HomeMy WebLinkAbout2002-P05046 - new structure I
, � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05046
Crystal Bay, Minnesota 55323 Permit Type: NeW sm��cure
(952) 249-4600 Date Issued: ��2�2002
SITE ADDRESS: 177 Glendale Dr
L.ong Lake,MN 55356
P��: 34-118-23-33-0001
DESCRIPTION: UBC Occupancy A3
Consriuction Type V
Proposed Use: Institutional
Permit Class: Building Census Code 319
Pernut Type: New Sriucture 1'ernut Sub-type(s): Church
DETAILS:
Approved per resolution#:
Separate permits required: T'iumoing iviecnanicai vJaier i,onnecnon�ewer C,onneciion irrigaiion Eiecu-icai�siate�
NOTICES/REMARKS:
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FEE SUMMARY: Pernut Fee: $ 5,005.50 Valuation: $ 872,153.00
Plan Review Fee: $ 3,275.09
State Surcharge Fee: $ 440.50
SAC Fee: $ 7,200.00
TOTAL FEE: $ 15,921.09
APPLICANT: Vanman Companies OWNER: Calvin Presbyterian Church
669 Winnetka Ave. Suite 210 177 Glendale Dr
Minneapolis,MN 55427 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'WCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE �
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
.:�� � �' ` /�,C�, ��C �U�(F'
' • Tot�YY Fee: $ � � �� ��/ � �I � Date Received: �,`�-
Entered By: �� r , Pernut#: �
� - �_�'yi:z �_�'��� �(�.�
CITY OF ORONO - BUILDING PERNfIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: I�1? v�e�c�a l� i�n'�•-�2� ZIP: S�3 S Co
� � oti�.o
NAME OF OWNER: �a����n �re S�y�1cn'o..� C�+►r-r`PHONE: (home)
(work)
MAILINGADDRESS: 1�� C'��Q�c�ot2 l7n� CITY: 1o�y 1.. dK� ZIP:�'3SCo
CONTRACTOR: Va,n nna.� �o,,,,� a ` e PHONE: �fo3-Sy 1—QSSa
CONTACT PERSON: c�.�v� E-�oI�e S MOBILE/PAGER:(o/.Z-`1(oS—3t 33
MAII.ING ADDRESS:(�Cc°► W�v�tKc. ,4�rt ,(J, CITY: ��l��eop�1.� ZIP:�_7
STATE LICENSE: # 5�.� oZ rv
ARCHITECT/ENGINEER: 5�••�e �S o��j�,,�- PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition� Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �e((�..�yy:� �c���.�F,�,.. _
STORIES: I SQ. FEET OF EACH FLOOR: S,SOo
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �7,� � S3 .ao
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.
APPLICANT'S SIGNAT {• DATE: � � �(�-C7�
NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and
City Council 60 days prior to the event. Non permitted events will not be allowed.
}
� I l;
Sec.13.04 RIGHTS OF S[IBJECTS OF DATA 1
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. M individual asked to supply private or confidendal data concerning hunself shall
be informed of: (a)the purpose and intended use of the requested data wichin the collecring'state agency, po(iacal subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to supply t2�e requested data;(c)any lmown consequence arising from his supplying or refusing to supply
private or confidenaal data;and(d)the identiry of ocher persons or entities auchorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesaeadve dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cec.
The commissioner of re�enue mav place the norice reauired under this subdivision in the individual income tax or propertv 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 whe[her it is classified as public, private or confidendal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data wichout any charge to him and, if he desires, shall be informed of the content
and meaning of rhat data. Afrer 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 accion pursuan[to this secrion is pending or addidonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesring person to pay the actual cosu of making, cemfying, 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 addirional 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 pri�•ate
dara conceming himself. To exercise this right,an individual shall norify in wridng the responsibie authoriry describing�he nature of the disagreement.
The responsibte authoriry shall within 30 days either. (a)correct the data found to be inaccunte or incomplete and attempc to nodfy past recipients of
inaccurate or incomplete data, including recipients named by the individual; or(b)notify ihe individual that he believes the data to be correct. Data
in dispute shali be disclosed only if the individual's statement of disagreement is included with the disclosed data.
Ttie de[ermination of the responsibte authoriry may be appealed pursuant to the provisions of the administiative 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 pernut 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 pemut 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 (availabie upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
CC..v� 2 GS �'1'vtiT
First Middle Last
Address
City State Zip Phone
I understand rights as stated above.
Signarure
f
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 17� G LEN/�Au: DR► vC:
PID:
DESCRIP'TION OF WORK: �,�,� � n p N -
ZOr�i G REYIEW BY: DATE APPROVED: 5'- zZ.•o Z
BUII.DI'�i 1G REVIE`� BY: DATE APPROVED: 5-Zz �a z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERIVIIT Yes �/ No
PLAi�1 REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATER CONNEC'ITON
INVESTIGATION FEE Yes No �_ PARK FEE
SAC Yes _ C� No SITEINSPECTION
Number of SAC Units _S_ � R-,-r,q����� �'�. OTHER (specify)
u�- o Z. r -----------
---------------------------------�_�w�--------5------- ------ �,- -t-----j----------------
ZO�TING CH�CK LIST Zoning District: T`� �� ����
Fire Department: Post O�ce: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes_� No Date of Survey: 2-1 �4`S�S
Proposed Setbacks:
Front (Lake): 23�1.� � `= Right Side: ��t o.�� �'
Rear (Street): "11� � Left Side: 3R 5� '=
Adjacent Structures: — Wetland: —
Building Height: Def. Hgt. c�.1� Peal:Hgt.
Lot Coverage: �/�
Grading: Staff Approval Date: �,'• 2 2 - �Z By: � Council Approval Date:
Septic: Staff Approval Date: -- By:
Zoning File: # ' Resolution: # Resolution Date:
Shoreland District: sV�
Avg. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): v 2oNo Co��1� oc= (�cq-�s �r� (�_d. 5 fl t--�, c.�
v�r�c �/LdT�� is �o•�c�.-sL
7
�
BUILDING REVIEW CHECK LIST
�C� J'� ' 3 CONSTRUCTTON TYPE: �/ oN�' Fuo.,�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R -
TOTAL
Estimated Construction Value: $ $�Z, (S 3�J
Inspections Required: `Vork Requiring Separate Permits:
Site �_Plumbing Fire
Hardcover Removal �_Mechanical _r�Water Connection
C Footing ` Septic �Sewer Connection
_�Framing Fireplace v� Lawn Irrigation
��Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling �Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REV�W BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By;
REMARKS (TO BE NOT`ED ON PERMII�:
8
� ORO�� �OP�'
���Metropolitan Council
Building communities that work
May 20, 2002
,�:�.
`� i�,�1
; �,. �. ,
Marvin Wurzer ` � �
�•, A `�ra�L
Building Inspector ''`� .-•r ,:, �.� r_��
City of Long Lake
P.O. Box 606 . - � � �
Long Lake, MN 55356-0606
Dear Mr. Wurzer:
The Metropolitan Council Environmental Services Division has determined SAC for the
Calvin �resbyceria►� i hurch iocateu at :?7 Clen�a?P n*�:'e ti�ithin the Citv of Orono.
This project should be charged 6 SAC Units, as determined below.
SAC Units
Charges:
Sanctuary
250 seats @ 275 seats/SAC Unit 0.91
Classroom
1744 sq. ft. @ 30 sq. ft./person @ 55 people/SAC Unit 1.06
Fellowship
3456 sq. ft. @ 825 sq. ft./SAC Unit 4.19
Total Charge: 6.16 or 6
It is the Council's understanding that this facility is connecting to the Metropolitan
Disposal System for the first time. If you have any questions, call me at 602-1113.
c;n�ere��,
� , ,
Jodi . Edwards
Staff Specialist
Municipal Services Section
JL,E: (165)
020520SA
Cc: S. Selby, MCES
Lyle Oman, City of Orono
Terry Phillips, VanMan Companies
www.melrocoimcil.or�; Metro Info Line 602-1888
230 Easl Fifih S�rec� • St. Puul. MinnesoLa 55I01-1626 • (651)602-1000 • Fax 602-1550 • TlY 291-0904
An Equul Op�wrtun(ty Eny�loyer
-,..
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MtNNESOTA bEraltT!v¢NT OF�ALTH ��.
bivision of Environmental Health
REPORT O� �T.�A..NS , :.. . , .. .
� . ,. . .
' Plans and specifications on plumbing: Calvin Presbyterian Churci�,Ad�itiou and Re�modeI, 177�GIendale�Dri�v�,
Long Lake,Hennepin Courity, Minnesota, Plan I�o. 022856 � � � � . �
O'WNERSHTP: Calvin presbyterian Church, 177 Gl�ndale Drive, Long Lake, Minnesora 55356
SUBMTTTER(S): 'Uanman Com,panies, Arcktitects and Builders;733 Winnetka A�enue Norch,Minneapolis,
Minnesota »427
Pians laa�ted: Marck�26,2002
Date Received: April 15, 2002
Date Reviewad: Ma'y 28,2002
SCOPE: This re'view is li.mited to the desigr� of Chis parcicular project only insofar as the provisions o�,F Ch�
M�nx�esota Plum�ing Code, as amended, appl�, and does not cover the wate'z supply or sewerage system to which
Lhis plutnbing s�stezn is connected. 'I`�e re�view is based upon the suppositian tha'C the data on which the design is
bas�d are correct, and that necessaty le�al authority has been obtair�ed to construct the projeet. '1'he
responsibility for the design of s�uctur�l features and the efficiency of eq�.�ipm�n'C must be takera by the project
design�:r. Approval is contangent upon satisfac'Cory disposition of a�ty requu-emen�.s included in this reporC.
Special care should be�taicen to iztsure tha�C rhe material and installation of th�plumbing system.are in accordance
� wi't� the provisions of the.Min�nesota Plumbing Code. A copy of the appro�vet� plans.and spe�rftcs�t�ons should
' , t loc�tion for tuture reference.
be ret�ined at the ro'ec ,
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Il�SPEC1701�5: .A.11 plumbin�installatioris must be,'t�ted: d insp�cted�in�accordance witli th��rsquir�meiits of
� ,,
the Minnesota P1lunbiug.Code: As.speci�ed.ii�Minn,esota 12ules;�pa.rt 4715:2830,no plutnbing�vork may��be�
covered prior to completing�tfie required tesu�and'inspections.,Provisions anust be made for applying an air test
at the.tinne of the rou�hing=in.inspection as.ouilined in Minnesota Rules,patt'47 X 5.2820, subpart 2; of the code.
A n�ia.tiomeier t�st, as specified in 1V[ituaesota Rules,part 4715.2820, subparr 3, is required at the time�of t'he ''''''��'
fizus,hed plumbing inspection_ Xt is ehc responsibility of the contractor/i�staller to notify the Minnesota
Departme�nt of Health when,an xnstallarion for a state contract job, liceacised facility, or project in an area where
ihete is no local adminis�ati've authori,ty is r�ady for an�inspectioa and test. To schedule inspections, conta.ct the
s'Ca�plumbin� standards repxesen'Ca2iv� for your region, or call the ruetro office inspection hotline at 1-800-926�
6216 (�:30 a.m.to 9 a,m_), or 651/21�-0836 (8 a.m.to 9 a.m_) o�Montia�r, Wednesday or Friday.
REQ'CJ'II2EMENT(S): �
1. The ri�er diag�ams do not sha�vv the kitchen fixtures. please revise th�pla�ns and issue riser diagrams for th�
kitchea plur.�bin�g. The ris�r diagrams shall include the�ollowin�requiremcnts:
a. A.11 comm�rcial kitehen sinks,with the exeeption of mop sinres a.nd hand sinks, shtill be provided'a+ith'/4-
� inch hot and cold watez supply branch li�zes as a minimum (see Minnesota Rules, part 4715.1730,
subpart Z).
b. AYl po� scullery,food pr�p, and bar sinks must be provided with a floo�drain on the dedicated horizontal
drai.nage bra.nch servina eacb sink. ?his fl'oor drain must not be equipped with a back�va�r�valve_(see�
Minnesota Rules,.part 4715.1390, subpart 2). . � ' �
� c_ The t.�re�-compar�zent siz�k shal].�be trapped.in accordance with�Minnesota.Rules,part 4715.0900:
Fixture u�aps must be located withua 30 iz�ches of each-compartment outlet. No more than taro traps ma�
be s�rved by a common�reat. Eaeh waste outlec aad n�p must be ac least 2 inches in diameter.
�00/Z00'a LLZ9# �x�iz �rioZ 30 �sz� ZZ96 9Lfi Z�6 T6�ZT ZOOZ� 50'unr
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Cal�vin Presbyterian Church,Addition and Rexnodel � �
Plumbing �
plan No. 022856
� . Page 2 .
\rlay 28,2002 •
2. The sanitary sewer serv�ing th�existing buildina as shown on Sheet G 103,whici�is�aow u�der the buxlding
addition, shall be consuucted of pipitxg materials meeting building under�round in accordance with
� Minnesota Rules,part 471S.OS70. Pl�as�v�rify compliance for this requirem�nt.
3. The combinaiYon fire protection/domestic water service shall comply with the backflow protection �
requirements of A'WWA-M14, Chapter 6(1990)�v'irh the exception that the follow�ina statem�nt is deleteti
from section 6.3: "At any tune where tha fire sprinkler piping is not a,�t acceptable potable water system
ma�Cerial,there sha]1 be a back�lo�cv-prevention assembly isolating the fire sprinkler system from the potable
water system."
4. A cleanout must be provided at or�ear�he base of each soil or waste stack(see 11�innesota Rules,
part 4715.1000).
�. Verify that roof dtains, overflo�vs, and drain tile sump discharge to a plaee of disposal satisfactory to the
administrative authority. Zn na case, shal�water from the roofs be allovved to flo�vv upon�e public
sidewalk. �
NOTE(S): ��
I. The scope of this project consists of a building addition and remadel. Installation iacluc�es an interior.storm
drain systerh, barhroom�oups, a mop sink, a three-comparcment sink, a hand sink, a counter sinlr� draivarile
� sumps,floor drains,a hose bibb, a drinking fountmin,and a.vvater heater.
2_ This facility is served by new municipal�xrater and sewer service connections.
Authorida�ion for construction in accordance�ith Che approved plans may be withdrawn i�'con�swetion is not
undertak�n within a period of two years. 'Ihe fact thax th�plans have been approved does not necessaril�r mean
rhat recommendations or requireme�nts for change wi11 not be made at some later time when changed conditions,
additional infoanation, or advanced knoccrledge make improvements necessary.
ved: �
Cath M. Tran �
Public Health Engineer
Environmental Health Services Secrio�s
P.O. Box 64975
St.Paul,Minnesota 55164-a975
651/215-0840
CMT:cac � � , . . , �
cc: Vaaman Couapanies .. `�
CalvYn Presb�+teziaa Chuxch � , , �
. ...; .... ..: .. , ..:. .. .
� Mr.Nlarvin Wurzer;Building Irispector ✓' s;� _ �,...... ,.:... . � - �:. .' , ..., . . , . . -
� , ... -� � :,... :
, . . .
. .,.�:, �.
Ms. Susan Palchick,Director,Hennepin County � ''���' ��� � `
.. .. . .. .,... .. . .. . �:... :.. ... „
Lindeil r,�gineering � ,
Plumbing Unit �
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DATE TIME
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DATE TIME
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DATE TIME
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