The URL can be used to link to this page

Home My WebLink About2015-01086 - adv plan review CITY OF ORONO * Z p� 1 5 - 0 1 0 8 6 * 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2015 .y ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1250 FRENCH CREEK DR PIN : 10-117-23-32-0013 LEGAL DESC : FRENCH CREEK : LOT 005 BLOCK 002 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 45,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $45,000 TYPE OF PERMIT THIS PAYMENT[S FOR: REMODEL PERMI"I'#THIS PRE-PAYMENT IS TIED TO:2015-01087 APPLICANT ADVANCED PLAN REVIEW 428.64 TOTAL 428.64 TOM POTTER CONSTRUCTION INC. Payment(s) 6531 DEVONSHIRE DR. CREDIT CARD 2887 428.64 CHANHASSEN,MN 55317 �) Minnesota State License#: BUIL-BC130144 OWNER MORRISON, CHUCK 1250 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applican[is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date City of Orono � � � � . Buildin Permit A lication � . J pp for New Structures or Additions Mailing Address: Permit number: /,_$- /Q �A, PO Box 66 � �v� Crystal Bay, MN 55323-0066 ,,I�� Date received: U �-�(o-)S Street Address:' �'��, ceived by: � � � 2750 Kelley Parkwa � ti�, � � Plan review fee: . c.` Orono, MN 55356 __. _ , 9kESH�� Main: 952-249-4600 Total Fee: �Q� S -UI�� Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must b�bmitted. �� Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �iQE,tJC�f' C��j� /�,'(/E d�-o.�✓ v �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display ome? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLI ANT IN ORMATION: Name: �/►�I ��7TE2 C-Os+��2ucT'i�N �.�(.� State License# 3 0 �y Expiration Date: ,3 Zo� Phone: cell �Z. L$Z_ 7 office Mailing Address o /l. Cit ,¢� ZIP: �j Contact Person: � Applicant is: � racto�/ Homeowner (Circle One) Email and/or Fax: W� � Coi15t�"��'7�%u c� . �oN� PROPERTY OWNfR INFO MATION: Name: b d/1/ Phone (day): -- � -.� 7 Address: /�,5� F'/lE,✓G�1 C�.�/� n/� . City: �,i(�v ZIP: Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& 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) �/�'Wf)�L �QIZ ❑ Multiple Family/Condo ❑ Retaining Wall(s) �L�tJ/�T02 ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Storage MCWD review& permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other:(speCify) �O her(specify�j 15320 Minnetonka Blvd ��/l,`Ul'Z K�EI�Oi]�L Minnetonka,MN 55345 "— Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �� Q 0 V . BC> Packet Last Updated.• August 2015 Page 21