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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 -21 -