HomeMy WebLinkAbout2014-00759 - addn/remodel/repair � . CITY OF ORONO * z 0 1 4 - 0 0 7 5�
2750 KELLEY PARKWAY DATE ISSUED: 08/27/2014
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 : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
C NSTRUCTION TYPE : ADDN/RE) MODEL/REPAIR
.....t�i �/o.Y_� 1..� J y ��\-E_.i--1��.:i�L'f i c�.....�.
VALUATION : $ 200,000.00
NOTE: SEPARATE PERM[TS REQUIRED: PLUMBING,MECHANICAL„I;LECTRICAL(STATG)
2-STORY ADDITION REAR OF HOUSE
N : R[OE2 TO RELF.ASF,OF ESCROW FUNDS,AN AS-BUILT SURVEY MUST BG SUBMIT7'ED AND APPROVE?D. INITIAI.:
APPLICANT PERMIT FEE SCHEDULE 1,656.75
STATE SURCHARGE(VALUATION) 100.00
TIVOLI DESIGN BUILD REMODEL
15 MYRTLEWOOD RD TOTAL 1,756.75
WAYZATA, MN 55391- Payment(s)
(612)290-0482 CHECK 8717 1,756.75
Minnesota State License#: BUIL-BC680773
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. l�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 laws and ordinances governing this type of work
shall be compied with whether or not specified herein.1"his permit will
expire and become null and void if consiruction authorized is not
commenced within 18 s o� e date of issuance,or iT construction is
suspended for a pe d oP i AO day�at any time after work has commenced.
The applicant i esponsible for assuring all required inspections are
requested in nformance wit 'the State Building Code.This permit may be
revoked at y tin for due ause. '�
.
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Applic nt P mit e Signature Date Issu d y Signature Date �
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CITY OF ORON ���� � ,� �j�P'
BUILDING PERMIT APPLICATION � � �
FOR NEW STRUCTURES OR ADDITIONS
O Mailing Address: Permit number: 07 D I`-�— D�7J�
� �O PO Box 66
Crystal Bay, MN 55323-0066 ` t � Date received: 7-��0-��
, '� � ;
Street Address:' � ,� � Received by: S �r
y� �' 2750 Kelley Parkway P' ,�, Plan review fee: ��� -�U �
�' Orono, MN 55356
�qkESH°�� Total Fee: �� � g�
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us e(,'d $�Z•��►
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: I
Job Site Address: � /ti�� � u��c�c�C4 C>�d�'`O � S �`1 �
Will this be a Parade of Homes, Re odelers Showcase Home or other Display Home? ❑ Yes , No
If yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: i o( i
State License# Expiration Date: - -
Phone: (cell) /02— �- oy8a (office)
Mailing Address: l5 /�'�vr�,p�oa,l fZo( - City: �it�i'�-G ZIP: $�S3q / ;.
Contact Person: ���c�,.�,Qswea�L.e►�� Applicant is: Contractor / Homeowner (CircleOne) �
Email and/or Fax: �i.,;Jc,rn,e�we�;�}-�ers � r�a;�- ���,.�.-;
PROPERTY OWNER INFORMATION:
Name: (�v�ih Z�S . ��'CNl� �. Ac1'1vU� I��(QV�
Phone (day):
Address: �s M�'/' �(�� � 2 c^�(- City: G` Y Cs1�.C3 ZIP: S 5 3 � �
Email and/or Fax Si'�•(pf1�� };f : Ol,t'? . :��
---���
ARCHITECT 1 ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project: � �c�C� ��i�v �a �' ��r� �ni���
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8�
Water Supply
❑ New Construction �Single Family with �Residence
�'Addition attached garage ❑ Garage/Accessory Bldg. ,�Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck '
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ��
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ,�Public Water
**Any earth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
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Estimated Construction Valuation (excluding land) $ � �o,���J
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STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction
/ I
a. Length (ft.)= / � Number of bedrooms= ,��/ood/Frame
►
b.Width(ft.)= �� Number of garage stalls: ❑ Masonry
Areas in spuare feet Attached= ❑ Metal
❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 1 St Story = ❑ On-site Prefab
e.2"d Story= ❑ Off-site Prefab
f. YZ Story = ❑ Other(please specify):
g.Total Area= �V�
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ ❑ Permit A lication
❑ ❑ Pro osed Buildin Plans
❑ • ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee -
❑ �• ❑ Application Escrow&Agreement
❑ ❑ Other: �
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for 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 subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
. Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure complet n a -built survey and all site improvements.
��`��� / —. � �— /�^ / �
Applicant's Signature� �- Date:
Owner's Signature: Date:
�
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; T , PLAN REVIEW CHEC�(LIST FOR N�W STRUCTURES / a4D`DiTIONS
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, . ,
Christine Mattson
From: Robert Bean [bobbe@bolton-menk.com]
Sent: Tuesday, August 26, 2014 1:41 PM
To: Christine Mattson
Cc: Andrew Mack; Melanie Curtis; David P. Martini; Brian Simmons
Subject: 2014-00759 -25 Myrtlewood Road
Christine,
I have completed review of the revised Certificate of Survey. The plan has been adequately revised per my comments
dated 8/19/14. If you have any questions or comments, please contact me to discuss.j
Thanks,
Robert E. Bean,Jr, P.E.
LEED Green Assoc.
Water Resources Engineer
Bolton & Menk, Inc.
Consulting Engineers&Surveyors
2638 Shadow Lane,Suite 200
Chaska, MN 55318
P:(952)448-8838, ext 2892
F:(952)448-8805
email: bobbe@bolton-menk.com
www.bolton-menk.com
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.svmanteccloud.com
i
r _
Christine Mattson
From: Christine Mattson
Sent: Tuesday, August 19, 2014 3:40 PM
To: 'robijamesweathers@gmail.com'; 'Mark'
Cc: 'Ryan, Steven'
Subject: FW: 2014-00759 -25 Myrtlewood Road
Attachments: Escrow Agreement- Building Permit w Erosion Control 2014-00759.pdf
Robi,
Consulting City Engineer, Bob Bean has reviewed the survey for the proposed addition at 25 Myrtlewood Road and has
the following comments(see below). Please address his comments/concerns and provide and updated survey for our
review.
Attached is an escrow agreement. Please have the property owner sign and return the attached agreement with a check
for$2,500. Once the project is complete and an as-built survey has been submitted and approved the escrow money
will be refunded.
Please don't hesitate to contact me if you have any questions.
Thank you.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway Orono ; MN � 55356 (physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
d� 952.249.4620 ': 8 952.249.4616
� cmattson@ci.orono.mn.us ' � www.ci.orono.mn.us
Summer Office Hours: (Monday, May 19 through Friday,August 29,2014)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday, September 1, 2014
From: Robert Bean [mailto:bobbe@bolton-menk.com]
Sent: Tuesday, August 19, 2014 2:47 PM
To: Christine Mattson
Cc: Andrew Mack; David P. Martini; Brian Simmons
Subject: 2014-00759 - 25 Myrtlewood Road
Christine,
I have completed review of the Building Permit application package for the proposed addition at 25 Myrtlewood Road.
Following are my comments for your consideration:
�
f .
1. Siltfence should be indicated down gradient from the proposed work. The siltfence should be installed and
inspected by the City prior to any work. The contractor must provide minimum 24 hour notice prior to
inspection.
2. Proposed contours should be indicated on the plan to ensure adequate drainage is provided and no retaining
walls are necessary to construct the proposed addition.
If you have any questions or comments, please contact me to discuss.
Thanks,
Robert E. Bean,Jr, P.E.
LEED Green Assoc.
Water Resources Engineer
Bolton & Menk, Inc.
Consulting Engineers&Surveyors
2638 Shadow Lane,Suite 200
Chaska, MN 55318
P:(952)448-8838, ext 2892
F:(952)448-8805
email: bobbe@bolton-menk.com
www.bolton-menk.com
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.svmanteccloud.com
z
MEMORANDUM
Date: August 7, 2014
To: Bob Bean, City Engineer
From: Christine Mattson, Planning Assistant
c Melanie Curtis, Planning & Zoning Coordinator
Dave Martini, City Engineer
RE: Building Permit Number 2014-00759
25 Myrtlewood Rd
Attached are building plans and a survey for an additional at 25 Myrtlewood
Road. Please review the attached information and provide comments by
Thursday, August 14, 2014.
Please contact me at cmattson@ci.orono.mn.us or at 952-249-4620 or
Melanie Curtis at mcurtis@ci.orono.mn.us or at 952-249-4627 if you need
additional information or if you have any questions.
Thank you
8112014 Gmail-25 Myrtlewood Rd-No MCWD Permit Needed
� s
� � � � ,`�•�. ., , . , �'� � �. ' , ..� .,, �{:�.v� ,. '
t,��;cx�[L
25 Myrtlewood Rd - No MCWD Permit Needed
Joey Handtrnann <JHandtmann@minnehahacreek.orc,�> Thu, Jul 31, 201 at 1:54 PM
To: "Christine Mattson (Orono)" <cmattson@ci.orono.mn.us>
Cc: "RobiJamesweathers@gmail.com" <RobiJamesweathers@gmail.com>
Hi Christine,
After preliminary review of site plans for an addition to 25 Myrtlewood Rd, it weuld appear that no MCWD peRnit
waald be necessary fnr this site. There appears to be well und�5,000 square feet of disturbance and less than
50 cubic yards of excavation of soil. The construction is taking place over 180 feet from the on-site w�etland,
which the delineation was com{�eted in November of 2011. IF you ha�e any questions or concems, please feel
fr�ee to contact me.
Thanks!
RECEIVED
AUG 01 2014
.lcey tiandtmann CITY OF ORONO
District Representatiue
Minnehaha Creek Watershed District �
15320 Minnetonka Boulevard
Minnetonka, MN 55345
Dir�ect: (952)641�517
Main Office: (952)471-0590
Fax: 952-471-0682
www.minnehahacreek.org
N1INf+���iAHA �R�EK
VYATEI[St1E� Di$TRI�t
�°�o
C ITY OF ORONO
� � Street Address: I Mailing Address: I Telephone(952)249-4600
'S�, � 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616
! �' Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
"�kESHo��
July 28,2014
Tivoli-Attn:Robi lamesweathers
15 Myrtlewood Road
Wayzata, MN 55391
Re: Building Permit Application#2014-00759
25 Myrtlewood Road
On luly 16, 2014 the City received a building permit application for a two-story addition to the existing home. Based
on our initial review, your application is incomplete. The following items must be submitted or revised in order for
your application to be considered complete and for the plan review to continue:
1. Certificate of Survey & Setbacks. The property is located within the RR-1B zoning district; a 30-foot side
setback is required. A survey dated 7-18-2014 was provided showing the addition meeting the required
setback; however the proposed pergola over the concrete slab is only 25 feet from the lot line. Because the
pergola is constructed as an addition to the home it is subject to the principal structure setbacks. The permit
cannot be issued for the plan as designed. Accessory structures may be located closer to the property line
(dependent on size); however must also meet a 10 foot setback from the house. Please revise the building
plans and provide two copies of an updated, full size certificate of survey reflecting the revised plans and
which meet all of the City's survey standards(enclosed)indicating existing and any proposed grading.
2. Building Plans. The building plans should be updated to reflect any changes made to accommodate the
setback requirements.
3. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require
submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement
to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will
guarantee conformance with City Code Chapter 79 retating to erosion control and stormwater. The required
escrow amount for this project is $2,500. The escrow agreement is enclosed. The property owner must sign
the escrow agreement and submit a check for$2,500.
Your project may trigger the Minnehaha Creek Watershed District's(MCWD) permitting requirements; please contact
the MCWD directly at 952-471-0590 regarding your project. Please note, the City of Orono will not issue a building
permit without a copy of MCWD permits or documentation from the MCWD stating the proposed project does not
trigger any of their permitting requirements. The above information is required in order for the plan review to
continue. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any
questions on the above requirements.
Sincerely,
CITY OF ORONO
V� �'���"��
Christine Mattson
Planning Assistant
c Steve&Anne Ryan;25 Myrtlewood Rd;Wayzata, MN 55391
Lyle Oman, Building Official
enclosures
' � BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2014-00759
AGREEMENT made this day of , 20_, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") Steve &Anne Ryan ("Owners").
Recitals
1. A building permit application has been filed for a two-story addition located at 25 Myrtlewood
Road the ("Subject Property"), legally described as Lot 2, Block 2, Myrtlewood, subject to an easement reserved
over the rear 5 feet of said plot and the side 5 feet of any plot where necessary for installation and maintenance of
utility service, as contained in deed Doc. No. 399574..
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 #2014-00759 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 all requirements related to the project are complete. City Staff shall review the terms of this escrow
agreement two times per year to determine whether the requirements of the project have been successfully
completed and whether it is appropriate to return the funds. Owner may also request the release of the funds,
and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the
project have been successfully completed.
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:
its:
K� � DATE TIME "
CITY OF ORONO CALLED IN
INSPECTION NO E HEDULED D - / — , -�'/�
PERMIT NO. ����M L ED
ADDRESS S
OWNER TELEPHONE N01��a �� �
CONTRACTOR j VD l / �
� DESCRIPTION v�` G�
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� ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WEfLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTAIL � HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTFiACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Ca1 next inspection 24 hours in advance. (J52� 249-46�0
Own fContractor on sit �ad;
Inspector. �►--
White Copylinspector's File Canary CopyfSite Notiee
�� T,E � ��TI E �
� CITY OF ORONO CALLED IN �� ( �..�'�
INSPECTIO IC� /Ff'��j SCHEDULED �
PERMIT NO. � �'«J�`� � COMPLEfED
ADDRESS c�'� I��1-�+ 01 �l Y
OWNER TELEPHONE NO.��2�'�" ����
CONTRACTOR � V�I��
� D SCRIPTION
�
� FOOTING ❑ PLUM ING INAL ❑ EXCAV/GRADING/FILLING
Q ❑ OURED WALL ❑ MECHANI AL RI ❑ LAKESHORFJWETLANDS
y ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDAl10N/REMOVAL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECTUNSAFECONDITiONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in adva Z) 249-46��
Owner/Cartractor on site:
Inspector.
White CopYllnspector's Ffle Canary CopylSite Notke
DATE TIME
CITY OF ORONO ALIED IN
INSPECTION NOTICE ����HEDULED __��
PERMIT NO._a � � JCOMPLEfED
ADDRESS �.
OWNER TELEP OH NE NO. ��Z Z����1�'�
CONTRACTOR _ � I/!�l� �?� `J
� DESCRIPTION , �L��7��7�YJ '�X�'�" �
tt� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ E TIC INSTALL ❑ FOUNDATION/REMOVAL
2 ONfNERK:ONTRACTOR TO ME YOU: YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITiON WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 ho in advance. ) 249-4600
OwnedContractor on site:
Inspector:
White CopyflnspectoPs File Cenary CopyfSite Notke
�� (G��
DATE TIME�/
�CITY OF ORONO CALLED IN
INSPECTION yQTICE SCHEDULED �� -� fX�
PERMIT NO. Gb��jI`��/ COMPLETED
ADDRESS �S %�I U�'' T J�l%tlO(�
OWNER TELEPHONE N0. ����
CONTRACTOR p '�v ��
� DESCRIPTION �— �-� ,�"� �
lN ❑ FOOTING ❑ DEMO-FINA ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q RAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ $�PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:d4 YES_NO
v�i COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
iNSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-46��
OwnerfContractor on site:
inspector. � �-
White Copyllnspector's File Canary CopyfSite Notiee
�+� �yTE TIME �
CITY OF ORONO CALLED IN .� a
INSPECTION N TICE HEDULED -/� �
PERMR NO. � "�� OMPLETED
ADDRESS
OWNER ' TELEPH N �'�-2y�"� g�-
CONTRACTOR � � � . .
� DESCRiPTION �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBiNG RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RAD N SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ F ING ❑ MECHANICAL FINAL ❑ PROGRESS
_ ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W A BUILT-SURVEY ❑ SEWEA HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z 01NNERlCONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours i dvance. -46��
OwnedContractor on site•
inspector:
White Copydnapecto�'s Flle nary CopylSite Not
�� � DATE TIME �
ITY OF ORONO CALLED IN �_
INSPECTION NOTICE -�� SCHEDULED (a `S / ��
PERMIT NO. 1�j�� COMPLETED
ADDRESS Z.S Y l�`� y Y�'-}- � e 1,���� 7�c..
OWNER TELEPHONE NO. � �Z Z�� d�S�`l
CONTRACTOR -� ! l V'n � / L�eS1�Q�
� DESCRIPTION �-" ( �'�1 a � �C-F_VY1G�_I
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEW HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ S IC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: ES_NO
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V BEFOREC0IIERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
�NSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
CTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. ��`- �
White Copyllnspeclor's File Canary CopylSlte Notice
. •
, • • • •
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant � A�
�n
CC: Street File
Date: November 1, 2016
GIL: 101-22205
Re: Escrow Refund
Building Permit#201400759 pertaining to 25 Myrtlewood Road is complete. Please refund
$2,500 to the property owners, Steve &Anne Ryan.
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�rnyr�ewood rd1251�escrow refund form 2014-00759.docx
✓
' BUILDING PERMIT ESCROW AGREEMENT
` . Orono Building Permit#2014-00759
AGREEMENT made this Z�day of v J S� , 20� by and between the CITY OF ORONO,
a Minnesota municipal corporation "City") Steve &An Ryan ("Owners").
Recitals
1. A building permit application has been filed for a two-story addition located at 25 Myrtlewood
Road the ("Subject Property"), legally described as Lot 2, Block 2, Myrtlewood, subject to an easement reserved
over the rear 5 feet of said plot and the side 5 feet of any plot where necessary for installation and maintenance of
utility service, as contained in deed Doc. No. 399574..
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 #2014-00759 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 all requirements related to the project are complete. City Staff shall review the terms of this escrow
agreement two times per year to determine whether the requirements of the project have been successfully
completed and whether it is appropriate to return the funds. Owner may also request the release of the funds,
and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the
project have been successfully completed.
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 R'
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* ' CITY OF ORONO
2750 KELLEY PARKWAY * z 0 1 4 - P1 0 B 8 6 *
DATE ISSUED: 08/13/2014 � r-
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 ESCROW IS TIED TO PERMIT#2014-00759
APPLICANT ESCROW FEE-BUILDING 2,500.00
ESCROW FEE-EROSION CONTROL 0.00
RYAN, STEVEN&ANNE ESCROW FEE-GRADING 0.00
25 MYRTLEWOOD RD TOTAL 2,500.00
WAYZATA,MN 55391-
Payment(s)
CHECK 270 2,500.00
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 sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified hereia 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 �'��`---.,___
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date lssued By Signature Date
* , -.
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2014-00759
AGREEMENT made this��day of +� J S�'" , 20 « by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City") Steve&An Ryan ("Owners").
Recitals
1. A building permit application has been filed for a two-story addition located at 25 Myrtlewood
Road the ("Subject Property"), legally described as Lot 2, Block 2, Myrtlewood, subject to an easement reserved
over the rear 5 feet of said plot and the side 5 feet of any plot where necessary for installation and maintenance of
utility service, as contained in deed Doc. No. 399574..
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 �eimbursement 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
reimbu�sement 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 #2014-00759 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 all requirements related to the project are complete. �ity Staff shall review the terms of this escrow
agreement two times per year to determine whether the requirements of the project have been successfully
completed and whether it is appropriate to return the funds. Owner may also request the release of the funds,
and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the
project have been successfully completed.
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 R�
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