HomeMy WebLinkAbout2017-00015 - adv plan review CITY OF ORONO �0 1 � - 0 0 e � 5 *
2750 KELLEY PARKWAY DATE ISSUED: OU10/2017
ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
AD RESS : 725 LAKEVIEW PKWY
PIN : 06-117-23-34-0008
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 20 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PkOPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 800,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 800,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERM[T#THIS PRE-PAYMENT IS TIED T0:2017-00014
APPLICANT ADVANCED PLAN REVIEW 3,383.20
TOTAL 3,383.20
SWANSON HOMES Payment(s)
1360 HAMEL ROAD CHECK 37787 3,383.20
MEDINA,MN 55340-
(763)478-0320
Minnesota State License#: BUIL-627982
OWNER
RUSIN,GRANT&AMANDA
15508 60TH AVE N
PLYMOUTH,MN 55446-
AGREEMENT AND SWORIv STATEMENT
The work for which this permit is issued shali 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 separate
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 afrer 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 any time for due cause.
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Ap icant Permitee Signature �at�— Issued By Sign ure Date
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� CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
M�BInpAddr�ss: Pertnitnumber: ,G�) ��' �
��Q PO 8ox 66 Date received: - �" �7
Crystal Bey,MN 55323-0066
StreetAddress:' Received by:
y�, `�� 2750 KeYey Parkwe - ���-�(�CJ lan review fee: �
l Orono,MN 56356 �- ---�-_�------
�k$y�0.� Main: 952-249-4600 Total Fee:
Fax: 952-249-4616 www.ci.orono.mn.us
T�de appliceticn'fcirit mt�t 6�"t�pl�id�ih t1�arNdap��q�is��rformaRlon must be-s�al�nit�ad.
Incomplete sppllcations w�ll be retumed. (P/ease pr�nt)
GENERAL INFORMATION:
Job Site Address: "'7 L�l�.z ut e.,.J �w
Will this be a Parade of Homes, Remodelers Showcase Home or o play Home? Yes o
I/Wa,a apac/N ev�er�t permR is requfied w1(h Pdkae DeparLnent end CRy Counc�aPl�va�80 daYs Prio►to dre everd. ShulNe bus aervioe wbl
requlred unleas epplkant demonskatea suAkferR on�efle parking k evaAa6le. Na+-pem�Nfed events w�not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Neme: wk�S�
State License# b�- E�cpirat3on Date:
Phone: c�it -t office �. ''F� -o
Mailing Address: C . ��n+� ZIP: 3
Contact Person: w Applieant is: or / Homeawner 1cra.on•►
Email and/or Pax: ,� :�a- •
PROPERTY OWNER INFORMATION: '
Name: k �rwrxdit ti1
Phone(day): • _ lso e � s� �
Addresa: ��,Z,��$ Gc� �a� /� City: l�h�-vw ZIP: `f �
Emaii and/or Fax K� R..� '
ARCHITECT/ENGIN INFO ATION: ��
Name: �P n'y✓'N � 13•�-S� .�►
Phone(day): o •
Addre6s: C ZIP:
Emeil andlor Fex: � �. -��-
PROJECT INFORMATION: Oesa�i n of ed:
.7yps of Pro�ct 2.Propose Use 3.Structuro Type 4. ewage Dispossl&
Watar Supply
�New Conahudlon �Single Famlly with ❑A�cessory Bldg.!Garege
p� a�ttachod garage ❑Deck ❑Public Se�wer
Q�g��ping ❑ Single Family with ❑Olfice/Commerclal
datachsd ga►age Residence �Pdvate Sewer
�pt�;(�) ❑Multlple FamYy/Condo �Retaining Well(s)
❑Pubiic 4-feet or greater ❑PubWc Water
"*Any earth movement may also requlro ❑Commercial ❑Storage
MCWD revtew&permits. ❑Industrial ❑Warehouse �Private Well
Minneheha Creek Watershed Diatrict(MCWD) ❑Other(BpeClfy) ❑Other(speCify)
15320 Mh►natonka Blvd
Minnetonke,MN 55345
Phone: 952-471-0590
Fa�c 952�471-0682
.minnehehecreek,
Estimated Construction Valuation(excluding land) S � ��
Lsat Updeted: January 2018