HomeMy WebLinkAbout2012-00924 - COO -addn/remodel/repair City of Orono
CERTIFICATE OF OCCUPANCY
This Certificate is issued pursuant to the requirements of Section 1 l 0 of the
Internatio�ial Building Code certifying that at the time of issuance this structure
was in complia»ce with the various ordinances of the local jurisdiction
regulatina building constructiou or use. For the following:
Building Address: 2670 KELLEY PKWY #315
PIN: 33-1 l 8-23-12-0083
Legal Description: Stonebay Of Orono Condominium
Block 000 Lot 000
Zoning District:
Permit No: 2012-00924
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 po/ice,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 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 ofher accessory structure.
Specral regulations prohibit any excavation, filling,grading,dredging, tree removal,orconstruction of any kind
wrthin 75 feet of any lakeshore or within 50 feet of any wet/ands. Call City before working near lakeshore or
wetlands.
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Zonin�Administrator &City Engineer Date
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Buildin�Official � Date
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' ' ' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 2 - 0 0 9 2 4 *
DATE I SUED: 09/18/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS , : 2670 KELLEY PKWY �'3��
PIN ', : 33-118-23-12-0083
LEGAL DESC � : STONEBAY OF ORONO CONDOMINNM
: LOT 000 BLOCK 000
PERMIT TYPE �I : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION�YPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 60,000.00
NOTE: SEPERATE PLRMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE)
LTNIT FINISH#315
II� APPLICANT
PERMIT FEE SCHEDULE 756.75
GORDON JAMES C4NSTRUCTION PLAN REVIEW 491.89
5159 MAIN STREET E
P.O.BOX 306 STATE SURCHARGE(VALUATION) 30.00
MAPLE PLAIN,MN 55359- TOTAL 1,278.64
(763)479-3117
Minnesota State License#:20531961
OWNER
Citizens Independent$ank
5000 36TH ST W ,
ST LOUIS PARK,M�T 55416-
AGREEMEN AND SWORN STATEMENT
The work for which this p rmit is issued shall be performed according to
the approved plans and sp cifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for a ditional o ted work which requires separate
permits. All provisions of aws rdinances governing this type of work
shall be compied with whe o ot specified herein.This permit will
expire and become null v d i nstruction authorized is not
commenced within da of date of issuance,or if construction is
suspended for a p �od o �80 y at any time after work has commenced.
The applicant' res siblie f suring all required inspections aze
re i onfo ance�vi he State Building Code.This permit may be
vok any t' e for du@ use.
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' e � ature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
City of Orono
Buitding Permit Apptication for In#ernat VI/ark
(windaws, doors, siding, re-roof, etc.j
M�rling Addr�ss: �a _Q� C� (�
�`��;d,�1jO Pp Box 6S ' Permif number �(> /
►
��/ Crystal Bay,MN 55323-0066 � Data received: �I/ �j/�j
� � ,.« Re.�eived by: `�
+ a r+ m SfreetAddress:
�,�� � �` G�' 2750 Ke�iey Parkway F'lan reYiew#ee: _
�' Orono,MN 55356 f
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+ T6t81 FeA: � � l i � G` �
Main� �"i2-249-4600 Fax: 952-249-46'i8 www.ci.orono.mn.us 4 ��5` - /;yr�;;.
This applic�tian form must be complet�i in full and all requireri infarmation must be subrnitted. �;_�j/Z
incomplete applications will be returned. (PJease print)
GENERAL IFlFClRMATIOI�t:
Job Site Address: ['� S O (✓'4�',�
Will this he a Pa�ade of Hames,Remodelers S owcase Ho r ather Display N e? es No
!f yes,a spacial eveni pe�mit is saquired with Potice Departrrrerrt eRd Gty Counci!ap{xovat 60 days priar 2o ihe event. Shtrttte bus servtce wil'be
requtred unlass applicant demonsfretes sulhaient onsita parking 15 avaNsbte. Nonpermitted events wi!!not be adowed,
CaN7RACTOR/APPLlCANT!hlFORIIAA7IQN:/� -.� .�.��
Name: ��lo�'c�o2^�.�VYte.� �--l�v� �TY�.tJll�Y'�
5tate License# �S+-3 4�[,�{ Expiration Daie: �,- t.- � "�
�ead Certificatian Number; �t �. Expiration Date:
(for wark on homes tha t were constrcrcted prior to i978
Phone: L�'7y, - { (a�ce} �2 - �''� '"?�,�L. (cel{}
Mailing Address: 3 Gity ZfP: �-,�
Cantact Person: A licant is: o tra �� Ho eowner
PP _��o-� j-i--
Emait andlor Fax:
PROPERTY OWNER iNFt3RMAtION: 1 �n
�4arne: `r' ���t Y�"�..,n�
�S__� r� Q e�.�t"'
Phone(day): L �
Address: �dC�n W• 3�,''�'' S`fi' c�t_y�-��S�c�zrP: �S �l!.�
Email and/ar Fax ��r�y� ���Q,f-- yvvb��,�br�.v,n�r.,�er-�?�.�(�,i,�,�,,� G��__ �l;C>CJm
PROJECT INFQRMATION:
Type ef Pro]ect: Any earth moverx�ertt may reqc►ire
MCWD revtew 8 permits:
❑Daor(s) ❑Remodel ❑WaterDamage �;nnehaha Creek Watershed District(MGWD)
[}WincSow(s) ❑Repair ❑Sto+m Damage 182021v1'innetonka Blvd
❑Siding ❑Restoratian ❑Other:(speclfy) aeephaven,MN 55391
❑Re-roof i Phone� 952-47i-0590
❑Fire Damage Fax: 9�2-�t71-OFi82 �
vrww.minnehahacreak.ors�
Overail Project Description: � ,r, �;,;,,• �/ "'
Estimated Construction Valuation of Project{excluding iant!) � 6�r�Z�.s�,
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APPLICANT A�CKNOWLEDGEMENT:
Agrees to pravide afl infa►matian required or r^equested by the Building Department;
� Certifies that the information supplied is true and correct to the best of his/her knovuiedge. i"he applicant�cagnizes that ihey �
are so�ely r�esponsible kx subrraittirtg a complete appficatlon being aware that upon failure to c�so,the sta�`has no aftema tive
but to reject it until it is complete;
s Some or af4 af the 1nfoTrr�atron that you are aske�5 ta provide on this appiication is ciassified by State iaw as either pnvate or
confidential. Private data is infortnation which generally cannot be giuen to the public but can be given to the subjecl of#he
data. Confidential da2a is informatlon which generalty cannot be given to either the public or the subject af ine data. Our
purpnse and int+ended use of this information is fo annualty update our necords and records of othet governmental agencies
re uired b law. If u refuse su khe information,the a Eicatian ma not be issued.
Applicant's Signatu�e: � Date: ��-��--�(�J �
tast UpdateJ: Q3-OY-20i 1 f �`
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' Plan ��view +�he�:kiis# for I��w St uctures i Additions
Address/PID I:LegaL Z��7 � 1�^�-��Q �Q-dI-�-C�J l� �� � I
Description of work: U �'� 1� t
Septic r,e�iew by: /✓/tfJ Da ,4pprnved:
j Zoning review by: , /V !� Da Appro�red:
Building review b�: Da �►ppraved: �- /�/ ' ZO 1 Z,
� Gratling review,tiy: N /A- Da Approvsd:
iZoning File#: Resolution#: Resolufion Date:
Zonin :District Firs De artment Po t�ffice ho�l District
� `'
, Zoning: Lot Area SF/AC llalidth: Depth:
�- Survey"Subrni tl: 0 Yes � No Date of`Su ey:
Rro osed`Setback �
Eront:(Lake) ear(Streetj; � "� S E "'�l ) (, 't�l S �E : ) pti�r"B.uildin,�s �INet{and :
Side Sitle
i
�, _
Building Defined Height; Building Peak Hei : #of Stories fJk?: � YES
!' FOR�1 SU1L'DfNG iN13'H AB�45EIVIENT OR C WL 5Pi4CE: FOR A'SUI D1NG'ON 11 SLAB,FAUNDl1TlOI�t:
' START WiTH the iiistance between the b ement fl�or/�crawl START the distance'between theslab and�fhe highest
'I ` space'floor and the highest ro °peak,the top f WITH roof peak,3he top.ofthe cornice of a flat roof,
; the.cornice of a`flat roof,.the dec ine nf a #he:deck.iine af a mansacd roof,or;t#�e
mansard:ro�f,or':the uppermost;po t_o round uppermost:point on a round or other arch typa
; or�thsr arch- e ronf raof ''
1 SUBTRACT haff:the tlis#ance between.#he high :w ow and SUBTRA T half:the distance between the hi�hest wintlow :
hi hest:roof eak of a "itched ro antl`hi hest roof, eak of a itched roof
SUBTRACT the distance between#he bas ent floDr/cra 1 ADD- the distance between.the:slab and the highest `
�: space floor antl the highest �sting gr.atle withi existin rade within�the fountlafion
' th8 foundation 4r 10 fest, ichever is;iess: EQUALS Defined buildin hei ht
EQUALS Defined:buildin 'Mei ht
� Lat Coverage: SF % '
Sfior.efand Distcict �111.CY1tD Permit fiteceived �►v�er _; e, iceshore.;Setback ' BII:rFf
�, fl Yes � No � '°N/A ; � Yes � No
' fl Yes 0 � Yes No � N/A _
I
Permit Number. Setback:
Hardco�er; on�s 'Existin Fro osetl Y�rian e`Re u eii CUP Re uiretl
I
D- , � Yes � ;0 Yes IO No
-25D'� TYPefs): Type(s):
250-500'
5.�0-9.OD0' �
REM,�RKS (in-house): 0 C/�� :
i Updated: 09/1112008 -
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Fees to be Char ed �fS > :�10 -
.. . .__�.
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_. . _. . �... ,. . . _ . . :__. . ., . _.-
Plan Review
. �., ... .
.inuestigation Fee
r,���, . . . . ..,._ .. .... .._
Sewer Cannection
Park`fee - _ _
,Other jspecify)
�alcu"latetl By:
S uare Foota e $ er.� uare Foota e
8asement X - _ �
,�st Ftoor X _ ;� ;
2"�Floor - � , _ �
Gara9e � - �
Estimatetl Constr�ction Vatue: � �C�,�l�V °�
Orono<inspections i2equired �Uor�C Requirin,g�Separate Permits Require'tl �tate Permits
� Site _ �''Plumbir�g � Gra�ling/Filiing 0 W.ell
� Hardcover Removal Mechanical fl Fire ` �Electrical
� Footing ` � Septic 0 �lalater'1Connection
� Poured 1lVall � �'Fireplac� � Sewer.Connection
� FoLntlation Survey 0 Masonry n Lawn'Icrigation
� Radon Rock Bed � Mfg.
0 Frarning L1 '�thsr(specify)
:� lns�lation ,
,.C3 As-Built Survey
�Final
G Ofher�specify)
REI�IARKS ��n-horase):
�Other=f�e�iew: R�eyie�wecl by: Date.�lpproveYl:
�,ccess:Existing: G YES � NO New: �� YES G }�O
itF11fIARKS�T0 BE'I�IDTED t�N PERMIT 141a1D tN1TlALLED BY�ERS�N PULLING PE62MIT)
Updated: 09/1'1/2U09
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