HomeMy WebLinkAbout2016-00349 (adv. plan review) � CITY OF ORONO * 2 0 1 6 - 0 0 3 4 9 *
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2750 KELLEY PARKWAY DATE ISSUED: 04/07/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2480 CASCO POINT RD
PIN : 20-117-23-21-0037
LEGAL DESC : TILLSONS VILLA CARMAN
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 45,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 45,000.00
TYPE OF PERMIT THIS PAYMENT[S FOR: REPA[R OF BOATHOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00348
APPLICANT ADVANCED PLAN REVIEW 428.66
TOTAL 428.66
ASPEN BUILDERS REMODELERS INC. Payment(s)
1501 WASHINGTON AVE S#200 CREDIT CARD 4209 428.66
MINNEAPOLIS,MN 55454-
(612)746-6800
Minnesota State License#:BUIL-BC044816
OWIYER
RUDOLPH, STEPHEN& SUSAN
2480 CASCO PT RD
WAYZATA,MN 55391-
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 separate
permits. All provisions of laws and ordinances goveming 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 permi[may be
revoked at any tim�for due cause. 7��,i�
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Applic t Permitee Signature Date Issued By Signature ' Date
� ` .
, . Cit� of Orono • .,
Building Permit App�ication :�..;
for New Structures or Additions
Mailing Address: , ' , � •
�Q� PO Box 66 � Permit number. •-'' u
Q Crystal Bay, MN 55323-0066 Date received: -•� =_�, -�
StreetAddress:' Received by:
y ,� 2750 Kelley Parkway 2p��c' W�G
�, (�b'3 lan revie fe . .
�� Orono, MN 55356 ;.- .
t9KESH0��' Main: 952-249-4600 Total Fee: ` �
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be comp►eted in#ull and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL IN�ORMATION:
Job Site Address: z�( g� C,c��Gp �0?l1� Qc�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �f No
!f yes, a special 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 available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: _ASPEN �UILDFRS �' R�'/ND FLErQS ING•
State License# ���,t`8!6 Expiration Date: 3-��-ZDt�.
Phone: cell - - office 2. $dp
Mailing Address: 54/ WgSH11�l6' ON O Cit : ' ZIP: 5
Contact Person: �Or L�`I Z. Applicant is: Contractor / �Homeowner (CircleOne)
Email and/or Fax: Jor� QS Per�s L+�wr'oa�u• t�owl
PROPERTY OWNER WFORMATION:
Name: � e he.� 1R �
Phone (day): � _
Address: 2 Cit : ZIP:
Email and/or Fax S GY2. tU dol ek C�o uct Ineo. t�0►'►+�
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP�
Email and/or Fax:
PROJECT INFORMATION: Description of project: �� � ���b � �� ��"
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
❑ New Construction Water Supply
�Single Family with �Accessory Bldg./Garage
❑Addition attached garage ❑ Deck
�Accessory Building ❑ Sin le Famil with ❑ Public Sewer
g y ❑ Office/Commercial
Relocation l detached garage ❑ Residence ❑ Private Sewer
Other:(specify) �OWf �/►�(��. ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may require ❑ Commercial ❑ Storage
MCWD review 8 permits. ❑ Industrial ❑Warehouse
Minnehaha Creek Watershed District(MCWD) ❑ Other: s eci ❑ Private Well
15320 Minnetonka Blvd' � p �� ❑ Othef(speCify)
Minnetonka,MN 85345 . � - ,� ,
Phone: 952-471-0590 ' �
Fax: 952-471-0682
www.minnehahacreek.or
�n� �
Estimated Construction Valuation (excluding land) $ �5•c.Vl�,_
Packet Last Updated: August 2015
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