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Home My WebLink About2015-00116 (advanced plan review) CITY OF ORONO * z 0 1 5 - 0 � 1 1 6 * - � 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4565 BAYSIDE RD PIN : 06-117-23-21-0010 LEGAL DESC : BAYSIDE BERRY FARM : LOT 2 BLOCK 1 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 1,270,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 1,27Q000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PF,RMIT#THIS PRE-PAYMENT IS TIED TO:2015-00115 APPLICANT ADVANCED PLAN REVIEW 4,802.58 DENALI CUSTOM HOMES, INC. TOTAL 4,802.58 Payment(s) 18283 MINNETONKA BLVD. CHECK 11274 4,802.58 DEEPHAVEN, MN 55391- (952)476-2679 Minnesota State License#: BUIL-20175394 i;i ty u f Dronc, 2750 Kelley Parkway OWNER Orono MN 55356 952-249-4600 Raceipt No: 3.012680 Jan 23, 2015 DOUBECK, TIM& MARY 4565 BAYSIDE RD Denali Custom Homes MAPLE PLAIN, MN 55359- Previous Balance: .00 Permits 2015-00116 4565 Bayside 4.8U2.58 Rd AGREEMENT AND SWORN STATEMENT 101-34410 Plan Check/�ite Exam Fees 'I'he work for which this permit is issued shall be performed according to ------ �---`-' the approved plans and specifications,applicable City approvals,and the Tot81: 4,8U2.58 State[3uilding Code. This permit is for only the work described and does ---------"----- not grant permission for additional or related work which requires separate Check permits. All provisions of laws and ordinances governing this type of work Cheek No: 11274 4.8UL.53 shall be compied with whether or not specified herein.This permit will Payor: Denali Custum Homes expire and become null and void if construc[ion authorized is not Tota 1 Aon 1 j��+• commenced within 180 days of Ihe 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. :� f /Zf> � / C� l " � �(` '� � lL-�--�/ �S _ Applicant Permitee Signature Date Issued By ignature Date � � CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS ��,, iO Mailing Address: Permit number. �� `�O � 1� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �� I �j Sfreet Address:� ��-- �� 2750 Kelley Parkw �,�;� �j—��)� i0 (��. 5� �� Plan review fee: � 1'k�S��R��' Orono, MN 55356 � 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. (P/ease print) GENERAL INFORMATION: Job Site Address: 4565 Bayside Drive 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: Denali Custom Homes Inc. State License# BC175394 Expiration Date: 03/31/2015 Phone: cell 763-452-8347 (office) 952-476-2679 nnaiiing Address: 18352 Minnetonka Blvd ci : ee aven ZIP: 55391 Contact Person: Joe Mailhot Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: JOe's Cell Phone: (763)452.8347 PROPERTY OWNER INFORMATION: Name: Phone (day): Address: Ci : ZIP: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: __ Alexander Design Group Phone (day): 952-473-8777 Address: 401 East WaVzata Blvd ciry: Wayzata ziP: 55391 Email and/or Fax: PROJECT INFORMATION: Description of pro'ect: 7.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 ❑ Public Water "*Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review$permits. ❑ Industrial � Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ 1,27�,0�0.00