HomeMy WebLinkAbout2015-00512 - new home CITY OF ORONO * 2 0 1 5 - 0 0 5 1 2 *
2750 KELLEY PARKWAY DATE ISSUED: 05�Ov2015
' ORONO,MN 55356-
` 952 249-4600 FAX: 952 249-4616
ADDRESS : 100 KINTYRE LA
PIN : 32-118-23-43-0020
LEGAL DESC : KINTYRE TWO
: LOT 3 BLOCK 2
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 500,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$500,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PR�PAYMENT IS TIED TO:20 1 5-005 1 3
APPLICANT ADVANCED PLAN REVIEW 2,359.23
TOTAL 2,359.23
GONYEA HOMES Payment(s)
6102 OLSON MEMORIAL HIGHWAY CHECK 15596 2,359.23
GOLDEN VALLEY,MN 55427-
(612)741-9069
Minnesota State License#:BUIL-2459
OWNER City of Orono
2750 Kelley Parkway g52-249-4600
MACKINNON,JAME$ Orono MN 55356
2430 MEETING ST. Receipt No: 3.013304 May 1, 2015
WAYZATA,MN 55391-
Gonyea Homes
Previous Balance: .00
AGREEMENT AND SWORN STATEMENT 2015100512 100 Kintyre La 2,359.23
The work for which this permit is issued shall be performed according to 101-34410
Plan Check/Site Exam Fees
the approved plans and specifications,applicable City approvals,and the 2,359.?_3
State Building Code. This permit is for only the work described and dces Total: _______________
not gant permission for additional or related work which requires sepazate "--�
permits. All provisions of laws and ordinances goveming this type of work CheCk 2,359.23
shall be compied with whether or not specified herein.This permit will Check No: 15596
expire and become null and void if construction authorized is not Payor:
commenced within 180 days of the date of issuance,or if construction is Gonyea Homes 2,359.23
suspended for a period of 180 days at any time after work has commenced. Tota 1 App 11 ed: ____
The applicant is responsible for asswing all required inspections are ; �,,,,,„- �.�. �!� ���'
requested in conformance with the State Building Code.This permit may be - �
revoked at any time for due cause. �
� tj l / 1 C ���'' S�� � � �
App ' ant Permitee Signature Date Issued By Si ature Date
. City of Orono
' Building Permit Application
for New Structures or Additions
Mailing Address: Permit number: Qlj�--���'�j'
� �Q PO Box 66
� Crystal Bay, MN 55323-0066 Date received: 'j��O`
StreetAddress:' Received by: �
� ,� 2750 Kelley Parkway �
y�' �` Orono, MN 55356 �. ��G �55�(p Plan review fee: s�. �
!�'FESHOR� Main: 952-249-4600 Total Fee: a !`S�`�l �
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)��-�,p �,5-pD S� 5` -
GENERAL INFORMATION:
Job Site Address: �t�C� Kt,n,�w� �.avl�
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 City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPL1,CANT INFORM�QTION:
Name: C9-o h e�l ���'
State License# � S Expiration Date:
Phone: cell �'a--'7 �- v�, office
Mailing Address: Gf4"a-- Q o h cw� 6}�w<< Cit : (.-o �� �, �c IP:
Contact Person: ��-1�v� Applicant is: ractor Home wner (Circle One)
Email and/or Fax: � �qy� oCqOtiY�c`l�crv�neS. fOW�
PROPERTY OWNER INFORMATION:
Name: ��-o t1v�� ��v�e S
Phone (day):
Address: City: ZIP:
Email and/or Fax
ARCHITECT/ ENGINEER 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&
Water Supply
ew 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 ❑ Residence Private Sewer
❑ Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater ❑ Public Water
**Any earth movement may require ❑ Commercial ❑ Storage
MCWD review&permits. ❑ Industrial ❑Warehouse rivate 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) $ �c� Qa�
Packet Last Updated: January 2015
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