HomeMy WebLinkAbout2012-00804 - adv plan review CITY OF ORONO
* 2012 - 00804 *
2750 KELLEY PARKWAY DATE ISSUED: 08/16/2012
�. ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 8/30/2012
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 : $ 14,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 14000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT FOR A PORCH
PERMIT#THIS PRE-PAYMENT IS TIED TO: 2012-00805
APPLICANT ADVANCED PLAN REVIEW 162.99
MASTERPIECE HOMES TOTAL 162.99
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 Issue ature 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: ev, ,R�Z'
PO Box 66
Crystal Bay, MN 55323-0066 Date received: �' �
Received'by:
Street Address:'
o�� 2750 Kelley Parkway Plan review fee:
Orono,MN 55356 _
�$Eszio� Total Fee:
Main: 952-249-4600 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: 125 Turnham Road
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
tf 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# BC 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 Cana_& 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: 97q pnrt-ianH n,rAg„ite kAn7 City: Minneazanlis ZIP:554nd
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑New Construction ❑Single Family with Residence
[2Addition 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 Screen Porch
Deephaven,MN 55391
Phone: 952-471-0590 Fireplace Chase
Fax: 952-471-0682
www.mi nnehahacreek.or
$ GL
Estimated Construction Valuation (excluding land) / , 00 C)