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HomeMy WebLinkAbout2005-P08900 - new structure - church PERMIT CITY OF ORONO 2750 Kelley Parkway-`PO Box 66 Permit Number: P08900 Crystal Fay, Minnesota 55323 Permit Type: New Structure (952) 249-4600 Date Issued: 7/19/2005 SITE ADDRESS: 3655 Togo Rd Unit# Wayzata,MN 55391 PID: 17-117-23-31-0036 DESCRIPTION: UBC Occupancy A3 Construction Type VN Proposed Use: Religious Census Code 319 Permit Class: Building Permit Type: New Structure Permit Sub-type(s): Church DETAILS: Approved per resolution#: 3109 Separate permits required: Plumbing Mechanical Water Connection Sewer Connection Irrigation Electrical(state) Other-(Poured Wall) NOTICES/REMARKS: Reclaim SAC from June 2005 FEE SUMMARY: Permit Fee: $ 2,052.15 Valuation: $ 288,876.00 Plan Review Fee: $ 1,333.90 State Surcharge Fee: $ 145.00 TOTAL FEE: $ 3,531.05 APPLICANT: McFarland Builders Inc. OWNER: Navarre Congregation of Jehovah Witnesses Inc. 10505 Belmont Road 1717 Avocet Lane Minnetonka,MN 55305 Mound,MN 55364 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 ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPLICANT P ITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), ]-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 36x5 'TOc-,o 111.p^o PID: DESCRIPTION OF WORK: NCW Crg#,C� ZONING REVIEW BY: - _ —�___-_-_-__--DATE APPROVED: ---1-t fs -o� BUILDING REVIEW BY: DATE APPROVED: --__---_--------____� �� -------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No ;/ SITEINSPECTION Number of SAC Units YA4&tvr,� oE^,- OTIJER (specify) kSl3st? sTi��At2ow_/ ✓Ja�-- -sA�-------------------- - MASw AL s 4 c- = �7 S ,rC7�T5 �+ S A ZONING CHECK LIST Zoning District: ZA-,c I'f'( s ovns /DAY*_ Fire Department: Post Office: School District: Lot Area: Sq.ft. Sq,3 6 Acres 1.31. Width 1(P3.4 2 Depth 3x67 A-( Survey Submitted: Yes x No Date of Survey: /-J o•o S Proposed Setbacks: 51.5 r(o` LJ 0-1 Front(L-aker 1-7 411, t Side: .5t•3 Rear(S*Fw): '2't-o Left Side: I?Z. Adjacent Structures: AJ 14 Wetland: #J1A Building Height: Def. Hgt. 0Peak Hgt. Lot Coverage: 'J•5 Grading: Staff Approval Date: Mdu 4 , 2.o*S By: o!n Gouncil Approval Date: — Septic: Staff Approval Date: ll1 I iA By: – Zoning File: # os•3to4 Resolution: # Resolution Date: 6-i3-os Shoreland District: Avg. S tback4. N 1 Bluff Setback: fQ 1 R Lot Coverage: -7.5 Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' 0.,6 q3-4 Hardcover Variance Required: Yes y, _ No Date of Council Approval: REMARKS (in house): R BUILDING REVIEW CHECK LIST UBC: A - 3 CONSTRUCTION TYPE: 1�N Sq Footage $Per Sq Ftg Basement a = 1st Floor YLoo x 4.8.1 f6 2nd Floor x Garage x = x = TOTAL _ Estimated Construction Value: Inspections Required: Work Requiring Separate Permits: Site _X Plumbing Fire Hardcover Removal Mechanical _Water Connection - Footing Septic _X Sewer Connection _5( Framing Fireplace Lawn kfigation _@[Insulation (Masonry) _ c�Other ov"D w44-<, Wall Board —/s .(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: --------------------------------------------------------- REMARKS (TO BE NOTED ON PERIMM: 8 R Total Fee: $ Date Received: Q '3 0-05— Entered By: Permit#: fiosq n CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one)) OWNERITIOR CONTRACTOR JOB SITE ADDRESS: 305 I* Pooiq ZIP: y 5 3 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ONO 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 applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. (Pfe'N("I-) .Tn)eManStn dor NAME OF OWNER: Navaffe Con0.cegat,on of J'V� It. PHONE: (home) (work) 612-316 -7706 MAILING ADDRESS: / 7/7 jVoc e f Lune CITY: MoV.j ZIP: 15-3 6'/ CONTRACTOR: I�►C G< t9" PHONE:gQ R yo-�?u CONTACT PERSON: e MOBILE/PAGER: Same MAILING ADDRESS:/ l{ CITY: yh ZIP: SS D STATE LICENSE: # EXPIRATION DATE: 3/2 1 /06 ARCHITECT/ENGINEER: Ad L Ia Sk0 PHONE: MAILING ADDRESS: 0/0 I CITY: Aode ValleyZIP: $75-12y NAME: N; I Ala .5 KD REGIST ION: # .1300 3 TYPE OF WORK: New ✓ Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detail): NM014 eek (`S�i`Aq N vrck L, - 'k ti eAICAf a ld bV A anb th().r an a "6 Icy b STORIES: i SQ.FEET OF EACH FLOOR: q�Do NO. OF BEDROOMS: GARAGE STALLS: ATTACHED IV il DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (7_$ 7+00o) -a o la bor- I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with the approved plan APPLICANT'S SIGNATURE: 7 DATE: Z-,2?- ,<- 31 f Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or propedy tax refund instructions instead of on those fors. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon.request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve,some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. r a e G�P, .�n P,a, a n y-eIN- First Middle Last I A C ? ore e Address City State Zip Phone I understand y rights as stated above. Signature - .. ..x ,..._- RO O 4 PO s� ► �P g NoKWMTE mA /L•t 7,slack 10, I roMt1517E OF LAN4n(fN PARK I N«lhpat om.ar o1 Lo!7, ` Block f0.roMTI517a OF `��-----rnnv R07 — ---- �_. IRIGpON PARK ": �• I .......4 ••• --Nq�.N l 9ENt3WAf71C I g�,_-'. .. .. l... � 7NN.a37s9 I I J" lob � I '� •1 \ ( \ �& I j ! 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PARK 1 All visible improve 1n® ern c4 womn - roMNATE of I.INGpON location o1 any addJ it L before excavation`all GO Cy;-- DATE TIME v CITY OF ORONO CALLED IN -7 51 1�S INSPECTION NOTIC SCHEDULED 0 PERMIT NO. 00§-C?DO COMPLETED ADDRESS 01 OWNER OWNER CONTR. e� dl TELEPHONE NO. _aVC -7 _79,D DESCRIPTION E�M-7 nI� W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YO YES_NO COMMENTS: W CL cc J O a O W W cc Q Z W Z W Z) d WWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra q site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice C / �` CJ DTE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 0 PERMIT NO. 1` 02200_ COMPLETED ADDRESS l o OWNER CONTR. � 7� TELEPHONE NO.L�IL`A' 790 DESCRIPTION �� W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: cc W a zS f Ct LCA �, 0 a 0 U_ W Cr Q z W Z W CC Z) d W ORKSATISFACTORY:PROCEED ElPROJECTCOMPLETE W [U] CORRECT WO W RK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARR GE ACCESS. Call forthe next' s ion 24 hours in advance. (952) 249-4600 Owner/Contractor te: Inspector. White Copy/Inspector's File Canary Copy/Site Notice G9 DATE r, TIME CITY OF ORONO CALLED IN INSPECTION NO= SCHEDULED PERMIT NO. COMPLETED ADDRESS 3X62,55 7 0 6 OWNER M l (,2 9 1 os. CONTR._, AC ML/A= /,a",Q TELEPHONE NO.— Ar 4 2- /Q ` 77O (O 3Z DESCRIPTION � 0-w a Jq W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING O 2 FRA ING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O O U_ W cc Q 2 W Z_ W J LIU WORK SATISFACTORY:PROCEED PROJECTCOMPLETE rc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY C) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor site: Inspector. z_�) White Copyllnspect 's File Canary Copy/Site Notice DAT TIME C CITY OF ORONO 19Lk CALLED IN 40 INSPECTION NOT SCHEDULED 0 - f PERMIT NO. ^v COMPLETED ADDRESS OWNER CONTR. TELEPHONE NO. �lD 3T Lq/p C/ DESCRIPTION w 01 FOOTING 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 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 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU•_YES NO COMMENTS: ac w e j O O w CC Q Z w z LQ oc O wWO RK SATISFACTORY.PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK A PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952) 249-4600 Owner/Contra te: Inspector. White Copy/Inspector'sle Canary Copy/Site Notice b '_t— TIME CITY OF ORONO CALLED IN INSPECTION N SCHEDULED — -� PERMIT NO. 00 COMPLETE ADDRESS D OWNER CONTR. TELEPHONE NO. �o lz, 3t D -770(0 DESCRIPTION _ �1 L4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING LL 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q ONAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT j 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC LQ Q. cc © OC�cc- o ` a cc w Q CX. SS z w w Qr- Z) d � WORK SATISFACTORY:PROCEED 1POJECT COMPLETE LU 11CORRECT WORK&PROCEED ISSUE C RTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contr o s te: Inspector. ' White Copy/Inspector's ile Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N jl E SCHEDULED PERMIT NO. (J COMPLETED -7 --30.0f. ADDRESS :3 6 55 -ro(.o R—ookQ OWNER CONTR. TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q (O)FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO v) COMMENTS: cc a "J6 cc J O cc � ss w-e C-- c - O LL W cc Q f2 2 W Z w cc j ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE Ct W ElCORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra on ' Inspector. jWhltCnspector's File Canary Copy/Site Notice