HomeMy WebLinkAbout2000-P02562 - addn/remodel/repair PERMIT
'CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P02562
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 6/20/200
SITE ADDRESS: 685 Old Crystal Bay Rd N
LONG LAKE,MN 55356
PID: 33-118-23-21-0002
DESCRIPTION: UBC Occupancy El
Proposed Use:
Permit Class: Building Census Code 326
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): School
DETAILS:
Approved per resolution#:
Separate permits required: Piumbing Mechanical Eiectricai(state)
NOTICES/REMARKS:
REMODEL SPACE TNTO MEDIA CENTER
FEE SUMMARY: Permit Fee: $ 2,113.75 Valuation: $ 300,000.00
Plan Review Fee: $ 1,374.03
State Surcharge Fee: $ 150.00
TOTAL FEE: $3,637.78
APPLICANT: KRAUS-ANDERSON CONSTRUCTION OWNER: ORONO SCHOOL DISTRICT 278
PO BOX 158 PO BOX 46
CIRCLE PINES,MN 55014 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.
�UW GASTPTEEI(FAI R� PSUEDBYSIGNATURE
.ty,Applicant,Assessor,Finance Page 1
Total Feer $ �� G�:3� 7� Date Received: co
Entered By: ,T,�6 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 IS: (circle one) OWNER OR CONTRACTOR OWNER'S REPRESENTATIVE
Existing Orono Middle School
JOB SITE ADDRESS: 685 Old Crystal Bay Road ZIP; 55356
NAME OF OWNER: Orono School District 278 PHONE: (home) n/a
(work) 449-8300
MAILING ADDRESS: 685 Old Crystal Bay Road CITY•Orono ZIP: 55356
OWNER'S REPRESENTATIVE:
VON�YM: Kraus-Anderson Construction Co. PHONE: 952-249-9679
CONTACTPERSON: Brian Hook MOBILE/PAGER: 612-868-1428
MAELING ADDRESS: PO Box 158 CITY: Circle Pines ZIP; 55014
STATE LICENSE: #-n/a
ARCHITECT/ENGENEER: Wold Architects & EngineersPHONE: 651-227-7773
MAILING ADDRESS: 305 St. Peter Street CITY: St. Paul ZIP: 55102
NAME; REGISTRATION# 20155
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration X Land Alteration
PROPOSED WORK(describe in detail): Remodel existing Wood Shop and Computer
Classroom into a Media Center
REMODELING
STORIES: n/a SQ.FEET * ft: 5,200 s.f.
NO. OF BEDROOMS: n a GARAGE STALLS: ATT. n a DET. n a
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 300,000
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 SIGNATURE: A,- ---- DATE: `t/VC)
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 SUh3dli:CrS OF DATA `
Subd. 1. Type of data. The rights of individual on whom the data is red or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual a sked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within die collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested (c)any(mown consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identity of other persons o entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law
enforcement officer.
The commissioner of revenue may lace the notice reauired under this s ibilivision in the individual income tax or prwerty tax refimd
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 public,privatt 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 N rithout any charge to him and,if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the irivate 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 =don is pending or additional data on the individual 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 cos s of making,certifying,and compt7ing the copies.
The responsible authority shall comply immediately,if possible,with an3 request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if im nediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual,and may have an additional 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 indtvidual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify' writing the responsible authority describing the mature of the
disagreement. The responsible authority shall within 30 days either: (a)cerrect the data found to be inaccurate or incomplete and attempt to notify
last recipients of inaccurate or incomplete data,including recipients named by the .ividual;or(b)notify the individual drat he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's smientem of disagreement is included with the disclosed data.
The determination of die responsible authority may be appealed pursum t to the provisions of the administrative procedure act relating
to contested cases.
DATA PRIVACY AD rISORY
I
In accordance with M.S. 13.04, Subd. 2, "Rights of subjecLs 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 f4ruish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to detennine 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, tate 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(availabl upon request)to review private data on yourself.
6. Your full name is required to process this applicadon or permit.
First Middle Last
Address
City Sa xe Zip Phone
I understand my rights as stated above.
Signature
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CHECK OFF LIST FOR ISSUANCE OF PERINIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID:
DESCRIPTION OF WORK:
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATERCONNECnON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
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BUILDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate P its:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace �_Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
Final Grading/Filling Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DAT :
Access: Existing New
Access Approval: Date By
REMARKS (TO BE NOTED ON PERAIM:
8
CHECK OFF LIST FOR ISSUANCE OF PERINI RTS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL: m wo CLLi s wt, aA%4 ( oA 6
PID:
DESCRIPTION OF WORK: Zte"Kyo t.. sp^ca (,.-jTv VJAA;', Q g t 4
ZONING REVIEW BY: N/A- DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED: G -!5 --&J
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes G'' No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No v PARK FEE
SAC Yes No cr SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District: No r_/212Y4eke
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres tte
Depth
Survey Submitted: Yes No f Survey:
Proposed Setbacks:
Front(Lake): Right Side.
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak H
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setbacktw
Lot Coverage:
ExistingProposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes NoDate of Council Approval:
REMARKS Cm house): o w hs o rad n. s o r- cam✓
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BUILDING REVIEW CHECK LIST
UBC: �S` ( CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x
1st Floor x =
2nd Floor x =
Garage x =
x
TOTAL
Estimated Construction Value: $ -3 00,0cw`P
Inspections Required: Work Requiring Separate 7ermits:
Site M.Plumbing Fire
Hardcover_Removal _ •� Mechanical Water Connection
Footing Septic Sewer Connection _
o Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
Final Grading/Filling Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date g
REINLARKS (TO BE NOTED ON MAUI):
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE _ SCHEDULED / z%Ic 3 b
PERMIT NO. COMPLETED 3 U
ADDRESS
OWNER w1c>.-JO CONTR.
TELEPHONE NO. ' K.Qwe,- "
DESCRIPTION CA r%ke5-T o PP►N�
4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
h 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 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
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Lou ANYWORK SATISFACTORY.PROCEED ElPROJECTCOMPLETE
Qc ❑CORRECT WORK A PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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D ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contr c or on site:
Inspector�—=c`� / / S
White Copy/Inspectoes File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT C SCHEDULED 20
PERMIT NO. COMPLETED a = 3�
ADDRESS
OWNER CONTR.
TELEPHONE NO. �l�^ 311e S
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
QFIN 14 SEWER HOOK-UP 06 PROGRESS
7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Lul 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
W
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CC CC
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W
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W
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W (\,WORK SATISFACTORY:PROCEED PROJECT COMPLETE
Cc ❑ CORRECT WORK R PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contr r on site:
Inspector.,
White Copylinspector's File Canary Copy/Site Notice