HomeMy WebLinkAbout2011-00495 - adv plan review CITY OF ORONO PERMIT NO.: 2011-00495
2750 KELLEY PARKWAY
A ORONO, MN 55356- DATE ISSUED: 06/21/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 875 WAYZATA BLVD W
PIN : 35-118-23-44-0011
LEGAL DESC : UNPLATTED 35 118 23
: LOT MB BLOCK MB
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY
VALUATION : $ 5,190,000.00
NOTE: ASSISTED LIVING MULTIPLE FAMILY
PLAN REVIEW BUILDING PERMIT 2011-00505
APPLICANT ADVANCED PLAN REVIEW 14,765.89
KRAUS ANDERSON CONST CO.
P.O.BOX 158 d-�d e c TOTAL 14,765.89
CIRCLE PINES,M5014 NeM141-5-074M141-5-074
(952)249-9679;
OWNER
875 WBW,LLC
THOMPSON,ATTN: CHARLES
20400 LAKEVIEW AVE
EXCELSIOR,MN 55331-
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 whethe .ecified herein.This permit will
expire and become null .•s void if con ruction authorized is not
commenced within 1:i days of the date+f iss ••-: or if construction is
suspended d . p- iod of 180 days at a - .'er work has cold. ended.
The appli-. is esponsible for as . equired i ���e
request-' co iormance wit • Buildin• '. ' is permit may be
revoke 4 . any t e ford a • -- -•••�%
Adid. _-•••••-./ ,/G.
A. ant Permitlignature Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER-IAN DESCRIBED AB SOP.
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City of Orono
Building Permit Application
for New Structures or Additions t`
Mailing Address: Perrnit number
o9 0/1— 00 5 5 5
(=0.0,jvN PO Box 66
P. 0 Crystal Bay, MN 55323-0066 Date received: 60 ZI- / I
`' Received by: e�J
I A 1 Street Address p
See x.8_ �/ 2750 Kelley Parkway Plan reviewfee: I 7t'p�J-.C3� p�L
tykEs Orono, MN 55356 co/(--01, `f iS t
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: 875 Wayzata Blvd,Orono,MN 55391
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: Kraus-Anderson Construction Company
State License# Expiration Date:
Phone: (612)332-7281 (office) (cell)
Mailing Address: 525 S.Eighth Street City: Minneapolis ZIP: 55404
Contact Person: Jim Beckwith Applicant is: .ntracjr) / Homeowner (circle One)
Email and/or Fax: Jim.BeckwithAkrausanderson.com
PROPERTY OWNER INFORMATION:
Name: CPE Exchange 33968, LLC
Phone (day): (612)643-1031
Address: 200 South Sixth Street,#1300 City: Minneapolis ZIP: 55402
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name: Pope Architects
Phone (day): (651)642-9200
Address: 1255 Energy Drive City: St.Paul ZIP: 55108
Email and/or Fax: (651)642-1100
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
® New Construction ❑Single Family with ❑ 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 II Public Water
""Any earth movement may require ❑ Commercial ® Other(specify)
MCWD review&permits. ❑ Industrial Wood Frame Assisted living ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ® Other: (specify) 2-story
18202 Minnetonka Blvd Assisted living
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ j / 90 000
CITY OF ORONO PERMIT NO.: 2011-00495
2750 KELLEY PARKWAY
• ORONO,MN 55356- DATE ISSUED: 06/21/2011
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 8/18/2011
ADDRESS : 875 WAYZATA BLVD W
PIN : 35-118-23-44-0011
LEGAL DESC : UNPLATTED 35 118 23
: LOT MB BLOCK MB
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 5,190,000.00
NOTE: ASSISTED LIVING MULTIPLE FAMILY
PLAN REVIEW BUILDING PERMIT 2011-00505
APPLICANT ADVANCED PLAN REVIEW 14,765.89
KRAUS ANDERSON CONSTRUCTION CO. TOTAL 14,765.89
525 S.EIGHTH STREET
MINNEAPOLIS,MN 55404
(612)332-7281
OWNER
CPE Exchange 33968,LLC
200 SOUTH SIXTH STREET
#1300
MINNEAPOLIS,MN 55402-
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 ,- `CPJLF
permits. All provisions of laws and ordinances governing this type of work r
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.