HomeMy WebLinkAbout2011-00637 - garage addition only CITY OF ORONO PERMIT NO.: 2011-00637
' 2750 KELLEY PARKWAY
• ORONO, MN 55356- DATE ISSUED: 06/16/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 141 CHEVY CHASE DR
PIN : 36-118-23-41-0026
LEGAL DESC : HILL O'WAY MANOR
: LOT 021 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 94,330.00
NOTE: PLGASE FILL IN THE FOLLOWING:
VALUATION OF PERMI't':$ 94,330
"I'YPE OF PERMIT THIS PAYMENT IS FOR: GARAGE ADDI'CION ONLY! �
PERMIT#THIS PRE-PAYMENT IS TIED TO: #201 1-00625 /�D�p \v��,�•
THIS WAS THE DIFFERENCE FOR THIS PORTION OF THE JO[3 OF WHAT WAS ORGINIALLY PAID ON PERMIT#2011-00475 AS A
PLAN REVIEW. AT THA"I'"I'IME IT WAS TURNED IN AS ONE JOI3. SINCE THEN THE JOB HAS BEEN SPLIT INTO TWO SECTIONS.
HEARTH&ADDITION PERM[T&GARAGE ONLY PGRMIT.
APPLICANT ADVANCED PLAN REVIEW 387.08
BAUER BUILDING CO. TOTAL 387.08
4628 S LAKE SARAH DR.
MAPLE PLAIN, MN 55359 PA[D WITH CC# 0831
(612)382-2880
Minnesota State License#: BC-203262
OWNER
REMARK, ROGER& MEGAN
141 CHEVY CHASE DR
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. "I his 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 whelher 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.
rhe applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE.
, City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: J
�.,�,� PO Box 66 � � ��mit number. D//— (x'` ((70�
Q �� Q Crystal Bay, MN 55323-0066 �� Date received:
Q
� �4�^�-�'' F � StreetAddress:' ��.�eived by: 1�� � �,�y
�� ��ti 2750 Kelley Parkway � �PI`ar5 review fee� � /�Pf:l:�: �" 7;��
�kESHO�`' Orono, MN 55356 �� ti-��� �����,�
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: eV ,•- �
Will this be a Parade of Homes, Remodelers Sho case Home or other Display Home? ❑ Yes No
If yes, a specraf event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrafes sufficient on-site parking is availabfe. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �ccucr R u;(d;►�.o, LC.-C�
State License # Expiration Date:
Phone: C- (vlZ- $6 a- 5bq office (o _c�7 _Z� cell
Mailing Address: t(�2� S r, Cit : u l� (a 'v� ZIP: 35
Contact Person: � Q„� '��`�c,� Applicant is: on ractor / Homeowner (CircleOne)
Email and/or Fax: ��3^ y�� _����
PROPERTY OWNER INFORMATION:
Name: �oo�� �cw�.arlL l.P(Z- " ��0 - �'L�
Phone (day): �jSZ- 4��z_ n 77 7
Address: 1`� ( GLt��/w �� ¢_ �r'� City: DVO rl p ziP: 55 3� 1
Email and/or Fax (�yy�a� `'lt C�i't'1
� �S
ARCHITECT/ ENGIN ER INFORMATION:
Name: �e Kd�/ e � ,� " .�o v
Phone (day): Z - _
Address: �d ( F , L���7 S',.{; City: w �,„�2q��q ZIP: �53� �
Email and/or Fax:
Q
PROJECT INFORMATION: ,��� � r �� � �-
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal &
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
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ --
Last Updated: 4/26/2011 r � •
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