HomeMy WebLinkAbout2016-00504 - replacement of front stoop , CITY OF ORONO * Z pJ 1 6 - 0 0 5 0 4 *
2750 KELLEY PARKWAY DATE ISSUED: OS/1 U2016
� ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2755 DEER RUN TR E
PIN : 04-117-23-13-0014
LEGAL DESC : CRYSTAL BAY PRESERVE
: LOT 007 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REV[EW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 4,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUAT[ON OF PERMIT: $4,000.00
TYPE OF P�RMIT THIS PAYM�NT IS FOR: RGPLACEMEN'I�OF E'RONT STOOP
PERMIT#7'HIS PRE-PAYMGNT IS T[ED TO:2016-00503
APPLICANT ADVANCED PLAN REVIEW 70.45
TOTAL 70.45
SIERRA HOMES INC. Payment(s)
22615 E. BETHEL BLVD NE CHECK 6188 70.45
BETHEL,MN 55005-
(612)270-2722
Minnesota State License#: BUIL-BC005126
OWNER
STAHL&CYNTHIA ARNOLD, PETER
2755 DEER RUN TR E
LONG LAKE, MN 55356-
AGREEMENT AND SWORIV STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additionai 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 180 days of the date of issuance,or if conshuction is
suspended for a period of 1 AO days at any time after work has commenced.
The applicant is responsible for assuring aIl required inspections are
requested in conformance with the State Building Code.This permit may be ���
revoked at any time for due cau . �
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Applicant Permitee Signatur Date Issued By Signature Date
� City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: �.(�/ 3
�Q A>O PO Box 66
`V Crystal Ba , MN 55323-0066
Y Date received: S"� � -1 (p
StreetAddress:' Received by:
' ,� 2750 Kelley Park y����..�i�
y Pian review fee:
F c.� Orono, MN 55356 T
t�KfSHO�� Main: 952-249-4600 Tota .
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in ft.+ll and a11 required information must be submitted.
Incomplete applicationa will be returned. (Please print)
GENERAt INFORMATION:
Job Site Address: � .zeY— ,� ,� '� � '�
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 servic ill be
required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will noi be allowed.
CONTRACTOR/APPLICANT tNFORMATION:
Name: i`rt^!F orw�e-S ��
State License# �9 y I �f,� Expiration Date: 3 3 �a r g
Phone: cell Z �-'7 G► A- �-"t�� office f Z �?o – �"� a
Mailing Address: � �-� .��� L Ci :�. �� e� ZIP: ,�"'p ��
Contact Person: Applicant is: ontrac or / Homeowner �ci��e o��
Email and/or Fax: *� - � � , �w�
PROPERTY OWNER NFORMATION: ,1 n
Name: �-�"t'/� �T1� H�- � ��-N`H.i�► �'tr'N a�c'�'
Phone(day): �,;� – a q��
Address: �rj 5'� ��t- I�,,.r "'p~n ra-;� �,s�� City: �'�-�.J a ZIP:
Email and/or Fax �--
ARCHITECT/ENGINEER INFORMATION:
Name: �� �',s�or no i rJC,
Phone (day): .7 b� "'"� (, _ . �(�, �+
Address: ,L . � Ci : n� � i p'�ZtP: � $��3 �
Email and/or Fax: E-j�� - ��--}-, �—
PROJECT INFORMATION: Descri tion of ro'ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
0 New Construction ❑Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑Office/Commercial
❑Relocation detached garage ❑ Residence ❑ Private Sewer
�Other:(specify) 6���v1?�1 �6tv ❑ Multiple Family/Condo ❑ Retaining Wall(s)
�'T"�t ❑ Public 4-feet or greater ❑Pubfic Water
**Any earth movement may require ❑Commercial ❑Storage
MCWD review 8�permits. ❑Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek watershed District(MCW�) ❑Other: (specify) ❑Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
� �;'r� �
Estimated Construction Valuation (excluding land) � -
pri.5e ��h►ov� �?�is� �"`r��si�i �i�o�►�n
Packef Last Updated: August 2015
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