HomeMy WebLinkAbout2011-00388 - finish shell of unit CITY OF ORONO PERMIT NO.: 2011-00388
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 06/06/2011
952 249-4600 FAX: 952 249-4616
ADDRESS� : 2670 KELLEY PKWY
PIN� : 33-I 18-23-12-0046
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 53,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
FINISH SHGLL OF LJNIT 116
APPLICANT pERMIT FEE SCHEDULE 704.25
GORDON JAMES CONSTRUCTION PLAN REVIEW 457.76
5159 MAIN STREET E
P.O. BOX 306 STATE SURCHARGE(VALUATION) 26.50
MAPLE PLA[N, MN 55359- TOTAL 1,188.51
(763)479-31]7
Minnesota State License#: 20531961
OWNER
Citizens Independent Bank
5000 W 36TH ST
ST LOUIS PARK, MN 55416-
AGREEMENT AND 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 Building Code. This permit is Yor only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction 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 afier work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance ith e State Building Code.This permit may be
revoked at y time for ue c e. ���
�
� l � i r/ � �_ ��-�-� U��� � C'� �- �� _ /
li an ermitee Sig a ure Date Issued By S� nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MAY-24-2011 13:16 From:GORDON JAMES
City of Orono
` ; Bullding Permit Appli�catian for Internal Work
{windows, doors, siding, re-roof, etc.
..��--•_;•• M�ilirey Adclreaa: .... .Q
• //�''~g►�.�� I'O Box 6G Pc�rmlt nUmber. 020
//� � Crystal Bay,MN 553�:i-OCf6F Dot�roaeived: �- //
l� �
��� " �� .. Sircet Addre��: ��by� _
\ � Gti� 2750 KeYeY Perkway Plan revieW fe9'
�E9���/ I Oronu,MN 55:f58 p �j
-e-�~' 1 o1S1 F@8: -� � � O . J/
Main: 9512-249�6W Fax: 952-249�4618 www.ci.orono.mn.u.a
,
This application forrn must be completed in tull a�d all r�qui�cxl inlcNmation must be submlhen
Incompletc�pplication9 wili tie�stumed. (Pfease print)
GENERAL INFORMA71pN: s -
Jab Site Addross: � �Qy{ pgr .r�,i ` �0/1 u�Uy�{��_ _, � � �o
Will thiR ba a Parad of omes, Remodelars'S�'rwcase Nom r o�her Dfsplay N e9 es No
ll yes,e�pecial cvcnf m,�1s roquirod w/th Pp►�ice poparurmru w�tl Ciy Cn���l approv�160 day�prior to t�e event SN�QIe bus onnrn w�l bE
requlred os8�ppleCenf 09mOnBbr91o9 9WfiCicnf�n�veg perlri�g!s�th�bab/C. �n-permitred ovoMs wdl rwt oer ep
CONTRACTOR/AP UCANT INFORMATION:
Name: p��p� ' �
5tale License�! ���� ��� Expiration Oate: � .
LC�d Co�tification Wumber: � Expiration Oale,
('/or w�erk on Ao that were con�tnxbd prlor ro t�7e• '
Phone: .3 - �-{�t�l- �✓L17 (office) �g I 2 - �� —�Z.�,_, (c�ll)
Mailing AddrE�s: Y � '� City ;ti ZIP: �
ContBct f'erso�� � _ _ ApplicaM is: o M Finmenvuner tc�Ki�a�Qy
Emeil end/or Fax: ' ��,y�,�5 ..CG'7�+'�
PROPERTY OWNER INFORIIIATION:
Name: � .e.�s �..n a �x�
Nhori� (day): � �
Addr�ss. W • '~` _'1:_... . __ Gity. ' ZIP: �(�,b
Fm�il andlur Fex ^ ".r�o+��q� ,G�_b �cvr�
.
PROJEGY INFORMATION:
Type of ProJeet: � • ---- •-•-•--• Any earth moveme�l may quirc ..
C�6aor��� (�Remodel ❑WAter Damage MCWD rov10w d,pertn ;
Minnehaha Crsok WAlBrSheE pls�IGt(MCWD)
[J Window(s) ❑Repair ❑Slorm Dama�e 1g2p2 Minnebnka BI
❑Siding II ❑Restoration ❑Olher: (specity) 0«Vt���en,MN 553 1
Pl�onc: 952�471-05'J
Q Re-root ❑Fire Damago Fax: 952-471-OG82
www.minnAhAh�nrn�,k
Overalt Pr 'ect Des riptio ' ������� � � __
Estlmatad Con�tru loh Valu ion of f'rojesot exciudin land) � �
APPLICANT ACKN WLEDGEMENT:
Aqrees to prdvi c�ll in(o�mation required or�reyuesled by lhe Building Departmer� � �
� (RAilies Ihat the information supplied is t�ve and c ect ta �hc best of hiy/iitl� kr�rl�clye. 7he applicanl re goizes that they
e
are eul�ly respa'isible for submining a cc�mplF+„ta Ilcatl4n belnr�aware ihat upOn failu►e lo do So, the St2tt h S rw 811ernat�ve I
but lo r�jeG it unUl il is camplale:
� Some or all of g fnform�llion Ihet yau are ad m�1rcwlAe �n thl�AppNr,aOnn is�IaR�ifi�d hy St�te law a� either private or
cantidei�tial. P" al� daW is inf io� generally cannot bs given W tne publlc Du� can pg 9iven ta subject of ihc
d2t�+. Cantide lial data is i mation general cannat be given to either the pubQc or tha RuhJect f the dala. �ur
K�urrUl�rr anA inkended use f this into � IS lo - nually update our records and reco�ds of ether govem ental agencie�
r�:quired bY I�w, If e lo su,�ply,„i_ ,_ ,���¢ , ,tlje e,pplica' , ,, e not be issued.
Applicanf's Signature: Date: � Z f
LatSt Uplldled: �3-01-7Q11 ''
, , i
Plarn Review Checklist for New Structures I Ad�li#i�ns
Address!PID/Legai: 26� � L��. ��+R-�►�W � 1 j(, �
.
Description of workl, r�►�S I-� o .�iv �
Septic revilew by: Date Approved;
Zoning re�jiew:by: Date Approved:
Building r+�view by: Date Appraved: -�- /
Grading re�ie�nr;by: Date Approved:
Zoning File#: � 'Resolution#:` Resolufiion Date:
Zonin `Dis rict Fire De artment Post Office S hool District;
Zonin : Lot,y4rea:' SF/AC Width: Dep h:
Survey mi�ted: � 0 Yes ,0 No Date of Survey:
�
Pro osed Se cks:
front(Lake) � Rear jStreet) � � g�de w , ( N Side w � Other Building Wetlantl
;
Building Defined Mei�ht: Building Peak Height: #of tories Ok?: G YES`
, -
FOR>A BUILDING WITH�ABASEME1dT OR CRA PACE: FOR A'BUILDING ON A SLAB F DATI N:
START WITH the istance between the basem floor/crawl START the ' nce beiween he slab and the highest'
spaqe'flopr and the'highest roof,pea , he top of WITH of peak,the top ofi t e cornice of a flat roof,
the c�amice of a flat roof,the tleck line o the tleck line of a<ma ard roof, or the
man ard roof,or the uppermost point on a r d uppermost point on a ound or other arch-type
or ot er arch- e roof roof
SWSTRACT halft `e distancebetweenthe highest window and ' SUBTRACT half the distance betw en the highesTwindow "
hi M st roof eak of a itched roof ` and hi hest roof eak f a itched roaf
SUBTRACT the:d�stance between the 6asement floor wl A the.tlistanc�between he slab:and the highest
spa floor and the highest existing tle within existin rade within� e fonndation
the f undation or 10 feet,which r is less. EQUALS Defined buildin hei h
EQUALS Defin tl buildin hei ht '
Lot Coverage: i SF %
Shoreland Dis rict MCWD Permit Recei�retl ' Avera e Lakeshore.Setb k Bluff
0 Yes � No � NIA Yes � No
0 Yes No � Yes 0 No � N/A
Permit Number: Se ack:
Hardcover Zon fxistin Pro; osed Variance Re uired UP R uired
0-75' 0 Yes � No � Yes - No
75=250' TYpe(S): TYP��S :
250-500' ;
.
500-1000' '
REMARKS (in-house)`.
Updated: 09/11/2009 I
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�
Fees to be Char ed �(ES NO
.: �. , ;�, .� -
,�
,
,:
.,_t . �,�..-<.,� ".�.,$_ _ : _ � :•.� : .,. �.
Plan Review -
- . . _ .. p.._ ,.
,, , . y. ,.;:� ,. -.. ��.
� .
Investigation-Fee .
�" � ~� .�. ,. � "
, ... ,., _ .._ .. _ . ._.-
'Sewer Connection
Park Fee ,
_ = _. _ .
Other(specify)' _.
Calculated By: . _ . .
S uare Foota e $ ` er S uare Foota e
Basement X _ $
1�Fioor X - $
2"d FlOor X ' _ $
` Garage X - $
Estima#ed Construction Value: _� 5 3,(�v 0
o�
Orono lnspections Required Work Requiring Separate Permits :Required State Perrnits
� Site P umbing 0 Grading/Filling � 'Well
� Hardcover Remo�ral Mechanical � Fire ' s�.Electrical
G Footing' � Septic � Water Connection
G Poured Wall ireplace � Sewer Connection
� Fountlation Survey � Masonry �'Lawn Irrigation
0 adon Rock Bed �Mfg.
�raming G Other(specify)
Insulation
0 As-Built Sur�rey
Final
� Other(specify)
REMARKS (in-house):
Other'Review: ReviBwed by: Date�►pproved:
Access:Existing: � YES � NO New: 0 YES � NO
REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
A
Updated: 09/11/2009
z:\formslplan review checklist.docx
MAY-24-2011 13:20 From:GORDON JAMES
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