HomeMy WebLinkAbout2016-01261 - rebuild/expand existing deck CITY OF ORONO * Z pJ 1 6 - PJ 1 2 6 1 *
<, 2750 KELLEY PARKWAY DATE ISSUED: 10/04/2016
j ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2340 GLENDALE COVE LA
PIN : 34-118-23-33-0062
LEGAL DESC : GLENDALE COVE
: LOT 003 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 20,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 20,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: REBUILD&EXPAND EX[STING DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01260
APPLICANT ADVANCED PLAN REVIEW 231.54
TOTAL 231.54
4 QUARTERS DESIGN& BUILD Payment(s)
16376 JAVARI COURT CRED[T CARD 7595 231.54
LAKEVILLE,MN 55044
(612)237-1881
Minnesota State License#: BUIL-20396175
OWNER
VIERTHALER,ADAM& LEAH
2340 GLENDALE COVE LA
LONG LAKE,MN 55356-
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 da[e of issuance,or if construction is
suspended for a period of 180 days a[any time after 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.
i�
/ /
Applicant Permitee Signature Date Issued By Signature Date
CITY OF ORONO
- BUILDING PERMIT APPLICATION
� FOR NEW STRUCTURES OR ADDITIONS
�O A, Mai/ing Address: Permit number: "�/� --
`VO PO Box 66
Crystal Bay, MN 55323-0066 Date received: -- '�—/
� ,. Street Address:� r Received by: �1, 2%'
�'F G� 2750 Keiley Parkway ��/ ��` � I n re�iew fee: � �
���•
�.�K�SHo��. Orono, MN 55356
Main: 952-249-4600 Total Fee:
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 appllcatlons will be returned. (Please print)
GENERAL INFORMATION: � f
Job Site Address: L 3Q O h . �,�. VQ. �—�'�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o
If yes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service wil!be
required unfess applicant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed.
CONTRACTOR/AP LICANT INFORMATION:
Name: � �r�� , r. �� � c .
State License# �3q 6���- Expiration Date: '� � j
Phone: cell � office
Mailing Address: ��l Cit : r,^ �, ZIP:
Contact Person: r �,� ^ c,, � ;,� Applicant is: �n rac / Homeowner (Circle One)
Email and/or Fax: , c ,�,
PROPERTY OWNER�FORMATION:
Name: ,�darr� � Z.P.c��, V,�x��'��'v_r
Phone (day):
Address: City: ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: Citv: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro�ect: ��.r.e ��c•S�:�. �c.� Q,. ��a� �.rl��.S�
�
1.Type of ProJect 2. Proposed Use 3.Structure Ty 4.Sewage Disposal &
Water Supply
❑ New Construction ,J�Single Family with ❑Accessory Bldg.!Garage
❑Addition attached garage �Deck 19 Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
�Other: (specify) ��.� ❑Multiple Family/Condo ❑ Retaining Wall(s)
❑Public 4-feet or greater � Public Water
**Any earth movement may also require ❑Commercial ❑ Storage
MCWD review&permlts. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other: (Speafy) ❑ Other(speCify)
15320 Minnetonka Blvd
Minnetonka, MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minn hahacreek.or
Estimated Construction Valuation (excluding land) � �, a�