HomeMy WebLinkAbout2016-00811 - adv plan review �`, CITY OF ORONO � 1 6 - 0 0 e 1 1 *
� 2750 KELLEY PARKWAY DATE ISSUED: 07/15/2016
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 333 HOLLANDER RD
PIN : 25-118-23-43-0005
LEGAL DESC : REG. LAND SURVEY NO. 1281
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTIOIY TYPE : ADVANCED PLAN REVIEW
VALUATIOI�I : $ 55,420.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$55,420.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION ON REAR OF HOME ONLY.LEGACY ONLY DOING EXTEIOR WORK. LEGACY
IS ONLY DOING FOUNDATION,FRAMING,ROOFING AND SIDING.
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00812
APPLICANT ADVANCED PLAN REVIEW 496.08
TOTAL 496.08
THE LEGACY BUILDING CO. MC. Payment(s)
14848 KRAL ROAD CHECK 4657 496.08
MINNETONKA,MN 55345-
(320)290-4333
Minnesota State License#:BUIL-BC431870
OWNER
TANNER,JOHN&DONNETTE
333 HOLLANDER RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring alI required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. ' 1 �
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, CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O�O Mailing Address.• Permit number. �b!(o—d U�'/
PO Box 66
Crystal Bay, MN 55323-0066 Date received: 7— �`�'--/�
Street Address:' �.--- ceived by:
,.� ,� _ ----
� G1 2750 Kelley Parkway ,� PJa�review fee: Q ���
�qk�$Hv�� Orono, MN 55356 .,�(� � � ��� _`��1 ;
\__� Main: 952-249-4600 _— -fin�-���-- _
Fax: 952-249-4616 www.ci.orono.mn.us �`�"�-------�r
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: 333 Hollander Road
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 Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus service wi/l be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Craig Jansma � �-(.�e �E?C��c::r �j L;� � `� �� �o ��--�
State License# BC 431870 Expiration Date: zois
Phone: (cell) 320-290-4333 (office)
Mailing Address: 14848 Kral Rd Cit : Minnetonka ZIP: 55345
Contact Person: Craig Jansma Applicant is: ontract / Homeowner (Circle One)
Email and/or Fax: craiaiCa�thelegacybuildingco.com
PROPERTY OWNER INFORMATION:
Name: ' John and Donnette Tanner '
Phone (day): 612-747-0814
Address: 333 Hollander Road City: Orono Z�p: 55391
Email and/or Fax tannerfamily333@gmail.com
ARCHITECT/ENGINEER INFORMATION:
Name: Charles Levin Architects
Phone (day): 612-729-5333
Address: 2300 Milwaukee Ave City: Minn anolis ZIP:
554f1d
Email and/or Fax: Chuck clevin.com �
S aM'� eYt�'�� ��� /'
PROJECT INFORMATION: Description of project: �/ �:/�' � �M� " � /+'`�;;'
1.Type of Project 2.Proposed Use 3.Structure Type 4. Sewage Disposal 8� \
Water Supply `�.
❑ New Construction [�Single Family with ❑Accessory Bldg./Garage �,
[�Addition attached garage ❑ Deck ;
❑Accesso Buildin ❑ Public Sewer
ry g ❑ Single Family with ❑ Office/Commercial
❑ Relocation detached garage [�esidence
❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water E
**Any earth movement may also 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.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ 55,420.00
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Last Updated: January 2016