HomeMy WebLinkAbout2014-00255 - adv plan review � . CIT1' OF ORONO
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' 2750 KEI.LEY PARKWAY nATE [ssu�n: 03/3U2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2524 SANDSTONE LA �
PIN : 33-118�3-11-0019
LEGAL DESC : STONEBAY
: LOT 016 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 350,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 350,000.00
TYVE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
YERMI"['#THIS PRGPAYMENT IS TIED TO:2014-00256
APPLICANT ADVANCED PLAN REVIEW 1,661.89
TOTAL 1,661.89
WOODDALE BLD, INC. Payment(s)
6109 BLUE CR DR CHECK 80465 1,661.89
MINNETONKA, MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER :...:, a;:l �;:� >...
-�r, MN `�.5�6
Stonebrook Homes
1016 COVETRY PL
ED1NA, MN 55424-
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AGREEMENT AND SWORN STATEMENT �;i�-�1(1�5s 2°.�6 v:
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The work for which this permit is issued shall be performed according to -__,������� ����
the approved plans and specitications,applicable City approvals,a��d the �����:}}�l
State Buildine Code. This permit is tbr only the work described and does �,t}�ii�"Ckr`�i�E' �:.':�.�:
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this typc of work `.;3Y: „�����:
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not r�.
commenced within 180 days of the date of issuance,or if construction is �' �'� ��Q`'
suspended f'or a period of l80 days at any time after work has commenced. ;� � , i,
The applicant is responsible for assuring all required inspections are '���`� �`�"�."
requested in conform�ce with the State Building Code.This permit may be ��n��'�{'
revoked at any tim�or�ue cause. �r"�-�
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Ap i nt e �itee Signature Date Issued By ignature Date
♦ .,
� CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
Mailing Address: 'Pe�mit number
: ����r�..:� .
'�O.�T' PO Box 66 .
°�� Crystal Bay, MN 55323-0066 Date received. —3 �
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StreetAddress:' �.Received b: ���
�.. •,� 2750 Kelley Parkw Zp�4�(�Z<j5�PI '"• ;fee: , g� ��
�� � ' �' ��` Orono,MN 55356 ' �
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`��Esfco�' '�Total Fee:.
Main: 952-249-4600 � Fax: 952-249-4616 www.ci.orono.mn.us ��:;;.;.',
Tfiis'application:form'must.be�completediin full;"and:alFrequired�iriformation:mu"st'be subrriitted:
Incomplete applications;will be returned: (Please print) '
GENER INFORMATION:
Job Site�ddress: W ��1 W�
Wiil this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o
If yes,a special event permit Is required with Podce Department and City Councll approva160 days prior to the event. Shuttle bus se�vice will be
required un/ess applicant demonsfrates su�cient on-site parking Is availab/e. Non-permitfed events will not be allowed.
CONTRACTOR/APPLICAN R TION: •
Name: Za C'
State License# Expiration D te:
Phone: cell • ` office � •
Mailing Address: Ci : ' P:
Contact Person: : E pplicant is: ontrac o / Homeowner (Circle One)
Email and/or Fax: � �
PROPERTY OWNER INFORM�TI N:
Name:
Phone(day): ` � Ci : iVJ ZIP: �� 3
Address:
Email and/or Fax ' �
ARCHITECT/ENGINEER INFORMATION:
Name: c�• � �e ip1 'S CD w f W�k G.TO d�•.
Phone (day): �
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro'ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
ew Construction ❑ Single Family with esidence �/
❑Addition attached garage ❑ Garage/Accessory Bldg. �Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation �etached garage ❑ Office/Commercial ❑Private Sewer
❑Other: (specify) Multiple Family/Condo ❑Warehouse
❑ Public ❑Storage Public Water
**Any earih movement may also r�quira ❑ Commercial �Other(specify)
MCWD review&permits. ❑ Industrial , ❑Private We�l
Mlnnehaha Creek Watershed Distrlct(MCWD) ❑Other: (specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
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Estimated Construction Valuation (excluding land) � `��� ��
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