HomeMy WebLinkAbout2017-00548 - adv plan review CITY OF ORONO * 2 0 1 7 - a 0 5 4 8 *
" 2750 KELLEY PARKWAY DATE ISSUED: 05/19/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3223 SHADYWOOD CIR
PIN : 20-117-23-11-0044
LEGAL DESC : SHADYWOOD VILLAS
: LOT 3 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 418,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $418,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00547
APPLICANT ADVANCED PLAN REVIEW 2,023.66
TOTAL 2,023.66
CHARLES CUDD LLC Payment(s)
15050 23RD AVENUE N CHECK 041208 2,023.66
PLYMOUTH,MN 55447-
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Minnesota State License#: BUIL-BC635245
OWNER
Casco Vent�ues LLC
16192 STATE HWY NO 7
MINNETONKA,MN 55345-
AGREEMENT AND SWORPI 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 separate
permiu. 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 I80 days at any time after 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 any time for due cause. �
V� '�i l.�c� O v� E �C�Q�--�� ' j�`-'�� J i �`�i l
Applicant Permitee Signature Date Issued By Signature Date
- � City of Orono
�
Building Permit Application
for New Structures or Additions
Mailing Address: ��' —r^
.�Q A, PO Box 66 Permit number: �
��'� Crystal Bay, MN 55323-0066 Date received:
StreetAddress:' _��----,. e ived by: -� �
2750 Kelley Parkway 2�6 �C�
y� � � P� review fee: �j .
G`� Orono, MN 55356 ._
-----_ - - —
'�x�s�o��' Main: 952-249-4600 Total Fee:
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. (P/ease print)
GENERAL INFORMATION:
Job Site Address: `3223 St-N�D�WoOh r�G+-E
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ❑ No
If yes,a special event permit is required with Police Department and City Council approval 60 days pnor to the event. Shu le bus seiviee will be
required unless applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: C!-{P•RI.E.""5 C.t,�p0 Go. L..1...G .
State License# I�G (03 5 Z�-S Expiration Date: '3 _ 3� - Z,p�q
Phone: (cell) ��7 , ¢�p • Z(�-Z (office) �!Z- 3 S`�- 170�
Mailing Address: 5'O Z � Cit : rlou ZIP: �' ¢
Contact Person: ��,-� �„�e J�-T Applicant is: ontrac o / Homeowner (Circle One)
Email and/or Fax: s��cl�f'1' ��F�s1zl,�-SCt�dp • Go]�
PROPERTY OWNER INFORMATION:
Name: v C��'S�un(D C,o� t-•l--G- i
Phone (day): t.,�- �_(�o� City: �t.Zl�''�o u7� ZIP: �5���'
Address: � Sip Z3M� /�V� ►� �
Email and/or Fax SLt�b�(�'-C� CN�Jzt,�""SCt��r�C�l�
ARCHITECT/ ENGINEER INFORMATION:
Name: CN��"''S C ta,o� Co• L•l- •G�
Phone (day): (,(Z-- 35'�l- j709 c�ty: p�Yrtovt�.< ZIP: s$�¢7
Address: /SUSO Z3� A�I/t . /�/�
Email and/or Fax: SL�L�FT�° C/�Fi42LE'SG+..IDl7 C.v/ti(
PROJECT INFORMATION: Description of ro�ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
�New Construction �'Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck �Public Sewer
❑Accessory Building ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater � Public Water
**Any earth movement may require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑ Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
�
Estimated Construction Valuation (excluding land) � 4 l� �QdO `"�
Packet Last Updated: August 2015
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