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Home My WebLink About2014-01045 (adv. plan review) � CITY OF ORONO * 2 0 1 4 - 0 1 0 4 5 * 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3229 B CASCO CIR PIN : 20-117-23-43-0003 LEGAL DESC : REG. LAND SURVEY NO. 1333 : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW ACTIVITY : 43�S1�1"I�L VALUATION : $ 64,000.00 NOTE: PLEASL FILL IN"I�HF,FOLLOWING: VALUAT[ON OF PERMIT: $ 64,000.00 TYPE OF PERMIT"I�HIS PAYMENT[S FOR: INTERIOR REMOD�L PERMIT#TI iIS PRI;PAYM�NT IS TIED 7�0:2014-01046 APPLICANT ADVANCED PLAN REVIEW 511.39 TOTAL 511.39 FAIR& SQUARE REMODELING Payment(s) 210 EAST DEAN AVE CREDIT CARD 6339 511.39 CHAMPLIN, MN 55316- Minnesota State License#: BUIL-BC638907 OWNER SWANSON, KENT& MARY 3229 CASCO CIR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to d�e approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied widi whether or not specified herein.This permit will expire and become null and void if construetion authorized is not commenced within 1 AO 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 thc Sta[e Building Code."I his permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued E3y Signature Date � CITY OF ORONO � , � `� BUILDING PERMIT APPLICATION �I g` FOR NEW STRUCTURES OR ADDITIONS O Mailing Address: Permit number: �� /� PO Box 66 � 0 Crystal Bay, MN 55323-00 6 Date received: , `l — � � StreetAddress:' 1 Received by: ��, ..3 � � 2750 Kelle Parkwa � ��-U/D 7"" ti � y Y G�' Plan review fee: `� � Orono, MN 55356 (�� `�KESHO4� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and ali required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��,�q $ Cas Co C��G� Will this be a Parade of Homes, Remodelers Showcase Home or other Dispiay Home? ❑ Yes � No If yes, a special event permit is required with Police Department and City Councif approva/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: Fa�.- •t- So �a {�ew�odz�inq State License# 3C b3�q o'1 Expiration Date: D 3 (3 t l�o�� Phone: (cell) 1�(2- Sy�- 833"1 (office) (012 -2��-58 2 6 Mailing Address: 2 o E v Cit : Chi 1�� ZIP: 531b Contact Person: � ,�e.,ss� Carlco*� Applicant is: ontractor / Homeowner (Circle0ne) Email and/or Fax: ' 2;,r n u r de 1 . co w� PROPERTY OWNER INFORMATION: Name: K n-F av, d Su2.y Sw�hSah, Phone (day): Address: 3ZZ,q (3 Casco Ci�cL� City: O�ono ZIP: 5534 ( Email and/or Fax c�ar�s�? � a o I Co w� ARCHITECT/ENGINEER INFORMATION: ►vame: I�tark NQ.sse-}- Phone (day): Address: (o3Z� �Iw 't'rc,� A�v City: �xc,�,�sior ZIP: SS33 � Email and/or Fax: I�.�ar k A h�s r�,��p c-�,�r �o� PROJECT INFORMATION: Description of pro�ect: w, � ��' �� 1.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. $� Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Retocation \ detached garage ❑ Office/Commercial ❑ Private Sewer [�Other: (specify) I?-�to V�w�, ❑ Multiple Family!Condo ❑Warehouse ❑ Public ❑ Storage �$Public Water *"Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Othef: (Specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) � (o�{ 0007