HomeMy WebLinkAbout2011-00011 - adv plan review�.
CITY OF ORONO PERMIT NO.: 2011-00011
't` 2750 KELLEY PARKWAY
' ` " ORONO, MN 55356- DATE ISsuEn: OU05/2011
t' 952 249-4600 FAX: 952 249-4616
' ADDRESS : 155 MACKINNON DR
PIN : 32-118-23-43-0016
: LEGAL DESC : KINTYRE TWO
;' : LOT 2 BLOCK 1
� PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 600,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
` VALUATION OF PERMIT:$ 60Q000.00
'� TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
` PERMIT#THIS PRE-PAYMENT IS TIED TO: 2011-00010
APPLICANT ADVANCED PLAN REVIEW 2,571.89
KYLE HUNT&PARTNERS INC. TOTAL 2,571.89
18324 MINNETONKA BLVD
DEEPHAVEN,MN 55391-
•� (952)476-5999
, Minnesota State License#: BG 1967 City of Dror�,
�750 Kelley Parkway
Orana MN 55356 95�-249-46U0
OWNER
! ROLL&JACQUELINE WILL[AMS-ROLL,MICHAEL Receipt No: 3.003903 Jan 0�, 2011
: 75 FERNDALE RD N Kyle Hur�t � Partners
; WAYZATA, MN 55391-
Permits
2fz l i-OUO i 1 155 MacK i nnan ^c,571.89
AGREEMENT AND SWORN STATEMENT �"
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The work for which this permit is issued shall be performed according to Plan Check/5ite Exam Fees
the approved plans and specifications,applicable City approvals,and the ------------
State Building Code. This permit is for only the work described and does T�tal: 2�5T1.89
" no[grant permission for additional or related work which requires separate --------__--
; permits. All provisions of laws and ordinances governing this type of work CheCk
, shall be compied with whe[her or not specified herein.This permit will Check I+�: 12524 2!571.89
' `expire and become null and void if construction authorized is not GeyC�Y`:
; commenced within 180 days of the date of issuance,or if construction is Kyle Hunt � Partners
; suspended for a period of 180 days at any time after work has commenced. TGteI flppl led: ___ �,571 83
The applicant is responsible for assuring all required inspections aze .�6
' requested in conformance with the State Building Code.This permit may be Change Terrdered: _ _ _ _
'revoked at any time for due cause. ��M
Applicant Permitee Signature /Date / �� ��� , l � l r I
Issued By Signature Date
's SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�..
r
City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address: �'�
g�,�. PO Box 66 Permit number: �D f `"�d� f C� �;s�C
� � Q Crystal Bay, MN 55323-0066 Date received: /� �v fG� f �� �
a T��� a, StreetAddress:' Received by: �� � , ��.L�F/
�2, �� '� �ti`� 2750 Kelley Parkway �l Z "'] �� �5
'�9g�Hog,� Orono,MN 55356 ��` �a'Sa� Plan review fee:
" Total Fee:
Main: 952-249-4600 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. (P/ease print)
GENERAL INFORMATION: �5 5 ma.�Ki r�✓�� �."�. � °
Job Site Address: —3 ���a � b�
Will this be a Parade of omes, emodelers howcas Home or other Display Home? Yes No �-�^$�
/f yes,a special event permit is required with Police Department and City Counci/approval 60 days prior to the evenk Shuttle bus service wi/l be
required unless applicant demonstrates s�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INF�RM�ATI�N:� �
Name:
State License# Expirat'on Date: —
Phone: Q � — office V � � — ��g� cell
Mailing Address: �' � 0 Cit : 1l��/\, ZIP:
Contact Person: ,/�,/� � ,1� �pp icant is: Contrac or / Homeowner �c�:oie ooe►
Email and/or Fax: G CAI�. 1' ,A E� �tA � d1 C S.
Name:ERTYOWNERINFO�M�ION:�i„� � _��t� � �i��� �•"
1
Phone(day): . � /�
Address: 30?�.a. 0 �.�.4� Cit : ZIP:�'J�J'�3StiP
Email and/or Fax (`
ARCHITECT/ENGINEER I FORM TIO �
Name: �~1V C�J�u
Phone(day): � • .L
Address: 1 � ST c�c :�i11M��'o�A�C ziP:553 05
Email and/or Fax: Z i r cc . C.d
PROJECT INFORMATION:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
� New Construction �,Single Family with J�,Residence
❑Addition attached garage ❑Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Buitding ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑Office/Commercial � Private Sewer �
❑Other:(specify) ❑Multiple Family/Condo ❑Warehouse
❑Public ❑Storage ❑Public Water
*'"Any earth movement may require ❑Commercial ❑Other(specify)
MCWD review&permits. ❑ Industrial �,Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other:(specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.m innehahacreek.or
Estimated Construction Valuation (excluding land) $ � —