HomeMy WebLinkAbout2016-00335 - advance plan review fee CITY OF ORONO * 2 0 1 6 - 0 0 3 3 5 *
2750 KELLEY PARKWAY DATE ISSUED: 04/OS/2016
ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADL�2ESS : 1250 FRENCH CREEK DR
PIN : 10-ll 7-23-32-0013
LEGAL DESC : FRENCH CREEK
: LOT 005 BLOCK 002
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 12,650.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 12,650.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ATTACHED DECK
PERMIT#THIS PRE-PAYMENT[S T[ED TO: 2016-00334
APPLICANT ADVANCED PLAN REVIEW 161.06
TOTAL 161.06
PRECISION DECKS Payment(s)
20170 75TH AVE N CREDIT CARD 0924 161.06
CORCORAN,MN 55340-
(763)228-4429
Minnesota State License#: BUIL-20583025
OWNER
MORRISON,TRUXTUN&ADRIENNE
1250 FRENCH CREEK DR
WAYZATA,MN 55391-
AGREEMEivT 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 [he
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. ��
' <�' s-/�,� �� �1 ����sv �� � �ll,�
Applicant Permitee Sign � Date Issued By Signature Date
,� CITY OF ORONO
� BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O�O Mailing Address: Permit number: ZO I(� -�
PO Box 66
Crystal Bay, MN 55323-0066 Date received: —�- �p
StreetAddress:' Received by:
y�.` G� 2750 Kelley Park y2�) _��Cj Plan review fee: (p� •j�
qkESHo4�" Orono, MN 55356
Main: 952-249-4600 Total Fee:
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and ail required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: f�,���-�C h �,r �,�, �r(V�.
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/approval 60 days prior to the event. Shutt/e 6us service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed.
CONTRAGTOR/ . PLICANT INFORMATION:
Name: �r{C( i (�
State License# Expiration Date: 3 31 �
Phone: cell) -- - office) �3-35�`52 '
Mailing Address: 2,D h �1� , Cit :�i �,� ZIP:
Contact Person: ���� ��p��,��C., Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax: �j �(� p�z��P,(,k.S,�.��'Y�
PROPERTY OWNER INFORMATION:
tvame: ?►�.�,�,K.Clt'�C;�, 1=iC�.�`l�,YII'1� (�IOi�i�ISC�h
Phone (day): -- 5'2�1
Address: I���� P��v-QJ City: �'��(�[1 ZIP: �C����
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project: I� ��� ���,� ��C�. �f'- '�.J�J- /��7��
1.Type of Project 2. Proposed Use 3.Structure Type 4. ewage 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 also require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Othe�: (speCify) ❑ Othe�(speCify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ I�I���"
Last Updated: January 2016