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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�