HomeMy WebLinkAbout2008-P11807 - addn/remodel/repair PERMIT
C!TY ��F ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P11807
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
1/31/2008
SITE ADDRESS: 50 Kelley Pkwy(Admin Offices) Unit#
Long Lakc, MN 55356
P��� 33-118-23-12-0007
DESCRIPTION: UBC Occupancy S1
Construction Type V
Proposed Use: Commercial-Business
Census Code 437
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)Other-(Fire Sprinkler)
NOTICES/REMARKS:
MAP ROOM IN PUBLIC WORKS BUILDING 2700 KELLEY PARKWAY
FEE SUMMARY: valuation: $ 30,000.00 I
TOTAL FEE: $ 0.00 �
APPLICANT: Owner/Self OWNER: City of Orono ,
MN 2750 Kelley Parkway
P.O. Box 66 �
Crystal Bay,MN 55323 �
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED i
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF �
MINNESOTA BUILDING CODE REQUIREMENTS.
��� ,
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1
CHEC%OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 270(� 1Ct:ta.,y P�zK�,.�,�Y
PID:
DESCRIPTION OF WORK �4�/� vL�+o /�i,o,..� � Q�,e�, 5 ,�.,t�6�
ZONING REVIEW BY.• DATEAPPROVED:��
BUILDING REYIEW BY.• DATEAPPROVED: � —3�-o�,
FEES TO BE CHARGED: Misc. Fees Cadculated By:
PERMIT Yes-� No
O PLAN REVIEW Yes No SEWER CONNECTION
� STATE SURCHARGE Yes No WATER CONNECTION
ti�J INVESTIGATIONFEE Yes 1�0. PARKFEE
�% SAC Yes No SITEINSPECTION
� �(�� Number of SAC Units OTHER (spec�)
ZONING CHECK LIST Zoning District: �U D J-t d�/v��
Fire Department: Post�ce: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Righ Side:
Rear(Street): Left Si :
Adjacent Structures: etland:
Building Height: Def. Hgt. Pe k Hgt.
Lot Coverage:
Grading: StaffApproval Date.• B Council Approval Date:
Septic: StaffApproval Date: By.
Zoning File: # Resolution: # Resolution Date:
Shoreland District: MCWD Permit:
Avg. Setback: B1uffSetback: LotCoverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover variance Reguired: Yes No Date of Council Approval.•
REMARKS(in house):
33
BUILDING REVIEW CHECKLIST i
UBC: �' S CONSTRUCTION 7'YPE: �/ II
Sg Footage $Per Sq Ftg I
Basement x =
Ist Floor z =
2nd Floor z =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 3(�,Q d v•o
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical T�Y'ater Connection
Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) x Other /��ni/c�. �y��
Wall Board (Mfg.) Well(State Permit)
_,�Final Grading/Filling X Electrical(State Permit)
Other
REMARKS(INHOUSE):
REVIEW BY OTHERS: DATE:
Access: Fxisting New
Access Approval: Date By:
REMARKS(TO BE NOTED ONPERMIT):
34
iv�C�vwa-r w�'K - K� z�►,y� ,�.���
Total Fee: $ Date Received: �
Entered By: Permit#: //
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 I ''�(circle one) OWNER OR ON�R�ACTOR�"�' �
P a7�°
JOB SITE ADDRE S 'w, L�n � zir: �S3S�
U,bl t�wor I
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 Ciry Council approval
60 days prior to the event. Shuttle bus service will be i�eqa�ired unless applicanl denzonstrates
su�cient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: ��f� o T �r Q n o PHONE: (home)
(work)�.�•d.�f 9-�i6o 0
MAILING ADDRESS: �d ,�o,� �� ciTy: Cr„s f4 I�3�v z�P: �'S 3 d.�
CONTRACTOR: � 0 0 PHONE: Sq m c.
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: h t s �Ad PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: ,�ru c e pa ul sG� REGISTRATION: #
TYPE OF WORK: New Home Addition � Accessory Structure
Move Home Remodel/Alteratio» (ie: Siding, Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�: _�j�� j�'J c,p 1�o� yn f o pe( °C �!/ar�S
� r
STORIES: � SQ.FEET OF EACH FLOOR: ��,�G ,�`�
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �� DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �O,d�}p�
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 pennit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: � � �/t,��- ��,�,J�Iy�ATE: / �" �� � D 8
31
Sec.13.04 RIGHTS OF Si1BJECTS OF DATA
Subd. l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be
informed of. (a)the purpose and intended use ofthe requested data within the collecting state aeency,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 individua]is asked to supply investiga[ive data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The comm_i_ssioner of revenue mav place the notice reauired under this subdivision in the individual income tax orproperty 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 publ ic,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[o him and,if he desires,shall be informed ofthe content and
meaning of that 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 action pursuant to this section is pending or additional data on the ihdividual 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 tha[time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays,
S�ndays 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 ofthe 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 I
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 prov�sions of the administrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY I
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 ar 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 inforrnation may become
public.
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
f>. � Your full name is required to process this application or permit.
First Middle
Last
Address
City State Zip I hone
�
I understand my rights as stated above.
Signature
��� � � �
�,��°'��'� ��� Reset�orm �� 32
�r��
�.�`��»._ �x:°�.s��
��,
PROJECT: Map Room Addition PROJECT NO: 139-07016-0 PAGE: 1 of 2
CLIENT: City of Orono DATE: April 11, 2007 BY: RLH
PAGE TITLE: Divisions
Direct costs includin O & P Sub-Total City Total Item
ITEM Unit Quantit Material Labor E ui ment Per Unit Index Per Unit Total
15% 55% 10%
Division 2 $2,000.00
Division 4 $5,094.36
Division 5 $3,360.00
Division 6 $6,333.25
Division 8 $800.00
Divsion 9 $4,419.38
Division Total $22,006.99
Misc. Materials $1,100.35
Subtotal $23,107.34
HVAC $2,500.00
Electrical $3,000.00
Pro�ect Total $28,607.34
VCT Floor Tile SF 280 $2.14 $0.88 $3.02 1.193 $3.60 $1,008.80
Vin I Base LF 68 $0.86 $1.40 $2.26 1.193 $2.70 $183.34
VCT Floor O tion Total $1,192.14
�
PROJECT: Map Room Addition PROJECT NO: 139-07016-0 PAGE: 2 of 2 '
CLIENT: City of Orono DATE: April 11, 2007 BY: RLH
PAGE TITLE: Divisions
Direct costs includin O & P Sub-Total City Total Item
ITEM Unit Quantit Material Labor E ui ment Per Unit Index Per Unit Total
15% 55% 10%
Division 2
Demolition LS 1 $2,000.00 $2,000.00
Total Division 2 $2,000.00
Division 4
8" CMU SF 408 $3.55 $5.69 $9.24 1.000 $9.24 $3,769.92
8" Bond Beam LF 40 $4.62 $6.82 $11.44 1.000 $11.44 $457.60
Vertical Reinforcement LF 204 $0.46 $0.70 $1.16 1.000 $1.16 $236.64
Grout Core SF 137 $1.89 $2.46 $0.25 $4.60 1.000 $4.60 $63020
Total Division 4 $5,094.36
Division 5
HSS 3x3x1/4" LF 112 $30.00 $3,360.00
Total Division 5 $3,360.00
Division 6
P-lam Wall Cabinets LF 20 $192.29 $36.43 $228.72 1.261 $288.42 $5,768.32
3/4" PI ood SF 280 $0.87 $0.73 $1.60 1.261 $2.02 $564.93
Total Division 6 $6,333.25
Division 8
R& R Door EA 1 $800.00 $800.00
Total Division 8 $800.00
Division 9
ACT Sus ended Ceilin SF 280 $3.20 $1.81 $5.01 1.193 $5.98 $1,673.54
Car et SY 32 $33.08 $2.93 $36.01 1.193 $42.96 $1,374.72
Car et Base LF 68 $2.02 $1.47 $3.49 1.193 $4.16 $283.12
Paint SF 1088 $1.00 $1,088.00
Totat Division 9 $4,419.38