HomeMy WebLinkAbout2015-00187 - addn/remodel/repair CITY OF ORONO
* 2015 - 00187 *
2750 KELLEY PARKWAY DATE ISSUED: 04/03/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 2585 OLD BEACH RD
PIN 21-117-23-22-0020
LEGAL DESC THE MARSH AT LAFAYETTE
LOT 007 BLOCK 001
PERMIT TYPE ADDITION/REMODEL/REPAIR
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDN/REMODEL/REPAIR
ACTIVITY 434-RESIDENTIAL
VALUATION $ 25,000.00
NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE)
(SCREEN PORCH ON EXISTING DECK)
APPLICANT PERMIT FEE SCHEDULE 433.65
STATE SURCHARGE(VALUATION) 12.50
SYLVESTRE CONSTRUCTION INC. TOTAL 446.15
7708 5TH AVE S Payment(s)
MINNEAPOLIS,MN 55423- CREDIT CARD 9537 446.15
(612)861-0188
Minnesota State License#: BUIL-BC001428
OWNER
FREIVALDS&LINDA KELLEY,JOHN
2585 OLD BEACH RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any t' after work has commenced.
The applicant is respo ible for assuri all re fired inspections are
requested in conform ce w' the ate Buil ng Code.This permit may be
revoked a..
App ermitee Signature Date Issued y Signature Date
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
O Mailing Address: Permit number: oT0/✓�-DOl 8 7
PO Box 66
Crystal Bay,MN 55323-0066 Date received:
A
Street Address:' Received by:
�` 2750 Kelley Parkway Plan review fee: . Y 7
�IgKESHo��G Orono,MN 55356
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. I
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: f
Job Site Address: 'zS<95y U QB(b/\y,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes %No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLI NT I FORMATIO
Name: 5 rPi .�l o^�I T� 4
State License# Expiration Date: 3
Phone: cell office /Z.- $L) 0
Mailing Address: City: ZIP: 23
Contact Person: Appli qnt is: ontractor / Homeowner (circle One)
Email and/or Fax: e V Glbn
PROPERTY OWNER INFORMATION:
Name: Ft;r Q Is
Phone(day): "-460-2Jto
Address: S" O City: ria ZIP: y�3
Email and/or Fax p
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion ofproject:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
[_1New Construction Single Family with Residence
❑Addition attached garage ❑Garage/Accessory Bldg. ❑Public Sewer
❑Accessory Building ❑ Single Family with ❑Deck
Relocation detached garage ❑Office/Commercial ❑Private Sewer
Other:(specify) o Pn ❑Multiple Family/Condo ❑Warehouse
& Lt Grl� El Public El Storage El Public Water
"Any earth movement nTa also require ❑Commercial ❑Other(specify)
MCWD review&permits. ❑ Industrial ❑Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other: (specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minn hahacr gk.or
4
Estimated Construction Valuation (excluding land) $ 25��
r
STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a.Length($,)= Number of bedrooms= ❑Wood/Freme
b.Width(ft.)= Number of garage stalls: ❑Masonry
Areas in souars feet Attached ❑Metal
❑Pole Bldg.
Q Basementz Detached_ ❑ICF
d.1 o Story= ❑On-site Prefab
e.2"tl Story= ❑Oft-site Prefab
f. %Story = ❑Other(pleas spedty):
g.Total Area=
l
REQUIRED SUBMITTALS:
All of the Information must be submitted In order for your application to be rocessed:
Not
Enclosed Applicable
Permit Application
Proposed Bulkilng Plans
MN State EneW Code Calculations andcal Code uire nts Form
Su mestin ail ulrements
Stormwater Pollution Prevention Plan
Hardcover Calculation(s)
Septic System Site Evaluation Report
Access Permit
Wetland Buffer linproverrent Plan
F.n Ineered Plana for Retaining Walla 4 feet or sieve
Minnehate Creek Watershed District Permit(s)
Plan Review Fee
Application Escrow&Agreement
Other.
APPLICANT/OWNER ACKNOWLEDGEMENT:
Agrees to provide all Information required or requested by the Building Department;
Agrees to pay the City of Orono for engineering consultant review costs In excess of$800;
Certifies that the Information supplied is We and correct to the best of Wainer knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so,the steff 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 ether 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 agendas
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 survsy.at the time the
Certificate of Occupancy Is requested,a temporary Certificate of Occupancy may be Issued upon recelpt of a$10,000
escrow to ensure completion of the as-built survey and all efts Improvements.
Applicant's Signature: Date: 0
Owner's Signature: f ��� Date: 2
LAIC REVIEW CHECKLIST FOR EW STRUCTURES / ADDITIONS
Address `� ®L-0 4 Permit No.: LS-0 0 tiV
G Description of work: 442-e: l S6AAa^f r"�A Date Recd: i.Z~� 4
i
Septic review by: Date Approved:
Zoning review by: �IAO Date Approved.
Building review by: Date Approved: '2-" t.
Grading review by: f Date Approved:
ning Dlstrict: Zoning File#: Reso; : Reso Date:
Zon : Lot Area. SF/AC Width: Lottoverage;
Survey omitted: a Yes ®No Date of Survey: Revised ate
Pro osed S acks:
t' Front(Lake) Rear(Street) ( N Side YV j. ( N gide W j Other uNdings land`
f Defined Height: Peak Height: FFE: FFE tni s 6 feet*11
(Existing Contour)
Perimeter(linear f")= 50%= L.F. b town grade #of Stories
FOR A BUILDING w1TI A 13ASEMENT OR CRA SPACE FORA Bill iNG ON A SLAB FOUNDATION:
The distance betty the lowest proposed The distance between the top of
START WITH floor(oi the basement crawl space)and STAR I tlVITH slab and the highest point of the
the highest point of the roof,
{ ti you have a... �You have a...
GABLE OR HIPPED ROO o GAOL114 HIPPED ROOF
• windows): Subtract half the neehe
(no windows): Subtract half
between the highest palht of the highest pcstnt of the roof Yo
to the low point of the correspond the low point of the
SUBTRACTION gable or hipped roof corresponding gable or
4 {BASED ON' . GABLE OR HIPPED ROOF SUBTf2ACTION hipped roof
t ROOF TYPI=) windows): Subtract half distance (8�!5ED ON GABLE OR HIPPED ROOF
between the top O the ghest ROOF TYPE) (wtth windows): Subtract
G ` window an�4 the high point of the half the distance between
• ANLL OTHER R TYP the kop of the highest
BS{flat Window and the highest
point of the roof "
mansard etc.No subtraction, . ALL OTHER ROOF TYf?l=5
f SUBTRACTION Subtract the di nce between the {flat mansard,etc} No .
(BASED ON. basernent/er space floor and the subtraction.
EXISTING:?," highest a ng grade adjacent to the AD ION Add the distance between the top
GRADES) founded OR 10 feet(whichever is less). {BAST~ N of slab and the highest existing
j EQUALS Deft bulltling,hetght FafISTIN grade adjacent to the foundation.
GRADES
EQUALS Defined building height.
G _
Average Lakeshore Setback
Shoreiand tiie#rict MCWD Permit Flet? ' Bluff
L D Yes No P rinit Number. 13 Yes ® NO i A O q No
® WA see attached Setback:
Stormwater uaiity Proposed
Existing Hardcover
Overiay Istrict u Hardcover l/ariance Required, CUP Required
(Wand SO
Tier le one (9/6 and sfi
D Yes Or No ® Yes ® No
1 2 3: 4 5 Type(s)- Type(s):
Updated: January 2015
Z.40 msiplan review checklist 2015.docx ® l
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DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning",we
would like to inform you that your request for a permit or license from the City of Orono or any of its departments
may require you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary
to process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may
become public.
5.. You have certain rights under Minnesota State Statute 13.04 (see following page) to review
private data on yourself.
6. Your full name is required to process this application or permit.
]bV-) tog;7
First c Middle Last
Address
(a-86 -o
City State Zip Phone
1 understand my right st ed ove.
Signature
Packet Last Updated: January 2015
Page 7
Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum
required information is included with the submittal. If not, the application will NOT be
accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
application submittal requirements.
Completed Application
I / Plan Review Fee Paid
/Signed Escrow Agreement & Escrow Payment
Building Plans (to scale) x2
Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2
I/- Hardcover Calculations (if applicable)
I am aware that 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 their permitting
requirements). I will contact the MCWD at 952-471-0590
regar g t project.
Signed by:
Address: 25'$ ���� f?o On�fl. MN 55391
Permit #: 0201.5`-OoI S�7
Packet Last Updated: January 2015
Page 2
BeamChek v2008 licensed to:Sy/vestre Construction, Inc. Reg#9077-2983
Freivalds-Kelley Floor&Roof Beam
Floor-Roof Beam N&S Date:2/10/15
Selection (2)2x 12 So.Pine#2 Lu=0.0 Ft
Conditions NDS 2005
Min Bearing Area R1=2.7 int R2=2.7 int (1.5)DL DO= 0.04 in
Data Beam Span 7.1 ft Reaction 1 LL 879# Reaction 2 LL 901 #
Beam Wt per ft 8.2# Reaction 1 TL 1502# Reaction 2 TL 1534#
Bm Wt Included 58# Maximum V 1534#
Max Moment 4690'# Max V(Reduced) 1433#
TL Max Defl L/240 TL Actual Defl L/>1000
LL Max Defl L/360 LL Actual Defl L/>1000
Attributes Section(in) Shear in TL Defl(in) LL Defl
Actual 63.28 33.75 0.07 0.04
Critical 57.73 12.28 0.36 0.24
Status OK OK OK OK
Ratio 91% 36% 21% 16%
Fb(psi) Fv(psi) E(psi x mil Fc (psi)
Values Reference Values 975 175 1.6 565
Adjusted Values 975 175 1.6 565
Adjustments CF Size Factor 1.000
Cd Duration 1.00 1.00
Cr Repetitive 1.00
Ch Shear Stress N/A
Cm Wet Use 1.00 1.00 1.00 1.00
Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft
Loads Uniform LL:40 Uniform TL: 100 =A
Point LL Point TL Distance
1496 B=2268 3.6
Uniform Load A
Pt loads:
0
R1 = 1502 R2=1534
SPAN=7.1 FT
Uniform and partial uniform loads are lbs per lineal ft.
r ,
BeamChek v2008 licensed to:Sylvestre Construction, Inc. Reg#9077-2983
Freivalds-Kelley Floor Beam
Beam 1 Treated 2x12 Date:2/10/15
Selection (2)2x 12 So. Pine#2 Lu=0.0 Ft
Conditions NDS 2005
Min Bearing Area R1=3.7 int R2=3.7 int (1.5)DL Defl= 0.03 in
Data Beam Span 6.5 ft Reaction 1 LL 1183# Reaction 2 LL 1183#
Beam Wt per ft 8.2# Reaction 1 TL 2094# Reaction 2 TL 2094#
Bm Wt Included 53# Maximum V 2094#
Max Moment 3402'# Max V(Reduced) 1490#
TL Max Defl L/240 TL Actual Defl L/>1000
LL Max Defl L/360 LL Actual Defl L/>1000
Attributes Section(W) Shear inj TL Defl(in) LL Defl
Actual 63.28 33.75 0.06 0.03
Critical 41.87 12.77 0.33 0.22
Status OK OK OK OK
Ratio 66% 38% 17% 12%
Fb(psi) Fv(psi) E psi x mil Fc-L(psi)
Values Reference Values 975 175 1.6 565
Adjusted Values 975 175 1.6 565
Adiustments CF Size Factor 1.000
Cd Duration 1.00 1.00
Cr Repetitive 1.00
Ch Shear Stress N/A
Cm Wet Use 1.00 1.00 1.00 1.00
Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft
Loads Uniform LL:364 Uniform TL: 636 =A
Uniform Load A
0
R1 =2094 R2=2094
SPAN=6.5 FT
Uniform and partial uniform loads are lbs per lineal ft.
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DAAWV :WMGEA
Christine Mattson
From: Lora Pohtilla[Ipohtilla@minnehahacreek.org]
Sent: Thursday, February 12, 2015 11:26 AM
To: Melanie Curtis; Christine Mattson
Cc: Gregg Hanson
Subject: 2585 Old Beach Rd Proposed Deck
Hello,
Gregg Hanson informed us of the proposed addition of the home located at the address above. He will not be needing a
permit from us,as he is not triggering any of our rules. If you have any questions please feel free to give me a call.
Thank you,
Lora Pohtilla
District Representative
Lpohtilla@minnehahacreek.org
Direct:(952)641-4580
15320 Minnetonka Blvd
Minnetonka, MN 55345
MILAN IMANA CREEK
wAURSHEO 013TRICI
1
TE TIM
CITY OF ORONO CALLED IN
INSPECTIONO�I\C SCHEDULED
PERMIT NO. 1�-- Y COMPLETED
ADDRESS 5�
OWNER TEL ONE NO.
CONTRACTOR
DESCRIPTION /—� T�/UC�� —4r /YC/']
W ) 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
v ❑ DEMO-SITE q JEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
y COMMENTS:
Cr
LQ
S
0
.50t I,-
yg + 10 as „ b4,5
W
Q
z
6e5 A!/o v#Ver✓ _
W
WKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
Q C3CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR E)CITATION ISSUED
❑INSPECTION REOUIRED-CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. /.--
White Copyllnspectoes File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /�l U
��
PERMIT NO. -zi -�� COMPLETED
ADDRESS yR C—_
OWNER TELEPHONE NO.
CONTRACTOR S u\IAS keX — 0—K-Oa4
>; DESCRIPTION
W ❑ 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 L-fiLERAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
DE MO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
cOn COMMENTS: 6C
cc
Qc
J
O
QC
O
2
W
QC
Q
2
W
W
cc
J
W p@AV0F*_SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
QC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORECObERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C;
r t pection 24 hours in advance. (952) 249-4600
Ow diontra ne .on site-
Inspector j Z
White Copy/Inspector's File Canary CopyfSite Notice
DATE TIME
CITY OF ORONO CALLED IN 54
INSPECTIONCE SCHEDULEDpZ�45 0
PERMIT NO. 15- Q(AYj COMPLETED
ADDRESS 212-5 85 (11-4 ZOtCk
OWNER TEL ONE
CONTRACTOR
DESCRIPTION ��
4~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
P -MAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
❑ DEMO-S ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWN CONTRACTOR T MEET YOU: YES NO
COMMENTS: EIPLij
ac
Q 12B AOii M•t C4 r® 6 l.!e
®cam•� •.�.. a:E
j �t/O/ I Ny/!G�i�!.�b � �b K.1✓'�4c.�a✓ � E Irr1a•
LU ❑WORK SATISFACTORY:PROCEED P171, ECT COMPLETE
W ❑CORRECT WORK A PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑NATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours In advance. (952) 249-4600
OWnedContractor on site:
White CopYnnspectoes File Canary Copy/We Notke
Planning ♦ Zoning
Department
Me o
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: April 19, 2016
G/L: 101-22205
Re: Escrow Refund
Building Permit#2015-00187 pertaining to 2485 Old Beach Road is complete. Please refund
$700 to the applicant, John &Linda Freivalds.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: John&Linda Freivalds
2585 Old Beach Road
Wayzata, MN 55391
w.lstnu t files\old beach road125851escrow refund 2015-00187.docx
t 1 A
BUILDING PERMIT ESCROW AGREEMENT
Orono Building//Permit#,:A /5-&y/?7
AGREEMENT made this 1A day of Ur , 2gby and bettyen the CITY OF ORONO, a
Minnesota municipal corporation("City")and _("Owners.
Recitals
john Ltr�lo� t-M i V01d.S
1. A uildi permit app cation has been filed for S�'�-tti- L� located at
.S ®/ QGI� the ("Subject Property"), legally described as
2. Owners request the City to review this application which requires City approval and may require
consultant legal and/or engineering review.
3. The City will commence its review of the application and incur costs associated with said review only if
the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AREE AS FOLLOWS:
1. DEPOSITeedng
ROW FUNDS. Contemporaneously with the execution of this Escrow Agreement,
the Owners shall depositith the City. All accrued interest, if any, shall be paid to the City to reimburse the
City for its cost in adminisescrow 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 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 tum send
a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the
City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced
pursuant to#3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for
eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners
when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement
two times per year to determine whether the requirements of the project have been successfully completed and
whether it is appropriate to return the funds. Owner may also request the release of the funds,and such funds shall be
released upon City Staff receiving the appropriate verification that all requirements of the project have been
successfully completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible
expenses incurred by the City exceed the amount in escrow,the City shall have the right to certify the unpaid balance
to the subject property pursuant to Minn.Stat.§§415.01 and 366.012.
CITY, CITY OF ORON�O - OWNER:
By:
L ,�
� J
Its: m
Ffiftbow-011 A��!�10 "Mi tbl"Ok
Packet Last Updated. January 2015
Page 22
i
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.012800 Feb 12, 2015
John Freivalds
J Previous Balance: .00
Permits
2015-00187 2585 Old 700.00
Beach Road
101-22205
Deferred Rev-Developer Deposit
Total: 700.00
Check
Check No: 2379 700.00
Payor:
John Freivalds
Total Applied: 700.00
---------------
Change Tendered: .00
02/12/2015 11:53AM
' CITY OF ORONO * 2015 - 00188 *
2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015
ORONO,MN 55356-
952 2494600 FAX: 952 249-4616
ADDRESS : 2585 OLD BEACH RD
PIN : 21-117-23-22-0020
LEGAL DESC : THE MARSH AT LAFAYETTE
LOT 007 BLOCK 001
PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$700 ESCROW IS TIED TO BUILDING PERMIT 2015.00187
APPLICANT ESCROW FEE-BUILDING 700.00
ESCROW FEE-EROSION CONTROL 0.00
SYLVESTRE CONSTRUCTION INC. ESCROW FEE-GRADING 0.00
7708 5TH AVE S
MINNEAPOLIS,MN 55423- TOTAL 700.00
(612)861-0188 Payment(s)
Minnesota State License#:BUIL-BC001428 CHECK 2379 700.00
OWNER
FREIVALDS,JOHN&LINDA
2585 OLD BEACH RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
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