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HomeMy WebLinkAbout2010-0139 - bridge CITY OF ORONO PERMIT NO.: 2010-01039 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/25/2010 (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 : ZONING PERMIT PROPERTY TYPE : COMMERCIAL-BUSINESS • CONSTRUCTION TYPE : BRIDGE APPLICANT STRUCTURE PERMIT 50.00 Wayzata Country Club TOTAL 50.00 200 WAYZATA BLVD W WAYZATA,MN 55391- 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 sh I be compied with whether or not specified herein.This permit will e i and become null and void if construction authorized is not m enced within 180 da s of the date of issuance,or if construction is usp nded for a period o 81 •ays at any time after work has commenced. he pplicant is respons ble fo Suring all required inspections are -sted n conforman.-with th Stat�uildir�Code.This permit may be revs ed a . y time for d.a cause. \ / avviuu / / .2)6 / /O Ape ic.• i ee :ign. . • - Date Issu-I By Signature Date • ' •TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , City of Orono Zoning Permit Application Mailing Address: Permit number: o20/0-0/039 O -- �.1 Crystal 66 Cstal Bay, MN 55323-0066 Date received: /020//0 l\\41" Street Address:"11, Escrow amount: �ti 2750 Kelley Parkway Permit Fee: 41 770-011 .t9x 4Orono, MN 55356 ESHO 100,Z4`-- wReceived by: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us (A, j Lip () This application form must be completed in full and all required information must be submitted. (Pleas print.) GENERAL INFORMATION: Job Site Address: L.(w \,4J( - t,eCLGi2A-- _ blvd . w4/Zu1?7,L4-7, bill CONTRACTOR I APPLICANT INFORMATION: Name: -4147k C4414 e/tbc-b Phone: (AL-s0 I-5SC 3 Fax: CI 92_-40q-,953a- Address: go b + t e3(✓� City: Ln/'jZ-74z., i S ZIP: mit/ Contact Person: ✓-p i�C1V�- �3 -f Contact's phone number (p/Z_-S-0/-5S03 Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNERICOR TION: Name: CyGLIA e.--11.4/0 Phone (day): 6102- -1 3 n �p Mailing Address: p,(;1; L4)-- + V a -cdi Fj I v . Bila r-r 7d--/A MAI ZIP: c,2-6oi/ Email and/or Fax G(rat N 1�- GIL ro,,r-1 .ci j-69 W ? c- .C IJ Overall Project Description: Check TYPE OF PERMIT COST Box Residential Dock- Permanent dock on any lake or initial seasonal dock not on $30 + engineering review Lake Minnetonka(permanent dock requires CUP) costs Commercial Dock $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 Minor Land Alteration (grading, filling or excavating)-500 or less cubic yards $50+ engineering review outside of lakeshore setback or less than 10 yards in lakeshore setback costs Escrow for erosion control and engineering review costs $2,000 Major Land Alteration (grading, filling, or excavating) more 500 cubic yards or $30 more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and engineering review costs As determined by CUP Stairway to Lake $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 Retaining Wall not requiring a building permit(A building permit is required for any $50+ engineering review retaining wall that measures more than four feet from bottom of footings to top of costs wall. Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and engineering review costs $2,500 Tree Removal or intensive vegetation removal in 0 to 75 foot zone No charge. Structure Permit for other structures not requiring a building permit but regulated $50+ engineering review by the zoning code (including, but not limited to accessory building of less than 120 costs square feet, detached deck or platform and sport court) Escrow for erosion control and engineering review costs -.dd#5sEte-- /0/4- /4(---j (over) APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Planning Department; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; • 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 attached Escrow Agreement is completed and signed by Owner; • 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. P 'vate data is information which generally cannot be given to the public but can be given to the subject of the data. nfidential data is information which generally cannot be given to either the public or the subject of the data. Ou pprpose and int ed use of this information is to annually update our records and records of other governmental gOncies required law. If you refuse to supply the information, the application may not be issued. The undersigned certify that th. (nfo ati., suppled tr an correct to the best of their knowledge. Applicant's Signature: A 11 •... ,0^ /1l7 Date: / '7"/,� Property Owner's Signature: Date: TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed application form, escrow agreement(signed by the property owner) and escrow check from owner, two copies of all plans, and three copies of all grading plans or surveys/site plans Residential Dock Seasonal Dock—survey showing proposed dock Permanent Dock- plans as approved by CUP and copy of LMCD permit Commercial Dock 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Minor Land Alteration 1. Grading plan including existing and proposed contours (Less than 10 cu.yds. within 75' of lake 2. Amount of fill to be imported and/or exported and haul route or less than 501 cu.yds elsewhere.) 3. Amount of earth to be moved around on site 4. Erosion control plan or copy of MCWD Erosion Control Permit Major Land Alteration 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway 2. Topographical survey of property with proposed stairs drawn in. 3. Erosion control plan or copy of MCWD Erosion Control Permit Retaining Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of existing wall, grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control plan or copy of MCWD Erosion Control Permit Tree Removal Call 952-249-4600 to schedule inspection. Structure Permit 1. Plans for structure. 2. Survey of property with proposed structure drawn in and with setbacks to property lines, other structures on property and the septic system indicated .The general location of any sewer and water services should be shown if applicable. 3. Grading plan if grading is required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control plan or copy of MCWD Erosion Control Permit Last Updated: July,2010 ANDERSON ■ URLACHER P.A. STRUCTURAL ENGINEERING m • O . , ccr cc G e _I 0 LN o e Cos Q8w c a a a w Vci0 CO O a • 4i) CITY OF ORONO LSEi:-LZINC`, PER I PLAN REVIEW IN$ FCtOR < --- DATE HZ. 9 n Iil'F,f v F-..' 17 I 0 i )I --- Tr <rn .. . ., :' b done in i..1 I ry a t..,r,rJ Cade. Rec, �eut� cii;;y i . is c e iy. nioo ir.;i;l review. KEEP THIS PLAN SCT ON SITE AT ALL T MES (A:a- (�n►�=ol 'tel 1)/?_ o.)11 -e iGJAn 01.) c >✓1-� • •"'I 6)) 901 NORTH THIRD STREET.SUITE 220•MINNEAPOLIS,MN 55401 612-692-9958• CELL 612-839-2897•FAX 612-692-9960 ANDERSON ■ URLACHER PA. STRUCTURAL ENGINEERING PRJECT �� s�I1Ut11 GlU h– __ 13154C-L-- JOB 315 Q.—JOB NO. SHEET NO. .5 DATE tW j tE 0_ NAME _ LU 3X 10 GCD�4R -Th ��GKTiv1,1G � M Ore C>vu`r 2_)(1- 1A-) 1g-X4-0 x1-w1aX¢o BoLTs 0 � T►��� _ �-/1- ANDERSON • ORLACHER ea �SS�T""RUCTURAL ENGINEERING PRJECT WQ �Cs,-T�__ COCM �1CA11__ _---_13.f_► ..tr JOB NO. __-- SHEET NO 53 _ DATE ._t0_1_17 ji0_ NAME _in q 1l)0Th : CD1I1 pec -1. 6c+ mc, einuTMD FOR c>~► .T1''T E'EX .6 v 4f � I I ) j I k)/ ( 1/14)X_51) STUDS 51( O C. -GM A-1r -03 T1 E5 e..) 1,tiI W° 1-400se) D5 C g. 70P -F 2 80770 70 711 X AadX 6-o ri PFt,> c i9-P/ 5F Pyrv °f--001- s T`Tp c _.. (9 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED Z Q PERMIT NO. Zb'o-61°39 COMPLETED 2- is-- l r ADDRESS 2-0 o wA\rz6,--fla OWNER (AlA+Y744, C4. C i!.V e TELEPHONE NO. `is z_ 2t l� _ 6 053 CONTRACTOR DESCRIPTION - O4(9 A!.5 Lit,11 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ct ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ 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: cc \<.. e c.,20 s_ cc 0 cc 0 W W W CCNORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC LU ElCORRECT WORK&PROCEED I: ISSUE CERTIFICATE OF OCCUPANCY OO El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 OwnerlContror on it Inspector. White Copy/Inspector's File Canary Copy/Site Notice DT TIME CITY OF ORONO CALLED IN '/ INSPECTION o OOH I ���3q SCHEDULED a7-/ 7"—// q: PERMIT NO. / COMPLETED ADDRESS '?''OZa t ' �V OWNER a CG TE PHONE NO. $57-- 210 6653 CONTRACTOR �'� >: DESCRIPTION Cl FOOTING ❑ PLUMBING AeAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: CC o C' /; fir To O' cc Pc 4 re c 0 cc z cc 0 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 4-,/7 (.3 S White Copylinspector's File Canary Copy/Site Notice • --1.- •' ik' i ',.'•! „,,ii, q,.. ..'7 4' ?`—.4, ,t.I.• . , AA' ,ijk.b • - k • - N . - . ....„.4 41 ..,..; ,. • , • .... • _ . . . ... ,:.„. . .1.1 .$ . .... „ I. .. .t . .., , .:‘,„ . ,..,I. : . . . ri , 1 . .. , 1 . , :t... 1. r.. . . .i , . 1. ... .. ., „..,, . .• , , ...- • ,*It . . , ) , ' 1 • - ..... . . , „.. .. . . , S ... _. • . .. . .... .• 1, •, •, ... - ... i ,•,t ,i.,...,... Pie i• ,.,. ,.... .,.. Ar.. . , .0 . ... -- . , , , ...... ,.., . 4. Iv.. •, '-. • 1,-1.,'.40,”' f•••'-'11'.• , ...,.., I BRA O DENOTES APPROXIMATE STANDARD PENETRATION TEST IBORON ING F I NTE .. " _..._... _ .' 11001 Hampshi. Minneapolis,..... (/— ' A (9 PH. 52 995-2000 FAX(952)995-2020 simalmmamlimmismems - �� Y `�I Base Dwg Provided 8 onsommimimianammo FOUGHT DESIGN Iy e 75' 0 150' mewimin SCALE: 1"=150 d // 4iill , � h I f Ic:; .4.1. . �� $T=�' 1�STS ` r- : fl!h\ �, Wzz� ST-5 �y\ ryQOO— ST-6 • _ m T30 Q<1— ' a "`—` ' \---',-, ' '---:', ' sT 7 ,t'''< / Oil-f- , i C)' - 111,11;- \ r ; S e�ST.B• `� _ W 1 I r r., r v .4 f{ , , , c _ r e► l 4 ry` , . ' : ' -, '',' - .... , , Orli, , ... n e1 a n PI n Si• PIn � Zvi w Pia _._ a Da to > , , a :,-...,/- f _-. D ilVl'f , I N EVIST®N3 • P VEDw PROVE -- ' `-• - - Project No. m ! HIED BL0803640 -t - z 5 - r DravAng(l No m �� iota+• BL0803640 " - • Scale: t' op _ - I: -150' <_ Drawn By: i• / Date BJB M :� .> - .. t t `''j Drawn: 8/15/08 Checked By: GJB Modified: .-; r- ,-•- � Last 8/27/08 op i . Tii co i Pig { L of ,r � i t i ry .-f^xn v I