HomeMy WebLinkAbout2015-00951 - adv plan review CITY OF ORONO *�1 5 — 0 0 9 5 1 *
2750 KELLEY PARKWAY DATE ISSUED: 07/29/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS� : 140 KINTYRE LA
PIN : 32-118-23-43-0019
LEGAL DESC : KINTYRE TWO
: LOT 2 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:2015-00950
APPLICANT ADVANCED PLAN REVIEW 2,359.23
TOTAL 2,359.23
GONYEA HOMES Payment(s)
6102 OLSON MEMORIAL HIGHWAY CH , 59.23
GOLDEN VALLEY,MN 55427- ' '
(612)741-9069 • �. ' ` , � ' """:
Orono MN 55356 952-249-46U0
Minnesota State License#:BUIL-2459
Receipt No: 3.013891 Jul 29, 2015
OWNER
Ganyea Homes
MACKINNON,JAMES
2430 MEETING ST. Previous Balance: .00
WAYZATA,MN 55391- Permits
2015-00951 140 Kintyre La 2,359.23
101-34410
Plsn Check/Site Exam Fees
AGREEMENT AND SWORN STATEMENT
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The work for which this permit is issued shall be performed according to TOtel: 2,359.23
the approved plans and specifications,applicable City approvals,and the
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State Building Code. This permit is for only the work described and dces CheCk
not grant permission for additional or related work which requires separate Check No: 16191
permits. All provisions of laws and ordinances governing this type of work 2.359.23
shall be compied with whether or not specified herein.This permit will Payor:
expire and become null and void if construction authorized is not � .-,� �� ,+n��
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 aze
.�, . �� `,._..... ..
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. ���j�
�' �� 2�� � 5 r��'� U�_a''�-„ � {i�� l
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Applicant Pe itee Signature Date Issued By Signature Date
' City of Orono
Building Permit Application
• � for New Structures or Additions
Mailing Address: Permit number. � �,S— �j
�A, PO Box 66
� `v� Crystal Bay, MN 55323-0066 Date received:
StreetAddress:' � /�
y ,�- 2750 Kelley Parkway , � 35
�' �` Orono, MN 55356 ����r�'�'QS( Plan review fee: �
tqkFSH�4� 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: j `(� � ��-�-y �r-.L j,.a v��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes (r�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/APPLICANT INFORMATION:
Name: (�s-Q v�y�a� �}{o vv�� S
State License # ;Z 5"J Expiration Date:
Phone: cell � - -- �(� office
Mailing Address: (o � p ov� M e w� Cit : � �+� �/ IP: SS '�.. 2
Contact Person: v� Applicant is: ractor / Home wner (Circle One)
Email and/or Fax: � o c� ow�e s , �d+�'K
PROPERTY OWNER INFORMATION: �/
Name: �-o j�l/�'�1 Rp�es
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: ��J �C���
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal �
Water Supply
ew Construction ingle Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ O /Commercial
❑ Relocation detached garage esidence Private Sewer
❑ Other:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater [ ik lic Water
**Any earth movement may require ❑ Commercial ❑Storage
MCWD review&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) $ J`�f�v� aB (�
Packet Last Updated: January 2015
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