HomeMy WebLinkAbout2017-00428 - addition/remodel/repair CITY OF ORONO * 2 0 1 7 - 0 0 4 z 8 *
2750 KELLEY PARKWAY DATE ISSUED: 05/10/2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3490 BIRCH LA
PIN : 08-117-23-43-0002
LEGAL DESC : BALDUR PARK
: LOT 002 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 180,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
APPLICANT PERMIT FEE SCHEDULE 1,613.92
STATE SURCHARGE(VALUATION) 90.00
TREHiJS BUILDERS TOTAL 1,703.92
3017 4TH AVE S Payment(s)
MINNEAPOLIS,MN 55408-
(612)729-2992 CHECK 38255 1,703.92
Minnesota State License#:BUIL-BC001474
OWNER
MISCHKE,TODD
3490 BIRCH LA
WAYZATA,NIN 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 dces
not grant perrnission 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 confortnance with the State Building Code.T'his permit may be
revoked at any time for due caus
�' S'l�r�� � ��L� i �
Applicant Permitee Signature Date Issued By ignature Date
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: ermit number: O J'7 — � �
.�O A,O PO Box 66 _
`w Crystal Bay, MN 55323-0066 Date received: —/�
StreetAddress:' Received by: �f'C —
a ,�*� 2750 Kelley Parkway � � G,' �
y� Plan review fee: .
t L` Orono, MN 55356 � w �/�
'�kESHo��' Main: 952-249-4600 Total Fee:��"'��._�� �� -" ��T �
Fax: 952-249-4616 www.ci.orono.mn.us p �
This application form must be completed in full and all required information must be submitted. ��� ����`
Incomplete applications will be returned. (P/ease print) 1 i
GENERAL INFORMATION: /
Job Site Address: �4�� ��� !�A'N�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
ff yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORN�ATION:
Name: N- !S(�1f�
State License# �� O�1' 7�{ Expiration Date: -3l - 20jQ
Phone: cell �' - $�- Q� office (-,l Z- 2 �-
Mailing Address: �' '7 �- � S , Cit : �J� IP: ,;,5 D
Contact Person: J� Applicant is: Contractor / omeowner (Clrcle One)
Email and/or Fax: $.
PROPERTY OWNER INFORMATION:
Name: 'jU1,�Q (�t"i 1 SC.��
Phone(day): 3-5�59-56$�1
Address: 3` / J�J� Ci : Q (� ZIP: �5�� /
Emailand/orFax �pG_I�,�(SC,�f-� � '(,G v{,�I.� • ('„()J�
ARCHITECT/ENGINEER INFOR ATIQ N: � p �Q,�j�, , �,,� `
Name: _��.��1+t�'JV��'F�' i""' ri�[jC �u l�G/� ..
Phone (day): 2 - 3 S- � 3�
Address: �f T� , Cit : '��N , nl�tj ZIP: S���[1
Email and/or Fax: �! i A-�l ('
PROJECT INFORMATION: Description of pro�ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
❑New Construction ❑ Single Family with ❑Accessory Bldg./Garage
�Addition attached garage ❑Deck �Public Sewer
Accessory Building � Single Family with ❑Office/Commercial
❑ Relocation detached garage Q 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 8�permits. ❑ Industrial ❑Warehouse �.Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑Other(speCify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952�71-0590
Fax: 952-471-0682
www.m i n n e h a h a c ree k.o r
a v.� EIVED
Estimated Construction Valuation (excluding land) $ �OD�r 0�
APR 2 8 ZU1�
Packet Last Updated: August 2015
Page 21 CITY OF ORONO
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= ❑ Metal
e� ❑ Pole Bldg.
c. Basement= ��� ����- Detached= `
❑ ICF
d. 15'Story = ❑On-site Prefab
e.2"d Story= ❑ Off-site Prefab
f. '/z Story =
(�r� ❑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
� ❑ Buildin Permit Escrow A reement and Fees
'� - ❑ Plan Review Fee
�'J � ❑ 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
❑ ! � Minnesota State Ener Code Calculations and Mechanical Code Re uirements
� � ❑ Survey—2 full size,to scale meetin ALL surve requirements)
�I. ' ❑ Hardcover Calculations
❑ - � Se tic S stem Certification
, ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ Landscape Walls and/or Retainin Wall Plans
❑ 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$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 femporary 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.
r/� � /�G�
ApplicanYs Signature: �f`'��/: Date: 7!�J���
�
Owner's Signature: Date:
Packet Last Updated: August 2015
Page 22
.
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.
��Sr�r �'�- ,�?��t i �R 1�,�'r-fi.
First Middle Last
���R l� ��'v;���'�. !i`��/'�r��'.
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Address
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City' State Zip Phone ,
I understand my rights as state�bove. -
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Signature
Packet Last Updated.� August 2015
Page 7
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: LJ t "1.� ���C� �-Q��. Permit No.: �(� ����
Description of work: �t( T1�('�� Date Rec'd: �"�'l�
Septic review by: �{'�(�I �-- C�� � Date Approved: �—"
Zoning review by: Date Approved: �'��
Building review by: Date Approved:
Grading review by:�,�L4A�lN� l��,V�'U► � Date Approved: 5• �' � `
Zoning District: '�� Zoning File#: --'
Resolution? Yes Reso#: --� Reso Date: '—' Signed: Yes No Resolutior�
Zoning: Lot Area:��AC Width: Structural Coverage: Z.��•�F 15,�0�0 %
�J 2p?O Qil��o�-''
Survey Submitted: Y�Yes � No Date of Survey: 3'� '�7 Revised date(?l:
Landscape plan submitted? G Yes Landscaper: � /None proposed
Pro osed Setbacks:
F�(Lake) R�(Street)� ( N S E W p ( N S E �) Other Buildings Wetland
Si� Side
� � � r ��i ,
Buildins� Heis�ht Anaivsis: r /
V
Distance Befinreen First Floor and d ed Top of � �
Roof See "buildin hei ht" de ' ion : a
First Floor Elevation fro ildin lans : (b)
Highest Existing gr d level (per survey) or 10' ���
above lowest r nd level, whichever is lower:
Difference een b and c :
Defined Buildin Hei ht a - d : �e�
Shoreland District MCWD Permit Average Lakeshore Setback g�uff
Met?
Permit Number: �es 0 No O N/A � Yes
T�es 0 No No
–see attached Setback:
Stormwater Quality Existing Proposed
OveMay District Tier Hardcover Hardcover Variance Required CUP Required
circle one %and s %and s
�1 2 3 4 5 «�� 0 �,��OZQ G Yes o G Yes No
���S� 3���.3 b� Type�s�� TyPe�S�'
Updated: Odober 2016
v:\forms�plan review checklist 10-2016.docx
Fees to be Char ed YES , NO
��v ��
. �''��y f�""'�+� 4.,R �� J� �A `t- '�
� Plan Review �/' �
� � �
�r _ ... _ , . r . , . . , _ . , , H � -.
Investigation Fee
. �kt -��
'"'�� �. � `�. ���
, Other(specify) �
S uare Foota e a er S uare Foota e
Basement X � _ $
1�Floor X = $
2nd Floot' X = $
Garage X = $
Estimated Construction Value: S ����
Orono Inspections Required Work RequiMng Separate Permlts
ooting G Site Plumbing G Grading/Filling
G Poured Wail G Siit Fence/Erosion Control Mechanical G Fire
� Foundation Survey O Hardcover Removai O Fireplace � Water Connection
0 Framing 0 Other(specify) � Masonry � Sewer Connection
Waterproofing/Drain tile � Mfg. � Lawn Irrigation '
Foundation Waterproofing � Other(specify) � �Landscaping
Framing �
Insulation
� As-Bullt Survey ,
inal
� Lathe Requlred State Permits
� Other(specify)
� 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.doac
Builder Acknowledgement Form
Permit #2017-Q0428 / 3490 Birch Lane
Builder Representative Name: ��� �v���
Perrnit Conditions: Initials
Erosion control mechanisms must be installed and inspected by the City prior to any land � f� ��
-' disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to ��° �-rt� �
i �
inspection. �
_ Erosion control shall be installed and maintained throughout the entire project and must �}��
remain until vegetation has been established. �' �
A haul route shall be submitted to the City Engineer for approval and inspection prior to l
cammencement of hauling from the site.The praperty owner shall be responsible for cleaning �i L
and repair of roadways far any adverse impacts. � �
Prior to the release of the escrow funds a final inspection must be completed and all disturbed � —�
areas established with vegetation. Please note established vegetation means perennial cover ��J,/ �
with a density af 75�0. Seed blankets or sowing grass seed it not cansidered established `�
vegetation. �.
Advisory Comments
Any changes to the exteriorJlandscaping improvements, i.e. patios,grading, sidewalks, retaining I r
walls, etc. not currently shown on the approved survey and landscaping plan will require a I /�,�/
" separate Zoning Permit application to be submitted and approved prior to the work � d��.~'`�
commencing.
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the ��
height of the lower wall require engineered plans and a building permit to be submitted and
approved prior to construction.
w:\street files\birch �ane\3440\builder acKnowledgement form 2p17-40�128.docx
Permit A�plication: 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
� 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)
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
regarding this proje
Signed by:
Address: Ja�117 �/ �ll� �'O., t�V�f/�,�D�{S
Permit #: Q''jL���'�
Packet Last Updated: August 2015
Page 2 —
AD VANCE S UR VEYING & ENGINEERING CO.
I hereby certify that this report was prepared by me or under my direct supervision and
that I am a licensed professional land surveyor under the laws of the State of Minnesota.
��t,o-rr�,cx� �. ��o-c�-m
Thomas M. Bloom P.L.S. No. 42379
Step 2: PROPOSED HARDCOVER
In the following 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 lines as necessary to
accurately depict existing hardcover status of the property.
ey o
Survey Hardcover Item (Describe) Length x Width Total (Square Feet)
(Example) Gara e (24'x 30') (720) S.F.
A Existing House 1,106 S.F.
B Propose A ition 344 S.F.
C Existing Dec Nort si e ouse 327 S.F.
D Propose Dec 80 S.F.
E Concrete Driveway 548 S.F.
F Existing Garage 579 S.F.
G Propose Wa 199 S.F.
H S . S.F.
� S.F.
� S.F.
K S.F.
� S.F.
M S.F.
N S.F.
O S.F.
p S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
U S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
1 Total Pro osed Hardcover 3 183 S.F.
Excludable Hardcover See Cit Code Sec 78-1684
S.F.
Decks with 1/4" spacing(Width needs to be verified) 100 S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover 100 S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 3 083 S.F.
4 Total Lot Area 13 941 S.F.
Proposed Hardcover Percentage [(3)/(4)] 22.11%
�I-r u�IU�a I Co�
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AD VANCE S UR VEYING & ENGINEERING CO.
I hereby certify that this report was prepared by me or under my direct supervision and
that I am a licensed professional land surveyor under the laws of the State of Minnesota.
��C,�-7rt,c�,�, �, ��o-a-�rrt,
Thomas M. Bloom P.L.S. No. 42379
Step 2: PROPOSED HARDCOVER
In the following 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 lines as necessary to
accurately depict existing hardcover status of the property.
ey to
Survey Hardcover Item (Describe) length x Width Total (Square Feet)
(Example) Gara e (24'x 30') (720) S.F.
A Existing House 1,106 S.F.
B Propose A ition 344 S.F.
C Existing Dec North side house 327 S.F.
D Propose Deck 80 S.F.
E Concrete Driveway 548 S.F.
F Existing Garage 579 S.F.
G Proposed Wa k 199 S.F.
H S.F.
I S.F.
J S.F.
K S.F.
L S.F.
M S.F.
N S.F.
0 S.F.
P S.F.
Q S.F.
R S.F.
5 S.F.
T S.F.
U S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
1 Total Pro osed Hardcover 3 183 S.F.
Excludable Hardcover See Cit Code Sec 78-1684
S.F.
Decks with 1/4" spacing(Width needs to be verified) 100 S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover 100 S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 3 083 S.F.
4 Total Lot Area 13 941 S.F.
Proposed Hardcover Percentage [(3)/(4)] 22.11%
City of Orono
�°No Hardcover Calculation Worksheet
Property Address: 3490 Birch Lane (our survey 170084)
yF �` Prepared by: Thomas M. BLoom P.L.S. No. 42379 Date: 4/20/2017
� �
�'k'fJ HOaE
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following 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 lines as necessary to
accurately depict existing hardcover status of the property.
ey o
Survey Hardcover Item (Describe) Length x Width Total (Square Feet)
(Example) Gara e (24'x 30') (720) S.F.
A House 1,106 S.F.
B Deck Nort 327 S.F.
C Deck South 118 S.F.
D Garage 579 S.F.
E Concrete sur aces 548 S.F.
F S.F.
G S.F.
H S.F.
I S.F.
J S.F.
K S.F.
L 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.
U S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
1 Total Existin Hardcover 2 678 S.F.
Excludable Hardcover See Cit Code Sec 78-1684
S.F.
Decks with 1/4" spacing (Width needs to be verified) 100 S.F.
S.F.
S.F.
S.F.
2 Tota) Excludable Hardcover 100 S.F.
3 Net Existin Hardcover 2 578 S.F.
4 Total Lot Area 13 941 S.F.
Existing Hardcover Percentage [(3)/(4)] 18.49%
Christine Mattson
From: Jack Distel <Jdistel@minnehahacreek.org>
Sent: Thursday,April 27, 2017 4:40 PM
To: Christine Mattson; Melanie Curtis
Cc: Jon Colliander
Subject: MCWD no permit needed: 3490 Birch Lane, Orono
Attachments: Mischke Residence - MCWD.PDF
Good afternoon,
After review of the plans for a home addition at 3490 Birch Lane,Orono it has been determined that they will not
require a permit from MCWD. This is because the amount of disturbance does not trigger our erosion control rule (they
are only filling/excavating around 39 cubic yards of soil),there is no work being done within the flood plain and there
are no wetlands on site.
If you have any questions or concerns feel free to contact me.
Best,
Jack Distel
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka BLVD
Minnetonka, MN 55345
952-641-4581
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Dan Kubat
From: Jon Colliander
Sent: Thursday, April 27, 2017 4:41 PM
To: Dan Kubat
Subject: FW: MCWD no permit needed: 3490 Birch Lane, Orono
Attachments: Mischke Residence - MCWD.PDF
Here is the written confirmation.
JON COLLIANDER,AIA Trct�lus Architccn � Incerior Dcsignrrs + Buildcrs
3a17 4TH AVE.S.,MINNEAPOIIS,Mhf 55408
1`t!'t'jJlltCl p;612•7Y9•2992 D�6}7�351�8236 F.612•729•3582 1N: '�yy4y,IRE.y1lS,@!Z
� ��O
From: Jack Distel [mailto:JdistelCa�minnehahacreek.org]
Sent: Thursday, April 27, 2017 4:40 PM
To: Christine Mattson (Orono); mcurtisCa�ci.orono.mn.us
Cc: Jon Colliander
Subject: MCWD no permit needed: 3490 Birch Lane, Orono
Good afternoon,
After review of the plans for a home addition at 3490 Birch Lane,Orono it has been determined that they will not
require a permit from MCWD. This is because the amount of disturbance does not trigger our erosion control rule (they
are only filling/excavating around 39 cubic yards of soil), there is no work being done within the flood plain and there
are no wetlands on site.
If you have any questions or concerns feel free to contact me.
Best,
Jack Distel
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka BLVD
Minnetonka, MN 55345
952-641-4581
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rNA7ERSHED D15Tk4CT
1
Lot coverage:Sec. 78-1403. -Lot coverage and massing standards
-On lots equal to or greater than 10,000 square feet in area,the total combined footprints of all
principal and accessory structures shall not exceed 15 percent of the gross lot area.
*(15%of 13,941 =2091 sq.ft. Maximum lot coveraqeJ
- Calculation of massing. The following shall be included in the calculation of the total
combined footprints by structures:
(1) All roofed structures more than six feet above existing ground level.
(2)Tennis courts, patios, decks, and all similar open structures when partially or fully
enclosed by fences, railings or walls which extend more than six feet above existing
ground level (if any portion of such structures extends more than six feet above grade
level, the entire structure shall count toward lot coverage).
LOT COVERAGE AND HARDCOVER CALCULATIONS:
Lot Coverage:
Home footprint: 1106.0 sq. ft.
Home Porch 100.4 sq.ft. (has roof more than 6 ft. above grade)
Home Fireplace Bay 28.3 sq.ft. (has roof more than 6 ft. above grade)
Garage footprint: 579.0 sq.ft
Total coverage (Existing) 1813.7 sq.ft.
Maximum allowed: 2091.0 sq.ft.
Maximum size of addition: 277.3 sq.ft. - Proposed addition =271.1 sq.
ft. (This area total does not include area of new deck extension at new porch (which counts as
hardcover, but not lot coverage because the extension does not have a roof over itJ, and this area does
not replicate the area of the "Home Porch"which is encompassed by the new addition)
Note:These calculations use figures which are counted differently than what is shown on the survey.
These differences are noted below:
- The existing front porch on the home was counted as part of the footprint of the existing home,
and that total area was deducted from the area of the new addition.The area is counted in both
sets of figures, it is just on the survey,this is not counted as part of the existing home, but
instead counted as part of the addition.
- The existing, cantilevered fireplace is itemized separately above, but counted as part of the lot
coverage.
- The portion of the new front porch covered by a roof is counted towards the lot coverage.
- All areas of existing structures were taken from the survey.
Christine Mattson
From: Adam Edwards
Sent: Thursday, May 04, 2017 2:31 PM
To: Christine Mattson
Subject: RE: 3490 Birch Lane/#2017-00428
Chris,
I've reviewed the subject grading plan and stamped it approved with one 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: Monday, May 01, 2017 1:41 PM
To:Adam Edwards<aedwards@ci.orono.mn.us>; Roger Peitso<rpeitso@ci.orono.mn.us>
Subject: 3490 Birch Lane/#2017-00428
We received a building permit application for an addition to 3490 Birch Lane. Please review and provide
comments. Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono j MN j 55356 (physical address)
PO Box 66 j Crystal Bay � MN � 55323-0066 (mailing addressJ
"�" 952.249.4620 j 8 952.249.4616
� cmattson@ci.orono.mn.us ( � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
PLEASE NOTE: Summer Office Hours start Monday, May 22,2017
Monday-Thursday: 7:30 am to 5 pm/ Friday 7:30 to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, May 29, 2017(Memorial Day)
i
��
MiTek���
MiTek USA, Inc.
16023 Swingley Ridge Rd
Chesterfield, MO 63017
314-434-1200
Re: 98212
TREHUS BUILDERS, MJL
The truss drawing(s)referenced below have been prepared by MiTek USA, Inc. under my direct supervision
based on the parameters provided by Scherer Brothers Truss Divn.
Pages or sheets covered by this seal: 130473514 thru I30473514
My license renewal date for the state of Minnesota is June 30,2018.
I Hereby certity that this plan,speci-
fication,or report was prepared by
me or under my direct supervisbn
and that I am a duly Licensed Pro-
fauional Enqin ar under the laws
of tha State of inn ofa.
AN GARCIA
DATE REG.NO.41469
JUIy 1�,201�
Garcia,Juan
IMPORTANT NOTE:Truss Engineer's responsibility is solely for
design of individual trusses based upon design parameters shown
on referenced truss drawings. Parameters have not been verified
as appropriate for any use. Any location identification specified is
for file reference only and has not been used in preparing design.
Suitability of truss designs for any particular building is the
responsibility of the building designer, not the Truss Engineer,
per ANSI/TPI-1, Chapter 2.
- �Job Truss 'Truss Type Qty i Ply TREHUS BUILDERS, MJL '
L98212 A7-REP COMMON 4 1 1 �JNIT YF 130473514
Job Reference(ootionall
Scherer Brothers Truss Division,Albertville,MN 55301,. 7.640 s Apr 22 2016 MiTek Intlustries,Inc. Mon Jul 17 162839 2077 Page 1
ID:vG?AaoLzvTNmm2zvisfOsz4h0�-x7JLxSgewUehowl WmVwFuKHnRA2rouAkNM3Uafyx69s
-1-2-9 3-SO � 5-11-8 � 8-&0 '11-11-0 � 1�
1-2-9 3-SO 2-6-8 2-6-8 3-60 �-2-9
5�- Scale=129.5
MODIFY TRUSS AS SHOWN BELOW
3-0-0 , 5 3-0-0
-y
zoo ,2 *
+ . +
+ + + 6
4 + + + + +
+ + + + + + +
+ + + + + + + +. +
+ + + + + + + +
+ + + + + + + + + + + +
Sx5� + + - + + + + + + "�; + + + Sx5 �
+ + �a.� + + + + + + + + +'-� + + �
3 + t +�.! + + + + + + + ��� + + +
+ + + k: + + + + + + + + +' + +
+ + + ��� +: � + + + g
2 + + + ♦ + +
+ + + ,�� : + + +
+ + + +' 13 �z �� '� + + g o
,� + + + �:� °�. + + + d
� ,z..X,z.. 1�
�4 ��
3x12 I I
3x12 I I
� ATTACH 1/2"PLYWOOD OR OSB GUSSET(15/32"RATED SHEATHING 32/16 EXP i)
INSTALL 2 X 4 SPF/DFISP NO2 TO EACH FACE OF TRUSS W1TH(0.131"X 2.5"MIN.)NAILS PER THE FOLLOWING NAII SCHEDULE:
CUT TO FIT TIGHT. 2 X 3'S-2 ROWS,2 X 4'S-3 ROVvS,2 X 6'S AND LARGER-4 ROVVS:SPACED�4"O.C.
NAILS TO BE DRIVEN FROM BOTH FACES.STAGGER SPACING FROM FRONT TO BACK FACE
FOR A NET 2"O.C.SPACING IN EACH COVERED TRUSS MEMBER.USE 2"MEMBER END DISTANCE.
3-SO 5-1�-8 &6-0 11-11-0
� 3-SO 2-Cr8 2-68 3-5-0
Plate Offsets(X,Y)— f2:0-7-15,Edge1,f8:0-7-15,Edge1
LOADING(ps� SPACING- 2-0-0 CSI. DEFL. in (loc) Udefl L/d PLATES GRIP
"LL 35.0 Plate Grip DOL 1.15 TC 0.70 Vert(LL) -0.21 14 >691 240 MT20 197/144
DL 10.0 Lumber DOL 1.15 BC 0.64 Vert(TL) -0.35 14 >403 180
�CLL 0.0 ' Rep Stress Incr YES WB 0.95 Horz(TL) 0.27 8 n/a n/a
BCDL 10.0 Code MNSRC2015/TPI2007 (Matrix-M) Weight:50 Ib FT=20%
LUMBER- BRACING-
TOP CHORD 2x4 SPF No2 TOP CHORD Structural wood sheathing directly applied or 4-11-7 oc purlins.
BOT CHORO 2x4 SPF No2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing.
WEBS 2x4 SPF No2'Except`
5-12:2x3 SPF No2
SLIDER Left 2x8 SP 2400F 2.OE 1-6-D,Right 2x8 SP 2400F 2.OE 1-6-0
REACTIONS. (Ib/size) 2=771/0-5-8,8=771/0-5-8
Max Horz 2=-65(LC 6)
FORCES. (Ib)-Max.Comp./Max.Ten.-All forces 250(Ib)or less except when shown.
TOP CHORD 3-4=-576/0,4-5=-821/0,5-6=-821/0,6-7=-576/0
BOT CHORD 2-14=0/457,12-13=0/744,11-12=0/744,8-10=0/457
NOTES-
1)Unbalanced roof live loads have been considered for this design.
2)Wind:ASCE 7-10;VuIt=115mph(3-second gust)V(IRC2012)=91mph;TCDL=6.Opsf;BCDL=6.Opsf;h=25ft;Cat.II;Exp B;enclosed;
MWFRS(envelope);cantilever left and right exposed;end vertical left and right exposed;Lumber DOL=1.60 plate grip DOL=1.60
3)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
4)'This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will
fit between the bottom chord and any other members. I H�reby eerti(y that this plan,speci-
5)"Semi-rigid pitchbreaks including heels"Member end fixity model was used in the analysis and design of this truss. ficatbn,or raport was prepared by
me or under my direM supervisbn
and that I am a duly Licensed Pro-
fessional En na under the laws
otthe State M' sota.
JUAN GARCIA
DATE REG.NO.41469
July 17,2017
Q WARNING-Vriry design panmeters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE MIIJ/7J rw.f0/07/2015 BEFORE USE. ��"
Dasign vali0 for use onty wdh MiTek�connectors.This design is based only upon paremeters shown,antl is for an intlividual builtling component,nol
a iruss system.Before use,the building designer must veriy the applicability of tlesign parameters antl propedy incoryorate this design inro the overall
building design. Bracing indicated is to prevent buckling of intlihtlual Wss web antl/or chord members only.Addilional temporary and permanent bracing M iTek'
is aAvays requiretl tor stability and to prevent wllapse with possible personal injury and property damage. For general guitlance regarding t�a
fabrication,storage,delivery,eredion and brecing of trusses antl truss syslems,see qNSIITPN�uality Crkeria,DSB-89 antl BC51 BullAing ComponeM 16023 SWingley Ridge Rd
Safaty Inlortnatlon available from Truss Plate InstitNe,218 N.Lee Street,Suile 312,Ale�ndna,VA 22314. Chesterfieltl,MO 63017
��mbol� Numbering System � � General Safety Notes
PLATE LOCATION AND ORIENTATION
�3�4' Center plate on joint unless x,y 6�-$ dimensions shown in ft-in-sixteenths Failure to Follow Could Cause Property
offsets are indicated. (Drawings not to scale) � Damage or Personal Injury
Dimensions are in ft-in-sixteenths.
Apply plates to both sides of truss
and fully embed teeth. � 2 3 1. Additional stability bracing for lruss system,e.g.
TOP CHORDS diagonal or X-bracing,is always required. See BCSI.
0_�,,fi� ci-z cz-s 2. Truss bracing must be designed by an engineer.For
wide truss spacing,individual lateral braces themselves
p WEBS �ab 4 may require bracing,or aftemative Tor I
� O ,� iy � ,q p� bracing should be conside�ed.
_ " �� � �'� � O
U � 3. Never exceed the design loading shown and never
a s�° � U I stack materials on inadequately braced trusses.
O a
F- p 4. Provide copies of this truss design to the building
For 4 x 2 orientation,IOCet2 c�-a ce-� cs F- designer,erection supervisor,property owner and
plates 0- '�,��from outside BOTTOM CHORDS all other interested parties.
edge of truss. 8 7 6 5 5. Cut members to bear tightly against each other.
6. Place plates on each face of truss at each
This Symbol indiCat2s the JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE joint and embed fully.Knols and wane atjoint
required direction of slots in AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO locations are regulated by ANSIlfPI 1.
connector plates. THE LEFT.
7. Design assumes trusses will be suitably protected from
CHORDS AND WEBS ARE IDENTIFIED BY END JOINT the environment in accord with ANSI/TPI 1.
"Plate location details available in MiTek 20/20 NUMBERS/LETTERS.
software or upon request. s. uniess otnervvise noted,moisture content of lumber
shall nol exceed 19%at time of fabrication.
PLATE SIZE PRODUCT CODE APPROVALS 9. Unless expressly noted,this design is not applicable for
ICC-ES RepOftS: use with fire retardant,preservative treated,or green lumber.
I The flfst dimension is the plate 10.Camber is a non-strudural consideration and is the
4 x 4 Width measured perpendiCulaf ESR-1311,ESR-1352,ESR1988 responsibility ot truss fabricator General pradice is to
to slots.SeCond dimension is ER-3907,ESR-2362,ESR-1397,ESR-3282 camber for dead load deflection.
the length parallel to slots.
11.Plate type,size,orientation and location dimensions
( indicated are minimum plating requirements.
LATERAL BRACING LOCATION
12.Lumber used shall be of the species and size,and
� in all respeds,equal to or better than that
Indicated by symbol shown and/or Trusses are designed for wind loads in the plane of the I specrfied.
by text in the bracing section of the tfUSS Ulll@SS Oth2fWIS@ ShOWfI. 13.Top chords must be sheathed or purlins provided at
output. Use T of I brBCing � spacing indicated on design.
if indicated. Lumber design values are in accordance with ANSI/TPI 1
section 6.3 These truss designs rely on lumber values �4.Bottom chords require lateral bracing at 10 ft.spacing,
or less,if no ceiling is installed,unless otherwise noted.
BEARING established by others.
15.Connections not shown are the responsibility of others.
Indicates location where bearings I 16.Do not cut or alter truss member or plate without prior
(supports)occur. Icons vary but �O 2012 MiTek�All Rights Reserved approval of an engineer.
reaction section indicates joint
flumb2�wh2f8 be8�in9S OCCU�. 17.Install and load vertically unless indicated otherwise.
Min size shown is for crushing only. �� �
k � 18.Use of green or treated lumber may pose unacceptable
i environmental,health or pertormance risks.Consutt with
projed engineer before use.
Industry Standards:
ANSI/TPI1: National Design Specification for Metal � 19.Review all portions of this design(front,back,words
Plate ConneCted WoOd Truss ConStrUCtiOn. �� and pictures)before use.Reviewing pictures alone
DSB-89: Design Standard for Bracing.
is not sufficient.
BCSI: Building Component Safety Information, M i Te k A 20.Design assumes manufadure in accordance with
Guide to Good Practice for Handling, ANSI/TPI 1 Quality Criteria.
Installing&Bracing of Metal Plate
Connected Wood Trusses. MiTek Engineering Reference F' MII-7473 rev. 10/03/2015
� �� � �
;zi�;lri.t;;���
• Daily Soil Observation Notes
Project Na: ti "" � ' __ Date: .�''��) 1. Report No:
Project Na e: i�� y�`� �"� Project Location: U'f�n�
Ciient: ��� �5 Temp/Weather: ���i.j� �
�
.,..� �,� � � � �
Ps�ca€��... �.a����e (C�-�- , .���; �.. Time Arriv��� ��������A
��:� � �� �� £ s
,��< � � 3 � �
���d�. .�._ . � _�.__.__..._.�,...�.,_� _�� i� ��� ��_ ___ �_,.�._ � ___.s =.m,..�.__ � ..__�.�._
Areas�t�s�rver�: �; �u;iuir:� �aa � 'F��use Pad u��aav��'q �;�ar�;r��jvva[ks � �=oct;r�g�';
❑Proof Roll �Other(describe): ��1��'�:z�1
Soil report available? ❑ Yes No Report reviewed? ❑Yes ❑No Report prepared by:
Finish floor evaluation: �' Bottom of footing elevation: -- Bottom of excavation elevation:�
Approved plans available? Yes ❑No Specified compaction: _... Fill source: _
Oversizing appears adequate? ❑NA ❑Yes ❑No Soils observed agree witfi Soils report? ❑Yes ❑No
Soils appear adequate for design loads? ❑Yes ❑No Proposed project bearing capacity(psf): ���p
Contractor notified of results? es ❑No Name of person notified: ���L�� ��Y��
Was a copy of this report left on site? es ❑No If so,whom was it submitted to? i�
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Notes/Comments: ��{- � (` ,��p��{'�a+�_ �j� � C, �
� , tr G c t� �i't � �1�.'��C lhD �{ Ct�- � e�� ��l'� ��t st.
" � S � v�v, � r� d�s—, �-� 3 t� �c-�`� i�c.z`�'"f--"t�--
� 1� � ti�'� 1 �v-� � l�� v� �r n� ��e. �S�► !s �,z�,� 1 � t �n
�C.. 01L��l� in3� Z �— '/r! t ��1 �P'1 [�Cf'c fY�e� �= D�.�L'� C� �'�1►$c�1
�; �,,��. b 4� i �ti ,� o�-S� � {�aa w��i
' on -la�' i � 't Slrto�lt�, �� � �L' ��{, � ��( Q�d��h� ��.
Performed By:�� .t,�._ ��� Reviewed By: Date: - ��
��.��
/e!Z-ZG q `t°v 2'7
This is a preliminary report and is provided solely as evidence that field observations and/or testing was performed.Observations and/or conclusions and/or
recommendation conveyed in the finat report may vary from,and shall take precedence over,those indicated in a preliminary report.
� � � i�7 U
'� Daily Soil Observation Notes
Project No: Date: (a - l� I"7 Report No:
Project Nam ��'��� �� project Location: �� �.. �
Client:_ ��Y'il�Js Temp/Weather: P �D,S
Project Manager: _ J�� ���� Time Arrived: Departed:
r-- ------_.,._____A�___.__�._�---
� �
� � � ; ��.��� _ � ` f � � � ;
��' __� , .a, " �� �� �:.����� . �
Areas Observed: � Bui?ding Pad � [�House Pad � ��Roadway �Parking/Walks � Footing
❑Proof Roll (�Other(describe): �S�i ��r�'a(`j,r� �
—— -----
r- — — ._.___ _ j
Soil report available? ❑ Yes lo � Report reviewed? ❑Yes ❑No Report p�epared by:
_. __ ._... __._.____.__.__
I
Finish floor evaluation: � Bottom of footing elevation: Bottom of excavation elevation: i
Approved lans available? Yes ❑No Specified compaction: � , �
P Fili source:
-- _ ._._ __ ,_ � ;
_..__ - ___ - __- ...— -_...__�.___-----
_ _
..__
Oversizing appears adequate? ❑ NA Yes [] No Soils observed agree with Soils report? ❑Yes ❑No
_ _ ___ _ —_ _. _._ _- - -- ;
- --
Seils appear adequate for design loads? �jYe> ❑No Proposed project bearmg capacity(psf): *7 ,,,,��
—--- �_�
_ _._ __--_ —..---
Contractor notified of results? �Yes ❑No Name of person notified: /��_/,.,G�r
1 - �' N� i
-.
--- __
Was a copy of this report left on site? es ❑No If 5U,whom was it submitied to? i
-- - _. . , ._ , _ _�__. -
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, __ -- -- - __,___ _______,__ __ _I
Performed By: ' Reviewed By: Oate; (a'��+f �
This is a preliminary report and is provided solely as evidence that field observations and/or eesting was performed.Observations and/or conclusions and/or
recommendation conveyed in the final report may vary from,and shall take precedence over,those indicated in a preliminary report.
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Minnesota State Energy Code Calculations and Mechanical Code Requirements Form
Additional copies can be found by going to: http://www.dti.mn.qovlCCLD/PDF/sbc 1322 cert.pdf
�vii�La c�� t�-��-- � 7 s�xe��: � ��'� al"!�t-'�# L;f'rr���
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Packet Last Updated: August 2015
Page 20
� �� � � i�
� � DATE TIME �
CITY OF ORONO ��` CALLED IN
INSPECTION OTICE ���, � SCHEDULED �—J
PERMIT NO. COMPLETED �_
ADDRESS � ��'�� �;`_� l /'��`.G'• �_�
OVYNER TELEPHONE N . �`J� � 7��`�?�
CONTRACTOR ��r� _'�l� S ���c�/"S
c �,
� DESCRIPTION ���'� f �� - C'�� �
Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3
�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
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ �/ PTIC INSTALL
2 OMINERICOIfTRACTOR TO MEET YOU:11�TE$_NO
� COMMEN?'� �`' Y
�
�
j ` G �S�0 n ir,n�r� / �'Y1 L��i_S(_,/�'c�c� . /�
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0
W
�
Q
�
W
�
W
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,
W WORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE
� OORRECT YMORK a PROCEED ❑ISSUE CERTIFIGITE OF OCCUPYINCY
W
O �CORRECT WORK,CALL FOR REINSPECTION TEMIPOFiARY
V BEFORECOVERINO PER�AANENT
❑COFiRECT UNSAFE OONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �GUTION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
CsN tor the next Mspectfon 24 hours�n ad�rance. (952) 249-4600
OMmerlContractor on site:
Inspector. ���� �`
WMts Cop�rAnapector's FIN Canary CoprlSib NoUe�
(�
� �-j
�� TE TIME
` CITY OF ORONO CALLED IN ��" �
INSPECTION TI SCHEDULED —�/ �1L � �
PERMIT NO. � COMPLETED
ADDRESS
OWNER TE E NO��"��-7'��
CONTRA��R ����s ��
�, ESCRIPTION
� OOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
POURED WALL ❑ PLUMBING I ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING F ❑ TREE REMOVAL
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Areas Observed: ❑ Building Pad �House Pad ❑Roadway ❑Parking/Walks ❑ Footing
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Soil report available? ❑ Yes [�No Report reviewed? ❑Yes ❑No Report prepared by:
Finish floor evaluation: Bottom of footing elevation: Bottom of excavation elevation:
Approved plans available? Q Yes ❑No Specified compaction: Fill source:
Oversizing appears adequate? ❑ NA ❑Yes ❑ No Soils observed agree with Soils report? ❑Yes ❑No
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Project Name: _ Project Location:
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��� C�'� DATE TIME ✓
CITY OF ORONO CALLED IN _ --`��
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OwnerlContractor on site:
Inspector:
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-1
Planning & Zoning
Department
Memo
To: Finance Department
From: Christine Mattson, Planning Assistant OW
CC: Street File
Date: December 6, 2017
G/L: 101-22205
Re: Escrow Refund
Building Permit#2017-00428 pertaining to 3490 Birch Lane is complete. Please refund$2,500
to the property owner, Todd Mischke.
Mail to: Todd Mischke
3490 Birch Lane
Wayzata, MN 55391
w:\street files\birch lane\3490\escrow refund form 2017-00428.docx
ESCROW AGREEMENT
AGREEMENT made this p{,37 day of atcsri 20/7 by and between the CITY OF ORONO, a Minnesota
municipal corporation ("City") and TD�/i / 1ISCit/ ("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#
Filed an application for a Building/Zoning Permit# o6/7 -00 VAS
❑ 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 A KO &r(.Jt Lail e.,
(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 $4.1-7,6.°° ("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.
• 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
b lance of the Escrow, if any, shall be returned to (check one):
Owner ❑ Applicant o Other
Name: 'TOO b M _t- ,<:
Street Address/PO Box: So 1 c2c.K LA.N�
City/State/ZIP: 0a , wJ 5533<
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(s):
lb
BY: 9 �./ts. •or 4 !�• BY:
/ � �
\IP ‘2t., ,
P'L`C r
I
January 2017 2
TODD A MISCHKE 2064
LU-CHIN MISCHKE Zan 39700 0 300
5682
NORMAN W MISCHKE ` , \ ss�000ssaz
3490 BIRCH LANE
ORONO,MN 55391 Date
Pay to the CA TS of_ O O $ 2 } %)Q
orderof
1
Two " , KoNt . 70a DAuars el
w*Amotom
For
1:09 L0000 L91: 39 7000568 211' 0 2064
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.018039 Apr 28, 2017
Todd Mischke
Previous Balance: .00
Permits
3490 Birch Lane 2.500.00
101-22205
Deferred Rev-Developer Deposit
Total: 2,500.00
Check
Check No: 2064 2,500.00
Payor:
Todd Mischke
Total Applied: 2,500.00
Change Tendered: .00
04/28/2017 03:15PM
CITY OF ORONO I I I II I II I I �� I I�1111I I II I II II
2750 KELLEY PARKWAY DATE ISSUED: 04/28/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3490 BIRCH LA
PIN : 08-117-23-43-0002
LEGAL DESC : BALDUR PARK
: LOT 002 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2017-00428 PAID BY TODD MISCHKE
APPLICANT ESCROW FEE-BUILDING 2,500.00
TOTAL 2,500.00
MISCHKE,MR.&MRS. Payment(s)
3490 BIRCH LA CHECK 2064 2,500.00
WAYZATA,MN 55391-
OWNER
MISCHKE,MR.&MRS.
3490 BIRCH LA
WAYZATA, MN 5539 I-
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