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Home My WebLink About2011-00145 - addn/remodel/repair ; CITY OF ORONO PERMIT NO.: 2011-00145 , 2750 KELLEY PARKWAY � . ORONO, MN 55356- nAT� 1Ssu�n: 03/18/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY .� �a� PIN : 33-118-23-12-0032 LEGAL DESC : STONEBAY OF ORONO CONDOMW[UM : LOT 000 BLOCK 000 PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/ REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 65,000.00 NOTE: SEPGRATE PGRMITS REQUIRED: PLUM[31NG,MECkIANICAL, ELECTRICAL(STATE) FINISH SHELL UMT#102 APPLICANT PERMIT FEE SCHEDULE 794.24 GORDON JAMES CONSTRUCTION 5159 MAIN STREET E PLAN REVIEW 516.26 P.O. BOX 306 STATE SURCHARGE(VALUATION) 32.50 MAPLE PLAIN, MN 55359- TOTAL 1,343.00 (763)479-31 l 7 Minnesota State License#: 20531961 OWNER CiCizens Independent Bank 5000 W 36TH ST ST. LOUIS PARK, MN 55416- AGREEMENT AND SWORN STATEMENT The work for which lhis permit is issued shall be performcd 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 pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type ofwork shall be compied with whether or not specitied herein.This permit will expire and become null and void if conslruction 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 i i conformance with the State[3uildin�Code.This permit may be � �� revoked anyi�du J ��._.._ � � , /8', l l �� ;yy�C�� , � _/��_�l Appl� ant Pcrmitee Signature Date Issued F3 gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ . City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) —, Mailing Address: �� ,j�.� PO Box 66 Permit number: O//—OL�� Q �\ Crystal Bay, MN 55323-0066�/� Date received: 3 / s , �" _ Received by: ,� � �.� ��; �, StreetAddress: � �� '�s, � � '``� G��' 2750 Kelley Parkway Plan review e: t�kESH�4� Orono, MN 55356 �� '__�� Total Fee: /3 C,�3. Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � / This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print)�_��8-�3- I �- [�d.3�-� GENERAL INFORMA710N: Job Site Address: �G'7O /�EL[Y I�RRKkJ�fY - �(n/? T^ /02 �StD�vE 8�Y Co��s� Will this be a Parade of Homes, Remodefers Showcase Home or other Display Home? ❑Yes �'No /f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus serv�ce will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ,,,��012�a N ��4+�'I FS L'ONS fRt�lGT.rO� State License# �os 3�� Expiration Date: T�� Lead Certification Number: ,v�� Expiration Date: (for work on homes thaf w re cons ructed prior to 1978 Phone: CrJG3� 9?9-31 J 7 (office) �'Gt�� 3G9- 373� (celt) Mailing Address: P� City: PlE =N ZIP: SS3S`I Contact Person: �p E �C p�R Str,v Applicant is: Contractor ! Homeowner �c��ie o�e� Email and/or Fax: • � o 'a o�+ PROPERTY OWNER INFORMATION: Name: '�TS��E'NS .T�DEpENC1E�vT t3A�'r!1< Phone (day): _�',y�� q/S- �'SS� Address: ,�ppp W� 3�t-'` ST, City: ST. LouJ'S �ARKZ�P SS�II�o Email and/or Fax rrJy�QSdN �RK��nEfZ �'7�cr�in,��oruraw�c� � ba.+kc:h . ce.n PROJECT INFORMATION: Type of Project: Any earth movement may require �'Door(s) ��VT'ERTOR �Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: FSrl,rS H .shl'EGC U/v.IT Estimated Construction Valuation of Project(excluding land) $ (�S D00 "' APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • 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; • 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 generalty 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 re uired b law. If ou refuse to su I e information, the a lication ma not be issued. ApplicanYs Signature: �C Date: ��'a� �! Last Updated: 03-01-2011 .��°� ��e�� {-�� °�� f�� Address/PID/Legal �� ,�.�= QD -��C�3� v i� 4� � �� Description of work: l.9�c-� �'� � Se�tic revi E�y: �tr/,� Qate ApprQvec�: Zoreir�g r��i wa by: �at�Approvecf: Builc4ing re 6ev�bY� � D�te Approvec6: �- — ► ( Graciing r� i��by: _ �0�- _ Dafie Approv�ed: ;oning File#: Resolution#: Resolution Date: �oni� Di trict �Ere De �r�me�t P��t O#'fice chool �iste�ict Zoning: L t Area SF/AC Width� D pth: Survey Submi t� Yes � No Date of Survey: Pro osed Setbac . Front(Lake) ear(St�e�t) � � �E�e � � � � �ic�e ) Ofher BuiE ings �fe+efil�nc� Building Defined Height: Building Peak Hei of Stories Ok?: t' YES FOR A BUILDiNG TH A BASEILAENT OR C WL SPACEC FOR.A Bl11LD11�G OI�A SLAB FOU DATION: START WITH the distance beiween the b ement floor/crawl START the distance be 'een the slab and the highe: space floor and the highest r f peak,the top WITH roof peak,the t p of the cornice of a flat roaf. the cornice of a flat roof,the de line of a the deck fine o a mansard roof,or the mansard roof,or the uppermost p ' t on ound uppermost poi t on a round or other arch-typ or other arch- e roof roof SUBTRACT half the distance between tMe highest ' dow and SUBTRACT half the distan 'between the highest windov hi hest roof eak of a itched roof and hi hest r f eak of a itched roof SUBTRACT the distance befween the basem t floor/ ADD the distance b tween the slab and the highe: space floor and the highest exi ng grade with existin rad within the foundafion the foundation or 10 feet,wh' ever is less. E'QUALS Defined build' hei ht EQUALS Defined buildin hei ht Lot Coverage Sf % Shdret nc� district l4�C'�� Pecrr�st E�eceived Ave e E.akeshore Setib� k Bt�ff � Yes CI No � N/A D Yes 0 No � Yes f3 No � Yes � No � /A Permit Number: Setback: Haedc er Z es Exi�ter� Fco osed Va�riance Re iced CUP Re aieed -75' � Yes 0 o Q Yes 0 No 7 50' TYPe(s): TYPe(S): 0-500' 5 -1000' REMARK (in-house): 'UO �, e Updated: U 11/2009 z:lformslpla review checklist.docx �e��to 4�� C[�ar ed Y�S i�t3 �ert�tet � Pia� EtE��er� ��t��ut�,�t�� - Envesfiig�t�on �e� �A�—��ae�a��c�fi��C �3o�e� SeEwer C�e�s�ec�Eior� Vi��er�rsa��f�on Park Fee Site lnsp�c�Ean Qther(specify) �isceilan+sous Fee� CatcuGate� By: � uare Foota e $ er S u�re Foota e Basement X = $ 18t Floor X = � 2nd FIOo� X = $ Garage X = $ Estimated Construction Value: $ [05.D[�m¢-° Orona Eeaspections Rec�uired lNork Req�Eri�g Separate P�rmifis FE�c�uirec� State�ercni� � Site �Plumbing � Grading /Filling �! ell L7 Hardcover Removal �Nlechanical � Fire Electrical � Footing � Septic � Water Connection � Poured Wall � Fireplace C! Sewer Connection � Foundation �urvey � Masonry � Lawn Irrigation � Radon Rock Bed � Mfg. EZ Framing � Other(specify) C! Insulation C]�►s-�uilt Survey �Final � Other(specify) RENiARKS (in-house)� Qth�r Reviet�r: R�v€e�nred by: �3�fie Approvec6: Access:Existing: Ca YES � NO New: C� YES R NO REI�RQRKS�TO �E [�UTED Q�" R'Ei2f�iT�f�D IP�ITIALLE� B�`' [�ER&O[� PULLiNG�ERINlIT� Updated� 09/11/2009 z�\foRnslplan review chedclist.docx � � ,� DA TIME " CITY OF ORON �� ALLED IN � INSPECTION ICE SCHEDULED � PERMIT NO. ��'�� conn LETED ADDRESS OWNER TELEPHONE NO. " '" 7 b CONTRACTOR � DESCRIPTION — � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL FI ❑ 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 ❑ COMPIAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR MEET YOU:_YES_NO v�, COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � W ❑WORKSATISFACTORY: ROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PR EED �ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL OR REINSPECTION �ORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECON TIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL R URN ❑STOP ORDER POSTED.G LL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED. ALLTOARRANGEACCESS. Cail for the n t inspection 24 hours in advance. 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