HomeMy WebLinkAbout2007-P11724 - new structure suites 200-250 PERMIT
CITY OF ORONO
2750 .Kelley Parkway - PO Box 66 Permit Number: P11724
' Crystal Bay, Minnesota 55323 Permit Type: New Structure
(952) 249-4600 Date Issued:
12/14/2007
SITE ADDRESS: 2060 Wayzata Blvd W Unit#
Long Lake,MN 55356
PID: 34-118-23-21-0035
DESCRIPTION:
Proposed Use: Commercial-Business
Census Code 324
Permit Class: Building
Permit Type:
New Structure Permit Sub-type(s): Office
DETAILS:
Approved per resolution#: 5592
Separate permits required: Plumbing Mechanical Water Connection Sewer Connection Electrical(state)
NOTICES/REMARKS:
This Permit is For Suites#200&250&Charge 3 SAC Units!
FEE SUMMARY: Permit Fee: $ 2,813.75
Valuation: $ 425,000.00
Plan Review Fee: $ 1,828.94
State Surcharge Fee: $ 215.00
SAC Fee: $ 5,025.00
TOTAL FEE: $ 9,882.69
APPLICANT: Interspace-West,Inc. OWNER: Interspace West
P.O.Box 184 2060 Wayzata Blvd W
Wayzata,MN 55391 Long Lake,MN 55356
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.
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JOI AP LI IIV PERMITEE SIGNATURE ISS ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
LC)
Total Fee: $ Date Received: 8/ <�7
Entered By: PI) Permit#:F ig;;_=.a y At 1/ 70, !./Z
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) OWNER OR CONTRACTOR
JOB SITE ADDRESS: 1'Z- 4 ZIP: .j-3 5
X671/4,-C)
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
nYes g 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
NAME OF OWNER: /A/ /) t PHONE: (home) �f '///7
, (work)
MAILING ADDRESS: /,C. i�ex CITY: (�l-/iZ7- ZIP: .>13-3F/
CONTRACTOR: /iv74e4_
zs� / PHONE: 75�J t1///7
CONTACT PERSON: ../fes/,/ MOBILE/PAGER: 6/Z-,2
MAILING ADDRESS: G/n;/9/, --EIT --—
ARCHITECT/ENGINEER: /1c6. PHONE: ,c2`.249-///7
MAILING ADDRESS: CITY: ZIP:
NAME: May__'— 2 /l.(Air f/ REGISTRATION: # g.// 3 g
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detail): s-
_
STORIES: +^-A/ SQ.FEET OF EACH FLOOR: Cr'
- - - - DE'I •ILD --.-
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ #,Z5; lri
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.
f� f
APPLICANT'S SIGNATURE:'s''__' — L DATE: //%d 7
31
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 this geetioa. :.:
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning 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 property tax refund
instructions instead of on those forms.
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.
6,3i /(4
First Middle fieefAn--
Last
Address
City State Zip Phone
I understand my rights as state. bove.a e/9.S' nature
32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Zn('C7 W Ary. krrA fi1.---ll A) V At t r 20O-2SZ
PID: 34i-1l --'-3 ! 00.30 i- T 2— Bc,« /
DESCRIPTION OF WORK: Gott D t'>AA, (vim ,ii,, -tc g i/(11:--b./AJ C,
ZONING REVIEW BY.• DATE APPROVED: 1/ 4, a'7
BUILDING REVIEW BY: (0 ,,.._ DATE APPROVED: /i. 30• era?
---- -------------
FEES TO BE CHARGED: / Misc. Fees Calculated By: 44rt).�
PERMIT Yes ✓ No
PLAN REVIEW Yes ✓ No SEWER CONNECTION /U A
STATE SURCHARGE Yes V No WATER CONNECTION AI f}
INVESTIGATION FEE Yes No ./ PARK FEE 1l A
SAC es ✓ No SITE INSPECTION
Number of SAC Units /t. yi, r roti Kc'( OTHER (specify)
ZONING CHECK LIST Zoning District: .$e,- P Lt J
Fire Department: L-k L-.• Post ice: , 1-- , School District: O✓-0 A I 0
Lot Area: Sq.ft.(P12 0 S-c,±AAcres 01 lb/± Width 4vo -0 + Depth 7O Of ±
Survey Submitted. Yes %/'
No Date of Survey: 19-2c1 -07
Proposed Setbacks: 1
Front( �b ~'T Right Side: `� "r iiJ 1714 jtvL�f r-)e. $L J (, enA
t
Rear( a,t): I-1 -- Left Side: •1' '--> ✓40(C
Adjacent Structures: /0 "4- Wetland:
/)A
Building Height: Def. Hgt. 2Cii'r ± Peak Hgt. 3 2 k -4-
Lot Coverage: N
Grading: Staff Approval Date: rr���b Alli By: 4ti1 \ Council Approval Date: S _1 Y_C-7
Septic: Staff Approval Date: / A By:
Zoning File: # Col"3 2-St Resolution: # S to 1.3 Resolution Date: .._j y-0-1
Shoreland District: A)AA f MCWD Permit:
Avg. Setback: N(k Bluff Setback: j"1J A Lot Coverage: , (P La-Q)
Existing Proposed
Hardcover: 0-75'
75-250' if _
250-500' A -
500-1000' _
Hardcover Variance Required: Yes No X Date of Council Approval: A-I A
REMARKS(in house):
33
BUILDING REVIEW CHECK LIST
UBC: Q-' 1 CONSTRUCTION TYPE: UI%)
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor
Garage x =
x =
TOTAL
Estimated Construction Value: $ 425,000 4)-9
Inspections Required: Work Requiring Separate Permits:
Site ( Plumbing Fire
Hardcover Removal A Mechanical _ rL Water Connection
x• Footing Septic ,( Sewer Connection
. Framing wee Lawn Irrigation
�( Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
Final Grading/Filling 74.. Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
34
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�
CITY OF O RO N O MONTH:
O O P.O. BOX 66
ORONO,
(952) 249 MN-4600 55323
�raexo8 fax (952)249-4616
DETAILS OF INVOICE
Customer
Name Interspace-West, Inc. Date Created 12/14/2007
Address P.O. Box 184
City Wayzata State MN ZIP 55391
Phone
Qty Description Unit Price TOTAL
For Permit At: 2060 Wayzata Blvd W - Unit 100 & 150
1 Base Permit I $2,813.75 $2,813.75
1 Plan Review Fee $1,828.94 $1,828.94
1 State Surcharge Fee $215.00 $215.00
1 I SAC Fee $5,025.00 $5,025.00
*THIS INVOICE IS NOT A PERMIT*
* PRICES ONLY GOOD ON INVOICE UNTIL 12/31/07 *
Sub Total $9,882.69
TOTAL DUE $9,882.69
Page 1 of 1
i . PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11867
Crystal Bay, Minnesota 55323 Permit Type: Sewer and Water Permit
(952) 249-4600 Date Issued:
2/12/2008
SITE ADDRESS: 2060 Wayzata Blvd W Unit#
Long Lake,MN 55356
PID: 34-118-23-21-0035
DESCRIPTION:
Proposed Use: /
Permit Class: ,- C-- I _a14-- /
Permit Type: CIT CITY OF ORONO T TIME V
IN: INSPECTION TICE CALLED IN %Spg�
PE PERMIT NO. SCHEDULED /JJ' -7,e-r: U -
COMPLETED�'' Gv �t .1( CA-
DETAILS: AC ADDRESS a. / ,O
/lir, Gt6 tr- /0c-/I'D
Approved per resolution#: O\ OWNER
CONTR
Separate permits required: TE TELEPHONE NO. 07.°F`6"?‘"1/—/9'
_ �- DI DESCRIPTION / %/ —
W ❑ ❑ FOOTING ❑ MECHANICAL RI i 'Vf- kr i NZ)NOTICES/REMARKS: it ❑ , ❑ FRAMING ❑ EXCAV/GRADING/FILLING
rI) ❑ y ❑ INSULATION ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ WOOD BURNER/FIREPLACE
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ TREE REMOVAL
Unit#100–- S. Q r ❑ FINAL ❑ SEWER HOOK-UP 0 SITE INSPECTIONE
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ PROGRESS
Q L W Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ COMPLAINT -
Lu ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOLLOW-UP
FEE SUMMARY:
4.1
J ❑ PLUMBING FINAL ❑ HARD COVER REMOVAL
Z 4 OWNER/CONTRACTOR TO MEET YOU: YES_NO ❑ FOUNDATION/REMOVAL
o u3 COMMENTS:
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APPLICANT: Owner Q (73
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THE UNDERSIGNED HER �'' ORK SATISFACTORY:PROCEED PROJECT COMPLETE
AND AGREES TO D! ALL W El CORRECT WORK&PROCEED
MINNESOTA BUIL P, G C OO ❑ CORRECT WORK,CALL FOR REINSPECTION El
ISSUE CERTIFICATE OF OCCUPANCY
(,) BEFORE COVERING TEMPORARY
C ❑CORRECT UNSAFE CONDITION WITHINPERMANENT
INSPECTOR WILL RETURN HOURS. Li
PHOTO
TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
a__:
7.-. ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
i//''i''LICANT P•.i ITEE
Call for the next inspection 24 hours in advance.
(952) 249-4600
Owner/Contra . , ,i -.
Copies: I-File(Signatures Req Inspector. �!���
�' hila Copy/Inspector's File
Canary Copy/Site Notice