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HomeMy WebLinkAbout2012-00969 - garden shed CITY OF ORONO * 2012 - 00969 * 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADPRESS 2995 WATERTOWN RD Pllq 04-117-23-21-0010 LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN LOT 003 BLOCK 003 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 14,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 14,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: GARDEN SHED PAYMENT IS TIED TO:2012-00970 APPLICANT ADVANCED PLAN REVIEW 162.99 SAM MESSICK 1930 FOUNTAIN LANE N TOTAL 162.99 PLYMOUTH,MN 55447- PAID WITH CC# 1668 (612)310-5494 Minnesota State License#:BC639427 OWNER SMITH,CHRISTOPER&ELANOR 2995 WATERTOWN RD LONG LAKE,MN 55356- 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 period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono 4W Building Permit Application / for New Structures or Additions --- Mailing Address: Permit number: o&Z2—00 7/ g,0PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address:' Received by: G 2750 Kelley Parkway Plan review fee: Orono,MN 55356 ax p 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) GENERAL INFORMATION: Job Site Address: 99.E GiA- 0Wy1 �D, O (W10 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes EkNo rf 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/APPLICANT INFORMATION: Name.' !; ,. State License# L3 G Expiration Date: -31-13 Phone: lvla:.3/O-5N9 tell (office) (cell) Mailing Address: A7 L-r) A . City: ! ZIP: Contact Person: 4±! ,04- Applicant is: tractor / Homeowner (circle one) Email and/or Fax: C®Pol PROPERTY OWNER INFORMATION: Name: Gly i(i` S 5114-11A Phone(day): ¢5,2413-75'97 Address: E7t9915 wkTey-rov,,A K0 city: fp ZIP: SS3��o Email and/or Fax c-KrV co A l brfO , COM ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction ❑Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer [gAccessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑Office/CommercialPrivate Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑ Public Water **Any earth movement may require ❑ Commercial 00t er(specify) .> MCWD review&permits. ❑ Industrial ( Private Well Minnehaha Creek Watershed District(MCWD) [ ( hqr s ecify��� 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.o Estimated Construction Valuation (excluding land) $ J q©y