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� �
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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:
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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