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Home My WebLink About2012-00445 - addn/remodel/repair � ' CITY OF ORONO * 2 0 1 Z - 0 0 4 4 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1550 NORTH ARM DR PIN : 08-117-23-33-0074 LEGAL DESC : HICKORY HILL : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 3,248.28 NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) DOUBLE FEE FOR AFTER THE FACT PERMIT APPLICANT pERMIT FEE SCHEDULE 103.25 PELTOLA,MARGARET PLAN REVIEW 67.11 1550 NORTH ARM DR MOUND,MN 55364 STATE SURCHARGE(VALUATION) 1.62 MISC FEE 103.25 TOTAL 275.23 PAID WITH CC# 9993 OWNER PELTOLA,MARGARET 1550 NORTH ARM DR MOLJND,MN 55364 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 dces not grant permission for additional or related work which requires sepazate permits. 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,.p , U- l � l 6' l l Applicant Permitee 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?�` —�d O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: .� ,�—�v� ,� .; �, StreetAddress:' Received by: `$',� GtiiS' 2750 Kelley Parkway Plan review fee: � t�kESH�g'� Orono, MN 55356 Total Fee. o��S, e�3 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. (Please print) GENERAL INFORMATION: � Job Site Address: .�5�� 1��, uf' �1\`. �C��,% � 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. Shuttle bus service ill e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMAT N: Name: � State License# ' p• -Q Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner �Circle One) Email and/or Fax: PROPERTY OWNER INF RMATION: Name: �-yc Phone (day): . S' / \ P i Address: ��G Cit : � ZIP: v �1'� Email and/or Fax � ARCHITECT/ENGIN�R INFORMATION: Name: /��`� Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 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 require ❑ Commercial ��`O her(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd � Deephaven, MN 55391 / / � }� Phone: 952-471-0590 d b k b �'X��.� N/� yJ�� Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ � ��1 Packet Last Updated: 03-06-2012 -21 - , � ' � STRUCTURE iNFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in square feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 15t Story = ❑ On-site Prefab e. 2"d Story= ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): ^ g. Total Area= 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 ❑ ❑ 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 completion of the as-built survey and all site improvements. � � � Applicant's Signature: , �E� � Date: F� Q�� Owner's Signature: � 1`�'j� Date: Packet Last Updated: 03-06-2012 -22 - � Plan Review Checklist for New Structures / Additions Address/PID/LegaL t SSU nt o 2�y /� (Lv,� 2 _ Description of work: U A � Tl a n� � Septic review by: C�I Date Approved: Zoning review by: Date Approved: �'9"�Z.• Building review by: Date Appraved: 6� y-�i Z Grading review by: 1 V fr Date Approved: Zoning File#:'�-` Resolution#: �� Resolution Date: "��^�� Zonin District Fire De artment Post O�ce School Distr'rct Zoning: Lot Area: �_SF/AC Width: �� 5�D� Depth: � � • �' Survey Submitted: Yes �� No ate of Survey: �J�Q ��L Pro osed Setbacks: �V V Vlt�t1,1� �l + Front e) Rear et) ( N S E W ) ( N S E W � Other Buildings Wetland j Side Side � .,q, Building Defined Height: �'�" Building Peak Height: `—� #of S#ories Ok?: `� YES FOR A BUILDING WITH A BASEIUFENT OR CRAWL SPACE: FOR'A BUILDiNG ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the of WITH roof peak,the top of the cornice of a flat roof, the comice ofa flaf roof,the deck lin a the deck line of a man aehi6o�;orthe mansard roof,or the uppermo . int on a round uppermost poi a round or other arch-type or other arch- e roof roof SUBTRACT half the distancg b een the highest window and SUBTRACT h e distance befiween thehighest window hi hest roof of a itched roof and hi hest roof eak of a itchetl roofi SUBTRACT the dist between the basement floor/crawl ADD the.distance between the slab and the highest spa oor and the highest existing grade within existin rade within the fiountlation t foundation or 10 feet,whichever is fess. EQUALS Defined buildin hei ht EQUALS efined buildin hei ht Lot Coverage: SF % Shoreland District MCWD Permit Receive Avera e Lakeshore Setback Bluf# � Yes 0 No N/A , � � 'Yes do �es C No � Yes No � N/A Permit Number: Setback: Hardcover Zones Exis#in Pro osed Variance Re uired CUP Re uire D-75' ^—"' ----� es � No � Yes No 75 250' — TYpe�s�� TYPe�s)� 250-500' �..3 •b'CV 2.� •g -6� I ��..�� 1 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:lformsiplan review checklist.docx �a��- ��-. . . Fees to be Char ed YES NO � .�{� n ,„�„,-„„., . . ., . `�.;�;_� � �"' : � ,r W . ,.-..... � ►v� s . a.� ._�?T,;. .,�: �q�''�.,.. N�_,.r-..'..,-. .. ... . ,_ .+x._... I Plan Review r..� _ ..-�.� ��- ..,- r.�,, .. v... � , ;;, lJlj �x�� .;r�:, z� . ... , . � , ,.. .,.. :.._ Investigation Fee �.. - - �.., � ,::, .- _ , , . .w,_., .:�_:.. � . .._x. , . �._, .: , : . . Sewer Connection _. Park Fee � -�- .. . Other(specify) . _. . Catculated By: 3 uare Foota e $ er S uare Foota e Basement X = � 1�`Floor � 3 � X �0 . Z3 = $ 3,2y�,t� 2"d FlOot . X = $ Garage X = $ Estimated Construction�/alue: $ 3,2�iil.2� Orono Inspections Required Work Requiring Separate Permits Required State Permits � Site � Plumbing 0 Grading/Filling � Wel► � Harticover Removai � Mechanical � Fire �'Electrical Footing � Septic 0 Water Connection G Poured Wall � Fireplace � Sewer Connection 0 fcundation Survey 0 Masonry � Lawn Irrigation � Radon Rock Bed O Mfg. �'Framing 0 Other(specify) G Insulation ` G As-Built Sunrey �'Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES G NO New: �O YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:lformslplan review checklist.docx c<yvt ATE TIME CITY OF ORONO c�o iN 7 � 9. � INSPECTION NOTICE SCHEDULED ' PERMIT NO. a�t a ��COMPLETED ADDRESS �.SJ�d /V G�� / �� OWNER TELEPHONE N0. S o — 7 - �D�..� CONTRACTOR ` � >: DESCRIPTION ^�-1� � W ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS h Q ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � Q ��I w� � t ��r��w� ��' � � t '��( � � � � � � �t�� ..� �'i �t � `T-G9- t 1< rt3 � � KSATISFACTORY:PROCEED � ❑ P OJECTCOMPLEfE ' W, ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑� RECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on s' e: Inspector. White Copyllnspector's File Canary CopylSite Notice �� _DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE ,/ SCHEDULED � � :B�_ PERMIT NO.a�/a �d�"�S COMPLETED ADDRESS �SSO /UG�'� �i^/N /a'� OWNER �� 4�aTELEPHONE NO.9�2�7I �Bz S CONTRACTOR � DESCRIPTION OZL/ � ❑ FOOTING ❑ PLUMBIN INAL p 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARO COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � I�� l L7 v 1 � � -�� 0 � �/vt_c71�� O � t--�� ° � ?� 1�J o � �3 C� W � Q � z W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CQRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: , Inspector. . ,� White Copyllnspector's File Canary CopylSite Notice � y � �.- TE TIME " CITY OF ORONO CALLED IN 1 I � Z INSPECTION NOTICE SCHEDULED 1(--a�7-�a- `'I:�v PERMIT NO. -OD COMPLEfED ADDRESS �� OWNER TELEPHONE NO.��'�� CONTRACTOR ,,, ,, a � ,� fJ � � DESCRIPTION ��`"�-�- — �-t-�-L�-N � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZO 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C o �1�;� � IL,i � n -f : ' c }� � �:"�' � > (� • � z c� �. � , •� ( ( i"' .^� C 1 r -, ,�� . � �^F � .i � �n '� <1..��` l i � c `` ,'Y - ` � � L� � .� , �� _.. , , Q _�;� � � �i � '-i ! �' ! � ��. Z ,.-�r � l+ '� !�. �` �f . W � W � � � ❑WORKSATISFACTORY:PROCEED ,�PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. ./' � �� _- White Copyllnspector's File Canary Copy/Site Notice — _ _ _ _ -- - - . _ ___ _ _� . _ ..�._— � __ _ � � � . �.�...—,� ..,...__...- bW..� : � __-� � . �� . " � � � � � ,....^...�.�-.......�e. .� � '� � � .�. . �, a . � � � f �A: � � �` � �` ; �,,,� �,' .. �,� � � � �.~ �;, t_� ��` ..� � � , F� � � � �- �.,,, �, � - �, .� , + ;; .� � � �' � ,� � �°` � � � f , .,� � � ; :�,,� � y � .�d �-� y � . r �,� � '-2N� �4.q �� . .Y� p � �w s @ 1� �q {� y v� ; r . ' ., e . �.. � . .. : � . 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'"+ � ' �� -, � � � � �� -.��,' 120065 8/117/23 PELTOLA,IVIARGARET AD VANCE SUR VEYING c� ENGINEERING CO. 5300 S.Hwy.No. 101 Minnetonka,MN 55345 Phone(612)474 7964 Fax(612)474 8267 City of Oro�o suEtvEY Fox: MARGARET PEL OLA � O COp� Planning&Zoning Plan Revi�w ot`tt�.Parr� � L ��0� Site Plan Review Date: �� SURVEYED: September, 199� � DRAFTED: September 8, 1999 REVISED:March 1,2012 to add topography and update survey to existing conditions. �\ �APPROVED o ❑APPROVED WIT�i F,EVISIGNS(see not ) LEG�.DEsc�Tlorr: Q ❑ DENI�D Lots 15 and 16,Hickory Hill,Hennepin County,Minnesota. o J o I I ' $ta�: SCOPE OF WORK: W � I � � 1. Showing the length and direction of boundary lines of the above legal description. F � � � ' � The scope of our services does not include determining what you own, which is a x981., Z �2 0 � ; � � � s legal matter. Please check the legal description with your records or consult with , � ; , competent legal counsel,if necessary,to make sure that it is correct,and that any matters � _ 1 �P 964.q xl ao.z ' , I 9�k�� I X9s,.a �r of record,such as easements,that you wish shown on the survey,have been s hown. 4 a I�� I , I 2. Showing the location of existing visible improvements,it is possible,but not likely(we Z�'� � Q � , I 9 looked at the Hennepin County Surveyor's new GIS map and couldn't see anything else) J�� I ' � ¢ EXISTING DWELLWG I ; � GARAGE that the snow and ice cover at the time of the survey may or may not have hidden some low ��m I G' � i � � lying improvements. Since the hardcover is 931 square feet less than the ma�mum ��< 26.6 � 983.7 I � allowed for this zone,any small,hidden improvements wouldn't cause a violation of the _-9so�a,Y� L ---- l ; ; I �o X949.0 ¢w� 1 -�-�_'__ 9f29 _ 961,5 / . I ' 931.3 - � ordinance. '-d z -- - - >c ,' 3. Setting new monuments or verifying old monuments to mark the comers of the �,<o � � ; � � ` � �--WANDERING WIRE FEN�E � $g„��.�-E- �� ,-6' CHAIN�LINK FENCE �� ,' �� property. '� � �� sg:s -'� 4.Showing the topo�aphy of the site.The elevations shown relate only to the benchmark 959�X w 95 �I� �! - 962� eaz�` --153.48-bo o i 9 X957 7 � � 9�.9 0� rovided on this surve Use that benchmark and check at least one other feature shown on / Xese.a FOIIND IRON', `�' � P Y• � � � i FOUND 5�8" i i� , I � � \ the map when detemuning other elevations for use on this site. 4 � " ' 951., � ,, I �� ;I� � 1�G;, � 5.The subject property contains 15,035 Sq.Ft.or 0.35 Acres. �,o� x9eze �'; �� ; �`-y � ' 6.There are no trees within the disturbance area. � � ' ;T ' � � X9ss.,�1 X958.3 X \ 96. �60.1 , I �m� �NEW ADDIT'ONS-�� 40.3 Y ', �Xs�'s � cD � GARAGE a� \ N M I J I � .+ } -9S� .STL�N�E�R�SYMB�I..S�C C�N�"NTI�NS: �33 �S � � � 98 ��62. � � 959.4 '� 958.8� ' c�n '942.2 �_ "�"Denotes 1/2"ID i e with lastic lu bearin State License Number 9235,set, - µ j �� 5 9/ EX�STING DWELLING 9�1< w ' � ' P P P P g g � 34.4 � ' N � ; I ' 9sza� unless othenvise noted. _'�g��-------- � � � � ss9.oZ , , � \ � 9628 9631 � 4�.$/ O 9.1 �U . X956.9 9�.4( w )C951 3 �..X951.0 � �� , 39.9 ____- 962.3 � )C95B.9 �__ � � � � '• '___ .,��- CER'I'IFICATTON: - _ ___-.- � 1 � i ;.;. `, I hereby certify that this plan,specification,report or survey was prepared by me or 9sza � �,� BENCHti1nRK: _ _ X � oEcr� � _ _ _ _ `O � -_______ ase ,�p�n ,�FBllt�D_ - ss�_. - a'�+., �'in under my direct supervision and that I am a licensed Professional Engineer and � �o HENN C0. ROW MON. 95 � rn o --____ 9�� o \ sso.� , ss. Professional Surveyor under the laws of the State of Minnesota. �, �� \ �aez' xsezs ��o ; ) � � ; ',xsss.s,� � o _ \ ' � 9 • ------�ss7.s---_ i/�� 0 1 x .� � _�es4.s � �' � , `� ------ ,�6� �� y6,. � � i �� X959/�,y�� 3 \ am s H.Parker P.E.&P.S.No.9235 �� -_ � °' � � � l �� `° � � , ' �967.5 � � �9`�.2 �` i 9�}S X854.0 . � __ ��Y061.5 g67 �6?.2. �--�� _ �� 566 �,. ______-___ __ -_ _ �\ i Q� i � .�958.3 95A4 958.57.0 . � � _ ��-96 �- � ��%� � ��'o9D9 -APP1fOX_ LOCATION OP _-' b� �2�:� sss.z �55 -�- - -�ZXssc:3��57,�,'_�_GRAC�EL DRIVE.' -- ---jf4sa�� ' o �� a se.e _ - - - >G --- --- ----- a_-� ,� � ysa#--- ,� � GARAGE�',� �, � � �� .`v' 8' CHAIN NK PENCE � � , 956 4' � . i 9 . r ___ ' 957.8 57.4_ Z4.Z' 957 % )(957b` � --6�--'-------- --�'----- � ----�--- 9 , y 5�6'x"_r X-jf___ X X x X / ( _,C _- 958.6�(* X�%___ X . _ \ . / _- -- � sszz FOUND 1/'>"�4.2-�sSs.a sse.a _--0�7-' sssa� --147.31-- �� A' ,58 _--- N $8'58�47� E.�E SOUlH LJNE OF-J I I� THE GARAGE IS 4.0 � NOR11i OF THE LJNE __ � � EXISTING DWELLING X9sa.� ___- �_-- � 9s i � 8. '� ', � �"Xsss.� , \ )C956.9�� . �)(955.8. -__ ___��-__ �\�� __'____________'_ ________ . . �_ _________' )C956.5 � �-__� - X85B.0 951.1 -)(954.2 � )(951.1 -�� " ' G HIC LE ��,+�E1VE� 20 ° 20 40 MAR 0 J 2012 � �rrv nF nRONO ' . : • . 1 • emo To: Finance Department /+ / / From: Christine Mattson, Planning Assistant t/ CC: Street File Date: 12/3/2012 G/L: 101-22205 Re: Building Permit Escrow Refund Building Permit#2012-00445 pertaining to 1550 North Arm Drive is complete. The Applicant, Margaret Peltola, has requested a refund of her$700 escrow. No as-built survey required. All reviews completed in-house. The following is attached: • Escrow Refund Request • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Margaret Peltola 1550 North Arm Drive Mound, MN 55364 z:\forms�zoning standard forms\escrow agreement standard forms\escrow refund memo 12-3549 & 2012- 00445.doc , __ _ APPLICATION ESCROW AGREEMENT Zoning Application#12-3549 and BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2012-00445 AGREEMENT made this�day of , 20� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Margaret Peltola. ("Owners"). Recitals 1. A building permit application has been filed for an addition located at 1550 North Arm Drive the ("Subject Property"), legally described as Lots 15 and 16, Hickory Hill, 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 F�O�LLOWS: 1. DEPOSIT OF ESCROW �S. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $�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 zoning application #12-3549 and building permit #2012-00445 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 b the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subje pro rty purs o Minn. Stat. §§415.01 and 366.012. CITY: C � O OWNER: By: its: APPLICATION ESCROW AGREEMENT. Zoning Appiication#1L - �� AGREEMENT made this�day of � , 20�, by and befinreen the CITY OF ORONO, a Minnesota municipal corporation ("City") and ra � � .�—, _ [a corporation-optionaq ("Owner"). Recitals 1. Owner has filed Zoning Application# � Z - �JJ fo ally requestin� the Cit� Xo� // r review plans for '`7 d' Slm d�� a ,6 .e oss; 4 50 ��l'��l��k� located at � � • the"Subject Property") as more fully shown and described ' ' " " . q S �c�1- I� °i-,110� �}�U�o ry N;tl� I�E.�'►11�i�'1�.OUVI�r 2. Own requests the Cit to review said plans which requires City approval includmg �NP YQ�Ui(NJ 0� SU��(�-1. 3. The City is willing to 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 Owner shall deposit $��_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, or legal consultant review) or will incur in meeting with the Owner, rev�ie�-w�m the plans, and preparing agenda packet material for City Council review of application#� - -,��-_�-. Eligible expenses shall be consistent with expenses the Owner would be responsible for under a zoning and subdivision application. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owner. Owner shall be responsible for payment to the City within 30 days of the Owner's receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owner does not make payment to the City within the timeframe outlined in #3 above, the City may draw from the escrow account without further approval of the Owner to reirraburse the City for eligible expenses the City has incurred. The City shall notify the Owner of such draw and the nature of the expense for which the reimbursement is being made. If the Escrow amount falls below 75% of the original escrow amount the Owner shall deposit additional sums as directed by the City, or the City shall discontinue all review. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to the Owner when the review has been completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owner, 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. CI �O ORONQ OWNER � '' , LJ /// / By. i � � ' BY: Its: Its: /�4/'�'1� o�.t��7/.e-� Variance Application Upda . nuary 31,2012 - 11 - i � � �i 4`1�'! n� EFs":��, �`1C'y �' �' e.1.:f+:� >1�A.�rr.;� l c� .6;kt?" � �, �,> (9i"vf�C ��o�". .t„wv� ��.." r . . .. � a.v.�. L�d j�—t�jf'!;i i � i i rl�^'��i7% ��:. , (,{,i�i�,e: r�ti :,y� '!�j� � iv , �' �: ��. � 1G�d�� }.sr} � h4Y'{� �x ��:i'lPE;Pi� d'fm#� �Cr"iI�`�fs ;� tv-��s�� u i�,�� r�� r�,�,�;�r� � yr� � �-�� s .�� ..; D.t: t��'iE'Y)'�f? FL� �E"fCa�7��1E}t" Lj'?�e51a. ��l�nr��ng a.�:� Z�s�.:::t� �3�_'�a-ic�ki�� >. i%i3.4?fi:, ..��r�.":9�i'�i:� �. ,... � .. � 'i �.+"�11t�!�u'�'"''✓t?C'%�R�i'E�-�FnV' i.an: ' � M.; _� f . �i?��; . � � ��j.�X��J.�J , I -.'— — i �ii£�`N — — , '��e1�1? �� ' �',. . .. ��r�fi.s: 'f �,;o �,i��,l.�i��- �ei;l,tr' `�t �,.��d��c.{t� iu':.' :i ;£ '�'S�' i! r'�!''I� l� � I�:��.': ��g73.t��; �.if}L.fkt i ` ,,( - � t.lttl?�i(C �1`111�AFE'�. .._.` _ 3f?_ "'' �`c't�r� �.tt�r(17�'� , , ; i : � i i �� • - � CITY OF ORONO * 2 0 1 2 - 0 0 1 5 4 * 2750 KELLEY PARKWAY DATE ISSUED: 02/24/2012 � ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1550 NORTH ARM DR PIN : 08-117-23-33-0074 LEGAL DESC : HICKORY HILL : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$700 ESCROW IS TIED TO ZONING APPLICATION#12-3549 APPLICANT ESCROW FEE-APPLICANT 700.00 PELTOLA,MARGARET TOTAL 700.00 1550 NORTH ARM DR MOUND,MN 55364 OWNER PELTOLA,MARGARET 1550 NORTH ARM DR MOLJND, MN 55364 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 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. � � z � � . . . . . . �a : � � � �. �,_ -� -'J ' � f- � � �DATE ,; TIME Ma�a{CFPL�O� Y OF ORONO CALLED IN � - �'`' �— �.iq� �. s �,UJ��^� �PECTION NOTICE SCHEDULED ?�� ' ' �'` '`•c�' � 'ry ( � �MIT NO.uG I��`l��'}7�'I-� COMPLETED i l' � i � DRESS�� ! ca �� .,��,{ `. L E� � },�� ' �`lr�; i t,' i' � `� ��,J ��S� ' �NER i��t��^,!��,�-- }-�f '•;;�;TELEPHONE NO. " °' .� �� ' �" Q U �. ; T�� , � � /�'� / NTRACTOR� � � «�� A ( —�.1 SCRIPTION �l. ��{ � x--�:}� (:� �'._ l'� , '�' 't�-�.�. �JOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING jf F'•�✓�"� �"►'1 I �J� �/�„ OURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WERANDS Y „ v ' � � RAMING ❑ MECHANICAL FINAL ❑ TREE FiEMOVAL ��r��:i � w � �� SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ,Q ADON SLAB ❑ WATER HOOK-UP O FROGRESS 'r� � 1( �� l� O� t I �� INAL ❑ SEWER HOOK-UP ❑ COMPLAIM � �� T EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ��`��J�_ "l EMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL LUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL IER/CONTRACTOR TO MEET YOU:_YES_NO ' �� - ��_, �i r�.l MMENTS: � ��5 D C� � �� r f 1 G��[.�c:�U'",,� , � � o1T�-r� �_!°f��,''� !'J -�t"' !�` �-r'� �r �� i`�d , ( � C'+ � �O �"'l� V-� � { q'^ �{ r �� '�"� /► "�,, ! f f"t ( l E`� �` C ��3(��,/Ll..c � � �..csL(,,y�'^'L..�.-� � Y►�l..e, /f.�.JA _ ' ,^ ( �'` ��"'a' /� ,�..,.--cC / j'",� � ",�,1 C�% �' Cr c.. ^�-- t`` f.7�._—'+ � (_ __r' 'i � � `/�,.! p f� ° r r�-- r h" ',-d'�Y � �'�'�' ��'�"'� �c�� ---� �. . :.; �''�-- a,� Cu-� ✓L�,�''-- ` ol�u�— ; � �,r,,�, � �, ` �"'� �"�J'1..��, 1�� `; �"-�`" ORK SATISFACTORY:PROCEED ROJECT COMPLETE JRRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � �� /� JRRECT WORK,CALL FOR REINSPECTION TEMPORARY �L °FORECOVERING PERMANENT I � °�' � �RRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN �CITATION ISSUED - fOP ORDER POSTED.CALL INSPECTOR SPECTION REQUtREO.CALL TO ARRANGE ACCESS. ' Call for the next inspection 24 hours in advance. (952) 249-460� , � �• nerlContractor on site: �' �CtO[: i� �� ''�~� f �� The Humane Society of the United States `` MEMBER White Copyllnspector's Flle Cenary CopyfSlte Notice �.. ._ _ ._ ._ - _ _ � �� 1�1�lS APPLICATION ESCROW AGREEMENT Zoning Application#72-3549 and BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2012-00445 AGREEMENT made this � day of , 20� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Margaret Peltola. ("Owners"). Recitals 1. A building permit application has been filed for an addition located at 1550 North Arm Drive the ("Subject Property"), legally described as Lots 15 and 16, Hickory Hill, 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 $600 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 Ciry 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 zoning application #12-3549 and building permit #2012-00445 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 subje pro rty pursu , o Minn. Stat. §§415.01 and 366.012. CITY: C�I F O OWNER: By: Its: �..,. ,.,..��..�,., ��v ..��.._.... . o . . _„ � a.�� '��i��.�. !�`n ��`�� ...w u._ , � n .�.u. .. ,