HomeMy WebLinkAbout2012-00926 - unit finish - �' : � s CITY OF ORONO * Z 0 1 2 - 0 9 2 6 *
2750 KELLEY PARKWAY DATE ISSUE : 09/18/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY �/D8
PIN : 33-118-23-12-0038
LEGAL DESC : STONEBAY OF ORONO CONDOMINNM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION � : $ 66,000.00
NOTE: SEPERATE PERMIT REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
iJNIT FINISH-#108
AP ICANT pERMIT FEE SCHEDULE 801.75
GOI,tDON JAMES CONST UCTION PLAN REVIEW 521.14
5159 MAIN STREET E '
P.O.BOX 306 STATE SURCHARGE(VALUATION) 33.00
MAPLE PLAIN,MN 5535 - TOTAL 1,355.89
(763)479-3117
Minnesota State License#: 0531961
O NER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK,MN 554�6-
AGREEMENT AN SWORN STATEMENT
The work for which this perm' is issued shall be performed according to
the approved plans and spe ' �cat ons,applicable City approvals,and the
State Building Code. Thi ermit is for only the work described and does
not grant permission fo ddition I or related work which requires sepazate
permits. All provisio of laws d ordinances governing this type of work
shall be compied ' whether or not specified herein.This permit will
expire and beco 11 and void'f construction authorized is not
commenced w' i 180 da s of t date of issuance,or if construction is
suspended fo a riod of 80 da s at any time after work has commenced.
e app� t i responsi e for suring all required inspections are
requested' nforman with th State Building Code.This permit may be
revolFed ime for ue caus .
�� �1� , z a� � 8', �-
App' ite Signature Date Issue y Signature D e
SEP RATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
j t .
Gity of C3rc�no
Building Permit Apptication for Interr�al Wor�k
windows, doors, siding, re-roof, e#c.)
�---- Mailing Address:
��,�� PO Box 6fi Pem►it nurnbsr.
� Crystal Bay,MN 55323-0066 pat�received: �/�
i �� ",ia
a. Sf�eetAcldress: Received by:
��,�, U% 2750 Keliey Parkway Piert reYiew fee: . '
�vx�xQ�.� Orano,MN 55356
—_ - Tatal Fee: f.j _� �- G"_ ,��'
Main: �'a2-Zd9-4&00 Fax: 952-249-4616 www.ci.orono.mn.us � �� -' � �'�`�`i
ThiS appliCqtion form must be cornpleted in fuil and all required inlorrnation rnust be submitted. `>- i y-/L
incompiete applications will be retumed. (Please print)
GENERAL INFORMATION: { / n ( �� � /
Jab Site�0.ddress: �.�a�C� �Q�{1'�-{ �('�LJ��r"1U (S�0!'���.i.0 t�..'OY�cxC)`� �'''���'�T ����
Wi0 this he a Parade of Homes,Rem4delers SHowcase Homc�r other Display H e? es --�'No
!f yes,a speciat event pe�reit is required wrth Poltce Depertrrient snd Cfty Coutta(ap(xovat 60 days prior to tha everii. Shuttte�us Se+viCe witl be
requtred unless ap�lticant demansYrates suHicierrt onsite parking Js availaWe. Non-permitted events wif!not be allowed.
CONTRACTOR/APPI.lCANT lhIFORMA7lOhl:/�
Name: G"1nt'c�pt�.-�,im�5 �--�r�S��eaY�
State License# p Expiration Date: �.- t_ t ~�
Lead Certificatian Number: j� �}- Expiration Date:
(for work on homes that wero constructed prior to 1978
Phone: (�'�, . (oKce} �Z.. - �''g� " Z,'.t4 icel#)
Mailing Address: 3 Ci[y �;,� ZIP: ����_
Contact Person. Applicant is: o tra r Horneownar �cir��e a�o3
Emait and/or Fax: n - CC3y,.�.
PROPERTY OWNER in[FQRMATION: �/�
Sdame: �'� S � Y��+z�G'_rn.�' 'i�('.��.�
Phone(day): L , �_
Address: ��j� t�.a. ^.S(�'�' �C-7:' City�`�L�.S.�d��ZiP: S".j�(�,�i
Email and/or Fax �,h,�yh `����- ��,a„�b rK.mw�,e.rY� �p�,,y�� G i b•G�f7m
PROJECT INFORMATION:
7ype of Project: Any eartA movement may require
❑Daor(s} ❑Remodel �Water Dsmage MCWD review 8 permits:
Minnehaha Creek Watershed Distrtct(MCWD)
[�Wirxiow(s) ❑Repair []Stortn Damagc � 1E3202 Tvlinnetonka$lvd
❑Siding ❑Restoration ❑Other:(speclty} Deephaven,MN 55391
Phone: 952-471-0590
�Re-roof ❑Fire Damage Fax: 952-471-Q682
www.minneh aMacreek.orc�
Overall Project Description: �,,,,�t,� �;+:n," j���
Estimated Construction Valuatio�af Project texcluding tand� ���
APPLICANT ACKMOWLEDGEMENT:
Agrees to prQvide aN iirfamation required or requested by the Building Departmenl�
� Certifles that the information supplied is true and correct to the best of his/her knawledge. The applicant recogni2es that they
are sotety respvnsrbl�for subm�tting a complete appttcatlon betng aware that upan fai�ure to do so,the siaff has na a(tema tive
but to reject it unti{it is eomplate;
! Some or aIt af the information that you ane asked to provide on Ihis appiicat�on is ctassified by State taw as either private or
canfidential. Priva#e data is inforrnation which generally cannot be given to the pubGc but can be given ta the subjecl of the
data. Confidential data is informadon which generslty cannot be given to either the public or the subject of the data. Our
p�rpose and intended use of t 's infoimatian is to annually update our recards and recvrds of other governmentai ager,cies
re uired b law. If u refusa su th informatia e application may nat be issued.
--. _ --- >
Applicant's Signatu�e: -2,. '+ t�. �.-� Oate: ���!��� �`�j` `
tast Updaied: 03-01-2011
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a � -' � � Plan i�eview Ch�ckiist for New Struc#ures / Ad�li#ions
Address/PID/Legal 2 1��.'Ll... Q(4+2�W� U N �'� � I �
Description of uvork: U T -�
Septic r��ie by: N �/� Date Approved:
Zoning reyie by: . /�! Date Appro�red:
Building rev ew`:by: ,�---- Date Approved; � l �f L
�rading cevi w.by. /U I � _ Date lApproved:
oning File#: " :Resolution#: Resolution Date: "
Zonin 'Dist ct "fire'De artment Post Office Sch I District
Zoning: Lot A�ea: SF/AC YNidth: epth
Survey 5ubrn ed: �Yes , :� Nn Date of 5urvey:
Pro osed Setbac. :
_ .� Front(Lake) Rear�Stceet) � � � E ',W ) ( 'N S E 'wH ;.) Other B.uilil'rn,gs Wetfand
Side Side ,.,
Buifding Defin�� Heig t: Building Peak Height: #ofi�ories�k?: � YES
FOR A BUILDING WITH AB�SEMENT OR C WL SRACE: F A BUILDING ON A SLAB FOUNDA71:0 :
START WITH the:di tan�ce between the ba ment floor/�arawl ;'START the tlistance between', e sta6 and-the highest
space floocartd;the highest roo eak,the'top of WITH roof;peak,the:top ofth comice of a flat roof,
the:co nice ofi a flat roof,:the deck ' e,�fi:a ` fhe deck line:of a mans rd ronf,or the
mans rd:roof,orthe uppermost.poi an a rountl uppermost point on a:r und orother-arch-tyPe
orotM r arch= . e roof roof
SUBTRACT half th distance between:the highest win and SUBTF�ACT half.the distance be�ve n the:highest wintlow ;
t�i he t roof eak of<a itched r.00f ' and 4�i hest raof, eak a itched roof
SUBTRACT the di ance bet+nreen the basemenffln�r craw ADD xhe distance'between.t e.slab:�ndfhe highest
space' oor and the highest existing gr e within ' existin rade within�th foundation '
- th�fo �dation or 10 feet,°whichever' fess. >EQUALS Defirted builcJin :hei ht
EQUALS Define :buildin 'hei ht �
Lot C�verage: SF %
�fiocefand.Dist ict `NI.� �e�'it Recei�ed A�r�r.a ,Lakeshore.:Setback BIufiF ' '.
D Y � No � NlA Yes `� No
n Yes � Np :G Yes Nn � N/A
F mit 1�l�amber: Set ack:
Harticover�one Existin Pro osed Vaciance:Re ui d UP Re uiretl
'D-75' � Yes � No 0 es ;G No
75-250' TYPe(S)� , TYPe��)
250-,50
500 ODO'
REMA S{in-house): fV U �/�/v�
Updated: 09l1':112009
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Fees to be Char ed l�fS �10 � � �� �
•,� ��.� �� ,.���,' �G �g� �a'� .:..,.
.. e ..... .�:... :. . .... __... . .,.• �.:_.:�._..:,..
Plan Review
�'�`���",� _
� :���.q �
�. _ .. . _ ... . .. . ,. . . ...
Investigation Fee
., � -
�, . �.. -, - , . . .,,. . . _ ... _ . __.
Sewer�onnection
. . �
Park Fee
0ther(specify) _
`Calculated By:
S uare Foota e $ er S uare Foata e
Basement : X = $
1�`Floor X , _ $ :
�nd Floor � X , ' _ �
, Garage � = g
Estimated:Constr�ction Value: $ b�� d��
0rono fnspections R�quiretl �tllork REquiring Separate Permits Required �tate Permits
� -Site Piumbing D Grading/Filling � SNeil
G Hardcaver Remnval Mechanical � Fire lectrical
� Footing ` � Septic �"U1later Corrneation `
� P.oured Wall �Fireplace ` D-Sewer,�onnection
� Founrlation Survey � Masonry n Lawn`Irrigation
` n Radon'R�ck:Bed ; .�Mfg.
G Framing � �ther(specify)
; :0 Insralation
.L3 �As-Built Survejr
.�'Final '
0 Dther(specifiy)
REA�IARKS (in-house);
Other#3eview: Reviewed by: ' Date.�lpproyed:
Access:Existing: � YES D :NO New: � YES 'G �IO
f�E11AAi�KS:(Tl� BE NOTED ON PERMIT AND 1NITIALLED BY PERSDN PLILLING PERMIT)
Updated: 09/1]/2009
z:\formslptan review chec�(ist:doac
DATE TIME �
CITY OF ORONO CALLED IN 1� 'l O '12
INSPECTION NOTICE SCHEDULED /D- I I - 1 Z- 9•� �D
PERMIT NO.d��� - � ��COM LETED
ADDRESS �� �� ���8
OWNER LE HONE NO � �' �����
CONTRACTOR
�; DESCRIPTION "� ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑I SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑I SEPTIC INSTALL ❑ HARD COVER REMOVAL ,
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET�U:_YES_NO
v�, COMMENTS:
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� ❑WORKSATISFACTORY:PROCE D `P�ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR R INSPECTION TEMPORARY�
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIO WITHIN HOURS. p pH0 OTAKEN
INSPECTOR WI�L RETUR ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL I SPECTOR
❑ INSPECTION REQUtRED.CAL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249-46��
Owner►Contractor on sit :
inspector. �
White Copyllnspe tor's File Canary CopylSite Notice