Zoning Permit Application - Bongards expansion_11-16-16CITY OF CHANHASSEN #_____________________
PERMIT APPLICATION BUILD ZONE FIRE ENG
7700 MARKET BLVD PO BOX 147 CHANHASSEN, MN 55317
Phone: 952-227-1180 Fax: 952-227-1190 Web: www.ci.chanhassen.mn.us
Please Type or Print. Complete Sections A & F and either Sections B, C, D or E
A GENERAL INFORMATION
Site Address:_____8330 Commerce Drive_____________________________________________________________________
Property Owner:_____Bongards__________________________Contact Person:____Chris Freeman______________________
Address:_______18681 Lake Drive East, Chanhassen _____Phone:__952-466-3552___ E-Mail: __chrisf@bongards.com__
Contractor/Applicant:_____Hammers Construction, Inc.______Contact Person:__John Carlson______________________
Address:____44434 420th Avenue______Phone:__218-346-2195____ E-Mail: __john@hci-mn.com_______________
City:________Perham____________________State:____MN_____________Zip:_____56573______________________
License Number:_____________________________Type:_________________Expiration Date:_____________________
Lot:__________________ Block:________________Subdivision:__________________________________________________
Parcel Identification Number:_______251650030___________ Zoning District:___PUD______________________
Variance required: Yes No Planning Dept. Case Number: ______________________________
Is there a wetland within 75’ of any property lines? Yes No
Is the property in a floodplain? Yes No If YES, Complete Certificate of Compliance for Authorized Floodplain
Development. Sewer Available: Yes No City Water Available: Yes No
*** RENOVATION, REMODEL, RESIDE, REROOF AND WINDOW
REPLACEMENT:*** Year Structure Was Built: __1998__ Licensee Lead Certificate Number: __N/A_
F SIGNATURE
THIS IS AN APPLICATION FOR A PERMIT. IT IS NOT THE ACTUAL PERMIT.
THE UNDERSIGNED STATES THE INFORMATION PROVIDED IS ACCURATE AND HEREBY AGREES TO DO ALL WORK IN
ACCORDANCE WITH THE CHANHASSEN CITY CODE AND THE MINNESOTA STATE LAWS REGULATING BUILDING CONSTRUCTION
NAME:_______John Carlson__________________ COMPANY:____Hammers Construction, Inc._______________________
SIGNATURE:__________________________________________________________ DATE:______________________________
PHONE (HOME):____________________________ E-MAIL:___john@hci-mn.com____________
(WORK):___218-346-2195______(CELL):_____________________________ (FAX): ____________________________
SIGNER MUST BE CONTRACTOR, CONTRACTOR’S AGENT OR EMPLOYEE
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G APPROVALS H FEES
Route Applications in the Order Below:
Park & Rec to Review Commercial Only OFFICE USE ONLYVALUATION $__________________________
Permit Fee ---------------- _____________________
INSPECTIONS:_____________________ DATE RECEIVED Plan Review Fee --------- _____________________
date:_______________ State Surcharge ---------- _____________________
PLANNING:____________________ SAC Fee-(_____units) -- _____________________
date:_______________ Sewer Surcharge --------- _____________________
FINANCE:_________________________ Park Dedication Fee------ _____________________
date:_______________ Trunk Water Hookup ---- _____________________
ENGINEERING:____________________ Trunk Sewer Hookup ---- _____________________
date:_______________ Water Meter----------- ---- _____________________
PARK & REC:______________________ *Erosion Control Escrow--
_____________________
date:_______________ ______________________--- ________________________
FIRE MARSHAL:___________________ ___________________--- _____________________
date:_______________ ______________________ --- ________________________
TOTAL---------------------- _____________________
B ONE & TWO FAMILY DWELLING
Dwelling Square Footage:
1st Level (basement) 2nd Level 3rd Level 4th Level Total
Finished____________ Finished____________ Finished____________ Finished____________ Finished____________
Unfinished__________ Unfinished__________ Unfinished__________ Unfinished__________ Unfinished__________
Garage Square Footage:__________ Attached_____________ Detached______________ Tuck Under_____________
HVAC System: Oil Gas Electric Forced Air Hot Water A/C Mechanical Ventilation
Number of Baths: Full________ ¾________ ½________ Number of Bedrooms________ Number Future Bedrooms________
Number of Fireplaces: Masonry__________ Manufactured__________ Other__________
Deck - Sq. Footage________ 3 Season Porch - Sq. Footage________ Screen Porch - Sq. Footage________
Value of Dwelling EXCLUDING Land:_________________________________________
C COMMERCIAL AND INDUSTRIAL
Occupant/Tenant:______Bongards___________ Contact Person:______Chris Freeman ______________________________
Current Address:_______18681 Lake Drive East, Chanhassen________________________________________________________
Phone (H):___________________ (W):_____952-466-3552____ E-Mail: ___chrisf@bongards.com____________
City:_______Chanhassen________________ State:____MN_________ Zip:____55317____________
New Alter Repair Addition Other Square Footage:__8100____ Construction Type:__Commercial_
Location in Building:__North and East sides of building___ Proposed Use:___Commercial office and storage_________
Description of Work:__Parking lot expansion in December 2016 - waiting on aspahlt and landscaping until 2017______________
Sprinklered: Yes X No Occupancy Classification(s):____________________________
HVAC System: Gas X Oil Electric X A/C X Forced Air X Space Heat Hot Water Steam
Land Value:______$343,500____ Acreage:___1.8 acres__________ Value of Improvement:____Approximately $200,000_______
SEE COMMERCIAL PERMIT REQUIREMENTS CHECKLIST FOR ADDITIONAL SUBMITTAL REQUIREMENTS
D TENANT IMPROVEMENTS
Occupant/Tenant:_________________________________________________ Contact Person:______________________________
Current Address:__________________________________________________ Phone (H):______________ (W):________________
City:______________________________________ State:________________ Zip:___________________
Building Manager:________________________________________________ Contact Person:______________________________
Address:____________________________________________________________________________________________________
Phone (H):___________________ (W):____________________ E-Mail: ________________________________________________
City: _____________________________________ State:________________ Zip:___________________
New Alter Repair Square Footage:___________ Construction Type:___________ Occupancy Classification(s)________
Location in Building:________________________________ Proposed Use:_____________________________________________
Description of Work:__________________________________________________________________________________________
HVAC System: Gas Oil Electric A/C Forced Air Hot Water Sprinklered: Yes No
Adjoining Tenants:
Name:_____________________________________ Address:__________________________ Occupancy Classification:_________
Name:_____________________________________ Address:__________________________ Occupancy Classification:_________
Proposed Use:_______________________________________________________________________________________________
Value of Improvement:______________________________
SEE COMMERCIAL PERMIT REQUIREMENTS CHECKLIST FOR ADDITIONAL SUBMITTAL REQUIREMENTS
E OTHER IMPROVEMENTS
Occupant/Tenant:_________________________________________________ Contact Person:______________________________
Phone (H):_______________ (W):_______________
Addition Basement Finish Deck Demolition Fence Fireplace Grading Pool Remodel
Repair Reroof Reside Shed UST Installation/Removal Other Year home was built__________________
Explain:_____________________________________________________________________________________________________
____________________________________________________________________________________________________________
Square Footage: ____________________ Dimensions: _____________________ Value of Improvement:______________________
G:\SAFETY\INSP\Form\bldg appl\2011bldgapplication.doc
Revised 1-12-11
CITY OF CHANHASSEN
HARDCOVER CALCULATION WORKSHEET
EXISTING AND PROPOSED HARDCOVER
Property Address:
A. House X=S.F.
X=S.F.
X=S.F.
X=S.F.
X=S.F.
B. Garage X=S.F.
X=S.F.
C. Driveway X=S.F.
X=S.F.
D. Sidewalks X=S.F.
X=S.F.
E. Patio/Deck X=S.F.
X=S.F.
F. Other X=S.F.
(i.e. shed, etc.)X=S.F.
X=S.F.
TOTAL HARDCOVER: S.F.
TOTAL LOT SIZE: S.F.
HARDCOVER PERCENTAGE: %
MAXIMUM % ALLOWABLE: %
Prepared by: Date:
Signature:
Reviewed by: Date:
Comments:
G:\PLAN\Forms\Hardcover Calculation Worksheet.xls