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HomeMy WebLinkAbout2011-00983 - pool house ' � CITY OF ORONO PERMIT NO.: 2011-00983 � A 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. / �, '�23 �za� �_ � 7i� � Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � f City of Orono � ; �� �l�-� Building Permit Application for New Structures or Additions �--� Mailing Address: Permit number: ���— ����� j�,0,�.� PO Box 66 �y � � .�: 04 Crystal Bay, MN 55323-0066 Date received: /�O/ �� I� ��� �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�; i r . 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 $10,000 w P Y 4 P rY P Y Y P P �; escrow agreement to ensure completion of the as-built survey and all site improvements. �:; gy: � � �/f ApplicanYs Signature: �� Date: — � �'��� �:����� ��� . --����� ���j��'� �.� ���� ��� � �.�:������ Aa�dr�ss/PID/tegai: � � O c� i ,� �c�n.� : � j� -': ' . . . _ , . _; . - �D�.s�r�i}�tinn pf a�or•�: �- �� � ��f3�r�s� - . , - . _ . .. . . � -ss����x���nr f�y; � . ��--- ��t�e�rc��€�: ��`� � � � ..� �,�q : _ . ����g�:a����:- �F''./�°i�; -''�.�� - ��rc��- '--�'�-f - Z-�- ,�� � � � .$�xifcbiz��eu��t�r: �-`-��. ..�� 1��,;,:..,� . • • � �t��r���� �' �.�:-t. �' �_-Cra�€s�,�����yo: ��41Z Ib��• . ,� _ , . � �a��,=� ���r����� �--z-�,:�=��� . . �,. . ,.. . . ,. . . __ ._ .-, . , ;. , . . ��r��r��=�F�le�: - � f�esc�ii�ion��": . - , :-�es�alt�#�cir�.�#�. �D�I'ft3 '��'.itt� �� , 2! ;�L�'��CL' �- ' . ,.�.oCfSD43�.�31S`$T{L`-'�, , .. . , . • . -,�, - - .,, ,. :. . . .. . . .. . .q. _ .. . .- .. � . �- . ..� t .• �. �.. �� . �.. -- � .a . ._: . . . _ . .. . . .. � . .,.j . � � :�mr�tn�. 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Ac�es�:Existing: � l'ES i� t�:0 � Aiew: II YES 13 �D RER1f�►RK�'{TQ BE NC2TED t?{� R€R�IT,��1?�E�'iYi�LLED�3'if#�'ERS�N PI2.t�1..lA�G�PE}�Iff�T) Updated� 09/11/200H z:\fiormsiplan�diew checkiist.docac 1 � DAT TIME V OF ORONO CALLED IN ���� � � INSPECTION NOTICE ['}�/ SCHEDULED _�j�l.�- _//� -`f`� PERMIT NO. �Or�~�/� /O � COMPLETED ADDRESS I U �ZI OWNER TELEPHONE NO. � � a `� � ���� CONTRACTOR � �� � . , � �� � DESCRIPTION �rc i.�� �l� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMEN : � W � o ���v-SS _ i�� C'� _� (J ( ( � ���—� � �-1� r ,��"c`� � �� c"(�'��� � 0 � Q l.� � � � �"� T/�- S� j ���v'� � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � �ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. � / ,�]�� �� � White Copyllnspector's File Canary CopylSite Notice d'�` DATE TIME � CITY OF ORONO CALLED IN lo SS INSPECTION NOTICE SCHEDULED ��_7-1 J � PERMIT NO.ao��-oo�3COMPLETED �Gt� � ADDRESS l��� ��ll 5''��' � OWNER TELEPHONE NO. I CONTRACTOR 7��7�? f D I�'� C�l��� > DESCRIPTION n � � ❑ FOOTING ❑ PLUMBING FI L ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O A � � �� � �� � O ' � W � Q � Z W � W � � d W� (�'CtlORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK 8 PROCEED 1-1 ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site• Inspector. White Copyllnspector's File Canary CopylSite Notice � � � DATE TIME � �� � � iZ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �-�� (2- PERMIT NO.�L��—���� � COMPLETED �� ADDRESS � ` ��� I r 1 I I ���`!�l� �c�], . OWNER TELEPHONE NO� ��- ���L � �4��p CONTRACTOR � ��� �l.'} � E{� � DESCRIPTION �-+ �`� l� I��l ZY� Cl'.�I C��x,� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHOREJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINA� ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � ° � � I J cs G W � Q � Z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. 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I. � �► �_ .` � � � y� ������������'��� ��l�l. ,� 1�1� 111�1111�11��111 �.�,� -��___-__.� ..� � ,11���-�--�._. �, —,���� .� _ . �� ., � :, �D �.� :� . . . .� �� , . - .. , . „ . .__._.. e , r . � � _' �;� i '. i f ai , ,'', � ♦ .. � L . . ... ... ,,:, � �', A �, �^, i���1������H1�ll�tl�l���fl���,�,,��;� �'!I�"� ���"��'�I��'��III ������;! �1l11�1� � M�� �� �..��i� � � ������I�'��� '���� r:::: � -tn���� � ' '�r' _=��:�������� � ��� � Illllill�� �.�.�� :�:r: ������,�.�� �..� �� �.�.s��.��� .���� ��I � �r�rr�r���rr�r; ■�����*■.� ■�Nl�1����' ���. t�n�I���M ■r��i�t�r��u ■■���w���� � ■ !L il�il�: �� i�����iiii�; ! w�w���t��r��: �w�s�ii�i�' ' . ������i��r�; ■���l��li��N I �:� M�IIr�1//w�'. ������I�M��' �rr��,��r�; ��� - a.��������: ��ra�r���rr�� � ���ii�iii�i � :��,���..,. .r1� �.a��,r... � �:�����,.��:� �3���������� f . . r rrnr�r��a�rr� ��� � ���n����� �� ���r�r�rr�ir� �� �����������' �� �fiin����iii` � �, ��,��; ���u���►t������t�����t���i�tii�������� :�:.�� <. • 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� � � l � � � t'�. ,�-"� �,,,..�'' W*..I -- — � � � r ��' f �,.� * � �,.�` �' � � � , �.. ,� � � � J'� � ,�`� f'` / � � .,-+''� �'EOAl� • 4. : � � ��' �,' �,/ ,,r � � �� � �, r��, 1 � ,/ `� � �`--�`` ; • � �/' � ,�' �, r� • � ,/ ,r � ,�.. . . � . " r • ',�� t� � � � �,. I � `, � : � � �1�-�-�-- fl / � :.. / �� ! ' ,d �� rt - r � � � � '"`�,..-''"J I ( x �� t � � � f�� ! � � '� '�1�� � } �,� /� ,,r+°` �• �/ e`' . 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O . �..� ,'..� � i!�Y�'��,�:3�a ,a �"� °, �� �{� � .Ci a'�:�"t° i7.. fl �J a ,Q;� _��, . • . • . • • � • , emo 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. 1►- Permitlllforks � � ';�r. :� ��' �' �,, � .� �.; ... �,> :� .,�.<��,::�� � - Fk Tce�tion f�laintain Repotts *� Geoaase Pro�peFty Rece�rrf _ �._� �� !' 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