HomeMy WebLinkAbout2014-01233 - adv plan review ••• CITY OF ORONO * z 0 1 4 — 0 1 Z 3 3 *
i 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1310 SPRUCE PL
PIN : 08-117-23-32-0017
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK O10
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 110,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 1 10,000.00
TYPE OF PERMIT TH1S PAYMENT IS FOR: ADDITION/REMOD
PERMIT#THIS PRE-PAYMENT IS TIED TO:201401234
APPLICANT ADVANCED PLAN REVIEW 725.89
TOTAL 725.89
MULBERRY BUILDERS Payment(s)
6730 MULLBERRY CIR CREDIT CARD 0510 725.89
CHANHASSEN, MN 55317-
Minnesota State License#: BUIL-632430
OWNER
RIFKIN, ROSS&CHRIST[NE
1310 SPRUCE PL
MOUND, MN 55364-
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. 'Chis permit is for only the work described and does
not grant permission for additional or related work�ihich requires separate
permits. All provisions of laws and ordinances oovemin�this type ot�work
shall be compied with whether or not specified herein.This pennit 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 180 days at any time atter 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
r at any time for due use.
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pplicant rmitee Signature ate Issued B��Signature Date
, e CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
� Mailing Address: � Permit number: �` �� % `` ` � �� ���'`1
�- �TO PO Box 66
Crystal Bay, MN 55323-0066 Date received: � ' '��'�
F�eceived by,.__.___._ ' %�
StreetAddress:' - -- — —'
yF � 2750 Kelley Parkway` � i `� ' �' �' Ptan review fee: �•� > ` � ^
�' _. ;:
� �L Orono, MN 55356 t `t- _ —___ __ __ ____
'�xEsxo� 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 sub itted.
Incomplete applications wiil be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: � -:� � L ���`'��-�C= ��'C-�"� ��`
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 Counci/approva!60 days prior to the event. 5huttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR!APPLICANT INFORMATION:
Name: �`��`a r ��C'� Y� � ��:`!� �,�f r"�-'`i
State License# r,' • � � 1-•��; C Expiration Date: �` �a ,r � �.f 1 �-
Phone: ce I "-�" " `=: � office
Mailing Address: �' 4 '; Y'� r;� (' -��'r �' ���� Cit .,'��-��__ rr � ;-,�_l ZIP:
i.
Contact Person: � ��-�� ��,�-r� �=�-Y�.r Applicant is: t ontractor / Homeowner (Circle One)
Email and/or Fax: ���Y���� �;. �j i_"L (t����t� �Y if� 'I,i_.��r(�t`u ,(����y�,,,� � ��� _ _,:
PROPERTY OWNER INFORMATION:
r:� i� `�
Name: �'L.,C�Z '�' �' �f'l�.�� �:., �- !
Phone (day):
Address: r �
C 1�` � Pf��,l,'��'j �•::����-��- City.:.�; f��t� ._ ZIP:
Email andlor Fax �
ARCHITECT/ENGINEER INFORMATION:
Name: r/ �-,(. i� �;��<.y` j.j' �:'d.t.i)(';� 5
Phone (day): ��
Address �� i �h� �' City: ZIP:
Email and/or Fax: —��� p'
r
�"k J� d.��l r�-1 d.ul
PROJECT INFORMATION: Description of project: ��''��'�'������ d�' -"�-� '=�'� � �`��� 1 �:—.�-''�"�'-�'``- � �-�``�'-�- ,�- `�- F ��-%�`���"
1.Type of Project 2. Proposed Use I 3. Structure Ty e 4. Sewage Disposal 8
Water Suppty
�,N ew Construction ❑ Single Family with I ❑ Residence
�Addition attached garage ❑ Garage/Accessory Btdg. ❑ Public Sewer
Accessory Buiiding ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commerciai ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
"`Any earth movement may also require ❑ Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Othef: (SpeCify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ � � �R� �-C,,�.,-