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Home My WebLink About2016-00339 - advance plan review fee CITY OF ORONO * 2 0 1 6 - PJ 0 3 3 9 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/05/2016 �' ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 500 HUNTER PASS PIN : 25-118-23-31-0005 LEGAL DESC : HUNTER PASS : LOT 001 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 10,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$10,000 TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00338 APPLICANT ADVANCED PLAN REVIEW 130.86 TOTAL 130.86 VILLAMIL CONSTRUCTION CO. Payment(s) 5535 COLTNTY ROAD I51 CREDIT CARD 8894 130.86 MINNETRISTA,MN 55364- (612)221-7511 Minnesota State License#:BUIL-20633780 OWNER WETZEL,SCOTT 500 HIJNTER PASS WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT 1'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 the work described and dces 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 hereia 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 ' CITY OF ORONO � BUiLDING PERMIT APPLICATION � , �o�. 3 FOR NEW STRUCTURES OR ADDITIONS � OA,. Mailing Address: Permit number: 0�0[ lo' C7�3 � � �VO PO Box 66 Crystal Bay, MN 55323-0066 Date received: - J`-� � � ,a Streef Address:' �. Received by: }�� I '� � �'�n` G� 2750 Kelley Parkway .�� Plan review fee: �� O �'�ESHOR� Orono, MN 55356 � Main: 952-249-4600 �� 33 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: �60 �� - �, 5 (� � -�-a (/V(� �5�� Will this be a Parade of Homes, Remodelers Showcase ome or o er Display Home? ❑ Yes �o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/AP ANT INFO ATIO : Name: � �, �,.^, l � ,�,��p. State License# C.. 7 Expiration Date: 3 Phone: cell -ZZ l - office Mailing Address: Cit : Q � � ZIP: / Contact Person: ` � Applicant is� ontract / Homeowner (Circle One) Email and/or Fax: � ` � � ,C PROPERTY OWNER INF RMATI N: Name: � Z� Phone (day): Z- � Address: O Cit : C�{�o�C� ZIp: S ��.�� Email andbr Fax 2 � �, ARCHITECT!ENGIN��INFORMATION: Name: �}• Phone (day): Address: City: ZIP• Email and/or Fax: PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8� ❑ New Construction Water Supply ❑ Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑Accessory Building ❑ Single Family with ❑ Office/Commercial � Public Sewer ❑ Relocation p detached garage ❑ Residence ❑ Private Sewer �Other:(specify)1�-�"ioC fck�DJu� ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water ''''Any earth movement may also require ❑ Commercial ❑ Storage MCWD review 8�permits. ❑ Industrial ❑Warehouse Minnehaha Creek Watershed District(MCWD) ❑ Other: s eci ❑ Private Well 15320 Minnetonka Blvd � p �� ❑ Other(SpeCify) Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ I(�_QQ(� Q� . Lasf Updated: January 2015