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Home My WebLink About2014-00517 - land alteration � � CITY OF ORONO * z 0 1 4 - 0 0 5 1 � 2750 KELLEY PARKWAY DATE ISSUED: OS/29/2014 ' ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3860 NORTH SHORE DR PIN : 08-117-23-33-0095 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 007 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: $2,000 SB COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00 HOW DID THEY PAY? CHECK#869 PAID BY BRETT SIMMONS NOTE: FINAL INSPECTINO MUST BE COMPLETED PRIOR TO RELEASE OF ESCROW FUNDS. �INITIAL APPLICANT MINOR LAND ALTERATION 50.00 ENGINEERING REVIEW COSTS SIMMONS,BRETT 3860 NORTH SHORE DRIVE TOTAL 50.00 MOUND,MN 55364- Payment(s) CHECK 869 50.00 OWNER SIMMONS,BRETT 3860 NORTH SHORE DRIVE MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pertnit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hercia 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. �' ��, �Y A e�can�t F�ermrtee Si nature Date (� /��/ / PP g Issue By Signature Date City of Orono , Zoning Permit Application Mailing Address: Permit number: �� '—�S�7 ��0 PO Box 66 Date received: 5� 8"� Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: ..� � 2750 Kelley Parkway Permit Fee: y�, G` Orono, MN 55356 � Approved by: �KfSHO�� Fax: 952-249-4616 Notes: Main: 952-249-4600 Www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: �r`-�i,;,�l,j /`,� `,{z.�v� �— ��=��-.�% , ^^.^J ��f.;�r � CONTRACTOR/APPLtCANT INFORMATION: Name: -�(;. ��,vr,,� Phone: �,.S j - ��,": - � ? �T Fax: Address: j �� '�i? tr-«.2_l-•n; A��-. N City: �-�v�•� ZIP: .a;��>'� Contact Person: �,� �,� / ��;,� ContacYs phone number �,-��-";c, �; -,5�?��l �' Applicant is: on ractor i Homeowner (Circle One) Email ��,.,,� �%�' �c� J�.�^.�,,,�. �:��, � �`� PROPERTY OWNE�INFORMATION: Name: `�:z� `?, ...,, M:,f.� Phone (day): (> i - � `"'tCs:, - �-�� Mailing Address: �`;�� 1' . ��,-,-,,.� � (j�,,,�� r*r� ZIP: 5 5;�:,� � Email and/or Fax -?�, ,{�S;',,,,�-;.,`� ��i � C��•-�a;1 . �� _ Overall Project Description: /�� i�<,i fi :;�,,.�� ;- ;.,;r•�,,.T �.� r...,�.� i � � ,,Z �,,Jr�..i -� `.� �BoXk TYPE OF PERMIT COST* Dock, Commercial $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not $50 + engineering review costs on Lake Minnetonka ermanent dock re uires CUP ��/ Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge , J` �� Also requires is a Minor or Major Land Alteration Permit Land Alteratio ) cubic yards $50 or more than 11 CUP) Escrow for erc I� - As determined b CUP �� Land Alteratio �r�� W� �' � ( � �� ss cubic $50+ engineering review costs yards outside c y�,,,�� shore setback $2 000 Escrow for er ��.3 . Retaining Wal . nit. $50+ engineering review costs Retaining wall� � � �� ootings to top of wall) require isidered one wall unless the �rtQ�� rver wall.) Escrow for er� �,,�� $2,500 Stairway or L fs��/�'VVY � $50+ engineering review costs Escrow for er -7n ��"� �j � $2,000 Structure Per �-;d 11'YVv �ermit but $50+ engineering review costs regulated by tl � � ssory building of less than 1: � ort court) Escrow for er $2,500 Tree Removal or other ve etation removal in 0 to 75 toot zone No char e. Pre-inspection required. Temporar Construction OfficelTrailer associated with buildin ermit $30 (over) *Permit fee will be collected when the permit is issued. Updated: January 2014 APPLICANT/OWNER ACKNOWLEDGEMENT: • e ApplicanUOwner agrees to provide all information required or requested by the Planning Department; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; • ApplicanUOwner 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 altemative but to reject it until it is complete; . Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • ApplicanUOwner understands their project may require an initial and as-built survey per City Code Section 86-68. • 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 ou refuse to su I the information,the a lication ma not be issued. The undersigned certify that the information supplied is true and correct to the best of their knowledge. Applicant's Signature: Date: Property Owner's Signature: ,� _c--�'� Date: c" - �;- %'-1 SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed TYPE OF PERMIT: application form, escrow agreement (signed by the property owner) and escrow check from owner, two copies of all plans, and three copies of all grading plans or surveyslsite plans DoCk, Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit DoCk, Residential Seasonal Dock—survey showing proposed dock Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable) Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alteration, Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin ermit without information from the MCWD. Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours (Less than 10 cu.yds. 2• Amount of fill to be imported and/or exported�haul roSite��.� within 75'of lake or less 3. Amount of earth to be moved around on site ;;��T;� than 501 cu.yds 4. Erosion control plan. elsewhere.) 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed projec oes no trigger any o eir permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. Retaining Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of existing wall,submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control plan 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. Stairway or Lifts to 1. Construction plans for stairway or lift, including footings Lake 2. Topographical survey of property with proposed stairs or lift shown 3. Erosion control plan 4. A copy of Minnehaha Creek.Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. Structure Permit 1. Construction plans. 2. Survey of property with proposed structure shown and with setbacks to property lines,other structures on property and the septic system indicated.The general location of any sewer and water services should be shown if applicable. 3. Grading plan if grading is proposed. 4. Hardcover calculation worksheets 5. Erosion control plan. 6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/erosion control/management ptan re uired for clear cuttin ,buckthorn or other intensive ve etation removal. Updated: January 2014 � � Plan Review Checklist for Zoning Permit Applications Address: C�ltl� � �• Description of work: � � � — l,(� 6 �� Type of permit: Zoning review by: Date Approved: ' L�' � Grading review by: Date Approved: Other Review, Reviewed by: ��( Date Approved: � Z� ' � Zonin : Zoning File#: Resolution #: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? 0 Yes No Date of Survey: Existin Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side � Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff � Yes � No /A ❑ Yes No es � No � � Yes � No I/A Permit Number: /' Setback: Hardcover Zones Existing Proposed Variance Requir. CUP Require 0-75' � Yes �i'No 0 Yes No / 75-250' Type(s): Type(s): 250-500' Zoning File#: Zoning File#: 500-1000' Resolution#: Resolution#: � �rl I�(I�Q/ � - �-� r1 � �f� �. � l� � � � Created: March 29,2011 1r�J,�, � O�/V�N� z:\forms\ptan review checklist for zoning permit applications.docx +� 7 � � �w � Planning Review Checklist for Zoning Permit Applications Page 2 of2 � • Cubic Yards _ In Out Total Haul Route? ? ❑ Yes � No Explain haul route in detail: ; Fees to be Charged Amount Orono Inspections Required Permit Amount .� � Site Escrow Amount � Hardcover Removal .� 0 Footing Signed escrow received? � Poured Wall 0 As-Built Survey � Yes 0 No 0 Planting Plan ❑ Wetland Escrow amount received? �F, inai 0 Yes � No '0 Dther(specify) Engineering review needed? 0 Yes � No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) F�i i , ►/ � . Created: March 29, 2011 z:\forms\plan review checklist for zoning permit applications.docx , Ct�ristine Mattson From: Theresa Zerby [TZerby@minnehahacreek.org] Sent: Wednesday, May 28, 2014 3:48 PM To: Christine Mattson Subject: RE: 3860 North Shore Drive partial survey Thanks Chris, I just emailed him to let him know that as long as the footprint did not change at all that we would not require a permit, Any change to the footprint would have us concerned about the adjacent wetlands and would require a permit. Theresa From: Christine Mattson [mailto:CMattson@ci.orono.mn.us] Sent:Wednesday, May 28, 2014 3:25 PM To:Theresa Zerby Subject: RE: 3860 North Shore Drive partial survey Theresa, Thanks for checking, but we will not be requiring a delineation since they are replacing the existing driveway with asphalt and not making any changes to the layout. Christine^' From: Theresa Zerby [mailto:lZerbySa�minnehahacreek.org] Sent: Wednesday, May 28, 2014 2:11 PM To: Christine Mattson Subject: FW: 3860 North Shore Drive partial survey Hi Chris, There is a large preserve wetland next to the driveway—are you requiring a delineation for this project? Thanks, Theresa From: Brett Simmons [mailto:brettsimmons84@�mail.com] Sent:Wednesday, May 28, 2014 11:15 AM To: permitting Subject: Fwd: 3860 North Shore Drive partial survey Dear Permit Liaison, I Spoke with a gentleman this morning inn regards to putting in a asphalt driveway over an existing gravel driveway at 3860 N Shore Dr. Orono, MN 55364. Attached you will find a survey of our driveway. Our Contractor has a opening to install the driveway this Friday 5/30. Please let me know if I need to pull a permit for this project and if so how to go about it. 1 � Thank you, . Brett Simmons ---------- Forwarded message ---------- From: Christine Mattson <CMattson(�a,ci.orono.mn.us> Date: Wed, May 28, 2014 at 10:58 AM Subject: 3860 North Shore Drive partial survey To: "brettsimmons84(�L�maiLcom" <brettsimmons84(a��gmail.com> Brett, As requested. 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 g 952.249.4616 � cmattson(c�ci.orono.mn.us � www.ci.orono.mn.us Summer Office Hours: (Monday, May 19 through Friday,August 29, 201� Monday - Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Friday, July �, 2014 2 ' ' ' �'� .��`- d ?� . � � �' ? r � - , � .. � n-vs,o 8 6 9 BRETT G SIMMONS 3860 N SHORE DR. ��,�� - 1� ¢ ORONO,MN 55364-9744 -u w � � C��-� �- c�.�o,.a � �al�s6- �AY'TO �� Gd �, � ��T OE�9.l�I� u �� tr a � � � [r' bank. Alloft9senringyou• Nr M��flo -- --�-------- --------------------- �: �, . �.: A_ � -,� �� .� . ,. . ..� _. , _ , _ ; i r+ faT��J ' �i:� �f u u"r i.i+:�, � �r. i c'�.�iU re -�y; �d KtidY C7.`it� f��T.° t�>�'+..�3}� _ r,'; �t`+��tU �t� J�.s��.: ' 7�u C-7'"��:+J . lil'�J1iL' ni� �UJ:;�Ji"i '��L"`"t'-�;�V'� ii��e:r.. ��. u.t:.:vs� �` , - . _,. , :i.Cfi�t id�7: 3.:::`:iu �(3y c9. �"•i'.Y 6reti 5:,��c��,� �rett Si;n��r,?�� ! i'�3(ICiiY; �Yi� ?Jti:'(;^ "'� � '{��c ��:3Y"t=�: 't'" 'i�—_��'' ''-- � t`reli�-�_ c'_ :i t i C��Y`uw �,!:�)t'a t�'� 7;` ., �@Y`,� 65 ,;; l�l�.'�i.}.GQJ �''{ —i�i-'l _S.r�.-�CrJ � 5�`iL+rY �:%.., �t�# �iJ. DE'"LS'Yt� T�`I�LQY�:a�_� u?1_5.; �}�� Tu:'31; _____�____..._._ , tiji-.�c��G �a`�'�'� ` io;�ir,g F'et~7i't _____.__.___�____ ..I^s'� _._____"_-__-___ �. T ,. `, �:s:.li; i:.�'te�_k nk7. c�9 ,,;..,, r„- ,u�a:• �-4��==__��_ L��V�:L'.:�1 ''3y 3f: i.h�C:( �t'2:� �is;I3i��;� t,.}l��k i��J3 �G'j ',��!•�': ?c,t�i ��ipii�ds �s�"s:>`''.:"1 Fayci�: --___,_ ____-__- bre.t 5it�raor,5 -- �,i't�.�il�%: �?Yit';�?T'��.`: ��.:j{� .. T�} � ��i�.ri: ,J`I.V�J .. �Uv�l ��r. -"-__"--_'__'"_" ts ' `'j;'- -. ��__.___...____'--' T j- '(;.. _�.� ._._. !!�.��. L�3rsGt ;eY�t'=i'c� : -____-'--_____-- +�.�,'�C7f��S.:i`i �:�5��:��i D�A,jE TIME � CITY OF ORONO CALLED IN V��C�t ':30/L��ID� INSPECTION NOTICE�/� SCHEDULED �� PERMIT NO.��4'�7�f��1 COMPLETED �} ADDRESS �� NO� L�Y �rv �. OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FiLLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ 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 � COMM NTS: a �C�I � - � � O � � ° � O��V�t� Sl W � Q � Z w � � W � j d W� WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contracto sit . , Inspector. � 11�--� White Copyllnspector's Fiie Canary CopylSite Notice � � � � 150.00 z�� . � \ E.xISTINv � GARAC�E � � �� ia.33 '--- � � \� r{�� Ex►STiNG. 1 ��`� �� GARA�E� I �� \ I Q � � �� i8.3, ) �� Q 1 23�D . ' L"��' ' 8 , -______----- , -,-, -) j �`}1-i---...___„^ '♦ ,-,�� ' �_, _____ y -- �__• �_,_, � ,"-; _.� , � � i � �� Q, � � � I \� �" �� I �� 1 fLqN � � � ,�,�� ' � �-�' ' � i o�` ' � � � � � /i r►`` `G��' � � � 1 ��k , � ��\ � [� '� � � .____- O �---- � �� \ � 2 5.00 � � z3.�s ' \ � �------� �� _ ` \ S ` _ , EXISTIN�\ N 1� M EXfST\ �, � \ N DECK \,\ — o DEG5 4 �. `�� \ �] ' � � \ — 2d+ 5�+.�5 `�v�� --- -- ---- � � � � i �� `� �� V�� i �� ' �� Ex�ST�NC�� i a \ � � , Ho�SE � -, � � i '� �� , �_ � � ` N � � � �� 9 �� \ � � � 24.25\ _ 30.41 � � \ � \� � � � �_-----_'� � � ` � � � � 7 ` EpC�E �F C�RRVE�- �-" \ � \ DRIVEWRY /� �� ,� D � � BOU�DER WA�1-. ` � Q � � � � O � � - _ � � `\ O - ----. i � ` ` � � � �� \ � � I � 1 � I � � � i � � � � � � � � � � � � � �� i � � � � � I � ' � � i � � � � � � \ I � -------.__' \ ___..__._-.. _ I \ , . � — � \ PA�NT MR / \ � � I7S.00 ON LPRC� / \ � � Roc.K. / � I \ � _� � - � � ��\ `� v- U�� <<�bOr� �� G�o No� �' 0 ( H.C.S.A. HWY. NO. 19 ) � i� �� C�� NORTH S F�E C , t � • • � • . � • � emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File V Date: June 23, 2014 GJL: 101-22205 Re: Escrow Refund �� Building Permit Application #�A'f�00517 pertaining to 3860 North Shore Drive is complete. Please refund$2,000 to the applicant, Brett Simmons. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Brett Simmons 3860 North Shore Drive Mound, MN 55364 w:�street filesUydiard arde�2605`escrow refund form 2013-00831.doac � T ZONING PERMIT ESCROW AGREEMENT Permit#2014-00517 AGREEMENT made this��day of 20�by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Brett Sim ns("Owners"). Recitals 1. A zoning permit application has been filed for replacing an existing gravel driveway with asphalt located at 3860 North Shore Drive the ("Subject Property"), legally described as Lots 20, 21, 22, Block 7, Crystal Bay View Hennepin County, Minnesota. 2. Owner requests 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$2,000 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 reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a zoning 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 permit#2014-00517 if compliance with the approved zoning 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. __--... 1 CITY: CITY.OF O OWNER: ` � �-��/ � ,� . B�/: c�o - ItS: � .' F M..�• . .. � y4 q � ' I �R�71+,� ��A� �('(�:(q�� f . ' . � � �f��j ?��i�� i""'��7{�� Cle�d'i�2t; :�4 �ti��.��s '��~�'��-�lEs{�1 � • i +'�'C�,i�l; �{fi� �;i��J`1 ��'al�` ��. � ti ��t� y 1 �1"��;� �1 'f�.:tyi:i � �t�atM�'IZ331� 3Y} ��!?i;1�iG � �`�j� ()(.+��,� :5i'!"t7�d �:a 1.�'�:f:�1 �v.:�c'.;:�� '�e�erre�.f,�.l-��e'v�� ,^�<<� ' � :1 t.414t 0 . . . _�'_ J'll.��.�i+` �. . o ,. . � '� i �¢r� ; _ i `�. °,..Fit�L�`(�.:R.:Iv Ft�7�,� �,��i�{i� �, F�,��J,Y•;. . r r ' *` �3!'�L� �1(A#i��'d� � i�$'i �;�,�1�a,it;� s� !�it�x�l, , � T i�1d��4". �i f�f^Cr'r�' -..�-_ .,;ji� ��r�,'�. ., � _.. � zL31 x�s .'��V��r;�~� � . ,. .. ; ; CITY OF ORONO * Z 0 1 4 - P1 0 5 z � 2750 KELLEY PARKWAY DATE ISSUED: OS/29/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3860 NORTH SHORE DR PIN : 08-117-23-33-0095 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 007 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2,000 ESCROW IS TIED TO ZONING PERMIT#20 1 4-005 1 7 APPLICANT ESCROW FEE-APPLICANT 2,000.00 ESCROW FEE-DEVELOPER 0.00 SIMMONS, BRETT TOTAL 2,000.00 3860 NORTH SHORE DRIVE Payment(s) MOUND,MN 55364- CHECK 869 2,000.00 OWNER SIMMONS, BRETT 3860 NORTH SHORE DRIVE MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 � i � � � .� � � � � ■ �c � �► � .� � � � � � � � � � � � � � :� � � � � � � � � � �� ;;�. < � �� .<.. �� h� �.. e ,. �I � : ;�,: r�� ,: � � �' Z �; o °� �. a �,, �j' _ � �� _ � � �; ,, � �� # ;�_-, � X , _1 �i ;� � a �, ❑ � � �': � a r � � � !� � � � � � o � t-��. � � � �; • � � � � �; � —. = ,� � � Q, : a� a € � �� ` � � � � � � � � � ' .'�