HomeMy WebLinkAbout2016-00668 - adv plan review CITY OF ORONO * 2 0 1 6 — 0 0 6 6 8
2750 KELLEY PARKWAY DATE ISSUED: 06/13/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 2570 THOROUGHBRED LA
PIN 04-117-23-11-0016
LEGAL DESC N/A
LOT 004 BLOCK 001
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 22,500.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:S 22,500.00
TYPE OF PERMIT THIS PAYMENT IS FOR: EXISTING DECK MODIFICATION PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00667
APPLICANT ADVANCED PLAN REVIEW 261.75
TOTAL 261.75
OUTDOOR SOLUTIONS
19311 SOUTHFORK LA Payment(s)
CREDIT CARD 6976 261.75
PRIOR LAKE,MN 55372-
(952)440-4791
Minnesota State License#:BUIL-BC233792
OWNER
LANDGRAVER,KEVIN&HELEN
2570 THOROUGHBRED LA
LONG LAKE,
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 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 respo ' uring all required inspections are
requested in confo c w' a State Building Code.This permit may be ��
revoked y i e fo u se.
o PP-"-0 (L i
p P tee Si ature Date Issued By Signature Date
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
Mailing Address:
Permit number: ✓w�P�O
O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a Street Address:' C
9� G` 2750 Kelley Parkway � �`(' eview fee:
ESHOOrono, MN 55356
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.
GENERAL INFORMATION: Incomplete applications will be returned. (Please print)
Job Site Address: Z-15-70 / D
Will this be a Parade of Homes, Remodelers S owcase Home or other Display Home? ❑ Yes No
/f 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 demonstrates sufficient on-site parking is available. Non permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ®GlT2)� 5 VZZAtlS /WG
State License# IkA-2-11'2!17, Expiration Date: 3 17
Phone: (cell) (p(Z gb- 31;,3 (office) Z-q'0 - y7`7 f
Mailing Address: i( 00 city: ZIP: 7^-2,
Contact Person: AhRf5 /Al Applicant is: ntractor / Homeowner (circle one)
Email and/or Fax: (c&4 /Al 4Vf}oc.•C0I-A
PROPERTY OWNER INFORMATION:
Name: 67e41_6_:2_
Phone(day): — 7
Address: 0 j, City: ,Lt1�lO ZIP:
Email and/or Fax 77Ag &10 .
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
❑ New Construction gSingle Familywith El-Accessory Bldg. Garage
Supply
❑Addition attached garage Deck
El Accessory Building El Single Family with Office/Commercial El Public Sewer
❑ Relocation D detached garage ❑ Residence
❑Other:(specify) X0P1Fy7�A/,0 gel Multiple Famil /Condo Private Sewer
—� p y El Wall(s)
Ef a�1d ��� El Public 4-feet or greater El Public Water
*'"Any earth movement may also 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) $ ZZ,
Last Updated: January 2015