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Home My WebLink About2015-00414 - adv plan review CITY OF ORONO * Z 0 1 5 - 0 0 4 1 4 * 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1340 FOX ST PIN " : 02-117-23-31-0019 LEG�lL DESC : MINNETONKA BLUFFS � : LOT 000 BLOCK 014 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOl�1 TYPE : ADVANCED PLAN REVIEW VALUATTON : $ 850,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 850,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00413 APPLICANT ADVANCED PLAN REVIEW 3,553.61 TOTAL 3,553.61 CHAMBERLAIN FINE CUSTOM HOMES Payment(s) 11578 CHAMBERLAIN CT CHECK 925 3,553.61 EDEN PRAIRIE,MN 55344- Minnesota State License#: BUIL-BC661410 OWNER City ot Oro[io Chamberlain Capital LLC 2750 Kelley �'arkway ��-�4y--Gg�10 1 I 578 CAHMBERLAIN COURT Orono MN 5�.�56 EDEN PRAIRIE, MN 55344- Receipt No: 3.01314� Apr 10, 2U1'i Chamber;ain Fina Custom Home:: AGREEMENT AND SWORN STATEMENT Previous Balanre: .UO F'8rfi1itS The work for which this permit is issued shall be performed according to 2015-00414 1340 Fox St 3,553.h 1 the approved plans and specifications,applicable City approvals,and the 101-34410 S[ate Building Code. This permit is for only the work described and does P 1211 Check/Si te Exam Fees not grant permission for additional or related work which requires separate T��t�l: 3,553.t;l permits. All provisions of laws and ordinances governing this type of work ______________- shall be compied with whether or not specified herein.This permit will Cherk expire and become null and void if construction au[horized is not CfleCk No: 925 3.55'•ti 1 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. � � � � �� ...��.�.��- ��/s :�-� �,�,v�c�.�-� � G; �S Applicant Permitee Signat�re Date Issued By Signature Date City of Orono � Building Permit Application for New Structures or Additions Marling Address: ��Q A.� PO Box 66 Permit number: � ��`�j�( / �VQ�� Crystal Bay, MN 55323-0066 Date received: �t � �f� � / � StreetAddress:' Received by: �� y� G'-� 2750 Kelley Park y 2b��'d U �)f y plan review fee: � � �� . �� \� Orono, MN 55356 ��- � / �kFSHot` Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orona.mn.us This application fo�m must be completed in full and ali required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 134t) Fox Street 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 Deparfinent and City Council approval 60 days prior fo the event. Shuttle bus service will be requrred unless applrcant demonstrates sufficrent on-srte parking is avaitable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Chamberlain Fine Custom Homes State License# BC661410 Expiration Date: 3/16 Phone: (cell) 952-(49-7653 (office) Mailing Address: 11578 Chamberlain Ct City:Eden Prairie ZIP: 55344 Contact Person: Paul Cameron Applicant is: ontrac / Homeowner (Circle One) Er�ail andlor Fax: Paul(a?Chamberlainca�.coin PROPERTY OWNER INFORMATION: Name: Chamberlain Capital LLC Phone(day): 952-649-7C53 Address: 11578 Chamberl�in Ct City: Eden Prairie ZIP:»344 Email andlor Fax Paul(a��Chamberlaincap.com ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: Teardown and new residential 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8 Water Supply �New Construction �Single Family with ❑Accessory Bldg./Garage ❑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 4-feet or greater ❑ Public Water **Any earth movement may require ❑Commercial ❑ Storage MCWD review 8�permits. ❑ Industrial ❑Warehouse � Private Well ti1innehaha Creek Watershed District(MCWD) ❑Other. (specify) ❑ Other(specify) 15320 h1innetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 �Nvw.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� Packet Last Updafed: January 2015 Page 20