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Home My WebLink About2016-00518 - adv plan review , CITY OF ORONO * Z 0 1 6 — 0 0 5 1 8 * ti 2750 KELLEY PARKWAY DATE [SSUED: OS/12/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2905 CASCO POINT RD PIN : 20-117-23-31-0052 LEGAL DESC : SPR[NG PARK : LOT 098 BLOCK 000 PERM[T TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 30,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 30,000.00 TYPE OF PERM[T THIS PAYMENT[S FOR: DETACHED GARAGE PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00517 APPLICANT ADVANCED PLAN REVIEW 318.58 TOTAL 318.58 DANBERRY BLDG CORP. Payment(s) 5413 MANITOU RD CHECK 8387 318.58 TONKA BAY,MN (952)474-5990 Minnesota State License#: BUIL-BC6389415 OWNER BALEN,TODD 2905 CASCO PT RD V�'AYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro 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 governing 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 l80 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. i �� ,�v �/�z � �� C 1 l�c� �v � , � �, /� , / / � Appli n e 'ee ignature � Da Issued By Signature Date � �!'fl( OF ORONO RECE!'��, �E�iL�l�V6� �EF�IVIIT APPLICATION '''�`'�� 1 � Z016 FOl� �E11� STRUCTURES QR ADDITIOI�NOFORorvo Mailing Address: ao�� S'� g. .nTO Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: I t ��a�� ,� �, Street Address:' l eceived by: �u-�d �'� � 2750 Kelley Parkway `�.b��O �5 lan review fee: �G Orono, MN 55356 � l'�'�FSHO� Main: 952-249-4600 Total Fee: Fax: 952-249-4616 wvrw.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: � G/`�" Job Site Address: Z �'/O � �a5�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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 sufficienf on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPL ANT IJVFORMATION: /� Name: y.b�rv� c,� �y State License# Expiration Date: d / Phone: cell Z. 'Z U /�� office S`2- y�7 $-S�e Mailing Address: / Cit : ZIP: ^— Contact Person: G � Applcant is: C ac / meowner (Circle One) Email and/or Fax: .e/r c�N rr-,. n`�� co�. PROPERTY OWNER INFORM TI N: Name: Phone (day): 3 L Z Address: Email and/or Fax Cit : ZIP: �� 1'✓�a% . C A.-- ARCHITECT/ ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP� Email and/or Fax: PROJECT INFORMATION: Description of project: �7��-/� ��. 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage isposal R ❑ New Construction ❑ Single Family with Accessory Bldg./Garage Water Supply ❑Addition attached garage ❑ Deck ❑ Public Sewer �ccessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑ Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) � Private Sewer ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may also require ❑ Commercial ❑ Storage MCWD review 8 permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD ❑ Other:(specify) ❑ Other(specify) 15320 Minnetonka Blvd ^ Minnetonka,MN 55345 ��.-l�. � Phone: 952-471-0590 �� Fax: 952-471-0682 �1 e�� www.minnehahacreek.or �v 1 � Estimated Construction Valuati�(e I ' g land) $ ��, lJD U Last Updated: January 2015