HomeMy WebLinkAbout2013-00831 - addn/remodel/repair _ _ CITY OF ORONO * 2 0 1 3 - 0 0 8 3 1 *
2750 KELLEY PARKWAY DATE ISSUED: 09/27/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2605 LYDIARD CIR
PIN : 20-117-23-14-0001
LEGAL DESC : APPLE HILL
: LOT 003 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 35,000.00
NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE)
SCREENED PORCH
APPLICANT pERMIT FEE SCHEDULE 520.50
JOHN MCLAUGHLIN CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 17.50
17032 PROSPECT PL
WAYZATA, MN 55391- TOTAL 538.00
(612)685-2661
Minnesota State License#: BC639914
OWNER
LERVIK,GARY MALTZEN&BONNIE
2605 LYDIARD CIR
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 sepazate
permits. 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 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 aze
reques d i conformance wit he State Building Code.This permit may be
revo d a any tim for d ca se.
� � z-�� /� " � `7 /�
plicant Permitee S' re Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE.
- � CITY OF ORONO �
� ��3�
BUILDING PERM T APPLICATION � ���
FOR NEW STRUCTURES OR ADDITIONS ('�
�O� Mailing Address: � d Permit number: oZ d�3-ob g 3
O PO Box 66
Crystal Bay;MN 55323-00 J� Date received: -7i(-'�
aC.
StreetAddress:' � Received by: (�.S
y � 2750 Kelley Park ay �'� Plan review fee: 33�.33
F G
�qkEsxo�`�` Orono, MN 55356 �� n?O/3 0083d
Total Fee: �
Main: 952-249-4600 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. (Please print)
GENERAL INFORMATION:
Job Site Address: °1-GOS � Ly��,,,.,Q G+��2� Ura�.o /�i.-. 53 3.3 I
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 approva/60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APP C}°►NT INFORMATION: �
Name: �v 1,...-� /LtL.�.w- .-� � ,
State License# �G �3 y 9 i� Expiration Date: 3 3 '
Phone: cell 1-� -26 G/ office 6l Z -C8 '-2.LG �
Mailing Address: Z Cit : r../ ZIP: cS c��3 q 1
Contact Person: o !^/,� Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax. i o �� �LJ�'��o �s-fr•,���� ��, � . ��
�phh Y`��I. C��.1C�hli�'1
PROPERTY OWNER INFORMATION:
Name: �n.,._+,.-;� La✓�.r�L
Phone(day): Q�Z=y 7 / �/L�t � .�
Address: 2,CpSA_ l...�, G,,`y�.(,� City: v/��v-e ZIP: cSZS �3� j
Email and/or Fax �
ARCHITECT/ENGINEER INFORMATI N:
Name: .1�1�.�. ���Z..G�'—
Phone (day): /1- '-Z.6C 1
Address: /�03 Z /as��f /o� City: t.,./i•.,,y..�- ZIP:��..
Email and/or Fax: ��
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal 8�
Water Supply
❑ New Construction ❑ Single Family with ❑ Residence
�Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑ Other(spe ify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Othe_ _r: (Sp�Cify) ,
18202 Minnetonka Blvd r'vc,vr•v� 4'sr���
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ �S l�l�D.�
_ �
iFi
. �
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
r '
a. Length (ft.)= � Number of bedrooms= [�,Wood/Frame
�
b.Width (ft.)= �6 Number of garage stalis: ❑ Masonry
Areas in sauare feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached= _ ❑ ICF
d. 1St Story = J ❑ On-site Prefab
e. 2"d Story= s�`'`�'�� ��� r ❑ Off-site Prefab
f. YZ Story = ❑ Other(please specify):
r
g.Total Area= �
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
� ❑ Permit A lication
� 0 Pro osed Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation s �
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
� ❑ Plan Review Fee
❑ ❑ Application Escrow&Agreement
❑ ❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for e�gineering 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 $10,000
escrow to ensure completion of the as-built survey and all site improvements.
�
Applicant's Signature: 6��V� Date: �.3
—7—�
Owner's Signature: Date:
�
� ' �C.I�E� ��t�e�C� ���6eCEL.Ea7�� �Q� t��� ���t��w�t���� l �������'t�F.C'J
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. �d��" 1 � i�.��� � ��t�-��
D�scripticn of worlt: ��.,���� ��r�� _
Septic review bY: - /� � Date ApprovecE: '" � �
' �oning review bY� � �1.� Date Approved: Q' r.� -(�
� �uilding revievr bY: .•,-` Da#e Approved: 4�'L'�-.C j �
, ; . ,
� Grading review bY� l� � Date APproved:
� ;
+ Zoning District: '' Zoning F�te#: , Reso#: Reso Date:
; : . , _. :.�.
� -
, Zonfng:Lot Area: 3F/AC Vilidth: Lat Coverage: SF _%.
` Sunrey Submitted: es � No Date cf`Sunre : ` �
� y "�`'�' �� Revised da#e�� ., ��'�3
, ,
: Pro o$ed Setbac#csc ' '. `
; � " .
; Front(Lake)_ Rear(�treet) ( � S e$ . ) f N Side � � Other Builcfings Wetland
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De�fned Height: Pe�k Height. ,_� FfE: ` -. FFE�inus 6#eet= ` .(Existing�ontoui
. .
,
. � , �
,Perirnetec(finear feet�= 5�"�5= ' � ' #of Steries Qk? �YES . . �
; ,.. ; ; :
FOR A BWIDING WlT�1 A BASEMENT OR CRAl1VL SPACE: �
F "I'he distance bgtweerrthe-IoweSt � . �
4 � STAR7IMTH proposed floor{of the basemen4 ��A BUILDING ON A SLAB FOUMDATIOt�:"
. sPece),entl the highest poirn r94f. � � START WITH The tifstance belwee�!he toprof sl8b and
, ;,; _ If you have a... the Fiighesf part ofthe rcofi�•
• ; GABLE a P�D RDQF(no�, ff you have a.: .
� -.GABLE�R}��PP�P RDOF(na
� `windows [ibtract half the ' vnndowsj: �utltra�t hal�,�he iii§tanc
dista . ,between�e highest qM
p betweer�;the h�ghiest prn�t of the roc
; ' e roof tQ the Ibw poin#of tMe` , ' �
� �o the I�irir po�t o�fhe dim
r -SUBTRAC710N. . rresponding gabte o�hipPed rdof SUBTRACTION �abl or hf ���
(�3ASED QN�tOOP � PP�rooi
� "'l1fPE �ABLE OR HIPpED ROOF('Mt#� ' (gAS�D ON � GABLE,OR NIPPED i�,DF(with,;
� windows) SubVact haN the .; RObF TYPE) xnndoJvs�: Si�bt�a�t he�8�e'cl(Btenc
, dfstance betweE�n the Eop ofi the� ; bQ�nree�the�top�f the i�yhesf ".
� ;highes�window and the highest fi , . windc!N,�,t�hi9heSt'Pol�if of�E
� .p�int of tfie ro4f "s"`tdt3f
+ '. �LL O'fiH�R R0'OF'i'YPES(fla'�� ;� • , AL�.Ol"HER,ROb� &,(fi�t� .
� `'` , ma►ieafd,�tcj No s�b'traetior� : ,`m�� '-� 1�a� : .
- �ubtra e d tence betweer�tlae ADDITIOIV Adci the dist�qCe�tw8e�fihe qf s atf
� `.Sue �`fUDN x , , (BAS�t�ON ; ,� nd tiie hist�est e�d6�c�g gratle t�ri2 t�
'( ' fD ON IXISTIN� .,bs§emenUcrawl sP�9e floor�nd the , FJC S'fING tlie•f0un aacn>., , : � _
b,ES�` = hiflhe�t ewst�n9 9r8de`adJ$c�mYto the � � � `Eg -r:;, � _ -;
j ,: �t?undatwn qR�10 feef(whichever is le�s}:� .� Q'tfI0.L� Defin�d bui itng heigti�
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Yes rG No , G Yes 13 No N/A
Permit Number. � . Sefback:
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, Starmwater 4uaiity Existing . Proposed
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' OvBMa Distriat Tier fiardcover Harcicover Varian�e Rec�aired CL�P Required `
t7 Yes No O Yes . No
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Updated: January 2013 �-�.��'" ,� � �� •� �-<
v:\forms�plan review checkiist 2013.docx ,� ._,,,'l;d
F�EF�ARKS (in-house�:
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- Fees to be Cha ed �f3
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P�an Review � : . :,
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S uara Poota e S cS usre fo?ota e -.
Sasement X — $
�ec�loor X ' $
2"d Floor X _ $
Garage X . _ $
Estirnated.Construction'1ta�ue: � 3S.b�`� {
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Ocono�lnspractions Requit�d Work Re�uir7ng�eR�r_ate Perri�ifs R$Q������''��
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.l7 Po�r'e�Wall L! �ireplace ��3 Sewer Cpnne�tiofi :
y G Masonry � Lawn�rriga#ion .
C! Radon Rock 8ed fl Mfg. .
� -�r'a�ir�g,� t� C�her(specify) .
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�� Acces�: � �.�Existit��: ;£I YES ❑�� NO ��
New 0����S L7 Nq
4FF1ClAl:�E�ftARKS-TO BE NOTfD OP! PE�2NIIT AND 1NIT[ALLED :
Updated: January 2013
v:lforms\plan review checklist 2013.docx
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' c�ty of a�o�,o 0 ONO COPY
; �oNo,. Hardcover Calculation Workshee
' � ` � Pro{�erty Address:
,'� � e: 2�Q S LY,UiA�eO C'iR C� F C�Tt/hilV /i'tCd�GtG,•<��✓�<..�.��.�:�
'`'A�.,,��,,°`% Prepared by: Date:
_ G�arv'�C�e G � A 1'1'a�/,�T F1', ��vC. %�-S-/,3
Stormwater �uality �verlay Districk Tier: {Circle one) Tier �1 Tier Z Tier 3 Tier 4 Tier 5
Step 1: FXISTiNG HARDC�VER
In tl�e following table identify all iteins of existing hardcover on the property, keyed by letter to Certificate
of�rvey(suivey must accompany this form). Use as many lines as necessary to accurately depict
existing hardcover status of the property. For Tier 1 properties, identify any features by letter which are
split at the 75' setback line and calculate hardcover square footage separately for each portion.
Key to i Hardcover Item {Describe) Length x Width Total
Survey {Square Feet}
Exam le Gara e 24'x 30' 720 S.F.
A �u D S.F.
B /�v S.F.
C - ('i S.F.
D �. S.F.
E c. .�&'. �'t�" S.F.
F r.�O A S�'<C d .t/c /1� �` S.F.
G FT. c� c S.F.
H 3' E',e'S S.F.
� �r. Uv�cc Guco�',4 5.F.
J R S �2 S.F:
K oCk a.�.J Pd.l Trc f't.�G.f rcw�G C�.t t k S.F.
L ,QFT. GU.I�c�' BoycG'E� ' S.F.
M d J'�"E�S / 8 S.F.
N ,STE �i.v a-o .�' 7 S.F.
o a.v ,� T F c 3 S.F.
P K t•► �' 2 2 S.F.
Q c� DR �r S.F.
R G c, S.F.
S S.F.
T j S.F.
U �- S.F.
V ; S.F.
---r
W i S.F.
X S.F.
Y S.F.
Z S.F.
S1)_Total Existin�Hardcover ___ 5�?a� S.F.
-- �.,�.�.:���.,,::.a,�_,�.,..,��...
Excludable Hardcover (See City Code 5ec 78-1684 :
__.._. ..4`�._..._T .,�<`T.��'_�'�----.�R R� t�6"� S.F.
� _ __. _
� _ __ i�..�T,_�'��.�.._._�°�- '�-�s-G-s'1�-- _._.__ _...____��_S.F.
__._.._.�'_"__ _ _._k�'-�'.._��--_P_',�'ptA4t�'�__ ;�',4 S.F.
. ._.__.__..___ _ _
_..._._4__..__.�_%?F�-,_.._�t�...t�s. s ��llo�2c��r�} _ ..___.__ —..______ g�_.S.__._F.
r? _ _ !_�'�,wr._Gf%A�4 � �________ _ �2 s.F. �
2�Total Excludable Hardcover S.F.
(3).Net Existin�c. Hardcover [Subtract line{2)from line(1}]_ S.F.
_.. � __�____
__.__._ __ ,.,�.,.e�,.„��
(4)_Total Lot Area , ��''.�6'+S.F.
Existing Hardcover Percentage [(3)=(4j ] „� 3, t;+� %
RECEIVED (Proposed Hardcover next page}
sF�,�����z��
CIT'Y O� ORONO
. . .
� City of Orono ' �
,-��otio` Hardcover Calculation Worksheet
�
��sf �� PropertyAddress: Z��S LYO/ARD r'��t �� TO.t/.[�/�'tcl�fNGNLIit/ t'ONJT.�
�`:�{s�� Pre
pa�ed by. G,�o,vBE,rc� � ,�frvc�.rrFr i�ve. Date: �-S-/3
Stormwater Qualiiy Overlay District Tier. (Cirde one) Tie�1 Tier 2 er 3 Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER .
In the foilowing table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey(survey must aoc�mpany tttis fiarm). Include al(existing hardcover items that are
intended to�main, as weii as ail proposed hardc:over items that wiil be added. Use as many lines as
necessary to accurately depict proposed hardcover status of the property. For Tier 1 properrties, identify
any features by letter which are spiit at the 75'seffiack line and c�lculate hardcover square footage
se rate for each ' n.
Key to Hardcover Item(Describe) Length x Width Totai
Surve uare Feet
Exam 4'x S.F. ..
A T S.F.
B �� � S.F.
C �. S.F.
� .� / S.F.
E .i t, R.R.Ttf S.F.
F .� r c A/ S.F.
G •� Gd c ,t S.F.
H �� S.F.
� �� [. acrt R 9 S.F.
� �� S.F.
K �� � .cG ��s6 s S.F.
L i� � . ui.ct Ot.IL -2S S8 S.F.
M '� Co /� S.F.
N �� ��v 7 S.F.
� �� T L S.F.
P a x� .t Tit S.F.
Q �� ��tF a�eDE�t S.F.
R .� 0 5 S.F.
S ri O eR CN S.F.
T S.F.
� S.F.
V S.F.
w S.F.
X S.F.
Y S.F.
Z S.F.
1 Total Pro sed Hardcover S S/ S.F.
Excludable Hardaover See C` Code Sec�'&1684:.
� y GrJ c c , T S.F.
G � S.F_
wl�c. �oc. ��c 9 S.F.
t C S.F.
� Cb . t� c. S.F.
2 Total Excludable Hardcover O S.F.
3 Net Pro Hardcover Subtrad line 2 from line 1 SiSo S.F.
4 Total Lot Area o�a' S.F.
RE EIVED Proposed FlaMcover Percert�ge [(3)+(4}] L�f- 7Z %
SEP 2 7 201�
cmr o�'�nio�
� � ���
� C ITY OF ORONO
� � Street Address: Mailing Address: Telephone(952)249-4600
'S�, � 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616
�,q t�,�' Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
kESHO�
August 28, 2013
John McLaughlin Construction, Inc.
17032 Prospect Place .
Wayzata, MN 55391
Re: Building Permit Application #2013-00831
2605 Lydiard Circle
On August 21, 2013 the City received a building permit application for a screened in porch addition.
Your application is incomplete. The following items must be submitted or revised in order for your
application to be considered complete and for the plan review to continue:
1. Certificate of Survey. The proposed addition was hand drawn on a survey dated 10-01-03 and
is drawn to scale. Is the deck being built over the existing retaining walls? If the walls are to be
removed, the survey must be updated to show the grading impacts. If the retaining walls are
going to remain in place and there is no grading associated with the plan, we can accept the
survey as-is. The applicant will be required to provide an as-built survey when the project is
complete before the escrow funds will be refunded.
2. Wetlands. Based on our available information, it appears there is a wetland within the subject
property. This wetland appears to be located within 150 feet of the proposed project. Because
Orono City Code requires a 35-foot setback from any wetland for structures or hardcover, the
location of the wetland must be indicated on the survey. Setbacks must be verified with wetland
delineation information.
�eve/ 1 Delineation is required. O Leve/2 Delineation is required.
A Level 1 delineation may be depicted A Level 2 delineation shall include the exact
via a map and/or aerial photo overlav surveved boundarv of the wetland shown on
onto the certificate of survey. the certificate of survey.
3. 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.
4. Escrow 8� Escrow Agreement. Permits involving grading and/or review by the City's engineer
require submittal of an escrow and an escrow agreement. The purpose of the escrow is to
guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your
plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating
to erosion control and stormwater. The required escrow amount for this project is $2,500. The
escrow agreement is enclosed. The property owner must sign the escrow agreement and
submit a check for$2,500.
� �
August 28, 2013
2605 Lydiard Circle
Page 2 of 2
Your project may trigger the Minnehaha Creek Watershed District's (MCWD) permitting requirements;
please contact the MCWD regarding your project. Please note, the City of Orono will not issue a
building permit without a copy of MCWD permits or documentation from the MCWD stating the
proposed project does not trigger any of their permitting requirements. The above information is
required in order for the plan review to continue. Please feel free to contact me at 952.249.4620 or by
email at cmattson@ci.orono.mn.us if you have any questions on the above requirements.
Sincerely,
CITY OF ORONO
��
Christine Mattson
Planning Assistant
c John McLaughlin via email
Bonnie Lervik; 2605 Lydiard Circle; Excelsior, MN 55331
Lyle Oman, Building Official
enclosures
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OO Bolton&Menk,Inc-Web GIS S/23/2013 11:55 AM rrsnnncihlcfnranvinarcurarirahrrnin rnntainrd
Christine Mattson
From: Brett Eidem [BEidem@minnehahacreek.orgJ
Sent: Friday, September 20, 2013 12:25 PM
To: johnmclaughlinconstruction@aol.com
Cc: Christine Mattson
Subject: Proposed Porch for 2605 Lydiard Circle, Orono
John,
After reviewing your plan for the proposed porch at 2605 Lydiard Circle in Orono, this project does not appear to trigger
any of the MCWD district rules and therefore would not need a district permit. It is under our disturbance size for
erosion control and the project area does not appear to be close to the wetland to the west. We would recommend
using some sort of perimeter control to contain any exposed sediment from leaving the site.
If you have any questions, feel free to call or email.
Thanks,
Brett Eidem
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka Boulevard
Minnetonka, MN 55435
Direct: (952) 641-4517
Main Office: (952)471-0590
Fax: 952-471-0682
www.minnehahacreek.or�
MINNEHAHA CRE�lC
w,�r�g$Ket� a�sreicr
New office address July 1: 15320 Minnetonka Blvd., Minnetonka, MN 55345
1
C � � DATE TIME �/
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INSPECTION NOTICE ���/SCHEDULED � � .' _�".�`
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Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP I F�1NAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR` TO�U:�YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
Inspector. �, V
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME ✓
CITY OF ORONO CALIED IN �J'a7/-3
INSPECTION�OT��E���I SCHEDULED �D'�L-3 iU
PERMIT NO.o'�� -� COMPLETED
ADDRESS � �
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Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cai1 for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on ite:
Inspector.
White Copylinspector's File Canary CopylSite Notice
�—/� � O TE TIME �/
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INSPECTION NOTICE SCHEDULED �Gj� - -��=�—
PERMR NO.021�l3-D���/ COMPLETED
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OWNER ELEPH N [�, gs����
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Q ❑ TREE REMOVAL
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Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �.F{NAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
i ❑ DEMO-FINAL O SEPTIC INSTALL D HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/HEMOVAL
2 WAfNERICONTRACTOR TO MEET YOU:�ES_NO
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V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP OR�ER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br ext inspection 24 hours in advaru:e. (952) 249-4600
Ow Mractor on site• �a � ''l-
Inspector: `
White Copyllnspector's File Canary CopylSMe Notke
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: June 23, 2014 �
G/L: 101-22205 `
Re: Escrow Refund
Building Permit Application #2013-00831 pertaining to 2605 Lydiard Circle is complete.
Please refund $2,500 to the applicant, Bonnie Lervik.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Bonnie Lervik
2605 Lydiard Circle
Excelsior, MN 55331
w:�,street filesUydiard arde�2605�escrow refund form 2013-00831.doac
, ,
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2013-00831
AGREEMENT made this l�day of , 24�, by and between the CITY OF ORONO,
a Nlinnesota municipal corporation ("City") Bonnie Le ik("Owners").
Recitals
1. A building permit application has been filed for a deck/screened porch addition located at
2605 Lydiard Circle the ("Subject Property"), legally described as Lot 3, 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:
1. DEPOSIT OF ESCR��IV FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal
consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the
Owners would be responsible for under a building permit application. The escrow will also guarantee
reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in
accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79.
The financial security may also be used by the City to eliminate any hazardous conditions associated with the
work and to repair any damage to public property or infrastructure that is caused by the work (including planning,
engineering, or legal consultant review) associated with building permit #2013-00831 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 wher 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.
CI • CITY OF ORONO OWNER:
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� CITY OF ORONO
* Z P1 1 3 - P109 6 2 *
2750 KELLEY PARKWAY DATE ISSUED: 09/16/2013
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2605 LYDIARD CIR
PIN : 20-117-23-14-0001
LEGAL DESC : APPLE HILL
: 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$2500 ESCROW IS TIED TO BUILDING PERMIT-#2013-00831-PD CHECK#7927
APPLICANT ESCROW FEE-BUILDING 2,500.00
LERVIK, GARY MALTZEN&BONNIE ESCROW FEE-EROSION CONTROL 0.00
2605 LYDIARD CIR ESCROW FEE-GRADING 0.00
EXCELSIOR,MN 55331-
TOTAL 2,500.00
OWNER
LERVIK, GARY MALTZEN&BONNIE
2605 LYDIARD CIR
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 sepazate
permits. 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 6ecome 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.
/ 1 / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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