HomeMy WebLinkAbout2010-00277 - deck attached CITY OF ORONO PERMIT IYO.: 2010-00277
, 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE �SSUEu: 04/28/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3020 CASCO POINT RD
PIN : 20-117-23-34-0025
LEGAL DESC : KELLY 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATIOI�i : $ 5,'100.00
NOTE: REPLACE ROOTEN RAILROAD TIES WITH CONCRETE BLOCK AT PERIMETER OF DECK.
APPLICANT PERMIT FEE SCHEDULE 132.75
BOWE CONSTRUCTION, LLC STATE SURCHARGE(VALUATION) 2.85
6629 NICOLLET AVE S
RICHFIELD, MN 55423- TOTAL 135.60
(612)387-2723 PAID WITH CC# 4596
Minnesota State License#:20544039
OWNER
LINDGREN, MR. & MRS.
3020 CASCO PT 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 goveming this type of work
shall be compied with whether or not specitied 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 nfo e'wTt e State Building Code.This permit may be
re e due cau .
� � � �-� � � � ' � /�
,
Ap ' ite ' nature Date ssue ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OT R THAN DESCRIBED ABOVE.
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City of Orono
� Building Permit Application for Internai Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: .-,_ u�� 7�
�.,�,� PO Box 66 Permit number: j
Q �� Q Crystal Bay, MN 55323-0066 Date received: �� /C�
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� � �,��a` �,�� StreetAddress: Received by:
�' ��S "�9
G~F 2750 Kelley Parkway Plan review fee:•
�t`�kEsxo4`'� Orono, MN 55356
— Total Fee: , /�� �T,
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 prinf)
GENERAL INFORMATION: —. � -C ,nb` �
Job Site Address: _��� �} � � �"� ,�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
/f yes, a special event permit is required with Po/ice Department and City Counci/approval 60 days prior to the event. Shuttle bus service wi/!be
required unless applicant demonstrafes sufficient on-site parking is availa6le. Non-permitted events will not be allowed.
CONTRACTOR/APP ANT INFORMAT ON: -
Name: ' � �� C
State License# � � Expiration Date:
Phone: - 7 - office ell '
Mailing Address: Cit : '' ZIP:
Contact Person: ,� Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: � �
PROPERTY OWNER INFORMATION: /
Name: � r �(' a L�,f i,
Phone (day): oL
Address: d ' - Cit :� ZIP: '�j
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
❑ Door(s) ❑ Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) �epair ❑ Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www.minn hahacreek.or
Overall Project Description: ' � �' w �rj,.�,; .��'t
Estimated Construction Valuation of roject(excluding land) $ '���,�j� A ,�,,A m,r� OC �Cle
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 sta#f 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 overnmental agencies
re uired b law. If ou refuse to I the informati lication ma not be issued.
--�,
ApplicanYs Signature: Date: '7
Last Updated: 05-04-2009
� �i � (�� DAT TIME �
CITY OF ORONO CALLED IN �
INSPECTION NOTIC�_�� SCHEDULED � ,�_',�jl�
PERMIT NOa� COMPLETED
ADDRESS �� n�/�Gl� T �
OWNER TELEPHONE O. al�D 7�17�
CONTRACTOR �-�
>; DESCRIPTION � ��'��"'�''6 �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ CA GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ K HORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ..�FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �.� PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED I'3SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: � � -
Inspector. �
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