HomeMy WebLinkAbout2014-00997 - adv plan review , CITY OF ORONO * Z 0 1 4 - 0 0 9 9 7 *
t 2750 KELLEY PARKWAY DATE ISSUED: 09/03/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 7]l SANDSTONE CIR
PIN : 33-118-23-ll-0045
LEGAL DESC : STONEBAY
: LOT 042 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 178,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALLIATION OF PERMIT:$ 178.000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00998
APPLICANT ADVANCED PLAN REVIEW 991.09
STONEBAY BUILDERS LLC TOTAL 991.09
Payment(s)
14870 BROCKTON LANE CHECK 1047 991.09
DAYTON, MN 55327-
(612)363-4304
Minnesota State License#: BUIL-BC681308
OWNER
Stonebay Builders LLC
14870 BROCKTON LA
DAYTON,MN 55327-
AGREEMENT AND SWORN STATEMENT
The work for which this pern�it is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Buildin�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 al equired inspections are
requested in conformance with the St ildin�Code.This permit may b
revoked at any time fo cau .
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pplica e �tee S' ature Date Issued By Signature Date
,
� CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
,�O�O Mailing Address: Permit number: aG � -DQ�'q'g
PO Box 66 ,
Crystal Bay, MN 55323-0066 Date received: �''j /
StreetAddress:' __------- ��d.-k�---___l�-:V__._._.�_..
y�, G�' 2750 Kelley Parkw 2� �y���C� Plan review fee: b `� I O l('
t,�k�SHOR�, Orono, MN 55356
Total Fee:
Main: 852-249-4600 Fax: 952-249-4616 www.ci.ocono.mn,us
This application form must be campleted in#ull and all required information must be subrnitted.
Incomplete applications wlit be returned. (Please print)
GENERAL INFORMATIO �
Job Site Address: � r �Gj,t,�,f�� Cy ��N �
Will this be a Parade of Homes, Remodelers Showcase Home or o er Disp y ome? Yes No
If yes,a special e�rent permit is required witt►Poli�Department and City Council approva160 days pri r to the ev8nt. Shuttle bus servi 7 be
requi�ed unfess applicant demonstrates sufficient on-site parking is available. Non permitted events will not be aDowed.
CONTRACTOR/APPLICANT INFORMATlO : L L
Name: S%D� e W. �
State License# Expiration Date:
Phone: cell o��
Mailing Address: / t'D�: r'v G / Ci : � ,t� Z�p: " � Z>
Contact Person: � Applicant is: antract r / Homeowner �ci�c�o�e�
Email and/or Fax: i�^��y„� � S�o�,����,�, ��y,
PROPERTY OWNER INFORMATION:
Name: .�"'�/,L,e ,•�
Phone(day):
Address: ��� City; Z�p•
Email and/or Fax
ARCHITECT I ENGINEER INFOR TION:
Name: „�r., /./��� •
Phone(day): fl1 —���_ y�0 y'
Address: / O / yr,� �i" L �t Ci : � �� ZIP: S )�?Zj
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro'ect:
1.Type of Project 2.Proposed Use 3.Structure Type 4.S�vage 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
❑Other: (speafy) �Multiple Family/Condo ❑Warehouse � Private Sewer
❑Public ❑Storage �i Public Water
**Any earth movement may also require ❑Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial
❑ Private Well
Minnehaha Creek Watershed District(MCVYD) ❑Other:(speCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation(excluding land) $ � "��
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