The URL can be used to link to this page

Home My WebLink About2015-01031 - adv plan review CITY OF ORONO * 2 0 1 5 - 0 1 P1 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2015 � ORONO,MN 55356- � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1990 SHADYWOOD RD PIN : 17-117-23-24-0027 LEGAL DESC : SHADY-WOOD : LOT 040 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $400,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 400,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: 2ND LEVEL ADDITION PERMIT#THIS PR&PAYMENT IS TIED TO:2015-01032 APPLICANT ADVANCED PLAN REVIEW 1,949.73 WOODCRAFT DESIGN BUILD,INC. TOTAL 1,949.73 414 LEWIS AVE#102 Payment(s) CREDIT CARD 8749 1,949.73 P.O.BOX 665 WATERTOWN,MN 55388- (612)290-0895 Minnesota State License#: BUIL-629265 OWNER VONFELDT&ELAINE WYATT,JEFF 1990 SHADYWOOD RD WAYZATA,MN 55391- AG�tEEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to ffie approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant pertnission for additional or related work which requires separate permits. 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 1 SO days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confortnance with the State Building Code.This permit may be revoked at any time for due cause. � D -7�-c � g / � 3 / /S Applicant Permitee Signature Date Issued ignature Date � City of Orono " Building Permit Application - for New Structures or Additions MailiP��. Permit number: O��/.S� � /� p�J �O+YQ Crystal Bay,MN 55323-0066 Date received: d ��,3 —/ ! SYreetAddress:' __.., .Rocei y �f 2750 Kelley Paricway / L� '" c.` Orono,MN 55356 n Plan review fee: `AkfSH�p� Main: 952-249�600 `� U� � — 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 retumed. (P ase print) GENERAL INFORMATIO : Job Site Address: Q . Will this be a Parade of H , Remodelers Showcase Home or other isplay Home? ❑Yes ❑ No H yes,a specia/event permit is requi�ed with Police Department and City Council approva/60 days prior to the event. Shutf/e bus service will be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permifted events wili not be allowed. CONTRACTOR/APPLIC T INFORMAT ON• Name: �� (�� l�f� State License# �� j( ?�GS' Expiration Date: 3 ..S -Le�'t. Phone: (cetl) �ilt- 2'iD. Offiyt� (office) tsZ, „?S� �'L-'ji Mailing Address: jJqp �Q (rbt ity:� ZIP:�� Contact Person: � t,. Applicant is: Contractor / Homeowner �Circle One) Email and/or Fax: � e�C.r�x�( ��L��(�r PROPERTY OWN JtNFORMATI0N:4 1 � von �bb � l. Name: �� Phone(day): Address: Cit : ZIP: s Email and/or Fax y�/��.. ARCHITECT/ NGINEER NFO MATION: IVarrie: t �,hJMtJ�.! �. l-3Zo- �-SCe�2.. Phone(day): i Address: 9Z�' JL►' •�.E. ��r� � City: �(�vL,O ziP: �S33Co Email and/or Fax: PROJECT INfORMATiON: Description of roject: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Suppiy ❑New Construction [�Single Family with ❑Accessory Bldg./Garage [S�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 ❑Storege MCWD review&permits. ❑Industrial ❑Warehouse ❑Private Well Minnehaha Creek Watershed District(MCWD) ❑OYher.(specify) ❑Othe�(specify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax 952�71-OFi82 www.m'nn Estimated Construction Valuation(exGuding land) ; �(�0�(��, �— Packet tast Updated:August 2015 Page 2f