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Home My WebLink About2015-01231 - adv plan review CITY OF ORONO * z 0 1 5 - 0 1 2 3 1 * , 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3349 CRYSTAL BAY RD p(N : 17-117-23-41-0023 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT O10 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REV[EW PROPERTY TYPE : RES[DENT[AL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 90,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $90,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01232 APPLICANT ADVANCED PLAN REVIEW 670.18 TOTAL 670.18 S.J. FISHER CONSTRUCTION Payment(s) 70 FLORENCE DRIVE CHECK 5378 670.18 TONKA BAY, MN 55331- (952)474-6976 Minnesota State License#: BUIL-BC626515 city uf ��rono OWNER 2750 Ke]ley`Pa�kway Orono MN .,,.,6 �52-24�-4a00 LENSING,JULIE keceipt No: :s.U14452 uct 14, 2015 3349 CRYSTAL BAY RD WAYZATA, MN 55391- Julie Lensing F�revious B81df1C�': .liU Perrni ts 2015-01231 3349 Crystal C10.18 AGREEMENT AND SWORN STATEMENT Bay Rd 101-340.10 The work for which this permit is issued shall be performed according to Plan CheCk/S1 tr Exam Fees the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does Tota 1: __,_____6 7U•1� not grant permission for additional or related work which requires separate CheCk permits. All provisions of laws and ordinances goveming this type of work L'heck No: 5378 6?U.1�i shall be compied with whether or not specified herein.This permit will p�ypr: expire and become null and void if construction authorized is no[ JUl le Lensi��g commenced within 180 days of the date of issuance,or if construction is Tn ta 1 Ann 1 i ari• 67U.1�� suspended for a period of l80 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. i nn �r (f �� - �� _ �� - � � �l ��1 / ��- -- u �'�,C ls Ap icant Permitee Signature Dat Issued By Signature Date _ . � �r . . �°��ko e,'� City of Orono � ��- Building Permit Application -�° for New Structures or Additions Mailing Address: Permit number: ��5- O PO Box 66 �� " �Q Crystal Bay, MN 55323-0066 � Date receive��"�' �-/�-� StreetAddress:' � � y ,� 2750 Kelley Parkway � 3�� _P n review f e: � �' c,` Orono, MN 55356 ��kESH�� Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information rnust be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job SiteAddress: 33�9 ��S-�a� �ccY ��, �.layza�"a�, rnlU SS3�' � 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 nof be allowed. CONTRACTOR/APPLtCANT INFORMATION: - Name: S� �i u c�i G . State License# "g L(� Z( 5 I S Expiration Date: 3 3� Phone: (cell) f�Z-- 1 Z/_ S�n � (office) �s a- '�17�1—� `�76 Mailing Address: �p � v Cit : � Il3a ZIP: � Contact Perso 5-��c.-V e �i s h�e,� Applicant is: ontractor / omeowner (Circle One) Email and/o Fax: 95a,� �l7 N - 'L 1 0 � PROPERTY OWNER INFORMATION: Name: U �� .f.h S I n Phone (day): -S -Zg 4 Ad s: '��y� G1ryc��.( �cc�, (Zowd City: (i,�a�za,-�Q ZIP: $�S3`1/ Email nd/or Fax ��hStv►w �vi,�, e� 4 mc�.i 1� c,rm• ARCHITECT/ENGINEER INFORMATION: Name: (�i c.h a,re�. C rQ h Phone (day): C,l 6 t 2-SS y - �j 7 7 o��t�� 6�z - �a.�- s�o� Address: y 3�S �'as�t Sa+n S'1' City: /��p,Q,�af�S ZIP: �S�/ � Emai and/or Fax: (� Z a a � PROJECT INFORMATION: Description of project: �� •�� 1.Type of Project 2. Proposed Use 3. Structure T pe 4. Sewage Disposal 8� �o Water Supply �New Construction �ingle Family with ❑Accessory Bldg./Garage Addition attached garage ❑ Deck �Public Sewer ❑ Accessory Building ❑ Single Family with Office/Commercial ❑ Relocation detached garage Residence ❑ Private Sewer ❑ Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater �Public Water �'"'Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other:(speCify) ❑ Other(speCify) 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ qQ, �O Q Packet Last Updated: August 2015 Page 21