HomeMy WebLinkAbout2012-00588 - adv plan review CITY OF ORONO * Z 0 1 z - 0 0 5 B B
Ik 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2012
W ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 125 TURNHAM RD
PIN : 31-118-23-43-0018
LEGAL DESC : UNPLATTED 31 118 23
: LOT MB BLOCK MB
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
VALUATION $ 463,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$463,000
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED T#2012-00589
APPLICANT ADVANCED PLAN REVIEW 2,102.59
MASTERPIECE HOMES TOTAL 2,102.59
127 EAST COUNTY RD C
LITTLE CANADA,MN 55117- PAID WITH CC# 1274
(651)484-3244
Minnesota State License#: 1435
OWNER
ROCHEL,ANTHONY&SURYA
125 TURNHAM RD
MAPLE PLAIN,MN 55359-
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 conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
i
City of Orono
Building Permit Application
for New Structures or Additions rpp
Mailing Address: Permit number: c 2 —�,�p
��,►„O,jV. PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Received.
Street Address:' ,cam
2750 Kelley Parkway d Plan review fee: ��4 "•+a
N EeH Orono, MN 55356 Total Fee:Main: 952-249-4600 Fax: 952-249-4616 www.d.orono_rnn.us 4(„p!7�,
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: 125 Turnham Road
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 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: Masterpiece Homes, Inc
State License# B C 0 014 3 5 Expiration Date: 3/31/2014
Phone: 651-484-3244 (office) 612-363-3022 (cell)
Mailing Address: 127 East County Road C City: Little Cana7M: 55117
Contact Person: Howard Vigen Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: 651-484-7723
PROPERTY OWNER INFORMATION:
Name: Anthony and Surya Rochel
Phone(day): 612-812-8252
Address: Aga Portland AvP g1iite #-u7 City: Minnea.}')a1igZIP:r;c;4n4
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name: Masterpiece Homes, Inc.
Phone(day): _651-484-3244
Address: 127 East County Road C City: Little CanacgtP: 55117
Email and/or Fax: GfiP�TPn�7�maG1 arniar Phnmacmn rnm
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PROJECT INFORMATION:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
[$New Construction 0 Single Family with CN Residence
❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑Office/Commercial [$Private Sewer
❑ Other: (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
vvvvvv mone;hanacreek.orc
Estimated Construction Valuation (excluding land) $ 463 000