HomeMy WebLinkAbout2012-00124 - interior finish � � �'' CITY OF ORONO
* 2 0 1 2 — P1 0 1 2 4 *
. 2750 KELLEY PARKWAY DATE lss[1ED: 02/22/2012
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY
PIN : 33-118-23-12-0042
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPA[R
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 55,000.00
NOTE: SEPERATG PERMI"1'S REQUIRED: PLUMBING,MECHANICAL,FIREPLACF„ELECTRICAL(STATE)
UNIT#1 12-INTER[OR FINISH
APPLICANT PERMIT FEE SCHEDULE 719.25
GORDON JAMES CONSTRUCTION PLAN REVIEW 467.51
5159 MAIN STREET E
P.O. BOX 306 STATE SURCHARGE(VALUATION) 27.50
MAPLE PLAIN, MN 55359- TOTAL 1,214.26
(763)479-31 17
Minnesota State License#: 20531961
OWNER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK, MN 55416-
AGREEMENT AIYD SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Quilding Code. This pennit is for oi e work described and does
not grant permission for additional o a d work which requires separate
permits. All provisions of laws a or ' ances governing this type ofwork
shall be compied with whethc,vor no pecified herein.This permi[will
expire and become null a void i construction authorized is not
commenced within I 80 ays of e date of issuance,or if construction is
sus or a of 18 days at any time afrer work has commenced.
e applicant is re o ib for ass ing all required inspections are
requested in conf rman with the tate Building Code.7'his permit may be
evoked at any me f ue cause
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Applicant i nature Date Issued By nature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
FEB-13-2012�14:Q� From: To:+9522494616 P.2�3
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City of Orano
� Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
�,m,�y�drl•�:�: .� a0/
'�f•���d�;, PO Box 66 Pcmnit nurnber. _
//O 0� Crystal Bey,MM 55323-0066 Date reoelved: _
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���� Street Address: p�"�bY�
��,P "~ �� 1/50 Kelley PancwaY Plan revisw 1e9; __.. _ -
�ivt,r� o�'.;,.� Orono.MN 55356 �� �/ . �lo
%`---'�'f 'fotsl Fea:
Main: 952-z4�pp FaK: 452-2�9-d616 www.ci.orono:mn.us
�7his applicauon form musl be wmpletad in iull s�d all r9quired informatbn must be submitted.
Incomplete appHcatlons will be�tumed. (Please print)
GENERAL INFORMATION: 1 �
Job Site Addrass: �'�C7 u.p,1,�?�•( �nv��L,� C��Q�,,,P,. t�U � ��
WiU this he a Parade ai Homes, Remodelers S owcase Homsdr�ther Oisplay��Hn�e� ec��� No ---�
__..,., If�yrs,n.�cipl evcn!pc►m1[Is raquircd whh Pdice�eperhnenl end C�'ry CbUnCil approval 60 days prio�lo Ule.e�l►M�I�,UJI�bua se cd will hrt .., ,...,
- - ._ i+c`qWled unlf;.�appliCent deIllonst/eies Sull]CGe►Ir o�+�Sltd p��lcing!a avbNublc. Nvn-portniHed ei�enlA wiU hcil f�•a/fowerl. . -'
COMTRACTOR l APPLICANT INFORMATION�
►v�me: GZo rc��v,�e 5 �or�`r'rY�1a� , ..
Statc Liccnsc# ,�p.e-�9��� Expiratipn Date: _ .-
Le2►d CenifiCBtion Number: �� Exp�ra�tipn Oste:
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r . , - prf 7978_ . . , _. .__ .._
or wo�k on honisa that wsro ConSbvG[ed OI't�
Phone: (ofFice) , �9�'�2- S�'� "3.��4,, fc:ell)
Mailing Address: - City . �.,�.��,G,' "LIP� .
Contact Person: Applicant i�: .n ra� � Homeowner �.u��,o�
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�Ert�ail-and/or Fax:. •. ._ . � ,...._ : ...,...
O�'+"� _..... "_,.' ..._
PRO�ERIY OWNER INFORMATION: - _..- --__ . _ _. . .
Name:- (�.�,�a eV�.s �,f� .t �Pv�� 1��.��_.. _. . _.
,: ,: ... _.....
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Phane{da�• q�'"L S•' g�� _
Ad�ress'. �;r '. . �C'pp� W. 'N` '"r' Ciiy. ZIP: ��b
EmaU a:nd/or�ax �.r►flv� �c�fLvh I�v�e� _�Q�p.b..C� G ' •G�iw.
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PRO.lECT 1NF4RMATION.. : � .. � . ��
Type of Project: � Any carth movement may�eq ire
��, iv� ,+,re� :, ,,:. I , 111CYND rzview 3 permlts:
D�nr(�) , , ' [�R�madel , ❑Water OAmage Minnehaha C►odc Wotershed�i�triG (MCW01� " �
0+�Vi�dQw(s) �. ❑ Rcpai( . ., _ ❑Storm Oamaga 182Q2 Min�etbnl�a Blvtl
.
❑Siding" ` Q Restoi�ation �Other. (specfly) (leepnaven; MN; 55:l,Si ; , �t,,
, ., . Phonc:;9a�,47.1.D5�&0
[]Re•►oof ❑��ire Damaga Fex: fl52�71-0682
�w�.�°:f.,'FF�;,'��`;; , � i� . � � � � �WyY,1T�innefyifi�ei�k:.Q19
ve�all Pr 'ect Descnption• , �
• • ... _ . .. � , •
��lf ptrd�Consiruct�oe Valuatloh of Project(excludin�land) .���Q=" ,�e_.�. _,_. .. . _.
�,a,,;,�I"'..�� ; , , . —
� pi����s�oc�Nov����ED!'C3EMEN W���,;� �� _ ._
�.�....__. , . . .. _..—
9 p � ' q stcd by lhe Building Department;
i�l'7 ��r ; . . . , . I
�. i�'�Gertifle5 that the in(urmisiion s�ppUed is true and correcl to the best of Nis/her knowledgo. The ap�f'�cant recop izes Ihai tMey ,
` xrts Snl�ly responslbin for�ubm;ning a ComDl�ts appllcatfon bo�ng aware that upon tailu�e to do so.the staf� has tiu alterriauve i
�- I �btn�tb rejea it until it is,complete: , , . : : �� ' :
e al! of lf�r•,inlomlyticn thal you 8re asked Sa prpVicle On tnis applice�ion ic dassifiad by State I�w as ei e,r prlvatP 0�'
�R'�`�f�", ilitl2�li91.' Privele.�8td i9 mlWrn�ti�n..wltiiGr go��prally cannol bP 9iven to tt�e pubfic but can be c.�iven to tht ubMct of IhR
r � ''' dala. Cunfid�,nlial d8ia is inform�li0�y WI►iCh g@nerally cannut be. given to either the public ar th+� sublpct of t e data. Our
_
� ,�. P+,; <<nrrpx�sa �nd mtended us� af this in(c+rmation ls to annua�y uprlt+te our r,ecswsis and necords M ether govermm �tal agenc�es
�, � �..fe4uired l�y,l2�W. 11 you''''re(u5e;1�Supply th�ir�fr�rrr►alion,the aP Gcauon ma not De iss��ed. - ;
Applicant's Signature: _ , ' ' nat9:
l�asl�Dd�ed: 03-01-2011
- -- _ _ _.. . _ _ ..._ _ _ _ _. . _ . . . .
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' ' P`lan� Review Checklist for Neanr Structures / Ad iti�ns
� Address/PIDJ Leg�l: Z�'� � 1�E LL.� �A R�C 1 '1- 1
Description of work: ', U N 1 T '�'1 N+S H
Septic revieiw by: N 1 v`� Date Approved:
Zoning revi�w by: Nr��1 Date Approved:
Building reV�iew by: Date Approved: Z � - I 2
,
Grading rev ew by: N�� Date Approved:
oning File#: Resolution#: Resolution Date:
Zonin Dist�ict Fire De artment Post Office S ool District
.
Zoning: Lot Ajrea: SF/AC Width: Dept :
Survey Submi i � Yes � No Date of Survey:
Prp osed Setbacks. '
Front�Lake) � r(Street) � N S :E W I � N 5 E Other:Building WetlantJ
�
Side Side
Builtling Defined Heig�,ht: Suilding Peak Meight: #of S ories`Ok?: L1 Y�S
FOR A BUILDING>IIVITH A�BASEMENT OR CRAW PAC�: OR A BUILDING ON A SLAB FOUNDATI N:
START WITH #he di�tance between the basem t floor/crawl START the distance befinreert t e slab and the highest
'spacel tloorand the highest roof pe ,the top of ' WITH roof peak,the top of th .cornice of a flat roof, `
the�(rnice of a flat roof,the deck line f a the deck line of a man rd roof,or#he
mans�rd roof,or the uppermost point o ro d ° uppermost point on a r und or ather arch-type
or oth�r arch- e roof roof
SUBTRACT half t�distance.between'the highest wi o nd SUBTRACT' halfthe distance beiwe n the Mighest window
hi he t roof eak of a itched roof and hi hest roof eak f a" itched roof
SUBTRACT the di$tance between the:basement or/crawl ADD the;distance-between t e slab and the highest
space'floor andthe highest existin grada within existin rade.within th foundatipn
the fowndation or 10 feet,which er is less. :EQUALS Defined buildin hei ht
EQUALS Defindd buildin 'hei ht
Lot Coverage: SF °Io
Shoreland Dist ict M D Permit Received Avera e L eshore Setback Bluff
es � i�o � N/A Yes 0 No
�10 � Yes � - 0 N/A
ermit Number. Set ack:
D Yes � �
I
Hardcover Zone Existin Pro: ased Yari�nce Re uired UP Re uiretl
0-75' � Yes . O No � es � No
75-250' TYPe(s): pe(s)
250- 0'
-1 Q00'
REMARKS (in-house):' � C H A N G�.
Updated: 09/1 t/2009
z:5formslplan review checklis�t.docx
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Fees to be Cha ed �fES N0
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��`�ir��,��.�P'n�n ��'���''��i����*�=�t;,�, ��"F,�.,�'� �«e�� .tt't.'� r " �y.'� ..'� �'��5 �. I'
�P{an Review '
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Investigation Fee
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- �s�� � -x Kca., ,. �
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Sewer�onnection
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Park Fee
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Other(specify)
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Calculated By:
S uare:Foo#a e $ er S uare Foota e
Basement X = g
�Sc Floor . X : _ $
2nd Floo� � X _ �
Garage X ` = $
Estimated�onstruction Value: $ �S, Df�O��
Orono Jnspections Requiretl �INork Requiring Separate Permits R+eqnired 5tate Perrnits
' � Site �Plumbing 0 Grading/Filling � Well
� Hardcover Removal �Mechanical � Fire �' Electrical
' � Footing � Septic D V1/ater C�nnection
0 Roured Wall :Fireplace � Sewer Connection
' � Foundation Survey � 'Masonry � tawn frrigation
� <Radon Rock Bed �3'Mfg,
� Framing � Other(specify)
� :Insulation
� As-8uilt Survey
�Final
� Other(specify)
REMARKS(in-house):
Other REview: Reviewed`by: Date Approved:
Access:Existing: 0 YES � N0 New: � 'YES � N0
REMARKS(TO BE:NOTED ON PERMIT AND INITIALLED BY PERSDN'PULLiNG PERMIT)
Updated: 09/11/2009
ztlformslplan review checklist:dopc
:
�� �"� �� �� " DATE TIME V
CITY OF ORONO CALLED IN ���
INSPECTION NOTICE SCHEDULED �-!/.��1 i 3� ? : ��`
PERMIT N0. �L'I�""CL( ��l COMPLETED
ADDRESS ���: .� c: i�t << t- ,.� p-�k �:��, � l-l�-,► t �` l (�.
OWNER TELEPHONE NO.��r�� -��`�1-3-�y�
CONTRACTOR �-7 L� �� � r� —� ��Y�-e_
� DESCRIPTION 7 � �',��a � �� j'1'1+'
�
� ❑ 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 ❑ SEPT INAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEEf YOU:�ES_NO
� COMMENTS:
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W ❑WOR�ISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� �'G�RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CARRECT WORK,CALL FOR REINSPECTION RARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice