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