The URL can be used to link to this page

Home My WebLink About2009-00456 - adv plan review CITY OF ORONO PERMIT NO.: 2009-00456 � 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUEn: 08/05/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1880 FOX ST PIN : 03-117-23-42-0015 LEGAL DESC : WALDRON WOODS : LOT 1 BLOCK 1 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW NOTE: PLEASE FILL IN THE FOI,LOWING: VALUATION OF PERMIT: $ 125,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00457 APPLICANT ADVANCED PLAN REVIEW 784.39 JIM MORAS TOTAL 784.39 12237 NICOLLET AVE BURNSVILLE, MN 55337- PAID WITH CC# 4301 (952)736-7545 Minnesota State License#: 20393854 OWNER BLUM, STEVE 1880 FOX STREET WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT �I�he�vork for which this permit is issued shall be perYormed 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 governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within I80 days of the da[e of issuance,or if construction is suspended for a period of l80 days at any time aiter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code."I'his permit may be revoked at any time for due cause. , �, � � - (Y� �� r�:��<<a ��, , , 1. t� �� <<�� ,�.�, , ,�� Applicant Permi ee Signature Date Issued[3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: --''��` �� `�% �,i,�,� PO Box 66 � � Q \ Crystal Bay, MN 55323-0066 Date received: � - `� �``1 �� I ' ~� �. ' StreetAddress:' Received by: ��D �'�n ° ''� ti�' 2750 Kelle Parkwa � Y Y � -��'�` r-CC��I�_.(o Plan reviewfee: 'Z� �� _��--� lc�� —� tRkESH�4'� Orono, MN 55356 1'i s�- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: . � Job Site Address: � d �� /p�o �� Will this be a Parade of Homes, Remodelers Showcase Hom or other Display Home? ❑ Yes ❑ No lf yes, a specia/event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: J i�,, Vl�o�q s State License# ,3 Expiration Date:o��/C� Phone: a -- v /ol office cell Mailing Address: / 7 � � / � Cit : ; ZIP: �3 7 Contact Person: J;rvv ✓Ylv�u s Applicant is: ontractor Homeowner (Circle One) Email and/or Fax: g� 73�_ -��/S- PROPERTY OWNER INFORMATI Name: .S�.�1� ��,,,,•�-� Phone (day): 7�� cf1��-�� Address: /j��b �x S�- City� ��/I�rj ZIP� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City� ZIP� Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8� Water Supply ❑ New Construction ingle Family with �Residence ddition attached garage ❑ Gara e/Accesso Bld Accessory Buitding ❑ Single Family with ❑ Deckg ry g� � Public Sewer ❑ Relocation detached garage ❑ Office/Commercial �Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water *"Any earth movement may require ❑ Commercial ❑'Other(specify) MCWD review 8�permits. ❑ Industrial �rivate WeII Minnehaha Creek Watershed District(MCWD) �� Other: (speCify) 18202 Minnetonka Blvd �� Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ � Last Updated: 6/22/2009 - 19- City Of Orono • 2750 Kelley Parkway Orono, MN 55356 (952)249 4600 Wednesday,Aug 5,2009 9:50:08 AM ------------------------------- TfBIIS NO: 184969136 I�vOICe: 9217-4301 CBfd N0: XXXXXX4301 EXP:06/11 AUth NO: 385934 AlllOUllt: S�g4.39 //� i // r c � ..rr.r.o �// � � � '�, M. . vi _�: `� -�.'d^4�`�. .r: .. ... . 1 X/..—___. ..�/.. —__ ' . ... ... I,ROBERT A HARDER,AGREE TO P THE ABOVE AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT(MERCHANT AGREEMENT IF CREDIT VOUCHER). Thank you ! :.•�� . _ ..�:=�! ...- _._ , ,�. _ =:� :��f i �' _ _ , . �� .