HomeMy WebLinkAbout2014-00614 - COO / plumbing City of Orono
CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requireinents 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 218
PIN: 3 3-118-23-12-0066
Legal Description: Stonebay Of Orono Condominium ,
Block 000 Lot 000 '
Zoning District:
Permit No: 2014-00614
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 or medical emergency-Call:911 Posting of your assigned street number is required
In purchasing a new home, fi/e for your homestead at the City offices.Register your address for voting, drivers
license and automobile registration. City waterand seweris 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,orconstruction of any kind
within 75 feet of any lakeshore or within 26 feet of any wetlands.
Unit 218
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.
�
Zoning Ad inistrator Date �I
C1��v-►�--- ,' 2°� � Z���
u g, ic�a Date
�f
•• CITY OF ORONO * 2 0 1 4 0 fd 6 1 4 *
' ' 2750 KELLEY PARKWAY DATE ISS En: 06/19/2014
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY 218
PIN : 33-118-23-12-0066
LEGAL DESC ' : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR �
ACTIVITY i : 1 , �� ��+�'T'�-�
VALUATION ' : $ 52,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
A1�PLICANT PERMIT FEE SCHEDULE 696.75
GORDON JAMES CONSTRUCTION PLAN REVIEW 452.89
5159 MAIN STREET E STATE SURCHARGE(VALUATION) 26.00
P.O.BOX 306 TOTAL 1,175.64
MAPLE PLAIN,MN 55359- Payment(s)
(763)479-3117 CHECK 11371 1,175.64
Minnesota State License#: BUIL-20531961
OWNER
Citizens Independent Bank
5000 36TH ST W 218
ST LOUIS PARK,MN 55, 16-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specific tions,applicable Ciry approvals,and the
State Building Code. 'I'his pe�t is for only the work described and dces
not grant permission for additio al or related work which requires separate
permits. All provisions of laws 8nd ordinances governing this type of work
shall be compied with whether o�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 for Assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
,'� f,����%`� C��l�-ZdIY � �/� ,�
, pp' ant Permitee Signature Date Issu By Signature D te
I
Y .� s � W _I I _ /�
• ,
� Cit�r c�f Q►r+�n�► l� 37(
. Buil ing Permit Applica#�r�� far Maintenance / Renovatica
{windows, doars, siding, re-roaf, etc.)
�;;�0,�,� � MailiPO Box 66. Permit number. � /�
/a� ��� Crystal Bay,MN 55323-0066 Date received: d' ___�.____.
�� t a,�' SfreatAddress: Received by: �
� ti"'/� 2750 Kelley Parkway Plan review fee:
�.��sg�Q.��� Orana,MN 55356 �""
��_.__ Tofal Fee: _ y��� .5.(p J
Main: 3�2-249-4600 Fax: 952-2d9-4616 unr:w.ci.arona.mn.us ,
.
_._ _ . ,..___._.___ •
This a�plicatian form must be completed in full and all required inforrnation must be submitted.
tncompiete apptications wi16 be returned. (P/ease print)
GENERAL I�iFORM�ATtON; �
Jab Site Address: I 2.�. l.. � ----- -.._____ _ ._.�.�N-��
Wiil this be a Parac�e of tiames,Remodelers Sh€�wcase Home trr ather Display Home? ❑Yes Ncr
If yea,a special event permit is�qu+red with Polrce i�epattment and Ci1y Cou»cil approva160 days pnor t�tire evenf. Shuttfe bus s rtrice wi!/be
required pnloss apptisant demonstratos sofffci�nt on-site parking is evailable. Non-permrtted everrts wU!not be altowed.
CONTRACTOR/AF�PLiGA3�IT INF(}RMATIOW:
Name: �"-t4lMES Gc��.i $?YLt9G'i..�pa�!
State Licertse# � . l�}b l _ __�_.�.._ Expira#ion Da#e: _� 3/ ��s
Lead Certification N mber: Expiration Date:
(for work on home�that were ca�d prjor ta 1378
Phone: -�-• '"'?v r� (a�ce) (ceil)
� ......__.__.� _.�___.. . _ - -- ___ �.2-?�4�-�.��_—._
Mailing Address: �_�v;(L Zu e� C�ty. tP:
Contact Person: Applicant is: actol- / Nomeowner (Circie Orre}
Email and/or Fax: �.Z��n"�ac�,C��2'LZS7an1.�°--:���G5-_�� .� '��,_ " t Ov�-LZ���
PR�PERTY OWNEI,�INFORMATIOtd:
Name: ,,,�� . ..,� �' � �tf�.�E��=._ ���1�+^�....
.�-�."C:r'�_� �r�'��'�� _�:�!� ..���1�_�._._�?�'ril�C, _ _ _ _:.
Phone(day): �tSZ-915" 4gC��.____ .�
Address: �{3�3 �_'3�.�'�_ti—ST.E�S��c -- City:��". l.a�?.SS.r�t�z�'�iP:
Emai!andlor Fax �,t}���;y�2��;:,�,p��,yh p�J(d ,�j�n}d:�°'�� C.Ut�t _.
PROJ��T INFORM4AATIQN:
Type of Pro}ect: Any ear#h movement may r quire
❑Door(s) ❑ Remodel ❑Fire Damage �'�wD�eview&perm' :
Minnehaha Greek Watershetl[}is ct(MGWD)
❑Re-raof,asphalt ❑ Repair �Storm Damage 1$2D2 M}nnetan'ka t3tv
❑Re-roof,cedar ❑R��toration ❑Water Damage ��Phaven,MN 55391
Phane: �52-471-0590
❑Re-roof,o#her(spe�ify? ❑Siding ❑Other.(specify) Fax: 952-471-0682
' ❑Window(s) v,+wlv.rninnehahacreek.o
OverallProjectD�cription• �'„�'rV,�gt-��,�,nl,�y' 2[�i
Estimated Constru�tion Vaivatian af Pro�ec#(exciut�ing land) $�'�,�QC??p�=-
APPLICANT ACK OWLEDGEIUfENT.
• Agrees ta pro icJe alf information required or requested bythe Building Department,
• Certifies that he information supp{ied is true and correet to the best of histher know6edge. The appiica�t rec nizes tha#lhey
�r�solely res sible for submitti«g a compiete appiic�tion being aware that upon failure to do sq the staff h no aitemative
but to reject it,until it is complete;
+ Some or all o�the information that you are asked to provide on this application is ciassified by State law as ither private or
confidentiaL rivate data is information which �enerally cannnt be given to the public but can be given to th subject of the
data. Confrd ntia# data is informatian which generally cannot be given to either the public or tfie subject o the data. �ur
purpose and ntended use, of this information is tn annualfy u�ciate our rec,ords�nrl recards of other gouem ental agencies
re uired b la . ff refuse to i th ' fo ati the a�ptication may nai be issued.
Applicant's Signatur�: _ % , .. '`-�-� ------__...._ Date: _ � ��' 'Y_..___
r
;
Last Updated: 08-09-2011
���: ������ ������E�� ���. ��� ���������� � ��'������
�;c6dresslPer�nit I um6�r: t� 'l�L::(rC� Al�Y—lN A
D�scriptioc� of snr�rk: �jn�r'5�,+ �rr� r �-��
r
Sept�c re iew by: .�+/o'� D�te Approvett:_
Zoning re iew by: N�� �ate Approved•
Buiiding view bY� � Date Approved: -i'� �`�
, a .
Gracling view by: :�s i!3 Date Approvec�:
oning District: Zoning F�le#: Reso#:' It so Date:
Zot� : Lot Are�: SF/AC Widfih: Lot Cover'dg8: F _°/n
Sunrey ubrnitte : 0 Yes � No: Date of Suevey: evise ate ? :
Pro a�secf tbac s: :
Front(L�k�j Rear(Stceet) ( � S E � 1 E N S E iN ) Oth : Buifdi gs tRdetland
Side Sid�
De�ined Height: Peak Height: FPE:� FFE m' us 6#eet= _tExisting Contoui
.Perimeter�tinear eet)= 50°k= #a#St� e� -0k't �Y
�O.R A'BUILDiNG IM A BASEMENT OR CRIr► SPACE:
The distance tieiw , the io�+est : FOR BUILDING O�1 A:SLp6 FOUND TION:'
,�TART W proposed floor(of the r�e►�t occ►awl
space)and the,highest ' Of the roof. ' The istapcQ Detween the top of slab and
START WITH tye h hest "
� If yau have a.. :` . , P,��t of the roof;
• GABL�OR WIPPED RO (no �f Ya have a...
LE OR,HtPPED R�OF no
, windows):.Subtract half th'e:. ' `• , �
distance beiween the highes4 �nt . mnr8j; Su6tract haM the i�istanc
of the roof to ttie low point ot the ���h,ighest poiri#of the'roc
SUBTRAC7 ON corresponding gabie oF.hipped roo . ths IoW pcfnt pf.the cprrpspondin
(BASfD.ON ROOF : � _ SUBTRACTION' �ble or'1iiRpOd roaf `
, TMP�) �B4E OR HIPPED R�OF(with , {BASED ON . F B4E Q}t`;HIPP�D RQOF(witK.
� windoinrs): Subb�ac�t tialf the ROOF'TYPE) ntlows�, S�btra�haNlMe,distanc
M¢
` dfstabce be�e�i fhe top of tfi h'the top ofi the'f�i�f�e'st
' high�st wihdow ahd Ytie hig t ' i"ndow"Aiid tbe fiiglie&t pant of the
;Qoint ef the roof > �
. , fi . _, .
• ALL OTMER fiOOF �S(flat, '• lL O'fNER ROQF 1'YPES{flat, ;
` � msnsard;�etc).Nos Gtiqn. �, e�sard"ets osutifrac4on.� ;
� . , a�QtrioN. Ad a�star�betw�eh tne�op or�iau
Subttact the distance '�� n tt�� 9 � ►�9 9t�i�atitacent f+
StfBTRlt� N ���w_I spa .�oarand tMe ���`���� and e hi fl�e �ti
(BASED -}ON S71N� h" hest e�ti5tin �SfING fhe �d8tion ''
GRADEB � 9 9 e ac�jacerit to�lie �E�
foundation OR'1 et(whiChever iS less). AJ.S' i1 d butldit�g`heigM
� �, �E4lC1ALS� ��� � � � Defin�tJ bull ,g heig , . . � :. . � . � � ,. � � ��
, ,.,
� : <'.: . ; °
Sherel�nd D s#rict �ACWQ Permit Recei�ed A�reta ��.akesho etbac#�:Me < B�uff
` ' ��� � � � Yes � Ci No � �'i� .NIA ��� � - ` �� �E� Xes� �� � �D No
1� Yes � N t� Yes i] N� N/A
Permit Nurnber.', �etback: '
Stormwater ality isting Pro�osed Vari�nce Required C R uired
Overla �' tri 7ier ' Hardcever Hacdcover �t
G Yes ` Q No 0 17 No
TyPe(s); Ty e(s):
dated: January 2013
v:lforms�ptan 7eview ch 'st 2U13.doc�c
RE�diARKS (in-house):
F�es to be Cha ect ' YfS �O
�er�tit _
Plan Review
��t�rCha��
Investigation:Fee
:SAC—`N�r aPE SiAC Utt�
_ Other(spec fi+)
S uare foota e � r S uare Foota e
Basement
X - $
1°�Floor X $
2'�Floor '• X — $
Garage
X — �
Estimated Construction Vaiue: �. ��,
��v
Orono inspsctions Required
1Nork Requiring Separate Permits Required Sta�Penrtits
1'3'Si#e ,j�Piumbing CI Grading 1 Filiing � Weli
.�Mechanicai C1 Fire Electricai
C� Hardcover Remova( � Water Connection
p Footing Ca Septic
Fire lace I� Sewer Connection
.p. Poured Wa11 P p Lawn Irrigation
t1' Foundation Sunrey G Masonry
C7 Radon Rock Sed ,,�'Mf9•
a FTaming `� Other(specify)
D insulation
p �►s-Buitt Survey
,,P�Final
,D �111e#tand Buffer .
' L7 Other(Specify)
REMARKS (in-house):
Other Review: R�viewed by: . Date Approved:
` New: B YES t] NO
Access: Existing: 1� YES t7 NO
0fF{CIAL REfiIiARKS-T�BE NO'�E�C?N PERMtT AND fNiT1ALLED
Updated' January 2013
v:\fortns�plan review checklist 2013.doac
�� DATE TIME
' "I+ITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED . CL'
PERMIT NO. -��l y- C''�nl y COMPLEfED
ADDRESS =' ��i._ �CC " �l�
OWNER TELEPHONE NO. � 5
CONTRACTOR (`��Tc�l��l`a��
� DESCRIPTION �,L/�l/ � �r �� �� " '
�
ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/fILLING
� ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL p 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 ❑ SEP FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
W El ec. ��h�r - �- a c� �
�
o ,��- o ��.c . -� , ��
� �9ress ^ 0� rJ2rwt��s�i e�e�
° 6 r./vr � �o l Z` �i R� y� � �
Q /�G�/wt.'�` �t��L4��d1 � / '"�
2 �� /�e r►K c'�
� �- 0�l4 009.5'� ' �'��cc�� s v� d s� l�e�
� '
� G✓v,r� C�!ez`�t — aoiy -��5 y � �, rr��
� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE I
� ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUP'ANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING �pERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4���
OwnerfCor�tractor on site: ,/�01��
inspector. ��'�- �� - �
White Copylinspector's File Canary CopylSite Notice
�