Loading...
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