HomeMy WebLinkAbout2011-01290 - new structure CITY OF ORONO PERMIT NO.: 2011-01290
2750 KELLEY PARKWAY
� � ORONO, MN 55356- �ATE IssUEn: 10/20/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2320 GLENDALE COVE LA
P[N : 34-1 18-23-33-0064
LEGAL DESC : GLENDALE COVE
: LOT 005 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 330,500.00
NO"I'E: PLEASE FILL IN THE POLLOWING:
VAI,UATION OF PF,RMI"I': $ 330,500.00
TYPG OP PGRMIT THIS PAYMENT IS FOR: N�W HOME
PGRMIT#THIS PRE-PAYMENT IS TIGD TO:201 1-01291
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APPLICANT
ADVANCED PLAN REVIEW 1,587.79
BOHLAND HOMES TOTAL 1,587.79
825 WAYZATA BLVD E
WAYZATA, MN 55391- PAID WITH CC# 9524
(952)473-2089
Minnesota State License#: 20547551
OWNER
Bohnland Homes
825 WAYZATA BLVD E
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pennit is issued shali be performed according to
the approved plans and specifications,applicable City approvals,and the
State C3uilding 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 la��s and ordinances governing this type of work
shall be compied with whether or not specified herein.This pennit 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
suspcnded for a period of 180 days a[any time atter work has commenced.
'The applicant is responsib or i I required inspections are
�,-- ��
requested in conY��n�v4i[h [ate Building Code.This permit may be
revoked at�ny{ime,f6`r�ue��use.
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�Ap cant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
e .
City of Orono
� Building Permit Application
for New Structures or Additions
Mailing Address: Permit number:
�g,O j� PO Box 66 — /
�O „ O Crystal Bay, MN 55323-0066 Date received: � �'�ZD —1
� , �
'�'�' -- Received b
�,a • -� ,, Street Address:' Y�
'� : �� �,,`� 2750 Kelley Parkway �Q� � -pl aCl Plan review Fee: J�' � , �9
��qg.� 'og� Orono,MN 55356 —�f--
�.�ex,
- - 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 retumed. (Please prini)
GENERAL INFORMATION:
Job Site Address: �3�.� l��P�.a�a`� C�o v�2 �-u . L 0 ��^�, ►'�.)
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
lI yes,a special event permit is required wifh Police Department and Gty Council approva160 days prior to the event. 5hutde bus service will be
,requlred unless applica�rt demonstrates sufficient on-site parking is available. Non-permitted events will noi be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �01��--a�c1 ,�-.�S
State License# Expiration Date:
Phone: q s�. - �I�3 �a.o office � io i d--�s►-q�S� (cell)
Mailing Address: ' �� W�, 2�.�G �„ ��=,s� Cit : W�, z:_„�•, ZIP: s�3� I
Contact Person: Vv��r�� .�J; \ ;�-� S Applicant is: ontractor / � Homeowner (GrcleOne)
Emai!and/or Fax: w�c���',�\;.�,,,.,5��,,,�,�,S �a y�,y�c%o • �c�vv�
PROPERTY OWNER INFORMATION:
Name:
Phone (day): "
Address: Cit : ZIP;
Email and/or Fax
ARCHITECT/ENGINEER INFORMA710N:
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 (� Single Family with ,�X]Residence
Addition attached garage ❑Garage/Acoessory Bldg. �Public Sewer
❑Accessory Building ❑ Single Family with ❑Deck
❑Relocation detached garage ❑Office/Commercial ❑Private Sewer
❑Other:(specify) ❑ Multiple Family/Condo ❑Warehouse
❑Publlc ❑Storage [�(Public Water
"Any earth movement may require ❑Commercial ❑Other(specify)
MCWD review�permits. ❑Industrial
Minnehaha Creek Watershed Oistrict(MCWD) ❑Other:(specify) — - ❑ PriVete Well
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952�71-0590
Fax: 952�d71-0682
www.minneh h cr ek_or
Estimated Construction Vatuation(excluding land) $ 3 � , ro G • °
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