HomeMy WebLinkAbout2015-00953 (adv. plan review) CITY OF ORONO * 2 0 1 5 - PJ 0 9 5 3 *
� 2750 KELLEY PARKWAY DATE ISSUED: 07/28/2015
� ORONO, MN 55356-
952) 249-4600 FAX: 952 249-4616
ADDRESS : 3759 CASCO AVE
PIN : 20-117-23-31-0010
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENT[AL
COIVSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 2,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$2,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR:ADDITION OF REAR LANDING&STEPS&DOOR
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00952
APPLICANT ADVANCED PLAN REVIEW 50.34
Colson Custom Homes TOTAL 50.34
Payment(s)
216 WATER STREET CHECK 8009 50.34
EXCELSIOR, MN 55331-
OWNER i;ity of ur..no
2750 Kelley Parkway
Orono MN 55356 952-249-46U0
Colson Custom Homes
216 WATER STREET keceipt No: 3.013879 J�_�1 2�, 2015
EXCELSIOR,MN 55331-
Colsom Custom Homes
Previous Balance: .00
Permits
AGREEMEIVT AND SWORN STATEMENT 2015-OU953 375y Ca�co Ave 50.:i4
101-34410
The work for which this permit is issued shall be performed according to P1 an CheCk/S1 te Exam Fees
the approved plans and specitications,applicable City approvals,and the ---------------
State Building Code. This permit is for only the work described and does Total: 50.34
not grant permission for additional or related work which requires separate _____________--
permits. All provisions of laws and ordinances governing this type of work ChzCk
shall be compied with whether or not specified herein.This permit will Check No: 8009 5U.34
ex ire and become null and void if construction authorized is not PayOr:
P Colsom Gustom Homes
commenced within 180 days of the date of issuanee,or if construetion is ��;t,i� ,1p,,1 j�;�: `S�i. ��^,
suspended for a�eriod of 180 days at any time after work has commenced.
The appli ant j�responsible for assuring all required inspections are f�n` ,;r �dfidered: .U�;
reques in:Eonformance with the State Building Code.This permit may be
revo aG�ny time for due cause. , � ;;�
j � j'� � ������ . -
' - � �.����C? `�7 �� , ��
�� plicant Permitee Signature Date Issued By Signa re Date
�
� , � CITY OF ORONO
�UILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O A, Mailing Address: Permit number: ���'��5�
f wO PO Box 66
Crystal Bay, MN 55323-0066 Date received: �
a Street Address:' G ic� '
��. G� 2750 Kelley Parkway`�o� -r'j--�5 Plan review fee: _ ��{
��kFsxo�`�` Orono, MN 55356
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: �S� �o�s�`� ,� �/�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Horne? Yes ❑ No
lf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufficient on-site parking is availab/e. Non permitted events will not be a//owed.
CONTRACTOR/APPLICANT INFORMATION: `
Name: J �^--��
State License# Expiration Date:
Phone: (cell) (office)
Mailing Address: Cit :
Contact Person: Applicant is: Contractor / omeowner (Circle One)
Email and/or Fax: �' t �W �-
PROPERTY OWNER INFORMATION:
Name: o So�'1 C'r��fo•2, ��9�PG
Phone(daY)� /� -�7 S=�'�7% /
Address � � t,✓ ,r Cit : `� .��s�o� ZIP:
Email and/or Fax p - C tp
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of pro�ect:
�.QC�2- �G�-��` �{ �/,�� �` �DD�-
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8�
Water Supply
❑ New Construction �Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ����� ❑ Public Sewer
❑Accessory Building ❑ Single Family with Office ommercial
❑ Relocation r detached garage Residence ❑ Private Sewer
Other. (specify) �eh'1 d ❑ Multiple Family/Condo �Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse
Minnehaha Creek Watershed District MCWD ❑ Private Wel)
( ) ❑ Other:(specify) ❑ Other(specify)
15320 Minnetonka Blvd L���(,•,,� , �y(ZopSq(���p9r''
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
$ /O�
Estimated Construction Valuation (excluding land) ��
Last Updated: January 2015