HomeMy WebLinkAbout2015-00054 - 2nd story add/remodel , CITY OF ORONO * Z 0 1 5 - 0 0 0 S 4 *
' 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3135 NORTH SHORE DR
PIN : 09-117-23-32-0018
LEGAL DESC : REG.LAND SURVEY NO. 1113
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-R�SIDENTIAL
VALUATION : $ 340,076.00
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE,ELECTRICAL(STATE
2ND STORY ADDITION/REMODEL
APPLICANT PERMIT FEE SCHEDULE 2,627.89
STATE SURCHARGE(VALUATION) 170.04
REVOLUTION DESIGN BUILD TOTAL 2,797.93
18110 A�INNETONKA BLVD
WAYZATA,MN 55391- Payment(s)
(952)594-5037 CREDIT CARD 0858 2,797.93
Minnesota State License#:BUIL-BC631863
OWNER
MARX,KELLY&MELODEE
3135 NORTH SHORE DR
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 dces
not grant permission for additional or rela[ed 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 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 � p�
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
CITY OF ORONO * 2 pJ 1 5 - 0 0 0 5 4 *
. ' � � 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3135 NORTH SHORE DR
PIN : 09-117-23-32-0018
LEGAL DESC : REG.LAND SURVEY NO. 1113
: LOT 000 BLOCK 000
PERMIT TYPE . RER"��'`����''''��
PROPERTY TYPE : RESIDE IAL
CONSTRUCTION TYPE . A-d�� ��""��
ACTIVITY : 10 IN , �3�
VALUATION : $ 340,076.00
NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE,ELECTRICAL(STATE
2ND STORY ADDITION/REMODEL
APPLICANT PERMIT FEE SCHEDULE 2,627.89
STATE SURCHARGE(VALUATION) 170.04
REVOLUTION DESIGN BUILD TOTAL 2,797.93
18110 MINNETONKA BLVD payment(s)
WAYZATA,MN 55391- CREDIT CARD 0858 2,797.93
(952)594-5037
Minnesota State License#:BUIL-BC631863
OWNER
MARX,KELLY
3135 NORTH SHORE DR
WAYZATA,MN 55391-
AGREEMENT AIVD SWORN STATEMENT
The work for which this pertnit is issued shall be performed according to
the approved plans and specifications,applicabte 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 are
requested in conformance with the State Building Code.This permit may be /'�
revo at any time for due cause. �
�5 2 ,lz., �
App 'cant Pe e Signature ate Issued By Signature Date
t . �
. �3
City of Orono � � �
. . . . . p� �
Building Permit Application �
for New Structures or Additions
Mailing Address: Permit number: � ' �S
�Q A TO PO Box 66
!w Crystal Bay, MN 55323- Date received: �" — s
StreetAddress:' ��� Received by:
� � ,� 2750 Kelley Parkway � � D`S f' 0��
y�' c? Orono, MN 55356 �� Plan reviewfee: .
t�KESH04` Main: 952-259�600 To e�
Fax: 952-249-4616 www.ci.orono.mn.us � •
This application form mu�t be completed in fufl and all r�equired iriformati must be submitt
Incomplste applicatlons will be retumed. (Please print)
GENERAL INFORMATION:
Job Site Address: 3 �js VE O SS3°1�
Will this be a Parade of Homes, Remodelers Showcase Home or othe Display Home? Yes ❑ No
/iyes,a specia/event permit is required with Police Department and City Council approva!60 days prior to the event. Shu !e us service will be
required unless applicant demonstrates su(ficient on-site parking is availab/e. Nan-permitted events wifl not be a/lowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ECmG��c
State License# ��'3�g�3 Expiration Date: 3 $� Zo16
Phone: �cell) (,12-9�.8 -7655 (office) qS�-59�f -5037
Mailing Address: Ip Ci : A ZIP:
Contact Person: �� �p��eq Applicant is: Contractor / Homeowner �ci�o��
Email and/or Fax: �g�,`�� pES�(,�J p,y���.�
PROPERTY OWNER INFORMATION:
Name: �k(Gt,op� � �W{ Mp,Q.x
Phone(day): qSZ -25D-$0$2
Address: �135 t•b(r.t17k Sti�oR� ORE��. City: t�o1� ZIP: �S3F11
Email and/o�Fax rV►(�,pp�N►pp��Mp►t,.GoM
ARCHITECT/ENGIIdEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORAAATION: Descri ion af ro'ect: SBC+oe�D � r� /►•�D t o ��-
1.Type of Project 2.Proposed Use 3.3tructure Type 4.Sewage Disposal&
Water Supply
�New Construction �'Single Family with ❑Accessory Bldg./Garage
Addition attached garage ❑ Deck ,�Public Sewer
❑Accessory Building ❑ Single Family with ❑Office/Commercial
❑ Relocation detached garage esidence ❑ Private Sewer
❑Other:(specify) ❑ Multiple Family/Condo Retaining Wall(s)
❑ Public 4-feet or greater �Public Water
*'My earth movement may require ❑Comrr�ercial ❑Storage
MCWD rev�r 8 permits. ❑ Industrial ❑Warehouse ,�Private WeN
Minnehaha Creek Watershed Dstrict(MCWD) �Ot�ter(speCify) ❑Other(speCify)
1532Q Minnetonka Blvd
Minnetonka, MN 55345
Phone: 952-471-0590
Fax: 952-471-06$2
www.minnehahaaeek.or
Estimated Construction Valuation(excluding land) $ ��,O?`.�
Packet tast Updated: January 2015
Page 20
■ . . i
' STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
, C� u
a.Length(ft.)= �O��Z Numberof bedrooms=�
�Wood/Frame
1 k
b.Width(ft.)= 3� '2 Number of garage stalls: ❑Masonry
Areas in spuare feet Attached= � ❑Metal
c.Basemenh 2� �Z Detached=� ❑Pole Bidg.
2 S2S ❑icF
d. 15�Story = ,
❑On-site Prefab
e.2"d Story= 1 '� 1
❑Off-site Prefab
f. '/z Story = �4k
❑Other(please specify):
g.Total Area= �_cg
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ Buildin Permit Escrow A reement and Fees
❑ Plan Review Fee
❑ Com leted lication Form
❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set
� Minnesota State Ener Code Calculations and Mechanical Code Re uirements
0 Surve —2 full size,to scale(meetin ALL surve requirements
❑ Hardcover Calculations
❑ Se tic S stem Certification
❑ Minnehaha Creek Watershed District(MCWD)Permit or
Documentation form MCWD statin no ermit is r uired
❑ Landsca e Walls andlor Retainin Wall Plans
❑ Stormwater Pollution Prevention Plan(SWPPP
❑ Access Permit •
❑ Data Privac Adviso Form
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 Gassifled 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.
• q�rees that in ths event that weather or ather condttiarts pcevent#Itie compN�tian o#�m�-twitt survey at the time the
Certiflcaf�of O�ctt�ncy is neqties#ed,a tentPorarY Ce�tiflcate vf t�cupancy m�y be issuetl upon��pt o���#(i,000
escrow to en��letion of the as�bulft survey:and a1i site hnprove►ncnts:
ApplicanYs Signature: Date: �!��/�S
Owner's Signature: Date: 1 �
Packet Last Updated: January 2015
Page 21
E���� ���c�� ��������c�� ��� ���� �����c���:�� � �,��������
, �
�a��e5�: ' 3�3� ���2-�-��- sN-�2� ,���v�- ���me��o.:_zm�s- �oosY
de�cri�tion of wrork: 'Z N✓..� S�t�Od��►, A.�.��m�UfV I�C;YVt�� pat�Etec'd: /- �.A - ?�� 5�
Septic re�iev✓by: S s- -P� ��te e4pproved: '^�
Zoning rev�e�r by: R�ate Approved: .�"�"�
B�ailding review+l�y: • Date/�ipproved:__0-�— � r�
Gracling reviev�r t�y: /U /�- Date�prodec4: ' �
Zor�tng D�strict: /_/L- i� ZonEr�� FiEe#�: �'�'-���Z.� Reso#�: C�`'�Z/l EZeso Date: -I-1'f-Z.D��
�'ar�ing: Lat�r�a:__y3�3�6-i Sf/AC.�p� l�isidtf�: 2'i'� � �ffwl� Lot CQverage: �ro cua,.rG, SF — %
�unr��+Submitted: �Yes CP No 6ate af Sunr�y: 4• 23-� Revised date(�)•
Prc osed S�tE�acks:
Fr��tc(�ake) E�ear(Stre�ti) f � � � �!" ) ( i� � E �! ) �tF�er Buifc4ings 1�letfanc�
�4c�� Side
S{�- °� �✓o c e- �.
��
De�inec� Heigh�: t�eaK ��ight: �F�: ��E minus 6 f�et= (Existing Conta�
Ferirrteter jlir��ar�eet) = 50%_ �.1�. b�i��+gr�c�e #of Stories
FOR A BUILDING 1�i�ITH A B/lSEMENT OR CRQ►VNL SPACE: FOR A BUILDiNts'OW A SLAB FOUNDAI`IONt:
The distance between the IowesE proposed The dfstance between the top of
r� � '""� START W ITH floor(of the basemer�t or crawl space)and START WITH slab and the highest point of the
`,,.'1� fhe highest point of the roof. � �f
If you have a... if you have a,:.
o GABIE OR HIPPED ROOF(no • GABtE OR HIPPED ROOF .
windows): Subtract half the distance (nb windows): Subtract half
between the highest point of the roof the distancebetween the
to the low point of the correspontling highest poir�t of the roof to
� ,J a SUBTRACTION ga61e or hipped roof the low point of the
(BASED ON corresponding gable or
`�� • GABLE OR HIPPED ROOF(with SUBTRACTION hipped rqof
ti ROOF TYPE) windows): Subtract half the distanee (BASED ON . GASLE OR HIPPED ROOF
behveen the top of the highes# ROOF TYPE) t�n�ti h yHndows): Subtract
window and the highest point of Me halfthe distance between
roof the top of the highest
� ALL OTHER ROOF TYPES(flat, window and the higfiest
mansard,etc):No subtraction. Po�n���e roof
SUBTRACTION SubVact the distance between the • ALL OTHER ROOF TYPES
" ` �� (BASFD ON basemenUcrawl space floor and the (flat,ma�sard,etc):No
� EXISTING hi hest existin subUaction.
_ .r g g grade adjacent to the ADDITION Add the distance betwe�n tt�e top
(;� '� GRADES) foundation OR 10 feet(whichever is less). (BASED ON of siab and the highest existtng
�f _,,, EQUALS Defined bufitling hefght EXISTING grade adJaeent to the foundation:
. - • GRADES
�`'"`� EQUACS Deflned buliding height
Shore6ae�d District �CWD Rermit Average Lakeshore Settzack g�uff
Nfet?
E�Yes � Na Permit Number: �Yes � No � N/A Q Yes � No
� N/A-see attached S-I -Zc�/y Setback:
�tormwrater�ualEt� �xi�tEng liarc�caver �'�'oposec6
�ve�lay Qistelct o liardcoNer VariaRce Requirec� Gf�P Rec�ufred
Tier circle one (�o and sfl %and s
� � 3 �.'Yes � No A Yes ��No
1 2 3 4 5 / 9•� TYPe(S)� , Type(s):
7 5 5�T3Auc
Updated� January 2015 �.�4 ��
_.,�---�-�-- - , ... . __._ .
R�Fi�ARKS (in-house): �
Fees to be Char ecf �'E� ��
Rerxxtit
Rlan Revie� '�
State�urch�rg,e -
{nvestigation Fee �
SAC—t�umber af S/AC Units
Other(specify)
S uare Foota e $ , r S uare Foota e
Basement X = $
_ $
151 Floor X
Znd FIoo1' X = $ �
Garage X $
Es�imatsd Construction Value: ��`{b ���•d�
Oronm Inspections Rec�uirec9 Work Reguiring Separate l�ermifs Required State Permits
C� Site � Plumbing C! Grading!Filling Q Well
0 Siit Fence/Erosion Control �Mechanical fl �ire
�Electricai
� HardcoverRemoval � Septic O WaterConnection
O Footing ¢'Fireplace C! Sewer Connection _
[] Poured Wall � Masonry � Lawn lrrigation
[I foundation Survey �Mfg. � Lar�dscaping
� Foundation Waterproofing C7 Other(specify)
p Radon Rock Bed
��rarning
�tnsulation
C7 'As-Buitt Survey
fe7'Fina1
Q Other(specify)
RENdfARKS (in-house):
Qther Revie�r: Rev6ewed by�: Date Approved:
Access: Existing: � YES E3 NO New: ta YES f� NO
Q��eCIA�.REfd�/�►RKS-�'O ��h��YED C3C� �'EE2E1�fT At�D !tv!'TtA�[��D
Updated: January 2015
_.�s.....,��.,��.,.o�riAw r.hPr.klict 2015.dOCX
� � � Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum
required information is included with the submittal. If not, the application will NOT be
accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
application submittal requirements.
'� Completed Application
� Plan Review Fee Paid
� Signed Escrow Agreement & Escrow Payment
� Building Plans (to scale) x2
� Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
� Hardcover Calculations (if applicable)
I am aware that Orono will not issue a buifding permit without a
t�- ��p. copy of MC1ND permits (or documentation from the MCWD stating
� �ac, '(�0� the proposed project does not trigger their permitting
fr�- requirements). I will contact the MCWD at 952-471-0590
�'"Dt�+� regarding this project.
Signed by:
Address: �/�S hpY� �^�l/�
Permit #: �D!S- D?�G25'¢
Packet Last Upd�ed: January 20f 5
Page 2
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�'t'N�'i, '�t� l.n�R��c- is �+�,�;�4tR�D A 4���.TC
MAY 21 2014
C�TY OF ORONO � 3 6 � �
N1101.8 Certificate �
Builders Name/Company Date: ���'l15 Site Address: 3135 t�'�R-�'�� Sr'roR� D�ivE, c�e.ow�, M�l 55�11
Contractor Name: ��� D�S►c� �D R�i� License Number: 6[.�'S�b�3 "
[ocallon �ype ot' I��Ied �ype l oaat�ion Sire
H
Makeu Afr
Roof Ceilin i�-ou�r� -�o
fi Combustion Air �
Wails �.—►°1
> Water HeaHn
Siab-on-Grade
Fioor U,creo-ce,u. �-30
�P u� :�+:: Ducts Outside of Conditioned s
Rim 7oist U,ose�-c�.� R--�3.8
p�Y � Interior,Exterior or Integral
Foundation Wall t�/�
Interior,Exterior or Integral
Fenestration o•28 0•30 :>' Radon Control
Headn S stem o00 ', � Tu 0 i,�
i
Cooli S stem �0 2-T 3 � 2 000 250
Mechanical Ventilation
�
- - City of Orono
,�� ��NO� Hardcover Calculation Worksheet
ddress: 3135 North Shore Drive (our survey 140169)
� =. � �y: James H. Parker P.E. & P.L.S. No. 9235 Date: 5/20/2014
�F ��
�
\�k�fSHc����
Stormwater Quatity Overlay District Tier: (Circte one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following tabte identify atl items of existing hardcover on the property, keyed by{etter to
Certificate of Survey(survey must accompany this form). Use as many lines as necessary to
accuratefy depict existing hardcover status of the property.
ey o
Survey Hardcover Item (Describe) Length x Width Total�Square Feet)
{Example) Gara e (24'x 30') (720} S.F.
A House ,
B Porc 411 S.F.
Driveway 576 S.F.
D oncrete 174
Dec s
F Pavers 28 S.F.
tone Pi ars 8 .F.
H
I .F.
1 .F.
K S.F.
L S.F.
M .F.
N .
S.F.
P S.F.
.F.
R
S S.F.
T S.F.
W .F.
X S.F.
Y S.F.
1 Total Existin Hardcover 8 365 S.F.
Excludable Hardcover See Ci Code Sec 78-1684
S.F.
S.F.
S.F.
S.F.
.F.
2 Total Exciudable Hardcover 0 S.F.
3 Net Existin Hardcover 8 365 S.F.
4 Total Lot Area 43 347 S.F.
Existir�Hardcover Percentage[(3)/(4�} 19.3U%
�
A1.1 VANC,'� S'UK V�Y1N(i c� �NCi11V��1�1NCi C,'U.
1 hereby certify that this repart was prepared by me or under my dired supervision and
that I am a licensed professional engineer and a professional land surveyor under the
laws of the State af Mirrnesota.
�am-i,er�, �. �'a�e,er`�,
James H. Parker P.E. & P.L.S. No. 9235
Step 2: PROPOSfD HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Use as many lines as necessary to
accurately depict existing hardcover status of the property.
ey o
w�� Hardcover ltem(Describe) length x Width Total�Square Feetj
(Example) Gara e (24`x 30`} (720) S.F.
A House , S.F.
B Porc 411 S.F.
Driveway 35 .F.
oncrete 1
E Dec s
F Pavers 28 S.F.
G Stone Pi ars S S.F.
I
J
K .F.
L .F.
M .F.
O S.F.
R S.F.
S.F.
T S.F.
U
X S.F.
Y S.F.
1 Total Pro sed Hardcover 8 365 S.F.
F�cdudable Hardca�rer See C.aie Set 78-1684
S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover 0 S.F.
3 Net Pro sed Hardcover Subtract line 2 from line 1 8 365 S.F.
4 Total Lot Area 43 347 S.F.
Rraposed Hardcover PerceMage[(3)/(4)] 19.309�b
5id Levin
From: Thomas Dietrich <TDietrich@minnehahacreek.org>
Sent: Wednesday, May 14, 20141:08 PM �
To: Christine Mattson (Orono)
Cc: sid@revolutiondesignbuild.com
Subject: 3135 North Shore Dr.,Orono
Christine,
After review, no permit will be required for the project occurring at 3135 North Shore Dr.,Orono. If you have any
questions or concerns, please feel free to contact me.
Thanks,
Tom Dietrich
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka Boulevard
Minnetonka, MN 55345
Direct: (952)641-4518
Main Office: (952)471-0590
Fax:952-471-0682
www.minnehahacreek.or�
,�..,�.
MINNEMAH/1 CREEK
WATERSHED DI$TRI�f
1
DATA PRIVACY ADVISQRY
In accordance with Minnesota State Statute 13.�4 Rights of Subjects of Data, Subd. 2, "Tennessen waming", we
woufd tike to iriform you that yaur request for a pertnit or license from the City of Orona a any of its departmerrts
may require you to fumish certain private or coMidential ir�formation.
You are notfied that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The infoRnation may be shared with other local, state or federal agencies to the extent necessary
to process the permit or license.
4. If your requested pemnit or license requires Council action to approve, some ir�farmation may
become public.
5. You have certain rights under Minnesota State Statute 13.04 (see f�fowing page} to review
private data on yoursefF.
6. Your futl name is required to process this application or�it.
�e �a��� �a�r
First Middle Last
31� N� Stt�R-� O(�-�vE
Address
�r� M� SS�tI �52 -2Sb-$082
Cit�r State Zip Phone
I understand my rights as stated above.
Signatur
Packet Last Updated.� January 2015
Page 7
• � Z
1. Firestop all soffits.
2. OK
3. Strap over cut plates.
4. Add blocki�g< under floor truss.
5. Add lateral braces - bonus room trusses.
��� � D TE TIME
� CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDUIED I �•
PERMIT NO. r�D1S"DO�S�COMPLETED
ADDRESS � �
OWNER LEPHONE NO. ��5� `�37
CONTRACTOR vD � � �`` • �
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET 1f�U:_YES_NO
y COMMENTS:
¢
a
j
o _
�
�
0
�
W
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Q
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W
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W RKSATISFACTOR�F.PROCEED ❑PRWECTCOMPLEfE
� ❑ RRECT V�RK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. j 249-46�0
OwnerlContractor on site:
Inspector:
YVhite Copyllnspector's File Canary ylSita Notiee
DATE TIME �
CITY OF ORONO 2p�S -- ALLED IN
INSPECTION OTICE .�5y SCHEDULED ��',�1
PERMIT NO. COMPLETED �_
ADDRESS �J � .�S � • ���.�rP �l�.
OWNER TELEPHO E NO- d� Sg��37
CONTRACTOR �
� DESCRIPTION � �-+��
�
ty ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP OW-UP
�U ❑ AS BUILT-SURVEY ER HOO ❑ HARD CO E OVAL
_
v ❑ DEMO-SITE SEPTIC TA ❑ FO D VAL
Z OWNERICONTRACTOR TO MEET YO : Y _NO
v�, COMMENTS: •
�
� �
0
�.
a o -
�
W
�
Q
� �
Y� 2
� �
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d
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR NfILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in adva 52) 249-4600
OwnedContractor on site:
Inspeator:
White Copyllnspecto�'s File Cenary CopylSite Notice
� �(� DATE TIME
CITY OF ORONO cnLLED IN �
INSPECTION TICE �.// SCHEDULED
PERMIT NO �D�.����`�' MPLETED
ADDRESS � /�/ ` S �i o/''e �
OWNER TELEP NE NO. �� �9��D,�
CONTRACTOR �
� DESCRIPTIO ' ' n � � d/ �
tV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADI ILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑:INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU: YE3_NO
� COMMENTS:_�G��CII / �F �� Z9F G�f'8DYY1
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� � �e� � ,�.: . .,.��--�ci�- ei�
� ❑WORK SATISFACTORIf:PROCEED RW ECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑I E CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR YYILL RETURN ❑�TATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
a r �e " pection 24 hours in advance. (952) 249-4600
ow omractor on �`�
�n�: �., ��
WMts CopyllnspecMr's Ffle Canary CopY/Site Notfce
. •
, • • • •
� • .
emo
Ta Finance Departmerrt
From: Christine Mattson, Planning Assistant
CC: Street File
Date: April 19, 2016
GJL: 101-22205
Re: Escrow Refund
Building Permit#2015-00054 pertaining to 3135 North Shore Drive is complete. Please refund
$2,500 to the applicant, Kelly Marx.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Kelly Marx
3135 North Shore Drive
Wayzata, MN 55391
w:\str'eet filesMorth shore dr�3135�escrow refund 2015-00054.doac
f ` , , e, � .�� � /
��
BUILaNG PERMIT ESCROW AGREEMENT�
Orono Building Permit#0�0! 5 -Q70$
AGREEMENT made this v�� day of 20�, by and between the CITY OF ORONO, a
Minnesota municipal corporation("Cit�')and �,Uu�t �•p����.
Recltals
1. A buifding permit application has been filed for _�!,� 7�T�uSC_�t-i�YLtt� located at
3(35 v vo-tk g����..� the ("Subject Property"), legally described as
2. Owners request the City to review this application which requires City app�oval and may require
consultant legal and/or engineering review.
3. The City will commence its revi�nr of the application and incur costs associated with said neview only if
the Owner establishes an escrow to ensure reimbursemerrt to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporar�ously with the execution of this Escrow Agreement,
the Owners shaN deposit$2,500 with the Cityr. All accrued irrterest, if any, shal! be paid to the City to reimburse the
City fo�its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursemerrt to the City for atl
out-of-podcet costs the City has incuRed (including planning, engineering, in excess of $500, or iegal consuitant
review) or will incur in reviewing the plan. Eligible expenses shall be consisterrt with expenses the Owners would be
responsible for under a building permit application. The escrow wili aiso guarantee reimbursemerrt to the City for aii
out-of-podcet costs the City has incurred to assure that the woric is compieted in accordance with the Stormwater
Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financiat security may also l�e used
hy the City to eliminate any hazardous c.onditions assoaated with the woric and to repair any damage to public property
or iMrasbvc�re tt�at is caused by wo�ic(induding planning, engineering,or legal consultarrt review)assoaated with
building permlt#ad/S- if compliance with the approved building permit is not accomplished.
3. MONTHLY�LLING. As the City receives consuttant bilts for incu�red costs, the City witl in tum se�d
a bilt to the Owrr�s. Owners shall be responsibte for paymerrt to the City within 30 days of the Ow[�ers'receipt af bill.
4. DlSBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the
City within the timeframe outlined in #3 above, shall issus a Stop Work Order until the Owners pay all expenses invoiced
pursuant to#3. The City may draw from the escrow ac�ount without further approval of the Owners to reimburse the City for
eligible expenses the Ciry has incu�red.
6. CLOStNG ESCROW. The Balance on deposit in the escrow, if any, shaB be retumed to the Owners
when all requirements related to�e project are complete. City Staff shall review the te�rns of this escrow agreement
two times per year to determine whether the requirements aF the project have been succ�essFuUy complete� �d
whetl�er it is appropriate to retum tl�e funds. Owner may also request the release�tlie funds, and such fur�s shall be
released upo� City S�ff receiving the appropriate verification that a!1 req�[emerrts of the project have been
successfulty compteted.
6. CERTtFY UNPAID CHARGES. If the project is abandaned by Owners, or 'rf the eligiWe
exper�ses ir�urred by tlie City eucceed the amount in escraw, the City shaN have the right to cerMy the unpaid balance
to the subject property pursuant to Minn. Stat §§415.01 and 366.012.
CITY: CITY OF ORONO OWNER:
By:�,ar►N�I�ri� V�II,�t��
�ts: t � t'.e.t!
��►: g��� uc�►�s�r�
P��r�r u�red: r�ry�s
Page 22
s � ♦
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.012618 Jan 20, 2015
Kelly & Melodie Marx
Previous Balance: .00
Permits
3135 North Shore Drive 2,500.00
101-22205
Deferred Rev-Developer Deposit
---------------
Total: 2,500.00
---------------
---------------
Check
Cha�k No: 7696 2,500.00
Pa p•or':
Kelly & Melodie Marx
Total Applied: 2,500.00
---------------
Change Tendered: .00
---------------
01/20/2015 10:14AM
� ' • • CITY OF ORONO * Z 0 1 5 — fd 0 0 5 5 *
2750 KELLEY PARKWAY DATE ISSUED: 01/20/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3135 NORTH SHORE DR
PIN : 09-117-23-32-0018
LEGAL DESC : REG.LAND SURVEY NO. 1113
: LOT 000 BLOCK 000
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 BLTILDING PERMIT 2015-00054
APPLICANT ESCROW FEE-BUILDING 2,500.00
ESCROW FEE-EROSION CONTROL 0.00
REVOLUTION DESIGN BUILD ESCROW FEE-GRADING 0.00
18110 MINNETONKA BLVD TOTAL 2 500.00
WAYZATA,MN 55391- �
(952)594-5037 Payment(s)
Minnesota State License#:BUIL-BC631863 CHECK 7696 2,500.00
OWNER
MARX,KELLY
3135 NORTH SHORE DR
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 dces
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 asswing 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 Issued By Signature Date
�
Oste Tirr� hspector k�sP�+�.TYPe. _ Stat,H P�rit# Ad�ess Rerrrot TyPg _ �P��h'TXPe Constru�iawn Type
�T2015 12:W AM F�TD Mechanic�-Air Test P Y 2D15-Q0435 3135 North Shore Or Mec�anic� Residenti� Fireplace-Gas
3/3/20'f6 12.�AM ROGP AAechanical-Faial P Y 2U15-Q0435 3135 North Shore Dr NEec��ic� Residential �Fueplace-Gas
a
1t15/2D16 12�AM NIE7D Mechanical-Air Test P Y 2{115-00209 3135 North Shflre Or N[ec�anic� Resider�� Mechanical-luk�ltipla
'lI15(20i6 12:�AM AI�TD Nfedranic�-Final P Y 2{t15-�2Q9 3135 North Shote Dr NFec�arnca! Reside�ti� ,Mechat�ical-IUk�ftiple
—_____ __ __ — �_ ___ —�__�m^ --..�---
3t155d2201fi 12:OQ AM N�TD N�ometer Test with Fina] P Y 2{}15-�209 3135 Norlh Shore Dr Mediaruca! Residenti� Mechanica!-Nlultiple
p ed
—. _ . __. --.._._.._� -- ---_.__ __ —.-
619@015 12:OQ AM N�TJ Mechanical-Rou�6n P Y 2U15-00209 3135 North Shore Qr Mec�anical ResideMial Mechanica!-Nkit[i�e
Essxow Refund Re�ested __ _ 2015-00655�3135 Nwth Shore[k (Escrow Fee T'ied to Buildng Permt ResideMi� Escrow Fee-Tied to Bui{�g Pertnit
-----. .—_ _._----- _______.._-- — ---r-- __ _._.__......____......._......._ _. —
Esaow Reftmded 2015-0�55 '3135 Narth Shore Dr Escrow�ee Tied to Bu��ng Pert�t Residential Escrow Fee-Tied to Building Permit '
5f22l20t5 12:00 AM ME7D Frartrng P Y 2fl15-6IItT54 3135 North Shore� ';Ad�tion!Remodel/Repair Residential j Ad�!Remodei!Repair __
5l28t2015 i2_�AM METD Fir�al 'P Y 2U15-0U054 3135 North 5hore Dr ;Addition!Remodel!Repair Residential Ad�!Remadel 1€tepair _
--- —
517I2015 12:00 AM A+�TD Ptum�ng-Rough In �P Y 2Q14-0'f4d� 3135 North Sfrore Dr Plurt�g ResideMial Fxtures-A�ti�e
— ---
3/3/2t116 12:�AAA ROC�F' Plum�g-Fnal P Y 2Ut4-01444 i 3135 Piorth SFwre� Plumbing���----�_ Residential '..Fixtures-M�ti e
-- � . ___._.._..---
3/4/2t116 72:�AhA fuETJ Plumb� -Final P Y 2#114-014dd �3135 North Shore Dr 'Plumbing ResidenG� Fi�ctures-A�tiple �
Esraow Refund itequested 21114D0486 3135 Narth St+ae� �Esaow Fee-Applicani Residential Escrow Fee-Applicant _
--. _..._._..__......___ —. ____.__...
-- _..__....__._...._
Escrow Refun�d � 2Qi4-0Od86 �3135 North Shore� �Escrow Fee-Appiicant Residenti� 'Esaow Fee-Applicant
— ___ ________ --. —.. _. __.� . _.. __...........__....__.. .... _. _.__..__._
8110l2005 12:�AM 'TEN� N4echanical-Final � pre 7/1/2408 Residen6� Fue
_____.._--.. .. _.. _._�.__ _ _..._. __ _..__.—------
P Y 2�5-08864 3135 North Shore� E Mechanica! p#ace-Gas
4l26/2005 12�0 AM 'TEA� Plumbing-Rough� !P Y 2005-08585 Y3135 No�th 5hore Dr :Plum6ang Rre 7/01/08 _ ResidenG� �Fixtures-Ntu�tiple----
— -- ----
dJ26/20Q5 12:00 AM TEA+� Mechanicai-Rou � �P Y 2005-08547 �3135 North Shore Dr Mechanical Fxe 7/1/2008 Residenti� j Ventilatian
� --- -� _......_...—i--- ---
5l25/20Q5 t2:00 AM:TElu� Framing �P Y 2005-0014Y 3135 t3arth Shore Dt ;Ad�on!Remodel!Repa�r Residenti� i Ad�/Rerradel/Repair
T--- -.—__ ._._ T ... __. �_.. .—� _..._ _.._.__.._.___
9It6/2U05 i2:0U AM tTEN� F� P Y 2tF05-08448 !3135 North Shore Dr i Ad�tion!Rerrrodel!Repa�r Residerrti� Ad�I Rer�del/Repair
____--. -.-.__.�_ . _.____.___ � . ._.. _ . _._._. i . _._....._._._....�. ._...._.__..
_�__�_
$/t9/2003 12:OD AM TEN� Pwmba�g-Final P Y 20Q3-86618 .3135 NorEh Shore Dr Plumhmg Pre 7t01l08 Residerrti� �Water Heater
b�
_____ ��____. _ �.._ �
32i13/20Q0 S2 a0 AAA .TEI� P�mbmg-Rough�___ .P Y 2600 03193 3135 Narlh Shore Dr ;Plu�g Pre 7Id1l08 _ Residenti� � Fncture __
_ __ _- _................ ..
�.. .
4124J20� i2:�AM�TEA� Mechanical-Rou�� P Y 2�0-02057 3135 Morth Shore Dr Ad�ition!Remodel!Repair Residenti� Pot3ch Res�denUal
___ _-----._. _ _ ___._ .. _._...._....__ �..__..__ _... _._._ _..._ ;....__. _._._... ._ _ . ___
__.._ _ __
518l2�0 i2:�AM TEA� Frarr�ng F Y 2000-02057 �3135 North Shore Dr �Ad�tion/Rertwdel I Repair Residerrti� Porch Residential �J_ _
-- — --- __.-�
51$l2000 12:�AM�TEAAP Frar�ring �P Y 2000-02(}57 3135 North Shore Dr 'Ad�tion/Remodel!Repair _ (Residenti� �Pwch Ftes�dentia# ��
_ �_ _ __._____�..___ _._.. � — -- --__..
Sec:6nd sb� addt fion - no a1 -bui l�- requ�r�