HomeMy WebLinkAbout2015-01483 - adv plan review CITY OF ORONO * 2 0 1 5 - 0 1 4 8 3 *
� •� 2750 KELLEY PARKWAY DATE ISSUED: 11/19/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2000 SHADYWOOD RD
PIN : 17-117-23-31-0001
LEGAL DESC : GUST S JOHNSONS ADDN
: LOT 000 BLOCK 000
PERMTT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIv TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 631,720.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 631,720.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01482
APPLICANT ADVANCED PLAN REVIEW 2,809.90
TOTAL 2,809.90
SUSTAINABLE 9 DESIGN+BUILD Payment(s)
124 MAIN ST SE CHECK 6513 2,809.90
SUITE 343
MINNEAPOLIS,MN 55414
(612)234-4194
Minnesota State License#: BUIL-BC653457
OWNER
KIRCHNER,ESTATE OF ROGER
2000 SHADYWOOD RD
WAYZATA,MN 55391-
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 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 construc[ion 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 responsible for assuring all required inspections are �
requested in conformance with the State Building Code.This permit may be
revoked at any time for d \
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Applic rtee i e Da e Issued By Signa re Date
1 �
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: �C,/cu'_C r�����
Q PO Box 66 Permit number:
� �Q Crystal Bay, MN 55323-0066 Date received: ��—J q -lC
Street Address:' Re �
2� ,� 2750 Kelley Parkw Y�C, Plan review fee: G b �' ��%
r._ _
c,` Orono, MN 55356 W. _—__------------ ------ i
��'Ff5H0�� 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: 2000 Shadywood Rd
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 approva/60 days prior to the event. Shuttle bus seivice will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Sustainable 9 Design + Build
State License# BC653457 Expiration Date: 03/31/2016
Phone: (cell) 612-636-3232 (office) 612-234-4194
Mailing Address: 124 Main St SE, STE 343 City: Minneapolis ZIP: 55414
Contact Person: Ryan Hanson Applicant is: on rac / Homeowner �c�►�ie o�e�
Email and/or Fax: ryanhanson(a�sustainable9.com
PROPERTY OWNER INFORMATION:
Name: Sustainable 9 Holdings LLC
Phone(day): 612-636-3232
Address: Same as Above City: ZIP:
Email and/or Fax Same as Above
ARCHITECT/ENGINEER INFORMATION:
Name: Architect/Designer- Dave Zweber, David Charlez Designs, Structural Engineer- Nick Hanson, Hanson Group
Phone(day): Dave-952.428.8200, Nick- (612) 708-3572
Address: � KilmPr I anP Nnrth SuitP#4 Pl�mnirth, MN 55441 Clty: ZIP:
Email and/or Fax: dave.zweber(a�davidcharlezdesigns.com nick hansongroupmn.com
PROJECT INFORMATION: Descri tion 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 C� 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) $ 631,720.00
Packet Last Updated: August 2015
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