HomeMy WebLinkAbout2012-00197 - COO -addn/remodel/repair City of Orono
CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of Section 110 of the
lnternational Building Code certifying that at tl�e 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 u.n��' ��
PIN: 33-118-23-12-0077
Legal Description: Stonebay Of Orono Condominium
Block 000 Lot 000
Zoning District:
Permit No: 2012-00197
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, file for your homestead at the City offices.Register your address for voting, drivers
license and automobile registration. City waterand seweris bil/ed 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 50 feet of any wetlands. Call City before working near lakeshore or
C.O. Detector Required l0'from every bedroom
Add C.O. detector in Master
Issue Permanent CO
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ZoninQ Administrator � ity Engineer Date
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Building fficial Date
` '�y T� � CITY OF ORONO * z 0 1 z 0 0 1 9 7 *
c I 2750 KELLEY PARKWAY
DATE ISS D: 03/20/2012
ORONO,MN 55356—
952 249-4600 FAX: 952 249-4616
ADDRESS : 2670 KELLEY PKWY �.3G�
PIN : 33-118-23-12-0077
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION T'YPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 70,000.00
NOTE: SEPERATE P�RMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
INTERIOR FINISH-UNIT#309
APPLICANT pERMIT FEE SCHEDULE 831.75
GORDON JAM S CONSTRUCTION PLAN REVIEW 540.64
5159 MAIN ST�EET E
P.O.BOX 306 ! STATE SURCHARGE(VALUATION 35.00
MAPLE PLAII�,MN 55359- TOTAL 1,407.39
(763)479-3117 i
Minnesota Stat�License#:20531961
OWNER
Citizens Indep�ndent Bank
5000 36TH ST W
ST LOUIS PA'RK,MN 55416-
AGRE�MENT AND SWORN STATEMENT
The work for w�ich this permit is issued shall be performed according to
the approved pl�ns and specifications,applicable City approvals,and the
State Building�ode. This permit is for only the work described and does
not grant perm�ssion for additional or related work which requires separate
permits. All p�ovisions of laws and ordinances governing this type of work
shall be compi�d with whether or not specified herein.This permit will
expire and be�ome null and void if construction authorized is not
commenced�ithin 180 days of the date of issuance,or if construction is
suspended fo�a period of 180 days at any time after work has commenced.
The applican�is responsible for assuring all required inspections aze
requested in�onformance with the State Building Code.This permit may be
revoked at ar�y time or due cause.
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Applicant ermitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ED ABOVE.
MAR-15-2012 14:06 From: � To:+9522494616 P.2�2
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City of O�ono
�'uilding Permit Applica:tion for Internal Work
� (windows� do�s� siding, re-roof, etc.)
r,-= --.--.� AAmiliag AAdreru: Pemflt numMr —� �
,//`�d,�`\ PO Bcx 66
/0 Q Crystel Bay�MN 55323-0O6G oate rec:eived: / .�'-� /a--
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streetAddrqss: Recaived ey:
�'�q �'�� ZC)mtio,Ny55355 y Plan review fe — -
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Mein: 95$-24}a600 �r�x: 952,249-4616 www.d.ora�o.mn.us
This ap�blicadon fomn must bo cempleted in full and�all required informatbn must be submilted.
Incomplete applieatiotis will be retun�ed. �Plesse print) „
GENERAI INFORM�11TIpN: �J �
Job Site Add�ess: ; � . �}Q Jv�
Will thi�be a Paradp�f Homes, Remodelers S o�waase H r othar Display N 7 es No
K yvs:a specie!even�pem�lt!a roquirod wlfh Poacs Depemr�and C�ry Courrcx upprordl e0 deys orbr to tne event. Snuele su sorVies wi71 t�
rovulred kx�wxs�plicaru cx�rnnnsm9res aWrtc�cnt a►,spe parking k�evaUsbk. NanysnyKstl events w�l nat De a d.
CONTRAGTOR!A�+PUCANT INFOR�IIATION_/� �
Name: ��1orr.�Or��r�►�l��� �--Oh.S_f�1n
��ate�Icen�c# ! ��•� G� ' Expiraoon Dete: _
Lead CeRlfication hJumber� � �.. � � Expi►ation Oate.
Nor work on Aonhes that wara epn9Wcled pl'fa'to 797H --...~
Phone: ; (�� • _ (oFfice) (c��'Z • Q�'Q —?�,;C� (c:ell)
Mailing Address: ;' _p , R �ity r, �t��4i� �I': '�.
Conlact Perso�: ;� ' Applicant is: o tr r Homeo er �ckus ono)
Email and/�r FaY• W� „ �j��,s _Ca1'�
PROPERTY OWNER INFORMATIONi 1 �/�
Name: ' � ...f II�S �^..1'ti��1nAP��' Y�'A.r��...
Phone(day): ��s- ' g.��,� __..
.,
Address: �.�.Q.. .L"-7 . '� -r c�i . �w: S'S�lb
Ernafl and/or Fa�C ��tfl��� p�- r�o,�,b.r� � � �G vv�
PROJECT IN ORMA710N:
Type ot Project; � A�ey earlA moveme t may requlra
111CW0 review pormits:
❑Door(s) �Remodel ❑Water Uamage �;nnei,uhe Creek Walers d Dislrict(MCWD)
❑Window(s) ; ❑Repair ❑Storm�ama�le 18202 Minn� nk8 Blvd
I"1 s�a�r,a ❑Restoratlon p a�,�:�Sp�y� ocepnovc��, N 55391
Phonc: �62 71-UGJU
�R►3-rnef ❑Flro Damog9 Fax: f362� 1-O('�}2
eek.ora
Overell Pr '~ct Doscription:
Eatim�ted onstruction Valuatlon of Proje cludin Is�d� � p �
APPLICAN ACKN0IN�EDGEMENT•
Ag s lo providr�all infuRr�alic�rt rey red or r uested by Lhe Buildin0 Departm�n� �
� CeA�l1es that thc information suppl� d is Gve nd corred to Ihe best af his/her knowledgc. Thc ap licant recognizes that they �
are�olely raspons�ble� ' A Comp e�pp�l�atlrm be�nc�aware that upon tailune bo do so the staff has no alternalnrC �
buc�o reject it unU cemplete; �
� Sor�he or all the IMormation aS you asked to rovide on this applicaGon is dassified Dy t�itr law a� either p►Nate or
ca'tideni' . Privete date is I mtaUon ICh gene ly can�ot 6e givien ta the pubtk but cen b giv�en to tha subject of Ihe
da�a. didernial date is in rmadon kh qener cannot be glven m elther the pu�lic or t e subject of the da�a. Our
puj�wsa .�nd inlencfcxl use of is:infp Is to nuslly upeste our necords anC records of Iher govemmental agencies
r r ui�ed law. If u refu e a su I irif tl e a_pNc2lion may not e iss . , , ,.._„__
AOpliGant'� Sic�natu • . .._ .. �ate�: �..._ .
I��UPdetbd: 03-01-20�11
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P:lan R�view Checklis# for New S#ructures I Additi ns
Address/PID/LegaL Z��� `,UL-L {�(L�v�J �A,
Description`ofwork: I a�vr' ^ � -� ' 1 T" C�
Septic review�y: N'1 ►� Date Approved:
Zoning reviewlby: _ Da#e Approved:
,
Building revi by: �- Date Appravetl: -f - �
Grading revi by: NI✓� Date Approved:
Zoni g File#: Resolu#ion#: Resolufion Date:
Zonin Distr ct Fire De artment Post Office Sch ol " rict
Zoning: Lot Alrea: ` SF/P�C Width: pt :
Survey Subrnitted: � D Yes � �lo Date of Sucvey:
Pro osed Setbacks:
Front{Lake) � R r(Street) � � � E W ) ( N S , E Y�1 Other B.uildin s Wetlan� ,
Side Side
, ,
Building,Defined H�ight: Building Peak Height: #o Stories Ok?: G YES
FOR�4 B�ILDING WI�W�ABA►SEMENT OF�CRA SPACE; OR A BUILDING 4N A SLA6 FOUNQ TIt�N:
START WITH t distance between the base nt flooF/crawl STP�RT the distance betwe �3he slab antl the highest
s ace floor antl the highest roof pe ,the top of WITH roof peak,the;#op f the.cornice of a'flat roof,
t e comice af a flat roof,the deck lin f a the deck line-of a ansard roqf,or the
ansard roof,or the uppermost point o nd uppermost point o a round or other arch-type ;
r other aech- e roof roof`
SUBTRACT alf ths distance between the highest nda nd SUBTRACT halfithe distance efinreen#he;highest window
i hest roof eak of a it�ched roof and hi hest roof eak o�F a 1tChCLI TOOf
SUBTRACT he distance beiween the basem t floor/crawl ADD #he distance be en the slab and#he highest
�pace floor and the Mighest exi ing grade within existin rade wi in the foundation
'the folindation or 1�feet,w ' ever is less. EQUALS Definetl buildin ei ht
EQUACS Defined buildin hei ht
Lot Coverage: � ' SF ' %
Sfiarela d District MC11UD Permit Received Avera e L eshore Setback Biuff
� Yes ' G I�o � N/A ' G Yes � No
� Yes � � No � Yes G D N/
� Permit Number: Setback:
Hardcov r�o es Existin Prfl osed Variance Re uired CUP Re uired
0- �' � Yes � No 0 Yes � No
75 D' TYP��S)� Ty s);
-500'
500�1000' _
REMARKS �"in-house): '
Updated: 09/ 1/2009 :
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Fees to be Cha ed YES NO
�d.��. �. . ; , . ,. �
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Pian Review v-
... . , .
, � _ � ,_ . ,_� , ..: �. , ,. _ ,. _. . . .
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_ . . �. ;.: : r � .:.� , .. .,��., _.�
Investigation fee
_ � ,. . �..
` ��'.tw�t�.n-�.� ,h' . . .,� .. .
. ... . .,.... . ... . .. ..� ,... .. . ..�.: .., .. . . �
Sewer Connection
,.. ... y
. ._ �.-,F,..__..�s, _ ��. �� ...
Park fee . . . _
,. � , . . _ _.
Other(specify)
., .
Calculated By;
S uare Foota e $ er S uare Foota e
Basernent X = $
1�Floor � _ �
2nd FloO� - X = �
'Garage X = $
Estimated Construction Value; $ 1 �,��� °—"
Oror�o tnspections Required 1Nork Requiring Separate Permits Required State Permits
' G Site P mbing � Grading/Filling � 1Neil
� Hardcover Removal echanical � Fire Electrical
� Foa�#ing 0 Septic � Water Connection
� Poured Wall �Fireplace � Sewer Connsction
O Foundation Survey � Masonry � Lawn Irrigation
� Radon Rock Bed ,O�Mfg.
�raming � Other(specify)
� lnsulation
0 s-Built Survey
Final `
� Other(specify)
REMARKS (in-house):
Other Review: Reviewed by: �ate Approved:
Access Existing: � YES G NO New: � YES 0 NO
REMARK5'(TD BE NOTED ON PERMIT AND.INITIALLED`BY PERSDN PULLING PERMIT)
Updated: 09/11/2009
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DATE TIME
CITY OF ORONO CALLED IN L i Z-
INSPECTION NOTICE n SCHEDULED � � i _. ��. C, �
PERMIT NO.--�-1- ��""C,�,�`7 —I COMPLETED i
ADDRESS -�� l� � I � � �� -� `
OWNER TEL PHONE N��� -�'g�l�-i'��-��
CONTRACTOR ���r<����Y�S
�^ _ �
� DESCRIPTION ( ��"�� �—��j�I�� ��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/RE?v10VAL
� OWNER/CONTRACTOR TO MEEf YOU:�YES_NO
� COMMENTSt ��_...._...__..
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GW ❑WORKSATISFACTORY:PROCEED ❑�PROJECTCOMPLET�
� ❑CORRECT WORK&PROCEED ��S,UE CERTIFICATE;OF OCCUPANCY
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��CORRECT WORK,CALL FOR REINSPECTION TEM�ORARY
V BEFORECOVERING ✓p RE MAf�ENT �1I2hr{Y
❑CdRRECTUNSAFECONDITiONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. � � � i
White Copyllnspector's File Canary CopylSite Notice