HomeMy WebLinkAbout2017-00113 (Adv. plan review) CITY OF ORONO * 2 0 1 7 - 0 0 1 1 3 *
2750 KELLEY PARKWAY DATE ISSUED: 02/07/2017
., ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2408 CASCO POINT RD
PIN : 20-117-23-12-0023
LEGAL DESC : NAVARRE
: LOT 000 BLOCK 002
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 41,234.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$41,234.00
TYPE OF PERMIT THIS PAYMENT IS FOR: KITCHEN REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00120
APPLICANT ADVANCED PLAN REVIEW 406.64
TOTAL 406.64
THE LEGACY BUILDING CO.INC. Payment(s)
14848 KRAL ROAD CHECK 4758 406.64
MINNETONKA,MN 55345-
(320)290-4333
Minnesota State License#:BUIL-BC431870
OWNER
GASCH,JAMES
2408 CASCO PT:ZD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which[his permit is issued shall be performed according to
the approved plans and specifications,applicable City approva►s,and the
State Building 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 governing this rype 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 Building Code.This permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
Building Permit Appiication for MaC ety of �rono
(�.e. windows, doors, siding, re-a ofe tRept�p �RUCTURAL EXPANS p ential ONLY
� a �Q A r Marling Add�ess: N� � �/a�
l VQ PO Box 66 Permit number: p��/7
Crystal Bay, MN 55323-0066 Date received: o{'7—/
y � Street Address: 'ved by: �� Y d
� �` 2750 Kelley Parkway —
q"�FSHo��` Orono, MN 55356 � Plan review fee:
i
Main: 952-249-4600 Fax: 952-249-4616 °a a�� 7— D"���—>
www.ci.orono.mn.us
This application form must be completed in ful(and all required information must be submitted.
incomplete applications wili be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 2408 Casco Paint Road, Orono, MN
Will this be a Paracte of Homes, Remodelers Showcase Home or other Display Home?
If yes,a special event permrt is required wrth Police Department and Crty Counci!a ❑ Yes
required unless applicant demonstrates sufficient on-srte parking is avai ableafNor�permrtted events w!ltnot be aelowed.eN�No be
CONTRACTOR/APPLICANT INFORMATlON:
Name: The Legacy Building Co Inc
State License#
Lead Certification Number: 431870 Expiration Date: 3/31/2018
(for work on homes that were co sfruc ed prior to 1978 Expiration Date:
Oct 6,2021
Phone: (cell)
Mailing Address: (of€ice)
94848 Kral Rd
Contact Person: Craig,lansma �'t � � tonka ZIP: 55345
Emai►and/or Fax: �ra� Applicant is: ontract r / Homeowner (Circle One)
gj@thelegacybuildingco.com
PROPERTY OWNER INFORMATION:
Name: James Gasch
Phone (day}: 612-834-1984
Address: 2408 Casco Point Road,
Email and/or Fax: jamesgasch ��tY� orono ZIP:55391
@gmail.com
PROJECT INFORMATION: �verall project description: remadel existing kitchen, replace 2 windows and i ext door
Type of Project:
❑ Door(s} �Remodel j Any earth movement may also require
❑ Fire Damage ' MCWp review&permits:
❑Re-roof,asphalt ❑ Repair ! Minnehaha Creek Watershed District(MCWD)
❑ Storm Damage �
❑Re-roof,cedar ❑ Restoration � 15320 Minnetonka Blvd
❑Water Damage �
❑Re-roof,other(specify) ❑ Siding ' Minnetonka, MN 55345
❑Other: (specify} � Phone: 952-471-0590
' [�W in dow(s) � Fax: 952-471-0682
Estimated Construction Valuation of Project(excludin land �'""""e�'ahacreek.or
APPLICANT ACKNOWLEDGEMENT: � � $ 41,234.00
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
; �olely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to
� reject it until it is complete;
; • Some or ali of the information that you are asked to provide on this application is classified by State law
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data.
� Confidential data is information which generally cannot be given to either the public or the subject af the dataas either private or
�i intended use of this information is to annually update our records and records of other governmental agencies required b la
ou refuse to sup I the information, the application ma not be issued. • Our purpose and
y w. If
Ap�licanYs Signature: �
— Date: 2l7/2017
Owner's Signature:
�ast Updated:January 2016 Date: