HomeMy WebLinkAbout2014-01245 (adv. plan review- add./retain. wall) CITY OF ORONO * Z 0 1 4 - 0 1 2 4 5 *
� 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2014
ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2690 CAROLINE AVE
PIN : 20-117-23-24-0033
LEGAL DESC : WESSELS SUBD OF SPRING PARK LO
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ ]0,000.00
NOTE: PLEASE F[LL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 10,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/RETAINING WALL
PERMIT#THIS PRE-PAYMENT IS TIF,D TO:2014-01246
APPLICANT ADVANCED PLAN REVfEW 124.64
TOTAL 124.64
KEENAN & SVEIVEN, 1NC. Payment(s)
151 19 MINNETONKA BLVD. CREDIT CARD 0513 124.64
MINNETONKA, MN 55345
(952)475-1229
Minnesota State License#: BUIL-7252
OWNER
LIBERMAN,ZIV&TAL
2690 CAROL[NE AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT _
The work for which this permit is issued shall be performed accordinc to
the approved plans and specitications,applicable City approvals.and the
State Building Code. This permit is for only the work described and does
not grant permission for additioi�al or related work which requires separate
permits. All provisions of la�vs and ordinances governing this rype of work
shall be compied with whether or not specitied herein.'1'his 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�vork 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. 1��
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App c t Per ee Signature Da e Issued B}�Signatur Date
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CITY C)F �RONO
BtJILDING PERM�T APPLIC�ITION
FOR N�W S�R�J�TEJR�� 4R I�DDi�IONS
j' O^ , \ Mai/ing Address: Permit number LLI y - ,i '
� �"�� 'V� � PO Box 66 �:-1
i' '�, Crystal Bay, MN 55323-0066 Date received: i �! �Z `� ����
� ; � Received b �L--•�
� Street Address ' /��'� � � Y -- �
��� ' � ���� 2750 Kelley Parkway � ���U.1y-� j;7,� :� Plan review fee� � � �.� .�� �,� <<L�
�,y�E.sH���� / Orono, MN 55356 ---� I /
--- � Total Fee: � l
1Main: 952-249-4600 Fax: 952-249-4616 ww�n�ci.oronc.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications wiil be returned. (Please print)
GENERAL INFORMATION:
Jc�b Site Address: `'�pq� �,rn����,� ��Zi' c�
Will this be a Parade of Homes, Remodelers Showcase Home or��ther Display Home? ❑ Yes �No
lf yes, a special event permit is required with Police Department and City Couna!approvai 60 days prior to the event Shuttle bus service ill be
required unless applicant demonstrates sufficient on-site parking is available Non-permitted events will not be allowed
CONTRACTOR/A PLICANT INFj� MATION:
Name: ��y��� `' � �
State License# uQ Expiration Date:
Phone: cell 1'Z` � ` (0� Z office S—/Z,��'
Mailing Address / �f►�✓� O:� Cit : � � , ZIP: „ �
Contact Person: Applicant is: ontrac r / Homeowner (Circle One)
Email and/or Fax: < , �,M,�
PROPERTY OWNER INFORMATION:
Name: '��?c?'�/ ` ^1-'Q1 1 �--i�E��Yl�'�6A,.✓�
Phone (day):
r
Address: `�p �'�,r�+ ,,,,Z e Ciry: C"�j-a:�� ZIP: J�'�� �
Email and/or Fax
ARCHITECT/ ENGINEER INFORMATION:
Name: y (,��,
Phone (day): —�,j �j� , i
Address: ) City: �`�i�;h�'��,�L..t."�. ZIP: �,�� ��S"
Email andlor Fax: . , � ���+,
PROJECT INFORMATION: Description of pro ect:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
New Construction ; Water Supply
❑ Single Family with ❑ Ftesidence
,��Addition g g ❑ Garage/Accessory Bldg. j ❑ Public Sewer
attached ara e
❑ Accessory Building ❑ Single Family with ❑ C)eck i
❑ Relocation detached garage ❑ Office/Commercial �
❑ Other: (specify) ❑ Multi le Famil /Condo ❑ Private Sewer
P y ❑Warehouse
❑ Public ❑ Storage I ❑ Public Water
**Any earth movement may also require ❑ Commercial )t r(specify) I
MCWD review&permits. ❑ Industrial �� ,r j ❑ Private Well
Minnehaha Creek Watershed District(MCWD) �Oth r (specify) �
18202 Minnetonka Blvd , li
Deephaven,MN 55391
Phone: 952-471-0590 I
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ �C� C��U