HomeMy WebLinkAbout2017-00725 - foundation only CITY OF ORONO 11 E I I I I I I I I I 1 I 1 111 1I1! I II
* 20 1 7 - 00725 *
2750 KELLEY PARKWAY DATE ISSUED: 07/11/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 795 OLD CRYSTAL BAY RD N
PIN : 28-118-23-34-0003
LEGAL DESC : UNPLATTED 28 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : FOUNDATION ONLY
VALUATION : $ 14,000.00
NOTE: FOOTINGS/PADS ONLY FOR THE ORONO ICE ARENA LOCATED AT 1025 OLD CRYSTAL BAY ROAD N
APPLICANT PERMIT FEE SCHEDULE 263.28
STATE SURCHARGE(VALUATION) 7.00
RINK-TEC INTERNATIONAL,INC. TOTAL 270.28
310E COUNTY RD.D
Payment(s)
LITTLE CANADA,MN 55117 CREDIT CARD 7387 270.28
(651)481-1190
Minnesota State License#:mech-MB003198
OWNER
278,ORONO SCHOOL DIST NO.
795 OLD CRYSTAL BAY RD N
LONG LAKE,MN 55356-
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 does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing 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
revoked at any time for due cau
f• �-- 7--//--/ 7 7 / ( // '
Xppiicant Permitee ignature Date Issued By$ nature Date
CITY OF ORONO
BUILDING PERMIT APPLICATION t/a ,,7O, a 5
FOR NEW STRUCTURES OR ADDITIONS
iiLIDl VO Mailing Address: Permit number: CAO 1 7—CO 7 A 5
PO Box 66
Crystal Bay, MN 55323-0066 Date received: ""�
Street Address:' Received by:
614101:
2750 Kelley ParkwayPlan review fee: F2) 16
7/. �t�k�sHo�` Orono, MN 55356 cA(3 i—J-.-n 7
Main: 952-249-4600 Total Fee: /
Fax: 952-249-4616 www.ci.orono.mn.us V / , (1-/ Z2774-1
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: 1025 OLD CRYSTAL BAY ROAD, LONG LAKE, MN 55356
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑x No
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Rink-Tec International, Inc.
State License# MB003198 Expiration Date: 8/19/18
Phone: (cell) (office)(651)481-1190
Mailing Address: 310 East County Road D City: Little Canada ZIP: 55117
Contact Person: Kyle Gillespie Applicant is: contractor)( Homeowner (Circle One)
Email and/or Fax: kyle@rinktec.com
PROPERTY OWNER INFORMATION:
Name: ORONO ICE ARENA INC. (CONTACT: DICK LEWIS)
Phone (day): (763) 257-7457
Address: 1025 OLD CRYSTAL BAY ROAD City: LONG LAKE ZIP: 55356
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name: TOM MOORSE, HTG ARCHITECTS
Phone (day): (952) 278-8880
Address: 9300 HENNEPIN TOWN ROAD City: EDEN PRAIRIE ZIP: 55437
Email and/or Fax: CONTACT JEFF ELLINGSON:JELLINGSON@HTG-ARCHITECTS.COM
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal &
Water Supply
❑ New Construction ❑ Single Family with ❑Accessory Bldg./Garage
❑x Addition attached garage ❑ Deck ❑x Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑x Public Water
**Any earth movement may also require [' Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑X Other(specify)
15320 Minnetonka Blvd MEZZANINE ADDITION
Minnetonka,MN 55345 & LOCKER ROOM
Phone: 952-471-0590
Fax: 952-471-0682 ADDITIONS
www.m i nnehahacreek.orq
Estimated Construction Valuation (excluding land) $ $14,000(Footing& Foundation Only)
Last Updated: January 2016
STRUCTURE INFORMATION:
1.Structure Dimensions OF MEZZ 1. Structure Dimensions (continued)
a. Length(ft.)= 212 FEET Number of bedrooms= N/A 2. Occupancy: Existing and new A-4
18 FEET 2 nts IL/
b.Width (ft.). Number of garage stalls:
3. Occupant Load: o ezz ine
Areas in square feet OF SCOPE Attached= N/A
c. Basement= N/A Detached= N/A 4. Type of Construction: IIB
d. 1St Story = 6,610 SF (existing)
e. 2nd Story= MEZZ= 3,730 SF 5. Code Edition: MBC 2015
f. 1/2 Story = N/A
g.Total Area= 10,340 SF
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed Applicable
❑ ® Building Permit Escrow Agreement and Fees
®
0 Plan Review Fee
®
0 Completed Application Form
® ❑ Proposed Building Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/2 x 11 set
❑
0 Minnesota State Energy Code Calculations and Mechanical Code Requirements
❑ ® Survey—2 full size,to scale(meeting ALL survey requirements)
❑ ® Hardcover Calculations
❑ ® Septic System Certification
❑ 119 Minnehaha Creek Watershed District(MCWD)Permit or
Documentation from MCWD stating no permit is required
❑ ® Landscape Walls and/or Retaining Wall Plans
❑ ® Stormwater Pollution Prevention Plan (SWPPP)
❑ ® Access Permit
❑ ® Data Privacy Advisory Form
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• 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 submitting a complete application being aware that upon failure to do so,the staff 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 be given to the public but can be given to the subject of
the data. Confidential data is information which generally 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.
Applicant's Signature: /fYl7 Date: 6/27/2017
Owner's Signature: Date:
Last Updated: January 2016
Permit Application: Self-Checklist for Completeness
Please note, the applicant must initial in the boxes below to acknowledge the minimum required
information is included with the submittal. If not, the application will NOT be accepted. Call
952.249.4620 to schedule a meeting with staff if you have questions on application submittal
requirements.
TRM Completed Application
TRM Plan Review Fee Paid
N/A Signed Escrow Agreement & Escrow Payment
TRM Building Plans (to scale) x2
N/A Certificate of Survey (to scale) showing the proposed project &
meeting all requirements x2 -->NO CHANGES ARE BEING MADE TO SITE
N/A Hardcover Calculations (if applicable) -->NO CHANGES ARE BEING MADE
TO EXISTING HARDCOVER
I am aware that Orono will not issue a building permit without a
copy of MCWD permits (or documentation from the MCWD stating
N/A the proposed project does not trigger their permitting
requirements). I will contact the MCWD at 952-471-0590
regarding this project. -->NO GRADING OR EXCAVATING IN THIS PROJECT
Signed by: `J�yy/ 166/27/2017
Address: 1025 OLD CRYSTAL BAY ROAD, LONG LAKE, MN 55356
Permit #:
Last Updated: January 2016
sOP DATE TIME
'• CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �i/' '- 7 ..5---2COMPLETED fif7 8:00
ADDRESS :f 5. Vd Ct/ / �a y ,Gtrd t%
OWNER (14 _ TELEPHONE NO.
CONTRACTOR 4/1 ' �-t'C-
DESCRIPTION
IQ ❑ FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
I, ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP ElFOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE ElSEPTIC INSTALL
Z OWNER!CONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlC. «".r on site:
InspectoR �TJl,�'/J -3127
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ,SCHEDULED
PERMIT NO. -0/74973 COMPLETED /®/ 7;
ADDRESS °1 .r t/ 4 C [ i /oat W
OWNER TELEPHONE NO.
CONTRACTOR _'G
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ti, 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
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C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
• ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
▪ ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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RRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0CORRECT WORK CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDMON WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Can for the next Inspection 24 hours in advance. (952) 249-4600
OwnerIContra site:
Inspector. 05.e/I i
White Copyllnspectoes File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED 1-g/-i 7
PERMIT NO. rl/J -OD OMP ETED
ADDRESS `t � �/�jied4/
OWNER T LEPHONE NO. /4- kf5-f.3 77
CONTRACTOR `� C` 1 /%
i DESCRIPTION £1tiii
W ❑ FOOTING 0 DEMO-FINAL • SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI • EXCAV/GRADING/FILLING
0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
• ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OvrnerlContrac site:
Inspector. L
Copyllnspector's File Canary CopylSke Notice