HomeMy WebLinkAbout2017-00448 - attached deck � � CITY OF ORONO * 2 0 1 7 — 0 OJ 4 4 8 *
2750 KELLEY PARKWAY DATE ISSUED: OS/03/2017
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3320 NAVARRE LA
PIN : 17-117-23-44-0059
LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA
: LOT 001 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 3,000.00
NOTE: PLEASE FILL IN THE FOLLOW[NG:
VALUAT[ON OF PERMIT:$ 3,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ATTACHED DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00447
APPLICANT ADVANCED PLAN REVIEW 60.38
TOTAL 60.38
CUBE, INC Payment(s)
4825 HANOVER ROAD CASH 6038
MOUND, MN 55364-
(651)270-3199
Minnesota State License#: BUIL-650923
OWNER
CUBE INC.
4825 HANOVER ROAD
MOLTND, MN 55364-
AGREEMENT AND SWORN STATEMENT
'l�he 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 Ihe 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 I SO 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 assuring all required inspections are
requested in confo ce with the State Buiiding Code.This permit may be
revoked at any tim for due cause. , �,��
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ylpplicant Permi nature Da e Issued By Signature Date
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' CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
��A, Mailing Address: Permit number: _ �/ 7 - �
, 'VO PO Box 66
� Crystai Bay, MN 55323-0066 Date received: '—
` � ,, StreefAddress:' Received by: � d
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��, G� 2750 Kelley Parkway � Plan review f e:
�qkES���,F. Orono, MN 55356 �1 �� �(,��j ,
`�_,,_ Main: 952-249-4600 a ee:
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.Q �, .�i! �2� L, l�
Will this be a Parade of Homes, Remodelers Showcase Home r other Display Home? ❑ Yes No
If yes,a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service ill be
required unless applicant demonstrates sulficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFOR�TION:
Name: l� 'Q e ` � � ,
State License# Expiration Date:
Phone: cell S �D office •
Mailing Address: 1� �f� Cit : � �/t ZIP: 5 �
Contact Person: �1� A plicant is: ontractor / Homeowner (Cirde One)
Email and/or Fax: C 1..� �2 '�l�C � i C\�pc�� � CQ �
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PROPERTY OWNER INFORMATION: ��� � � � �
Name:
Phone (day): S Z n (
Address: � v�p -2 Q Cit : I �+�� �T ZIP: S`—S �
Email and/or Fax C�$���c � �e p� . C�p�
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZI P:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro�ect: �� ����---
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑ New Construction (�Single Family with Accessory Bldg./Garage
❑Addition attached garage �Deck �(Public Sewer
ccessory 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
MCVND 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
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Estimated Construction Valuation (excluding land) � �� OV�