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Home My WebLink About2011-00896 - foundation only CITY OF ORONO PERMIT NO.: 2011-00896 - - . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/19/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : NEW STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FOUNDATION ONLY ACTIVITY : 323-HOPSITAL&INSTITUTIONAL VALUATION : $ 1,000,000.00 NOTE: THIS PERMIT IS FOR FOUNDATION ONLY OF THE NEW ASSISTED LIVING FACILITY PER LYLE OMAN. BROKE OUT PERMIT FEE FROM$5,190,000 TO$1,000,000 FOR THE COST OF FOUNDATION. APPLICANT PERMIT FEE SCHEDULE 5,956.75 KRAUS ANDERSON CONSTRUCTION CO STATE SURCHARGE(VALUATION) 500.00 525 S. EIGHTH STREET TOTAL 6,456.75 MINNEAPOLIS,MN 55404- (612)332-7281 OWNER CPE Exchange 33968,LLC 200 SOUTH SIXTH STREET #1300 MINNEAPOLIS,MN 55402- 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 commenced within 180 days of the date of issuance,or if construction is suspended for. :' • of 180 days at any time after work has commenced. The ape ' is respon•.ble for ass ng all required inspections are requ- • n confo -. ., ith • .tate Building Code.This permit may be rev' • a any ti for: e c., ,-e__ ‘2„,,,,,,,_ • :. leant Pe 'tee Signa Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r!, 755 ,c,:; 1:4 ; . Ji'2* 1.'0296 P;75 ?a, :5 f'c-+ f Fo,Tre tr 6,45Z.76 a,ki6, TO 'FP „ . . ... (2.1-,Gt 200 (8, 020 ii — oOS96 $ (0),1 5 to 115 Plan Review Checklist for New Structures / Additions Address/ PID I Legal: 81S uhswz YA (3 _v h Description of work: A 55 r s'r ED LI Vin-ic, A Li c-i 7.L.( 'e 6 r Fou u,p�}-T1O,� J / D N LY Septic review by: N (A Date Approved: Zoning review by: /t 9f b" dyy Date Approved: el V ?' 1 t Building review by: 4/1 ( Date Approved: — (g ZC�( Grading review by: ' -.:f ' tea. 0Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: Lot Area: SF/AC Width: Depth: Survey Submitted: ❑'Yes ❑ No Date of Survey: Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: ❑ YES FOR A BUILDING WITH-A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl START the distance between the slab and the highest space floor and the highest roof peak,the top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-type roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window highest roof peak of a pitched roof and highest roof peak of a pitched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest space floor and the highest existing grade within existing grade within the foundation the foundation or 10 feet,whichever is less. EQUALS Defined building height EQUALS Defined building height Lot Coverage: SF % Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff ❑ Yes ❑ No ❑ N/A ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ N/A Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' ❑ Yes 0 No ❑ Yes 0 No 75.250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z:lformslplan review checklist.docx Fees to be Charged YES NO- " AY, wv.�-,au.:cm .,,�i _ - ,�.� M .,{-:oE�k..,�"�wA.�:Y. b�',,d.'��t�`i •,.,`ti-'"�i Plan Review °A,p1e<i i ��.+ � L e`>,: � 'ta d� " , $ y rb;�s j 3701 5 f r _.:', �5'd y"S�r-' 'fit FN-If!F'ya' '��''*Y3 f S"4„� b. $ Pa�i __,'tos. +'� Ya,i_ x.uC" Investigation Fee 1 .11 Sewer Connection -d o4 7 as !. .rye,,,,, ra.:::4 .__. va$ z fit,.�•�.Ei 'P.�.,. ryf. �. .z�.y ,_n Park Fee ali�i t°dc�`f}�', 2°h n�.{; a•` } � r lt.'N r rs!'E4 y, "'nx a ?i. �; ... "oA,} .r'„-i T .s,,'"^w&y, sbn4E�7,19V - k`.a'�x ,.a �� (p+� }q�r�}xkmJ�h.i -7 .. .. � -.E er.A}5.x,%3 aS�...- A.l....,r�1F ..� Other(specify) '`"' .~`�,',: ^�."C'-.',`��. V r.-�:`��` r ✓h v q f'�4 � "�a "�'r�Sy� "Y^� x' "�'��r�t r�'ip�_��s-ai� M��"��-�'? Calculated By: Square Footage $ per Square Footage Basement X = $ lst Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ % COO OW — — y//V,000 °. ;=e2 2c';% of Bd/c-o/"� Gu .0 4 I( f'-t'.w-vi- Orono Inspections Required Work Requiring Separate Permits Required State Permits' " O Site D Plumbing 0 Grading/Filling 0 Well O Hardcover Removal D Mechanical 0 Fire 0 Electrical SEI'Footing D Septic 0 Water Connection O Poured Wall 0 Fireplace 0 Sewer Connection O Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. O Framing 0 Other(specify) O Insulation O As-Built Survey O 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 �-\ City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: 0056 .,O jV� PO Box 66 �0 � ~ /O �\ Crystal Bay, MN 55323-0066 Date received: - 1- , Ilay� a I, Street Address:‘ Received by: Agi t \Sic, fir•. �� 2750 Kelley Parkway Plan reviewfee: 1 74 131 pA..l t9kESHOg Orono, MN 55356 ao j(—O `�q S �� Total Fee: 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) GENERAL INFORMATION: Job Site Address: 875 Wayzata Blvd,Orono, MN 55391 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/APPLICANT INFORMATION: Name: Kraus-Anderson Construction Company State License# Expiration Date: Phone: (612)332-7281 (office) (cell) Mailing Address: 525 S.Eighth Street City: Minneapolis ZIP: 55404 Contact Person: Jim Beckwith Applicant is: gontrac ) / Homeowner (circle one) Email and/or Fax: Jim. Beckwith(a)krausanderson.com PROPERTY OWNER INFORMATION: Name: CPE Exchange 33968,LLC Phone(day): (612)643-1031 Address: 200 South Sixth Street,#1300 City: Minneapolis ZIP: 55402 Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Pope Architects Phone (day): (651)642-9200 Address: 1255 Energy Drive City: St.Paul ZIP: 55108 Email and/or Fax: (651)642-1100 PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ® New Construction ❑Single Family with El Residence ❑Addition attached garage ❑Garage/Accessory Bldg. ®Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage El Office/Commercial ❑ Private Sewer ❑Other: (specify) ®Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ® Public Water ""`Any earth movement may require ❑ Commercial IN Other(specify) MCWD review&permits. ❑ Industrial Wood Frame Assisted living ❑ Private Well Minnehaha Creek Watershed District(MCWD) ®Othr: (specify) 2-Sto 18202 Minnetonka Blvd Assisted living rY Deephaven,MN 55391 Phone: 952-471-0590 ( lb ' " JAA44 r'r" Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation (excluding land) $ 5 / 90, Q-6167 I 000J006 ' r STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= 259 Number of bedrooms= IN Wood/Frame ❑ Masonry b.Width(ft.)= 54 Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached= ❑ ICF ❑On-site Prefab c. Basement= ❑Off-site Prefab d. 1St Story = 24.048 ❑Other(please specify): e. 2nd Story= 23,472 f. %Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ 0 Proposed Building Plans ❑ ❑ MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ ❑ Survey(meeting all requirements) O 0 Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) O 0 Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Plan Review Fee O 0 Other APPLICANT 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 altemative 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 weather 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. 7Th 41101111111 Applicant's Signature: ' ' 44,411111111W4(`_ 7 Date: ZU ` DATE TIME r / CITY OF ORONO CALLED IN v INSPECTION NOTI E SCHEDULED 3-3D-/ 0�9 1 PERMIT NO.°?C// 4' COMPLETED ADDRESS 87 S GUQuJ z_ ,` zw.) OWNER `/ e- TELEPHONE NO. /2-2` o- 7Y3 3 CONTRACTOR ja- S 3: DESCRIPTION Fe afro ❑ FOOTING ❑ PLUMBING FINW ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL Cl MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL E1 TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE LI SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v 111PLUMBING RI ElSEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: W 0 Wd<� firv5S cc Q Z W z d WU FORK SATISFACTORY:PROCEED El PROJECT COMPLETE W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oi 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. ge3 White Copyllnspector's File Canary CopylSite Notice S TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED K-2- —1/ 1/. � PERMIT NO.c�2O/1 Do 99(/ COMPLETED/ ADDRESS d'7S Wl }ZCQ- � 13l ea zu OWNER UU TELEPHONE NO.6 IZ ZlO 7(33 CONTRACTOR I JLa -re) DESCRIPTION 11� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING c ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP -C ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W C cc B ONO IPA ro Aicc0 cc z cc ,� 1 t�4ALQRK SATISFACTORY:PROCEED El PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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 on site n Inspector. Sof S White Copy/Inspector's File Canary Copy/Site Notice ATE TIME \./ CITY OF ORONO CALLED IN INSPECTION NOTIICE � SCHEDULED –3�—" // V O PERMIT NO.clo L/0/ 7 COP COMPLETED ADDRESS g7S Wa1z� ezzyci OWNER ``//LL TELEPHONE NO.6/2 Z`Jt 75133 CONTRACTOR KJ-Ca-all /1-11 el-PAA— DESCRIPTION S W ❑ FOOTING ❑ PLUMBINAL 0 EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS .;t ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES_NO Co)• COMMENTS: ec W Q.. cc O cc CG tl r` �� J�J 4_W cc „,W z W cc WCC/ . ORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W IDCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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. Cr- White Copy/Inspector's File Canary Copy/Site Notice