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Home My WebLink About2014-01049 - land alteration � � CITY OF ORONO * Z 0 1 4 - 0 1 0 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/24/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2507 KELLY AVE PIN : 20-117-23-12-0063 LEGAL DESC : NAVARRE COVE : LOT 003 BLOCK 001 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: $2,000 SB COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 HOW DID THEY PAY? CHECK #6007&WHO PAID?DAVE FREDRICKSON ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2014-01050 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS THIS PERMIT FOR LAND ALTERATION&HARDCOVER(DRIVEWAY PERMIT) APPLICANT MINOR LAND ALTERATION 50.00 FREDRICKSON,DAVE&JUDY TOTAL 50.00 2507 KELLY AVE Payment(s) CHECK 6006 50.00 EXCELSIOR, MN 55331- OWNER FREDRICKSON,DAVE&NDY 2507 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for onty the work described and does not grant permission for additional or related work which requires sepazate 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 e fo due cause. ^ `1a`� 1 �C �� A icant Permitee Signature Date Is ed By Signature Date City of Orono � � Zoning Permit Application Mailing Address: Permit number. �'/�—� �`�' ��0 PO Box 66 Date received: �l 7 � Crystal Bay, MN 55323-0066 " --- -------- --- � Escrow#and ^7 D�� d � -�/n Street Address: amount: `"�� (y� (� � ,� � � �„ 2750 Kelley Parkway Permit Fee: h� --- �_`" �, G� Orono, MN 55356 � � Approved by: -� �� kFSHO�� Fax: 952-249-4616 Notes: fVtain: 952-249-4600 W`+��v.ci.orono.mn.us -- — — This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: ;�'S��7 �'1�'��/ �✓�i- CONTRACTOR I APPLICANT INFORMATION: L�rvDSC li S��'�� S Name: Ic�ON wj'SG H l`�R�it /��'✓� �/� Phone: !Z� 3'KZ � 3 vt� Fax: Address: �iZ �� 1�Z� � �2 . Cit : pJ�rJS'l�'iO ZIP: $�S.�iS Contact Person: �SG' �-1(. ContacYs phone number 75'L — y7 '�! �-- Ef6 S8 Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: z�!Q�I '�i �� l C/L SU��i Phone (day): �[z� 70l — �77y Mailing Address: o'��'O'7 < u� �'X�Fi'c-5 vr��. ZIP: Email and/or Fax ��Fiyrtn v►1 S/6ivS o /'f'1 SN• C6►"�/ Overall Project Description: �—�Jq✓fi' �i,SrTi�C, �,��✓�'wA;✓ �BoXk TYPE OF PERMIT COST* Dock, Commercial $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential — Permanent dock on any lake or initial seasonal dock not $50 +engineering review costs on Lake Minnetonka ermanent dock re uires CUP � Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge Also requires is a Minor or Major Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 or more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and en ineerin review costs As determined b CUP � Land Alteration, Minor(grading, filling or excavating)—500 or less cubic $50+ engineering review costs yards outside of lakeshore setback or less than 10 yards in lakeshore setback Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review costs Retaining walls measuring more than four feet(from bottom of footings to top of wall) require a building permit. (Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and en ineerin review costs $2,500 Stairway or Lifts to Lake (New or Replacement) $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures not requiring a building permit but $50+ engineering review costs regulated by the zoning code (including, but not limited to accessory building of less than 120 square feet, detached deck or platform and sport court) Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. Tem orar Construction OfficelTrailer associated with buildin ermit $30 (over) *Permit fee will be collected when the permit is issued. Updated: January 2014 APPLICANTIOWNER ACKNOWLEDGEMENT: . Ap�plicant/Owner agrees to provide all information required or requested by the Planning Department; ; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; • ApplicanUOwner 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; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • ApplicanUOwner understands their project may require an initial and as-built survey per City Code Section 86-68. • 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 informa6on is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su I the inforrnation,the a lication ma not be issued. The undersigned certify that the i ti supplied is true and correct to the best of their knowledge. Applicant's Signature: Date: � �7 �� Property Owner's Signature: �s�—` Date: /7 I SUBMISSION REQUIREMENTS: Except for tree removal permits, al permits require a completed TYPE OF PERMIT: applicatlon form, escrow agreement (signed by the property owner) and escrow check from owner, two copies of all plans, and three copies of all grading plans or surveys/site plans Dock,Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit DoCk, Residential Seasonal Dock—survey showing proposed dock Pertnanent Dock—plans as approved b CUP and cop of LMCD permit(if applicable) Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alteration, Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Pertnit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their peRnitting requirements. Please note,the City will not issue a buildin ermit without information from the MCWD. Land Alteration,Minor 1. Survey/grading plan including existing and proposed contours (Less than 10 cu.yds. 2• Amount of fill to be imported and/or exported and haul route within 75'of lake or less 3. Amount of earth to be moved around on site than 501 cu.yds 4. Erosion control plan. elsewhere.) 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD staGng the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin rmit without information from the MCWD. Retaining Wal) 7. Plans for wall(s) 2. Unless repair or exact replacement of existing wall,submit an updated sunrey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control plan 5. A copy of Minnehaha Creek Watershed DisVict(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin ermit without information from the MCWD. Stairway or Lifts to 1. Construction plans for stairvvay or lift,including footings Lake 2. Topographical survey of property with proposed stairs or lift shown 3. Erosion control plan 4. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD statlng the proposed project does not trigger any of their permitting requirements. Please note,the City will not lssue a buildin ermit without informatlon from the MCWD. Structure Permit 1. Construction plans. 2. Survey of property with proposed structure shown and with setbacks to property lines,other structures on property and the septic system indicated.The general location of any sewer and water seroices should be shown if applicable. 3. Grading plan if grading is proposed. 4. Hardcover calculation worksheets 5. Erosion control plan. 6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their peRnitting requirements. Please note,the City will not issue a buildin rmit without infonnation from the MCWD. Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/erosion control/management plan r uired for clear cuttin ,buckthom or other intensive ve etation removal. Updated: January 2014 Plan Review Checklist for Zoning Permit Apptications Address: �--sJ�J�. KC.�t �l� Description of work: �1 Y WV a Type of permit: Zoning review by: I�' l� Date Approved: ' '��' Grading review by: Date Approved: Other Review, Reviewed by: Date Approved: Zonin : Zoning File#: Resolution #: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? Yes 0 No Date f Survey: � �' �' p�� c%�J�(, � r• �\}�r' Existin Setbacks: � Front(Lake) Rear(Street) � N S Other Buildings Wetland Si� -v . �\A/<`` Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W � ( N S E W ) Other Buildings Wetland Side Side Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff � Yes 0 No 0 N/A 0 Yes No Yes � No � Yes 0 No �A Permit Number: Setback: � �� V�►V� Hardcover Zones Existin Proposed Variance Require CUP Required 0-75' f q•(� ?.2• 0 Yes No � Yes o � � 5S qrQZq S� 75-250' Type(s): Type(s): 250-500' Zoning File#: Zoning File#: 500-1000' Resolution#: Resolution#: Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx Planning Review Checklist for Zoning Permit Applications Page 2 of2 Cubic Yards �n Out Total Haul Route? ? � Yes ❑ No Expiain haul route in detail: Fees to be Charged Amount Orono Inspections Required Permit Amount �� 0 Site Escrow Amount � Hardcover Removal ��('j� � Footing Signed escrow received? 0 Poured Wall �As-Built Survey � Yes 0 No � Planting Plan 0 Wetland Escrow amount received? 0 Final �Yes � No 0 Other(specify) Engineering review needed? 0 Yes �No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON P MIT AND INITIALLED BY PERSON PULLING PERMIT) l� �r� r �v � - U.r l�— �(�Yv� er h �- I� � � �- � C�cm ko� �D �4-a Se� r � �s� m�1�irA �4cli rtJ�►ti.on,� � Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx , OR�HQ �PY ,o i ,.� ��5 a 0 � �� g �, �� . _ —., � _ �� , �U -- � __ , � --�--� m � I' � � � � �� I � I� � �I � �� !�� j � � __ � ��, ;�___J _ � �� , � �� - _ � - � �� _ ..� . rw r,. . ...= �� _ � � Y E ❑u • � . s s � I i� ' L • - ,__ .---..� . I � � �. � ��z� i '�� $ � � ' :a £ � � �`,�,-�. �� ;!i��/� �o � � � \ �I � ��i �� 0 ,o � � � , � ; �3 � ��' � � � '��s , � m i � - ,, . , - ; tl ��_ z E[I .�_.. _` U� ; -------- -- —� �- ' ', � _ __ __ — � � �` � _ o F �� o E — �� g -- n � r o m _ .� . � _—T � .. . ---- - �-� -�- .._�_� .. g � I i — $ � 8 REVISIONS PROJECT w*E ncwx�s �;��Nf,iNNtHS.lrNUSU�:�ETt�i<��.LA � LIiS NO'IwNN _' _.T __—._—..........__._—'— - _ W 1LLOW ORIYE LONG UNE,MN S`a56 —_... __ .o.w `k BS�i]311�1 .._ ..___ _. � �_._ —_ + ....—_._—_ —.._._—..__. ' —_.._ —"__ . __ .—_. �.�.a' ' Jeu� Pavers 1708 sq ft �'�i�l�l �Or'�Cr ete !�(,,53 �.'�- {\+ Exisf Paver Sto ��' �OPY � � �� , i5o Sa f t � _ , ,_� �,,- , �,� ao sF % �� .: i �` , ' � �50 Ex�st�ng �r��ewuy �'� �io ��, rt n' sF j �u� I _.. . - - �� s�ti �t I 40 SF 52 SF II � � ' ��, .. � - __ ,. � IOq sq f t °J s� f� i � .� �-- 13' _ � 1�3 S't / 52 sc{ -�� I / -' —_ __ __ _ ,, I I I j 52 SF � :",0 SF I I ai ��; ��,r � 16' �" : - - --- �� 870 Sq, ft. II—_J , ': ,: .. ; , r �`� � � ,.rty Li��e — — — � — — __��re�� , ,., i� ' � City of Orono � �p ��N� Hardcover Calculation Workshe�� rOP� � ,� ' Proper�y Address: 2.��'? kELt Y .4 t�� r�r� ,� �R!I TEA,� IP IT�^��ll�"� �'-��,�;;;�,�, � Qre �red b �\ � G2a�e.i�"F�'1G p^ y� � .��.�'e��'.�' ?��w 1" e.�t^ Date: �.. � ..,�3 Stormwafier Quality Overlay District Tier: (Circle one) ier 1 Tier 2 Tier 3 Tier 4 Tier 5 Step 2: P�20POSED HARDCOVER In the fiollowing table, identify all items of proposed hardcover on the property, keyed by letter to Certificate c�f 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 se aratel for each ortion. Key to Hardcover Item (Describe) Length x Width Total Surve S uare Feet Exam le Gara e 24'x 30' 720 S.F. p` � S S.F. B - C'ir"- t-1-�0 U�' ti��r 3 �. S.F. C � �'F • S.F. D �--F— — �'' �1 S.F. _ Co 6 � S.F. � _ t� .-�� S.F. G __� � S.F. H ,,��e� S.F. � i.� S.F. � � Q A .5' S.F. K .t' ,�' S.F. _ � /��GC O/' �' C<! � :r7 S.F. M r � �' S.F. N � �' /3 S.F. � �r P.� c. Z/ S.F. P GUALL S.F. Q �- O S.F. R c G S.F. S � S.F. T ��' �'.�`E' Ltr E.l.. 2 / S.F. U c�l`E� �/r 1,/ S.F. �'V —�—.._ .c^ �-d .�r v - S.F. �r� .�+�P r'i ..1.�:y-. S.F. _ X �.ta,�,� Fd p.�Ti S.F. y _�.�--- S.F. Z ---- -._�. _. S.F. � Tc�a �r�wed liardcover S.F. Excl��a�le �-9ardc�ov�r�See Cit Code Sec 78-1684 : /Q n S �--------�--..__ _____...._ �------�___ �'oR�`�G,�t�.r��" lv��G u�t% x - S' S.F. �'�_�_.,�___�'�^,¢�.:�___ l�/ S.F. ---------�---- --�---- S.F. —�..�—t_._ ___ S.F. ! S.F. l2��Tu.ai Exc�udaple Hardc�ver /6"6' S.F. (31 Ne¢ �ro�.�as�d�i_��;cicc:�ver Subtract line 2 from line 1 �j1 �' S.F. i_�..�.�.___._._ �_ k; i��atal i.oi A,��a ,_.�_ S _ _ �._ S.F. �'fa�p�ssed Hardcover Percentage [(3)=(4)] �� D ,-"��,� ______..____.__..._.___..__.-----.- ' J�r„•;';��8,2�13 City of �rono ;:-��oNo,, Hardcaver Caiculation Worksheet ! ! Property Address: '�,?` �� ZSO 'a' eTCEC.GY o!1/E, �rvrn ¢ X'��frc'�v �/TCNiE'� `�^�•la�i��`�� Prepared by: Date: __ G�o�+✓e�E�G �r Al'1'dC��r�-r. .n�r. d'��'-i� Stormwater Quality Overlay District Tier: (Circle one) ier 1 Tier 2 Tier 3 Tier 4 Tier 5 Step 1: EXiSTlNG HARDC�VER In the following table identify all items of existing hardcover on the propeity, keyed by letter to Certificate of St�ivey{su�vey must accompany this form). Use as many lines as necessary to accurately depict existing hardcover status of the property. Far Tier 1 properties,identify any features by letter which are split at the 75� setback line and calculate hardcover square foatage separately for each portion. Key to Hardcover Item (Describe) Length x Width Total Surve (Square Feet Exam le Gara e 24'x 30' 720 S.F A a 1'E S.F. B BG�t�Krc/ v A / 7/ S.F. C p p 7, 8 S.F. D S.F. E ,t D E �e rvC S.F. F �'„/ 2 7.,� S.F. G w S.F. H Cd R / S.F. I !3 S.F. J f' 3 5 S.F. K P.rv�R T S S.F. L 2 = /� �'.ec 22. S.F. M GENER 7DR /S S.F. N ! �3 S.F. � o�GOc2 Gv L S:F. P �. ; 6 S.F. Q S�TO✓V'� C.tfAL .3O S.F. R BA p S.F. S 2 S.F. T I7'o . Z/ S.F. U S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. � Total Existin�Hardcover <Q 3 S.F. Exclud;able Hardcover See Cit Code Sec 78 i684 : __�.__�:..._._ �2L�.Z_�.r�...4�.�_ o r D. H -7S' c 5 S.F. _�o-�_ C.v Lt S.F. S.F. _�____. S.F. ___.._..._._ _._. S.F. 2� Total Excludable Hardcover ,/�X S.F. _{3} Net Existin Hardcover Subtract tine 2 from line 1 ;8 6 S.F. �4} Total Lot Area �� _ yy 6d'o S.F. Existing Hardcover Percentage [{3)+(4) ] �9, 6~Z °/, � (Proposed Hardcover next page} January 8,2013 . � . • , • . � • � • , emo To: Finance Department From: Christine Mattson, Planning Assistarrt CC: Street File � Date: December 8, 2014 G/L: 101-22205 Re: Escrow Refund Zoning Permit #201401049 pertaining to 2507 Kelly Avenue is complete. Please refund $2,000 to the property owner, Dave Fredrickson. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Dave Fredrickson 2507 Kelly Avenue Excelsior, MN 55331 w:�street filesUcelly avenue\2507�escrow refund 201401049.doac ZONING PERMIT ESCROW AGREEMENT Permit# �G/`f-D/� �GJ AGREEMENT made this �� day of S �Cr�G,�r, 20/`t, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and __.. l V`� Y'eO�1"I G,�L dt ("Owners"). Recitals 1. building permit application has been filed for a zoning permit for a propert located at a-- � �C�i ��the ("Subject Property"), legally described as �Of 3 1'�' C� ! �/o f-� , Hennepin Count Minnesota. / 2. Owner requests the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shalt deposit $�_DU� with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in ad inistering 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 reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a zoning 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 permit # �2G/�Uia�{�} if compliance with the approved zoning 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 Ciry within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to ce�tify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY•�OF OC� OWN . B : � , ��i�� Y ii'�� ( �t$. ,lV��1�� . Internal Use Only: 0 Original to Planning Department �Copy to Street File Updated: January 2014 City of Orono 2150 Kelley Parkway Orono MN 55356 952-249_4600 Receipt No: 3,p��802 SeP 17. 2014 Dave Fredrickson previous Balance: Permi ts 2507 Kell .c0 101- Y AVe 22205 2.000.00 Deferred Rev-Deveioper Deposit Total: _____________ 2.000.00 Check =_______ Check No: 6007 � paYor: ,�;' 2.000.00 Dave Fredrickson Total Applied: Chan e __ __2•000.00 9 Tendered: "- ----- .00 09/17/2014 08:41AM ` � �__-_� CITY OF ORONO * z 0 1 4 - 0 1 0 5 0 * 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2014 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2507 KELLY AVE PIN : 20-117-23-12-0063 LEGAL DESC : NAVARRE COVE : LOT 003 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2,000.00 ESCROW IS TIED TO ZONING PERMIT 2014-01049 APPLICANT ESCROW FEE-BUILDING 2,000.00 ESCROW FEE-EROSION CONTROL 0.00 FREDRICKSON, DAVE&JUDY ESCROW FEE-GRADING 0.00 2507 KELLY AVE EXCELSIOR,MN 55331- TOTAL 2,000.00 Payment(s) CHECK 6007 2,000.00 OWNER FREDRICKSON,DAVE&JUDY 2507 KELLY AVE EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The appiicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date Christine Mattson From: Dave Fredrickson [premiumsigns@msn.com] Sent: Tuesday, November 25, 2014 3:10 PM To: Christine Mattson Subject: 2507 Kelly Driveway Good Afternoon Christine, I have been trying to reach you since last week and would appreciate a call back at your earliest convenience. Please call my cell phone this afternoon at 612-701-8779. Thanks Dave Fredrickson I � � � r`�wv I oF 1`� � �� wa� �� ° � ' � k!� . v�� .,i .. H r � � � � ,� +� � � . . �� !" _..��„�r�y .. � � t��6 � q� ..y� ��W/7 � ♦ ' l 1 � .�,�,. �. `��% �� .� .. ri`.,,�. � ;. � .�n .$ 4�,�. " 1��.+ w ;� ..P� ~�, . es x 4a� n4°�. ,�,_.t'x� S .��_��-.�'t t �.�.i..� a. � � `�. y .} ��y�, ,y,'�'g . : �^ k� . �)v � . , i � ��_4 � � y y,}.. 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