HomeMy WebLinkAbout2015-01394 - finish condo unit ' � CITY OF ORONO * Z 0 1 5 - 0 1 3 9 4 *
2750 KELLEY PARKWAY DATE ISSUED: 1UO3/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY 205
PIN : 33-118-23-12-0053
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 : $ 65,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE)
FINISH CONDO UNIT#205
APPLICANT PERMIT FEE SCHEDULE 834.04
PLAN REVIEW 542.13
GORDON JAMES CONSTRUCTION STATE SURCHARGE(VALUATION) 32.50
5159 MAIN STREET E
P.O.BOX 306 TOTAL 1,408.67
MAPLE PLAIN,MN 55359- Payment(s)
(763)479-3117 CHECK 12547 1,408.67
Minnesota State License#: BUIL-20531961
OWNER
Citizens Independent Bank
5000 36TH ST W 205
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 Ciry 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 conswction 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
revoked at any time for due cause.
�'3'�� r� � � / l� � �1-S
pli ant Permite ' nature Date Issued Signature Date
�
�� � ��.,�`j
� ��,
City of �rono .
Building Per it Appiication for Maintenance / Renovation
windows, doors, siding, re-roof, etc.)
O�O� Malling Addrass: permlt number: �` a/ �
PO Box 66
Q Crysta�Bay,MN b5323-0066 Date recelved: Q— �
� i.�� SYreet Address: Recefved by:
�� 2750 Keliey Parkway Plan revlew fee:
�rc��o¢� Orono,MN 55356
Total Fee: � ����7
Main: 952-249-4600 FaX: 952-249-461& �vtv��,cl.orono.mn.us, /
This applicatlon fo must be completed In full and all required infonnation must e s mitted.
I complete applicatlons will be returned. (Please print) �.-f�( � .
GENERA!INFpRMATIQN:
Jo6 51te qddress: '2 v5
Will this be a Parade of Hames Remodelers Showcase Home or other D(splay Home? Yes �No
If yes,a spaclal event pennM is requ d wlih Pofke Qepartmerrt end Clty Coundl epprove160 days pdor lo the event. ShuUle 6us aervke will ba
required unless epp!/ce demonsfretes sulpctent on-site parkMg/s availeble. Non-permltted events will not be allowed.
CONTRACTOR/APPLICANT I FORMATION:
Name: �"�y�v{� �O►J S YLt�G�O�
State License# L, y ( Expiration Data:
Lead Cert'rfication Number. ��. Expiration Date:
(for work on homes that were n f�ed p�lor to 9978
Phone: .�3�f (office) 5�. � _Z (cell)
Mailing Address: Z..$v')L Zu o CnY: � �ZIP:
Contact Person: Appiicant is: o ac ot / Homeowner �circie one}
Email and/or Fax; ,��-- � ��� t �
PROPERTY OWNER INFORM ION:
Name: inJ ip�(ip�r�Y�r�-N� '[�W I�
Phone(day): -r$ _ ��
Address: Sb0 -� City:�T.t,D� tuZIP:
Email and/or Fax
PROJECT INFORMATION:
7ype of Project: Any earth movement may require
�Ooor(s) ❑R odel ❑Fire Damage MCWD review 8�permits:
Minnehaha Creek Watershed District(MGWD)
❑Re-roaf,espha(t ❑R alr ❑Storm Damege 18202 Mtnnatonka BNd
❑Re-roof,eedar ❑R toration ❑Water Damage Deephaven,MN 55391
Phone: 952-47i-0590
❑Re-roof,other(specify) ❑SI ing ❑Other:(specffy) Fax: 952-471-0682
❑ dow(s)
evw+N.minn ehahacreek.or4
Overall Project Descri tion: ��N "'
Estimated Construction Valu ion af Project(exaluding land) $ ;. ��, �—
APPLICANT ACKNOWLED EMENT:
• Agrees to provide all tnfa tion required or requested by the Buildtng Department;
. Certifies that the informafl SUpplied(5 tlUe ettd CorfeCt to the best of his/lier knowledge. The applicant recognizes that they
are solely responsibte for bmitting a complete appllcalion being aware that upon fallure to do sa,the staft has no aiternaUve
but to reject ft unUl ft Is co Iete;
• Svme or ail of the(nform ion that you ere asked to provide on this appl[caUon Is classfied by State(aw as e(ther private or
conftdentfal. Prlvata data s InfonnaUon which generally cannot ba g3ven to the public but can be given to the subJect of the
' data. ConfldenUai data I infotmation wh(ch generally cannot be given to either the public or the subject of ihe data. Our
purpose and intended us of lhls intormation is to annually update our records and records of other govemmental agencies
re ufred b law. If ou ref e to I th fo ati the a lication ma not be(ssued.
i
ApplicanYs Signature_ Date: _�/�/S'
LflstUpdaled: 08-O8-2Qii ��
�',
PLAN R�VIEW CHECKLIST FOR NEW STRUCTURES / ADD TIONS
Address: 2 � v� Gv� "Permit No.:
Description of work: ` r v1 r 5 rt �p rit, Q p Date Rec'd:
Septic review I�y: v� �[D� CL� Date Approved: �
Zoning review',by: Date Approved:
Building review by: Date Approved: l4� ✓ZD
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso D te:
Zoning: Lot Area: j SF/AC Width: Lot Coverage: �SF %
Survey Submitted: ',� Yes 0 No Date of Survey: evised date ? :
Pro osed Setbacks: ,
Front(Lake) Rear(Street) ( N S E W ) ( N S E Other Buildings Wetland
Side Side
Defined Height: Peak H�ight: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) 50D/o= L.F. below grade #of Stories
FOR A BUILDING WITH A B SEMENT OR CRAWL S�t4CE: FOR A BUILDING ON A SLAB FOUNDATION: �
The distance between e lowest propos The distanc between the top of
START WIfiH floor(of the basement o�crawl space) d START WITH slab and the highest point of the
the highest point of the ropf. roof.
If you have a... If you have ...
• GABL OR HIPPED ROOF
• GABLE OR HIPPED 00 (no (no wi dows): Subtract half
windows): Subtract ha t e distance the dis nce between the
� between the highest poi t of the roof highes point of the roof to
I to the low point of the i�esponding the lo point of the
SUBTRACTION gable or hipped roof �\ corres nding gable or
(BASED ON . GABLE OR HIPP ROOF(with SUBTRACTION hipped roof
ROOF TYPE) windows): Subtr t half the�tance (BASED ON . GABL OR HIPPED ROOF
between the to of the highe t ROOF TYPE) (with w ndows): Subtract
window and t highest point f the half th distance between
roof \ the top of the highest
windo and the highest
�, • ALL OTH ROOF TYPES(flat� point o the roof
mansard,�tc):No subtraction. \ . ALL O HER ROOF NPES
SUBTRAC ION Subtract the istance between the (flat,m nsard,etc):No
(BASED O basemenUc�fawl space floor and the ` subtra 'on.
EXISTING highest existing grade adjacent to the \ ADDITION Add the dist ce between the top
GRADES) foundatio�f OR 10 feet(whichever is less). '� (BASED ON of slab and t e highest existing
EQUALS Define building height � EXISTING grade adjace t to the foundation.
GRADES
% � EQUALS Defined buil ing height
A erage Lakeshore Setback
Shoreland District I MCWD Permit Met? luff
0 Yes � No Permit Number: � �s 0 No 0 N/A 0 Yes � No
0 N/A—see attached �` Setback:
Stormwater Quality E isting Hardcover Proposed \
Overlay District (%and sfl Hardcover Variance�Required CUP equired
Tier circle one %and s
� Yes �'fl No � Yes 0 No
1 2 3 4 5 ' Type(s): Type(s):
Updated: January 2015
z:\forms\plan review checklist�015.docx
REMARKS (in-house):
Fees to be Char ed YES NO
:Permit
Plan Review i/"
S�ate Surc#�arge
nv.._..
Investigation Fee
SAC-Nwmber of SAC Units:
Other(specify) 4
S uare Foota e $per S uare Foota e
Basement X = $
1 S�Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ �7� Q��D
Orono Inspections Required Work Requiring Separate Permits Required State Permits
0 Site Plumbing 0 Grading/ Filling � Well
0 Silt Fence/ Erosion Control � Mechanical 0 Fire Electrical
� Hardcover Removal 0 eptic � Water Connection
� Footing ireplace ,��rtva� � Sewer Connection
0 Poured Wall Masonry �2 � Lawn Irrigation
� Foundation Survey � Mfg. � Landscaping
� Foundation Waterproofing 0 Other(specify)
� Radon Rock Bed
� Framing
� Insulation
0 As-Built Survey
Final
0 Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: 0 YES 0 NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2015
z:\forms\plan review checklist 2015.docx
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CITY OF OR NO CALLED IN � �
INSPECTIOI$1 NOTICE � CHEDULED �,,L S'/S .�
PERMIT NO.�'�s -31��OMPLETED
ADDRESS � 7� � —
OWNER LE HONE NO. ' 's��7
CONTRACTbR '
� DESCRIPTIQN
4~j ❑ FOOTING � ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WAL� ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION iUVATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB i ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FR ING i ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ SULATION I ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J FINAL I ❑ WATER HOOK-UP ❑ FOLLOW-UP
BUILT-SUf�VEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE i ❑ SEPTIC INSTALL
2 OWNERICONTANCTOR TO MEET YOU:_YES_NO
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W ❑WORK SATISFAQTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORIQ&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORI�,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
O CORRECTUNSA�ECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR 1NFLL REfURN
O STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call ror�ithe next inspection 24 hours in advance. 9� 249-4600
OwneNContrac�or on site:
Inspector:
VYhite�Copyllnapector's File Canary CopylSke Notke