HomeMy WebLinkAbout2011-00389 - finish shell unit ' CITY OF ORONO PERMIT NO.: 2011-00389
2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE ISSUEn: 06/06/2011
' 952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY #/L��
PIN : 33-118-23-12-0034
: LEGAL DESC : STONEBAY OF ORONO CONDOM[NIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
. PROPERTY TYPE : RESIDENTIAL
I CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 54,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
FINISH SHELL iJNIT#104
APPLICANT PERMIT FEE SCHEDULE 711.75
GORDON JAMES CONSTRUCTION
5159 MAIN STREET E PLAN REVIEW 462.G4
P.O. BOX 306 STATE SURCHARGE(VALUATION) 27.00
MAPLE PLAIN, MN 55359- TOTAL 1,201.39
(763)479-3117
Minnesota State License#: 20531961
OWNER
Cititzens Independent Bank
5000 W 36TH ST
ST. LOUIS PARK, MN 55426-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfonned according to
the approved plans and specifications,applicable City approvals,and the
S[ate Building Code. This pennit is for only the work described and does
not grant permission for addi[ional 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 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 h th S[ate Building Code.This permit may be
revoked'at any time for e aus . i' �Z� � _
�— � � � 7� ��C��.—.� ��y�-��.su� Lr — �l
i i
plica Perm�te i n Date Issued By Signature Date
SEPARATE PERMITS REQUtRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MAY-24-2011 13:16 F�om:GORDON JAMES
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ty of Orono I
� Building Permit Application for Internal WQrk I
windows, doors� siding, re-roof, etc.
��y,r.'��'--�-;.�s.\ i MoNinq Addross: ..
�u BoX ss Perntit'numGar: D �D(�3
�O �p I c,�►s�i aay,MN 55323-006ti ot,ue rooe�vea:
' �� , " a Street Addresa: Recelved by:
\�'Q'� p� I 2150 KeYsy Parkway Plan revi�w fde:
..k � I Orono,MN 5535Fi .. .._.
,...s-..�.. ,� / � /. 3�
Main: 9 Z-249�600 Fax: a52-249-4816 1 otal Fee:
u!�W.Ci.orono.mn.us
-�,rr.-;.
This a pllca�ion form rnust be cptnp�eted in fult snd all�quireci information must be submitte .
Incomplolc applieatio�a wlll be neturrn;tl. (p��ese printJ
GENERAL INFORM 710N: �
� Jcb Site Addrass: S � I O�
Will this be a Parad of Nomes, Rernodalers S owcasa Hom r other Display H a7 es �� No `
It yy5,tl sper,iBl evenf m�K!a�q�d wlUt paica�w�nrf�t end G'y Councll ippruva/8p deys Pilor lo the event. Shutf/e bua ervir:R w�T/hr
revulrvd au ap�k;a,H o�rnonsar��s suA7c►anf prr-eqeµ,rkiny i��lle6le. Non-pom�iped events wdl not 6ra n�owe��,
CANTRAG70R!AP�+�ICANT IN�O MATION:
Name: o�c�Oh �..py� ��1 ✓1
5tate License# Expiratipn O�te: '-
LC�d CeRlflcetion N�� bar: �.. �� Expiraifo►t Dete: V ^
(lor work on homes�f wtn wnsD'�u�tec/p�(a[018fd ��
Phone: 3 • t{'�1. �31'1�,._. (otfic�)
Mailing qddress: ���' g� ��Z� (cell)
Contact Persor�: � 3 ._ . CitY ;1 ZIP: q .....
• � ..� ApplicAM i�: o tra r liwneowner �ckr oee)•1--
Email and/or FaY: � _ I
PROPERTY OWNER�NFORMaTION:
N�mo: � � .C1/�$ � 1'� t e�n,T
Pfione(day): � -.. -- — _
Addres�. _ u.�. �''� S-i-� GitY��� ZIP: S '-�l�
Email and/or Fax _�. ��rt .
�b.r.�.._ �� .���.
PROJECT INFORM TION:
Type oi ProJect: �- �• - ..
AnY earth movement may quire
❑ �n�r(s) CI Remodei ❑Waler OamapA MCWD neview 6 f�grm) :
❑Wlndow(s) ❑ Ropalr Minru�haha Creek WalerSh6d DIsVI t(MCWD)
I]Stvrm t3amage 18202 Minne�anka Bl�d
❑Sidinp n RP�10�tlon ❑011►er.(specliy) Deephaven,MN 55391
RC-rool Phonc: 952�71-05JU
LI ❑�irc Damaqe _ Fax: 852-471•0682
- . wVw. n h h�rinpk
Ovcrall Pro ect Deseri lioe � ----
O i�'
_E9tim�tod ConutruCtt �Valuation vf Projoct('excluding land�� s Q�— . "
APPLICANT ACKNO EDGEMENT:
-----
Agrees to pt��vi�le sll intom��llon —_ .........
required or requexst�i by Ihe Nuilding Depart�nenL;^� '--"1
� C:erb��es that the i ormation suppli6d is true and corr to Ihe be+st of hislher knowl�,lye;, 7rte applicant recog izes th�t thCy �
arr splely respon ible for eubmtnin� ��mpletc ap tl�n being eware thrt upcm fPilure to do so, the Stelt has no allernatiVtl �
hu�to rejec;l it unUl it is complete; ,
� S��mH or all ot Ih Infonn8lbn lhat you are� k9 provide oq Ihis ep�lic&Gan is classifisd hy St9te IAw a:, ei l er private or
eonntlenlial, Pri te Oet6 I i ich erally cannvl �n yiver► la tl�e public but can bs gi�en to die ubjeG of the
data. C:qn6dentia d infol'metio i n�rdlly annot be given�to elther tFw public or tha subJect ef q n�ita• Ou�
purposp and mla d use of ehis i rtnat Is w an elly upclate our Fe�:u�ds and re�rds Of other govemme tel agAnciPs
. re uired law f u rofi.�e lo s _ Ihe ormadn rh9 dD�ucation mav not be issued.
Applicant's SignaturP. _ __.. , Date: 2� C�
Las1 UpdaleA: Q;�Q�-Z011
� �
, ,,.
P1ar� Review Checklist for New Structures / Ad i#ions
.Address!PID/Leg�L• 2�� � �G(.., C..0�:. V��4/LI�W,A -� 'n
Description of work: �/v D ni �T -t N� 1�
Septic revi w by; Date Approved:
Zoning rev�ew by: Date Approved:
Builtling re�riew by: Date Appraved: 6 -/- �
Grading re iew by: Date Approved:
Zoning File#: Resolution#: Resolution Date:
Zanin Dis rict Fire De artment Post Office Sc ool District
Zonin . Lot rea; ` SF/AC Width: Dept .
Survey S mitted: I � Yes ` � No Date of Survey:
Pro osed S backs:
Front(Lake Rear(Stceet) l � � E W ) ( N 5 'E W ) Othe uilding Wetland
Side 5ide
Building Defined Hei ht: Building Peak Height: #of tories Ok?: 0 YES
FOR A'BUILDING WITH BASEME OR CRAWL SPACE: FOR A BUIL NG ON A SUAB FOUNDATI N:
START WITH the d stance befinree ebasement floor/crawl START the distance befinreen he slab=and the''highest
spac floor and the hig ` t roof peak,the top of WIT ' _ roof peak,the top of t e cornice of a flat roof,
the mice of a flat roof,:th deck line of a #he deck line of a man artl roof,or the
man ard`roof,or the_upperm :point on a round uppermost point on a ound or other:arch-type '
or ot er<arch- e roof ' roof"
SUBTRACT half t e distance beiween:the high window and SUBTRACT half the distance befinr en the highest window
hi h st roaf eak of a itched roof and hi hest roaf eak f a itched roAf
SUBTRACT the d tance'between the basement floor rawl ADD< the distance between e slab,and#he highest
spac floor and the highest existing grade existin rade within t e foundation
the f undation or 10 feet,whicheuer isJess. EQUALS Defined buiidin hei h
EQUALS Defin d buildirt hei ht
Lot Goverage: %
Shoreland Dis rict MCIAID Pe< �t Received ` Ave e Lakeshore Setback Bluff
� Yes , , No 0 N/A ` Yes '� No
:fl Yes 0 No � Yes No � N/A
,,Permit N ber: Se back:
Hardcover Zon Exi in Pro osed Variance Re uir ' UP Re uiretl
0-75' � Yes � No � Yes D No
75-250' TYPe(�)� , "fype(s :
250-500'
500-1000'
REMARKS (in- ouse)� �
Updated: 09/11/2009
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Fees to be Cha ed 'YfS N0
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Plan'Review ' , � .
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lnyestigation Fee ,
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- _
Sewer Connection
_ _ .
Park Fee
_ ,. .
Other(specify)
Calculated By:
S uare Foota e $ er S uare Foota e
Basernent X = $
1�Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction'Vaiue: $ 5`1, uc� ��
Orono lnspections Required `Work Requiring Separate Permits Required State Permits
� Site ,�'Plumbing � Grading/Filling � Well
G Hardcover Removal �`Mechanical 0 Fire ,�Electcical
� Footing � Septic � Water Gonnection �
� Rour�d Wall �Ficeplace '� Sewer-Connection
� Faundation Survey O Masonry � Lawn Irrigation
0 Radon Rock Bed �Mfg.
D Frarning G Other(specify)
� Insulation
� As-Built Survey "
J�Final
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Exisfing: � YES � NO New: 0 YES � NO
REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated: -09/11/2009
z:\formslplan review checklist.doac
MAY-24-2011 13:20 From:�ORDON JAMES
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION fyQO E �G�89 SCHEDULED
PERMIT NO. �� COMPLETEO �'S-S� � �
ADDRESS t ���-✓
�o
OWNER TELEPHONE NO.
CONTRACTOR r �� � �� �'''�-�
a DESCRIPTION � � � ` � � �'� �� `
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/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
� �EI�AL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL I ❑ SEPTIC INSTALL ❑ HARO COVER REMOVAL
J ❑ PLUMBING RI I ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO EET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PR EED �jOJECTCOMPLEfE
W ❑CORRECT WORK&PROCE D �i{718SUF CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FO REINSPECTION TEMPORAR
V BEFORECOVERING MANENT fj`
❑CORRECT UNSAFE CONDI ION WITNIN HOURS. � pHOTO TAKEN /S��
INSPECTOR WILL RET RN
❑STOP ORDER POSTED.CAL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.C LL TO ARRANGE ACCESS.
Catl for the nex inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on si e:
Inspector.
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White Copyllnsp�ctor's File Canary CopylSite Notice
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