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Home My WebLink About2016-00413 - adv plan review CITY OF ORONO * Z 0 1 6 — 0 0 4 1 3 * , 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1830 SHORELINE DR PIN : 10-117-23-42-0002 LEGAL DESC : AUDITOR'S SUBD.NO.356 : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 1,575,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 1,575,000 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00412 APPLICANT ADVANCED PLAN REVIEW 5,635.45 TOTAL 5,635.45 STONEWOOD DESIGN BUILD Payment(s) 7407 WAYZATA BLVD CHECK 14030 5,635.45 MINNEAPOLIS,MN 5542Cr (952)697-5075 Minnesota State License#:BUIL-BC594315 OW1�1ER TUFAA&NEDIYO SADO,TASHITTA 1224 CEDAR POINTE DR N MINNETONKA,MN 55305- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. 1'his permit is for onty the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws 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 are requested in conformance with the State B 'Iding Code.This permit may be � revoked a y time for due cause. f�J�n �,� �� "2Z' �-� ��Q.`�c7 U i a`� I I� Applicant ermite Signatu Date Issued By S ature Date . � ,� CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS �O ♦ _O Mailing Address: Permit number: Z D�L� 'bv�-I��- 1�� PO Box 66 Crystal Bay, MN 55323-0066 Date received: `LZ Street Address:� �y� 2, � � y � 2750 Kelley Parkw .- l/� � ( ✓ Plan review fee: �t�kESH�4�G Orono, MN 55356 �"Q)� �- � C� 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: f $3 o S't��L,nF R,v� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes '� No If yes,a specia/event permit is required with Police Department and Ciry Council approval 60 days prior to ihe 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: Name: ��v,u�,o�c� � L�� State License# �L�q 9-3�� Expiration Date: Phone: cell IZ- b'� - Z6 u office i2- CZ- oq� MailingAddress: ��3 �,�T � -r• City: w�}-y�/�-i-fl ZIP: �3q � Contact Person: S y�,� G�s �Fs�•J Applic nt is: C r or / Homeowner (Cfrcle One) Email and/or Fax: Sy�,,� .� S�c �,oe . Cow.. ,�DI�-t��5�ev�cx��• �--�r� PROPERTY OWNER INFORMATION: Name: �.45 h ,sR/� T�FAR� Phone (day): - - 'L Address: � 0 q �/� M�ss i ss,PP� l N City: cl��M PL�� ZIP: SS31 � Email and/or Fax ,tvF�A � ,�nefia-�TN. c�r� ARCHITECT/ENGINEER INFORMATION: • Name: ��,,.�„s �, �� r� Phone (day): 5�1• 2�3•36 3� Address: l53 E• E Cit : V`�AK��+ Z�P: S 9 Email and/or Fax: �o� , s�o�e�,..a.�. «.�- 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 ❑ 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 �r 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.or Estimated Construction Valuation (excluding land) � l, Sr] -�'j� �OC7 Last Updated: January 2016