HomeMy WebLinkAbout2012-00193 - screen porch CITY OF ORONO * 2 0 1 2 — 0 0 1 9 3 *
2750 KELLEY PARKWAY DATE ISSUED: 03/15/2012
. ORONO, MN 55356-
, (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2807 CASCO POINT RD
PIN : 20-117-23-32-0014
LEGAL DESC : SPRING PARK
: LOT 123 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTiAL
CONSTRUCTION TYPE : ADVANCED PLAN REV[EW
VALUATION : $ 150,000.00
NO"CG: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 150,000.00
TYPG OF PERMIT THIS PAYMENT IS FOR: SCREEN PORCH
PERMIT#�1I[S PRE-PAYMENT IS TIF.,D TO:2012-00194
APPLICANT ADVANCED PLAN REVIEW 881.89
SCHWARZ BUILDERS INC. TOTAL 881.89
307 MANITOBA AVENUE S.
WAYZATA, MN 55391 PAID W[TH CC# 2393
(952)476-6768
Minnesota State License#: 3922
OWNER
BAILEY,JOHN& PATRICIA
2807 CASCO POINT RD.
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfomied according to
the approved plans and specifications,applicable Ciry approvals,and the
State[3uilding 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 I 80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any[ime after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conform nce ith the State Building Code.This permit may be
revoked at �time or d cause. ����
�'✓ 3 / � S / -��� ����_ , � C �Y� c' � s'1 � � �_�_ �S ,-�
Appiicant Permitee 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
-=_--- Mailing Address: �� 14� _( �.
j��.,�,��;, PO Box 66 Permit number. c.. ��
�ID .� O� Crystal Bay, MN 55323-0066 Date received: -j - ( � - ,�
j� �'�'��" ' � Received b : �
1�\� ✓,��:i": ��, Street Address' y �
��o, r��'c��,�,� ���� 2750 Kelley Parkway (i�� -� f' �� Plan review fee: �c-� �� �-�-C':(�l� -j
\�.��� � g.�/ Orono, MN 55356 ��� ' �
.�_ QHo �
----� Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 wvvw.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: ;-` �C?``� ���,�, ��y��.�; "� ,<
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No
If yes, a specra/event permit is required with Polrce Department and City Council approval 60 days prior to the event. Shuttle bus servrce will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: J�Ct'I�-c? /4�`�Z ��2(�h`r.��S -�j�%�.,
State License# ��Cr C�C,�",��l�.,�2 Expiration Date: 3 - 3�-�„'2
Phone: IS a- `I 7(c l� 7(��' (office) ��,/�t- . s��, - �'y� � (cell)
MailingAddress: '�� j�tl�T ��f� � Cit : ?,a� t %j ZIP: '"-� 3�
Contact Person: �fe�`��� ��: ;-� r.u� (�Z Applicant is: ontractor Homeowner (Circle One)
Email and/or Fax: ��,� �,�-7 hu� l�r�P v s/n c� � t�c?�2 vn. •.�
PROPERTY OWNER INFORMATION:
Name: J�� l� l L � �
Phone(day): � - � � -
Address: "�� ^' , � 'G' 'T' Cit : �f ��� �r'�? ZIP: ,� � ��
Email and/or Fax ��y � , � ` � -,;,-G
ARCHITECT/ENGINEER INFORMATION:
Name: '1 fi L �12 C�N I 7 � �.� S
Phone (daY)� `t' -�- 5'G��/- / ^ �: ,�
Address: ,�C 7 �?i l�n:' �rG,f�;t'1 1�`ftb'f CitY �.���Itf�'-'r�Jl� ZIP: � 5 `��i �
Email and/or Fax: y.S�- Y7�'-99`�y
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
� U�- Water Supply
❑ New Construction � (^���`' ❑ Single Family with Residence
,�.Addition �� � attached garage �Garage!Accessory Bldg. ❑ Public Sewer
❑Accessory Building Single Family with ❑ Deck
❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ,�Public Water
"Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
w�nv.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ lsQ, �OQ. Q C�