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2011-01400 - shed
- CITY OF ORONO * z 0 1 1 - 0 1 4 0 0 * 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2012 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ABDRESS : 25 MYRTLEWOOD RD PIN : 36-118-23-33-0014 LEGAL DESC : MYRTLEWOOD : LOT 002 BLOCK 002 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED> 120 SQ FT ACTIVITY : 649-ALL OTHER BUILD[NG& STRUCTURES VALUATION : $ 14,000.00 NOTE: SEE ATTACHED: 1.PROPERTY OWNER ACKNOWLEDGE ACCESSORY STRUCTURES ON LOTS UNDER 2 ACRES MUST BE FINISHED CONSISTENT WITH THE PRINCIPAL STRUCTURE. THE ACCESSORY STRUCTURE IS PROPOSED TO BE FINISHGD WITH CEDAR SIDING. THE PRINCIPAL STRUCTURE WHICH CURRENTLY HAS VINYL SIDING MUST BE RESIDED WITH CEDAK SIDING BEFORE MAY 1.2014. 2. EROSION CONTROL MEASURES MUST REMAIN IN PLACE UNTIL VEGITATINO IS ESTABLISHED. THE ESCROW WILL NOT BE REFUNDED UNTIL VEGETATION IS ESTABLISHED. 3.WETLAND DELINIATIONS MUST BE APPROVED BY THE MCWD. THE WETLAND DEL[NEATION APPLICATION MUST F3E RE-SUBMITTED TO THE MCWD BEFORE MAY 31,2012. ESCROW WILL NOT BE REFUNDED UNTIL WETLAND DELINEATION HAS BEEN APPROVED. PROPERTY OWNER ACKNOWLEDGES IF PROPOSED ACCESSORY STRUCTURES ENCROACH IN THE WETLAND BUFFER OR WETLAND BUFFER SETBACK,THE STRUCTURE MUST BE MOVED TO A CONFORMING LOCATION. 4.AS-BUILT SU VEY MUST INCLUDE APPROVED WTLAND DELIN[ATION EDGE,25'WETLAND BUFFER AND 20'STRUCTURE SET[3ACKS. F � APPLICANT pERMIT FEE SCHEDULE 250.75 BUII,D IT PLUS LLC STATE SURCHARGE(VALUATION) 7.00 9037 DARROW AVE SE DELANO, MN 55328- TOTAL 257.75 (612)910-5425 Minnesota State License#: BC403979 OWNER RYAN, STEVEN&ANNE 25 MYRTLEWOOD RD WAYZATA, MN 55391- 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be rey6Jced at any time u cause. j���� / � ! ♦ � �� � ���� L� L..Ylni: �.� � � _ ,.�c�_� l �-- �✓fkpplicant P itee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , City of Orono ' Building Permit Application ` for New Structures or Additions Mailing Address: Permit number: O��—O� � ��?v�,j�\ PO Box 66 �o o� Crystal Bay, MN 55323-0066 Date received: �— —� ( _. �� ��� �- � Received by: %?(". _.___. 1��a y �� a,�, Street Address:' ��`t� .��',� ��� 2750 Kelle Parkwa / � �(� L�9 c� x: Y Y n Plan review fee: � \g ��'� 4/ Orono, MN 55356 /� ,,r � ,,_ESHo, _�ao��-o i3 _-___-, � Total F�:" __� �- 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. (P/ease print) GENERAL INFORMATION: Job Site Address �� �.y���'�� �o�,,� � � ��O�y a ��4� ,�'^J� ��J Will this be a Parade of Homes, Remo elers Showcase Home or other Display Home? ❑ Yes �No If yes,a specral event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFOR ATION: Name: ,� �.c�'l <t �� �L,G , State License# �' Expiration Date: — /a Phone: — ���--. office cell Mailing Address � . x ,S""' Cit : ZIP: � Contact Person: �"',� N 7`�S Applicant is: ontract r / Homeowner �c���ie one� Email and/or Fax: �e�y� PROPERTY OWNER I MATION: Name: � hJ1�1�1- y�-j'Ll Phone (day): — '� — ,r� Address: — Cit : V"�C�hJ� ZIP: ���`J Email and/or Fax ARCHITECT/ENGINEEI�INFORMATION: Name: ,�,�`�7�%�— Phone (day): � Address: Cit : ZIP: 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 ❑ Other: (specify) ❑ Multi le Famil /Condo ❑ Private Sewer p y ❑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 ��� �,i� Phone: 952-471-0590 ��� Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ / �f, Q pQ ,�� r STRUCTURE INFORMATION: � 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= � � Number of bedrooms= �� �Wood/Frame � ❑ Masonry b.Width(ft.)= �_ Number of garage stalls: ❑ Metal Attached= ❑ Pole Bidg. Areas in s4uare feet Detached= ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 1St Story = ❑ Other(please specify): e. 2"d Story= f. 'h Story = g.Total Area= �.�5�,'� REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ ❑ Proposed Buildin Plans ❑ ❑ MN State Ener Code Calcutations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Septic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ Engineered Plans for Retaining 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 altemative 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 $10,000 escrow agreement to ensure completion of the as-built survey and all site improvements. 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S� r; i• �;,_ .�".�Y.y �td�� �._:y� :.��: �� k" �, . ��,.a` ,�.. .°i* '�' ��" re .� �s..� .�v r _ � arz. � .;k '� a..�a p�,� `� S� ; ,..;. � ,•¢; s.` {{Y. ,�� `� ': � q h*. `$� t ��u ,a st �. � - rs.'i�7, '�-,L. � tt �...� c „� �+i �s ,�; �«' i�x � °����` c,.u3 x "�'., - � . 43i,� u k �r �� 'F r �y vz ��' � S w i.- �` s 1"�i ,EI�� ::t+i+ .�_"9i =k-•�,. �' ,�`�; K...:;�' '�, _ � �, t# .t. _ r.�fj - 'T t � �. _ � �.a:.. :'v£ � _ �pi�at$'d �911`I!�(309 " ' '�` ` k z:1fo'rxnslpf�r��'eview che�ki;st.doc�t �> �,{� P��:�' � , _ , , � , �� � �s �� � • ('• C P S Sb� S..J.�-�_LU� t�'►'YY1 t fi ��� m��r-� 1��.�=cr�� (�d - � � ,���r-c l ��0 , Property owner acknowledge accessory structures on lots under 2 acres must be finished ' consistent with the principal structure. The accessory structure is proposed to be finished with cedar siding. The principal structure which currently has vinyl siding must be resided with cedar siding before May 1, 2014. Erosion control measures must remain in place until vegetation is established. The escrow will not be refunded until vegetation is established. Wetland delineations must be approved by the MCWD. The wetland delineation application must be re-submitted to the MCWD before May 31, 2012. Escrow will not be refunded until wetland delineation has been approved. Property owner acknowledges if proposed accessory structures encroach in the wetland buffer or wetland buffer setback, the structures must be moved to a conforming location. As-built survey must include approved wetland delineation edge, 25' wetland buffer and 20' structure setbacks. ------- _ __-_____ . __ -----_._._---- y- . - ------- --- ------___ _ _--------- ----- � � - � -i i i --- - - ---, --- - -� � - - - , ,--- � I - - _ i i i i � -, : . : � � , I � �'-� � --- . ' ;� '' � . 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I . j . . �� C\%��( ',/ ATGE TIME V CITY OF ORONO v� CALLED W �a INSPECTION QTICE / r SCHEDULED ��T � PERMIT NO�vl I-' U�`�� COMPIETED ADDRESS �G� G ' 1 OWNER LEPHO N�r � ^� !D-J��� CONTRACTOR � L(.� � i f ���S � DESCRIPTION �����YJL/.�%� ��lf��i�� %l/I�� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING J Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLAND y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL ` G 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 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO �� � COMMENTS: � W a � � O � � O � W � Q ti Z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDIT�ONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice � D T TIME " CITY OF ORONO CALLED IN � INSPECTION N TICE SCHEDULED - " �- _� PERMIT NO.����'O� �O COMPLETED �� � ADDRESS a5 Od � OWNER TE EPHONE NO.��Z `��� S�Z� CONTRACTOR �-�� � ��S - cf0'�ll��� � DESCRIPTION D u'�'�-`� 1�"��a��� p���—' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � �IWORK SATISFACTORY:PROGEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next ins ion 24 hours in advance. (952) 249-4600 OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice � L DA/T TIME �/ CITY OF ORONO CALLED IN -�� INSPECTION NOTICE SCHEDULED S-�S-/Z c�? : PERMIT NO. a���D/ �Dp COMPLETED ADDRESS �ZS � �`�' OWNER Q TEL PHONE NO.��a gio s�� CONTRACTOR U��� �7� �� � DESCRIPTION ����� `s � ❑ FOOTING ❑ PLUMBING NAL ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W C j n m o �v �. � O � W � Q � 2 W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4f)�� Owner/Contractor on s'te: Inspector.�¢ White Copylinspector's File Canary CopyiSNe Notice •� � �.��//�T D�E TIME � CITY OF ORONO ��� CALIED IN z� INSPECTION NOTICE/�� SCHEDULED ! �.30 PERMIT NC�//� U��C�� COMPLETED ADDRESS �S L OWNER TELEPHONE N .�� ��r�9/O S�a�`.> CONTRACTOR '�����-�7� �u S �: DESCRIPTION ����r� / ��� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � ❑ PLUMBING RI ❑ S P IC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO . YES_NO ...r----� � COMMENTS: �" ��� '��,��� � r�f�� � W 0. � J O a � O � � ��:f ���w.�-tl�C�,l' �y.,�C� � � Q Z ��, ����� �. �� . _ � t��S��c� � � � � � -�- �� �v� :� G- �'�Q�� r� W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE���1� W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on si� Inspector. �_ 0 White Copyllnspector's File Canary CopylSite Notice . � . • . . • . 1 • emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: 3/18/2013 G/L: 101-22205 Re: Escrow Refund Building Permit #2011-01400 pertaining to construction of an accessory structure is complete. The Applicant, Steve & Anne Ryan, has requested a refund of their $2,500 escrow. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Steve &Anne Ryan 25 Myrtlewood Road Wayzata, MN 55391 w:\street files\myrtlewood rd�25\escrow refund memo for 2011-01400.doc , � BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2011-01400 AGREEMENT made this oZ-$�day of nQ.I�L� , 20��, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Steve &Anne Ryan ("Owners"). Recitals 1. A building permit application has been filed for an accessory structure located at 25 Myrtlewood Road the ("Subject Property"), legally described as Lot 2, Block 2, Myrtlewood, 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 #2011-01400 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: �ITY OF ORONO OW ER: By: ( � 4� U��l-'� �ts: �hl{ ► s+�ver� �.ya..v� .....d ...,...,,�..�. .;�t'%' m--„T> r 5 � —r ,� � = s � — �� � , a��""����..��+��!�y..'�1�:�n�:������_���c�p��� � 4.� , � Gi�ty af Orona 2750 Helley GarkMay �0� � � 952-249-4600 Receipt No: 3.UDb592' bar 28, 241� Steven � Anne Ryan Planning_and Zonin 2011-414U0 E"5 I�yr�le�roai 2,5p�.�,0 RD iGi-,��qy Deferred Rey-Developer Depasit total: `"-"--------- 2,500.(?p Check �'�'=_�--=_ Check No: 7888 PaYor: �,540.� Steven d Anne Ryan Total Applied: 2,500.UO Change Tendered: � ��'�"' ��_ .00 03/28/2ti12 09:5� "_ ' ' CITYOFORONO * z01z - 00230 * 2750 KELLEY PARKWAY DATE ISSUED: 03/28/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 25 MYRTLEWOOD RD PIN : 36-118-23-33-0014 LEGAL DESC : MYRTLEWOOD : LOT 002 BLOCK 002 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500.00 ESCROW IS TIED TO BUILDING PERMIT 2011-01400-PAID ON 3/28/12-CHECK#7888-ANNE RYAN APPLICA1vT ESCROW FEE-BUILDING 2,500.00 RYAN, STEVEN&ANNE TOTAL 2,500.00 25 MYRTLEWOOD RD WAYZATA,MN 55391- OWNER RYAN, STEVEN&ANNE 25 MYRTLEWOOD RD WAYZATA,MN 55391- 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 separate pertnits. 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 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. i i j � � = � --.-- � � ❑ �1 � �1 �o; j �; � i i � 0 � � o�� ; j �, °� �i i tl? i j� � � � ` aa �, . v} .� a � a" � v7 �' � �i �u �, � � a, �, , ti � � - s � c� � � ;-� � �� �.: �- — � � — ! '� �, ( � � I �:. '�'. 1 � � _ 1 � � =.. � 6 = o j i �1 � ��1 a S U � � ; � � � V y � I � � O I �Ci � � � _ �' ��� , � � —;.___ 9 9 j � ; , � �-� � 3 =� � �n a�j a � a: , � � � a ����V ; a �i�i 4 , � .. � R �` t� " o �:��� � ! � a i � � � — � �I �� �' ��! � �' �; i�, a � °� -` ;�_' ��� 1�, � o.� e $ � °' � �__� a� � � a> 8 °-,,, ; �i� I � �� � � � c' � � i �C� � + hl N � � CjyN„� { � 9 E � y v' a. �Eitri;ea� `� � r� ,� . p N ,�; ' �i �' � � � � '�!' � � I v � , a • �? gi I � � fA Ni�'St�1 � � � � � � � � � � � �! � � . � :� .3�. � � �� � �'�: � � � � � � � � � �i � DATE TIME CITY OF ORONO CALLED IN V INSPECTION NOTICE SCHEDULED 5-1513 PERMIT NO. 4-0( - 0I4 uCOMPLETED ADDRESS 2.5 r cyY tkWOOd OWNER TELEPHONE NO. CONTRACTOR tl DESCRIPTION ASIA1l� L4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO C,)• COMMENTS: ez W CC J O CC U..O W CC W W CC 2) WQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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. (952) 249-4600 Owner/Contractor on site: 11 �t-`1j- Inspector. a AL '1 1 White Copy/Inspector's File Canary Copy/Site Notice