HomeMy WebLinkAbout2012-00374 - interior finish unit ' *�. �~_ CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: OS/16/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616 r
ADDRESS : 2670 KELLEY PKWY
PIN : 33-118-23-12-0035
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTNITY : 434-RESIDENTIAL
VALUATION : $ 72,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, FIREPLACE, ELEC"I RICAL(STATE)
INTERIOR FINISH UNIT#]OS
APPLICANT PERMIT FEE SCHEDULE 846.75
GORDON JAMES CONSTRUCTION PLAN REVIEW 550.39
5159 MAIN STREET E
P.O. BOX 306 STATE SURCHARGE(VALUATION) 36.00
MAPLE PLAIN, MN 55359- TOTAL 1,433.14
(763)479-3117
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 permi ' issued shall be performed according to
the approved plans and spe � tions,applicable City approvals,and the
State Building Code. T 's p mit is for only the work described and does
not grant permission r ad itional or related work which requires separate
permits. All provi ' ns o aws ordinances governing this type of work
shall be compie ith ether not specified herein.This permit will
expire and bec e nu and v i if construction authorized is not
imenced in 1 0 days the date of issuance,or if construction is
suspended r a per od of I days at any time after work has commenced.
T he appli ant is r ponsibl for assuring all required inspections are
queste in con rmance ith the State Building Code.This permit may be
evoke at any r d a
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Appl e Si ature a e Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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Ci#y �f C�rono
Buildir�g P�rmit Ap�plic�ti�►rr far tn�ernat Vttork
(wirrdc�ws, daors, sidi�tc�, re-roc�f, etc.)
Mailing Addr�,ss: permit nurnber� O 0
�''.�,C)�.`.� PL]enx 86
i f�}# {��,` Crysta!Bay,MN 55323-�06fi Qats rer.eived: -
Ia ` ,� ,,,J�t srreet acfdr�ss: ( �ece,v�d tsy�
\��'.,� � +��' ��l�' 27�0 Keiley ParsewaY � r�1an review _
�'�.'�sk.� Q.'"�+,�� t}rono,MN 5535£ '� ^�i/
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Main_ 952-249-46�U Fax: 352-249-4616 u�vwr.ci.arano.mn,us
This applieatior�fom�must k�e c�re�pteted ir�fuli and ail reg�sired inforrrfatio�must t�subrnitted,
1nComplete apptications w+it be retumed. (Piease pnnt)
GEhtEFRAL INFOi2MAT10N: -� �
Jab Site Itdriress: � � D _ U��k "��
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Wiil ttus be a Parade df Homes, Remodeiers S awcase Ho r att��r Display H e7 es (�Na
!!yes,a specia!evenl permit is required wtifh Pdlictt C3epartmenf and Gity Cnurtcil eaprovat fi6 deys pr+w!n tt�e avent. ShttlVe bus sarvice wiH De
re�uiied tmtess applicant demonshstes sr.Afx.ient on-site paficing Is avaitabls. P,1r�n-perm+'Ked aveRts wuf ntat i>a atlt�wea`.
CONTRAC34R i APPLlC�4l�JT lN-F�-�t^}i2MAT1bN:
IVame: �'1t�PC�OY'+ ��i iY�e�rj �5����CaY'�
5tate License# � Expiratitsn Oate' �? _ �_ � '�,� �
Lead Certification Numb$r: � �- Expiratiort Date:
(for work an homes fhat►vere carrstructed prlor ta t978 — .
Phons: (�'�, - t"�.�2�- �i��� _ (ofFce} �9��..- "�'�`'q"S�..t(t _ iceN} _
_
ottlailing Adttress: , . '3 �, City� �� �t� �IP: ..�c�-�-
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Contact Persan: � �� Applicant is: o tra Horneowner (Ckciwfine}
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Email andlor Fax- T. S .��
Pt�t3PEFt7Y t?V1iNER ihIFORMATiQN: ��}
hiasne: "t '�"'"'� � � Ct�,��,���� Y��.,r�.�
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Phane{day): �,, � ��
Address: �GC>�?__t.�..�. =�S� City.�C",�-'�1��_.€. �i�.e^�ZlP: �S�{�.�
Emait ancflor Fax __�'�i!^-423v'ti �t'f,�.+�ri i'YE GL" �f`ttx�;f.l��t.ir�'Ltri.E'.P�"� �,��f� G t b G>CJm
PROJECT INFDRMA71dN:
_ _
Type of?rojact: Any earth mavement may rsqu'ue
❑Doos(s} ❑Remodei Q Water Dsmage MC11MII review&permits:
Minnehahe Creek Waisrshed Dislrict(MCWD)
Q tA�indow{s} ❑Repair ❑Staem LSarrrage 182+�2 Ar4innefanka Bivd
❑Siding �Resto�tian �Other,(speGlfjvj I33eePhaven,l�Pd 5539'!
( Phane: 952-d?i-0580
❑Re-roaf ❑Fire Damage I Fax: 952--471-0&�t2
C uru+rv.minnehaha�:�akorr7 �
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4verali P'raject Description:
_ --- -_ -- --- -.._..__....
Estimated Constructio�Valuation of Project�exciudirsg land} § '�Z,(��.�dQ __
a���aca�r ACKr�c�we.�a��ns�ur:
_.�___-----___ ___ ____�__.__----_ _---
Agrerss ta�,rouide atl infortnafinn rr.cc�i�irrd�r rrquastcd 6y tt�Quikiing[3epartment
� Gertifies that the informatio�supplied is frue ans��comecK to ihe bost of hesther know(edga. The appiicant recognizes that they
are solety responsibls for s:rbmitting a complete app�i�cation being sware tha[ttpon failura to r!o so,the siat�Ras ncs a�terr�a tive
buL to reject it untii it is compiete; i
� Sosna ot aN of the information that you are asked ta prpvide t�n tt�'ss applicattoe�is classifroes3 by State Saw as eitfier private ot
confide�ttiai. Private data is inTortnatlon which ge.neraliy eanntst be given ta tfire putlliC bu1 ean be given ta#he subjact cst;he
data. Ct3nfioerstial data is infflmia�n which gsnetalty ca»nat i�e givan t4 either the public or tfie stihjer.i�f the data. Dur
purpase and infended use of this informat� is tc�annuaily update our recorcfs and records o#other governmentat agencies
required 6y[aw_ If you refuse ta su the i fa ati tfie a ication m�not be issucd.
Appifcanfs Signature: `_ Date: �q� �r; Z��L
l.asi llpdeted: 03-07-20'I i
„ __ _ __ _. __ .... ..___...
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�v` ATE TIME V
CITY OF ORONO , CALLED IN � � �
INSPECTION NOTICE SCHEDULED a`—
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aL�� �-D0� ?
PERMIT NO. `� o P� �
ADDRESS � � �
OWNER T ONE NO. � 3 a�7
CONTRACTOR ' ��
� DESCRIPTION ' � " °�-` ��
� ❑ FOOTING O LUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q � POURED WALL ❑ ECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ ECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ hIVOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET OU:_YES_NO
c� COMMENTS: I
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� ❑WORKSATISFACTORY:PR EED "'�ROJECTCOMPLEfE
W ❑CORRECT WORK&PROCE D '�ILSl1ECERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FO REINSPECTION TEMPORARY _
V BEFOREC�/ERING ERMANENT
❑CORRECT UNSAFE CONDI ION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RET RN
❑STOP ORDER POSTED.GA L INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.C LL TO ARRANGE ACCESS.
Cat1 for the ne�Ct inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on}�ite:
Inspector.
White Copyll spector's File Canary CopylSite Notice