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HomeMy WebLinkAbout2013-01048 - unit finish , CITY OF ORONO * z p� 1 3 — P1 1 0 4 8 * 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2670 KELLEY PKWY ,� ZD�� PIN : 33-118-23-12-0050 LEGAL DESC : STONEBAY OF ORONO CONDOMIMUM : LOT 000 BLOCK 000 PERM[T TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 63,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) UNIT FINISH#202 APPLICANT PERMIT FEE SCHEDULE 779.25 GORDON JAMES CONSTRUCTION PLAN REVIEW 506.51 5159 MAIN STREET E P.O. BOX 306 STATE SURCHARGE(VALUATION) 31.50 MAPLE PLAIN,MN 55359- TOTAL 1,31726 (763)479-31 17 Minnesota State License#: 20531961 OWNER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK, MN 55416- AGREEMENT AND SWORN STATEMENT The work Yor which this permit is issued shall be perlormed 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 permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 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 revo at any ti e fo u use. `°�� �`�19 L� � l �n l '�/ �'� �d l f C� l /� lica t P mitee Si �ture Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � 3 �-� .a� J Ci#y t�f C'�rono Buitding P�rmit Appticatian for Internal Wc�rk {windows, doors, sidin.g, re-ro€�f, etc.} ,�Q_`\ Mailing Address: Permif number. b l ���� �Q4� 11�'�\ c�r�i e y,�nr��sza�s � �ata receNed: /�--1-1.� �! �� � ��� �� % �,j� StreefAddress: � Receivedby: '`��.�, ��'���� �'�� 2750 Kelley Pa�icway � PtaR review#ee: \tq'fsaeio8�� Oro�o,MN 55356 `"" --= �Total Fee: Main_ 952-249-4600 Fax� 9§2-249-4616 �vww.ci.orono.mn.us This application form must be compieted in fuil and all required information must be submitted. incomplete apptications wiil be retumed. (Plesse printJ GENERAL ttJF�F2iUlAT10N: rj n ,� 3 ,j Job Siee Address: _��U �-P�Lt� �i'�,(`�.�[ _���t Ott��U t�' C,�Ni 7 � Wili this 6e a Parade of Homes,Remodelers S owcase tlomo-dr other Disptay N e? es Na� �f yes,a spacia!event permH is required wtth Police 1}epartment and City Gouncri ap�raval8t?days pnor to[he eveni. Shutt(e bus serWce ta�f be rnquired u��css applicant demonstretes sutficient onsite parkr»g is aveAe4�e. Non-permiKed events wi17 not be alRcnved. CANTRACTOR!APPl�fCASNT lNFORMATlDAt: .J.�� Name: �"loi'�sori�i�►�t e S �S�Y'`t�.t..h t�y': � _ __ State License# �C,S-�,, 4��1 ExpiraUon Date: ��_�. Lead Certification Number (�}��}- Expiration Date: (for work on hames fl�at were constrLcted prio�i'Q 1978 ?hane: �j L�3 • t{Z�l- '3 t L� (office} ��. g'$q "��,t{ (ce{;) _ _—_--- �fiailing Address: �-p • (�? '?y City . �.` .���Z1F:��� -�-- Contact Person' _ Appiicant is: o tra r Homeowner �crr�aet�r,�} Emait andtor Fax: ` Y�-�G�n•,•teS _CC3�'+� Pi20PE12TY dWNER INFpRMATION: n_ �� t� Name: � �'� _ v � Y^�'�-t �Ar�.i�.. -- � �_.t'� +z E'v�.�C` - ----_._---- Phone(day}: �,, �., ��r-� Address: ��,� c,�.�. 3��" s-�;- cay.�-��p�.,�-zr�: �S�{(b _ Email andlor Fax r Pf20JECT INFQRMATIQN: .- ------__------� -- - _ -______ Type of!'roJect: I Any earfh rnov�ment may raqaere ❑Daor(s} ❑Remodei ❑Water Damage �C��view&permits: Minnehaha Cmek Watershed Oistrict(MCWD} �Window(s) 'i �Repalr []Storm Damage 18202 Minnetonka Bivd ❑Siding ; ❑Restoradon ❑Other:(sp�cify) C�eephaven,MN 55391 Phone� 952-471-0590 ❑Re-roof ! ❑Fire Damage � Fax: S52-d71-OF,52 � �.m6lnek�aharxeek.orq ___._ CJverallRrojectDescription: �,H, �g .-Lf -cS�[} �,J�.=` �?• _ �-` - r Estimated Construct€on Valuation af Project{excluding lancf) m;���,�dp APPLICANT AGKN�VNt_EDGEMENT: � Agrees to prowida att iniormatian req�bred or requesteci by ihe 8uiiding Depactmen� Certifies that the information supplied is true and carreci ta Nte best of hislher knowledge. The appiicanE recogrtizes[hat they � are solety resportsrble(or submitting a comptefe applicatlori beir�g aware tha#upon faifure to da so,ttie siaf€has no aitemative � but tn reject it untii it is complale; . Some Or aVS of the informaiion that you are asked tn prov'�de on[his appficauon is classified by State law as eitfier private or � confidential. Priva#e dala is lnformatian which generally cannoi be given to�se public but�n be g;ven so the subject of the ' data. Canfidential data is information which generally ca�not be given ta either the pubtic or the subject�f the data. Qur � purpose and intended use of this informa6on is fo annually update our necurds a�d records ot othe�governrnental agancies I re uired b law. If u refuse sup the icaformation,Ihe application ma not be issuad. �; -- � - __- � , ,r- 5 ^'� � � ApplicanYs Slgnature: ` �'' ' ___ Datc: � �f�" ���-��!� �asf Updffied: 03-4i-20i i ', __�__..----------.__..... � � ( . � . � .. . . , � - I . . 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ART1tif4�'H �highas# r�#��hs rec�d� � • � G��O�t M!P , �G1P(n� . f : �i�'ye `..� � - . � . � ���s`�.�Subtract. . 3he �' _ �Z•t11�R�Rt'�t��a . ���q9 tpeirit ' � I �UbG�e�cfh�f��edietg�a�e ' of tlle xi�bf to the i�w psai the . . , n�te hi�t���r#�rOct . : SU�TRA�I'ION = t�esPonding gabte•�l�PFi�! � '. ' � #�it of d1e tXi[t�appndfng ; � {�Eb tSN 13 ,• = ' SU$7RY1Ct10N ,8a�is ta�f�f . � .�� QI#�lEs OR HIF�PF��t00� �" fBASEO OM � � . :�,48,� �fpt+11PPI�J ROC�R xrindowaj: Subtr�i#hMlf t�ie RQC)F TYP� , y�A�: , ; ����� � , die�r�bAtweea�e fop the }�e A jt�top of�.�yg� . • highest wiitdoW.a�d ighest `� . ' paAt vf p�e rca�f � �•�he h19hQs��qt of the' . `-. to4# . . -. I- " . • auotH�R R mti�s t�a� - e � �.t o ��r�ooF rns�s cn�r,' . �, - � �mar�sard,erc au�ractton._ ` " ' asa :� -�c°� � 3UBTRAC170N � $ub�tha . c��t�tean t1►s IkDD ION . Adtl th9 i�Ce befq�tl �� $lati. . . - .- � A , (BASED ON FX! NG" bat�enf/+cr space 1lbdii arid the � (�S�D DN' aNd ihe'high e�atii�9rade adlae�M to , highest ' n ' EXi�'T'ING the falr�da . , � GRAUES) Q 9rade adjacent to the GRi4flE,S . . founda " OR tD feet{wtdchever is l�ss). EQU Deflned bull Mg hc�ght . : � � EtaUALS d building heig ' '' _ .. �` � Sherel�r�d�i�� ' � �C�Pem�i�!4�cei�red �,v��a �L�k�sh� S�St�iac�C f�iet? �ft�fff Q Yes � Rio . � !V!� � Yes � No � `. � Y�s � o � Yes � No � �!/A E � Pereni�Number. , S tback: � � S�o �r�4ee Qe�atc �xi�4Fn� Peopo�� � �aeianc� Regc�Frec� C R� c�tp�d . j Q� rl� Di$��@�S°f�� �E�rdao�e� Has�d�o�r�e � : , ; . � Yes � No s � ho �` ' . � TYAe(S)= TYPe(S)� i _ ; Updated: January 2013 I . _ I v:lformslpian review checklist 2013.dorac I , _ . . . _ ' . _ _ _ _ �EAAI4�S(in-house): . . A1Q '-�-• .,• ,.. ;- .. � . - - � �� � � � ' . .. � ��es�6e�h� ed " . - �i� � - - � . , . : . . , . . ;. .. . � .- . ; : . . E�I�n Ftevsew ' � _ � : . . � . - � �� - . ' . s�v��ig�ti�n I�ee . _ . � . .' �� ����.,�l� ��'�`����i,� - � ��,; . � 4�ti�r�speci�y) � . �' ce foot� . �ar u� foa�ta e ' . X . � $ 8asement - 1'�fk�or • . . � . _ $ . . 2„d�, x � - � � ? . X � �J .. . : . . . . . Garag� . . . , E�t6�aate�!C��steutc�tot�1/�ius• '� �� .�'3��� ----�--� ': ', ti�n���e�tred � ."��'i����a#�tg Se�a�te t��� �aq�ii�id Sts�.Pern� ' � ��roi►e�Ir��ec. � � � � f�lwmbing - . • I� Gradinc�/�iHir�g, . • � W�f;' ;� - � SI�E = : �+ , t3 H�itile4v�r t�emovai �. ��lie�nical � � Fie,e,. .. . _ ,�'r° EleGtilCal �. � � i3 �epi� . , Ct. �oo�tmg � � 1Ma#er Cor�necti� ,F',re�,iaC� - ° �[ S�w�eanr,e�ism P �f-ed 1Alal!' ` . , � Q e ' - �,��,y � t3` l.�wn 1�iga�ion C3 Fc�ri�3�5ta��y �. . .. -I� FtadCtl Rt�cic Be�i . �J E)ther(speci�Y) , � . - ' �'3 Frar�ing� �` . : '. .. . : .. . � insWtation _ . � As-����v�y . _ . �F�t18� � � ' �, . _ , R�nr ' � VVI@t{atld B�ffet' � . - . .. 'C6 c?�h�r(specify) ; - . , . . , �� . . . . ... . - , - ;_ R�MiARI�S(in-house): . . , .. . ' .` '_ , : ,.. . . . . D�te Approv��� - . . . - 0261lP Revie�R.r: Reviewed �D�: . Access: , Existing: � YES � NO New: � YES � � NO - �fFIC��L R�i�fl�aR6C�-TO �E P�OT�D O�d PERR4�l1'At��1Nt'fIA��.E� � . Updated: January 2013 . . v:lformslplan ceview cheekNst 3013.docx CITY OF ORONO CALLED IN �� DqT� /� TIME V d INSPECTION NOTIC CHEDULED / " - PERMIT NO. -�l� co P ED ADDRESS 7� � OWNER TELEPHONE NO.` �S�7� CONTRACTOR L-- � DESCRIPTION - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO_�� ! c�., COMMENTS: ' �J o� � '_" � � � � � ����� �r ci��r� � j 0 � W 2 Q z `� T� � v W �— � W � J a � ❑WORKSATISFACI'ORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMP ARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFF CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR►MILLREfURN ❑CITATION ISSUED ❑STOP ORDER POS7ED.CALL INSPECTOR ❑INSPECTION REQWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerfContractor on site: Inspector. , � White Copyllnspector's File Canary CopylSite Notice