HomeMy WebLinkAbout2016-00887 - advanced plan review fee CITY OF ORONO * z 0 1 6 - 0 0 8 8 7
2750 KELLEY PARKWAY DATE ISSUED: 07/26/2016
Ale ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 755 TONKAWA RD
PIN : 05-117-23-33-0003
LEGAL DESC : AUDITOR'S SUBD.NO.217
LOT 001 BLOCK 000
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 87,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 87,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED GARAGE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00886
APPLICANT ADVANCED PLAN REVIEW 654.86
TRESTLE CUSTOM HOMES,LLC TOTAL 654.86
275 MARKET ST
Payment(s)
CREDIT CARD 1871 654.86
SUITE 531
MINNEAPOLIS,MN 55405-
(612)782-7111
Minnesota State License#: BUIL-BC652324
OWNER
SARAH BUSTON,JULIE BROWN
755 TONKAWA RD
LONG LAKE,MN 55356-
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 fora riod of 180 days at any time after work has commenced.
The appli ant is r ponsible for assuring all required inspections are
requested' confo ace with the State Building Code.This permit may be
re at y ' or due cause.
Applic ermitee groiature Date Issued By Signature Date
CITY OF ORONO
�► BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O,� SO
Mailing Address: s--� ,�
!`/ 9 Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address --_ Rived by:
2.1
S� L� 2750 Kelley Parkway ±� -�0Ian review fee:
�gKESHOR� Orono, MN 55356 ; ?
Main: 952-249-4600 o al 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.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 75
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes IX 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 e
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Z Expiration Date: 3 Z
Phone: cell &lZ 80 office (L • Z 1l
Mailing Address: 775 A T. UITC E531 — City: t"IIWNIf.�l.l�j ZIP: O
Contact Person: �[-'�fZ. C4Zy l,4 Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: p115TEY2_ C
PROPERTY OWNER INFORMATION:
Name:
Name: 7SGZ 1E7- zlizo"11-4
Phone (day): •7i