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Home My WebLink About2016-01094 - deck CITY OF ORONO * 2 0 1 6 - 0 1 0 9 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2016 ��+ ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1105 BROWN RD S pI� : 10-117-23-24-0004 LEGAL DESC : LINPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 5,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 5,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: DECK PERMIT#THIS PRE-PAYMENT IS T[ED TO:2016-01095 THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2016-01095. 09/19/19-NOTE:WHEN PERMIT WAS TAKEN IN ASSIGNED PERMIT#2016-01095(HOWEVER PERSON ENTERING,DID NOT PUSH "SAVE"AND THIS NUMBER WAS USED BY ANOTHER PERMIT AT ANOTHER ADDRESS. WHEN I WENT TO ISSUE,I HAD TO ASS[GN A NEW PERMIT#2016-01134 IN ORDER TO ISSUE THIS PERMIT. APPLICANT ADVANCED PLAN REVIEW 80.52 TOTAL 80.52 NORTON HOMES Payment(s) 18215 45TH AVE N, STE D CREDIT CARD 6524 80.52 PLYMOUTH, MN 55446- (612)386-7661 Minnesota State License#: BUIL-BC639221 OWNER SULLNAN, JOHN&LAURA 1105 BROWN RD S 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 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 construction is suspended for a period of 180 days at any time afrer work has commenced. The 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 � �I 1��i�" CITY OF ORONO ' �' �', � Ix BUILDING PERMIT APPLICATION �Yfi ,s��ir�° -�'1 �, �.�. FOR NEW STRUCTURES OR ADDITIONS 'r d� �3 � �O A,O Mailing Address: Permit number: 02�/�O-- S 1 V PO Box 66 ��7 Crystal Bay, MN 55323-0066 Date received: � � � Streef Address:' �Q� �' G�` 2750 Kelley Parkway lan review fee: O �. � � � t9kESH�� Orono, MN 55356 �� _ J Q Ma i n: 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 sub itted�j�� Incomplete applications will be returned. (Please print) 7 , GENERAL INFORMATION: 1�,�� Cj,�l�� Job Site Address: p � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill be required unless applicant demonstrates sufficient on-site parking is availa6le. Non-permitfed events wil(not�b�allowed. p: CONTRACTOR/APPLICANT INFORMATION: �� Name: �0 Q.i a N I-b 1+�ES " `i ` ° State License# 'PjC (�3� 22„� Expiration Date: M� — �'j Phone: cell office Q Mailing Address: $ Cit : t, �td ZIP: 5 Contact Person: C l�4R15 NO KTo+v Applicant is: nt ac or / Homeowner (Circle One) Email and/or Fax: GI�R�g�( Q IJOR.Tor(NaM2� CON� PROPERTY OWNER INFORMATION: Name: ` l �� uC�P� �S Phone (day): Address: City: ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: 'PphrJ f�'E22,p6, Phone (day): 6lZ- S 97^�Z69 Address: City: ZIP: Email and/or Fax: E o�1 G /� H C� nT �k 1�• Coh� PROJECT INFORMATION: Description of project: �C,� �� ' �-�� 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8 Water Supply ❑ New Construction ❑ Single Family with Accessory Bidg./Garage �Addition attached garage �Deck � ❑ Public Sewer Accessory Building ❑ Single Family with ❑Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Other: s eci ❑ Private Sewer ( p fy) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water "*Any earth movement may also require ❑ Commercial ❑Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (Specify) ❑Other(Specify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 5� �O� • Oc� Last Updated: January 2016