HomeMy WebLinkAbout2009-00222 - adv plan review CITY OF ORONO PERMIT NO.: 2009-00222
2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE Iss[1En: OS/12/2009
�, (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2933 CASCO POINT RD
PIN : 20-117-23-31-0048
LEGAL DESC : SPRING PARK
: LOT 094 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ $600,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADVANCED PLAN REVIEW FOR 2933 CASCO POINT ROAD
PERMIT#THIS PRE-PAYMENT IS TIED TO: BUILDING PERMIT#2009-00223
APPLICANT ADVANCED PLAN REVIEW 2,500.00
SHANE HOMES, INC.
3925 EXCELSIOR BLVD TOTAL 2,500.00
MINNEAPOLIS, MN 5541Cr
(952)546-1904
Minnesota State License#: 20409990
OW1vER
FARWELL,HEATH&JULIE
2933 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[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 grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing 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 after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address:
���7' PO Box 66 Permit number: ID9 QL}
� �� � Crystal Bay, MN 55323-0066 Date received: ,� ;
I'� ��'� � � Street Add�ess:' Received by:
�'F'l '�� �~� 2750 Kelley Parkway Pfan review fee: �
9kESH0g'� Orono, MN 55356 � S�C, UC�
Pla-� �cvt� - �0 9-00 �.a.
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn us Total Fee:
This application form must be completed in full and all required information mu be su�itted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION:
Job Site Address: "Z�33 �s(� ��,�" �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
lf yes,a specia/event permit is required with Po/ice Department and City Counci!approval 60 days prior to the event. Shuttle bus service i!l e
required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed.
CONTRACTOR/AP�ICAN_T,,,�IFO MATION:
Name: rVt �NG
State License#
Phone: � Expiration Date:
Mailing Address: office cell
Contact Person: Cit : ZIP:
LG lY1 Applicant is: ontractor / Homeowner
Email and/or Fax: �� nJ� ���1 G' (Circle One)
PROPERTY OWNER INFORMATION��
Name:
Phone(day):
. .
Address: �
Email and/or Fax V[�(�� � � G G C�t � ZIP:
t� �(? �l�
ARCHITECT/ENGINEER I RMATION:
Name: N�- � �bi� � ��`
Phone(day):
Address: � �
Email and/or Fax: Cit : ZIP:
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PROJECT INFORMATION:
1. Type of Project 2. Proposed Use
3.Structure Type 4. Sewage Disposal 8�
�New Construction �Sin le Famil with �Nater Supply
❑Addition g y ,�Residence
attached garage ❑ Garage/Accesso
❑Accessory Building ❑ Single Family with �'B�d9� %�Public Sewer
❑ Relocation ❑ Deck
detached garage ❑ Office/Commercial
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Private Sewer
❑Warehouse
""Any earth m� ❑ Public ❑Storage
�mmercial ❑ Public Water
MCWD review ❑ Other(specify)
Minnehaha Creel �SUv•6� �,SCYIl� duStrial
ther: s e ❑ Private Well
18202 Minnetonk ( p Cify)
Deephaven, MN oZ0 Ua •av ,p�2G�
Phone: 952-471- ��,� �c�i�
Fax: 952-471-06
www.minnehahac a� 7/�S�'/ —P��� '
Estimated Coi ����ind)
$ �
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