HomeMy WebLinkAbout2014-01461 - adv plan review CITY OF ORONO * 2 0 1 4 - 0 1 4 6 1 *
2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2496 SANDSTONE LA
PIN : 33-118-23-11-0023
LEGAL DESC : STONEBAY
: LOT 020 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REV[EW
VALUATION : $ 350,000.00
NOTG: PLEASE FILL IN TI[E FOLLOWING:
VALUATION OF PERM►T:$ 350,000.00
TYVE OF PFRMIT Tk IIS PAYMEN"I'IS FOR: NEW HOMI:
PGRMIT#t THIS PRE-PAYMEN"1'IS"l'[F,U TO:2014-01462
APPLICANT ADVANCED PLAN REVIEW 1,661.89
WOODDALE BUILDERS INC. TOTAL 1,661.89
61 l7 BLUE CR DR Payment(s)
CHECK 82160 1,661.89
MINNETONKA, MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER City of Oruno
2750 Kelley Parkway
Wooddale Builders Inc. Drano MN o5356 952-249-46U0
61 17 BLUE CREEK DR Receipt N�: 3.012502 Dec Z2, 2014
SUITE 101
MINNETONKA, MN 55343- Wooddale Builcle�s
Previous Balance: .OU
AGREEMENT AND SWORN STATEMENT Permits
2014-01461 2496 Sandstone 1,661.89
The work for which this permit is issued shall be performed according to La
the approved plans and specifications,applicablc City approvals,and the 101-34410
State Building Code. �fhis permit is for only the work described and does P1811 CheCk/Slte EXBfn Fees
not grant permission for additional or related work which requires separate ��p�a 1: 1,661.tf9
permits. All provisions of laws and ordinances governing this type of work _______________
shall be compied with whether or not specitied herein.'I'his permit will ChBCk
expire and become null and void if construction authorized is not Check No: 82160 1.661.89
commenced within I 80 days of the date of issuance,or if construction is P8y0Y:
suspended for a period of 180 days at any time after work has commenced. WOOddele BU11deY5
The applicant is responsible for assuring all required inspections are TOtal Appl led: 1,661.89
requested in conformanee with the State Quilding Code.This permit may be
revoked me for due cause.
�Z Z.Z � �.-l . � v, Y \�.i✓\ � � / Z /l �
npplicant itee Signatu Da Issued B Signature Date
. ,
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
� Mailing Address: Permit number. ZO��/�' (�I Z
g- �� PO Box 66
Crystai Bay, MN 55323-0066 Date received: Z �Z
StreetAddress:' Received by: �
y� ��'" 2750 Kelley Park ay P d� 21(P� Plan review fee: �
�,G Orono, MN 5535 �
�'�xESHOR o a .
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. (Ple e print)
GENERAL INFORMATION: �
Job Site Address: �Cl/�C,�S��� �C ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display H me? es ❑ No
/f yes,a special event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permrtted events will not be allowed.
CONTRACTOR/APp�-IC�'���"�A TI���
Name: a-'�- t 4���- • �
State License# ^ C� Expiration Date: l
Phone: cell -3 _ Q� office S -� $- � 5
Mailing Address: � � �' �.� i I�d- � l�l Cit : n CtZIP: �jS
Contact Person: —� C � Apply'cant is: ontractor Homeowner (Circle One)
Email and/or Fax: j�l.t� [� c.�; (d� o
PROPERTY OWNER INFOR 10 : �
Name: �c�c a � ��t � � �,
Phone (day): 5�- � — U� - ;,� 1 �j -�—� `�
Address: 1 —" � " � l 1��- Cit : 'VY�,r,� ,�, ZIP: �> > �`[�
Email and/or Fax � [� L ��•^Uvc ct -Nr� r`
ARCHITECT/ENGINE INFORMATION:
Name: 0.�-J 't.11/fLk�
Phone (day): - 5- U �-{
Address: (I� �L ✓� Cit : , ZIP: �� 3��
Email and/or Fax. ' �,UUc� a � Ic e , oYh
PROJECT INFORMATION: Description of project:
1.Ty e of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
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
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage Public Water
*"Any earth movement may aiso 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
wv�nv.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ ,3-S o� � � .