HomeMy WebLinkAbout2003-P06885 - tenant finishes PERMIT
CI�l� c�F ORONO
2750 Kelley f'arkway - PO Box 66 Permit Number: Po6sss
Crystal Bay, Minnesota 55323 Per'mit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: iii2ii2oo3
SITE ADDRESS: 2765 Kelley Pkwy
Long Lake,MN 55356
PID: 33-118-23-12-0002
DESCRIPTION: UBC Occupancy B
Construction Type VN
Proposed Use: Commercial-Business
Census Code 437
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-rype(s): Addn/Remodel/Repair
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DETAILS:
Approved per resolution#:
Separate permits required: i'iumoing Iviecnanicai Eieciricai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 1,441.75 Valuation: $ 180,000.00
Plan Review Fee: $ 937.23
State Surcharge Fee: $ 90.50
TOTAL FEE: $ 2,469.48
APPLICANT: McCarthy Construction(see notes) OWNER: Professional Prop Orono, LLP
11100 Bren Road West, Suite 200 835 Partenwood Rd
Minnetonka,MN 55343 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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AP�LICANT PER E SIG ATURE I SUED BY SIGNATURE
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Covies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�. 1-Finance Page 1
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Total Fee: $ a y�g' �b ` ' � Date Received: /D /D - D 3
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Entered By: �t _' r� f�D�Bf�S
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�i� �/ Permit#:
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
---------------------------------------------------------------------�--�------------------- ----------
THE APPLICANT IS: (circle one) OWNER 01�L NTRAC�
JOB SIT'E ADDRESS: ���'S �e.l���{�r�-W�� ZIP: '�S'35(�
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NA.�iE OF OWNER: �f: �P� �C�j�L PHONE: (hvm�� Cl'SL —�`�'1� - i V�
. (work) G � (c t 1 -Ss�a� - 4(�Z(..
MAILI�i 1G ADDRESS: CITY: ZIP:
� PHONE: � 5� - �zZ- LLti�
CO\�'RACTOR: C r-�'�� ���s .
COti�T'ACT PERSON: '�u r,,.�u NIOBILE/PAGER: �- �►3- 2.s Z- (,,o G��i
M..AII,ING ADDRESS: � t l 0 0 [��'en R�a w' CITY: (Vt,�.n efi;�i�-ti ZIP: 55 3
ST�iTE LICENSE: #
ARCHITEC� /ENGIlVEER: ��-rnt.S ���2;r�ah PHO�IE:
MAIL�F�iDDRESS: +S�t 3� i-�,ll iz:�.. ?r_ CITY: (�'���_ZIP: 553�
NA_1�IE: ��-vuL S L.�u n,t� ,I�n REGISTRATION# SU 7�'
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �e n�,;t" ���L�, ' S�e�n Lr�r� �� c� ►-
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDR00�1S: GARAGE STALLS: ATT. DET.
ESTLI�LATED CONSTRUCTION VALUATION (excluding land): $ t�',���
I hereby apply for a buildin� 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 Buildin� Code; that I understand this is not a permit and work is not to start withbut a
permit; and that the work wil?be in accordance with the approved plan.
APPLICANT'S SIGNATURE: -- " � DATE: l � — �� - ��
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUB�TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the daa is stored or to be srored shall be as set farth in this secdon.
shall be info ed of:��d��on���to be given mdividual, pn i�iv-�:�1�sked ro supply private or confidendal data concerning himself
() purpose and incended use of the requesud data a,-�in the collecting state agency,political subdivuion,or stacewide
system;(b)whether he may refuse or is IegaUy required ro supply the reques�i data,(c)any�own coasequence arising from his supplying or
refusing m supp(y private or confidential data;and(d)t�e idenary of odxc petsoas or enaaes authorized by snte or federal law co receive the data.
This requirement shall not apply when an individual is asked to suppiy im-,.srigaave data, punvant ro secdon 13.82, subdivision 5, to a law
enforeement officer.
The commissioner of revertue mav�lace the norice rcwired under�s subdivision in the individual income tax or orocenv rax re{und
in�t�ctions tnstead of on those fortns.
Subd.3. Access to data by iadividual, Upon request ro a respoasble authoriry,an individual s6a11 be informed whether he is the
subject of stored data on individuals,and whether it is class�ed as public,private or confidenaal. Upon his further request,an individual who
is the subject of stored privare or public data on individuals shall be shown the«�without any charge m him and,if he desires,shall be informed
of the content and meanin�of that dara. Afcar an individual has been shown t�e private data and informed of its meaaing,the data need not be
disetosed to him for six monthc thereafter unless a disFuu or action pucwane eo this secdon is pending or addiaonal data on the individual has been
coqected or created. The responsble authoriry shall provide copies of dx privax or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesdng pecson to pay the actual costs of making,cerdfying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,wi�aay request made pursuant w this subdivision,or within five days
of the dau of the request,ezcluding Saturdays,Sundays and legal holidays,��cnediate compliance is not possible. If he cannot comply widi
[he request within that time,he shall so inform the individual,and may have an addidonal five days within which ro comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure whea data is not accurate or complete. An individual may contest the accuncy or completeness of public or
private data conceming himself, To ezercise this right,an individual shail nodfy in writing the responsible authoriry descdbing the tiaaue of the
disagreement The respons�ble authoriry sha11 within 30 days either: (a)correa d�e data pound ro ya inaccurdre or iixomplete and aaempt ro nodfy
past recipienrs of inaccuraoe or incomplerc data,incluAin�mcipients named by rhe individual;or(b)notify the individual that 6e believes the data
ro be correct.�Data in d'upu[e shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The dererminaaon of the responsible authoriry may be appeaizd purs�ant to the provisions of the adminisorative procedure act relating
to contesud cases.
UaTA PRIVACY�iDVI ORY
In accordance with M.S. 13.04, Subd. 2, "Righcs of subjecu of data", we would like to inform you that your
request for a permit or license from the �ity 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 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 euent necessary to
process the permit or license.
4. If your requested permit or license requires Co�action to approve, some information may become
public.
5. You have certai,n rights under 41.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this applicarion or permit.
� � ���� �� Sfi,
First � �tiddle
I.ast
11 � u p "� �—t-� ^�P 1 P �
Address
� ��n r-�D a�C.k �'l*� �i�'�3 Q 57 �7 22 t tt'Z
C�ry Sate Zip Phone
I understand " ts as stated above.
Signamre
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• ' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2��5 k�1 l�,, (R,4,Q1�v r4 ti
PID:
DESCRIPTION OF WORK: -r�ivn��sv�- I=;,v�sN
ZO��TING REVIEW BY: DATE APPROVED: /v-27-�3
BUILDING REVIEW BY: DATE APPROVED: o-Z�-�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes c� No
pL?,N REVIEW Yes v No SEWER CONNECTION
STATE SURCHARGE Yes !/ No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
ZOr'�1G CHECK LIST Zoning Disuict: /licJ G/fi9/Vl Q �
Fire Department: Post Office: School Disuict:.
Lot Area: Sq.ft. Acres idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Reaz(Street): Left Side:
Adjacent Structures: We�tland:
Building Heigbt: Def. Hgt. Pe�Hgt.
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Lot Covera�e: '
Grading: Staff Approval Date: iBy: Council Approval Date:
Septic: Staff Approval Date: �By:
Zoning File: # Resolution: #i_ Resolution Date: . .
Shoreland District:
Avg. Setback: Bluff Setba�k: Lot Coverage:
g�t�g �, Proposed
Hardcover: 0-75' I
75-250' -��
250-500' � "
500-1000' I
;
Hazdcover Variance Required: Yes No Date of Council Approval:
�
REMARKS(in house): �
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BUII.DING REVIEW CHECK LIST �
� �C� /3 CONSTRUCTION TYPE: �
Sq Footage $Per Sq Ftg
Basement x _
lst Floor z _
2nd Floor x _
Gazage x _
x =
TOTAL
Fstimated Construction Value: $_��Q��
Inspections Required: Work Requiring Separate Petmits:
Site _�Plumbing Fire
Hardcover Removal _�M.echanical Water Connection
Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
F� Grading/Filling _�Electrical(State Permit)
Other
RENIARKS(IN HOUSE):
REVIEW BY OTHERS: �� DATE:wN---�_ �_---------------------------
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT�:
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DATE TIME
CITY OF ORONO CALLED IN � �'l'-Y�
INSPECTION NOTI E SCHEDULED �� L3 �i �D 6
PERMIT N0. C--� COMPLETED
ADDRESS `�� L�%� �� `'`-� �F' �—t�-�.��/
OWNER CONTR. � C.���G"l��
TELEPHONE N0. __ �I � �jo �I ���..0 I
� DESCRIPTION ��GC�-t.�'�
� Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMEN S:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the ne inspection 24 hours in advance. (952� 249-4600
OwnerlContra si e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
✓
DATE TIME
CITY OF ORONO`� CALLED IN
INSPECTION NOTI SCHEDULED Z !� D e.�O
PERMIT NO. c LETED
ADDRESS �-�
OWNER CONTR. C-
TELEPHONE NO. �� �a 3���I I�� f
� DESCRIPTION��v\-�-�- ��t'r�C'�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 0.3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINL 21 COMPLAINT
v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOFi TO MEET YOU:_YES_NO
� COM NTS:
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� WORKSATISFACTORY:PROCEED O P ECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED � RTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECO'VERING PERMANENT
❑CORRECTUNSAFECONDRIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL HETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249-4600
Owner/Contr n s
Inspector. �
White Copyllnspector's File Canary CopylSite Notice