HomeMy WebLinkAbout2014-00855 - adv plan review CITY OF ORONO * 2 0 1 4 — 0 0 8 5 5 *
,^ 2750 KELLEY PARKWAY nATE issuED: 08/08/2014
� ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 75 FERNDALE RD N
PIN : 36-118-23-44-0006
LEGAL DESC : ALLO-RAE TERRACE
: LO'1' 002 BLOCK OOl
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPF, : ADVANCED PLAN REVIEW
VALUATION : $ 5,500.00
NO'I'L;: ALEASL' P'[LL IN'1�3�IE FOLLOWING:
VALUATION Or PERMIT: $ 5,500.00
I'YPE OF PERMIT TI[IS PAYMENT IS FOR: S'l'ORAGE SEIE?D
PF,RMI'I'#"I'111S PRE-Pt1YMFNT IS"I�IFD"IO:2014-00856
APVLICANT ADVANCED PLAN REVIEW 86.29
TOTAL 86.29
KNABENSHUG, PAUL& ALYCIA Payment(s)
75 FERNDALE RD. N CREDIT CARD 9594 86.29
WAYZATA, MN 55391-
OWNER
KNABENSHUE, PAUL&ALYC[A
75 FERNDALE RD. N
WAYZATA, MN 55391-
AGREEMEIVT 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 t3uildins Codc. 'I'his permit is for only thc work described and does
not grant permission for additional or related work which reqiiires separate
permits. All provisions of laws and ordinances govcrning this type of work
shall be compied with whether or not specified herein.'I'his permit will
expirc and become null and void if construction authorized is not
commenced within I RO days of thc date of issuance,or if construction is
suspendcd for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requcsted in conformance N�ith the State Building Code.This permit may be
rcvoked at any time for due cause.
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Applicant Pa�mitee Signature Date Issucd B��Signature Date
�e CITY OF ORONO
� BUILDING PERMIT APPLICATION
' FOR NEW STRUCTURES OR ADDITIONS
Mailing Address: Permit number. G ��
�-��10 PO Box 66 r��/�4 G/ �
C rystal Ba y, MN 55323-0066 Date received:
�, � Street Address:' Received b :
� � 2750 Kelley Parkway ,� ' Plan review fee: � . �- 6'� � �
��,� Orono, MN 55356 �D�� jSl�`�
`AKE 5 N� Total Fee: �i��
Main: 952-249-4600 Fax: 952-249-4616
This application form must be completed in full and all required information must be submitted.
lncomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: `� 5 ��-�^�n( c ,� ��F. � /�l� � rvY►v �N S i,j �' �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No
!f yes,a specia/event permit is required with Police Department and City Council approva!60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufticient on-site parking is availab/e. Non-permitted events wil!not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��(/fL �LNf��j'EN5 NV�`
State License# Expiration Date:
Phone: (cell) L7(Z -2$� — ��S (office)
Mailing Address: C� : ZIP:
Contact Person: Applicant is: Contractor / eowne cc��ie o�e>
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �/9UL_ �N���NSf�UE
Phone(day): � (,� 1 � - ����-�j�f5``�'
Address: n 5 �c�✓✓i d� ( , l�� �lJ Q�c�+c; CitY: �y�,rv�o ZIP: ��� � �
Email and/or Fax ��iU�?�cNR-��NSIiU� �s,i+c�i�7��i.. �oFvi
n „�.�-.-.�.��
ARCHITECT/ENGtNEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of ro�ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑New Construction ❑Single Family with ❑ Residence
❑Addition attached garage ❑Garage/Accessory Bldg. 0 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 Disfict(MCWD) �Other: (SpeCi
18202 Minnetonka Blvd �,� � �,
Deephaven,MN 55391
Phone: 952�71-0590
Fau: 952�71-0682
Estimated Construction Valuation (excluding land) s �5. So�