HomeMy WebLinkAbout2015-01138 - deck attached CITY OF ORONO * 2 0 1 5 - 0 1 1 3 8 *
� ' 2750 KELLEY PARKWAY DATE ISSUED: 10/02/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2585 LYDIARD AVE
PIN : 20-117-23-11-0003
LEGAL DESC : APPLE HILL
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 9,254.00
NOTE: DECK
NOTE: DIAMOND PIERS NOT GUARANTEED BY MANUFACTURER IN HEAVY/CLAY SOILS: INITIAL: �--
NOTE: AS BUILT SURVEY ANp HARDCOVER CALCULATIONS TO BE SUBMITTED AND APPROVED PRIOR TO RELEASE OF
ESCROW MONEY.INITIAL:����
APPLICANT PERMIT FEE SCHEDULE 20136
PLAN REVIEW 60.41
LANGLAS,JOHN&MARY STATE SURCHARGE(VALUATION) 4.63
2585 LYDIARD AVE
EXCELSIOR,MN 55331- TOTAL 266.40
Payment(s)
CASH 266.40
OWNER
LANGLAS,JOHN&MARY
2585 LYDIARD AVE
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
1'he 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 pertnit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This 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 �me � cause.
�O �-+•'-c�a-t� l� / Z / /.S
Appli rmite �gnature Date Issued B ignature Date
� City of Orono "
Building Permit Application � � �� �/ � , `�-��
for New Structures or Additions
Mailing Address: �� 1 -�j-c�l `�
�Q A>O PO Box 66 Permit number: _
`V C stal Ba MN 55323-0066
rY Y, Date received: � `
/ Street Address:' _ _ .eceived by: � -
_._. •
� 2750 Kelle Parkwa `—f� �7
�F �' p� � ' Y y � � Plan review fee: /� • � 7 CC
c, Y I� Orono, MN 55356 "�� 7���_.�
tqkFSHO�� �J.__-..____ --- -__
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: x ��� �
Job Site Address: 'Z S `c 5 �, r'�'c� ,�'�. C��U�-� �^ti SS �'3 1
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will e
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: G;-���
State License# �= Expiration Date:
Phone: �cell) (office)
Mailing Address: _ City: ZIP:
Contact Person: Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Narne: ;� �« �-...� �ti1�'r'� �.–��v�..il,;ts
Phone (day): r,��t-5�15 -7�'L �—�
Address �� 5�;5 l,.�d�-�d :�-:-� City: c;' _� -� ZIP: `� S 3 5 �
Email and/or Fax �,�;,,��,��, �= y.;�j,...,�,, -,�
�----r—
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
I , -
PROJECT INFORMATION: Description of project:
�J �--{ti l�------ �- �/��. � �--� �
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
Water Supply
�New Construction [�Single Family with Accessory Bldg./Garage
Addition attached garage �peck (� 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 8�permits. ❑ Industrial ❑Warehouse ❑ Private 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) $ � �'�' �
—��
Packet Last Updated: August 2015
Page 21
STRUCTURE INFORMATION:
1. Structure Dimensions 1. Structure Dimensions(continued) 2. Type f Construction -
a. Length (ft.)= 2 V Number of bedrooms=
� � ood/Frame
b.Width (ft.)= _C�J Number of garage stalls: ❑ Masonry
Areas in spuare feet Attached = ❑ Metal
� � ❑ Pole Bldg.
c. Basement= Detached = �' ❑ ICF
d. 1 St Story =
� ❑ On-site Prefab
e.2"d Story= '
❑ Off-site Prefab
f. 'h 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 plicable
❑ ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements
❑ ❑ Surve —2 full size,to scale meetin ALL surve requirements
� ❑ Hardcover Calculations
❑ ❑ Se tic S stem Certification
❑ ❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD statin no ermit is re uired
❑ ❑ Landsca e 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 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.
ApplicanYs Signature: � „ Date: �� � 2 � �5
Owner's Signature: � Date: �� � 1 � ��
Packet Last Updated.� August 2015
Page 22
, �'�.�,[� �:�'�'E��' �E����C�[�� ��� ���'� ��f����"C�E�E� � �.E�C�C�EQ��[�
i4ctciress: ' ���� �1�d f�Q�d'f� �y�
Permit No,: ���'"J � �����
aescription of�✓ork: ��� �Z�x('L� Date Rec'cf: �•g.� ,r-�.
, Septic reviev�by: �3�/� 'i— �(��'GEr Date Approveci: " 1
, Zoning r�view t�y: Date Approved: �`Z�J.{� ;
; Buiiding revieHr bY� Qate Approved: �� � '{��'�
� Grad f n review b : ` 1 ..--
�
� Y �1�" Date Approved:
� ;
Zoning'Distric#: �-�'� �� Zoning File#: ` ` Reso#: Reso Date:
Zoning:Lot Area; SF/AC th+ic€th: Lot Coverage: SF . o�,
Survey SubmittecF: �es � No �ate ofi Sucvey: �
$��'�� Reuised date �)•
Pro osed Setbacks:
�
Front(�� Rear(Str� ( fl! ;S� E W�� ( 1� � S E tN�� O�her BuifciEngs , Wetiartc�
� `S�ide � . ,Si�e, . _
-_ . ;
� � :� �, n�� � � ,� ; -�� -�� a� . � �
_. t. . „_�, ,
..�%- . ...: ; . .
; Def�ned Height:' R�ak Height: FFE: FFf mint�s 6 f8et= (Euist�r�g Cantou
Per�meter(tinear feet)= 50%0= . _ __ . L.F. below grade #of stories
FOR A BUILDIkG WITH A BASEEAEMT OR CRAWL SPACE; FOR A BUiLDING OW A StAB FOUNDATtON: `
The distance betwesn the towest prapesed tie distance-6etween fhe top qf
START WITH floor(of the basemerit or crawJ space).and �'fART W{TH siab anzi the,higtlest,point of tlie`
; ' ,< the highest pqint ofi thh�roof.' `
'. _ roof.
' 1f you have 8... �.-- � If you have a_.: _
• GABLE OR HIPPED ROQS�tio • GABLE OR H ROOF '
wir�dows): Subtract balf"the distance (���S�s;SubVact half
� between ths hippe'�f�ioint of tfie toof . , � th,$dfstance betweeri the
W the low�lftit af the corresponding ` =�"'�tg���'PofAf offhe roo#to
���� . ihe low int of the.
SUBTRACTION 9able i QO
�� conesponding gabl6 or,. ��
, : {BASED ON . �►.g pR HIPPED ROO�(wCth ' SUBTRi(EJ1CtN " hipped ioof-=
� ROOF TYPEj �,.����dows): Subtract haff the distance (BAS� ON � . . GqB�E OR HIP,PEd ROOF.
� :
` ,, between the top of the filghe;t R0�7YPE) - Subkract
��� � � . , (wlth wi�vys):.� , .
, wJndow and fhe Mighest`pdint:of the -;` ` " ` halfihe distaAcB bgMreen `
. raof � .:� . the top of tha higFiest
• ALLOTHER ROOF 7YP�S(flaL" ,�,, �nnndow,a�d iF1,�highest
mansard,etc):No sutitractior�. ' yR' ffo�t ofiU►e roof . .
� . . ��` • 111.L,(STHER ftOOF'tYPES
5U �RACTION Subtract the distance be}ween ttie ,� . ;. (tlat;inansard;etc):No
(BA�ED q►� " b�semenUcrawl space floor a►id the subtra�tlp�. ' '
f�C1S'f1NG highest exisdng grade,Adjacent ta the ADDI IOhI Aticl lk��d st�►nce between the top.
GRADES) foundatton OR ib f�et(whichever is tass). (BAS�b ON of siati 8ntl ihe highest.e5cisting " '
EQUALS Defined 6uiidin efght ��$T��1� , , grad�adjacent to ttte:foundatio�.
— CyRA4ES _ . ,
�QUALS ; �' ' DBfined bullding heigHt
� Shoreland Distric4 �dfCWD�ermit Average Lakeshoie Setbac[c Sluff '
. _ : Met? . ..
� �Yes fl No Perr�it Number: 0 Yes L7 No N/A 0 Yes " o
, . N/A—see attached , Setback:-
�tormwater Qualf#y ExE�tin�Kardcover �roposed � :
Qverlay�istrict �a�o and sfl K�rdcover Variance Requireci CUP Required
Tier circle one : %o and s-
, � 'Yes o 0 Yes o
1 2 3� 4 5 TYPe(S).
Type(s):
Updated: January 2U15
z:lfocros\plan review checklist 2015.docx
RE�i�.RK� (in-house):
Fees to�e Char ed YES ; , NO
Per�nit
Ptan RsvieHr
: St�te Surr.t�arge . i :
Investigation Fee . . l/�
SIo►C—�umi�e�af SAC tlnits"' ' �.�''
Other(specifiy) �+ -
S uare Foota e S r:S uare Foota e ;
Basement X = $
�Sc Fioor X - $ .
2nd��OOP X = ��
c� X ,� � _ $ " �
fstimated Construction Vatu�:
�.�;'�.�'"��-�
Orono lnspections Required 1lVork Requirirag Separate Perr►�its, Required Sta#e Permits
. i ;:
fl Site O Plumbing O Grading,l Filling � 11VeIJ
`{7 Siit Fence l Erosion Control ` L7 Mechanieal C] Fire � Electrical
� Hardcover Removat Q Septic 0 Water Connectiort
Footing: � Fireplace � SewerConnection
13 Pour�d Wall � Masonry � Lawn Irrigatioh
:Q F�undation Survey CI Mfg, � Landscaping : ` .
0 Foundation Waterproofing C] Other(speci#y) ` ' - .
� Radon Rock Bed
. .
Framing
0 Insuiataon �
As-Built Survey
Fir+al , : . ,
17 Other(specify) : ' . ,
REN[i�RKS(in-house�: ; .; .
Oth'er R�view: Revt�wed by; Date Approv�cl, -- , '
: . . ,
Access: Existing: Q YES ❑ NO New: Q YES � t�lO
; ,,�
OFFIClAL REMARKS�TO BE NOT�p QN FERMlT AND ft�{TIALL���/ ��� '' ��r'� ���
�
�ra�-�� � �f�� �� �� � ��. - ���.�
�� . . � ����� � �rvv` :� �(��,�a'.E-�o� � :
� �" �z
_ -----
�i : �
Updated: .lanuary 2015
z:\forms\plan review checklist2015.docx
Desigr� Id: 328251067284 " ' �� Page 1 of 7
Es#ir�ate Id: 43538 � � . 09/28/15
Z�lec�
Post and Beam Dimension Sheet for Level �
Revi��,r�d far Ccde sC-e � ha����'
CompioancQ City of Orono'; ����� ���
Dat� �� ��
�
Reviewer -�°�s�
- �'�S�tC�
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f'�'le c���cu Ca1`!�1 �e c� /o � �� v ��-�
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d�a•-n��� ����' �o ��s �, �as -� � ���
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�C�Z'Y 0�ORONO
Layout dimension sheets are intended as a construction aid.Not all options selected are shown�--
Final design should be performed by a registered professional engineer to ensure all applicable building codes and regulations are met.
This is an estimate.It is only for general price information.This is not an offer and there can be no legally binding contract between the paRies based on this estimate.The prices
stated herein are subject to change depending upon the market conditions.The prices stated on this estimate are not firm for any time period unless specifically written othenvise
on this form.The availability of materials is subject to inventory conditions.MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE GUEST WHO
RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY MATERIALS STATED HEREIN.All information on this form,other than price,has
been provided by the guest and Menards is not responsible for any errors in the information on this estimate,including but not limited to quantiry,dimension and quality.Please
examine this estimate carefully.MENARDS MAKES NO REPRESENTATIONS,ORAL,WRITTEN OR OTHERWISE THAT THE MATERIALS LISTED ARE SUITABLE
FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST.BECAUSE OF THE WIDE VARIATIONS IN CODES,THERE ARE NO REPRESENTATIONS THAT
THE MATERIALS LISTED HEREIN MEET YOUR CODE REQUIREMENTS.
Design Id: 328251067284 • ' ' ` Page 2�of 7
Estimate Id: 43538 � - . � 09/28/15 ' �
Z�
Beam Layout for Level 1
Mark Length Description
A � 20'0" 2-2X10 AC2 •
Layout dimension sheets are intended as a construction aid.Not all options selected are shown.
Design Id: 328251067284 � ' ' � Page 3 of 7
Es#imate Id: 43538 � - .� 09/28/15
Zkc�
Joist Layout for Level 1
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Mark Length Description Usage
A 19'9" 1-2X10 AC2 Rim Joist
B 19'9" 1-2X10 AC2 Ledger Joist
C 14'0" 2-2X10 AC2 Rim Joist
D 13' 10" 14-2X10 AC2 Internal Joist
The lengths noted are provided as a layout guide.Field check dimensions prior to cutting.
Joist to be on 16"
Joist to be toe-nailed to beams with 3-1/2"fasteners
Rim Joists to be faced-nailed to joist and ledgers with 3-1/2"fasteners
Y bracing is estimated,but not shown. Blocking and bridging may be required by your local code
Layout dimension sheets are intended as a construction aid.Not all optlons selected are shown.
Design Id: 328251067284 � ' ' ' Page 4 .of 7
Estimate Id: 43538 ► �, .� 09/28/1�5 .
Z�eck
Railing Post Dimension Sheet for Level 1
Stairwav R� �N--=S
Continuvus c�ri���b�A handrails
Open risers are permitted, provided req'd. 34°_3$���;�,�. 1-1/�^_ n •
the openin g be p w e e n t r e a d s d o e s no t No c loser than 1_1/2°to tivai! 2 d i a.
Permit passage of a 4°dia. s phere. R e tum er,ds to wafi or post.
r � �d���� ._ ,
�9A!NT��lN nl�IPv'Ii�AU�ri 4r 3�i" V'rfl�/ 1 I 1 �3/4n ���1"ll�. fl)t�EPI 1U� �y��iY. If
Or HALLWAYS A�'�D ST'�i�;WAYS ,E,'�D
6''8" NiEIJ. HEADRupM
36 minimum Guar eig , AT EEAST Q!`;� H�Np�q�� �E��jRED
„
cpenings less than 4". ,,��
_ _ , , .", �, ,� �,�rJ�j
,._ , , =i a �;. �
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3'6"
2.9„ 2,9.. �,�,.
3 4��
3'S"
3.1
3'4"
3,3„ 3�6„
�'--�--3'10"—�-3':0"--�"-3'10"—�--4'�
F E.=;"uL.'y E i/,L(;�: ���r,�L"
�'_r_,,
Unenclosed floor and roaf c��ning, open and �'az�d sidcs o�landings and
ramps, ba;cories, dec�s or perches which are rnore ;;,�,n 3p° �,;�v�
grade or floor�elou�.�, requir� a guard with a minimU�; 3G°height
Open guardra;ls mu�t have i�termediate raiis or a.� o�ra;;;antal
pattem so ti�at a sphere 4" in dia�?:ntQr cannot pass through.
Dimensions are measured from the center of each railing post
Layout dimension sheets are intended as a construction aid.Not all options selected are shown. .
Desigr� Id: 328251067284 • ' � ` Page 5 of 7
Estimate Id: 43538 r • . � 09/28/15
Zkc�
Deck Board Dimension Sheet for Level 1
� 20,
.� _ • . � .. ,.
14' .
_�
The lengths noted are provided as a layout guide.Field check dimensions prior to cutting.
Layout dimension sheets are intended as a construction aid.Not all optfons selected are shown.
Final design should be performed by a registered professional engineer to ensure all applicable building codes and regulations are met.
This is an estimate.It is only for general price information.This is not an offer and there can be no legally binding contract between the parties based on this estimate.The prices
stated herein are subject to change depending upon the market conditions.The prices stated on this estimate are not firm for any time period unless specifically written otherwise
on this form.The availability of materials is subject to inventory conditions.MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE GUEST WHO
RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABII,ITY OF ANY MATERIALS STATED HEREIN.All information on this form,other than price,has
been provided by the guest and Menazds is not responsible for any errors in the information on this estimate,including but not limited to quantity,dimension and qualiry.Please
examine this estimate carefully.MENARDS MAKES NO REPRESENTATIONS,ORAL,WRITTEN OR OTHERWISE THAT THE MATERIALS LISTED ARE SUITABLE
FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST.BECAUSE OF THE WIDE VARIATIONS IN CODES,THERE ARE NO REPRESENTATIONS THAT
THE MATERLILS LISTED HEREIN MEET YOUR CODE REQUIREMENTS.
Design Id: 328251067284 � ' ' Page 6 +of 7
Estimate Id: 43538 � - . � 09/28/1�5 � ,
Zkc�
Tread Dimension Sheet for All Types of Stairs on Level 1
27,4"
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The lengths noted are provided as a layout guide.Field check dimensions prior to cutting.
Layout dimension sheets are intended as a construction aid.Not all options selected are shown.
Final design should be performed by a registered professional engineer to ensure all applicable building codes and regulations are met.
This is an estimate.It is only for general price information.This is not an offer and there can be no legally binding contract beriveen the parties based on this estimate.The prices
stated herein are subject to change depending upon the market conditions.The prices stated on this estimate are not firm for any time period unless specifically written otherwise
on this form.The availability of materials is subject to inventory conditions.MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE GUEST WHO
RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAII.,ABILITY OF ANY MATERIALS STATED HEREIN.Ail information on this form,other than price,has
been provided by the guest and Menards is not responsible for any errors in the information on this estimate,including but not limited to quantity,dimension and quality.Please
examine this estimate carefully.MENARDS MAKES NO REPRESENTATIONS,ORAL,WRITTEN OR OTHERWISE THAT THE MATERIALS LISTED ARE SUITABLE
FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST.BECAUSE OF THE WIDE VARIATIONS IN CODES,THERE ARE NO REPRESENTATIONS THAT
THE MATERIALS LISTED HEREIN MEET YOUR CODE REQUIREMENTS.
Desigr� id: 328251067284 G{J • ' � ' Page 7 of 7
Es�imate id: 43538 ;r - . � 09/28/15
Zkc�
Stringer Dimension Sheet for All Types of Stairs on Level 1
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The lengths noted are provided as a layout guide.Field check dimensions prior to cutting.
Layout dimensio�sheets are intended as a construction aid.Not alt options selected are shown.
Final design should be performed by a registered professional engineer to ensure all appiicable building codes and regulations are met.
This is an estimate.It is only for general price information.T'his is not an offer and there can be no legally binding contract between the parties based on this estimate.The prices
stated herein aze subject to change depending upon the market conditions.The prices stated on this estimate are not firm for any time period unless specifically written otherwise
on this form.The availability of materials is subject to inventory conditions.MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE GUEST WHO
RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABII,ITY OF ANY MATERIALS STATED HEREIN.All information on this form,other than price,has
been provided by the guest and Menards is not responsible for any errors in the information on this estimate,including but not limited to quantity,dimension and quality.Please
examine this estimate carefully.MENARDS MAKES NO REPRESENTATIONS,ORAL,WRITTEN OR OTHERWISE THAT THE MATERIALS LISTED ARE SUITABLE
FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST.BECAUSE OF THE WIDE VARIATIONS IN CODES,THERE ARE NO REPRESENTATIONS THAT
THE MATERIALS LISTED HEREIN MEET YOUR CODE REQUIREMENTS.
Form No.bM-WartaMy DeeE Mfnnauta Unifam Comroyandnp&mb(8/t/9�
, , IndNidual(a)b Jdnt Tenants
� No delinquent taxes and trans(er eMered;Certificate pi
Real Estate Value( )filed( )not►equired
Certificate of Real Estate Value No.
Dffie
Courrty Audftor
sy
�ePutY
eCRV number.
DEED TAX DUE: $ �`°°8`Madfori00f��°�
Date: ��g+ `7 � �p�S
FOR VALUABLE CONSIDERATION, _ Nadia Bori v and Trofim Borisov rnarried to each other Grantor(s),
hereby conveys and warrants to __ Msrv E.Lanalas and.lohn Eaan s���s Grantees,as joiM tenants,
real property in Hennecin County,Minnesota,described as follows;
Lot 1,Block 1,Appie HIII,Hennepin County,Minnesota.
PID: 20-117-23-11-0003
togefher with all hereditaments and appurtenances belo�ging ther+eto,subject to the following exceptions:
Building and zoning laws,oMinanoes,state and federai regulations;Restrictior�s re�atlng to use or improvement of
the property without effective forfeiture provisions;Reservadon of any mineral rights by the State of Minnesota;
Utility and drainage easements which do not intertere with existing improvements,
`Ch�box ff applicable:
�The Seller cerGfies thaE the seller does not know of any wells on the described real property.
A well disclosure oerdficate axompanies this document or has been electronically fiied. (if electronically filed,
insert WDC number: .)
O I am familiar with the property described in this instrument and I cerdfy that tl�e status and number of welis on
the described property have not changed since the last previously filed well discbsure certificate.
�'��_����
Nad�
Aftbc Deed Tax Stamp liere /�� ��' "-'�Y
Trofim Borfsov
STATE OF MINNESOTA �
COUNTY OF HENNEPIN j ss�
This instrument was acknowledged before me on g' 1—�5
by _Nadia Borisov and Trofim Borisov marri to each ther
Sig ota lic or other Official
NOTARVIL STAMP OR SEAL(OR OTHER T1TLE OR RAM�q Chsck hsro N part or all of the land b Itepbtsred(To�r�� � �
Tnc ShtamaMs for Ms rsN propsrry daaibed In thb IroWmaM t�ouM Ds eeM to
pnduds nam.nw wdr«.a aaMee):
SHELLY M.SOLUM gULLp(,'K Grantees:
1�tery p��� Mary E.Langlas
Mrc�.�,�,,,,.,1iii81,� John Egan Langlas
2585 Lydiard Ave
Excelsior,MN 55331
(rov.7/12/13)
THIS INSTRUMENT WAS DRAFTEp BY(W1ME AND ADDRESby
Bumet Title
5151 Edina industrial Boulevard,Suite 500
Edina,MN 55439
File#15-12568
Produc6on#522870
. �o�o
CITY OF ORONO
� ,y Street Address: Mailing Address: Telephone(952)249-4600
ti�, G` 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
lq F, Orono,MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us
kFs Ho�
September 11, 2015
John & Mary Langlas
2585 Lydiard Ave
Excelsior, MN 55331
Re: Building Permit Application#2015-01137
On September 8, 2015 the City received a building permit application for a deck. Staff conducted a preliminary review
based on the information provided and recommends the following items be submitted or revised in order for your
application to be considered complete and for the plan review to continue:
1. Certificate of Survey. A survey dated 8-8-2014 was submitted with the application. The proposed deck shown
on the survey does not match the deck plans. Please provide two copies of an updated, full size certificate of
survey which meets all of the City's survey standards(enclosed).
2. Hardcover Calculations. The property is located in Tier 3 of the Stormwater Quality Overlay District. Please
have the surveyor prepare hardcover calculations, showing existing and proposed hardcover. Attached is a
copy of our hardcover information packet.
3. Proof of Ownership. According to the Hennepin County website you are not listed as the property owners.
Please provide us with a copy of the deed or other documentation showing proof of ownership.
4. Escrow&Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal
of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City
for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee
conformance with City Code Chapter 79 relating to erosion control and stormwater. Since there is no grading
or land alteration involved with this application the required escrow amount for this project is $700. The
escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for
$700.
Your project may trigger the Minnehaha Creek Watershed District's (MCWDs) permitting requirements; please contact
the MCWD directly at 952-471-0590 regarding your project. Please note, the City of Orono will not issue a building
permit without a copy of the MCWD permit or documentation stating the proposed project does not trigger any of their
permitting requirements. The above information is required in order for the plan review to continue. Please feel free
to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above
requirements.
Sincerely,
CITY OF ORONO
„ , ��
�,�I i '��v�,l�-�UY`-
Christine Mattson
Planning Assistant
c John & Mary Langlas via email
Mark Gronberg via email
Roger Peitso, Building Official
enclosures
. � �o�o
C ITY OF ORONO
.1 ,� Street Address: I Mailing Address: Telephone(952)249-4600
��. 1 2750 Kelley Parkway P.O.Box 66 I Fax (952)249-4616
Iq �,�' Orono,MN 5535G Crystal Bay,MN 55323 www.ci.orono.mn.us
kESHOR
September 11,2015
John&Mary Lang�as
2585 Lydiard Ave
Excelsior, MN 55331
Re: Building Permit Application#2015-01137
On September 8,2015 the City received a building permit application for a deck. Staff conducted a preliminary review
based on the information provided and recommends the following items be submitted or revised in order for your
application to be considered complete and for the plan review to continue: �
1. Certificate of Survey. A survey dated 8-8-2014 was submitted with the application. The proposed deck shown
on the survey does not match the deck plans. Please provide two copies of an updated,full size certificate of
survey which meets all of the City's survey standards(enclosed).
2. Hardcover Calculations. The property is located in Tier 3 of the Stormwater Quality Overlay District. Please
have the surveyor prepare hardcover calculations, showing existing and proposed hardcover. Attached is a
copy of our hardcover information packet.
3. Proof of Ownership. According to the Hennepin County website you are not listed as the property owners.
Please provide us with a copy of the deed or other documentation showing proof of ownership.
4. Escrow&Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal
of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City
for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee
conformance with City Code Chapter 79 relating to erosion control and stormwater. Since there is no grading
or land alteration involved with this application the required escrow amount for this project is $700. The
escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for
$700.
Your project may trigger the Minnehaha Creek Watershed District's(MCWDs) permitting requirements; please contact
the MCWD directly at 952-471-0590 regarding your project. Please note, the City of Orono will not issue a building
permit without a copy of the MCWD permit or documentation stating the proposed project does not trigger any of their
permitting requirements. The above information is required in order for the plan review to continue. Please feel free
to contact me at 952.249.4620 or by email at cmattson�ci.orono.mn.us if you have any questions on the above
requirements.
Sincerely,
CITY OF ORONO
� N�VV��S�JY�-
C ristine Mattson
Planning Assistant
c John& Mary Langlas via email
Mark Gronberg via email
Roger Peitso, Building Official
enclosures
Christine Mattson
From: Miriam Eason <meason@minnehahacreek.org>
Sent: Wednesday, September 02, 2015 1:36 PM
To: Christine Mattson; Melanie Curtis
Cc: j_langlas@yahoo.com
Subject: No permit required for 2585 Lydiard Ave, Orono
Good afternoon,
I spoke with John Langlas about a proposed deck project at 2585 Lydiard Ave,Orono.This project does not trigger the
District's rules and no permit is required.
Thanks,
MIRIAM EASON
District Representative
Minnehaha Creek Watershed District
952-641-4586
http://minnehahacreek.or�/
MIMN&11ANA CREfK
WATERSME6 Di54R1�7
1
�,itv of Orono
; ��otio,, Hardcover Calculation Worksheet
,�
(,�`� �i Pro��e�ty Addi�ess: 2,s85 �YDiqRd AvE, ���►,�/GL�S�
� \`�,;�%%� Prepared by /�^ d / Date:
�,,.��I?.y l�... U'A'LYIVO'ER 1: ,� �{fl'G�C/�'�'r,�"�,. /�'C. //-�8-/,S'
Stor�7iwater Qu�lity Ove�lay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: �)CISTIPI HARDCdVER
In the following table idertify ail items of exist�ng hardcover on the property, keyed by letter to Certificate
of�iivey(suivey iiust a:company this form). Use as many lines as necessary to accurately clepict
existing hardcovei status of the propeity. For Tier 1 properties, ident fy any features�y letter w'iich are
split at the 75' setback line and calculate harccover square footage separately for each por`ion.
Keyto Hardcover Item {Describe) Lergth x Width Total i
Surve (Square F�et) �
Exam le Garac1 24'x 30' 720 S F.
A G�rTE p S.F.
B CO-t,.,'("�ef r�_��e t vE' 7i8 S.F. �
� __�"��_ i � S.F. �
D� --�---CQ.��C, r�A�t t�A� Bo��s��` S.F.
_�L_�%�/�R L�sf1 80 S.F.
F �'Qs'�����rriC A — fao s.F.
� ���os _ 2 s.F.
H Cf��Lc's'._�8��-E.fc- — /o S.F.
I R.E /°iii.JG S.F.
� -- S.F.
K - - -- S.F.
L -- -- S.F.
p,� S.F.
fJ � _ S.F.
� --- - _ ^ S.F.
----F - — _—S.F.
Q -- ---- -- S'J
--R ---- -- i _ �.F. ;
� S --- - --- ----- S.F.
�—U -------- --- -- �- S.F.
S.F.
i—U�— S.F.
; W S.F.
, X ---- _ S.F.
--Y ---- S.F.
Z S.F.
, �1�_Total Existir�Hardcover T_____ ____ ___�?3�!�S�,F�
;_Excludable Har�cover (See City Code Sec-78-1G84� _ _,____
i� S.F.
_.______.____...__._.___.�._._______--�____._._.__.--- -----�.__.._ ,___._._______.�---
�_._.__.,.______ _�____.�.___
_S.F.
�_.�..__.._._____.__.____._.._�_»_ _______ _ ___.._..__.__�._.___.�__.___.____�__ -----
S.F.
--.---__._..___._._ ___�_._._�------------------�__._______ . ^._______.�__-.�-�-. --__.._---
�_.--____._._ ___._._____`___�._�____._.._......_---_ ________
S.F.
___ �____._- S F�,
!,_�2} Total Excludakle Harc'cover____�___...._----.__..__._______.- --=._—..___._�V—�f„�.�,..,..._.,.�.�� S F._f
(3) f�et Existin�Ha��dcove�Subtract line {2)fiom line_�1�___ _ _ ___ __ � _ �.�yl S.F.
__ .— _._. _...r_..�..., _.
{4) Total Lot Area ` /8 26'? 5 �
_________�....�._._____.._____.._.__.__._�.___________..__----.____._____.._.________�.__._ ._„m.�.,..s._.. „� ,�
, Existing Hardcover Percen'age [ {3}= (4) ] /Z, 82 % I
�---------___--___._.v__�� ----- ---_.._; __..�..�.. ,_�..a m�
posed Ha��dcover next�p�gel
NOV 2 J 2015 �g5 LydiArd �Y�
Jan uary�5;2U13
CITY OF ORONO �I�J ' OII3Y
�S-�ti I�-
DATE TIME�
CITY OF ORONO cnLLED IN
INSPECTION NO��,�f''f�S� SCHEDULED
PERMIT NO. 7� � '� COMPLEcED ��'I�S
ADDRESS o��S�S Ly��� /�r�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �rM' '�� -
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O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q��AMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERlCOI�ITRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOAIERING PERMANENT
❑CARRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Csll for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: � � •- �
Whits CoPYAnapector's Flk Canary CopylSib Notics
/
�/Y� \
�
DATE TIME
CITY OF ORONO cnLLED IN ��5� '�--_3 O
INSPECTION NOTICE SCHEDULED
PERMR NO. � co PLETED
ADDRESS � 8 �
OWNER LEPHONE NO. 3 9— - �
CONTRACTOR
� DESCRIPTION �� '
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC I L
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GR ING/FILLING
�O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIO EMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTAL
Z OWNEAICONTRACTOR TO MEEf Y�OU:_YES_ � Q/� n �'
, ZV ��,
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W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou a 49-46�0
OwnerlContractor on site:
Inspector:
White CapyMnspecMr's Flle Cenary CopylSife Noties
, � �� �/
C - -
DAT TIME
CITY OF ORONO CALLED IN /�l —
INSPECTION NOTIC� p�/3� SCHEDULED U�l�5 /�.3D
PERMIT NO. �D/ COMPLETED
ADDRESS � L����
OWNER TE PHONE N(�3�1-J`�5-701��--
CONTRACTOR
� DESCRIPTION ���'��-� ��
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
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_
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� V.�V/�IE�NTRACTOR TO MEET YOU:�YES_NO
c —.
y COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next ins 24 hours in advance. (952� 249-4600
OwnerfContractor on sZte: �
Inspecto �'4--
White Copyllnspector's File Canary CopylSite Notice
�,�
..t�
`��:.� CERTIFICATE OF SURVEY FOR
. . -� � TROFIM B � �
. RIS � V
. OF LOT 1 , BLOCK 1 , APPLE HILL cEivE�
�,.
� . �� HENNEPIN COUNTY, MINNESOTA �P - 8 2015 66
.t.. .
:.. . -
,;.., ;.._�.�
''�'' ' ---••-.-....... N 9O°OO� OO`� E CI OF ORONO
155.00 �:.................
0 0
� �
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o �
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26.4
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� UI
o C(�NCRE�rE �
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� _ . � �B' ; � `�
p O 1"�
d.. �'� � HOUSE � W�K j'_ o
L(� #ZSsr'J BORDERS BRI� Q �
� � PROPOSED; �Al 4 �p� ! Q� �
� DECK �
� (G) 2s.4 .
Z �� ROCK ON A IC I � �
� (F� s��� cnr,� I
1_��� � I
o� O �� I
°" ^ � 10
\� ., DRAINAGE AND �' I
� '' �� I 66
,� ..�.••••�' '�UTILITY EASEMENTS'�.''••.. �
�S� �� �-� 3:�:. ...
d�6 .0 �--------- —=��---�-- e: ��
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��-���._........N 90°;0�' 00" E 91 .70 ............�� `�.... ....������.
�,
LYDIARD CIRCL � �
City of Orono
Planning S Zoning Pian Revi�:w
Site Plan Review Date:�'L3'
%�PROVED �Qj,�C... ;:::
APPROVED WITH �EVISIGNS (�e tes)
O DENIED �
Staff: �
�
�
� LEGAL DESCRIPTION OF PREUISES : �
.. �; \ Lot 1, Block 1, APPLE HILL �
. � �
\ � : denotes iron n��arker �ound
Bearings shown are based upon an assumed datum.
This survey intends to show the boundaries of the above des�:ribed
property, the location of an existing house, ail visibie "hardcov�r",
and the proposed location of a praposed deck therEon. !i do�s not
purport to show any other improvem�nts �r encroachmer���.
„�
G R 0 N B E R G A N D I hereby certify that this survey, �lan, or specification ���'��
was prepared by me, or under my direct sup�rvisior�, 1i°r2O`
A S S 4 C I A T E S I N C . °nd that I am u duly Licensea 1_cai��f Surveyor ur.cler the
laws of the State of Minnesota. �,'�T`
CONSULTING ENGINEERS�, LAND ty.w�'�.A��
SURVEYORS, & SITE PLANNERS � ���`E`�s
445 NORTH WILLOW DRIVE LONG LAKE, MN. 55356 --- -- ----••—- � ,�� �
952-473-4141 Mark S. Gronberg (�/�;nne��otc Licerise Nurn�aer 12%55 �� '�'0.�`
,::;��:,�.��-:�:�
�4-308 25$5 �ydrard Ar�-
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To: Finance Department
From: Christine Mattson, Planning Assistant (�� 1�
V�
CC: Street File
Date: December 8, 2015
Ca/L: 101-22205
Re: Escrow Refund
Building Permit#2015-01138 to 2585 Lydiard Avenue is complete. Please refund $700 to the
property owner, John Langlas.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: John Langlas
2585 Lydiard Avenue
Excelsior, MN 55331
w:�,street files�lydiard ave12585�escrow refund form 201�01138.docx
V
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2015-0�7b��?�
AGREEMENT made this�day of s �C.r, 20/s, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") and 0 ✓1 ("Owners").
Recitals
1. A building permit application has been filed for a deck located at 2585 Lydiard Avenue the
("Subject Property"), legally described as Lot 1, Block 1, Apple Hill, Hennepin County Minnesota.
2. Owners request 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:
$?bo Gvh
1. DEPOSIT OF ESCRO FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$ 00 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in admini tering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal
consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the
Owners would be responsible for under a building permit application.The escrow will also guarantee reimbursement
to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with
the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial securiry
may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any
damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal
consultant review) associated with building permit#2015-01137 if compliance with the approved building permit
is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'receipt
of bilL
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to
the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to#3. The City may draw from the escrow account without further approval of the Owners to reimburse
the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any,shall be returned to the Owners
when 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 certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CITY OF ORONO OW .
By: l �� h6�- ��(��—'
�cs: �'I��
r'.F, .a. , ,� ..> . *..� t ' r^i E
r
p 9 �����j,,. , .,,- ar.
n: '7.,�(Rt`r'� �"".. .. � . . �3� .e�. }�'(�r*�4"z�; ..
�, .. . .. . . _..3i,:;.: . ;�.. ,...� . ..
r..,.,, .x. w ,m .,. F;.Gv„3..,� .,,,, � <. -, ... . . . . , a,. . , e . .
JOHN E LANC3LAS �62�
MARY E LANGLAS ��_���o�
707 W 44TH ST APT 3 ����
MINNEAPOUS,MN 554pg-tgsg �/l�/�j S
1 l
DATE
PAY TO THE C 1� G� �/ (b1�� �.p
ORDER OF I � �]��
� �,,�• [
� Y�"�`'"� �t.a.�,/`�,�. 4.v`� �x/(o�p s.�a,,,,.
f LLARS �i �rm
# � ����
e�m�
� �are��,
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e FOR_ P'�"�� �'G/�✓�' �
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i
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.014333 Sep 29. 2015
John Langlas
Previous Balance: .00
Permits
2015-01137 2585 Lydiard 700.00
Ave
101-22205
Deferred Rev-Developer Deposit
---------------
Tatal: 700.00
Check
Check No: 1621 700.00
Payor:
John Langlas
Total Applied: 700.00
---------------
Change Tendered: .00
09/29/2015 03:11PM
� ' � - CITY OF ORONO * z p� 1 5 - 0 1 2 6 4 *
2750 KELLEY PARKWAY DATE ISSUED: 09/30/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2585 LYDIARD AVE
PIN : 20-117-23-11-0003
LEGAL DESC : APPLE HII.L
: LOT 001 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$700 ESCROW PAYMENT IS TIED TO BUILDING PERMIT#2015-01137
APPLICANT ESCROW FEE-BUILDING 700.00
LANGLAS,JOHN&MARY TOTAL 700.00
2585 LYDIARD AVE Payment(s)
EXCELSIOR,MN 55331- CHECK 1621 700.00
OWNER
LANGLAS,JOHN&MARY
2585 LYDIARD 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 City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permiu. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if conswction suthorized is not
commenced within I80 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