HomeMy WebLinkAbout2015-01416 - COO -addn/remodel/repair City of Orono
CERTIFICATE OF OCCUPAN�Y
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 PKW1' 312
PIN: 33-118-23-12-0080
Legal Description: Stonebay Of Orono Condominium
Block 000 Lot 000
Zoning District:
Permit No: 2015-01416
Work Activity: Addn/Remodel/Repair
Construction Type: V A
Occupancy: R-2
Occupant Load: 7
Fire Sprinkler: Y
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/NFORMAT/ON
For any police,fre 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,dnvers
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.
Special regulations prohibit any excavation, filling,gradrng,dredging, tree removal,orconstruction of any kind
within 75 feet of any lakeshore or within 26 feet of any wetlands.
2015 MSBC
Please Note: The property owner is responsible for all LegalBngineering charges resulting from this
project. Due to varying billing cycles,bills may be mailed up to 90 days after the issuance of this
Cert' icate of Occupancy.
� � Z� LZ- !�
Zonmg Administrator Date
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cm ��- �z- �5
Date
II Y •
CITY OF ORONO * 2 0 1 5 - 0 1 4 1 6 *
2750 KELLEY PARKWAY DATE ISSUED: 12/14/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-461
�ADDRESS : 2670 KELLEY PKWY 312
�IN : 33-118-23-12-0080
EGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
�ERMIT TYPE : ADDITION/REMODEL/REPAIR
ROPERTY TYPE : RESIDENTIAL
�ONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
CTIVITY : 434-RESIDENTIAL
ALUATION : $ 69,000.00
OTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE)
i;MIT#312 FINISH
APPLICANT PERMIT FEE SCHED E 865.56
PLAN REVIEW 562.61
ORDON JAMES CONSTRUCTION STATE Sj„RCHARGE( ALUATION) 34.50
SI159 MAIN STREET E
P'.O.BOX 306 TOTAL 1,462.67
1�APLE PLAIN,MN 55359- Payment(s)
(763)479-3117 CHECK 125 1,462.67
l�innesota State License#:BUIL-20531961
OWNER
C�tizens Independent Bank
5�00 36TH ST W 312
S LOUIS PARK,MN 55416-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
tt4e approved plans and specifications,applicable City approvals,and the
Sfate Building Code. This permit is for only the work described and does
n�t grant permission for additional or related work which requires separate
p rmits. All provisions of laws and ordinances goveming this type of work
s�all be compied with whether or not specified herein.This permit will
e pire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
s�spended for a period of 180 days at any time after work has commenced.
T e applicant is responsible for assuring all required inspections are
re�uested in conformance with the State Building Code.This permit may be
re oked t any time for due ca se.
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A lic t ermitee S' ature Date Issue y Signature Date
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City of 4rono .
Building Per it Application for Maintenanc� / Renovation
windows, doors, slding, re-roof, etc.)
Me1Nng Address; �
'�D.�J� PO Box 66 Permlt number: / —!��
(a (� Crystal Bay,MN 66323-0066 pate reoeived; //- —/5
'� SYreet Address: Recetved by: �{�yj
�t� �,� 2y60 Kelley Parkway Plan revlew fee•
�rc� og Orono,MN 66368 • '
Main: 852-249-4600 Fex: 952-249-4918 w��nli.ci.nrono mn us Total Fee:
Thls appllcatlon fo must be completed In full and ail requtred informatton must be su ed. ye�y�
I campleto appiica�ians will be returned. (P/easa pNnt) �
GENERA!INFqRMATION;
Job 5ite qddress: 'Z, Z
Wtlt this be a Parade of Names Remvdelers Showcase ome or ather Display Nome? Yes `�10
ffyes,e speclal event pe�rnit!s requ d tvlth Pallce popeNmant pnd Ctly Coundf epproval60 deya pdvrlo the event ShuNia bus eaivlce wU!be
riequlied unless epp�(ca demonst�etes s+Allclent on-sl(e pa/tcing/s ave1/a61e, Non-pe�n!!!ed evenls wi7/nof 6a ailowed,
CONTRAGTOF2/APPLICANT 1 FOi2MATIQM:
Name: �yt D , .`7-�y"I� GOn? 7YLt7G'T,2'Oan�
State Ltcense�f �, ) �, ( ExplraUon Date:
Lead Certiflcatton Number. ��}.. Explrat(on Date:
(for work on homes lhdf were n truat�o 9878
Pnone: ...-'3� (office) 52- 1 -Z (cell)
Meiling Address; 2- v')z Zu o Cny: � � �ZIP:
Contact Persan: Appllcant Is: o ac ot / Homeowner �a�ieone�
Email and/or Fax; ,,.��- � � i,t,,� �
PROPERTY OWNER INFORM IONs
Name: �YJ�t��Ya�r�rN� '[?�1v I�
Phone(day): �5 ����,
Addrass: 5bb0 ' T Ciiy: '�',Lo� ZUZIP:
�mall and/or Fax
PROJECT INFORMATION:
7ype of Project: Any earth movatt►ent may require
❑Ooar(s) ❑Re odel [,�]Ff(e DBmaga MCWD revieW 8�permits:
Minnehaha Creak Watershed Dlstrict(MCWD)
❑Re-root,esphalt ❑R c�lr ❑5torm bamage 18202 Ml�natonka 91vd
❑F2e-roof,ceder �]f2 lorallon ❑Water Oamage
Deephaven,MN 55381
Phone: 952-471-0690
❑Re-roof,otheT(specify) ❑Sf Ing ❑OtheC(sPeC)fy) Fax: 852-471-0682
Q W dow(s)
}vww.minnehahacreek.Q qr
Ovarall Projeot Descri tion: ��,U
�stimated Canstruction Valu �on of ProJect exaludtng Iand) $ � ` `'-.—
APPLICANT ACKNOWLED EMENT:
� Agrees to provide all Info Uon requirad or requested by the Bulidtng papartment;
. C.e�ifies that ihe tnformati supplfed f5 tf(18 afid Correct to the best of his/her knowledge. The appficant recogn[zes ihat ihey
are solely responslble foi' bm(tllrlg a Coil7plete eppllC�tlon b01n�aware that upon fallure to do so,tfie atetf hae no alternaQvs
but to reJeot it unUl It is co lete;
• 5ome or ail of tho In(orm ton ihet you erp esked lo provide on lhis applical(on is dassified by State lew as ellher private br
cohRdenllal. Private data s tntormadon whtch generally cannoi b�gfven to the public but can be given to tha subf ect of the
' data. Confldenitai data I Informatton whtch generaliy aannot be given to elther ihe pubifa or the subJect of ihe data. Our
purposa end Intended us of lhis informalion Is to annually update our records and records oi other govemmental agencles
ra uired b law. !f ou ref e to I the fa aU ,ihe a NcaUon ma not be(ssued.
i
AppiteanYs Signature: Date: �f�� "Z,2t�ib
Ldst Updsled: OB-�9-2011 �
�
, .�L.�,� 6���t�� ����I����`� ��'� E�:'�!� � �C�Ci�'��e�S 6 E�i����C�'��
Aciciress: �l� � (C �` I,d/C� Permit No.:
Description of worls: �n c,f�
� Date Rec'd;
� Septic revi�vv try: �7 AKi���' � ��ier� D te Approved:
Zonir�g review by: :p e
ApProved:
� Building revie�r b�: -�P,�� D te Approved: �� � /�
Gracling review by: D e Approveci:
�ontng Distrlct: Zoning Fite#�: o#; €teso Date:
Zoning: Lot�lrea: SF!AC Width: L t Coverage: SF
Survey Submt�ted: 0 Ye � Nu Date of Survey� Revised dat ? :
Landscape pian submittec!? : Yes C2 No Landscape , ,
Pro osed&etbacks:
� �ront(Lake) Rear{Stireetj { N S E W { ! N S' W ) .Other.BuiEdings V�fetland
� � � � Sfde S�d � �`
Defined lieight: Reak H ht: �FEr�. FE mtnus�feet= (��isting Cantc
Peri�eter(l�r�ear�feet)= 0%= L.P. belaw grade .
; �aserr�ent? �Yes O t�o, �.;.�._' ori�s :• :
�4R A BUILDtaG WITH A�ASEM�NT Olt CRA. 3PAG : ' FOR�A BUI ING ON A S,LAB FOUNI��471ON:, r;
t The distara tSetw�eee th Ip�rps�pi�opesed �ti�b�t or�4ove g"r; —
�R
� � floor{�.tH baset�ent or wl�s�)�nd �� J.4A4�i�-�
� S7ART WFTH the high , poatit Of3he � � nleesur��On7 fi
S7ART W1TH, �#p Ute hT�h@st`polnt of the .
� ; � rbof ev�n'i�fl),I u�8s 6rbugfit ira to�.'
�f you, y�a . . sie"vate hom&.
SUB'f RA�710N • GABi,E OR HIPPEb!20 no 81ab�ebw 9+�idp—r�basure,
�� ,��a�r �atr��t�ai� , ,�d��c� ���t,ese��w��,o����,o.
it00P`fiY�E) between the Ydgti'est jiolrrt the roof" - I�1 e$t M M th`,tb:bf: .
fc tfie!ow pdnt of the co dittg tF.yo�i liave:a
ga6)e or Mlppeti roof ; .3U�tRA�T10N • Gi4E3L�OR#{IPQEb ROOF
� C.,ABLE OR 1�IPPED ROOF( � (E�/►�ED`ON . � {ra wiridows).Sr�btraCt,half�
� windowsr Subiract half ihe� nce ROOF TYPE) Uae disf�nab betw.eerr th�'
befiNeen fhetop of the hlyl�t �!D��Polnt uf the r"oof'tb„ .
; . � � - ' � . ; `, � wlndow�rid Uie highAst poirrt of �e � � �-� � � �� . � � #h�s tOw�po7nt df��ie'
; roof , ootresponding:�ableor
• ALL OTt1ER ROC1F?YPES(flat, fiipped roof .
� • GABLE 017 HiPPED ROOF
mansard,eLc):No subttacUon. (witl�wfndaws)s:Subtract! .
SUBTRACTION ' 3ubtrai�the disiance between the half the distanc8 ti�iween
(BASED ON err+enticrawl spacae floor�nd the ; �top of the higt�est
R.XISTINf3 highest exlatlng g�ade adJacei►t to ffie . ' wlndov�r and fhe-liig�est :
6RADES) hwndation OR 1U fe�t{whichever is Iess). Pofot bf the rooT
• ` ALI,OTH�R ROOF TYPES
Et1UAl9 DeNned fiulldinp height (�mansard:eflc):No .
; ' .subttaCxiWn,
Oefined 6uiWfng heigbt
EQUALS
Updated: October 2015
z:\forms�plan review chedclist 10-2015.docx
kv�rag�l.a�esttare�etback B��,�
Shorelanc! Districf l�RClAID Permit � fi�et?
C! Yes L�
Cl Yes C� No Permit Number: � Yes � No � N/A No
� N/A-see attached Setback:
Stormv�rat�r t�uality Existing Proposed
OveriabDist�3ct Tier Hardcover Hardcover Variance Required CUR Required
circle one %and s %and s
L3 Yes � No t] Yes O No
1 2 3 4 5 �YPe�S�� T�e�s�'
F�'ta be Char ed YfS �1� '
Perrxat# `
Plan Review
State Surcharge Y
indestigation Fee v
SA�-Number of SAG Units
Other(specify) : .
S ware foota e � er S uare Eoota e
Basement X = ` $
1�fioor X - $'
2^��loor X ' $
Garage � _ $
Estimated Construction Value: �,� ��.�._.
�
Orono Inspections Required Work Requiring Separate Permits.
� Footing � Site lumbing � Grading/�illing
�i Powred Wall � Silt Fenc�/Erosion Control C] echanical G Fire
C1 Foundation Survey fl Hardcover Removai 0 Septic CJ Wafer Conr�ection
0 Fountlation Waterproofing Cf bther'(sp�cify) � Firepiaee � SewerConnection
��raming 0 Masonry � Lawn lrt`i5ation
Insulation CJ INfg. C! Landsaaping
C7 �s-Buitt Survey Ci Other(specify)
Final
� Lathe Required Stste Permits
Q Other(specify�
0 Weli Electricat
REMARKS (in-hous�),'.
OFFIClAI, REMARKS-TO$E MOTED ON PERMIT AND lNITIALL�D:
� See Buitcler Acknowiedgement Farm
Q Prior to release ofi escrow money an as-built survey and hard+cover caiculations must be submitted and approved.
Updated: October 2015
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�� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE �'�I� SCHEDULED -,�,�t`�=f``�
PERMIT NO. ��G�_ COMPLETED
ADDRESS �-` �Z b �Q '�, �. �2
OWNER TELEPHON O. 5`� -a/5-��(�'3
CONTRACTOR ���% ���� �
� DESCRIPTION ' /ILZL� � �U,r �- � '
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE EPTIC INSTAL
Z OWNERICONTiiACTOR TO MEET 1Ii0U: YES_NO�
y COMMENTS: � c� I q 5a �a� 5 a���
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W �WORKSATISFACTORY:PROCEED �dJ�ROJECTCOMPLEfE
� ❑CORRECT WORK 3 PROCEED �'fSSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK CALL FOR REINSPECTION � TEMPORARY U,� ,S
� BEFORECOVERING �pERMANENT :�''''� j2�
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN `��3�f
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � �CITATION ISSUED
O INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.i(952) 249-4600
OwneNContractor on site: �Q���-�/ I
Inspector: � /r-- �
White CopyAnspecM�'s File Canary COpyfSite Notice