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Home My WebLink About2012-00671 - addn/remodel/repair � - . CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 - 0 PJ 6 7 1 * � � DATE ISSUED: 07/26/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1376 PARK DR PIN : 07-117-23-41-0096 LEGAL DESC : SAGA HILL REVISED,HENNEPIN CO : LOT MB BLOCK 013 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 6,000.00 NOTE: BUILDING STOOP OFF HOUSE&WALKWAY APPLICANT pERMIT FEE SCHEDULE 132.75 LARSON&TERESA,DAYTON STATE SURCHARGE(VALUATION) 3.00 1376 PARK DR MOUND,MN 55364- TOTAL 135.75 PAID WITH CC# 8064 OWNER LARSON&TERESA,DAYTON 1376 PARK DR MOLJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 d ys at any time after work has commenced. The applicant is responsible f assuring all required inspections are requested' confo ance w'h the State Building Code.7'his permit may be ked a any tim for d cause. 1�., ab� J � �a�� ! � Appli t Pe rtee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � � City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: c�' ;`'� '�'�' •� O�,D,�.O PO Box 66 , Crystal Bay, MN 55323-0066 Date received: `7 I�C /�- ��' � / ti a '"l'�{ �;= ,, Street Address:' Received �—_ _ _. c '�,t ��ti�' 2750 Kelley Parkway Plan re w fee: �� 1 � �� ' \.��$xo¢� Orono, MN 55356 _ �,�,� �_�-=_=.'' Total Fee: % Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us l ,�,'-j } 7�; This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENEI�AL INFORMATION: . Job Site Address: 7 C�/�� Will this be a Parade of Homes, Remodelers Show a e Home o other Display Home? ❑ Yes o If yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be requrred unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: �y�TDr� � ��SOtiJ State License# Expiration Date: Phone: q,s'�y 7� �"��`� (office) (cell) Mailing Address: Cit : ,�p ' Contact Person: S'r�M L-" Applicant is: Contractor / lomeowner (Circle One) Email and/or Fax: � J� �„ �� e_ S3 ��<��n ; c�.�wc PROPERTY OWNER INFORMATION: Name: 1� A U7"rin/ t�}�SQ� -�P.,�--�r--�-. Phone (day): q_5"�,"� • �7� ��-o"� �S' Address: � � `7 (, ��/�� City: t7�p�i� ZIP: S�S`3 6 � Email and/or Fax _ /�1 y�� ~ '� ��r„��6, ��,.1,, ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): � Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. �Public Sewer ❑Accessory Building �Single Family with ,'�Deck �Relocation 1 J detached garage ❑ Offce/Commercial ❑ Private Sewer Other: (specify) �O 4�("J� �C ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial �rivate Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding tand) $ �, �>Q(� . QD � ' STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction a. Length (ft.)= Number of bedrooms= �N/ood/Frame b.Width (ft.)= Number of garage stalls: ❑ Masonry Areas in spuare feet Attached = ❑ Metal ❑ Pole Bldg. c. Basement= Detached = ❑ ICF d. 1s1 Story = ❑ On-site Prefab e.2"d Story= ❑ Off-site Prefab f. '/z Story = ❑ Other(please specify): g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ° ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ 1� MN State Ener Code Calculations and Mechanical Code Re uirements Form �I' ❑ Surve meetin all re uirements ❑ Stormwater Pollution Prevention Plan ❑ Hardcover Calculation s ❑ Se tic S stem Site Evaluation Re ort ❑ I� Access Permit ❑ Wetland Buffer Im rovement Plan ❑ �' En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ 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: ��' Date: Owner's Signature: Date: . Plan Review Ch cklist for New Structures / Additions I � � - Address/ PID/ Legal: � �� (�- 4 �J� Description of work: W r'� l � �aJ/�1 �� Septic review by: Date Approved: ��— �{p-�� ', Zoning review by: Date Approved: � ' �'{ ' �� Building review by: � (--�--��M-- Date Approved: � " �`{ � �"�� Grading review by: ��' � � (, ��i Date Approved: 1 • �"t '� Z Zoning File#: Resolution#: Resolution Date: Zonin District Fire Department Post Office School District Zoning: Lot Area: �5 ( SF/AC Width: Depth: Survey Submitted: es 0 No Date of Survey: � •��'(L Pro osed Setbacks: Front (L ) Rear(Street) � S E W ) ( N � E W ) Other Buildings Wetland Side de � � Building Defined Height: 'V� Building Peak Height: 1 v� #of Stories Ok?: ❑ YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof pe,�le,�ie top of WITH roof peak,the top of the cornice of a fla�roof, the cornice of a flat roof,the�leck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e r.v6f roof SUBTRACT half the dista e�"between the highest window and SUBTRACT half the dis�,ar5ce between the highest window hi hest r er�eak of a itched roof and hi st roof eak of a itched roof SUBTRACT � the ' ance between the basement floor/crawl ADD the 'stance between the slab and the highest s ce floor and the highest existing grade within e istin rade within the foundation the foundation or 10 feet, whichever is less. EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: N� SF % Shoreland District MCWD Permit Received Avera e Lakeshore Setback Bluff /' 0 Yes � No ❑ N/A � Yes No p� Yes ❑ No ❑ Yes � No �A / Permit Number: Setback: Hardcover Zones Existin Proposed Variance Require CUP Require 0-75' ❑ Yes No � Yes No 75-250' Type(s): Type(s): ` 250-500' 500-1000' Zl .�� 2� ,5 g�7a REMARKS (in-house): _ Updated: 09/11/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO � Permit � Plan Review ;/ State Surcharge �/ Investi�ation Fee SAC— Number of SAC Units � Sewer Connection Water Connection Park Fee Site Inspection Other(specify) '� Miscellaneous Fees Calculated By: Square Footage $ per Square Footage Basement X = $ 15` Floor X = $ 2nd FIoOI' X = $ Garage X = $ Estimated Construction Value: $ (s, U �'G `` Orono Inspections Required Work Requiring Separate Permits Required State Permits 0 Site � Plumbing 0 Grading / Filling ❑ Well � Hardcover Removal 0 Mechanical 0 Fire ❑ Electrical ,�" Footing 0 Septic � Water Connection � Poured Wall 0 Fireplace � Sewer Connection � Foundation Survey � Masonry 0 Lawn Irrigation � Radon Rock Bed � Mfg. �'Framing 0 Other(specify) 0 Insulation 0 As-Built Survey ,8( Final � � Other(specify) REMARKS (in-house): � � Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES ❑ NO New: � YES � NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:\forms\plan review checklist.docx , , Oi4 �1TGr4/ G A R J'O'JZ/ �� . . . 7L j� �,-- �� Address: � � C7 ��(�,IG, L//�'I � Date: �i "��i ` 1 c Prepared by:__ V!@anPr?�.f�r.�=-'�" ��a'JC, HARDCOVER CALCULATION WORKSHEET SETBACK�ZONE: (CIRCLE ONE) 0-75' 75-250'250-500' 500-1000' EXISTING HARDCOVER IN ZONE A. House X = �36 3 S.F. Length Width X = S.F. X = S.F. B. Garage Z2•S x ZZ.� = 49 S S.F. C. Driveway x = 2.'S��j S.F. x = S.F. D. Sidewalk x = � �9 S.F. x = S.F. E. Patio/Deck x = �6 S.F. x = S.F. F. Landscape x = �'� S.F. Underlain x = $ S.F. By Plastic x = S.F. G. Retaining Walis x = S S S.F. H. Other �12 -Q02DE25tWAu� Z�j ^.tq�SG. _ �3� S.F. TOTAL HARDCOVER IN ZONE - 5377 S.F. A TOTAL PROPERTY AREA IN ZONE - ZS. S$b S.F. B A 5�'77 + B i�`�, `a��?x 100 = 2i.v�t % PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained) A. House x � = S.F. Length Width x = S.F. x = S.F. B. Garage x = S.F. C. Driveway x = S.F. X = S.F. D. Sidewalk x = -�- 3'�D S.F.-r�F� WAi.7C x = -I S.F. �p,,o u�pU R�'Mau�', E. Patio/Deck x = S.F. x = S.F. F. Landscape x = -23 S.F. Underlain x = S.F. By Plastic x = S.F. u��5 f G. Retaining Walls x = S.F.-(��x�y�� H. Other x = iZ��7- � -� I��i S.F.--i�l� �'rCi�i TOTAL HARDCOVER IN ZONE �;;7? +�?.� ;, Sr,I U� - S��'-� S.F. A TOTAL PROPERTY AREA IN ZONE - 2S.SSd S.F. B A ��i i� = B 2S��j�� x 100 = �'�',1.58 % - 21 - . ......�,�,�,�,�,�,,.,�„��„��.,�,,.,..��.��,,,i��.��....�,..�i��i�.��i�,��,� �,��.i�,.��,.��iy.rl,�„i,��l„�.i..�,l„��..�L��.,L�„i.,��l,�,�i��.l...�r.,,� t : -W �� G1��....COP� ��` � ��-sr � � � F�As�vc --- -- -�--- � -. __ , .__ --_._�_�.._ � � � �, � -----�- _...� _ _�___ _. _ .__.�__.__�__ ___.._. � _____ -� . i � L_�� a � _ {--' � �� : �, �b � �c�� l�a ''�'�S � � �� J � �� l/ � � i� � \ � �4 j _ r � � �+ � b \+�� — — � -� �� .-- � c ; j.�- — .-, .-.� �.�1 1 � ; � � , — — � _r o� o t,`°, � V� RE GUARDRAILS , I _ t U crb�d floor an " _ _ e��9. pe� and gt�zed sides of land'+ngs and _ ;... .. _.--.. � ; � r mps, balconies, de . �p;r ::as�;t,��h are more than 30"abov � ' C o grade or floor be:ow, r li' e�C�`U3.*(:�V:ih a minimum 3&"_hei ht,e � Qpen guardrails r��st have ini�;m��iaie rails or an omamental _ � � pattern so that a sphere 4 in:�iameter cannot pass through. _ •� -- _ __ -� - - ��._.,.__.._._,...._.,.._._;_ _ /� _ . . _ ._. �. : ; � - : STAIRWAYS � � Stairways 7 3/4" _. _ . . _ __ , . _ , / � ' � maximum nse. 10" mmimum run:tnstall a ha�d�ai} � ' _.__� _ _.;_ _ on o�re sipe o�Ene stair 34" to 3fi" h�gk�, c,o�tinuous and.unipTerr.u.pted , � _ ;.._ _ _ . _. , � ful) lengtii of staits, handrail eads shalf be�etu�ned or shall terminate � ; _ g � f in a newel post of safety te�minal,:minimurn�'-8" headroom �I -_ ;_ � �� ff��/L9t� f�-E-s`9vi/t-�'� (.��-ff-�✓ `�-�� }� _ � ��', � � � � �� :� � ,�� _ _ `1 orz. rY,�ott.E 2�5�—czs � ..� � 1 z o � � ° _ :R�1Si�� Q��A►��E �� o� --- �. 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S � �.� - �-�n� ��o �� ► M �r � M a �' � - �j�so��'d � - �ri.� s�,� ? s ��o N s �.�� ' ��.5 = ��a1.s (�► - �.N 6�=�'�'i g, '� -z — � �'1/' ^�=a21 1 s o � �" w�r=�� x z ` � ?'tr"'�?'� %Sod z - � S � � � � �P I�� - s�. � �� - � = ��i -�a � J � a � � � � = � - . ��, ,,�,, �� -�� .� a,-� s�a�� = J� � � - � — : . ,._.�_._.. - ��8��#a�paQekl 8096-b9£99 NW'oNoao �� _ = _ ... . ......_ aa Navd scs� . — . ,. _ 9��a'QA��pp� � lUOa'R�ulp�U3ni11Q'MMN► _ a . 'e�gd NOSti`dl� NOlJIb'4 }swpJ� . �� _ , � � �, .; ) . . � °� 0 .s\ � CITY of ORONO �-,,-, , Municipal Offices '-��.i�... ' '`p ��, ,•� � � .��, p., Street Address: Mailing Address: �; �., . "�+�� ,�,�' 2750 Kelley Parkway P.O.Box 66 ,� ,�G Orono,MN 55356 Crystal Bay,MN 55323-0066 `�k'Es8o4 July 19, 2012 Dayton Larson 1376 Park Drive Mound, MN 55364 Re: 1376 Park Drive Building Permit Application#2012-00671 On July 16, 2012 the City received a building permit application for a new front stoop and wood walk. Your application is complete; however, before we can issue the building permit we must receive an escrow and escrow agreement. 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. Since this project does not involve any grading, the escrow amount for this project is$600. The escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$600. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions. Sincerely, CITY OF ORONO Christine Mattson Planning Assistant c Lyle Oman, Building Official enclosure Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us �� '� ;��'°, �.> � � �+ca�i� ' .'.�� d . � �� '� .�.. .�a,.. �I � � _ � � . � � � 1 i'� �;�, �� r � .,.�� _ �� _,�- � ` � . . .._ �� . � � ..� �: ��s' � G - �j i . � � �� _ .w,�--�_�.�+� , _ "�°� _ '�J--"�,�_ �_ ��..`-� ��'? ./ . . �> :;< ' � �., +r .�-<_,�,;.�Y .�� , � ��.�� ,,,�,,; � � , —, o- t: �� - � ,��s � _ _ �s ,.3 �. :., .� � _ .*' �� __ ��t • ., y+ 'i �.. - ,��'< � ' , - - �,�.,,. t ��~— -.�r��'� H�. �'' ... '+ � `"�`�/, f`"`/w��-: \ �_- ' -� `��'� "'� , ��-�,1 � �4. � �. _ �, �� 'qT� 'F��9 � V �� . . , t ^ , • x � � �� `� . �'� �' C�� -!1 t� I \ �. ')-n• / S . �� ` �� r��'• �l�M r� ywL1��y i\ �. kj,.p�� e� M+ Y b . `� � �T .. � `i �r" � 1: '.`�Si � Y, `..c1� ��t_, ' �,:.....a+�,,':'�`� �fi.,�i.��=y��._ --r�— ,1�� ' �.1,bR. 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J � ��I , � ��k��. .. . . -� _ �.di� ..'.i..� � � o DPI E TIME ✓ CITY OF ORONO CALLED IN '� ' INSPECTION NOTICE SCHEDULED -l7-/Z �/D_' O� PERMIT NO.��a —f��O 7� COMPLETED ADDRESS �3�C� �� OWNER �1`�� ELEPHONE NO.�JZ �7Z 52�5 CONTRACTOR � DESCRIPTION �`a'S Z. �DOT��1 � O FOOTING ❑ PLUMBIN FINAL ❑ EXCAV RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAI Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ��e i ( ��fi- �� fi� �,,. �, � � �c� c t1 Sd � �� 3•P � )�� ,��( ,e (�Ovl i�C' W .� Q � 2 W � W � � ��'�OIQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerfContractor on site: Inspector. �,�J _ � White Copyllnspector's File Canary CopylSite Notice � � C� T TIME CITY OF ORONO CALLED IN � INSPECTION N I E SCHEDULED � PERMIT N0. � co LETED A�DRESS �� (�/ �� "��'�'c- OWNER TEL P NE NO��a`�7'Z�� CONTRACTOR a DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q � POURED WALL ❑ MECHANICAL RI O LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES�NO ��., COMMENTS: � W a J O >. � O � W � Q � 2 W � W � � � � �YORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector._Jv,,`� � � — — - White Copyllnspector's File Canary CopylSite Notice - �� J� � DATE TIME V CITY OF ORONO CALLED IN �' � - � INSPECTION NO,�T^�IChE �'('�,,� /�CHEDULED GI—/�/a� �_��flrn PERMIT NO. ��'V 'o� — �"`�-'��COMPLETED ADDRESS �.�� ?�� t� �L I�I�-- OWNER �l`�V� L[k�S"TELEPHONE NO.��a � �� -��S CONTRACTOR >; DESCRIPTION �I na-r C�--� � L" � t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILL G � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT�ON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ S T FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTHACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �R6(�JECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. � ��- White Copyllnspector's File Canary CopylSite Notice ' . : • . � • , emo To: Finance Department From: Christine Mattson, Planning Assistant � CC: Street File ' Date: 9/19/2012 CIL: 101-22205 Re: Escrow Refund Building permit #2012-00671 located at 1376 Park Drive is complete. The property owner, Dayton Larson, has requested a refund of his$600 escrow. There was no engineering review need with this project. The following is attached: • Copy of signed escrow agreements • Copy of cash register receipt showing escrow amount received Mail to: Dayton Larson 1376 Park Drive Mound, MN 55364 w:�street files�park drive\1376�escrow refund memo for 2012-00671.doc BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2012-00671 AGREEMENT made this a�v day of C1� , 20 J� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Dayton L n ("Owners"). Recitals 1. A building permit application has been filed for a new stoop and wood walk located at 1376 Park Drive the ("Subject Property"), legally described as Lots 15, 16 and 17, Block 13, SAGA HILL REVISED, 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 $600 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 ptan. 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 #2012-00671 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 E5CR0lN. The Balance on deposit in the escrow, if any, shall be return�d 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 pursuant to Minn. Stat. §§415.01 and 366.012. �� CI ,: CI F QITQNO OWNER• ` � � J__. By: Its: u�. '"r�7�tyGi LV' ' _.: .'_..—... ...�i� �_(1} .r�� :��vti�."�,H2�!, u��A��'� u'�'� _.,._... ;S�i.��i�,•r3 i''.'rGl ' `h{�t°I�� ._^ t,�+7rriE'� ��3wn! :�t��hY'.; : � . � `e rV '�r'� ;`i'W�S�i ,i, . � � '�i:Y�� s ti`"t;�.i., __--___~-.�-..o____ s-�� ~�ei•�� " '- �C��ir�� I -._. .._._---t��:.�s .la�Ut�,12�C^�` ��}�_��i(. 2AI�l,� ,g �. =�n} �C `'•: ��.�t �.�� N1"e.+ri � �'Ky��P ,.^•.�CAt2Tv_j1� '..TUih��irj ''�'� �+;^r7:i�7 '25�har+� � i , i � ,;�l•y ;r?4,� 3 t '..3'i � ;� �n4 la4}Li. ` ?��':� -,f �,� � � . �,rCl" �`s� �:.:'� �� F '�1(}rark "?%�'G._�p f�p�li��j �.'��t{ !{3T+� Q�ltk4� �'� `��•� ' CITY OF ORONO * z 0 1 z - B 0 7 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: 07/26/2012 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1376 PARK DR PIN : 07-117-23-41-0096 LEGAL DESC : SAGA HILL REVISED,HENNEPIN CO : LOT MB BLOCK 013 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: T'HIS$600.00 ESCROW IS TIED TO BUILDING PERMIT#2012-00671 APPLICANT ESCROW FEE-BUILDING 600.00 LARSON&TERESA,DAYTON TOTAL 600.00 1376 PARK DR MOLJND,MN 55364 OWNER LARSON&TERESA,DAYTON 1376 PARK DR MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separaYe permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction 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 S�gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , , RECEr��o s�� zotiz G1'C`� �F �� Dayton F Larson Sept 12, 2012 1376 Park Dr Orono,Mn 55364 Building permit# 2012-00671 Christine Mattson Zoning and Planning City of Orono Ms Mattson: My final inspection was today and was acceptable. So now,as instructed, I'm requesting the return of the$600.00 I paid in Escrow. The cheque can be made out to Dayton Larson and sent to the address listed above. Thank you �... Dayton Larson }r- Pemvi�Worlc�s :� � `� �' ,�, #�,:, �` .;� ��,� F�e T�ae�ctnQn �+7aintain R�port� _ M . , , . �.. �' Ge�aa�se Prap�ecby ReEcsac� „ �_.� ,� � . ,� , ,_ 5 s ,.. , k �!-`- � '- ra6 , .�+� ,c ,Tt _ sS'rn 3�'1 4 dr:. "J� -'�. 2.� " L.., „�? ��'"� � �� ` .r " �. ..k�� .,�.,�� ` � -. . '_��t :,`..= y':: ' ' '. ` - �T � ' I� � ► ►I �] ' � �� °*" � �f - - � � Pae`niR#: 2Q12-Q�fN671 "�#��date�ddr�ss Perm�itAddeess: 137�6 Psrk Dr C� h+��in F'Ih1 Acl�lr�ss C� �,ciciiEi��i7a( F'IFi�,r�ci��e:g� �rneral� Fe�s ��s.pect6o�ros I�� I�ates( Applir.ant Detal I G�O[)etail I Seq InspectionType lnspectvr D�ate Status H Fee Rec __ _ _ _ _ _ _ _ . � � . 2 Frsming VIdGIB Sf28�'2�12 P 0 . 3 Final �� WGIB 91'1Z12�l12 P Y 0 �� ►� � Add Ne�w Delete