HomeMy WebLinkAbout2014-00770 - advn plan review CITY OF ORONO * 2 0 1 4 - � 0 7 7 0 *
2750 KELLEY PARKWAY DATE ISSUED: 07/22/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 195 KINTYRE LA
PIN � : 32-118-23-43-0015
LEGtaL DESC : KINTYRE TWO
: LOT 1 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 600,000.00
NOTE: PLEASE P[LL (N"CHG I'OLLOWING:
VALUATION OF PF,RMI"l: $ $600.000.00
TYPE OP PGRMI'C"I'HIS YnYMENT IS FOR: NEW HOME
PF.RMIT#"l�}IIS PRI;-PnYMI'.NT IS T[ED"I'0:2014-00771
APPLICANT ADVANCED PLAN REVIEW 2,409.39
GONYEA HOMES TOTAL 2,409.39
6102 OLSON MEMORIAL HIGHWAY Payment(s)
CHECK 13865 2,409.39
GOLDEN VALLEY, MN 55427-
(612)741-9069
Minnesota State License#: BUII,-2459
OWNER
MACK[NNON,JAMES
2430 MEETING ST.
WAYZATA, MN 55391-
AGRF,EMENT AND SWORN STATEMENT
l�hc work t�or which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Codc. This permit is for only the work described and does
not grant permission for additional or related work which requires separatc
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This pem�it will
etpire and become null and void if construction au[horized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any timc alter work has commenced.
The applicant is responsible for assuring all rcquired inspections are
requested in conformance with the State[3uilding Code.This permit may be
revoked at arry^time for due cause.
/ /
Applican ermitee Signature Date Issued By i naturc Date
Co�(e� �fi�.l,�l�vZ� wl�
,5lt�o�t �Piu�L�v�+-�.�
City of Orono
Building Permit Application � �1/g, �
� � .
, for New Structures or Additions
Mailing Address: �
�T PO Box 66 Permit number: 0�0/y—OD 7
�'�`VD Crystal Bay,MN 55323-0066 Date received: 7-07� 'f �
Street Addr�ss:' Received by: �
� ,,� 2750 Kelley Parkway Plan review fee: a�U�/. 3
y�' c, Orono, MN 55356
��kESHO��' Main: 952-259-4600 Total Fee: °?D/`�-00770
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: �� �C i r��-��r-c LavL�
Will this be a Parade of Ho es, Remodelers Showcase Home or other Display Home? ❑ Yes [�]-b'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 available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Ge v�y c_a� H-o w�.�
State License# a Expiration Date:
Phone: cell ( -'1 office
Mailing Address: /D 2 B i v. Mt Cit : '�f ZIP: '
Contact Person: E'fi�h Applicant is: racta / Ho eowner (Clrcle One)
Email and/or Fax: G�}-1,�a��v�n.0 eA �vv�,�s . �oN7
PFcOPERTY OWNER INFORMATION:
Name: �hy.�.0. �o v��e C
Phone (day):
Address: City: ZIP:
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name: TO v` �ohhe ��V
Phone (day): �7L 3-y3�- 45U'�
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro'ect:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8
Water Supply
New Construction Single Family with esidence
❑Addition attached garage ❑Garage/Accessory Bldg. ❑ Public Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑O�ce/Commercial rivate Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
**Any earth movement may require ❑ Commercial ❑Other(specify)
MCWD review&permits. ❑ Industrial rivate Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (Specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
f ax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) $ 6�� 6 6�/
Packet Last Updated: 04/19/2013
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