HomeMy WebLinkAbout2013-00208 - adv plan review CITY OF ORONO *2 0 1 3 - PJ 0 2 P1 8 *
2750 KELLEY PARKWAY DATE ISSUED: 04/OU2013
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2794 CASCO POINT RD
PIN : 20-117-23-32-0018
LEGAL DESC : CASCO HEIGHTS
: LOT 022 BLOCK 004
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 110,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 110000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT
PERM[T#THIS PRE-PAYMENT IS TIED TO:2013-00209
APPLICANT ADVANCED PLAN REVIEW 725.89
DANBERRY BLDG CORP. TOTAL 725.89
5413 MANITOU RD
TONKA BAY, MN PAID WITH CC# 6789
(952)474-5990
Minnesota State License#: BC6389415
OWNER
COLE ET AL,JEFFREY P
2766 CASCO PT
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only[he work described and does
not grant permission for additional 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 the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for as ring all required inspections are
requested in conformance wi�i t State Building Code.This permit may be
revoked a •y time for duei azf e.
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/ / / /
App 'ea ermi e ignature Date Issued By Si�n ure � Date
SE ARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOVE
- City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: O 1� —�O a�
O.¢,�,�.0 PO Box 66 r
Crystal Bay, MN 55323-0066 Date received: `' � 1�
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� ' �, �., Street Address:� Received by: ��'t,'!�r ,
,�, � Gti 2750 Kelley Parkway Plan review fee: Z.� - J _I ' � i
LyxESHO¢� Orono, MN 55356 a,0 f 3-ooao �
Total Fee: � .
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us (�•pQ •Z'
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returne . (Please print)
GENERAL INFORMATION: ,�}�-
Job Site Address: � �� `� ��5�v �/' /
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. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR 1 APPLIC T I .FORMATIO • �
Name: � �rf ��, �cY�� �d r
State License# ` �/ �j;� Expiration Date: ZC�� �
Phone: 5 Z 7 j office —� cell
Mailing Address: � / ' ; �c. J� Cit " � o- ZIP: ' 3
Contact Person: �F�- Applicant is: racto / Ho eowner (CircleOne)
Email and/or Fax: r K -�,. + J 2 Z5�'
PROPERTY OWNER INFORMATION:
Name: �) � � e�� �� wtc>� �� � c�c � ^� �+'L
Phone (day): Z � �� � �f
Address: �; � Cit : � ZIP: S� �
Email and/or Fax � ' r c i • r�1 c ; � o l' :� i�
ARCHITECT/ ENGINEER INFORMATI N:
Name: ��'�►� �S :..
Phone (day): �L —� 7 — 7� �
Address: Cit : ZIP:
Email and/or Fax: )'1�l � � e r ' r�� �n�ct k ��S'r��� � Cv+�
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal 8�
Water Supply
❑ New Constructio ❑ Single Family with [��sidence
��ddition "7�� �7'��''`( attached garage ❑ Garage/Accessory Bldg. Public Sewer
❑Accessory Building �ingle Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
"*Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review&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
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Estimated Construction Valuation (excluding land) $ j�d ��4
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Packet Last Updated: 03-06-2012
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