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Home My WebLink About2011-00138 (adv. plan review) CITY OF ORONO PERMIT NO.: 2011-00138 � • ' ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �ssuEv: 02/24/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3135 CASCO CIR PIN : 20-117-23-43-0029 LECAL DESC : SPRING PARK : LOT 041 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW '"� i L'i �!' i%%��fIU �75U K�iley Rarkway PROPERTY TYPE . RESIDENTIAL �?r�:,r�o pfN 55356 �'�L--�*'�-LL�=�='� CONSTRUCTION TYPE . ADVANCED PLAN REVIEW Receipt N��: 3.pG4i7'? �eb c4, ={�;j VALUATION : $ 22,000.00 f�shlart� E+3iii�er�s NOTE: PLEASE PILL IN 1�E IE FOLLOWING: VnLUAT10N OF PERMIT:$ 22000.00 ��rt' s'i3., Casca C:ircle - �lar� �39.65 Review TYPE OP PGRMIT THIS PAYMENT IS FOR: BUILDING PGRMIT 1�1-34410 Plan Check/5ite Exam Fees ------_;3.6� PGKMI"C#THIS PR�-PAYMGNT IS TIGD TO:201 1-00128 ,, ?�tai: ��' Check __ __ Check No: 1�5�4 =�_•-� F'a�y ot: R�hlann Buildcr'} T��tal Applied: "'•�- �:��ar�ge Tendered: •��t� `;� :�-:�, 4�`L. . ..1 __�_ . . APPLICANT ADVANCED PLAN REVIEW 239.69 ASHLANN BUILDERS TOTAL 239.69 18700 SOUTH LANE MINNETONKA, MN 55345- (763)531-0320 Minnesota State License#: 20062310 OWNER SHEEHAN, KEVIN � I 8479 SCHROERS FARM RD EDEN PRAIRIE, MN 55347- AGREEMENT AND SWORN STATEMENT �he work lor which this permit is issued shall be performed according to the appro��ed plans and specifications,applicablc Ciry approvals,and the State Building Code. This permit is for onl��the��ork described and docs not grant permission for additional or rel�ted work which requires separatc permits. All provisions of laws and ordinances�overning this type oCwork shall be compied with whether or not specitied herein.This pennit will expire and become null and void if construction authorized is not commenced��ithin 180 days of the date of issuance,or if construction is suspended for a period oY 180 days at any time a(ter work has commenecd. The applicant is res�onsible for assuring all required inspections are requested in conformance with the Statc I3uilding Code.This pennit may be revol:ed at any time for duc cause. / / / / Applicant Permitee Signature Date Issued [3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� .�, � � � . , .� � , ;.i �� ` . � Cit of Orono �� ,_ � y �3�9- �� Building Permit Application ; for New Structures or Additions —� Mailing Address: /��v�,�� PO Box 66 Permit number. �D!/-bb/p� � .,y Q� Crystal Bay, MN 55323-0066 Date received: �� '� =- � Received b `,a '��'',�� ,,�� Street Address:' y� \�'� �,y �� 2750 Kelley Parkway Plan review fee: `�' r � %. �� L � � , � �E S H Og'� Orono, MN 55356 �U j / ` v v� 3� � ---`� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This appiication 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: � � ��5� �' ' tiC� ,� �'1 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes,a specia/event permit rs required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service�i/ e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will nof be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: S��G hr� ,�u� f�^(,7 State License# �00C,�o131 D Expiration Date: 3/.3! aU/ Phone: �1c�3 �3� �3L� (office) (�/,?�5'05",�� (cell) Mailing Address: �gJy-L <.ur� C�t �___._._ ��e/zc� ZIP: y Contact Person: , , r ,. Applicant � : Contractor Homeowner �c��ieo�e� Email and/or Fax: `� �rC GA7Si�-C�IrI -.------' PROPERTY OWNER INFORMATION: I Name: {Z�U,nJ ��I'� $iee{�►6r�'�/ Phone (day): Address: Cit : ZIP: Email and/or Fax .�,� ARCHITECT/ Ef�G1N�ER�NFORMATION: __._ .._. __. ame: - ...�._.. .__ one day): -..�..._ Address: - - it : ZIP: Email and/or Fax: PROJECT INFORMATION: 1. Type of Project I}, ♦ ' 2. Proposed Use 3. Structure Type 4. Sewage Disposal & j��)5`'}, � Water Supply ❑ New Construction J 1 ❑ Single Family with ❑ Residence ❑ Addition ��reuc�� attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation �� S'�V detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) 9 ❑ Multiple Family!Condo ❑Warehouse �C ❑ Public ❑ Storage ❑ Public Water *"'Any earth movement may wre ❑ Commercial ❑ Other(specify) MCWD review 8� 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) $ � tG�►i � w►IU,�d�L;S • ti • � \ �J��►J�j 'f�Y�: � Q(�d i�'1 G'YV � f J �,/ �u, � �(.t.;C+►c ��n.}�f�tQ.. �X�-`,c,�,J �1,� (�C�'�____----. � IVI`U (N 'irJ 1 �'VlyYl ��s � l�`S ��;`�� n�5� J�r 1' ,�(.U�" �h(f�'(/ � r�/�///��'�Ja J � ' � " "' STRUCTURE INFORMATION: ' 1. Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length(ft.}= Number of bedrooms= ❑Wood/Frame ❑ Masonry b.Width (ft.}= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF ❑ On-site Prefab c. Basement= ❑ Off-site Prefab d. 15t Story - ❑ Other(please specify): e. 2nd Story= f. 'h Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ ❑ Permit Application ❑ ❑ Pro osed Buildin Plans ❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ ❑ Surve meetin all re uirements ❑ ❑ Stormwater Pollution Prevention Plan ❑ ❑ Hardcover Calculation s ❑ ❑ Se tic S stem Site Evaluation Re ort ❑ ❑ Access Permit ❑ ❑ Wetland Buffer Im rovement Plan ❑ ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ ❑ Plan Review Fee ❑ ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-buitt survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow agreement to ensure completion of the as-built survey and all site improvements. �',/ � - � / ..--- . v�jr� / � � � �O� ApplicanYs Signature: ` � Date: