HomeMy WebLinkAbout2016-01210 - adv plan review CITY OF ORONO * 2 0 1 6 - 0 1 z 1 0 *
2750 KELLEY PARKWAY DATE ISSUED: 09/27/2016
,,,, ORONO,MN 55356-
- (952)249-4600 FAX: (952) 249-4616
ADDRESS : 770 LAKEVIEW PKWY
PIN : 06-117-23-34-0011
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 8 BLOCK 3
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY 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
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01209
APPLICANT ADVANCED PLAN REVIEW 3,383.20
TOTAL 3,383.20
Norton Homes Payment(s)
MAJKRAZAK,JEFF CHECK 6036 3,383.20
6985 OAK RIDGE RD
CORCORAN,MN 55340-
OWNER
Norton Homes
MAJKRAZAK,JEFF
6985 OAK RIDGE RD
CORCORAN,MN 55340-
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 da f issuance,or if construction is
suspended for a period of 180 days a an time after work has commenced.
The applicant is resp ns' le for as in all required inspections are
requested in confo an with tat Building Code.This permit may be ///�n
revoked at any tim r ue c «��
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G��2? ��� � �
Applicant Pe itee gnature Date Issued By Signature Date
F•
CITY OF ORONO
, BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O� Mailing Address: Permit number: o�Q� �o —�/o?
O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address:' Received by:
� G� 2750 Kelley Parkway (�i� �83 , �
�' Plan review fee:
�1�kESH��� Orono, MN 55356 �
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be compieted in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: 7(J � V/�-w �C�,,��(cH/
Will this be a Parade of Homes, Remodelers Showcase Home or othe isplay Home? ❑ Yes No
/f yes, a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service wi be
required unless applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFO ATION:
Name: �/Or''-I� dn7� uC
State License# �G �c, 9 a-1� Expiration Date: - /- / 7
Phone: (cell ly- (�- 7!P!o� (office 7�i3•SS ��- 9/
Mailing Address: ,N► N S�C, Q Cit : ZIP: .SsSIY
Contact Person: Ch r�S No►"�a�.� Applicant is: tractor Homeowner (Circle One)
Email and/or Fax: G17r'1 S rt�� nor�4ar� �1vr+eC cc�-�
PROPERTY OWNER INFORMATION:
Name: ,�� /'YI
Phone (day): (i� 1-'7 Sb '�0
Address: 0 'd � Cit : C�YC'C/fco�r-� ZIP: SS3`�(�
Email and/or Fax � n Y .
ARCHITECT/ENGINEER INFORMATION: • ,
Name: Ja,rn cS /1'Lc..l'�1e� �7L�I1 /� " �3t9n
Phone (day): (.i f 1�q�j0 ' b3�'
Address: jSOSO �3r' /9-✓L �1 City: P��f/'yj�T� ZIP: S�Y�
Email and/or Fax: JG�rn.eS m c-l�{ /C 0 c c�v�
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 �esidence
❑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 also require ❑ Commercial ❑ Other(specify)
MCWD review&permits. ❑ Industrial �rivate Well
Minnehaha Creek Watershed District(MCWD) ❑ Othe�: (SpeCify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) � `�OD_O d�..D�