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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: � W � O �/�� � r �l /1/��., � � O � 4r _ � Q � Z W � W � j d � ❑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