HomeMy WebLinkAbout2012-00681 - COO /finish interior City of Orono
CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of Section 1]0 of the
International Building Code certifying that at the time of issuance this structure
was in compliance with the various ordinances of the local jurisdiction
regulating building construction or use. For the following:
Building Address: 2670 KELLEY PKWY �Z�9
PIN: 33-1 l 8-23-12-0057
Legal Description: Stonebay Of Orono Condominium
Block 000 Lot 000
Zoning District:
Permit No: 2012-00681
Work Activity: Addn/Remodel /Repair
Construction Type: VN
Occupancy:
Occupant Load:
Fire Sprinkler: N
Applicant: Gordon James Construction
Applicant Address: S l 59 Main Street E
City, State,Zip: Maple Plain, MN 55359-
Owner Name: Citizens Independent Bank
Owner Address: 5000 36th St W
City, State,Zip: St Louis Park, MN 55416-
FOR YOUR INfORMATION
For any police,fire or medical emergency-Call:911 Posting of your assigned street number is required
In purchasing a new home,file for your homestead at the City offices.Register your address for voting, drivers
license and automobile regisfration. City water and sewer is bil/ed quarterly. Septic inspection fees are billed
annually. Permits are required for any additions or alterations on your property or for construction of any garages,
deck, dock or other accessory structure.
Specral regulations prohibit any excavation,filling,grading, dredging, tree removal, or construction of any kind
within 75 feet of any lakeshore or within 50 feet of any wetlands. Call City before working near lakeshore or
wetlands.
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Zonin�Administrator &City Engineer Date
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Buildi � fficial Date
` � � CITY OF ORONO
* 2 PJ 1 2 - 0 0 6 8 1 *
' 2750 KELLEY PARKWAY DATE ISS ED: 08/07/2012
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY �ZDq
PIN : 33-118-23-12-0057
LEGAL DESC !, : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE 'I : RESIDENTIAL
CONSTRUCTION TY1�E : ADDN/REMODEL/REPAIR
ACTNITY : 434-RESIDENTIAL
VALUATION : $ 90,000.00
NOTE: SEPERATE PERI�ITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
FINISH INTERIOR-UNIT#209
PLICANT pERMIT FEE SCHEDULE 981.75
GORDON JAMES CON TRUCTION PLAN REVIEW 638.14
5159 MAIN STREET E
P.O.BOX 306 STATE SURCHARGE(VALUATION) 45.00
MAPLE PLAIN,MN 55359- TOTAL 1,664.89
(763)479-3117
Minnesota State License�#:20531961
OWNER
Citizens Independent Ba�k
5000 36TH ST W I
ST LOUIS PARK,MN 95416-
AGREEMENT D SWORN STATEMENT
The work for which this perm t 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
permiu. All provisions of law�and ordinances goveming this type of work
shall be compied with whethef or not specified 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 f r assuring all required inspections aze
requested in conformance wit the State Building Code.This permit may be
revoke at any ti for ue e.
/ / l �- / /
plic ermitee Signat Date Issued By S' ture
PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
, Y
�ity of Qrono
Buiiding Permit �plication for In#erna{ Work
(windows, cloQrs, siding, re-roaf, etc.)
Mai�in Address:
r'----_"- 9 Perrnit nurnErer. "'�
+f�/'`�,0,�.� PQ Box 6fi
� # � Crysiai Bay,MtJ 55323-40fiEi Date received: ��l
�` ' �- Receiued b
�4.� .,� e.� Sfreet Addr�ss: y� �
���.� 4 ' . GC`'� 2750 KeUey parkw�y Pian r�YieW fee: /V�F�� "f�-z;: .;_
���H��'� Orono,MN 553�6
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�_ Totai Fce: � �.� r
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Main: 952-249-46tip Fax: 952-249-4616 vutivw.ci.�ono.mn.us � ' £
This application farm must be r.ompteted in full and aii reqwred informaiion rnusf be submiC
ea.
incompiete applicafeorts witt be retumed. (P/ease�rir�f)
GENERAL IMFORMATION; � ��� � � � �
Job Site Address:
Will this be a Parade ot Homes,Remodelers S owcase Hom r other Display H a? es Na
tf yes,e speciat event pem+it is required wXh Pdice UepartmerN snd GifV Councif ap�wvva}60 days prior to the event. S !e bu&sctivice svill Ge
required unfess applicrarN demonsUates sufftciertt orn.sile parking ts auaUable. Non-perrnitted events w'd!raot be a!(oweA.
CONTRACTOFt/A,QP�.ECAI+!'C t�tFORMATIt)l+t:
Name: �`1Q t'c�.t>t'�-�im e S ���Y'1�.c'�1�►r'�
State License# �O_�+��c��_ Expiratipn D�te: �.. (,.- ( 'Z,
Lead Certification Number_ � �.-. Expiration Date:
(tor work on homes that wrere constracbed priw to 7978 �
Phane: L,�'�s - - (office} ��. �'+� — �, (cel1)
Mailing Address: , . '3, City �;,� Zlf': �{'-��-t��
Contact Person: ' Applicant is: o tra� Homeawn�r �c�rtiao�e}r
_._._._._
Emaii andlor Fax: y� _
PROPERTY�WMER INFORMATION: �(�
Alame: �'"� 4�[�-�t_�_Yt��¢.�t'v�..rt' �(�'.i.v�.�
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Phone{day}: � �
Adar�ss: ��-,�`,t�___w • 3�`ri' S'f.' c�ty`��t.s__r��kziP: �S �El,b_-
Ernaii andtor Fax —
.
PR{}JEGT tNF+QRMA7fON:
_. _ � _ -- _ _.__ .--
Type of Projec� Any eacth movement may require
MeWD review 8�permits:
D Dnar(s� ❑Remodsl ❑Water Damage ���nehaha Creek Watershed DishiCT(MGW D)
[]WfnclowtsJ ❑Repair Q Storm Damagc t82t72 Minne#onka B(vd
❑Siding ❑Restaration ❑Other:(speCiiy} � �eePh�ven,MRt 55351
Phone: 862-471-059€�
❑Re-roof � ❑Fire Qamage Fax: 932�7'1-Q6$2
�i uvww.minnehahacreeic.arst
Ov�rall ProJect Descriptlon: �,.t,SL/ �';�ic� �{. ��r�' �r� �� - r � ���. -_
�etimat�d Const►uction Vatuation af Project�+�xciuding land} � �J t,�? �. _
APPLiCANT ACKNOWLEDGEMENT:
-- -�_ _.__._.
Rgrsees to pravide att infamatlon�equired or requested by the Building€3epartrnen�
� Cerlifies that the informakion suppfied is true and correct ta U�a best of hislher know{edge. 1"he applicank recognizes that they
are saie3y responsible for submining a complete appilcatfon being aware that upan failure to da so,the staf�has no aftemaCive �
but to re}ect it until rt is camplate;
� Same or ati af Use fnfarm�tion tt�at yau are asked to pravide on this appticatioR is ctassified by Stsfe taw as eiffrar private or
canfidential. Private data is informatian which genara{iy cannot be given ta the public but c:an be given to the subject of the
data. Gonfidential data is infcxmation whlch generally cannat be given to either the pubiic or the subject of tne data. Our
purpose and intended use of this infarrrration is to annually update our Fecords and records of other governmental sgencies
re uired taw. tf refuse t u pf�+th i�,f tian, .e_a�pticaFion may na[ha issued.
J--.. .. __...
Applicart's Signature_ �ls E�ate: '�- � ��C��
East t3pda4ed: G3-0t-2a1 i f
� II
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. ! Fees to be Char ed �ES �10
,�,: . ._ �.. . _. , ,�., �; ,.. ..`
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Plan Review
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� In�restigation Fee
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. n,� �!,ri _ .. ,
�_ . . � . _
' Sewer�onnection
, . .; ,_. . _ .. ,
.
� Park Fee
�, Otfaer(specifyj _
_.� ._�.„„ . _ _ , � :
' Calculated Byc - _
IS uare Foota e '$ er� uare Fnata e
Basemen# X = �
1 gt Fioor I X - �
2"d Floor � X _ �
Garage X = � '
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Estimatetl Constru�tion Ualue: � ei t�,d O J '�—
Orono inspectio�s Required �York i�egwiring:�Separate Permits Requi d State Permits
0 HIa dcaver Remd P�umbing � Grading/Filling ' � Well
vai ,�Mechanical � Fire � Elec#ric i
D Footing j � Sep#ic G VSlater�onnection
0 Poured Wall , ,�Fireplace G Sewer Connection
� Foundation Sur+�ey � asonry a Lawn lrrigation
O Ra�on Roak Bed� �Mfg.
:fl Fcarning � 0 Other Especify)
:� Ins�lation ,
`�3 As-6uilt Survey
Final
`.� OfMer(speci�r)
_
f�EMARKS {in-h�vse�:
i
�
'Ofiher R�eview; .Rsvi�ed.by, �at��►ppro�e�i: _
Access:Existing: 0 �ES Li N� New: � YES � �O
RSMAKKS (TO BE ,�OTED t�N PERMIT.�►Ia1D=11VIT1�►LLED BY PEF�SflN PULLIN��ER�fA1T)
>Updated: 09/1`1/2009
z:lformslpfan review chedcfi�t.docx
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Pian i��view Checkiist for New Structures / Ad�ii#ions •
Address/PID I Legal: Zb�� \C-e�I ✓� uv � ��
Description of uvork: CJ N1 T ��NIS H
Se°ptic review by: /��� Date Apprnved:
�oning review by: ��� Date Ap:pro�red:
Building re�iewby: Date Approved; 7-2 y� Zd/Z : :
�ratling review by: /��/'a- Date Approvetl:
Zoning File#: - Resolution#: Resolution Date:
Zonin District fire;De artment Post!O�ce Sch District
�oning: L ' rea; ' SF/AC ' U�lidth: epth:
Survey Subrnitted: Yes � No Date of Survey:
. Pro osed Setbacks:
Frant(Lake) Rear{Stre C � � E `� 1 � � S '� =�') Other B:uiltlings iNetland
Side Side
Building Definetl Height: uilding Peak Height: ' #of`Stories Ok?: � �'ES
�FOR�4 BUILDING WITH"14B�4SEMENT OR GRAWL SPACE: FO A BUILDING ON A SLAB FOUNQ�ITION:
START WI'�H the distance:between the'.basemer�t#loor/�c I TART ' the distance'between the slab antl�the highest:
space floor and the fiighest roaf Peak,the top o WITH ; , roof peak,the`top of the comice of a#lat roof,
the cornice of a flat roof,::the deck fine bf:a the deck line:af a mansard roof,.or`the
mansartl:roof,nr the uppermo�t.paint�n a round ' uppermostpoint on a rountl or other-arch�tyPe
or other:arch- e roof ' roof
SUBTRACT half the distance between:the highest�windo and TI�ACT - halfithe distance befinreen the"highest wintlow
hi hest roof eak�'F a itched:roof and hi hest roof eak Af a "itchecl roof
SUBTRACT the distance 6etween the:basement floo crawl ADD the distance`between`the.slab:and#he highest
space floor antl'the highest existing g tle within ` existin rade within the foundation
the'foundafion or 10 feet,wvhicheve is fess. -EQUALS Defined.buildin hei ht
EQUALS Dsfined buildin 'hei ht
Lot Coverage: SF : %
Sfiaretand District �YI. D Permit i�eceived �v�r e:Lakeshore:'S�t c-k BIuFf �
es � No O N/A :� Yes fl No
>� Yes `0 1Vo � Yes � No � N/A
ermit Number. etback:
Hard�over.��ne Existin Pro osed Variance Re uired C �Re uired
'0-75' 0 Y�s � No 0 �'es � No
75-25 TYPe(S)� ' TYPefs)�
25 -500' ,
00-1000'
F��MX#RKS,(in-house):
Updated: 09/11 t2009
z>\forms�plan review checklist.doc�c
DATE TIME v
CITY OF ORONO ���vCALLED IN
INSPECTION NOTI E SCHEDULED ��:.�..�'" �
PERMIT NO. !COMPLETED
ADDRESS �Z�/lfC �!�'�I C � e
OWNER �� TELEPHONE NO.
CONTRACTOR ������� N ����-S
�: DESCRIPTION �I N� � Cf�' J �d J
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANOS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ 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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� ❑WORK SATISFACTORY:PROCEED .�OJECT COMPLETE
W ❑CORRECT WORK&PROCEED , ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEM�Y
V BEFORECOVERING �MANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-4600
OwnerlContractor on site:
Inspector. ,,( � �
White Copyllnspector's File Canary CopylSite Notice