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Home My WebLink About2015-00583 - attached deck . � CITY OF ORONO * 2 0 1 5 - 0 0 5 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2015 ORONO, MN 55356- I 1 ' - 952 249-4600 FAX: 952 249-4616 v ADDRESS : 3011 SUSSEX RD PIN : 04-117-23-32-0018 �o(l lll��►,` IT LEGAL DESC : FOX BEND ',�r,f� : LOT 007 BLOCK 002 �. �1�, � " PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYP : RESIDENTIAL CONSTRUCTIO TYPE : ADVANCED PLAN REVIEW VALUATION : $ 10,000.00 NOTE: PLEASE FI L[N THE FOLLOWING: VALUATION OF P RMIT:$ 10,000.00 TYPE OF PERMIT HIS PAYMENT IS FOR: ATTACHED DECK PERMIT#THIS P E-PAYMENT IS TIED TO:2015-00582 I APPLICANT ADVANCED PLAN REVIEW 130.88 TOTAL 130.88 RENEE CRISTIANI,J AN& Payment(s) 3011 SUSSEX D CREDIT CARD 2232 130.88 LONG LAKE, 55356- OWNER CRISTIANI, UAN&RENEE 3011 SUSSE RD LONG LAK ,MN 55356- AGR EMENT AND SWORN STATEMENT The work for hich this permit is issued shall be performed according to the approved lans and specifications,applicable City approvals,and the State Buildin Code. This permit is for onty the work described and does not grant pe ission for additional or related work which requires sepazate permits. All rovisions of laws and ordinances governing this type of work shall be com ied with whether or not specified herein.This permit will expire and b come null and void if construction authorized is not commenced ithin 1 SO days of the date of issuance,or if construction is suspended f r a period of 180 days at any time after work has commenced. The applica t is responsible for assuring all required inspections are requested in conformance with the State Bui ding Code.This permit may be revoked at y time for due cause. �( /'�l} � �_ �_��— C��)'�Y'C_�� -� � � �� l- App�ant P rmitee Signature Da e + Issued By Signature Date � -_ � I CITY OF ORONO ' � BUILDING PERMIT APPLICATION ; ' FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: �' � PO Box 66 Permit number: � ' U 5 Crystal Bay, MN 55323-0066 Date received: C � Z C� � � � � ; Sfreet Address:' --�-~- ' �� 2750 Kelley Parkway .� �q �' Orono, MN 55356 �� Plan reviewfee: ]30 , g kE5 HOR �� M in: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: his application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL I FORMATION: 3 � r ' �.5��X �� /Q�� Job Site Ad ress: � v �✓l�J �S.3S� WII this be Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a specia/ vent permit is required with Police Department and Ciry Council approva/60 days prior to the event. Shutt/e bus service will be required unless pplicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACT R/APPLICANT INFORMATION: .----- • Name: - ^,� �/A.� �lS !A/'�� State Licens # Expiration Date: Phone: cell 6 o�ce � n Mailing Addr ss: � � Ol�-,� Ci : ,✓� ZIP: G Contact Per on: ,c,,.� T A � Applicant is: Contractor / omeowner (Circle One) Email and/o Fax: �,�4i,�G2i� T�A,,�� 'Y�,,��L l�1�1 PROPERTYI OWNER INFORMATION: �� Name: ��! ✓'A� �lS �lR�✓� Phone (day : p � Address: '2p/ 1 v S��,L' r�� City: ��/`/J ZIP: ��....i � Email and/ r Fax � „vF+r�Gk/S T�R Ni��/►1/-�-l�. G�r't ARCHITE T/ENGINEER INFORMATION: j Name: G� R,� L " R r� RG�l 1�£ ��i�/Z �. �L�. � Phone (da ): / �� Address: 'E R v,�s c�t : EEP1�9�� ziP: - Email and/ r Fax: ,��L G D�/� �L� . Go� PROJEC INFORMATION: Descri tion of ro�ect: ��-� � (� 1.Type of roject 2. Proposed Use 3. Structure Type 4.Sewage Disposal 8� ❑ New C nstruction ❑ Sin le Famil with Water Supply 9 Y ❑ Residence Additio attached ara e Access Buildin 9 9 ❑ Garage/Accessory Bldg. ❑ Public Sewer rY 9 ❑ Single Family with (�Deck ❑ Reloca ion detached ara e ❑ Other: specify) g g ❑ Office/Commercial ❑ Private Sewer ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water '*Any ea h movement may also require ❑ Commercial ❑Other(specify) MCWD r iew&permits. ❑ Industrial ❑ Private Well Minnehah Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Min etonka Blvd Deephave ,MN 55391 Phone: 9 2-471-0590 Fax: 952 71-0682 www.minn hahacreek.or Estimat d Construction Valuation (excluding land) $ ��Q� i�� i .- I' CITY OF ORONO �� • �k2015 - 00583 * 2750 KELLEY PARKWAY DATE ISSUED: 05/12�015 ORONO,MN 55356- ' � 952 249-4600 FAX: 952 249-4616 ADI�RESS : 3011 SUSSEX RD pIN : 04-117-23-32-0018 LEGAL DE�C I, : FOX BEND : LOT 007 BLOCK 002 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY T E ' : RESIDENTIAL CONSTRUCTI�N PE : ADVANCED PLAN REVIEW VALUATION � : $ 10,000.00 NOTE: PLEASE�IL ',IN TI�FOLLOWING: VALUATION OF�E T:S 10,000.00 TYPE OF PERMIT S PAYIvIENT IS FOR: ATTACHED DECK PERMIT#THIS P� YMENT IS TIED TO:2015-00582 ' APPLICANT ADVANCED PLAN REVIEW 130.88 TOTAL 130.88 CRISTIANI,N�1N I RENEE Payment(s) 3011 SUSSEX R�D CREDIT CARD 2232 130.88 LONG LAKE,1�kN �356- OWNER CRISTIANI,N �c RENEE 3011 SUSSEX� LONG LAKE,1t�iN 356- AGREE E AND SWORN STATEMENT The work for whic thi rmit is issued shall be performed according to the approved plans and ifications,appiicable City approvals,and the State Building s pecmit is for only the work described and dces not grant permissi n fo dditional or related work which requiros separate permits. All provigions laws and ordinances goveming tt�is type of work shal(be compied with ether or not specified herein.This permit will expire and become null d void if construction authorized is not commenced with' 180 ys of the date of issuance,or if construction is suspended for a 'od 180 days at any time after work has commenced. 1'he applicant is reSpo ' le for assuring all required inspections are requested in confotm with the State Bui ding Code.This permit may be revoked at any ti fo ue cause. ,� �5�.-`c�-,.� �� l' j �� App ' ant P 'ee ature e � Issued By S�gnature Date �- . I � CITY OF ORONO . � BUILDING PE RMI T APPLICATION � FOR NEW STRUCTURES OR ADDITIONS �O Mailing Addiess: PO Box 66 Pe��t number: Crystal Bay,MN 55323-0066 Date rec�iVed: Z ,� StreetAddress:' ' • ��f � Orono, MN 5356 y �� Plan reviewfee: �30 . $ kFSHO� Ma : 952-249-4600 Fax: 952-249�616 www.ci.orono.mn.us T��I Fee: T ' appNcation form must be completed in fuil and ali required infarmatio�m�stbe submi#t�d. incomplete applicatlons wtli be returned. (P/ease print) GENERAL �N RMATION: 3 � l, �js�� Q�� Job Site Adldr s: ,y�� S'S � Will this be rade of Homes, Remodelers Showcase Home or other Display Home� Yes No If yss,a special eve permJt is requiied wlth Police Departmern and Clty Counc!!approva/60 days prior to the e�nt. Shuttle bus service will be requiied uNess p nt demonstrates sufficient on-s/te parking is availeble. Non-pem►itted euents will not be allowed, CONTRACTpR ;APPLICANT INFORMATION: ,----- • Name: �/'A,� �/s �i Arr �1� State License# I Expiration Date: Phone: cel office Mailing Addr�ss: I � O � Ci : Contact Persbn: ' v ZIP: G A� T A � Applicant is: Contractor / omeowne Email and/or Fa :. �4 � A �� (Clrcle Ona) � PROPERTY D ER INFORMATION: Name: �A,�.r �/S ,/R�✓� Phone(day):I D Z Address: � ��/� : �� J Ci ZIP: � .�...�� Email and/or Fa �,c�,,� � � , �M ARCHITECT'/E GINEER INFORMATION: � Ph ne (day):I � �3 � 1� RG I �� L V� � I ��. � A d dress: E v�2 ci • LEPyqv�,,, Z�p: Email and/or�'a L GD E �- , Go� PROJECT INF RMATION: Descri tion of ro'ect: 1.Type of Pro ec 2.Proposed Use 3.Structure Type 4.Sewa e Dis ❑New Constrt�cti h �Nater Supp�aal& ❑Single Family with ❑Residence Addition attached ara e Accessory uil i g 9 9 ❑Garage/Accessory Bldg. ❑Public Sewer ❑Relocation� � ❑ Single Family with �Deck detached garage ❑Office/Commercial ❑Other:(speGfy) i ❑ Multiple Family/Condo ❑Warehouse �Pnvate Sewer ❑Public ❑Storage ❑Public Water ""Any earth m�ve ent may also require ❑Commercial ❑Other(specify) MCWD reviewi8 rmits. ❑ Industrial Minnehaha Cree�C W t rshed District(MCWD) ❑pther: (speCify) ❑P��ate Well 18202 Minnetonka BI p Deephaven,MN I553 �1 Phone: 952-4711059 !� Fax: 952�71-0 2 www.minnehaha ree . r Estimated Cohst ction Valuation (excluding land) $ ��Q o J d � �� i ; . • , • . � • ' � • . mo I T s Finance De artment � p i F : Christine Mattson, Planning Assistant (J• � : Street File i l e: January 20, 2016 ! : 101-22205 i . Escrow Refund i ilding Perm�#2015-00582 pertaining to 3011 Sussex Road has been withdrawn. Please � r �und the advance plan review of$130.88 to the applicant, Juan Cristiani. e following is attached: i • Copy of cash register receipt showing escrow amount received � �il to: Juan Cristiani ! 3011 Sussex Road ! Long Lake, MN 55356 i � � � i :�,street files�sussex road13011�adv plan refund 2015-00582.doac