HomeMy WebLinkAbout2015-00801 - adv plan review f _ CITY OF ORONO * 2 0 1 5 - 0 0 8 0 1 *
2750 KELLEY PARKWAY DATE [SSUEn: 06/19/2015
. ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2450 COBBLESTONE CT
PIN : 33-118-23-11-0082
LEGAL DESC : STONEBAY S[XTH ADD[T[ON
: LOT 004 BLOCK 001
PERM[T TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REV[EW
VALUATION : $ 375,000.00
NOTF,: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 375,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW TOWNHOME
PF,RMIT#THIS PRE-PAYMENT IS T1ED'I'O:2015-00800
APPL[CANT ADVANCED PLAN REVIEW 1,847.36
TOTAL 1,847.36
Wooddale Builders Payment(s)
6117 BLUE CIRCLE DR CHECK 83135 1,847.36
SU[TE 101
M[NNETONKA, MN 55343-
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Orono MN �:i�:���
keceipt No: 3.013657 J�.�n 19, Z015
OWIVER
Wnuddala 6uilders
Wooddale Builders Previous Balanc.e: •���
6l 17 BLUE C[RCLE DR Permits
SUITE 101 2015-OU799 2460 1,847.3�
Cobbleston Ct
MINNETONKA,MN 55343- 101-34410
Plar Ch���k/5ite Fxam Fees
Pernii ts
AGREEMENT AND SWORN STATEMENT `r_o15-00801 2450 1.t;47.:�n
Cobblestone Ct
The work for which this permit is issued shall be performed according to 1U1-3441U
the approved plans and specifications,applicable City approvals,and the Plan Cheek/Si te Exam F[:es _
State Building Code. This permit is for only the work described and does T atal: 3,694.72
not grant permission for additional or related work which requires separate _______________
permits. All provisions of laws and ordinances governing this type of work CheCk
shall be compied with whether or not specified herein.This permit will C�'iBCk N0: 83135 3,B94. i 2
expire and become null and void if construction authorized is not Pa ynr•
commenced within 180 days of[he 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.This permit may be
revoked at any time for due cause. ��,
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Applicant Permitee Signature Date [ssued By Signatu� Date
. •
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�OA, Mailing Address: O � ��� b
l VO PO Box 66 Permit number:
Crystal Bay, MN 55323-0066 Date received:
� ,� Streef Address:' —� Received by: ---_� d
�'Fl G� 2750 Kelley Parkway ��1�-�� Plan review fee: � g'�+] < 3 ' r �'
�k�,SHo��. Orono, MN 55356 3��
'''�–_ —
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 witl be returned. (P/ease print)
GENERAL INFORMATION: /1 �� /1�
Job Site Address: 2�5� t,U f3t��ES"��� LQ� , ��.C'11'`�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a special event permit is required with Police Department and City Council approval 60 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/AP LI NT INF RMA,TION:
Name: )� � �
State License# Qd Expiration Date: 3 t ��
Phone: cell (p�o1—Z7D � office) -�/ -p�3
Mailing Address: � "' 5,,� (a� City: y��e ZIP: S�3 .3
Contact Person: rq — I pplicant is: ntractor Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER I FO ATp N: • I
Name: ���I C,. �jwt tvte�
Phone (day): t— �
Address: 1 ' �,ti„ � •G i2��/_(„ �� 0� Cit : �✓1 ZIP: �J33�
Email and/or Fax EA e („�c�v q { , �
ARCHITECT/ENGINEE FORMATION:
Name:
Phone (day): � _ �
Address: — ^ ',p„�, �V;Q � (J Cit : Yn�jtr� ZIP: ���
Email and/or Fax: yh �/� d ld . ti'N�.
PROJECT INFORMATION: Description of project:
1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal 8�
Water Supply
ew Construction � Single Family with [ 2esidence
❑Addition attached garage ❑ Garage/Accessory Bldg. ublic Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation etached ara e
❑Other: (specify) [�Multi le Famil 9Condo � Office/Commercial ❑ Private Sewer
P y ❑Warehouse
❑ Public ❑Storage ❑ Public Water
**Any earth movement may also require ❑Commercial ❑ Other(specify)
MCWD review& 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
w�wv.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ 3�S^dd Q
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