HomeMy WebLinkAbout2013-00359 - addition/remodel - CITY OF ORONO * 2 0 1 3 - 0 P1 3 5 9 *
. 2750 KELLEY PARKWAY DATE ISSUED: OS/14/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2677 CASCO POINT RD
PIIY : 20-117-23-23-0020
LEGAL DESC : SPRING PARK
: LOT 135 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 5,000.00
NOTE: PLEASE FILL IN THE FOLI,OWING:
VALUATION OF PERMIT: $ 5,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEI,
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00360
FOR SMALL OVERHANG OFF TO SIDE OF GARAGE.
APPLICANT ADVANCED PLAN REVIEW 76.70
AVID BUILDERS, INC. TOTAL 76.70
23050 PILLSBURY AVE
LAKEVILLE, MN 55044-
(612)750-4010
Minnesota State License#: BC637702
OWNER
SNYDER, WILLIAM& JULIE
2677 CASCO POINT RD
WAYZATA, MN 55391-
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 wi[h whe[her 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 s a�n time after work has commenced.
The applicant is respo ' e„for�ssurir�all required inspections are /�� q
reques[ed in c�tafman with the�ate Building Code.This permit may be / �
revoked a afiy,time for e.cause. �
r� �� �`� � �3 �� c c� �� `'��/
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Applicari �ermitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
.
' CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
O Mailing Address: Permit number: �C � �`°'dG �� �
� �O PO Box 66
Crystal Bay, MN 55323-0066 Date received: �.J`�� �
eee�ed-�y---------��2__ 210
StreetAddress:' O � �
y� G� 2750 Keiley Parkway �p��J`C�� Plan review fee: '
Orono, MN 55356
��kEswo�`�'
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 appiications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �[o"? `� ���� ��,� 7" !2«vrt�
Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? ❑ Yes ❑ No
If yes,a special event permit is repuired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wilf be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name: AV�p � )i�,7E Z� INC
State License# G '7 Z. Expiration Date: 3-�I -z n 1�-�-
Phone: (cell) 0{2 - '�5 O � �-1-�1 O (office) (�l Z- 7 5�7��t1�1 C"�
MailingAddress: 2 �Sv � s u� �%� . Cit � �..tG�,���,�� ZIP: �50
Contact Person: TE,�zs,.f FV�„e5 Ur-• Applicant is: ontrac / Homeowner (Circle One)
Email and/or Fax: -fi-��� u,�,d b.,, 1 d e..r-5��+� . C'c'�-
PROPERTY OWNER INFORMATION:
Name: t��-.w t �•��-.r c�r.�c��x—
Phone (day): S�-7 � �:-t c� � (r,4 q�
Address: ��,� 7 C /-}SCt� t�U�i- � City: �„1��'7a►T)� ZIP: S��� �
Email and/or Fax �,_�-�S i^�,{ r �� L (r� c� ►�►-►-� �"G,c,.e
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address ` City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of pro�ect:
1. Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
❑ New Construction �Single Family with [�Residence
❑Addition attached garage ❑ Garage/Accessory Bldg. �Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation ��J�= �� � detached garage ❑OfficelCommercial ❑ Private Sewer
�Other. (specify) I�Fh.SE p��� ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑Storage ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Othe�: (speCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ 5� �a �`'• ��`�