HomeMy WebLinkAbout2015-00420 - addn/remodel/repair CITY OF ORONO 111111111II11111 *
2750 KELLEY PARKWAY DATE t�, 05/07/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 450 OLD CRYSTAL BAY RD N
PIN : 33-118-23-13-0020
LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN
VALUATION : $ 2,010,000.00
NOTE: SEPERATE PERMITS REQUIRED:PLUMBING,MECHANICAL&ELECTRICAL
NOTE:PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. INITIAL:
APPLICANT PERMIT FEE SCHEDULE 10,496.59
STATE SURCHARGE(VALUATION) 903.00
BAUER DESIGN BUILD S.A.C. 17,395.00
751 7TH STS
#100 TOTAL 28,794.59
DELANO,MN 55328- Payment(s)
(763)972-0000 CHECK 006844 28,794.59
OWNER
Jem Technical
450 OLD CRYSTAL BAY RD N
LONG LAKE,MN 55356-
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 181 days at any time after work has commenced.
The applicant is res•.n e for assuring all required inspections are
requested in S.. ce with the State Building Code.This permit may be
revoked. . nr'e for due caus
CkLICW) / / lc)
m. mcari'rmitee Sign Da Issued By Signature Date
t 1'
Lyle Oman March 26,2013
Building Official
City of Orono
2750 Kelley Pkwy
P.O.Box 66
Crystal Bay,MN 55323-0066
Dear Mr.Oman:
The Metropolitan Council Environmental Services(MCES)Division has determined the SAC to be
charged for the wastewater capacity demand for JEM Technical to be located at 450 Old Crystal Bay
Road within the City of Orono.
The City will be charged 7 SAC Units for this project,as determined below.
SAC Units
Charges:
Office
2019 sq.ft.@ 2400 sq.ft./SAC Unit 0.84
Meeting
255 sq.ft. @ 1650 sq.ft./SAC Unit 0.15
Warehouse
30,364 sq.ft.@ 7000 sq.ft./SAC Unit 4.34 •
2 Showers(multi user) 2.00
Total Charges: 7.33 or 7
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substantiate the business use and size at the time of the final inspection. If there is
a change in use or size,a redetermination will need to be made. If you have any questions,call me at
651-602-1118 or email karon.cappaert@metc.state.mn.us.
Sincerely,
///1(2fief,A —
Karon
Cappaert
SAC Program Technical Specialist
Environmental Services Division
KC:jf: 130326A2
Determination expiration:March 26,2015
cc: J.Nye,MCES
Josh Gallus,Bauer Design Build(email)
390 Robert Street North I St.Paul,MN 55101-1805
Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 I metrocouncil.org METROPOLITAN
C O U N C I L
An Equal Opportunity Employer
City ut Mork,
c�i 5u Kellty Parkway
Ut Unu MN 55J5t
Receipt No: 3.013350 May 7, 2015
Bauer Design Build, LLC
Previous Balance: .00
Permits
2015-00420 450 Old 10,496.59
Crystal Bay Rd N
101-32510
Building Permits
Permits
2015-00420 450 Old 903.00
Crystal Bay Rd N
101-20802
Due to govts-State
Permits
7 Sac Charges 2015-00420 17,395.00
450 Old Crystal Bay Rd N
101-20809
SAC Charges due to MWCC
Total: 28,794.59
Check
i;heck No: 006844 28,794.59
Payor:
Bauer Design Build, LLC
Total Applied: 28,794.59
change Tendered: .00
05/07/2015 02:22PM
CITY OF ORONO
•
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS •
%'�' Mailing Address: (1
(�p, Permit number: �J�, ( G U
`yO PO Box 66 t•-IC
/ Crystal Bay, MN 55323-0066 Date received: l 151
Street Address:'
Received •
y 2750 Kelley Parkwa rj tP 7_2 -78-
Nr
\?,,, �t Orono, MN 55356 �n� O0(D71ez-z--' a
�.kfstto Q Q+ � • 9
Toniree: A` 28 t
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.
Incomplete applications will be returned. (Please print) Lrvw.9 S'-S-iS
GENERAL INFORMATION:
Job Site Address: ("ACM 4• DID Crysk.-1 Ig6.7 6l
Will this be a Parade of Homes, Remodelers Showcase Home or other Dis lay Home? ❑ Yes IA] 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/APPLICANT LLVFORMATIO ,
Name: c.,...-- .e1 4,\cj
State License# Expiration Date:
Phone: (cell) (01Z-114- Sip; (office) 74,3-q#72-lobo
Mailing Address: 75-t 7 elt 5-1,-4 4 r %i e City: If...v� ZIP: 533 z..t.
Contact Person: '--ij.^`... .,.-‘ob Applicant is: ntrac o / Homeowner (circle One)
Email and/or Fax: b,-,1/4 a,.� 2_ .,c-' di, . c..c v.%
PROPERTY OWNER I ORMATION:
Name: :ti Corr..., o e•e✓�%� LLC
Phone (day): _552.- X73 -,Sbe
Address: '1Zo
7:„
Address: ( 5e..)-1., City: 1.1‘.42e., . ZIP: S3"3q)
Email and/or Fax gr,dlree- • 4-9$ciA.1 P .St►+i, 4-ee.1.r.;c..1 • cd v�
ARCHITECT/ENGINED INFORMATION: ����
Name: d,%\ 1 .,.,
Phone(day): 1103- 5c7 - �g 1
Address: 15'6511 ;tot' o. A A 0 c, City: ..?\.4.0,.o.,}4.„ ZIP: .S,s-yt.)
Email and/or Fax: '"f ttvve.ie... e pc..,1 Lta,../.c.ia.-c 1.; , cc.uut
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 ❑ Residence
Addition attached garage ❑ Garage/Accessory Bldg. g Public Sewer
AI Accessory Building ❑ Single Family with ❑ Deck
❑ Relocationdetached garage ig Office/Commercial , ❑ Private Sewer
Other: (specify) F•,.v► .e
ee., •••► ❑ Multiple Family/CondoIE Warehouse
❑ Public ❑ Storage g Public Water
**Any earth movement may also require jaCommercial ❑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.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ 21 D)o,Do u
:3.
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STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction
a. Length(ft.)= Lot Number of bedrooms=
❑Wood/Frame
b.Width (ft.)= 1.$10 Number of garage stalls: WMasonry
Areas in square feet Attached = RMetal
❑ Pole Bldg.
c. Basement= Detached= ICF
d. 151 Story = 33.5b
❑ On-site Prefab
e. 2nd Story=
❑ Off-site Prefab
f. %Story =
� ❑ Other(please specify):
g. Total Area= 33J51"
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
0 Permit Application
❑ Proposed Building Plans
❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form
0 Survey(meeting all requirements)
❑ ❑ Stormwater Pollution Prevention Plan
❑ ❑ Hardcover Calculation(s)
❑
0 Septic System Site Evaluation Report
O 0 Access Permit
❑ 0 Wetland Buffer Improvement Plan
❑ 0 Engineered Plans for Retaining Walls 4 feet or above
❑ ❑ Minnehaha Creek Watershed District Permit(s)
❑
0 Plan Review Fee
O ❑ Application Escrow&Agreement
O 0 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$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 completi• of ,•'as-buil survey and all site improvements.
,-4Fr
Applicant's Signatur Date: iJ ibs
Owner's Signature: Date:
PLAN REVIE(� ,WCHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: b 0(.6U6 \P ,I Za\I a Ni Permit No.: 2015 - O+LC
Description of work: CONINE4 aJ- L 1 ova h.OK-- Date Rec'd: 4. 15 . 15
Septic review by: �—
p �' ��� Date Approved:
Zoning review by: Y'��. '1!\ Al, �. .•_!, Date Approved: 4'214• 15
Building review by: 4h. Date Approved: -S '� ' w►5.-
Grading review by: LI V Ti t, I Date Approved: 4 36 {S
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF
Survey Submitted: s 0 No Date of Survey: 1.141-. 13 Revised date(?):
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
i
Defined Height: Peak Height: F 450 0E413 Ktl"
Perimeter(linear feet) = 50% =
Oa Or
FORA BUILDING WITH A BASEMENT OR CRAWL SPACE: • � _14•��
The distance between the lowest propose( 40+414
40+ V ON I - 2-' - v /lav • No WITH floor(of the basement or crawl space)and
the highest point of the roof. l/ 1 1 ►I `_
If you have a... C 1' ilf (y1 I2c�o 4+ 0-1
• GABLE OR HIPPED ROOF(no
windows): Subtract half the distance
between the highest point of the root
to the low point of the corresponding /� /
SUBTRACTION gable or hipped roof Q 1 A — O� prov A q U 11- 1c1 -3
'- Ih -3
(BASED ON • GABLE OR HIPPED ROOF(with �I u�'/`'►'J Y�J/l (Jjj,( t'7 .,
ROOF TYPE) windows): Subtract half the distance 1 � 2
between the top of the highest SubmI1 `� da c 214-1.3window and the highest point of the 111��,"`���+++���
roof
• ALL OTHER ROOF TYPES(flat, i __
mansard,etc):No subtraction. ,
ii_lak?
SUBTRACTION Subtract the distance between the )1(01:01.ed 5k,I L _
(BASED ON basement/crawl space floor and the V',
EXISTING highest existing grade adjacent to the 01/
l ,
GRADES) foundation OR 10 feet(whichever is less). (/
EQUALS Defined building height 14—
WP N "V
e-) (19. '6111r
Shoreland District MCWD Permit
Permit Number:
❑ Yes AtNo
0 N/A-see attached iill
Stormwater Quality Existing Hardcover Proposed
Overlay District U Hardcover _ _ "
Tier(circle one) (�o and sf) (% and sf)
1 2 3 4 5
Updated: January 2015
z:\forms\plan review checklist 2015.docx R . .
111
Permit Application: Self-Checklist for Complete
Please note, the applicant must initial in the boxes below to acknowledge the mini reqUfiV00
information is included with the submittal. If not, the application will NOT be accepted.
952.249.4620 to schedule a meeting with staff if you have questions on application submittal
requirements.
IMCompleted Application
r
�- ✓ .- - is
Ar Plan Review Fee Paid ,---,,�p Z2
•...
Signed Escrow Agreement & Escrow Payment
9 9 Y
6) I �, Building Plans (to scale) x2
Certificate of Survey (to scale) showing the proposed project &
/91 meeting all requirements x2
(------ -,
Hardcover Calculations (if applicable)
,i
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 proje foes not trigger their permitting
requireme. 4 ill contact the MCWD at 952-471-0590
re and -rf'�'�"pro"
g t
Signed by: 411476 (.....4 ,c„ J Yowl L4-7
Address: / / WI avis /gam jr01,
Permit #: Zo 15— cC_L1 Z(�
•
•
Lyle Oman March 26,2013
Building Official
City of Orono
2750 Kelley Plcwy
P.O.Box 66
Crystal Bay,MN 55323-0066
Dear Mr.Oman:
The Metropolitan Council Environmental Services(MCES)Division has determined the SAC to be
charged for the wastewater capacity demand for JEM Technical to be located at 450 Old Crystal Bay
Road within the City of Orono.
The City will be charged 7 SAC Units for this project,as determined below. 5S11
SAC Units
Charges:
Office
2019 sq.ft.@ 2400 sq.ft./SAC Unit 0.84
Meeting
255 sq.ft.@ 1650 sq.ft./SAC Unit 0.15
Warehouse
30,364 sq.ft.@ 7000 sq.ft./SAC Unit 4.34
2 Showers(multi user) 2.00
Total Charges: 7.33 or 7
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substantiate the business use and size at the time of the final inspection. If there is
a change in use or size,a redetermination will need to be made. If you have any questions,call me at
651-602-1118 or email karon.cappaert@metc.state.nm.us.
Sincerely,
'1h162/atai- -
Karon Cappaert
SAC Program Technical Specialist
Environmental Services Division
KC:j f: 130326A2
Determination expiration:March 26,2015
cc: J.Nye,MCES
Josh Gallus,Bauer Design Build(email)
•
390 Robert Street North I St.Paul,MN 55101-1805
Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 I metrocouncil.org METROPOLITAN
COUNCIL
U N C I L
An Equal Opportunity Employer
��iy�or I —' i/
...- ' /�' DATE TIM
'</CITY OF ORONO ,'CALLED IN IIS
INSPECTION NOTII , SCHEDULED /tar ...
PERMIT NO COMPLETED - ''--. . .
ADDRESS 4 500 (' l C I ' r st 4',.
OWNER TELEPHONE NO. Lot? -- —yo/
CONTRACTOR 3
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DESCRIPTION r`y�''Ick pd'f 4t
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
Is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE EPTIC INSTALL 0 FOUNDATION/REMOVAL
<--- OWNER/CONTRACTOR TO MEET YOU: YES NO
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ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O 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
Owner/Contractor on site: -70.540 it/ &c!,
Inspector. t 6:---- 4--
White Copylinspector's File Canary Copy/Site Notice
r,_
/;\ 561/ DATE TIME /
v CITY OF ORONO CALLED IN ,y‘,
INSPECTIO OTI E SCHEDULED (3(� A ��_ • �''
PERMIT NCWO 1_"CD(Jac) COMPLETED ` `
ADDRESS 4 SO big` Cr 'o- 6t\_)
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OWNER TELEPHONE NO. �- `-I -Z2
CONTRACTOR 7 De S t Stm
DESCRIPTION 'e+' `/
Lti ❑ FOOTING 0 DEMO-WIAL 0 SEPTIC FINAL
.:t ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-LTE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNER/CO RACTOR TO MEET YOU:_YES_NO
2 COMMEfiTS:,
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑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
Owner/Contractor on site: , ,
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Inspector. c '
White Copy/Inspector's File Canary Copy/Site Notice
-"--de.----4— ,, DAT TI -��
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CALLED IN !
INSPECTION NQTICE SCHEDULED / '. '
PERMIT NO. 015--ooLlo) COMPLETED
ADDRESS 1-f5O 0 (c-I Cie . �a /
OWNER TELEPH NE NO. (-9544S-7 2-2-c?t
CONTRACTOR tt.k k_ -) -tc,P P�
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Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
' 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 S WER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ PTIC INSTALL 0 FOUNDATION/REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 3 /Ae...-
White Copyllnspector's File Canary CopylSite Notice
7
DATE,. TIME
CITY OF ORONO CALLED IN 5 yf t-
INSPECTION NOTICE , SCHEDULED 0 -/O-7 - .�_
PERMIT NO. gat)/6-06 142-U COMPLETED ,, r
ADDRESS `7150 Nd /( /12—
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OWNER TELEPHONE NObi `9-/Co-Vg1/6
CONTRACTOR L a Gf ex
DESCRIPTION 9e-e4 TL/
WEQOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q 0 POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO �C ,reit 5
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C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: Tc f 7.
Inspector. Q. /
White Copy/Inspector's File Canary Copy/Site Notice
A JP
/ CITY OF ORONO CALLED IN TIME V
.pair ip
INSPECTION NOTICE SCHEDULED �f{,ZIn -_...
PERMIT NO. j.D1 5--co(Za
COMPLETED
ADDRESS 1-150 0 I C).y�1tf 6kc
OWNER TELEPHONE NO. ii_Pl1 -4
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CONTRACTOR 61..1.L,eh
DE IPTION Ph. i--0,-..07 eeno
• OOTING 0 DEMO-FINAL 0 SEPTIC FINAL
URED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
'T 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL
v ❑ DEMO-SITE OTIC INSTALL 0 FOUNDATION/REMOVAL
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou - in advance. (952 249-4600
Owner/Contractor on site:
Inspector. "
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION. OTIC , f SCHEDULED rp j ISCOJ (,t Q) i.
PERMIT NO. 15 COMPLETED ..
ADDRESS ( im
OWNER TELEPHONE NO. w 1.2-r'u -
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INSPECTOR WILL RETURN
❑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
Owner/Contractor on site:
Inspecto
White Copyllnspector's File Canary CopylSite Notice
N DATE TIME Y
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DATE TIME
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Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: Jo- r r7
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Owner/Contractor on site:
Inspector. G W"
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❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra on site:
Inspector: 6ir- C
White Copy/Inspector's File Canary Copy/Site Notice
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Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra onns�itee:
Inspector•. G`j
White Copyllnspector's File Canary Copy/Site Notice
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Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlConr. 4"C/l-tract n site:_`/Inspecto
White Copy/Inspector's File Canary Copy/Site Notice
6 p "let
Planning & Zoning
Department
Memo
To: Finance Department
From: Christine Mattson, Planning Assistant ijr(N
CC: Street File
Date: December 8, 2015
G/L: 101-22205
Re: Escrow Refund
Land Use Application#12-3587 and Building Permit#2015-00420 pertaining to 450 Old Crystal
Bay Road N is complete. Please refund$7,500 to the property owner, Pine Corner Properties,
LLC.
The following is attached:
• Documentation from Campbell-Knutson stating they have no unbilled WIP
• Documentation from Bolton & Menk stating they have no unbilled WIP
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Pine Corner Properties, LLC
450 Old Crystal Bay Road N
Long Lake, MN 55356
w:\street files\old crystal bay road north\450\escrow refund form 13-3589&2015-00420.docx
TEMPORARY CERTIFICATE OF OCCUPANCY
ESCROW AGREEMENT
Orono Building Permit#2015-00420
•
AGREEMENT made this 7 day of 2015 by and between the CITY OF
ORONO, a Minnesota municipal corporation ("City" and Pine Corner Properties, LLC ("Owners").
Recitals
1. Construction of the new building located at 450 Old Crystal Bay Road North,the("Subject
Property"), legally described as Lot 1, Block 1, Crystal Bay Business Center 2"
Addition, in Orono, Hennepin County Minnesota, is the subject of building permit#2015-
00420 has been completed.
2. An as-built survey has been prepared.
3. Owners request the City issue a temporary certificate of occupancy("TCO")to the Owners
so that the Owners may occupy the new building.
4. The City will issue a TCO only if the Owners establish an escrow to ensure completion and
verification of exterior improvements, continuation of erosion control and submittal of an
as-built survey to the City.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement,the Owners shall deposit$10,000 with the City. All accrued interest, if any,shall be paid to the
City to reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to assure completion of any
exterior improvements, final grading, establishment of vegetation as well as 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-
00420 if compliance with the approved building permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will
in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the
Owners'receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make
payment to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners
pay all expenses invoiced pursuant to#3. The City may draw from the escrow account without further approval
of the Owners to reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to
the Owners when all requirements related to the project are complete. City Staff shall review the terms of
this escrow agreement two times per year to determine whether the requirements of the project have been
successfully completed and whether it is appropriate to return the funds. Owner may also request the
release of the funds,and such funds shall be released upon City Staff receiving the appropriate verification
that all requirements of the project have been successfully completed.
155441
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.
7. ACCESS TO SUBJECT PROPERTY. The Owners hereby grant to the City, its agents,
employees,officers and contractors,the right to enter upon the subject property for the specific purpose of
inspecting and completing any exterior improvements, final grading, establishment of vegetation and the
restoration of the subject property should the Owners not complete the work by the specified dates.
CITY: ITY OF ORONO OWNERS:
By A Adir
dzezd/i(A
/ -
its: . �'
internal Use Only: 0 Original to Finance Department G Copy to Street Ale
155441
THE KEY TO DOCUMENT SECURITY•HEAT ACTIVATED THUMB PRINT•ADDITIONAL SECURITY FEATURES INCLUDED•SEE BACK OR DETAILS
I BAUER DESIGN BUILD,Ilr •
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10/7/2015 *******r800.0
PAY THE 14.314 SIX �
D EIGHT HUNDRED DOLLAVD NO CENTS *************** ***********
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TO THE
ORDER A� g �
OF City if`( f
2750 Kelley Parkway r .fir xy ��� y.
P.O.Box 66
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Crystal Bay MN 5,
°I 272 811'
City of Orono
2750 Kelley Parkway
Orono MN 55356 95?-249-4600
Receipt N,- 3.014398 Oct 7. 2015 •
hduer Design Build
Previous Balance: .00
Permits
Temp C 0 Escrow 6,800.00
101-22205
Deferred Rev-Developer Deposit
Total: 6,800.00
Check
Check No: 007949 6,800.00
Payor:
Bauer Design Build
Total Applied: 6,800.00
Change Tendered: .00
10/07/2015 02:40PM
RECEIVED
nfT 01 2015
CITY OF ORONO
1111 1114 11 la
CITY OF ORONO * 20 1 S - 0 1 302 *
2750 KELLEY PARKWAY DATE ISSUED: 10/07/2015
• ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 450 OLD CRYSTAL BAY RD N
PIN : 33-118-23-13-0020
LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD
: LOT 001 BLOCK 001
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$6800 ESCROW IS TIED TO BUILDING PERMIT#2015-00420-TEMPORARY CERTIFICATE OF OCCUPANCY
APPLICANT ESCROW FEE-BUILDING 6,800.00
BAUER DESIGN BUILD TOTAL 6,800.00
Payment(s)
751 7TH ST S
CHECK 007949 6,800.00
#100
DELANO,MN 55328-
(763)972-0000
OWNER
Jem Technical
450 OLD CRYSTAL BAY RD N
LONG LAKE, MN 55356-
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
LAND USE APPLICATION ESCROW AGREEMENT
Application# 12. —
rj
AGREEMENT made this .5 day of ��\
oue.4 .e_i 20 \Z. , by, and etween the CITY OF
ORONO, a Minnesota municipal corporation ("City") and c7 Cc7,r�e�jS -rc5\e,rcieS
[a corporation —optional] ("Owner").
Recitals
1. Owners have filed Zoningpplication #�2`-5581formally requesting the City to
review plans for Ccndr fates, S� (er �� f ,s 4 deiYJalrfcoy,(e1G/r��f e zG zo,_
located at 4SQ IJoy��• 3\ CY�s � �3� 0
the"Subject Property") as more fully shown and described oh Exhibit"A"attached hereto.
2. !_Owners r quest the City to review said plans which requires City approval including apt Ore L.
U24-1er%or ade giekcr,i .S,•
3. The City is willing to commence its review of the application and incur costs associated with said
review only if the Owners establish an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUN9S. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$ ?OO % with the City. All accrued interest, if any, shall be paid to the
City to reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering, or legal consultant review) or will
incur in meeting with the Owners, reviewing the plans, and preparing agenda packet material for City Council
review of application # (Z--27 S?'1 . Eligible expenses shall be consistent with expenses the
Owners would be responsible for under a zoning and subdivision application.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make
payment to the City within the timeframe outlined in #3 above, shall cease all reviews until the Owners pay all
expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the
Owners to reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owners when the review has been completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incur by,t City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subj ct prope-y pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: C C F ORO a OWNERS:
By: By:t /
Its: ._ • • Its:
Internal Use Only: D Original to Finance Department D Copy to Zoning File D Copy to Street File
CUP&Other Land Use Applications
Updated: January 31,2012
- 11 -
. .
)*�
City of Orono
2750 Kelley Parkway
Orono MN 55355 352-245-4600
Receipt No: 3.O0791 Nm2. 2012
Pine Corner Properties
Planning and Zoning
I2-3587-CUP 450 mCrystal Bay Rd N
Con
101-34420
- ~~~ ,= ^a"cz-xc° Fees
Planning and Zoning
12-3587 450 Old CrystalBay Rd N
7O0.30
101-22205
Deferred Rev-Davelupar Depnsi�
Total: ----
l,4C0.00
Check
Check No: ^O09
Payor: ^ �`400.S�
Pime Corner Prnperties
Total Applied: L,400.3�
Change Tendered. ---------
.[C
1.102,'2C1L
r 11111 III 11111III II11.1HR
CITY OF ORONO * z - 0 1 1 1 7
2750 KELLEY PARKWAY DA p: 11/02/2012
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 450 OLD CRYSTAL BAY RD N
PIN : 33-118-23-13-0020
LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD
: LOT 001 BLOCK 001
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: LAND USE 12-3587
APPLICANT
ESCROW FEE-APPLICANT 700.00
Pine Corner Properties ESCROW FEE-DEVELOPER 0.00
920 BROWN RDS TOTAL 700.00
WAYZATA,MN 55391-
OWNER
Pine Corner Properties
920 BROWN RD S
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 timefor due au e.
L51•D \ti 2.. /Zo1Z
Applicaffij4mitee Signa re Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
•
Christine Mattson
From: David Martini <davidma@bolton-menk.com>
Sent: Monday, December 07, 2015 10:09 AM
To: Christine Mattson
Subject: RE: Unbilled WIP
It doesn't look like we have anything.
David P. Martini, P.E.
Bolton & Menk, Inc.
P: (952) 448-8838 ext. 2458
M: (612) 756-4315
email: davidma@bolton-menk.com
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent: Friday, December 04, 2015 3:44 PM
To: 'Sherry Charboneau' <SCharboneau@ck-law.com>; David Martini <davidma@bolton-menk.com>
Subject: Unbilled WIP
Hello,
Any unbilled WIP for:
Address: 520, 550&630 Tonkawa Road
Land Use#14-3688/Land use application #2014-01285
Property Owner: Tonkawa, Inc.
Address: 450 Old Crystal Bay Road N
Building Permit#2015-00420
Property Owner: JEM
Thank you and have a nice weekend.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono E MN = 55356 (physical address)
PO Box 66 ', Crystal Bay MN ? 55323-0066 (mailing address)
'S 952.249.4620 g 952.249.4616
[2cmattson@ci.orono.mn.us www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Thursday& Friday, December 24& 25, 2015
Friday,January 1, 2016
Monday,January 18,2016
1
,
Christine Mattson
From: Sherry Charboneau <SCharboneau@ck-law.com>
Sent: Friday, December 04, 2015 4:05 PM
To: Christine Mattson
Subject: RE: Unbilled WIP
Hi Christine:
Nothing for Campbell Knutson on either of those.
Thanks and have a great weekend also.
Sherry L. Charboneau
Legal Assistant
CAMPBELL KNUTSON, P.A.
Grand Oak Office Center I
860 Blue Gentian Road,Suite 290
Eagan,MN 55121
lit (651)234-6230• Fax:(651)234-6237
scharboneau@ck-law.com•www.ck-law.com
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent: Friday, December 04, 2015 3:44 PM
To: Sherry Charboneau; David P. Martini
Subject: Unbilled WIP
Hello,
Any unbilled WIP for:
Address: 520, 550& 630 Tonkawa Road
Land Use#14-3688/Land use application#2014-01285
Property Owner: Tonkawa, Inc.
Address: 450 Old Crystal Bay Road N
Building Permit#2015-00420
Property Owner: JEM
Thank you and have a nice weekend.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono MN ! 55356 (physical address)
PO Box 66 Crystal Bay F MN 55323-0066 (mailing address)
11' 952.249.4620 s A 952.249.4616
®cmattson@ci.orono.mn.us ' ' www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Thursday& Friday, December 24&25, 2015
1