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HomeMy WebLinkAbout2012-00376 - COO -addn/remodel/repair City of Orono j 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 i was in compliance with the various ordinances of the local jurisdiction � regulating building construction or use. For the following: I Building Address: 2670 KELLEY PKWY �3� PIN: 33-1]8-23-12-0074 � Legal Description: Stonebay Of Orono Condominium � Block 000 Lot 000 Zoning District: , Permit No: 2012-00376 ; Work Activity: Addn/Remodel/Repair � Construction Type: VN � Occupancy: Occupant Load: Fire Sprinkler: N ' Applicant: Gordon James Construction i 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 VOUR INFORMATION For any police,fire or medical emergency-Call:9f 1 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, dockorotheraccessorystructure. � Special regulations prohibit any excavation, filling,grading,dredging,tree removal, or construction of any kind i within 75 feet of any lakeshore or within 50 feet of any wetlands. Call City before workrng near/akeshore or Lr/�J��� U`'�/Z / Zoning Admi strator &City Engineer Date '') /�' �,. (Xil�?'ii ,Z._ � - '?-cy�� -� Buil ing Official Date � ' �� ' CITY OF ORONO * Z 0 1 Z — B PJ 3 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: OS/16/2012 ORONO, MN 553�6- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY PIN . 33-118-23-12-0074 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 66,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, FIREPLACE,ELECTRICAL(STATE) INTERIOR INTERIOR LTNIT#306 APPLICANT pERMIT FEE SCHEDULE 801.75 GORDON JAMES CONSTRUCTION PLAN REVIEW 521.14 5159 MAIN STREET E P.O. BOX 306 STATE SURCHARGE(VALUATION) 33.00 MAPLE PLAIN,MN 55359- TOTAL 1,355.89 (763)479-3117 Minnesota State License#: 20531961 OWNER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK, MN 55416- AGREEMENT AND SWORN STATEME1vT The work for which this permit i ued shall be performed according to the approved plans and speci ati ns,applicable City approvals,and the State Buildino Code. This emi is for only the work described and does not grant permission for dditi al or related work which requires sepazate perrnits. All provisio of law and ordinances governing this type of work shall be compied w' wheth r or not specified herein.This permit will expire om null an oid if construction authorized is not menced wit 180 d s of the date of issuance,or if construction is suspended for pe od o 180 days at any time after work has commenced The applicant s res on ble for assuring all required inspections are requested in onfor e with th tate Building Code.This permit may be revoked at y time due aus � / / �� / / �� Applicant Pe i Si a Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i- _ � � � � � � r'' , � -� j �1� �'� ��'ttt'�E1 �uitdtng P+�rm�t App�l�c.�tion far Int�r��l {Atork �w#n+�o�+vs, d+�r�,s�ding, re-ro�nf, etc.� �;�.ad�: _ ,rj ,���"�,U.�� �*ca ac�ss �+��+►� /02— f c��i�a��r.�u�a�-c�os� : c��e,oe;�,�a: ........... � s. str�ed,9d�ss: Rc+c�e"+�d ay: 1 ��' 2z5a KeHey i�arkwey P9an reviet�r �\'�o ay� E3tona,htN 55358+ ---=- ,��►� /�3�„5; 9 tvtainn 95?-2d9-4GOD Fasc: 9�,2-�49-4+�t�i u�r.ti.ara►o,ron.ns Tt�s�DA�cativ�f�m must be canp�eted In futt and a!1 r�u�d itiformat�n must be r�bmittsd. . ; incan,�sl�te a{spi'�cations w�tl ima retur�ed. (P/ease prini�' �ENER�KE t'�NFORlWI14"�flt�t: J4�b'Site Atltit�s�:' � � ��� W�ll:this he g Parede af Ht�s,Rcmt�lef�rs se ' r�isP�aY ` ? e� c N'yes,e s�srecieJ eve�it Pennft t��'d w�h f'dfce t�querbnent a++d C.�y f.aru�"�p,orova�80 sf�ys prinr icr rha event Slurdk�bus selvi�e 4e requtreAuntess�!datr�vr�st�afes sedRci�trt oarsAta p�rkJag ts 2waFFabde. Non-peemr't�ad evet+fa�t not tnaatlurv�tf. : G{�tdTRACTOR f AP�I.tCA�IT N+��'C�1ATE£�t: hiam�e. e�t�c��D +e� � y'ti . State ircee�e# �xpiratic�rs t}ate: .. .- "�,; Lead Certification Numbe�r {� �Cpir�txsrs E}a'i�; (iar work on tbnr�s fhac w�ers a�n�bv�CE pe��a t978 PhOttB; C��- �aff�cse� ' ��` �'�— �,, �t:el#j RAaitirsg Adciress: ' '?, City ;,,,� ZtP; Contac�P�son: • � _._ Appl�nt is: htomersr�+rtier Qcm am.} Emait andt�Fax: PROP'ERl"Y OWN�R MIFQRii�ATlt?N: t�larrte: .'�'�' � ,�s �.'�" Phorre(daY�: "t, • Address: js� W. '*;" Ci#y. Z1P= � �.� �----..�. Ema�ancflor Fax _�.�-.�prn 1 u. � ,G�[lw�+ PRt?�IEt:T lNFf3� ;ATit}M: Type a�F ProjeE� llny e�ut uitovem�et�,re�a� []Door(s) ❑RerrtOdei []'ffl�ai�r�ams�a i�CWb r�vi�rr�pefmlts; Ialim�eh�ra Crscdc 1+�Jateest�ed t?isk�ict �NC�} Q Wlndaw(s} Q TtePatr �Siatm t)amaga tB2�l2<il�nt�Cr#il�a BlYd' [�Si�ng ❑Etestorstian ��#fkver:{specYfY} ►7ee.#+havea,A�t€�! 553�1 fl r2e-rn�t' [�Fi'e 1 E�ttart�: 952-a71-ti5�t 0� ��ac: �52-$79-tiEi82 . w�rrw�u�eaeha�k.�q �.� . _.._.........� E�v�atl F eet pt�on: �S�Itfl��.Qflli t"k�QFt���lL.'f'L'�Otti+D�pi'D €+BXC��y1t'� � APFi.�lWT ACKNC#'WI.Et'�EAAEN�f- �Agreas ta provide aA infcxmation requi�ed or requeseed by tk�e 8w`Id6rag Ctap�r� _._ `._._� � Cer#ifies that the inhxmati�suppiieef'ss btte�rd ctxree!tu tha�est af his�er krw+�6adge. The� Ehat thcy ac8 saiely respor�sibie for�trrntttinS e�P��PF��atfa►bek�g aware LExat uQan f��re to t#s stf.�te siatF ltas►to fe�t'tvs trut ta rejecx it e�tii�is compl�te; � Scxne a a!of dse inforrtt�tlon that yaa are asksd to proviGe tN�ttUs.�is c�a�sfSed!ry State!aw es e�ssr �fvate ofi r.orrfidertt�aL P�iva�data��ttamtaiiort u�hich ganerslly ca�n+Dt be�rut ta the puWit but can bt given lo tt�e sub' cf of the data. GoE►fl#entFa}d�tar is ir�armatlan v►�kh gener�Uy c�nnot be�r�n ta eiM�er�e puhlic a the subjecti of the . O�rc tw�P�e a Inteedet�ust af this irtkomya�on 3s,�n annualiy update our+�vrsis�d reeocds of flth�gawr.rnmental agepcies r red . if retuse io tha i�xrr+afior► ths ' tion r�be issued. ftpplicanf's Signatufes: _ Date: _`����a� t.�sz�►pae+ed: �t-o�-zoy� �� �E TIME CITY OF ORONO CALLED IN � / /�� INSPECTION��C�E- �037� SCHEDULED � � PERMIT NO. COMPLETED I ADDRESS � �v / ��� I OWNER EPHONE NO. ` �� � ICONTRACTOR " �G� �I DESCRIPTION �0 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING QI ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y I ❑ FRAMING ❑ MECHANICAL FINAI ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION QI ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �I ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT vl ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP �i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL �I OWNERICONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � ❑WORKSATISFACTORY:PROCEED P OJECTCOMPLEfE O CORRECT WORK 8 PROCEED �UE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION �J�M�Y BEFORE C�/ERING ✓pERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ IIVSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnedContractor on s'te: � + Inspector. White CopyllnspecloPs Ffle Canary Copy/Site Notice