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HomeMy WebLinkAbout2015-00338 - adv plan review CITY OF ORONO * Z 0 1 5 - 0 0 3�13111g11111*I 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2015 ORONO, MN 55356- " (952) 249-4600 FAX: (952) 249-4616 ADDRESS � : 1360 CHERRY PL PIN : 08-117-23-32-0021 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK O11 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 400,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $ 400,000.00 TYYE OF PERMIT THIS PAYMENT IS FOR: ADDITION RGMODEL PERMII'#TH[S PRE-PAYMF,N"I'IS TIED TO:20 1 5-003 3 7 APPLICANT ADVANCED PLAN REVIEW 1,949.73 TOTAL 1,949.73 ADDILAY HOMES& REMODELWG, LLC Payment(s) 4130 ST. MARKS DR CREDIT CARD 9208 1,949.73 MINNETONKA,MN 55305- (612)386-4165 Minnesota State License#: BUIL-BC6855123 OWNER TOTMAN, DANIEL&HEATHER 1360 CHERRY PL MOUND,MN 55364- 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 grant permission for additional or related work which requires separate permits. AlI 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 wi[hin 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 conformanc ith th State E3uilding Code.This permit may be revoked t any t fo�d�ca e. Fl In ��` � ��r-� r �'G� -�.S �-c �-i:�( (�YI�tL:Ci%l .� ���i l� licant Per ee Signature Date Issued By Signature Date � . �ity af Orano � . Building Permit Application fer New Structures or Additions Mailing Address: ��n��r.._ Q PO Box 66 Permit number: � ` � "1 � �Q Crystal Bay, MN 55323-0066 Date received: L3 I�S StreetAddress:' ,�--"��, Received by: � � 2750 Kelle Parkwa � � "`��—"" � �. � Y Y Zt�l 5 (,`�(-33 Plan review fee: � � • ��J �' c? Orono, MN 55356 � ___ �__�___ ____ � `�kFSH�4� Main: 952-259-4600 Total Fee: i 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: J�(�(� �1.��� �%���� (��-��,� /L1lV �S3�y Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes f�No If yes,a special event permit is required with Police Department and City Council approva160 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: e�c��l ''o��•,� F? �e��.ex� ,.�r L LC State License# Z Expiration Date: Phone: (cell) �/z-3��-y��-- (office) ��er Mailing Address: y/3a S,: rL(c;r,� �r;,.� Cit : �;H�a,.�k� ZIP: S Contact Person: 5���*+ J"oi,�ri�:�-� Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: _S�Go-E-�� c�c�cP;lc.�kU�,e.s. �`� PROPERTY OWNER INFORMATION: Name: Dc��.,. To•tw.a,,� Phone (day): �S�- �/S/-�2 9 7 Address: 13�ob Gl�erv��i �lw�� City: C�rc�-�c� ZIP: �S�lvS/ Email and/or Fax �-}-��l-w,u�v, ���k S'c�..✓�✓;c�.s., Go�-� ARCHITECT 1 ENGINEER INFORMATION: Name: �.DS �r�1,�;-}-�c1�s Phone (day): �i�-�?/p -`i(c Z� �/ Address: yqoD f-1�tii1,,�,�2 , f6`1 5�.��fe��0� CitY: �ei,vH�o�Ot, ZIP:,jSy� Email and/or Fax: 7l�3;ss c_ �5� PROJECT INFORMATION: Description of project: C���` � �''����� �.-i°���'��� �e�� 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& Water Supply ❑ New Construction �Single Family with $]Accessory Bldg./Garage �Addition attached garage �Deck � Public Sewer ❑Accessory Building ❑ Single Family with [�Office/Commercial ❑ Relocation detached garage Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo � Retaining Wall(s) ❑ Public 4-feet or greater �Public Water **Any earth movement may require ❑ Commercial ❑Storage MCWD review&permits. ❑ Industrial ❑Warehouse � Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other:(speCify) ❑ Other(SpeCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.m i n nehahacreek.or Estimated Construction Valuation (excluding land) $ 7��L� Q�-c e Packet Last Updated: January 2015 Page 20