HomeMy WebLinkAbout2014-00253 - adv plan review �. CITY OF ORONO * Z 0 1 4 - 0 0 2 5 3 *
• 2750 KELLEY PARKWAY DATE ISSUED: 03/31/2014
ORONO, MN 55356-
952 249-4600 FAX: (952) 249-4616
ADDRESS : 2526 SANDSTONE LA
PIN : 33-118-23-I1-0018
LEGAL DESC : STONEBAY
: LOT O15 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
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW CONSTRUCTION
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00254
APPLICANT ADVANCED PLAN REVIEW 1,661.89
WOODDALE BLD, INC. TOTAL 1,661.89
6109 BLUE CR DR Payment(s)
CHECK 80465 1,661.89
MINNETONKA, MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER
Stonebrook Homes
1016 COVEWTRY PL
EDINA,MN 55424-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,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 sepazate
permits. All provisions of laws and ordinances goveming 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 resp sible for assuring all required inspections are
requested in cQn e with the State Building Code.This permit may be /�
re�4ked any ti fo e e.
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A ic P itee ig ure Date Issued By ignature Date
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• CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
Mailing Address: Pe�mit.num6er ' ����� (SQZ'
g-�� PO Box 66
� Crystal Bay, MN 55323-0066 Dafe received:
Streef Address:' Received by` �
y� ,�� 2750 Kelley Parkway Plan:review feet � ,�'ZO S!-DOZ�
t :�� Orono, MN 55356
q'�FSf(O�' ':Total Fee: I
Main: 952-249-4600 = Fax: 952-249 4616 www.ci.orono mn us ,: i
Tfiis application:form must.be completed;in�full;and alh requiredtiriformation;:must"be{subrriitted:
Incomplete applications wili'be returnetl (Please print) I
GENER� INFORMATION:
Job Site ddress: ',,5
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No
If yes,a specia/event permif is required with Police Department and Eity Council approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonsfrates suKcient on-site parking is availab/e. Non-permitted events will not be a/lowed.
CONTRACTOR/APPLICAN R TION:
Name: L1�C.
State License# Expiration D te:
Phone: cell • • office • •
Mailing Address: Cit : ' P: I
Contact Person: • i� pplicant is: ontrac o / Homeowner (Circle One)
Email and/or Fax: � i
PROPERTY OWNER INFORM�TI N:
Name:
Phone(day): • '
Address: Ci : iVJ�A ZIP: +� 3
Email andbr Fax •
ARCHITECT/ENGINEER INFORMATION:
Name: ,�5�1 NM 'E ip1 S CC w f WJ4 �_��.
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 requi�e ❑ Commercial ❑ Other(specify) �
MCWD review&permits. ❑ Industrial . ❑Private Well j
Mlnnehaha Creek Watershed District(MCWD) ❑Other: (speCify) I
18202 Minnetonka Blvd I
Deephaven,MN 55391
Phone: 952-471-0590 �
Fax: 952-471-0682
www.mi nehaha r e or �
Estimated C.onstruction Valuation (excluding land) $ ��J`�/ Q�v ^
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