HomeMy WebLinkAbout2016-00070 - COO -addn/remodel/repair�
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 303
PIN: 33-118-23-12-0071 '
Legal Description: Stonebay Of Orono Condominium I
Block 000 Lot 000
Zoning District:
Permit No: 2016-00070
Work Activity: Addn/Remodel/Repair
Construction Type: V A j
Occupancy: R-2 '
Occupant Load: 8
Fire Sprinkler: Y
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/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 Ciry 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,or construction of any kind
within 75 feet of any lakeshore or within 26 feet of any wetlands.
2015 Minnesota Building Code
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
Ce � icate of Occu�ancy.
I • L�4 ' [J�� � .�J
Zonin�Admimstrator Date
� �� � �
m icia Date ,
t CITY OF ORONO �
* 20 16 - 0P1070 *
2750 KELLEY PARKWAY pA'rE ISSU�D: OU20/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY 303
PIN : 33-118-23-12-0071
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIV[TY : 434-RESIDENTIAL
VALUATION : $ 72,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE)
INTERIOR FINISH#303
APPLICANT PERMIT FEE SCHEDULE 889.28
GORDON JAMES CONSTRUCTION PLAN REVIEW 578.03
5159 MAIN STREET E STATE SURCHARGE(VALUATION) 36.00
P.O.BOX 306 TOTAL 1,503.31
MAPLE PLAIN,MN 55359- Payment(s)
(763)479-3117 CHECK 12712 1,503.31
Minnesota State License#: BUIL-20531961
OWNER
Citizens Independent Bank
5000 36TH ST W 303
ST LOUIS PARK,MN 55416-
AGREEMENT AND SWORN STATEMENT
The work for which this permit 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 Ihis 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 180 days a[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.
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!�( �/'`- D �l � � � �
pli ant Permitee Signature Date Issued Signature Date
.
G�ty of arono .
�uifding Per it Applicatlon for Maintenance / Renovation
windows, doors, sldin , re-roof, etc.)
MallingAddrsss: permitnumber: �l � 7�
�� PO Bnx 88
Q Q Cryslal Bay,MN 66323-0088 Dete reoeived: —/ � �
a,� , $� Street Address: Recetved by: �
`� 2760 Kaliey Pa►kway Plan revlew fee:
Orono,MN 66368
' Toial Fee: / 5� ,3 j
ain: 852-249-4B00 Fex: 952-248�QB16 �vtw�.cl.arono.mn.us ,/
hls applicatlon fo must be complated in full and ail required informatton must be submitted.
i compieto applloa�lans wiil be returned. (Please print)
QENERA!IN�pRMATION:
Job 5ite Add�ss: �.. � l�y�� 3 �x,° �°
Will thie ba a�Parade of Hames Remodelers Shawce��e ome or other Dieplay Wome7 es � �
lfyes a apec�al event pemrM Is roqu d Wkh Potfce Avp9tlrnent Rttd CI(y Coundf epprova/60 daya prior to the event ShuNlo bt+a aervlca w be
reqWred unlesa epp!!ca demonslretes aulflclent on�site perkingls�veTlable. Norrpertnff(ed eventa w1ll ttot 6a allowed.
GONTRAGTO�Fi/APPLtCANT i FORMATIpN:
Name: �- � O Yt.�G7�'O►�
3tate License# G, � Expiretlon Data:
Le�d Ceriiflcat�on Number. �� p Expirat(on Date:
forworkonl homesthAtwere n fruofad rlarto�8 8
Phone: . (office) 'U II)
Mailing Addfe�s: � .. v-L Zu o �nY: � . ��P:
Contact Pe�so�: Applicant is: a ot / Homeowner �arw. n•�
�meii and/or Fax; „_.� ve� c�,
PROPERTY O'AINER lNFORM ION: '
Name: ' y�� �'
Phone(day): as . �'�
Address: I 'b0 City: �.�o iuZIP:
Email and/or F�x
PROJECT IN ORMATION:
Typs of ProJect: Any eanh mova►nent may roqutre
❑poor(s) D R odel [�Ftte Damage MGWO review 14 permits;
Minnehahe�Creek Waterehed Dlstrlot(MC D)
❑Re-roat,espinalt ❑R elr ❑Siom►Oamage 18202 Minnatcnke BNd
❑Re-root,cede� ❑R torallon ❑Water Damege Deephaven,MN 68881
Phone: 852-471-0690
C]Ra-roof,other(speotry) p si Ing ❑Othar.(spealfy) Fax: 852-471-OBBa
�.m(nnshshacreek.oru
. . ❑ dow(s)
Overal)Pro eo Descri tlan: InJS , ,tO11��It 303 _
E$tlmated Canstruction Valu ion of Pro)aat exaludtng land S72�OU0 D�,�
APPLICANT CKNOWLED EMENT:
. �qrees l provide all Info Non raqulred or requeDted by the Buliding Dapadment;
. Certiflea�et ttte InfOfqt6fl SUpplled(S ttUe a11d CotfBCt to the b0st of hi6fier knowledge. 'fhe applicant recognizes t they
are solel responslble tor bmflting a complete appilcatlon baing aware ihat upon fatlure to do so,the steH 6as no slt rnadve
but to reJ ct h upUl(t Is eo lete;
• Some or a�l of ihe lofonn ion thet you erp eskod lo provide on this appticalton Is Classified by State law es e(lher pd Ate ar
c9n1[deni at� Private data e intorma8on whtch generaily cennot be given io the public but can be given lo ihe subje ot ihe
' data. C�nfldendai data I Infotmation whloh generapy oannot 6e given to elther ihe pubitc or the subjed of 1he dat . Our
purpose nd Intended us of thls infarmation Is to annualiy update our racords and recards oi other govammental a ndes
re uired law. If u ref e to 1 the fa aU the a IlcaUom m �ot be issued.
' 1/20/2016
ApplicanYs Sign�ture: oata:
Lpat Updaled: 08-09.2011 � � � /�
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Acltiress: i �y �
Permit Plo.:
Description cg ork: Date Rec'd•
Septtc review 6 :_ 7 �Cd` � ��,� Date roved:
AAp
--__
Zontng review y: Date Approvec�:
�
Buticlfng revtew by: Date Approvec�: � Z.0' `l�'
Grading review�y. Date Approved•
;
.
Zon'i�g District: Zoning FE1e#: Reso#: Re�o bate:
Zoning: Lot�re : SF/AC Width: Lot Coverage: SF
Survey Svbmit� : Q Yes C7 No Date o#SurveY� Revi d date 2 :
Lancisca�se plan submitted7 Q Yes [7 No Landscaper:
Pro osed Setb :
Frortt(Lake} Rear(S#reet) ( iV S E 4N ) { N S E W 3 ;Other�Buil ings YJetland
� 5ide Side
+;
�,�
DefFned Height: Peak Height: FFE: �'� FF�minus 6 feet;
—�-�— (Exis#i�g Con#c
Pecimeter(tinea feet3= 50°�- ;*�'j :L.f, below gratle
BasemeAt? G s a No, Sto�ies �....
�;
FOR A BUILDING TH I!BASfMENT OR C��4WL SPACE, t"` a FOR A BUILDING ON"A$LI�B Ft3UN�,,`I"li)N �-
The distance"6eiuir8en{h�t owest pfc Si�b anE or,aboirc.grada=, `
floor(ot the basement pr cr�rNspaEe)a" " � � � ��°
� ART WffH � � ` �a188s�froYn i �
� the higlies��t31rrt oE�roof. 9TAtti`WI'1`Fi" 9�L� �e�:fi hesi p�rrt crf the
r'�. roof everi fffilf iivas broughtin fe
1�you have a...° ,;i. . eleyatp home:
, ���
SUBTRACTII�N • GABLE O HIPPED FtOOF(no ' Slab#�loyir�rade m�sule .
ED O,N " wlndows�Sub�ra�t'lialf fha dts�ancs i m high�st existln9 Drade to the
F IYP�) beiweer�tlle highest,Ps'+ir�tbf t#►e rOof ` hf`h�� fr►t of the foM
to fhe I w pbint bF the eorr�5dnding �� 'If you 1�9ve�:. ,
gable�r hipped roof �' a Sli87RqCTfON ' �-E OR HIPPED ROQF
• GA�t-E OR HIPpED ROO�(w�th; j . (BAS�D ON (no win�i�svYs?. Subt�aact half
win�lwvs}: SubVact half the dGgtance ROOF'1'YpEy: ahe tlistance between the
' een the top of the highest' hi�hest poln4 of�he roof fo-
� v�dow end 1he highest pofM of the tfle lovir,potnt of�e
r�Of comesp�ndtng aable or
• ;All OTH�R ROOF TYPES(ltak ' . hipped roof ,
�mans�rd,etc):No Su.btractlon. ;i • ` GA�LE OR HIPPEb ROOF
B7RACTlON Su ct the distance between the I (with wihdows): Sub�ract
� ��� � ' Ma�f the diStanca between�
D ON menUcrewl space fbor end tl� } tfie bop of the highesi
TING h hest existing grade adJacerf�to 1he t wT�ddw and�e high�t
RADE5} ndaUdn OR 10 feet(whichever is less}. � p��{���
4 o ALL OTHER ROOF TYPES
QUALS b ned be8lding height f t�,mansard.etc]:No •
' , subtrAct(on. "
; befified buNding h�(phf
�I EQUALS
� L
Updated: Oetober20 5
z:\fortnslplan review ecklist 10-2015.docx
A��rag�Gakeshore Setback B6uff
Shoreland �3is�rict [�!liCt�tD Permit ��?
L� Yes Q No � N/A � Yes C!
Permit Number: No
� Yes C7 �Eo Setback:
CS N/A-see attached
Stormwater Quafity Exi�tin9 Proposed
Overlay District Tier Hardcover Hardcover Varfance Required CUP Required
circle one %and sf %and s
O Yes � No O Yes � No
1 2 3 4 5 TYPe(s): tYPe(S)�
Fees to be Char ed Y£S NO
Fem�i# _
Plan Revie�r
State Sut+�t�arge `
investigation Fee
SAG-Number of�A+C Uni�s
Other(specffy)
S uace Foota e $ er S aare Foota e
Basement X = $ '
9�Floor X - $
2^�Floor X _ $
Garage X = $
Estimated Constructian Valuec W �;..���
Orono Inspections Required Wark Requiring Separate, ermits ,
C] Footing � Site �C Plumbing � � �r�ding/Filling
� P o u r�d W a A Q S i l t F e n c e l�rosion Controi �Mechanical � fire
CI Foundation Surv�y � Martic4ver Rernoval Septic 13 l�Uater Cor�n��tion
� `Four�dat�on`Waterproofiiig fl Other(specify} C7'�FirEplace fl Sew�t.Gonn�ctifin
�'Framing _ � iNasor�ry fl Lawn Itri�atian
dnsul�tion � Mfg. � La�dscaping
� As-8uilt Survey . i] OthBr:(spe�ify)
Final
Required.�tate Pai'imi#s
� Lath�
:t] Other(specify)
. O Well _ Elec�rieal
REMARKS(in-housej:
OFF1CiAL REMARKS-TO BE NOT�D OI� RERMlT AND tNiTiALL�D:
� See Bu�t�er Acknowledgement Form
a Prior to release of escrow money an as-built survey and hardcover cakulations must be submitk�d and approved.
Updated:"October 2015
�•\fnrmcl�lan raviaw chonklicf 1f1.9f11S rFnrv
� � �'Z�� �U -�-c-�
DAT T�
ITY OF ORONO�j,y�_�7�CALLED IN '
INSPECTION NOT�E HEDULED ��� �
PERMIT NO. PLETED — �—� ��
ADDRESS a � �
OWNER EPHONE N0. 1S2-v?/S ���
CONTRACTOR �
�
�; DESCRIPTION � ��I��`��
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADO SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRA ING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
c�., COMMENTS•
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W O WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED � O SUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFOREC0IIERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RE7URN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in adv . (952) 249-4600
OwnerfContractor on site:
Inspector.
White Copyllnspector's Fil Canary CopylSite Notice