HomeMy WebLinkAbout2011-01258 - attached deck CITY OF ORONO PERMIT NO.: 2011-01258
� 2750 KELLEY PARKWAY
'' ORONO,MN 55356- DATE IssuEn: 10/19/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3701 SHORELINE DR
PIN : 20-117-23-21-0033
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 000 BLOCK 007
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN
VALUATION : $ 3,000.00
NOTE: DECK REPLACEMENT-IN KIND
APPLICANT pERMIT FEE SCHEDULE 88.50
WILLIE CREAR PLAN REVIEW 57.53
5696 COUNTY ROAD 7 SW
PO 84 STATE SURCHARGE(VALUATION) 1.50
HOWARD LAKE,MN 55349- TOTAL 147.53
OWNER
Casco Run Limited Parinership
PO BOX 163
CRYSTAL BAY,MN 55323-0163
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become rmll and void if construction authorized is not "
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB
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� City of Orono �� �}� N
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� , ' Building Permit Application for Maintenance / Renovation ���� '�
r� (windows, doors, siding, re-roof, etc.) �
�' Mailing Address: Permit number: a �� � � D� 2 S� �
�„�� �v�,� PO Box 66 �
Q � Q Crystal Bay, MN 55323-0066 Date received: 1�--��- �� ,���
il� �
' �a �-�' �, Street Address: Received by:
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g� �'�t t "��„ �ti 2750 Kelley Parkway Plan review fee: �
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�";��' `�gESHo�''� Orono, MN 55356 -
--� �-
Total Fee: -:.
Main: 952-249-4600 Fax: 952-249-4616 www.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) k�
GENERAL INFORMATION: _
Job Site Address: �� � �Q� Lj,�/�' ,j]j�/(/'� �/,� /���L' �,(� ss �G �
Will this be a Parade of Homes, Remodelers Showcase Home or ot er Display Home? ❑ Yes No
If yes,a special event permif is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
tt,� CONTRACTOR/APPLICANT INFORMATION: ��
Name: Gl�/L-L%/}��/j C/2�'� �
,:;
State License# Expiration Date: ---� �
� Lead Certification Number: ,`-- Expiration Date: -� �
��: (for work on homes that were construcfed prior to 1978
, , Phone: `2o fi �2'J 0 O G ( (office) (cell) �
k " Mailing Address: ��5� p�rl(,:� ��G �-/ City:� D'�.�;�K� (�lL� ZIP: 6Vj�l,' �5--3C�/�
� Contact Person: o A licant is: Contractor / Homeowner a�
"�` ��r� �/���� pp (Circle One)
�� Email and/or Fax: �;���``f�'e e� Q� � `j� ���'�, �ply�
�' - 1 �
�� ' PROPERTY OWNER INFORMATION: �
F�
� Name: C/JSCZ} /2(/ ,�
�' Phone da (��Z ��- � � _ �
�, � Y)� �
�:., Address: /qg� �/�T-�5� /�lr�'�V[�`� City: ��l%��Z�T/� ZIP: �S�, �;
� 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 ❑ Storm Damage 18202 Minnetonka Blvd r�
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ,�
Phone: 952-471-0590 1'
❑ Re-roof, other(specify) ❑ Siding � Other. (specify) _ Fax: 952-471-0682 .�r�
", ❑Window(s) �(GS ��o��L/�U"�S—�4C'�, �^'�'�`N.minnehahacreek.orq +�;.
� Overall Project Description: Q��/�i,L j"w�J LXrG,�-?/'p/� �7�'G/C � d�'1/ �DoQT--/� S/,IJJ� ��
q'` Estimated Construction Valuation of Project(excluding land) $
,,, *-.
APPUCANT ACKNOWLEDGEMENT: �
a. �. • Agrees to provide all information required or requested by the Building Department; �.�
c�
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they u�
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative ��
but to reject it until it is complete; �y,�
• 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 enerall cannot be ��
g y given to the public but can be given to the subject of the �;t�
data. Confidential data is informa ' Fj which generally cannot be given to either the public or the subject of the data. Our r��
purpose and intended use of this infprmation is to an "�Ily update our records and records of other governmental agencies ''
�
� re uired b law. If ou refuse to u I t informatio , t e a lication ma not be issued. ,�
� / �
. {�:
ApplicanYs Signature: Date: �� ��Q,�Ge��%� �''
�
Last Updated: 08-09-2011
�� �y DATE TIME (�
CITY OF ORONO CALLED IN � _�
INSPECTION NOTICE SCHEDULED ___�CL_�
PERMIT NO dl l-C�I 5 g COMPLET D _
ADDRESS ���� r � L I U`�
OWNER . ELEPHONE N0.��7'�"�3'f���D�
CONTRACTOR � L � I� �-�
>: DESCRIPTION `�--�- `��`�=-�-�--J -
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN
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 — EP I FINAL ❑ FOUNDATION/REMOVAL
� OWNER/ RACTOR TO MEET YOU: YES_NO
� COM S:
�
W
�
�
J
O
a
�
O
�
W
�
Q
�
Z
W
�
W
�
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p PHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on site:
Inspector. �- � � � �
White Copyllnspector's File Canary CopylSite Notice