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Home My WebLink About2016-01567 - new structure CITY OF ORONO * 2 0 1 6 - 0 1 5 6 7 * 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3295 CRYSTAL BAY RD PIN : 17-117-23-41-0013 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 002 BLOCK 002 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 815,425.00 NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,WATER CONNECTION,SEWER CONNECTION ELECTRICAL(STATE) NOTE:PLEASE SEE AND MITIAL NEW BUILDER ACKNOWLEDGEMENT FORM NOTE: INSPECTION OF GRAVEL ROAD TO BE COMPLETED BEFORE WORK STARTS. PHOTOS AND/OR VIDEO. INITIAL:v� APPLICANT PERMIT FEE SCHEDULE 5,288.92 STATE SURCHARGE(VALUATION) 407.71 PILLAR HOMES TOTAL 5,696.63 1700 NIAGARA LANE N Payment(s) PLYMOUTH,MN 55447 CHECK 37454 5,696.63 (763)475-1700 OWNER GREG BLASKO&WHI'TNEY WINDMILLER 3295 CRYSTAL BAY RD WAYZATA,MN 55391- AGREEMENT AND SWOR1�1 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This perrr►it will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at an � e for due cause. • . . �, / C / // Appli, itee Signature Date Issued 5ignature Date � C�ty of Or�r�c� � C� (p� fo.� �u�lc�in l�ermit ' ` `�i � � Ap�i�cati�� f�r �ev� Struct�res or Addit�ons Mailing Address: ,_7 Permit number. ��'� �Q� PO Box 66 , b -'L( .�� Q Crystal Bay, MN 55323-0066 Date received: /�- �"J - � ,, Street Address:' � Received by: �%c..�� y , `,� 2750 Kelley Parkway� � « j� ��r � plan review fee: �� ,� � . SSZ'> �' � �Orono, MN 55356 l � ' � z � �r �� 1.>�-�s- --- __—__--_�J_ �akFSHo�`�` - Main: 952-249-4600 - Total Fee: Fax: 952-249-4616 wv,�w.ci.orono.mn.u� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORNfATION: ,-� � � Job Site Address: -? _ - .�� : �\. �;�� ;�� ":C�ti , Will this be a Parade of Homes, Remodeler�. howcase Hom or other Display Home? ❑ Yes ❑ No If yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrafes sufficient on-site parking is availab/e. Non-permitted events wil!not be allowed. CONTRACTOR/AP��CANT INFORIViAT10N: Name: . ;n�`_� � ��,� �� l�� c_ State License # <'"' Expiration Date: ,3 1 i ( � Phone: cell � - � � office '� 1 �' -;�-� Mailing Address: `] O C c�.c, c�..� �� ;L- Cit : - Z�p; ,��_,� Contact Person: - Applicant is: on racfaT�:. / ' Homeowner (Circle One) Email and/or Fax: � � �v,�y, PROPERTY OWNER I�VFORMATIOfV: �j � ,/ Name: �FL� `t ,. - °\ -D Q.S�I � O�r� Phone (day): �`,� - �c� � � S ' Address: ��i ,� . c; �,� � Cit : ��Sc ' ZIP: ��.�� Z�'_. Email and/or Fax _ G �v,� , c� �'� c�r�� • c c�,�t ARCHITECT/ ENGIN�ER INFORMATION• , Name: , ,. ;. .��_€_ � - Phone (day): � � - ,� � �� • � � Address: ,�� '� Cit : � , .. �_,�- ZIP: �C'� �� 1 Email and/or Fax: t--1 c�u �-� vJ ,.�-, �n �C z, � LL�}tit � ARCHITECT/ ENGINEER INFORMATION: Name: Phone(day): Address: Citv: ZIP• Email and/or Fax: PROJECT INFORIVIATION: Description of pro'ect: �� •� ��f '� � ��"��`' 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& �New Construction Sin le Famil with �Nater Supply Addition � 9 y ❑ Accessory Bldg./Garage �, attached garage ❑ Deck ❑Accessory Building ❑ Sin le Famil with ❑ Public Sewer ❑ Relocation 9 y ❑ Office/Commercial detached garage ❑ Residence ❑ Septic ❑ Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) (Compliance certificate ❑ Public 4-feet or greater may be required) *''Any earth movement may require ❑ Commercial ❑ Storage MCWD review 8�permits. ❑ Industrial ❑Warehouse ❑ Public Water Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) ❑ Other(SpeCify) 15320 Minnetonka Blvd;Minnetonka,MN 55345 ❑ Private Well Phone: 952-471-0590 / Fax: 952-471-0682 www.m inneha hacreek.ora Estimated Construction Valuation (excluding land) $ I �� Packet Last Updated: January 2016 Page 21 STRUGTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) a. Length(ft.)= Number of bedrooms= 2. Occupancy: -�"��J r b.Width(ft.)= Number of garage stalls: 3. Occupant Load: Areas in sauare fPet Attached= c. Basement= Detached= 4. Type of Construcion: ��l(i d. 151 Story = „ ,�a e,2"d Story= 5. Code Edition: �� f. '/z Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclo�ed 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'/z x 11 set p ❑ 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 ❑ O Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Landsca e Plan p ❑ 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 5500; . 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 altemative but to reject it until it is complete; . Acknowledges the Escrow Agreement is completed and signed; s 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 govemmental 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 completfon of an as-built survey at the ttme the Certlficat� of Occupancy Is requested, a tempor�ry Cert(ficate of Occupancy may be issued upon receipt ot a;10,000 escrow to ensure completion of the as-bullt survey and all site improvements. � ApplicanYs Signatur . ^� Date: � Z� ' _ i :� / Owner'�Signature: � -�� ' /'.--1 Date: � � �/ � � ��v / Packet Last Updated: January 2096 Page 22 � ��AN REVIEW CH�CKLIST FOR NEW STRUCTURES / ADDITIONS Address: �� JTt�- Permit No.: �� , ��7 Description of work: S Date Rec'd: �2'2-1 '��p ; Septic review by: T � Date Approved: / Zoning review by: Date Approved: � �� / � �, Building review by: Date Approved:��`'Li_ Grading review by: Date Approved: 3�eL/� Zoning District: 1..�. �L' Zoning File#: ��' 3o IS Resolution? Yes Reso#:��v�l- l-rceso Date: � '< < (Q , Signed: Yes �Resolution/NA Zoning: Lot Area: F AC Width: � Structural Coverage: Z-Z-��SF 1• V % /� 22aq t�.9 Survey Submitted: �Yes � No Date of Survey: Revised date(?): Zl�/�7 Landscape plan submitted? 0 Yes Landscaper: +1Gtf d J�°f (d�P o� No/None proposed :� , � , p.n G��IfJ'f . Pro osed Setbacks: . F nt(Lake) Rear(S�t) `I ( N S � W ) :-( N S E ; W ) Other Buildings Wetland Side � Side " Buildinq Heiqht Analvsis: Distance Between First Floor and defined Top of , . Roof'` See "buildin hei ht" definition : �a� �`� �� First Floor �levation (from buildin plans : (b) 3, Highest Existing ground level (per survey) or 10' :�,., -. above lowest round level, whichever is lower: �� -�'��:`t�f°�" Difference between b and c : (d) ( c'. Defined Building Hei ht (a) - (d): �e� Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? Permit Number: `� _�"1 Yes 0 No 0 N/A � Yes Yes � No � No � N/A-see attached Setback: Stormwater Quality Existing Proposed Overtay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s � 2 3 4 5 ��n�� '"T•Z�"`� Yes � No 0 Yes o �'L�� S� ype�s � �S TYPe(S)� s�l't+t�Jura�- CO��ru�� Updated: October 2016 ��4- area� v:\forms�plan review checklist 10-2016.docx �1 (� i _ . ,��' � I�� Fees to be Char ed YES NO �� _ � ermit Plan Review v+ State Surcharge (� Investigation Fee U SAC—Number of SAC Units � Other(specify) „ S uare Foota e $ er S uare Foota e Basement ., - ;; X = $ ... 15' Floor X = $ 2nd Floo� X = $ . Garage X = $ Estimated Construction Value: $ �� J, `7_� � Orono Inspections Required Work Requiring Separate Permits Footing � Site Plumbing � Grading/Filling Poured Wall Silt Fence/Erosion Control Mechanical � Fire Foundation Survey � Hardcover Removal Fireplace �Water Connection � Framing �( Other(specify) � Masonry �Sewer Connection �Waterproofing/Drain tile ��e�� S�1,tKG,��ts �Mfg. 0 Lawn Irrigation �Foundation Waterproofing � � Other(specify) � Landscaping ' Framing '� Insulation As-Built Survey Final Lathe Required State Permits � Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: �See Builder Acknowledgement Form 0 Prior to release of escrow oney an as-built surve�nd rardcov�culations must e submitte and approved TI.J . r . Updated: October 2016 v:\forms\plan review checklist 10-2016.docx Builder Acknowledgement Form Permit #2016-015� / Pillar Homes Builder Representative Name: � G�� -.1/I✓� Permit Conditions: Initials **NOTE CHANGE** Before scheduling an exterior insulation and/or drain tile inspection, a �_ foundation as-built survey must be submitted and approved by the City or a Stop Work order will � � be issued. Schedule a minimum of one hour for the framing inspection. �j l.� Perimeter sediment control measures should be installed by the Contractor and inspected by the City prior to any work, including demolition. Contractor must provide minimum 24 hour notice �j prior to inspection. V` Erosion control shall be installed and maintained throughout the entire project and must remain �� until vegetation has been established. The condition of the access drive has been documented. Please take care to keep the drive clear ' of mud and debris,and repair all ruts prior to CO/TCO. The property owner shall be responsible J� for cleaning and repair of roadways for any adverse impacts. A pre-construction meeting involving all relevant parties shall be held at least 7 days prior to commencement of grading work,following issuance of all permits for the project. Existing trees should be protected from grading and trucking through snow fence or similar. Tree �. protection should be inspected by the City prior to commencement of grading; provide a J j minimum of a 24-hour notice prior to inspection. �—'� The pair of retaining walls at the window well are right at the threshold of requiring an engineered plan. Walls greater than 4'in height must be designed by a licensed professional,and plans must be submitted to the City for review prior to the approval of the permit. Tiered walls are �� considered one wall unless they are separated by at least twice the height of the lower wall Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations�`--- � must be submitted and approved. The swale on the west side of the home should be capable of handling run off from the shared driveway on the south of the home. Care must be taken along that drainage line to ensure the bluff area is stabilized sufficiently to prevent erosion. Recommend consultation with the home �� owners at 3309 as they have experience with the draining issues in the area. Should the proposed swale be over the water main a minimum of 8Ft of cover must be maintained. In the event of winter or other extended unfavorable weather conditions (which prevent the � completion of the exterior improvements and/or as-built survey) a Temporary Certificate of Occupancy(TCO) may be necessary. A TCO requires a $10,000 escrow. w:\street files\crystal bay rd\3295\builder acknowledgement form.docx Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining walls, etc. not currently shown on the approved survey and landscaping plan will require a �/ separate Zoning Permit application to be submitted and approved prior to the work commencing. �� A separate utility permit will be required for the water&sewer connection. � J (1- w:\street files\crystal bay rd\3295\builder acknowledgement form.docx Christine Mattson From: Christine Mattson Sent: Wednesday,January 18, 2017 12:07 PM To: 'Pillar Homes' Cc: 'KC Chermak' Subject: RE: 3295 Crystal Bay Road Attachments: SKM_C654e17011711490.pdf Bonnie, One of the variances received was for this property was a rear setback(over the garage). When comparing the plans submitted and approved with variance and the proposed building plans(copy attached)there appears to be an expansion over the garage within the 30' rear setback. The roofline changes from a shed roof over dormers to a gable. Roof structure is proposed where it was not shown on the approved variance. Please re-submit plans matching what was approved with the variance or you will need to go back before the Planning Commission and City Council for their approval of this proposed change/expansion. We have noted other changes to the buildings plans from the approved variance plans, but those appear to be in conforming locations and are approvable. Please don't hesitate to contact us with any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono I MN � 55356(physical address) PO Box 66 ! Crystal Bay � MN I 55323-0066(mailing addressJ 'a' 952.249.4620 � 8 952.249.4616 �cmattson@ci.orono.mn.us � �i www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20, 2017 From: Pillar Homes [mailto:info@pillarhomes.com] Sent:Wednesday,January 18, 2017 9:55 AM To:Christine Mattson<CMattson@ci.orono.mn.us> Subject:3295 Crystal Bay Road Hi Christine, Just checking in to see how the permit is coming along for this home. Please let me know Best. i Bonnie Planting Office Manager/Marketing&Sales Pillar Homes Partner, Inc. —Established 1995 1700 Niagara Lane, Plymouth, MN 55447 (Main)763-475-1700 Builders Association of Minnesota Board Member and President 2016 Best of Houzz Design 2015 Minnesota Builder of the Year 2012 Former President of the Builders Association of the Twin Cities in 2008 National Association of Home Builders Executive Board Member Website: httq://www.pillarhomes.com/ Houzz: http://www.houzz.com/pro/chermak/ public Facebook: https://www.facebook.com/PillarHomes?ref=avmt homepa�e panel/ �iiiiiiiipiiiii.� F _ P� LLAR ��M�� 2 PID: 1711723410013 3295 CRYSTAL BAY ROAD SHEET 10F 1 CI T Y OF ORONO WATERMAIN EASEMENT PROPOSED DESCRIPTION: A 10.00 foot-wide perpetual easement for watermain purposes over,under and across that part of the following described Parcel A,as recorded in Certificate of Title No. 1430979, Hennepin County, M innesota: PARCEL A That part of Lot 2, Block 2,TOWNSITE OF IANGDON PARK Iying Southwesterly of the Northeasterly 180 feet thereof,according to the plat thereof on file or record in the office of the Register of Deeds in and for said County,together with that part of Northern Avenue vacated abutting upon said described premises in the rear lying between the extensions of the Easterly and Westerly side lines of said tract. Subject to a right to create a public easement for highway purposes over the Southeasterly 33 feet of that part of said laid out as Northern Avenue as shown in Deed Doc. No. 198674, Files of Registrar of Titles. The centerline of said easement being described as: Commencing at Meander Corner No.48, Government Lot 6,Section 17,Township 117, Range 23, Hennepin County, Minnesota;thence South 00 degrees 24 minutes 26 seconds West,along the East line of said Government lot 6,a measured distance of 291.58 feet;thence South 54 degrees 11 minutes 40 seconds West,along the northwesterly line of HENNEPIN COUNTY REGIONAL RAILROAD AUTHORITY PROPERTY MAP NO. 50, a distance of 432.74 feet to the POINT OF BEGINNING of easement centerline;thence North 37 degrees 23 minutes 47 seconds West a distance of 110.60 feet to the centerline of Crystal Bay Road as currently located and traveled and said centerline there terminating. The sidelines of said easement are to be shortened or extended as necessary to terminate at the South line of said Parcel A and centerline of said Crystal Bay Road respectively. Subject to easements and restrictions of record, if any. H:\ORNO\C13111227\3295 Crystal Bay Road_Blasko\11227EA13295 CRYSTAL BAY RD;WM Easement Description.doc � PROPOSED EASEMENT DESCRIPTION: LEGEN D i/ � MEANDER CORNER #48 A 10.00 foot-wide perpetual easement for watermain purposes �� SECTION 17 over,under and across that part of the following described � MONUMENT FOUND Parcel A,as recorded in Certificate of Trtle No.1430979, � HENNEPIN COUNTY MONUMENT FOUND � \ T.1 1 7, R. 23 Hennepin County,Minnesota: � - I - EXISTING WATERMAIN AS LOCATED � / D4 WATER VALVE � � � 3 PARCEL A � CURB STOV VALVE � , ti That part of Lot 2,Block 2,TOWNSITE OF LANGDON PARK � HVDRANT � � N N� lying Southwesterly of the Northeasterly 180 feet thereof, QS � SANITARY MANHOLE i \ � �� according to the plat thereof on file or record in the office of � PROPOSED 10.00'WM EASEMENT �/ � � �N� the Register of Deeds in and for said County,together with Illoo s4 FT.*) � \ � o ry that part of Northern Avenue vacated abutting upon said � SCALE IN FEET y �" described premises in the rear lying between the extensions � � of the Easterly and Westerly side Iines of said trect. � / i P i � Subject to a right to create a public easement for highway � i \ ;� purposes over the Southeasterly 33 feet of that part of said � � laid out as Northern Avenue as shown in Deed Doc.No. . \ , � � �/ �,��., .P�' � 198674,Files of Registrar of Titles. /l'`` � � ;% �"� �{f('� � The centerline of said easement being described as: �� P�i Commencing at Meander Corner No.48,Government Lot 6, �� / � �.. � Section 17,Township 117,Range 23,Hennepin County, G /j � E��RR Minnesota;thence South 00 degrees 24 minutes 26 seconds West,along the East line of said Government Lot 6,a measured / �-,�,;,'� �� \ , `�E j � distance of 291.58 feet;thence South 54 degrees 11 minutes 40 � � CRYSTAL BAY ROAD '^�� ' ��i � seconds West,along the northwesterly(ine of HENNEPIN / � AS CURRENTLv LOCaTEO �'� . � �1`��' � w COUNTY REGIONAL RAILROAD AUTHORITY PROPERTY MAP NO. � & TRAVELED �� '� �/ �•; / � 50, a distance of 432.74 feM to the POINT Of BEGINNING of � ,� ` ��' ��;; ~ easement centerline;thence North 37 degrees 23 minutes 47 / � �' ' � `s o ��' , � secon ds Wes t a dis t a n c e o f 1 1 0.6 0 f e e t t o t h e c e n t e r l i n e o f �`�j � � ep� ,t i;='� 2 Crystal Bay Road as currently located and traveled and said �� 0Q� ;.� �., / �,=�:/ Q centerlinethereterminating. 4. ��"�j � A ,3 �'� � � �`�"� � i `�' The sidelines of said easement are to be shortened or eMended � �� ( ��0 �� k ,-��.'� `SO `O as necessary to terminate at the South fine of said Parcel A and �o}� .�h G4\' p�' �; � �� `.+�/ � o centerline of said Crystai Bay Road respectively. QQ , �� QPR ,ry�- � Y, ,, � ,;,,, , �� -�� i� � ,��•�� , / o Subject to easements and restrictions of record,if any. � �_,' / \ \0�• ,'i'�' 1,� .�, �+:� � i '�+ P ��-,`:�'� o �a' h�' �,�.` �� '� +�) i i SURVEYOR'S CERTIFICATION �t � � �oyµ0�� /• �� :�� Aj� � � I hereby certify that this survey,plan,or report was prepared 2\� 1�' ,� o��y�°� / ��'�ry9'� �� ' 9� / h by me or under my dfrect wpervision and that I am a duly � �j,t ' '�� G�eAS G�S �/ ��r'��./ � • �� Lkensed Land Surveyor under the laws of the State of �\ e�� 1`$. ,�'1,9Q�o. \ � �.;,�e.0 j��:•� �. Mlnnesaa. 4 t � � � / � A�;� ��,'; ° P ,'�,• 5i .I'; �R� i E� . . s ; � `��, RG � '��. r� ,g • ii os zois �� PP ��✓, v��' 90� / I Edward 1.Rock III Date 1�t�. `��Z�, �\�� / ��`� �� Q.R License Number 43810 � \ . 5� � •i r'��i t� / SOt � / �� f�i� � / EASEMENTEXHIBIT PROPOSEDWATERMAINEASEMENT � � ;r�/ � R;(• / 3295 CRYSTAL BAY ROAD ORONO,MN PART OF LOT 2,BLOCK 2, �p� - -'" :';�� TOWNSITE OF LANGDON PARK NOTE: �O� f;� HENNEPINCOUNTY,MN Bearings are based upon ,�� / � BO LTO N 2638 SHADOW LANE,SUITE 200 H.C.R.R.A.PROPERN MAP NO.50/ Q Q0' / - & M E N K �HASKA,MINNESOTA 55318 / (952)448-8538 FOR:CIN OF ORONO PID:17-117-23-41-0013 OBokon&Menk,Inc.2016,All R�hts Reserved JOB NUMBER:C13.111227 FIELD BOOK: DRAWN BY:E1R H:\ORNO\tl311172]�1Z95 OycW Bey Roed&s�ko�CM\i132]FA13195 fryWl Bry RbNM.Aq,IU�I68:21U1 M1 y��„- y � f�V Ow�'�R� FF�3 - 2 2017 City of Orono CITY OF ORONO �otio Hardcover Calculation Worksheet Property Address: �� ` 32 9S c'�c YJ'T.t� B�r R��rQ ��c�,�r,� �oM Esa ��kSHOf'F' Prepared by: ��a�Bf2G � ATJ'GCiA�"S� /�. Date: 7`�� Z��r/7 Stormwater Quality Overlay District Tier: (Circle one) ier Tier 2 Tier 3 Tier 4 Tier 5 Step 2:�B4POSED HARDCOVE In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey(survey must accompany this form). Include all existing hardcover items that are intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75'setback line and calculate hardcover square footage separately for each portion. Key to Hardcover ttem(Describe) Length x Width Total Surve S uare Feet Exam le Gara e 24'x 3U' 720 S.F. A �'�G3 Ot,tS / S.F. B � 3'T�GP S.F. C ,ca Fa i 6o S.F. D ,td E"� S.F. E EX/ S.F. F � T �✓ 2 S.F. G G 1 S.F. N / ♦� S.F. I .� �i S.F. J .� i. .i S.F. K �' �� .� S.F. � �� i FGR S.F. M si p,;t S.F. N -f� G �dE S.F. � S.F. P S.F. Q S.F. R S.F. S S.F. T S.F. � S.F. v S.F. W S.F. X S.F. Y S.F. Z S.F. 1 Total Pro sed Hardoover S.F. Exdudable Hardcover See C Code 3ec 78-1684: o�-?S S.F. �� I� ♦. ♦i I� S.F. i� ii �• i� ii i� S.F. S.F. S.F. 2 Total Exdudable Hardcover S.F. 3 Net Pro sed Hardcover Subtraot line 2 from line 1 0 S.F. 4 Total Lot Area ivc w�t �! t� kGc�tS S.F. Proposed Hardcover Percentags [(3)+(4)] ,Z /, 9+��6 �t/�"E% C�R Y1"T/G �+��" ,�/Tk.k�,v46lJ' il�OT INC'LZl�,G` !.v .�!/�letdf C`Of�<6�'< Subd"nrision Applfcation-January 2016 Th/s is an/nformatfon padcet rega�ding Herdcover. Ewery effort has been made to ensure the axuracy of the lnformation contained herein;however,if any information is not consisterrt with provisions of the City Code,the Code prov/sions will pre�rail. Page 19 :, �o�s ,� City of Orono �oNo Hardcover Calculation Worksheet =f ` PropertyAddress: 3Z9S- �,,� yfT,��, BAY R��Q �p''�� a/�Fs� `�+f=�oa` Prepared by: �Ro.vBF�G ,t AT.1'r�Ci.a�'S. //�.�'. Date: /Z- 6'-i6 Stormwater Quality Overlay District Tier: (Circle one) ier 1 Tier 2 Tier 3 Tier 4 Tier 5 Step 2:�POSED HARDCOVER In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey(survey must accompany this form). Include all existing hardcover items that are intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover square footage separately for each portion. Key to Hardcover Item(Describe) Length x Width Total Surve S uare Feet Exam le Gara e 24'x 30' 720 S.F. A �r,.,� : t."r: ND�lS�' /96 S.F. B f� 3'T�GP S.F. C �ca f!1 � t S.F. D .�a/aJ'FG r / S.F. E EXi �-� ✓� �'"" ; S.F. F xi ri,✓ FPS Z S.F. G .c o �l'S �- , !�t/ �.� / S.F. H !e' .�r S.F. I .F � i S.F. J .� �. .� S.F. K ♦� ii .�. S.F. � �/ � �� FG�t /S S.F. M S.F. N S.F. 0 S.F. P S.F. Q S.F. R S.F. S S.F. T S.F. � S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. 1 Total Pro sed Hardcover S.F. Excludable Hardcover See Ci Code Sec 7&1684 : 1' .eF-r ; ...,�- _ s�rr` ,'�:t' �- t�?S'ZG'r�6' S.F. K „ �• Ir .. .. �� S.F. L i< <i i� i, i� i. � S.F. S.F. S.F. 2 Total Excludable Hardcover ,3 2 S.F. 3 Net Pro sed Hardcover Subtract line 2 from line 1 /I S.F. 4 Total Lot Area r✓;� wr�� C+o= rk' �'F'i• �'�u ,�+'�.�!� �7`r' .�L'4�S S.F. '1,.�g� Proposed Hardcover Percentage [(3)+(4)] 2 O. 6�% �l,� T� �67�E= t'�`>I�.�4 ,�id:� .B/T�iM�,�..�riN�l �.r a�o^.- ii�*CCGrdF!' i�v �'1�f:�;t'�U'fn. Subdivision Application-January 2016 Th/s is an Infwmation padcet reg�ding Hardcover. Every effort has been made to ensure the accuracy o(the information contained herein;however,if any information!s not consistenf with provisions o.'tAe City Code,the Code provisions wrll prevall. Page 19 �fY1��u,ra( _ _ : ZZaD/ �L, �4�1 = �� • 6�� Permit Application: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. � ��J�. , �� ,t�� Completed Application � Plan Review Fee Paid �\ _--_. ��- � '� \�-� �l!- �� Signed Escrow Agreement & Escrow Payment � `', Building Plans (to scale) x2 ��;�' � Certificate of Survey (to scale) showing the proposed project & '':� meeting all requirements x2 '��, Hardcover Calculations (if applicable) �� 1� .��a� � ti I am aware that 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 their permitting � requirements). I will contact the MCWD at 952-471-0590 r garding th's,project. _ Si ned b :, � 9 Y �i�,�u1��c� 1�, IL'�St r�;� Address: " ��" �, ��G -� � Permit #: � i'.i;(� = �> (�l�" �� Packet Last Updated: January 2015 Page 2 DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The in�ormation you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other locai, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under Minnesota State Statute 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. �. ,� _ �C*``>"� 1C� First Middle Last 'w �� r V ' �..�s Address �f Y�`�`'�-�IJ Lv �c�..' �' �'- 1 �`� ��J`�� Z- lU�� " ��o ��>,g�Lc City State Zip Phone I understand my rights as stated above. � U.�'�'"� �� „� �G Si e Packet Last Updated: January 2016 Page 7 DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The in€ormation you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under Minnesota State Statute 13.04(see following page)to review private data on yourself. 6. Your full name is required to process this application or permit. � V�" V� i,i.2%> , First Middle Last � «�� a 1�� Address � �� ; � �� "' c, � ��-�.r��o�- s� I _� �'_�_ (�� _ �, .��{J I City �� State Zip 'Phone "� 1 u m .rights s stated above. � � ! 1 ! / / � Si n u Packet Last Updated: January 2016 Page 7 f ' � � MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER Q U A L I T Y O F L I F E Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, maps, and all other supporting data submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant named below for use and development o#land in the Minnehaha Creek Watershed District. �� ?.�1� -bi��7 � Jssued to• Grea Blasko &Whitnev Windmiiler Permit IVo: 16-547 � Location• 3295 Cr�#al Bay Road. Orono Purpose: Erosion Control- Single Family Home � Date of Issuance: 10/5l2016 Date of Ex iration: 10/5/2017 � By O �e,� t e Board of � �an�ers �� f Rachel W rkin � Permitting echnician This perm�is not transferable without District approval, and is valid to he date of expiration. No activity is authorized beyond the expiration date. If the permittee requir s more time to complete the project, an application for renewal of the permit must be received b�i#he District at least 30 days before expiration. The applicant is responsible far compliance with all District Rwles and for the action of their representatives, contractors, and employees. Conditions: Project to be completed as described in plans submi#ted to the MCWD office on September 14�', 2016 according to the provisions of this permit. • Properly install and maintain all required erosion control measures until the � disturbed areas are re-stabilized • Notify MCWD in writing upon completing installation of perimeter and sedimentation controls • When the site is re-stabilized and the MCV1fD staff has pErFormed a final inspection, all perimeter control must be removed (Statement concerning fees for inspections, violations, etc... on fallowing page) We collaborate with public and private partners tv protect and improve land and water for current and future generations. � � 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org � . MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER QUALITY OF LIFE Insqection/Analvsis/Monitorins� Fees A site inspection and monitoring by District staff will be performed where the activity involves: � � • a commerciai�ndustrial/muiti-family residential development • a single family residerrtial development greater than 5 acres or of any size if within the MlinnehaMa Creek subwatershed • any alteration of a floodplain or wetland � dredging within the beds, banks or shores of any protected water or wetland • a violation • any project which in the judgment of the District staff should be inspected due to project location, scope, or construction techniques In these cases, the applicant shall pay to the District a fee equal to the actual costs of field inspection of the work,including investigation of the area affected by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shall be at � least$35. ' � � Standard Fee Schedule � District professional staff $ 65.51* � District interns $ 40.35* District clerical staff $ 46.69* � Consulting Senior Engineer $contracted rate Consulting Engineer/Technician $ contracted rate District Counsel $ contracted rate ; Applicatian fee $ 10.00 ' Copy costs $ .25 + actual staff time Color copy costs $ 1.00 + actual staff time * Hourly We collaboraie with public and private partners to protect and improve land and water for current and future generations. 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(95�471-0682 • www.minnehahacreek.arg r � __... —_ ..__—__—_ . . a ' �_�--�'. .}��_�s. � � Nofr..s: ln1 �w�dlh os niea:. a/ony 75/f. pNW�-e/hocA line �- IOtt.; /I �+ " i i i / i i.�� .;�u� os meas nlonp 30 /L RON'aclhock line = �01 p n guilding Permit �7un/ey � � �'I, I i /r � . .. �I O U� �,� I % � I Prepored lac I/�l7it!)t=.)'' ��il?lj(11i/!E�/- o I� / � v f 12in1 Bos " ' f<.i �- FroLosed Elevofions: tgq�i� 4 0 ��((��> � !� u o, '`�-�-r � � TOf(sLee!s'Je)= 95267 � founo hon Alonumen! �Moof,olc �3� 4 �q e � \`� o� � �� (� r G/f = 9.i?.34 O SN /ron Mw�urncn� i15 r4.'DO) -(� Hydronl � � „ o ° j �,., 70�("/uAr side) = 95].E7 Y � `� 3 v�, l � � 78ir,. BosS � � *0�0.� Lxisfing Clevaliw� V Q � � o i G 1' !fC = 949.0 �l Power Fale �•� � o a 3 12in Po � . �c d b � `O � 0 4 ;;�0.'7(;) FrpPosed EI[volinn N .c � � I U � � r� \` , . 1,`1`,` , P�cpused Uroinooe ��7iec (deciJuous) W r a o AI�i o -0. I \ x � ' � - 'T' ' \ \\ £.•rsling Wel! R.W. Pio�. kefulning WON o,� � c � �,1� p �f g g. . V'. , 1�+� �1� � w � ° o n ° ± O � p F '` Orn. &oss s�.i ,`%l ` J'�v 11 E b� a q e � o, �y i � �`�i /.4 ! `ti �{y•` 'S'o1 `ifc Address: �.�isfiry_f�.2�r L'alculafiQ_,[so ;!) 2 �y >, � � o � �Q �� - 5(ep�] 0 �' '�: l �'�'P .7295 Crysfa/Boy Rtl. House �•'R� a o ; b o �S s '�' y f / i` I �. 70rn flm ' 1 O � Oia , MlJ 55J91 Bilurranous Driveuvy 7.OD1 o G a Q ��, ' y 2> O � m V� O O ¢ d '�l' I � piop.-' � ,S' :p� Po��r.rs 1�t O F�� o '�, � � 1 �I ��Erosion � �J �� ;�, �I i: , �. ., Sfovp Tr Sleps 9' � ti" \ o � I � � Control �� I c., . _ . 4a�8 SAed ��' . o g � ! � I � � /'� .SLt � � , 3G9� at � R � ` � ra�. eim � � SEP 2 8 2016 �o` - ,y O � / �'o�,�l `°o� '�6'9SJJ`� P i I�j PiQVosetl Hwdcovrr Ldculofi�N� (Sp. /I.)' 3 o I � � / / � Q d � ry. .o c� ��Q ' I P r n p. H o u s e/G a�o g e 1,2 1 1 >o< I 2 •� ti� . � / e �, 1,� /. /9 �i9S \°. . F'rop. £ntrp 8f. >��° I k o �� ,�. {l�' � S� \/ / . , - Prop. Bifuminous G�ivewuy 65G �y� � o �{ �Ql 4 � . � r ibin. El�ri� I ,'t,v � ( /" 3'c 'SJtl`,�'�1 '9s7.7a. Prop. Pofio :04 c o p' I `o y ti � y� ,4m. O�ok} . �Q �c�i t��', j./p'y/ ��v / 'U�`t � £xisl. Steps (lo rernoin) _`�+ �"�� I �n � vo 3° �`� yJ !�� `�,� r y d ° \ ( / u� � � i� � Tutol Proposed Hoiucorar '.2(�9 a�a�� c,. � � �. / ,�� `��.r� � o `��e /�9 �, �� ;f,9�y.�s /� , �� / r r�� i . rat,i �i,o�; 1��°' �i � � � : p �4 t�ok �o� CC! H' K9 � Q �N >-� �o .. . % . � ..i i.c�.;.-_nai r; . � �. ' �i� 4 T - /. .� i o'\ � / �n -, �"7/J -h,.i.: '- . .l� I ° 4 � . t. - �c4 �vv��'�1 i ('roposed House, v� N.� �� ,�� „n� leu t r a .a , • V �i ^ � ... y, f J� � X� [oroqe ;� �` "'t ` �i a��) r '� 7 ..,i �l� } ��,'� .�� .' � ,... , t�1/�y�� I � r."//' `� .,`J�,. " „o'`r '!.,i� \ i i /o ` i 1 6 . � .. . r !. i .�a � i :. � - �� '�,, �! C� / f . ) 1 +� �) . ..}� / � � l�\�� ,�lt(1]l,ij(?X 7,0. \�� -� _ . �y � ' _ . _ s�� j , . . 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I �i: / � � �vl , i� J +- l �-1 d � r � � . / ' � � ��,. ,,. t e h_ H ._ � t Iv t � � ( 'i • / .- ., �l' �( t - � .. // p,� ' „ . � � ;, j � �, ,i� , � � , � � , �_ � � � �1� i�t �i .�,i�� 'i�� /� �' c� ��•a � r � , (� �f� . � �� r 4r s � i, ; � �� , r r� � .,�•,� ' �� `' ' ' � � � �? j .. , i � ( I . . � ,,,i� °� 'y� �' ` �� / � _ x' 6 , �. , � , , � � 1 �- -- � � .... .- ,_. -, : . � . , , s� ., 1+`,` %//' o >yc � ._./�' T 1 (/ /�, . r . f . i � .' .. � � � y.yyp, a � „yr.r.�..... .,i l t, n. . r __ ._.—_ , ` l\ f . . , � d r .d. r ,. � � � r.i�� .,,�r �.�, ,_ ��_ � „ . � Il�f'�i ..�1 ��1�� ',�`•��.•, 4�4� � + / � '� -� � Fe.� 7 Po: �vn._<� :u^� . - PER:MIT NO. ' S � . � �.,5 l� 3 ;� �,,,i � ; I ISSUED TO. FOR: EC'a S!� - S ' � p LOCATED AT: � � � By The Board of Managers of the l�IIN1�TEHAHA CRE�K �ATER.SI�I�D DISTRICT 153 � 1WII1�lNET 1�TI�A BLVD., l�IIl�TN�,TONI��, MN 55345 952.471.0590 ....� S' �e: � f � Titl�: ' • . P��:h�i1fi ��ATI��T D�T�; � ' �i � �� , � � �'�' ��'�:��;��"�,�,"� P'��3��' ��''C'� ��'�" I�t�F�T�� r�� ,�. ��:. � � Christine Mattson From: Pillar Homes <info@pillarhomes.com> Sent: Tuesday,January 31, 2017 1:34 PM To: Christine Mattson Subject: 3295 Crystal Bay Road - Signed Escrow Agreement Attached Attachments: 20170131133040530.pdf Please see the attached Signed Escrow Agreement for 3295 Crystal Bay Road. Here is what information we have regarding the water main coverage from our subcontractor/excavator-Cory Scherber -this work was completed when he removed the old home. this would apply to comment on 1 d. Disconnect was completed with the Demo Permit. Disconnect shut off valve is at about 9'-the main is at about 10'-12' -this will be verified at hook up with new. Our Vendor/Subcontractor states that 7.5 cover is code and we should be fine. Thanks Bonnie Planting Office Manager/Marketing&Sales Pillar Homes Partner, Inc. —Established 1995 1700 Niagara Lane, Plymouth, MN 55447 (Main)763-475-1700 i Christine Mattson From: Christine Mattson Sent: Tuesday,January 31, 2017 9:11 AM To: 'KC Chermak' Cc: 'gblasko@gmail.com'; Mark Gronberg; Roger Peitso;Jeremy Barnhart Subject: 3295 Crystal Bay Road/#2016-01567 Attachments: letter.pdf; Survey Requirements -August 2015.pdf; Escrow Agreement 2016-01567.pdf KC, Attached is a copy of the letter and enclosures being mailed today. Please don't hesitate to contact us with any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono � MN I 55356(physical addressJ PO Box 66 I Crystal Bay � MN I 55323-0066(mailing addressJ 'a' 952.249.4620 � 8 952.249.4616 � cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20, 2017 1 . j Christine Mattson From: Pillar Homes <info@pillarhomes.com> Sent: Tuesday,January 31, 2017 3:47 PM To: Christine Mattson Subject: 3295 Crystal Bay Road - Blasko/Windmiller Attachments: 20170131151511760.pdf Hi Chris, Here is the engineering for a 7'single retaining wall. The wall for the window well will only be 5'8" The survey is correct and only shows a single retaining wall. The building plan shows a stepped window well and is INCORRECT. Please let me know if you need any further clarification on this particular point:) Bonnie Planting Office Manager/Marketing&Sales Pillar Homes Partner, Inc. -Established 1995 1700 Niagara Lane, Plymouth, MN 55447 (Main)763-475-1700 1 r M CAP BLOCK ----, DIAMOND PRO� ' OSYNTHETIC REINFORCEMENT BLOCK � 12"(MIN)OF FREE- ; DRAINING AGGREGATE , :� �� OSYNTHETIC REINFORCEMENT --�--------- � - , i H i : � � � i � C�OSYNTHETIC REINFORCEMENT FINISHED � ;. ...� GRADE '' ; __ OSYNTHETIC REINFORCEMENT --- -- `� ___---- E � __ __-------- __ .� ��__ �� ;'� 4"0 MIN DRAIN PIPE �� ;: _ • : (ELEVATION VARIES) 6�� 6"MINIMUM COMPACTED GRANULAR-BASE LEVELING PAD 2'-0" swle: orawn by: /�� A N C H O R• Thiadtewl�iBforWusUaUve Diamond ProO Straight Face Retaining Wall System �e•=��-�• sB purposes anly end should rro►be BU14D SOMETMIN6 BEAUTlF11L ��ry� Date: Draw4�9�er. �2018AnchorWellEnglneedng,LLC S�9^��°°�e��° Typical Reinforced Cross Section �and"�Anchor Wa0 Systema,Ina P��+�al ergineer. 1119/2016 DPST06 Revised and updated February 3, 2017 KC Chermak VIA EMAIL Pillar Homes Partner, Inc. 1700 Niagara Lane Plymouth, MN 55447 Re: Building Permit Application#2016-01567 3295 Crystal Bay Road The City received a building permit application for a new single family home. 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: 1. Certificate of Survey. A survey was submitted but it doesn't meet some of the City's survey requirements. Please provide two copies of an updated, full-size certificate of survey which meets all of the City's survey standards (enclosed): a. The top of foundation elevation is shown on the survey. Please have the surveyor show the point or spot on the perimeter of the foundation where the top of foundation elevation is in reference to. Please note, we expect the location to be consistent when submitting the foundation as-built. Completed b. The site plan does not depict the water main and associated easement. Attached is a copy of the easement and exhibit.Completed c. The survey elevations show a retaining wall that would measure 5 feet 8 inches around the window well. Walls over 4 feet require engineered plans to be submitted and approved prior to the issuance of the building permit application. Plan amended d. The swale on the west side of the home should be capable of handling run off from the shared driveway on the south of the home. Care must be taken along that drainage line to ensure the bluff area is stabilized sufficiently to prevent erosion. We recommend consultation with the home owners at 3309 Crystal Bay Road as they have experience with the draining issues in the area. Should the proposed swale be over the water main a minimum of 8 feet of cover must be maintained. 2. Building Plans. a. The building plans show an expansion over the garage within the rear setback. Council must approve the encroachment prior to construction. Construction plans dated 12-22-16 have been redlined. The City Council will review this change at their meeting on February 13, 2017. b. The building plans indicate a stepped-retaining wall around the window well and the survey shows a single wall. Please provide clarification. Both plan sets reference stepped retaining walls c. Sheet 4 shows a balcony from the loft area extending 1'6"beyond the area allowed by the variance. This balcony will need to be pulled back to be no further than 3 feet beyond the main line of the house. 3. Resolution and Encroachment Agreements. Prior to the issuance of the building permit,the revised resolution and encroachment agreements must be signed. a. Landscape Plan. Prior to the issuance of the building permit a landscape plan must be submitted showing all the proposed exterior/landscaping improvements, i.e. patios,grading,sidewalks, retaining walls,etc. The plan should include the name of the individual performing the work. Any proposed patios,grading, sidewalks, retaining walls shown on the landscape plan should also be reflected on the survey. 5. Escrow&Escrow Agreement. 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 for 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 is$2,500. We currently hold$2,500 in conjunction with the land use application,so no additional escrow money is needed at this time. Please have the property owner sign the enclosed, updated agreement and return. The following are advisory comments: 1. There are several retaining walls depicted at just under 4 feet in height. Should retaining walls exceed 4 feet in height they must be designed by a licensed professional,and plans must be submitted to the City for review prior to construction. 2. In order to receive the Sewer Availability Charge(SAC)credit,a demolition permit must be issued prior to or at the same time as the building permit is issued. If the building permit is issued first a SAC fee of$2,485 will be required at the time the demolition permit is issued. 3. Separate sewer and water disconnection and reconnection permits are required. 4. The condition of the access gravel drive will be cataloged and any damage must be corrected and returned to its original condition prior to the issuance of the Certificate of Occupancy. Please feel free to contact me at 952.249.4626 or by email at jbarnhart@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO �� Jerer�ry Barnhart Community Development Director c via email KC Chermak Roger Peitso, Building Official enclosures . � �o�,o C ITY OF ORONO � �„ Street Address: Mailing Address: Telephone(952)249-4600 ��n Gti 2750 Kelley Parkway I P.O.Box 66 Fax (952)249-4616 �q �k. Orono,MN 55356 Crystal Bay,MN 55323 I www.ci.orono.mn.us kFSHo January 30,2017 KC Chermak Pillar Homes Partner,Inc. 1700 Niagara Lane Plymouth,MN 55447 Re: Building Permit Application#2016-01567 3295 Crystal Bay Road The City received a building permit application for a new single family home. 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: 1. Certificate of Survey. A survey was submitted but it doesn't meet some of the Cit�s survey requirements. Please provide two copies of an updated, full-size certificate of survey which meets all of the Cit�s survey standards(enclosed): a. The top of foundation elevation is shown on the survey. Please have the surveyor show the point or spot on the perimeter of the foundation where the top of foundation elevation is in reference Please note,we expect the ocation to be consistent when submitting the foundation as-built. � b. The site plan does not d ict the water main and associated easement. Attached is a copy of the easement and exhibit. c. The survey elevations show a retaining wall that would measure 5 feet 8 inches around the window well. Walls over 4 feet require engineered plans to b�submitted and approved prior to the issuance of the building permit application. C�aq f d '° Z, , � d. The swale on the west side of the home should be capable of handling run off from the shared- �S.�,�1 � driveway on the south of the home. Care must be taken along that drainage line to ensure the bluff � ��\�� area is stabilized sufficiently to prevent erosion.We recommend consultation with the home owners �y0 �� at 3309 Crystal Bay Road as they have experience with the draining issues in the area. Should the proposed swale be over the water main a minimum of 8 feet of cover must be maintained. �j�� 2. Building Plans. a. The building plans show an expansion over the garage within the rear setback. Council must approve the encroachment prior to construction. Construction plans dated 12-22-16 have been redlined. The City Council will review this change at their meeting on February 13,2017. b. The building plans indicate a stepped-retaining wall around the window well and the survey shows a single wall. Please provide clarification. ��J 3. Resolution and Encroachment Agreements. Prior to the issuance of the building permit,the revised resolution and encroachment agreements must be signed. • 4. Landscape Plan. Prior to the issuance of the building permit a landscape plan must be submitted showing all the proposed exterior/landscaping improvements,i.e.patios,grading,sidewalks,retaining walls,etc. The plan should include the name of the individual performing the work. Any proposed patios, grading, sidewalks, retaining walls shown on the landscape plan should also be reflecied on the survey. . � lanuary 30,2017 3295 Crystal Bay Road Page 2 of 2 Escrow&Escrow Agreement. 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 �� for 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 is$2,500. We currently hold$2,500 in conjunction with the land use application,so no additional escrow money is needed at this time. Please have the property owner sign the enclosed, updated agreement and return. The following are advisory comments: 1. There are several retaining walls depicted at just under 4 feet in height. Should retaining walls exceed 4 feet in height they must be designed by a licensed professional,and plans must be submitted to the City for review rior to construction. _ ;1�� In order to receive the Sewer Availability Charge(SAC)credit,a demolition permit must be issued prior to or at , � �� the same time as the building permit is issued. If the building permit is issued first a SAC fee of$2,485 will be required at the time the demolition permit is issued. \�� 3. Separate sewer and water disconnedion and reconnection permits are required. 4. The condition of the access gravel drive will be cataloged and any damage must be corrected and returned to its original condition prior to the issuance of the Certificate of Occupancy. 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 ristine Mattson Planning Assistant c via email KC Chermak Greg Blasko Mark Gronberg Roger Peitso, Building Official Jeremy Barnhart,Community Development Director enclosures (_ �. ._ _ __ New Construction Energy Code Compliance Certificate Date Certiflcate Posted �.��, � �' ��'�� Per R401.3 Certlficate.A building certlYficate shatl be posted on a in Vie eledrical disMbutlon paneL COMM. NO. Mailing Addresa of the Dwelling or Dwelling Unit City ��641� ��,, �� 3295 CRYSTAL BAY ROAD WAYZATA Name of ResidenUal Contractor License Number PILLAR HOMES � <�� j��p � THERMAL ENVELOPE RADON CONTROL SYSTEM Type:Check All That Apply Passive(No Fan) �'� '�f'?�'� ''�"'"W� Active(With fen and g �¢'rk'.,�� o � m000mete�orothersystem �� n monitorin device � a � Location or future bcation of Fan: �a �' — 8 y � _ W a :: � � � � � co � �b7 � > � m n � G. 4. x Insulation Location �� Z � A V O u� N o y o � a E m v � 10 � E o� a� �� z i'i 11 LL LL � � � Other Please Describe Here Below Entire Slab Foundation Wall ` '�" Perimeter of Slab on Grade Rim Joist 1 st Floor .� Rim Joist(2�d Floor+) Wall Ceilin ,flat . Ceilin ,vauked 4 �l Ba Windows or canLlevered areas ( Floors over unconditioned area Describe other insulated areas Bullding envelope alr tightness: Duct system air tightness: Windows�Doora Heatin or Coolin Ducts Outside Conditfoned S ces Avera e U-Factor exciudes sk I'hts and one door U: 0.29 Not a lice le,all ducts located in conditioned s ace Solar Heat Gain Coefficient(SHGC): 0.30 -value MECHANICAL SYSTEMS Make-up Air Se�ect a 7ype Appiia�ces Heating System Domestic Water Cooling 5ystem Heater Not re uired er mech.code Fuel T pe �Pr t �1 �/ Passive Manufacturer ��i� Powered Modet /�� T�JII v device ed with exhaust Input in �O� Capaciry in ou�put m � Other,describe: Retin or SiZe BTUS: Galions: Tons: �uE or SEER Location of duct or system: Efficiency HSPF% 9 lEER i Heating Loss Heating Galn Cooling Load Resldential Load Calculati �f 7[� � Gfm's "round duct OR MECHANICAL VENTILATION SYSTEM "metal dud Combusdon AIr Select a Type Describe any additional or combined heating or cooling systems ii installed:(e.g.lr�w tumaces or air source heat pump with Qas back-up fumace)� ot required per mech.code Sele t T Passive Heat Recover Ventilator HR Ca cit in cfms: Low H� h: Other,describe: ne Recover Ventilator ER Ca ci in cfms: Low. H' h: �ocetion/ois�luct r m: Balenced Ventilation ca d in cims: �/u. �✓� Location of fan s,describe: Cfm's Ca ' contl�uous ventilation rate in cfms: "round dud OR Total ventilation intertnittent+con6nuous)rate in cfms: "metal duct Created by BAM version 101014 L �-. .._ ' = i I r� � I , �{�a L. � %�3 3� ! Sectlon B � i � � i Ventilation Method ��.� ;� �� ' (Choose either balanced or exhaust onl ) ! Bslanud,HRV{Hat Recovery VeMilator)or ERV(Eneray Exhaust only ecovary VeMilator)-cfm of unh{n low must not�xceed condnuous Contlnuous fan ratlng in tfm i ventilation ntin b morc than 100%. i low High cfm: ConUnuous fan ratln�in cfm(ppacity must not exceed contlnuous ventllatlon rotln by more than 100%) � i Directions-Choose the method of ventilaiion,balanced or exhaust anly. Balanced ventilatfon systems are typico0y HRV or ERV's. Enter ihe low and hiph cfm amounts. w m olr flow must 6e equa/to or�rea[er thon the requlred tontinuous venfilation rate and/ess than 100%grecter than the continuous rate.(For Jnstance,if the low cfm fs 40 cfm,the ventilation fan I must no!ezceed 80 tfm.J Automatic controls may ollow the use of a larger fan that is operated a percentage of each hour. __ _ _ _ . _ ____.___ _ . .._-. ._. __ _._ _ _ _____ __ .----- ____._____ ___ .__ _. -- ._ _.._ _ ___ ; Section C I . ! Ventilation Fan Schedule Descri tion Location Continuous Intermittent � i � I i . iDirections-The ventNatlon fan schedule should describe whot the fon!s for, che locot/on,cfm,and whether It is used for � condnuous or intermittent ventilation. The fan that Is chose forcontinuous ventilation must be equal[o or��eater than the � low m air racing ond/ess than 10096�reater than ihe continuous rate. (for instance,if the low cfm Is 40 cfm,the continuous ventilation fan must not exceed 80 cfm.) Automatic confrols may allow the use of o larger fan thot is operaied a perceniage of eoch hour. i Settton D ' ; Ventilation Controls Describe ention�nd controi of the conUnuous and fnt ktent dlatlo � � � � � � I _ _ _ I i Oirections-Describe Lhe operation of the ventiMtfon system. There should be adequate detaJJ fo�pJan reviewers and inspectors to verify I desiQn ond lnsta/latfon tomplianct. Related trodes olso need adequate detalf for placement o/conirols and proper operation of the bulidinp � vend/at/on. yexhaust fans ore used for buildinp veniilation,descNbe the operotion and location ojany con[rols,tndicaiors ond kpends. If ; an ERV or HRV is to 6e insialled,descrlbe how lt wlfl be lnstalled.ff it wiU 6e tonnected and inierfaced wlth the air handilnp equlpment, � please descrlbe such connect/ons as detailed In tht monufattures'lnstallation Insiructions.lf the installoUon instructiorts nquln or � retommend the equipment to be lnterlocked with the air handling equlpment for proper operotion,such inttrconnection shall be mode and ' descrl6ed. ' Section E Make-up air i Passtve (determined from pkul�tions from T�ble 501.3.1) , Powered(determined from c�kulations kom Table 501.3.1) i Int�rtodced with exhaust deviee(determined from alculatbn from Table 501.3.1) I l Other,dastriba: ; Lac tion of duct or system ventilation make-up air:�eurm�nee from make-uP�iroPenin4 wbie ' tfr^ Size and type(round,rectan`ular,flex a riQid) (NR means not requiredj G:\Forms\VentMakupGombAirCaIs041511.doac Page 2 of 6 ., • • U r �.��1��.��) � , 4�irections-In order to determine che makeup ofr,Toble 501.3.1 must be filled out(sec 6elow). For most new(nstotictFans,column A�`r�' 2 d �'��' i I wil!be opproprfate,however,if atmosphericolly vented oppfionces or solid fuel oppliantes ore rnstclled,use the appropriate column. , �; F.or exisiinp dweilFnps,see!MC 501.3.3. Plecse note, if the makeup air quantity is nepotive,no oddltional mokeup ofr w�f 6e re-��- " �'- "= qufred for ventilation,Ff the value ts posltive r%r to Table 501.31 cnd size the openi�p. Transfer t/�e¢m,si�e o/openfnp ond type ', (round,rectanQulor,fiex or rigidJ to the fost fine o�sectton D. The make-up a1r supply mu'st be Instalfed per IMC 501.3.2,3. I i Table 501.3.1 � Pa0CE0t1RE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUS�'EQUIPlv1EPtT IN OWEWN65 Addidon�i tombustion�ir wlll b�nauked for combustlon� �nces,see KAtR method tor ak+dadau � O�e a multiple power One or muhipl�hn• Oru�tmotpfieAqqy vent MuRiple�tmospha+ial• � �wn�or dtrect ven�sp• is{kt�d�, liincea�nd � PP ��s or oil�ppqanu or N�e„uq pc or o8 � pN�nus or no eombus- pow�r wnt a diract vent one sdid fud�pp8ann �pplNncu or sdld fuel _ ___ Cdue4+n C Cokxnn D Column A Coiymn{ ! 1, . , ��ti� 0.15 0.09 O.Ob O.b3 � � rn b)wndidon�d Moer us�1�1(Indudir►� �`j unMkhed b�s�mencs v EstSn+�ced Moute Inllftwdan(dn+�:(1� � t lb t.Esh�ust GP�ckY . i ��eoedeueut��d►�ust-only vantlsdon � . , sYftl�(Gf�l:lnot fAD�a�to 6�• Iu+ud wecdaaon fruems sueh�s ' ' ' HR b�daha dry�Idm) 135 135 135 135 e)t0%d l�r{est�hau�t h�int(dml: qcdt�n doed typla111 �/� (^P►WPI�bA K r�dra/stln{tYttsm �j �r�.a.�.�+r.rk•Mes+��r / inceno�t�a.nd msed+ss ud+. . dl�0%N nna y�est eduwt ntM� (efn+k tiatl+tsncra�a�b • Not � � (noc�pp�uble r nekdiladn�sy�t.m . or N►ownd mkw/�k 4 al�etrtalM APP�abl e InteAodcad ne-matd+M to exha • Tod ErMutt GP�N Idm�: t�tyr2e• • � . 3.Mak�ua�a,snskr(dm1 iI mt�1�u�Fi afsdCY T�+�bovi) �� . bl�c.a housa Intiv.da+(hon+ . . . �bew • Ms�p,1tr Qufntity(dmj: t�•=b' • � [ / . • (M wlw Y nspWe.ne n►�kwp�ir ti n�sded ' �.fo�nukwp Air OpaNn{ftsin4 ret�r . � to?sbla fol.�.! • A, Use this eolumn It thv�ue o�}+v th�n f�m�ssisud or�tmospherlally vented ps o.oil�ppli�nce or(t ehert u�no wmbustion�pptl�nen.(Ppwer vint and d4�a veM app4anw may b�usad.) � {. Use tfiis column I(thsr�Is on�(�n•�ssistad�ppU�net per ventin�tystem.�Applia�ces otht�tha��tmosphs�it�lly v�ntad tpp�bnces may�Iso be tn- dudtd.) • C. Us�thu toiumn If th�rt is ont atmospherk�4y wnt�d�oth�r thin tan-�ssistad){�s w o8�pp6anct per vtnUn�rystan o�one solld tuel�pplUnu. 0. Us�thit tolumn if th�t��r�mul4ple femospheriuily vented j�s or oil�ppU�nr.�s usin��eommon wM or if th�r�u� �tmospF+�rinlly v�nad��s or al �pptiances�nd sotid Wd apv0�nces. • � Page 3 of 6 . _ ,�� ' � r, --� s�f;4�° � (-.� �' � � f'�`.J Makeup Air Opening Tabie fo�New and Existine Dwelling � � ; . Table 501.3.2 �,��w�-, � ,•,p`— ' � ,= L;', '��`�� One or multiple power One or multiple f�n- One umospAe�icaliy Multipls itmosphericil{y � vent,direct vent�p• �ssisted appii�ntes�nd vented tas a o�1�o- vented ps or al�p� p�c�d;. pliancei,or no combus- power vent or direct pU�nce or one solid fuel pq�nus or wlid tuel �meter tion appli�nces vent�poliances �Ppli�nce �ppli�nces Column A Column B Column C Coiumn 0 P�ssive openin` 1-36 1-22 1-15 �_g 3 P�ssive openin` 37-66 23-�1 16-2E 10-1) 4 P�ssive openio` 67-109 42-66 '�9-a6 la-28 S . tassivaape^�M- - -1�0-�63- ___.___ .._--6�--t00__..___. _.__.._ � _--- - e Passive o enin 164-232 101-1�3 70-99 �3-61 7 P�ssiveo en 2i3-317 le�-195 100-135 62-l3 s Passive openM� I I!-419 196-258 136-179 i1-�30 y w/motorited dsm er ' ►�ssive opan{n� 420-S39 259-332 180-230 111-112 10 w motorhed dsm er Pssdve open{n{ Sa0-6�9 333-�19 331-290 la3-119 11 � wimotorked d�m e� Powered m�k sir a6�9 >419 >2gp >179 NA ' NotlS: ! A. M equ'rv�lent len�th of 100(eet of round smooth metal duct is assumed. Subtratt s0 feet for the exterior hood�nd cen teet for ach 90.de�ree elbow to � determine the rem�inin�kn`�h of striKht duct�ilow�ble. � B It flexibie dutt i;used,intrtsse the duct d��metc�by one inth, flexible duct sh�l!be stretched with minim�l s�Ys. CompresseC dua shsll noc be accepted. C. B�rometric d�mpers�ro prohib��ed�n p�ysNe m�keup a�r openin`s when any atmospherically vented�ppliance is ie+splled. D. Powered makeup�ir thall be elcctrially mterbcktd with the Isr`est exhaust system. i E i Sections F . � � Combustion air � i ot required per mcch�nical code(No�tmosD►�eric or power ventsd�ppluncesj ; Piu3ve(see IFGC Appendi�E,Worksheet E•I) Size and type / ; Other,describe: i i Explanation-!f no otmospheric or power vented oppliances a.re installed,check the appropriaie box,not required. If a power vented ! or atmospherfca!!y vented applionce fnstalled,use IFGC Appendix E,Worksheet E-1(see below). Please enter rize and type. Combus- ; tion air vtnt supplies must communlcate with the appliance or applfonces that requirc the com6ustion air. ' SecCion f calculations follow on the next 2 pages. i i ! I � ; I i i i � I � Page 4 of 6 . . y Diied`ons-The Minnesota Fue!Gos Code method to colculate to size of a requlred combustion air openfng,Fs ca/led the Known Alr Irt�'iliraiion Rate Method. For new construd/on,4b of step 41s requJrsed to 6e})lled oat. I WC ApperMix E,WorksheK E-1 ,�lesidendai CombusUon Air Gicubdon Method (tor fumaee,Boiler,and/or Water Heater In the S�me 5 ace) � � Sqp 1:Complete wented combustion�pplla InformaUon. � Pumaa/Boiler. /�) �� ,_Dr�ft Hood _Fan Assisted ect Vent Input: � �V Btu/hr '� '� ��`� or Power Vent W�ter He�ter. ��r�� _Droft Hood F�n Aaslsted _Dircct Vent Input BW/� �°i Or Pow�r Vent St�p 2•Glculate e voiume of the Combustion Appliance Space(CAS)containi combusUon appliances. � ' The US indudes�II spaces conneated to on��nother by code eompliant openin`s.' Q me: h� _ _...____.�---._ __. _ _.__..._- ------ - ---- __ ____--- __ __ _ _ � __ ___--- -- --_____._.._ Step l:Gt�rmine Air than�es per Hour(ACH►1 flehuh ACH wlues h�ve been hxorponted into T�ble E-1 for use with Method 46(KAIR Method). If the ar of tonstrucdo�or ACH is not known,use method 4a Sqndard Method. Step k Oet�rmine Requtred Volume for Combustfon Air.(DO NOT COUNT DIRECT VENT APPUANCES) 4a.Sandart!Melhod Total Bw/hr Input of�li combustion�ppliantes Input Btu/hr Use Standard MeLhod column in Tabie E-1 to flnd Total Requirod TRV: h' Volume(TR1� If CAS Voluma(from Step 2)h ynalar�an TRV then no outdoor openings�ro needed. N GAS Volume(from Step 2)@ kss than TRV then`o to STEP 5. 4b.Known Air Inflhradon Rate(KAIR)Method(DO NOT COUNT DIRE[T VENT APPUAI��r Totai BtuJhr input of�II hn-assiated and pow�r vent appliances Input: ��9� � • Uu Fsn-�lssistad Appliances column in T�bie E-1 to flnd RVFA: Z ft' Required Voiume Fan Assisted(RYFA) Tohl Btu/h�input af�II NsWrai desh appli�nces Input: � gq�/hr Use Natunl draft AppNances column in Tab�e E-1 w Nnd RVNFA:�{�' Requirad Volume Natunl drsR appilances(RVNDA) � Total Required Volume(TR1/)■RVfA+RYNDA TRV:� z. + ��i � J�j/� � TRV ft� If G15 Volume(from Step 2)!s qrrata tl�on TRV then no outdoor openU�s are needed. If CAS Voluma irom Ste 2)is les�ehan TRV then "o to STEP S. Stap S:Glculate the ntio of av�ilable Uterior volume to the toqi requind volume. RaUo=6AS Volume{from Step��divided by TRV{from Step 4a or Step 4b) L+ � /� �/�� Raao= 7 � � � St�p 6:Glculate Reductlon factor(RF). Rf s 1 mltqis Ra�o RF■1. i �� s � f/ � Sttp 7:Glculste si��le outdoor openin;as ff all combustion air is irom outside. �J Tot�l Btu/hr input of�il Combustlon Appliances In the same CAS InpuC l��g�/hr �EXCEPT DIRER VEi� Combusdon Ak Openin�Are�(GOA): Topl 8tu/hr dlvfOtd 3000 BtuJhr per ina CAOA= �'3000 Btu/hr per int■ !� �in� Sap i:Gkulate Minimum GOA. Mir►imum UOA■GOA mu b RF Minimum CAOA. � x S : �/?ji in� Step!:Glculate Combustion Air Opening�ismeter(CA00) G00 s 1.13 muldppee by tht squort root of Minimum GIOA CAOD■1.13 J Minimum CAOA■/ • In.diameter up one inch in sizc if usf flez duct 1 If desrced,ACH an 6e determined usinQ ASHRAE eakulaaon or blower door test.Fallow procndures in SecUon G304. 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'F ; K h�;; — O F � �.. .� � � 3 - � � ��Y� ♦ . � ,� v� u�: 4. � (� � ^Y * RJ .: �i � U .. �.� $�g `� �C r' �1�'n T t�i .'J... � a �;-`� .° .v-' . �,`i. - - � N M i � FlRST FLOOR � _ _ _ __TOPOFSUBFLA y —� ISSUE DATE 9.12.16 _1 ELEVATION-FROM A2.0 3It 6"=P-D' A2.0 ELEVATION RECEIV�d SEP�21 2016 � 3 }{ � � �CI'TY OF ORONO �+ ' // �"- ,� / �I-�� DATE TIME � CITY OF ORONO cnLLED IN �� '"�� INSPECTION N� _C i C `�� SCHEDULED �� -%'y� �ERMR NO. �� '�>� COM�LETED ADDRESS `�.��l' `� �/'L/--�� ;� ��,�1 OWNER TELEPHONE NO.—� � � � �,�� CONTRACTOR f � !��'�� '' DESCRIPTION �C C'��7 / f'`,� / �/�� -/ � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FtNAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL FII ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ PTIC INSTALL Z OWNERK:ONTRACTOR TO MEET Y�U: YES_NO � COMMENTS: � � � � �� — � _ � 3 a�c � � — �, � C� � '� ,� b { 1 � 2 � � - � � , �C.. � W � � � J W K SATISFACTORY:PROCEED ❑PROJECT COMPLEfE CORRECT VMORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT VYORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERIN(3 PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pF{pTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-4600 Owr�rlContractor site: Inspector:� �� White CoPYAnspector's File C�nary CoPYISNs Notice , � � DATE TIM�! � CITY OF ORONO � CALLED IN '� � INSPECTION NOTICE � SCHEDULED --�� PERMIT NO. .��`l L^�""C-'/J� �COMPLETED ADDRESS �� `F� ��' . �Cc / OWNER TELEPHO E NQ1 �� 4.^ �'�c� CONTRACTOR � ��E��'�� % �� 7�� DESCRIPTION �L t�t��c/Ce7%C�i l�Czt�i'" � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �y'' Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE EPTIC INSTALL 2 OWNERICONTRACTOR TO M YO _YES_NO c�.� COMMENTS: � � f��t�'�'/l j�. ��l �l r i� !% .�(,� `� Q,D�/2't'� j .(�� CfiU�� ', � o ' J �' � � ��v � o _ J �� W . oC � � .� „� G ��. ZQ / /� — oC� K. � � l�� h � � �. � G � � W � J � ❑ RK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑ RRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 2a hours in advance. (952) 249-460� OwnerlContractor o,�sitq: Inspector:� �6� � White Copyllnspector's File Canary CopylSite Notiee � � � � DATE T M � ' � - :�� CITI��F ORONO CALLED IN � �'I INSPECTION W)OTICE I SCHEDULED �� PERMIT NO.,;,ZL�0 L� C�r�� COMPLEfED � � � �� ADDRESS _,_--�. �- �NNER TELEPHONE NO. �� ` �� CONTRACTOR " � ��C�X�� i / � DESCRIPTION ,�'L_t�'ZY� GL'�l � � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL 2 OWNENCONTRACTOR TO M YiOU: YES_NO � COMMENTS: W 4 � � �C�/' � �►� ��•�t�Gr� -� �— �. � ° �K � �u,,� ^ W � Q � W � W � � ��K SATISFACTORY:PROCEED ❑PRW ECT COMPLETE W ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owr�erlContractor on site: Inspector: �' '� � wn��covYnespec�ors Fi�e C�nary CoPYlSita Notics DATE TIME � CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED �_� PERMIT NO. COMPLETED ADDRESS 3aSs Cr s�L- �tsy ��P- OWNER TELEPHONE NO. CONTRACTOR '' DESCRIPTION ��s •a-< <e.,t/'eL � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMINERICOKTMCTOR TO MEET Y�OU:_YE$_NO y COMMENT'� � . � ,/'1ill�lc,� ,�s_5 �9�Dv�r�� /o�•z� j - 0 o� � —�—/-�P��G� r�2k/��f !a 1 �c �as s °C � ,cv�.� �rc�l� � ,p�o�.�e� �'c�lc Q Zfi�. G�r�are c�J1� r � jGp r r�-�� -•r-�iC-- � Cdw7i!�lk a W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE �pg.Gp�REBfiWORK d�PROCEED ❑ISSUE CERTIFICATE OF OOCUPANCY O ❑(;ppq�7 yyppl(,(;ALL FOR REINSPECTION TEMPORARY V BEFORECONERIN(i PERMANENT ❑OORRECT UNSAFE CONDITION WITHIN H��- O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS_ Catl for the next inspectfon 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � •!w �' WhiM CopyAnspscMr'ss Fil� Canary Copyl8lb Node� �� d� \ � D TIME V CITY OF ORONO cnLLED tN �� - � INSPECTION NOTICE /� �J SCHEDULED •�s1. PERMIT NO. ��v!�` �COMPLETED ADDRESS 3 � �KNER LEPHONE NO.��2 -3f��P �7(��0� CONTRACTOR � � DESCRIPTION v'�� ` l~y ❑ FOOTING ❑ DEMO-FINAL EPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O'WNERlCOKTRACTOR TO MEET YiOU:_YES_NO � COMMENTS.�D�C�I��:c�z.^� c�-�-'v`C y a1�?P✓b�'�c� a ��e� �- s 3!- �7 o �Y'4fS �r�cc�ir� " �� , �' � �rdf/�oJ G 'E1G��-�-f �/' Dlia✓l+i•�S.-� �b�� !t-d�G � ,S Et•� �.r�ro�s„l� Q ��ot/�o e �lao� '� �4s3 �/a�k.,.�j {a.� �a� Gcc��*-r � �r4SSe �i ��.�( �C er !t� �a.�.c�s�s.r G�L� � ��rb�r�o ��2.�. �a/' LL . C�ev r' W � • • j (� �'K�s�, �'ia�►�.-K f o�oer�,y �a.� �.�.�e/ GL 5�.:.. -- _—TG�c�,tt4 �p..ip� �ir�v��f $t�. �/ S � l..aGt 1 � p WORKSATiSFAcfORY:PROCEED��('s su�� ❑PROJECT COMPLETE Ije��tr.LL� �' ORRECT WORK b PROCEED , rJD�'s. f"' ❑ISSUE CERTIFICATE OF OCCUPANCY ��0 CORRECT WORK,CALL FOA REIN$PECTION��K�� TEMPORARY V BEFORE CONERINO f�"' P�C�— ��r � � 4 � pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN H��- ❑pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaH br the next inspection 24 hours in advance. (952) 249-48�� OwnerlContractor on site: Inspector: �/�w N White CcPYAnspector's File C�mry CopyfSib Nofkx � � � AT� TIME CITY OF ORONO CALLED IN � INSPECTION NO C��/ EDULED — � PERMR NO. ��OMPLETED ADDRESS OWNER T PHONE NO. ' `� � CONTRACTOR � DESCRIPTION ��LA • l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �j�JSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOI�fTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � , . � ��_��1r.ul�T—�✓��cf�a�'��F��_ j 0 � — 12�� los c� r4 -� o _ � _ �. � Q W � Q 2 (,1• G. rt YyI G- ' l��C �- caue�- W W � j � �WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLEfE W ❑CORRECT NlORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OMmedContractor on site: ��: " tY White CaPYAnspactor's Flk Canary CopylSite Notke � I � �<J`�"..�,.�� DAT TIME C OF ORONO CALLED IN O ""�` � INSPECTION NQ�I_C �D��'`_7 SCHEDULED j�- � PERMIT NO. �'�� '�� OMPLETED � y� ADDRESS � � � OWNER TELEPHOf� O. �� 3��-�� CONTRACT�R , � �� '��-� � DESCRIPTION �� Yl�� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTNACTOR TO MEET YOU:_YES_NO � COMMENTS: � 0 3 � � ' .� 0 �. � 0 W � Q � 2 � w � � , W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT VYORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OMrnedContractor on site: Inspector: Whits Copyllnspector's Flle Cenery CopylSite Notice / �� V DATE TIME CITY OF ORONO CALLED IN INSPECTION�NO�I�'iE �\�/ � SCHEDULED � �� PERMIT NO��- �� "-� `� COMPLETED ADDRESS -3��5 Cs��--��#�,� �-�Y.�( OWNER TELEPHONE NO. �� L CONTRACTOR ��-L�- � � ►� � DESCRIPTION ��'� �� ` ��`-'�'� lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q�RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:�l�• ��"�� I� � o L ��• ��i,s:� ' �l er,.� �ro�►t c _ �. � ° ��crj- c� %rc � � / r � � � �s-� G �S Q Z -�. �i !� �-�- � P l.�- �/1 ��i'4�i17�s r- �a,D.�l�c�� - � �Cpri'c�G�"-� 6 � 7�S �x�� J W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector: �-- White Copyllnspecto�'s File Canary CopylSite Notice � �� DATE TIME CITY OF ORONO �ir, INSPECTION NOTICE �' SCHEDULED ��7 �'Y1 PERMff NO�.(�� COMPLETED ADDRESS � 2- �� /�UC��`l � f��tl/� OWNER TELEPHONE NO. ��Z ��'�� 7�aZ CONTRACTOR �� '� l��S � DESCRIPTION �J-- �i"�� `�" ��t_( �'�� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � �INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ ��TIC INSTALL 2 OWNERICOPITFiACTOR TO MEET 1f�U: YES_NO c� COMMENTS: � �• L • � � _�7 � ^ �f MVl S � �G4��K, l.t14��S r C/QSCJr� CG� 0 � �' /rl '' — rc.��•.cc� b�k,.<!s— bat�` i.,s�C• �/ v�13 • � /�'� � (U �C4� D/S. V�•r� a��ad.d/4Zc o K �s�.c�.r�rr... J.�.�c.c< � � v _ Q GC✓aSs -�•�o� 564:ir.�a5, �- rt�a`c, v�`r�b s,o c.t-- Z �✓4 wc,p s��i c�i�e ��,l�e. �i2� S�'c�/ .Q rD�,M�LrJ��3' � � �P o�' al4so Ke,� � _��s -A�r�.�-� � Rcs� �� D�' - carrQc� -� 6C � Ca t�r� � � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ RECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. /� White Copyllnspector's File Cenary CopylSite Notice /'�� ,(�� DATE TIME iCITY OF ORONO �� CALLED IN INSPECTION TICE SCHEDULED � �'L�� PERMfT N —�� 5��COMPLETED ADDRESS �� C,�(��2� ��- `��45 OWNER p TELEPHONE NO. ��— � CONTRACTOR e,G L l�e�.� �--� �� L-S�C� �� DESCRIPTION I`�-��L I — � u S� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEP C FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWNERKANTRACTOR TO MEET Y�U:_YES_NO y COMMENTS: W � J > j O �. ¢ O W � Q � 2 � W � j W WOFiK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE � CORRECT VMORK�PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN Ha1RS• ❑pH0T0 TAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-48�� OwnerlContractor on site: Inspector: �'��' Whits CopyAnapector's Flls Gnary CopylSMs Noties Planning & Zoning Department Memo To: Finance Department From: Christine Mattson, Planning Assistant (j CC: Street File Date: December 5, 2017 G/L: 101-22205 Re: Escrow Refund Building Permit #2016-01567 pertaining to 3295 Crystal Bay Road is partially complete. Please refund $5,000 to the property owner, Greg Blasko. Mail to: Greg Blasko 3295 Crystal Bay Road Wayzata, MN 55391 z:\forms\escrow refund form.docx ESCROW AGREEMENT AGREEMENT made this 3 ( day of .!0.h . , 20 t?, by and between the CITY OF ORONO,a Minnesota municipal corporation('City")and Greg Blasko("Owner(s)"). o- .wh(411e4j nc4-nittdv- RECITALS A. The undersigned is/are the Owner(s)of the Subject Property and hereby agrees to and consent to the terms and conditions of this Escrow Agreement. B. Owner has: (check one) • Filed a zoning application#16-3875 • Filed an application for a Building Permit#2016-01567 o Agreed to comply with Orono City Code Section 78-1432 regarding accessory structures. o Flied an individual Sewer Treatment System(ISIS)permit application. o Requested to do work within public Right-of-Way o Filed a request for a Temporary Certificate of Occupancy o Other ("Application')on land situated in the City and located at 32.1.5 crlsi-a 'Say gd (the"Subject Property');and C. The City is willing to review or monitor the Application only if the Owner agrees to reimburse the City for the actual costs expended by the City on behalf of,or on account of,the Owner. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT REQUIRED. Contemporaneously with the execution of this Escrow Agreement,the Owner shall deposit$2,500('Escrow')with the City necessary to secure coverage of the total costs associated with review,approval,and monitoring of the Application. Any Escrow shall be held in a special escrow account and shall be credited to the Owner. 2. PURPOSE OF ESCROW. ■ Zoning. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures Including but not be limited to staff time,at the rates established by the City Council, in excess of that covered by the standard application fees, engineering consultant and legal consultant expenses incurred by the City in reviewing and approving the Application and all other city staff administrative and consultant services performed in the processing of said review and approval. • BuildinWZoninq. The purpose of the escrow is to guarantee completion of the site plan as approved and the provision of the as-built survey as required by the Building official. • Accessory Structure. The purpose of the Escrow Is to guarantee reimbursement to the City for expenditures including but not limited to staff time, at the rates established by the City Administrator, engineering and legal consultant expenses incurred by the City in removing an accessory building If the Owner fails to perform the obligations in Orono City Code Section 78-1432 and all other City staff administrative and consultant services performed in removing the accessory building,Including land stabilization. • ISTS. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures Including but not be limited to staff time,at the rates established by the City Council, In excess of that covered by the standard application fees, engineering consultant and legal consultant expenses Incurred by the City if Owner for any reason Is unable or unwilling to honor the requirements of Chapter 58 of the Orono City Code, and all other city staff administrative and consultant services performed in relating to the Application. The City may also reimburse itself for all engineering and legal expenses associated with the construction,removal, alteration,or repair of the ISTS if the Owner fails to do so. • Temporary Certificate of Occupancy. The purpose of the Escrow is to guarantee completion of exterior improvements (driveway, grass, etc.) that cannot be accomplished due to weather conditions. January 2017 1 3. MONTHLY BII.UNO. The City will monthly forward to the Owner a statement and bill for the expenditures incurred by the City for staff and consultant services. Such statements shall be due and payable within 15 days for receipt by the Owner. No statement will be sent If there are no expenses Incurred in the period since the most recent statement. The City shall itemize all time, services, and materials billed to any Owner and said time, services, and materials shall be in accordance with the rules,regulations,and fees as promulgated and adopted by the City Council. 4. DiSBURSEMENIFEEOM ESCROW ACCOUNT. In the event the Owner does not make payment the City as required under paragraph 3,the City may draw from the Escrow without further approval of the Owner to reimburse the City for eligible expenses the City has incurred. The City shall periodically notify the Owner of the draws the City has made and the nature of the expense for which the reimbursement is being made. 5. REIMBURS4MENT OF ESCROW. The Owner shall reimburse the Escrow fund for any deficits caused if the amount actually expended by, or billed to,the City exceeds the escrow fund balance. 6. Mgr OF ENTRY. a Zgning. This section is not applicable. • Building. This section is riot applicable. • Accessory StructujQ The Owner hereby grants the City, its agents, employees, officers and contractors the right to enter the property to remove the accessory building(s) should the Owner not complete the removal obligations In Orono City Code Section 78-1432. • ISTS. The Owner hereby grants the City,its agents,employees,officers and contractors the right to enter the property to perform ail work and inspections deemed appropriate by the City in conjunction with replacement of the septic system, including but not limited to constructing or completing any and all of the agreed upon Improvements should the Owner not complete those improvements by the date agreed upon. ■ Temporary Certificate of Occupancy. This section is not applicable. 7. NO INTEREST PAID. All accrued Interest, If any,shall be paid to the City to reimburse the City for Its cost in administering the Escrow account. 8. CLOSING ESCROW. When the review has been completed or the project has been completed, the balance of the Escrow, If any,shall be returned to(check one): 1 Owner a Applicant o Ot er dame: L � tcy`IX)c Street Address/PO Box: S C A.%,s City/State/ZIP: Cs)c.r; 1c , 9. CJRTIFlED UNPAID cHARQES. If the Application 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. IN WITNESS WHEREOF,the undersigned have executed this Agreement as of the day and year first above written. CITY OF ORONO: OWN£R(e): C* i �I{ /"BY: t CL �;�lei-�%��'� B3t,„516 Ram') td516 m') lair , January 2017 2 V 1 ' ESCROW AGREEMENT AGREEMENT made this 11 day of 5e?-k- , 201 y and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Greg Blasko ("Owner(s)"). RECITALS A. The undersigned is/are the Owner(s)of the Subject Property and hereby agrees to and consent to the terms and conditions of this Escrow Agreement. B. Owner has: (check one) • Filed a zoning application#16-3875 • Filed an application for a Building Permit#2016-01567 ❑ Agreed to comply with Orono City Code Section 78-1432 regarding accessory structures. ❑ Filed an Individual Sewer Treatment System (ISTS) permit application. ❑ Requested to do work within public Right-of-Way ❑ Filed a request for a Temporary Certificate of Occupancy ❑ Other ("Application") on land situated in the City and located at 3295 Crystal Bay Road (the "Subject Property"); and C. The City is willing to review or monitor the Application only if the Owner agrees to reimburse the City for the actual costs expended by the City on behalf of, or on account of, the Owner. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT REQUIRED. Contemporaneously with the execution of this Escrow Agreement, the Owner shall deposit $10,000 ("Escrow') with the City necessary to secure coverage of the total costs associated with review, approval, and monitoring of the Application. Any Escrow shall be held in a special escrow account and shall be credited to the Owner. 2. PURPOSE OF ESCROW. • Zoninq. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not be limited to staff time, at the rates established by the City Council, in excess of that covered by the standard application fees, engineering consultant and legal consultant expenses incurred by the City in reviewing and approving the Application and all other city staff administrative and consultant services performed in the processing of said review and approval. • Building/Zoninq. The purpose of the escrow is to guarantee completion of the site plan as approved and the provision of the as-built survey as required by the Building official. • Accessory Structure. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not limited to staff time, at the rates established by the City Administrator, engineering and legal consultant expenses incurred by the City in removing an accessory building if the Owner fails to perform the obligations in Orono City Code Section 78-1432 and all other City staff administrative and consultant services performed in removing the accessory building, including land stabilization. • ISTS. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not be limited to staff time, at the rates established by the City Council, in excess of that covered by the standard application fees, engineering consultant and legal consultant expenses incurred by the City if Owner for any reason is unable or unwilling to honor the requirements of Chapter 58 of the Orono City Code, and all other city staff administrative and consultant services performed in relating to the Application. The City may also reimburse itself for all engineering and legal expenses associated with the construction, removal, alteration, or repair of the ISTS if the Owner fails to do so. • Temporary Certificate of Occupancy. The purpose of the Escrow is to guarantee completion of exterior improvements (driveway, grass, etc.) that cannot be accomplished due to weather conditions. January 2017 1 3. MONTHLY BILLING. The City will monthly forward to the Owner a statement and bill for the expenditures incurred by the City for staff and consultant services. Such statements shall be due and payable within 15 days for receipt by the Owner. No statement will be sent if there are no expenses incurred in the period since the most recent statement. The City shall itemize all time, services, and materials billed to any Owner and said time, services, and materials shall be in accordance with the rules, regulations, and fees as promulgated and adopted by the City Council. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event the Owner does not make payment the City as required under paragraph 3,the City may draw from the Escrow without further approval of the Owner to reimburse the City for eligible expenses the City has incurred. The City shall periodically notify the Owner of the draws the City has made and the nature of the expense for which the reimbursement is being made. 5. REIMBURSEMENT OF ESCROW. The Owner shall reimburse the Escrow fund for any deficits caused if the amount actually expended by, or billed to, the City exceeds the escrow fund balance. 6. RIGHT OF ENTRY. • Zoning. This section is not applicable. • Building. This section is not applicable. • Accessory Structure. The Owner hereby grants the City, its agents, employees, officers and contractors the right to enter the property to remove the accessory building(s) should the Owner not complete the removal obligations in Orono City Code Section 78-1432. • ISTS. The Owner hereby grants the City, its agents, employees, officers and contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in conjunction with replacement of the septic system, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owner not complete those improvements by the date agreed upon. • Temporary Certificate of Occupancy. This section is not applicable. 7. NO INTEREST PAID. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the Escrow account. 8. CLOSING ESCROW. When the review has been completed or the project has been completed, the blance of the Escrow, if any, shall be returned to (check one): caner 17 Applicant/, - Othe,r_,r I/ am e: re o 1 v Street Address/PO Box: "ia}9 5 s-1-3,4 `l`N� 12 City/State/ZIP: ©roa.o t a.N cc 37( 9. CERTIFIED UNPAID CHARGES. If the Application 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. IN WITNESS WHEREOF,the undersigned have executed this Agreement as of the day and year first above written. CITY OF ORONO: OWNER / n 1� r -/ a-,eZ.LIn 04- January 2017 2 City of Orono 2750 KelIey'Pa(kway Orono MN 55356 952-249-4600 Receipt No: 3.019241 Sep 19, 2017 Gregory Blasko Previous Balance: .00 Permits * Temp C.O. 3295 Crystal 2,500.00 Bay Rd 101-32510 Building Permits Total: 2,500.00 Check Check No: 5054 2,500.00 Payor: • Gregory Blasko Total Applied: 2,500.00 Change Tendered: .00 09/19/2017 09:35AM CITY OF ORONO 111111111111111 II 1 1 1 1 1 1 1 11 1 11 1 t ' 2750 KELLEY PARKWAY * 2 PJ 1 7 - 0 1 1 DATE ISSUED: 09/19/22 011 7 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3295 CRYSTAL BAY RD PIN : 17-117-23-41-0013 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 002 BLOCK 002 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2016-01567 FOR A TEMPORARY C.O.PAID BY GREG BLASKO CHECK# 5054 APPLICANT ESCROW FEE-APPLICANT 2,500.00 TOTAL 2,500.00 GREG BLASKO&WHITNEY WINDMILLER Payment(s) 3295 CRYSTAL BAY RD CHECK 5054 2,500.00 WAYZATA,MN 55391- OWNER 5391-OWNER GREG BLASKO&WHITNEY WINDMILLER 3295 CRYSTAL BAY RD WAYZATA,MN 55391- 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Perrnitee Signature Date Issued By Signature Date BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit# C``/L_�(r / , AGREEMENT made this 23 day,oAIf , 20 1(0, by a bet een the CITY OF ORONO, a Minnesota municipal corporation ("City") and AAGrc3 lad - ("Owners"). Recitals 1. A building permit application has been filed for rl �� u .� located at c , >F 1��` ;, tJ the ("Subject PropertyJ, 1pgally 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 #'2C.I it C 1C3.. 7 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 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 O By: L s / Its: 1? 6(M11Ct Trim Internal Use Only: 0 Original to Finance Department 0 Copy to Street File Packet Last Updated: January 2016 Page 23 CHAIN AND DEN ONMOND e MEAT SENSITIVE DEO LOCK S WHEN NEPTED 37391 Wells Fargo Rank,N.A. PILLAR HOMES PARTNER, INC.. � Minneapolis,)VIN 55479 E7dtr" a» ' 1700 NIAGARA LANE N. PLYMOUTH,MN 55447 17-1/910 PH.(763)475-1700 12/27/2016 PAY 10 THE City of Orono $**5,937.80 ORDER OP Five Thousand Nine Hundred Thirty-Seven and 80/100****************************************************************** DOLLAR City of Orono MEMO Permit Windmille II■[ 119 PILLAR HOMES PARTNER,INC a, City of Orono Date Type Ret ila 12/27/2016 Rill City of Orono 2750 Kelley Parkway 952-249-4600 Orono MN 55356 Receipt No: 3.017129 Dec 27, 2016 Pillar Homes Previous Balance: .00 Permits 2016-01568 3295 Crystal 3,437.80 Bay Rd 101-34410 5,937.80 Plan Check/site Exam Fees Total: 3,437.80 Planning and Zoning 2016-01569 3295 Crystal 2,500.00 Bay Rd 101-22205 CITY OF ORONO 1 1 1 111 II 1 1 1 1 11 1 1 i11 11 } w * 2750 KELLEY PARKWAY * 20 1 6 - 0 1 5 9 DATE ISSUED: 12/27/22 016 • ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3295 CRYSTAL BAY RD PIN : 17-117-23-41-0013 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 002 BLOCK 002 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW PAID BY CONTRACTOR,THEY KNOW THAT THE MONEY WILL GO BACK TO THE OWNER.INITIAL:Pg6 PAID CK#37391 ALONG WITH THE MONEY FOR THE ADVANCED PLAN REVIEW$2,500.00+$3,437.80=$5,937.80 PAID BY PILLAR HOMES APPLICANT ESCROW FEE-BUILDING 2,500.00 TOTAL 2,500.00 PILLAR HOMES Payment(s) 1700 NIAGARA LANE N CHECK 37391 2,500.00 PLYMOUTH,MN 55447 (763)475-1700 OWNER GREG BLASKO&WHITNEY WINDMILLER 3295 CRYSTAL BAY RD WAYZATA,MN 55391- 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be � f r yoked at any time for due cause. —G 2 ')11111% 1 )11-3112V L c / 1 , 2 7 / pplicant Permitee Signa aate Issued By Signature Date Christine Mattson From: Christine Mattson Sent: Wednesday, February 15, 2017 12:22 PM To: 'KC Chermak' Cc: Roger Peitso; Monica Fadness; Rachel Dodge;Jeremy Barnhart; 'Pillar Homes' Subject: 3295 Crystal Bay Road /#2016-01567 KC We have received and approved the foundation as-built survey for 3295 Crystal Bay Road. You have a backfill/waterproof inspection scheduled for tomorrow at 9 am. A copy of this email authorizing you to proceed should be kept on site with the inspection card. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono i MN 55356 (physical address) PO Box 66 1 Crystal Bay , MN ' 55323-0066 (mailing address) 9 952.249.4620 € 8 952.249.4616 Z cmattson@ci.orono.mn.us www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20, 2017 1