The URL can be used to link to this page

Home My WebLink About2016-00248 - adv plan review CITY OF ORONO * 2 0 1 6 - 0 0 2 4 8 * .�a 2750 KELLEY PARKWAY DATE ISSUED: 03/15/2016 r- ORONO,MN 55356- 952)249-4600 FAX: (952) 249-4616 ADDRESS : 3536 LYRIC AVE PIN : 17-117-23-43-0056 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 200,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 200,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00247 APPLICANT ADVANCED PLAN REVIEW 1,130.95 TOTAL 1,130.95 GRADY RESTORATION LLC Payment(s) 760 APPLEGARDEN ROAD CREDIT CARD 3402 1,130.95 MOUND,MN 55364 (952)472-1576 Minnesota State License#:BUIL-BC653190 OWNER GRADY,KEVIN 760 APPLEGARDEN RD 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 Ciry approvals,and the State Building Code. This permit is for only the work described and dces 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.l'his 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. � f2�j 3 �� s �,� �� /��.s�-Ps v � � �S � �Ln Applic t Permitee 'gnature Date Issued By Signature Date .... • City of Orono Building Permit Application for New Structures or Additions Mailing Address: Permit nurnber: oA, Po BoXss 2ot - � � f v0 Crystal Bay, MN 55323-0066 Date received: � �—1 c�--1�� Street Address:' eceived by: �—G-� '� ,�* 2750 Kelley Parkway T � t ,C�� '� ��` Orono, MN 55356 _._ ��}�`'��'� ��' �a�eview fee: �kFSHo� Main: 952-249-4600 �" 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: _�3 � L�i r � c. /�r�C Vv�, �,.� ��/ Will this be a Parade of Homes, Remodelers Showcase Home or other isplay Home?��❑ Yes � No I f yes, a specia l even t permi t is require d wi t h Po lice Department an d City Council approval 60 days prior to the event. Shuttle bus service will be requrred un/ess applicant demonstrates sufficient on-site pa�king is available. Non-permitted events will not be a/lowed. CONTRACTOR/APPLICANT INFORMATION: Name: r �I 2 State License# l3 G(2� 3 l S a Expiration Date: � � Phone: (cell) f�s I-8�5-/ 6 �oL (office) Mai�ing Address � Z� ,4 .� ,�P� Cit : M ,� d ZIP: 5 ,. Contact Person: �,,,� „ r Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ti .. �,d r�. ' � .�v� PROPERTY OWNER INFORMATION: Name: �:�v�r �YAd,/ Phone (day): 7(��, -�3�_ fj�f?`—� Address: `7 l�0 I � , Cit : M �,,,, Z�p; �`S � Email and/or Fax ��-r�;n ��,,-h � �.5.}a�� ,�;v„,�� ARCHITECT/ ENGINEER �NFORMATION: Name: /��..�,,,c� � ►�.r�`So I�1�,.� S Phone (day): 4 o Z— �t�(5 �oy� Address: � �� 2 O wr"i f.).�-~ f"14-g-�. �� r #� E b Q CitY� C�k�c,h�. ZIP• 66l 3 D Email and/or Fax: t.� �2.- �,��°,� oc�e � PROJECT INFORMATION: Description of project: 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& (�New Construction Water Supply �(j Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑Accessory Building ❑ Single Family with ❑ Office/Commercial � Public Sewer ❑ Relocation detached garage � Residence ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater �J Public Water *"Any earth movement may require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse Minnehaha Creek Watershed District(MCWD) ❑ Other: s eCi ❑ PrivBte Well 15320 Minnetonka Blvd � P �� ❑ Othef(SpeClfy) Minnetonka, MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.m innehahacreek.or Estimated Construction Valuation (excluding land) $ ) 0 Q , D o p Packet Lasf Updated: January 2015 Page 20