HomeMy WebLinkAbout2013-00146 - tenant interior finish � CITY OF ORONO
• � * Z 0 1 3 — 0 0 1 4 6 *
2750 KELLEY PARKWAY pATE [ssuEn: 03/15/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY ��D�
PIN : 33-118-23-12-0031
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 52,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STA"I'E)
TENANT INTERIOR FINISH — I � (
APPLICANT PERMIT FEE SCHEDULE 696.75
GORDON JAMES CONSTRUCTION PLAN REVIEW 452.89
5159 MAIN STREET E STATE SURCHARGE(VALUATION) 26.00
P.O. BOX 306
MAPLE PLAIN, MN 55359- TOTAL 1,175.64
(763)479-3117
Minnesota State License#: 20531961
OWNER
CITIZENS INDEPENDENT BANK
5000 36TH ST W
ST LOUIS PARK, MN 55416-
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[his 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 construc[ion is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
reques[ed in conformance with the State Building Code.This permit may be
revok at any t e fo u se.
..3 � ,S% l 3 3 � �5 �
pli � t Permitee Signatu Date Issue By Signature Date
EPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE.
.� , „(��"� '�j
. �e�''�l
Cit of 4rono � 1,� �5. �
Y
Building Pe mit Appiication for Maintenance / Reno
(windows, doors, siding, re-roof, etc.�
Mailing Add►ess: Pertnit number. l3�d/`�
O�,�,�.0 PO Box 66 ,/-
Crystal Bay, MN 55323-0066 Date received: ��1'�
�, Street Address: Received by: ---�a��1�.--
�'.�,t y G�" 2750 Keliey Parkway Plan review fee:
�t�.���.$ Orono,MN 55356
Total Fee:
Main: 952-249-46 Fax: 952-249-4616 www.ci.qrgn�,mn.us
This application f rm must be completed in full and ap required information must be submitted. �
Incomplete applications wili be returnsd. (P/ease print) i
GENERAL INFORMATION:
Job Site Address: 2 j l
Will this be a Parade of Hom s,Remodeiers Showcase Home or other Display Home? Yes No
/f yes,a special event permft is req insd with Pollce Department and City Council approval 60 days prior to the event Shuttle bus service wil/be
required un/ess appli nt demonstrates sutllclent on-s/te psrking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT NFORMATION:
Name: � '?I4W1� GO►J $?Yt,�7GT�rJ i
State License# � Q b ( Expiration Date: ?p
Lead Certification Number: Expiration Date:
(for work on homes that were con trucfed prfor to?978
Phone: — � (office) 'Z,•'Z� -Z (celt
Mailing Address: �_c,,v;)t Z,�� City: IP:
Contact Person: Applicant is: racto / Homeowner �ci��o�>i
Email and/or Fax: _..�- ES.�µ� tJ
PROPERTY OWNER INFORM TION:
Name: hy - �x�l t'' �G�7'K� la o L�t`�t
Phone(day): �$ _ � _
Address: �b0� � ^ -� City:��j'. t,ot?=5 n�rt�t ZIP:
Email andtor Fax GA . L
PROJECT INFORMATtON: I
Type of Project: Any ea�th movement may require
❑Door(s) ❑ model ❑Fire Damage MCWD review&permit�:
Minnehaha Creek Watershed District(MCWD)
❑Re-roof,asphalt ❑ pair ❑Stonn Damage 18202 Minnetonka Blvd
❑Re-roof,cedar ❑ storation ❑Water Damage �eephaven,MN 55391
Phone: 952-471-0590 ,
❑Re-roof,other(speaify} ❑ ding ❑Other.(specif}r) Fax: 952-471-0682
❑ indow(s) www.minnehahacreek.ora '
Overall Project Description: �� /p
Estimated Construction Valu tion af Project(exctudi�g fand) S Z fb =-
APPLICANT ACKNOWLED EMENT:
• Agrees to pravide all info ation required or requested by the Building Dspartment;
• Certifies that the infortnati n supplied is true and correct to the best of hisTher kr�owl�ge. The applicant recognizes that ey
are solely responsible for ubmitting a complete application being aware that upon failure to do so,�e staff has no aitem 've
but to reject it until it is plete;
• Some or all of the inform tion that you are asked ta provide on this application is classffied by State law as elther privat or
confsdential. Private data is infortna6on which generally cannot be given to the public but can be given to the subject of the
data. Confldential data i informadon which generatly cannot be givsn to either the public or the subject of the data. ur
purpose and intended u of this information is to annually update aur records and records of other govemmental agen es
r uired b law. If u re e to I th � fo afi the a icaticm ma not be issued.
Applicant's Signature: Date: �' !���3 I
Last Updated: 08-09-2011
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� , to7 c� l�c,,,.t_..�.0`� r�A�Z 1�.�s ,�4 u N � -r' i a 1 -
, � Ac�dresslP��m9t ENumb�c: ' '
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� Description�f�vork: ��rg N'� +�=�!v� ,�
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� Septic re�6ew by: 6'�l Date Ap{�roved;
�
, Zoning review by: 6� Da#e Approved:
� , Building�evjsw by: Date Approved: ^� ^?�t
� :.
� Grading review by: N �►� Date Appravedc
; ;
� � Zo 'ng�istric#: Zoning �ife#: Reso#: Reso t2ate:
I
Zonin Lot 14re�: SF/AC l�iiic9ti�: Lot Covecage: %
� Survey S mitted: �Yes _ Q No � Date c#�unrey: Rer�i� ` ? :
� .
� Pro osed Se_ .acks:
i .
� Front(Lake) ' Rear( treet) ( � S E W ) ( R! ` S € �i4 ) Otre aildings et4ar�d
� S�de; 3ide
i
�
� _' •
� Defiaet!Height: Peak Helgtot: �E: f�E nus S f�et=,�,��„(Ex�s#i 9 Contot�r)
( . .
� Perimeter{linear feet)= 50%_ #of ries. Ok? i�YES
, ,. .
j �OR A Bt�ILDING WI7H A BASElVIE T CRAWL 3{�ACE: `
dis ` beiwee�the lowest QR A B111LDlMG dFl A SL•AB F�iUNDATW�f. .;
� S?ART WIThi p Posed (of ttie bas�%�ent orcxa�M _ -
�
, s ce)antl th ighest poMt di tite rooP. „ 7`hq tllstaR�@ betWeen tbp�f sl8b and .
f ST�ART WITH {�M&h�s�:pWnt bf#�e of. .
� If fiave a... lf y0n fl4ntd,9...
a GABLE OC�H PED RdOF(Ao . � • GA6LE CSR H1PP FFOQ�?{t10'
i windqws); Su half the windov�r'sa). Subt'ra ha�Hie�distance
� dista►�ce behnreen highest po" 6etween the high poinE of'k�►ioof
f of the rso�f to the l .rtt of t to th�,Tow�rtofi e t�rresponding
SUBTRACTION �P�ciing gable o �ipP :r� SUSTRACTION gable pr hi�d' f
i (Bi4SED ON ROOF o GIkBLE OR HIPPE�'RO (with 4BA.SED ON o �'oA�1,L 0(YNIPTj b"I�C)�F�Wkh
� T��) wfhdows); SubVaat th, R00�TYPE)' wi�a4ows): �u hat�the diatautve
� dfsfs►�ce betwe�n top of beiw8§n.t�►BtDp• the hiqfiest'
hYghest window a U�e highes vinndow atid ihe h hest pbir�of ihe i
, U�
� point of the roo s roaf "
ALL OTH£ OOF TYPES(flat, ALL OTH�R RO �7XP�(flat,. ,
i � mansard ):No,subtradion: mansard efia:N subtractian.
At1('31�1ON Atld the dist�nce . - e�flf s�ab
SUBTRACTION S btr�f ih is�ance t+etween the " (BRSED f�N antl the highesfie�dapri .g�de�dJac�nt to
I (BASED ON�XIS7ING $e wi space floor ar�d the EX�S7'ING the foundatfon.
GRADES) h he �asting grede adjacer�f to the R,4pES ;
`on OR 10 feet{whichever is less). EQUALS Defined building heig t
';, EQUALS t�d butWing height
i
' ' ' Shorelanc� Dis ct MCWD�Permit Recei�ec� �►vera e La hore Setback RAet? '` lu�f'
; , � Yes � N� A N/A Cf Yes � No
: � Yes ,. C� No : � Yes 0 G N/A
Permit Number: `Setbaci :
Sto�enwater Qu�lity �xisting Proposec8 �ar�ance Required CUP Requi `
O �rla� District Tier ardcover Harc6cover
: t� Yes ` �'I No � Yes L7 No
� jYPe(S)� TYpe(S)�
' Updated: January 2013
v:tfortnslplan review checklist:2013.d ex
REMARKS (in-hous�):
Fees to be Cha ed 1P�� i� :
Fetml#
P1an Rev�s�v . .
.. , . .
:, ,
�e� . .. ��� _- - _-- ,
Inves�ig�tion Fe� .
,: -:�ti���1�,� ;- . . �
�G::�»,• -
Other�specify) , �
S uare Foota e � r S are Fobta `�
�Basemer�t _ X = $ :
1 s`�loor X � $
2"�Fioor . � X . _ $
Garage . X = $
Es�imated Construction Value: � ���LQ Q O e�
Orono it�spe�taons Required Wc►rk Reguiring.9eparat�Pern�its Require.d State Permits
t3 Site _�umbing_ � Grading/�iNing ` G Well
� Hardcover Removal 'Mechanical � Fire �lectrical
O Footing � Septic G WatecConnection
� Roured Wall G Fir�p�ace fl Sewer'Connection "
G Fout�dat�an�urvey n Masonfy G Lawrt lrrigation ' ' .
L7 Radon Rock Bed , G Mfg:
� G Other(�pectfy) :
U lnsulat�on
0 ,�►s=Built Survey
Einal
� 1Netland Buffer
G Other{specify)
REMARKS (in-house):
Oth�c Reviewc Reviewed by: Da�te Ap�roved: '
Access: Exist'ing: � YES [3 NO iVew: � YES 17 tV0
OFFICIAL REMARKS-T0 �E I�OTED OPB PERINIR AND INiT1ALLE�
Updated: January 2013
v:\forms\plan review checklist 2013.docx
`� ` TIME V
CITY OF ORONO ALLED IN � � �
INSPECTION TICE SCHEDULED — — � '
PERMIT N0. c MPL TED
ADDRESS 7D �
OWNER HONE NO. '�S�a
CONTRACTO ��
�; DESCRIPTION
� ,
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
W
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ��"�- �'��^v�
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W� ❑WORK SATISFACTORY:PROCEED �@'ROJECT COMPLETE
W ❑CORRECT WORK R PROCEED �UE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
�PERMANENT
Q CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours irt advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. R-�
White Copyllnspector's File Canary CopylSite Notice