HomeMy WebLinkAbout2015-00186 - screened porch NBRIEBRUM
CITY OF ORONO * 2015 - 00186 *
2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRtSS 2585 OLD BEACH RD
PIN 21-117-23-22-0020
LEGAL DESC THE MARSH AT LAFAYETTE
LOT 007 BLOCK 001
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
ACTIVITY
VALUATION $ 25,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$25,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: SCREENED PORCH
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00187
APPLICANT ADVANCED PLAN REVIEW 281.87
SYLVESTRE CONSTRUCTION INC. TOTAL 281.87
Payment(s)
7708 5TH AVE S
CHECK 33107 281.87
MINNEAPOLIS,MN 55423-
(612)861-0188
Minnesota State License#: BUIL-BC001428
OWNER
FREIVALDS,JOHN&LINDA
2585 OLD BEACH RD
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 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 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.
Applicant Permitee Signature Date Issued By Sig ture Date
CITY OF ORONO
• BUILDING PERMIT APPLICATION
r� FOR NEW STRUCTURES OR ADDITIONS
OA, Mailing Address: Permit number: oT,0/.S-400) 8 7
r VO PO Box 66
Crystal Bay,MN 55323-0066 Date received: 7
Street Address:' Received by: _ /-;I
ff
5� 2750 Kelley Parkway , Plan review fee: `�IF)• Y,7
Orono,MN 55356 + 15
`gkES H4 (�? �
Main: 952-249-4600 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: 121675 PI
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Dq No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT I FORMATIO -7'
Name: J! gl:44 / r f 0 v%cic
State License# Expiration Date: 3
Phone: cell office - $&1-0
Mailing Address: Jos City: ZIP: 5;V--z,3
Contact Person: , s Appli _nt is: ontractor / Homeowner (circle One)
Email and/or Fax: r V Gsn
PROPERTY OWNER INFORMATION- ,` '`
Name: 70��. r,e�yQ.�4Sa kel6i
Phone(day): -46 0-2it b
Address: S olk IgCity: nth ZIP:
Email and/or Fax p
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion ofproject:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
ElNew Construction Single Family with D5Residence
❑Addition attached garage ❑Garage/Accessory Bldg. ❑Public Sewer
❑Accessory Building ❑ Single Family with ❑Deck
Relocation r detached garage ❑Office/Commercial ❑Private Sewer
Other:(specify) o ❑Multiple Family/Condo ❑Warehouse
ef,tLI El Public El Storage El Public Water
**Any earth movement also require ❑Commercial ❑Other(specify)
MCWD review&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.minnehah r ek.or
4
$ Z
Estimated Construction Valuation (excluding land) S,pyD