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HomeMy WebLinkAbout2015-00726 - adv plan review CITY OF ORONO * z g 1 5 - 0 0 7 z 6 * 2750 KFLLEY PARKWAY DATE ISSUED: 06/08/2015 ' ORONO, MN 55356- " 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2755 ETHEL AVE PIN : 20-117-23-24-0017 LEGAL DESC : CASCO HEIGHTS : LOT 006 BLOCK 003 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 265,000.00 NOTE: PLEASE F[LL IN THE FOLLOWING: VALUATION OF PERMIT:$ 265.000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00725 APPLICANT ADVANCED PLAN REVIEW 1,396.91 TOTAL 1,396.91 Everlast Enterprises, Inc. Payment(s) CLEARY,JIM CHECK 6675 1,396.91 4109 N. SHORE DR MOUND, MN 55364- (952)472-5870 OWNER Everlast Enterprises, [nc. CLEARY,JIM 4109 N. SHORE DR MOUND,MN 55364- 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 sepazate permits. AII 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 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. i J (� �' 1� � � �P �� �t� pplic t Permitee Signature D te Issued By Sign re Date �/`°"� . CITY OF ORONO - BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �A, Mailing Address: Permit number: /�"��-7Z� � �yO PO Box 66 Crystal Bay, MN 55323-0066 Date received: �ls�/,$~ � � J SfreetAddress:' Received by: 2 � 2750 Kelley Parkway /I� ��. �� ian review fee: � � `� �' Orono, MN 55356 G �p 7 1qkE'SH��� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in fu11 and all required information must be submitted. Incomplete applications will be returned. (Please print) , GENERAL INFORMATION: Job Site Address: 2755 Ethel Ave.,Orono,MN 55391 Will this be a Parade of Homes, Remodeters Showcase Home or other Display Home? ❑ Yes Q No H yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Everlast Enterprises,Inc. State License# BC591566 Expiration Date: 3-31-16 Phone: _�cell) 612-868-0748 (office) 952-472-7287 Mailing Address: 4�09 No Shore Drive City: Orono Z�P� 55364 Contact Person: _james Cleary Applicant is: on rac or / Homeowner (Circle One) Email and/or Fax: 952-472-5870 PROPERTY OWNER INFORMATION: Name: Everlast Enterprises,Inc. Phone(day): 612-868-0748 Address: 4109 No Shore Drive City: Orono ZIP: 55364 Email and/or Fax iim@EverlastEnterprises.com ARCHITECT/ ENGINEER INFORMATION: Name: none 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& New Construction Water Supply � �Single Family with �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 earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review 8�permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Othef: (speCi(y) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ � �:�S � t;(ty ot i;rono -�750 Kelley_PG�,kway Orono MN �'S356 952-249-460� keceipt No: 3.013575 Jun 8, 2015 Everlast Enterprises, Inc. Previous Balanc�: .U� Fermits �,39B.91 Plan Review 101-34410 Plan Check/Site Exam Fees _ lutal: -__===�.396_91- Check 1„�96.91 Check Nu: 5675 Payor: Eve� last Enterprises, In�• �,396.91 Total Applied: _____________ Chariye Tendered: ___ __^_____��_ pE/OS/2015 G2:29PM