HomeMy WebLinkAbout2012-00680 - 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 of the local jurisdiction
regulating building construction or use. For the following:
Building Address: 2670 KELLEY PKWY �2��
PIN: 33-118-23-12-0067
Legal Description: Stonebay Of Orono Condominium
Block 000 Lot 000
Zoning District:
Permit No: 2012-00680
Work Activity: Addn/Remodel/ Repair
Construction Type: VN
Occupancy:
Occupant Load:
Fire Sprinkler: N
Applicant: Gardon 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, file for yourhomestead at the City offices.Registeryouraddress 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.
Specia/regulations prohibit any excavation,fi/ling,grading, dredging,tree removal,orconstruction of anykind
within 75 feet of any lakeshore or within 50 feet of any wet/ands. Call Crty before working near lakeshore or
wet/ands.
I
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ZoninQ Administrator & ity Engineer Date
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Buildinb-C�fficial Date
, �.. .:_, CITY OF ORONO * 2 0 2 - 0 0 6 8 0 *
2750 KELLEY PARKWAY DATE SSUED: 08/07/2012
' ORONO,MN 55356-
�� 952) 249-4600 FAX: (952)249-4616
ADDRESS : 2670 KELLEY PKWY �Zl9
PIN : 33-118-23-12-0067
LEGAL DESC : STONEBAY OF ORONO CONDOMINNM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYP : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY , : 434-RESIDENTIAL
VALUATION : $ 57,000.00
NOTE: SEPERATE F'ERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
FINISH INTERIOR-i,JNIT#219
APPLICANT pERMIT FEE SCHEDULE 734.25
GORDON JAMES ONSTRUCTION PLAN REVIEW 477.26
5159 MAIN STREE'�E
P.O.BOX 306 STATE SURCHARGE(VALUATION) 28.50
MAPLE PLAIN,MN 55359- TOTAL 1,240.01
(763)479-3117
Minnesota State License#:20531961
OWNER
Citizens Independent Bank
5000 36TH ST W
ST LOUIS PARK,MN 55416-
AGREEMEN AND SWORN STATEMENT
The work for which this ermit is issued shall be performed according to
the approved plans and s�ecifications,applicable City approvals,and the
State Building Code. Thi�permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with wt�ether or not specified herein.This permit will
expire and become null a�pd void if construction authorized is not ,
commenced within 180 d�ys 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 conformanca with the State Building Code.This permit may be
revoke at any ti e for we use.
� � �Z / /
lic Permitee Si n re Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
, ,��
Clty af Orona ,
Buildin� Permit App�ication for tnter�ral Work
{windows, doors, siding, re-roof, etc.}
—� Mailing Address_ �n /2_��
��,�,�. PO Box 66 P�mi#number. �W�1 �J
(� (!}� Crystai Bay,MN 55323-{7� Date received: ��7�//�
+1.�� �r•'" a, ( Street Address: Rr�eivec�by: ="�7—
� .�, G��'f 2750 KeNey Parkway � Rlan reyiew#�e: � 'r �;� �L',
�
Oron0.MN 55356
��`y?r�ra�,� _
- -- � Total Fea� � ,-� ��� . � / �
Main: 352-2d9-4&d6 Fax: 952-249-4616 www.ci.orono.mn.us
This appiicafion form must be campleted in fuit and ati required i�[�rmatian must be subrnitted.
1�camptete applicatians vuiil tse retumed. jPtease prrnt)
GENERAL INFOE7MATION: y� (i /' -t- n ( �_ J ^��
JAb Site Addrass: _�.(n�C� K-P..41� �ft.('�,�'TtL.A ( �t�►'�2.�U L'f?Yk.Cth �Y11 T 4.�,__�
Will this he a Parade mf Homes, Remodelers S owcase Hom r ather Dispiay Hoh►s7 �'�'es �Mo
JI yos,a sp�cie�avent permit;s mquind wt[h PoFice De�arhnerrt�r�d Gity Cour�J approvat 6Q days p�iar to tha evarti. Shutlt��$service wr(�be
rnqulred unless appJrcant dernorrstrates sertticient on�ite per�ring!s avai�841e. Nr�r+pemritfed events w�!nat be atlowc�d.
CdNFRACTfJR 1 APPUCANT!N-F-�{)^RMAT)QJd: -;� .�.
Name: �.'la�e�4�.JC.iVYR�� �S��'�WC.�L t¢�Y�
state�icense# ��s-���,�4 � Expiration Qate: �_ �.. � �„
Lead Certificatian Number: j`}�}�.. Expiration Date;
(for work on hames l�hat ryere coastructed prrar fo t978
Phane: �'2cl_ �(��_ (aifice3_ (�i 2" • 'g� "32..�4`� 1'��)
-----__
Mailing Address: . . � City .�+c ._�Gct✓ti 21P: ���-�-c�
__._.-- -- —
Contact Person: � Appiicant is: n tra r Homeowner �c��o�}
Emait and/or Fax:
PRQPERTY OWNER INFQRMATIQN: ,, _ _ � -(�
Narne: ��,,�y�,�t �t�r''.�.ir�.� __
�"�t,�^`�. �..h +a E'..�n.rt'
Phone(day): Z, +
aaarEss: c d�n �. 3 6��� c�ty�i���, zr�: ,�� �{1,l�
Email and/or Fax �
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PROJECT{NFCIRMATION:
— �_...--- -
Type of Project: prry Fart►r mewement may require
❑Door(s} �f2emodel ❑Water Darnage ���Q��ew 8 permits:
Minnehaha Creek Watershecf District(MCWD}
[�Window(s) � ❑R�pair ❑$torm Damage � 182021utinnetonka BNd
�Siding ' ❑Restaration ❑ather:(spectfy) � �1eeP�aven,MN 55391
� Phone' 952-471-0590
❑Re-roaf ❑Fire Qamage Fax: 952-•t71-d682
� wfww.mirtnehaha�reek.aro �
Qverali Project Description: , ' ,, p. '"
Estimated Gonstructfon Valuation af Project(exalading iattd) � ; `:--�-
APPLICaNT ACKMOWLEDGEMENT:
______ ____
Agrees to provids aii infomiatian required or requested by tha Building Departmen� �
, Certifies that the informatiari supplied is true and c�rrect to tt►e best af hisfher knowledge. 7he appltcant r�cognizes that ihey
are sotefy rnsponsible far sutrmitting a comptete appiicatlon be►ng aware�at upon faiture to do so,ttie staff has no aftemative
but to reject it unti!rt is compl�e;
� Some or a14 af trie informalion that you are askad to provide on this app�caUon is ctacsifisd by Stste taw as either private or
confidentiat. Private data is information which ganar�lfp cannot 4e given to the pubfic bui can 6e given to the subject of the
data. Confidentia{ data is information which generalry cannat be given to either the public or the suhject of the data, Our
purposP and intended use of tnis information is to annually update our records and reCords of othef gOVErnment2l agencies I
re uired b law. If you refuse su the ii ormation,the appttcation may not be isscied. (
ApplicanYs 5i nature: � �� � __ oate: �,,
9 t~' ����t �
E.asi Updated: 03-01-26i i
�.._.._._—_�_.�.
-1 ' �' R�an R�view Checkfist for New Sfiructures / dditi�ns
Address/RIC�/Legai: 26`7 J G� � r4,�-tLl,v � 21
I
Description of uvork: v 1��T N 1' -}
Septic review by: �v'�� Date Apprn�ed:
�onir�g re�iew by: ` /�. _ _ Date �,ppraared:
Buildpng review:by: I3ate Appra�ed: -2 -�0! Z :
�racl�ng review;by: �/d�- Date,Appro�ed;
Zoning File#: 'Resolution#: Resolu#ion Da e:
Zc�ni District firie De artment Post�fFice School strict
'.Zoning: L�o�'Area: SF I AC U!/itlth: , pth:
Sunrey Submi�ted: II Yes ' � No` D.ate of S�arvey;:'
Pro osed Se�t acks:
Fr�nt(Lak�e) Rear tr�eet) � "N; g��e '� � � � gide � �ther B ildin„gs �Ale�lanr!
Building Defined Height: Building PQak Height: #of Stories�k?: ,D YES
FOR A SUILDIN6 WITH ABASENIENT OR CRPtWL SPAC . F R A'BUILDING ON A SLAB FD NQA7ION:
START V�II�H the�listance between#he.basemertt floor rawl <'ST�RT ' the distance'b tvjreen'the slab antl-the highest
' ;space filoor.and'the highest rDaf peak,the,to ofi UUITH ' roof peak,the op of#he cornice of a flat coof, `
the comice of a flat roof,:the deck'line�f a ; the�eck line:o a mansard•roof,.or'the
-mansartl roof,orthe upperrnost point on a roun uppermost p�oi t on a round or otMer;arch type ;
or other arch- _ e<roof roof
SUBTRACT half the distance between'#he highest wi :and SUBTRACT half the distan befin�een#Fae highest.wintlow
hi hest roof eak of a itched r.00f and hi hest ro: f. eak 4f a itche�i roof
SUBTRACT } #he distance between the basement fl r/crawl :AD the distance b tween�fihe,slab antl.the highest
� space flDorantl the'highest exi5tin rade withrn exisfin ratle:: ithin�the foundatican`
�
the.foundation or:10 feet,�whiahe r is'less. 'E�UAL Defined buildi hei ht
EQUALS Defined'buildin :hei-ht .
Lat Coverage:, SF : �/o
5horelat�d District �ID�Permit Received a��r�er� exLakesho�re�:S ac '::HIufiF
' Yes � 'No 0 NlA n Yes, !0 No
fl Yes � No � �'es D No n N/
, P�ecmit�lu:mber. etbaek:
'Hartico� r:Znnes Existin Pro osed V�ariance Re uired 'C � Re uired
D-Z ' ❑ �'�s � No G Yes iG No ;
75-250' Type{s): YPefs):
250-. 0'
_ � -1000' '
F�E�IAR S jin.+house):
Updated: 09/11/2009
. z:lfonnslplan revie�ru checklist,dbcx
�• � �
Fees to be Char ed �'fS �VQ .
,: �
M1w _.. ,
. . . :. �. ._.. � .. • , . >:,. _
Pfan Review
. . ._ _� . : .. ,, �_
Investigation Fee
, ,H„�r. . �_ . �.. .: :�..
_ . . ... . _ . . .
Sewer�Connection
.
Park Fee
`Ofher(specif�i): ' �
_ . .
Galculated By;
S uare Fo�ta e ' '$ er' uare Foota
Basement �( _ �
1�Floor X = �
2"d FIOOr - � _ �
Garage �( ...�,_ _ �
Estima#etl.Constrliction Value: �� (�D 0 �'y`'
,
Orono:tnspections Required �llork Requiring;Separate:Per�its Required �tate P�rmits
� Site El'Plumbing L1 Grading/Fillin� ` � Well
0 Hardcover Removal .�Mechar�ical � Fire �El�c#rical
D Footing D Septic G 1Nater Connection
� Poured 1/Vall Fireplace G Sewer�onnection
� Fc�:unda�tion Survey ` � Masonry n Lawn Irrigation
'� Radon Roak B�ed �''Mfg.
� Framing L9 Other�specify)
0 lnsufation;
.� -Built:Survey
Final
� Ofher�speci�ji)
REMARKS �(in-h�use):
°iC3ther R�vieva►: Reviewec�by: Date Approyed:
Access:Existing: �`�'ES D N� New: � YES � NO
REMA#�K5 (Tt� BE N�TED ON PERMIT�11aID tNITIALLED 8Y PERSDN PULLIN� PERMIT)
Updated: D9/11/2009
z:lformslplan review checklist:docx
I � DATE TIME V
CI OF ORONO CALIED IN � Z
IN PECTION NOTICE SCHEDULED �
P RMIT NO. /Z���� COMP ED �
A DRESS � �
O NER TE PHO E NO. Sa- o�� �
CQNTRACTOR � �
� D�SCRIPTION ` � � a�9
� ❑ FIOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
y O FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
� ❑ �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ EMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ �EMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
� OW�IER/CONTRACTOR TO MEET YOU:�YES_N
� CQMMENTS: v � �
a �
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0
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0
W
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2
W
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� ❑I�JORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
W ❑ICORRECT WORK&PROCEED �6SUE CERTIFICATE OF OCCUPANCY
� ❑ICORRECT WORK,CALI FOR REINSPECTION TE R1�RY
� BEFORECOVERING _J PERMANENT $!Za/1?�
O CORREC7 UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETt1RN ❑CITATION ISSUED
�I,STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
' Cail for the next inspection 24 hours in advance. (952) 249-4600
OMrnedContractor on site:
Irrspector. � r� :
I White CopyllnspectoPs File Canary CopylSite Notice