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Home My WebLink About2012-00666 - adv plan review CITY OF ORONO * 2 0 1 2 - 0 0 6 6 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/12/2012 ORONO, MN 55356- .. (952) 249-4600 FAX: (952)249-4616 ADDR�SS : 2850 SOMERSET LA PIN � : 04-117-23-21-0013 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 006 BLOCK 003 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 15,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 15,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: 4'OR>RETAINING WALL PERMIT#THIS PR�PAYMENT IS TIED TO: PERMIT#2012-00665 APPLICANT ADVANCED PLAN REVIEW 172.58 BARKLEY LANDSCAPES TOTAL 172.58 10820 46TH PLACE N PLYMOUTH,MN 55447- PAID WITH CC# 9999 (612)598-9895 OWNER TRANGSRUD&TERRY RASMUSSEN,JON 2850 SOMERSET LA LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 aperiod 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 due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. w C��lt�y Of dP0110 2750 Kelley ParkMay Oraw MI 55356 95Z-249-4660 Receipt No: 3.Q07214 Jul 1P, 2012 Barteley Landscapes, LLC Previous Balar�ce: .00 Per�its 201Z - ?850 5u�erset Lane 172.58 101-3441Q Plan Check/Site Exa� Fees Total: 172.58 Credit Card r 172.58 Payor: Barteley Landscapes, LLC Total Applied: 172.58 Chara�e Tendered: .04 Q7/12/2Q12 03:i�Pll City of Orono . ' Building Permit Application ' for New Structures or Additions ��S�r� su►- v�- `s Mailing Address: Permit number: �� !i��(v O��,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �'7 a /a a StreetAddress:' � _. Recei�ed-�y: /�� titi 2750 Kelley Parkway �`"`T CC' P _[e�ri�w_fee: `� ( 7a • 5�' G t•�q.�Ho�.'� Orono, MN 55356 Total Fee: Main: 952-249-4600 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. (Please print) GENERAL INFORMAT O I Job Site Address: �� 5��- l�-�c (1 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 prior to the event Shuttle bus service will be required unless applicant demonstrafes su�cient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/ PLICANT INFO ATION: / Name: L,-L.--L State License# Expiration Date: Phone: .- -- office ell Mailing Address: Cit : ZIP: Contact Person: a, Applicant is: Contr ctor / Homeowner (Circle One) Email and/or Fax: v � PROPERTY OWNER INFORMATIO� Name: ��,qS�tc.� S Phone(day): �J� ��O- $�{'�-� Address: �-�,� s�� 1�c�, City: (�,�j ZIP: ��,5� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: �� Name: �� -�ev�Ce_ ��o•-L Phone(day): -q - -� Address: �too� ��,.�,� S - City:�LiN.�.� ZIP: 5��3 S Email and/or Fax: 15�--.�j�,�_L��.c� 9� PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposat& Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer �ther: (specify) � ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water `*Any earth movement may require ❑ Commercial ther(s ecify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� dc9� Packet Last Updated: 03-06-2012 -21 -