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Home My WebLink About2012-00636 - single family deetached CITY OF ORONO * Z 0 1 2 - 0 0 6 3 6 * � 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2012 �_ ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1595 MAPLE PL PIN : 08-117-23-33-0035 LEGAL DESC : CRYSTAL BAY VIEW : LOT 013 BLOCK 006 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : SINGLE FAM[LY ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED VALUAT[ON : $ 328,689.86 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE,WATER CONNECTION, SEWER CONNECTION, LAWN IRRIGATION,ELECTRICAL(STATE) NOTE: AS BUILT SURVEY REQUIRED PRIOR TO CERTIF[CATE OF OCCUPANCY [SSUANCE. INITIAL: NOTE: BE AWARE,IN THE EVENT 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. INITIAL: ADV PLAN REVIEW COLLECTED 2012-00635$1,006.69 BASED ON VALUATION OF$181,900,VALUAT[ON CHANGED AND DIFFERENCE WILL HAVE TO BE PAID APPLICANT PERMIT FEE SCHEDULE 2,430J5 DEAN JOHNSON HOMES, INC. PLAN REVIEW 573.30 4700 CTY ROAD 19 MEDINA, MN 55357- STATE SURCHARGE(VALUATION) 164.35 (763)479-4820 S.A.C. 2,365.00 Minnesota State License#: 20639439 TOTAL 5,533.40 OWNER Maple Place LLC 550 25TH AVE N ST. CLOUD,MN 56303- AGREEMENT AND SWORIY 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 Codc. 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 reques[ed in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� ...�LQ___----_ l /(. ��G r ` �� _C ! — j L` � � 7 z j�..:�� l. �`�-'Yl C� �`? l l Applicant Permitee Signature Date [ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � C��i�ty of Orora 2750 Kelley Parkway Drono MI 55356 952-249-4604 l�ceipt No: 3.0072�1 Jul 16, 2012 Dean Johnson Hoses, Inc. Previous Balarice: .04 Per�it5 2012-OOb36 1595 Maple 2,430.75 Place 101-32510 Building Per�its Persits �012-OOb36 1595 Maple 573.30 Place - pdditior�l �t iQ1-34410 Plan Check/Site Exa� Fees Per�its z012-00636 1595 Maple 1b4.35 Place 101-2084P Due to gavts-State Per�it� P012-00636 1595 Maple 2,365.00 Place 101-20809 �C Charges due to M�ArCC Total: 5,�'•� ��k No: 4401 5,533.40 Payor: Dean JohnSon Ho�es, Inc. Total t�plied: 5,533.40 Change Tendered: � .00 07/15l2Q12 11:4bAM l ur►�� n ��. �p � � ca-t i�� Vt��.,�,�-d a-f � ( � I � 00 c° ; �l a�� -v i �� d 1 , � L�C� . (�9 �SQ-cl c�� Gc��U� Va� uai i� i� "% ��L��e -��1 '�1��c7._��:��-h � � � ' __ ____ _ _ _. � � �a� � �� g� __,� � � � . .___� ____ __ � � , � �o - �� s� �i�r c�� y � � � �' l.� � f-F �f }�Ic�r'� � 5��"� � . �� v � c�� '� j 5 �t� `��i -- l, ��1� - �`G - � C:�O � a � � � � �� -� � C� � � � 3 � . �� ►�' �� J'-�' � ��rn ��, �i��S City of Orono Building Permit Application for New Structures or Additions Mailrng Address: Permit number: a��-�d 6 3 ��,Q„Q��\ PO Box 66 -1 - 3_ �Z �' �`Y Crystal Bay,MN 55323-0066 Date received: ', _ �4�: .r, � Received b : `� �'��p,_;i�- �,� Streef Address:' __--::"._._.._..._Y----- � �i� titi/ 2750 Kelley Parkway Plan reviewfee: o2��a��3 � �rR��o4,�yG Orono, MN 55356 �QD(v.(�/ `,-`---,/ -- ,--�.__ Main: 952-249-11600 Fax: 952-249-4616 www.ci.orono.mn.us � �� Y� �� ">� � y�� 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: � � � Will this be a Parade of Homes, Remodeler Showcase H�me •r�ther Display Home? ❑ Yes No !f yes,a specra!eveni permrt is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will e required unless applrcant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � �� State License# Z...O �S 4- Expiration Date: 313 i � 3 Phone: "z 3— ' - 'Z..c� office �Z(a 4'Z.� 1 3� � cell Mailing Address: 4-�c�o '� ► �1 yCit � v� � .��-- ZIP: r'a 5 3�.� C o n t a c t P e r s o n: c�o.,"� c�-- Applicant is: ontrac o / Homeowner (Circle One) Email and/or Fax: ,, c,� v�s� ' `� L 1 PROPERTY OWNER INFOR�TION: : Name: �. Phone (day): Address: City: ZIP: Email and/or Fax ARCHITECT/ENGINE�Ej� It��ORMATION: Name: __!S,� Phone (day): Address: City: ZI P: . Email and/or Fax: . PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& 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 require ❑Commercial ❑Other(specify) . MC1NC�review&permits. ❑ lndustrial ❑Private Well Minnehaha Creek Watershed District(MCWD) ❑Other: (Specify) 13202 tYtinnetonka Blvd Ceephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 wv��w sminneliahacreek.or Estimated Construction Valuation (excluding land} $ j � C� p V �� :-'�,,��,�� .�, 3 ;.�:SS � �� ' �'� � i �� ti � . � • STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= l04' Number of bedrooms= �J �Wood/Frame Masonry b.Width(ft.)= � Number of garage stalls: ❑Metal Attached= Z— ❑Pole Bldg. Areas in sauare feet Detached= ❑ICF � ❑On-site Prefab c. Basement= 1 �(oS ❑Off-site Prefab d. 1'`Story = 1 O'1 Z� ❑Other(please specify): e.2nd Story= � i 3� � f. %Story = g.Total Area= �ZQ-4-� REQUIRED SUBMITTALS: All of the information must be submitted in order for our application to be processed: Not Enclosed A Iicable ❑ Permit A lication ❑ Pro osed Buildin Plans 1� ❑ MN State Ene Code Calculations and Mechanical Code Re uirements Form �i� ❑ 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 ❑ ❑ Other APPLICANT 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 �re 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-buitt survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: s) �— Date: (v Z' � � . � �'�� C��f f�� ,� ��r€�� .��€c�� Address J PID/ Legal: _ � S� JJ �� (, �� £� Description of wrork: �� La-�� (��5�� Septic rediew bY� � Date ApRrov�d: � ' " i , Zor�f�g review by: � Date Approved: �� Builcfing review by: Date Approved: � —'� � "'?�1 � Geadinc� revi�w by: V/�<�� r�..� Date Approved: / �� Zoning File#: Resolution#: Resolution Date: Zcr�En District Fire De artev�enf Post Office School Dis�rict . � Zoning: Lot Area '� � �AC Width:__� Depth: � Survey Submitted: .�es L� No Date of Survey: � "�tp�s��--- Pro osed Sefbacks: Front(L E�e�r( et) (�4s�'- . E 1�► j ( tV �S ' f �il ) Other Buitc6ings l'�e�#l�ncE Side 'Sid� �`. �' �o� ..y' ; Building Defined Height:� ► Building Peak Height: #of Stories Ok?: E: EQR A BUILDIP[G WITH A BASEIk�E1dT OR CRAWL SPl�CE: FOR A$UILDtNG ON A SLAB FOUPlDATIOPt: �/� `� START WITH the distance belween the basement flooN crawl START the distance befween the s�ab and the highe ' �C� space floor and the highesf roof peak,the top of WITH roof peak,the top of#he comice o#a flat rooi 4S the comice of a flat roof,the deck line of a the deck line of a mansard roof,or the mansard roo#;or the uppermost poin#on a round uppertnost poinY on a round or:other arch-ty� or other arch- roof roof �j,�2 E SUB�CT half the distance between the highest window and SUBT.RACT half the distance betweeh the highest windo� , � hi hest roof -ak of a itched roof �L and hi hest roof eak of a itched roof ;�"�'�` SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highe �� space floor and the highest existing grade within existin- cede within the foundatio� the foundation or 10 feet,whiehever is less. EQUALS 'Defined bui�din _hei fit EQU Defined buildin .hei ht � ! , t Lot Cover ge; t.�4,��, Sf °fo ; Shoreiar�c! District �C1f�D P�rmit Received �v�ra e Lakeshore Sefback Bfuff � Yes Q No 0 N/A 0 Yes Nc �es I� I�o Q Yes � I�o N/A , Permit Number. � 5etback: , FEarcicov r Zones Existir� ` Pro osec� 1�ariance Re u�r CUF Re uire 0- 5' CI'Yes No � Yes No 7 - 50' ; ,, � TYPe(S)� Type(s): 250 0' 500- , � 4 � REMARKS (in-house): ' � � �' •�� `� Updated: 09/11/2009 z:lforms\plan review checklist.docx Fees to �i� Char �a YES ��Q �er�r�fi Plart R�viev� S�te S�arc#�ar�� irtvestigation Fee SAC-N�amt�ee cs#��G ll��s �e�er Connectioe� ' �V�f�er Cor�a�ectiar� Park Fee 'Site tc�spec�tion : Other(sp�ciiy) N�i�csilaneous E�e� Calcufated By: S uare Foota e $ er S u�re Foota e Basement �=p ,� X �� .�� _ $ � �i.`�-�'�.�Y7 1�'Floor � Ca e i�, X r�: , - � � b 73. � 2"d Floor l� t�G', "i X <� �� _ $ �� "��° ,�1 � Garage '��' X ��,,�.� ' � 0`�o�'�7.i�lU Estimated Construction Value: $��'�C�t�e.�� Ordno InsRectio�s Requieed �dork Rec�uiring Separate �errrEits Required State Perrnits C1 Site Plumbing �t Grading/ Filling � Weil � Hardcover Removal Mechanical E3 Fire Electrical ,�'Footing C� Septic ,J�'Water Connection Poured Wall �ireplace .��,�wer Connection Fouredation Sunrey O Masonry �Lawn Irrigation Radon Rock Bed ,1� Mfg. Framing �! Other(specify) � insula#ion as-Buiit sun►�jr Final F Q Other(specify) REMARKS (in-house): Oth�r Review: Review�ed by: Date Appraved: Access:Existing: Ei YES � NO New� � YES t� NO l�EM�RKS(TO �E !�O'fED Q�E PERhA{T A�D IhEiTt�►LLE� �Y PEt2S01� Pl!l.LiPtG PER�fIT) Updated: 09/11/2009 z:\forms\plan review checklist.doac ti i � � � -I r� �- o - � e � � � � � � � � �— � � � . �n � ��-- � o . �_.._ �,: � � � � �� a � � � � � , � � � ^ � � ..... ..- �- �. C� ,. _ , � , ,, � �� . � � �. �....._ � � ' .'� �� . r �� -�1 - . �',:.: ,p, �? � � 6' � �' . ��_.. T S �, �' _ � . `, � p � �., � -P` U, � • � � (1� � ..;, �. 1.� . . ; � >�-__..� � � � � , �===_. � . � . �h: � � � � � � �- � �' ' �F,��v Ta.�/��1'G�cJ .S�4nl CS �.:��es�: �S�S MAPCC PL�cE .L4�'�,j Ql` s��, CRy,1�TAL B+IY L/'eFGv Date: 6 26-�2 ?ra�arac by: GR orvB ./c � r �!',!'Q C'!�l TF1'� i.�/� . HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250 250-500 500-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F, C. Driveway x = S.F. x = S.F, D. Sidewaik x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Wails x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B q + B x 100 = % PROPOSED HARDCOVER IN�ZONE (including existing hardcover to be retained) A. House x = /`�// S.F. Length W idth x = S.F. C'v1�'f�F'� ,f'Tc�c�+.a S x N_ 6'7 = 2 3 S,F. B. Garage x - = S.F. C. Driveway x = Y2 S.F. x = S.F. D. Sidewalk 2-2-5 x 2 = `f$ S.F. x = S,F. E.-�Pet�eFBeck 06'CK�I�►/�t x = �S.F. x = S.F. F. Landscape x = S.F. Underiain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other E G�f1'/' ui�.t.U�i� lNFu, x = Z� S.F. TOTAL HARDCOVER IN ZONE - �S9B S.F. A TOTAL PROPERTY AREA IN ZONE - ?�2 S S.F. B q /S98 = g 7/LS x100 = Z2. Y3 % -21 - , D EAiV ,T✓h/�til'G�t./ /�'d��S � �c�-as�: /595 M�v�� ,rc� . �o, rl�, BCo�k 6', C�fY�'�'.Pt e9�4Y d//6� ' Date: 6-Z6-12 =�c�a�zc ��: GRo.ve E�G .� .+rfvc•�+ jcr, �Nc,. HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250'250-500' S00-1000' EXISTING HARDCOVER IN ZONE A. House x = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F, C. Driveway x = S.F. x = S.F. D. Side�.�alk x = S.F. x = S.F. E. Patie;Deck x = S.F. x = S.F. r. �andscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. N. Other x = S.F. TOTAL HARDCOVER I,N ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A + B x 100 = % PROPOSED HARDCOVER IN�ZONE (inctuding existing hardcover to be retained) A. House x = 6 S.F. Length Width x = S.F, x = S,F. B. Garage x - = S.F. C. Driveway x ' _ �f8'� S.F. x = S.F. D. Sidewalk !/ x Z = 2 Z S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Land.scape x = S.F. Underiain x = S.F. By Plastic x = S.F. G. Retaining Waiis x = S.F. H. Other x = S.F. TOTAL HARDCOVER IN ZONE - Si2 S.F. A TOTAL PROPERTY AREA IN ZONE - l875 S.F. B A S�2 -i- B /�75 x100 = L�.3/ % -21 - . ► .0 E/,+� ..TG/✓�-'J'�i,.� h'�,�(�.�' � ��-ess: iS95 �i�ncF P�•rcE . �oT i�, B�aPQc(,, CB�I7./G �A,'o''P/t�C.�.�' ' Date: �-26'/2 =-e�a,-z� �y: G,e a�v�Fae f Al'l'n c�.�rF./'�.�ru'e. HARDCOVER CALCULATION WORKSHEET r��'�� ' r�''''''��f � � EXISTING HARDCOVER IN ZONE .�. House x = S.F. Length Width X = S.F. x = S.F. 6. Garage x = S.F, C. Drivevaay x = S.F. x = S.F. C. SiderrclK x = S.F. X = S.F. E. PatioiDeck x = S.F. x = S.F. -. 'andscape x = S.F. underlain x = S.F. By Piastic x = S.F. ;:. Retaining Walis x = S.F. , .. Q;her x = S.F. TOTAL HARDCOV•ER W ZONE - S.F. A TOTAL PROPERTY AREA IN ZONE - S.F. B A + B x 100 = % PROPOSED HARDCOVER IN'ZONE (including existing hardcover to be retained) A. House x = /�/7 S.F. Length Width x = S.F. Cai/E,cFo ✓7-co p S x Y- 6'7 = 2 3 S,F. B. Garage x = S.F. C. Driveway x = S 2 6 S.F. x = S.F. D. Sidewalk x = 6 7 S.F. x = S.F. E. -R�ie/Deck f J`�'��R S X = S 7 S.F. x = S.F. F. Landscape x = S.F. Underlain x = S.F. By Plastic x = S.F. G. Retaining Walls x = S.F. H. Other E�"�Fr!' !.✓�.LOGG� l.vE�L x = 2 O S.F. TOTAL HARDCOVER IN ZONE - 2// o S.F. A TOTAL PROPERTY AREA IN ZONE�u''�'✓atE !or'J - 9aD o S.F. B A 2// p T B 4'�r/D x 100 = 2.�. 'yY % -21 - � S`�� DATE TIME � CITY OF ORONO CALLED IN� 7�� INSPECTION NOTICE SCHEDULED �2-- ��°ti PERMIT N0. aDl� -Od��COMPLETED ADDRESS �595 /Ll��e Go OWNER TELEPHONE NO. ��L �� 973� CONTRACTOR �� N �� DESCRIPTION �'��'1�J—�/P�/k��r� �r�— � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O � � O � W k Q � Z W � W � � d � RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECa/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice C� D E TIME v CITY OF ORONO CALLED IN �-�— INSPECTION OTI SCHEDULED �_ PERMIT NO. �� co PLETED ADDRESS �� OWNER T L PHONE NO 3 �� CONTRACTOR L� � a DESCRIPTION 7 �1/� � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FiLLING Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O � �t � O � W � Q � Z W � W � � / � �9iAlORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANCaEACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 Owner/Contractor on ske• Inspector. '�� v White Copyllnspector's Flle Canary CopylSfte Notice �0,"� DAT TIME V C�TY OF ORONO n��e�iN INSPECTION NOTICE SCHEDULED -� � PERMITNO.aDIo"t.-00�03(o COMPLETED ADDRESS �5 q S /� �Q OWNER D�-�-� T� TELEPHONENO.��z ZZ� 1�b CONTRACTOR � `� _d � � � DESCRIPTION� u � � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG y O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/HEMOVAL 2 OWNERICONTiIACTOR TO MEET Y�OU:_YES_NO y COMMENTS: a� a j O � O W � Q � 2 � W � � J O � ❑WORK SATISFACTORIh PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i ance � 49-46�� OwnerlContractor on site: Inspector: Whfte Copyllnspecto�'s File Canary CopylSite Notics � � � "` � �'� � C DATE TIME � CITY OF ORONO �� INSPECTION NOTI�C1E�� PERMIT NO. ��'��`� � COMPLETED ADDRESS I S��S /��c�i�)If� �-�IC�'('C-� OWNER TELEPHONE NO. ��c2� y�� 'G� CONTRACTOR ��(—'C.�`"� .��J .�t�✓i � DESCRIPTION L.l y�,S i.i l�-�%CY� '"/ �/�c�?�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 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 J ❑ PLUMBING RI ❑ SEP I �FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTR-AC_T�O MEET YOU: YES_NO � COMMENTS: � W C � �.: � �-'�� C�� 0 a � ° �� --1 C>�.�c�S � i �-� � Q ,�� : }-- � ��d, � cr Z �� ( � � f� � dr�.�l� � %� .. � C) < <C W � � d W� f�41081CSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: r =�Inspector. % , � ,� (E_ White Copyllnspector's File Canary CopylSite Notice C � � ' / � 2�'�2- ,_.1�L�I�IT I� TIME C V CITY OF ORONO �� c N � INSPECTION NOTICE �/� sc� PERMIT NO.��,�. - ��iP� COMPLETED ,� ADDRESS � �� cJ �1�� ( OWNER TELEPHONE NO�� 3y 3 �3 I �� CONTRACTOR ��Ctl�t � I'1�nC >; DESCRIPTION �-- � � ❑ FOOTING ❑ PLUMBING FINAL �EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q ti Z W � W � j d .,,,,�'� W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: ,..! Inspector. White Copyllnspector's File Canary CopylSite Notice C� � D E TIME � CITY OF ORONO CALLED IN 9' �� INSPECTION NOTICE SCHEDULED `�� PERMIT N0.Q�D/a7 D��. COMPLETED ADDRESS �SgS _ �G OWNER T�LEPHONE NO. ��a 3G�a�� CONTRACT�R 4 �i1L L��0 � DESCRIPTION ^a�' / � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIILING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETIANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PFOGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W 0. � �� -� �� r� � �,� 0 � ° �os� _r� �� c _ � Q l��A ► 1 �-P ' e� �1�Qcr�rt7 z ��.�—� �.� �O��' �r�cJ�� W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Caii for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice . • , • • • • � • , emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: May 27, 2014 G/L: 101-22205 Re: Escrow Refund Building Permit Application #2012-00636 pertaining to 1529 Maple Place is complete. Please refund $10,000 to the application, Maple Place, LLC. The following is attached: • Escrow refund request • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Maple Place, LLC 550 25�'Ave N St. Cloud, MN 56303 w:�.street files�bay ridge road�1501�escrow refund 2012-01083.doac Christine Mattson From: Melanie Curtis Sent: Wednesday, May 14, 2014 2:40 PM To: Christine Mattson Subject: FW: 1595 Maple Place Escrow See below Melanie Curtis � 952.249.4627 � mcurtis@ci.orono.mn.us _ _ _ From: Jamison Kohout fmailto:jamisonkohoutCa�gmail.com] Sent: Wednesday, May 14, 2014 2:36 PM To: ]esse Struve Cc: Melanie Curtis Subject: RE: 1595 Maple Place Escrow Thank you Jesse. Jamison Kohout 612.282.7053 www.JamisonKohout.com Premier Real Estate Services On May 14, 2014 2:21 PM, "Jesse Struve" ystruve_,ci.orono.mn.us>wrote: Melanie, The sod is in place along Minnie Ave. Jesse Struve, PE Director of Public Works/City Engineer City of Orono (952) 249-4661-Direct (952) 249-4616-Fax www.ci.orono.mn.us From: ]amison Kohout [mailto:jamisonkohoutCalgmail�coml Sent: Wednesday, May 07, 2014 7:37 PM 1 To: Jesse Struve Subject: 1595 Maple Place Escrow Jesse, I forgot to walk you over to 1595 Maple Place the other day. Could you please drive by tomonow and confirm that the sod issue on Minnie is satisfied? Christine is waiting for this in order to close the escrow. Thanks, Jamison Kohout 612.282.7053 www.JamisonKohout.com Premier Real Estate Services z TEMPORARY CERTIFICATE OF OCCUPANCY ESCROW AGREEMENT Orono Buiiding Permit#2012-00636 AGREEMENT made this�day of , 20�by and befinreen the CITY OF ORONO, a Minnesota municipal corporation ("City") and T d Holmers on behalf of Real Assets, LLC ("Owners"). Recitals 1. Construction of the new residence located at 1595 Maple Place the ("Subject Property"), legally described as Lot 13, Block 6, Crystal Bay vew in Orono, Hennepin County Minnesota, is the subject of building permit application number 2012-00636 has been completed. 2. Winter conditions currently prohibit comptetion of exterior improvements, final grading, and vegetation establishment. An as-built survey cannot be accurately conducted at this time. 3. Owners request the City issue a temporary certificate of occupancy ("TCO") to the Owners so that the Owners may occupy the new residence. 4. The City will issue a TCO only if the Owners establish an escrow to ensure compfetion of exterior improvements, continuation of erosion control and submittal of an as-built sunrey to the City. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit an additional $7,500 for a total of$10,000 with tlie 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 assure completion of any exterior improvements, final grading, establishment of vegetation as well as 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 #2012-00636 if compfiance 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. DlSBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outiined 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. CLQSIN� ESCR01h►. The $alance on deposit in the escrow, if any, shall be returned to the Owners when the review has been compfeted and written notification is received from the Owners requesting the funds. 155441 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. 7. ACCESS TO SUBJECT PROPERTY. The Owners hereby grant to the City, its agents, employees, officers and contractors, the right to enter upon the subject property for the specific purpose of inspecting and completing any exterior improvements, final grading, establishment of vegetation and the restoration of the subject property should the Owners not complete the work by the specified dates. CITY: CITY OF ORONO OWNERS: �., By: � Its. �'Y].� 155441 C-i-ty of Ororro C►r7��Kel�leY�a�"�y ,_ 95�. 249-46� Receipt No: 3.OQ8291 Jan 15, 2413 Hol�ers, T�id 1 Real Assets, LLC Rlanning and Zoning TCO for I595 lyaple Place 7r�,qp i41-222pg Oeferred Rev-Developer Deaosit Tatal: �7}�.�' t�eck —'"-"'= Cherk hb: t108469 7,500.00 Pavor: Hala�ers Tadd / Real Assets, lLC Total App�ied: �}�.� Change Tendered; � -'.� O1/15l2013 Q4:0�� ' CITY OF ORONO * z 0 1 3 — 0 0 0 4 0 * 2750 KELLEY PARKWAY DATE IssUED: OU16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1595 MAPLE PL PIN : 08-117-23-33-0035 LEGAL DESC : CRYSTAL BAY VIEW : LOT 013 BLOCK 006 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$7500.00 ESCROW IS TIED TO BUILDING PERMIT#2012-00636-PD CHECK#8469-TODD HOLMERS APPLICANT ESCROW FEE-BUILDING 7,500.00 Maple Place LLC ESCROW FEE-EROSION CONTROL 0.00 550 25TH AVE N ST.CLOUD,MN 56303- ESCROW FEE-GRADING 0.00 TOTAL 7,500.00 OWNER Maple Place LLC 550 25TH AVE N ST. CLOUD,MN 56303- 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 sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. 7'he applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ..., .•� , . ,�r�,...,�. . i�.cL� BUILDING PERMIT ESCROVI�AGREEMENT . Orono Building Permit#2012-00636 AGREEMENT made this ?(c��day of , 201� by and befinreen the CITY OF ORONO, a Minnesota municipal corporation (`'City")and Map e Place LLC ("Owners"). Recitals 1. A building permit application has been filed for new principal structure located at 1595 Maple Place the ("Subject Property"), legally described as Lot 13, Block 6, Crystal Bay View, 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 ESCROW 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 #2012-00636 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 OWNER: By: ,��J�, .� /l�� `�-+--__ ��.. � �ts: �y C".�c� C�_it_y of pro�o �75� Kelley ParkNay Drotro MV 553� 95P-249-4600 Aeceipt No: 3.007222 Jal ib� 2012 Dean J�nson Hoses, Iru Rlanni�n�g ar�d Zonin 2012-OObb9 EscroN �or Ne�► 2.500.Od Ho�e Pere�it i2012-0063fi 101-�2205 Deferred Rev-Developer Deposit Total: 2��,Q� Check -' - Check No: 4003 2,500.t� Payor: Dean J�nSori Flaes, I� Total Applied: pl�pp,ap Change Tendered; ,pp 07/16/2412 1i:47(�I � � � CITY OF ORONO � 0 1 Z — 0 P1 6 6 9 * , 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2012 � ORONO,MN 55356- •'" � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1595 MAPLE PL PIN : 08-117-23-33-0035 LEGAL DESC : CRYSTAL BAY VIEW : LOT 013 BLOCK 006 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW FEE TIED TO BUILDING PERMIT#2012-00636 FORNEW HOME PERMIT APPLICANT ESCROW FEE-BUILDING 2,500.00 DEAN JOHNSON HOMES,INC. TOTAL 2,500.00 4700 CTY ROAD 19 MEDINA,MN 55357- (763)479-4820 Minnesota State License#:20639439 OWNER Maple Place LLC 550 25TH AVE N ST. CLOUD,MN 56303- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. T'his permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of iaws 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 consuuction 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. ,�,N � ,,p /�'� ��.�—•a,�C�'�____-...— `7 / i G l'Z<=�i� �ll�-`i--'�--e. C��?/YLG�'�/t / �j �k' ' � Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ___ �'- Permit �' � � � i� � ► ►i � � � PI� CI o*N � �+ lJ�daie A.�� Permit#: �1��3� � i�ain P�N Addres� RermitAddress: 1595 Maple PI l' Additionai PB�i A�dr�� r Permit Issue � Parcel Issue General � Fees Inspections(11} �Nat+es � Applicant Qetail � CO Detail � Seq Inspection Type Inspector �ate Status H Fee Rec �1 Footing WGIB 7119/2012 P 0 � 2 Poured Wall WGIB 7l20f2012 P Y 0 � 3 Foundation Survey B14 Framing �! • d Radon Prevention Inspection WGIB 9111/2012 P Y 0 � � 'S Framing WGIB 9�26f2012 P 0 + 6 :Insulation WGIB 9l2712012 P Y 0 -- : � � + : - ' ! �1 •' 1 T 8 Final WGIB '�fi4f2013 F Y 0 � �9 Final REINSPECTION Y 0 ' � 10 Final REINSPECTION 1��1ETD 111012014 Y 0 —� � i 1 Final REINSPECTION 1�1ETD 2,r27f2014 P Y 0 ►� I x I