HomeMy WebLinkAbout2003-P06020 - addn/remodel/repair , *
CIT'Y �'� ORONO PERMIT
275� Kelley Parkway- PO Box 66 Permit Number: Po6o2o
Crystal Bay, Minnesota 55323 P@fCTllt Typ@: Addirion/RemodeURepair
(952) 249-4600 Date Issued: 2i2oi2oo3
SITE ADDRESS: 3745 Shoreline Dr
Wayzata,MN 55391
P I D: 20-117-23-21-0025
DESCRIPTION: uBc o��up�cy ai
� Construction Type VN
Proposed Use: Institutio al QI �
Permit Class: Building Census Code � Cj�1°
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolurion#:
Separate pernuts required: Eiecuicai(sraie�
NOTICES/REMARKS:
A"".:"_-_"_�1_.-_/"�_'".a[i) C+a_a=T__"1�'"._/�_�=T'_" A 1__"___; _1_""_ _
..t.t. .... " '�" """ '... ii�i�a���� . .... .......�.. __
.........:.�:....... .. ✓..::.. .......b:.::::...... .....»�.,:::.;::G:.
FEE SUMMARY: Pernut Fee: $ 251.25 Valuation• $ 15,000.00
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 259.25
APPLICANT: JM�Builders OWNER: Good Shepherd Lutheran Church
6550 Woodedge Road 3745 Shoreline Dr
Mound,MN 55364 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQniZures Required), 1-At�plicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
�rb-03-20J3 11:04�m Fram-CITY 4F ORONO +95224g4616 T-8E6 P.002/003 P-236
, , �;Otdl Fe6: $� �`_> �� .�S DdtC RGC�1V2d:_ �!� r_ �' _
, Encered By: _ _ T r T'Cermic#, ; -- ;
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Cr'Y'`i'' �OF ��RON� - BUILDA�TG PERNIIT AP�'�,ICATIQN
A.11 in,form;�tion must be subutitted in full before pla�a review will b� started.
(please prinr all v�'ornsativn)
TH� A.I"PLICAN'.f YS: (circIe an 4�'NEY� R CONTRA,CTQ�
JIJ� S�TE A�DRESS: ���S _ _;�;�-- ��' z�: 5 s ,3 � /
Y /
NA,N� (�F OWN��:R,: C��-� J�--'��---� L-`��� C�YQ1�T�: {hame}
(work} i'`5 Z - 9�r- �i 3�
I�tAYLIlVC ADDR�ss: 3 7-�S�ir�e.�.--z,,��= ��ITY• ����� zIP: � S 3 y/
caNrxAcT�R: �i�'1�l ��c�.��2 s Pxo�: 5�z - �"�z — s � ��
C�NTACT PERStaN: J�-- �/�t--rn�"N�� MOBILE/PAGER:
N.L�TI�ING ADDRIESS: �S.�C �� v::��=b6 E--� �� CITY: f���,•_� 'LTY': S S .31� t
S'TA1"� LIC�NSE',: # /s���%
• �7 Co"3 " Z �� -- CP2 i S Dr?�-z�r-
aRcx�c r.�rr�Gn�E. ���i�=�v ��'��'�r��-��oN�: 7�3--s��- z;z:� �
N�A.ILING Ari : S�Z�� �,-, ,�,�.,�a. CITY: i✓1>"�S 7�: 5- � 9 Z i
NAME: ���-� / NL c�N s�%%�= 3J�� 1��YST�ATTON'�
��� ,
TYPE OF��VORK:: New Addition Aocessory Stnu�ure
Move Rernod�llAlteration� Land Alceration�,,,
P�QPa�ED WOTtK(descrzhe in detai�: r��1�'�_� �-h---7�
STORIES: � SQ. FEET QF EACI3 FLOOR:
Nt�. O�' HEl)lt0()I�viS: GARAGE STALLS: ATT. AET.
.�.�" �.�
ESTTMATEI�COIV'ST1��JCTTON'VALUATTON te�clr�di�ag land): $, 15�� L��
I hereby apply for a building p�rmit and I acknowledge that the information above is complctc and
accurate; that the woxk will be in conforrnance with th� ordinar�ces and codcs of the City �and with
the State Building t�ade; that�undexstanc! this is not a permit and work is not to start withaut a
permit; and r�at tt�: work wili be in accardance� with the approved plan.
; �
APPLICANT`S SYCNATtiTR�: /�^'` / � ./��^: pATE: � S C��
�% � � ��_=� �=�'ir€�=�'' L�r�. �'/r4.��r'fi'�
N(�TE! par�de nf Aorn�s events requtre sepa�ate perm�#appraval by �'otice l�epanrnent and �I
City Council b'0 duys prior to the event. Na�a permitted eve�ts will nat be allOwed,
. � ` CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3�y S SH U�ZX.C-1N C q 2
PID:
DESCRIPTION OF WORK: �.�/�,,�, �,�P cr� F-r-- ,4�v� iZ�� p.�.
ZO.YIYi G $.EVIEW BY: N�/� DAT'E APPROVED:
BUII.,DING REV�`i� BY: DATE APPROVED; _�-�z-03
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓ No
PLAN REVIEW Yes No ✓ SEWER CONNECTION
STATE SURCHARGE Yes ,/ No WATERCONNECITON
INVESTIGATION FEE Yes No ✓ PARK FEE
SAC Yes No �� SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CHE.CK LIST Zoni.ng District: /U� GHAIvGc=
Fire Department: Post O�ce: School District:
I.ot Area: Sq.ft. Acres � Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: �
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Netl d:
Building Height: Def. Hgt. Peal: gt.
Lot Coverage:
Grading: Staff Approval Date: By Council Approval Date:
Septic: Staff Approval Date: By
Zoning File: # Resolution: # Resolution Date:
Shoreland Di�trict:
Avg. Setback: Bluff Setback: L,ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RENLARKS (in house):
A �/✓e� /1z� Cc�itf c.�►,�tHUC^ 5n4;z Q � Gad�P ��s�or! —�� c-�w S u-t< < N
L:.�t S Tl�'�! ��/t c.-�O nr S•�
7
� � .
BUII,DING REVIEW CHECK LIST �
v�ac: �4 � eoxsTxvc�orr�rE: vr�r ? •
s Sq Footage $Per Sq Ftg
� Basement . . x _
lst Floor � x . . _
2nd Floor x _
Garage x _
x _
TOTAL
Estimated Construction Value: $ I S,o�o�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
oc Footing ' Se uc
_Q�Framing P Sewer Connection �
Insulation Fireplace Lawn Irrigation
Wall Boazd ��0�'� Other
_�F�� • ' (Mfg•) Well(State Permit) .
Grading/Filiing _�Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE: --��_� ---- ~--__
Access: Ezisting New .
Access Approval: Date �
By:
(TO BE NOTED ON PER►vIIT�: � �� � ��
8
� Fab-03-�003 11:05am Fram-CITY OF ORONO +p612404616 T-866 P.003/003 F-236
. � '
S�a 13,04 itIGFiTS OF SIJBJBCT'5 OF DATa
Suhd. 1, Typ�af daa. 'Ihe rlgEo of individual on whom d�e d��a is awred or w be scorcd shall be as ae�foreh ia c�is�ecaon.
Subd.3. Iat'ormrtiva esquirad to bs�ren individuol. .1a iadividusl uked to suPP�Y Pri"�or soMd�ndil dsn eoeenmiar bimself sh�1l
be iat'ocmed of: (a)d�c purpasa aad iaaended uu of ebc�queAcd dsw wid�Gu the wUe�aat lura a6e�r.Pelidc+l'aubdivision,or s�uowide sys�m;
(bl wderher he may raNse oT to l.eralty tequlrcd to suPP�y s!►e requ�sad d�n:(e)any Imown cocurqaeacb■rlsiaII flom hb aupplytag or reNsin�m�uPP�Y
privam Or epaficlential datx;�tad(d)the ideatity oF athe�pe�saas or emides�uth0eized by srsn or fedet�l law m neelvn the dstx. Thit cequinmrnc shall
no[apply whrn aa lndividua!i:;�ked ro iuppty invesd�adva dsm,pur�nat w socdon 13.82,subdivision 5,w�►iRw�nforeemeai oft[aa.
'iha commisslnnar of ro�� e mav cisee che noelea reaulnd und�r Nis suEdlvEslon In u,e fncllvtduv 1ne.�me_rax nr�romm nz rtfund
insnvotion►iruesad af on thou fg�.
Subd.3. Aecas to dux hy iadiriduai. Upon rcquass w��spo�u3ble eurhonry,aa wdividue!shall ba iafvrmed whc�hnc bn is she aubjeee
ot scomd dan on indiridwts,�uul whedur ic�S cleisa'�Ciad�u publk,pnvam or confidand�J. Upot1 k3a�furthCr rEQuOS�qa 1i3dlvidua.l�h0 is dle i4bjecc
oP swred priyaQ or pubtic dara on individuats alwl bn seewn�e daa wieboue aay ehae��ro him�nd,t[he dealm�,eh�U bt infaca�ed of fie cancea�
aed rtwaning of du�data. ACsar an individu�t has bean chowa cde pKvate dua aod info�med of in meaniay.��Qan nted nos be diselosed m him for
aix monfie d+errafmr udaae a Uiapuu o�aarian punuarn ro ehis aaerion is p�nding oe addidoa�l d�ea oa dia lndl�tdu�l hRs bem collawd vr creared.
Tha responsiblc aadwciry ahaU pcovidt eopies of the povue or pubtu datl upon cequoo�by du irtdivlduN suhJec�o!du dsa. Tha nsponelbl�Au�Aoda
msy�quire We tequesdn�persoe co psy the scaal cos�s of making,cerdyin�,sad compilin�rhe copies.
The reoppnsibla wthoaey shall eomply imrnediuely,if pouible,widi uiy�tt a�ede pursvant ee thls subdivtaion,or wiihia fi��e daya of
dtn daca ef ihe requae�,ezeluding Saaud•ys,SuMays aad lu�sl lwlid�ys,if iumediaee eompliana ts nocposeiblr. If h�ea�aaotoo�uply wah d�e requosc
wi[hin�hac drae,tro shsll eo infonn ihe individyal.and rtmy huve an�ddidoaa!£vr dty9 withia wlueh m eomply wifk thn rnquest,cxcluding Sna+�tlays,
Sundeys and kgu holldays.
Subd,4. Pf'OCMYt�v►ben dnti i4 nOt iCCurQ[E Or COmplltl, Ae iadividual m�y canne��h�accuncy or compl�na�ss o!public or prir�a
daa coaceminB himamli. To exarcise chis righe,w i�dividuu�6ell noaty in wriciog d►e nepooabtt wd�oriry deeeefbiag rhe naeure ot dw dis4gnvmans.
The responsible auctwrlty shatl�vi�hin 30 daya ei�er. (t)correcc d►e dtm found to be iruce�raoe or iucomptete and saempc w notily pas[rccipieu�of
in4eeurnsa or incomple�e dan,imludiag reciplen�narned by rbd 1nQlvtdual;or(b)aodty d�e tndlvldual�hac he beqeves�o ds[s ro be correct Dam
in dispum shall hn discloa�d anty ii t�e irdlvfdual'c ira�ment ot di,oagrcnmant is ioclnded with LLu Qlscloted dsm.
The dc�nninceon of tho respoasibin sucbodry u�ay be�ppealed pursoant co the provisions ot eha ada+iaisuanve proan�uro eat retating�o
COMeS[Cd casCs. • �
AATA PstiV,ACY ADV'CSOYi`St'
ln accordance with M.S. 13.Q4,Subd.2, "RiEhta of subja�s af data",wt wduld lik�to iaform you that your nqu�s� j
for a peaai� or ticensa from the Clty of�rono or any of its depazuaents may roquire you w fumish cartain private or �
confidential iafarmadon.
You are noxitied cbut:
1. The informacion you fiunish will b�used to deurmine your qualiPEcatioa for the permit or license requestcd.
2. You may rafuse to supply daca, bu�refusal may requice �hat the Ciry deny the permic or license.
3. The information may be st3arad with ather local, s�ace or federal ag�Acies ro[he�xteut q�ssary to process
rhe pertnit or license. '
4. Tf your requatad getmit or licenso requirna Council acden to apprave, same Inform�iou mny become
public.
5. You have c.ertain nghts under M.S. 13.04 (availabic upon request) to revlew private data on yourseff.
6. Yaur full name is required co process this applicution or permi�.
�
7�-�'✓� �.
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Firc: J+!lddle Lasi
Addtass
�uy Snte Zip Fhone
I understand my righ�s as scsted abovo.
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IN�STALLATION OF HANDICAP LIFT
REPLACEMENT OF FRONT EXTERIOR WINDOWS
REMODELING OF LOWER AND UPPER ENTRY AREA
GOOD SHEPHERD LUTHERAN CHURCH
3745 SHORELINE DRIVE
WAYZATA, MN, 55391
CONSTR�T('Ti�N PREP AND FTNiSHiNG
* Di� a 3" deep concrete pad for handicap lift on first floor landing - roughly 54"' x 64"'
* Add support beams to support continuation of upstairs flooring to handicap lift.
* Finish upstairs wood flooring to windows and lift
Refinish current wood flooring to match
* Finish upstairs wood railing to windows and lift
* Remove wooden flower box in downstairs entry_ area, and refinish wood railing
* Replace 6 windows in entr_y area- 2 on lower level, 4 on second level
with Far North 4' x 6'windc�ws.
Frame in windows, and finish interior and exterior walls above and below windows
* Paint walls in entry_ way - New color will be Ivory (Color of lift)
* Install Handicap Lift - (already approved by Lyle Oman - see attached sheets}
�LECTRI('AL PREP AND FTNiSH1NG
* Install 2'x 2' fluorescent overhead lighting above lift with battery_ back-up
* Bringing power to the lift with a lockable fused disconnect (110 volt, 20 amp)
* Replacement of current hanging lighting in entry_ way with new fi�ures. �����
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CMTY O� ORONO ���'
TELEPH_ONE PREP AND FINISHING BUILDl��G P,��lT�nPt_AP� REVIEW
INSPEC7QR � (��t.��
DA7E_ Z«I53 � ;i �JU..
* Connection to telephone system on a dedicated line �,�c��-���t;';_� , .; . ,_ , _..
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K61�P TH{S PLAN SET ON�ITE AT ALL TIME$
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�� , SO — Department of Administration
�rc:�. '
June 26, 2000
To: Elevator Contractors and Other Interested Parties
From: Elroy Berdahl, Elevator Safety Supervisor �
Acceptance criteria for proposed alternates requesting approval of wheelchair lifts
serving more than two landings.
The following items are established as minimum acceptance criteria and documentation
of compliance must accompany the written proposed alternate together with a completed
application for permit: �
- • Building official review of wheelchair platform lift installation
(form attached).
� Constant pressure floor�selective operation.
• Self-Ieveling and re-leveling feature(1341.0436 Subpart 2).
• Mechanical/electrical door(gate) interlocks.
� • Power doors or gates(1341.0442 Subpart 12,ANSUBHMA A156.19-1997).
�
Enclosed Lifts
, The following additional items must be provided for enclosed lifts:
• Emergency communication(1307.0065 Subpart 8)
• Battery back-up power adequate to operate lift and doors or gates „
, (standby power also acceptat�l�),
+ Emergency key box adjacent to��ift.at main entty level.
• Vision panels in doors. � . � � ���
Building Codes and Standards Division,408 Metco Sc�U�e"�I�f�c�ing, 1217th Place East,St.Paul,MN 55101-2181
Voice:651.296.4b39;�ax:651.�97.197�s� �.$00.627.3529 and ask for 296.9929
. + .
. , , ��O - Department of Administration
: •. -
Building Codes and Standsrds Division,408 Metro Squsre Building,121 7'�Place East,St.Paul,MN SSiOI-2181
Voice:651-296-4639;Fax:651-297-1993;TTY: 1-800-627-3529 and ask for 651-296-9929
Building Official Review of Wheelchair Platform Lift Installation
The purpose of this form is to provide the Elevator Safety Section of the Building Codes and Standazds
Division with a standardized application process for wheelchair platform lift installation.The form on the
reverse side of this page is to be completed by the local building official or, in non-code areas of the state, '
the Building Code$and Standards Division's Regional Representative.In most cases,a site visit and the
lift installer's drawings will be necessary to complete the form.
Our goal is to obtain basic accessibility, building code and safety information concerning a proposed
. wheelchair lift installation. Such information is beyond the scope of the permit process for the lifting
device.A pefmit for the install�tion of the actual lifting device will be issued by the elevatot safety
section of the division.This fortn is intended to provide supplemental information pertaining to the•
overall appropriateness of the proposed lift installation.These issues are irrespective of the mechanical
issues of the lifting device which will be reviewed by the elevator safety section.
Completion of this form will provide the division with an overall picture of the proposed installation and
allow the division to determine if the proposed lift i�viil provide access to the area in an appropriate and
safe manner r�vhile maintaining general exiting of the facility.
Each permit application submitted to the division for the installation of a wheelchair platform lift must be
accompanied by a completed Building Official Review form.Questions concerning this form shoutd be
directed to the E1eVgtor Safety Section at 651-297-708L
This is to verify that I have reviewed the proposed installation of a platform lift located at:
,
� and that the proposed installation is,� acceptable_ not recommended based on the attached
criteria.
LYC.C OM �N I Z6o
Name of Building Official(print) Certification Number ��
� '21� -C�Z
Signed Date
�a C3 0 � G � G'�,s►� ` 6 a�, V�l� ss�z 3 -
Add�ess
�JS2-ZK �? • KGoC� � Z- ZYS • Y!o/6
Phone Fax ' �
;
, �
Building Official Review of Wheelchair Platform Lift Installation
This wheelchair platform lift application applies to:
_ new building, �existing building, _ building addition,_ change in use
_ If this lift installation has been included as an element in an approved plan review completed
by your o�ice,please simply check this box and complete and sign the front of this form. •
For lifts not subject to plan review:
Yes No N/A
� _ Do doors/gates at each stop have required clearance on the pull side(per
1341.0442, subpart 6), OR, aze automatic opening doors/gates provided?.
�. _ _ If automatic opening doors/gates are provided, is the lift call station and door
operating control located at least 30 inches from the arc of the swinging
door/gate (per 1341.0442, subpart 12)7
_ �C Does the door/gate swing obstruct a circulation path or swing into a stairway
landing7
_ � Does the proposed lift location obstruct the means of egress?
If yes, is there a better suited location for the proposed lift?Please explain:
_ � Are there structural considerations involved in this installation?
If yes,please indicate:
;
� What area(s) is the lift proposed to serve?
5 PeNC_-rv rl�M,� -�- F e c.c.,o�,.�,5 H�P 11�4--[.L
What is the approximate occupant load of the space served by the proposed lift7
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Additional Comments:
6/26/00
%
DATE TIME �
CITY OF ORONO � CALIED IN
INSPECTION NOTIC ���l- SCHEDULED `S �' /I��a
PERMIT N0. � COMPLETED �
ADDRESS �`1S 5 l�n�e IJ(�
OWNER �%C��'��f -���� >�'s�,�1�.�.� r��60NTR.
i
TELEPHONE NO.
� DESCRIPTION �^-��A ����'t- �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q�6 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 WARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContrac r n si :
Inspector.
White Copylinspector's File Canary Copy/SHe Notice