HomeMy WebLinkAbout2011-00058 - COO -addn/remodel/repair City of Orono
CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of Section I 10 of tl�e
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 �,3��
PIN: 33-118-23-12-0078 , .
Legal Description: Stonebay Of Orono Condominium
Block 000 Lo�000
Zoning District:
Permit No: 2011-00058
Work ActiviTy: Addn/Remodel/Repair
Construction Type:
Occupancy:
Occupant Load:
Fire Sprinkler: N
Applicant: Gordon James Construction
Applicant Address: S l 59 Main Street E �
City, State, Zi�: Maple Plain, MN 55359-
Owner Name: Cititzens Independent Bank
Owner Address: 5000 W. 36th St
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 purchasrng 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, dock or other accessory
structure.
Specia/regufations prohibit any excavation, filling,grading,dredging, tree removal,or construction of any kind within75
feet of any lakeshore or within 50 feet of any wetlands. Call City before working near lakeshore or wetlands.
` `
�— / � �� �
Zoning Administrator Date
� ��),Mn,a�.� 3-- /y- zo� (
Building Official Date
' CITY OF ORONO PERMIT NO.: 2011-00058
2750 KELLEY PARKWAY
, ORONO, MN 55356- DATE �ssuE�: 02/OU20ll
i , (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2670 KELLEY PKWY � �
� �
PIN : 33-1 18-23-12-0078 �
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 : $ 65,000.00
NO"CE: SGPERATE PGRMITS REQUIRED: PLUM[3ING,MECHANICAL, FIREPLACG, ELGCTRICAL(STATE)
FINISI[ SHELL UNIT 310
**SP6CInL EVENT'PGRMIT RGQUIRED �OR SI�IOW[NG �W�(INITIAL).
APPLICANT
PERMIT FEE SCHEDULE 794.25
GORDON JAMES CONSTRUCTION pLAN REVIEW 516.26
5159 MAIN STREET E
P.O. BOX 306 STATE SURCHARGE(VALUATION) 32.50
MAPLE PLAIN, MN 55359- TOTAL 1,343.01
(763)479-31 17
Mi�uiesota State Licei�se#:20531961
OWNER
Cititzens lndependent Bank
5000 W. 36TH ST
ST. LOUIS PARK, MN ��416-
AGREEMENT AND SWORN STATEMENT
The tirork for�vhich this permit is issucd shall be performed accordinc to
the approvcd plans and specifications,applicable City approvals,and the
State Building Code. "I'his pernlit is for only the work described ai�d docs
not grant permission fbr additional or related work�vhich requires separate
pennits. All provisions of laws and ordinanccs govcrning this typc o1'work
shall be compied�vith N�hether or not spcciticd hercin."1'his permit will
espire and become null and void if conslruc[ion authorized is not
commenced���ithin 180 days of the date of issuance,or if construction is
suspended tbr a period of I AO days at any time after work has commenced.
I�he applicant is responsiblc lor�ssurino all required inspections are
requested in co ormanee���ith the S[ate L3uilding Codc.This permit may bc
revoked at a time fo ie cause.
�=-"'��c'-2 i i o�� �,t< �`�-�ri cc�--, ��� � �,2 r- i -i i
Appli nt Permitee Signature Date [ssued 13y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� City of Orono
1
� � Building Permit Application for Internal W rk ��� t1
� (windows, doors, siding, re-roof, etc.)
�—_ � Mailing Address: Permit number: �/—v�D�O
�0,�} PO Box 66 --
n Cr ystal Ba y, MN 55323-0066 D a t e r e c e i v e d: � �7 /
1�
�^.�`'_�= 1 Received by:
a �: �;z,,. I �, Street Address:
�'�, ° '� ti 2750 Kelley Parkway Plan review fe
'�9g�Kog� Orono, MN 55356 � � J
�_-.—� i Total Fee: ���� /
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
T is application form must be completed in full and all required information must be su mitted.
Incomplete applications will be returned. (Please print)
GENERAL INF�ORMATION:
Job Site Address: oZ�a?0 KEL�Y f�tiRKw,9�Y - G(�vs !O Tav B�4 CavDcs
Will this be a P�arade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No
If yes,a speciallevent permit is required with Police Department and City Council approva160 days pnor to the event. Sh tt/e bus service will be
reqy�ired unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not b allowed.
CONTRACTORj/APPLICANT INFORMATION:
Name: O s �tC .I'ON
State License# � d�S 319b I Expiration Date: � ��
Phone: ! 9- 3 I office (,� 3�q- 3 7� cell
Mailing Address:i D X Cit : �E LN,Trv ZIP: SS3 9
Contact Person: �O� 1'►'►C PI�E�25�V Applicant is: Contractor / Home wner (Circle One)
Email and/or Fa�: 'o� o - 'a+.�eS.
PROPERTY OUI�NER I FORMATION:
Name: tz E,u .Z"�vDEA�aAE�vT BANK
Phone(day): ql _
Address: 00 tv. 3G�� 5�-. Cit : t. La�lS /AKK �P� SSy � L
Email and/or Fa ✓fl tt � „ ,,�w�r�,�,.• K • , a,,.,
PROJECT INF RMATION:
Type of Project: Any earth movemen may require
1 MCWD review permits
�Door(s) *NtE�R?D �Remodel ❑Water Damage
Minnehaha Creek Watersh d District(MCWD)
❑Window(s) j ❑ Repair ❑ Storm Damage 18202 Minneto ka Blvd
Deephaven, M 55391
❑Siding I ❑ Restoration ❑ Other: (specify) Phone: 952-4 1-0590
i Fax: 952-471 0682
❑ Re-roof ❑ Fire Damage www.minnehaha reek.or
Overall Project escription: F't�t/SSl� I�ECG S
Estimated Cons�ruction Valuation of Project(excluding land) $ GS 000 ^
APPLICANT A KNOWLEDGEMENT:
• Agrees to Rrovide all information required or requested by the Building Department;
• Certifies th�t the information supplied is true and correct to the best of his/her knowledge. The applica t recognizes that they
are solely r'esponsible for submitting a complete application being aware that upon failure to do so, the taff has no alternative
but to rejecK it until it is complete;
• Some or aql of the information that you are asked to provide on this application is classified by State I w as either private or
confidential. Private data is information which generally cannot be given to the public but can be give to the subject of the
data. Con�idential data is information which generally cannot be given to either the public or the su ject of the data. Our
purpose ar�d intended use of this information is to annually update our records and records of other overnmental agencies
re uired b law. If ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signaty�re: �rL Date: /—u? �/�
Last Updated: 05-04-2p09
, t I
- -P�an_Review Checkfist for New Structures / ddifions
address/ PID�LegaL• Z(.1 v 4<e„��, ,�qQ�w — U N ►T i O
Description of�vork: � ,�
Septic review by: N 1 A Date Approved:
Zonin review by: N(A Date Appcoved:
Buildir�g review by: � (��.,, Date Approved: � • 0 - 7�n4 1
Graciir�,g review by: /A Qate Approved:
Zoning File#: ' Resolution#: Resolution ate
Zonin District Fire De artment Post Office School District
Zoning: Lot Area: SF/AC Width: epth:
Survey Sub 'tt�d: � Yes 0 No Date of Su y:
Pro osed Setb
Front(Lake) Rear(Street) ( H S E W ) ( S E W ) Other Buii ings Wetland
Side Side
Building Define�Height: Bu' ing Peak Height:
FOR A BUILDING WITH A BASEMENT OR C WL SPACE: FOR A BUILDING ON A SLAB FOUN ATION:
START the distance between the sement or/ START the distance be een the slab and the
WITH crawl space floor and the hi est r of peak, WfTH highest roof pe k, the top of the cornice
the top of the cornice of a flat r , the deck of a ftat roof, th deck line of a mansard
line of a mansard roof, or the p ost roof, or the upp rmost point on a round or
oint on a round or other ar -t e r f other arch-t e roof
SUBTRACT half the distance between e highest SUBTRACT half the distanc between the highest
�indow and highest roo eak of a pitche window and hig est roof peak of a
koof itched roof
SUBTRACT the distance betwee the basement floor/ ADD the distance be ween the sfab and the
�rawl space floor d the highest existing highest existing grade within the
rade within the oundation or 10 feet, foundation
whichever is I s. E ALS Defined buildin hei ht
EQUALS efined bui in hei ht
Lot Coverage: ' SF o�o
Shoreland'Di rict MCWD Permit Received Avera e Lakes ore Setback Bfuff
� Yes 0 No � Yes 0 No ❑ N/A ❑ Yes � No
Permit Number: 0 Yes 0 No 0 N/A
S�tback:
Hardc er ones Existin Pro osed VarEance Re uired CUP Re uired
0-75' O Yes ❑ No Yes 0 No
75-250 Type(s): T e(s):
250-50 '
504-100�'
EMARKS (in-hoiuse): O C/�+/fNG�;;
Updated: 07/01/2009
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Fees to be Charged YES NO
_. . . _ ._ .
�R�ermrt :; � , ::�-� . , , � ;, . _ ;.
Plan Review
��te�;5i�r.c�ar�e . �:.; . . i/ � :
investigation Fee
=S�'C ,5�1��rnbex3o�:SA�C�Jaaits P', � �jr� t0 — . ,
Sewer Connection
��'1�'Ee;r�'�'�:o:n�r��c��;n . .;, , ,; . . :. ,
, _ �.. _...,.
_ ,.. . ,.
Park Fee
,�ate�ri��iec�i4�a " . � i
Other (specify)
�NFisc�llax��n�s"LFees.
Calculated By: I
UBC: Construction Type:
S uare Footape $ er S uare Foota e ' �
i
Basement X = �
1 Floor � X = �
2� Floor � � X � = i �
Gara e � X j = I $
i
Estimated Construction Value: � (,S.C�(�p °�
Orono Inspections Required Work Requirinq Separate Permits Reauired State Permits
❑ Site Plumbing ❑ Grading / Filfing ❑ Well
❑ Hardcover Removal �' Mechanical ❑ Fire Electrical
0 Footing ❑ Septic ❑ Water Connection
❑ Foundation Survey � Fireplace ❑ Sewer Connection
� Framing ❑ Masonry ❑ Lawn Irrigation
❑ Insulation � M1g.
0 Wall Board ❑ Other(specify)
❑ As-Built Survey
�Final
❑ Other (s ecif )
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO
REMARKS (TO BE NOTED ON PERMfT AND INfTIALLED BY PERSON PULLING PERMtT)
_ �SP�c i,a1 f-�-t�-eN� �vw� „ (Lc�,v � ✓�'�� ��L s�w i�C�
Updated: 07/01/20Q9
z:\forms�plan review checklist.docx
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INSPECTION NOTICE SCHEDULED 3-/O-/1 �
PERMITNO.°?����`�D�S� COMPLETED
ADDRESS �� � ����
OWNER TELEPHONE NO. ��Z' �9`3��
CONTRACTOR �QY�� �1J�4
� DESCRIPTION
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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 ❑ COMPIAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOV,�L
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAIL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED "e,�'TPROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED �SSUE CERTIFICATE OF 00'CUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TE RARY i
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP OROER POSTED.CALL{NSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 2Q,'9-46��
Owner/Contractor on sit�:
Inspector. � � � ;
White Copyllnspector's File Canary CopylSite Notice
<^� DAT TIME �
CITY OF ORONO CALLED IN � Z /
WSPECTION OTICE SCHEDULED /L�
PERMIT NO. O/ - f>GdJ��COMPIETED
� ADDRESS � �� �' ���
OWNER LEPHONE NO.
CONTRACTOR �`
� DESCRIPTION � �1.., • �• �ii��/'G(� o'"��
� ❑ 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/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU;�YES_NO
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� ❑CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 � RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
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Inspector.
White Copyllnspector's File Canary CopylSite Notice