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Home My WebLink About2015-0119 - adv plan review j -� CITY OF ORONO * z 0 1 5 - 0 1 1 9 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2015 ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 10 MYRTLEWOOD RD PIIY : 36-I 18-23-33-0009 LEGAL DESC : MYRTLEWOOD : LOT 001 BLOCK 001 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 1,400,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 1,4000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01198 APPLICANT ADVANCED PLAN REVIEW 5,157.48 TOTAL 5,157.48 CHAMBERLAIN FINE CUSTOM HOMES payment(s) 11578 CHAMBERLA[N CT CHECK 933 5,157.48 EDEN PRAIRIE,MN 55344- (952)649-7653 Minnesota State License#: BUIL-BC661410 OWNER Chamberlain Capital LLC 11578 CHAMBERLAIN CT EDEN PRAIRIE, MN 55344- AGREEMENT A1vD 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 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. 'Che applicant is responsible for assuring all required inspections are �� rcquested in conformance with the State Building Code.This permit may be revoked at any time for due ca�e. � v� �L�'�_.- ��'�� -� S (`' / i � � � Applicant Permitee Signature Date Issued y Signatu Date � Chamberlain Capital LLC Previous Balance: .00 Permits 5,157.48 2015-01199 101-34410 Plan Check/Site Exam Fees --------------- _V-_- 5_157j48 City of Orono Total: ______ Check 5,157.48 iing Permit Application Check No: 933 Payor: V Structures or Additions Chamberlain Capital LLC Total Applied: 5,157.48 Address: _____ Box 66 Permit number: ' � �b l( 00_ 'stal Bay,MN 55323-0066 Date received: � Change Tendered: _ " ===---"`- ddress:' - -- - _ . � Received by: 09/17/2015 02:41PM 0 Keiley Parkw /��' �o, MN 55356 �,�,�� Plan review fee:� � , �g � i2-249-4600 o af�ee: � 3 '-249-4616 www.ci.orono.mn.us �mpleted in full and all required information must be submitted. pplications will be retumed. (P/ease print) ,�ood Rd �rs Showcase Home or other Display Home? Yes No -�� . - ...••...�y�„aa wrtn�olice Deparfinent and City Council approval 60 days prior to the event. Shuttle bus service will be �Cyuued unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Chamberlain Fine Custom Homes State License# Expiration Date: Phone: cell - - (office) Mailing Address: 11578 Chamberla�n Ct Ci . Eden Praine ZIP: 55344 Contact Person: Pau ameron Applicant is: ontracto / Homeowner Email and/or Fax: Pau ,C am er a�ncap.com cci►�ieo�� PROPERTY OWNER INFORMATION: Name: _Chamberlain Capital LLC Phone(day): y52 649 7653 Address: am er am t Ci : Eden Prairie Z�p. 55344 Email and/or Fax Paul ,Chamberlaincap com ARCHITECT/ENGINEER INFORMATION: Name: Design Group C/Christine Charles Phone(day): - - Address: C� : ZIP. Email and/or Fax: ccharles(u�designQroupc.com PROJECT INFORMATION: Descri tion of ro'ect: � 1.Type�f Project 2.Proposed Use 3.Structure T YPe 4.Sewage Disposal 8 �lew Construction Water Supply �Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑Deck ❑Accessory Building ❑ Single Family with ❑Office/Commercial �Public Sewer ❑Relocation detached ara e 9 9 �Residence ❑Other:(specify) ❑Multiple Family/Condo ❑Retaining Wall(s) �Private Sewer ❑Public 4-feet or greater �Public Water '"My earth movement may require ❑Commercial ❑Storage MCWD review 8�permits. ❑Industrial ❑Warehouse Minnehaha Creek Watershed District(MCWD) ❑Pfivate Well �5320 Minnetonka Blvd ❑Other: (specify) ❑Other(specify) Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 i www.minnehahacreek.o ; 4 Estimated Construction Valuation (excluding land) $ 1.4 million Packet Last Updated: August 2015 Page 21