HomeMy WebLinkAbout2011-00597 - adv plan review � t CITY OF ORONO PERMIT NO.: 2011-00597
2750 KELL�Y PARKWAY
ORONO, MN 55356— DATE �SSVEu: 07/07/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3315 GRAHAM HILL RD
PIN : OS-117-23-I1-0007
LEGAL DESC : GRAHAM HILL PRESERVE
: LOT 000 BLOCK 000 - ;,; ,;� _-._
PERMIT TYPE : ADVANCED PLAN REVIEW t�:��1 Ke�i�y =a, ,; .
�:_�r-�U MN 55u�c. -- - -
PROPERTY TYPE : RESIDENTIAL -��- � - =--
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW ��-��zpt Nu: -_, -
VALUATION : $ 1,450,000.00 - - - - �,_:.
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $ 1,450,000.00 -��..• c��3,;�;,; ;-;ii; �� _
1u1-34�1Ca . .._�
TYPE OF PERMIT TFI[S PAYMENT IS FOR: NEW HOME r"lan ChecklSite Exam Fees
PERMIT#"I'HIS PRE-PAYMENT IS TIED TO: 2011-00598 T����I' ` �r�l.�'-
.�r���k =______--=_
Check No: Oc1345 5,U41.�;
F'ayor•: �
Char�les Cudd
-ota: Appl ied: 5,G41.9�
-----------..
_;;3fit;2 TiY�u�t'2C�:
APPLICANT ADVANCED PLAN REVIEW 5,041.89
CHARLES CUDD LLC TOTAL 5,041.89
15050 23RD AVENUE N
PLYMOUTH, MN 55447-
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Minnesota State License#: 20635245
OWNER
HEURUNCT, MARK& SUE
225 6TH ST S#2900
MiNNEAPOLIS, MN 55402-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
thc approved plans and specifications,applicable City approvals,and the
State E3uilding 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 goveming this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void it�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
requestcd in conformance with the State E3uilding Code.This permit may be
revoked at any time for due cause.
/ / / /
ApplicanC Permitee Signature Date Issued E3y Signature Date
SEPARATE PERM[TS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE.
� }
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: b��- �J�
���j,0,�. PO Box 66
,s, \ Crystal Bay, MN 55323-0066 Date received: � �� ( 1
�� �,:,
s�� , � • Received b /�
I`a �y �t�,� „_ a, Sfreet Address: y�
�\ ���,�t� �ti 2750 Kelley Parkway Plan review fee� Q� , g� �� 2��,�
rqkE8H04� Orono, MN 55356
\`''____:
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 returned. (Please print)
GENERAL INFORMATION:
Job Site Address: ?7�j�,—rj � (�,t/ �'�jFJp
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes, a special event permit is required with Police Department and Cify Councrl approval 60 days prior to the event. Shuttle bus service ill be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not 6e allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: � �f �/O
State License# Expiration Date:
Phone: - -�— � office cell
Mailing Address: `(�Cj(� ," , Cit •('/}�l(� ZIP:
Contact Person: � ����-�-- Applicant is: ontractor / Homeowner (Cirde One)
Email and/or Fax: ,���fJ;� L C�Q,C.�%����i��l,d/�✓1
PROPERTY OWNER INFORMATION:
Name: R/1P'�(G- �� SUC }-I(:�/ry(JN��
Phone(day): �Z -�Z21 — 43 Z F�
Address: Cit : ZIP:
Email and/or Fax jl�Ip�Jt�� � urJ�- � j�M �(/1 . (,Dil/�
ARCHITECT/ENGINEER INFORMATION:
Name: �.�"� � C-CI�(1���7Cj�"=-.�
Phone(day):
Address: City: ZIP:
Email and/or 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 8�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) $ �C"�O