HomeMy WebLinkAbout2012-01065 - adv plan review ., , . CITY OF ORONO * 2 0 1 2 — 0 1 0 6 5 *
' 2750 KELLEY PARKWAY nATE ISSUED: 10/23/2012
ORONO, MN 55356-
(952)249-4600 FAX: 952) 249•
ADDRESS : 25 STUBBS BAY RD N City of Orono
PIN : 32-118-23-34-0005 2750 Kelley Parkway
Oro►� M�I 55356 952-249-4600
LEGAL DESC : UNPLATTED 32 118 23
: LOT 000 BLOCK 000 Receipt No: 3.007844 �t 23, 2012
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL Dennis Kru�p
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Previous Balance: ,pp
Per�its
VALUATION : $ 15,000.00 Rd12-01465 25 Stubbs Bay i7P,gg
NOTE: PLEASE FILL IN THE FOLLOWING: 141-34410
Plan Check/Site Exa� Fees
VALUATION OF PERMIT:$ 15,000.00 ___�________�
total: 17�,�
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL-GARAGE ���k =--_-------�
Che�k No: 6368 172.58
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-01064 Payor:
Dennis Kru�p
Total Applied: 17�,Sg
Change Ter�dered: �~ ,00
10I23/2012 11;47pM� �__��_
APPLICANT ADVANCED PLAN REVIEW 172.58
KRUMP,DENNIS
25 STUBBS BAY RD N TOTAL 172.58
MAPLE PLAIN,MN 55359-
OWNER
KRUMP,DENNIS
25 STUBBS BAY RD N
MAPLE PLAIN,MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 sepazate
permits. All provisions of laws and ordinances goveming this type of work
shali 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be /�'`'/
revo d at any time for due cause.
' � � �� � , �q -�3 �
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number. � �� -C'I c';�c
O�j,�,�.0 PO Box 66
Crystal Bay, MN 55323-0066 Date received: / ;� 2� Z
,� �'e� �" �, Street Address:' ,—, rved-b�. �Z_/_-�
�',�c,t '"� �� 2750 Kefley Parkwa ;� ��� ���:t�� ;Plan review fee: rn�a , � ��
�'kESH��'`� Orono, MN 55356 ' i�'
—.---�. . ___m_�.._..___. �._._.-,____
Total Fee:
Main: 852-249-4600 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 INFORMATION:
Job Site Address: �,5 �./, Si�/i3i'>'���Y �2�� .
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No
If yes,a special event permit is required wrth Police Department and Ciry Council approva160 days prior to fhe event. Shuttle bus service will be
required unless appficanf demonstrates sufficient on-site parking is available. Non-permrtted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: l��=N S � vs� � J-��%M� �w NG�z
State License# Expira ion Date:
Phone: i���,i= �,� �z ,c� �,� y 7�� � (office) (cell)
Mailing Address: - � � -f Cit :M1,�f ;��„�; -�j ZIP: �''�
Contact Person: ��L�yNJ/� �/.��w/� Applicant is: Contractor / omeowne (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: j�L�/l{ 1 S �-C�'li�J/='
Phone(daY)� �.'i.Z�-�7.3� 7��3 _�1
Address: ,�:5 N_ 5Ti/f3i�_� /�3�y /2i.�. CitY� �1����!'L.�i�'I P: ���_'7�
Email and/or Fax f/.t�LGYJ%SNG�./ �'_ LyM/+%L .- G�-�i�
ARCHITECT/ ENGINEER INFORMATION:
Name: I7�=N�i S i�f2[i�-1 f�
Phone (day): ���� .�7 ��- � ���
Address: Z� �,� �r��,�S �,� y� City:,y,qp�c i'G,�,rv ZIP: �.j-j�J
Email and/or Fax: �,y LETi T S�'� � L-3n�/�iL .. c��;vl
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8�
Water Supply
❑ New Construcfion Sin�le_Famil�r�,rith� ❑ Residence (��-L�
�,.Addition Cattached garage�, � Garage/Accessory Bldg. ❑ Public Sewer
,_, ,. , .. ,.,,, --------- �--- -- -- --___- .—
❑ Other4(specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
"''Any earth movement may require ❑ Commercial ❑ Other(specify)
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) $
Last Updated: 1/26/2011 � ,.�
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