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2015-01481 - shed
CITY OF ORONO 11111111111111 2750 KELLEY PARKWAY * 21SE 0 1 4 8 1 DATE ISSUED: 11/24/2015 ORONO,MN 55356- ` (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 420 ORCHARD PARK RD PIN : 32-118-23-23-0006 LEGAL DESC : ORCHARD PARK : LOT 008 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED< 120 SQ FT ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS NOTE: $700 ESCROW FEE COLLECTED FOR EROSION AND ENGINEERING REVIEW COSTS-PERMIT 2015-01499 12 X 16 ACCESSORY STRUCTURE APPLICANT STRUCTURE PERMIT 50.00 TOTAL 50.00 PETERSON,WILLIAM&LYNAE Payment(s) 420 ORCHARD PARK RD CHECK 14832 50.00 LONG LAKE,MN 55356- OWNER PETERSON,WILLIAM&LYNAE 420 ORCHARD PARK RD 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 c formance with the State Building Code.This permit may be /140 revoked at mime for due c /,' "217 , �, t pplic t Permitee Signature Date Issued By Signature Date City of Orono Zoning Permit Application 8/ Mailing Address: Permit number: o7C�/S-d/I icLQ Cr Box 66 Crystal Bay, MN 55323-0066 Date received: �l-/ �1 �.� Escrow#and - f5D / - - 9 Street Address: amount: J A 2750 Kelley Parkway Permit Fee: y� ; Orono, MN 55356 G CA `�kES H O�� Fax: 952-249-4616 Approved by: Main: 952-249-4600 Notes: www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: 1"1 )-U a.-%,P" t ?c,./14_ v-i;a ek CONTRACTOR/APPLICANT INFORMAIJON: Name: LV i\\;iitv►� �.;'ari60 Phone: e4 5 )-^ —V7& - 1-6 5 5' Fax: Address: 1110 0..e;vta p'LrwK--1 -,.I:4 City: b -01,. ZIP: ' C.3 c Contact Person: kil.,;\\;llwi- a j„.1--era,. Contact's phone number (; i 2-6 44-7 01-11-1 Email \ oe,v-e., i, ear 1 „n►.,N,)Applicant is: Contractoreon (Circle One) PROPERTY OWNER INFORMATION: Name: S'ikvwe ;,,s &Lk)ve. Phone (day): Mailing Address: ZIP: Email and/or Fax Overall Project Description: 0-Y l e ALeLA/ 347Ratit it ( z_ ,Cf) Check TYPE OF PERMIT FEE Box collected when permit is issued Dock,Commercial $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka(permanent dock requires CUP) Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge Also requires is a Minor or Major Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) (Reference: City Code Sections 78-967, 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined by CUP Land Alteration, Minor (grading, filling or excavating) of 51 to 500 cubic yards beyond the $50+engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback (Reference: City Code Sections 78-967, 78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs than 20 cubic yards of imported fill;or are located less than five feet from the property line. Escrow for erosion control and engineering review costs $2,500 (Reference: City Code Section 78-1405(5.1)1 Retaining Walls which measure more than four feet(from bottom of footings to top of wall) require a building permit. Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall. Stairway or Lifts to Lake(New or Replacement) (Reference: City Code Sections 78-12821 $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 V Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs regulated by the zoning code(Reference: City Code Section 86-661 Escrow for erosion control and engineering review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. (Reference: City Code Section 78-12851 Pre-inspection required. Temporary Construction Office/Trailer(associated with building permit) $30 APPLICANT/OWNER ACKNOWLEDGEMENT: • Applicant/Owner agrees to provide all information required or requested by the Planning Department; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; • • Applicant/Owner 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; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; Applicant/Owner understands their project may require an initial and/or as-built survey per City Code Section 86-68. • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information, the application may not be issued. The undersigned certify that the information suppl. di re and correct to the best of their knowledge. Applicant's Signature: /fjy Date: IS Property Owner's Signature: Date: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed TYPE OF PERMIT: application form, escrow agreement (signed by the property owner) and escrow check from owner, two copies of each,where applicable, plans, landscape plans,grading plans,surveys or site plans. Dock, Commercial 1. Structural plans for the dock 2. Survey/site plan showing the proposed location of the dock 3. Copy of LMCD permit Dock, Residential Seasonal Dock—survey showing proposed dock Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable) Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alteration, Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without Information from the MCWD. Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours 2. Amount of fill to be imported and/or exported and haul route 3. Amount of earth to be moved around on site 4. Erosion control plan. 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without information from the MCWD. Retaining Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of existing wall,submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control plan 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without Information from the MCWD. Stairway or Lifts to 1. Construction plans for stairway or lift, including footings Lake 2. Topographical survey of property with proposed stairs or lift shown 3. Erosion control plan 4. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without Information from the MCWD. Structure Permit 1. Construction plans. 2. Survey/site plan of property with proposed structure shown and with setbacks to property lines,other structures on property and the septic system indicated.The general location of any sewer and water services should be shown if applicable. 3. Grading plan if grading is proposed. 4. Hardcover calculation worksheets 5. Erosion control plan. 6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without information from the MCWD. Tree Removal Call: 952-249-4600 to schedule an inspection for removal of an individual tree(s). A re-planting plan/erosion control/ management plan may be required for clear cutting, buckthorn or other intensive vegetation removal. Updated: May 2015 PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS Address: 420 U 0 rriKalniC Pavit'l leti 2015 -014-r/ Description of work: 12 1(a i ' 44'r/ 3f tt 1uc I r t"1. 15 Type of permit: 02_,s Zoning review by: Date Approved:_ Grading review by: DI Other Review, Reviewed by: Da (O "'f 0e1(44cP, Zoning Information: OW Zoning File#: Resolution#: INtilf5 Lot Area: AC Width: Survey Submitted? es No Date of Survey: Revision date: CQQ l If 2O02 _ Existing Setbacks: Front(Lper Rear(St ( f S E W ) ( N 6 E W ) Other Buildings Wetland Side Side Styt,tid }o Not. 3.66' 25' 2-Coo i 1.5o Proposed Setbacks: Front(L e) Rear(St ) (Q S E W ) ( N /Sf E W ) Other Buildings Wetland Side de Qi— Shoreland Distric MCWD Permit Receive Average Lakeshore Setback Met? Bluff 0 Yes 0 No N/A 0 Yes 0 Yes /No 0 Yes 0 No //A — Permit Number: Setback: Stormwater Quality Existing Proposed Variance Require CUP Required Overlay District Tier Hardcover Hardcover 0 Yes No 0 YesNo 5 �` _ Type(s): Type(s): File# File# Updated:January 2013 z:\forms\old stuff\plan review checklist for zoning permit applications 2013.docx Earth Movement - Cubic Yards In Out Total Haul Route? ? 0 Yes 0 No Explain haul route in detail: Fees to be Charged Amount Orono Inspections Required ' Permit Fee Amount q'cgO 0 Site •Escrow Amount 700 ❑ Hardcover Removal 0 Footing Escrow Agreement received? ❑ Poured Wall ❑ As-Built Survey ,Yes 0 No 0 Planting Plan ❑ Wetland Buffer Escrow Money received'? gal �es 0 No 0 Other(specify) Engineering review needed? 0 Yes )No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated:January 2013 z:\forms\old stuff\plan review checklist for zoning permit applications 2013.docx • • •••• , , t • i .a 1.14 ' I / '1461 a t . a it - ri, A. • ' I I I. . ill , 4 , 4 t °I t tii ,• .• 1,. s io. ... 411.•• , it , . . ' _ , , it .,. - • * IF . . 4 I , • ' 11.4 # • • • . , . , P ,I , •-... * ,010 k i ‘ ,k ..., it of a , is it ‘ i I - " ,.. . AP... .. 1161............. ........ 4141161.11111*M.1171 11W • • . • r, 0111417P'46.- f 11 4 ' a t . t t° 4 ) • , a ,t itst. ft.441111111M6 t -.let .t.:. i t '11 A li .•g I 4 10.. , . II.-44.44;4-44444, *t 1 i iik 4.4 ., • ,,, , r-d, i 1 4 $ I ....* ' iff144 1 . 4 - .40 i �IOATO {JG. CITY OF ORO O Street Address: Mailing Address: Telephone(952)249-4600 � c,-• 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616 ?9 F Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us KESHOEL November 20, 2015 William Peterson 420 Orchard Park Road Long Lake, MN 55356 Re: Zoning Permit Application#2015-01481 Yesterday the City received a zoning permit application for an accessory structure. Staff conducted a preliminary review based on the information provided and recommends the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Setbacks. Your property is located in the RR-1A Zoning district which requires 100' setbacks from the street property lines. The south and east property boundaries abut a dedicated road. Accessory buildings are not permitted within a required yard and therefore require a 100'setback. (A partial copy of 2002 survey on file is enclosed.) 2. Certificate of Survey. The survey exemption we discussed in the office does not apply in this situation because the project setback does not exceed the setback requirement by 150% Please provide two copies of an updated,full size certificate of survey which meets all of the City's survey standards (enclosed)also indicating the location of the proposed accessory structure(and any proposed grading). 3. 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. If the project will not involve grading and there is no engineering review, the required escrow amount will be $700. The escrow agreement is enclosed. You as the property owner must sign the escrow agreement and submit a check for $700. 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. Sincerely, CITY OF ORONO Cr,Christine altd(-) / Mattson Planning Assistant c William Peterson via email Jeremy Barnhart, Community Development Director Roger Peitso, Building Official enclosures ti G . �gRfSHov•!" Legend .1 t— * r' "� Railroad +�t ,,. City Limits * +' ,• s .•. 0 Parcels(6-1-2015) Wetlands ,. ..w.._ IIPreserve-50' . IIIManage1-35' 4' 6+ _ s '. x0 Manage 2-25' 4P, i r Manage 3-16.5' _ ., Unclassed ` o P ) Lakes&Ponds ,- x Stormwater Quality Overlay C . °. :-.. .. ■ Tier 1-25% ...,.,, ❑ Tier 2-30% • . Tier 3-35% . Tier 4-50% " w,, .. gii , . Tier 5-85% A� 0 Exempt ilri (( ) Disclaimer. ---- ----- - - ---- - - ---- - --- -- - -------- This drawing is neither a legally recorded map nor a survey and is not intended to be used as one.This drawing is a compilation s,information, 0 102 Feet located in various city,counofrecordty,and state offices,andand othedatar sources affecting the area shown,and is to be used for reference purposes only.The City of Orono is not ©Bolton&Menk,Inc-Web GIS 11/19/2015 11:54 AM recnnncihle for anv inacruracins herein rnntain.d. C' Y —T1 0 � C 0 ro7- P Lox.�Dc 0 7 3 = _ LA) P P > 9. 0 N DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE � / SCHEDULED PERMIT NO. ?Y./66 `-%'/j1OL COMPLETED zipir„," •G ADDRESS / © OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION /(e W 0 FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING VQj 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION • 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT .4,42141,9L 0 WATER HOOK-UP 0 FOLLOW-UP ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v 0 DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO CC • COMMENTS: A//CC L� a • CC 5 14, cr Q W j 0 WORK SATISFACTORY.PROCEEDOJECT COMPLETE 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspectore. I r---- White Copynnapecto►'a File Canary Copy/Site Nodes 7 / r"------- I � v \\ \\ 1 1 1 1 1 cl' ,1,/1 1 \-- -7oJ2, 1\ \ a, I I --N"1 k \\ \ � \ I / I1 I Io\ R : c �<m o•� -1034----__ 11 I \ \ o �" I I I I v, ooII aao _ k 0 \ `� ion, I 9�0� ` \x 1 I 1 I 1 " " \ Iv Ivo V4.' I \\ . k NZ- %. a1,5 ~ ;c ( GI I I 1 I i ` e, , 4 \ ` \ , \\0- \�l NL. I I 1 1 1 1 1 io l �.. �` t 1 , �� l ‘SNI4' I I 1 0 0 0 ,�ra- � � i / rte\ I I I I I I • oo � ; o (.c J / \ \a%\ \ iti‘ � IIJ � �� II I < 33 A / I i a) -0 — / /). 1 i 1 I hi I ) 1 ' \ 14II I X \ \ I - y I I Ico �� 13 l : I , I � I , $ 1 I \ SIo \ g1 j7 \ I I �, ® � '� I I I / h / I , • I \ �d N • // .lo . �o I I II I � , NN I i� , N • I I 1 1 coo ,, 0i I 111 / I_groi— 4 � 2 0 0 ., cJA , - ' I • I2.14`I__ i°D �g / o 7ozN k-901------- : ,a 7, Ve 9z L--- ► ' / ? ,' !v,o _• - , . c I i ►. -bZ0 j / / 1 Q.o 7 J I� I -zzol a , ABsottrit, / I 1 / 1 1 ti > : ..._... • iLOR�xAkON , ' GR A' ' v j I ' . V i / /- N., '''',,,,, ::, , , 0,of, - --- ) - :-al _I_ _ ----- :. ... "LiCttis x / .4 . . ERIN i n i ► z ' 0 0 II \ �, - , i 4 }rA' ;� __It 1014 i T v r .� ,; p'F ,. 3 at I 00 V, I i '')`44:: • • -X V N SW/406 E 335 plat & m. . P, '.. ;% ~ DEDICATED ROAD 5 '� - -- \ tfeelin e A A �Oa Ai Allir "�u► ria fenceCD 9) / A C N/Th 1_,,---‘ '---‘ -.5_x_ Uri ‘_..1 l.../L..,.s__.,`. g A if i v as p a -,c 0�1 I 04 -4+ v>> n, r- D ri Planning & Zoning Department Memo To: Finance Department `n From: Christine Mattson, Planning Assistant r v\ CC: Street File V1 Date: May 4, 2016 G/L: 101-22205 Re: Escrow Refund Building Permit#2015-01481 pertaining to 420 Orchard Park Road is complete. Please refund $700 to the property owner,William Peterson. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: William Peterson 420 Orchard Park Road Long Lake, MN 55356 w:\street files\orchard park rd\420\escrow refund 2015-01481.docc ZONING PERMIT ESCROW AGREEMENT Permit#2015-01481 AGREEMENT made thisday of NOS , 20,15 by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and William Peterson ("Owners"). Recitals 1. A zoning permit application has been filed for a property located at 420 Orchard Park Road the ("Subject Property"), legally described as Lot 8, Orchard Park, Hennepin County, Minnesota. 2. Owner requests the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $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 or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a zoning permit application.The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with permit#2015-01481 if compliance with the approved zoning permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to#3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any,shall be returned to the Owners when 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 ORONO OWNER/ /F By:UI Its: ,nn i, if , i yyI,LIAlvi B PETERSON,TR i7 t4$31 ___111.&--11-- --J, . LYNAE M.L.PETERSON 420 oRcxn�PARK RD. $�e ORONO,NN 55356-957 �� � ,, PSE OFE - ;,! E. s•-• '-' " _ rus . wr M i I% City of Orono 2750 Kelley Parkway g52-249-4600 Orono MN 55356 Receipt No: 3.014711 Nov 23. 2015 William & Lynae Peterson\ Planning and Zoning 700.00 2015-01499 420 Orchard Park Rd 101-22205osit Deferred Rev-Developer Dep------- ------ 700.00 Total: ----=-------=- Check 700.00 Check No: 14831 Payor: William & Lynae Peterson\ 700.00 Total Applied: --------------- .00 Change Tendered: - ------------- 11/23/2015 01:20PM CITY OF ORONO , !l 1' 1 . � I' * 2015 - 011499 * 2750 KELLEY PARKWAY DATE ISSUED: 11/23/2015 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 420 ORCHARD PARK RD PIN : 32-118-23-23-0006 LEGAL DESC : ORCHARD PARK : LOT 008 BLOCK 000 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW FOR SHED PERMIT#2015-01481-PAID BY:WILLIAM&LYNAE PETERSON-CK#14831-$700.00 APPLICANT ESCROW FEE-BUILDING 700.00 TOTAL 700.00 PETERSON,WILLIAM&LYNAE Payment(s) 420 ORCHARD PARK RD CHECK 14831 700.00 LONG LAKE,MN 55356- OWNER PETERSON,WILLIAM&LYNAE 420 ORCHARD PARK RD 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 ime for due se n / l i_ '�J (/ GL P• , to•�--,-rsv / ( 2.3/ 7c Ap;;rc. •ermitee Signature Date Issued By Si ture Date .i� §. ��^ ,1-5 -5 14 aa ¢ [/1 4 y § . S \ I1 ' 0 w( > ƒ L1 \ / s » ill (1i a a a // '2 2 \F. \ E. [ 1 § § ' 'yd %I (n.2 A La [ 2: $ k ° a § / k $ \ _ 77 / i /§ k « x-1___. —/ § 0 (a i ( ƒ2 & jVo I §) J E (cc fre'�} l;$ 5 I k 1 ƒ I £ ( e__I I: 1 1� ; a DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �y� SCHEDULED PERMIT NO. 2/is ` a,,S7 COMPLETED � v ADDRESS tile 4e:ton ,-4- kr?. OWNER TELEPHONE NO. CONTRACTOR E DESCRIPTION /./ekie W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL s ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT ,4 ,t1e1 0 WATER HOOK-UP 0 FOLLOW-UP i ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_.NO y COMMENTS:IL aiarrh' so,-y 5 Ove Q. cc y 5 cbh4c -- Or J‹ 5heI /s .e. eeeP — W c Q W W CC tu0 WORK SATISFACTORY:PROCEED ptSP4OJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDmONWITHIN HOURS- ❑PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Can for the next Inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: ' Inspectoi / J^" While Copy/Inspectors File Canary CopylSite Notice Christine Mattson From: Home <blpete@earthlink.net> Sent: Monday,April 25, 2016 9:51 AM To: Christine Mattson Subject: Permit 2015-01481 Construction is complete at 420 Orchard Park Road. Please complete any inspection necessary and start process of returning escrow money. Thanks 1