HomeMy WebLinkAbout2013-00145 - tenent interior finish A . t ,
CITY OF ORONO * 2 0 1 3 — 0 P1 1 4 5 *
2750 KELLEY PARKWAY DATE ISSUED: 03/15/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY ����j
PIN : 33-ll 8-23-12-0048
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 52,000.00
NOTE: SEPERATE PERMITS REQUIRF.D: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
TENENT INTERIOR FINISH
�n��f l�o
APPLICANT PERMIT FEE SCHEDULE 696.75
GORDON JAMES CONSTRUCTION PLAN REVIEW 452.89
5159 MAIN STREET E STATE SURCHARGE(VALUATION) 26.00
P.O. BOX 306
MAPLE PLAIN, MN 55359- TOTAL 1,175.64
(763)479-3117
Minnesota State License#: 20531961
OWNER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK, MN 55416-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according[o
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 fbr 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 no[specified herein.This permit will
expire and become null and void if construc[ion 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 after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revol� d at any�ime r cause.
� i �� �/ � � 15i /
plic nt Permitee S'gnature Date Iss d By Signature Date
� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• II
' ♦ , . �L , i y I��� .
� ���,�3
� 3" � / �5. ��
�ity �►f Orona
�uiiding Permit Application for Maintenance / Renovatio
windaws, doors, siding, re-�oof, etc.
Maiiing Addre33: Permit number. o2D/ d�� �
O��.�0 PO Box 66
Crystal Bay,MN 55323-oo6s Date rec�ived: �3' l3
�� SGeat Add�ass: Received by: �
�'4'G� �Orono,MN 55356 Y Pian rev�w fee:
�� Total Fes_
Main: 952-2d9-4600 Fax: 952-249-46t6 vaarvv.ci.arona.mn.us
,This apptication form must be completed in fuit and ail required information must be submitted.
In�ampiete applications will be retumed. (Ptease print)
GENERAL INFORMATiON:
Job Slte Addreaa: '2G'�(Z_K���� DikQ� /
' Will this be a Parade of Ifomes,Remod�ers Showcase Home a�other Display Hame? Yes No
tf yas,a s�7�event�r�t ia requNed with Pdiae Departmant end Clly Coundf approvsl 80 daya prlor fo the eveM. ShtAtle bus� ce wU!be
�ired unfess appl/cant demonstrates su/flcAent on-slte parking is avelJable. /Von-permiKed euents w!/I not 6e a�lowed. I
COIdTRAGTQR/APPLICANT INFORMATION:
Name: t�J ?l4Vwt� �j n1$T YwG�/
State License'# G S LZ,1 Q b! Expira�on Date:
Lead Certiftcakion Number: � ��.. E�cpiration Date:
(fu�work ap homes that were co�pNor to 1978
Phone: �� (office) '�,. � . (cell)
Mailing Addre�s: Z.-Su,j�, Zu o CitY: IP:
Gontact Persdn: ApplicaM is: a Homeowner cn�s aK�
Emaif and(or t�ax: �� t �
PROPERTY CIWNER iNFORMATION:
Name: i t�J = �4'f t� a LM
Phone(dsY)� , RSZ-4!5^ �'�-
Address: Jd0 3 CrtY� "�•L��S p�,at ZiP:
Email andior F'ax GA �
PROJECT INFQRMATtON:
Type of Projec�: Any eartfi mavement may ire
❑Door(s) ❑Remod� ❑Fire Damage MCWLI revfew 8 permits:
Minnehaha Cr�k Watershed Dis ' (MCWD)
❑Re-roof,asphalt ❑Repair ❑Storm Damage 182Q2 hfinnetaika BNci
❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391
Phone: 952-47'i-0590
❑Re-roof,otheir(spectiy) ❑Siding ❑Other.(specity} Fax: 952-471-0682
�Window(s) www.minnehahaaeek_ara
Overall Pro}edt flescription: F',�.;3K (r1/l��? </�
Estimat�d Comstruction Ystuation of Project(excluding land) S �iZ, (�O(J, ---
�
AFPLICANT ACKNOWLEDGEMENT:
• Agrees provide ali infortnation re�ired�request�d by the$uihiin9 dePardne�t:
• C�rUfisslthat the infortnaiion suppiied is true and carrect to the best oF li�slher knowledge. The applicant reoogn" es Utat they
are sale,y responsibie for submitting a c�mplete appC�afion being aware that upan.fetlute to dQ so,the sfaff has o altemative
bui to reject tt until it is comptete;
• Some or all of the infoRnation that you are asked to prouide on fhis appiicetkin is classified by State law as si r private or
cor�fidential. Private data is infamadon which gen�aNy carsnot be giverr to the public but ca�be given to the bjed of the
data. Ci nfldentla! data is ir�formatfon which generalty cannot be given W ei�er the puWic or the subject af data. Our
purposa and intended use of this intormatiort is W snnualiy update our reeords and records of a�hher govemme agendes
uired law. if u rcfuse i atio the a ic�tion ma not be issued.
Appiicant's Sign�ture: Date: ��y' �
Last llpdated: 08-09-2011
���� �.���c�� ������m��� ��� ��� �-����-����� � ���-�6���
Rddress/Perntit Numbee: � C� 1��=�-�-C Pr4 Cz kW �� n;: r � a �
Description af rwock: 't L dv�-rU' 1� N�S i�l
Sept�c revieve hy: (U M �� Date R,ppro�►ed:
ZeniRg revievN t��: Dage Ap�roved:
Buitding!review h�y►: '� Date A,pproved: — 'c.�: �
Ge�,ding�evie�v b�: fv f�/�- Date Appraved:
Zonir�g Qistrict: : �onir�g F�le�: Reso#: e Date:
Zsn6ttg: Lot/�Pe�: SF/AC �ic9tte: Loi�Caver�ge: SF %
Sur�►ey Sub 't��c9: �Yes �No Date ofi S�enreY: evis d date ? :
Fro osed S�etb k�:
Front(l.ake) ; Re�r(Street) ( � S E !W ) ( h� S E lW Oth�r BuEI ings l�►�fiand
Sec�e Sid�
; �
Defined Height: � Pe�k Edet�ht: FFE� FEE minus 6 feet=_ (Existing Contou
Perimeter(iinea�feet)= 5fE%a = #of Stories Ok? � ES
FOR A BUILDING TH A BASENIENT OR WL SPACE:
The distance tween the lowest FOR A BUILDING ON A SLA@ FOU DATION:
START VWITH proposed floor the basement or c
space)and the hi est point of the START WRH Th distance between the top of siab anc
� lf you have a...
th highest point of the roof.
H ou have a...
� • GABLE OR HIPP R F(no • GABLE OR HIPPEDROOF(no
! windows): Sub ' f the windoars):;Subtract half the distam
distance between. ighest pant between the highest Point of the ro
of the roof to the `w po t of the to the low point of the co
SUBTRA TION corcesponding ble or hi roof rrespondir
' SUBTRACTION gable or hipped roof
(BASED�N ROOF . GABLE OR IPPED ROOF 'th (BASED ON . GABLE OR HIPPED ROOF(with
' TYPE} ; windows)� Subtract half the ROOF TYPE) windows); SubVact haif ihe distarn
i distan' tween the top of the 4etween the top of the highest
' high window antl the highest window and the highest par�t of the
! poi of the roof ` �f
L OTHER ROOF TYP�S(flat, • ALL O7HER ROOFTYPES(flat,
` mansard,etc:No subVaction.
, mansard,etc):No subtraction. ADDtTIQN A d the dist�nce beMreen the top uf slat
SWBTW4�CTION �a the distanc@ between the (BASED ON a d the highest existing grade adjacerrt t
(BASED(JN EXISTING semeM/crawl apace floor and the EXISTING th foundatlon.
GRADEd) highest existing grade adjacent to the GRADES
y foundation OR 10 feet(whichever is less). EQOALS D flned building height
EQUALS� Defined building hefght
�
Shoreian istrict liflCWa Pe�if Received Adera e �ak ore Setb�ck et? Bluff
' Q Yes � Nb 0 N/A � Yes � Nc
0 Yes � � No 0 Yes � t] N/
Permit Number` . Se�back:
StorEnvv�te��ualiiy Existirag ���posec! �a�iance Required UP Rec�uired
Overla t3isttict Tier Hardcover liarc�covee
C3 Yes � No '� � Yes � No
; TYPe(S)� YP�(S)�
Updated: January 2D13 _n—,, t
v:\forms\plan review checklist 2013.docx �� � �'��►�T�'v
C�
REF�ARKS (in-house):
Fee�to b�C�sar ec� YE� h��
Pe�ntt e
Plan RevievN
b'tat�Su�+charge
investigation Fee
SAG—I�mber ofi�AC!l��ts
Other(specify)
S uare Footae e � er S uare Foota e
Basement X = $
1�`Floor X = �
2"d Floor X = $
Garage X - $
EstEcnated Con�tructlon Value: S 5 2�� ��
4rono Inspections Required Work Requiring Separ�te Permits Required State Permits
� Site Plumbing G Grading/Filling O Well
� Hardcover Removal ,�Mechanical 0 Fire �'Electricai
Gf Footing 0 Septic t3 Water Connection
0 Poured Wall �Fireplace � Sewer Connection
C� Foundation Survey O Masonry � Lawn Irrigation
Q Radon Rock Bed �Mfg.
� Framing Q O#her(specify)
t3 Insulation
F7 As�uiit Survey
�Final
i3 Wetland Buffer
Q Other(specify)
RE(�iARKS (in-house):
Other Revlew: Reviewed by: Date Approved:
R,ccess: Existing: Ci YES tI NO New: � YES CE NO
OFFICIAL RENiARKS-�'O �E I�OTED �I�E �ERfl�61T AI�D !�lTEALLED
Updated: January 2013
v:\forms�plan review checklist 2013.do�
a�i3 - OdaGS
av r 3 �U U� 7� � DAF� TIME
CITY OF O NO LED IN ��
INSPECTION N SCHEDULED Z — ����
PERMIT NO. COMPLETED
ADDRESS alv7o �C�� �d�-LUGJ ��l cS�
OWNER TELEP ONE NO. �'SL Z�� Z76�
CONTRACTOR ��`�°�� ��'"`� �-m , Mec��
�: DESCRIPTION �`�""`�
�
� ❑ FOOTINC� ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED _ RO��JECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED I�r15�E CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMP Y
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice