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/)
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A ic rmitee Sign ure D te Issued By Signature Date
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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
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