HomeMy WebLinkAbout2014-01463 - adv plan review _, CITY OF ORONO * 2 0 1 4 — PJ 1 4 6 3 *
t 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2498 SANDSTONE LA
PIN : 33-118-23-11-0022
LEGAL DESC : STONEBAY
: LOT Ol9 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIF.W
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 350,000.00
NOTE: PI.,EASE F[LL IN THE FOLLOWING:
VALUATION OF'PERMIT: $ 350,000.00
T'YPE OF PERM['I'"f1IIS PAYMGNT[S FOR: NF,W HOME
PERM[1 #"1�}[1S PRGVAYMENT IS TIGD TO:2014-01464
APPLICANT AUVANCED PLAN REVIEW 1,661.89
TOTAL 1,661.89
WOODDALE BUILDERS INC. Payment(s)
61 17 BLUE CR DR CHECK 82161 1,661.89
MINNETONKA, MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER City of Orcno
�750 k�lley Parkway
Orono MN 55356 952-249-460U
Wooddale Builders Inc
61 17 BLUE CIRCLE DR Rer,eipt No: 3.01?503 Dec 22, 2014
SUITE ]Ol
MINNE7'ONKA, MN 55343- Wauddale Bulders
Previous Balance: .��
Permits
AGREEMENT AND SWORN STATEMENT 2014-01463 2498 Sandstcne 1,661.89
La
l�he work for which this pennit is issued shall be performed according to 1�1-34410
the approved plans and specifications,applicablc City approvals,and the Plan Check/Site Exam Fees
State Buildin�Codc. This permit is for only the work described and does ----'--------`
not gran[pennission for additional or related work which requires separate Total: 1,b61.$9
-------------
permits. All provisions of laws and ordinances governing this type of work Ch2Ck
shall be compied with whether or not specified herein.This permit will Ch�Ck No: 32161 1,661.59
expire and become null and void if construction authorized is not PeyOt":
commenced within I 80 days of the date of issuance,or if construction is Wnnriria 1 e Ri i 1 rlar�
suspended for a period of 180 days at any time atter 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 an time for due cause. � ����
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Applica ermitee Signatu Date [ssued By Signature Date
.
S
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
O Mailing Address: Permit number. ��� `� '�6/ y(
� �O PO Box 66
Crystal Bay, MN 55323-0066 Date received: � Z-I Z Z��
L-(�
� Street Address:'
y� 1�'' 2750 Kelley Par ay �''� ��(p� n review fee: / l . �
�"�x'ESHo��� Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be complefed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: ��j� (� �_ ^�S�. JE �,�.�- ����
Job Site Address: � �7 `�.�'r� �`� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No
/f yes,a specia/event permit is required with Police Department and City Council approva160 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 INFOR ION�. 1 �
Name: Q.,�t'_ t�f �Gt�.� C�
State License# Expiration Date: ( c'�CJ/
Phone: cell 3— 3 .3 - �'t8 office � -3 S' �
Mailing Address: f E r-.(Cr� . Y� c.,�, Ci : �_ ZIP: SZj �
Contact Person: �� S'c. vJ,.e- Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: — .�. tU�d . 4. �. t.t.t ��.(> i
PROPERTY OWNER INFOR A 10 . < n
Name: (�-i �G�P�IZS �
Phone(day): `a-- �(S - P�S 3 _ �`-�-� jC)1 (� �f
Address: ` f Cit : ��n nQ"�U��dL ZIP: �� `�
Email and/or Fax -���C� � a Q- �c.lc ( �Q. ,
ARCHITECT/ ENGINEER INFORMATION: p
Name: "� LL ir�-.l.t.d`--
Phone (day): �� -3 j''_ C', l�/ ` �.�J7�
Address: "i,i,�% - .L-% ��r/',�- �`� Ci : �l rY1r� IP:
Email and/or Fax: �'y� � vcxQ �2
PROJECT INFORMATION: Description of pro�ect:
1.Type of Project 2. Proposed Use 3.Struct re Type 4.Sewage Disposal 8�
Wate Supply
New Construction ingle 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 also 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.or
Estimated Construction Valuation (excluding land) � ������