HomeMy WebLinkAbout2015-00799 - adv plan review CITY OF ORONO * Z 0 1 5 - 0 0 7 9 9 *
. �' 2750 KELLEY PARKWAY DATE ISSUED: 06/19/2015
ORONO, MN 55356- r �
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2460 COBBLESTONE CT
PIN : 33-118-23-11-0081
LEGAL DESC : STONEBAY SIXTH ADDITION
: LOT 003 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REV[EW
VALUATION : $ 375,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUAT[ON OF PERM[T:$ 375,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW TOWNHOME
PERMIT#THIS PRE-PAYMF_,NT IS TIED TO:2015-00798
APPLICANT ADVANCED PLAN REV[EW 1,847.36
Wooddale Builders TOTAL 1,847.36
61 17 BLUE CIRCLE Payment(s)
CHECK 83135 1,847.36
SUITE l01 City of Orono
MINNETONKA, MN 55343- 2750 Kellay Parkway
Orono MN 55356 952-249-46U�
Receipt No: 3.013657 .1un 19, 2U15
OWNER Wooddale Builders
Wooddale Builders Frevious Balance: .pp
61 U BLUE CIRCLE Parmi ts
2015-00799 2460 1,847.36
SUITE 101 Cobblestan Ct
MINNETONKA, MN 55343- 101-34410
P:an Check/Site Exam Fees
Permits
�U15-00801 2450 1,847.36
AGREEMENT AND SWORN STATEMENT Cobblestune Ct
1Q1-34410
The work for which this permit is issued shall be performed acwrding to Plan Check/Si te Exam Fees
the approved plans and specifications,applicable City approvals,and the
g P Y ' ----- 3.694.72
State Buildin Code. This ermit is for onl the work described and doe,s (Gt81:
not grant permission for additional or related work which requires separate _______________
permi[s. All provisions of laws and ordinances governing this type of work Cheek
shall be compied with whether or not specified herein.This permit will Check No: 83135 3,694.72
expire and become null and void if construction authorized is not Payor:
commenced within 180 da s of the date of issuance,or if construction is h'�oddal e Bu i 1 ders
Y Total Applled: 3,Ei94.72
suspended for a period of 180 days at any[ime after�vork has commenced.
----------------
The applicant is responsible for assuring all required inspections are Change Tentlered: ,pp
requested in conformance with the State Building Code.This permit may be =___�__________
revoked at any time for due cause. � Uupl icate Copy
06/19/2015 10:39AM
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Applicant Permitee Signature Date Issued E3y Signature Date
`--�----. •►
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O�O Mailing Address: Permit number: �i� _
PO Box 66
Crystal Bay, MN 55323-0066 Date received: �
Street Address:'
y� �'' 2750 Kelley Parkway �����"f�;� ��an reviewfee: . ,3�' - �
� Orono, MN 55356
`�XESH��� 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 will be returned. (P/ease print)
GENERAL INFORMATION: ���� �a a j���� �� /� � ���
Job Site Address: �.v
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
!f 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 evenfs will not be allowed.
CONTRACTOR/AP LI NT INF RMATION:
Name: �� � QS .
State License# �0 Expiration Date: 31 �d/
Phone: (cell �p�-y?Q �- (office �( -O�1.3
Mailing Address: — �/ S� fdl Cit : Y�Ae ZIP: S�3 3
Contact Person: q Applicant is: ntractor Homeowner (Circle One)
Email and/or Fax: (
PROPERTY OWNER_I�1Ft�OF�NjAT�N:� � r
Name: VN �'a,0�. G. w� �c�eCS ,
Phone (day): - ��-
Address: � u, � -E i2�V� /.� 0� Cit : �� ZIP: �J�3�
Email and/or Fax Ep e (,J�dv q { , �
ARCHITECT/ ENGINEE FORMATION:
Name:
Phone (day): a . . \ _� -�^�t/'
Address: — ',PaC. K,ti/� � � Cit : Y�+�}tr► ZIP: SJJ`�
Email and/or Fax: y� {/ d ld ��
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 Residence
❑Addition attached garage ❑ Garage/Accessory Bldg. Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation etached garage ❑Office/Commercial ❑ Private Sewer
❑Other: (specify) [7�Multiple Family/Condo ❑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) ❑ Oth2r: (SpeCify)
18202 Minnetonka Blvd
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) � 3 ,����•