HomeMy WebLinkAbout2015-00089 - adv plan review CITY OF ORONO * 2 0 1 5 - 0 0 PJ 8 9 *
, 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015
ORONO, MN 55356-
(952 249-4600 FAX: (952 249-4616
ADDRESS : 769 BRIDGEWATER DR
PIN : 33-118-23-12-0088
LEGAL DESC : STONEBAY SEVENTH ADDITION
: LOT 1 BLOCK 1 ' ' '
PERMIT TYPE . ADVANCED PLAN REVIEW r� r���� '��i` �` - "`� '�'
PROPERTY TYPE : RESIDENTIAL Receipt No: 3.012664 Jan 23, 2U15
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 350,000.00 Wooddale Builders Ine
NOTE: PLEASE FILL IN THE FOLLOWING: Previous Balance: .OU
VALUATION OF PERMIT:$ 350,000.00 2015100089 769 1•'44•�38
Bridgewater Dr
101-34410
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME Plan Check/Si te Exaw Fees _
Total: 1,744.98
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00087 _______________
Check 1,744.98
Cher,k No: �2291
Payor:
Woo�ldale Builders Inc ,_�y �,,
�� . . �.
APPLICANT ADVANCED PLAN REVIEW 1,744.98
TOTAL 1,744.98
WOODDALE BUILDERS INC. Payment(s)
6117 BLUE CR DR CHECK 82291 1,744.98
MINNETONKA,MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER
Stonebrook Development LLC
6117 BLUE CR DR
MINNETONKA, MN 55343-
AGREEMENT AIYD 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[he 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 pertrtit 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 fo due cause. �
f --
�/��� � � -, � i � � �--�s� C%'y'Y�CA� ) / Z� �
Applicant Pe ee Signature Date Issued By Signature Date
. CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�Oy a� Mailing Address: Permit number: 20 I S � �C �/
1�� PO Box 66
Crystal Bay, MN 55323-0066 Date received: 1 � Z3 "'I S
� Street Address:' �'—� b � �� ,•
��, G� 2750 Kelley Parkway ����O�� Plan review fee: r� � q a
�9KESH�t''� Orono, MN 55356 ��
Tota ee:
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 appiications will be returned. (Please print)
GENERAL INFORMATION: n
Job Site Address: � ej , ,� �- �,� ; v ? rl� r4�c�' �' `'
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 suffcient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT I MATION:
Name: ' L t
State License# � Q Expiration Date: 3 3 O
Phone: cell - - s' office S - s'OS 3
Mailing Address: G Cit � ;,,,,.�r,..Q�,, ZIP: $'
Contact Person: c/�4,.'e T'<<.c. s Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: $TjGcJ,� O � �o o �..rlF �:LD�«� s .Go ra,
PROPERTY OWNER INFORMATION:
Name: ��To.�.� 6,�aoiC. Dc v . C L C' ,
Phone (day): QS .? � S Y�`- G.S'S�3.
Address: G�/ ? B� � � �� City: �yj.��,�.� Tw�..z�P: ss 3 y3,
Email and/or Fax LSTC. c1 G � 6� Lss ao .s „ v;L.�C,c.t • la �-�-- -
ARCHITECT/ENGINEER INFORMATION:
Name: "
Phone (day): 2 - 3 V - p
Address: // Cit : ,�,,,..� Tv.�.,r�z�P: s s 3 y
Email and/or Fax: " v � '� c K-i .G �--�
PROJECT INFORMATION: Description of project:
1. Type 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 a hed arage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) [�ulti le Famil /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) � 3� Q a Q � ,