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Home My WebLink About2016-00213 - new structure ' . CITY OF ORONO � 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 2 1 3 * DATE ISSUED: 06/24/2016 ORONO,MN 55356- 952)249-4600 FAX: (952) 249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 500,000.00 NOTE: SEPARATE PERMITS REQUIRED:PLiTMBING,MECHANICAL,FIREPLACE,SEWER CONNECTION,WELL(STATE), ELECTRICAL(STATE) NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM SAC GRANDFATHERED IN PER ROGER,H/U PROJECT#1785 04/10/1968 AND HOME PRIOR 1952. APPLICANT PERMIT FEE SCHEDULE 3,449.06 STATE SURCHARGE(VALUATION) 250.00 KEVIN TRAMM CONSTRUCTION 4771 126TH ST CT N TOTAL 3,699.06 WHITE BEAR LAKE,MN 55110- Payment(s) (612)226-8501 CHECK 4483 3,699.06 Minnesota State License#:BUIL-BC004343 OWNER RUCINSKI,MICHEAL&HOLLY 3188 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 Ciry 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 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 an time after work has commenced. The applicant is responsible for assurin Il required inspections are requested in conform with the S uilding Code.This permit may be w � revoked at any ' e e cause. �yl � p�� , , � A icant Pe Si ature ate Issued By Signature Date � - � :,. �� ;,��^ City of Orono �� ,�a'� Buildin Permit A li ation � � . �� 9 pp � 9� b"*E7 � � for New Structures or itions Mailing Address: 4 ��j Permit number. �1 �l(� -C�C'�/-�> ��A. PO Box 66 C "�� `v� Crystal Bay, MN 55323-0066 �,'N Date received: � ,� / � Streef Address.' Pla eived bv� �p ; ,� 2750 Kelley Parkway �C(� —C��'ZI� -- -- , - - ' c.� Orono, MN 55356 r ��{{�� /�` ,�„� n rev ew fee: , �a 7 • `7 �q . � - �_ — c2,�ac o_ r,�,,,�� k F\;s H�� Main: 952-249-4600 -Total Fee: - —7 �` Fax: 952-249-4616 www.ci.orono.mn.us �� This application form must be completed in full and all required information ust be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �►� � �gC� ��nC;i�. p� �-��,�.�, rn�i j�� Will this be a Parade of Homes, Remodelers Showcase Home or ot er Display Home? ❑ Yes No If yes,a specia/event permit is required with Police Oepartment and City Council approval 60 days prior to the event. Shuttle bus service wil/be required un/ess applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: . Name: �);v� �vt`GavV� Ifh �C`r �15�'��.��C>V� .1, �1G. State License# " �[>�-}3y� Expiration Date: 'Z� ;� �e � Phone: cell i , Z , p 1 office -- Mailing Address: ' ')I 1 - tb � C. Cit :'tJU1�.+ .�,� er; Contact Person: i 2 w.y�n Applicant is: Contractor / omeow (Circle One) Email andlor Fax: °�'.Qut�i�� .�1rvt. � Z PROPERTY OWNER,INFORMATION: , . _ Name: r 1\�G�l�� 4 ��`\�l �C,�►.ir'�S`v Phone(day): �, �� . , '"5 Address: .�"'-.,f� � Ci : ` �.�� ZIP: �4�7 Email and/or Fax �G tr�� L-.�v1 etG, �,ax �v� .. �;y1 ARCHITECT/ENGINEER INFORMA ON: � , Name: :.ri > :�:P r ►' �' �" �� Phone(day): �Z, Z ' - t Address: 'z c:61 ' �. Ci :� 1 '�nc%�..'� ZIP:�� `'� Email and/or Fax: .�tit�, ,,,�r � L-• � • (��:�}� � L� .`� PROJECT INFORMATION: Descri tion of ro�ect: �.: � ', �` ��1 ' ��G�h�, :�'� /1,,�c�; 1.Type of Project 2.Proposed Use 3.Structure Ty 4.Sewage Di osal& �� Water Supply �New Construction �l/� �{Single Family with . �,$�G�ea9av�/�{ ❑Addition � attached garage ❑ Deck �Public Sewer ' + ❑ ❑Office/Commercial Relocation �Residence ❑ Private Sewer ❑Other: (specify) ultiple Fami y Condo Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water ""Any earth movement may require ❑Commercial ❑Storage MCWD review&permits. Industrial ❑Warehouse �Private Well Minnehaha Creek Watershed District(MCWD) ther: (S eCi ) ❑Othe�(SpeCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �j�) d�� I ' Packet Last Updated: August 2015 Page 21 � �� StRTJ�TURE INFORMATION: ,1.Structure Dimensions 1.Structure Dimensions(coMinued) 2.Type of Construction 1 a. Length(R)= �� Number of bedrooms=�y � �Wood/Frame b.Width(ft.)= � 2 Number of garage stalls: ❑Masonry Areas in sauare feet Attached= �- ❑Metal c. Basement= ��('� � ❑Pole Bidg. —"`�" Detached=� ❑ICF d. 1�Story = � ❑On-site Prefab e.2nd Story= ��J ❑Off site Prefab f. %z Story = � ❑Other(please speafy): g.Total Area= �rOOS REQUIRED SUBMITTALS: All of the information must be submitted in orde�for our a lication to be rocessed: Not Enclosed A licable ❑ Buildin Permit Escxow A reement and Fees ❑ Plan Review Fee ❑ Com leted lication Form ❑ Pro sed Buildin Pians—2 full size sets,to scale and 1 reduced 11 x 17 or 8'�x 11 set ❑ Minnesota State Ener Code Calculations and Mechanical Code R uirements `� ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ Hardcover Calculations ❑ Se tic S stem Certification ❑ Minnehaha Creek Watershed District(MCWD)Permit or Documentation from MCWD statin no rmit is re uired Landsca Walls and/or Retainin Wall Plans ❑ Stormwater Pollution Prevention Plan SWPPP ❑ Access Permit ❑ Data Priva Adviso Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agre�to pay the City of Orono for engineering consultar�t review costs in excess of 5500; • 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 dassified by State law as either private or confiden6al. 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 subjed of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agenaes required by law. If you refuse to supply the information,the apptication may not be issued. • Agrees that in the eveM that weather or other conditions prevent the completion of an as-built survey at the ttme the Certificate of Occupancy is requested,a temporary Certiflcate of Occupancy may be issued upon recelpt of a s10,000 escrow to ensure completion of the as-b survey and all site improvements. ApplicanYs Signatu . Date: �� —�=�/� Owners Signature: , Date: � � � � ��` Pecket LBst Updated: Augast 2015 Page 22 g� �/, �h�� 2 00�,� � _ d � � - �ar3 l � � a � �� e��-� � c � � � v� ` ��/ ��785 � �o �� U� ��l�� 7� 7a -�- i ��va,�-��'l��--��e� �s �v�, f� ��ns ��u �� r� G��-e� �v � ��,�G�� .�c-�' �'s�oc�o _ . r�.�.h..-- �� -�°�-. ��',� ��i �o l�e� - �v�� c� ��u �- � �� c�P�c.�e� �� f� ��,� (�� 3� �� ,c� c� -�.�� `�-e-- �.� �� 5� � . � � ) , _ � � l�� 1� �t1�.�- -�-�-a� o�� _ �; � � �l�� Y�'��-- D ( a-.�-e 4 � U � .�:.(�-�r a,� � �--� �' � aa .� � � � � �� a, , t� i, r,c�.� u��. ��=c'.�� , . � �� -� �� ,� _ 61/l.. �.�._ U �r� ✓�/� � ' � ✓1 cN� � 1 ��l�t � � � ►�1 V � G� , � (� - � �i��c� ��'�U.� C� �,' `� -(o-I C� � Builder Acknowledgement Form 3188 North Shore Drive /#2016-00213 & 2016-00215 Builder Permit Conditions Initials Prior to the start of framing, a foundation as-built survey must be submitted and approved by the City or a stop work order will be issued. Schedule a minimum of one hour for the framing inspection. Erosion control mechanisms must be installed and inspected by the City proper to any land disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to inspection. Erosion control shall be installed and maintained throughout the entire project and must remain until vegetation has been established. No underground sewer within 20 feet of well. Prior to the issuance of a Certificate of Occupancy an as-built survey and hardcover calculations must be submitted and approved. In the event of winter or other unfavorable weather conditions (which prevent the completion of the exterior improvements and/or as-built survey) a Temporary Certificate of Occupancy(TCO) may be necessary. A TCO requires a $10,000 escrow. Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios, grading, sidewalks, retaining walls, etc. not currently shown on the approved survey and landscaping plan will require a separate Zoning Permit application to be submitted and approved prior to the work commencing. Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the height of the lower wall require engineered plans and a building permit to be submitted and approved rior to construction. w:\street files\north shore dr\3188\builder acknowledgement form 2016-00213&2016-00215.docx � , �L�N R�V�E�IV C�HECKLI�'F FOR �V�V �1`�tiJ�T'l�R�� /`A��i�"�;� - t " 4 t i r B `�s a ''F�. � .'+1�" �ti ¢ r ,,�yr�"_k��,3� � � ^` r��" � y ..' � �s r�" � � '' �`� r�e'r�r'� f 3 �i" � '�, '�'a "n' �� `. . : L�V �Ss � (/I /� �, r'� t `t i ,� � � K . }a .7 : { r_ . 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(BASLfl ON pasetnenUC�spUos 11aor ac�d 8�e . 81e top ot�tha Fiiphat �� . .s EXIS�ING hii�heat existln9 9r�de.ad�cent to!he.' . %., •:window grul�the�hi9t�t :" ' � �r^�'� GRADES) . ioundation OR 10 feet(whiChever is less}. poinf cN-1he.r0of " . . �..,.'/ ..-- - ' • ALL 01�R RQOF IYP�S j''. �QUAtB . , Deflned b�ilding h6fght' . ` ��rd.etC);Nq,. � -,r�' ��. . • .. � DaAnatl bufldlAg hetgM •, EQUALS +.� "`" _. . , . }. . . _ . . updated: October zo15 . ,. ,_. . . . z�fonnslplan review chedcl�t 10-2075.docx : , :� . �f ` � �.� � ��. . � �s ��* � 1 �..:� �-. .. . . �.�� r �i �a•� .�� a E� ��'F� �a ��n`��T b �tr�`'��`'�fi-^�#�� ' .. �� " � z� � �� . , o- 4 � � t F �.� e f� ,�a,f� _.�g �z� �#� -• �..�.ti-:p �ti :.�S r� ��-�"x #"i"� ' a sy..�.;`"�d a �_^r . ,.�� .� .�r" :-�.�r,��7�'.$n�r .,� �•�5�+ � h'��:_ tE.�'� -�� n �`'`,Yr:r , . 1: .. .•_ > t „ ; .:" a. 'S4�-�,+-:,. 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".6°A:... �q-6 " �t ele 4� f "3 �� 6 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 furnish certain private or confidential information. You are not�ed that: 1. The information you furnish will be used to determine your qualification for the pertnit 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. n � � ' First Middle Last �14�g ��C-��. S�ro c� �� Address O �d� ` `� \`�L �� (')/Z�C�J •�� City State Zip Phone I understand ed bov . Signature PaCket Last Updated: August 2015 Page 7 DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, 'Tennessen warning", 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 furnish certain private or confidential information. You are notified 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 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. � \ ` 1 V� First M iddle Last �� oC�l�. S��c� fl{��v � Address �c�v� M N ��'�a � 76�. Z �'6. �C�ZZ.. City State Zip Phone I understand my rights as stated above. � Packet Last Updated: August 2015 Pege 7 � 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. �� _ �,� �� 1,�1E� l av�r� �� r`�� --r-� � � ��-c�f e ��l nr� ��'ti'� � � �' ��'� � �� a�,a-� � � ��- � L�'� Completed Application r �� `,� t 5� ° � d�' b m ��r�— ��''�'� 5 �-�,..��X Plan Review Fee Paid �d -�r � �� c�l--I� .�erv�i rf-s�(� �y� �zo��-co2,��} ��j Signed Escrow Agreement & Escrow Payme� ��-'f� ��-�� `_l'�� :� r ( � `�- � �� i'�� --�-w�-r�f � C�t�v�c:� � ( �c� ��p 4�cc�,�f� }�-f- r c�-� � ��S Building Plans (to scale) x2 �j�� ertificate of Survey (to scale) sh�varinq�the proposed project & meeting all requirements x2 � �� Hardcover Calculations (if applicable) I am aware that Orono will not issue a building permit without a �r`�-��c�� copy of MCWD permits (or documentation from the MCWD stating the proposed project does not trigger their permitting requirements). I will contact the MCWD at 952-471-0 0 re rdi g is o' � , � Signed by: ' � � Address: .�/ ' � �� N � _ Permit #: ?��11.� — C�C�Z( �� ;�-'� � �-�--{ o vv�_ �'_ �� 1� -- G a 2 l S �� c��z-� Packet Last Updated: August 2015 Page 2 ��IVED - Minnesota State Energy �ode Calculations and Mechanical Code Requirements Form Additionai copies can be faund by going to: htta:/hwww.dli.mn aav/CCLD/PDFlsbc 1322 ��df MA� " 3 20�s �Tll�l.,��,�� ORONO ��t.��r�*�saa��t�•��;m.a� ��• ,� .��`� , ��a�+di�+�: �,�� t�i�c�"� ��'�.. ��,.a�.. , �'rT�D�A�. �03��3`�Ct�rl'�i�3�il�: C12�i ft! S�r�vGT��1 1�1L. �.�.�;,.c:�lhltl�t'�f: fi�-� 3 �t�C".��' �'',��,� .lram�d',�!_ �"�yu� ,Laa�asaf�!trl' �:'i� �t'�tr� �=t�ir�e �� c�:Y �� N � [am "ta��r ' '�r : - O iMasib�er � M � �t�. . � �. � ' N �� oRar �t�s��C.ea�� . �' -r �� nr art �E+�",��' �'d= is� F� �a i!�' R- R,.C�' � ' .��ir�s-�I �IC � 5 ,� ' �at��t ��tr�u� rx �a i aef r � �r �,l' 1F�e� � IJ �+r fowti �oo o� .. u G T o 00 � ro►r�!` d'r •S t� G o Z T' �� G'�� T �.�� R ` a�#'4�' o�e �t e� c P �e ��o �� Packef Lasf Updafed: August 2015 Page 20 OI �CEIVED City of Orono MAR � 3 2016 �o Hardcover Catcutation Worksh et ,� `r Property Address: �� /',��<�'�1� .t',��F? �' ��::=� i; �� '��vflc�� CI7Y OF ORONO �AFSHOp'� Prepared by: Date: �� T�,� .('�r R a/�6°+E`��G" � /d�'l'�?C'l.�f T F'1, /f✓�',, Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Step 2: OPOSED HARDCOVER In the following table, identiijr all items of proposed hardcover on the property, keyed by letter to Certificafie of Survey (survey must accompany this form). lnclude all existing hardcover items that are intended to remair�, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify any features Qy letter which are split at the 75' setback line and calculate hardcover square footage se aratel for eacl� ortion. Key to Hardcover Item(Describe) Length x Width Total Surve {S uare Feet Exam te Gara e 24'x 30' 720 S.F. A �G •Gi t'[% Cf�`��'�" S.F. B X� ^s'f .v- ; �" - � � �'' ��-?` S.F. C � -� S.F, � aF �r riF" �►tr s.�. E ` ✓ . �i Z Tl� � . : 3'O jF c 4 •Gc�r UC = S.F. F p f r a y S.F. G a � .s t r-.•„-� S.F. H E � '"' .�,^^ d � a c. S.F. I � ,P, �- �r, r'r r.� '" S.F. .1 .,r�?'�' 'r:..� a`4.?'�r I S.F. K !1 S.F. L � a �. A � S.F. M :!'i f'.� t"r_1:� S.F. N S.F. 0 G a �' j< -r. S.F. P S.F. �. Q S.F. R S.F. S S.F. T S.F. U S.F. V S.F. W S.F. X S.F. Y S.F. Z S.F. 1 TotalPro osed Hardcover � S.F. Excludable Hardcover See Ci Code Sec 78-1684 : �"�r1�i ✓ r�' r..� „�:.c.� �.,:, S.F. S.F. S.F. ' S.F. S.F. 2 Total Excludable Hardcover S.F. 3 Net Pro osed Hardcover Subtract line 2 from line 1 a 6' S.F. 4 Total Lot Area `� Y� S.F. Proposed Hardcover Percentage [(3)y(4j j �..� �Z % ZZ��I�z = . `� �, �Z� This is an information packet regarding Hardcover. Every effort has been made to insure the accuracy of the iniormation contained h,erein;however,if any rnformation is nof consistent with provisions of the Ciry Code,the Code provisions will prevail. Page 9 of 9 i ��' ��:.: , ,;_•.. � // � /� , , ,��`'' �� //� � • ,'t /�/ ( '� . � �� —�� ( /� ; ;' • �,091 WELL // 8go23, � ( �/ ',;•,'•l O/ ..._ � �'�. � 't- ,i �s4,.5��looa' � � � � �� `1 � I �� ' � I ..�• �;, . �� ,� p�1'' \ � �_; -- � � � � � � -� ` _ -_ � -� - . - C - , -: r �� <.. -- � ,, � .� � t_,, ,,; . .,i (3ti N iV U"1 -�- <J� G� N .,. .. �. ..J .i O� �\) �v lJ'� T- G� r�1 . �:c: . • o o a, e o . m 9 0 , a � a . . n . . . c e • o � O J O -� O V' J O O rJ C? N O O � C O O , � O Ln O C� '� O i_ -, -. ,_� -. .. � --� - _-. �_. _ _-. -, ,-� -� - - - „ � � V K \1 I � �� i' � i w\ � 1 � � I � �'�/ �`�' � ; � ,'� l �,� �` \ � /, I g�6 1 � \ /i // --——--��— _ � 6 � ` \ / \ � — � � ''• � 1 \ , / s�. � c9�.4� � ''�., o,. ; \ '•• / . w . �., 9 � � ,.: �.•••'''•.... . �.� \ , 938 4 � / \ : : ; � � � \ (935.45) � g ` ...... .....-- / --� ... O � �$►' �, `°�° `� � � O � ��: L� � l �'; � � �° / � �' � � / .'\ �5 �o ` � � ` P OPOSED 'M � �� p �'�; �` � � D IVEWAY (� � PpRCH � .---- � �,u o�; � ��) � � � f(�) \� � • , , � . Z .��:., 935.0) ` �', g3�� .0 . �jr � �+ � � ... 1 , . � o � � i � PROP Ep �� \ SLAB \�� '� � ��HOUSE �� . I � � � `�°' , 3188 (A) ,6•� �1 � x � ') o \� I 9�2 ` � �-�'6 a . r \ \ � PROPOSED TOP �� _y��` �� ' 0 542 '•••OF FOUNDATION � 0 � �i\ � `�� , � 12• . 9�6 h� ELEVA710N = 946.7 �� I � (TYP) ` J � WELL LOCATION � I � `� �� `f �) P OWNER �� E � � � N / , r•- PROPOSEDy \ '�� /i�� .'&�� , � GRAVEL G NOVSEp•, -- SILT FENCE � �� ,,', � N_ °'�� ,�0 e a�M�� —— __ �\ � . (93B.0) ( ' i �~ — ' � � J'` ' I � �,- J' // //^�� ` �— ��\ .� I .,.--^" / `�� \ �� ' �i / / �� ` �.,.,�''., '' ' / �0) � �/'�� • ! � f,CJ�� CONC. �� 1 i `� ,,.� 'W� I i I � '- ^\ \� \ �� p�� PROPOSED �'o$� � � � � � �� E TWO-TRACK � �' ao � � I � }DRIVEWAY � EXISTING �s \ � I �" ��-� � GARAGE � � � � I � ' � TO � REBUA�T � sas.e s B ESTERLY LINE OF•••"'"� �� ( � � cR��j0.� ti°$3_ (s4 2? �— ;YSTAL BAY F'ARK � � � �'�' — -----___.� I � GRAVEL � 19a��l Wv�(H�l ---.` �—'� _ � I �� µ6�•,� 95�' \�— �-- --, ' .... \ � (947.8) I 1g53�) � ~^ --' �— , � \ � � 1 � —9��- ._ _ � \ � i � I � � i' � I • \�� ` / / I � � \ I �� / � � � �� \ I � `�/ / �7�:/ �R ' \ 9��- -, ` �—-- "'� Uj � I WESTERLY LINE _ � \ �\� / �.tE OF LOT 6, BLOCK 4;••'""� � - -9�5�- � � (�� I CRYSTAL BAY PARK \ \\ �\ � � \ �(G} \ —� ��j / • � ��p �� \ \` � �� gA'1 t ',,�\ \ �H � � �§-2— � A �S�P r � I (950.0 � �P � I � � \ �O � I /�' �9�9 v �� .,- p�R I �i� SW' LY COR OF' � I �i �OT 6, BLOCK 4, I i CRYSTAL BAY PARK � V i� `-� —" � ✓ DAT TIME CITY OF ORONO CALLED IN -� �I� INSPECTION NOTICE SCHEDULED 7— 3.' G� PERMIT NO�ZG/(�-d� COMPLETED _�_ ADDRESS � �/fS � �'� •. S�L�'Y�L �' t/`2-_ OWNER � C.11'lS� TELEPHO NO. CONTRACTOR � � DESCRIPTION �� `� T�'L� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � - / a �/OS�o�l, CQ l�l�ii'o� I.� ,�J/r'icG� � � �.�I�/�tt �/"Ctb�'�-/ �/�!G^�' aJ�c� � a� W ,��l�il,�.�- 2!'pS�� /'pG � '� �/'Dap�o 4�' ,�/2�j�� Q K' , , Z � . � 6 d! s�. �,tic�� Cr��/'� � .Z` �- 2 j d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE �L�DRR�8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnerfContractor on site: Inspector. ��f/�--�-� White Copyllnspector's File Canary CopyfSite Notice C- � '-� ✓ �� DATE TIME CITY OF ORONO CALLED IN �-� INSPECTION NOTICE SCHEDULED -��=�� PERMITNO. � �?(J�ry"�'�'��-�-� COMPLETED ADDRESS .`�� '� N � � 6�l ["��L�� ,�� OWNER TELEPHONE NO. .�i' �� -�c%�-��Q/ CONTRACTOR � ��j/� ��cK6�9 NI � DESCRIPTION � `-��'y/ /r1''�� ,/'�� " � � ��FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALIS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ IC INSTALL 2 OWNEiUCONTRACTOR TO MEET YOU: F YES_NO y COMMENTS: 4' �/�S - �� a � �.� - o,� � -F��7s s - ae� ,d��c � � � 0 � QI''e►'►'E'�f/'e 6i k loo� 3r�'G �io�.1 ..� . Zr�o� � � � c7fi — W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �BRE6T WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call " s ion 2a�rs in advance. (952) 249-46�� nerl ontractor site: Inspector_ White Copyflnspector's File Canary CopylSfte Notice , � ��- � CITY OF ORONO �?l/`�" CALL' ED IN �� DAT�_//^ TIME�� j ��.. v INSPECTION �1� (� HEDULED � ' � . �� PERMIT NO. � � ^� COMPLETED ADDRESS �� —�^ �'Y� � OWNER �� TELEPHONE NO�� —�� CONTRACTOR �-5 j DESCRIPTION �� "—`� � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q "�POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q��OUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEEf YOU:_YES_NO v�i COMMENTS: W L� � r�'[�ir- �(Jlr�i d /�� S6/1 ��C• � � J 0 � - _ �,��s� ,.�� 1/Git�r4G r�b�.� -t— o . - � rj/I�i�h�•�, �'leyi4rtG�s � h�•� �ac.i� n-s °C Lo h Crc�e � Q � z � GO r r'Pc� d �6C /�6c./ � J d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W�RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca " spection 2a hours in advance. (952� 249-46�� Ow rlContractor on site: Inspector_ � White Copyllnspector's File Cenary CopylSite Notice � � �� DATE TIME CITY OF ORONO CALLED IN g – ) INSPECTION OTICE SCHEDULED � — /� PERMIT NO.�r(o�at3 COMPLETED �_ ADDRESS �� $� Ur • U�� / V`�- OWNER TELEPH E NO.�� O'gSO� CONTRACTOR J "// G�/'V�rY�. � DESCRIPTION �^ `^'�-r�� nS �l. ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a � J O a� O � W � Q � 2 W � W � j O W� ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR / ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in adva . (9 49�46�� OwnerfContractor on site: �" inspector. White Copyllnspector's File Canary CopylSite Notice .�,� ,� � �� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTI E SCHEDULED PERMIT NO. � COMPLETED ADDRESS � �X� N ' �(�,��P D� OWNER TELEPHONE NO. l�I2� z Z�� CONTRACTOR ��`I 1 l�l -�1'`C�f/Yl � DESCRIPTION ��C L��"��C�-� �l'� �,U'_�_�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � Q �❑,�ePOURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y �p'FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 r� u RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ $'J�PTIC INSTALL 2 OWNERICONTiUCTOR TO MEET YOU:�L.YES_NO �\ v�i COMMENTS: � - � S c �� : i j _ c.--�i r :cJ �� '.._.',__ ,' 0 � ° o��o.�, �.r��.�D�ct��,:s ,r- �•z s�.L. -� W /� , . � �/"%ODlfIG �•%,. -� ` �c�l= Dr.cri �rQ.�c��le Q � '- 2 '� cd�2fiiit4�z �/4•�t►!c a� k/t 53-.�� — W � � � �✓��.f G a G/ �cv �'"�. ..��,sAper�� , d W ❑WORKSAT►SFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BE ECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call " spection 24 hours in advance. (952) 249-4600 OwnedC tractor on si �� Inspect . %►ti White Copyllnspector's File Canary CopylSite Notice � �� I TIME CITY OF ORONO CALLED IN �� iNSP O CE scHEnuLED /� - S '/(o oZ : � PERMRE�� u3 � PLETED ADDRESS � OMINER ' TELEPHO NO.�� - °U 3 �� COI�fRACTOR �� DESCRIPTION � � ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC FINAL Q ❑ POURED WALL � PLUMBING RI ❑ EXCAWGRADIN(iIFILLIN(i Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY � SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? TO MEET YOU:_Y�_NO � COMMENTS` 4 6 � � r� ,� — O _ s�t.�� dG,rG�r4�roris ��,c �4.Aw�' �. � �' /Ylle� 1 �it_, •� •S�•cli�t� 0 K 4a � 17GfCfi'�� is j,�i.�� Ow�d� - � Q p� �� - �`'+r0� � �.t�� 6 2 � ''a•w ��rQ �w� h�� — 0 � W ❑WOfiK SATISFACTORY:PROCEED ❑PFiW�T COMPLETE � /'�NARECT YMORK a PROCEED O ISSUE CERTIFl('•ATE OF OCCUPMNC� 0 �O OORRECT WORK,CALL FOR REINSPEC710N TEMPORARY V BEFORE COVEFNNO PERMANENT ❑ppRREC'T UNgAFE pONqT10N WITHIN �1�. O PHOTO TAKEN INSPEC7nR 1MLL RETIJF�I 0 ST�OP ORDER P08TED.G1LL INSPECTOR ❑qTAT10N ISSUED ❑IN8PECTION REQUIRED.CALL TO ARRAN(3E ACCE33. c.N tar u�e next Mspecao�u nows in advano.. (952) 249-4600 s�e: �nspect«: WMb OopyAnsp�ccto�s FlN Gmry CopyldiN Nak� � /� V / DATE TIME 1 / � V CITY OF ORONO CALLED IN /�2.�� iNSPECTION NOTIC GD�� SCHEDULED /�!(¢��lo � PERMIT NO. COMPLETED ( ADDRESS �� V • J� �P� �'1�� OWNER ELEPHONE !��Z-��-��` CONTRACTOR y� " �� DESCRIPTION � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OMfNERICONITRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � � �. �� ,S �.,, � .�-h,�.�� S�,i�1 O �• d'"TCc_.'I >�/C � �-�if,,'j ti K �p ,7��L-1" ��^^�,�,� � � �•�it�¢-�' �i �}�- L� `'G c � l`Jv.� .� ° �, I�/G�'�G.',� � <�-� � /�,�, � � Z ,,. �,, "�c�L �- � _ " Q � �' � �� 1 , ' : ��..,�, 2 ��v c jL n � � t J a, � -C t^ G. . � � �� 2 `L .S t �' J j � . c l�t: L.f-;�'1 c .; r �C I t �'� �� -L O W� ❑W�OFiKSATISFACTORY:PFiOCEED ❑PROJECT COMPLETE W ❑OORRECT NfORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPYINCY 0 �CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORECdVERINO PERMANENT O CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca8 for the next inspection 24 hours in advance. (952) 249-48�� OwnerlContractor on s� Inspector: i+� � L. WAite CopyAnspectoPs FII� C�nary CopylSlb Hotle� �^ � � o� nME CITY OF ORONO CAILED IN � � - -� �_ INSPECTION �y-�-� &CHEDULED I ^ /— l �O o� J U PERMR NO. v u� COMPLETED nuoAEss � /�, �– v"� O'WNER � LEPHONE N . /e�- o-gJ�� coKrRac�r�nR � �'�l � � DE8CRIPTION L W ❑ FOOTING ❑ DEMO-FI L ❑ SEPTIC FI Q 0 POURED WALL ❑ PLUMBING RI ❑ EXCAV/(i LLIN(i O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL O 17�EE REMOVAL Z O RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � �[FRAMIN(i ❑ MECHANICAL FINAL 0 RATED WALLS � ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 Q AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIHEMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL TO YEET YCIh._Y66_NO � co�M� ��. Rz', — ea- �� -�� 4 � r!'I�L� -� G� L , - - o r�. �' l9d S�a�✓� �' G!- L- C�i�c` �i •�t G _ � . � 'v f��c'��G �1� -�ov u-�- ^�- 17�•�. D/'GU�`Jp� W - � - � Pro v`�d e. -F'%a r �rc� s��/o� k.KS �s ZGl�S reL.�S SQ�Y � <� C1�� / 5fu� �?ior� �rfs �� - L . C. - ��.- W � � Tr �A/Q � <G�c� /��r !P ti. .�.�P s�� . �s - W ❑w�oAK snnsF�c`�oA r�en �` L. f1? �a�o,i�r cori� ` •"y�� . ��i�cr wor�c a�oc� ❑issuE cafin�►�oF ooa�wurcr 0 O OOF�ECT WOF�(,G1LL WH REtNSPECTION T9iAPOMRY C� �� PEfiMANB�IT O COFIFiECT UNSAFE OONDITION WITHIN HOUR3. p PHOTO TAKEN INSPECTOR 1MLL RETURN ❑STOP OfiDER POSTED.C�I1LL INSPECTOR O CfTAT10N ISSI�D �Iy�PECTION REQUIRED.G1LL TO ARRIIN(iE ACCESS. caM wru�e next inspectio�2�t no�xs in a�►a�os. (�2) 249-4600 on si�e: e � WMN�op�rAnp�cta'"�FN� C�mry Copyf8lM No1k� DATE TIME CITY OF ORONO cnLLED IN INSPECTION TICE SCHEDULED —�—�� PERMIT NO. `�� COMPLETED �O` -� 0 �"l ADDRESS .�l�,/V. S�y'P �r^ . �AINER TELEPHONE NO. CONTRACTOR ��.7r�'� 1�� • � DESCRIPTION ,, ,�� ¢�4 1� �/�'I ` 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POUREO WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Q �RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION AMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMMERICOI�fTRACTOR TO MEET Y�U:_YE8_NO y COMMEN • � / � �z.. � � � � h ^ � + o � �ov�' � r� �� '' v �� s s- ��s ___ � 0 W � Q � ' W W � j W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE � O WRRECT W�OFiK�PROCEED ❑ISSUE CERTIFICATE OF OO(X/P/1NCY W 0 �OORRECT YMORK,CALL FOR REINSPECTION TEMPOFtARY V BEFORE(�VEF�NO PEqMANBdT ❑COFiRECT UNSAFE CONDITION WITHIN HOURS. p p�{pT0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑pTATION ISSUED ��iSPECTION REdU1RED.CALL TO ARRANGE ACCESS. J �� CaN for the next inspectfon 24 hours in advsnce. (952) 249-4600 OwnedContracbr on site: Inspector: YVhite CaVYMnapector's Fik Can�ry Copyl8lt�Notic� ,.`1 �� f- ,� DATE TIME C�OF ORONO cALLED IN INSPECTION NOTICE sc►+Enu�E� � `° L`� �- «`"�.�; PERMIT NO. ��'�,�%'G��L l_' COMPLEfED ADDRESS —� / � � f V. � l�l C��' �/�'. OWNER TELEPHONE NO. �� ZG� ��r/ CONTRACTOR �� !�,L',� //�«�I/� ��`�� DESCRIPTION �'� �,�5.? /"c=�"�-e-�-ic �_ L : ty ❑ FOOTING ❑ DEMO-FINAL ❑ SE TIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q �FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ��0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ S�PTIC INSTALL Q O'WNERICOI�fTRACTOR TO MEET YW:�YES_NO �. y COMME TS: - c.`�' . �� '� -j � � "� � 'I�� . � � � r� � � � �� s � ' Jd7 o � ��!-� c�r�1 � .� t��r�s s s�c�P� �,-� v� � i�.� 4 !( ° -��iC��—�s�i�.� /1 e�X� � �� .i �,. W Q .,�'►n/� I11.L �►�� sE�.`�� ir� ��c:�:�� ri:c�_� �--i✓a[_ ��r� � -�� Jy1 �r.i��- ��' � � ��1' ��:/J �/¢{� ir�' �r.-'� h"ccr"��In..s� t � � �'� c�.'rt �,�.✓� ��c.tz` �J`ls��4 j � ❑IMORK SATISFACTORY`.PFiOCEED �C"�Z CY� ❑PROJECT COMPLETE �RRECT WORK 8 PHOCEED �� ❑ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑WRRECT WORK,CALL FOR REINSPECTf�N /�� TEMPORARY V BEFORE COVERINO PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDEFi POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on sRe: Inspector. ....i`I�.- �� Whl��opyAnspsctor's Flls C�nary CoprlSib Nodes �� '� �- ,., ATE TIME CITY OF ORONO CALLED IN �� INSPECTION OTICE SCHEDULED L"!�-�7 '�1-� 4� PERMIT NO. �� COMPL ED n�oREss 3t g� /�/- �l�o''� �r' 01NNER T�EPHONE NO.��'��-�� CONTRAc'roR �U l!� � i��t'Ylr✓7 �'I � DESCRIPTION �S�'` Q'� �� 11� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING HI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION i ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ,�INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q' ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dINNERl�OlRRACTOR TO YEET 1f�U:_YES_NO � COMMENT'S� � �i�+��,�,�' Ga� /�t�vl[o�S �/71��bF/J -' � ��y.�.l. - (,J�l�� ` Qe-'�'r l��fL,�,�. j t w�S ' � /a 5�� ,��// 5,oi��. �a�� o - r ,—m.�.��---�— � � ° l�Pro�6d� ��on� b�o�r�rc- �o�o Co�aP 1� ��e.,� � ` Q 4 5 a�i Slt.�s�a0 Z � n�?l /LG N6�i �'a �vG �s.,� � sb�.•w� � �1.G. — � ��2�wlDve r��v/s��r✓.c �✓vwt st6i� .�b�y �•�o� � b S�i G p.��.`✓ s dL� �irs�- , W ❑WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE � �'A ECT WORK d�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY W 0 ❑CORRECTYMORIC,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERIN(3 PERMANENT O CORRECTUNSAFECONDITWNWRHIN HOUFtS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED O INSPEC710N REQUIRED.CALL TO ARFiANGE ACCESS. caN rorthe next inspection za na,rs�ad�►ance. (952) 249-4600 OwnerlContrector on site: Inspector.��► > � -�'— L-�� WMb CoPYY��Flla C�nary CuP1�ISib NoUc� �r --- � C��' DATE TIME � CITY OF ORONO CALLED IN • INSPECTION NOTI�C�E SCHEDULED =�� "�� PERMIT NO. ='�1��i �' ��'�� COMPLETED �� :��U! �� . �L%� ADDRESS � ��` OWNER TELEPHONE NO.L�F%'ll`/-��/ CONTRACTOR ��"��,�,�",� ��i`��i� /�..,/ _ C'�_ � DESCRIPTION I <<s �:,'' , -�. ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL, �, �� r ��. Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN� O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ EPTIC INSTALL 2 dWNENCONTRACTOR TO MEET YOU'.��...YE8�NO � COMMENTS: �e� /C,�'l�f� �� P�� /71 er�.C. �'i•��eLs �o,►,�p�� c 0 ��►'dv�.d� � Mti�i�l. 7 %G 4 5�eo ocr�5.0� Cc� � CJ�.L� • G�C6�S � � � s�� Gss W � � S G4 !� �itr�o r artdL`/�EL` Q i <<iw IX ��D,.�'� cx�� J��. �'!Gr � Q�DuGr,•�da.,,� �n s...� o r� �o ��[o�c 4�o►c �.eaQ� W tw .JOrA ✓ �t r c� a� ,S � � rt5 � ' �'J clew �e�,� � dws✓ r- r- o✓ GG-lti� � ❑WOIiK SATISFACTORY:PFIOCEED CO1'�GG�'j'- ❑PROJECT COMPLEfE ❑OORRECT WORK�PROCEED �*�l( �O✓� �ISSUE CERTIFlCATE OF OCCUPANCl/ 0 ❑CORRECTVMORK,CALL�ORREINSPECTIOS�� TEIAPORARY V BEFORE WNERINO�P/�v��G �S �v�q PERMANENT ❑COFtRECT UNSAFE OONDITION WRHIN ��• /O PHOTO TAKEN INSPECTOR WILLRETURN ❑STOP ORDER POSTED.CALL INSPECTOR O GTATION ISSUED INSPECTION REWIRED.CALL TO ARRAN(iE ACCESS. CaN tor the next inspectfon 24 hours in advanoe. (952) 249-4600 OwnerlContractor on site: Inspector: � �n^- � WMte CopyAnspscto�'a File C�nary CopylSM�NoGa �`�'� � 1/ =J �-- � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � � PERMIT NO. �( �{��' ��Z�� COMPLETED ADDRESS '� j `�� ; . � �-l'7'�� — OWNER TELEPHONE NO. (�l� -��`�� CONTRACTOR , �Q �1 � �� ( �� l_�,-�-,�sr � DESCRIPTION �-�� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S€PTIC INSTALL ? dWNEAlCO1�ITRACTOR TO MEET YOU: YE$_NO . C�,L�1I� � COMMENTS: �.�,t. ^ 5-�-1 1�Yli� �1 C� �r�, C� � o /'1O s �oK� UO�� Dn �ivt�s e -- �' " �v1�t� �j w h-e�- o�e��a��aO �73 � S�►�t��S ¢ o � � 6�+-5 f'�c� W OC Q ' 2 i�" /�'�/� L�I�GC�7i�c �� j W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMIPLETE � ❑CORRECT W'ORK a PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY W O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPOHIIRY V BEFORECONERINf3 PERMANENT ❑OORRECTUNSAFEOONDITIONWffHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTIOId REW IRED.CALL TO ARRANGE ACCESS. CaN lor the next inspection 24 hours in advanoe. (952) 249-4600 OwnerlCorttrsctor on site: Inspector. ��^-� � VYhite CopyAnspecta's Fib Canary CoprlSlb Notiw �� - ✓ � ;�,�� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC . �',/L SCHEDULED -�i� !� - ''z �' PERMIT NO. � G G � COMPLETED ADDRESS l � � I�l ��'1 u f�' J.��- -- OWNER TELEPHONE�10. � � � z��'/ CONTRACTOR �.�'�l k'� T��n'; � DESCRIPTION 1� `�"f��7 �� '� f Ly ❑ FOOTING ❑ DEMO-F�NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN� �O ❑ 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 i �] AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ $ TIC INSTALL Z OMfNERICOI�ITRACTOR TO MEET E8_NO � COMMENT� S• ►�• t G-U �O.e-t��O•S - D K � E�r�s� - D K 0 _�1l Co�r�C �lc.�.s fp /v v r�„p � ). - ' n � � � Cis,a � .c�c ,p,�f�o�/ S.d'e c�k/� O ' � � n /t s - s•�.s ,7s� �� v�� /.r.�sco��c a�olc`� Q � f�ar��e_ �s -,6.,.GC s�.��5 � � �i,y�� !C .l'ir�Gt/f G�` *�/J��c — � .r�er v►r.� �irl.cle� rp_�a4,.rr 4s-L✓�s-GC W � � $�� v� .�oc�Gc._ , � ❑WORK SATISFACTORY:PROCEED �MOd6(r'T C,OMPLETE W �CORRECT WORK d PROCEED ��O ISSUE CEFiTIFIC/1TE OF OCCUPYINC� O 0 CORRECT WOFiI(,CALL FOR REtNSPECTION TEMPOFiARY V BEFORE CdNERIN(3 PER�AANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPEC110N REWIRED.CALL TO ARRANOE ACCESS. 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Q_ in Q N _ Q :3O _ a. o o H t4 PROJECT DATE GRONBERG & ASSOCIATES, INC. 4-20-15 CIVIL ENGINNERS, LAND SURVEYORS, LAND PLANNERS SCALE 1 "=20' 445 NORTH WILLOW DRIVE LONG LAKE, MN 55356 _ Jos NO- 952-473-4141 it. n 'v 6 - C c f� I v z H t4 PROJECT DATE GRONBERG & ASSOCIATES, INC. 4-20-15 CIVIL ENGINNERS, LAND SURVEYORS, LAND PLANNERS SCALE 1 "=20' 445 NORTH WILLOW DRIVE LONG LAKE, MN 55356 _ Jos NO- 952-473-4141 Planning & Zoning Department Memo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: November 8, 2017 G/L: 101-22205 Re: Escrow Refund Building Permit#2016-00213 pertaining to 3188 North Shore Drive is complete. Please refund $10,000 to the property owner, Michael & Holly Rucinski. Mail to: Michael & Holly Rucinski 3188 North Shore Drive Wazyata, MN 55391 w:\street files\north shore dr\3188\escrow refund form 2016-00213.docx ESCROW AGREEMENT AGREEMENT made this 0 day ofVIA 11.1" , 20.7, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Michael & Holly ucinski ("Owner(s)"). RECITALS A. The undersigned is/are the Owner(s) of the Subject Property and hereby agrees to and consent to the terms and conditions of this Escrow Agreement. B. Owner has: (check one) o Filed a zoning application # . • Filed an application fora Building Permit#2016-00213 o Agreed to comply with Orono City Code Section 78-1432 regarding accessory structures. o Filed an Individual Sewer Treatment System (ISTS) permit application. o Requested to do work within public Right-of-Way • Filed a request for a Temporary Certificate of Occupancy o Other ("Application") on land situated in the City and located at 3188 North Shore Drive (the "Subject Property"); and C. The City is willing to review or monitor the Application only if the Owner agrees to reimburse the City for the actual costs ex end-.0 the City on behalf(�of, or. on account of, the Owner. NOW THEREFORE,THE PARTIESA REE AS FOLLOWS: ""(sL� 1. DEPOSIT REQUIRED. Contemporaneously with the execution of this Escrow Agreement, the Owner shall deposit $10,000 ("Escrow") with the City necessary to secure coverage of the total costs associated with review, approval, and monitoring of the Application. Any Escrow shall be held in a special escrow account and shall be credited to the Owner. 2. PURPOSE OF ESCROW. • Zoning. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not be limited to staff time, at the rates established by the City Council, in excess of that covered by the standard application fees, engineering consultant and legal consultant expenses incurred by the City in reviewing and approving the Application and all other city staff administrative and consultant services performed in the processing of said review and approval. • Building/Zoning. The purpose of the escrow is to guarantee completion of the site plan as approved and the provision of the as-built survey as required by the Building official. • Accessory Structure. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not limited to staff time, at the rates established by the City Administrator, engineering and legal consultant expenses incurred by the City in removing an accessory building if the Owner fails to perform the obligations in Orono City Code Section 78-1432 and all other City staff administrative and consultant services performed in removing the accessory building, including land stabilization. • ISTS. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not be limited to staff time, at the rates established by the City Council, in excess of that covered by the standard application fees, engineering consultant and legal consultant expenses incurred by the City if Owner for any reason is unable or unwilling to honor the requirements of Chapter 58 of the Orono City Code, and all other city staff administrative and consultant services performed in relating to the Application. The City may also reimburse itself for all engineering and legal expenses associated with the construction, removal, alteration, or repair of the ISTS if the Owner fails to do so. • Temporary Certificate of Occupancy. The purpose of the Escrow is to guarantee completion of exterior improvements (driveway, grass, etc.) that cannot be accomplished due to weather conditions. January 2017 1 3. MONTHLY BILLING. The City will monthly forward to the Owner a statement and bill for the expenditures incurred by the City for staff and consultant services. Such statements shall be due and payable within 15 days for receipt by the Owner. No statement will be sent if there are no expenses incurred in the period since the most recent statement. The City shall itemize all time, services, and materials billed to any Owner and said time, services, and materials shall be in accordance with the rules, regulations, and fees as promulgated and adopted by the City Council. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event the Owner does not make payment the City as required under paragraph 3, the City may draw from the Escrow without further approval of the Owner to reimburse the City for eligible expenses the City has incurred. The City shall periodically notify the Owner of the draws the City has made and the nature of the expense for which the reimbursement is being made. 5. REIMBURSEMENT OF ESCROW. The Owner shall reimburse the Escrow fund for any deficits caused if the amount actually expended by, or billed to, the City exceeds the escrow fund balance. 6. RIGHT OF ENTRY. • Zoning. This section is not applicable. • Building. This section is not applicable. • Accessory Structure. The Owner hereby grants the City, its agents, employees, officers and contractors the right to enter the property to remove the accessory building(s) should the Owner not complete the removal obligations in Orono City Code Section 78-1432. • ISTS. The Owner hereby grants the City, its agents, employees, officers and contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in conjunction with replacement of the septic system, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owner not complete those improvements by the date agreed upon. • Temporary Certificate of Occupancy. This section is not applicable. 7. NO INTEREST PAID. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the Escrow account. 8. CLOSING ESCROW. When the review has been completed or the project has been completed, the b lance of the Escrow, if any, shall be returned to (check one): Owner ❑ Applicant ❑ ther PP f Name: /V\;GL l tilt..,' ti.5J Street Address/ PO Box: .. i g g a n�r�J` - City/State/ZIP: 011`c9(NO AA _' `i i 9. CERTIFIED UNPAID CHARGES. If the Application 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. IN WITNESS WHEREOF, the undersigned have executed this Agreement as of the day and y=: first above written. CITY OF ORONO: OWNER(s): , i /'' BY: 1 4,tAi\.ka.A.t76BY: / //= ft--2)E..Vrt..L.tt_i- January 2017 2 _\= i I',. I' luh c»E V uac». 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DOLLARS a S'e_u.eyv :.7-4-it-g A A d / i 8 EA AdA'‘dlitg” MEMO v A 4rED SIGNA Or IS City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.018136 May 8 2017 Michael Rucinski Previous Balance: Permits .00 2017-00468 3188 North Shore Dr 7,500.00 101-22205 Deferred Rev-Developer Deposit Total: 7,500.00 -_ ..,...=.,....,,, Check Check No: 5261 7,500.00 Payor: Michael Rucinski Total Applied: 7,500.00 - Change Tendered: .00 - 05/08/2017 04:15PM CITY OF ORONO 111 11111 II 11111 11 1 1 11 * 2 0 1 7 - 0 0 4 6 2750 KELLEY PARKWAY DATE ISSUED: 05/08/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$7500 ESCROW IS TIED TO PERMIT 2016-00213 FOR A TEMPORARY CERTIFICATE OF OCCUPANCY APPLICANT ESCROW FEE-APPLICANT 7,500.00 TOTAL 7,500.00 RUCINSKI,MICHEAL& HOLLY Payment(s) 3188 NORTH SHORE DR CHECK 5261 7,500.00 WAYZATA,MN 55391- OWNER RUCINSKI,MICHEAL&HOLLY 3188 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit# � AGREEMENT made this 21 day of - , 20_j_ by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and ("Owners"). RecitalsiN (�C- 1. A building permit application has been filed for v N 'G %v,nd I located at I' < GNo rt 5 i jr's i� VL✓ the ("Subject Property"), legally described as 2. Owners request the City to review this application which requires City approval and may require consultant legal and/or engineering review. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out- of-pocket costs the City has incurred (including planning, engineering, in excess of$500, or legal consultant review)or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit # AD/7-L /SS if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs,the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners,or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO OWNS-• Ade ...dig_ Aki I tst rktzvt < rYt e Ar-e Internal Use OW 'a Cfriginal to Plannings Z g P Copy to Street File �•�► I �'!�� 4-1 t: MA- c. •. . 44' , Notary Public Packet Last Updated: April 2016 4— State of Minnesota 42.114,, Page My Commission Expires Page 24 ka-44 January 31,2022 a ': , a.«�✓aM.v,rY;uM�I¢.ra�...�ro3yry�. ?• BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2016-00213 (new house)& 2016-00215(garage re-build) Variance application#16-3798 AGREEMENT made this '7 )day of ABY! , 20 , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Michael & Holly Rucinski ("Owners"). Recitals 1. A building permit application has been filed for a new single family home and a garage re-build located at 3188 North Shore Drive the ("Subject Property"), legally described on Exhibit A, attached. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit numbers 2016-00213, 2016-00215 and land use application#16-3798 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO OWNER: By: 0.64ed Its: :RG(,nni lS_ � j-•�- o." internal Use Only: 0 Original to Planning 0 Copy to Property Owner 0 Copy to Street He BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2016-00213(new house)&2016-00215 (garage re-build) Variance application#16-3798 EXHIBIT A—legal description LEGAL DESCRIPTION OF PREMISES : Lots 5 and 6, Block 4, Crystal Bay Park, except part described as: That part of Blocks 2 and 4, of Crystal Bay Park and of View Avenue, now vacated, lying between said blocks, described as follows: Commencing at the most Easterly corner of Lot 5, Block 4, Crystal Bay Park; thence Northwesterly along the Northeasterly line thereof 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 continuing dons? last said line to the West line of Crystal Bay Park; thence North along said West line to the shore of Lake Minnetonka; thence Easterly along said shore to its intersection with the Northeasterly line of Lot 6, Block 2, Crystal Bay Park; thence Southeasterly along said Northeasterly line, its Southeasterly extension, and the Northeasterly .line of Lot 5, Block 4, Crystal Bay Pork to the most Easterly corner of said Lot 5; thence Southwesterly along the Southeasterly line of said Lot 5, a distance of 22.00 feet; thence Northwesterly to the point of beginning, Hennepin County, Minnesota. ' • LAND USE APPLICATION ESC�j OL�A°` REEMENT Application# IiP - J '1 AGREEMENT made this Ile day of.Ltrvt/f; 20 S by, and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and t LIiAj .( r 1-1T I�y R 4c_/vl.SI) [a corporation—optional] ("Owners"). Recitalsci pp 1. Owners have filed Zoning Application# Ie - 1 formally requesting the City to review plans for a located at the property addressed: '3 1$$ INoc-n Slwte_ L P:\N)e en*ro SSA% (the"Subject Property") legally described as 2. Owners request the City to review said plans which requires City approval and may require consulting legal and/or engineering review. 3. The City is willing to commence its review of the application and incur costs associated with said review only if the Owners establish 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 $WOO ' 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 Owners, reviewing the plans, and preparing agenda packet material for City Council review of application # ( -P - Cl . Eligible expenses shall be consistent with expenses the Owners would be responsible for under a land use application. 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 cease all reviews until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO OWNERS: By: 41 All .:�' By: 1411: - , ` S • I /3511,0,4 i J Its: / ' �;. �' It •d—AL = internal Use Only: 9 Original to Finance Department a Copy to Zoning File G Copyto Street File Packet Last Updated: January 2015 Page 10 b�1 U h _ o MLLsa o , � / CI i 143 2 if \I City of Orono 2750 Kelley Parkway � Orono MN 55356 952-249-4600 . .gN.s, Receipt No: 3.014810 Dec 16, 2015 I N441 Rucinski L.n Planning and Zoning nM 16-3798 3188 North Shore 2,500.00 0 Dr S, 101-22205 Ai , Deferred Rev-Developer Deposit illPlanning and Zoning 16-3798 3188 North Shore 700.00 NA ,,,,g a 101-34420 C ' 4 F Cond Use- Variance-Dev Fees 'h 0 .4 m Total: 3,200.00 % ,� 0 / III Check Check No: 5035 3,200.00 tiY �, g Rucinski V Z I Total Applied: 3,200.00 Q O N z Change Tendered: .00 Ch CC o 2 1 12/16/2015 09:04AM W� o 61.42 JVy"b 61.4 2 'z o^ 4.4 -=2a o :4')i----. w 4 CITY OF ORONO 111111111 1111 ,11 I1 I1 Ii 111111 * 20 1 5 - 0 1 SE 4 2750 KELLEY PARKWAY DATE ISSUED: 12/16/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2500 ESCROW IS TIED TO ZONING PERMIT 16-3798 APPLICANT ESCROW FEE-APPLICANT 2,500.00 RUCINSKI,MICHEAL&HOLLY TOTAL 2,500.00 Payment(s) 3188 NORTH SHORE DR CHECK 5035 2,500.00 WAYZATA,MN 55391- OWNER RUCINSKI,MICHEAL&HOLLY 3188 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2S)1(4°- 3 COMPLETED ADDRESS 3 f�� No(`w Skov_ ' OWNER TELEPHONE NO. CONTRACTOR / DESCRIPTION 1 f&-eW � & WeAl S l <(-) (/6 I W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL 5 ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING - ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL ❑ TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓• ❑ DEMO-SITE 0 SEPTIC INSTALL - OWNERICONTRACTOR TO MEET YOU:_YES_NO oc • COMMENTS: C. C WJ PV2 0 - 1 cc c, uY� __Cu/volct o e-r ha,s 5 Va é/is -ad W W CC CI W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. LI PHOTO TAKEN INSPECTOR WILL RETURN CI ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContracto n site: Inspector. c �l� White Copyllnspector's File Canary Copy/Site Notice r � Christine Mattson From: Adam Edwards Sent: Friday, November 03, 2017 12:56 PM To: Christine Mattson Subject: RE: 3188 North Shore Drive/#2016-00213 Chris, The as-built appears to conform to the intent of the approved plan. An inspector should conduct a site visit and confirm the following: 1.The survey accurately depicts conditions on the ground. 2.The site is stabilized to the point the any remaining erosion control can be removed. Adam From: Christine Mattson Sent:Thursday, November 02, 2017 11:27 AM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject: 3188 North Shore Drive/#2016-00213 Adam, We received an as-built survey for 3188 North Shore Drive. Please review and provide comments. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono MN 55356(physical address) PO Box 66 ! Crystal Bay MN 55323-0066 (mailing address) 952.249.4620 8 952.249.4616 > 1 cmattson@ci.orono.mn.us www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: November 10, 2017 1 City of Orono soNo Hardcover Calculation Worksheet Property Address: ./dr 6 ( ,,r-r'�/: �7�f5H0�t Prepared by: Date: GAo, 3rit r f AXi'c C /ADS I /4.,c. 1a" i 7 Stormwater Quality Overlay District Tier: (Circle one) Tier 1 am Tier 3 Tier 4 Tier 5 Step 1: EXISTING 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. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover square footage separately for each portion. Key to Total Hardcover Item(Describe) Length x Width Survey (Square Feet) (Example) (Garage) (24'x 30') (720 S.F.) A A/0 t? E /65'/ S.F. B if a/4- (sI#Ac ) V39 S.F. Pirir, st r7-1.7 3y2 S.F. D CONCTx' AAri C3 ?C3 S.F. E Cey.tir-fier DR!!/ftvtY /69'2' S.F. F P.(YCR Dd?f3/Ftrsjr /7,30 S.F. G CRufilf1 r /y y S.F. H 04-cFTE 6411 itc' ITC D 9 7 S.F. „aG, •c.A4vr r'/►t 6x 7- /7 S.F. /2c"ri. E' /�.C/% 957 S.F. K fro,”. /2 S.F. L S.F. M S.F. N S.F. O S.F. P S.F. S.F. R S.F. S S.F. T S.F. U S.F. ✓ S.F. W S.F. X S.F. Y S.F. Z S.F. (1) Total Existing Hardcover //, .?O}7 S.F. Excludable Hardcover(See City Code Sec 78-1684): 7 25-7 S.F. S.F. S.F. S.F. S.F. (2) Total Excludable Hardcover `3 a 7 S.F. (3) Net Existing Hardcover [Subtract line(2)from line(1)] ,,/v, 75"/ S.F. (4) Total Lot Area �r's 2 cy 9 S.F. Proposed Hardcover Percentage [(3)_(4)] 2 3. y 6- (Proposed (Proposed Hardcover next page) • This is an information packet regarding Hardcover. Every effort has been made to insure the accuracy of the information contaREQ f1VED however,if any information is not consistent with provisions of the City Code,the Code provisions will prevail. Page 8 of 9 OCT 3 0 2011 31?r No1141 '{arc., Per / 2.010 - 001/3/ / Bail¢- Iasi CGV of attetillt6CITY OF ORONO