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HomeMy WebLinkAbout2010 - 00087 - adv plan review CITY OF ORONO PERMIT NO.: 2010-00087 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/23/2010 (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 3/17/2010 ADDRESS : 2350 WAYZATA BLVD W PIN : 34-118-23-22-0014 LEGAL DESC : EAST WILLOW WOODS : LOT 001 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 450,000.00 NOTE: ADVANCED PLAN REVIEW FOR BUILDING PERMIT#2010-00086 VALUATION OF WORK: $450,000.00 CORRECT ADDRESS: 2380 WAYZATA BLVD W-HARVEST MOON CO-OP APPLICANT ADVANCED PLAN REVIEW 2,051.89 GORDON JAMES CONSTRUCTION TOTAL 2,051.89 5159 MAIN STREET E P.O. BOX 306 MAPLE PLAIN,MN 55359- (763)479-3117 Minnesota State License#: 20531961 OWNER Offen Bros. OTTEN,CLIFF&LOUISE 2350 WAYZATA BLVD W 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 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. 4 City of Orono 275.' Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.002159 Feb 23, 2010 Gordon James Construction Permits 2010-00087 2350 Wayzata B 2,051.89 lyd W 101-34410 Plan Check/Site Exam Fees Total: 2,051.89 ------------ Check Check No: 8999 Payor: 2,051.89 Gordon James Construction Total Applied: 2,051.89 Change Tendered: .00 02/23/10 12:32PM City of Orono i - Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) 0 i MMailing ddr66 Permit number: p3/D—�OD Crystal Bay, MN 55323-0066 Date received: - Id0/47 A � � e y,l/� Street Address: Received by. ti 2750 KelleyParkway ` \- \`lkEss e/ Orono, MN55356 a\_, GNU,:ft.,_ _ Plan review fee: o� �,Sl �� �� � ,4-\\-)-\\(\l/\V711 O7h/Of 0©vp7 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: c360 G!)/4c(?4T14 &vt Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? (l Yes g 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 ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 60R tstwo .seinte S 604.,5TgLAC75owL, State License# 4:20.5-319 (o/ Ex•iration Date: Phone: - office /, -9-373 Co (cell) Mailing Address: O BOX 3041 c-Lc ala.%. S# - 0.2oo Cit - E Pow,aZIP: 55'3,c9 Contact Person: SOg Mc P HERS o"./ Applicant is: Conctortra / Homeowner (Circle One) Email and/or Fax: joe a@ orolor -Jwt ge-5 • corn PROPERTY OWNER INFORM TION: Name: // /EST moo ) Co-of Phone (day): 4424/6 Address: 4.?31C0 cJPitVmr.4 &vb. City: pRAevO ZIP: S5-3..c4 Email and/or Fax ,ypy,E PROJECT INFORMATION: Type of Project: Any earth 7-••----`--_.. ___._.__ MCWI ❑ Door(s) ,emodel E Water Damage _ Minnehaha Cree ❑Window(s) El Repair El Storm Damage 1820 -----1 1 ❑ Siding ❑ Restoration D ,..(10. d-r it\4'tj\. . �/° ❑ Other: (specify) Phot ❑ Re roof Fa; / t \V ❑ Fire Damage www.r /. --;: 77! .4,/') c� ti Overall Project Description: 7�' �0?PI20UEN74'01 Estimated Construction Valuation of Project(excluding land) $ 4f501 000 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to suppl the information, the application may not be issued. Applicant's Signature: 71_,21 Date: a—/S Oji Last Updated: 05-04-2009