HomeMy WebLinkAbout2013-00285 - adv plan review CITY OF ORONO * Z 0 1 3 - 0 0 2 8 5 *
+ � - ti 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2677 CASCO POINT RD
PIN : 20-117-23-23-0020
LEGAL DESC : SPRING PARK
: LOT 135 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 7,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 7000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT
PERMIT#THIS PRE-PAYMENT IS T[ED TO:2013-00286
' APPLICANT
ADVANCED PLAN REVIEW 95.88
AVID BUILDERS, INC. TOTAL 95.88
23050 PILLSBURY AVE
LAKEVILLE, MN 55044-
(612)750-4010
Minnesota State License#: BC637702
OWNER
KLUIS, ALAN & SUSAN
2677 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND 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 the work described and does
not gran[permission for additiona]or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of[he 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 assuu,ng all required inspections are
requested in conformance with[he St�te Building Code.This permit may be
revo t any time for due cause�
. �, _ ��z�� /.3 / l
AppG, t Permitee Signature Date Issued By ' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• - r
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: a0 � _��
Oq, PO Box 66 Permit number:
� `vQ Crystal Bay, MN 55323-0066 Date received: "�.Gl'�3
Street Address:' Received by: �65
-� �- 2750 Kelley Parkway Plan review fee: �1 �, g� '�Q
yF� �` Orono, MN 55356 ���pDa$
'�KFSHo��' Main: 952-259-4600 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: 2�077 �i1 S<C� PD��T i?DA4
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. Shutt/e 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: f.1/ 1fl Bt�l t.DEQ.� 1�l -
State License# BG G 3 77oZ Expiration Date: 3 -'3 I � �01�}
Phone: cell �ol - '7 - C� office l2,- � C
Mailing Address: Cit : �.I�i'c�M•�• ZIP: o�
Contact Person: '��.�_� I�eV�S�NI , Applicant is: ontrac / Homeowner (CircleOne)
Email and/or Fax: � ��.�� �4�10 6V 1WERSMNL CUMt QSZ- q�� ��433
PROPERTY OWNER INFORMATION:
Name: �11.L +� .�uL.��c �Y��
Phone(day): t�p7 . yN� - (r¢42
Address: � Pp�.a Rd Cit : q ZArTA ZIP: ��'�'t�
Email and/or Fax (��n� C„r � w� Lart
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax: ^
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal 8�
Water Supply
❑ New Construction �;Single Family with [�Residence
❑Addition attached garage ❑ Garage/Accessory Bldg. � Public Sewer
❑Accessory Building �Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify)sM4k1-� �ds�� ❑ Multiple Family/Condo ❑Warehouse
G 1"IAI��.CS � F1LtAvT ❑ Public ❑ Storage � Public Water
*"Any earth movement may require ❑ 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�71-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ � � ��• p0
Packet Last Updated: 04/19/2013
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