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HomeMy WebLinkAbout2017-00483 - adv plan review CITY OF ORONO * Z 0 1 7 — PJ 0 4 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: OS/12/2017 �� ORONO, MN 55356- - (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1150 PINE V[EW DR PI N : 28-118-23-42-0009 LEGAL DESC : PINE VIEW : LOT 3 BLOCK 1 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 1,530,000.00 NOTE: PLEASE FILL IN THE FOLLOW[NG: VALUATION OF PERMIT:$ 1,530,000.00 TYPE OF PERMIT THIS PAYMENT[S FOR: NEW HOME PERMIT#TH[S PRE-PAYMENT IS TIED TO:2017-00482 APPLICA1vT ADVANCED PLAN REVIEW 5,512.60 TOTAL 5,512.60 STONEWOOD, LLC Payment(s) 153 E LAKE STREET CHECK 14764 5,512.60 WAYZATA, MN 55391- (612)462-4000 Minnesota State License#: BUIL-BC594315 OWNER SEXTON, KYLE 1150 PINE VIEW DRIVE LONG LAKE, MN 55356- AGREEMENT AIYD SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci6cations,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 (80 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�y time for due cause. �� - L���=���1 l�)�,,�e_����L� S i ( �i � 1 � i , Applicant Pe itee Signature Date Issued By Signature Date . _ CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: Permit number: �O � Z�� �� g' �O PO Box 66 I� Crystal Bay,MN 55323-0066 Date received: ,, �, Sbeet Address:' Received by �IQ ----� y�. G. 2750 Kelley Paricway ��-� Plan review fee: -rj � Z • � ��Kssxo4�' Orono,MN 55356 �� C:� i�'� Main: 952-249�3600 tal Fee: Fax: 952-249-4fi16 www.ci.orono.mn.us This application form must be compteted in fuA and all required infortnation must be submitted. Incomplete applicatlons will be retumed. (P/ease print) GENERAL INFORMATION: Job Site Address: ���p �,N� v�Ew) ]�R. �o�,d WII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes,a spetval event pem+it is required with Poli�e Department and City Council approva160 days prior to the evenL Shutde bus service wifl be required uNess applicanl demonstrates sullicient on-site parking is avaflable. Nonpermitted eveRts wfU nof be sllowed. CONTRACTOR/APPLICANT INFORMATION: Name: S ra,v ►.,oe State License# � Expiretion Date: 3� Zol a Phone: (cell) 6�Z Zc� - �j��; (office ' 46].- 4000 Mailing Address: 1 S 3 L�wf S,. � City: �,�.,�,q.,�,�} ZIP: � � Contact Person: ��� ,,,�irs w.t-h� Applicant is: Con or / Homeowner �c�rason.� Email and/or Fax: _ �I�-.-ti /,� �,.�,�,t ��,o o.c.�►.. PROPERTY OWNER INFORMATION: Name: _ ��V►i) + f� E�,A�J 1n�0�1 �w� �,D �.vsr 'Te..s,�*(s.�� Phone(day): Address: 4'G'16 ���et�k. T� S City: MEDi.�� ZIP: s��o Emailand/orFax �LI�.�eH�wE'w�� � �r.a,L tur�� �V1£weNLa.��jJ� eGw�A.�� �e� ARCHITECT/ENGINEER INFORMATION: Name: I�I�s.►a i�s�ot�nwt. 1���c.r.J 2r�� Phone(day): �c 3-�bo- S o0 4 Address: °t lea R�-�„M.e�..tc S�r . wE St� IDG City: atA�n, ZIP' SS449 Email and/or Fax: "a-�;-�so- Se�f PROJECT INFORMATION: Descri tion of roect: �G�J 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& �New Construction �Single Family with ❑Acxessory Bldg./Garage Water Supply Addition attached garage ❑Dedc ❑Accessory Building ❑ Single Family with ❑Office/Commercial �public Sewer ❑ Relocation detached garage ❑Residence ❑Other.(speay) ❑Multiple Family!Condo ❑Retaining Wall(s) �P�ate Sewer ❑Public 4feet or greater ❑Public Water "Any earth moveme�t may also require ❑Commerpal ❑Storage MCWD review d�permlts. ❑Industrial ❑Warehouse ❑Private Well Minnehaha Creek Watershed Disfict(MCWD) ❑Other.(speafy) ❑Other(speafy) 15320 Minnetonka Blvd Mfnnetonka,MN bb345 Phone: 952-471-0590 Fax: 952-471-0682 ne r Estimated Construction Valuation (excluding land) $ �, S3�i � Last Updeled: January 2016