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Home My WebLink About2015-00247 - adv plan review CITY OF ORONO * z 0 1 5 - 0 0 z 4 7 * 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2015 '` ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3438 LYRIC AVE PIN : 17-117-23-43-0077 LEGAL DESC : NAVARRE HEIGHTS : LOT 023 BLOCK 005 i;i ty o"t Or ono PERMIT TYPE : ADVANCED PLAN REVIEW �750 Kel ley Parkway PROPERTY TYPE : RESIDENTIAL Oror�o MN 55356 952-249-46U0 CONSTRUCTTON TYPE : ADVANCED PLAN REVIEW Receipt No: 3.012883 Feb 27, 2i)15 VALUATION : $ 210,000.00 Atlas Homes Inc NOTE: PLEASE FILL IN THE FOLLOWING: Previous Balance: .OU VALUATION OF PERMIT:$ 210,000.00 Permits 2015-00247 1,171.6ti 101-34A10 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME Plan Check/Site Exam Fees PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00246 Total: ",___1_171_68_ Cneck Lt��eck No: 001128 1,171.68 Payar: Atlas Homes Inc � �i Ac�t�'��': 1.171.68 APPLICANT ADVANCED PLAN REVIEW 1,171.68 TOTAL 1,171.68 ATLAS HOMES INC Payment(s) 7082 EAST FISH LAKE RD CHECK 00128 1,171.68 MAPLE GROVE,MN 55311- (763)425-3333 Minnesota State License#: BUIL-BC20269686 OWNER Atlas Homes Inc 7082 EAST FISH LAKE RD MAPLE GROVE,MN 55311- 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. A11 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 any time for due cause. / ! f� . ✓V""`� v�.i` �_1�-- t�_ � i. (.� ) �;( � ? Z � � � /� Applicant Permitee Signa re Date Issued By Signature Date � City of Orono Building Permit Application for New Structures or Additions Mailing Address: , � �Q PO Box 66 Permit number. ZD I,j— � � Q Crystal Bay, MN 55323-0066 Date received: 2 Z�J� (� Street Address:' Received by: �J y ,� 2750 Kelley Parkw �(( � `� � �� Orono, MN 55356 �� PI� review fee: `�kfSHO �' Main: 952-259-4600 2015 Tota F e: 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: �j ��j � v�L � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No lf 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: ,� �Ownes �� State License# Q[,2.(�°1(�Q, (P Expiration Date: U 5 Phone: cell 6� N�q office �b� y Z 3 3 3 Mailing Address: �7 o a 2 y�,7-}- `sk l.�C� i(�v� Cit : G�o�e ZIP: �� Contact Person: /j�d,� �,tJa� Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: yv�p,r �Q ct-4-�aS �lb yN�S wt yt, , �o� PROPERTY OWNER INFORMATIO�V: Name: �'4'��kS �o�S �'^�-- Phone(day): 7 Z� 3 3 3 I� � Address: ��S F� h �t 1� Cit : 6'�.- ZIP: �S 3� � Email and/or Fax �u✓ �L�,��,�� hb ,,,,� s �,,,,�w- �o,,,,� ARCHITECT/ENGINEER INFORMATION: Name: � i`t�. �.� ,� Qe�,` r� Phone (day): 3 1 S Address: � � �go � Cit : d Sst(� ZIP: �j S 36� Email and/or Fax: ;�i-}r� q � 1/I SI - �ov+/� PROJECT INFORMATION: Description of project: 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 require ❑ Gommercial ❑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.mi nnehahacreek.or Estimated Construction Valuation (excluding land) $ , � Q � �O� , Q(� Packet Last Updated.� January 2015 � Page 20