HomeMy WebLinkAbout2013-00268 - interior finish � � CITY OF ORONO �0 1 3 - 0 PJ 2 6 S *
2750 KELLEY PARKWAY DATE ISSUED: 04/29/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY �'ZD
PIN : 33-118-23-12-0052
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 REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE)
INTERIOR FINISH UNIT#204
APPLICANT pERMIT FEE SCHEDULE 696.75
GORDON JAMES CONSTRUCTION PLAN REVIEW 452.89
5159 MAIN STREET E
P.O. BOX 306 STATE SURCHARGE(VALUATION) 26.00
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 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 goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction au[horized 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
request in conformance with the S ate Building Code.This permit may be
revo at any tim due �
% rl� L�� �� � � �-z�� �
plica ermitee Signature Date Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� �-, � i
City of t}rono
; Building Rerm�t Appl[cetion fcfr Maintenance / �ienovat�o
windows, door�s, sidin�, re-roof, etc.
���y MairRO B�ox 66� Permit number. ��
J O i �Ya� G►Yysta�BeY.MN 55323-0068 t)ate received: �/
�i'� �,i1 sveer aadrgss: Ftece;ved by:
:g�^U Orcu�o,MIN 5356 y �ew fee: ---
� Adein: 962-249-d800 Fa�c: 952-249-4616 w�nu_ci.orana.mn.us � � �` �r� �
c
This appiicatian form rnust be com�eked in full and aN required information must be s —�
GENERY#L tNFORMAi1�N: tncomple�appllcations wili!�e�etumed. (Pleese pdnt)
.fob S#�Adctr�,a: �..�.���1-1-'g`� P��.Kta1�A`aC.— ..[1�37 !�Y
�It thi8 ba e Para�of#iames,Remo�feleia Showcase tfome airather Disp�iay i�lame7 Yes No
!f yoaJ e apeWal6vaM pemrlf!s raqudred wiYh Adke 4�artmer�and City Counc�approvel BO daya prnx to the evar� Shultlb twa a+b be
� ,eQwroa uMass epplrcanr demorrsastes auntcient ar-s�te parkirrg fs ava�abAe. IYa,-pam,i�ed ev�nrs wiu nor be aun
COIdTWACTQit/�4!'PUGAN7'IMFORMATI�i:
Nsme: � #Wt +.t TYLcaC'�"�/
State�ense# ��,ier��Q�, { Expira�on Date:
Lead C�rtifica�on Nurnber: ��� � Expiration Date: �
(far wark on homes tl►at wm�e cotr�tructsd pNor to 1978
Phane:' .._ � (affrce) �.- 1 - '� (ceN)
MaNing�Address: 2-Sv��. Zc�o CitY: P:
Contac�Person: , : Applicarrt is: acto Hvmeowner �c�.a,.�
Emai!ajnd/ar Fax: ,,.,,�- � . � p r>
PROP�RTY OWNER INFOl26/ATiON:
Name:, t� r�Y7 # -r� a�v
Phone�daYa� �t 52-R t 5- "}-
AddtesS: ,S�3Q City:�T.l.o� �.r�ZIP:
Emaii�ndtor Fax �q -
RROJI CT INFORMAl7QN: '
TYPQ P��t: Mp earth mavelmart �eQuiro
❑Do�(s? ❑t2emodel #,]F'�8 Damage MCWD�N$
mm��snane c.�w�a �� cn�c�r)
❑Re-�pof,asPhait �Repair ❑S4orm Damage 182U211+�nnetatka
❑Re-�oof,cedar ❑F2estoration �Wate►Damage ��Pf'�g�+,MN 4
Phone: 952-471-QS
❑F2e-#oof,oth�4�PeG►fY) ❑Sidin9 Q f�her.(spsWfY) Fau: 952-+tTt-068
�����$} www.minneh�s
t?�reraii Projact Description: f',�rV.;3N VJV2? 2oY --
—__,_ � _._ _
Estim�tcd Canstruction YaJuation of Praject(excludtng land) 2 C90a,=-' -
_ _ /�
ARPUCAIdT ACKNOYVLE�C'+EMEN7:
• ! �r�s to provtde all irdormaUon ree�eined�requested tryUie BWiding 13eVartrne�
• � Certifies that the infortnstion suppiieti is We and corteect to the best of his/het knowledge. The applitsar�t nize.s M�at they
! �e saiely responsibte fctr submilting a corr►piete a�lication beiag aware thai upnn failure to da so,fhe has no akemative
! txli t0 rejBCt it ut�til it b Complete:
• � 3ome or etI of the it�fottnatiart thet you aro asked to provide an tlris appiicatlon is dassified by S#ete law either private or
canfidential. Private de�is irTform�tton which generaily cannot be give►r tc the public but can be ghttn �e sutaject of the
� c�ta. CoMidertfi8l data is inf�m8#iaR whiCh generaCly cannot be g'rven to ei�her the pubNc or the subj of the dafa. �r
purpose�nd intencSed use of i11is k�formatlon is to annuaily update vur records snd rec:wds ot�her g ent�agencies
ired law. u.reft�e ' Qte kat�n rr�a not be i�ued.
�pu�rs s���,�: o�: � `/ 9 Z,a�3
►.as�uqea�: os-os-zo„
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., —. �
�LAI� REVIEW CHECKLIST FOR NEW STRUCTURES / A DITIONS
Address/Permit Number: Zb�0 �G C.LI.L,�( t��4��G W l4 # Zo
Description of wark: I F�MSH
Septic review by: AI�A Date Approved:
Zoning reWiew by: ld 1 Date Approved:
i
Buiiding r�view by: Date Approved: - 2`!- Zo�
Grading re{view by: A/��4 Date Approved:
ning District: ' Zoning File#: Reso#: R Date:
Zonin • Lot Area:�SF/AC Width: Lot Coverage: SF _%
Survey S mitted:� 0 Yes 0 No Date of Survey: Revised d te ? :
Pro osed Se acks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E Other Building Wetiand
Side Side
Defned Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet)= 50%_ #of Stories Ok? 0 YES
FOR A BUILDING WITH lA BASEMENT OR WL SPACE:
The distance b een the lowest FOR A BUILDING DN A SLAB FOUNDATI N:
START WITH ! proposed floor(o e basement or c I
space)and the high t point of the of. The distan between the top of slab and
START WITH the highes point of the roof.
If you have a... If you hav a...
� . GABLE OR HIPPED 0�5F(no . GAB E OR HIPPED ROOF(no
� windows): Subtract he e wind ws): Subtract half the distance
distance between th igh t point betw n the highest point of the roof
� of the roof to the lo point o e to th low poirit of the corresponding
SUBTRACTION corresponding g le or hipped of SUBTRACTION gabl or hipped roof
(BASED ON ROOF . GABLE OR H PED ROOF(with\ (BASED ON . GAB E OR HIPPED ROOF(with
TYPE) ; windows): btract haif the � ROOF TYPE) wind ws): Subtract half the distance
distance tween the top of the betw n the top of the highest
� highest ndow and the highest wind and the highest point of the
point tfie roof . ALL THER ROOF TYPES(flat,
• AL OTHERROOF TYPES(flat, man rd,etc:No subtraction.
nsard,etc):No subtraction. ,� ADDITION Add the dis nce beriveen the top of siab
SUBTRACTION�, Su ct the distance between the (BASED ON and the hig est e�sting grade adjacent to
(BASED ON EXISTING emenUcrawl space Aoor and the EXISTING the foundati n.
GRADES) i �ghest existing grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQUALS Defined bu ding height
EQUALS Defined buflding height
Shoreland ' t I'ct MCWD Permit Received Avera e Lakeshore back Met? Biuff
0 Yes � No � N/A Yes 0 No
0 Yes 0 ',No 0 Yes 0 No /A
� Permit Number: etback:
\
Sto water Quali Existing Proposed Variance Required CUP uired
Ov la District Ti r Hardco�er Hardcover
� � 0 Yes � ��0 No 0 s� � �No
Type(s): Type(s):
�.
Updated: January 2013 �,
v:\forms\plan review checklist 2013.docx
�,_�� I
REMARKS (in-house):
Fees to be Cha ed � �.-� �E3��' ,.,..��...�i�;�•, . �_;.
z�k� .. �r , �
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�� ' � . .;. ,a,E_ � _ � .���. . .,
rt�.%S&i. > . <�.>e . . ... .._ _, . , ae
Plan Review
. _ .
Investigation Fee
� �. __. .
Other(specity)
S uare Foota e $ er S uare Foota e
Basement X = $
18t Floor X = $
2"�Floor X = $
Garage X = $
Estimated Construction Value: $ S2.lX�O�
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site ,�Plumbing 0 Grading/Fiiling � Well
� Hardcover Removal Mechanical 0 Fire ,0��lectrical
O Footing � Septic 0 Water Connection
� Poured Wall � Fireplace � Sewer Connection
� Foundation Survey G Masonry � Lawn Irrigation
O Radon Rock Bed � Mfg. � -
0 Framing � Other(specify)
G insulation
� As-Built Survey
Final
� Wetland Buffer
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: � YES 0 NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2013
v:\forms�plan review checklist 2013.docx
</L/� T TIME �
CITY ONO CALLED IN � �
INSPECTION NQ TICE HEDULED !f— ��
PERMIT NO. �Y 3'"�� C PLETED
ADDRESS ���D
OWNER T EPHONE N �a/S a71�-�
CONTRACTOR �G
r
�; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ��/`PR►OJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED �f93t1E CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION � �TEI�CypRARY
� BEFORECOVERING +/ pERMANENT
❑CdRRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector.��� � �
White Copyllnspector's File Canary Copy/Site Notice