HomeMy WebLinkAbout2017-00345 - attached deck CITY OF ORONO * z 0 1 7 — 8 0 3 4 5
2750 KELLEY PARKWAY DATE ISSUED: 04/11/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 1180 TOWNLINE RD
PIN 30-118-23-32-0001
LEGAL DESC UNPLATTED 30 118 23
LOT 000 BLOCK 000
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
VALUATION $ 10,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 10,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDING ATTACHED DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00344
APPLICANT ADVANCED PLAN REVIEW 130.86
TOTAL 130.86
JOHNSON,CHARLES&CARLEY Payment(s)
1180 TOWNLINE RD CREDIT CARD 1996 130.86
MAPLE PLAIN,MN 55359-
OWNER
JOHNSON,CHARLES&CARLEY
1180 TOWNLINE RD
MAPLE PLAIN,MN 55359-
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 separate
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 null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a peri of 180 days at any time after work has commenced.
The ap ica tis res sible for assuring all required inspections are
reque ed i onfo ce with the State Building Code.This permit may be
revo ed at y ti e o due cause.
App r►ni Signature Date Issued By Signature Date
i ��,.z,�t•-612i
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
Mailing Address. Permit number:
'VQ PO Box 66 T
Crystal Bay, MN 55323-0066 Date received: 44 —Z
A ,, Street Address:'
Received by:
2750 Kelley Parkw 2 r j Plan review fee: c�(p
`9kfSHO��G Orono, MN 55356 "1
Main: 952-249-4600 Totalee:
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)
GENERAL INFORMATION:
Job Site Address: 0-KO To�onilne,
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes EZ No
If yes, a special event permit 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.
CONTRACTOR/AP LItrANT INFORMATION:
Name: A,�o .
State License# Expiration Date:
Phone: (cell) 7La334C, :5 q516 (office)
Mailing Address: 11-60 a nlinc Ko,,y( City: ori
Contact Person: 0, ,Q, Applicant is: Contractor Homeowne (Circle One)
Email and/or Fax: Ci��n�c:�14„���tdl Ate
PROPERTY OWNE INFORMATIO
Name: C -rLt 5 �b�A, 01,
Phone(day): -1&'S 9_1;Ll ?y 51:.
Address: wco -rot"n1,r`c Tzcr a City: ®r6A to ZIP: )qn1 SS 3
Email and/or Fax r ` >�n�•�,, u"7 �c wnr�CU" A,/4P \'
ARCHITECT/ENGINEER INFORMATION:
Name: M I-� C rtC1',r,
Phone(day): 29-n• e32-Y- 1%q{
Address: 73ZQ011Zi City: 0,4, `4--/ ZIP:•SS,3
Email and/or Fax.
PROJECT INFORMATION: Description of project:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
ElNew Construction [Z Single Family with ❑Accessory Bldg./Garage Water Supply
:Addition attached garage ®Deck
El Accessory Building El Public Sewer
EJ Family with ❑Office/Commercial
❑ Relocation detached garage ❑ Residence Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
"Any earth movement may also require ❑ Commercial ❑Storage
MCWD review&permits. ❑ Industrial ❑Warehouse
MCWD Private Well
Minnehaha Creek Watershed District
( ) El (specify) El (specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacEggK.org
/7
Estimated Construction Valuation (excluding land) $ v 0OD
Last Updated: January 2016