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HomeMy WebLinkAbout2013-00100 - new structure ' • •• CITY OF ORONO I 4 I� I 1 I 11 '�i 1� '1 11 * 20 1 3 - 00 1 00 * 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 665 ORCHARD PARK RD PIN : 31-118-23-11-0005 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SINGLE FAMILY ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED VALUATION : $ 450,000.00 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL, FIREPLACE, LAWN IRRIGATION, WELL(STATE),ELECTRICAL(STATE) ADV.PLAN REVIEW OF$2,051.89 PD CHECK#2718,BY SYSTEMS BUILT,INC. NOTE: A FOUNDATION SURVEY REQUIRED PRIOR TO FRAMING INSPECTION. INITIAL: NOTE: CI ` • ROVAL OF AN AS BUILT SURVEY REQUIRED PRIOR TO CERTIFICATE OF CUPANCY ISSUANCE. INITIAL: /�� *WETLAND t FFER MUST MEET CITY CODE STANDARDS PRIOR TO ISSUANCE OF A C.O.-ADDITIONAL PLANTINGS AND/OR INVASIVE SPECIES REMOVAL MAY BE REQUIRED(SEE CITY ENGINEER COMMENTS). NOTE: BE AWARE,IN THE EVENT 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. APPLICANT PERMIT FEE SCHEDULE 3,156.75 SYSTEMS BUILT,INC. STATE SURCHARGE(VALUATION) 225.00 5159 MAIN STREET TOTAL 3,381.75 MAPLE PLAIN,MN 55359- (763)479-5555 Minnesota State License#: BC636167 OWNER REYNOLDS, WILLIAM&MOLLIE 3630 LIVINGSTON AVE 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 re. ested in co ormance with the State Building Code.This permit may be risked at` e or due cause. ,A _ / Z / 26 / l3 / / •pp i an •ermite Signature Date Issued y Si ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. City of Orono Building Permit Application for New Structures or Additions Mailing Address. 3_od/OQ o,, PO Box 66 Permit number: / 0 Q Crystal Bay, MN 55323-0066 Date received: 47—/p2"13 A ' e A. Street Address:' Received by: �7 ��� ��A):t � �t' 2750 Kelley Parkway Plan review fee: ci d 6/ $9 \kestio'� Orono, MN 55356 ak) 3 _'OO�9 Total Fee: v, 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) GENERAL INFORMATION: Job Site Address: “,S O,rrive-,L&,-k I jtct- Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Z 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 INFORMATION: Name: S J /I- i . cLia Sync,- ci (3u; (4cr-.r State License# Expiration Date: 3/3///3 Phone: 7G,3 ^ q79- S5-5-5- (office) (,l 2- 2,09- Sq/6 (cell) Mailing Address: 5')5/ Ma'n Sf; t eox 3/PZ Cit :/Y(„pp((a;,, ZIP: SS3.,7 Contact Person: (,,r,,�/ ,'rn kin son Applicant is: ontrabtor / Homeowner (circle One) Email and/or Fax: Jo tin 5,,,,it� wausatyhame,s _cy n.1 PROPERTY OWNER INFORMATION: Name: 8i1( °f' Mollie- IQ 1, rtvaS Phone(day): (,1 2 - 9 y0- 57 `/7 Address: 3(,30 L;vIreys++on Ave, City:way?-a,--rt ZIP: .S5-3? I Email and/or Fax Mollie-wr 8- i ma;(. cowl ARCHITECT/ENGINEER INFORMATION: Name: Wcu.s,iA l-fowl&S " Suyt.crrc Qu; (1.4„(1-- Phone(day): 703- 4 7f- SETS" Address: 6-icol ,fgarn 0_ t3ok 38z. City:frL /Z 04ik ZIP: .SSS357 Email and/or Fax: ;t,y,,SanJ ®, l../a.SRul7orHes.car►, PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ErNew Construction ®Single Family with in Residence ❑Addition attached garage ❑Garage/Accessory Bldg. 0 Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑Office/Commercial 0 Private Sewer • ❑Other: (specify) ❑Multiple Family/Condo ❑Warehouse 0 Public 0 Storage ❑ Public Water **Any earth movement may require 0 Commercial ❑Other(specify) MCWD review&permits. 0 Industrial [Sr 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) $ 1/S Z 000 Packet Last Updated: 03-06-2012 ,o1 • STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction //�// a. Length(ft.)= 7� ' Number of bedrooms= 3 tgi Wood/Frame b.Width(ft.)= g Number of garage stalls: ❑Masonry Areas in square feet Attached= 2 I=1 Metal 0 Pole Bldg. c. Basement= Detached= d. 151 Story = zoos. ❑ ICF 0 On-site Prefab e.2nd Story= 0 Off-site Prefab f. 1/2 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 Enclosed Applicable fll ❑ Permit Application ❑ Proposed Building Plans ❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form ist 0 Survey(meeting all requirements) ®' 0 Stormwater Pollution Prevention Plan O Si Hardcover Calculation(s) ❑ 0 Septic System Site Evaluation Report O ® Access Permit O 0 Wetland Buffer Improvement Plan ❑ til Engineered Plans for Retaining Walls 4 feet or above NI 0 Plan Review Fee 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 completion of the as-built survey and all site improvements. Applicant's Signature: - 0111;41----- Date: 2/l(/f 3 Owner's Signature: r/j/ / e i� • Date: Z-//(7/3 Packet Last Updated: 03-06-2012 / I -22 - Lid[ L EVrartf CHEC(LM7 FOR NEW .LIciU a I ADC6T * Address/Permit Number: ✓ P6-6/vie.- Description of w orfs: ijat/ I%, • SeSeptic review by: t2 . / p Date Approved: - 13 1 Zoning review by: _:1.. �l Date Approved: erfi JS i3uifctirtg review by: Date Approved: t� Grading review by: h .,/ Date Approved: Zoning District: /{ Zoning File#: --0 Reso#: -' Reso Date: —Di Zoning: Lot Area: ,, SF I AC Width: Lot Coverage: SF % Survey Submitted: I Yes in: No Date of Survey: V I ef 115 Revised date(?): Proposed Setbacks: tfotitAV • Front(Lake) Rear(Street) ( N S E W ) ( (`' S E N ) Other Buildings Wetland Side Side 170 I it • r �� 6 Defined Height: #s, Peak height: ,, FFE: taO°fP FFE rtf e _= o t/(E,istfrtg Contour Perimeter(linear feet)_ Voq,CP 50%_iO #of StoresZ O ' I YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: /jam START WITH proposed floor(of the basement or crawl o space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a._ the highest point of the roof. GABLEOR HIPPED ROOF(no if you have a... 6 Subtract half Othe • GABLE OR HIPPED ROOF(no windows).distancebetween the highest point windows): Subtract half the distanc of the roof to the low point of the between the highest point of the roc to the low point of the corresponding I 77 SUBTRACTION corresponding gable or hipped roof • GABLE OR HIPPED ROOF(with SUBTRACTION gable or hipped roof . (BASED ON ROOF (BASED ON GABLE OR HIPPED ROOF(with TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distanc distance between the top of the between the top of the highest highest window and the highest window and the highest point of the point of the roof roof J e ALL OTHER ROOF TYPES(flat, a ALL OTHER ROOF TYPES(flat, �,, mansard,etc)-No subtraction mansard,etc).No subtraction. ADDITION Add the distance between the top of slab Subtract the distance between the yUBTRACTION (BASED ON and the highest existing grade adjacent tc ' F I ,(BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. �' ��� GRADES) highest existing grade adjacent to the GRADES) ay foundation OR 10 feet(whichever is less). EQUALS Defined building height 1,*//j EQUALS Defined building height Shoreland District kriClr_"D Permit Received Average Lakeshore SKRet? flub.lli ;' UYes 'o ! Yes nNo ® N/A c` ED Yes _f ' O U Yes U No \ /A • Permit Number: - Setback: StormwEter Quality Existing Proposed Overlay District Tier Hardcover l Hardcover Variance RequiredCUP Required i- U Yes AlO l Yes ,-No Type(s): Type(s): Updated* January 2013 v:\forms\plan review checklist 2013.docx REQ £RKS (in-house): Fees to he Clued Y . NO Plan Review state Surcharge Investigation Fee SAC-idumeber of SAC Units Other(specify) Square Footage S per Square Footage • Basement X - $ 1°t Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: i____ Orono Inspections Required Work Requiring Separate Permits Required State Permits Cl Site rS.Plumbing 13 Grading/Filling D Well ® Hardcover Removal Mechanical ® FireElectrical ooting O Septic 13 Water Connection .1.-.Poured Wall Z Fireplace CI Sewer Connection Foundation Survey 12 Masonry Lawn Irrigation adon Rock Bed 12 Mfg. _Framing 13 Other(specify) Insulation y_As-Built Survey AFinal Wetland Buffer Cal Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access: Existing: EY YES i s NO New: I5 YES D NO OFFICIAL REMARKS -TO BE F CTED ON PERMIT AND INITIALLED r _ t 4Y i 'r r, ` j.e"1.0.,- s C/;s y r J ", ;u 4Y, fl .ri �N?:31 wt�l �1✓ � i' 0 - -64 ''Jt�:.V. % ;// 11 17cJ / C.i VL,/Ac e Ze exi " d !�^l( V4,-44 i! / 4 .- J4,3-e: ire efe. 4, c , Updated January 2013 • v7\forms\plan review checklist 2013 docx p(l o,' 5 eev Exhibit M: New Construction Energy Code Compliance Certificate Per N1101.8 Building Certificate.A building certificate shall be posted in a permanently visible location Date 1 2/5/20131 inside the building. The certificate shall be completed by the builder and shall list information and values of components listed in Table N1101.8. Mailing Address of the Dwelling or Dwelling Unit City S 665 Orchard Park Rd. Orono .,�..„,,.,. . . .,. Name of Residmfiel Cmtractor MN Lionise Number Systems Built, Inc., d.b.a. Suncrest Builders BC636167 THERMAL ENVELOPE RADON SYSTEM Type:Check All That Apply X Passive(No Fan) Total R- Active(With fan and monometer Value of or other system monitoring device) all Types Insulation Location of Insulation NA Fib Fibt Foan Foat Mir Rigi Rigic Other Please Describe Here Below Entire Slab X Foundation Wall X Exterior Perimeter of Slab on Grade X Rim Joist(Foundation) X interior Rim Joist(1st Floor'-) X Wall X ceiling,fiat X Ceiling,vaulted X Bay Windows or cantilevered areas X Bonus mom over garage X Describe other insulated areas Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces Average U-Factor(excludes skylights and one door)U: 0.32 Not applicable,all ducts located in conditioned space Solar Heat Gain Coefficient(SHGC): 0.28 R-value MECHANICAL SYSTEMS Make-up Alr Select a Type Appliances Heating System Domestic Water Heater Cooling System Not required per mech.code Fuel Type Geothermal Nat. Gas Geothermal X Passive Manufacturer Water Furnace A.O. Smith Water Furnace Powered Interlocked with exhaust device. Model TBD TBD TBD Describe: Input in Capacity Output in Other,describe: BTUS: in Gallons: Tons: Rating or Size Heat Loss: 54300 Heat Gain: 31600 Location of duct or system: Structure's Calculated AFUE or SEER: 21 HSPF% 4.1 Calculated cooling load: 31600 Efficiency Cfm's "round duct OR Mechanical Ventilation System "metal duct Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type source heat pump with gas back-up furnace): Not required per mech.code Select Type X Passive X Heat Recover Ventilator(HRV) Capacity in cfms: Low: 67 High: 137 Other,describe: Energy Recover Ventilator(ERV)Capacity in cfms: Low: High: Location of duct or system Continuous exhausting fan(s)rated capacity in cfms: Location of fan(s),describe: Cfm's Capacity continuous ventilation rate in cfms: "round duct OR "metal duct Total ventilation(intermittent+continuous)rate in cfms: .z . 66, .,,-- oRGH O P k 110 . O'-J PLYA1V4- . . . 1: - _q poI,BL rR #TEO ax! 6 • . . , . ... . - 21 01#gyp._ ay 'r' Dom° !, diAlir 1 J 3' Wioil' PS 2,X8 FLoa2 Tb 2 4O E 411 ,,K . . :,cois-rs. _i 4,,H 0.G. 12" 1Letiwj _11.41O . ; , % atA(t Oir.JciKG -7 WI iaI$ S . i. ‘ . , ,3/4' 14404 ea 1 Litsg- v,i/ < V°saaNc• •' . . _ VI irif .P.MOVC- . sot,sr c4e.5 ON gall &Alas of 3'o00-1 •$(7‘;:. f!j(3J d" " Ra,s C o etc-k D , . . 1 - ' F 1.-EVE-1- F-RoNT Po QG.t1 Nat • sve49,tr/Af itDsF L-o'4D) _ L J t-_ , t INC- TECO - 2 9 f�..ao4 :roars:roars 'bo b. G, 11 , I 1 it 6 Tlc S r F-A1ubcos V/V £o1##--Ovrps 0 r 5bks'1'3' ' 3-ii sr' N+M . -- • ; lu vi 4` . Pact�r fiMK . >�/}.�t. - gt :, . ,. 1 I 25 ; 7----- i GRM,vr :Jo 5a i 1/8/13 SeC. DATE TIME CITY OF ORONO CALLED IN '7-a 7 INSPECTION NOTICE SCHEDULED 1/43 - /-/3 I:3-4 PERMIT NOr.12O/3—d O/e7Z7 COMPLETED ADDRESS S 49rC-442- � OWNER TELEPHONE NO. '/Z 328 / 7 (68 CONTRACTOR Jin-& - __II / `_ I DESCRIPTION ��O T` �� LU• 0 FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS C/ ❑ FRAMING 0 MECHANICAL FINAL 11 TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT • 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP • ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W cc ( (4' W O W W CC Q CC O WCC IWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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: / 11r3 LIS Inspector. �./ i/-'"�� White Copylinspector's File Canary CopylSite Notice —ON DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE /y/� SCHEDULED - 13 A:06 PERMIT NO.�/3 UdIV v COMPLETED 25 �/q/, ADDRESS do`" OWNER TELEPH N cb".°3 e--/7 CONTRACTOR CU---n-C. DESCRIPTION 0-7/(/Le t C� LijLL. ❑ FOOTING I=1 PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORENVETLANDS ti ❑ FRAMING 0 MECHANICAL FINAL El TREE REMOVAL 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS ❑ FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP i ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC LU a cC cc U 11—. z cc Ci LuWORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ElCORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 9 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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: Inspector. Lk,/ , White Copy/Inspector's File Canary Copy/Site Notice DA.15 TIME CITY OF ORONO DIN — v` INSPECTION OTICE a�/ CHEDULEDMire- 9: PERMITNO. /�- CO 'LETED /) ADDRESS h5 / ' pet.uc_. (t',t. OWNER TEL 1P • E NOla D._3 Zo O 6 CONTRACTOR 401.°.1A-4111, J_ /__4 %- i_A _2/ - _ 1 Air j: DESCRIPTION LU0 FOOTING 0 PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL <---- OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc 0 IL 7-0 0 tt Fb� �.�' W CC Q W Z W CC IQORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY 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: � /� r“ Inspector. l/J�� White Copy/Inspector's File Canary Copy/Site Notice 1 • DATE TIME Jr CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 3-13-13 PERMIT NO. 1-013 -OOtCO COMPLETED 3-15 ADDRESS (P(I6 O I vl d Pct 124 OWNER TELEPHONE NO. CONTRACTOR �" L > y. DESCRIPTION 1 6UIv1 ' v- ii 1"I ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W cc o FOU 1�-�w 14 - C�IC G2ur‘ procui FlICUPA CC Q W CC W• 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W • 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY c BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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: Inspector. 4 co mace M. White Copy/Inspector's File Canary Copy/Site Notice 50- DATE TIME V CITY OF ORONO CALLED IN 22. /} INSPECTION TI SCHEDULED `f-23-i_- / ,3L PERMIT NO. XO�4t'/' c COMPLETED ADDRESS (275 OCCka-tc/ 6:31P-C1 `L _ OWNER TELEP ONE NO. 763 7q SS1,5 CONTRACTOR S -- = T 5 3 -LA__c_ • DESCRIPTION Fra4m...6.44_52-r j ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING ct 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS ti 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT ✓ 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP ct 0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL J 0 PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL ‹.--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. 0 cc , FrA,,,,,,.i, A. t 4- p 19 iv Lilet- ( F-19 r- u le 0 at.) Y4 cc T !sem/',e-5e cc W z W CC d LU IOCRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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: tij & Inspector. White Copy/Inspector's File Canary Copy/Site Notice Y/ DAT TI " R) CITY OF ORONO CALLED IN 10IaCit?. _ '= INSPECTION OTICE SCHEDULED cP-711. PERMIT NO. V-2013 -Obl 00 COMPLETED ADDRESS (r)(‘ - UT-kit ice- 1 d OWNER a"A-1 r.Q)(cis TELEPHONE NO. 1C'3 7c1 CONTRACTOR Ski--rnCrs/z r"--a1 A DESCRIPTION EtIls""6 //• FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHOREN/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W cc O cc u_ W cc W W cc OWPl4WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (3 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 s' e: Inspector. '1"/ White Copy/Inspector's File Canary Copy/Site Notice '� pG DATE TIME CITY OF ORONO CALLED IN 7-- 3 INSPECTION NOTIIE SCHEDULED 7- i3 *D23 1 PERMIT NO52O/ -‘141/OD COMPLETED ADDRESS !�/� OWNER TEL P O E N0�63-T -� sS CONTRACTOR C� 'Ut CA--14-1- • • DESCRIPTION ��-`�'�-�'t ry c'"4- u/ n1 ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS y 0 FRAMING 0 MECHANICAL FINAL ElTREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT - 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP - ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES NO h COMMENTS: cc Q.cc 0 'TO ' oCC� 0 W CC Q W CC 0 WCC tii&ORK SATISFACTORY:PROCEED ElPROJECT COMPLETE ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: n �� Inspector. White Copyllnspector's File Canary Copy/Site Notice ✓ YE TIME CITY OF ORONO CALLED IN _ INSPECTION NOME SCHEDULED 74#1+3 zilligil PERMIT NO. 03Ol°3'OO/OO COMPLETED a a°� ADDRESS 665 Or c ez-cel cyO`- k- 5471 OWNER TELEPHONE NO. 763 7 6755$ CONTRACTOR 6 td-t4 DESCRIPTION r/�Q'�- - l LU 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS H 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT ✓ 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP • 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: Fro rt S-4-€—P cc a PTA ; 51-. b(rvgW44 %(.36 >. - -- .�if�Al�Zi -���. Q .s t T 7t-z)Fc,• c c 7t-z) 2e 4' A/lv ti 19 C.,I‘. 4- c c)c4 es- ,3 Ios tit W -5� 3M,. 4- AS 3v ° t k—• T fAAe Z CC d W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 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: Inspector. Y` White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALL IN INSPECTION NOTICE SCHEDULED 7-2.5--13 g:30 PERMIT NO.O74/3^ UO lOD COMPLETED ,/ ADDRESS 6o( J5 Dec�a, Rd, OWNER TELEPHONE NO. 2b3 41179 55S-S CONTRACTOR . DESCRIPTION ?CV. ka-( Ls CIFOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ✓ 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL LI FOUNDATION/REMOVAL • OWNERICONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W C O CC O 1L W CC W Lu ct O WQ ❑WORK SATISFACTORY:PROCEED ROJECT COMPLET ❑CORRECT WORK&PROCEED E CER ATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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:r. � mop- Inspector. Inspecto White Copy/Inspector's File Canary Copy/Site Notice T CERTIFICATE OF SURVEY FOR N / / -- RICHARD & MADALYN EPPLE . - - ' l 1 - / / \\ 1 \\ \ IN THE NE 1/4 OF SEC. 31-118-23 ,/ //;' / /-�/ -- ;\n`133 I 33 / / / / \ \ 11 1 \ / / / / / / ---- l / ..... / ' �' N 89°55' 26" W 1 \\ HENNEPIN COUNTY, MINNESOTA ,/ // ;/ 62.90 .� ;'\ / 7 - �\C7 \ 1 / // /// ----------'' \ A\ \ \ \ A ( `A / / / ///////� mE 33.4 3., '.33.00 / / // // // .,....'\ \ \\ \ \ l0 l0 / / / ,/ // / EXISTING" .I /�_ �'•. / ` / / / / _ • \ tD CP \_ / / / / / �/ / SHED4 o SHED o I \� \\ / \V \ o ? / I /' / // / S�' QRl ���lfl I / // / / / / IB.�N 33.4 — Q:^ -------- ' / / / /// �S�P----.-(\C, \G\�SP�G� \.9 \`v `��� 11 \\ II ) POND I / / % /j/ / /fII I 3s // Q //// {/�OSc\,\' %-- / __,,x 99.0,$)r\ \_� 1\ \\ 1 MA25NAGE 2 AND WETLAND / /' / / / / VI �\ I //^\ 0 i -\/ Q „- / C9 I I / / / ./ / \ \\ / ,p• A //� �\�� — \ \ \ 1 1 I STRUCTURAL SETBACK/ / / / / // / \ — --DRIVEWAY I -/ p 77 -'p' -- l�� 7.--0,---4�� Rl�7O0 \ \\ \ \\\\ \ I I I / / / / // /, \ —% , \p ---- M �'�_� ;—S�P\\G\aSec° apo �\ \1 \ \\ 11 \I 11 II I / / j � / / POSSIBLE1 /- J %-,-\ r� --- � / , 4,9,7- /' ? \ \ 1 \ 1 I 1 7 / / / l I —� /�— / \I MSI -- - < C)SCD d\''\'' /jl \ 1 1 1 I I / ( SHED oa 1 0 22.4 r r /�� ��/ // --� Q \Fy oo I I 1 \ I I I j I o/ j l l 1 \ I '%ar `' I / / I / -�--�k..1-.__� A III II I I \ 1 I / �w �� �/ // \\\ 16.7 HOUSE \\ / / I I / // ,�-----\/moi--7 I II \ \I 11 I I �' Sia / I \ I % % / ,/ ----- --- 0s I I \ \ 1 \ I I I I / / / rn I I SITE / I / / / / / ,4- .7 \ 11 I \ \ I 1 I I o / / / /' N I / / / / / // / /O� \\ I I \ 1 1 45*�� I / / / I I V 50 00 I 1 / j / O N\ 1 I I I I I 1 1 I I I l l/ I 1 oo,i o) �0 I I \ / / ,—1� \ \ \ POSSIBLE 1 1 11101 1 1 1 I I I / / 1 / / I \_/ / / �e \I 11 I\ 11 j l j j j 11 I \ IFaS* i j / / �•f X100 11 i I, / /' / I I I I I I I I 1 1 II I I I / l / / //28.6 o I II /1 // / /'o I I HdUS 01 I 1 i 11 \ M 1 I 1 I 1 1`I / --.(-T o- /oExISTING BB \10 XI / j w Lw I t HOUSE 02 j II Ir, -- / I I i i jSIT/tl i 1 I I I i 1\ i \ / N '(5 1 I5 / #665 2 32.3 ----.4)-/� I l j / l I / j I l j l l I 11 I \ I \ \ \1 \\ I Z\ I I 36.5 II\ \ I 0 1 t 100 / -/ I l / I \ \ \ \ I 1 Ia 1 I \ I p / / / / / / III / / I I o• \ \ \ \ \ a V \ a l5 I \ /1 1 \ /1 0.6 I I / 1 I / l 1 1 I 1 I I \ \ \ \ \\ \ \\ f 1 13 \ \\ / II -' Il oo 7o x,00 1 I / I /1 1 5D 1 1 1 1 i I I \ ' \ \ \ \\\ D I \ - I o `4,4:9,� p 1 / I I I I / I I �� I \ \ \ o \ \ \ \\ \\ 3 I ( w. \i c, /'1'\ --- /hl I I 0 \ (.0 \p I 1 / \ 1 I I I v,o,c \ \ I \ \ \ \ \\\ I =��O P�� \ I I I p o I / 1 \� I I � � y \ 1 \ \ \ m \ \ \ \\, o \ a t� s \ I/ I I \�0?�\\Z.\ \\ \� 1\ I \ II \\.�S\� �\\\\`\ \\ \\ \\ \\ \\ \ \\ II- fS�\I \ \\a I I \�J/ SEs1/a LINE OF 1/4 \ \ - -. ''DF NE 1OF OF �� \ \ \ I I I \ \ \ \ \ A \ \ \ \ \ \ \ --1-- � \� ------ I I IF SEC 31-118-23 o ` \ \ \ i \ \ \ \ \ \ \ \ \ \ \ \ \ \ \\ \ \\ \\ \ I I : \ ?6, \ \ � \ \ I \\ \ \ \ \ \ \ \ \ \ \ \ \ \ I A. ,' \ \`J\\\\\� \\\ \ \\\\N\� \ \ \ \?\ \ \ \ \ \ \ \ / \ \ \ \ \ \ �f/ \\ o� \ \\ \ \\ \\ ---„,,,.N.,.�\ \ \ \\ \\ \�\\\ \\\ \ \ �- \1 \ \\ \ \\ I N\ _____/I II i \ v- \ ` N \\\ \ \ \ \ \ \ \ \ \ \\ \ \\ \ \ I I \ \ \ �f I ` y--33°0-'-' WEST LINE OF o \ \• \ \ \ \ \ \ \ \ \ \ \ \ / \ \ 1' �:'• SE 1/4 OF NE 1/4....... \ �o \ \•�.\�\\\\ \ \ \ t 1 \ \ \ \ \ \ \ \ \ \ N I I .1 OF NE 1/4 OF ....\ \ \ • --••\... \ \ \ \ 1 I I \ \ \ \ \ \ / I \ \\ \\ / SEC. 31_118-23 ....\.....� \ \...\ \ 1.. I89°55' 26" \ 1 I \ \ \ \ \ \ 1 \� \ / \ \ \ � \..\.. '\ \ I N 1W i I 1 1 \ \ \ \ 1 1 662.44 331\ I 133 LA \ � \ \ \ 1 \ \ \ 1 I 1 1 \ \ \ \ \ \ I 1 \ \�/ \ `\ \, 11 I ', 1 1 1 I ', \, I I � I / I 1 1 1 1 \ \ \ I \ 11+ 1\I i1 li I� Il II it 11, i I I i I I\, % 111 \\\ \`\ 11 I Q i LEGAL DESCRIPTION OF PREMISES : j NQ O The North 20.0 rods of the South 30.0 rods of the Southeast Quarter SOUTH 1/4 LINE OF NE of the Northeast Quarter of the Northeast Quarter of Section 31, SE4 c4 4 1/4 \ •i bF NE 1/4 OF / v .< Township 118 North, Range 23 West of the 5th Principal Meridian. SEC. 31-118-23 111, o : denotes iron marker rr ll __917.--: denotes existing contour line, per City of Orono maps *NOTE: SINCE NO WETLAND DELINEATION V HAS BEEN DONE, THE 45 FOOT SETBACK 80 40 0 40 80 r4 Bearings shown are based upon an assumed datum. HAS BEEN SHOWN FROM THE 984 CONTOUR O r1 I FOR ILLUSTRATION PURPOSES. THIS WOULD I I I--�— This survey shows the boundaries of the above described property, the location of CHANGE BASED ON AN ACTUAL DELINEATION I — 1 five existing buildings, existing driveway, and existing topography from City of Orono I I it maps. It does not purport to show any other improvements or encroachments. SCALE I N FEET DESIGNED REVISION DATE DESCRIPTION I hereby certify that this survey was prepared by me, SCALE G R 0 N B E R G & ASSOCIATESINC. or under my direct supervision, and that I am a duly 1".40. 1 2-11-10 SETBACKS,POSSIBLE SEPTIC AREAS,AND POSSIBLE HOME SITES ADDED ) • registered Civil Engineer and Land Surveyor under the DRAWN CONSULTING ENGINEERS, LAND SURVEYORS, & SITE PLANNERS laws of the State of Minnesota. DAE 1-29-10 445 NORTH WILLOW DRIVE, LONG LAKE, MN. 55356 CHECKED - JOB NO. 952-4-73-4141 10-022 Mark S. Gronberg Minnesota License Number 12755 10-022 (940 ()dant Planning & Zoning Department Memo 0/vio To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: 3/18/2013 G/L: 101-22205 Re: Escrow Refund A requirement of Building Permit#2013-00100 was an Agreement for Removal or Retention of Non-Conforming Accessory Structures pertaining to 665 Orchard Park Road. A foundation as-built survey has been submitted and approved. The $2,500 escrow being held in conjunction with the agreement can be refunded. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: William & Mollie Reynolds 3630 Livingston Ave Wayzata, MN 55391 w:\street files\orchard park rd\665\escrow refund memo for right of entry agreement 2013-00100.doc Agreement for Removal or Retention of Non-Conforming Accessory Structures Right-of-Entry THIS AGREEMENT,made and entered into this day of February 2013, by William G. Reynolds and Mollie W. Reynolds, husband and wife, (hereinafter referred to as "Owners") and the City of Orono, a Minnesota municipal corporation(hereinafter referred to as the"City"). WITNESSETH: WHEREAS, Owners have made application to the City for demolition of the principal residence structure on the property located at 665 Orchard Park Rd within the City of Orono, such property legally described as: The North 20.0 rods of the South 30.0 rods of the _. Southeast Quarter of the'Northeast Quarter fo the Northeast Quarter of Section 31, Township 118 North, Range 23 West of the 56- Principal Meridian, Hennepin County, Minnesota (hereinafter referred to as "Subject Property"); and WHEREAS, the Subject Property contains a principal structure and one or more nonconforming accessory structures shown on the survey or site plan attached hereto as Exhibit A and described as follows: 18.7' x 25.8' shed and 30.3' x 33.4' shed(hereinafter"the Sheds"); and WHEREAS, the Sheds are nonconforming with respect to side yard setback and front yard setback requirements;and WHEREAS, Owners are aware that according to Orono Municipal Zoning Code Section 78-1432, at the time the principal structure is removed, all accessory structures shall also be removed; and WHEREAS, the ordinances of the City require removal of all accessory structures at the time of removal of the principal structure;and WHEREAS,at the Owners' request, the City intends to issue a demolition permit to allow the principal structure to be removed and allow the nonconforming accessory structure(s) to remain on the Subject Property without a principal structure subject to the provisions of this Agreement;and WHEREAS, the Owners intend to, upon demolition of the principal structure, immediately replace the principal structure on the site with a new principal structure for which Building Permit application#2013-00100 has been submitted;and WHEREAS, the Owners agree that the Sheds will be removed if construction of the new principal structure is not started within 120 days of the demolition permit issuance. Page 1 of 4 NOW, THEREFORE, THE PARTIES TO THIS AGREEMENT AGREE TO THE FOLLOWING: 1. Owners may retain the existing nonconforming accessory structure(s), the Sheds, subject to the following conditions: A) Owners agree to obtain a building permit for construction of the replacement residence within 60 days of demolition; to begin construction on the new residence within 120 days of demolition; and to complete all exterior work within 1 year of building permit issuance and receive a Certificate of Occupancy within 2 years of building permit issuance. B) The Owners agree to submit an escrow in the amount of $2500.00 with the demolition permit. The escrow shall be held until the as-built foundation survey is submitted for the new residence. C) In the event that any activity described in item A has not been accomplished within the defined timeframe, the Owners shall remove the Sheds at the Owners' expense. D) If the Owners fail to perform their removal obligations per the above provisions, The Owners hereby agree as follows: 1) The City may enter upon the property and remove the Sheds. 2) The City may assess any costs of removal to the subject property which exceeds the escrow. 2. This Agreement shall be binding upon current and future owners of Subject Property, and shall be filed within the chain of title of the Subject Property. 3. The Owners of the Subject Property consent to the execution of this Agreement and to its terms,as shown by their signature(s)upon this document. 4. Owners shall indemnify and hold harmless the City, the City Council, and the agents and employees of the City from and against all claims, damages,losses or expenses,including attorney fees, which the City, City Council and agents and employees of the City may suffer or for which it may be held liable, arising out of or resulting from the assertion against them of any claims,debts or obligations in consequence of the performance of the terms of this Agreement. Page 2 of 4 CITY OF ORONO: By: IsCIVI‘or By: L" DoLcd' . Its City Clerk A 7ePof1 ACKNOWLEDGEMENT STATE OF MINNESOTA ) ) ss. COUNTY OF HENNEPIN ) The foregoing instrument was acknowledged before me this day of , 2013 by p ' 7 c.)14,i/jtv , the '1/141, of the City of Orono on behalf of the municipal corporation. Notary Public ACKNOWLEDGEMENT STATE OF MINNESOTA ) ) ss. COUNTY OF HENNEPIN ) The foregoing instrument was acknowledged before me this 5 day of 3fDna , 2013 by (Q . -pe &b_ , the -�-��,, n ('J �_� i of the City of Orono on behalf of the municipal corporation./ 41 Notary Public Page 3 of 4 Owner(s): By: y' )) ACKNOWLEDGEMENT(APPLICANTS) STATE OF MINNESOTA ) ) ss. COUNTY OF HENNEPIN ) The foregoing instrument was acknowledged before me this 1g_ day of , 2013 by and (husband and wife) as their free act and deed. MAUREEN E MURPHY Notary yPuP bli��� f 1 '�' NOTARY PI.fBLIt,-MINNESOTA MY COMMISSION ;P1;ES 1/31/17 Page 4 of 4 C'/'i v of Or�rir, I:d F[1 Kelley Parkway,.. "F 'e p f N+e ,?l0106453 • ��/,{//'l(a�yn��ning ssorand(Zoning Escrow - r;C5 iOrc:eara Park e Jl?r�r v' 101-22;4)5- Deferred Rev-be Eloper Dep -, ni Chetk Check No. 6184 tier i:.i Total pplied: Cttenye Tendered: oo 1 CITY OF ORONO . 11�;(� �� ( 1��1 111111111 11 * 20 1 3 - 00 1 28 * 2750 KELLEY PARKWAY DATE ISSUED: 0212212013 ORONO, MN 55356- (952) 249-4600 FAX: (152) 249-4616 ADDRESS 665 ORCHARD PARK RD • PIN : 31-118-23-11-0005 LEGAL DESC : UNPLATTED 31 118 23 LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-OTHER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-OTHER NOTE: THIS$2500 ESCROW IS FOR THE ACCESSORY STRUCTURE FOR 665 ORCHARD PARK RD-PD CHECK#6184 BY WILLIAM&MOLLIE REYNOLDS • APPLICANT ESCROW FEE-OTHER 2,500.00 REYNOLDS, WILLIAM&MOLLIE TOTAL 2,500.00 3630 LIVINGSTON AVE WAYZATA,MN 55391- (612)940-5747 OWNER REYNOLDS,WILLIAM&MOLLIE 3630 LIVINGSTON AVE 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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. s , Planning & Zoning Department Memo To: Finance Department From: Christine Mattson, Planning Assistant4 CC: Street File Date: August 11, 2014 G/L: 101-22205 Re: Escrow Refund Building Permit Application #2013-00100 pertaining to 665 Orchard Park Road is complete. Please refund the$10,000 to the applicant, William &Mollie Reynolds. The following is attached: • Documentation from Campbell-Knutson stating they have no unbilled WIP • Documentation from Bolton & Menk stating they have unbilled WIP in the amount of $104. There is no other WIP for this project, so it falls under the$500 credit. • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: William&Mollie Reynolds 665 Orchard Park Road Long Lake, MN 55356 w:\street files\orchard park rd\665\escrow refund request 2013-00100.docx Christine Mattson From: David Martini [davidma@bolton-menk.com] Sent: Wednesday, August 06, 2014 3:30 PM To: Christine Mattson Subject: RE: Unbilled WIP It looks like we have the following WIP: 6.104 for 2013-00100' $52 for 2013-01306 $52 for 2014-00278 $124.50 for 2013-00431 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:Tuesday,August 05,2014 4:53 PM To:'Sherry Charboneau'; David Martini Subject: Unbilled WIP Hi. Any unbilled WIP for the following? I would greatly appreciate a response before noon tomorrow,Wednesday,August 6th. Thank you. Applicant Address Building Permit# Land Use# Reynolds,William& Mollie 665 Orchard Park Rd 2013-00100 Ashfeld, Dan 1376 North Arm Dr 2013-01306 Prchal, Derek 4705 Watertown Rd 2014-00278 14-3649 Maenner, Bradley 3590 Northern Ave 2013-00431 Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway ! Orono '; MN 55356 (physical address) PO Box 66 I Crystal Bay I MN 55323-0066(mailing address) 'i' 952.249.4620 { 8 952.249.4616 cmattson@ci.orono.mn.us www.ci.orono.mn.us Summer Office Hours: (Monday, May 19 through Friday,August 29,2014) 1 Christine Mattson From: Sherry Charboneau [SCharboneau@ck-law.com] Sent: Tuesday, August 05, 2014 5:04 PM To: Christine Mattson Subject: RE: Unbilled WIP Christine: I still happen to be working tonight. NO UNBILLED WIP for our firm on the apps listed below. Sherry Sherry L. Charboneau Legal Assistant CAMPBELL KNUTSON P.A. 1380 Corporate Center Curve•Suite 317•Eagan,MN 55121 V(651)234-6230•Fax:(651)452-5550 5charboneauna ck-law.com•www.ck-law.com From: Christine Mattson [mailto:CMattsonOci.orono.mn.us] Sent:Tuesday, August 05, 2014 4:53 PM To: Sherry Charboneau; David P. Martini Subject: Unbilled WIP Hi. Any unbilled WIP for the following? I would greatly appreciate a response before noon tomorrow,Wednesday,August 6th. Thank you. Applicant Address Building Permit# Land Use# Reynolds, William & Mollie 665 Orchard Park Rd 2013-00100 Ashfeld, Dan 1376 North Arm Dr 2013-01306 Prchal, Derek 4705 Watertown Rd 2014-00278 14-3649 Maenner, Bradley 3590 Northern Ave 2013-00431 Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono ; MN 155356(physical address) PO Box 66 § Crystal Bay 1 MN 1 55323-0066(mailing address) V 952.249.4620 18 952.249.4616 ®cmattson@ci.orono.mn.us ; " www.ci.orono.mn.us Summer Office Hours: (Monday, May 19 through Friday,August 29,2014) 1 TEMPORARY CERTIFICATE OF OCCUPANCY ESCROW AGREEMENT Orono Building Permit #2013-00100(&/Demolition Permit#2013-00101) .. AGREEMENT made this ail day of fi..1L[ ' , 2013, b and be een the CITY OF ORONO, a Minnesota municipal corporation ("City")and - ' 1t I I! ] p yY)Uld S ("Owners"). Recitals 1. Construction of the new residence located at 665 Orchard Park Road, the ("Subject Property"), legally described as: The North 20.0 rods of the South 30.0 rods of the Southeast Quarter of the Northeast Quarter of the Northeast Quarter of Section 31, Township 118 North, Range 23 West of the 5th Principal Meridian, Hennepin County, Minnesota, is the subject of Building Permit application number #2013-00100 has been completed. 2. Rain and wet weather conditions currently prohibit full completion of exterior improvements, final grading, and vegetation establishment. An as-built survey cannot be accurately conducted at this time. 3. Owners request the City issue a temporary certificate of occupancy ("TCO") to the Owners so that the Owners may occupy the new residence. 4. The City will issue a TCO only if the Owners establish an escrow to ensure completion 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#2013-00100 (& Demolition Permit #2013-00101) 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. 155441 2750 Kell City of Grant Oronoey Parkway WaY Receipt No .009228 952-249-4600 Mol 1ie Reyrt* `�1 24, 2r� � Ids PrevioPermits Dalalance: 0 r Par8 665 De ktl?.� Creha;,, C •00 1)e feared J T� 00.00 0 201_0 Total. Rev DeveluCer Deposit Check Check 'agar;Na; 6240 Tota]4e Reynolds 7,S1)0.v�.__ pp-zed, Change Tendered; __ 07/24/2013 12:04f'N_- 00 CITY OF ORONO 111111 1 i Ili * 20 1 3 - 007013 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 665 ORCHARD PARK RD PIN : 31-118-23-11-0005 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$7500 ESCROW WILL BE COMBINED WITH THE$2500 WE HAVE ALREADY RECEIVED TO ISSUE THE TEMPORARY CERTIFICATE OF OCCUPANCY. APPLICANT ESCROW FEE-APPLICANT 7,500.00 REYNOLDS,WILLIAM&MOLLIE ESCROW FEE-DEVELOPER 0.00 3630 LIVINGSTON AVE WAYZATA, MN 55391- TOTAL 7,500.00 (612)940-5747 OWNER REYNOLDS,WILLIAM&MOLLIE 3630 LIVINGSTON AVE 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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. DEMOLITION PERMIT,BUILDING PERMIT& WETLAND BUFFER ESTABUSHMENT ESCROW AGREEMENT Demolition Permit 1201340101 1110 ����,, Building � � Permit00 1 2013-0010 AGREEMENT made this -L / day of _ 1l z,0rl by ands etween the CITY OF ORONO, a Minnesota municipal corporation (`City")and L( t(2 Owners"). Recitals .t^ �,�,�w- - 1. A building permit application has been filed for ail(, lIo � i+ oYYew 'w'mV located at 665 Orchard Park Road, the ('Subject Property), legally desc ri as The North 20.0 rods of the South 30.0 rods of the Southeast Quarter of the Northeast Quarter of the Northeast Quarter of Section 31, Township 118 North, Range 23 West of the 5th Principal Meridian, Hennepin County, Minnesota. 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$2,500 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 the establishment and development of the required native wetland buffer and reimbursement to the City for ail 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 wok 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 Demolition Permit 02013-00101 & Building Permit 1 2013-00100 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILUNG. 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 wain 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, the buffer is established and written notification is received from the Owners requesting the funds. 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 subj pursuant to Minn. Stat. §§415.01 and 366.012. CITY'. C •, 1! ' •' 0 OWNER: ,- . c) By: _ ��!� ��IL ki LLL.1f�Lci I L 1 Its: ifr� � B .i.„.•;"744.- , 'c 4 lnanwi Use Only: 0 Original to Planning 0 Copy to Property Owner 0 Copy to Street FIN DEMOLITION PERMIT&BUILDING PERMIT ESCROW AGREEMENT Demolition Permit#2013-00101 Building Permit#2013-00100 AGREEMENT made this day of 1 ,20 14 ky and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and /AJItl[arvt_p I oll Fy�f0/cl5 ("Owners"). Recitals �/ 1. A building permit application has been filed for an located at 665 Orchard Park Road,the("Subject Property"), legally described as The North 20.0 rods of the South 30.0 rods of the Southeast Quarter of the Northeast Quarter fo the Northeast Quarter of Section 31, Township 118 North, Range 23 West of the 5th Principal Meridian, Hennepin County, Minnesota. 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$2,500 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 Demolition Permit #2013-00101Building Permit # 2013-00100 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. 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: • OF O N OWN -: By: � ��.� __./ Its: gicktot.. \ 1L `k inteitrOat'UseOOP final., 0**Oa `1Copy#+ir$raiperrO e►'„ ''I t4RYr r`'Sireef"0 • City of lircrio 275k, • J. u i�ply i Fev6iDt Or.r. 1006494 .Fab 22, :00i7 I t c f Wt Iia Fr~ph i i Plaollnq oning '665 U'r c.iard! i)a#'N Road ad , • Uteck cIp:i idf, • 500 02/22/2 03 03717120V, . . CITY OF ORONO ( I [IF �' !� rill ':I * 20 1 3 - 0 0 1 27 * 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 665 ORCHARD PARK RD PIN : 31-118-23-11-0005 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$2500 ESCROW IS TIED TO DEMO PERMIT#2013-00101 AND BUILDING PERMIT#2013-00100 PD CHECK#6186 BY WILLIAM&MOLLIE REYNOLDS. APPLICANT ESCROW FEE-BUILDING 2,500.00 REYNOLDS,WILLIAM&MOLLIE ESCROW FEE-EROSION CONTROL 0.00 3630 LIVINGSTON AVE WAYZATA,MN 55391- ESCROW FEE-GRADING 0.00 (612)940-5747 TOTAL 2,500.00 OWNER REYNOLDS,WILLIAM&MOLLIE 3630 LIVINGSTON AVE 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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 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