HomeMy WebLinkAbout2015-00252 - advance plan review CITYOFOR�NO * 20 15 - 00z52 *
2750 KELLEY PARKWAY DATE ISSUED: 02/27/2015
' ORONO, MN 55356-
� (952 249-4600 FAX: (952) 249-4616
ADDRESS : 2335 GLENDALE COVE LA
p[N : 34-118-23-33-0066
LEGAL DESC : GLENDALE COVE
. LOT 007 BLOCK 001 l;i ty o� u�ur�o
PERMIT TYPE : ADVANCED PLAN REVIEW �75U Kel ley Pai kwoy
Orono MN 55356 952-249-460U
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Receipt No: 3.012886 Feb 27, 201�i
VALUATION : $ 350,000.00 Advanced Home Exteriors Inc
NOTE: PLEASE FILL IN THE FOLLOWING: Previous Balance: .Oi)
Permits
VALUATION OF PERMIT: $ 350,000.00 Cove LaZ52 2335 Glendale 1.744.98
TYPE OF PERMIT THIS PAYMENT[S FOR: NEW HOME 101-34410
Plan Cher,k/Site Exam Fees
PERMIT#'CIiIS PRE-PAYM�NT IS TIED TO:2015-00251 Total: 1,744.98
L'redit Card ' 1,744 9t�
Payor:
Advanced Home Exteriors Inc
iotal Applied: 1.744.y5
------
�'!��arge Te��dered: ,�p
Duplicate Copy
0?/2l/2015 03:27i'M
APPLICANT ADVANCED PLAN REVIEW 1,744.98
TOTAL 1,744.98
ADVANCED HOME EXTERIORS INC Payment(s)
1161 WAYZATA BLVD E#167 CREDIT CARD 5906 1,744.98
WAYZATA,MN 55391-
Minnesota State License#: BUIL-BC61860
OWNER
Advanced Home Exteriors Inc.
1 l61 WAYZATA BLVD E
SUITE 167
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
['he 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. "rhis 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[his 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 E3uilding Code.This permit may be
revoked at any time for due cause.
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plicant Pcrmitee Signature Datc Issued By Signature Date
. ' City of Orono
Building Permit Application
for New Structures or IQ►dditions
Mailing Address: ��� `
�A, PO Box 66 Permit number:
� f vQ Crystal Bay, MN 55323-0066 Date received: �7
Street Address:' Received by:
� ,� 2750 Kelley Parkw � J��j� Plan review fee:
F �` Orono, MN 55356 �5 2 2 •
lqkES H��� Ma in: 952-259-4600
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 returned. (Please print)
GENERAL INFORMATION:
Job Site Address: � <<y L
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
/f yes,a special event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shutt/e bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: (�DvA�vc�� 44�.rhF xre z.; S SN
State License# 3G (2��(oc, � Expiration Date: 3/3i j�p
Phone: (cell) -�� �c���S .r�' (office) �/5� S I� F51 S�
Mailing Address: , .,p � ��� � 6 7 City: ���T�. ZIP: 3� I
Contact Person: �. � t,. Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: �j�,-�, y�°�,-- � S-�
PROPERTY OWNER INFORMATION:
Name: _ A��rvc�s� i-h�m s �,�TE.z� ��i �r+ C•
Phone (day): �7�, c�qc� � �-3�;
Address: l� 6/ �„���-Z,a,..,,� � b�� �� f �F ►��7 City� c.���2,a—�4 ZIP� 5� 3y�
Email and/or Fax o�d.��,r,�c.�t-,��..-.�+��;,,,���� � L„�
ARCHITECT/ENGINEER INFORMATION:
Name: �'j��+2 �p� � v-t.u►
Phone (day): G)5�., 7 y���a �
Address: City: ZIP�
Email and/or Fax: C�ga _ �y(p_ -7-�Jo'� N/111�CE'� ,o [�FrIfZ p�'�q�-;rv��,�„� �g����
L o r�
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8�
Water Supply
� dew Construction �ingle Family with ❑Accessory Bldg./Garage
❑Addition attached garage �Deck �ublic Sewer
❑Accessory Building ❑ Single Family with [� Office/Commercial
❑ Relocation detached garage �Residence
❑ Other: (specify) ❑ Private Sewer
❑ Multiple Family/Condo Retaining Wall(s)
❑ Public 4-feet or greater �ublic 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.m innehahacreek.or
Estimated Construction Valuation (excluding land) $ 3 S � � (J�'�' �
Packet Last Updated: January 2015
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