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Home My WebLink About2009-00138 - addn/remodel/repair , CITY OF ORONO PERMIT NO.: 2009-oo13s � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 04/20/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2420 SHADYWOOD RD PIN : 20-117-23-11-0002 LEGAL DESC : LJNPLATTED 20 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN VALUATION : $ 20,000.00 NOTE: SEPERATE PERMITS REQUIRED:PLUMBING&ELECTRICAL(STATE) INSTALL NEW CHECKOUT COUNTERS AND FOOD AREA COUNTERS. INSTALL OAK WOOD PACKAGE. APPLICANT pERMIT FEE SCHEDULE 339.25 HOLIDAY STATIONSTORES,INC. PLAN REVIEW 220.51 4567 AMERICAN BLVD W BLOOMINGTON,MN 55437- STATE SURCHARGE(VALUATION) 10.00 (952)830-8884 TOTAL 569.76 OWNER CENTERS,VOYAGEUR SERVICE 2420 SHADYWOOD RD NAVARRE,MN 55392- 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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nuil 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 aze requested in conformance with the State Building Code.This permit may be revo ed at any time for due cause. � s�� / 7c / c / / pplicant Permitee Signature Date Issued By ature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. ��CEIVED n - �` �_ f� ci�09 � .,. City of Orono CITYOFORONO Building Permit Application Mailing Address: Permit number: � ��d�J l�g �j,�,�. PO Box 66 0 a\ O Crystal Bay, MN 55323-0066 Date received: �� - � `'�` Received by: a 1 a � �' `i� �, Streef Address: r1 '$`�, ° �ti 2750 Kelley Parkway Plan review fee: 7 �'tJ � � ��" L`9kEsx�g'� Orono, MN 55356 -- Total Fee: ' �, Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � �O� ' 7 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 AddPess: Holiday Stationstore#3546-2420 Shadywood Drive, Navarre, Mn Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑✓ No lf 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: Holiday Stationstores, Inc. State License# Expiration Date: Phone: (952)830-8884 (office) (612)581-3083 (cell) Mailing Address: 4567 American Blvd.West City: Bloominqton ZIP: 55437 Contact Person: Joel Geil Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: joel.geil�holidaycompanies.com PROPERTY OWNER INFORMATION: Name: John O'Sullivan Phone (day): (612)366-0163 Address: City: ZIP: Email and/or Fax iohnosCa�tcinternet.net PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) � Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 �Siding 8 Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 8 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall ProjeCt DesCription: Install new checkout counters and food area counters. Install oak wood package Estimated Construction Valuation of Project(excluding land) $ 20,000.00 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • 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; • 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 inforrnation 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. Applicant's Signature: ,,,// +7 _,�� Date: `��01 Reset Form 1 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2 y?�0 5�,�,y,��,�n� PID: DESCRIPTION OF WORii: �'?x-vw��-L ZONING RETrIEYi'BY.• /U 1�A DATEAPPROVED: - BUILDING REI�IEN�BY.• DATEAPPROffED:�. ,,�_aq � FEES TO BE CHARGED: Misc. Fees Calculated By: PE��' Yes ✓� No PLAN REVIELIr Yes_�/ No SEYTjER CONNECTION STATE SURCHARGE Yes ./ No u'ATER CONNECTION WVESTIGATIOld FEE �'es No ,/ PARK FEE S�4 C Yes No�� SITE INSPECTION Number of SAC Units OTHER (spec�) ZONING CHECIC LIST Zoning District: Fire Department: Post O�ce: School Districz: Lot,4rea: Sq.ft. Acres idlh Depih Survey Submitted: I'es No te af Survey: � Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: ' • Adjacent Structures: Nfetland: � Building Height: Def Hgt. Peak Hg�. . Lot Coverage: Grading.� Staff Approval Date: Bl': Counci!Approval Date: Septic: StafJ.4pproval Date: gy. Zoning File: # Resolution: # Resoluti n Date: ,� Shoreland District: MCN D P rmit: Avg. Setback: BluffSetback: LotCoverage: Existing Proposed Ha�•dcover: D-75' 'S-'�D' '�0-�00' .i 00-1000' Hardcorer 1'ariance Reqzrired: I'es Ido D te of Coaa�ci!Approval: REMqRKS(in house): 33 � � BUILDING REVIEK�CHECg LIST UBC: M CONSTRUCTIONTYPE: YN Sg Footage �Per Sq Ftg Basement x = 1 st Floor • x = 2nd Floor x = Garage x = x _ TOTAL Esti►»ated Construction Value: �' ZV,oOc� � Inspections Required: Work Requiring SeparQte Permits: Site p� Plumbing Fire • Hardcover Removal Mechanical W ater Connection Footing Septic Sewer Connection . Framing Fireplace Lawn Irrigafion ".�` "'" Ins�Ylation (Masonry) Oiher T�Y'all Board (Mfg.) T�L'ell(State Permit) _�C Final Grading/Filling _�C Electrical(State PermitJ Other RE�I,4RKS(INHOUSE): � REVIEN'BY OTHERS: � DATE: Access: Existing New Access.4pproval: Date By: � REMARIiS (TO BE NOTED ON PERMIT): �a ��V DATE � TIME CITY OF ORONO QQQ�� CALIED IN INSPECTION NOTICE � SCHEDULED Lr-aB LO` 30 PERMIT NO.aao9-D� COMPLETED ADDRESS ��„��a "��^-�'c� `'� WaD� OWNER�p �� `�l CONTR.l'�i c� Gr'f'`�( /��cG,, TELEPHONE NO. ` � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAI ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W 0. � n c.J�e D i S�1,�.,. � (�U�-f— J O —� � �� 4��C� < <� s 0 � W , � Q � 2 W � W � � O � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETItRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTOARRANGEACCESS. Ca�l for the next inspection 2a hours in ac�vance. (952) 249-4600 OwnedContractor on site: � Inspector. White Copyflnspecto�'s File Canary CopylSlte Notke DATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE n SCHEDULED S i ��— PERMIT NO. �n�' d��3 COMPLETED ADDRESS ��G � /�� OWNER h�-�`�^�-�L CONTR.� �� , TELEPHONE NO. .��7� � `��'� — ��y o � DESCRIPTION �� P�-na�t�C� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � ! o /a �'� a �-�� ,�- � � � Q/F� � v � �i1.5� �'�' K.'o • ��„� � 0 � w � Q � z w � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8�PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal1 torthe next inspection 24 hours in advance. (952� 249-46�� OwnerfContractor on site: Inspector. �C�J C�� White Copyllnspector's File Canary Copy/Site Notice