HomeMy WebLinkAbout2015-00508 - advance plan review CITY OF ORONO * 2 0 1 5 — 0 0 5 0 8 *
� 2750 KELLEY PARKWAY DATE [SSUED: 04/29/2015
ORONO, MN 55356-
.
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3928 CHERRY AVE
pi� : 08-117-23-33-0018
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 004
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 925,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 925,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT
PERMIT#TH[S PRE-PAYMENT IS TIED TO:2015-00507
APPLICANT ADVANCED PLAN REVIEW 3,809.55
TOTAL 3,809.55
Stonewood LLC Payment(s)
153 E LAKE ST CHECK 13448 3,809.55
WAYZATA,MN 55391-
1 K 1,
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OWNER Receipt No: 3.013284 Apr 29, 2015
Stonewood LLC S tonewood LLC
153 E LAKE ST previous Balance: •��
WAYZATA, MN 55391- Permits
2015-005U9 3928 L'herry 2,5UU.OU
Ave
101-22205
Deferred Rev-Developer Deposit
AGREEMENT AND SWORN STATEMENT Permits
2015-U05U8 3928 Cherry 3,809.55
The work for which this permit is issued shall be performed according to Ave
the approved plans and specifications,applicable City approvals,and the 101-34410
State Building Code. This permit is for only[he work described and does Pian Check/Site Exam Fees
not grant permission for additional or related work which requires separate Total; 6,309.55
permits. All provisions of laws and ordinances governing this type of work _______________
shall be compied with whether or not specified herein.This permit will Check
expire and become null and void if construction authorized is not CheCk No: 13448 6,309.55
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 appiicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. ��
�y/�L9�GS'� l��-r--e'� C�YI�t�s'L � � �� �
plicant Permitee Sign re Date Issued By Signature Date
z :�� �'�: �� ._, . _ . ,. , a
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Associated Bank �344�
' STONEWOOD LLC as S�tn st,ste 2soo
' 153 Lake Street E Minneapolis,MN 55402
Wayzata,MN 55391 7s57n5s
. cs,2>as2-a000 �) 2����s
PAY TO TH E C'E-�' (1� c�C.`+�� � Go�3 v� �
ORDER OF
S�k • %h-rriG �(,L�v� �G t�c� !�l.��.� Cc,..�-� �p0 DOLLARS�
MEMO 3�}'Z, �j �r v� j�c. � ---__ _ __...�_..__..____v_—,���..�
��� , �'' UTHORIZED SIGNATURE
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STONEWOOD LLC �448
�
�`Gt-v� /'fil/i��r.✓ � ��G�o c..J of �r0n0 249-4600
� City Kel�ey55356 ay 952-
2150 MN Apr 29. 2015
Orono
Receipt N0� 3.01328Q
Stonewood LLC .00
previous Balance: 2,500.00
perm�00509 3928 Cherry
2015-
�j'ppeferred Rev-Developer �eP°S�t
-22205 3,g09.55
Perm�00508 392$ Cherry
2015-
A���3�hecklSite Exam Fees_--------'-`
plan 6,309^55
Total: I 6,309.55
Ch�heck No: 13448
PaY�r: 6.309_55
Stonewoldea� ____------ .00
Tota1 APp _ __.
Chan9e lendered' 015 03:26PM =__'""
04/29/2
CITY OF ORONO
� BUILDING PERMIT APPLICATION
� FOR NEW STRUCTURES OR ADDITIONS
�O�TO Mailing Address: Permit number: �-
�V PO Box 66
Crystal Bay, MN 55323-0066 Date received: �
Street Address:' �`� C�
% � 2750 Kelley Parkw ���...�d�j�g Plan review fee: � � �
`�t L Orono, MN 55356
qkFSHOQ`�' Total Fee:
Main: 952-249-4600 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 ��.
Will this be a Parade of Homes, Remodele s Showcase Home or other Display Home? Yes ❑ No
If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will 6e
required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# 5q c( � Expiration Date: i2-3►-�
Phone: (cell) 612- 26'I-2C►c (office) 61y- �16Z- y�� o
Mailing Address: 153 L,� 5-t � Cit : �,,.�. Z.,t� ZIP: 553q
Contact Person: SJ� (-�ws��h,� Applicant is: n ract r / Homeown (CircleOne)
Email and/or Fax: SwZN p� �-f-�,,.,��Z . c�a,�
PROPERTY OWNER INFORMATION:
Name: '�#.� S,rt►� L���'S�,a
Phone(day): 612- 2�� - v6�o �Q,��,L
Address: 5 N2o �ruzy ��L City: c� ZIP: 5 5'3��
Email and/or Fax sd2� n S-{���o-l_ ���
ARCHITECT/ENGINEER INFORMATION:
Name: K�-c�--r /�1.���
Phone(day): �S 2 - ��g- �-t��
Address: y4,� �..��� c,�t �.,s3'� City: W,-7�z�,.r,,� ZIP: 5 5 3� �
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro�ect: Cc�yCc�cj'•�a c� 4to�- � -� l�..a�� $o f�,�S,.�
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) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
**Any earth movement may also 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: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
/ �
Estimated Construction Valuation (excluding land) �Z 5 ,o c c