HomeMy WebLinkAbout2012-00536 - unit finish . � - � CITY OF ORONO * Z 0 1 Z — 0 0 5 3 6 *
2750 KELLEY PARKWAY �ATE �SSU��: 06/22/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY #/p 3
PIN : 33-118-23-12-0033
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTI VITY : 434-RESIDENTIAL
VALUATION : $ 65,000.00
NOTG: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACG, ELECTRICAL(STATE)
UN[T FINISH#103
APPLICANT PERMIT FEE SCHEDULE 794.25
GORDON JAMES CONSTRUCTION PLAN REVIEW 516.26
5159 MAIN STREET E
P.O. BOX 306 STATE SURCHARGE(VALUAT[ON) 32.50
MAPLE PLAIN, MN 55359- TOTAL 1,343.01
(763)479-31 17
Minnesota State License#: 20531961
OWNER
Citizens Independent Bank
5000 36TH STREET W
ST LOUIS PARK, MN 55416-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed accordin�to
the approved plans and specifications,applicable Ciry 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[ype of work
shall be compied with whether or not specitied 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 bc
revoked at any time for e cause.
n /� � / 2 Z / �� 2 6 /a�-//�---
pli nt Permitee Si ature Date Issued Signature Date
; SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Cit nf C�ra�no � � � 9 �/
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Buitding Permit Appiication for In#ernal Work
{windvws, doars, siding, re-roaf, etc.}
�--�-:.-. Mailin Addrasx _ _ � CE
��,�,j�� PD Box 66 Permit number. �O�/ -�i'G�✓
+�O Q� Crystal Bay,MN 55323-0066 Dete reoeived: {�-/�-/
i`a_ ',a � Street Address: Received by:
�\ ��' 275d KeNey Parkway P1an reyiew#e •
�t� .$.� ��,�N�� �� � �3� ol
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=__= Total Fee:
Main: 952-249-4�00 Fax: 952-249-d81S www.ci_orana.mn.us �
This appiic.ation form must be compieted in full and ali r�uired information must be strbmitted.
incomplete applicafions will be reiumed, (Ptease prinf)
GENERAL[NF4RMATIQN:
Job Site Address: S p (�t'�►`�' �0
Will this be a Parade of Homes,Remadelers S owcase Hom r other Display H e? es No
�f yes,a speciet euent pemv7 is required wttfr Polices Departmant end City Caunu!approvat 60 days prior to fhe euerrt. ShutHe bus servrce an71 be
requtred unless appticant demonstrstes suft"ieiant on-site parkrngls avaits�bte. Non-perrrdtted evants wr7t rwi be aHowed.
CONTRACTOR/APPUCAFIT INFORMATIQN:
Name_ �'loPc�Or��i�.�rrieS �S�'fY.�c�tpV'\
State License� Expiration Date: �_ �_ E ^Z,,,
Lead Certification Number: �„� �}- Expiration Date:
(for wark on homes tfiai were caastn�cted prfo►to'19T8 �
Phone: (?3- (otfice) f'Z. Su�'$'�'-- �,t� (cell}
Mailing Address: , , Q � City ,� �4t,,� ZlP: �{'��
_ ___
Contact Person: � A�licant is: o tra Horneowner (Ckcb Ona}
Emai!and/or Fax: � y�_
PROPERTY OWNER INFpRMATipht: `,.
Name: 7 �''�_4�..� �t't��ev�.��.,�r�.f..�--
Phone(dayj: R�7. �ts� �, .�i�S'�g �}
Address: �-� w. 3�,-i-�- S-t; City.�j--�t�S �"11C�zIP: �C,'� t{�,�,
Emaa andtor Fax (�t�,t�tovti �c�.v'1�YK+E,1" f t'ovt�}t'tx,Wi.t�Yt.el'f� �,k,�� G! b•C�t7rv.
PROJECT INFORMATiON:
Type of Project; Any earth movement may roquire
❑Dnor(s) [j Remodel ❑Water Damage ���p��ew&permits:
Minnehaha Creek Waiershed District(MCWD)
❑Wlndow(s} ❑Repair ❑Storm Damage 182fl2 Minnetunka Bivd
❑Siding ❑Restoratian ❑Other:(speclfy) Deephaven,MN 553$1
Phorte' 952-471-0590
❑Re-raof 0 Fire Damage Fax: 952-471-0682
www.minneh ah acreek_orq
Overalt Prajecf Description: „i
Estimated Canstruction Valuation of Project(excluding land) � �.��,��,Q,
APPLICANT ACKNC?WL�OGEMENT:
Agrees to provide all informatian required or requested by the Building Departmen�
� Certifies that the information suppiied is true and correci to ihe best d his(her knowiedge. The applicant�ecognizes that they �
are soieiy responsibie for submFtting a complete application befng aware mat upon tailure to do so,the staff has no aiternative }
but to reJect it until it is complake; I
� Some ar all of the Informatian that you are asked ta provide on this appiicatia� is ciassified by Stale law as either private ar
confidential. Private data is information which gsnerally ca�not be given to the puhlic but can be given to the subjecf of#he
data. Confldenlial data is infartnation which generaity cannot be given to either the public or the subject ot the data. Our
purpose and i�tended use ot this information is to annually update our records and records af ather gavemmantal agencies
re uired b law. If u refuse t s I the�nfartnation, e a lication ma nat be issued.
Applicant's Signature: Date: �(/it�, !{��
last Updated: 03-01-2011
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� PI n l�e�riew Checklis# for I�ew Structures J A di#i�ns
Address>PID/L gal: -? O � �e 1�4 �} �/D 3
Descrip#ion of wo k: i �
Septic r �iew by: n!/A Date Appravetl:
Zoning ',view by: N(/a Date �►pproved:
Buifding review by: Date Appro�ed: 6' -�i
Gcading eview:by: t Date�QRproved:
Zonin File#: Resolution#: - Resolution Date:
onin : istrict Fire`De artment Post�ffice ool District
F�oning: o��#rea; SF l AC � 1lafidth: epth:
' Suroey 5ubmitte : �Yes � No Date ofi"Survey;
Rro osed Setba ks:
��
Frant{Lake) Rear� �et) � N 5 E "�iU ) ( >'N S '-E �1N ,) Dther Build n,gs 1RV�tland
S�cie Si' -
Building Definetl eight: Building Peak H ' ht: #of':Stories Ok?: � YES
FOR�BUILDING TH"AB�iSE#11ENT OR CRAWL SP74G FOR A:BUILDIN6 ON A SLi4B FDUN X1TJ�f3N:
START WITH e distance:befinreen the.basemerit�loo �cra ST�,f2T #he distance':betw en�the slab and°the highest
pace floor and'the highest roaf peak,#he of WITH roof peak,the top of:the co.mice�of a#la#coof, :
e cornice.of a filat roof,..tMe deck line flf the deck line:af a ansard:rQo'f,or the
• ansard:rnof,or the upperrnost point a roun uppermost point n a rountl;or otFaer arch type '
r�therarch; e roof roof
SUBTRA�T alf the distance between the hig st-.windoanr antl ' SUBTRACT half',the tJistance_ etween the highest wintlpw _
i hes#roof eak°of a itched r f and hi Mest roof. eak af a itched roofi
SUBTf2ACT ': e distance bet�nreen the.ba ment floDN ccawl D #he distance be en.fihe;slab.and�he highest '
pace floor and the highes xis#ing geade within existin cede wit in#he foundatican
' e foundation or 10 fee hichever is less. : EQU;4 Defined.buildin ei`"ht
EQUALS , efined.bwiltlin ;hei .
Lot Coverage: ; , 5F D/o
,Shareland District M.C:�AID Pecmit-f�ecei�ed �Av$ra e:Lakeshc�r Setback ' Bfuli# �
� �es � No 0 N/A � 1'es � No
� �es '� o � Yes � No D , /A
Permit�lumbec: Setback:
Harcfcove : nnes , Existin Fra osed V�ariance Fts uired ��P:Re uiretl
� �' � Yes � No � es � No
5-25 ';. TYP�(�)� ' T pe(s):
'250-50 '
500-1;0 0'
I�EM�1Ri�CS'�in�h use):
llpdated: 09/11/200
z:lfortnslplan review hecklistdocx
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Fees to be Char ed '�'�S :�10
_ _ . . . _ ._ , .. �.:.. ., .:_ ::
Plan Review
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_, B,
. � _ . , � : � .: . . . . ,:_
In�estigation Fee
,�,. ,,.:_.. _ . _ , ..,... , ... ;. : .,
Sewer Connection
Park fee
Other(specifiy) _
- _-�,
Calcu�ated By: --
S uare Foota e '$ �er S Lare Foota e
Basement X _ �
1�Floor X _ �
2"d FlOor _ X _ �
Garage ,: X _ .�
Estimatetl Constnaction VaWe; $ b5.��Q�'=' : .
Orono'inspectaons R$quired �Ilork�eq�iring Separate Permits Required State Permits
� -Site Plumbing � Gradingl Filling � Well
G Harticover Removai ,rMechanical O Fire Ele.c tri c a l
' � Footing D Septic 0 1Nater�onnection
� Poured iJVall Fireplace 0 Sewer.ConnEction
'G Foundation Survey 0 Masonry � Lawn Irrigation
� Radon Rock Bed ,�0'�Mfg.
'D Frarning , 0 '�thEr:(specify)
:D lnsulation
;� ;As-Built Survey
;�Final _
G �#her{specify)
f�EiUlARKS {in-f�ouse):
. Other R�eview: Reviewed"bY: Date.�lpproved:
Access:Existing: .� YES � NQ New: � YES � `1V0
REMARKS(TO BE N�TED t'�N P�RMIT�►T�ID INITIALLED'BY PERSDN PULLING �'ERN11T)
`,Updated: 09/11/2009
z`\formslplan:review checkfist.tloac
� DAT TIME �
CITY OF ORON CALLED IN 7 4 �oZ
INSPECTION ICE ^�- SCHEDULED � �
PERMtT NO. `��✓� COMPLETED
ADDRESS ��
OWNER TE HONE NO. � °?-�S-a��
CONTRACTOR � �-
� DESCRIPTION � ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR O MEET YOU:_YES_NO
� COMMENTS: �%7� ��7` �4�0? - DO ��7 �
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� ❑WORKSATISFACTO Y:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK& ROCEED SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK, lL FOR REINSPECTION T PORARY
V BEFORECOVERING PERMANENT ?-ZS�I�/
❑CORRECT UNSAFE NDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W! L RETURN
❑STOP ORDER POST .CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUI ED.CALLTOARRANGEACCESS.
Ca11 for t next�nspection 24 hours in advance. (952) 249-4600
OwnerlContracto on s' e:
Inspector.
White yllospecto�'s File Canary CopylSite Notice
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