HomeMy WebLinkAbout2012-00553 - deck ,, CITY OF ORONO * 2 0 1 2 - 0 0 5 5 3 *
2750 KELLEY PARKWAY DATE ISSUED: 06/19/2012
' ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 3186 NORTH SHORE DR
PIN : 09-117-23-32-0010
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 7,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 7,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00554
APPLICANT ADVANCED PLAN REVIEW 95.88
JONES,MICHEAL&NATELE TOTAL 95.88
3186 NORTH SHORE DR
WAYZATA,MN 55391-
OWNER
JONES,MICHEAL&NATELE
3186 NORTH SHORE DR
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 a►�d dces
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 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.
/ / � (�/ �� / /aZ
Applicant Permitee Signature Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
,
City of Orono
. . . . �. �
Building Permit Appiication l �
for New Structures or Additions
Mailing Address: Permit number: 0��0�"-�SS
O�,O,�.O PO Box 66
Crystal Bay, MN 55323-0066 Date received: ��7-�y
� s, Street Address:' � �
Gti�' 2750 Kelley Parkway p�{ C� � ��n review fee: � 8
��xo¢� Orono, MN 55356 T �`
To t a l Fee: O�D/ a-O O$S
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form musfbe completed in full and all required°information mustbe submitted.
Incomplete applications will-be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 3l�'C.o q���t�� St��E 17+��v�
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 approvel 60 days pria to the event. ShutUe bus service will be
required unless applicant demonstrates s�cient on-sife parking is available. Non-permltted events will not be allowed.
CONTRA�TOR I APPLICANT INFORMATION: ':�"
Name: 1��rv�E�ow►•t G-iZ
State License# � Expiration Date:
Phone: (office) (cell)
Mailing Address: Ci :
Contact Person: Applicant is: Contractor / omeowner �cir��o��
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: M�C,�+('��� 3�E S
Phone(cfaY): (�1 a, -i 1�- ��-1`1 y
Address: _ __�1 l0 1�1p2tN SWO�E L��'��E City: 1�R'�'L�TA ZIP: SS39�
Email and/or Fax M��kC 0.� SOn1ESfEA iM. U S
ARCHITECT/ENGINEER INFORMATION:
Name: 1�C��ME C�v.9 NE tZ
Phone(day):
Address City: ZIP:
Email and/ar Fax:
PROJECT INFORMATION:
7.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8
Water Supply
❑New Construction �Single Family with ❑Residence
❑Addition attached garage ❑Garage/Accessory Bldg. �Public Sewer
❑Accessory Building ❑ Single Family with �Deck
❑Relocation • detached garage �Office/Commercial ❑Private Sewer
�aner:�spec�y� ►�.�k � 5i�l2S ❑Multiple Family/Condo ❑Warehouse
❑Public ❑Storage ❑Public Water
**Any earth movement may require ❑Commercial ❑Other(specify)
MCWD review 8�permits. ❑Industrial �Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other:(SpeCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.o
RSL
Estimated Construction Valuation(excluding land) $ �.(�(;
Packet Last Updated: 03-06-2012
-21 -