HomeMy WebLinkAbout2015-00947 - adv plan review CITY OF ORONO * Z 0 1 5 - 0 0 9�
2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015
, - ORONO, MN 55356-
" (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1151 NORTH ARM DR
p�N : 07-117-23-14-0052
LEGAL DESC : SKARP& LINDQUISTS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATTON : $ 7,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 7,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED GARAGE
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00946
APPLICANT ADVANCED PLAN REVIEW 100.68
TOTAL 100.68
VOGSTROM,PAUL Payment(s)
1151 NORTH ARM DR CHECK 2146 100.68
MOLJND,MN 55364-
OWNER
VOGSTROM, PAUL
1151 NORTH ARM DR
MOUND, MN 55364-
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 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 n ,
requested in conformance with the State Building Code.This permit may be _ �I�'�
revoked at any time for due cause.
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Applicant Permitee Signature Date [ssued By Signature Date
CITY OF ORONO
. ' ' BUiLDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�A,.O Mai/iPOBox66. Permitnumber: Z�� � �
i v
Crystal Bay, MN 55323-0066 Date received: �7
� Street Address:' �
y�. G�'� 2750 Kelley Parkway �� � lan review fee: . �D$
�a�sHo�`�' Orono,MN 55356 2 b� 't'�
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.
Incompfete applications will be returned. (P/ease print)
GENERAL INFORMATION: ,/�_,,
Job Site Address: � � S� , i''"/ �1 `Z.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
K yes,a special event perm/t is required wflh Po/ice Department and Clty Coundl approva/60 days prior to the event Shuttle bus�ivioe wil!be
requlred unless applicant demonsbates suA"icient on-site parking Is availab/e. Non permitted events will not be allowed.
CONTRACTOR/AP�ICANT INFORMATION:
Name: T�JI �I�r.�r�ov�c� /—���.,.cb��
State License# Expiration Date:
Phone: (cell) (office)
Mailing Address: Cit : ZIp•
Contact Person: Applicant is: Contractor / Homeowner �c�.cb o��
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �iq.�� l�D cs.r„ea,,,,�
Phone(day): ��Z- Z�'n 9 Y��
Address: ���_ys),•,2-1'L� �,,,,� !'�i2. CitY� O��NV ZIP• �S'„3�±-�
Email and/or Fax �,or,�� v�,��5.r,2�. �.� �,,�
ARCHITECT!ENGINEER INFORMATION:
Name: �( �,�,�.�2�
Phone(day):
Address: City: ZIP•
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro'ect: '�� c�-f-� �'�1��
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8�
�I�w Construction Water Supply
❑Single Family with �i4r.�essory Bldg./Garage
❑Addition attached garage ❑ Deck lic Sewer
❑Accessory Building ❑ Single Family with ❑Office/Commercial
❑ Relocation detached garage ❑Residence
❑ Other.(specify) ❑ Muwple Family/Condo ❑ Retaining Wall(s) � Private Sewer
❑ Pubiic 4feet or greater ❑ Public Water
**Any earth movement may also require ❑ Commercial ❑Storage
MCWD review&permits. ❑ Industriaf ❑Warehouse �rivate Well
Minnehaha Creek Watershed District(MCWD) ❑p�e�;�sp�y� ❑Q�B�(speCify)
15320 Minnetonka Bivd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minn hat�acreek.o
Estimated Construction Valuation (exciuding land) $ _���-��
Last Updated: January 2015