HomeMy WebLinkAbout2014-01394 - addn/remodel/repair ' ' CITY OF ORONO
* 2 0 1 4 - 0 1 3 9�
2750 KELLEY PARKWAY DATE ISSUED: OU2U2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3.�'Z SHORELINE DR
PIN : 17-117-23-44-0100
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 005 BLOCK 003
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN
VALUATION : $ 130,000.00
NOTE: THIS IS PHASE II OF THE REMODEL-ORIGINAL PERMIT 2014-00540.
APPLICANT PERMIT FEE SCHEDULE 1,236.75
Narrows LLC STATE SURCHARGE(VALUATION) 65.00
PO BOX 36 S.A.C. 12,425.00
NAVARRE,MN 55392- TOTAL 13,726.75
Payment(s)
CHECK 18530 13,726.75
OWNER
Narrows LLC
PO BOX 36
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 dces
not grant permission for additional or related work which requires separate
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 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 a time for due cause.
�✓ O �T-�� ' � /�< / f6
plicant Permitee Signature Date Issued ignature Date
i
� . �� 7��.7�
CITY OF ORONO /
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS o��l�CY�3� �
� Mailing Address: Permit number: ab!�--OD�T
� PO Box 66
� � Crystal Bay, MN 55323-0066 Date received: 6�2-�`f
StreetAddress:' Received by: ci�c�
;. � 2750 Kelley Parkway Plan review fee: �8 !4�• g�
�`9kESH� �G Orono, MN 55356 ��/�_�ps 4
4 Total Fee: �
Main: 952-249-466�\ Fax: 952-249-4616 www.ci.orono.mn.us
This application form rllust be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 33 -` ��z- r� ��- �f��I/
Will this be a Parade of Homes, Remodelers Showcase Home or oth r Display Home? ❑ Yes o
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 appficant demonstrates sufficient on-site parking is available. Non-permitted events will not 6e allowed.
CONTRACTOR/APPLIC NT INFORMATIO /�
Name: ��i ✓�'L �5 h CF'�,/5�
State License# Expiration Date:
Phone: �' cell s Q •— S" office ' � - �,� " _
Mailing Address: (.`� , Cit : �c- 1 � •� ZIP:
Contact Person: �,� Ap.plicant is: Con ractor / Homeowner (Circle One)
Em_:;I and/or Fax: ,� � � G c�t
PRGPERTY OWNER INF{�RMATION:
lVame: Jcc ��.c 5 ,����'�'�
F'ho ie (day): _ (� — ,��
Addr�ss: �' C- > G!� Cit :�y,C i� ZIP: ,�S ���
Email and/or Fax
ARCMiTECT/ENGINEER INFORMATION:
Name:
Phone !day):
Address: City: __ ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal&
� Water Supply
❑ New Constructian ❑ Single Family with ❑ Residence i/
❑ Addition attached garage ❑ Garage/Accessory Bldg. �Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation j�����r�� detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ P�rblic ❑ Storage (�ublic Water
**Any earth movement may also require [�ommercial ❑ O�er(sp cify) �
MCWD review&permits. ❑ Industrial � � .zc.��, ❑ Private Well
Minnehaha Creek Watershed DistriCt(MCWD) ❑ Other: (Specify) --
18202 Minnetonka Blvd
Deephaven, MN 55391 /� �
Phone: 952-471-059U (
Fax: 952-471-0682 ��
www.minnehahacreek.or
� ,} �
Estimated Construction Valuation (excluding land) $ Gj� �C�'� ~' l 7Q L����
�
, . � � � _ _ ..
� �� � r �a.?' .. . . .. .. � . . . � . . � . . . .. � .. :
STRUCTURE INFORMATION:
1.Structure Dimensions 1. Structure Dimensions (continued) 2.Type of Construction
a. Length(ft.)= � Number of bedrooms= �e�/Frame
b.Width (ft.)= (.-� Number of garage st�lls: �ilasonry
Areas in square feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= � Detached = ❑ ICF
d. 151 Story = ,��U ❑ On-site Prefab
e. 2"d Story= ❑ Off-site Prefab
f. 'h Story = ❑Other(please specify):
g.Total Area= :x(JC�L�
T--
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A plicable
❑ ❑ Permit A lication
❑ ❑ Pro osed Buildin Plans
❑ ❑ MN State Energy Code Calculations and Mechanical Code Re �irements Form
❑ , ❑ Surv� meetin all re uirements •
i7 ❑ Storm�vater Pollution Prevention ""�n
❑ ❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re o�t -►-
❑ ❑ Access Permit �
❑ ❑ Wetland Buffer Im rovement Plan ��
._ .F
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Raview Fee
G-� ❑ Application Escrow&Agreement
❑ ❑ 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 weath�r 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.
.�'
ApplicanYs Signature: Date: � '' � '' l
Owner's Signatu : / Date:
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REMARKS (in-house):
Fees to be Cha ed YES 'NO
P�rtnit
Plan Review
„State:Surc�ar,ge -.: �. -
Investigation Fee
`St�C `��1umben:c�f SAC Un�ts; �" .� ' 1 t,.�z,' -�y��-5
Other(specify)
S uare Foota e $ er S uare Foota e
Basement X = �
1�Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ l'�1U, 1700 `�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site �lumbing � Grading/Filling � Well
0 Hardcover Removal Mechanical � Fire ,� Electrical
� Footing � Septic � Water Connection
� Poured Wall 0 Fireplace � Sewer Connection
� Foundation Survey � Masonry � Lawn Irrigation
G Radon Rock Bed � Mfg.
�Framing Other(specify)
�'Insulation ��(L�sP R�n�-�'�-
� As-Built Survey
Final
O Wetland Buffer
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: 0 YES � NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms�plan review checklist 2013.docx
Lyle Oman November 25, 2014
Building Official
City of Orono
PO Box 66
Orono, MN 55323-0066
Dear Mr. Oman:
The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be
charged for the wastewater capacity demand for Graze to be located at 3382 Shoreline Dr. within the
City of Orono. --------�-��
The City will be charged 5 SAC Units for this project, as determined below.
SAC Units
Charges:
Bar
20 ft@ 1.5 ft/seat @ 23 seats/SAC 0.58
Indoor Seating (Non Fixed)
777 sq. ft. @ 15 sq. ft. /seat @ 10 seats/SAC 5.18
Total Charge: 5.76
Credits:
Retail (Grandparent 1937)
1661 sq. ft. x 80% usable space @ 3000 sq. ft. /SAC 0.44
Net Charge: 5.32 or 5
It is the Council's undersfanding there will be no outdoor seating. If at any time outdoor seating is
added, a determination is required, as it is also subject to SAC evaluation.
The business information was provided to MCES by the applicant at this time. It is also the City's
responsibility to substantiate the business use and size at the time of the final inspection. If there is a
change in use or size, a redetermination will need to be made. If you have any questions email me at
karon.cap�aert�airnetc.state.mrr.i�s.
Sincerely,
��
Karon Cappaert
SAC Program Technical Specialist
KC:fa: 141125A7
Determination expiration: 11/25/2016
cc: James Anderst, Orono Liquor Inc (email)
Rachel Dodge, Orono (email)
File, MCES _ ___-----
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nA��AWN s��r JIM ANn��51" ��OJ�CT; '�' s��� n�AWN C�Y
8. 20 . 1� 3 2
9, II , I� o� 3382 5horel�ne nr�ve �
Sc�le I/4�����-O��
y 612 ,803 ,2511 Navarre, M�rwiesota
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQ ICE SCHEDULED �
PERMIT NO. ��� � �''1�C�'�" COMPLETED - ',�
ADDRESS ���� � �t,;�e I i���'� ��/'�v'
OWNER _����� TELEPHONE NO.
CONTRACTOR
� DESCRIPTION `��� ���n�`j �
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME�TS:
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra r on site:
Inspector
White Copyllnspector's File Canary CopylSite Notice