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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- �. 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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. 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'. . .. . � . . 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. 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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. 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