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HomeMy WebLinkAbout2015-01490 - adv plan review , CITY OF ORONO * 2 0 1 S — 0 1 4 9 0 * • ' 2750 KELLEY PARKWAY DATE ISSUED: 1 U19/2015 ' ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 515 KOKESH FARM RD PIN : 31-118-23-14-0009 LEGAL DESC : KOKESH FARMS : LOT 001 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 750,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 750,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01489 APPLICANT ADVANCED PLAN REVIEW 3,212.57 NARR CONSTRUCTION,INC. TOTAL 3,212.57 P.O.BOX 5007 Payment(s) HOPKINS,MN 55343 CHECK 40290 3,212.57 (952)938-8781 Minnesota State License#: BUIL-3785 OWNER LITECKY,MARK&ANITA 515 KOKESH FARM RD MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed 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 pertnission for additional or related work which requires separate permits. All provisions of►aws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire 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 aze requested i nformance with the State Building Code.This permit may be revoke an time for due cause. �f/) � vv 1`�Q �S� `��-`�C� � / A ic rmitee Sign ure D te Issued By Signature Date .�� ' . 1 City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit number: �C���v' ' (`� t3 PO Box 66 �` �(� Crystal Bay, MN 55323-0066 Date received: � � '— — Street Address:' • �, � c7( U y ; 2750 Kelley Park ay � C��(02 an review fee: ;� .�. Z � �' � Orono, MN 5535 �q'�xsy���" 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: 515 Kokesh Farm Road Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No !f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: N2me: NarrConstruction, Inc. State License# BCo03�85 Expiration Date: 3-31-16 Phone: (cell) 612-816-1091 (office) 952-938-8781 Mailing Address: po Box 500� City: Ho�kins Z�P� s��a� Contact Person: Greg tvarr Applicant is: Contractor / b�l�l��ri�3t (Circle One) Email and/or Fax: anarr cni narrconstruction.com PROPERTY OWNER INFORMATION: Name• Mark R AniTa I itark� Phone (day): ��?-3R�-�2ai Add�eSS: 4360 County Road#6 Cit : Orono ZIP: 55356 Email and/or Fax markliteckv@amail.com ARCHITECT/ENGINEER INFORMATION: N2me: Sharratt Desian Phone (day): 952-4�o-s�5o Address: asa�d 5t__ City: Excelsior Z�P� 5331 ECT181�alld/Of FaX: msharrattlp�sharrattdesian.com PROJECT INFORMATION: Descri tion of ro�ect: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction � Single Family with ❑Accessory Bldg./Garage �Addition attached garage ❑ Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑ O�ce/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 � Private Well Minnehaha Creek Watershed District(MCWD) ❑Othef: (SpeCify) ❑ Oth2r(SpeCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �50,000 Packet Last Updated: August 2015 Page 21 , ii, r;, iii i�'�'7P;. 1» , ,i���hNi�� � ,„ 1�1�I�ii� �'1'i' n) a : i iP�� � �pnt��iluoi i �`���l�i �����o� i�1!Ir ili 'll I�,i1,'T�I�i iiu�0 � I � , ��h � �,�I ,� �� � �yo�, � ill ,�lu �II,, � ��II, p� � I ��' �� 1�I�p iil�l"4i �1lllld!u,�i Ilh i� , i !'G �� �i ��in� i�lh�t�.; �1� �,���� �IU;p, i u � hi ,i J p.,. � <,11 1���� �.i��l.: 1 ';Iltll '�fdp �I 111 �i ii�1 �i iI` i. 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