HomeMy WebLinkAbout2010 - 00101 - adv plan review CITY OF ORONO PERMIT NO.: 2010-00101
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 02/24/2010
• 9 ) 249-4600 FAX: (952) 249-4616
Aa�Ess 40 WEARLA N
PIN : 33-118-23-34-0010
LEGAL DESC : ROLLING MEADOWS 2ND ADDN
City of Orono
: LOT 001 BLOCK 003 2750 Kelley Parkway
PERMIT TYPE : ADVANCED PLAN REVIEW Orono MN 55356 952-249-4600
PROPERTY TYPE : RESIDENTIAL Receipt No: 3.002173 Feb 24, 2010
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
Masterpiece Homes
VALUATION : $ 20,000.00
NOTE: PLEASE FILL IN THE FOLLOWING: Permits
2010-00101 - 40 Wear Lan 220.51
VALUATION OF PERMIT:$ 20,000 e
101-34410
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT Plan Check/Site Exam yes
Total: 220.51
PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00100
Check
Check No: 037622 220.51
Payor:
Masterpiece Homes
Total Applied: 220.51
Change Tendered: .00
02/24/10 02:53PM
APPLICANT
ADVANCED PLAN REVIEW 220.51
MASTERPIECE HOMES TOTAL 220.51
127 EAST COUNTY RD C
LITTLE CANADA, MN 55117-
(651)484-3244
Minnesota State License#: 1435
OWNER
HOFFMAN,HUGH J {
40 WEAR LA N
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.
City of Orono
7 Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: cO/O-CC/O0
0 Cr Bax 66
Crystal Bay, MN 55323-0066 Date received:
A ‘-‘144,'";4- N Street Address:
Received by:
1.4',44:),t j�,�,, G�ti 2750 Kelley Parkway Plan review fee: lam.57
�4 Orono, MN 55356c7.10 /O- cote/
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: 40 Wear Lane
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# 1435 Expiration Date: 3/31/2010
Phone: 651-484-3244 (office) 612-363-3021 (cell)
Mailing Address: 127 East County Road C City: L,jtt.le CanadaZlP: 55117
Contact Person: Steve Peters Applicant is: Cntractor ./ Homeowner (circle one)
Email and/or Fax: stevep2/@masterpiecehomesmn.com
PROPERTY OWNER INFORMATION:
Name: Hugh and Dianna Hoffman
Phone(day): 612-325-6730
Address: 40 Wear Lane City: Orono ZIP: 55356
Email and/or Fax hugh.hoffman@)craig-hailum.com
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&
`�
New Construction )1 Single Family with Residence Water Supply
OAddition attached garage 0 Garage/Accessory Bldg. 0 Public Sewer
Accessory Building 0 Single Family with 0 Deck
0 Relocation detached garage 0 Office/Commercial Private Sewer
0 Other: (specify) 0 Multiple Family/Condo 0 Warehouse
0 Public 0 Storage 0 Public Water
"*Any earth movement may require 0 Commercial ❑Other(specify)
MCWD review&permits. 0 Industrial 0 Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other: (specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.m i n nehaha creek.orq
Estimated Construction Valuation(excluding land) $ 20,000
Last Updated: 9/29/2009
- 17-