HomeMy WebLinkAbout2012-00925 - unit finish • " ' '�' CITY OF ORONO
2750 KELLEY PARKWAY * 2 B 1 2 - PJ 0 9 2 5 *
DATE I SUED: 09/18/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY �'/a q
PIN : 33-118-23-12-0039
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION YPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 60,000.00
NOTE: SEPERATE P RMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
L1NIT FINISH#109
APPLICANT pERMIT FEE SCHEDULE 756.75
GORDON JAMES NSTRUCTION PLAN REVIEW 491.89
5159 MAIN STREE E
P.O.BOX 306 STATE SURCHARGE(VALUATION) 30.00
MAPLE PLAIN, 55359- TOTAL 1,278.64
(763)479-3117
Minnesota State Lice se#:20531961
OWNER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK, 55416-
AGREEME AND SWORN STATEMENT
The work for which this ermit is issued shall be performed according to
the approved plans and s ecifications,applicable City approvals,and the
State Building Code. Th s permit is r only the work described and does
not grant permission for dditio r related work which requires separate
permits. All provisions f l d ordinances governing this type of work
shall be compied with w h or not specified herein.This permit will
expire and become n oid if construction authorized is not
commenced withig� 80 s of the date of issuance,or if construction is
suspended for a eriod 180 da at any time after work has commenced.
The applican s res s' le for suring all required inspections are
re onfo an with e State Building Code.This permit may be
evoked any ' e for ue c se.
� ` �� � / �(J /��
Ap ' � e S ature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E.
, + a � � � I , .. . . .
Ci#y of C)rono
Buitding Permit Application far in#ernal Work
(windows, doors, siding, re-roof, etc.}
Afiailin ttddress: �/�_�C�'
j�/��O� PQ Box 66 Q��t numbar.
� Grysta!Bay,MN 5�323-QO6fi DatB receivsd: �3 l�
��a r� a. SfreetAddress: Received by;
� � � !*� 2750 Kelley Parkway Plen reYiew fee: '
{'��x�/
Orono,MN 5535fi
Tata!Fes: �� ' � 7 (,� �/ �f`/S�i'
Main� 952-24g-4600 Fax. 952-249-4616 www.ci.tuono_mn_us %� ! ' (<�/ `�-iy-/�
This application form rnust be comp{eted in full and al{rr�uireci iRfosmation must be submi[ted.
incomplete appiicatians will be returned. (Please print)
GENERAL INFORMATIQN: 'I t r �� 1 �, f �� .,,,
Job Site Addr�ss: .,2.(v�C'� K—�1� �t�('"�."�"t� f S�(31'12..�u�Q �`�'�, �7,
WIU thls be a Parade af Homes,Remodelers�51 owcase Hcs r other Dlspiay H e7 es No
�f yes,a special event permit is reqvired wfth Potice Departrne�t and Gty�nCtf approva!6Q day&Qtiar ta ihe event. $huttte bus Servfce witl be
requ/rcd vnless applrca�demonshates sulficieM on-site parking Is ava�leble. hbn-pennitted evenfs will not be aflowed,
CONTRACTaR i APPLlCANT W-F�O^RMATiON:
Name: G"l p t'c�oY�.,JG�vY�e 5 �����1pv'�
5tate License# ��s+-� 4 c���t Expi�ation Date: �,.. 4_ ( '�
Lead Certification Number: �� �}.-. Expiration Qate:
(for wo�k on homes that were constructed prlor fo 1978
Phone: (�'y . (oiTice} ��,_ Q,� --3�i, �ceil)
Mailing Address: 3 City �;,� ZIP:
Contact Person: Applican#is: o tra r Horneowne� tctr��o�.k
Email and/or Fax: y� _ � �Q�
PROPEliTY OWNER INFORMATION:
I�arne: � (�
��S. �.1t'�� � t'ti��¢� �'v�"''�.. h,r�f�.
Phane(day): -t, a F 5--* ���-�
Address: C-�j/? �• ?..,s�,�" S-'t:' City��.(�.iS �(�ZiP: ���-{j,�,
Email and/or Fax �,r.�� �'y�p� y�-- U1(1p�f t�{�('c�YhWLe.!"� Mtlrw. � C(
�. . •GQv►�
PROJECT INFQRMATION:
Type of Projoct; Any earth movement mey require
O Daor(s) ❑Rernodel �Water Damage MCvuD neviaw S permtts:
ENinnehaha Creek Waiershed District(MCUVD)
❑YVtndow(s) ❑Repair ❑Storm Damage 182�2 Mnnetonka Blvd
Rastoratian Deephaven,MN 55381
❑Siding ❑ ❑Other.(speGfy)
Phone� 952-d71-0590
❑Re-roof ❑Fire Damage Fax� 952-47'1-0fi$2
www.m f n neh a hacreek.ar�
Overali Project Description: ' ,� " �
E,.stimated Constructian Yaluation of Project(excluding land) $ � `�=
APPLICANT ACKN011VLEDGEMENT.
Agrees to pravida afl information requjred or raquested by tha Buitding Department;
� Certifles that the information supplied�S true and carrect to the best of hislher knowledge. 7'he applicant recognizes that they
are soiely responsibie for subm'rtting a complete appilcatlon being aware that upon faiiure ta do so,the staff has no attemative
but to reject it until it is complete;
s Same or 814 of the Snforrnation lhat you are asked ta provide on this appSication is�tassifiad hy State law as either private or
confidential. Private data is information which generelly cannot be given to the public but can be given ta the subjecl of the
data. Confklential data Is lrrfarmaUan which generally cannat be given to either the public or the subject of the data. Our
purpose and intended use of this information ls To annualty update our rscartrs and records of othe�governmental agencies
r uired b law. If u refuse t su th info ation e a NcaUon ma not be issuad.
..--`' � ' J7
Applicant's Signature: ,��-r- � 6� ----- .^ Date: y/,)�'�.CJ/ �
Casi Updated: 03-01-2ts1 i
. + _ 4
' P�an F�e�riew Checkiist f+or New Strucfiures J d�ditions
Address/PID/IlLegal: 26�?O C L �.Lt: A���W�A �,yh, i � ( O
Description of ork: �.1 I ► F' 1 rV`
Septic eview by: N l� Date ApprDvetl:
Zoning review by: N/✓'� Da#e Appro�retl:
Buiidin <reyiew b�y: �/�x.-�- :Date Approved: g" � -ZQ7 (Z
Gratlin review,by: /`� (!� Date��ppro�retl:
Zoning File#: Resolution#: Resolufion Date: >
Zonin ; ;istrict �ire'De artment Rost�ffice -S ooTDistric.t
Zo ing: ot Area: SF/AC Width: epth; `
Surv Swbrnitte : ;0 Yes ' � No Date pf`Survey:
Pro ose `Setba ks: _
Fr�nt(La ) �I Rear�Stre�t) � '� S E '1i�1 ) ( 'N 5 . E r�•< Dther Build n,�s �INe�tand
Side Si�le
Building Defined�eig :' Building Reak Heigh � #of Stories�Jk?: � YES
FOR A'Sl#ILDING TH 74BA5 ENT OR Cl2,4WL SP7#CE: FOR A BUILDING DN A 8LI1B ROUN :71ON:
START WITH t e distance b een the basement floor/•crawl ' START the distance'betw en the slab and�the hi,ghest`
s ace:floor and; highest roof peak,:the top of WITH roof peak,2he top `f the cornice of a flat coof,
t e.comice ofia fla of,'the cieck line:nf a #he rJeck l'rn.e of a< ansard roof;or.:the
ansard:roof,or>the �rmost.point on a ro d uppermost;point o a round or other arch-type
: o other arch=. e roof' roof
SUBTRACT h If the dis#ance.betw,een e highest.wi ow antl SUBTRACT t�alf#hs distance.b firveen:the highest window '
`h hest roof eak of a itche oof ' antl hi hest roof, ak of a= itchetl roof
SUBTRACT t- distance between:the base nt oor/crawl ADD fhe distance betw n the,slab and the highest I
s ace floor antl the highest existi ;grade within existin rade with nthe foundation
th fountiation or 10 feet,which er' less. EQUALS Uefined buildin h i ht
EQUALS D fined:buildin 'hei ht .
Lot�overage: SF o�D
�horetand: istrict . YIID�R�crnit�ecsiye �evBr.a e:Lakeshore..Setback BiufiF
Yes D No � N/A a Yes ` 0 No
� Yes : � 1Vo � Yes � No � N/A
Fermit Number: Setback:
Hacdco�er:� n :Existin Pro osecl U 'ance Re uired CLiP=Re uired
: - 0-75' � Y � No Yes 0 No
75-. ; TYP�(S)� TYR ��):
0-500'
500-1:OD0' ,
R MARFCS (in-hou e)` � / (9�
,
Updated: 09/19/2009 I
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I I�
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Fees to be Char ed �fS �10 ,
. _ , . .. . ,. _.._ , �,� __,.
� _
_ . ,
. � .,.t _ .._._ _ �x._, . ; , . . .:,_ �
Plan Review
: .. . . . , .
investigation Fee
4��+a�&:�w'?'. f.+u:.-n ., �..
. . . .. .. ...,...z. .. - . .a. ........_ .... .. ..._ .
Sewer'�onnection
Park�.ee
Other(spEcify) : .
Calculatecl;By;
S uare�oota e $ er S uare Foota e
Basement . X _ > �
1�`Floor X = ; $-
2nd FIooT ., X : _ �
Garage X , : _ , $
.,�t -
Estima#ed Constr��tion�lalue: � (�0�0(�� ��
C3rono inspections Required 'l�llork R�quiring:Separate�Permits Required �tate Permits
� .Site - Plumbing D �ra�tling/�illing O 1�Uell
G Hardcower R�moval echanical" Li Fire Electrical
� FoDting ; O Sep#ie 0 �IUater Connection `
� Poured NVall <Fireplace .� Sewer-Connection
O F.ountlation Survey � Nlasonry � Lawn:lrrigation
� Radon Rock Bed �Nlfg.
�3 Frarning � C�ther(specify)
0 Ins�lafiion
1 � �1s-Built Survey .
Final
G O�her(specify)
RE�JI�F�I�S (in-house): `
C�tt�er�?�vieuv: Reviewed by. Date�lppro�e�f:
Access:Existing: � 4'E� n NO New: � YES � NtJ
REII�IARKS(TO:SE NOTED t)N PEf�M�T Aia1D 1�I1T��iLLED BY PERSDN PllLUNG PERiVII'n
Updated: 09/11/2009
z:\fiormslplan review chec�klist.doac
�� CG%�� DATE TIME
CITY OF ORONO CALIED IN � �` ��,�
INSPECTION E SCHEDULED a" �..11• ��+L�
PERMIT NO.�� ��-�� COMPLEfED
ADDRESS �� '"� � �' � �
OWNER TELEP NE NO. -a -a �3
CONTRACTOR rd�
� DESCRIPTION I C =
� ❑ 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
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI�FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR O MEET YOU:_,�a YES_NO
v�, COMMENTS:
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� ��✓✓Vl `� T GO�C1G n ���S
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� Q WORK SATISFACT RY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK& ROCEED SUE CERTIFIC OF OCCUPANCY
0 ❑CORRECT WORK, LL FOR REINSPECTION PORARY
V BEFORECOVERIN / PERMANENT ������
❑CORRECT UNSAF CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR LL RETURN
❑STOP ORDER POS ED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQ IRED.CALL TO ARRANGE ACCESS.
Cail for t next inspection 24 hours in advance. (g52) 249-4600
OwnerlContract r on site:
Inspector.
White opyllnspectoPs File Canary CopylSite Notice