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Home My WebLink About2015 - 01419 - advance plan review CITY OF ORONO 11111111111111111111111111111111111111111111 * 2 0 1 S - 0 1 4 1 9 2750 KELLEY PARKWAY DATE ISSUED: 11/03/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 830 WINDJAMMER LA PIN : 07-117-23-11-0009 LEGAL DESC : PIRATES COVE : LOT 005 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION $ 67,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 67,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: DECK ADDITION&NEW FRONT STOOP PERMIT#THIS PRE-PAYMENT IS TIED TO: 2015-01418 APPLICANT ADVANCED PLAN REVIEW 552.37 EK JOHNSON CONSTRUCTION LLC TOTAL 552.37 Payment(s) 3729 DUPONT AVE S CREDIT CARD 7551 552.37 MINNEAPOLIS,MN 55409- (612)919-7320 Minnesota State License#:BUIL-BC628229 OWNER STRASSER,MARC&JANIS 830 WINDJAMMER LA MOUND,MN 55364 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.• -ime for due cause. /'-r I I-3 -75 osQA Applicant P- itee '.ignature Date Issued By Signature Date ,. City of Orono I Building Permit Application for New Structures or Additions Mailing Address: 2615- /g PO Box 66 Permit number: J014 il-C1),41( Crystal Bay, MN 55323-0066Date received: — Street Address:' Receivedy ��t,='=�2750 Kelley Parkway Plan review fee: ► Ic.� Orono, MN 55356 o'�b1 Bbl��Q _ '— vise1KesH0¢t' Main: 952-249-4600 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: 330 Le);„�3,4mme( 1,,c,.11-e...- Will c, t 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: K '. cLA- o'- Cos-4 C--k.--1-:,r, LC-c State License# (3C_OVS,: q Expiration Date: 3/_3j / )`7 Phone: (cellr 2) 911-- 32O (office) Mailing Address: 3�a,q Du,,„-1- Aut 5,5_,...q, Cit : A.•nn-e ;S ZIP:SS 489 Contact Person: I?\IA N ko(-der\ Applicant is: ontract•' / Homeowner (Circle One) Email and/or Fax: ✓' ..c"�Q, -2le-yo(,,,.Sn„cons...l-r,-,--V0,1. c_o„-I PROPERTY OWNER INFORMATION: Name: in"- 54r�SlQr Phone (day): (6,17) 3o6- -'0S6 Address: S3 LA):-->djtA vvie. (.4ne, City: O(on o ZIP: Ss 361-( Email and/or Fax Mar-h .5--r-s5erg &lo, .coM ARCHITECT/ENGINEER INFORMATION: Name: Ko.- A1xcL„cto.- Phone (day): C9Sn c(-43_g-4- 4 Address: L(o( £4s4- Lt- S-k City: 0.)czc,-�c ZIP: SS3`�( Email and/or Fax: (<c,kt,. ii 6? Ac:,,s xG,,,d o r c�S;5✓\ (-1/4-t.co J r--7 � �p PROJECT INFORMATION: Description of project: Pee VL Qdd if'i $ l Un4 S”1`T 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction Single Family with ❑Accessory Bldg. /Garage ,®'Addition attached garage ®Deck CV Public Sewer ❑Accessory Building ❑ Single Family with [IJ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Private Sewer ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may require 0 Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse sj 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.orq Estimated Construction Valuation (excluding land) $ 641 an Packet Last Updated: August 2015 Page 21