HomeMy WebLinkAbout2012-00554 - attached deck � CITY OF ORONO * Z pJ 1 Z - 0 0 5 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 07/03/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3186 NORTH SHORE DR
PIN : 09-117-23-32-0010
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPA[R
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENT[AL
VALUATION : $ 7,000.00
NOTE: DECK&STAIRS
* AS-BUILT SURVEY REQUIRED TO CONFIRM NEW STAIRS DO NOT ENCROACH INTO THE AVERAGE LAKESHORE SETBACK
BEFORE ESCROW ILL BE REPUNDED. ��(INITIAL)
* HARDCOVER CALCULATIONS PREPARED BY A REGISTERED LAND SURVEYOR TO CONFIRM HARDCOVER IS IN COMPLIANCE
WITH RESOLUTION 5805 BEFORE ESCROW WILL BE REFUNDED.C��(INIT[AL)
PAID ADVANCED PLAN REVIEW FEE OF$95.88 ON CK#4008 6/19/2012.
APPLICANT PERM[T FEE SCHEDULE 147.50
JONES, MICHEAL&NATELE STATE SURCHARGE(VALUATION) 3.50
3186 NORTH SHORE DR TOTAL 151.00
WAYZATA, MN 55391-
OWNER
JONES,MICHEAL&NATELE
3186 NORTH SHORE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he approved plans and specifications,applicable City approvals,and [he
Sta[e Building Code. This permit is for only the work described and does
not grant permission for additional or rela[ed work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of[he date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
7 / l aa�� �o�i�(�v�_ `7/ �l /Z
App icant ermitee Signat e Date Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
l. °�
Building Permit Application l 5
for New Structures or Additions
--- Mailing Address: 0'�/a— �/S'�'
/���0,�`•<� PO Box 66
Permit number:
%,0 _ �',;, Crystal Bay, MN 55323-0066 Date received: �n7-� �'
il �� . ,�
'��a �'�✓� � ` a,�� StreetAddress� � �vedhv: ______ /Yj
�' � �� '�� �!� 2750 Kelle Parkwa p n review fee:
\\c� . o;, Y Y c� CIL � P� � 0 _..�.
�kEsxo�`'�' Orono, MN 55356 �
� ---- _ __--_. _� o�o/ a- O O$S
Total Fee: _
Main: 952-249-4600 Fax: 952-249-4616 www.a.orono.rnn.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: 31 �,'� �!�,2 T�-� ��,�c=. a tZ i�y L
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��0�'v�E�C�w�1[;Z
State License# Expiration Date:
Phone: (office) (cell)
Mailing Address: Ci :
Contact Person: Applicant is: Contractor / omeowner �c���ie o�e�
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: I`�.(_,'��('tC� J v���
Phone(day): lc1 a - ►�- ��--11
Address: �1 l.o i�1G�2t�-1 S�U�E 1����� Ciry: ���t`�Z�'�TA ZIP: •SS=��1 �
Email and/or Fax I��,k�c J�r�1�S�EA���� ►,1 S
ARCHITECT/ENGINEER INFORMATION:
Name: 1-1L.�'v�E Uw rV�t�
Phone(day):
Address: City: ZIP:
Email and/ar 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) �:-c-k � S�p�i2S ❑Multiple Family/Condo ❑Warehouse
❑ Public ❑Storage ❑ Public Water
**Any earth movement may require ❑Commercial ❑Other(specify)
MCWD review 8 permits. ❑ Industrial [�Private Well
Minnehaha Creek Watershed District(MCWD) �Other:(speCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
QSL
Estimated Construction Valuation (excluding land) $ � (�,C,e,
Packet Last Updated: 03-06-2012
-21 -
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a.Length(ft.)= � -�'I Number of bedrooms= �ood/Frame
b.Width(ft.)= �, � y Number of garage stalls: ❑ Mason
ry
Areas in sauare feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 151 Story =
❑On-site Prefab
e.2"d StOry=
❑Off-site Prefab
f. '/2 Story =
❑Other(please specify):
g.Total Area= I ��'� -'���k
`-Ip "S7c,��S
REQUIRED SUBMITTALS:
All of the information must be submitted in order for our application to be processed:
Not
Enclos 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
O Access Permit
❑ Wetland Buffer Im rovement Plan
❑ En ineered Plans for Retainin Walls 4 feet or above
� O 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 femporary Certificate of Occupancy may be issued upon receipt of a 510,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: � �_`" Date: ��� ���/�
Owner's Signature: \ Date: � � � ,�ai .2
Packet Last Updated: 03-06-2012
-22 -
DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen
waming", we would like to inform you that your request for a permit or license from the City of Orono or
any of its departments may require you to fumish certain private or confidential information.
You are notified that:
1. The information you fumish 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 information may be shared with other local, state or federal agencies to the extent
necessary to process the permit or license.
4. If your requested permit or license requires Council action to approve, some information
may become public.
5. You have certain rights under Minnesota State Statute 13.04 (see following page) to
review private data on yourself.
6. Your full name is required to process this application or permit.
��c.l��� �a3Efz� �oc�ES
First Middle Last
3��'� c�c��� SE�� ���vE
Address
w�� 2�TA vtio� Ss�3�t I C��a —� �8 �- d��l�{
City State Zip Phone
I understand my rights as stated above.
�
Signature
Packet Last Updated: 03-06-2012
-19-
, _
: ���.� E����e� ��e������ ��r� ��� S���c����� � ��c�iiti��s
Address/PID/Legal: �,� ����,� � �� . +�
Description o#work: �1.�-- �- c.�s[LXJt.�
Septic revi�w bY� � Date Approved� ifJ ' �'��
' Zonin review b : ' �, �� , •
S . Y � Date Appcoved:__ �� '�."f�
Building review by: Date Appro�red:_ � ''7,Gv �1'Z-
Grading review bY� � Qate Approved: {11��.�"`�;�..�
Zoning File#:�'_,,��� Resolution#:- ��� Resalution Date: � ' Z� �Q
Zonfn District Fire De artment Fost Oifice School Dis#rict
c�� �
Zor�ing: Lot Ar�a:_ �S•� dSFl AC Width: Depth:_
� Survey SubmEtted: �Yes o - Date of Survey:
: P_ro osed Setbacks _ � a : �+� �4� Q�,' 1 1`� �� • > •_
F -r�t(Lake} Rear(Street) ( � S �� ) ( N �. E�
� Ot#�er Buildings . YVetiand
Sids S�de
�.Z,.i ,�,�� � c..
.Building,De#ined Height; �uilc�ing Peak Height; #of�ories Ok�: fl Y�:
` �FOR A�BUILDIFlG WiTH A L�AS�MENT OR CR/IY�IL'SPACE; �OR A�tiILDIN�',ON/1 SLAB FOUNDA7t0�1
START VNITH the dist�nce beiween the bas�erraent flooN crawl START the distance befive�n the slab.ai�d the highe,
� space floor and the highest roof,peak,.tMe top of ' WITH, roof peak,the�top of the.cdmi�of a#tat Toof
the corriice of a�la#roof,the.deck line of a the deck Ime of a,m�t�satt�rouf,or the
� � rn�ns�ctl roo#,i�r#tae uppermt�s�,point ot�afour�d �- � uppermosf pofi���oh�a°rour�d.oris�er:at�h-ty�
or other arch; ` e.roof raof _ .
SUBTRAC7 hal�the distance'between thehighest win�oyv and SC1B'1'RAGT ha�'#�:distan�e-betwe�i��h�ltfg�+��fiwir�r]o�
� �. �ht�hest;waf � k of a �chedrQo# � - ��, �� anc�fii�hest ro��: �� f� ��'���'� ��z:�._ ��
3UBTRA�T the d�st�i�c$bei�nteen'the base�i�nt�loor/.crawl A[�D th�drstarioe betvir�er��e sfab;�t�d {�e t�i�he
space�f'dor and the highest e�cisYn�grade withir� " ` exisfin de�witfiirith�fourad�tt�n�.� ' <
the fou�dation or 10 feet,whicheuer is less. EQUALS_- Glef+ned bi�ildln` fiei ht "
� : s�� . ' `
' �QLIML� �- �-� C�efihe�'buildin� he��ht � - � �- . :
, ., � ..
, .
� � _ ,. : _; .:.
Lo#GeveFage: �5� %
Shor�ia�d Qts�rict ` M�GVI�D Permit Received A�era e'L�k�s�tore�ge#back ' Bl�ff' ,
� Yes � 1�10 C1` tV/A . ��l �I Yes `' : o
� Yes G No � �Yes � No � N!A
, . . Permit Num�r; ,� � _ Se�ack:
Hardcover Zon�s: Existin Pro osed Varance Re u�r `.CU,P Re+ u�re.d�
0-75' t1 Yes No C],Xes : ,: No
' 75-2SD' �. 2.� TYp�(S?: '[yP�(g)=
� 280-500' ��•r3� �'•.t'��
500-1000' . �'�'2.. � _
�•��»
` RENiARKS (in-house):
Updated� 09/11/2D09
z:lformslplan review chedclist.docac
Fees to be Char er� YES NO
�'�it" ; . .
Fian Review
,�e'�rci��rge
Inves#igation Fee
�'iA�—'��er�f SJ�C Unats
Sewer'Cannection
��r=Cca���action _
Park Fee
�e��espis�#ion -
O�ther(specify)
�lis�ila�eb�s fess ,�:"-
Calculated By:
S uare Foota e $ er S uare Foota e
8asement X = �
1�floor X = �
2nd Floor X = �
G3arage X _ : � •
�
Estimated Constrvction Value: �, �,,�3�
Or,o'no 1nsp,ections Requiced Work Ftequiring Separate Permits Requ�red $tate Permi�s
' CJ Site Ca Ptumbing � Grading/Filiing � �1Ve{I
. 17 Hardcover Rernoval � Me�hanical -fl �ire fl Eiec#rical �..
�Footin� O Septic G Water Gonnection
� Paured 1Na11 � Firepiace � t3'Sewer Connectiot�
O Foundation Survey O Masonry _ G Lawn lrriga#ion "
0 Rac�on Rock Bed G Mfig:
��ramiing D Other(specify)
i�isulation �
f�'As�ui�t.S�trvey��
Fit��l -
��.
O Other(speci#y)
REMARKS:(in-housel� ;
,. , ._ �
Other Rev►eW: Reyiewed by:: �7a�e Approved:. ` `
AGcess:ExiSting: -C3 YES �3 NO New: t3 YES fl �O
REMARKS TO BE NOT D ON PERMIT RND lI�ITIA D 8YP SUN PU LINC� PERM!
� �� �� �� �( � E�
� :Ei` e. n .1�=,
.
����l�c�� t� i� C tt�.� �ti� ��Sotu � �5�� ��'� �C� �i tt �u-
c�
Updated: U9N 1/2009 �
z:�formslplan review chedclist.docx{' `
. ,
, �
Address:_ ��g� �a2+ti �o,ZE 1��►VE� Date: a S �a
Prepared by:
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Weed control x = S.F.
weed baRier x = S.F.
of any kind x = S.F.
G. Retaining Walls x = S.F.
H.Other x = S.F.
TOTAL HARDCOVER IN ZONE - � S.F. A
TOTAL PROPERTY AREA IN ZONE - :�(n3 O S.F. B
A � + B �(��d x100 = C5 %
PROPOSED HARDCOVER IN ZONE(including existing hardcover to be retained)
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Weed control x = S.F.
weed barrier x = S.F.
of any kind x = S.F.
G. Retaining Walls x = S.F.
H.Other x = S.F.
TOTAL HARDCOVER IN ZONE - � S.F. A
TOTAL PROPERTY AREA IN ZONE . - 3(03 6 S.F. B
A � + B 3 �3 � x100 = f7 %
- 13-
� .'
Address: ��8� /V��-�t� S�fl�.E. �i2 Date: � aS �
Prepared by:
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = ���_S.F.
Length Width
x = S.F.
x = S.F.
B. Garage x = S.F.
C. DrivewayE U%�t� X = , a��a S.F.
' x = S.F.
D. Sidewalk � x = a ( S.F.
�ra�� X = i.�3 s.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Weed controi x = S.F.
weed barrier x = S.F.
of any kind x = S.F.
G. Retaining Waiis x - 3 y S.F.
H.Other x = S.F.
TOTAL HARDCOVER IN ZONE - 4��� S.F. A
TOTAL PROPERTY AREA IN ZONE - a I I 1 � S.F. B
A �I`(qy + B ai f�� X�oo = ' a3.cnt� x
PROPOSED HARDCOVER IN ZONE(including existing hardcover to be retained)
A. �� X = ��y y s.F.
Length Width
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway'� wa"�; x = a�lo� S.F.
x = S.F.
D. Sidewalk � I C- x = � � S.F.
w a�1� x = � 3 3 S.F.
E. Patio/Deck ►�.3 / x 8�S � _ �y 1 S.F.
ST+���> �� x 3.5' _ ��-�S.F.
F. Weed control x = S.F.
weed barcier x = S.F.
of any kind x = S.F.
G. Refaining Walls x = 3 y S.F.
H.Other x = S.F.
TOTAL HARDCOVER IN ZONE - �Ig� S.F. A
TOTAL PROPERTY AREA IN ZONE - �2 I�� I O S.F. B
A �- B x 100 = 0?'-1 .5`�I %
- 13-
, .; ' � .•
Address: ��g� tvc)Q�H ��0 2E �Z�v E Date: S aS i a
Prepared by:
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTING HARDCOVER IN ZONE
A. House x = S.F.
Length Width
x = S.F.
x - S.F.
B. Garage x = 4(p3 S.F.
C. Driveway X = a851 S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Weed control x = S.F.
weed barrier x = S.F.
of any kind x = S.F.
G. Retaining Walls x = S.F.
H.Other x = S.F.
TOTAL HARDCOVER IN ZONE - �3a Q S.F. A
TOTAL PROPER A AREA IN ZO�� _ �o� S.F. B
u + g Q b�� x 100 �I•5 %
PROPOSED HARDCOVER IN ZONE(including existing hardcover to be retained)
A. House x = S.F.
Length Width
x = S.F.
X = S.F.
B. Garage x = `�b3 S.F.
C. Driveway x = ac�� S.F.
X = S.F.
D. Sidewalk x = S.F.
X = S.F.
E. PatiolDeck x = S.F.
x = S.F.
F. Weed control x = S.F.
weed barrier x = S.F.
of any kind x = S.F.
G. Retaining Walls x = S.F.
H.Other x = S.F.
TOTAL HARDCOVER IN ZONE - 3��� S.F. A
TOTAL PROPERTY AREA IN ZONE - �I 1v�0 S.F. B
A ��� + B ���� x100 = 3ti,� %
- 13-
, �" .' : .�
Address: ���ro NvQth �ho 2 E. �� _ Date:�a� ��
Prepared by:
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = S.F.
Length Width
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = ��3 S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Weed oontrol x = S.F.
weed barrier x = S.F.
of any kind x - S.F.
G. Retaining Walis x = S.F.
H.Other x = S.F.
TOTAL HARDCOVER IN ZONE - oZ�3 S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
n a�3 t B 3�o X�oo = 5�: � °�
PROPOSED HARDCOVER IN ZONE(including existing hardcove�to be retained)
A. House x = S.F.
Length Width
X = S.F.
X = S.F.
B. Garage x = S.F.
C. Driveway X = a�3 S.F.
X = S.F.
D. Sidewalk x = S.F.
X = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Weed control x = S.F.
weed barrier x = S.F.
of any kind x = S.F.
G. Retaining Walls x = S.F.
H.Other x = S.F.
TOTAL HARDCOVER IN ZONE - a 13 S.F. A
TOTAL PROPERTY AREA IN ZONE - 3�� S.F. B
a a�3 i B ��I b x 100 = �-T,y.(oa %
- 13-
��� ���� rDATE TIME ✓
'61TY OF ORONO CALLED IN —1 " 1 �
INSPECTIO OTICE SCHEDULED '� �.l-�
PERMIT NO��� �j�� COMPLETED
ADDRESS � � 4a' ��
OWNER �CG�Gie I ���5 TELEPHONE NO. ' �la �
CONTRACTOR
� DESCRIPTION �" �ha'� —�C�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS;
�
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a
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W� ❑WORKSATISFACTORY:PROCEED �'PROJECT COMPLEfE
w ❑CORRECT WORK 8�PROCEED 10 SSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
DATE TIME "
TY OF ORONO CALLED IN �7—(�
INSPECTION�IQI�E,�`r�(( SCHEDULED �� __ Q��
PERMIT NO�C ��� T COMPLETED
ADDRESS '3I��o N � cS�(�Y�' �IZ •
OWNER f� � K�-� J �Y�-STELEPHONE N0.�_I � ,�`C`I��
CONTRACTOR .
>'; DESCRIPTION �a� �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
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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 ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINA�! ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES �NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on sitq:
Inspector. �,d � �
White Copylinspector's File Canary CopylSite Notice
�� ��V1 DATE , TIME �
CITY OF ORONO CALLED IN ���Z-
INSPECTION NOTICE SCHEDULED L�'��..��2 -
PERMIT NO. . C��� "t C%'��{ COMPLETED
ADDRESS ���i l�r' ��('�l��" ��f?
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� ❑ 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
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REil1RN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: -
Inspector. 1 _ �_�
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To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: September 4, 2013
Ca/L: 101-22205
Re: Escrow Refund
Building Permit #2012-00554 pertaining to 3186 North Shore Drive is complete. The
Applicant, Michael Jones, has requested a refund of his$2,500 escrow.
The following is attached:
• Escrow Refund Request
• Email from Bofton 8�Menk indicating no unbilled WIP on this project
• Email from Campbell Knutson indicating no unbilled WIP on this project
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Michael Jones
3186 North Shore Drive
Wayzata, MN 55391
w:lstreet files�north shore dr13186�escrow refund memo 2012-00554.doc
July 2,2013
City of Orono
Post Office Box 66
Crystal Bay Park, MN 55323
Re: 3186 North Shore Drive
Permit#2012-00554
As a condition of the city's building permit process, I have provided escrow funds in the amount of
$2,500.00 along with my application. I am providing an as-built survey and updated hardcover
calculations. Both of these items were required prior to the release of my escrow funds. The hardcover
calculations were prepared by Gronberg&Associates using both the city's previous(as permitted)
hardcover rules as well as the cit�s updated hardcover rules. My property is compliant per both
calculation methods. Now that my project is complete, I am requesting the return of all funds from the
escrow account back to me. A check can be mailed to me at the address below.
Rega rds,
�';�� � �
Michael R Jones
3186 North Shore Drive
Wayzata, MN 55391
612-718-0474(mobile)
RECEIVED R�� `�'- =�-�
JUL -2 2013 JUL = , ;
CITY OF ORONO �1`YY OF OR�:;::
Christine Mattson
From: David Martini [davidma@bolton-menk.com]
Sent: Wednesday, September 04, 2013 9:23 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
Chris,
It looks like the only WIP we have for these projects is an hour of Mark Perry's time($87)for 3245 Watertown Road. Let
me know if you have questions.
Thanks.
David P. Martini, P.E.
Bolton � Menk, Inc.
P: (952) 448-8838 ext. 2458
M: (612) 756-4315
email: davidmaCa�bolton-menk.com
From:Christine Mattson [mailto:CMattson@ci.orono.mn.usl
Sent:Wednesday, September 04, 2013 8:20 AM
To: David Martini
Subject: FW: Unbilled WIP
Hi Dave,
I need to prepare my escrow refund memos this morning. Will you have a chance to look for any unbilled WIP?
Thanks!
Chris^'
__ __.,.__ . _ . .__ _. _ . .... _.,. . ._._
From: Christine Mattson
Sent: Friday,August 30, 2013 11:42 AM
To: David P. Martini; 'Sherry Charboneau'
Subject: Unbilled WIP
Hello,
Any unbilled WIP for the following:
Building Permits
2013-00119 3245 Watertown Road Carl &Andrea Rhame
2012-00891 4495 Bayside Road Mark&Shelley Souers
2012-00728 2280 Fox Street Lynn&Anders Myhran
2012-00554 3186 North Shore Drive Michael Jones
Thank you!
�
' r
Christine Mattson
From: Sherry Charboneau [SCharboneau@ck-law.com]
Sent: Friday, August 30, 2013 12:52 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
Christine:
No unbilled WIP for Campbell Knutson.
Enjoy the Labor Day Weekend!
Sherry �
Sherry L.Charboneau
Legal Assistant
CAMPBELL KNUTSON P.A.
1380 Corporate Center Curve•Suite 317•Eagan,MN 55121
'�(651)234-6230•Fax: (651)452-5550
�scharboneauCa�ck-law.com•www.ck-law.com
From: Christine Mattson fmailto:CMattsonCa�ci.orono.mn.usl
Sent: Friday, August 30, 2013 11:42 AM
To: David P. Martini; Sherry Charboneau
Subject: Unbilled WIP
Hello,
Any unbilled WIP for the following:
Building Permits
2013-00119 3245 Watertown Road Carl &Andrea Rhame
2012-00891 � 4495 Bayside Road Mark&Shelley Souers
2012-00728 2280 Fox Street Lynn&Anders Myhran
2012-00554 3186 North Shore Drive Michael Jones
Thank you!
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway ; Orono � MN ; 55356(physical address)
PO Box 66 � Crystal Bay i MN E 55323-0066(mailing address)
'S 952.249.4620 i 8 952.249.4616
� cmattson@ci.orono.mn.us ; �] www.ci.orono.mn.us
Summer Office Hours: (Monday, May 20 through Friday,August 30,2013) �
Monday-Thursday: 7:30 am to 5 pm
1
BUILbING PERMIT ESCROW AGREEMENT
Orono Buildfng Permtt#2012-00554
AGREEMENT made this �' � day of -}��`� , 20 la , by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City")and Michael Jones{"Owners"),
Recitals ,
1. A building permit application has been filed for deck and stairs located at 3186 North Shore Drive
the("Subject Property"), legally descxibed on Exhibit A,attached.
2. Owners request the City to review this appiicaaon. �
3. The City wil! commence its review of the appEication and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
N�W THEREFORE,THE PARTiES AGREE AS FOLLOWS:
1, DEPOStT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owne�s shall deposit$2,500 with the City. All aocrued interest, if any, shall be paid to the City to
reimburse the City for i�cost in administering the escrow account,
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for ali out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legai
consultant review) or wili incur in reviewing the plan. Eligibie 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 condi�ons associat�l with the
worlc and to repair any damage to public property or infrastructure that is caused by the work{including planning,
engineering, or legal o�nsultant review) associated with bullding permlt #2012-0OS64 if compfiance with the
approved building permit is not accomplished.
S. MONTHLY BILLING. As the City receives consultant bills for incu�ed costs, the City will in turn
send a bHl to the Owners. Owners shalf be responsible for payment to the City within 30 days of the Owners'
receipt of bill.
4. Dt3BURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to ihe City withln the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all sxpenses
invoioed pursuant to #3. The Clty may drew from the escrow accourrt without further approvai of the Owners to
refmburse the City for eligible expenses the City has incurred.
6. CLOSING ESCROW. The Ba{ance on deposit in the escrow, if any, shall be retumed to the
Owne�s when the review has been campleted and written notffication is recgived from the Owners requesttng the
funds.
8. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incuned by the City exoeed the amount in escrow, the City shall have the rieht to certify the unpaid balance to the
subjec,t�bl�ertv pursuant to Minn. Stat. §§415.01 and 366.012. .
� . . � .
CITY: CTi'Y RO OWNER:
By: �", �
Its:
BUILDING PERMIT ESCROW AGREEMENT
Orono Bullding Permit#2012-00654
EXHIBIT A-LEGAL DESCRIPTION
That ports of Blocks 2 and 4, of Crystol Bay Park and of View Avenue, now vocated
lying between said Bbcks, d�scribed as follows :
Commencing at the most easterly corner of Lot �5, Block 4, Crystal Bay Pork; thence northwesterly along the
northeasterly line thareof 250.73 feet; thence deflecting left 88 degrees 23 minutes along a line 10 feet to the
point of beginning of the property being described; thence continuln olong last soid line to the West Eine of
Crystol Boy Park; thence North along said West line td the shore o� Lake Minnetonka; thence eoaterly olong said
shore to its inters�ection with the northesaterly line of Lot 6, Block 2, Crysto! 6oy Pork; thence southeaster�y
along said northeasterly line, its southeosterly extension and the northeasterly (ine of Lot 5, Block 4, Crystal
Boy Park to the most easterly corner soid Lot 5; thence southwesterfy atong the southeoeterly line of said
Lot 5 a distance of 22.00 feet; thence northwesterly to the Roint of beginn+ng, Hennepin County, Minnesota.
___ _ _. _ ;
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' •, • CITY OF ORONO * Z 0 1 2 - 0 0 6 3 4 *
2750 KELLEY PARKWAY DATE ISSUED: 07/03/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3186 NORTH SHORE DR
PIN : 09-117-23-32-0010
LEGAL DESC : CRYSTAL BAY PARK
: 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 BUILDING PERMI#2012-00554-PD BY MICHAEL JONES-CHECK#4009
APPLICANT ESCROW FEE-BUILDING 2,500.00
JONES,MICHEAL&NATELE TOTAL 2,500.00
3186 NORTH SHORE DR
WAYZATA,MN 55391-
OWNER
JONES,MICHEAL&NATELE
3186 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 does
not grant permission for additional or related work which requires sepazate
pemtits. 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 consuuction 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.
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Certificate of Survey
for Thomas & Susan Enlow
in Tracts G and H, R.L.S. # 269
Hennepin Count,, Minnesota
3 �s,vo-u,C:5tia,��,
THIS ITEM PIS 80
WWORDFILIED
Iel Des(
Tract G, I
AND
Tract H, except the West 28.5 feet thereof, Registered
Land Survey No. 269.
This survey shows the location of all existing buildings
and visible "hardcover" thereon. It does not purport to
show any other improvements or encroachments.
Date : 11-6-89
Scale: I" = 20'
0 : Iron marker
(Fyz 2) : Existing elevation
L�s7.2 : Proposed elevation
Datum: Mean Sea Level
Bearings shown are to an assumed datum.
I hereby certify that this survey
was prepared by me or under my dir-
rect supervision and that I am a
duly licensed land surveyor under
the laws of the State of Minnesota.
COFFIN & GRONBERG, INC.
Mark S. Gronberg Mn. Lic. No. 1275
Engineers, Land Surveyors, Planners
Long Lake, Minnesota
ORONOCOPY