HomeMy WebLinkAbout2011-00892 - deck detached CITY OF ORONO PERMIT NO.: 2011-00892
-� 2750 KELLEY PARKWAY
, � ORONO, MN 55356- �ATE IssUEn: 08/18/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1350 REST POINT CIR
PIN : 07-117-23-31-0024
LEGAL DESC : REST POINT PARK LAKE MTKA
: LOT 012 BLOCK 000
PERMIT TYPE : ACCESSORY STRUCTURE
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK DETACHED
VALUATION : $ 16,500.00
NO"I'E: INSTALL NEW TREATED DECKING AND S"IAIR TREAD ON EXISTING DECK. DECK R�-CAP&STAIR RE-CAY
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APPLICANT
ar�st.,ne IndustY 295.00
CORNERSTONE IND. INC. g 25
P.O. BOX 374 •�;c�us Balar�ce:
EXCELSIOR, MN 55331 :�.t5 303.25
(612)226-8344 ;-.{K:,g°.�^ ;3S(; �:•.-;-.}
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OWNER :-ll+J$?: i�a�:.
JORDAN, CLAUDE& DEBORAH ��r����
1350 REST POINTT CIR -f'���c
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MOUND, MN 55364-
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AGREEMENT AND SWORN STATEMENT -;:� wN�
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"rhe work for which this permit is issued shall be performed according to ��U�,� '
the approved plans and specitications,applicable City approvals,and the ytiY'�r�tOtl� j:3t��1s�!'1F
State Building Code. This permit is for only the work described and does �,,.,K
not grant permission for additional or related work which requires separate ;�,�� t,�: ���^+ ,, .
permits. All provisions of laws and ordinances governing this type of work :��,7r�
sha11 be compied with whether or not specified herein.This permit will ppp�1^c;GPt� 111G�t15�Y'3E5
expire and become null and void if construction authorized is not --------�—
commenced within 180 days of the date of issuance,or if construction is a� �31�: •��
suspended for a period of I80 days at any time after work has commenced. �
The applicant is responsible for assuring all required inspections are
cequested in conformance with the State Building Code.This permit may be ���
revoked ime for due cause. �
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A icant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
,, City of Orono � �
. Building Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
/ Mailing Address: Permit number: �_� ' �UC��q
/.��,�. PO Box 66
Q Q Crystal Bay, MN 55323-0066 Date received: �c��.
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,� �; ��� �, Street Address:
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'�, > �ti 2750 Kelley Parkway �--
l.ykE$x� Orono, MN 55356 -
��=_� Total Fee: '
Main: 952-249-4600 Fax: 952-249-4616 vw✓w.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: / �p ,Q,L�f r' ,; �;f ��( �7�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes, a special event permit is required with Police Department and Cify Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicanY demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �v,�nt±��'"tc�ti-�-L .1nc�.�7'�i'�t5 ,�nL :
- �
State License# �,,,�y,�L{ Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: C�c�Z� ZZIv -S 3�1 y (office) (cell)
Mailing Address: Pp B�.z 37 ��� s��,- �•vt�v 5 5 3 3 � �+P--
Contact Person: -r,�,, L��L�-�- Applicant is: ontractor '/ Homeowner (Circle One)
Email and/or Fax: G 5 � ya„i�{s���;,� � y�t,o� , ��:�
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PROPERTY OWNER INFORMATION:
Name: G�ati��Le. w�.��L l��lo�,,-c�L. T-�oCa-�
Phone(day): l- �lo�l- ,5"iZ_t�y33
Address: �3 7 0 ��z S f' ��vr�' (a,- CitY�,'VIo:,v�a� ZI P: Ss'3 �-(
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,asphalt ❑ Repair ❑Storrn Damage 18202 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑Siding �Other: (specify) Fax: 952-471-0682
❑Window(s) � K -u� ��minnehahacreek.orq
Overall Project Description: 1�,�t�// ,,�, . r �t k,� cwro( �t,r � 17 ,`,,, � ,
Estimated Construction Valuation of Project(excluding land) $ � � poc�,�o �- Zo,coc�,�c�
APPLICANT ACKNOWLEDGEMENT: ��CP�v�
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of hislher knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the
data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other govemmental agencies
re uired b law. If ou refuse u I the information,the a lication ma not be issued.
Applicant's Signature: e� �Ac,� Date: . $-i �— � I
Last Updated: OS-09-2011 .�_���C :�2,.
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