HomeMy WebLinkAbout2012-00678 - COO / finish interior 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 ofthe local jurisdiction
regulating building construction or use. For the following:
Building Address: 2670 KELLEY PKWY �' 2�`f
PIN: 33-118-23-12-0062 '
Legal Description: Stonebay Of Orono Condominium
Block 000 Lot 000
Zoning District:
Permit No: 2012-00678
Work Activity: Addn/Remodel/Repair
Construction Type: VN
Occupancy:
Occupant Load:
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 INFORMATION
For any police,fire ormedical 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 a/terations on your property or for construction of any garages,
deck,dockorotheraccessorystructure.
Special 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 nearlakeshore or
wetlands.
. �1
� �"� ��1�
Zonin�Administrator &City Engineer Date
�� ���� , �� ��
� ��� � �- ,�
Building Official Date
� � � CITY OF ORONO
2750 KELLEY PARKWAY * z 0 1 2 - 0 0 6 7 8 *
' � DATE ISS ED: 08/07/2012
' ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2670 KELLEY PKWY �z/�
PIN I : 33-118-23-12-0062
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
I : LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE � : RESIDENTIAL
CONSTRUCTION TYP : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 57,000.00
NOTE: SEPERATE PERMi TS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
FINISH INTERIOR-tJNIT#214
A LICANT pERMIT FEE SCHEDULE 734.25
GORDON JAMES CONS RUCTION PLAN REVIEW 477.26
5159 MAIN STREET E i STATE SURCHARGE VALUATION) 28.50
P.O.BOX 306 �
MAPLE PLAIN,MN 55359- TOTAL 1,240.01
(763)479-3117 I
Minnesota State License#:20531961
WNER
Citizens Independent Bank
5000 36TH ST W ,
ST LOUIS PARK,MN 55�16-
AGREEMENT AN SWORN STATEMENT
The work for which this pertnit i issued shall be performed according to
the approved plans and specifica ions,applicable City approvals,and the
State Building Code. This permi is for only the work described and does
not grant permission for addition or related work which requires sepazate
permits. All provisions of laws d ordinances goveming this type of work
shall be compied with whether o not specified herein.This permit will
expire and become null and void f construction authorized is not
commenced within 180 days of t e date of issuance,or if construction is
suspended for a period of 180 da s at any time after work has commenced.
The applicant is responsible for suring all required inspections are
request in conformance with th State Building Code.This permit may be
revok at any 'me r caus .
i i 2v�Z i l
pli t Permitee Si ature Date Issued y Si t ur e a e
SEP�IRATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
C ity of C3r�n�►
8uilcfing Permit App�icatic�n for fnte�rr�al V{/ark
(windows, daars, siding, re-roof, etc.)
Mailin ,a�ss: _ �/ -00�7
���,�7. PO 8ox 66 Permi#number.
l��l Q Crystal Bay,MN 55323-00&6 { t3ate ret�eived: �
� � Re�eived by:
+ i' �. StEeet t�dttress:
\�.� ' � `�' 215b KeNey Parhway Rlart reView#ee: � � " ;r_�
�`��st��p8�� Orono,MN 55;i56
" ` � Totai Fee: . � � (,/
Main: 552-2d9-46{10 Faz: 952-249-4616 v_,n�.tiv.ci.orono.mn.us . � � .,'
This appficafion form must tse c:vrRpleteti in full and ali rc�quired info�mation must be submittsd.
incompiete applica#ians wiN be return�d. (Please print)
GERtERAL INFORMATIaN:
Job Site Address: S`�p .�5, t� ,'� J� �"�
>
Will this he a Parad�ef Homes,Remodel�rs S owcase Hom r other Display H s? es No
►�yes,a speciet event,oam�eK is required wtth Potice Departnrent aRd Gty Counci(approvar 60 days prior:o!ha event. Shuttte Gus servi wftl tsr.
requved unless applicant��emonsirstes srifirrenf on-srte parking ts avaBaMe, lHon-�rermiKed avents w�7t na2 be ailoweo'.
C0�17RACTtJR/APPI.lGASN7`t1J~F�U—F�3MA'F1bN:/� �s. ..�.,,
Name: ��"lo�'ot4ri,_1GttMeS �-�C7Y����'GtfsllpY�
State License# ���+-� S c��� � Expiration Date: �.. � .. ( "�,�
Lead Certification Number: �} f}– E�iration Date:
(for work on hames that were constructed prior fo?978 �
Phane: (�'�,_ _ (ofGce} ��- Q'�"'?�, Z. (cet#)
Mailing Address: "�, � City ,C_ G.t� Z{P: C'l'"�,�"G!__
Cantact Person� Appiicant is; o kra Homeow�er �c�iea,e}
Emait and/or Fax: y,� _
PROPEfiTY OWNER tNFORMATION:
Pfaene: `�'"� �__�._����.�` �.�r*.�
__-- _ _--___
Phane(day): -L � �
Address: �Dbh W. 367'' S'�:"' c�iv����.ss� ��ICz«: �S �tlk___
Emai! and/or Fax '
_� ___ __ �
PR�.IECT INFQRMATION:
__ _-- — --
Type of i'roject: � Rny earth movemenf enay require
❑Door�s) ❑Remodel ❑Water Damage �CW�review 8 permits:
NAinnehaha Creek Watershed Oistrict(MCWD}
❑Windowjs) ❑Repair ❑Storm Qarnage 182tf2 Minnetonka Bivd
❑5iding ❑Restaration ❑Other:{speeify} �eephave�,MN 55391
Phane- 952-471-053�
[�Re-roof ❑Fire Damage Fax: 952�71-0682
www.m[ntiah�har�reek.oro
Overafl Project Descrtptian: ,,t' u ,.,�, '
��_._. _ ._._.. _ __ ...
F_stimat�d Ganstructton Valuation af Project{exciuding iand) � (,� '(�.,�?._'"
APPLICANT ACKPlUWLEDGEMEtVT:
Agrees to provida ai{information rsquired or requ�sted by the Building Departmen� �
i Certifies that the information supplie�d is trt�e and corred to ttte best of hisJher knowl�dge. The appliGant r'eC�gnizes that they
are sa�efy resperosiht�Far sutsm"rttirtg a comptete appllcatlon betng aware that upon failur�io do sa,the staff has t'►o altemative f
buf to reject it until it is complete;
� Soma or a1t of the inforrnation ti�a#you are askad ta prov�de an this�pficatirin is classified hy 5tata iew as either private or '
canfidentiat. Private data is information which gsnarally ca�not be given ta the public but can t�e given to the subject of the
data. Confidential data is infarmation which genera�ly cannot be g�ven tcy sither the public or tt,e sutsaec:t af the data. Our
purpose and intended ust of this information is to annually update a�r records and rECords of otheC gOverntnental agencies �
re uired b law. li ou refuse ta supply t i� rtnati n,tfia a lication may not be issued.
-
_ ,.'" �'7
Appliea�Ys 5ignatu�e: _ r �`�� �/�� Date: 7"�����c�
Last Upda[ed: 43-01-201 i �
• Pla� F�e�iew Checklist f�r New Structures J A ditions
` Address/PID/Legal: �.�Z � K��� ArL�c� �Z t y
Description of worl�: V n� , y .�
Septic re "iew by: N 1 l� Date ApprnvEd: :
Zr�ning re i�ew by: , �1 Date i4ppraued:
Buiiding r�eview by: ❑ate Approved: 7-Z - 20� Z_,
Grading c�vi�ew,by: N r 14 :Date Approv�d:
Zoning File#: Resolution#: ResolutiDn Date: ,
Zonin �i trict Fir�':De artment Post Office hool D" rict
Zoning: Lo�Area: SF/AC Ullidth: De ' ,:
Sunrey Sub' ' ed: l � Yes � Na Date of Survey:
Pra osed:Se�bac :
Front(Lake) , �Rear,�Sfireet) � °N � E `� ) � � S � � ,) Dthe Buildin s 1Netland
� Side ,Sitle
Building Defin�d H�ight: Building P�ak Height: #o Stories-0k?: 0 YES
� _ ._, ,
�FOR:iA BUILDING WITH AB�iS:EN1ENT".OR CRA SPAG.E: F4R A-BUI ING ON A SLAB FOUNII1si .I:ON:
START V�/I�H 3he distance:befinreen the'base erft�IoorL�crawl STAR ' the distance"betwee 'the slab and the highest
sp ce floor.and the highest roaf p k,the top of VVIT ' roof peak,#he`top of the cornice Af a#la#roof,
the�comice of a flat roof,:the deck lir� �f a the deck line af a m nsard raof,or�he
mahsard.roof,or the uppermost.pointo round uppermost point on >rountl or otherarch t�ipe
or: ther arch= . e:roof `' roof
SU:BTRACT hal the distance between:the highest:windo nd SUBTRACT ` half t�e dis#ance be een#he'highest wintlow
hi est roof eak of�a itched coof antl hi hest roof. e` ofa itcherl roof
SUBTRACT the distance between#he basement flqor/crawl ADD the distance'betwee ':the.slab.and:the highest
sp�ce floor sntl the highest existing gr�tle wi n existin � ratle within he foundation
the lfoundation or 10 feet,,whichever is'fess QU�LS Defined buildin hei ht
EQUALS De ned:build,in ,hei ht .
Lot Covsrage: F ''ti/o
5fiocel.and Di tric# M.C1WD�,e it Recei�ed- ;�v$ra e=La shore'Setback BI�ff,
`� Yes' � No G N/A ' O Yes 0 No
� Yes �7 No � Yes D No O N/A
P.ermit umber: etback;'
Harcicover��nnes - istin Proposed Uariance:Re uired CUP Re uired
D-75' , � Yes � No Yes . ❑ No
75-25D` TYpe{s): ' Typ` ):
250=500' '
�DO-1 0' .
�
}�EMAR 'jin-hous�);
Updated: 09/19/2009
. :z:lformslplan reuiew che�klis�rJoac
.
Fees to be Char ed 'YES :�10 .
.... . . ...
.::,, �a
r. _ .
,�..,
_ . . .<. . _ ._ ..... . .. _ :: . _ ...,
Pfan Review
_ . �r _�. .., . , .
� ,.,...,:
fnvestigation Fee � . 1 . � �
,,,�;� �
. ;:,M... _ , :r -._ .. ..., : .. . _ _
Sewer Connection
...
. , _t_: �._ ..
Park;Fee _ _
..
0ther,(specify)
_ ._.
;Calculated By;
S uare Foota e ' $: er uare F�oata e
Basement �C = �
1�Floor X = �
2na Floo� - X _ �
Garage X .� $
` Estimatetl Constrliction Value: � �"). D�0 "='
Orona tnspections Required allfork Req�iring Separate:Permits Requiretl State Permits
' � Site �P umbing � Gra�ing/Filiing fl VVeil
0 Hardcover Removai N1echanic�l 0 Fire �Elec#ricai
: � Faoting D Septic � Water Connection '
G 'Poured Wall p�Fireplace G Sewer Connection
� Four�dation Survey � asonry � iawn irrigation
� Ratlon Rock Bed �fg.
.n9 G t3ther�specify)
G 1:nsulation
.fl .As-Built Survey
Final >
� Other(specify)
REM;4RKS;(in-�ouse);
�#her RsvievY: Revieweti bY;" Date.�lpproved:
Access:Existing: ;� 1�ES D NO New: � YES � NO
F�EIHIARK�(Ta BE T�iOTED ON P�RNIIT 1#►AID INITI�iLLED BY PERS(�N PULLING PER11AtT)
Updated; 09/1'7/2009
z`lformslplan review checklist.doac