HomeMy WebLinkAbout2016-01299 - COO / Interior finish City of Orono
CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of Section 110 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 207
PIN: 33-118-23-12-0055
Legal Description: Stonebay Of Orono Condominium
Block 000 Lot 000
Zoning District:
Permit No: 2016-01299
Work Activity: Addn/Remodel/Repair
Construction Type: V A
Occupancy: R-2
Occupant Load: 8
Fire Sprinkler: N
Applicant: Gordon James Construction
Applicant Address: 5159 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/NFORMAT/ON
For any police,fire or medica/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 registration. City water and sewer is billed 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.
Special regulations prohibit any excavation, filling,grading,dredging,tree removal,or construction of any kind
within 75 feet of any/akeshore or within 26 feet of any wetlands.
Please Note: The property owner is responsible for all Legal/Engineering charges resulting from this
project. Due to varying billing cycles,bills may be mailed up to 90 days after the issuance of this
Certificate of Occupancy.
�',��,�,��w �� �� � a� zo��
Zonmg Admm�strator Date
/ / �( �
i mg icia Date
°' CITY OF ORONO
. 2750 KELLEY PARKWAY * � � 1 6 - 0 1 2 9 9 *
DATE ISSUED: 10/18/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2670 KELLEY PKWY 207
PIN : 33-118-23-12-0055
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMTT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATIOI�i : $ 72,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
INTERIOR FINISH
APPLICANT PERMIT FEE SCHEDULE 889.28
PLAN REVIEW 578.03
GORDON JAMES CONSTRUCTION STATE SURCHARGE(VALUATION) 36.00
5159 MAIN STREET E TOTAL 1,503.31
P.O.BOX 306
MAPLE PLAIN,MN 55359- Payment(s)
(763)479-3117 CHECK 13254 1,503.31
Minnesota State License#:BUIL-20531961
OWNER
Citizens Independent Bank
5000 36TH ST W 207
ST LOUIS PARK,MN 55416-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 governing this type of work
shall be compied with whether 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 I SO 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. "
��/�- <0-��}�B� /�0 T`�ti � la i 1 �i l
pli nt Permitee Signature Date Issued Signature Date
f � -s
� . � c � ,�
,��,
�i�� a��rona .
�uild�n� Pnr it Appilc�ttan fo�r t�alntenanc�I�Renovation '
w(ndows dooi�s,alding�re-rdnf,�fc.
�0 MoUl�no��x s0� PermitnumUert �� — � �9/
� � Oryo141 Boy,MN BB923�tl000 Pale►Aoolvadt �— — /
81roe!/1dd/Pagt RaceWad uy:
� � �%�O l�olloy pallavay Plan tevlow tee; ��
o� orono,MN 963se . � �3
n,� ey�zao�aoo �x�ocz-2�a�a�s rataiF�A; /
'tlils appilcntlan lo must h��,ompIvtad n h+ll end all requlrad InCorme�lon muol o eubmitto ,
( aatnpt�ta prplloatlone w111 be rolumeq. (Please p�lnfJ
Q�N�RAL INFO�MATIQN' t�,
Jo�Bltaqddraea; '�.. �� � �Jnit� ��!�
WIII thls h9 a Parado ot oina emu u er� tiotN axa nm�or atlier ol�p ay omo? �IYe"a j'�N'�'u
1fya�,aapsclelovonlryn�mUfa�equ dlvUhF'ol/oopoUpr►mohtppOO1Woovndfopp rovel6odoyeprtorfuU�onvoph BhuNfobuaed/VI001VYlAA
roqulyddunfea9appNoah damopaNaloaa�f/hlantonaltoparMnel+nynNnbla,Nonra�mflfadoveiilswlnnofGonllotvaU
aoN7RAa7oa lAhPl.IOqNT 1 pqRMAfilpNi
Nama; �, �;�*Gt? S"r►�4.'.rt�'.OK!..�. �..
6late I.loahve 1{ �xp r� on p�ta;
l.oad coril�cqtton Num or. �►�. �kplr�tlon pato: �'r ""
(forwottr an hornoa fhAf woro� u riro o �aTr�b��
phone� � . ✓ � Q��G9� r C3��
Molling Addrosst � .. q o C ty; IP:
oonlaot persnn: Apr laant s; ao h omeowner to�r�a onej
�mnl�andlor rexc — ,.�.��,��, j
pftoP�RTYoWN�RINAonM fioN� '
Namn� �p��t�a�1 C..,'R1�r.@ZLC ,
, Phono(day)� � ,. .�'y-,�
Addraaa; ' b • � � Otty; ' ,�qt� auzlP:
�mall andlor Pax
p 4J&CTINPbfiMA f0 t
Typo at ro ev i Any oaR movoMon muy roqutra
p poat(e) (,7 it odol Q�I�c pnmoga McsWo review&permits;
Mfnnol�oha Crook Wsleraha�ple6tot(MoWp)
p Rareof�usptipl! CI R olr CI Alnrm ham�0a io2o2 Mtnneloni<o 8Nd
❑tte�tPot,cednr �I R lornllon CI Wele�pem9uA beep{iavpn,MN 65901
Phode:fl62•47i•068D
L"]Re�tout,nlitnr iopooltyl []81 It1y Q�Iflat:(opaolty) �ext ng2-07t-Q887.
GW �o�o� �wN/mip��nh�haeteek.ora
Ovnralipraloatpaaari�tl_o,n:,, F2�v'LSi�SS��'r+�l��`( �
� qmatad Qph�lYt OtIn) VAIt� ��n vtProloat(exa�uumn itinu� ���jL�•'=—�
pPI,IC r � NqW � � T�
• /y�ruaetpprovtdeall nto Ilontequtre�orroquoolodbylhoHuUdingqopartmenit
. �orUlloe Ihel tho Inlorntaq supppad Ig iruo and ooRoot to iha f,ost ot hleJnor knovdodgo. 'flio uppllaent recapntzes lhat ihoy
bre adaly rneponalblo to� bin110�tl a�mplatA appllcGllon belnp xWaro ltiat upon talwre to do ao,tho otaff heo no oflernaUvo
but to rolaot 11 unpl It i�eon lolat
. 8ome ar all of Iho(ntorm lon Umt you orp aokoJ lo provida an lhln oppltco0on la d�bMAO(1Y 81pt0(PW H9 uWtAY{1IIVM1lA Of
conllJenUal� F'+lvale Jele r IntonnuUon vfitah panorolty oonnol bo pIvon to lho p�ilo but Cen ba glVap(o Ihe rul�eot of lhe
' dple. Con�4onilal datn Intotmatlon vAiloh onprslly uannot be ptvon lo ol�hor 1he publlo nr Ihe aab)oot oF the dnis, Out
purpoao cnJ Inlvndad uc ot Ude informwllon�s to annuaUy un���A nur rocor�u and rocorde ot ullier gnvommentet ngenclon
�a i ed h la l. It ou e f I 1 t � e e I oai on ol Ue s u U,
' . AppllonnCe 8lpnntUre: antos ,_ �1 ���r�"�Gt�i.
, ' lnNUpdnlods oB�ooCt0lt � ��('i(//�0�`'1 C� ' �`�
i
�C���Z� �� �� � �
C.J
� N ,^ '� n vA
����/ �C����_l // / � ~ � ( 1
• v�
' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: � C l^ W4 ��� ( Permit No.:
Description of work: /-��1/jC�l2'C� f�i � t��I Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: � Date Approved: � �� �
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: � SF %
Survey Submitted: � Ye � No Date of Survey: Revised date ? :
Landscape plan submitted? Yes 0 No Landscaper:
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Heigh � FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 5 /o = � L.F. below grade
Basement? � Yes 0 No, St i s
�
FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance tween the lowe t proposed Slab at or above grade-
floor(of the sement or crawl s ace)and measure from hiqhest existinq
START W ITH the highest oint of the roof. ra ade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you h ve a._ �
SUBTRACTION • ABLE OR HIPPED ROOF(no� Slab below grade—measure
(BASED ON windows): Subtract half the distar�e from highest existing grade to the
ROOF TYPE) between the highest point of the rod( hi hest oint of the roof.
to the low point of the corresponding\ If you have a...
gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distance ROOF TYPE) the distance between the
between the top of the highest highest point of the roof to
window and the highest point of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRAC ION Subtract the distance between the half the distance between
(BASED N basemenUcrawl space floor and the the top of the highest
EXISTIN highest existing grade adjacent to the window and the highest
GRADE ) foundation OR 10 feet(whichever is less). point of the roof
. ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUAL Defined building height subtraction.
Defined building height
E(�IJALS
�
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
Shoreland District MCWD Permit Average Lakeshore Setback Bluff .
M et?
� Yes 0 No Permit Number: 0 Y�s � No 0 N/A � Ye No �
❑ N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % and sf % and sf
� Yes � No 0 Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Permit
Plan Review j/'
State Surcharge
Investigation Fee
SAC— Number of SAC Units �/'
Other(specify) f/—�
Square Footage $ per Square Footage
Basement X = $
1 St Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $ ��, �(��
o.�
Orono Inspections Required Work Requiring Separate Permits
❑ Footing ❑ Site Plumbing 0 Grading/Filling
❑ Poured Wall ❑ Silt Fence/Erosion Control Mechanical ❑ Fire
❑ Foundation Survey ❑ Hardcover Removal 0 Septic � Water Connection
❑ Foundation Waterproofing � Other(specify) � Fireplace ❑ Sewer Connection
Framing ❑ Masonry � Lawn Irrigation
Insulation �.; Mfg. 0 Landscaping
� As-Built Survey 0 Other(specify)
Final
� Lathe Required State Permits
0 Other(specify)
� Well Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
� Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: October 2015
�•\fnrmc\nlan ravic�ei rharlrlict 1(1_9(11 F rinrv
, . .,
.� ,
�
�
� �
� .1f•.� � -
� � '�
`�.� � � (�
� � v .^.
• �[ (_ ' � - .
� � �
- � � , � � �� , .
�- __ �� � �� � ' �
. . . ' . ��� ,-� � , .
r-�- � . ... . / _C�
NJ � � 1 �
� °� { �'' � '� �~� . ...
w: � ' � ; � �/ � ; .--
z '� - _ s' "w �
�} °� � �
�
� � ..._..__.
� � � ''�
Is..� � � - �
� p �
� � >� ? � � � ���
�' � ``� ._.i �v '� ' 7 . �os
�' � -' -- � - � .
, � ,�
D �
/. � � � i � �
, �„� � .
. ' � . � � __ � 1
. .. . �1
� � .
�, _ _. ._ _
. � � �
..� . ,_.. � ; .Q, _ . ,� 09 , �
� I �
� o ' �� � ; ,
o �. �`' ;� � ��' --�� �_, � � ) �
U o �",3�.�,` . � . - ; I � � - � a
� � �
o � -�. � - { . . ; i ' t%� , � � � -�
`w v � � � , • � �-_.-�.�-- I e �o
� �
a� � � � � � � C�
�v w � . —4..
�'c� sa. .°' �-' �. . . . . . - �
a� � m � �. � � �-
o � '� � . . ---, . �. � �
�. . O ��—� . . . , _ . _ �� " � � „ '�
. . . . � 0 ��
,
DATE TIME
CITY OF ORONO CALLED IN ��/
INSPECTION NQTICE �/���j SCHEDULED �l' �
PERMIT NO. ��d��' l CO P E
ADDRESS Z�7
OWNER EP ONE NO.�s� a�s a��
CONTRACTOR
� DESCRIPTION ,��-� �
LV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNFRICONTRACTOR TO MEET Y�OU:_TES_NO
� COMMEN7'�
4 "' I—�n, �
j � G.�r•
�O �,
� �'` �/q/ 4{' Q �
� �, T � � G. L�1C. - -P.. .2 .
W
Q �'�
� � ���f, +�/ �C�"►� �
� � .C1` o✓` — t�c�.o JI.
� �.,,
�
td1� ❑VMORK SATISFACTORY:PFiOCEED ECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ E CERTiF1CATE OF OCCUWINCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORIIRY
V BEFORE CdVERINf3 PERMANENT
❑CORRECT UNSAFE CONDITION WffHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
can ro���xt��:ti«,2a no�,�in aa�►a�e. (952) '�249-4600
OwnarlContraator ske:
Inspector: ����.
Whlte CopYAnspecto►'s Fib Canary CopylSit�Noda