du1Jq CAPPFpIRtr� (,�
IOE�j,�3 `1" . 'PP�F 1�� �5--- �, tcxf-1,�-7-- �
2,2� � 5�.� - � � �
� ��� -�_# � � , � �
�:�, �� - �.
�� � „ .,, < < �
1/ �1�InPP� 7,i �nR(��. to`�.eon�. � �-�✓ �
/ ''�-�+y 24.0 ,q; � I 17�� , vi =�" .�P
L
• ` ;� i � �� � , �
(� - N ����� i �\��'f' % ,. `� � �I"'"�..1 .�
r��� Q�j� ,,,�'J Q� �: � � �
i �
� � � � �
� �
� �, � � � � I �, U� ` � � O ^ v
� � �
7� .k ; � 14"mADc�::. p f �
,_ , �
U D � � ��/ �� O �� �
� I _���,�,��,.�. ���. ;,t �� �, ; . , T o
.� .� � ��� ��__._.��--= ;. �� � < _ � �._.
..
, .,
.
___ _ ___—__
�� , �_ ___ ____-_ _ � «;
,
� -' '� �, �� � ;; ��. o d� �rn.iKn���ws � �' (�1
L �'
T �J��`�1 PI�..� '7.2'.i�� �''� �n� ; .23.SJ �� � � ��R�l�F U�VF`-� Q' � ( }
---- ---� `��". �'p �t�(.�t,. � � —�� — �----
�� � � C�,����, ��GVE � ��
2b«k`�(�,� , � �
` N p�i '� V�'' uF 6'� 23 ��,� '
� . � ,a � ���,- � �
i� "`'� � _ < <�, �
r`tDal�n Bop-?`_,s <� ��- i .� �
IoE�� ��4 o Z'� �` . ���TaFF, ��u��oi2�Ki Q�-1—
�Q. , � � �,,,� , C�
�' �o,o � 2¢.D �' <�
r x� i�`l�C�- S%
�,,�� � �c�u�S� �� �;
�,r�-�- ���,�= 2 l ��8 ��5��' c�r � ��
City of Orono �c�c�-�.m���< ��-�� ���►�ESTRoo
Pianning &.Zoning Plan Rev�ow �� 1'c�vos�
do� Tc�p R�M ��cr�2Y 'MVro�tEc�L�_ �s ���4
Site Plan Review Date. _I� ' �o�,; �oiA+3��E �oA-r� 5PK5 �4�p SptC a�� PP
in�l ,��� ;.`�.`��.��
APPROVED
Q APPROVED WITH REVISIu�vS(see notes)
❑DENIED Bearin�s are assumed
� $ ff: � ' ` "'�� Subjact to easements of record if any
�� ��.:011�`��( Il�i2,5 �P�w� �i t �>�'� ��01J(,J
� O Denotes set or �ound iron pipe monuments
` O�4 EklSTI�IG �}" Denotes set wood hub and tack
�d garage �loor elevation
"�g�{..p Denotes existing elevstion �
r��j�`--},+ EktSTit�G� {}Np
Proposad top of block elevation ��,� Denotes proposed finish grsde elevation
Denotes direction of surface drainage
Proposed lowest floor elevation
��c��� ���10�C.�PE 4i�G C►r� C.,tt��u�.�=. ����l���6����� �� b �}
��_". ��I�)Il�wwti G-r��� �=0rr ��'Ai�)�(�� .,/ � _ �
1 ,\ p �� 1 � �-) � - � ��. �.:
�D V�,l/1�1U ��) �Y-�?�e.> L a (,�.0 �� .
I hereby certi�y that this is a true and correct representation o� a survey of the boundaries
of Lot 7 Block ����"4�5 !'���'�''�
' � ' ��.Il��,��„ �I�I��,TSi I-�(_t�11�1E{�{T�I County, Minnesota as on file and of record
in the Office of the County Recorder in and for said County, also showing the proposed location
of a house as staked tl►ereon,
That I am a duly Regiatered Land "�uryeyor under Llie Laws of the State a Minnesota.
i
,�
Dated: ����)�:a �� � �i r��� _
�'"� �� �J
, , _
Al�an ft. Hastings
Minnesota Registration No. 17009
212 First Avenue E.
s- Suite No. C
��E; �� ����� ������'�j�� ��.���,�������;������; ...�.(� ���� ��' Shaltopee, Minnesota 55379 �
y�,one �,z 4�5 4oa7 FtECE 1/EC�
�; 0�� 2 � 2009
CITY OF ORONO
�
�
. • .
� .
emo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: 1/25/2010
Re: Building Permit Escrow- Refund
The building project, Application #2009-00696 pertaining to 95 Hackberry Hill is complete.
The Applicant, Duane Sulander, has requested a refund of the escrow.
The following is attached:
• Escrow Refund Request from Duane Sulander
• Email from Bonestroo indicating no further WIP on this project
• Email from Campbell Knutson indicated no further WIP on this project
w:\street files\hackberry hill\95\escrow refund memo.doc
�
����6�1��
� DEC � `�. 20�g
..�`.���c��..�..� S c..��,-.�.��—t �- GIT�' rJ�- �iF�4'J�
��� ��.�C.,�r�� :�;� �-�e �� �bc�q -c� �
� �L ^��, ������. °��;��� �Qt��((D
�'�-�"C i.'r j f 1�—'L��.-`� �:' -� r�S� r� „�y �-C' C'.t�,1�-�c-l.L�i-e t.'1
�_ �
� � .:-_:�e c�� 0 i':..f::�.�— j� .�l:��� L�,,,,.i�.��'-t""._
�.'� ( l �•t�-�- ���---`� �i S
'; �
, ,
; ; . .
: ,
� �
„
�
i� � � �
. ;
, :
;�
; i
�
, ;
; � .
; �
'1
;1
.
Christine Mattson
From: Amundsen, Darren T [Darren.Amundsen@bonestroo.com]
Sent: Monday, January 25, 2010 8:48 PM
To: Christine Mattson
Subject: RE: Escrow Refund
No WIP here
Darren Amundsen, PE
Associate
Direct 651-604-4894
Cell 651-775-5623
darren.amundsenC�a bonestroo.com
� �an�stroa
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent: Monday, January 25, 2010 4:23 PM
To: Soren Mattick; Amundsen, Darren T
Subject: Escrow Refund
Duane Sulander of 95 Hackberry Hill, building appiication number 2009-00696 has requested a refund of his escrow.
Please let me know if you have any unbilled WIP for this project.
Thanks!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356(physical addressJ
PO Box 66 Crystal Bay MN 55323-0066(mailing addressJ
^Y 952.249.4620 �952.249.4616
�cmattsonCcr�ci.orono.mn.us � www.ci.orono.mn.us
OUR OFFICE WILL BE CLOSED:
Monday, February 15,2010 in observance of President's Day.
1
. s
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Thursday, January 28, 2010 10:44 AM
To: Christine Mattson
Cc: Soren Mattick
Subject: FW: Escrow Refund 2009-00696
Chris:
Since Soren never had a timesheet entry for the application referenced below, we did not
open a billing file.
Therefore, we have no unbilled WIP.
Thank you.
Sherry
Sherry L. Charboneau, Legal Assistani
CAMPBELL KNUTSON, P.A.
317 Eagandale Office Center
1380 Corporate Center Curve
Eagan, MN 55121
Direct Dial: 651-234-6230
Office: 651-452-5000
Fax: 651-452-5550
E-mail: scharboneau@ck-law.com
�.�� ,.,,,�._.��w.... , , ._ ��.. . ._. . ... . .:..�,...,.t�::.�,�..�.,..
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent: Monday, January 25, 2010 4:23 PM
To: Soren Mattick; Amundsen, Darren T
Subject: Escrow Refund
Duane Sulander of 95 Hackberry Hill, building application number 2009-00696 has requested a refund of his escrow.
Please let me know if you have any unbilled WIP for this project.
Thanks!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356(physical addressJ
PO Box 66 Crystal Bay MN 55323-0066(mailing addressJ
� 952.249.4620 �952.249.4616
'3� cmattsonCa�ci.orono.mn.us � www.ci.orono.mn.us
OUR OFFICE W1LL BE CLOSED:
Monday, February 15,2010 in observance of President's Day.
1