HomeMy WebLinkAbout2016-01169 - adv plan review CITY OF ORONO * Z 0 1 6 — 0 1 1 6 9 *
2750 KELLEY PARKWAY DATE ISSUED: 09/22/2016
ORONO, MN 55356-
� � (952) 249-4600 FAX: (952) 249-4616
ADD+'i1ESS : 1535 BOHNS POINT RD
PIN : 08-117-23-44-0025
LEGAL DESC : BOHNS POINT WEST
: LOT 1 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOI�1 TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 1,600,000.00
NOTE: PLEASE FILL[N THE FOLLOWING:
VALUAT[ON OF PERM[T:$ 1,600,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW ffOME
PERMIT#'I'HIS PRE-PAYMENT[S TIED TO:2016-01167
APPLICANT ADVANCED PLAN REVIEW 5,703J0
TOTAL 5,703.70
JOHN KRAEMER&SONS, INC. Payment(s)
4906 LINCOLN DR. CHECK 63982 5,703.70
EDINA,MN 55436-
(952)935-9100
Minnesota State License#:BUIL-BC001408
OWNER
Todd Amoritz Recovcable Trust
501 CARLSON PARKWAY#507
M[NNETONKA, MN 55305-
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 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 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. p�
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Applicant Permitee Signature Date Issued By Sign ture Date
.
City of Orono
Building Permit Application
`` for New Structures or Additions
Mailing Address: Permit number. ?� I � -��j
� �(� PO Box 66
Q Crystal Bay, MN 55323-0066 Date received: - -
StreetAddress:' Received •
y ,� 2750 Kelley Park P al n review fee: - �70
�'� L� Orono, MN 55356 ��+�(�,- �
�XESH04� Main: 952-249-4600 Total Fee:
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: /��3 J` 3��?� � �v�'lf ��` '
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 Po/ice Department and City Counci/approva/60 days prior to the event. Shuttle us service wi//be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. n ST D S•(.�pw-�����
r� ,�-
CONTRACTOR/APP ICANT INFORMATION:
Name: c�r1 ���C'� Ct�G� .S�„`S
State License# LGC� YE� Expiration Date: �! 7
Phone: cell ��- lU � 7 office s'a- �13�- i„a
MailingAddress: L{ � ;.��d[� ,. Cit : di� �, ZIP: �
ContactPerson: �� hn KT�Q,-.er Applicantis: Contractor / Homeowner (CircleOne)
Email and/or Fax: �c �-.����'�.��v r�Svn.S'. CC�
PROPERTY OWNER INFO MATION:
Name: �c��/�/�'lcas�2 ���L't�G(� 'Ti��-.s�
Phone (day): � - ' (�,
Address: ol^ teo� �cw SU'� Cit : ���-�°�fc" ZIP: G �
Email andbr Fax v � �'�"��t:l , ��i`"►
ARCHITECT/ENGINEER INFORMATION:
Name: �'f-f�lZ e �4TT ��S���V
Phone (day): - 7� - ' ,�^
Address: % a� �,' Cit : �y� �e l�r'r� ZIP: �J �� �
Email and/or Fax: ' c,� ,�, • o
PROJECT INFORMATION: Descri tion of ro�ect: ��w S'� f� Y�' �` �"`''{ o� V�ev►��-- �a-�-
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
ew Construction �.Single Family with ❑Accessory Bldg./Garage
Addition attached garage ❑ Deck �Public Sewer
❑Accessory Building ❑ Single Family with ❑ O�ce/Commercial
❑ Relocation detached garage �esidence
❑ 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
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) $ ` / �O f!U� G U Q
Packet Last Updated: August 2015
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