HomeMy WebLinkAbout2012-00291 - addn/remodel/repair CITY OF ORONO
* 2012 - 00291 *
2750 KELLEY PARKWAY DATE ISSUED: 05/08/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2725 WAYZATA BLVD W
PIN : 33-118-23-13-0019
LEGAL DESC : CRYSTAL BAY BUSINESS CENTER
: LOT 3 BLOCK 2
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPW
VALUATION : $ 654,000.00
NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL AND ELECTRICAL(STATE)
REMODEL-MINI STORAGE BUILDING
* SITE SIGNAGE REQUIRES SEPARATE PERMIT. INITIAL)
APPLICANT PERMIT FEE SCHEDULE 4,226.75
STEINERCONSTRUCTION SERVICES,INC. STATE SURCHARGE(VALUATION) 327.00
3614 COUNTY ROAD 101 TOTAL 4,553.75
WAYZATA,MN 55391-
(952)475-5116
OWNER
Orono Mini Storage LLC
6851 FLYING CLOUD DR
SUITE A
EDEN PRAIRIE,MN 55344-
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.
Thea licant is responsible for assuring all required inspections are
equeste 'n conformance with the State Building Code.This permit maybe
revoked any time for due cause.
Ap ' a t Permitee Signature Date
IsMed By Signature Date
PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of OronoG�- �
Building Permit Application for Maintenance / Renovation �5
(windows, doors, siding, re-roof, etc.)
3•
Mailing Address:
CryPermit number: oZC)
O �O Cr Box 66
Crystal Bay, MN 55323-0066 Date received:
:
Street Address: Received by
o 2750 Kelley Parkway �Plan review fee: ?/,/--7. wl
lq� xo$4 Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 0,rV Sf.1 &u.f UniSlikWil (0,mkP 2-7ZS 1VG13W, 0►ro al IU Xn3s(o
Will this be a Parade of Ho es, Remo eters Showcase Home or other Display ome?/Y . YesEl-No
If yes,a special event permit is required with Police Department and City Council approval 60 days p►ior to the event. Shuttle bus service wN be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: v f`
State License# "/A Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: ofS ), 4715 511(1 (office) (e !;- 8b$ 6.5;Uq (cell)
Mailing Address: Ci ZIP: IV
Contact Person: Applicant is: onVaCt / Homeowner (Circle One)
Email and/or Fax: a.�nQGhC2�, s fi��ne,r( . poi+'►
CJ
PROPERTY OWNER INFORMATION:
Name: , A CCaan ( mD LG
Phone (day):
fr
Address: % �_ -� 0 city: �ZIP: 3 :vim(
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
❑ Re-roof, cedar Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.org
Overall Project Description:
Estimated Construction Valuation of Project (excluding land) s ,., 7j
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
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;
• 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 generally cannot be given to the public but can be given to the subject of the
data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governmental agencies
required by law. If you refuse to supply the information,the application may not be issued.
Applicant's Signature: J Date: �� 2
Last Updated: 08-09-2011