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
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