HomeMy WebLinkAbout2012-00488 - new structure CITY OF ORONO * Z 0 1 2 - 0 0 4 8 8 *
,�1 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2012
� , ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3980 DAHL RD
PIN : 08-117-23-23-0001
LEGAL DESC : UNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUAT[ON : $ 1,000,100.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERM[T:$ 1,OOQ100.00
TYPE OF PERMIT THIS PAYMGNT IS FOR: NEW STRUCTURE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00489
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APPLICANT ADVANCED PLAN REVIEW 3,874.49
NARR CONSTRUCTION, WC. TOTAL 3,874.49
P.O. BOX 5007
HOPKINS, MN 55343
(952)938-8781
Minnesota State License#: 3785
OWNER
MCGLYNN, THOMAS& TONI
3980 DAHL RD
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The worh 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 gran[pennission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his 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 afrer 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.
/ / �-
Applicant Permitee Signature Date ��� �� �� ��
Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of (Jrono
Building Permit Application
for New Structures or Additions
_ — Mailing Address: Permit number: dj��p=��Sg
o�O�0 ,, COrysBtalxBay, MN 55323-0066 Date received: —y��
� � ,;�._,� �/`I' Received b . _...
�a ��"�':�� . �,I, Street Address:� Y�
'� �j ��' ``'"� 2750 Kelle Parkwa q
� , 1.�. 1v�;�.�o,, Y Y �� j_ P.I��view fee: �7 • / �,
� 9gEs��s�,, Orono, MN 55356 C' p?D/�- DO�� '
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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:
Job Site Address: 3980 Dahl Road Mound MN 55364
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 Uie event. Shuttle bus service will be
required unless applrcant dernonstrafes sufficient on-site parking is available. Non-pennitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: __ Narr Construction, Inc.
State License # BC003785 Expiration Date: 3/31/2014
Phone: 952-938-8781 (office) 612-816-1091 (cell)
Mailing Address: p n Rnx .�i�(17 City: HO�kIIIS z�P� 55343
contact Person: Greg Narr Applicant is: Contractor / F�(r��y!(i�x (Circle One)
Email and/or Fax: __ narrrnn�trurtl�ll CAm 952-931-0449
PROPERTY OWNER INFORMATION:
Name: Tom and Toni McGlynn
Phone(day): ���_75�-�5�.
Address: same as site a dress City: ZIP�
Email and/or Fax tom(cD.atownrealty.com
ARCHITECT/ENGINEER INFORMATION:
Name: Sharratt Desiqn Companv
Phone(day): 952-470-9750
Address: 464 Second St Suite 100 City:Excelsior ZIP� 55331
Email and/or Fax: msharratt(c�sharrattdesiqn.com
PROJECT INFORMATION:
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
�] New Construction Water Supply
� Single Family with � Residence
❑Addition attached garage ❑Gara e/Accessor Bld
❑Accesso Buildin 9 Y 9� � Public Sewer
ry g ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial
❑ Other:(specify) ❑ Multi le Famil /Condo ❑ Private Sewer
p y ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
*'Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial
Minnehaha Creek Watershed District(MCWD) [�Private Well
18202 Minnetonka Blvd ❑ Other:(specify)
Deephaven, MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) � 1,000,100.00