HomeMy WebLinkAbout2016-00158 - adv plan review CITY OF ORONO * z 0 1 6 - 0 0 1 5 8 *
2750 KELLEY PARKWAY DATE ISSUED: 02/23/2016
ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 787 BOULDER DR
PIN : 33-118-23-11-0132
LEGAL DESC : STONEBAY
: LOT 7&8 BLOCK l
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 620,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 620,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00157
APPLICANT ADVANCED PLAN REVIEW 2,768.95
TOTAL 2,768.95
WOODDALE BUILDERS INC. Payment(s)
6117 BLUE CR DR CHECK 84612 2,768.95
M[NNETONKA, MN 55343-
(952)345-0543
Minnesota State License#: BUIL-BC002926
OWNER
Wooddale Builders
6117 BLUE CIR DR
MINNETONKA, MN 55343-
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. All provisions of laws and ordinances goveming 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 within 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 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 Signature Date
CITY OF ORONO
,.
BUILDING PERMIT APPLICATION
, FOR NEW STRUCTURES OR ADDITIONS
Mailing Address: Permit number: : •=
g-��O PO Box 66 �� �
Crystal Bay, MN 55323-0066 Dafe received: _��3 <<n�'''���
StreetAddress:' ,ZO��.� ��i�d by: �� —
�, G� 2750 Kelley Parkway �L �I n;review fee: � � � �
`� Orono, MN 55356 'C
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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=requi�e'd iriformation must be submitted.
incomplete applications;will be returned. (Please prinf)
GENERAL INFORMATION:
Job Site Address: V � L �E�1.. dl.� l�� .
WII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
!f yes,a specia/event permit is requi�d with Police Department and City Council approval 60 days prior to the evenf. Shuttle bus seivice will be
required un/ess applicant demonstrates su�cient on-site parking is available. Non-permitted events will nof be allowed.
Name RACTOR/AP;L.�dT�INFj9�tphQTf��—� �� `S �.r- C .
� �d�
State License# Expiration Date:
Phone: cell � � office � � yS�
Mailing Address: C Ci : : ��T w � IP: ^
Contact Person: Applicant is: ontractor / Homeowner (Circle One)
Emaii and/or Fax: il CK
PROPERTY OWNER INFORMATION: I
Name: �Zq yw�� 14- �� �4 D� v 'E .
Phone (day):
Address: City: ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name: S �R w• t. 1�!,i /��jD � L .
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro�ect:
1.Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal 8�
_� Water Supply
New Construction Single Family with L�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 earih movement may also requ�re ❑ Commerciai ❑ 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
www.minnehahacreek.or
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Estimated Construction Valuation (excluding land) $ G �- d � 0 'V.