HomeMy WebLinkAbout2013-01203 - adv plan review CITY OF ORONO * 2013 - 01203 *
2750 KELLEY PARKWAY DATE ISSUED: 11/12/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 3745 TOGO RD
PIN 17-117-23-31-0046
LEGAL DESC TOWNSITE OF LANGDON PARK
LOT 009 BLOCK 010
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
VALUATION $ 9,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 9000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01200
APPLICANT ADVANCED PLAN REVIEW 115.05
BRENNAN PROPERTIES LLC TOTAL 115.05
15680 FISH POINT RD SE
PRIOR LAKE,MN 55378-
(612)616-4447
Minnesota State License#: BC381410
OWNER
MACKEY,GERALD
3745 TOGO RD
WAYZATA,MN 55391-
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 responsible for assuring all required inspections are
requested in conformwith the State Building Code.This permit may be
revoked at fo due cause.
a 4-
pplicant P4rnitee Signature Date Issued By ' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHERVHAN DESCRIBED ABOVE.
444
City of Orono r,
Building Permit Applicatio 1
for New Structures or Addition
Uslgrip Addnec Penta n~. .?O/ DO
Poll s6
�oN� CrysU1 say.MN 55323-0088 Date)ealNd:
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Sinner Address: Rac9Nsd by:. -.
2750 Kelley ParkwaY Plan revIsa,fee: 1 I .Ora
'i Orono,MN 55356
•t eNOa Main:952-25&4800 TobiI—
Fax:962-249-x81fi Ix p
This appike8on fpm must be calnpleUd in full and all required nlomiatlon must be submitted.Y(D i•3S c C
In. late applications wRl be retume&(Please print)
GENERALINFORMATION: /L'I� �DA� Pi �V
Jab Site Address: 2 CJ
Will this be a Parade IN Homes,Remodalon Showcase Home orwo��yDt ay�Ho shaft—Yes—wrxha o
ayes.sapzrN anrx Wnaxa rNuae wNtfbaw aapwallNx anday COivx']aPWe aroMslar nM Ma9awad. -n
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CONTRACTOR I APPLICANT INFORMATION: �f
Name: �'tj O G //SiPana., �oR._5 $goo°
zg1 5O Expsasan Wls. ZQI
State License# olfiu
Phone: ixaB - _ CItY ln� ZIP: 3�g17Z
Mailing Address: -' �-�^ _i•� Ho111apwner few.onal
Contact Person: �'2'oH AA Applkxn b:�a0x#9W
Email arx#m Fax:
PROPERTY OWNER INFORMA I L
Name: ra
Phone(day): !o t2�Ga y)� CMY Int �-ILa ZIP'SS34S
Address:
Email and/or Fax •.l
ARCHITECT I ENGINEER INFORMATION:
Name:
Phone(day): Cgy ZIP:
Address:
Email andlor Fax:
L = Ux
PROJECT INFORMATION:Desai a oPf L sbuclun Type sang.Disposal s
1.Type of Project Water supply
❑N.w Cone c5on ❑Singb Family wxh ❑Rnitlanu Pubic Sewer
❑AddRm aHaehad Bang. Gan9e I Aaaaeaarysles. ❑
cosawy,Buidkq ❑Sin9b Family vnth Deck
A
Qd.beh.d garage DllicdGommerdal ❑Private Savmr
LJ uNl ❑Multlde Family I Condo Warehouse ❑Pubkc We-
1,11c Ot
-Any
e-
-Any nrlh movement may Paquin ❑Carnmemlel ❑ r(specify)
❑ ❑PdvaU Wall
na P.-,.. Industrial. w WNarxhwd
pialncl(MGwO) ❑Otlian(epadly)
18202 Mk naldae Wil
oeaphevan,MN 56391
Prime:952ZI-W90
Fu:9624714*U
Estimated Conseuclum Valuation(exduding land) S�0 0
Pecker Lest UP"WW01" Paw22af23