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HomeMy WebLinkAbout2016-01561 - addn/remodel/repair CITY OF ORONO * 2 PJ 1 6 - 0 1 S 6 1 * ` 2750 KELLEY PARKWAY DATE ISSUED: 03/O1/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 290 CRESTVIEW AVE PIIY : OS-117-23-14-0018 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 75,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) ADDITION APPLICANT PERMIT FEE SCHEDULE 912.92 STATE SURCHARGE(VALUATION) 37.50 BETZ BUILDERS INC. TOTAL 950.42 300 CRESTVIEW AVE. LONG LAKE, MN 55356 Payment(s) (612)221-2963 CHECK 7434 950.42 Minnesota State License#: BUIL-BC3515 OWNER HOCHSTEDLER, SCOTT 290 CRESTVIEW AVE LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances 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 l80 days of the date of issuance,or if construetion is saspended for a period of 180 days at any time after work has commenced. The applicant is responsibie for assuring all required inspections are requ ted in conformance�yith the State Building Code.This permit may be revo ed any tim or u cause. � --_------' � _, � � � 1 (?.'l � � ��_.. � � � � �� (`�C�+��. �1 � '�--��� � =,�-' J/ � / � � ��� A ic t Permit e 'gnature Date Issued By Signature Date , - ' City of Orono -� 95U. �� Building Permit Application for New Structures or Additions Mailing Address: Permit number: c�U�(G—D/5(o/ (�A, PO Box 66 � `vO Crystal Bay, MN 55323-0066 Date received: l2 Z-Z /f� StreetAddress:' ��� Received 2� ~� ,� 2750 Kelley Park y _ �/ � y�' c.` Orono, MN 55356 ����-��'S6 Z Plan review fee: (q�t'SHOQ'� Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION��D ���� � Job Site Address: �i�-� t/-� , �I�(� �,{/ ss�S � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a specia/event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will required unless applicant demonstrates sufficient on-site parking is avarlable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT FORMATIO : �' Name: '�Z �(�-�-rS �- �D !t� .�2 ��Z State License# S� / Exp,iration Date: - /- Phone: cell j -- �� office 7Js2 - 7 -- � Mailing Address: C re v�'.P w c/e Cit : rD nU ZIP: S (�, Contact Person: /Orr� Z Applicant is: Contractor / omeowner �c���ie o�e� Email and/or Fax; e Z L,� " ,elS' c� cL L�O . C�j PROPERTY OWNER INFO MATI,Q N: � l -}- (' ,, Name: C O`T�` � - r(�� l �C� (� Phone (day): `�15� - '�{ - i 933 Address: _� 9(� ' T P �-f y 'P t,�1 ✓e Cit : ��c ZIP: SS�� lr� mail nd/or Fax �rnc��t '. p �e -e �� C � f� ��1��• GUe-.-, ARCHITECT/ENGINEER INFORMATION: / Name: � c /� ,,(�PS� r> �� /n �C � � ?�(�h Phone (day): � - d - /S Address: �� v�, Cit : m�n h���i,l�K�ZIP: s���� Email and/or Fax: " � � � �c . PROJECT INFORMATION: Descri tion of ro�ect: -�l �lSYl �% ���_ 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ ew Construction ❑ Single Family with ❑Accessory Bldg. /Garage �Addition attached garage ❑ Deck �Public Sewer ❑Accessory Building ,� Single Family with Office/Commercial ❑ Relocation detached garage �Residence ❑ Private Sewer ❑Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water *'Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse [�'rivate Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑ Other(speCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� ��-l� . a Packet Last Updated: August 2015 Page 21 STRUCTURE INFORMATION: � 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= �� � Number of bedrooms= � • �Wood/Frame b.Width (ft.)= / � � Number of garage stalls: �,. ❑ Masonry Areas in square feet Attached =11(� �l � ❑ Metal ❑ Pole Bldg. c. Basement= Detached =,1� ❑ ICF d. 151 Story = � � f ❑ On-site Prefab e. 2nd Story = ❑ Off-site Prefab f. Yz Story = ❑ Other(please specify): g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable 0 ❑ Buildin Permit Escrow A reement and Fees ;E7'" ❑ 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 Yz x 11 set � ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements _-E3�' ❑ Surve —2 full size, to scale meetin ALL surve re uirements _-� ❑ Hardcover Calculations ❑ Se tic S stem Certification 0" ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation from MCWD statin no ermit is re uired Landsca e Walls and/or Retainin Wall Pians • ❑ Stormwater Pollution Prevention Plan SWPPP ,_0' ❑ Access Permit .❑-- ❑ Data Privac Adviso Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. � 1 � � � ApplicanYs Signature: � �t� � �c�t�•. ���� � Date: �� �� � � •Owner's Signature: - '�' � '��- Date: Packet Last Updated: August 2015 Page 22 , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: �,..`1� �C.�I 1�1 WV �� Permit No.:_ ���� � v1�� Description of work: �[ �(� Date Rec'd: _ �Z'�•�((,� Septic review by: , � �,l.vfG!/' � �/l/e�� Date Approved: rm-���-v Zonin review b r - �'"" - G 9 Y� Date Approved: � ` � Building review by: � I Date Approved: / Grading review by: �� � 'U� C � Date Approved: � `�� Zoning District: l�' 17 Zoning File#: �Resolution? Yes Reso#:�� Reso Date:�� Signed: Yes No Resolution/NA l� Zoning: Lot Area: • �'J SF AC Width: Structural Coverage: ��l SF I 3•ri 7 % IZ�� �I�O ��t�a�: �} �" Survey Submitted: Yes 0 No Date of Survey: `1 '�'�U/ Revised date(�)� Landscape plan submitted? � Yes Landscaper: 0 No/None proposed Pro osed Setbacks: � � Front(L�� Rear( eet� ( N E W ) (� S E W ) Other Buildings Wetland .1 � ��de �-� Side � �� � � Buildinq Heiqht Analysis: Distance Between First Floor and defined Top of �a� � Roof See "buildin hei ht" definition : First Floor Elevation from buildin plans : (b) Highest Existing ground level (per survey) or 10' ��� above lowest round level, whichever is lower: Difference between b and c : (d) Defined Buildin Hei ht (a) -(d): �e� Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? Per �t Number: 0 Yes 0 No N/A � Yes Yes 0 No No N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s L'�, upOp Z,s�.s�0� Yes No � Yes No � 2 3 4 5 yp (s): Type(s): �-r�s f 3'1�1.S'� Updated: October 2016 v:\forms�plan review checklist 10-2016.docx Fees to be Char ed YES NO Permit Plan Review State Surcharge Investigation Fee SAC—Number af SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 15' Floor X = $ Znd FIOo� X = $ Garage X = $ Estimated Construction Value: $ � J '�U` � � 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 � Mfg. 0 Lawn Irrigation Foundation Waterproofing 0 Other(specify) � Landscaping Framing nsulation 0 As-Built Survey �,Final athe Required State Permits � Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2016 v:\forms�plan review checklist 10-2016.docx 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. Completed Application � � � �� ;�� �_� � �; Plan Review Fee Paid I�� � (� �,� ��i'�' �6�/` 'i,1;y�� � �,���� �� �� '1M n �.�� Signed Escrow Agreement & Escrow Payment il` ' ��� C � �,e� �,�`'�S�5� C� � • � Building Plans (to scale) x2 �l � Certificate of Survey (to scale) showing the proposed project & �=' meeting all requirements x2 � �� i / ��-t,(�-- Hardcover Calculations (if applicable) � n�i n .r-��� �-�-�- � �'�� 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 , ����� � � w�' r e q u i r e m e n t s). I w i l l c o n t a c t t h e M C W D a t 9 5 2-4 7 1-0 5 9 0 `� � �,��c�' rega�ding,thi rQj ct � Signed by: � C, ��� �� �_,���CC/( /�,�,Z /� Address: ;;x C� �: ��-��. t���; �� ,_�_. �=�z�r-; Permit #: ,� �'l(� - C� / �> L;�� • Packet Last Updated: August 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 information 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. �e�� t� 1���� d �-I� c,hst�l� ;� First Middle Last �. C' '� ��--1 � r f�7��/i L'i.� ,��/�' , • Address � i o r� � %!�,,�/" � � � �� '� c�� - `"1�`( �( -- 1 �i �� City State Zip Phone I understand m rights as stated bove. ,.� � � �::t:_.�.��_��.. Signa�tare \� � Packet Last Updated: August 2015 Page 7 ' Christine Mattson From: Adam Edwards Sent: Tuesday,January 03, 2017 4:45 PM To: Christine Mattson; Roger Peitso Subject: RE:290 Crestview Ave/#2016-01561 Chris, Stamped Approved with comment.. 1. 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 prior to inspection. Adam From:Christine Mattson Sent: Friday, December 30, 2016 10:40 AM To:Adam Edwards<aedwards@ci.orono.mn.us>; Roger Peitso<rpeitso@ci.orono.mn.us> Subject:290 Crestview Ave/#2016-01561 We received a building permit application for an addition to the existing house. A variance was granted for the addition to encroach into the front yard setback. Please review and provide comments. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono � MN � 55356(physica/addressJ PO Box 66 � Crystal Bay ( MN � 55323-0066(mailing address) '� 952.249.4620 0 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,January 2,2017 Monday,January 16,2017 1 t�'���'9�,/�D • -.. ���� � :�' 201� � City of Orono C�1Y OF ORONO �.o,vo Hardcover Calculation Worksheet _� ` Property Address: ��� M,��-;TGff�,� r�L�C (S'co�T 1��r.�1`t�'t�L F�� r�k sHoa4 Prepared by: G=./�c�.�-B�'��' � J` " �' :.��-�'�' r� Date: � ��_��� p,�...9.�„..�.� , �J•,�, J ,,t '.�r"`"�� l> .-f-.. t, Stormwater Quality Overlay District Tier: (Circle one) ier 1 Tier 2 Tier 3 Tier 4 Tier 5 y Step 2: PRO O ED H O ER In the following table, iden�y aIT 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 weli as afi proposed hardcover items that wil! be added. Use as many�ines 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 calcu{ate hardcover square footage separately for each portion. � Key to Hardcover Item{Describe) Length x Width Total Surve S ua�e Feet Exam le Gara e 24'x 30' 720 S.F. A �`i'7.:,t.rG �::1 r� !! S.F. g s. A. :,s v ' � S.F. C rs R A S.F. D .r .� . '�' S.F. E �� GR L ,e ' �A � S,F. F s.r Cr'rvC/c�7'�' J°Rart� v S.F. G .� ; � _ S.F. H ,t Rl.rs�u}' �'Cfi,*✓C. ,P.l.f,} S.F. � � S.F. � S.F. K S.F. � S.F. � S.F. N S.F. � S.F. P S.F. Q S.F. R S.F. S S.F. T S.F. � S.F. � � S.F. W S,F. X S.F. Y S.F. Z S.F, 1 Total Pro osed Hardcover .a S.F. Excludable kardcover 8es Ci Code Sec 78-1684: � , .T � c.. �a.«� S.F. S.F. ' S.F. S.F. S.F. 2 Total Exciudable Hardcover S.F. 3 Net Pro sed Hardcover Subtractline 2 from tine 1 ?;� S.F. 4 Total Lot Area �, „� S D :�`�F?' ,r",t C.�i!? S,F. Proposed Hardcover PercenWge [(3)+{4)] ��• ��°� •Subdlvls�on App!lcatlon-January 2016 This is an lnformaUon packet regarding Hardcover. Every effort has been made to ensure the accuracy af the information contained herein;however,if a»y informaUon 1s not consistent wlth provlsions of the City Code,the Code provlsJons will prevail. Page i9 f � ���-��:fyE� � �-� � �.�2016 ` City of Orono - �otio Hardcover Calcula#ion Workshe�tn'OF pRON� 1� ` Property Address: ,�`�`t� ,�����4'��t.� �l t/�". (�.S'�E'aT1'' �il'pCe°�.�'T�"�A�E�',� ' `�K SH��` Prepared by: � � Date: �, $ ��1�,. _rr�r c,� �'�t;' � .f1'�C'/.f��'>. �:,s...�c: r Stormwater Quality Overlay District Tier: (Gircle one) Tier 1 Tier 2 Tier 3 Tie�4 Tier 5 Step 1:�s,�NG HARDCO_� In the foAvwing table identify all items of existing hardcover on the property, keyed by letter to Certificate of Survey (survey must accompany this form), Use as many (ines as necessary to accurately depict existing hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover square footage separately for each portion. Surve� Hardcover Item(Describe) Length x�dth Total S uare Feet Exam le Gara e 24'x 30' 720 S.F. � A h�v S.F. g ;.. a S.F. C •� S.F. ; � 7t ,Z 6 S.F. '',, E c./ S.F. : F �. S.F. G S.F. H S.F. � v � d� S.F. ' � S.F. K S.F. � L S.F. M S.F. N S,F. � S.F. P g. . � 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 E�dstin Hardcover S.F. Excludable Hardcover See Clt Code Sec 7&1684 : S.F, S.F. S.F. S.F. S.F. 2 Total Excludabie Hardcover C7 S.F. 3 Net Exis�tin Hardcover Subtra�t lins 2 from line 1 y/ S.F. 4 Total Lot Area /2,.S2 5 S.F. Proposed Hardcover Percentage ((3)+{4)] 2"?, ,�� y, (Proposed Hardcover next page) • Subdivislon AppNcatlon-January 2016 Thls is an information packet rega�ng Hardco►�: Every efl`ort has been matle to ensure the accuracy of the informafion contained herein;however,H any i»formation is not consisferrt with provfsfons of the Crty Code,the Code provisiorls wi!l prevall. Page 18 i __ _ _.._.. _ ����G��'�� �;.r� � :' 2�1c� City of Orono �'�' �F ��(��� �o� Hardcover Calcutation Worksheet } Property Address: �,�o �.�,�_�.., r , S'c;�;T �.��� 1 r�--�L r� �� � �' � , ��'�� �-�G-` C �' � � `�kES�ca` Pre ared b _ Date: .� P Y� �r f�.E-'B�'�'G s" ./," � ,� � =;: -�-`�' `�'- '� -�;. Stormwater Quali#y Overlay District Tier; (Circle one) ier 1 Tier Z Tie�3 Tier 4 Tie� 5 � Step 2: PROPOSED HARDCOVER7 In the following table, identi�y a�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 ars intended to remain, as well as afl proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of ihe property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calcu{ate hardcover square footage separately for each portion. , Key to Hardcover Item {Describe) Length x Width Total Surve S uare Feet Exam le Gara e 24'x 30' 720 S.F. A "h-i�.,*.�G �'�v. �f :� �' S.F. B r� ;r-,; ,� S.F. C ,r �h�� r', 2 S,F. D .� �..�F Z.�"r � � r- S.F. E �i G/,' + "� �', '�u/A �'�c'� S,F. F �� ��'�✓C,/?�7'� PRa�✓ v S.F. G 'f f/s`Ic ,1r-w:F- S.F. H .tG: fi�.' ,�a.�,'o u}' CUr�C. t�`A�:3 S.F. f 1° D! l�R✓ S S.F. � S.F. K S.F. � S.F. M S.F. N S.F. � S.F. p S.F. Q S.F. R S,F. S S.F. T S.F. � S.�. � S.F. �y S.F. X S,F. y S.F. z S.F, 1 Total Pro osed Hardcover �`"`r'.� S.F. Excludable Hardcover See Ci Code Sec 78-1684 : % �, ,/i -�� T c^�-,wt-_ �.� S.F. S.F. S.F. S.F. S.F. 2 Total Exciudable Hardcover S.F. 3 Net Pro osed Hardcover Subtract line 2 from line 1 �.� S•�• 4 Total Lot Area .�, .�' �� p,�� rC % �% S:✓'�� ,�',�' G=_�� S.F. Proposed Hardcover Percentage [(3)+(4)) �'o�. r%"°k 20�C� sf = �3 . �l °?d •Subdrvrsion Applicatlon-January 2�76 This is en lnformaflon packet regarding Hardcover. Every effort has been made to ensure the accuracy of the information contarned herein;however,if any information is not consistent with provrsions of the City Code,the Code p�ovisions wiJl prevail. Page 19 ----_ _ S-�uc�u�� CoV , Scott Hochstedler From: Heidi Quinn <hquinn@minnehahacreek.org> r.— �� �B��'�.��'y� Sent: Thursday, September 15, 2016 5:07 PM �a,.,.K To: Melanie Curtis;Christine Mattson (Orono) , ,, •,��� Cc: Scott Hochstedler ���� � � � Subject: No MCWD Permit Needed: 290 Crestview Ave, Orono �R��,O Attachments: Hochstedler Residence-A1 Variance Review 16.9.6.pdf C�-r( OF Good Evening, After review of the proposed addition at 290 Crestview Ave, staff have determined that no MCWD permit is required. The plans reviewed show less than 5,000 sf of land disturbance and less than 50 cu yrds of excavation (3.5' depth). Please feel free to contact me with questions, Heidi Heidi Quinn � Permitting Technician � Minnehaha Creek Watershed District 15320 Minnetonka Boulevard � Minnetonka, MN 55345 I Office: 952-641-4504 1 � CERTIFICATE OF SURVEY FOR � SCOTT D. HOCHSTEDLERNETONKA OF LOTS 7 & 8, BLOCK 1, BAYSIDE ADDITION TO LAKE HENNEPIN COUNTY, MINNESOTA � � ao I �'�..r� �� r I ' '�Q�� ►::' i ��C, ' �. . I � oRoNo .. . S 89°46' 00" E 125.25 .........�....... :..... .. � ��.s, .:� ���.,,.....�.,g G • . (962.a) .. ` (959.3) .� \ :n (963.» �'., . .` 9R1.1`'� �{96J,5).........�3.Ur..�C?'�.\...... �'•. wW ��. �F� :as � �� ; � ` � ^EXISTING ��! � � . (963.�) . GRAVEL DRNEW�i� � � GARAGE� � l�-� , . IE) � Ra� (c) �9e..» O �/1 �..� O i � (963.J) �S (983A) � W ;��M) o � � tos3.., o /U � O i i ; (9612 « � (96Jb) ' Ir.'I � 7sS P y�CLE�N01R T 1 e (E) (sea�) `/ c9sas> �_ i_ �-----� ---- �esz.$) --------� EXISTING j e•� �'� CONCRETE (9e+.e� 1 �L� PATq = � (seta) .(B) sr0on��(a�.$) a (o) I— r = 1 °1 ' fsw.e .o� (oss.�1 � i g..a�o�� � � ;°m�"e`t"w"�iuo, -L zzo-- e.� HOU�SE i..o `�---se._._..__� EAo. � � � '� a 8 (A) „ � i Z � ev I b`ROPOSED ^ ' (sea.o/ � \ � � ADOITION ,� � � 1 (I) ta.5 1�.0 ...........7x7..a........... , '' '. ia.o 6. �(%..o) (aW.7) � : ...........�.........�1.7....................�I��;.�� r4 : � �1 �` T07 OF'MELL�� • (950.8) . .(96a.2) �: �p ,j �': qi I \ l � ;: (960.7) ' �., i (Y5l.5)�, � � � . (06a.9) �8�6�_._._.......,.�. �. (cexsl I963.a) �usaz) .: ': .� � �.2� "` �7 01���•�-........... N 89°46' 00" W 125.25 ...........:. 0 l95].0) �— � � � �PROPOSEO 8' EASEIAENT � TO NE�CHBOR TO SWTH�, —__��- O� ;i� �'', �������� �i i HILL STREET i NI PROPOSEO TO BE VACATED) GRAVEL DRIVEWAY �N (NO UTILITIES SHOWN MAPS) � 4O i ________4' VACATED STREET PARCEL _____ � � — � p�Ew� _� r' LEGAL DESCRIPTION OF PREMISES : Lots 7 and 8, Block 1, "Bayside Addition to Lake Minnetonka" � : denotes iron marker found (908.3): denotes existing spot elevotion, meon sea level datum, taken from field survey on 8-4-08, and 8-4-16 � ••-9�� ---: denotes existing contour line, mean sea level dotum Zr-: denotes proposed contour line, mean sea level dotum Bearings shoWn are based upon an assumed datum. This survey intends to show the boundaries of the above described property, the location of an existing house ond garage, spot elevations, topography, the location of oll visible "hordcover", and the proposed location of a proposed addition thereon. It does not purport to show any other improvements or encroachments. I G R 0 N B E R G A N D � hereby certify thot this survey was preD�ed by me, '�"�E or under my direct supervision, and that I am o duly �"�Zp' reg�stered Crvil Enginee� ond Lond Surveyor under the ASSOCIATES INC. ��w9 �< <he S�ate of 1Ainneaoto. D°T e-.-�e ,� o-o-ie CONSULTING ENGINEER LAND e-m-�s 3URVEYORS, & SITE PLANNERS ,we�+o. � 445 NORTH WILLOW DRIVE LONG LAKE. MN. 55356 i6-297A I 952-a73-4747 Mork S. Gronberg Minnesoto Licanse mber 12755 16-297A �v � • . �� � �- t �. -� ��--e��� � � �� �� � ��� Minnesota State Energy Code Calculations and Mechanical Code Requirements Form , �� �.�� Additional copies can be found by going to: htt ://www.dli.mn. ov/CCL IPDF/sbc 1322 cert. df Q�� � � � � Y �, - �� f � , �, �.�����"�� �F���-� c� ' -"'�� 'wTll�k1.�Certifieate c/ . �- d�'�� � Baildera IVame?co�qra�. [�ate: ��v �[te�kcldr�E..'ss: �l� �f'C�S ���/ �-f ��D' '��;.>,s i Ga�+�tra�.tar Name: �1' ---P� Liee[x�e Number_ ,� ° �3S� � � tcrcabiw� Tjr,p�e af lrirista/,�eirf F}�p+e Laeatro�r� Size Irisrr,�atiawr !�-iral�e Maiceas Atr v ,' �,.,,eG/,, c,� Roaf ceil� � CcHr�a�on Ai� W alls � u S �IFater H�ati ,�, Slatf-an-Gra�de 1�larurfaict�r�oner Pl�are�ei/ Floor ,� Cr D �v [Iucfis O�de of Cotr�r��wred I�im 7oist o�t� v- Irrt�riar,6�riar or iru5egr L[�c5a�i�Ot�i' R-Va,�''e�e Faundation Y1tai1 ,iv�� :l�c -� _/D 17cc� or Ir�egrdl ,fZry�_. 1 S�C N I.�YQ"�¢ - -5 AMei'a e fl`-FaG'tor Sff1GC sofarl�eat iUs C've�fflClel7t - A�ctlii+e Fenestrati� Ra�a�Cantr�a� T Irr Ra " ,�lE /'larrr�actrra^+er �d�eJ( �aoleerfat�d/M'�at£osts neati s G�� �'� �c� o �' Ra ` SEER �tanrrfaet��r I'�f canfr tcaad Hesat Gar� Coo1i S em vi' y � T Laea�iiurs �tan�rlt�accs fFeitt.Tlai�aan Tea�taJ V�erit7�i�rr Med��cal Ventila[ion Packet Last Updated: August 2015 Page 20 CERTIFICATE OF SURVEY FOR PCExhibltC � � � � TT D . H {� � H � TEDLER OF L�TS 7 8c 8, BLOCK 1 , BAYSiDE ADDITl�N TO LAKE M{NNETONKA HENNEPIN COUNTY! MI�lNESOTA 1 RON ��.� � � ' 0 `�OPY ;�� - �� �:-�� �� ��, �- � - S 89°46' 00" E 125.25 .�.•... � �`„�•�- {�� �sez.a) �+�'••. :,.-a1s ��"' (sss.�) a,,.,;..� ` � �' ... . (9ea,� W �. \ f �F��� r�.3 �� .�.�.. .��. H--I � � ��,'�� � � EXISTING �/ ��. � GRAVEL DRIV�v��Y � � GARAGE � � � � � � �E� � � �� �C) � �9`*�'j O rn � zz.� �s� t� v 1 w C� � �j (ge�.$) M) C� w ' 1 � � � (963.4) Q � ^ � �, Q �� � � N Z.I�I1rM.L �.11��0 K �963.2 t ^ (9B3.5) w O f �i'J'�� i�^��•J 1'i�1 �� � 24.5 a,,rCLEANWT � �( LM�T'�''",�.�'• � Q (E) _ (se�i) (ass.a) �,�..� ._._.�._..._ .._.. � � _ °° �� EXISTING �� �^'�962.5) � �� 6`� �'� CONCRETE se �.a (981.4 I ig� STOOp a �9Gi.8) � PAlp3 _ ����� � ��� �"_ t962.6 . Ql t963.4) � c� P ,o��x�4�x,s�� _...,.L�._..� �.� HOUSE ,�:o �`'---ss{.` O �„4`Rp� � TRr't.E WALNU 22.0 �p290 � , 1 � � A � p ;� ( } � � Im ROPOSED � (�.o) �� �DDITION \ � (I) � 14.0 ._..:?:��......_.�.. ......... ....•--41 ..........,. ..,�.�� 24A � `983.9� (084.� (964,3) , TOP OF WELL�'a r�= � , .(9'39.6) � ~ �" s (984.2} rf; � .�'� \ (sso.� �' � ws � •:: .� '_ -,..(��s,� Y tas�.�. .. : �esz.$) �s�.4) se4a .•;. :{�4.a) t ) • _... . . cg�x, '�" �,---� � ��.............. N 89°46' t}0" W 125.25 .....a....-+•' Q ���� �� a____ � . n \PROPOSED 8' EASEM�N1' �� TO NEIGHBOl2 TO SOl1TW'�, � '..,��.,.��..r..r�.�...�..�... ..���3����.....�...�i �� HILL STREET � �� pROPOSED TO BE VACAT�D) ? N (rao u7�ir�s sNowN M�Wsy GRAVEL DRIVEWAY �� — 40 _�_ _,...,.._..,_ 4` VACATED 57REET PARCE� �`��# �� � � � - i oRn►�E A LEGAL DESCRIPTiON OF PREMISES : ��� �lb'a ,�S Lots 7 and 8, Block 1, "Bayside Addition to Lake Minnet nEca" a�no��dysie o SNOISI/13�1 HlIM ��"��;-��dy • : denotes irom m�rker found ��;°,��dC; Nb'-�d �Nl���i� � ';���d ��!�� (908.�): denotes existing spot� elevation, mean sea level d tum, tp�lrc�vo �� r���� from field survey on 5-4-08, and 8-4-16 l� a ---s�7� - -: denotes existing contour iine, mean sea ievei datum � -. denotes proposed contour line, mean sea fevel datum Bearings shown �re based upan an ossumed datum. �R�N� � ve intends to show the boundaries of the above described ro ert , the ���� Th�s sur y p p Y location of an existing house and garage, spot elevations, topography, the location of all visible "hardcover", and the proposed focation of a proposed additian thereon. It does not purport to shvw any other improvements or encroochments. �R�N B E R G A N D ! hereby eertify that this survey was prepared by me, �'°`�� or t�der my �rect supervision, ond that I am a duly 1"�2p' A S��C I A T E S I N C. re+gistered Civil Engineer ond Land Surveyor under the lows af the State of Minnesota. TE 9-4-te CONSULTING ENGINEERSt, LAND s�--��o'-iB SURVEYORS, & SITE PLANNERS ,�os No. 445 NORTN WILLOW DRIN� LONG I.AKE, MN. 55356 16�2�7A 952-473-4141 Mark S. Gronbe�g Minnesoto Licehse mber 12755 16--297A �.��0 (,I�P�fY��1/ f1"Y�-- Zb►l� -- (�15(� I �i�i01� �� J � � �n �" � DATE TIME ., CITY OF ORONO�vI{p�L �� CALLED IN � INSPECTION NOTI E SCHEDULED _1�L� -�j PERMIT NO. COMPLETED ADDRESS � C� C.% � 'Z-��:'I�7�% �'�z.-c; �t�>- OWNER TELEPHONE NO �'�2 Z��-"�`�j'� CONTRACTOR ��; �� -3 � DESCRIPTION -�����1��CT��1�1' ly ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ �PTIC INSTALL 2 OWNERICOMRACTOR TO MEEf YOU:�YES_NO y COMMENTS: W � —/�i�.� .f ur� r►�u�k o�f �l� �.✓c���r- �'•yo m � ' 0 ��c?s ��o� � �,��o ur�-,.a �' ,,•n�.v� �. ° _ 01�,X �� -�'�Q W � Q � -� �i s��/ ,� �1a�� a,�� �a�� ,�,�� z � 6�'i�r�,i►� �i��P� -�o i.h�G��n�.•� � � � W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE �RRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector: White Copyllnspector's File Canary CopyfSite Notke � � DATE TIME CITY OF ORONO CALLED IN INSPECTION O �.y�G�(p� SCHEDULED __��7_ , PERMIT NO. �� COMPLETED ADDRESS � 7 � ��l p.���> %`�-�� OMINER TELEPHON NO. �o i� aa�a�3 CONTRACTOR � DESCRIPTION � �'�� �-��1 ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN(i/FILLIN� O ❑ FOUNDATION WATERPROOF ❑ PLUMBINCa 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 ❑ S R HOOK-UP � FOUNDATION/REMOVAL v ❑ DEMO-SITE S TIC INSTALL � O�WNERICONrNA�'T'OR TO YEET 1f�U: 1fEB_NO � COMMENT� 4 �.�/cills r.o�n:p /���� � � - ��ll ��'��-� � �o ,�.2 .,, ��/a�.� � � � � Q - -{�v✓�mS l'�����P� on Q� � W . �S.�� ' � '' • � - , � /�S vai ❑w�K snns�►croar:vRocEeo o a�aEcr coM� ��oo�cr wo�c a PAocEen ❑issuE c�anpcnre oF ocoupr�Ncr 0 ❑OOFiRECT WORI(.CALL FOR REINSPECTION TBdPORARY U �F���� PEAMANB�IT ❑OOiiFiECT UN3AFE OONDITION WITHIN fIOl1R3- ❑pHpTO TAKEN INSPEC'fOR 1MLL RETURN D ST�OP ORDER P08TED.CALL INSPECTOR ❑q7ATION ISSl1ED ❑INSPECTION REOUIRED.CALL TO ARRAN(3E ACCESS. csa�or u�e n�ct�p�on u na,ra a,adv�,os. (952) 249-4600 on site: �nspector; /�o•—,� WMu Oop�rAnaacto�'+flM Gn�ry Copyf811�Nolla � �'j�%� DATE TIME qTY OF ORONO CALLED IN INSPECTION NOTICE sca�u�eo PERMR NO. �lY�� COMPLETED �►o�Ess � � � C�h�-�ii% �.� /��-r�e._ OMINER TELEPHONE NO. �%� a�/�9� CONTAACTOA �z- � � DESCRIPTION �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN(i RI ��� � EXCAVKiRADIN(iIFILLINO , vf �FOUNDATION WATERPROOF ❑ PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � � FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � 0 INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL _ v 0 DEMO-SITE ❑ ��PTIC INSTALL i GMIN�RACTOR TO MEET YOU�__,�Y66_NO � COMMENT'� �__ � , _ 4 �!/�L�L�/V �a��cr p�c��f'L'C.0 � l�i�G/• r �� o " b�'G�.i� ���lP l-� �0 lc!'� � �' � �"'i/l�s� l/t s1��il�« 1'"Gr-� �k— '�'�r•o pvev � � i.l✓����a _ W � Q Z GQ,r✓'e c.� � �� � �Ol�e � � � � W ❑ K SATISFACTORM PROCEED ❑PRW ECT COIAPLETE �`'b���ECT YYOi�C a PFiOCEED ❑ISSUE CER'TIFICATE OF OCCUPANC� o ❑CO�RRECT MIOf�,CALL FOR REiNSPECTION TBrIPORARY � BEFORE OaNEEqNO PEFi�AANBdT ❑OOFI�CTUNSAFEOONDITIONWITHIN HOl1R3- p pHpTOTAKEN INSPECiOR 1MlL RETURN O 8TOP ORDER P06TED.G1LL INSPECTOR ❑dTAT10N ISSUED O INSPEC71�1 REOUIRED.CALL TO ARRAN(iE ACCESS. CaN!or u�e next Inspectlon 2�t hours M adiranoe. (952) 249-4600 on si�e: � Whib Cop�Anp�e�'s FlM C�n�ry CopyfSll�Notle� � D E TIME V CITY O ORONO cnLLED IN 7 �� �� � INSPECTION_ T10E scHE�uLED 7 G�- !7 PERMR NO���'� ~D� COMPLETED ADDRESS �cl� J.Z�G��l-PG ���f't u�� OWNER T EPHONE NO. � � CONTRACTOR ' � DESCRIPTION 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � .�INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q r❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OIMNFRICONTRACTOR TO MEET YW:_YE8_NO � COMMENTS: � �- b4 `� /N5�, cv� 1/• /,�• OK Gc�4llS ' � c , , -' � ' L� 'r'I �j.� /irS�cL- l�.�� I� .� • D�t G���� OO � - � 12.w� �iE' - G1�.3� c.�lC /�. a4.�e - o � � �� :ti !� � � " S /f Q✓.K.�x � W � Q Z D1'� � �6 v� r � � 0 � W }�VMORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE W❑WRRECT WORK a PROCEED ❑ISSUE CERTIPICATE OF OCCUPYINCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY V BEFORE CdNERINO PERMANENT O CORRECT UNSAFE(�NDITION WITHIN HOURS. p p�{pT0 TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECiION REW IRED.CALL TO ARRANGE ACCESS. CaN forthe next inspection 24 hours in advsnce. (952) 249-4600 Owne�IConfractor on site: Inspector: Whib CopyMspecta's FIN C�nary CoprISM�NoNe� �.�.J �f / �� nME Y CITY OF ORONO cAL�D IN =�� ro— INSPECTION NOTICE SCHEDULED /= �U PERMR NO.��I(�� OI�Ia COMPL ED ADDRESS �q b l I��V I f.bl� . O'WNER TELEPHONE NO.(On�Z"ZZI 'ZQ(j� CONTRACTOR �7� , � DESCRIPTION 'e-�. � 41 ❑ FOOTING ❑ OEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ HADON 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 ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMRiERICO1�fTRACTOR TO MEET Y�OU:_YE8_NO � COMMENTS: 4 a� -- - , o ' /r o-•�7.n� G�r�r��,a�_S Go n�A�a n. � w,;,,��S � ti Q ` o�, �o s'n� �� � W W QC , \, W 1�WOFiKSATISFACTORY:PROCEED ❑PROJECT COMPLETE �d(�fiRECT MIOF�C 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY � ❑(�RRECTNfORK,CALL FOR REINSPECTION � TEMPOqARY V BEFORECdVERINO PERMANENT ❑CaRRECT UNSAFE OON01110N YYRHIN Ha1RS. ❑pHpTO TAKEN INSPECTORIMLLRETURN ❑STOP OR�ER POSTED.G1LL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. csN tor u�e next inspect+on 2a hours in ad�►anoe. (952) 249-4600 on ske: �flS�p/; ��4/'/G !� WMN CoPYM�eM�s FlN Gruiry Copyf8fl�Notlos DATE TIME " CITY OF ORONO 0�5-�� CALLED IN - Z�f-/7 �• ,,,_',� INSPECTION N C EDULED � ���v PERMIT NO. MPLETED ADDRESS a � OWNER EPHONE NO. ��'-��- Z��' CONTRACTOR � DESCRIPTION C ty ❑ 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 ❑ 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 2 OMINERICONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: � /�7u�, in�a-1/ G✓��G�oW -�1io.-� /�S m.Ts� � �� Tr^n nT, �.BOA/� L'�'J� 0 �•�7 u 6� i ti.�'i T�/� T�� rY+/.r�r.� TL�ro L.�,n da t.✓S o n� � T�� SO I/T� S�i CSG L✓t/'G .r70� i��' Gb VP�'i v• � �. C�G[>-���� �A.� � ,r'�e�J�l'�7� V'Y S'TG1,TL W ,l � ) r � � 7 �I P� o�' T/'a m..►G,' GLr�17.�o�'.S' o k CLr3D�,.-�'.iYC, Q 2 �O G��II n/�c>>/'2� n�a r�S W � W �C , W ❑WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY D�CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advanoe. (g52) 249-46�0 Ow ctor site: �J►� Inspector: �'�A�"� L White CopyAnapector's FII� Canary CopylSib Hotice Planning & Zoning Department Memo To: Finance Department From: Christine Mattson, Planning Assistant OW\ CC: Street File Date: November 6, 2017 G/L: 101-22205 Re: Escrow Refund Building Permit#2016-01561 pertaining to 290 Crestview is complete. Please refund $2,500 to the property owner, Scott Hochstedler. Mail to: Scott Hochstedler 290 Crestview Avenue Long Lake, MN 55356 w:\street files\crestview ave\290\escrow refund form 2016-01561.docx LAND USE APPLICATION ESCROW AGREEMENT Application # i - ,3 F(o v a 3$7O AGREEMENT made this / day of !� , 20 /Co, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and c ,rt 1* [a corporation—optional] ("Owners"). Recitals Q.rt et 3 5'70 1. Owners have filed Zon)ng Application# /(p - ,3S'6 l formally requesting the City to review plans for a /'-2- ct_ 0,-, located at the property addressed: lv C r C 5 f v, ��� Q�i - c ,nu SSS 5 w (the "Subject Property") legally described as s "71 S e/LC- A« /S6--QGec_/c v1')i f v.-t 2. Owners request the City to review said plans which requires City approval and may require consulting legal and/or engineering review. 3. The City is willing to commence its review of the application and incur costs associated with said review only if the Owners establish an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$ �,SOlJ . 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, or legal consultant review) or will incur in meeting with the Owners, revie ing the plans, and preparing agenda packet material for City Council review of application # lb - � . Eligible expenses shall be consistent with expenses the Owners would be responsible for under a land use application. 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 cease all reviews 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 OWN EFSit By: C(41440--1/ MOW?' By: CA— Its: 1 lailll(I"o6ii �7 Its: Internal Use Only: 0 Original to Finance Department 0 Copy to Zoning File 0 Copy to Street File Variance Application—May 2016 Page 6 CITY OF ORONO 11 11 * 2 0 1 6 — 0 1 1 5 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/21/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 290 CRESTVIEW AVE PIN : 05-117-23-14-0018 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 001 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2500 ESCROW IS TIED TO LAND USE APPLICATION 16-3869 AND 16-3870 APPLICANT ESCROW FEE-APPLICANT 2,500.00 TOTAL 2,500.00 HOCHSTEDLER, SCOTT Payment(s) 290 CRESTVIEW AVE CHECK 7412 2,500.00 LONG LAKE,MN 55356- OWNER HOCHSTEDLER,SCOTT 290 CRESTVIEW AVE LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date �SCOTT D sT 7412 OR QN©,1AN 35356 9 2O t_______47.11920 10 * v 74. fir,,, sKy .te ,. --._- '�°�' ,. ���/// f, .�JO1li1s i - ... ....L, ems'"-r '00191: 000202620 1n' 07412 City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.016480 Sep 21, 2016 Scott Hochstedler Previous Balance: .00 Permits 16-3870 290 Lrestview 2,500.00 Ave 101-22205 Deferred Rev-Developer Deposit Total: 2,500.00 Planning and Zoning 16-3870 290 Crestview Ave 700.00 101-34420 Cond Use-Variance-Dev Fees Total: 700.00 Scott Hochstedler Planning and Zoning 16-3869 200 Crestview 700.00 AVe 101-34230 Filing fees-elections/plats Total: 700.00 Check Check No: 7412 3,900.00 Payor: Scott Hochstedler Total Applied: 3,900.00 RECEIVED Change Tendered: .00 09/21/2016 09:39AM SEP 2 70i:fi CITY OF ORONO 3869