HomeMy WebLinkAbout2012-00402 - adv plan review CITY OF ORONO * z 0 1 2 - 0 0 4 0 z *
,� 2750 KELLEY PARKWAY DATE ISSUED: 05/14/2012
ORONO,MN 55356-
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 1220 LAKEVIEW AVE
PIN : 10-117-23-24-0019
LEGAL DESC : UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 30,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 30000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-GARAGE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00403
APPLICANT ADVANCED PLAN REVIEW 303.39
SCHNOOR,MR.&MRS.DOUGLAS TOTAL 303.39
1220 LAKEVIEW AVE
WAYZATA,MN 55391
OWNER
SCHNOOR,MR.&MRS.DOUGLAS -
1220 LAKEVIEW AVE
WAYZATA,MN 55391
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 permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing 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 are
requested in conformance with the State Building Code.This permit may be
revoked at time for due cause.
_y �; f ��olz , ,
Ap licant -ermitee Sign t re Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� � �
�
, ,� City of Orono � �
(�!l�� �uildin Permit A lication � � �
J p p ��, -��.s
for New Structures or Additions
--- Mailing Address: Permit number: � � (�' ��
� PO Box 66
'�� �����.
i0 , Q'��,, Crystal Bay, MN 55323-0066 Date received: � — �—�
�1��a �^yS4�✓.J��:,_ �,��� Sfreet Address:� Received by: �
���,�e, ,�}���;�,�ty'�� ��,� 2750 Kelley Parkway Plan review fee: �Ca� .�j
\"t`�g�sHOSa.�,�> Orono, MN 55356
-=—_- Total Fee: �Ofc�-��yD7--
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 4 -LOIL-0010
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERQL INFORMATION:
Job Site Address: � ,� � � - ,�,�j ��' ` ,� ' ti ,c J`�'1 IL j 5�� i
Will this be a Parade of Homes, Remodelers Showcase Home or other Displa Home? ❑ Yes �No
!f 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/qP�PLICANT INFORMATION:
Name: 41G (�c �- C�;r�,r��- �� ��C�(���'
State License# , Expiration Date:
Phone: �� - �( ��- (�S�,� (office) (cell)
Mailing Address: LC.,. � C,,,; }� � Cit : .} ` ZIP: �� � �'
Contact Person: /�.i C��mc� �c_4�r�.c�n; Applicant is: Contractor / Homeowne (circ�e o�e)
Email and/or Fax: ;����, r n-.«,: �,�_},r.c�n r h� � �� r� �=� i ��--.�n s��-�.� ..C�- ,v�
PROPERTY OWNE�t INFORMATtON: �
Name: ��� � c� � l\)p f rv��� S�hr�^r;"
Phone(daY)� y��� .�/;,}� - (��3S �t'Uc,;�c_- wc . �;�
Address: i 'l.�c�' Lc. k �- �; ���,�� tA- J e City: �,U(1:�?_c-t�-� ZIP: �J 5�3 r)
Email and/or Fax y��, ��r•�a 6 S r (-�n��� �� �er,� r� i�,�.� �n�-!-;. c c�r�--�
._
ARCHITECT/ ENGIPIEER INFORMATION:
Name:
Phone(day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑ New Construction [�Single Family with ❑ Residence
[v]'Addition attached garage �"Garage/Accessory Bldg. [�"Public Sewer
❑Accessory Building ❑ 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 [YPrivate 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 O�"i(i