HomeMy WebLinkAbout2012-00290 - adv plan review 111111111111111111111 MUM
CITY OF ORONO * 2012 -
2012 - 00290 *
2750 KELLEY PARKWAY DATE ISSUED: 04/18/2012
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
REPRINTED ON 4/18/2012
ADDRESS 2725 WAYZATA BLVD W
PIN 33-118-23-13-0019
LEGAL DESC CRYSTAL BAY BUSINESS CENTER
LOT 3 BLOCK 2
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : S 654,000.00
NOTE: ADVANCED PLAN REVIEW FEE FOR PERMIT#2012-00291
APPLICANT ADVANCED PLAN REVIEW 2,747.39
STEINERCONSTRUCTION SERVICES,INC. TOTAL 2,747.39
3614 COUNTY ROAD 101
WAYZATA,MN 55391-
(952)475-5116
OWNER
Orono Mini Storage LLC
6851 FLYING CLOUD DR
SUITE A
EDEN PRAIRIE,MN 55344-
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
ree�in conformance with the State Building Code.This permit may be
oked a}any time for duause.
App scant PermiteeSignatu Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono J
jl Building Permit Application for Maintenance / Renovation CC-Ve
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: v2 003 q/
O�i►0 PO Box 66
Crystal Bay,MN 5532340066 Date received: `{ Z
a AN Street Address: Received by: Z?/->
vtii5 2750 Kelley Parkwayo?
Orono,MN 55356 Plan review fee: �1 -3
7 9 w�
Total Fee:
Main: 952-249-4600 Fax: 952-2494616 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: nrV-3 1 60"ftr B(Ya{, Ciro nc, MJU ln3slo
Will this be a Parade of Ho s, Remodelers Showcase Home or other Display ome?lyl/, Yes No
M 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 suftient on-site panting is available. Non permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION: n
Name:
State License# �,/A Expiration Date:
Lead Certification Number. Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: °L5,;). 47S Sl 14 (office) (e !x 86$ os;- " (cell)
Mailing Address: C ; ZIP;
Contact Person: Gale-bgv Applicant is: antra / Homeowner (circle One)
Email and/or Fax: Gi4yelaGnt� S. `nGnrc. t'gM
CJ
v
PROPERTY OWNER INFORMATION:
Name: PCL* GCan Pep Lo I P-0w)
Phone(day): 9 S2 94 c9119 J
Address: City: ZIP:
Email and/or FaxD MGc-q nn o r w><c . b Z
F
PROJECT INFORMATION:
Type of Project: Any earth movement may require
Door(s) 'Remodel ❑Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar Restoration ❑ Deephaven,MN 55391Water Damage Phone: 952-471-0590
❑Re-roof,other(specify) ❑Siding ❑Other.(specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.oro
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) s , ?50
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 r-Ods—e—t-o"supply the information the application may not be issued.
Applicant's Signature: �-r-- Date: 1-71 �-
Last Updated: 08-09-2011