HomeMy WebLinkAbout2011-00281 - finish shell , � �"` CITY OF ORONO P�aM�T No.: 2011-oo2g1
. 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUE�: OS/10/2011
952 249-4600 FAX: 952 249-4616
, ADDRESS : 2670 KELLEY PKWY �I I�
PIN : 33-118-23-12-0047
LEGAL DESC : STONEBAY OF ORONO CONDOM[NIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 65,000.00
NOTE: SEPGRATE PERMITS REQUIRED: PLUML3ING,MGCHANICAL,ELECTRICAL(STATE)
UNIT#1 17-FINISH SHGLLL
APPLICANT PERMIT FEE SCHEDULE 794.25
GORDON JAMES CONSTRUCTION PLAN REVIEW 516.26
5159 MAIN STREET E
P.O. BOX 306 STATE SURCHARGE(VALUATION) 32.50
MAPLE PLAIN, MN 55359- TOTAL 1,343.01
(763)479-3117 �
Minnesota State License#: 20531961
OWNER
O C DEVELOPMENT
2670 KELLEY PKWY
LONG LAKE,
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 for only the work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be wmpied with whether or not specified herein.This permit will
expire and become null and vo� if construction authorized is not
commenced within 180 d i the date of issuance,or if construction is
suspended for a peri of 0 days at any time after work has commenced.
The a licant is spo ible for assuring all required inspections are
reques[ed i onfor ance wiUi he State[3uilding Code.This permit may be
�revoked ai ti e for due se.
l � l/0 r � �
�c t Permitce Signature te Issued Qy S' ature Date
' SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOU
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• City of Orono -' �
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: — Oa �
���,�.� PO Box 66 Permit number:
•
j/ � Crystal Bay, MN 55323-0066 Date received: .� /� �
� � ���;
�� � �,,' Street Address: Received by:
��t � ' Gti�� 2750 Kelley Parkway Plan review fee:
`,`�gE o�`�� Orono, MN 55356
�,-sH ,; �� 3�3.0/
-- Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplet applica 'ons will be returned. (P ase print)
GENERAL INFORMATION: Q -�,�'�� �• �� - /Z �pO��T � n �S
Job Site Address: J w I S (� �
Will this be a Parade of Homes, Remodelers Sho case Home or other Display Home? ❑ Yes o
lf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permi(ted events will not be allowed.
CONTRACTOR/APPLICANT NFORM TION:
Name: p�-G ���✓1 C,�,c��T^
State License# '3 (� Expiration Date: 3 I /Z_
Lead Certification Number: N 1 Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (o� . C,f,-lq _ 31 j--t (office) (Z - g'��- ,?�' (cell)
Mailing Address: P,�, d(� City: �ZIP: �
Contact Person: (� i` Applicant is: ntract / Homeowner (Circle One)
Email and/or Fax: _ �
PROPERTY OWNER INFORMATION:
Name: �f' t�-Gr� �►�i�� D��-e.v�� � /kv� �
Phone (day): c�S�Z , G� �j , �'ss'�.
Address: ''� ^�-� City:S , �s (���k ZIP:
Email and/or Fax �a ��y�,�y�,� � �
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review�permits:
�Door(s) [�Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof ❑ Fire Damage Fax: 952-471-0682
www.minnehahacreek.orq
Overall Project Description: y� �y� �
Estimated Construction Valuation of Project (excluding land) $ ,S'
APPLICANT ACKNOWLEDGEMENT:
Agrees to provide all information required or requested by the Building Department;
. Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete applicati being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
. Some or all of the information that you are asked provide on this application is classified by State law as either private or
confidential. Private data is information which erally cannot be given to the public but can be given to the subject of the
data. Confidential data is ' ormation w ' nerally nnot be given to either the public or the subject of the data. Our
purpose and intended e of this inform is to an Ily update our records and records of other governmental agencies
re uired b law. If o refuse to su I e ' formation e a lication ma not be issued.
ApplicanYs Signature: Date: ,� .
Last Updated: 03-01-2011
' '� i
. � ` Plani Reaiew Checkiist for New Sfirwcfiures / Ad iti4ns
Address/PID/Leg�L 6�1 � l<�.�.�.C- A k w�A n��^r l !
Description of work: =n�> t� : �
Septic revie�w by: �V/�1 Date Appro�ed: -
Zoning revi�w by: ly� :Date ApproWed;
Buifding reaiew by: ` Date Approved: �� '?-o i t
Grading rev�ewby: ��,A Date Approved:
Zoning Fiie#: a Resotution#: Resolution D�te:
Zonin Dist ict Fire De artment Post Office Sc ool Dis rct
- Zoning: Lot�rea: SF/AC Width: Dep :
Survey Submitt . ; 0 Yes ,� No Date of Survey:
Pro osed"Setbacks.
Front{Lake) � ' ar(Street) l � S E W ) ( 'N S E W ) her Builtling al#fetland "
Side Side
Building Defined Hei�ht: Building Peak Height: #of tories Ok?: 0 YES
FOR A BUILDING�IVITH�BASEIIAENT'OR CRA SPACE: f0 A BUILDING OM A SLAB FOUNDATI N:
START'WITH #he d�stance between the base ent floor/crawl TART the tlistance between` e slab and'the highest
;�pac floor and the highest roof ak,the top of UVITH '' roof peak,the top of th comice of a:flat roof, ;
the mice of a flaf roof,the dec�C li of a the deck line nf a man ard roofi,or the
mans rd roof,or"the uppermost;point a roun uppermost point on-a und Dr other arch-type':
or ot er arch- e roo# roof
SUBTRACT half t e distance between the highest wind and SUBTRACT half the distance beiw en the highest 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 basemsnt fl r/crawl ADD ' the.distanc�between.t e,slab and#he highest
spa floor and the highest existin rade within existin rade within t foundation
the fo ndation or10 feet,which er is less. `EQUALS Defined buildin hei h
EQUALS Defin d builtlin hei ht
Lot Coverage: SF %
Shoreland Dis ict C�AID Permit Received .Avera e keshore Setback Biuff
, Yes � I�o 0 N/A Yes 0 No
� Yes G'� No D Yes 0 , G N/A
� Permit Number: Se ba�k:
Hardcover Z e Existin ' Pro osed Yariance Re uired UP Re uired
0-7 , 0 Yes � No � es: D No
7 -250' � TYpe(S): T (s;
250-50D' I
500-1000'
REMARKS (in-house)} � C /�N
Updated: 09/11/2009
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Fees to be Char ed �ES NO / ' .
�� �. .. _�� . ., _ $.�: .: . �; ,� .`
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Ptan Review
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lnvestigation fee
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Sewer Connection
Park Fee
� __ _ _ �.. _
0ther(specifiy)
,
Calculated By:
S uare Foota e $> er S uare Foota e
'Basement X ` - ; �
1�Floor X _ �
2nd FIOOr . X - _ �
Garage X - g
Estimated Cons#ruction Value: $ (� 5� (�(�(�`��
Orono Jnspections Required Wosk Requiring Separate Permits Required State Permits
0 Site �Plumbing � Grading/Filling ' � Well
� Wardcover Rsmoval Mechanical 0 Fire �Electrical
� Footing � Septic � Water Connection
G Poured'Wall � Fireplace `G Sewer Connection
� Foundation Survey � Masonry Q Lawn Irrigation
0 Radon Rock Bed � Mfg.
�f Framing � Other(specify)
� Insulation
� As-Built Survey
�Final
G Other(specify)
REMARKS (in-house):
Other-Review: Reviewed by: Date Approved:
Access:Existing: 0 YES 0 NO New: 0 YES 0 NO
REMARKS (TO BE NOTED ON PERMIT AND'INITIALLED BY PERSON PULLING PERM(TI
.
� Updated: 09/11/2009
z:\formslplan review checklist.doac
I 9'ATE TIME v
CITY OF ORONO � CALLED IN �/ �
INSPECTION OTICE ,t�' SCHEDULED /� //
PERMIT NO.��� �U� ��/COMPLETED
ADDRESS 7 lI
OWNER ELEPHON O.
CONTRACTOR
� DESCRIPTION �I ""�- �/
� ❑ FOOTING �7 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 �7 SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL i❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEfi YOU:_YES_NO
� COMMENTS: i
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� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE ,
W ❑CORRECT WORK 8 PROCE�D SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FO+R REINSPECTION �EMPORARY �
V BEFORE COVERING I �PERMANENT I
❑CORRECT UNSAFE CONDI�fION WITHIN HOURS. p pHOTO TAKEN '/ '1
INSPECTOR WILL REliURN
❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED
O INSPECTION REQUtRED.�ALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on�site:
Inspector.
White CopylMspector's File Canary CopylSfte Notice