HomeMy WebLinkAbout2015-00797 - advance plan review fee CITY OF ORONO * z 0 1 5 - 0 0 7 9 7 *
. 2750 KELLEY PARKWAY DATE ISSUED: 06/19/2015
• ' � ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : I 125 HUNTER DR
PIN : 25-118-23-31-0004
LEGAL DESC : TEN OAKS
: LOT 002 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 200,000.00
NOTE: PLEASE FILL IN THE FOLLOWINC,:
VALUATION OF PERMIT:$ 200,000.00
TYPE OF PERMIT THIS PAYMENT[S FOR: REMODEL,/RF,BUILD OF BARN IN-KIND
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00796
APPLICANT ADVANCED PLAN REV[EW 1,130.73
TOTAL 1,130.73
PERRY, CHRISTOPHER Payment(s)
1125 HUNTER DR CHECK 7923 1,130.73
WAYZATA, MN 55391-
OWNER
PERRY,CHRISTOPHER
1125 HUNTER DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
"Che 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
permi[s. AI)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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conforrnance with the State Building Code.This pemiit may be
revoked at an time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
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Clty uf Uiono
2750 Kellev Parks;lY g���__lr�g-_46UU
0�or�o MN 5356
Receipt No: 3.013fi56 Jun 19, 1015
Christopher Perry
Previous Balance: ���
Perniits
2015-007a7 1125 Hunter Ur 1,130.73
101-34A10
Plan Cl�eck/�ite Exam Fees _
Total: i=_==_�_130_73
Check �,130.7.i
Check No: 7923
Payor:
Christopner Perry �,130.7:s
7ota1 App]ied:
------------.00
Change Tandered: ___-____-,_____
06/19%2015 08:3t;AM
• CITY OF ORONO
� BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
/�� Mailing Address: �-
��` �� PO Box 66 � Permit number: �� �� � ,��— (:�C;'�� �
,
Crystal Bay, MN 55323-0066 Date received: �--�' 1 ! �'�' � �5
.� � StreetAddress:' Receivedby: � �_'� � ' �
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�` 2750 Kelle Parkw �� ��
y� �� Y ( C' _ �] Plan review fee: . � - a
t�kESI-i0�� Orono, MN 55356 ��,`� �'L � _� _�T��__ �-�
Main: 952-249-4600 Total 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: ��Z S }��-�..�-�,���� �����` �� S S :3`t �
Will this be a Parade of Homes, Remodelers Showcase Home or ot Display Home? ❑ Yes (� No
If yes, a special event permit is required with Police Department and City Council approva!60 days prior fo the event. Shutfle bus service wi/l be
required unless applicant demonstrates sufficient on-site parking is available. Non-pennitted events wil/not be allowed.
CONTRACTOR/APPLICANT INFORMATION: ��� �U� �� ����'v�`�" •�'J`� P�c��,`��`� �+�
Name:
State License# Expiration Date:
Phone: (cell) (office)
Mailing Address: Cit : ZIP:
Contact Person: �. p � .c.r Applicant is: Contractor / omeowner (Circle One)
Email and/or Fax: c, w � � t
PROPERTY OWNER`INFORMATION:
Name: C �r'�w-�S�v�.. c^ � , ��.r•y
Phone (day): ` �Z,., .��-3 � - �5 iQ'Z-.
Address: ��-1 S` ��..,..,.,,G,.,.. �''�,, ^.;.,.� Cit : ��{�y�"�-c,, ZIP� �S�'� 1
Email and/or Fax _C„��w-.�-�y � �b�C�, ��.
�
ARCHITECT/ ENGIN�ER INFORMATION:
Nam e: 1 v..r.,.�,,. �.�,. � �c.S� .�,. � �
Phone (day): (763 �{ +-f-. pq�t "�
Address: � p� t+��.�, J�e.J `...c�„�. �,�r 1-�-, Cit : "� � w,nk� ZIP: S'S��{ �
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal &
❑ New Construction Water Supply
❑ Single Family with �Accessory Bldg.!Garage
❑ dition attached garage ❑ Deck
Accessory Building ❑ Sin le Famil with ❑ Public Sewer
9 y ❑ Office/Commercial
❑ Relocation detached garage ❑ Residence rivate Sewer
❑ Other: (specify) ❑ Multiple Famity/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ In�lustrial ❑ Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) [,�}`Sther: ec fy) ❑ Other(specify)
15320 Minnetonka Blvd ��,�.�,\, �S`��,��„`
Minnetonka, MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation {excluding land) $ Z..oa� oa�
Last Updated: January 2095