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HomeMy WebLinkAbout2015-01137 - adv plan review CITY OF ORONO * 2 0 1 5 - PJ 1 1 3 7 * 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2015 � ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2585 LYDIARD AVE PIN : 20-117-23-11-0003 LEGAL DESC : APPLE HILL : LOT 001 BLOCK 001 PERMTT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 4,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 4,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW DECK PERMIT#THIS PR�PAYMENT IS TIED TO:2015-01138 APPLICANT ADVANCED PLAN REVIEW 70.47 LANGLAS,JOHN&MARY TOTAL 70.47 Payment(s) 2585 LYDIARD AVE CREDIT CARD 8012 70.47 EXCELSIOR,MN 55331- OWNER LANGLAS,JOHN&MARY 2585 LYDIARD AVE EXCELSIOR,MN 55331- 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 permiu. All provisions of laws and ordinances goveming 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 after work has commenced. The applicant is responsible for asswing all required inspections aze requested in conformance with the State Building Code.This permit may be revo y ti e or due cause. � � 9 g l S �. �.���c� � l �'� �" i� i I Appl�cant Permitee Signature Date Issued By Signature Date . . , � City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: � � �T O�I `-� PO Box 66 �Q Crystal Bay, MN 55323-0066 Date received: 9 ' Street Address:' eceived by: R -_.� y ,� 2750 Kelley Parkway Plan review fee: /� • �7 �'C �'� c? Orono, MN 55356 ������� __ �kESHO��' 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 applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: Z�43 S d,r'�. �, pco� rv�t�S SS3� f 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 approva/60 days prior to the event. Shuttle bus seivice will required unless applicant demonstrates su�cient on-site parking is available. Nony�ermitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: ���� Name: State License# �---y Expiration Date: Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �`Tc kk � �y ��w�,,as Phone(day): ��-59�-7�t1> Address: _zS85 l�dr.r6.A+re_ City: c�roc•�o ZIP: S S �3 3� Email and/or Fax �_�a.� yo�,��„�;,, .,, ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Descri tion of ro'ect: ��'`� (�jL--� �'� �`�cC 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8 Water Supply New Construction (�Single Family with Accessory Bldg./Garage Addition attached garage �peck �Q 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 require ❑Commercial ❑Storage MCWD review 8 permits. ❑ Industrial ❑Warehouse Minnehaha Creek Watershed DisUict MCWD ❑ P�vate Well ( ) ❑Other:(specify) ❑ Other(specify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.m innehahacreek.or Estimated Construction Valuation(excluding land) $ � �� � �—� Packet Last Updated: August 2015 Page 21 DATE TIME � CITY OF ORONO CALLED IN �SPE$TION NOTICE SCHEDULED 'I l'23"L�i PERMIT NO. 2Q t S —O l I� COMPLETED ADDRESS 25�5 L�t �Q r � Y�', � OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � �I � SurJ cSl W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ ROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREP ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL ? OWNERICONTMCTOR TO MEEf YOU:_YES_NO � COMMENTS: � � U j'' C ur✓'�P� o � � C��2c�i �'r a�ts' c� � �•^u,e��`tc 9v �ia✓'a� ° �v'P.�/' G�� -�Lt is 7�'��c P, W � Q � W � W � J O W� ❑WORKSATISFACTORY`.PROCEED ROJECT COMPLETE W ❑CORRECT W'ORK 8 PROCEED ❑1 CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cau for the next inspection 24 hours in advance. (952) 249-4600 on site: Inspector VYhiM CopyAnspector's File Canary CopyfSite Naliee