HomeMy WebLinkAbout2016-00534 - adv plan review CITY OF ORONO * Z 0 1 6 - 0 0 5 3 4 *
.. 2750 KELLEY PARKWAY DATE ISSUED: OS/17/2016
ORONO, MN 55356-
'► (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 940 NORTH ARM DR
PIN : 07-117-23-11-0014
LEGAL DESC : PIRATES COVE
: LOT O10 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
COIVSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 145,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUAT[ON OF PERMIT:$ 145,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW MANUFACTURED HOME
PERMIT#THIS PRE-PAYMENT[S TIED TO:2016-00533
APPLICANT ADVANCED PLAN REVIEW 905.72
VILLAMIL CONSTRUCTION CO. TOTAL 905.72
Payment(s)
5535 COUNTY ROAD 151 CREDIT CARD 2241 905.72
MINNETRISTA, MN 55364-
(612)221-7511
Minnesota State License#: BUIL-20633780
OWNER
OLSHANSKY, ROMAN
76 KINGSVIEW LANE N
PLYMOUTH, MN 55447-
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 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 h the State Building Code.This permit may be ���p
revoked at any time for du us � �/�'�
.�. L ' . � � �-�.� `�Z,' J / `/
� �Z � i r `
Applicant Permitee Signature Da Issued By Signature Date
' CITY OF ORONO
� BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
A, Mailing Address: Permit number. G C�� ��� J-
�"�`vO PO Box 66 �
Crystal Bay, MN 55323-0066 Date received: {�"1 Z'�'�
., � Street Address:' C ` � ��� eceived by: !� `
��.! �. 2750 Kelley Pa y �(; ` `P v �' lan review fee: �5•
q,�FSH���c. Orono, MN 55356 � , _ ..
Main: 952-249-4600 --�� o-T-�aT�ee�
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 witl be returned. (Please print)
GENERAL INFORMATION:
JobSiteAddress: 94o North Arm Drive, Orono, MN (PID# 07-117-23-11-0014)
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No
!f yes,a special event permit is►equired with Police Department and City Council approval 60 days prior to the eveirt. Shuttle bus service will be
required unless applicant demonsbates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: villamil Construction Co.
State License# BC633780 Expiration Date: o3/3i/2o1�
Phone: (cell) 612.221.7511 (office)
M2111ftg Addf@SS: 5535 CR 151 Clt : Minnetrista ZIP: 55364
Contact Person: Ian villamil Applicant is: Contractor Homeowner (CircleOne)
Email and/or Fax:
PROPERTY OWNER INFORMATION;
NBme: Roman Olshansky
PhO�@(d2y): 612.296.0409
Address: 14545 7th Ave N City: Plymouth ZIP: 55447
Email and/or Fvc romanolshansky26@gmail.com
ARCHITECT/ENGINEER INFORMATtON:
Name: Kevin Factory Home Center
PhOfte(d8y): 507.644.2115
Address: 2e5o2 State Highway 55 East City: Paynesville ZIP: 6362
Email and/or Fax: kevinc�factoryhomes.net
PROJECT INFORMATION: Description vf ro�ect: � P`'`'' � � �f"� �y�-
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8
Water Supply
� New Construction ❑Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage ❑ Deck � Public Sewe�
❑Accessory Building � Single Family with ❑Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
0 Other: (specify)Manufactured hom ❑ 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 Qx Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) �Other(specify)
15320 Minnetonka Blvd Manufactured Home
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) a 145,o00.o0
Last Updated: January 2016