HomeMy WebLinkAbout2017-00444 - adv plan review CITY OF ORONO * Z 0 1 7 — PJ 0 4 4 4 *
2750 KELLEY PARKWAY DATE ISSUED: OS/03/2017
� ORONO, MN 55356-
� (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2649 CASCO POINT RD
PIN : 20-117-23-24-0029
LEGAL DESC : SPRING PARK
: LOT 138 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 10,000.00
NOTE: PLEASE F[LL[N THE FOLLOWING:
VALUATION OF PERM[T:$ 10,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: ATTACHED DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00443
APPLICANT ADVANCED PLAN REVIEW 130.86
TOTAL 130.86
M& M HOME CONTRACTORS Payment(s)
413 PAUL AVE S CREDIT CARD 4828 130.86
COLOGNE, MN 55322-
(612)220-4521
Minnesota State License#: BUIL-BC560376
OWNER
K[NDL, DUSTIN&CASIE
2649 CASCO PT RD
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 separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not speci6ed 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 any time for due cause. � ����
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Applicant Per �ee Signa e ate Iss�ed By Signature Date
' CITY OF ORONO
� BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�OA ,O Mailing Address: Permit number: (� " �'� (�.�
��� PO Box 66 .1
Crystal Bay, MN 55323-0066 Date received: �l� `7
StreetAddress:' eceived by: �
y�, G� 2750 Kelley Parkway ��'� lan r �w fwe,e� ��
t.qkFSNo��. Orono, MN 55356
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: � �4� �SC o� -�• ��o�O,�'lN Cvs,35 lo
Will this be a Parade of Homes, Remodelers Showcase Home or other Disp ay Home? ❑ Yes �'No
If 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/APPLICANT INFORMATION:
Name: ' ���. � w�-Q_ ti�
State License# 'g�c,�p3"\b Expiration Date: 'Zp
Phone: (cell) �„\2`SS�-1 -2SSb (office) �S'Z="\�11- 3�lZp
Mailing Address: Cit : �,o ZIP: � 'Z'�
Contact Person: '��"'L.� Applicant is: ontrac or Homeowner (Circle One)
Email and/�r Fax: '�Z p� ` . C..E�N..•.,
PROPERTY OW ER INFORMATION:
Name: s`��`�- C1'.�-S��_�%t�v1G���
Phone (day): (0�2-�{�L{ "2��6�1
Address: � Cit : �,9v�pJ`, ZIP: �jS�j Lp
Email and/or Fax ' @
ARCHITECT/ENGINEE INF RMATION:
Name:
Phone (day): —
Address: Cit : ��Y�S ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project: ��4�`� �� `fO �(low�� .
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 ❑Office/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 also require ❑ Commercial ❑Storage
MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(SpeCify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ ���OOo .
Last Updated: January 2016