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Home My WebLink About2011-00615 - addition remodel F CITY OF ORONO PERMIT NO.: 2o�i-oo6�s � 2750 KELLEY PARKWAY ORONO, MN 55356- �A'i'E issUEn: 07/1ll2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3350 FOX ST PIN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 849,570.00 NOTE: PLEASE FILL IN"I'HF,FOLLOWING: VALUATION OF PERMIT: $849,570.00 TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION REMODEL PERMIT#TH[S PRE-PAYMGNT IS TIED TO:PGRMIT#20 1 1-006 1 6 SHOULD HAVE PAID$3,38439-HAD CK MADE OU'r FOR$3,381.14=OWF,$3.25 APPLICANT ADVANCED PLAN REVIEW 3,384.39 STEINER& KOPPELMAN 18340 MINNETONKA BLVD TOTAL 3,384.39 DEEPHAVEN, MN 55391- PAID WITH CASH 3.25 (612)473-5435 Minnesota State License#: 3721 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued sha11 be performed according to the approved plans and specifications,applicable City approvals,and the Statc Building Code. This permit is for only the work described and does not grant permission for additional or related work which rcquires 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 conunenced. 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. / / l�oZ—1 / Applicant Permitec Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . •�Cv � G�� • "f" r V"'�� ( -�e City of Orono Building Permit ication for New Stru res or Additions Mailing Add s: Permit number: z. O – � r( ��,0,�`� P ox 66 ��\ O\,1 rystal Bay, MN 55323-0066 Date received: � ��g�- ._ 'I . Received by: ,� � �, � Street Address: � 1 r �' �^�> �� ' ;'��, �,� �t01��` 3•a''��750 Kelley ParkwaY C� L IL� �5� �n review fee: �� ( — ��f t'�kESKog,� rono, MN 55356 _—= 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 appiications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: : 3�0 ��c 5;��. ��N� �N� �5 3=� eo Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. 5hutt/e bus service will e required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be al/owed. CONTRACTOR/APPLICANT INFORMATION: Name: g;�.,a��L 8- 1�uf'�i:;,.N.aa.y State License# 3`�2 Expiration Date: � �3t 20�2 Phone: �I�� -�3-- Sy ��r (office) ( b i�) H��{ .-5�`� (cell) Mailing Address: • �• M.atv-° f�►�A �va• Cit : z�'tA ZIP: �3�3 Contact Person: „�;��. �;�v.�,;�.sZ�� Applicant is: ontracto / Homeowner (Circle One) Email andlor Fax: ��;�, � =,T�;,,.�,-��;�,1„�„�.,.,,c.��„� PROPERTY OWNER INFORMATION: Name: i�i�^��ai��' C�t�L� Phone (daY): ��.� '�e,. .- b�� Address: °�3=:ic �uy� '.�;ti?-�T City: 6:�or.>u ZIP: �+��f� Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: ��►c r1��-+-�c c�R'-�.4�r e✓� ��r�vF' � t'��rc� GS�� Phone (day): �,�� Z��,r- ��7� Address: ��3� at:o�rv��'u��c� B:rv�-. City: w9iY��-s-R ZIP: ��3`i V Email andlor Fax: �,ztt+�� J {-d.«.c.ttsy�:r�:�.:.��- :-a��n PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal & Water Supply ❑ New Construction (�Single Family with Residence '�Addition attached garage �Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ 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&permits. ❑ Industrial �Private Well 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) $ �,y�j i ,,,,-�p,�vc.� Last Updated: 4/26/2011 - 19- . `;:-, ,- ,_,;._ ,��.. ;;e..r�' ��'sr:::a� Orur�i, ,�iN �3.6 ,-�- t� �JL'c'Y`�-4tiC+'(.J Receiut Nr: 3.t04953 Jui 1�, 20:1 �teirter• 'rtoppelman, L�C Aerr�:ts 2021-00615 iU1-344I0 �,.,Bi.i4 Plan Check!Site cxa� �ees Tutai: ------------ �,'�P,i.14 Check. __=_______- Check N�: 358�s Pa j�,r: 3,38:.I4 5teir�er N,i,p�,e�rear,, L��r, Totai App,l�; 3,s8i.14 Char�ge Ter�dered: -__";------ .� tlli l�i 11 d9:,3,'sAM '----- r . . . .. _._. ._ . _....._. _ . . . . W_M,. 35843 �� Wi�etonka MN STEINER & KOPPELMAN, LLC �r��k.�om GLEN LAKE 952.935.8663 18340 MINNETONKA BLVD. FIRST MINNETONKA CITY BM1K 95pU935p5995�GE WAYZATA,MN 55391 75-1445-910 (952)473-5435 'AY 7/7/2011 � O THE o )RDER OF C�n' OF ORONO �„ � "*3,381.14 � Three Thousand Three Hundred Eighty-One and 14/100 ' a****:*,t***,r*****,t,r,t**:r,�*,t*�t***********,t*,r***�t*,t***,�*�,r,r****�x** DOLLARS m CITY OF ORONO m 2750 KELLY PARKWAY N ORONO, MN 55356 ��. B c EMO - p �4 BIC�OS ORIZED TURE i 4 ii■035843u■ i:09 L0 L4458�:0 0 �' 789 5n■ 'F / f ^' (i 1Ls` '�-`�- �-�l-1 L�L��.�- ` ir �� V� ��(� r 1 ,� � � � � �� ,,� tJ � ��;��- (j�{-{-- ��- �1 � . ,��