HomeMy WebLinkAbout2015-00928 - fireplace CITY OF ORONO * z 0 1 5 - 0 0 9 2 8 *
2750 KELLEY PARKWAY DATE ISSUED: 08/17/2015
' ORONO, MN 55356-
952 249-4600 FAX: 952) 249-4616
ADDRESS : 4205 NORTH SHORE DR
PIN : 07-117-23-43-0004
LEGAL DESC : ORCHARD BEACH
: LOT 002 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 36,000.00
NOTE: SEPARATE PERMITS REQUIRED:FIREPLACE
SCREEN IN AREA UNDERNEATH DECK
NOTE:PRIOR TO RELEASE O�SCROW MONEY AN AS-BU[LT SURVEY AND HARD COVER CALCULATIONS MUST BE SUBMITTED
AND APPROVED. INIT[AL: ,
��c
APPLICANT PERMIT FEE SCHEDULE 557.84
STATE SURCHARGE(VALUATION) 18.00
SCOTT STIFTER SAWDUST CONSTRUCTION TOTAL 575.84
1455 OXFORD AVE Payment(s)
DELANO,MN 55328- CHECK 6366 575.84
(952)913-2451
Minnesota State License#: BUIL-155848
OWNER
KOEHLER,TIMOTHY&DANIELLE
4205 NORTH SHORE DR
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 E3uilding 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 applican[is responS�ble for assuring all required inspections aze
request,P�l in conform�nc�with the State Building Code.This permit may be 7
revoked'at any time f r e cause. �C�` �
__�_. ��`�..�_ � � �
�� ��__._ -�`�.`� �-�`�-`l � .��`�� � , ��, 1 .�
Appli a Permitee Signature Date [ssued By Signature Date
� CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O,� sO Mailing Address: Permit number. lj' `---,-`:' `:� i'�
1�� PO Box 66
Crystal Bay, MN 55323-0066 Date received: �y"�j✓`r"—�s�
StreetAddress:' Received by: � `
y�, �'� 2750 Kelley Parkway Plan review fee: � ,7, 7}
lqkESH�4`�G Orono, MN 55356 ��� �j� _ � �
Main: 952-249-4600 ee.
Fax: 952-249-4616 www.ci.orono.mn.us L��,� 5�5 �. �„ �
This application form must be completed in full and all required information mu�t be submitted.
Incomplete applications will be returned. (Please print) (,�,y,S�j �S%t i J/�
GENERAL INFORMATION:
Job Site Address: `�dl`�S iJO r1;T�� �j�:dL� '1f� C'� '�� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
!f yes,a special 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 sufficient on-site parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT IN OR �T�ION: C
Name: �� �"�� �� Tbr` `J4��� C.0 H�'��J`a�..l.��v✓�
State License# f3 L t S �-1� Expiration Date:
Phone: cell �c Sd� °t►5 office
Mailing Address: ��� ��C,��J V`�J� City: p L-�ui v�� ZIP: ,fi
Contact Person: S�'t-�-- App�icant is: Contractor / Homeowner �c�«ie o�e�
Email and/or Fax: 5«v��5�c��S ' -,�,, �� _��=�
PROPERTY OWNER INFORMATION:
Name: -fi-� �N1 1�c���I 1L-Y'
Phone (day): — Z �- 2 Z3
Address: �d� f•k�� Cit : 4'Q�►Sb ZIP:
Email and/or Fax , }h (�pp.(!D✓trl
ARCHITECT I ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
Water Supply
❑ New Construction ❑ Single Family with ❑Accessory Bldg./Garage
❑ Addition attached garage �Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
❑ Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other:(speCify) � Other(SpeCify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590 s�-��� ��'��
Fax: 952-471-0682 ���tfL1.T�i��'�,-�(�
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ c�����
Last Updated: January 2015
STRUCTURE INFORMATION: �
1. Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Number of bedrooms=
❑Wood/Frame
b.Width(ft.)= Number of garage stalls: ❑ Masonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached = ❑ ICF
d. 1S`Story = ❑ On-site Prefab
e.2"d StOry=
❑ Off-site Prefab
f. '/z Story = ❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enciosed A plicabie
❑ ❑ Buildin Permit Escrow A reement and Fees
❑ ❑ Plan Review Fee
❑ ❑ Com leted A lication Form
❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'h x 11 set
❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re 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 ermit is re uired
❑ ❑ Landsca e Walls and/or Retainin Wall Plans
❑ ❑ Stormwater Pollution Prevention Plan SWPPP
❑ ❑ Access Permit
❑ ❑ Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
. Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject
of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-built survey and all site improvements.
ApplicanYs Signature: ���� �� Date: � �`� .�-
Owner's Signature: Date:
Last Updated: January 2015
-- ,r---�_— .-�–�--�-- -- — --
_. --
_ _ h. -. _ .t' _
•A �� �����..��@,���� ���������������� �� ��f � • . ��..� T ..... .rH��
� . . �������������� ■�'���� .�.. ..,
� . ., . .. . '. . " . '. ., . , .
.. :.. � .,.. :.,:
� 'l�ddcess; ' ��;� ,
� ���Z�
�" .�i o��erm3��a�:_��.`'"'.
De�cription of v�rork: �Q.l�IG�G'� �+PG�c: �' �CL(p�'�i Date I�ec•d. �`"��'"'-Q �
, �ptic revie�ar by: ��t,�d�' Q�-- l��-l!' �.
�ate Approded•
Zoning review#�y: D��e e �
. �►pArmv�� . Q .
Buildin review b : _ _ • �
g Y Date�pravgcl,: �.� �
Gratl�rr� r+av�sw b :
� 9 Y �� i��te Approved:
,
o. . ,
Zangreg D�i�: Z�n�ng�im�#: R�#:` _ : R�o Dat�..; .
Zon�rtg: Lot At'�a: SF/AC U�idt�':�_ L4t CoV�t��e;° SF °!o.; .
�ur�ey�ubmttt�d: �Yes 01�4o ar�i�f�urv�y: Re sed d ? ; `
" �rr� o�ed Setbacks: .J , �.
_ ,��,,-
�r t(Lafce� �(St�ce� t N E '�l )' � N S E )' p��ec��itcltng�' Wetlancl
.
S�de Si�e
a
. C�
D�#Ined hlelg�ht: ' P�a Hai�ht:� F.F��� _ fF�rninus 6 fset��{FacBstPn��,Car�tour)
Per'imeter iine�r fe�at � °' o _ L,F. be#ov��rade �of St�ei�
� � 50�o- �.
F01t A�WLD1�1G VVITH A BI�EMEAI"f OR G L SPAGE: FQR A�W�DIN,(i tttJ A SUKB FQiltdDA7iON: ;
. _ TI�e d�ffince ehe�rowest _ Ttie a�ta�,ce b�n the"�p of
s'�AFt'r wttH �r(ot u,e ���rnent p�crawl sp�ee) _ ,, s�,4Rr wiTH ��and t�ie Fftgk�st point oi�s
� tH
#fis h�ha��po_ Y of the�of. �� �
_ _ : .
VF you have a.,. _ , -,N you fiAve a... -
� C�uABL�Q HIPP�q F7L}OF rro � C��$i.B Ol�i kilP?ED�F
.�almaov�}3, u ne�tf tltstence ,, (no wtndaws�subvace na(f
�eri�n :' hi9hestrpa t of the ro6f 8ie t!(stance belwean t}ue
to fhe fOvv itrt Of.the R9spprtdirtg - h�9�P�'�t Cf the t4c�fo
` �� SUBT�3ACTIOAI� . � ��iPr'�'P�t�tite �
�able or hf. ►t� coriespondtng.8abte or
(BAS€D�V � �ABI.E�R P ROUF(wffh �$Z'RACTtWN hipped roof
ROO�TYl�E) tivirulows�::aS b i�if tha dista�ce (B1►SfD UN . �ABLE OR MIFPED R�UF
�rt,the o€�htgh�f Rt�OF TYPE) (w1t�yrl�hdaws): SubUact
�arrd highest po1M dl the ' haff tkte dtstance heMreer�
the tcp of tl�e Fdghest
• /Ul b Ft R TYPE'S('tfa� wtr�7o�r and tlie,htgilegt .
r�ar►sa�.,et�k su�L'�ctttin, ` Pc(rk oT the roof
• ALL'OfiHER RQQFTYPES -
SUBTRA�7'ION ubfr�t " dlsta�ce twee�tt� (flat�ma►uard.,�ta);Na
,(Bl�SE17(�+i baserriertt!'crawi space oor and ti� " �n. �
€XISTING Mtg�t _ nA 9rade �nt to tha� ARDI'FJON Add the tJistaru�6elaaeen the'top �
CRAD�S) tounda, n C!R 1'o fie�t( 'Ichever Is I�s�. (8/1SE�0�1 cf�b and the.Mghest�Sti� �`'i
/k1:S DeA buittlin8 Ne1�At � EXIS'1"tP1G g`ade adJaCeM to the fou�t#aHcu►.
.
� '� � � :��
� � (CRA[��S_� � � �
Ei�t1ALS Deflltetl'btidltdirt�f�ei9ht
,;
.-
.
- �
Shoreland Dist+'Ict �1i4"IAID Pe t Averag�Lakest�ore Setback ` � ',
_ '' � M�t� . '
� �
[' Yes p �o Permif Nutnber. . ` i�l. Yes � No , � N/A O Yes ,C� �iVo . ,
� 1V/A=see at#adled �emack: ';
`Storrrnrnvaber Quality :��rfg H.arcicowsr �rapose_ �
Overla�r pist�iict ��jo and sf� Hardcov�r Vartanc�s�teql�ired CUP RsqWred !
Tier=cit�.one "!o and � �'
2.� $> ��.•�,��Q CZ Yes . ; t7 ri�a 1"3 Yes � No� �
� 2 - � �. $ ` �,c��t sf t�q��� �t�� - T,►�c$r ;
- . , � �
U�xlated: '.�anuary 2045 : . . ; , ,u �
,- , _ �
z:lfarmslplan revtaw chec�ctist-2015:doex ; ' ,•,, ,;
=4'
--� ��:��r ��_��_.._. ..,. �.�_�-- -�----�..���..._____d_���,_�.,�,__�_'��_ �� ----___�..z.a�_____a� ��:.�;f��_.
-- =�u -.�-�-
R�AAA�iRKS(�,howse):
,
- Fees ta�ie�C�a�' e�1 YES NO
• ° �ermit ; Y.:
,-. ; : : P#an R�view �a _�__ `' „ ,
:.< , • � . S�S�trcha�e �
�� .
� , � ,;
investigat�on�ee `
.. i/� ,
SAC-Num�rer of S�C U��s
� Ofh�r{spec�r).
' S uar$Foot� � �S uare_FaoEa
B�rrrer�t � $
; ��F{oot'' " :� ' � � ° ' .
�����loor � �
:X ,. _ �
, Garage ' _
a :: .� _ -� o����
Est�rnated Constructior�Watus,
�-:� ���� -,
, Orono lr►s,pectians R�uFred : Work Requiring`Separate Permi#s ttequiretl State Permits
C] �lt� C} Plufinbing � �rading 1 Filling � Weil
� Sift Fence/Erosion Cvntral 1a Mechanical 0 �ire � Ele�tr"rcal
L� Hardcov�r R�movat � S�p�Yic Gl 1%Vater Connection
',�'Foofing ,- Fire�tacs ' f� Sew�;Corrngction _
oured Vllatl. C! ,RAason►y fl Lawn Irrigation
� Four�dafitor�Su;rvey.; �JWkfg: � L�ndscaping
<<-
�
Ci Fou�dat�ian Water}�roofing "1� 'Other(st��Y) :
' �7 Radan�Rock Bed
Framing
; fl I;nsula��i4n :
' As-a�it s�,rvey
��a� �
� 0 ��er Fs�iec�`y)
�.
�
r REtl�id►RKS (Jl�house): .
I
O�he�Review: Re�riewed by: Date dpprovedt t�
:
:�' i -. . _. . .�. �. . r.:. .. _ f
` Access: ` Existing: 0 YES � NO IW�w: � YfS IO NO . :'
�
Oi��i�I,A�I.REAl1ARKS-TO �E AIOTED Old P.ERIIAIT AWfl INt'�'IALLED :'
� �I
� � .
Y1
f���_�' � ` ,
� - V>- .. � _ . p .
. ... �_�. .: . ... . ,. .� , , ... . . ._ , ..... . ��,�
w,i
� _, . '..�. . .. : �.-,-. -:., ��' .�: ,... , ... ...' .r,. ��� :� --��. � � ' 1
. . . .. . �._ :�.. ., '�y� i
UpdBied: J�r►uarY 20'}5 '
�u
z:\forntslptan reWiewv ah,ecklist Zi}95.docx. �
�i
�
_--�.��_��.y_�.��.�_ `�� __-- _ �_ _..>_.� _ �, _1�- --- —__– — , �. �
�� �> :��
REVfEViIED for CODE ONfPLiANCE
pLAN CH�CKED BY AT� � S� f
R�l�aEWED for G�►� 0�11PLIA� E'
�-
PLAN CHECKED B ATE
�����
����
�a
a' ------ ----------------- ---- ---- ---
O�y Z
,c -�
�'��a`��Ur��a
°� �� ���� f �
Z r ��^�� `a �
`�y .2>'r�,Ca { .
� oJ i j (
g;��0�� � G� ,r�
ti��ti �.��� ���yy � I
��, �. � � �t �
!
��-� rj�i> �ti.\'I O\'� �
J�' �c.�r ���c
C�,�c ��' �= �.� ------- -----
,, -----------------
ti''C`� '$ `� Jv ,�
✓J L � VERT_IX6 T
����' ,�;li n� rL Z`
-� I
��/t,��tCi- �•, �^� n
�CC ��. �p r� `,v �^j I
��' ;j? q' '������.'��� �---------
.2-l�,r,i •r`o q�?J"��
i QC� � t2
{a� ��;`���� � L:�
. �. � �
����'�•��'.� �� � 2 ��,�.
�a �o' o� �3` �,'�
� ;� ��.� �� r
.o��^�`��° �o
v �� ri c�'�c
�
� C 1 u ��'�
J�� `� °'G��'�` IPE DECKING
]X TAPERED S�EEPER6 SLOfiE I I/7'
7X4 GEDA
FASGIA OVER
� IXS FA5GIA EPDM MEMBR.DNE OVER
� 3/4'TKa PLTILfl SHEATNING
. . �� TAPEI�D 3LEEPERS��6'O.G
GEDAR
� IXI1 TR�P'i r gEqp gOARD CEILING
BEHIND GUTTER
OVER IXIO FRIEZE BD.
]X4 CEDAR iRl
/FLASFI TOP) D
�
g ��4�
,� d , y.8.
.
--_�_-_—._---- ------'-__-__-_--'--_---_--- ---__' �� �
�������.
�R�i
PLqN C� f r c��� �N1PL j� "
�eK�o BY �
ATE . �
THM NT BTOt��
TO HATQd EXISTUICs
1{V Qi dN1El. � /SLIi'I.R.41Lh
i
THI"iF�lQBD�
�c4�
OVER
--- ---- ---- ----- -- --- — --------- 'IPB'D�c�cd
OVER F�EZE'
r,.`. r� � CONBTIOUGTION
'�� -DC'fR9'1 A8 NOTED
t �� ��� �'' f -81D9�Ys BELOW 81LL 1�1`10HABd-H
�;� �����:' ,�:' �-.. :'�� f°�.�G8. ..t_; �' -�T�WOO�D&�ATN9Ys PAt�l.B
> -1IfOOD P.M�LUIG
_ :v::
L��' ,'•77t"t ��' ,�(,... iJ'i'3.�.1""� SL 7Xb TREATED&ILL 4•BTAI'7PEC
UJ/�'DIA A BOLT M4L?'9ElC
. . . . . . . .9 fQ�H W641.L� �` � . � � 6'ONC Q1RB ��
--- ----- I VERT.ptb TtG Y GROOVE StD�IC+' � GRAVEL RIL
� � I B'CONC BLOCIC
� � �
�-----------------�---------�-----�
70'X 8'CONC ,
PTfs YY 9•M B,4F'b CONL•
, LA,KESIDE ELEr/ATION a PORCH SI
� t/�r-r-a� a �/�-�►�a
IFaE DEGGNCs ��°�'�-�
�X TA1'ERED SLEEPER6 8lOPH 1 V7' g�
HPDM M�'�R4NE OVER . ..:'3
3!4'T�Ca PL7U�BNEATH�NG a
T/�PEI�D BLEH�RB�16'OL
68m BOARD cE1LWG
g DECK FRAMING DETA�L
a �/�-�►-o�
,,
� � � i
�� � � i i � ;
� ii _ � I , .
ii
�--- , �
, � , o� , ,
� I g ,
m• I �
y
I � �
I I � I
I I �� I
� � 1
1 1 I
� ��s�,� � .
����� �
����� �
r �
��+ C; Se\E�' � ��Q
F� $�;� � -
N Aa €�' � ��A� � �
� �'�D �
v
p
� � � � ��
■ � �•
I
.a T
� //v�
l J 3A � �
�a
_ � ��y � � �� �
rn � �� � � ��
� �� � ��
o �� �
� �
z _
m �X ��
�� r� r�
�y � �
�
� �� REMODELING FOR THE
` N �m KOEHLER RESIDEl�TCE
tn W o �,
0 m � ai �
N N � i A
� � 4205 NORTH SHORE DR.
ORONO, MN
� r— r—
. I I
. . I I
� I I
� I I
I I
I � I
I I
I I
I I
I I
I I
I I
I i
I I
I • I
I I
I I
I I
. _ _I I
�--
I
� ��,6. �,,b,
�.,b.
.a ..►
// ���— .
�
i � r' my �' �
► � '
� ' � '� '
� � � � �� �� �
� �
. �
� � '' ''
� R7 i� i�
� r i �
� � 9e✓� �i� T�e�'�ere
Q i i ��
7Q �� b�
� �
-o �, � z ., /
� � � �� ,,Q1'N4/ Y'
z � �; z� � S�,' . Io
� �' �� = Y�, � Uri^Ld
� yl � �
�I� �
� �
�
, .
, �
� �� I -�L.,_,--r—^__1�.-6:--
�
�.�m.
� �� REMODELING FOR'I'F�
� a KOEHLER RESII�ENCE
� �
a
4205 NORTH SHORE DR.
ORONO, MN
' e
c I 1 -
� i lg� �
� •. � � ' �
, �\ i i .
�� �� 5GREEN PORGH �
�� �� STAt7PED GONG �pp .' I
� \ ' � r BEAD BOARD CLLi
Fua:ra. I �' I
� �� �� �� � I �
, ��\ \\ ��/ � `, � �
� ..
\ _ _.:. ._ �
�� , i
'�,0��. \� \�a=��t�i----J :' I
� _ ' � �
,,..'��V��6X6 T8 ——— ' 1
W
� �
�y._�,. �r-6• �
,
L�WER FLOOR PLAN �°T �
> >/a�-���
o � � A
ow o
w x
� �
. � ��
a W °z°
� 0 00
� � �o
�
�
ISSUE
-- -----=-------
-———— AUGUST 1b,2M4
REVISIQNS
DECiC �*
� ��acM� � 's
� � Q
h;0�• "
JOB#141236
'°'��a"'Ra'u.'w t�'eas P`we�s SHEET#
u�-6• " '
� FIRST FLOO►R PLAN oF2
� �/a•-�+�
� • � �
_ �,, . �
. - - - i —
� ■ "� `
�;% � � ' - - '
�' �
; �j;�j�
, , � �
,f- � +��
, , � , �
/�. / � �9 -- — .� — /
� � • � � �,../
� �i � �
�
. � � e � � �...— �
/ `�-- � / � 9 �04?�
� / �o � ` / �i'1 �
� �o � / � �''-
.o • aq g�y�� /� s l�'�,�
♦ , � � �
� �— o .:-1 � t?�, . � � � �<<`31• i
� � U ^`r"�•' `� ?�6 � �' � �O2
'' � - 3� )+
� � %f' � h � ♦ Y
�� vC c0�� }'�.;�i.:?:��•'••{� � + �@ A ry
• � -y Q T
�'� y � 'lxy;'���r, 6` � '�� C� �ij)�� \�
� � \ g o °:�'�'`" ,;.r.>; �' �
� .'S: ;r.r 9
� p i:. :4` �� � �O/ � �
� � 1 • � �! \� 6 �� �y /
�6 \ ��'6 ` ' ` �� / � �
. � �'7y� � 1
�
1
� - - � � « �`�\'� �' � y . �q a �c�n ` �� �i
� \ o o �� • � s�,� , t\
� � /`oi� �" " /'�'� • ot'°'�
O \ � � � / �/
� � � \ / � ��
\ I , � � �,
\� \ p� � '` /
,) / /
_ '�� \ / s�S`. •�O �9�6' . /�
— s`S� �.,. 949.7 /� . � /
c
_ �� /��4 � `�' + J ' ,
� �.• � �' ;� ��'. / �
� � • �� . '.
l �•' �
J\�s _ / R. .. � .e,, � ,.
6 . . . . y . N
1� b// � •.'.�.�. ..':. '��� . . �
r .. .•
oy� � � . ���'�� . •.�� � ��
� � �. �.�•�.. � y
�� � �� • .
♦ �:�: ' •r .
.. � %.. � , �;•. . . '.• .�:
�/ i
\ \ � / \\ / � � •• a ''' '.°,...,7' ��
/ �.
/ /� �p y , •
\� `_ . � ::�:;��.
, � �u �'; . •.
► i . :►.
\ / / ��'� �� . •'; ,�
/ ♦ �// ► ° .
/ �� ok �.:� ��.
// � � x-�'�� / s
/ / (1_ �y '•`,y:�:�
G��
� � ` 1 � n
/ / � � `� p y�' �
� / S_.
/ � cp J
/ � �� / 4p C k
�� A�1 Q� / � 4�.
����� � � �
. ��� � �
o �� ,' .�
�� ,
� � �
, '
��
�
� Christine Mattson
From: Christine Mattson
Sent: Thursday, August 06, 2015 10:36 AM
To: 'timothybkoehler@yahoo.com'
Cc: 'sawdustcons@yahoo.com' ,
Subject: 4205 North Shore Drive/#2015-00928
Attachments: Escrow Agreement-Building Permit w Erosion Control 2015-00928.pdf
On July 23,2015 we received a building permit application for a deck and screened porch below. Staff has conducted a
preliminary review based on the information provided and we recommend the following items be submitted for your
application to be considered complete and for our plan review to continue:
1. Hardcover Calculations. The property is located in Tier 1 of the Stormwater Quality Overlay District. Please submit
copies of the hardcover calculations for our review.
2. Escrow&Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal of an
escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-
pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City
Code Chapter 79 relating to erosion control and stormwater.The required escrow amount for this project is$700. The
escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$700.
Your project may trigger the Minnehaha Creek Watershed District's (MCWD) permitting requirements; please contact the
MCWD directly at 952-471-0590 regarding your project. Please note,the City of Orono will not issue a building permit without
a copy of MCWD permits or documentation from the MCWD stating the proposed project does not trigger any of their
permitting requirements.
The above information is required in order for the plan review to continue. Please feel free to contact me at 952.249.4620 or
by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway � Orono I MN � 55356(physica/addressJ
PO Box 66 � Crystal Bay � MN ( 55323-0066 (mailing address)
°� 952.249.4620 � 8 952.249.4616
�cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Summer Office Hours: (Monday, May 18 throuqh Friday,August 28,2015)
Monday-Thursday: 7:30 am to 5 pm
Friday: 7:30 am to 11:30 am
OUR OFFICE WILL BE CLOSED: Monday,September 7,2015
i
� Christine Mattson
From: Tim Koehler<timothybkoehler@yahoo.com>
Sent: Monday, August 10, 2015 1:49 PM
To: Christine Mattson
Subject: Fwd: 4205 N Shore Drive
Hi Christine- are we all set with this now? When would you expect to issue the permit.
Tha.nks,
Tim
Begin forwarded message:
From: Terrence Chastan-Davis <tchastan-davis(a�minnehahacreek.orq>
Subject: RE: 4205 N Shore Drive
Date: August 7, 2015 at 3:50:20 PM CDT
To: Tim Koehler <timothvbkoehlerCa�yahoo.com>
Cc: "Christine Mattson (Orono)" <cmattsonCa�ci.orono.mn.us>,
"mcurtis _ci.orono.mn.us" <mcurtisCa�ci.orono.mn.us>
Hello Tim,
Since your deck rebuild project will not be grading, excavating, filling, or stockpiling more than
50 cubic yards of materials,you will not need a permit from the district.
Please feel free to contact me if you have any other questions or concerns.
Tha.nk you,
-----Original Message-----
From: Tim Koehler [mailto:timothybkoehler(cr�,vahoo.coml
Sent: Friday, August 07, 2015 11:07 AM
To: Terrence Chastan-Davis<tchastan-davis(a�xninnehahacreek.org>; Scott
<sawdustcons(a�vahoo.com>
Subject: 4205 N Shore Drive
Per your request,this email is to confirm that on our deck rebuild at 4205 N Shore Drive, Orono,
that we will not be disturbing more then 50 cubic yards of soil. As discussed,please notify the
City of Orono that a permit with watershed district is not required.
T`hank You,
Tim Koehler
Sent from my iPad
i
,
� City of Orono
�oNo Hardcover Calculation Worksheet
a i Property Address:
_ �' 4205 North Sho a Driv
`4 E`% ------
tEst�� Pre ared b
p y� _Tarr� R. CnuturP, PTS _ Date: ��2�2014
StoRnwater Quality Overlay District Tier. (Circle one) �,Tier 1�'. Tier 2 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.
Surve� Hardcover Item(Describe) Length x Width Total
S uare Feet
Exam le Gara e 24'x 30' 720 S.F.
A
S.F.
B
S.F.
C
p S.F.
E S.F.
F S.F.
� � 93 S.F.
�irLin�___ S.F.
H S.F.
I
� S.F.
K S.F.
L � S.F.
M S.F.
N S.F.
� S.F.
P � . __ S.F.
Q S.F_
R S.F.
S S.F.
T S.F.
� S.F.
V S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
S.F.
1 Total Existin Hardcover S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
---LL-- -��o �a v e r s --------- -T 10 0 S.F.
�_ S.F.
_R�t�a i n i n�1�1_l _ 2 2 2 S.F.
-- __--
S.F.
— – ----------
_— --
-—_ __ --------- S.F.
2 Total Excludable Hardcover _ _____ _ __ S.F.
_�3) Net Existing Hardcover Subtract line 2 from line (1)] _ _ __ S.F.
4) Total Lot Area S.F.
Proposed Hardcover Percentage [(3)=(4)] R�(sE���� 2 4 .4 6 %
AUG � Q �U 1� (Proposed Hardcover ne�page)
U
CITY OF ORONO
This is an inloRnation packet regarding Ha�nlcover. Every el�ort has been made to insure the accuracy of the in(ormation contained herein;
however,if any information is not consistent with provisions of the City Code,the Code provisions will prevail.
Page 8 of 9
�
, City of Orono
, '� �oNo, Hardcover Caiculation Worksheet
! ,�` Property Address: - --
��� � ' � �nrr� ilrj,,.37�___—
'4jS����w` Prepared by: Date:
L�rry R. Couture,__ PLS _____________ �2�014
Stormwater Quality Overlay District Tier. (Circle one) :.Tier 1` Tier 2 Tier 3 Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Include all existing hardcover items that are
intended to remain, 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 by letter which are split at the 75' setback line and calculate hardcover square footage
se aratel for each ortion.
Key to Hardcover Item (Describe) Length x Width Total
Surve (Square Feet}
Exam le Gara e 24'x 30' 720 S.F.
A
S.F.
B 7 5 8 S.F.
� Block o Drivewa 772 S.F.
� 2028 S.F.
E 1 8 6 S.F.
F
9 3 s.F.
G -
S.F.
H
S.F.
I
S.F.
J
S,F.
K
S.F.
L —
S.F.
M
1 2 S.F.
N
S.F.
� 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 Total Pro osed Hardcover __ __ __ S.F.
Excludable Hardcover See City Code Sec 78-1684 :
S.F.
_ q S.F.
--M �C3�-1 n P a v a r, — --- -- __ S.F._,
- —�-�----
� S.F.
�-----1— __------ -- s F.
(2) Total Excludable Hardcover . � S.F.
� Net Pr�osed Hardcover�ubtract line 2)from I�ne(1)]__ ._ _ _ __ S.F.
�_�4) Tota' Lo:Ar�a - --- ---
»_
-- - -- --__ _____ _ _- - -- --- -
_- -------.
���i S.F.
� --- Proposed Hardcover Percentage [(3) =(4)] R���'��D 24 . 33%
AU� f�, � ��15
C�7Y 4F ORONO
This is an information packef regardinq Hardcover. Eve�y eHoR has been made to insure the accuracy ol the information contained
herein;however, if any information is not consistent wifh provisions of the City Code, the Code provisions will prevail.
Page 9 of 9
. �" �'yd`" i ;< �, °.� �. ��,. �,�
�� � _ � 'J y- ���, :
�; ; ` _�� � i Y �!, n � � �� ,��';
�' `� �;t.�i,� f�✓ � r ' dr
� �•, h� `� ��+ ��Y(' tX-. �„ :� i �� �c
. . ��y�' 6� �� ��i � q ,'� a L -
^:y�' . f Y �. � � /
� �� � 7 ,.
fir f� � y� �''�,=_ ��,; •f,y,� �' '�
� „{ .-��. .� ����i fi.�� ,j[� � .t a *t�"fi"a�'�, x Cr .x� .. `�
,�.. Y r ,� X y�r> �f,� F t' �� �,,-tr � - � 'f ,s y
. >ti S �,y� k w 't,�+ �r � .
y��-. � �'1"'�! S KR '�' Itk . -��
J
��' XV ���' 2 J... � . ,
.A`� ,� y' � :� � Y- � ' .
'�r,. .y '�r"7k�cs � t,+
Y.� � a.'�t:� � �� .' i� .' !:
j ...st3�S �i � �,� .�n
n i '�l-. ��.. ✓ -. lR' +r,. �SC.�'4�f
`' �� �k--^ =;' � /
,.,
.. . � f _,,,
�� � �� ,. �
1 ��-� r � e_. ;���
�� �t '� � 4 .
��. 5�- ,�
� ,�
r :�� ,� `�'�.;��' " � � '�..
� � - M
� '�`J/� � - _ _
� - F
_ ��
Iia ,,.._ _ �� y
�-� x< '�� �4 , "' '� x_ " � _ �`> `
� _x.L,� ^^;t ��-M�
�� �:. °�` .�,..
.�l�` x� . �;,�. ��� '� � ��� � � � � � •
i � ��_ '�,�+"r: .. �Il �t - ��
�^ �,� � `
. �� e �}, � Y i,'J. �:S€����!�`.
.� _ , , �
f``I�°�{v�y^
��'°�_ s�.' �-�~ - � -�a��C;!r;�. .��c`.�+� �' ; ,�.� �
i �t � � �-�• ��°'�r � ` �",� 1" ,�g��. �
, a \�.. � � � � f, " .� , ,A .. -
,
...�
�
_ �.
,
,: ,..
� X�
,y, � . '
YY, � . . , I� �.:♦
{{ `K A ', ..�{}.�, J ' .� r a
1 � ��...i '�.� � ��i � /!� � i �ry y���. .'� � �' �l�� ..
l.1kn�� ��yy � y't '-> C !t Y.4 i ��.
F +�+:,, �:. � �i — '�` -A�+ k Y �' �' re�" -
� �.�-;�-- �I . �"
V l .
.� ' ��� y��) M� ��~
-- ��. � ;� , ;� :� �,.
� �� ::��: �
t w'2�'y� - -- .. 1
p:p,
; � �:;: Y� �.:�� � -��
i
� i : '� +.^'��,�:
� � �.
� rt
I I� f�' _ t.�
r- _ m
. - .,p,` E-,� ..�.. ..
1 �. ._ � .. -. �.� ' .x"*^'..`9
�" �
_ � ''-:, �.; .<.
� ,. �' — � - �, f ��, _
. �
: - • ;, . : � ���
�' .":i� ... . �tr r ' f�:� .. � . . .
r
_ I.. , - � . __ ;iYy�� � uf rc , . .. �x
. �� w. `��t+`i'�. .#��
�' � �6L ef � *
'"'= k~ _ - �' '' �,rw �' � u i �.��w�� k. �:�. �,� ,u•''�
� 9�������a�, �• 4��' t
��- .c" ) ' "' � �� u� - � 'S '�j�7 � rJ
�` r �s��r'� 'i.`'+M ' ' ..` � .M u�'� �'�'� ��+ `4
,.`��• T.1"�. � � . . �ay. �, �' .r�� ��' a� .
�G �� � �� �•?���"d� `� �7�"� �
� � . .., } r^ , '" �
ti �
��, � "s
. ��i � ': ri , i r , . _: � .� `t ,,,���.rvY?#���w
� tw� , �� �� ., � . � n.� 1 � "iw,
f), � r . � � -a��r ;; w : �.
� �rl .`,i i M- �;r.� w '�;w���{,_f���yv �-'�
.�'�MI..�.'f'.�. .� . ' � . . h � . _ ` r. � . . r^ .. . '�`��..Y`7RQ.�"��.a.�5��' _ .
� � � ; �� � ���� � �
, �� ;., ��
��. _s�..�_, I � e •
�: *�
,
� A� ✓
` ^,y�. ���Y '" �. .. `,
�._ P:t- n '� .r � .
,r y,�
� "^� �� . ��► -�
—:a:;:/''r,, � ,r.�
i ', , . _ � =��
_ --+'-. � N�� ,.,�;;;.�A�-��j'��`.��� � ��
��' �.�,�-��� �f� �`+:��' `�`u!. ' R- � ;,,^ .,��.. �'4 �°.n;,�t"'�
,� bdF � �, c
y�,,��,.�,�+ ti'<� t • �`�`s ���y''�' �,*,�g+ ;�"1»w�"�;' �, ::
7�"� ..:b , _ . _.'� -.
�r, �}� . - . , y+wi . . +. ,
.. . _. ' . .. .� . -• _ • "� . _ 'v s � a.� . �. _ ��
�t «� _ . . . .. ^..�- . "� .J �` r t..� "''e„4� .{��.
t t '.'Y :. . ' Y:� w '�^��r�'+
h , "� � 4�` �. i � �hr 9'�. lc A 4 ... ���b .t�l��'� `i ,}�. -
�` ` ° x � ' t �,¢��-.�� � }',.'.tE,� z �• �w a�r�,��s . � `�.�M�� �.,: '"��
^ a r� � ,
�g� �$'h��G*�5+a7r�.+,� � y�±,y,3cfk.?�.t.%��r� A,�� 1.a�'b W;""�` s rt�, L' a�,rei . . Y �
S ,�
�`!` '. rv '7� '�'s
��,��+h k;h,•.�'�«,��i��`�"±+1�r'k,+� +���� �,,.` �r�� y�s._. lr ��, .. .'� ,�. x..,r ,,.,,�,,..� .�!
'„ t �1e� �#',,xt �.- ?t ,- : ' s'„ it.., �'i ��:.
� �;ts�,y.��."*A�'r M"`'�.:p�Y'� tw,'h y� "�� �. � � J '�'R �"� '� � � . . ♦ yXr �? .. �7n�� � "'!` � ',
�,. s� �; �` : .w x �,;� r ewf f �;>„�Vy��•' ��;. .� f' , -�..,a.� � ,• :. ` .
�^'.r�' . e 1 � � �° � . �t`�ra �� � i.. h �+ . �t �y.: a r ° �x�"�`f .i
�s;.��,� _��.:,�� + < <�`.: < :�+s�5 y;�, � � �}: ` r
�k� �����i���k�'s�t�r�+9{ 4F � '� ., i���A , i ��y ' �n�P '' d:'i�'`��� �ti 1r ' z 1, �s'� ' �}k t�` r -� ;
r�+��t ,��y-����' �� ��?�4 �, �,IS � .�3rt� t .i.{` �IG .' 'S``.,r r ; *t � ' �"�v �,�, ,��. I ( '" (._.
*��.�+,�� '" �sz'6^� °'�'a +,� ,, `8:�i�i ^'.'`ti�c,� .e r f *'+ck,� �i nyh `�r ': �:�n ht�`�-�,i iw�� �N' t
�� "� �ry , '4 f� tc � }i ��y:.+,;C ��9 � .� .� pY :�R1 s` � '� ��''R .p .. i �* �`�
} �y y,.� �,���� ��ti ��.�;�w � Y.� { ;� . �,C r �;;s *y���.,+ �r ` J h �.�. }� ��'i< � '� -�'�. � ' s� ,+�
Y,�^Fi'c�,^, a� e"'` yb t�� a �i� �, � �i.`'1 .. F i�y'z r�,� ��4 � . i N�.� �:� • � �., '�i ;
���.�t��� is�,� _ ' si r ' ��'l ��.;rw e ��� M `�'1.; F4�a -��wr ��� 4� . �,.. � f.l ��i ,_a `�i,''��54
�R
�, w ` �,s fi',,,, . F : ". ��•'r c+ ti � p -��tx �� a ; ''yi i' �':�-i g�.e f��� i ker,k '#� �� � � 5.r l �
�a,'�*y�p .* !� "�� r 4��� � "� ,` �l�t l f"1 i �� ..P �r ,.. �. ,r f����d' `.fi r s'�A y�e d ':i,� 4 - �,'�,x
>�+ r � 7� 't :rvA o' � N � r � 1 . :e ��rvM a£ 1 .[,�
n¢ � Z c .t 1�.. yY cb � a v x ti ak t,..� w +9 +a a ��iv.k w+` � +kK�•w.'�WY�.,r
�Mi?�,^ t f.,A�C• r i` �.�v�3Y �S s;�1,'1 ?�.�.t a� ''S.-. 'R � +,,+a � s i�,xa t�+il- r'��'t�i`�� f��.�.,.6 ,��� Y��e d , � 4�..�f�. :
Y'�"'� 'N'��r /" .��t�, "'�.t ��xt��i'lri �� '1;E� '��.T� �;t t;�t �` .+r � a�3 '� -k° R i �J���'z .'� � " , :r �`"���t
d
� � .��„��..q� ;.y�tr%��ot> i`:? �r �� 4 � '�E�a �'Y r ''e ��i�`�� 6 .'�.+{ �'� �.- �a- �s� . a f - �
�y f ns�,. � ..0:k r� . t�i� f;' 'a�„� "�r� ���t y, t , h{� �;�h � i. � i�i.., � x :o�♦ i��.�h�4� ,x T���+f i,,;:x
t pt : �:�a�u'�,�°�Y�;: �'���ti� '��� AF�''�C'a iz� c�i fx,� '"�' '3S gu� ,;,,�q iw g n,� � �1�1 Y� n � a• +. `�x>a e :
r��� s� � y �'r , � ',x 4t. -�ns 7 .. � w �, � � ry;+,�.�i r Z. � M`FZ� i �dt � � i�.! .
�1�yt �Si 1�� �?� .= � : 2 az t � .��( �7�� ,�ti� �Iry 'ei � y}�"�ti:�:T ,a ��,t, �e �� ��.1f$��� •y .
. . R�'1':� .. .,."4'_a�l�1.�..t�� "f.����� �aEa �,:1'.,.Y�'id�,t�.�� �.N. ...�<�.. �`�i'�t. �e"��': .,c•`r S. iRlU^, � '"W!.�'..t`�}.3. ,.<a�r�Y..�i�:0t...1��i�.Y.����
���__ \ �t � � .��- Y
� �=y. � I, =�- ��, �
.>
_ µ �`���{�,���
/ 5��6��
S � .�� �+N'i��nfl��?��
� _ i F
P� �� '
�.� _- - �+-�-_ ••�'.•� .����� f �.
.. .._ =v' y� I! � ?g� v�,��!("3,e��,; -
. Y
, "" � ,.i �i �., w s q x
�
_ ,
--_ v,.r r ^ -r �.c -
�` � �.
. � , { , � „ . _. . . .
J
�`
� � I .. .. R . _� )
�. . i
. ,
_— ,. ., � �.�
,
, .. _—. . -
� ... . ., _... „ r� ; ,.
.._ -_ ._ ___"' „ � . � . .
_ . . .._�� �-�e.�� �' . . . ,..
. �
-- _
__'_ �.-
_ _ _ , ; , k; . 1
_ ;,.. . �
. �` �" � � � � "a„�
-- �" � b I ' �
, _ ���� ' � - � � , ' r a, ,
—+}- -�i � ' I - I � i , ��",�
����-.� � i " :. � .� , �
— � �
+� `� i f
£_ ---� r �� ;�j� �„ '� r
. . . �
ir�-.> . .. �' - . . ... '
Y -�. . r...,
� � � $',�� +,�p�• -e�.���
f..a+�`.M ���:: � . , i.. .��� ^..:_ ...... .. _.._ii'i i'u"i5y _____"__''.F L—�4'•T$'�_
4 '
-~ �..��` ,�airEy�'.� . �,j�'
, m-
,i�._ � + =t �`, �..�_
t.,�� � .. +. � - - -
. . ..
.. . -w �, ^'7... _ . _ . . -. - .
. . . . '�p���'�+�� . � , � .. _ .. _.
r _ . . T��� '- ..
d:Y .. ✓. � .,: � �+
• .. ! � :: � � r
�����..�¢��5 � � t r .i.' ""' '*. �� '�y.,
�� t y,,. [':
�``,+���''"���x'�� � ° j - '��'``, n) ' . "�'��'¢ � •, -�` "w� f , ��'`ti�i`+YI
< � s r
5X'-s.n+ s�sN! , �'9 :� ` . - `� 'h"C' ° k +y;�.d u+�M.
" � : � f 9•,� ',
/(� �J� ! � ��` ��.�r ¢ ' . ,� Y'
!�4'N� 1 .�.' p' �' r d'�' Y, A�+i1�Jt�
hMs4,j . � L J �l+� .L �W .
a,�t � � ��j1 f'.`..t �� '��. `�' ' 4t� z . t i� �s � i
�e �jf '. .1� � f -��y '�
t �
� . � ��S' ' ' -. • �'�r�'�� ',. NM.
S V I' d.,
'��;�����t ��`t .^�� �� � r:3!" I� 4 � hn /';� ' .. . , � �""fi"dY+F��"iN"�,
�� ,`f+%.�i'�. .�.J4 .� t`r.�.... . . �u.':� � �. . .. . a �r��`i �f� �=�H� �. '. . .. . � . . c,:..�$�.e. .
�,-� ���__
D TE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED $ - - 5 /!� .3 D
PERMIT NO.t��!(P-vn�a� COMPLETED
ADDRESS ��I��_ � l�-- ���L�����' ' L�/`C�
OWNER TEL HONE NO.�SZ-5�3_��5/
CONTRACTOR �1��'�-- �'7� ��"��a
� DESCRIPTION % ��'ry��ZCi `C��I C�'�(/`�Gt �Ld'1��C.�
41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
�
J
O
).
�
O
�
W
�
Q
�
2
W
�
W
�
W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑ ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSi e Notice
/� DATE TIME,� /
,�' 1 CITY OF ORONO CAL D IN ��
� INSPECTION NOTICE SCHEDULED � t5 �
PERMIT NO. 2��� ��Zg COMPLETED
ADDRESS �Zo� � ` S1�0�, �12 .
OWNER TELEPHONE NO.���--� �� �S �
CONTRACTOR ����t ��
� DESCRIPTION ���"� � �q ���C�
ty ❑ 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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
_
J ❑ DEMO-SITE PTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: /e�. le.� l���- �S
.
a /I� r�v/✓e o2 �r��,e� �a�l�g ���� "D•� .
0 6 r �v v.�.i�2 .y�o ..ti
� � ,�. ,z b ���. � �� �S� � �a � �4�
o �
�szL�,c.-v�G�
W
�
Q
z es� � �K
g
W
�
J
W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� �RRECT N10RK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK�LL FOR REINSPECTlON TEMPORARY
V BEFORECOVERING PERMANENT
❑CURRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETIJRN
❑STOP ORDER POSTED.CALL INSPECTOR �CRATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANt3E ACCESS.
Cail forthe next inspectfon 24 hours in advar�. (952) 249-4600
OwnerlCoMractor on site:
, Inspe�tor. �-
White Copyflnspecto�'s Flle Cenary CopylSite Notiee
_�
� , .
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � �
PERMIT NO. �Al S�" ��Q� COMPLETED Z l � �
ADDRESS �� � d' r' ,u
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �� � ����
tu ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
�
W
a
o � ro /S s �� � �� -� �.a � �, a�,v�
'' S'r���e �,,% �s � �S� � �dlle�
�
o c�' �.P d,
W
�
Q
�
2
W
�
W
�
J
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN
❑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
OwnerlContra r n site:
Inspector.
White Copyllnspector's Ffle Cenary CopylSite Notice
�
�� � DATE TIME
CITY OF ORONO C,% cA��eo iN
INSPECTION NOTICE '�/ SCHEDULED �
PERMIT NO. a Dj� '�I GO COMPLETED
ADDRESS �-� � I�,� ` � ' 1/1l�t�e D
OWNER TELEPHON �O. � " �3��J(
CONTRACTOR ,U S� �
j DESCRIPTION ►/ � � � ` �,� � �
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �C�
Q ❑ POURED WAIL ❑ 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
� �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W � AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE • PTIC INSTALL
� OWNEiUCONTRACTOR TO MEET YO YES_NO
v�, COMMENTS: E
� � !eG- �i..t� - S-'.0–
a �
�
�
o ��` ` ( ' /�`� _ —
� � J�-'�/ b �cc c llO k5G -f eGk �•��4
W � �ro�<b a cs-b4.�.0 sk��Qy
Q RG�i�� (.�b�k [rd.�.c���'L�o -
2 �'�C1i�/'�O r p,I . �P• G�L�e,SG /S /t/Gt� .�-.✓��i.��S r
� h��`iG/( `1oC�S�t- Y!� S�t� Q'S �Q✓ `J/aa .
� �2/hc �li �irt�r.� ,�Pc��`�� �5 �r• Gt
J �' {/d� Q!`����0 r e(i
d
W� ❑WORKSATISFACTORY:PROCEED Rn.IFCT COMPLEfE
W ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.� � ^- �
White Copyllnspector's File Canary CopylSite Notice
�� �
�� DATE IM
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED {�����j �
PERMIT NO.�Ol S -D�42� COMPLETED
ADDRESS �—�-Z�� N - S V10 ���Z ,
OWNER TELEPH NE NO. �5�� / �3 Z-�5�
CONTRACTOR ��� �l�S� ��►"l�
� DESCRIPTION �� n�- � ��C-�" 1 �Or�l
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAI RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
2 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ S TIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:�YES_NO
v�, COMMENTS: �
�
W
a
J �
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
J
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑ RRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours' advance. -46QQ
OwnerlContractor on site: '
Inspector.
White Copyflnspector's File Canary CopylSite Notice
"� —=�.
a � �22.3 � _
� �n 9g81 9 c 9g91
� co � o,
.� o a � 9y9�
� / 958.1. 1 D �/ ° 90 � j
o �� EGo(o`ge 4.p °9�$� a/ � a 9�$� �MP �-960— "�-- ,
. O � �/_. _ n � \ N
e 1 0
N /� � a I v
� � . c 19 Av o
9.7� � 9� \ �
b 26�¢� a �
�b e
t�..� �` �� � ' . .p�. e Qa I ' ��m
� _ l
/ � ` 9S ° 95��\ � / r Q
�9 95�2 R `�o�c��
QI \J
� �� \
\` � \ � 'l -� ° ..��°� \ .
� * q539 \ �n a, \
O� � 52g a Q y
� �958
R; ,,,, 9 � o o ° o e 955
.� ---� \
�' � / \ ` o £•tiS6 9��s6 �
p _� n n _�i
\ °� '
�; � �� ' 1 e o a. » oP�Bs�
/� P a
/I \\ �2 Q. „u�Q M �� �
} \ � 2 zs5 Do °S.2S6 \— g it���u�b � —956
�
� �'—� �s'ts6 a . Ro�K
� s a
� �: e�k \� ° 952.2 p I f
!;. ��09� O I� T666� s� _ Q __' \ 0� p .%/ PerdDo��No ��ity,E-as�me�
� = a �_ 2529 f
ry �, �o�� �\ 9q6$ � b b � aQ ac �'�r..T�ee�_i `�` 6.
\
� \ \ m q p�i si ° � � `_
i
s�o \ qa F' 9y16 p _ \ i
ro � a o a � �
r d s° �\ � 8g v, � g�� � ^ � _\
� � _
L ��t. ��',� \� \ �^ � � m D'TS6 0 24.— � � �� i� ' �— ,
�� �\ N �' 1 a °�n' ^� 98_ �
r
�\ � d'� � f'or�h ^� �•goxe�d \ � ,�1
� � � 11'35 �
; r, ' _. \ � \�V \ ,�9 �j �22.� / ��•r��1"Pbn / / �
f: t� \ \ � �Q 2.p /
, , � 'S \ \ �\ � 9 / �
p 8 I
� ��{;., \ :c �pi �ir 1'lr1�e
\
��� � � \ � cn �i.5 � S�(IN� �� g'T�88 � •
�' A \
� m ro/ Ex� U5E ^ �45�
,* 9.-82 � � 5' N� q2�5 i� m
;�" � � � / � �� .MoP�e
��
� '.��,�� � '° 's ,/ 3
, � . A � z 94�o r
\ ° � m� o. �� �
� �� � �_U� .
\ �\ ,��� �- °° � �'
�., � ' qa�k t�b , , aj ;n
�, . f{:; 9 �7.5 W �
i /
r'�" ;;,„ � � �� q�5 S'j46 �'� o � �"� �'`�
/
�`+:�s, a_ \ 9 '�od i / �/�2.8/ � � (�
pu��� �
r ar �`y,. P�oPK �Syb �ti+� 941.7 v 9�9
� \ pe � ai.7 c2 m: \
A,6eck �a, p �
�; \ S' 6 _ � 9r/6
. i . O+ Q��Y�� � �, /+�' O� / �� �
'�- \ � St O Je � \ �� C .
�; �, 9� �x'St�e9 ReR' ti o t'o�\� 0 0 � �
' �x y 93 \o b P \ � �8rt(88 v
�-� x � o,
: t 9a�3 �Y >>� 9�"39
� \ �� iJ tN o I /
� ,
� � 1��, � �a� �
, \ \ �����ee � \� ,, k F��s�`%� �
� ,,��ee I , , \ °j°�b �e G 9 y�se
I \ � � �
/ 9'S�6 \ \ I I � 9R`r0
I ' . 3y0 \ \
9 \ I
\ I \ �
\\ . 9395
� \ . \
`,�.,, . \ \�s�� 93�9� I
$�qy��z�
" ' \ �%/��\` \ 1
I , � �
9pA. �
\ ''r \\�\ I A \ �
1 � � �
� I �
� ;' � � �sas :,
� � � - r��� �l � ���
, ,
, �, ,
f / \ , ' l 'ZP
� ;,
,�� ; � :;,
� � � �
� ��rP �
/ �s " ' \ � I �
/ �6 y \
1 � '
� +
,y Jfhrv / . 93g'I i 1 3,�ak Q
ts
-R�y�Rst��y� �� � � ����.P�ne �.Psh
i D eFqcy of��t 2 � :i �� I �
( ' ,I � / °i _ I 1 �;
� � —
/ o,
\ T :/ � P�'� / ��a,' �.ss �� ��
\ � . r �
� �
�� �\\ £'SE� \�` � S•4r/ 10�p�ns l�c+6, ^��� � x qa22 \
\ \ h
\ / �r�/ / ey��ne � �0���^ '^� ��
�` \ , b � �, �.
9�� \°' � \�\\ � \ g0 06 O \ '� �'f�,�a���
� � � � \ c�3 *,93 0^ � \ � ��• x
�, � �"� �\93 � �� / � �944 , ,,�
`�� � � � � �� �� � 40.4 � a ���"rv
� � � y
� � � � � \�-�� .3 g � s +'}i
� 't �� � Z �S � � \94 ',� r�u'
4 � � 2 '
'�� � g � a S 4>' 93� � � �� 9A � , , ^� � ����,
,, ..�, �8, � � o �
�� �,p 73, N � � V �\ � w � .��.����p,�
� �
�� N F A ` � � ��
��� � � LA �. � ,, � \� '�k ei �r . "� .
� � / j 958:�1 ��, Q o / ��59� N
M 4.0 �D / i ° .
p� ����i / . dp D N o
� 5 e \ ` .
�i �� �G���9 � / °� ° p ��� � �,w`
a, � o� v m
o / ° \ � � .
� � � op�r
ry �n D e .D°.-� � _
II 9J� _ 26,4 °. °�y� '���
�N — — ys�9 ����; o \ � _958
�' a� � �
/ �'
a �mm
��ap �
�
_� a N 955
\ � a D a p c
� , �g3� \ ' p 6 9'bS6 \ \
O \ � � � D a£�� ° �p�05 __ � �956
2 �2. \ �_ � c +tA
. � � °� __ Q.� D o „�,12
o� / 9 ���, ��
c � \ � -��' c a D. �.'S� J
�`� o �— 0
�' ' 1 � Z'ZS6 S'ZS6 I R
� / v p . �--Underground Utility Eosemen�
(� � a , , e /� per poc. No. 3925296.
� 1 \S•[S6 952.2 ss . �
� ° �5�9 y / �/
�— "2P�15""Tre��
D �
/
� 9s� D ° � \ �
Ir6b6 ° ° — � � —
oeG� � � � a ��b � % � \
D
0� U� (p O� .�1 o r� �
9�� o�0.ba �rn b � 5�� d d m 0�+ I �� �
�9� � � 24.4 9_8— �eo.�e\dE\
� � "' 0 1 /
��� �� � � o�rsb � �� . 5" I
S�� � � � � �� .py�� P
N h
�S \ ' � 1
Pr°o �\ � N � � � Porch '
� c�
�cj \�\ ��� 1 1.35 � �22J 12,��ee
� / 9s �
��—\�� �� T�96 °i / '(�ee \
� � \ �� 2.0/ 6
\
' � \ � ��\ ,o, 49, co� \�G �N .o � ���oP�e
—� \ � \� .a� u� "'/ ��Y��JS`l�� / °' �� �
�\ � � n
\ �� � �.s�
City of Orono � 9�82 � ' 9'�° ,� �,
�, i ,�, .
Planning 8�Zoning Plan ReviQw � '5 2/ o�� � �=�—
� � � 6 � �
�'l0"t � ' x � °°
ti � � � �
Site Plan Review Da te: \ �A � �\ �,o. M r�
� ^ �� I
�PROVED � � , p�Q �,e ��s � � I � �
� `� $� Cat�T , "'�12.8�
p APPROVED WITH F�EVIS101+1�(see notes) 9_9 9
[]DENIEO � \ 5 5��6 • d � ,� 941.7,Z,'��, \ 46�
/� �n, � ��� �oP°ye�tib �� �,,6 Ck �6 ❑ � / /
L�r Y P e��` � °'ti� �,
�((• m
.��...�� � 6 - p,�• � �
\ \ o � Q \� `�1p � ° �(<ee / °�
�o�t�ed ,� o�`° � � �
� \ 5 o P �
m �, �
\ �, �\�9Re�` � \ a�,
` r°Di F,�-`s�e y�,�, °1
� 3�� \� On' A fiJ cS� b
� � � � �� � o ,1 a � EX�s�;,
� „ �
� � ,
� µ
� ���
\ 9� I \ ~
e
rn
��� 1 ,V�� V�1 lr �• \ � 1���ee e I � v \
\ \ V�(e A 9AS� \
I S� �
1 - �_- �i4- �\ \ � \ � I �
��j \ , � �
�4/ ` ��� 1 9'S�6 � \ ' �'��� II \
36� \ \ �
����-cc�c�., r�,n� s�ec,;�, � i \� . �3�9� � � ' �°`°�� \ � —946
� � �
r�p�ac�. dcc,�- ,� Censfiuc,-� �—� ----- � � 1
\ \ 5� Ciqe I
su'eQ-n ed �n ct� � �\'���� __ �
�r u►�aClr � ; T — I �
Vu�./`� ` \ ;� ti P5r I
I1
\ �� ��P5r I
/ � % I
� ii
i ' � �
,
, �
� ' I
/ ,
' r
\ / ese. 5� i^y ��ooK e���0 P\�e 16 P5 1
6 ,�
\ � i 9� % � �" � �
, �
, / �, �
, � '
� 1 ' ���
S�uth � Q /��;1 7.56 + 0�0.22 �
�'este�/ � i
�RC Y/ine �
� NARD BEACH"�i Cot 2 �1 '� / cg�C£6 c�;�� N \
\ \ � i � �OP\ ��11/ 9.10 \ \
� \ � � �- SurveY Line d � \ �944
� E'S£$. `�� � ��$p . �'�0� o ' \
— _���- � i i� � l \ �
�
�+ � �\ �_ ��� 9 4�'4 �942
'9c',g� � _�- \\°�3A� — —�.� 38.15 ,3 \
�
� ���� — � ��� 940
\ � � �� �
S 4j 48,3-- _N �_ � \ \ �\
�
3•� ,� �
E A �
ash°r�%��
on
�� GYqt�r �-�V 8'19,�1
92g 3
�INNL�'Tn�.__ _.._.
. •
. • • • •
� • .
emo
To: Finance Department
From: Christine Mattson, Planning Assistant //r " `
l,
CC: Street File
Date: May 4, 2016
G/L: 101-22205
Re: Escrow Refund
Building Permit#2015-00928 pertaining to 4205 North Shore Drive is complete. Please refund
$700 to the property owner,Timothy Koehler.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Timothy Koehler
4205 North Shore Drive
Mound, MN 55364
w:�street files\north shore dr14205��escrow refund 2015-00928.dorac
Q ' �/
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2015-00928
� AGREEMENT made this�day of �� �� , 20_, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City°)and Timothy Koehler("Owners").
Recitals
1. A building permit application has been filed for a deck and screen porch below located at
4205 North Shore Drive the ("Subject Property"), legally described as That part of Lot 2 "Orchard Beach", lying
Southeasterly of the following described line and its Northeasterly extension; Commencing at the Northeast comer of Lot
3,°Orchard Beach°; thence on an assumed bearing of North along the Northerly extension of the East line of�aid Lot 3 a
distance of 78.92 fcet; thence on a bearing of West a distance of 89.50 feet to the point of beginning of the line being
described;thence South 31 degree 56 minutes 53 seconds West to the southwesterly line of said Lot 2 and there ending.
Subject to the easement for County State Aid Highway No. 19 as shown in Hennepin County Highway Plat No. 50
recorded as CR Doc. No.4746024.
Subject to a perpetual easement for underground util'ity purposes in fiavor of the City of Orono as contained in CR D�.
No.3925296.
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$700 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 #2015-00928 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.
Page 1 of 2
. , , ,
BUILDING PERMIT ESCROW AGREEMENT
Orono Building Permit#2015-00928
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 ,��R:
By:���`� V� � � � ���
�ts: `��n�� �v.��-
���t�,�. „.:ca+����`ta'��� _� ��!�������r:�r:'; _n,c�a�y������
Page 2 of 2
� � � CITY OF ORONO * 2 0 1 5 - 0 1 0 0 6 *
2750 KELLEY PARKWAY DATE ISSUED: 08/07/2015
ORONO,MN 55356-
, , 952 249-4600 FAX: 952 249-4616
ADDRESS : 4205 NORTH SHORE DR
pIN : 07-117-23-43-0004
LEGAL DESC : ORCHARD BEACH
: LOT 002 BLOCK 000
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUII..DING PERMIT
NOTE: THIS$700 ESCROW IS T'IED TO BUII..DING PERMIT-2015-00928
APPLICANT ESCROW FEE-BUII.,DING 700.00
TOTAL 700.00
KOEHLER,TIMOTHY&DANIELLE payment(s)
4205 NORTH SHORE DR CHECK 1230 700.00
MOUND,MN 55364-
OWNER
KOEHLER,TIMOTHY&DANIELLE
4205 NORTH SHORE DR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans aad specifications,applicable City approvals,and the
State Building Code. 1'his pem►it is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized 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
s�—a,v,2ao i
TIM T..KOEHLE�t �ai i 12 3 0 �
DANIELLE KOEHL�R
4c�U5 NORTFi SHQRE bR.
ORONO,MN 55364 DATE �
� � � :.,.:� �o, ,.�, --
� PAY TO Tf� ��t7 _ . . .
ORDER OP
� �_K DOLLAR'S Ll ��
�
� AII�/
� � .�
. �o
' � L23
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.013963 Aug 7, 2015
Tim Koehler
Previous Balance: .00
Permits
2015-�0928 4205 N Shore 700.00
Dr
101-22205
Deferred Rev-Developer Deposit
---------------
Total: 700.00
---------------
---------------
Check
Check No: 1230 700.00
Payor:
Tim Koehler
Total Applied: 700.00
---------------
Change Tendered: .00
---------------
---------------
08/07/2015 10:45AM
� .�
€ €
dv
a a
rn rn
C C
� �
._ .� �� �� �� �� ��
m m a a a a a
0 0 � � � � �
d _. � _ _
T � O O m �a+ a� a� w w a
1- • O O �- �- U U � � �
o � � � v E E E E E
� ' a� m lL LL Q 2 Q' d' �
? • N N i 'S -. �. �. � -�
H a n � � C C C C C
cQ �, �, `u uvvv 'ov
w N 'D �O �O � �
C� li LL. W W Q Q Q Q Q
�
T � _ _ _ _ _ _ _ _
� . �l0+ 1E N N td c0 N N N
� C C G C C C C C C
W . V � � � V 'O � �O a
Qa �n � �n � 41 �A N 41 N
m m a� a w m w m m
a � � � � � � � � � �
€ €
a a
aa
m rn �
c c •�a 'm 'm ��v ��o
� � a a a a a
m m � � � � �
0 0 - - "
m d a, a, m
a � � � L � �
� � E E £ E E
d d � � � � �
A � d d
�a. u u � � �. �. -_ -, -_
� � 3 3 0 o a o 0
.L� � L L Q � .0 .t ^ ;� '�"
� 4+ d ai � "O "O 'O "O U
a � � dww ¢ Qaaa
• 000000000`
a� m a+ w m ai w w a
0 0 0 o O O o 0 0
• L L L L L L L L L
� � � � � � � � �
L .0 L L L L L L t
N C C C C C C C C C
°1 �.Z Z 2 2 Z Z 2 2 2
d
.� ��n �n �n u�r �n �n in �n �n
- o 0 0 0 0 0 0 0 0
� 'N N N N N N CV CV N
Q � V V � � �t �? � � d'
N N tD CD G7 f0 O] 6� m
� O G O O (V N N N N
� N N O O � Of � � O�
� O O O O o
.� � 4 O C? O O O O O O
in vi �n ui �n � �n �n �n
d o 0 0 0 0 0 0 0 0
d N N N N N N N N N
_ } } t t � T }
r9
in • � a aa � aa
v
�
N
d
O � O
y U � v � U
a w a v � >.W
�-T V w �-c'. � � �
p � � � � � z
� � � � c,� � 2
m
a � � � ci o ��n m m �
N C C N t!1 O C: .0 � ,C
� li ti W W LL. LL. li Q li
O
� p p
°i � � F- FHF ~ f-
a
� � T � � � v 5
� � � � � � e
� Q Q Q Q Q Q Q
y - o 0 0 0 0 0 0
� - o 0 0 0 0 0 0
�= N � � � � � �
f.•n_� tD t0 �Ll LL't t0 tD cD
j � � � � � � �
� N N N N (V N N
d! � . � � � I�: � Q1 �
rpi N N � N N
�' I Y'f Y'1 OD �ll � 1f)
n�����■■
g-��o
C ITY OF ORONO
,>, � Street Address: I Mailing Address: Telephone(952)249-4600
'��, .ti 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616
l,q �,�' Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us
kESHO�
May 2,2016
Tim Koehler
4205 North Shore Drive
Mound, MN 55364
The City of Orono issued permits for work to be completed at 4205 North Shore Drive. Our records indicate
there are open inspections. The contractor that pulled the permit was required to call when the work was
ready to be inspected.
Permit Number: 2015-Q0928
Contractor: Scott Stifter Sawdust Construction
Type of Work: Final inspection for screened in area under deck
Permit Number: 2015-01202
Contractor: Fireside Hearth&Home
Type of Work: Final inspection for wood burning fireplace
Please call 952-249-4600 to schedule the inspections within 10 business days so we can verify correct
installation for your safety.
If you have any questions please do not hesitate to call me at 952-249-4625 Monday through Friday during
business hours 8:00 am—4:30 pm. I can also be reached via email at�eitsoC7ci.orono.mn.us.
Sincerely,
CITY OF ORONO
G�i�.
�^'�i�
Roger Peitso
Building Official
c Scott Stifter Sawdust Construction; 1455 Oxford Ave; Delano,MN 55328
Fireside Hearth&Home;2700 Fairview Avenue; Roseville,MN 55113
z Z
� p �
°J N z
O
1-1
/
061
000
Aw
o
cr.
—
w
Q) Ir 8A -0 \\ , ' / co
\ J�. /
o \
�� � / \ m � / �/ 9389
N/ J �/ a�p1 a6°aand
ID
n
�• / o 0 0 00� � s C 3J �
\ I6 to �� r m } 03
61Cb
Sy
o \ 0 981.1 G\ ��// y m
o
o �, °°
S'ib6 p
E'S46
Sv6
\o mvef 941.8
O
41 O
o � Z
Cn �
\ 9g9 }\
a � 94g Rey \I
\v\v\ _
o•
j 9SI0 ID
°'
W
96 '/ 8S / 270 FSS
949.7 ° �o / / / 6, O f
Ln
r
IF Gro
Co ) ; o) O 6 �S6
lb
�o
\ a x
A
° m�
V296 79
ID
°4
41
(b
uP cn
00
CO
kQ
V
at,° cn
\\ p V
— o w
00 N
Ul CD ctnn �o
�o UI IDCO
N o . N
49
IL -
.�
y., v
9
m ov ca �'Qo-9 cmn
o
O ID
0 (D O O r 'a
p n > W O Q � 00, Z n
7'
o-� �Q om 10r0 0�r-- r
0
CCD D D cn ,.. 4• (D O ,_-,- !,- p
(D Ci1 CD (T7
c
C7 f
C() O cn p. N
z(a� Q0 OOQo< D
0 c:z 3n oCD mOa�CD X0CD II
CP 0 U1 —n ri- Q (D CD Q V
(n
N O D 0 (D C:)
p 5• 0D -.n-
CD
CD o
00 Cl) (D (D W n O a--.
07 }
0 o Z 0 o o ono \
N Z p ° (aD \< o 90 2 3
O S (n
0- c 0 �o
00 Off' N � C O 3 — N10 CCD fJ
P 0-a lO CC - to (D Nw N (D O n
N -
rt (DZ7 D (D " lQ
a 0)o — am o 0
C 0 `•G �• r -r p 0,
a 3
o , N Q
CD (o c- Z00
o
r
Co 0 O fi `OG O
w `G
\\Y c v �Z
9.00 0 a- 0 0 0
r a rn o
:3 O N Cp O (D s] O
O rt 3 co N(DtOO =o w
a Cl) � (n (D O
O
a rt < :3 :7CD La
co
I' V
` (D rt (D _ (D W rt S, Or a
O I O D O (D Q Cort co
a�
(on I (n 0 :39'�Q000
O a p' C) O n sn a
00 C I `< Ul CD CD �•
(� O Q (D
`< d O o Q a
c 00 =>
I � o O
N —
� Z
C:=
G--) m
® = 0
o M
z
o
c
LO�m w
ro
cb
�'.. (0 969.3
C�/
1�
a ^ ,
tiLO
4.
4.
69.4 Cb \ ��
i
i
I
i
� I
/ � I
I
Q
I
o
•
O O
O
O
(D
O
rt
SU
Fr
O X
h
X
�-
�
�
i -►t
rNi-
0
0
4
C]
3
O
0
O
0
(D
(D
M
0
O O
m
0
o
3
Co /)
rt
-Ti
C
iV
0
0
C
a
7
�
CD
Q
0