HomeMy WebLinkAbout2011-00983 - pool house ' � CITY OF ORONO PERMIT NO.: 2011-00983
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2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/23/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1100 MILLSTON RD
PIN : 10-117-23-14-0015
LEGAL DESC : MILLSTON
: LOT 000 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 250,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
POOL CABANA BUILDING
ADVANCED PLAN REVIEW OF$1,271.89 PAID
WHEN POOL&CABANA ARE COMPLETED AN AS-BUILT SURVEY IS REQUIRED.�(INITLA)
APPLICANT pERMIT FEE SCHEDULE 1,956.75
TOM POTTER CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 125.00
6531 DEVONSHIRE DR. TOTAL 2,081.75
CHANHASSEN,MN 55317
O PAID WITH CC# 2887
Minnesota State License#:20130144
OWNER
BURWELL,MR.&MRS.RODNEY P
7901 XERXES AVE S
BLOOMINGTON,MN 55431-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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
permiu. 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 nu(I 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
requested i conformance with the State Building Code.This permit may be
revoke. y time for du ause.
/
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Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono �
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Building Permit Application
for New Structures or Additions
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Mailing Address: Permit number: ���— �����
j�,0,�.� PO Box 66 �y
� � .�: 04
Crystal Bay, MN 55323-0066 Date received: /�O/ ��
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�I,a � z� ;�_` a,l, StreetAddress:' Received by:
��' � �� ti�'/ 2750 Kelle Parkwa �
\ �,�aE � Y Y Plan review fee: � a 7✓- �
� «`r g� Orono, MN 55356
�;ESH�. d l� —DO
- ---- 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 apptications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: /l��(� i CL�� �2 � �`j�,��(/�
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. Shutfle bus service wil!be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLI ANT I FORMATION:
Name: C,� �^ -lC �O �i u�rJ/�
State License# ��/3 p j y y Expiration Date: z- Zcr
Phone: . " �;�- j7 office %Z- Z�L-- 7t/ cell
Mailing Address: � �c ' E ,�/1 Cit : ' �{�; �,/ ZIP: 3i'7
Co�ta�t Person: Applicant is: o tracto�' / Homeowner (Circle One)
Email and/or Fax: 'j ,ja., � - ,,,� � �o„� , ��
PROPERTY OWNER�IJNFORMAT N•
Naiile: 1�1: (� �f.C2��LL
rhone(day): �
Address: IIb 0 i lL STd,�J � Cit : Q��� ZIP:
Email and/or Fax
ARCHITECT/ ENGIN R INFORMATION:
Name: _ �k'�E S�C�`/,��`Tj" d- �Sc�C e%FTEs
Phone(day): ___lj�-- �,�,.-jo ZZZ
Address: 3Z� ,ti1,4�,i�f��4 ' F 5• CitY: ��]-�2,//�T`�'f ZIP: s��f
Email and/or Fax: y,SZ- �/�7'� -- (�n
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
❑ Other: s eci �Private Sewer
( p fy) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
""Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review 8� permits. ❑ Industrial �Private Well
Minnehaha Creek Watershed District(MCWD) Other: (Specify)
18202 Minnetonka Blvd
Deephaven, MN 55391 �1
Phone: 952-471-0590 �- ��/'��
Fax: 952-471-0682 ��+���/
www.minnehahacreek.or ���
Estimated Construction Valuation (excluding land) $ � dQQ , o�;
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STRUCTURE INFORMATION:
�. Structure Dimensions//�- �/" 1. Structure Dimensions(continued) 2. Type of Construction
a. Length (ft.)= ��t—� Number of bedrooms= � Wood/Frame
� �Masonry
b.Width (ft.)= .Zf�' � Number of garage stalls: ❑ Metal
s���� Attached= C� ❑ Pole Bldg.
Areas in s4uare feet Detached= C� ❑ ICF
�s� ❑ On-site Prefab
c. Basement= ❑ Off-site Prefab
d. 151 Story = �J`D ❑ Other(please specify):
e.2"d StOry=
f. '/2 Story =
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ Permit A plication
� ❑ 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
❑ ❑ 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
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 suliject
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 govemmental 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 Occu anc is re uested, a tem ora Certificate of Occu anc ma be issued u on recei t of a $10,000
w P Y 4 P rY P Y Y P P
�; escrow agreement to ensure completion of the as-built survey and all site improvements.
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ApplicanYs Signature: �� Date: —
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<. • 1
MEMORANDUM
Date: September 14, 2011
To: Darren Amundsen, City Engineer
From: Christine Mattson, Planning Assistant
c: Melanie Curtis, Planning & Zoning Coordinator
RE: Building Permit Number 2011-00983
1100 Millston Road
Attached is a copy of the Partial Site & Grading plan dated August 25, 2011 for
the proposed cabana at 1100 Millston Road. Please review the attached
information and provide comments by Thursday, September 22, 2011.
Please call Melanie Curtis at 952.249.4627 if you need additional information or if
you have any questions on the attached information.
Thank you,
[�,�,.�r'' f / '. ,y'��..--'' � i� �
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To: Finance Department
Fran: Christine Mattson, Planning Assistant
CC: Street File
Date: September 4, 2013
GIL: 101-22205
Re: Escrow Refund
Building Permit numbers 2011-00412 & 2011-00983 pertaining to 1100 Millston Road are
complete. A partial refund of $2,500 is reques�d. We will continue to hold $2,500 in
conjunction with the new proposed project.
The following is attached:
• Email from Bolton & Menk indicating no unbilled WIP on this project
• Email from Campbell Knutson indicating no unbilled WIP on this project
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Rodney Burwell
7901 Xerxes Ave S#201
Bloomington, MN 55431
w:\street files�rnillston rd�1100�escrow refund memo 2011-00412&2011-00983.doc
Christine Mattson
From: David Martini [davidma@bolton-menk.com]
Sent: Wednesday, September 04, 2013 9:23 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
Chris,
It looks like the only WIP we have for these projects is an hour of Mark Perry's time($87)for 3245 Watertown Road. Let
me know if you have questions.
Thanks.
David P. Martini, P.E.
Bolton � Menk, Inc.
P: (952) 448-8838 ext. 2458
M: (612) 756-4315
email: davidmaCa�bolton-menk.com
From:Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Wednesday,September 04,2013 8:20 AM
To: David Martini
Subject: FW: Unbilled WIP
Hi Dave,
I need to prepare my escrow refund memos this morning. Will you have a chance to look for any unbilled WIP?
Thanks!
Chris^'
From: Christine Mattson
Sent: Friday, August 30, 2013 11:42 AM
To: David P. Martini; 'Sherry Charboneau'
Subject: Unbilled WIP
Hello,
Any unbilled WIP for the following: �
Building Permits
2013-00119 3245 Watertown Road Carl &Andrea Rhame
2012-00891 4495 Bayside Road � Mark&Shelley Souers
2012-00728 2280 Fox Street Lynn &Anders Myhran
2012-00554 3186 North Shore Drive Michael Jones
Thank you!
1
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com)
Sent: Friday, August 30, 2013 12:52 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
Christine:
No unbilled WIP for Campbell Knutson.
Enjoy the Labor Day Weekend!
Sherry
Sheny L. Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 3ll•Eagan,MN 55121
'�(651)234-6230•Fax:(651)452-5550
�scharboneauCa�ck-law.com•www.ck-law.com �
From: Christine Mattson [mailto:CMattson@ci.orono.mn.usl
Sent: Friday, August 30, 2013 11:42 AM
To: David P. Martini; Sherry Charboneau
Subject: Unbilled WIP
Hello,
Any unbilled WIP for the following:
Building Permits
2013-00119 3245 Watertown Road Carl &Andrea Rhame
2012-00891 4495 Bayside Road Mark&Shelley Souers
2012-00728 2280 Fox Street Lynn&Anders Myhran
2012-00554 3186 North Shore Drive Michael Jones
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway j Orono `s MN ! 55356(physical addressJ
PO Box 66 � Crystal Bay S MN j 55323-0066(mailing addressJ
'� 952.249.4620 I 8 952.249.4616
� cmattson@ci.orono.mn.us ; �i www.ci.orono.mn.us
Summer Office Hours: (Monday,May 20 through Friday,August 30,2013)
Monday-Thursday: 7:30 am to 5 pm
1
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2011-00412&2011-00983
AGREEMENT made this 2� day of , 20��, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("Cify")and Rod Barbara Burwell ("Owners").
Recitals
1. A building permit application has been filed for an in-ground pool located and new septic system
installation (201 1-0041 2) and pool cabana (2011-00983) at 1100 Millston Road the ("Subject Property"), legally
described as Lot 5, Block 1,Millston, 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$5,000 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 legat consultant review) associated with building permits #2011-00412 8 2011-00983 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 Ciry 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
subj roperty pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CI OW E :
By: ��u,�✓�!'c/`�
Its:
. ,.� � .:, � - _ _.. :� - .�:,:�- �� ��. a �� :� � �. � ''3e�
��:�.��.�������., .z.,�'� ..��. ., _
, , _ _ _. _�� ..� ���...._.�
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2011-00412
AGREEMENT made this�day of , 20 ��, b and be en the CITY OF ORONO,
a Minnesota municipal corporation ("City")and r ("Owners").
Recitals
1. A building permit application has been filed for an in-ground pool and new septic system
installation located at 1100 Millston Road the ("Subject Property"), legally described as Lot 5, Block 1, Millston,
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"rf 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$5,000 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 #2011-00412 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 pro erty pursuant to Minn. Stat. §§ 415.01 and 366.012.
CITY: C NO OWNER:
By:
f - --- x �`�(.,.-t/� � ��'�s✓��,...,/��
its: �
,., �, �� ��� � ;. � �� yg,�"
�.-::. ..; �
��, .���i��,d°,m�f,;:3;kw,�?^.t ,, `.G.r�.,. ... :,,.: . �. ., .. , .
.,,�.. ' ' . ...:. . ........ . �.,9 .,.. . � c., , �... , ... �,,.���.' .; ,.,:��Mf��
` ' ' CITY OF ORONO PERMIT NO.: 2011-00613
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 07/1U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1100 MILLSTON RD
PIN : 10-117-23-14-0015
LEGAL DESC : MILLSTON
: LOT 000 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$5,000.00 ESCROW IS TIED TO BUILDING PERMITR#20 1 1-004 1 2
APPLICANT ESCROW FEE-BUILDING 5,000.00
BURWELL,MR. &MRS.RODNEY P TOTAL 5,000.00
7901 XERXES AVE S
BLOOMINGTON,MN 55431-
OWNER
BURWELL,MR.&MRS.RODNEY P
7901 XERXES AVE S
BLOOMINGTON,MN 55431-
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.
The 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.
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