HomeMy WebLinkAbout2011-00218 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2011-00218
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/22/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 200 WAYZATA BLVD W
PIN : 36-118-23-43-0001
LEGAL DESC : UNPLATTED 36 118 23
• : LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS
VALUATION : $ 15,000.00
NOTE: ADD ACCESSIBLE ENTRANCE TO WOMEN'S LAVATORY AT COUNTRY CLUB
APPLICANT PERMIT FEE SCHEDULE 265.50
TERRA GENERAL CONTRACTORS PLAN REVIEW 172,58
21025 COMMERCE BLVD
SUITE 1000 STATE SURCHARGE(VALUATION) 7.50
ROGERS,MN 55374- TOTAL 445.58
(763)463-0220
Minnesota State License#: 20455828
OWNER
Wayzata Country Club
200 WAYZATA BLVD W
WAYZATA, MN 55391-
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 separate
permits. All provisions of laws and ordinances governing 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
comme ced within 180 days of the date of issuance,or if construction is
suspend d for a period of 180 days at any time after work has commenced.
The app is espo sible for assuring all required inspections are
re a in c 'form ce with the State Building ode.This per 't may be
yoked t an " r d se. /?/) /- --
Applican Permitee Si nature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
1.144 k l wittfitai /
City of Orono `k"°
Building Permit Application for Internal Work -jg•
(windows, doors, siding, re-roof, etc.
Mailing Address:
.,0,-. PO Box 66 ermit number: O(f DDoZ
O . )\ Crystal Bay, MN 55323-0066 Date received: y- 1 ( if-14---11
,, Street Address: Received by:
�,4. �, G�ti 2750 Kelley Parkway Plan review fee:
� �'' g� Orono, MN 55356 /� [ � r i"
xHo Total Fee: ' `7"f�. �, 1i \\`'\
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print) %L. Ssr
GENERAL INFORMATION: ` W Z--A- i-V»
Job Site Address: Wi\--ti'-r itA ( 0 -1-� ( i �� �' c
fly (`_1--�13 �}fit � �,tjr��-►�-n' , 4't �� � t I
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No
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.
CONTRACTOR/AP, LCANT INFORMATION: ��
Name: V Z--A-C-I �, t-- AecAr��-' -TU`.' t LL C •
State License# •2011- .4g 2- Expiration Date: 03131 /z i Z
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: 7 `{-63 v Z 1 (office) (i.-) (2 ,-.7, L1 c-c Z 2- (cell)
Mailing Address: u 6 LS j, -t -liriz.C. V>u ,) It ( C`C Cit • , 1- --zS ZIP: 1-q
Contact Person: � c�s''u Applicant is: Contractor in Homeowner (circle one)
Email and/or Fax: •�1,?vo-w (11, t ,('o('c.Lc , (j1c -k
PROPERTY OWNER INFORMATION:
Name: Cf iS C-1�A-z-7 t
Phone (day): Cftcz) (4 1 7 S3
Address: -r t --nt 1- LA).--, ,ss.i City: I,V. -1---i-r11- ZIP: '55'31 i
Email and/or Fax
03 C1C rCe- d i Cu- (},C;..:1 2-r-�-2c,_C - ,0_634A
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Doors r Remodel ❑Water Dama a MCWD review&permits:
( ) y'� g Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
I=1Siding ❑ Restoration 1=1Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description: -7, AzC-C�t- ,L.E ;(LI' C 'C� LA -(�5 Licv;c�Z-( 61-_-: ar"'C--
Estimated Construction Valuation of Project(excluding land) $ ; ,/6-25--E2
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 inf.rmation which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of ,.. information is to annually update our records and records of other governmental agencies
required by law. If you ref -- o s pply the information a lication may not be issued.
Applicant's Signature: "l • 11----- --- Date: q tr / '
Last Updated: 03-01-2011
terra
1801)‘(ii•
•
_Am o general contractors
21025 Commerce Blvd, Suite 1000 Rogers, Minnesota 55374 ph.763.463.0220 fax.763.463.0290 www.terragc.com
April 1, 2011
Mr. Lyle Oman
City of Orono
2750 Kelley Parkway
Orono, MN 55356
RE: Wayzata Country Club Oasis
Women's Restroom Remodel
Dear Mr. Oman
Please find attached the permit application for the remodel at the Women's Restroom at the
Wayzata Country Club Oasis. I have also attached the drawing showing the scope of the work.
The project includes excavation of the area around the entrance to the women's restroom to
make the access more accessible and we will also be installing a 3'-0" new door into the
restroom as well. The addition of one (1) more water closet will add capacity to the facility and
this will be connected to the existing cleanout at the men's restroom entrance. We are
assuming that this will not be needed to be submitted to the State of Minnesota Plumbing for
permitting and that all permitting will be through the City of Orono.
The estimated cost of the project is $15,000; however, the majority of cost (60%) is the entrance
modifications related to making the restroom more accessible. These costs are as follows:
• Excavation, removal of retaining wall and existing door $4,955.00
• New door and frame $ 900.00
• Infill masonry, new door opening and new walkway $1,500.00
• Terra supervision and misc materials $1,500.00
$8,855.00
We are available to meet at any time to discuss any outstanding questions that you may have.
Please contact me at (612) 384-5522 or email at tbrownterraqc.com.
Sincerely
yl'�.l I ().i
ti
Tom H. Brown
President
THB/tb
enclosure
C: file
Chris Gerardi,WCC
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NEW DOOR INSPECTOR . '�,_
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WAYZATA COUNTRY CLUB I\ miller dunwiddie
ARCHITECTURE
'I OASIS RESTROOM REMODEL
1 OCTOBER 2008
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C I c DATE TIME
CITY OF ORONO CALLED IN 3/ r.-11 1 I
INSPECTION NOTICE SCHEDULED ,t`-3/ i '/i( C Air)
PERMIT NO. ,,)\--- 011 � /8tOMPLETED b
ADDRESS 2C O U22i. (?r- C' t IiIId
OWNER TELEPHONE NO.ii__I a -as )
CONTRACTOR T ' )a / ,
FlDESCRIPTION ria_ / ,1, d- .
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LA. LIFOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
" ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
• 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
cr ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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--C ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP PIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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Wu ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W 11CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
L7 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/Contractor on site: �" f
Inspector. 1'S c
White Copy/Inspector's File Canary Copy/Site Notice
TIME V
0 OF ORONO CALL/ED IN J
INSPECTION NOTICEp� SCHEDULED 5116-1 I al; D
PERMIT NO.ok//—���0 COMPLETED
ADDRESS aWO WQ 1/48 1 UCL .
OWNER TELEPHONE NO.&/7 ZZ/ oaq
CONTRACTOR TCS ell • 4:',71
DESCRIPTION / '2-?YL 4t v 7j_c
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0 FOOTING ❑ PLUMBING Flg EXCAV/GRADING/FILLING
y ❑ PO D WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
9411ING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
• NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
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/Contractor on site:
Inspector. (;7 6 es-
White Copy/Inspector's File Canary Copy/Site Notice
Plan Review Checklist for New Structures / Additions
Address/PID/ Legal: ZOO L A ti-usc-nA (3w6
Description of work: l�A-n-1 %.Z,e-V 'Z * �
Septic review by: N/4 Date Approved:
Zoning review by: �./ Date Approved:
Building review by: Date Approved: Y-/Z- Zo t I
Grading review by: /V/A Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zoning District Fire Department Post Office Sc,wol District
/
Zoning: Lot Area: SF/AC Width: Depth:
Survey Submit =.: 0 Yes 0 No Date of Survey:
Proposed Setbacks:
Front (Lake) Re. Street) ( N S E W ) ( N E W ) Other Buildings Wetland
Side Side
Building Defined Height: Buildi • Peak Height: #of Stories Ok?: 0 YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC r. FOR A BUILDING ON A SLAB FOUNDATION:
START WITH the distance between the base nt floor/ . .wl START the distance between the slab and the highest
space floor and the highest r.. peak, the top WITH roof peak,the top of the cornice of a flat roof,
the cornice of a flat roof,th- deck line of a the deck line of a mansard roof, or the
mansard roof,or the up. •rmost point on a round uppermost point on a round or other arch-type
or other arch-t .e roo roof
SUBTRACT half the distance be, een the highest window and S►:TRACT half the distance between the highest window
highest roof pea .f a pitched roof and highest roof peak of a pitched roof
SUBTRACT the distance b- een the basement floor/crawl ADD the distance between the slab and the highest
space floor - d the highest existing grade within existing grade within the foundation
the found- on or 10 feet,whichever is less. EQUALS refined building height
EQUALS Defined •uilding height
Lot Coverage: SF °o
Shoreland'District MCWD Permit Received Average Lakeshore Setbac• Bluff
/ 0 Yes 0 No 0 N/A 0 Yes 0 No
0 Ye ' 0 No 0 Yes 0 No 0 N/A
Permit Number: Set..ck:
ardcover Zones Existing Proposed Variance Required CUP 12- •uired
0-75' 0 Yes 0 No 0 Yes • No
75-250' Type(s): Type(s):
250-500'
500-1000'
REMARKS (in-house): NO G/-f'9/U6.2-
Updated:
Updated: 09/11/2009
z:\forms\plan review checklist.docx
Fees to be Charged YES NO
Permit
Plan Review t/
State Surcharge
Investigation Fee
SAC-Number of SAC Units
Sewer Connection
Water':Connection
Park Fee
Site.Inspection
Other(specify)
Miscellaneous Fees
Calculated By:
Square Footage $ per Square Footage
Basement X = $
1St Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ i Sipco "-
Orono Inspections Required Work Requiring Separate Permits Required State Permits
O Site ArPlumbing D Grading / Filling 0 Well
O Hardcover Removal D Mechanical D Fire ,Er Electrical
O Footing 0 Septic D Water Connection
0 Poured Wall 0 Fireplace 0 Sewer Connection
O Foundation Survey 0 Masonry 0 Lawn Irrigation
O Radon Rock Bed 0 Mfg.
.Framing 0 Other(specify)
AEI-Insulation
O As-Built Survey
Final
O Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: 0 YES 0 NO New: 0 YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: 09/11/2009
z:\forms\plan review checklist.docx