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Home My WebLink About2015-00580 - adv plan review CITY OF ORONO * 2015 - 00580 * 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2015 ORONO,MN 55356— (952) 249-4600 FAX: 952 249-4616 ADDRESS 3015 WATERTOWN RD PIN 04-117-23-22-0030 LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 002 BLOCK 003 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 65,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$65,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR:SPORTS COURT PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00579 APPLICANT ADVANCED PLAN REVIEW 542.13 TOTAL 542.13 NEWELL,MARC&KARI Payment(s) 3015 WATERTOWN RD CHECK 5415 542.13 LONG LAKE,MN 55356- OWNER NEWELL,MARC&KARI 3015 WATERTOWN 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 co s tion is suspended for a p ' d of 180 days at any ' after wor Commenced. The ap scant is re__) es risible f assuri all re ired i ctions are reques d i on ance w the a Bui in C This permit may be k d a me for du use A pli t Permite Si Date Issued By Signature Date City of Orono Building Permit Application for New Structures or Additions Mailing Address: 0 PO Box 66 Permit number: 2D(5—ooG l v0 Crystal Bay, MN 55323-0066 Date received: Street Address:' IZ I� 2750 Kelley Parkwa "Z�OO Orono, MN 55356Plan review �1XFSHO Main: 952-259-4600 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address:' SCT, � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 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 INFORM TION: Name: State License# Expiration Date: Phone: cell ? -��- office Mailing Address: ?7 Y u%,� Cite ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: I r ry;Ze ( ej,, rNn PROPERTY OWNE INFO TION Name: (,r(/ I't Phone (day): Z ._ S_S; Address: \ City: p ZIP: Ss Email and/or Fax rl f*vvl!I Vxn I.C-ciM ARCHITECT/ENG EER IIZtFOR TION: Name: >t�� Phone(day): Address: W it j, ZIP: s I-' Email and/or Fax: PROJECT INFORMATION: Description of project: 1. Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal& ❑ New ConstructionWater Supply ❑ Single Family with El Accessory Bldg./Garage ❑ Addition attached garage ❑ Deck [:1 Accessory Building El Single Family with ElOffice/Commercial El Public Sewer ❑ Relocation �n detached garage ❑ Residence r�r El Private Sewer ther: (specify) El Family/Condo Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water "Any earth movement may 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) $ 4W Packet Last Updated: January 2015 Page 20 E y —LY ur urono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.013384 May 12, 2015 Marc & Kari Newell Previous Balance: .00 Permits 2015-00580 3015 Watertown 542.13 Rd 101-34410 Plan Check/Site Exam Fees Total: 542.13 Check Check No: 5415 542.13 Payor: Marc & Kari Newell Total Applied: 542.13 --------------- Change Tendered: .00 05/12/2015 11:50AM