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HomeMy WebLinkAbout2014-01470 - retaining wall CITY OF ORONO * 2 0 1 4 - 0 1 4 7 0 * ' 2750 KELLEY PARKWAY DATE ISSUED: 12/23/2014 ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 195 KINTYRE LA PIN : 32-118-23-43-0015 LEGAL DESC : KINTYRE TWO : LOT 1 BC.00K 1 PERM(T TYPE . ADVANCED PLAN REVIEW City ot Orono 2750 Kelley Parkway PROPERTY TYPE : RESIDENTIAL Orono MN 55356 952-249-4600 CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Receipt No: 3.U12516 Qec 23, ?_014 VALUATION : $ 17,000.00 NOTE: PLEASE FILL IN THG['OLI,OWING: Southview Design Inr,. Previuus Balance: .00 VALUAT[ON OF PGRMIT: $ 17,000.00 Permits ?014-01470 195 Kintyre 191.�5 TYPL OF PERMI"C"I'HIS PAYMF•,NT IS FOR: RETAfNING WALL Lane 101--34410 Plan Check/Site Exam Fees Pl?RMI I'#"I'HIS YRf;PAYMENT IS TIGD TO:2014-01424 -------- --- Total: 191.75 Check Check No: 2U385 191.75 Payor: Sp��+hy i aw flac i qn 1 nc. ,c Tota� �" Cham APPL[CANT ADVANCED PLAN REVIEW 191.75 TOTAL 191.75 SOUTHVIEW DESIGN Payment(s) 2383 PILOT KNOB RD CHECK 20385 19l.75 ST. PAUL, MN SS120- (651)203-3036 OWNER Gonyea Homes 6120 GOLDEN VALLEY ROAD GOLDEN VALLEY, MN �5427- AGREF.,MENT AND SWORN STATEMENT I�he work for which this permit is issued shall be perforn�ed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 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 permit will espire 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.'1'his permit may be revoked at any time for due cause. ��� � �--�c�� � �r`� l� , z � �y Appl' ant Perm� ec.i�nature Date Issued By Signature Date � 4 � City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: ��!��/ �a �A,. PO Box 66 � l v� Crystal Bay, MN 55323-0066 Date received: / 2-!Z -/� StreefAddress:' ' ed b : y � 2750 Kelley Parkwa Plan review fee: �' c.� Orono, MN 55356 ����� '7 L � �� ° 7S d • � �qKFSHo�`` Main: 952-259-4600 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: �NT ti 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 ill e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ,l��-r�,.� �o25f.NIE.D � ouTMv���./ �s�s►.1 State License# N//� Expiration Date: Phone: (cell) (a�L�q2?- � isq (office) (Lsi� Zo�- 30�� Mailing Address: a; � Cit : ST, l�nu� ZIP: S--i o Contact Person: `/„�r�.� Do�cScM�E�7 Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: ;�)o��c4�;ed�.s���,✓;P oc` ��arr, PROPERTY OWNER INFORMATION: Name: o,.,� Phone (day): 3 3 - ¢So 0 Address: CR I v2 dLSo,� IUI�F.�nc�t� I-(��y City: �oc,��,,., U�.���y ZIP: ��4 ZZ Email and/or Fax _ ��,���a„�_�e��,,,��,��pc.r�n„n .."� ARCHITECT /ENGINEER INFORMATION: Name: ('iU,� b�c�c�J �eo��SttoriJ�ac�S Phone (day): _ f�z� 3a 3 - S3 i� Address: ��q G-,yN��-r,E /��E S S-r� 70o CitY��c,G6M�AJCTU� ZIP� SS4Zo Email andJor Fax: S�-e�e��,c.d� -u S•C.oM PROJECT INFORMATION: Description of project: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8 Water Supply ❑ New Construction �Single Family with ❑ Residence ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer �Other. (specify) QFY ,��4 W,a�� ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial �[Other(specify) MCWD review& permits. ❑ Industrial e�Y4,..,i,��,����r,�5 ❑ Private Well Minnehaha Creek Watershed District(MCWD) Other: (SpeCify) 18202 Minnetonka Blvd � ,� � Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) � �1 0�o � Packet Last Updated.• April 2014. Page 17 of 19