HomeMy WebLinkAbout2012-00851 - adv land review CITY OF ORONO * z 0 1 z - 0 0 8 5 1 *
. 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2012
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 8/29/2012
ADDRESS : 1370 CHERRY PL
PIN : 08-117-23-32-0022
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK O11 �it�y of Orono
PERMIT TYPE : ADVANCED PLAN REVIEW 2750 Kelley ParkwaY �_�4�_��
Or�no MNV 5535b
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIv TYPE : ADVANCED PLAN REV[EW Receipt No: 3.00752� A�g 29' tbi�
VALUATION : $ 498,000.00
NO'I'E: PLEASE FILL IN THE FOLLOWING: Willete $uilding Cu.
Previous Balance: •�'
VALUAT[ON OF PERMIT: $ 498,000.00 Per�its
PUlZ-U4851 1370 Cherry P1 2,��•�
"1'YPE OF PF,RMIT THIS PAYMENT IS FOR: NEW HOME 101-34410
Plan Checkl5ite Exa� Fees__r__M__Y___
PEKMIT#THIS PRE-PAYMENT IS TIED TO:2012-00853 Total: ^_��+239'Q9_
Check 2,�39.4�
Check No: 5082
Rayor:
Willete Building Co. 2 239.�4
Total Applied: _�_'__--_
Change Tendered: -____=Y==��=
U8/'"c'9/��12 48:i4AM
APPLICANT ADVANCED PLAN REVIEW 2,239.09
NAFSTAD, ERIK TOTAL 2,239.09
1370 CHERRY PL
MOUND, MN 55364-
Minnesota State License#: 1804
OWNER
NAFSTAD, ERIK
1370 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[3uilding Code. 'I'his permit is for only the work described and does
not grant permission tbr 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 hereia 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 I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code."rhis permit may be
revo d at any ti e for due cause.
���� ��,��'�� ��a y� �� �,�
Applicant Permitee Signature Date ' "�,�� � l 7'�'�C c�'� f��G� �� _ �c� -��2
Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
' J City of Orono
Building Permit Application
for NQv�r Structures or Addit�ons
Mailing Address: Permit number. ;.,��i o� -C���S �
O�D,�.O PO Box 66 G
�
Crystal Bay, MN 55323-0066 Date received: D��
a f�� s, Street Address:' —�- ^� b � -
�'L ' � ti�' 2750 Kelle Pa a � C� ��g `���a-�D I a a�o n�'r
c� o Y Y Plan review fee: �
'�E, SH�� Orono, MN 55356
Total Fee:
Main: 952-24911600 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 retur►�ed. (Please print)
GENERAL INFORMATION:
Job Site Address: t 3� ��.j�� 1
Will this be a Parade of Homes, Remodelers Showcase Home or other splay Home? ❑ Yes ❑ No
ff yes,a special event permit is requrred with Pofice Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless app(icant demonstrates su�cient on-site parking is available. Non-permitted events wrl!not be allowed.
CONTRACTOR/APPLICANT INFORMATION: /�
Name: W i'l��'1"f" t� d' � N G CD
State License# e. O� S_�_ Expiration Date: 3 f � D /�
Phone: office ceU
Mailing Address: O o n� Df!D Cit : p ; ZIP: ,s
Contact Person: v /itJ,' G Applicant is: on rac o / Homeowner �c�►��eo��
Email andlor Fax: U e s� ; p
P'ROPERTY OWNER INFORMATION:
Name: E R i /•( /�/�4 FS t-A D
Phone (day): �'S� — �J��3
Address: �,370 C H Q A R '`I f��1 C� Ci : � RDIVD ZIP: S S 3 �y
Email and/or Fax qs� - q,3-7 - S/.S
A,RCHITECT/ENGINEER INFORMATION:
►vame: 5 A L � 1�11tc�]i�'e��S} � l!/G
Phone (day): /�S!- 3S/ —09�01
Address: QD� S occ7t-� FO�t 1�2fi'{t S 7-', c�tyc5,'11 r,fJ pTe R ziP:,S'SDBZ
Email and/or Fax: �Sf -.3S/ -73�7
PROJECT INFORMATION:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8�
New Construction Water Supply
� ❑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 require ❑Commercial ❑Other(specify)
MCWD review 8�permits. ❑ Industrial �,Private Well
Miinnehaha Creek Watershed District(MCWD) �Other. (SpeCify)
1f�202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952�71-0682
www.minnehahacreek.o
Estimated Construction Valuation (excluding land) $ � � i?r L°t � �`. ��` G
Packet Last Updated: 03-06-2012
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