HomeMy WebLinkAbout2015-00944 - attached garage CITY OF ORONO * Z 0 1 5 - 0 0 9 4 4 *
' 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015
, �� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3210 GRAHAM HILL RD
p[l� : OS-117-23-11-0009
LEGAL DESC : GRAHAM HILL PRESERVE-2
: LOT 1 BLOCK 2
PERMIT TYPE : ADVANCED PLAN REV[EW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 150,000.00
NOTE: PLEASE FILL IN THE FOLLOW[NG:
VALUAT[ON OF PERMIT:$ 150,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ATTACHED GARAGE
PERMIT#TH[S PRE-PAYMENT IS TIED TO:2015-00943
APPLICANT ADVANCED PLAN REVIEW 925.98
TOTAL 925.98
KONEN HOMES INC. Payment(s)
20545 LINWOOD RD CHECK 13962 925.98
DEEPHAVEN, MN 55331-
(952)949-2485
Minnesota State License#: BUIL-BC103407
OWNER
MESENBURG, MATT& MICHELLE
2525 KELLER ROAD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
"t'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. This permit is for only[he 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 ifconstruction 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 a time for e cause. � ����
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Ap a itee Signature Dat [ssued By Signat e Date
,
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, - . City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: permit number: � l�'rj �
QA,. PO Box 66
� `V� Crystal Bay, MN 55323-0066 Date received:
StreetAddress:' ceived by:
y ,� 2750 Kelley Parkway review fee: '2 . g�
�' �� Orono, MN 55356 t
t�'�fSHO��' Main: 952-249-4600 To al Fee:
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: (� � � (�
Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? ❑ Yes No
lf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service "ill
required unless applicant demonstrates su{ficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APP CA T NF MATION:
Name: � � v�?n �,
State License# Q / Expi�tio Date: —
Phone: cell - office � -
Mailing Address: ' Cit : ZI :
Contact Person: Applicant is: ontracto / Homeowner (Circle One)
Email and/or Fax: �r��� � ��� �� � � ���„�
PROPERTY OWNER NFOR TION:
Name: Q �
Phone (day): -
Address: Cit : � ZIP����
Email and/or Fax �
ARCHITECT I ENGINEER,INFORMATION: , ,
Name: � `
Phone (day):
Address: Cit : ZIP:
Email and/or Fax: ,.
PROJECT INFORMATION: Description of project: � �� �' � ��
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage isposal 8�
Water Supply
❑ New Construction ❑ Single Family with Accessory Bldg./Garage
❑Addition attached garage ck ❑ Public Sewer
Accessory Building �Single Family with ❑ Office/Commercial
elocation detached garage ❑ Residence
❑ Private Sewer
❑ Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ 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) ❑ Other(SpeCify)
15320 Minnetonka Blvd
Minnetonka, MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ l�,�j, ���-�"
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Packet Last Updated: January 2015
Page 20