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Home My WebLink About2012-00679 - finish interior � - -• CITY OF ORONO * Z 0 1 2 - 0 6 7 9 * � 2750 KELLEY PARKWAY DATE ISSUE : 08/07/2012 � ORONO,MN 55356- ' (952)249-4600 FAX: (952)249-4616 ADDRESS ' : 2670 KELLEY PKWY �-�DG� PIN : 33-118-23-12-0036 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE � : RESIDENTIAL CONSTRUCTION TYPE I : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL , VALUATION : $ 58,000.00 NOTE: SEPERATE PERMIT REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) FINISH INTERIOR-iJNIT#1 a6 APP I ICANT PERMIT FEE SCHEDULE 741.75 GORDON JAMES CONST UCTION PLAN REVIEW 482.14 5159 MAIN STREET E P.O.BOX 306 STATE SURCHARGE(VALUATION) 29.00 MAPLE PLAIN,MN 55359� TOTAL 1,252.89 (763)479-3117 Minnesota State License#: 2 531961 O NER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK,MN 5541 AGREEMENT AND SWORN STATEMENT The work for which this permit is i sued shall be performed according to the approved plans and specificati s,applicable City approvals,and the State Building Code. This permit i for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws an ordinances goveming this type of work shall be compied with whether or t specified herein.This permit will expire and become null and void if onstruction 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 ass ring all required inspections are request d in conformance with the tate Building Code.This permit may be revo at any e ause. � �� 2�r� , , plic t Permitee Sig ure Date Issued y nature at SEP RATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O E. i I I � �- • . . � . .. .. . ..... � . .I .. . ' . City +�f Clra�a Bu�ldtt�g Permit appiication for fn#erna( V�ark (windaws, doars, siding, re-roof, etc.} �� h�iaitirtg Adriress: �� .� � �� RO Box 66 Pam+if number , j Crystai Bay,MIV 55323-0�6 Rate tsceived: --/ -- ��l� � _� a. � Sfreet pddiess: Rereived by: �i/►,(�L L `�.�a {'' Gti� 2750 Keliey Parlcway PlBR r8Y18W#�: �' �i�;' '�('Lk�'L ��.�o�� Orono,Mhl 5535fi _ _ ,-� _ ,� _ � � , s� -_-- 7`otai Fes: _ , , Main' g�a2-2d9-4fi0Q Fax: 952-249-4616 www.ci.orono.mn.us This application form must be campleted in full and ali required information musi be submitted. incamplete applic.�tions wit!be retumed. (Please print) GENERAL tNFURMATiON: }` 1 �, � Job Stte Acidress: �,(A-7C� K-2 1�{ �r�("6e..-ts�"«�t`�Q�y� � �� Will this he a Parae#e of Homes, ftemodelers S owcase Home�d�o#hQr Display Hr,Fne? es No !f y8s,a speciai eveam pennit is rsquired wfth Police Department and Gty Councrl approva�SQ tlays priar ia(hs avent. Shuitle pus sarvEc wd7 be requlred unless applrcant de�rwnstrates s�ierR an�sha pa�kking is avaNebte. Non-pemritted cvertts wdf nof be allowed. CONTRACTOR i APP!„lCANT 1WF�'3RMATlC?N: ;Vame: ��to c"c��t.� .,�tM e.S ��Y�i�Y� _________ State License# �,ps-��^ _ Expiration Oate: �„.. 4.- � "L Lead Certification Number. (� �}- Expiration Date: _ __ _ (for work an homes that w�ne canstruct�ed prior Fo t9T8 PhAfle: (�'3,_ (office} �'�. . g'� -'"�SZ.C.� 4Ce11� Maiteng Address: �'j CiYy �� ZIP: �-�� Contaet Person: Applicant is: o tra Homeoumer ccxcieone} Ernai!and/or Fax: y�_ C�yy,,� PROPERTY OiAINER IIi1FaRMATIOFt; �� V�'.l,V`.�..._ hame: �'�_�-� � t�. � E�r+-�` Phone(day): � _ __---- .S�-- �� } adaress: ��_LZu-?' 3��''' S 7: c�cy<=t.__tt.�i,..�fi�r-��zrP: ,�S�{1.� Email andlor Fax ' ' ' _ _._._ n PftOJECT INFQRMATIQN: Type of Project: Any earih maverr�ent may rgquira D Ooor(s) ❑Remodai ❑Water Damage A�ICVYD review&perm�s: Minnehaha Creek Watershed Qistrict(MGWD} �Window(s) ' ❑Repair ❑Storrn Damage 18202 Minnetonka Blvd ❑Siding ' ❑Restara0on ❑p�her_(specify� ' �ephaven, MN 55391 � Phone: 952-471-059[1 ❑Re-roof � ❑Fire Damaga Fax: 952-471-0682 wNnv.m innehahacreek.orq Qverail Project Description: �y��5j,� ��,�j• ' Estimated Gonstruction Valuation af Project{excluding tand) � � (, ,:.-�-- APPLICANT ACKNt�WLEdGEI1�Eh(T: � Agress 10 pravida aif information requirecf ar requasted by the Buikiing Departmen� � Gertifles that the information supp�iad is true and correct ta the best Qf his/her knowledge. Yhe appi(cant recogni�es that they are sotety respartsrbte tor sc�brts�tting a campiete a¢pltca[ku�betng aware tttat upon faiiure to da so,the staft t�as no a(temative aut to reject ii untii it is compiete; � 5om� of a{t ot th@ irlfOrmation that you are asked to provida on this appiication is c]assi6ed by Stata taw as eiEher pnvate or confidential. Priva#e data is informatiart which generally cannvt be given to the pubfic but can 0e given to the suaject of the data. Confidentia! data is in#ormativn which gene�a{ly�annat be given tt> either the pubEic or ttte subject of the data. Qur purpose and intended use of this inforenation is to annually update our recartis and records of ather govetrtrnent�agemcies re uirad b law. If Qu refuse s�pl�ha info atio , e a lication ma not be issued. Applicant's Signature: � � t�� Dato: '�—� ��C3� � East Updated: U3-0i-2dii /�� - � I ___---...T_... __._ _ _........_w..._.._...__._ r--J— . Fees to be Char ed '1�ES ?�Ip _ . .. , . . . . .�.,.,<, ' � _.. . .._ - : Plan Review � _ �. . .��. ,,.,.. _ .... , ... . .- - .. . �..> ; .. ,. .. Investigation Fee , . :.,�h. _ . ,...:. . . ... _.,.. . Sewer Cannection Park Fee . Other{specify); ,,.. 'Calculated;By; S uare Foota e : '$ er uare Foota e Basement X = � 1�Floar X = � 2"d Floor _ � _ � Garage X _ _ ; � Estima#ed Constru�ti n Value: �' ��3�fl�c� �"—' 4rono Jnspection Required �1llork i�eqwiring`.Separate Perrnits Require State:Permits � �Site Plumbing � Grading./Filiing ` � Well � Hardcover Remo 1 Mechanical L1 Fire !�c#rica � Footing � Septic � Ullater Connection � Poured Wall Fireplace 0 'Sewer Connection � Foundation S�nr y 0 .Mas�nry D Lawn Irrigatian fl Radon Roak Bed �M#g. '0 Frarning ; G Othsr(specify) � � ins�fati�n :� ,�s-s��it surey ��i � Other�specify) _ REN1ARKS{in=f�ouse : ` fl�her<R�eview: Revi ed`bY� �ate�lpproved: Access:Existing: � ES � ND New: G YES � NO � REMAI�KS tT0 BE 1�iIDTED�N PERMIT;�►I�ID;i1�IIT1i�LLED"BY PER50N PULLIN�P�RMtT) �, �Ipdated: D9/1'1/2009 I z`lforms�ptan review checkfi t:doac . �_� Pian i��viev�r Checkiist for New �tructures / Ad�ditions Address/PID/'Legaf: Z�'� � K�.�� ( d b Description of work: : U N�T �=i N �S�+ S�ptic r�view by: /�//I'� Da�e Appr4ved: Zoning review by: //� Date i4ppra�red: B.uifding review by: Date�►pproved: '7-Z y- �I� �rading review'by: /✓�/� Date Appro��d: Zoning File#: Resolutian#: Resolution Date: Zonin District fir+e De artment Post Offic� School District Zon"ing: Lo#Area: SF y AC Ua/idth: De�th: Survey Subrnit#e - �Yes � No Date of°Survey: Pco osed Setbacks: Front;(Lake) R r�Stre�et) ` � N S E '�ill ) ;( 'N S E � ;Other B.uildin;gs Wettantl Side �ide Building DefinE� Height; Building Peak Heght� #of Stories Ok?: D YES �FOR`A BUILDING WITH ABASEIIAENT OR CRAWL AGE: " pR ASUILDING DN A SLAB F,DUNDJITION: ` START WI�'H :the distance between the'baserrre �l�or/crawl START the distance:'betwsen'the slab and:`thefiighesf space`floor and the highest roof,pea ihe tap of 1NITH roofpeak,the top of the cocnice of a flat roof, - #he,comice of a:flat roof,:the.deck line' ' a #he deck line af a'mansar.d roof,.or�the �mansartl?roof,.or:the uppermost.pointon ou uppermost point-on a rountl or other arcM type : or�ther areh--: e roof roof SUBTRACT half the ciistance'between the fiighest.wind d ' SUBTF�ACT half.the distance between the highest window fii hest roof eak D'f a itched roof and hi hest roof; eak of a itchetl roof ' SUBTRA�T the distance between#he basernent fl d ccawl ADD the distance between:the;slab.and`#he highest ' , spaceflooranrl the highest existing ,ade witFrin existin rarle:within�the f�undation thefoundation.or10feet;,whichev is'less. QUALS Definedbuildin hei ht EQUALS Defined-buildin 'hei ht Lot Coverage: SF % Shnr.etand'District ��VI. D-PermitReceiy�d �Av�r� e: eshoce.Se�back ` Hlu�f. _ es' 0' No � N/A ' a Yes = 0 :No fl Yes � No 0 1'es :D N � N/A ' ermit Nvmbec: Setback: Hardcover:�one 'Existin P�o osed Y�riance Re uired CUP�Re uired D-75' � Yes � ;No , :0 Yes � No 75-2 ' TYP��S)� 7 (s)- =50D' �DO-1000' . _ REMARKS (in-house): Updated: 09/1:912009 z:5formslplan reuiew checklistdocx aD — G U 7 / �`� p�AT TIM E V CITY OF ORONO CALLED IN [� -�� INSPECTION NO ICE SCHEDULED , -Z�-/Z� /"3� PERMIT NO '�D�7 COMPLETED ADDRESS � � �� OWNER TELEPHONE NO. R�Z Z�S Z 7�03 CONTRACTOR � DESCRIPTION r � nP�-� �J �� 4 P�u/� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN ILLING Q ❑ POURED WALL I ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL i ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTO TO MEET YOU:_YES_NO y COMMENTS: � W C � O I a � O � W � Q � 2 W � W � � W ❑WORK SATISFA RY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK PROCEED SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION �PORARY V BEFORECOVERI G PERMANENT ❑CORRECT UNSA CONDITION WiTHIN HOURS. p pHOTOTAKEN INSPECTOR LL RETURN ❑CITATION ISSUED ❑STOP ORDER PO TED.CALL INSPECTOR OINSPECTIONRE UIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContrac�tor on site: Inspector. Whit Copyllnspector's File Canary CopylSite Notice