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Home My WebLink About2012-00026 - addn/remodel/repair = CITY OF ORONO PERMIT NO.: 2012-00026 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 01/27/2012 952 249-4600 FAX: 952 249-4616 ADDRESS 2725 WAYZATA BLVD W PIN 33-118-23-13-0019 LEGAL DESC CRYSTAL BAY BUSINESS CENTER LOT 3 BLOCK 2 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE INDUSTRIAL CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 437-NONRESIDENTIAL&NONHOUSEKEEPIN VALUATION $ 200,000.00 NOTE: ADDITIONAL PERMITS REQUIRED: MECHANICAL AND ELECTRICAL(STATE) DEMO PORTION OF BUILDING AND REPAIR. APPLICANT PERMIT FEE SCHEDULE 1,656.75 RYAN COMPANIES US,INC. STATE SURCHARGE(VALUATION) 100.00 50 SOUTH 10TH. STREET SUITE MINNEAPOLIS, TOTAL 1,756.75 OWNER RYAN COMPANIES US,INC. 50 SOUTH 10TH.STREET SUITE MINNEAPOLIS, 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 a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance ith the State Building Code.This permit may be revoked time f a e. I / Z? p icant Petmitee Signature Date Issued By S' t D to SEPARATE PERMITS REQUIRED FOR WORK OTHER VAAN DESCRIBED AB E. 0 . %__ - i / 7 5(,a 75 City of Orono w Building Permit Application for New Structures or Additions - ;� Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Received b a ^` �' a, Street Address:' Y 2750 Kelley Parkway Plan review fee: \t', `og�G Orono, MN 55356 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: �_� Z,5- vu*�2A�- jZ-vo Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes /f 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: (�1 C�n� ivi u o> (►�)�, State License# Expiration Date: Phone: Ce t2. L+9 2, (office) (cell) Mailing Address: t5b so, pTb ST Sit 00 Cit : �--s ZIP: SS 14 Contact Person: -�lAs(LbL FbF_r1$ Applicant is: ontractor Homeowner (circle one) Email and/or Fax: hAR-V-.Fo'P-0 L (L�(itN��►��G�i1�.S.��"'I PROPERTY OWNER INFORMATION: Name: c-nm VS p-e- Phone(day): CQ 12_It-I z. g g 1 Address: SAME " hie is City: ZIP: Email and/or Fax �� t(,�t�ljCNS�, c� �t�,4�vLp��,It�1 ARCHITECT/ENGINEER INFORMATION: Name: A-4 Phone(day): cp(z_ L(---+C2...� p Address: City: ZIP: Email and/or Fax: 1J4-,-i'E. ►( 1t_� PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& ❑ New ConstructionWater Supply ❑ Single Family with El Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. 02'15'ublic Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer EQ/Other:(specify) I"fie' IZ- ❑ Multiple Family/Condo [! arehouse ❑ Public ❑ Storage ❑ Public Water 'Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. 9-rnndustrial &INI ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 2-gopis) STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions (continued) 2. Type of Construction a. Length (ft.)= Number of bedrooms= ❑Wood/ Frame �asonry b.Width (ft.)= Number of garage stalls: ❑ Metal Attached = ❑ Pole Bldg. Areas in sauare feet Detached = ❑ ICF c. Basement= ❑ On-site Prefab ❑ Off-site Prefab d. 1st Story = ❑ Other(please specify): e.2nd Story= f. '/2 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 ❑ ❑ Proposed Building Plans ❑ ❑ MN State EneMy Code Calculations and Mechanical Code Requirements Form ❑ ❑ Survey(meeting all requirements) ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation(s) ❑ ❑ Septic System Site Evaluation Report ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Improvement Plan ❑ ❑ En ineered Plans for Retaining Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ 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 alternative 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 timethe Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow agreement to ensure completion of the as-built survey and all site improvements. Applicants Signature: �� Date: C Plan Review Checklist for New Structures / Additions Address/PID/ Legal: ,,`//Z21'S \hJ'A (7-ATA Qk '6 b Description of work: ern o bozz-C'78/4dr- Septic review by: All Date Approved: Zoning review by: "/ Date Approved: Building review by: Date Approved: !- Z_V — 12- Grading 2Grading review by: IV la Date Approved: Zoning File#: Resolution#: Resolution_Date: Zoning District FirwDe artment Post Office School:District Zoning: Lot Area: SF/AC Width: Depth`: Survey Submitted: 0 Yes 0 No Date of Survey: Proposed Setbacks: Front(Lake) Rear(Street) { N S E W ) ( N S E W ) Other Buildings Wetiand Side Side Building Defined Height: Building Peak Height: #of Stories Ok?: 0 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 distancebetween 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 rade 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 Blhff 0 Yes 0 No 0 N/A a Yes 0 No 0 Yes 0 No O Yes 0 No 0 N/A Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' 0 Yes 0 No D Yes 0 No 75-250' Type(s): Type(s): 250-500' 500-1000' REMARKS (in-house): Updated: 09/11/2009 z lfoffnMplan review checklist.docx Fees to be Charged YES NO �� p,5 , Plan Review , SAC ` 11 411-c �I 1 Investigation Fee l� Sewer Connection r%inr I.$I t A11 Y►^�''� / Park Fee Other(specify) Calculated By: Square Footage $ per Square Footage Basement X = $ 1"Floor X = $ 2nd Floor X = $ Garage X = $ a Estimated Construction Value: $ OC90�-- Orono Inspections Required Work Requiring Separate Permits Required-State Permits O Site O 51umbing 0 Grading/Filling 0 Well 0 Hardcover Removal Mechanical 0 Fire 2KElectrical ,1200'Footing D Septic 17 Water Connection 0 Poured Wall 0 Fireplace 0 Sewer Connection 0 Foundation Survey 0 Masonry 0 Lawn Irrigation 0 Radon Rock Bed 0 Mfg. Framing 0 Other(specify) Insulation -Built Survey Final 0 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 Vormslplan review cheddist.dom �--- TIME CITY OF ORONO CALLED IN 6Z INSPECTION NOTICESCHEDULED /d•30 PERMIT NO.A Id-U�25/�COMPLETED 09 09 ADDRESS a? ZZ2, 611�1OWNER T HONE NO. _3 ?'SS�� CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q [:1 TREE REMOVAL Z ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Cc W a o � Cj•.0r rAr P Foc) 0 Cc W QC Q 2 W Z W QC z Cl AVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Cc W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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. -&a White Copyllnspectoes File Canary Copy/Site Notice C-/ *DATTIMECITY OF ORONO CALLEDIN INSPECTION NOTICE SCHEDULED PERMIT NO. '��COMPLETED ADDRESS S OWNER TELEPH NO CONTRACTOR DESCRIPTION J ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI El y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a O W O W W QC Q 2 W Z W Cc W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE QZ ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p 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/Contractor on site: Inspector. �o White Copy/Inspector's File Canary CopylSite Notice