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Home My WebLink About2017-00036 - adv plan review CI�Y OF ORONO * 2 0 1 7 - 0 PJ 0 3 6 * '` 2750 KELLEY PARKWAY DATE ISSUED: OUi7/2017 r O ONO,MN 55356- (952) 249-�600 FAX: (952) 249-4616 ADDRESS : 2500 SHADYWOOD RID PIN : 20-117-23-11-0034 LEGAL DESC : REG. LAND SURVEY NO. 1630 : LOT 000 BLOCK q00 PERMIT TYPE : ADVANCED PLAN R�VIEW PROPERTY TYPE : COMMERCIAL-BUS�NESS CONSTRUCTION TYPE : ADVANCED PLAN R�VIEW VALUATION : $ 20,000.00 NOTE: ADVANCED PLAN REVIEW FOR INTERIOR REMdDEL SUITES,#ll0,#130,#210,AND#300 APPLICANT � ADVANCED PLAN REVIEW 231.54 Ugorets 8098 LLC Pa ment s TOTAL 231.54 410 11TH AVE S y � � CHECK 1598 231.54 HOPKINS,MN 55343- (952)769-7249 OWNER Ugorets 8098 LLC 410 11TH AVE S HOPKINS,MN 55343- AGREEMEIVT 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 dces not grant permission for additional or related work which requires separat pertniu. All provisions of laws and ordinances governing this type of wor 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 1 SO days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commence . The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date ��-��-{-�-�.. __. _ -.. � �s�.a---q , . ` CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O� Mailing Address: Permit number. p7��7-��7j� Q PO Box 66 Crystal Bay, MN 55323-0066 Date received: � 7 / 7 �, � Street Address:' _•--- � � Received by: r�� . G 2750 Kelley Parkway t��{, Plan review fee: v�,/. 5 � � Cy �. ` Orono, MN 55356 �C_1(� l5 �5 � kFs H O� Main: 952-249-4600 Total Fee: � -/?--��- -- " �� Fax: 952-249-4616 www.ci.orono.mn.us `3 �.:�., , �?„� This application form must be completed in full and all required information must be submitted. ��5�; /-�� Incomplete applications will be returned. (Please print) GENERAL INFORMATION: �. Job Site Address: ,�S c`r0 S}� ��.r��,�J�. �c� , S�;1 c�.s 11� i3o�� p /:30�3 Will this be a Parade of Homes, Remodelers Sho ase Home or other Display Home? ❑ es �No /f yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service�il/be required unless applicant demonstrates sufficient on-srte parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �4r�;e�s $C"5?S �. L.�_ State License# —� Expiration Date: Phone: (cell) (o��- 3G�3-33,�1 (office) MailingAddress: �Ile 't\�` A.,�, .ky. City: ��Dk�� ZIP: S�3y3 Contact Person: p�e7C �;o�.�}s Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��Qx � �.,�d1�,�,s �c,�� PROPERTY OWNER INFORMATION: Name: USc,ra.ts ��i� 1�..L.G=. ^ r1\g-,c Ucor��+ Phone (day): (�,�a_ 3(�,3_ 3'3�\ Address: �-I10 I►�" A-,,r, Sa. City: }N��k,�i z�P: 5s"3�3 Email and/or Fax _ c�\e..,c ��_ r►,ib1�,,,a�iws ,c�r� ARCHITECT/ENGINEER INFORMATION: Name: l.�i�k�i A►��:��s Phone (day): �js�'� _ `�y 1 - �C:� Address: /s- ,t;,,,� y�}.,P_ ,t,�,. City: /-/op/�;�f ZIP: 5'S3`l 3 Email and/or Fax: cS I n � w�ik.�s�r<.a,. catY. PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8 Water Supply ❑ New Construction ❑ Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck � Public Sewer ❑Accessory Building ❑ Single Famify with OfficelCommercial ❑ Relocation detached garage �] Residence ❑ Private Sewer � Other:(specify) ('P�,A�1 ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ,� Public Water **Any earth movement may also require Commercial ❑ Storage MCWD review 8�permits. Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify) ❑ Other(speCify) 1,5320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or � � n � Estimated Construction Valuation (excluding land) $ __�� b�`'" ' � ECEIVED JAN 1 � z017 Last Updated: January 2016 CIl'Y OF ORONO