HomeMy WebLinkAbout2015 - 01422 - attached deck CITY OF ORONO Ell I N I � A II II D1 I �I II � I II D II 11
015 - 01422 *
2750 KELLEY PARKWAY DATE ISSUED: 11/04/2015
ORONO, MN 55356-
4
` (952) 249-4600 FAX: (952)249-4616
ADDRESS : 2850 WEAR CIR
PIN : 33-118-23-34-0008
LEGAL DESC : ROLLING MEADOWS 2ND ADDN
: LOT 002 BLOCK 002
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: ATTACHED DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01421
APPLICANT ADVANCED PLAN REVIEW 130.88
PHI DECKS TOTAL 130.88
Payment(s)
3500 VICKSBURG LANE N#302 CHECK 1447 130.88
PLYMOUTH, MN 55441-
(952)215-6266
Minnesota State License#: BUIL-BC636117
OWNER
EUGSTER,NICHOLAS&MARIAH
2850 WEAR CIR
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 th> ate Building Code.This permit may be
revoked at a ' e f• due� \
7ii.,A
Appli nt Pe re- ignature Date Issued By Signature Date
CITY OF ORONO
/
4 BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
fp4w ✓� O Mailing Address: Permit number:
POBox 66 c������� , to
Crystal Bay, MN 55323-0066 Date received:
Street Address:' Received by:
S� y 2750 Kelley Parkway � �rvh (C`[ I_ anreviewfee:
<1 •' O�`�C 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)
GENERAL INFORMATION:
Job Site Address: 2 WLAfL U R..Le
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 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: "Pik) DECKS
State License# %(.636111 Expiration Date: 3/31/17
Phone: (cell) %Ljt-'245- 67,66 (office)
Mailing Address: lsor., vicie-s gupl., i ,•, }§9)2_ City: _paYwl uTi3 ZIP: 5'I11
Contact Person: NI L M v i2T1.1A Applicant is:<-Contr'actor / Homeowner (Circle One)
Email and/or Fax: Nit.@ PHit,MNFSvT . Corte
PROPERTY OWNER INFORMATION:
Name: MAUAsA Nlc,1t— EO6SSFJQ-
Phone (day):
Address: ? 50 City: Oftor.Jb ZIP: 55356
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
15" (o
PROJECT INFORMATION: Description of project: ��D c�_/ /
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
❑ New ConstructionWater Supply
Single Family with 0Residence
a Addition - DV-14- attached garage ❑Garage/Accessory Bldg. ❑Public Sewer
❑Accessory Building 0 Single Family with Deck
❑ Relocation detached garage ' ]Office/Commercial 0 Private Sewer
❑Other:(specify) 0 Multiple Family/Condo ❑Warehouse
0 Public 0 Storage 0 Public Water
""'Any earth movement may also require 0 Commercial 0 Other(specify)
MCWD review&permits. 0 Industrial
Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) ❑Private Well
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ Ili O03