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Home My WebLink About2016-01019 (Adv. Plan Review) . CITY OF ORONO * z 0 1 6 - 0 1 0 1 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/24/2016 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 CONSTRUCT[ON TYPE : ADVANCED PLAN REVIEW VALUATIOl�1 : $ 1,000,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUAT[ON OF PERMIT:$1,000,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01020 APPLICANT ADVANCED PLAN REVIEW 4,065.70 JN BUILT, LLC TOTAL 4,065.70 801 TWELVE OAKS CENTER Payment(s) WAYZATA, MN 55391- CHECK 5124 4,065.70 (612)280-8205 Minnesota State License#: BUIL-BC638412 OWNER RUDOC,PH, STEPHEN& SUSAN 2480 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEME1vT 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 Ihe 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 conshuction 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. / / Applicant Permitee Signature Date [ssued By Signature Date � � p, � . ��• ! RECEIVED (�l7 • City of Orono AUG 2 4 2016 Buiiding Permit Application for New Structures or Additions C�NOFORONO Mailing Add�ss: Permit number: ��'�� OA, PO Box 66 �i 4 � / � `vQ Crystal Bay, MN 55323-0 ��N Date received: O '�T� � Street Address:' �lN iV Received by: i,// y ,�* 2750 Kelley Parkway � � Plan r view fee: � � S• � � �` Orono, MN 55356 P�r ,�� "�K�SHOQ`� Main: 952-249-4600 Total Fee: d�� t'^� �� Fax: 952-249-4616 www.ci.orono.mn.us � This application form must be completed in full and all required information must be sub tted. Incomplete applications will be retumed. (Please print) GENERAL INFORMATION: Job Site Address: 2480 Casco Point Road,Wayzata,MN 55391 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes,a specia!event permit is required with Police Department and City Council approval 60 days prior to the event. Shutfle bus service will be required unless applicant demonstrates s�cient on-site parking is available. Non-permitted events will not be al/owed. CONTRACTOR/APPLICANT INFORMATION: Name: �N a��c,��c State License# Bcssea�z Expiration Date: o�-s�-zo�a Phone: (cell) s�2-2aa82os (OffIC@) 952�73-0781 Mailing Addr2sS: 801 Twelve Oaks Center Drive Suite 812 Ctt : Wa ata ZIP: 55391 Contact Person: r��o r,�e�� Applicant is: Contractor / Homeowner (Circle One) Efllal� 8f1C�/Of Fc'lX: raino@jnbuilt.com PROPERTY OWNER INFORMATION: Na(pg: Stephen J.Rudolph Phone (day): �ss-asa-ao5� AddfeSS: 2480 Casco Point Road CIty:Wayzata ZIP: 55391 Email and/or Fax steve.rudolph@yahoo.com ARCHITECT 1 ENGINEER INFORMATION: Na�pg: Murphy 8 Co.Design Phone(day): s�z-a�o-ss�� Add�@SS: 811 Glenwood Avenue,Suite 250 Clty: Minneapolis ZII�:55405 Efl'181� 811d�Of FBX: TJ@murphycodesign.com orjeffQmurphycodesign.com PROJECT INFORMATION: Descri tion of f0 @Ct:Addition and Remodel 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction ❑� Single Family with ❑Accessory Bldg./Garage 0■ Addition attached garage ❑ Deck � Public Sewer ❑Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage � Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4feet or greater � Public Water "*Any earth movement may 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 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) � �,000,000.00 Packet Last Updated: August 2015 Page 21