HomeMy WebLinkAbout2000-P03008 - alarm/sprinkler system � ERMIT
C CITY OF ORONO
2750 Kelley Parkway- PO Box 66 , Permit Number. Po3ooa
Crystal Bay, Minnesota 55323 ' Permit Type: Fire systems Permit
(612) 249-4600 Date Issued: 9�2s�2oo
SITE ADDRESS: 2500 Shadywood Rd
EXCELSIOR,MN 553311
PID: 20-117-23-11-0034
DESCRIPTION:
Proposed Use: Commercial
Permit Class: General
Permit T e: Fire S stems Permit Permit Sub-type(s): Alarm System
YP Y i Sprinkler System
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DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIAMARY: Permit Fee: � 153.25 Valuation: $ 7,300.00
Plan Review Fee: � 99.58
T TAL FEE:
O $ 252.83
APPLICANT: FRESHWATER SOCIETY I OWNER: FRESHWATER FOUNDATION
2500 SHADYWOOD ROAD I 2500 SHADYWOOD RD
ORONO,MN 55331 EXCELSIOR MN 55331
TI�UNDERSIGNID HEREBY REQUESTS PE SSION TO MAKE TI-�E REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT MPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.DING CODE REQ IREMENTS.
I UED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
;7/28/2000 08:42 FAX 612 471 7685 FRESHWATER 1�02
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� Total Fee: $-�.� Date Received:
Entered 8y: � .�N'1 . Permit�:
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7 �'C�,
OF ORONO - B�DING P�RMIT APPLYCATION
2'����1,
All ' ormation must be submitted in full before plan review will be started.
(please print all information)
Z'I� APPL CANr IS: (ci�cle one) 0 R CONTRACTOR
JO$ SITE DRESS: �Sd� S�{ Iq�l�f � V�L ZIP: S� 33 1
NAME OF WNER: �PS{�w� Soc:C PHONE: (ge�e) g5�--W 7 -9 7 7 3
(Work')Ftyx �sy- 4`I l -7��
MA11•ING DRESS: �, � S A ��t��q CITY:/U�AtI�QL�� ZIP:���
corrrR.A oR: � � �orrE: �5'a- 4 7 � - �r � 7 3 �
CONTACT PERSON:'T� �1 11�OBILE/PAGER:
MAII.ING� DRESS: • S t�, K Crr'Y: �u�r��,e2� �: SS3 3�
STATE LI ENSE: #
-� SuDoli�e� 6�u�A'r"'�1
ARCHYTE T NGINEE • S!►�p L c Y PHONE: 9� �I � ' CQ 9 7 C�
NiAII.,ING DRESS: �S eLl `1$'� _ CITY: '��.je N t� ZIP: 5S4�-�
NAME: Y2EGISTRATION#
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TYPE OF O�: New Addition Accessory Structure
Move RemodeUAl�eradon Land Alteration
.� w�� bt a...y.;�►� a� �.,-�.�s ��o�.� ���.b�+� .
YROFOSE WORK(descrrbe in deta�n: C��1� r`N o I a-o l7e
-e
STORIES: _�! SQ. FEET OF EACH FLOOR: �5 0 o O�
NO. OF B DROOMS: —� GARAGE STALLS: ATT. DET. -�
ES'1�IlViA CONSTRUCTION VALUATION (excluding land): $� � 3 O ���
Y hereby ap ly for a building permit and I acl�owledge that the information above is complete a.nd
accurate; t the work will be in conformance with the ordinances and codes of the City and with
the Srace B ilding Code; tha't I understand this is not a pemut and work is not w start withou[ a
permit; an chat the work will be in ac ordance with ih approved p1an. � �
APPLIC 'S SIG�NATURE: DATE: 7 a� p
NOTE! events require separate permit approval by Pod�ce�Department and
City Coun 'l 60 days prior to the event. Non permitted events will not be allowed.
��C�C�-� - � �%s"��v y'J.�.Q ��
� � CHECK OFF LIS FOR ISSUANCE OF PERII�IITS
_ FOR OFFICE USE ONLY �
ADDRESS OR LEGAL: 2 v �
PID:
DESCRIP'IZON OF WORK: �q.;�,���- s,� S ;z� -
. -
ZO�i'G REY�`Y BY: ' DATE APPROVED:
BUII.DI�i iG REV�tiV BY: , (( j (A'`4.�.��. DATE APPROVED; c�-1 ci �v
�
FEES TO BE CA.ARGED: Misc. Fees Calculated By:
pERMIT Yes � No :
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes�- No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes �_ No SITEINSPECTION
Number of SAC�Units OTHER (specify)
� — -
Z01tL1iG CH�CK LIST zoning Dis�ricc:
Fire Department: Post Offlce: School District: •
Lot Area: Sq.ft. Acres Width Dep[h
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Ri�ht Side: �
Reaz (Street): ft Side:
Adjacent Structures: Wetland: .
Building Height: Def. Het. i Peal:Hgt.
Lot Covera�e:
Grading: Staff Approval Date: I By: Council Approval Date:
Sepuc: Staff Approval Date: � By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: I
Avg. Setback: B uff Setback: L.otCoverage:
E ' ting Proposed
Hardcover: 0-75' �_
75-250'
250.500' �_
500-1000'
�--
Hardcover Variance Required: Yes I No Date of Council Approval:
gE1�1ARKS(in house):
7
,� �
BUII.DING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor z =
2nd F1oor x =
Garage x =
x =
TOTAL
a�
Estimated Construction Value: $ '7, �i�V
Inspections Required: Work Requiring Separate Permits:
Site Plumbing ' Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
_�Final Grading/Filling Electrical(State Permit)
Other
REMARKS(IN HOUSE): �
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REVIARKS (TO BE NOTED ON PERMI�:
8
07/28/2000 08:42 FAg 612 471 7685 FRESH�YATER (�j03
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Sec.13.06 RICITTS 0 SIJBJECTS OF DATa
5ubd. 1. oF data. 'l�e righa of individual on whom�he da�is sao�ed or�o be soomd shall�as sec fonh ia this xcdvn. ' .
�,h�2_ o�n+aiion reqWnd tu be eivm iodlvidual. a►e�individual askod w suDP�Y P�va�e or ccnfidrncel dan coneecning 6imsetf shall '
be informed of: (a) �u+pox and iarended use of�he�eqyested d�a wichin ihe callecong�agency.polirical subdivisica,oe sa�ewide rysoem:
(H)whe�her he may�s oT is legally rcq�wzd m supply rhe�qques�d dars;(c)any iwowa wdsequenee ariaing[ivm his suPP�Y�ar�efusmg w supply
. privarr or confidendai :and(d)�he idenary of orherpe�so�s or enddes aucAorised by usa or fexi�ral law w�eceive�e da� ?his requireiaea�shsil •�, ,
oot Spply when aa ind idual is askad m suppiy invao�sove daa.,pucsu�n�co sacoon 13.62,sub�division S.[o a law enforceu�anc olbr.�r. �,,
The ' sie er l eeue I c rhe nau i un er ' su fv' ' n in 'vt x �x
ose . . ' .
Subd_3. ess to data by Indi�idual. Upon reqpesc to��espo�sibk audwriry,ao indiridual sha116e inWn�sd whetLer he u��subject
of srorcd dara on indi uals,and whe�t ic is elsssified as p►�blie, priva�e or confidendsl. Upon his fu�er requess,an iadividual arho is�he subj�ec
of sm�ed pri�au or p lie daa on individu�ls shall be shoWn fie dsa wi�ouc aay chuge o0 6im and:if lu daires,shall be infoemed ol�he eoorenc
'snd maaain�of d�t d . Afcer nn indiv;dual6as 6een showol�he privsoe dan and iafo�med of ies meanii�g.me d�n need°°�b°di�Closed o�6im far
six mondu thereafur ess a dispum or uriort pu�uanc m ►hGs seeeon is pendieg or�ddicooal dsR on me individual6as bao eollecrcd or er�arcd.
The responsible au�bo ry shall provide copus of du private orlpublic daa upoe requese by t6e iodiridual mbjece of�fe da� 1be[espo�bk aurlwriry
msy ccqui�e�he�eque �ng pecson oo piy d�e aeasl costs of�pal�g.cocdfying.and comWline the.copfes.
The tespo ible wdloriq shall comply im,ncdiacely�,if pouible.widv a�ry roquest made pu►suanc ro this wbdivision.or wiihin five days of
�h�dam of�he reques exeluding 3aa�days.Sundays and Ie hoiidays.if iaurndhrc eomplianee is�t possbla. IFhe e�nooc comply wilh du mqussc .
Wid�1n�ac aa►e,he so�nFotm the individual,and may ha e an addidenai five days wirhin which co comply wuh tlu tequeci,escludiug Saa�ays,
5undays and lesal hol ays. . • • , •
.•5ubd_d, cedure Nhea data Ls noc sccurate or mpk�a An iaaividual may co�dw aecuracy or cnmpkoeoas oF publie or priva�e
dam conetrniog h" . To rxercise this righc.an iadrvidual aoN'y in wriong�Ae Rspoasibk w�4oriry deaenbinq�he oaare of the disagreemenc.
The cesponsible sucho 'ry shall wid�in 30 days eisher. (a)w c�d1e dam(ou0d w 6e inaCcu�aae or inWtnplex aad aRtmp�oo nodfy paS�[eciPien[s of
iaaceursu or inaompt e�daw.including recipienes mmed bY indiviausi:or(b)ooaily d�e iMividuol�si he believes�he da�co be eoerecc Dan
in dispux shall be d' losed ody if d�e inctividuel's s�oemen[ f disasreemetu is iucluded a►id�the diselosed data.
?hc derc ' " n of;e�spo�sible au�oriry ma I be appealed punoari�.m�e provisioas og�he sdmiaisnari�e proccdu�uc m�a�ng w
; contesced caies. • ,
. � � ' • � �'1��1} PRTVACY ADVISI��� . � .
Ia accordaa wirh M.S. 13.04�Subd_2� 'Ri�hu of subjecrs of data'.we woald like co ilnfoim y8u ihat yaur request
for a Qermic or li ense from che Ciry vf Omno or�any of ics deparcmencs may require you co fumi�h eoctatn private or
confidea[ial inEo ation_ �
You are no fied thac: �
1, 1'h informacien yau furnish will be qsed te daermine your qualificacion for che permlc or license requested.
2, y may refuse�w supply daca, bue�refusal inay require�ha� che Ciry deay �he permit or licease.
3. 'h infosma�ion may be shared with ioeher lac�al. scace or fedeial,agencies �o the exunt neeessary �o pmexss
[h permic or licease.
4. If our r�quested permiC or liceose!requltes Cnuncil auion �o approve, same iuformacion may beeome
pu lic. ' '
�. Y have ceaain ri�hrs under M.S.113_04 (availabic upon requ�sc) to review privace da�a on yourself_
6, y c full name u required io proce s chis applica[ion o�permii. !
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�'t16 � .j .
Fi[ss titid e Las�
Addrcss Ac^f-L�'i ' "9 7 73
N c av�- �
��, s� z�p �o�
I unders�an my rioh�s as s�a�ed ove.
Signamro
II