HomeMy WebLinkAbout2013-00269 - interior finish w . �.
' CITY OF ORONO * 2 0 1 3 - 0 0 2 6 9 *
2750 KELLEY PARKWAY DATE ISSUED: 04/29/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY �� �
PIN : 33-118-23-12-0049
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 : $ 55,000.00
NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MEC]IANICAL,ELECTRICAL(STATE)
INTERIOR FINISH-UNIT#201
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 1,21426
(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 permi[is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and thc
State Building Code. This permit is for 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 hereia 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[ime afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested onformance with the State Building Code.This permit may be
revoke a[ y time foj� e ca ��
f i�vi �f � �� � l 2.,�1 /
App11 nt rmitee Signature Date Issu By Sign ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� _ � � I
� City of Qrono
Builc�ing Permit Appl�catian for Main#enance / Renova#ion
windaws, d+oars, sidin , re-roof, etc,}
Mailing Adcfi+sss: Perrrat numt�r: � �
O�Q,�O , PO Box�6
Crystat Bay,MN 55323-0066 Date rec�ived: /
St�et Address_ Received by:
� _— _--- �7
�'.�, G�i 2T50 Keiley ParkwaY "view fee: �,
�a�� Qrona,MtJ 55356 �/�,/ o�f0
-�'' ! Totai Fes:
Main: 52-249-46Q0 Fax: 952-24'9-4616 w�t+w.ct;oronamn.us __/
This�pplication form must b�compteted in full and aU required information mu .
Incom�iete appiications will be retumed. (Please prfnt)
GENERA�INFORII�ATION:
Job SFke Address� 2G��_l�."�d..�'� p�l��et��l --�l�i J Z �
Witl this be a Paralde Qf Homes,Remodelers Showcase Home or oth�r Q[splay Home? [ Yes No
K yss,a speclaf ev9nt permtt is reQufred wJth Po1ke Department snd Ctry Coernci►epprovai 60 dsys prior to fhe event. Shvttfe bus se 'ce will be
tgquireb uniess applicent demonstretes su/flcient on-slte parkJng!s avalfable. Non permitfed events wU/nai be aflowed.
CONTRACTOR/APPUGAMT INFOR�AAATIt'3N:
Name: � (�pYZtlOrJ '�`�kiMi�g GO+J ST►Zt?G'T�'O�
State Licensa# ' G S� �Q�j Expiration Date:
Lead Ce�tifica6on 1Number. �g //�. F�cpiration Date:
(far wo+lf orr hoe�I�ss tbat were con tructsd prfor to 19T8
Phone: — ll (of�'Fce) 2..:�� - � tce(I}
Maiting Address: ,� � � Z-5�,�}�. 2,c�c� City: � 1P:
Contact Person: � ,4ppbcant is: ctot / Homeowner tctrc�e o�e!
Email and/or Fax: � � �kM r �j
PROPERTY OWF}ER tNF�R[�Al'IQN:
fVBttte: � � ' :�'i�T, �'c 4 N`i
Phone(daY)� ' `�52-�115� ��,�- ZIP:
Address: � J`�btlO 3 T City:�'('.1.4tn5 ptirt�
Email andlor Fax � �A �;
PROJECT tNF RM/�1�TION:
TYt�e of Project: Any earth mt�vemerst may uire
MCWD revlew 8 perm -
❑Door(sj ❑Remodel Q Fire Damage Minnehaha Cr'esek Watershed Dis ct(MCWD)
❑Re-roof,asphai� ❑Repair []Starrn Damage 18202 Min�etonkg Btv
❑Re-roaf,cedar i �eephaven,MN 5539
❑Restoration ❑Waier i3amag� phone; g52-471-0594
❑Rs-roof,othe�ifipeciiy) ❑Siding p Othar:(specify) Fax: 952-471-Ofi82
i
�w.ndow(S� www.minrtehaha ek.
Overail ProjeGt t�esc.ription: �SrVs,t �.JN1?' �f
Estlmated Cansp�uction Valustion of Project(excluding tand) �;�,,�9 t)C O,--
APPLICANT A I KNOWi.EDGEMENT:
• f�r�s to�rovide all information required or requested by tfie Building Department;
• Certifies tl�at the infortnation supplied is Vu�and ccxract to tl�e be.st-of hislher knowiedge_ The ap�ic�ant nizes that they
are solety'responsibie fa submit#ing a carr�lete appUcation being aware tt�t upon faiiure to do so,tha staff h no aitemative
but to reje�t it until it is complete;
• Some a��U of Ehe infortnatian that you a�e asked to provide on this application is classified by State law as sither private or
confldenti�t, Private data is ir►formation which generaity cannot be given�the public!wt can(�given ta e sUbject a#the
data. Co�errtiai data is information which genere�y cennot be given m enh�the pubitc or the subject tt� data. Our
purpase nd intended use of thia in#armatton is#o annually up�date our records and►�ec�rds of other gov ental agenaes
re uired� (aw. if �u r�fiuse to th ' f � the eatian ma not be issued.
AppticanYs Signature� Date: ` �� j
�ast�pdeced: os-oa62oa a
" �' ' � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADD TIONS
Address/Permit Mumbier: Z!o?O Ct.t-�E`( PAi��A �?� (
Description of work: �i, U N +T F'��V ISN
Septic review�y: �ll�� Date Approved:
Zoning review�by: /la Date Approved: _
Building revie�nr by: Date Approved: �l' 2y- �
Grading revieviv by: ��/Q Date Approved:
Z ning District: � Zoning File#; Reso#: Reso D te:
Zoni : Lot Area:TSF/AC Width: Lot Coverage: F _%
Survey bmitted: 0 Yes 0 No Date of Survey: Revised ate ? :
Pro osed S backs:
Front(Lake) ',Rear(Street) � N S E W ) ( N S E W ) Other uildings Wetiand
Side Side
Defined Height: Peak Height: FFE: FFE mi s 6 feet= (Existing Contour)
Perimeter(linear feet)= 50%_ #of Sto es Ok� 0 YES
FOR A$UILDING WtTH A' ASEMENT OR CRA SPACE:
, The distance the lowest FO A BUILDING ON A SLAB FOUNDATION
START WITH proposed floor(of the ement or crawl
space)and the highest po t of the roof. The distance een the top of slab and
START WITH me highest p int of the roof.
If you have a... If you have a..
• GABLE OR HIPPED ROO no . GABLE OR HIPPED ROOF(no
windows): Subtract half the wfndow): Subtracfi haif the distance
distance between the highest p ' t betwee the highest point of the roof
of the roof to the low point of the to Yhe 1 w point of the corresponding
SUBTRACTION corresponding gable or hipped ro SUBTRACTION gable o hipped roof
(BASED ON ROOF GABLE OR HIPPED ROOF( ' (BASED ON . GABLE OR HIPPED ROOF(with
T�'PE) • windows): Subtract half the ROOF TYPE) window): Subtract half the distance
distance between the top he betwee the top of the highest
highest window and the ' hest window and the highest point of the
point of the roof �f
• ALL OTHER ROOF PES(flat, • ALL O ER ROOF TYPES(flat,
mansard,etc):No ubtraction. mansa ,etc:No subtraction.
ADDITION Add the dista ce between the top of slab
SUBTRACTION ' Subtrect the distance tween the (BASED ON and the high t existing grade adjacent to
(BASED ON EXIS!TING basemenUcrawl sp floor and the XISTING the foundatio .
GRADES) ' highest existing de adjacent to the DES
foundation OR feet(whichever is less). EQ LS Deflned buil ing height
EQUALS i Defined buf Ing height
Shoreland Distr ct MCWD Permit Received Avera e'Lakeshore Setba Met? Bluff
0 Yes � No � N/A Yes 0 No
0 Yes 0 0 Yes � No 0 N/A
Permit Number: Setback:
Stormwater alit� Existing Proposed Variance Required CUP Re ur d
Overla Dis ict Tier Hardco�er Hardcover
� Yes 0 No � es � No
Type(s): Type(s):
Updated: January 2013
v:\fo[mslplan review checklist 2013.docx
• . � 1, .,
REMARKS (in-house):
Fees to be Char ed '.���(ES ' � =° �fl:�` ��
� _
�. � , �r .. �� � r
PIan�Review . -� . .�_ �
_. .... .
investigation Fee ✓'
Other(specify) �
S uare Foota e $ er S uare Foota e
Basement X = $
1�Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $ 55,0(�O �
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site Plumbing � Grading/Filling � Well �
� Hardcover Removat .0'Mechanical � Fire Electrical
� Footing 0 Septic 0 Water Connection
0 Poured Wall � Fireplace � Sewer Connection
O Foundation Survey � Masonry 0 Lawn Irrigation
� Radon Rock Bed � Mfg. � �
� Framing � Other(specify)
� Insulation
� As-Built Survey
�Final
� Wetland Buffer
G Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: � YES G NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIAlLED
Updated: January 2013
v:\forms\plan review checklist 2013.docx
` /"� ' ` D /� TIME ✓
CITY OF ORONO CALLED IN ✓ ~ '✓
INSPECTION NOTICE SCHEDULED �' - �
PERMIT NO.e�n �S "'dD O LETED
ADDRESS 7O
OWNER T L HONE NO. � �'� 7
CONTRACTOR "
.
�: DESCRIPTION
�
� ❑ FOOTING ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
Q
_ ❑ 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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� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TE ftAFiY
� BEFORECOVERING PERMANENT
Ll CdRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
� STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail tor the next inspection 24 hours in advance. (J52� 24J-46��
OwnerlContractor n sit
Inspector �l /V—/�
White Copy/inspector's File Canary CopylSite Notice