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HomeMy WebLinkAbout2016-00520 CITY OF ORONO 2750 KELLEY PARKWAY * 21 6 — 0 0 5 DAT0 E ISSUED: 05/27/22 011 6 ORONO,MN 55356- (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 COMMERCIAL-BUSINESS CONSTRUCTION TYPE ADDN/REMODEL/REPAIR ACTIVITY 437-NONRESIDENTIAL&NONHOUSEKEEPIN VALUATION $ 50,000.00 NOTE: INTERIOR BLOCK WORK(STRUCTURAL)&BUILD STORAGE LOCKERS OTHER INSPECTION REQUIRED: ROLL DOOR TESTS APPLICANT PERMIT FEE SCHEDULE 715.92 MONTGOMERY BRINKMAN LLC STATE SURCHARGE(VALUATION) 25.00 1901 OAKCREST AVE TOTAL 740.92 #6 Payment(s) ROSEVILLE,MN 55113- CREDIT CARD 4781 740.92 (612)221-6626 OWNER Metro Mini Storage BARNES,CHRIS 13528 W.BOULTON BLVD. FOREST LAKE,IL 60045- 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 with the State Building Code.This permit may be revoked at any time for use. Applic itee Signa a Date Issued By gifnature Date . " CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS A TO MailiPO Boxr �O ess:66 CV-�(Q� Yate number: I - 7 S 2 l V Crystal Bay, MN 55323-0066 CJ 1 'Date received: 2 1 Street Address:'y� G Received by- an _0 2750 Kelley Park ay Plan review fee: kESHOR� Orono, MN 55356 Main: 952-2494600 Total Fee: 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: ,,v1 Job Site Address: 7 �d 0t-a,,�o l5 535 ic Will this be a Parade of Homes, Remode s Showcase Home or other Display Home? El Yes o 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 I FORMATION: Name: maet State License# Expiration Date: Phone: cell / office Mailing Address: _001 p City: .", 11,0 ZIP: I Contact Person: Applicant is: Contractor J Homeowner (Circle One) Email and/or Fax: eGot-1 PROPERTY OWNER INF RMATION: Name: e -Self 6i-o✓ Phone(day): - 13 _[ 1 , - t di 5 Address: 5 L, , o Cit :6� -e4 1AI-e ZIP: L60L15 Email and/or Fax vrie p ARCHITECT/ENGINEER INFORM TION: Q Name: g" I-, V L tc Phone(day): 51- qQ 7-6,0 Sk Y' Address: 3 5 2 L04t 62"AJ�jCit : +t 4tV 4P: � Email and/or Fax: rrlao 0f- 0o✓ rtAtl �,t PROJECT INFORMATION: Descri tion of pro'ect: �11;lal 1z, exi 1. Type of Project 2. Proposed Use 3.St cture Type 4. Sewage Disposal& Water Supply ElNew Construction ElSingle Family with [IAccessory Bldg./Garage ErAddition attached garage ❑ Deck Di/public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Private Sewer �f Other:(specify) Va-1 ❑ Multiple Family/Condo ❑ Retaining Walls) ublic 4-feet or greater Public Water **Any earth movement may also require Commercial ❑ Storage MCWD review&permits. ❑ Industrial $Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other:(specify) 'O-Other(specify) 15320 Minnetonka Blvd 2 Minnetonka,MN 55345 Phone: 952471-0590 Fax: 952-471-0682 www.m innehahacreek.or /� • Estimated Construction Valuation(excluding land) $ � I Q0p Last Updated: January 2015 r STRUCTURE INFORMATION: 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= Number of bedrooms= ❑Wood/Frame b.Width(ft.)= Number of garage stalls: �9 Masonry Areas in square feet Attached= L(Metal ❑ Pole Bldg. c. Basement= Detached= ❑ ICF d. 151 Story = ❑On-site Prefab e. 2nd Story= ❑Off-site Prefab f. %Story = ❑Other(please specify): g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ A Building Permit Escrow Agreement and Fees ❑ ❑ Plan Review Fee ❑ K Completed Application Form ❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set ❑ Minnesota State Energy Code Calculations and Mechanical Code Requirements ❑ 39�_ Survey—2 full size,to scale(meeting ALL survey requirements) ❑ Hardcover Calculations ❑ Septic System Certification ❑ Minnehaha Creek Watershed District(MCW D)Permit or Documentation from MCWD stating no permit is required ❑ Landscape Walls and/or Retaining Wall Plans ❑ Y Stormwater Pollution Prevention Plan SWPPP ❑ ar Access Permit ❑ Data Privacy Advisory Form APPLICANT/OWNER 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 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. Applicant's Signature: Date: Owner's Signature: Date: Last Updated., January 2015 I aCIAO4 ` DATE TIME CITY OF ORONO CALL DIN INSPECTION NOTICE SCHEDULED I PERMIT NO. q L14`ffha0 COMPLETED ADDRESS a vZ`7 t Z�ICS L7 11c�1 L{� OWNER TELEPHONE N . z� CONTRACTOR r DESCRIPTION W ❑ FOOTING ► e� DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMM TS: Wi Z-7 Qc ° W, W cc Q W W O: J W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE QCW ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C 1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN 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/Contra r on site: Inspect White Copyllnspector's File Canary CopylSite Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION T CE SCHEDULED PERMIT NO. — z® COMPLETED ADDRESS z� 7'2- S at'Zq 4 ly d OWNER TELEPHONE NO. CONTRACTOR ,l l 3. DESCRIPTION S�c�NaS e /mac X, el f W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ AA DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q AMING ❑ MECHANICAL FINAL El RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO R COM ENTS: j cc 0 v or ton 1u W Q air' �l 9 Five l400fl u ccJ e,e Cis ed d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc CORRECT WORK R PROCEED El ISSUE CERTIFICATE OF OCCUPANCY d ❑ RRECT WORK CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN 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/Contract n site: r. Inspecto white Copyllnspectoes File Canary Copy/Site Notice Y DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICESCHEDULED PERMIT NO.ip& 00'�'z'0 COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR �L DESCRIPTION � 70tt; ` W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINALRATED WALLS INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: ff e�ou o ;. cc cc z . l 'o�pof W W cc J iW WORK SATISFACTORY:PROCEED O PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY ❑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 O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owneri'Con r on site: Inspector. White Copyllnspectoes File Canary Copy/Site Notice DATE / TIME CITY OF ORONO CALLED IN INSPECTION NQJICE giZ SCHEDULED — PERMIT NO. �� OMPLETED J ADDRESS 5 a OWNER A WEPHOI)IE NO Sl' -1405FID CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION QAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a po�t, e m Cc A ° J� i'fOC W C a Q W J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY CORRECT WORK,CALL FOR REINSPECTION TEMPORARY FOR COVERING PERMANENT ❑CO RRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN L1 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 OWneric r on site: Inspector. White Copynnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.' '--QQ CO PLETED A"Ess Z 7Z5` Lo2r zr 7S /ff lvd OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ S INSPECTION Q [3FRAMING ❑ MECHANICAL FINAL TED WALLS E3INSULATION E3WOOD BURNER/FIREPLAC ❑ COMPLAINT ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWEPJCOKTRACTOR TO MEET You:_YES_No // c COMMENTS: a r �4' `` -- Lu cc cc . � 4. 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