HomeMy WebLinkAbout2012-00900 - adv plan review CITY OF ORONO * 2 0 1 2 - 0 0 9 0 0 *
2750 KELLEY PARKWAY DATE ISSUED: 09/11/2012
ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
AL�URESS : 2365 GLENDALE COVE LA
PIN : 34-118-23-33-0068
LEGAL DESC : GLENDALE COVE
: LOT 009 BLOCK 001
PERM[T TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 273,255.00
NOTF..: PLEASE FILL lN"I'fIE FOLLOWING:
VALUATION OF PGRMIT:$ 273255.00
TYPE OF PERMIT 1�HIS PAYMEN"I'1S FOR: C3UILDING PERMIT
PERMtT#"I'I lIS PRt?-PnYMENT IS TIED 1�0:2012-00901
APPLICANT ADVANCED PLAN REVIEW 1,365.49
COUNTRY JOE HOMES
22222 DODD BLVD TOTAL 1,365.49
LAKEVILLE, MN 55044- PAID WITH CC# 3674
Minnesota State License#: BC627670
OWIVER
Bohland Glendale Cove LLC
815 WAYZATA BLVD E
WAYZATA, MN 55391-
ACREEMENT AND SWORN STATEMENT
I�hc�cork for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and docs
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 I 80 days at any timc after work has commenced.
The applicant is responsible ti>r assuring alt required inspections are
requested� onfonnance with the Sta�Buiiding Code.This permit may be
revoked t g�time for�iue use. �.
,� — ,� '"
�l' / / � / /
A licant Permi[� �Signature ate Issued By S� ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOV .
~ City of Orono 2� ���
� � ��
Buiidin Permi �
g t Application
for New Structures or Additions
/�O�� Mailing Address: Permit number. oZ01� '" ��9�f
y_ PO Box 66
Crystal Bay, MN 55323-0066 Date received: 9 ��`�Z
�^�,
��"�`�:� Received b �fC
.� � ` �. Sfreet Address:' Y� J
's�'-.�_
�� y y� titi 2750 Kelle Parkwa a0/a`�09D�
� o y Y Plan review fee:
L�sgE���o4� Orono, MN 55356 /365• 5�9' �e(�
� Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.o r o n o.m n.u s L S Q,��f�(: , L
This application form must be completed in full and all required information must be submittedyl,.,Zbb Lp�L-l�(�Q�5�j
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: �j�j�jS �c>[,.�?✓d�/�?i� C'Gc/�% �,�jtf�'�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
!f 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/APPLICANT INFORMAT,ION: /
Name: YD U�F�►'�e'L-O 1f0 M� �'
State License# _�jC(c�a,�6%O Expiration Date: 3-3f-/3
Phone: qSa-�(oq�40�n(p (office
) C�(a-- �-�7- �3?v (cel�)
Mailing Address: 222(�d � � (..., �. Cit : Lf}� � (I L ZIP: SSac.F
Contact Person: �'O�`f� Nu�-1..��2 Applicant is: ontrac or / Homeowner (Circle One)
Email and/or Fax: �}�($'ad�ey-beck;..Q�;���r.�-� h�,{-
PROPERTY OWNER INFORMATION:
N a m e: �(�' �Z /Vl,�"L i sS�q ��-�L nl i c=�2
Phone (day): �$/- �y3_79ii
Address: 5'�f IS/Lt�,q�pw� /�v� ,�!. City: L✓A�Z,¢�j�} ziP: SS3�/
Email and/or Fax Sfi-etf� bczrn�i Po" �f� f7oriv14�/ caM
ARCHITECT/ ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP•
Email andlor Fax:
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) $ o�rl 3 0 �S�
Packet Last Updated: 03-06-2012
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