HomeMy WebLinkAbout2014-00883 - SAC CITY OF ORONO � 0 1 4 - 0 0 8 8 3 *
� 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014
ORONO, MN 55356-
952) 249-4600 FAX: 952) 249-4616
ADDRESS . 50 KELLEY PKWY —�
PIN : 33-118-23-12-0007
LEGAL DESC : CITY OF ORONO ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : ADD[TION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 324-OFFICES, BANKS&PROFESSINAL
VALUATION : $ 2,633,106.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
FOR POLICE DEPARTMENT ADDITION/REMODEL AT 2730 KELLEY PARKWAY.
--��
SAC DETERMINATION MADE BY METROPOLITAN COUNCIL WITH LE"i'TER DATED 9/1 U14.
APPLICANT STATE SURCHARGE(VALUATION) 1,089.93
� S.A.C. 4,970.00
City of Orono ��a`
TOTAL 6,059.93
ORONO,CITY OF
2750 KELLEY PARKWAY Payment(s)
P.O.BOX 66 CHECK XXXXX 1,089.93
CRYSTAL BAY, MN 55323- CHECK 9999 4,970.00
OWNER
Ciry of Orono
ORONO,CITY OF
2750 KELLEY PARKWAY
P.O. BOX 66
CRYSTAL BAY, MN 55323-
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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 �a'�
revoked at any time for due cause. �
/ /
Applicant Permitee Signature Date Issued By Signature Date
Lyle Oman September 11, 2 14
Building Official
City Gf Orono'
PO Box 66
Crystal Bay, MN 55323-0066
Dear Mr. Oman:
The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged r the wastewater
capacity demand for City of Orono Police Department remodel to be located at 2730 Kelley Parkway within he City of Orono.
The City will be charged 2 SAC Units for this project, as determined below.
Charges:
SAC Units
Office
2597 sq. ft. @ 2400 sq. ft. /SAC 1.08
Meeting
1175 sq. ft. @ 1650 sq. ft. /SAC 0.71
Parking Garage
28.83 f. u. @ 17 f. u. /SAC 1.70
Lockers
40 lockers @ 14 lockers/SAC 2 gg
Short Term Cell
2 inmates @ 14 inmates/SAC 0.14
Total Charge: 6.49
City Hall Office
1319 sq. ft. @ 2400 sq. ft. /SAC 0.55
City Hall Meeting
87 sq. ft. @ 1650 sq. ft. /SAC 0.05
Total Charge: Q�Q
Project Total Charge: 7.09
Credits:
Orono Police Department(SAC Paid 12/92) 4.90
City Hall (SAC Paid 12/92)
1409 sq. ft. @ 2400 sq. ft. /SAC 0.59
Total Credit: �
Net Charge: 1.60 or 2
The business information was provided to MCES by the applicant at this time. It is also the City's responsibili y to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size, a redeterminatio will need to be made.
If you have any questions email me at.;t,.�.i����-�,1,,,_hcr�rti,,:;�ht,_�r ntc�r�..,_st�r<<r_�tin,..r�,s.
Sincerely,
�� �����
Deborah Bauknight
SAC Program Technical Specialist
DB:fa: 140911A3
Determination expiration: 09/11/2016
cc: File, MCES
Rachel Dodge, Orono (email)
Jessica Loftus, City of Orono (email)
•� -. . � :�
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CITY OF ORONO * z 0 1 4 - 0 PJ 8 8 3 *
2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2750 KELLEY PKWY
PIN : 33-118-23-12-0007
LEGAL DESC : CITY OF ORONO ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPA[R
PROPERTY TYPE : COMMERCIAL- BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 324-OFFICES, BANKS& PROFESSINAL
VALUATION : $ 2,633,106.00
NOTE: SEPARATE PGRM[TS REQUIRED: PLUMI3ING,MECHAN[CAL,ELECTRICAL(STAT�)
ADDITION/Rf?MODEI.
, �,_. �� �� �
_��� l� � t r � 17�� �� � � {c'�- t �; ;� � �� ��: `I
APPLICANT STATE SURCHARGE (VALUATION) 1,089.93
City of Orono TOTAL 1,089.93
ORONO, CITY OF Payment(s)
CHECK XXXXX 1,089.93
2750 KELLEY PARKWAY
P.O. BOX 66
CRYSTAL E3AY, MN 55323-
OWNER
City of Orono
ORONO,CITY OF
2750 KELLEY PARKWAY
P.O. BOX 66
CRYSTAL BAY, MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for���hich this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. �I�his permit is for only the work described and does
not grant pennission for additional or related work which requires separate
permits. AII provisions of laws and ordinances goveming 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.
rhe applicant is responsible for assuring all required inspections arc
requested in conformance with the State[3uilding Code.This permit may be
revoked at any time for due cause.
� / �/�
Applicant Permiree Signature Date Issuc, y Signature Date
' CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
� Mailing Address: Permit number: �0 !/
PO Box 66
� � Crystal t3ay, MN 55323-0066 Date received:
Street Address:' Received by:
y � 2750 Kelley Parkway Plan review fee:
`� L Orono, MN 55356
�qkESHn��`� Total Fec: � Qg9 �
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.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: ����
Job Site Address: ���n ��ey At21�-l.t.�4��)
Will this be a Parade of Homes, Remode rs Showcase ome or other Display Home? ❑ Yes
!i yes,a special event permit is required with Pnlrce Department and City Council approva!60 days prior to the event. Shuttle bus servfce will�
required unless applicanl domonstrates su/ficient on-site parking is available. Nnn-permitled events will not be allowed.
CONTRACTOR I AP�j LICANT INFORMATION: 1�_
Name: / �-�r C�' f.�[LQ11�Q ���IL Al2�^14t�BM.T _---
State License# ��- Expiration Date:
Phone: cell office �Z �' ���(NV _..__
Mailing Address: L Cit : ZIP:
Contact Person: Applicant is: Contractor / e f (Circie One)
Email and/or Fax: __
PROPERTY OWNER�N FORMATION:
Name: C.I� 0� I�IZJMv � .�G��U4 �,OP�h.tS � I --
Phone(day): QSZ- 2 __�
Address: Cit : ZIP: _
Email andlor Fax lA � �
ARCHITECT I ENGINEER INFORMATI N:
Name: �L � C. _ __.
Phone(day): _��S{1 - 1
Address: 0 ' f} Cit : Ol�.� �P� ���
Email and/or Fax: ry_��p �1]MLth��kc� ��
PROJECT INFORMATION: Descri tion of pro ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewaqe Disposai 8
Water Supply
❑ New Construction ❑ Single Family with ❑ Residence
�Addition attachad garage �arage I Accessory Bldg. �Public Se.wer
Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation . , detached garage �Office/Commercial ❑ Private Sewer
�ther.(specify) (�GICL- �e1tA�'�rrM ❑ Multiple Family/Condo Warehouse
�Publlc ❑ Storage �Public Water
"*Any earth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review 8 permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) �O 1er:(SpeGify)
18202 Minnetonka Blvd �
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.rninnehahacreek.or
Estimated Construction Valuation(excluding land) $ �"��33 � v�0 1�
, � .
STRUCTURE fNFORMATION:
1. Structure Di�ension� c 1. Structure Dimensions(continued) 2. Type of Construction
a.Length(ft.)= I��'�✓r '�1"0� 21-0� Number of bedrooms� � ��/�/��d!Frame
� r
b.Width(ft.)= (!S�`�� ��•gf 1y'a Number of garage stalls: �Masonry
�Metal
Areas in sauare feet Attached= ��
(�ole Bldg.
c. Basement= Detached= '�' ❑ ICF
d. 1S1 Story =���3�'�y��'g�� ❑ On-site Prefab
e.2nd Story = ❑ Off-site Prefab
f. %z Story = ❑ Other(ptease specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
❑ Permit A lication
_. _-
❑ Pro osed Buildin Plans
-_
❑ MN State Ener Cocie Calculations and Mechanical Code Re uirements Form
❑ Surve meetin all re uirements _ _ _
� ❑ Stormwater Pollution Prevention Plan
❑ � Hardcover Calculation s
❑ � Se tic S stem Site Evaluation Re ort
❑ Access Permit
❑ Wetland Buffer Improvement Plan
❑ En ineered Plans for Retainin Walis 4 feet or above
__
❑ Minnehaha Greek Watershed District Permit s —
-- --
p ❑ Plan Review Fee __._
p Application Escrow&Agreement
❑ Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building DepaRment;
. 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 submiriing a cornplete application being aware that upon failure to do so, the st�ff 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 bo given to the public but can be given to the subject
of the data. Confidential data is information which generalfy 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.
i nature: ' eh, �pate: 7 3I
Applicant s S g
Owner's Signature; Date: �l I ��I`1"'
� _ _
i � i'"�1� ��l���19� �����LEe7 1 ��� ��� 0�����o�����3 � ���R��if�� `
Addres�iP��rm�t N�ambe�` ���t7 �.i -
� `Descri�tion of vdo�c, a� ° �r�°� �"'�,..
�
� �eptic review by: Date Approve�•�
I Zonin revie�nr b � • ^"'
� 9 Y� , �Da�te Approv+�d:.
C � , . , ,-r._.�._
f � -Buitding re��ew t�y: �-- D�te/�pproved: � — 'Z"�/
� � 'Gr.�ding rev�ew bY� . `� � Da'te Approved:
_._._�.�_.._. ,_
� �,. . . ..:. . � .:. ;
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, ,. .
' Zon�ng D�ctrict: � Zan�ng File#:: R�so#: • - � 1 s�o Da#e:� �
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� ZOt1(11g:i.o�A['6ts: SF t AC 1A/idth: I.ot.CovBt�ig�: `" SF �,,,,,_%
j� Survey�ubmit�ed: Q Yes Q No �afe o�Survey: -: R v's d�te�� : , <>
:Pro osed Setbacks:
� Front(L.a�ce} Rear(�tr��t) ( � � � �N ) ( W S � 'V�! ) O��e��Yui ��ng�; . Y , �1A/e��and �
� ;Sid'e �� S,�s�e�� a
ir
j Deflned tte�ght: ��aPc Height:_„r� FFE:�_„ ��E"�t�rru�"�#eet= ` ` ,
( � `�st1n� C�rrt�u� ��
� �'erime�f.�linear feefj= s0°J.�,= ' #a��ficnes,.�:O`k7 T3� S 4:
� � ; �" : � ��
C FOR A BIJILDIFtG VFI�'rH Jk BA3E�YIlENT OIt�GEtAWLBPA�. .
� 7he tl�bdunree�the lowest FOR A"BUtL�!iNCs ON A 51:AB�OUKf �t�lOFI .
�= START WI'tH � ProPose411o�r(b�v3he 6a3ea�enf or crawl ��
; �sPacej�nd the h�ghegt�?ohlfotNie roc,�. S'fA1�TItVtTH.Y � fstar�ce�b���tq�OfB ai5d: :
E ' " ; if you fiave a... _ . :... , � , 'U� ��t. �� _roo� .'° <.
� 6ABLE O�tfiJPP�IJitOt7�'�(no� _ � �a � ' �
� •` `�qA"����R iiI�P�ROq�
wtndows}��,btea��e�Ftl1p y�cr#b�ro1'S� 'f�hifr���ditf��tt�
� . :' distai�e betln�e�3lie fi�gdest poitti �
of the roof tq the low�art ottMe '�M'������P�����oT'
to fhe loixfpo�t of#�e corrg�pontlmg
� SI�BTRACTION c:orrespoFld�t9�able or H�{�etl rbof SU¢'fi�4CTtON
� ��b�bN FZObF . GABL�OI�FiIpP�D 1�00�(with (BAS�D dN, .'' ��e��'�:�
�� �� � `�� ` � t`aA87;�€�IZ MI���D f��Of{Witl� .'.
�vi.ntlov,ns): SubVast h8if the FtOOF'f1fPE) Nnr�do�Ys) �Iiblr�ct h8��edis�aulce
� dietar�ae betuje@n the�m�.ota,e retwea�►�u�s ort�Kts�p�sc
. hi�hesf y_Yindaw a�i th�h' h"e$t .
. �o
� _ - �9 nd�ytrand fi�gt�ast:p#,ir�6(1fs�
point W tM�roof � �{,
'��'• ALL Ort1ifiR�ROO�TYP�5(f�aE,�.._ •�� il t)'�W��,ROOF TY�ES(�,r `. � -
�
I inans�td,�7 No siiti`tra�tion. ,,_ ��e;�o�r�btractiat �.
_ . , i4DI3: fON Adtl rli�tanee n�i`ie�o of , .
° be.twee P
su�heq t�e dist�nee beiinreenYhe � e�dstif+0 9►ac�e as�txAt ko
� SUBTRACTi0�1 (6�4SED ON . and fit}aest
(BA6ED ON E7C1STJNG basernenticraw[spaee noor and tkie EXIST�i�CG tlse ndadon`
{ highest e�dsting.grade 8djg�e►ltto the :
GRADES) E+R�S.DE$ ,
foUAdatieh OR 90 feet(whicheuer is I�ss). E pLS DeH d building height
` EQUALS Deflned•bui(dingheigM
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� Shor�tand DistMct �IfCWD i�ermit Received avera e,Lakeshore 5et_back Me Btui'f
� , _ :
� O Yes � No � N/A 17 Yes G No
; � Yes �` No � 0 Yes � No Q N/A
Permit Number. Setback:
- .
Starmw�ter Quality Exi�ting Proposed �/ariance'Requie�ed CU Required
. Ov�rla Di�grict Tier Hardcover Hardcover
_ t3 Yes O No � Yes J0 No
; Type(s): Ty ($);
,
� UpdBted: January 2013
; v:�formslplan rsview checklist 2013.docx _
RCMARKS(In-hovse): �S � � � `'�' �'t9 �� C �f'�4Gm �_�.
�ees to be Char ed �
'._�' r � 4 _ � ?'- 7 y� � F ..
P�an Rev�ew 1� :
� a{ �.�_ �� � ✓� � `S3y�'TJ �j P'S� �1 � b i �
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S uare Foota e er S"uare Foota e
�asernent ` X $
1�Floor X - $
2nd;Ftoor X . = $ ;
X ' $
� ;�� �-C�arage .� � � � � � . �� ,
Estim�t+�d.;CohstruC�iQn Valu�. �,; ����s�"'�,�l��s �� �
� __..__.,_,—� � � , . , ,, _ . .
s Orcuto!ns �#ons;R�quiired ' = Wo�k Requi�ring�eparate Permits Required . .
,� Sfate Pe�nt�s
� � � ��P uml�ing� ��!'�Gcading f��F�llir�g �� � . ��3 Wel� .
�.C! S�te � � �� � � �- � -
G HardcovEr i�emoval' M�h�nicai � ��] F'rce ��le�tric�i
> Footing � C� Septic .�i Wa�er Conn�ctfon
�NPOur�d iNalt [� Fireptace; G Sew�r Conneetion
O �ounilation�urv�y G'Ma�onry . O< Lawn trtigation :"
-CI Ft�doi��f�a��c B�d ;; , � � G�M�g: :.
t,l Other speci ) .
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REMARKS (in-h0us��:
OtMer Review: Reviewed by: Date Approved:
Access: Existing: � YES G NO New: E3 YE� G NO
OFFICIAL REMARKS-TO BE N07ED ON PEEiMIT AND INITIALLEQ
Updated� Janua.ry 2013
v:\forrns�pian review checklist 2013.doac
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White Copyllnspector's File Canary CopylSite Notice
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White Copyllnspector's File Canary CopylSite Notice
V
DATE TIME
CITY OF ORONO CALLED IN
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White Copyllnspector's File Canary CopylSite Notice
DATE TIME�
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
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(`/ 1 DATE TIME V
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y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
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W ❑CORRECT WORK 8.PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
�STOP OR�ER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:_�� �
Inspector: �/wr�
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