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Home My WebLink About2015-00643 - adv plan review � ` CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 6 4 3 * DATE ISSUED: OS/2U2015 , ORONO, MN 55356- 952 249-4600 FAX: 952 249 ADDRESS : 2545 NORTH SHORE DR l;ity oT Orono PIN : 09-117-23-41-0003 2750 K�llev Parkway LEGAL DESC : LTNPLATTED 09 117 23 Oror�o MN 55356 952-�49-4600 : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW keceipt No: 3.u1:i472 May 21, 2015 PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Mike Nor th Construction VALUATION : $ 80,000.00 ,pp Nrevious E3alance: NOTE: PLEASE FILL IN THE FOLLOWING: Permits Plan Review 618.96 VALUATION OF PERMIT:$80,000.00 101-34410 TYPE OF PERMIT THIS PAYMENT IS FOR: ACCESSORY STRUCTURE-CAT HOUSE P 1 an l:heck/Si te Exam Fees PERMIT#THIS PRE-PAYMENT IS TIED TO: 2015-00642 _______________ Total: 618.96 Check Check No: 2055 618.9E Payor: Mike North Construr,tion 1[,tal Applied; 618.�� APPLICANT ADVANCED PLAN REVIEW 618.96 TOTAL 618.96 MIKE NORTH CONSTRUCTION Payment(s) 800 NORTH BROWN RD CHECK 2055 618.96 LONG LAKE,MN 55356- (612)246-0027 Minnesota State License#:BUIL-20636890 OWNER VANORDEN,BABIGAIL 2545 NORTH SHORE DR WAYZATA, MN 55391- 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if wnstruction authorized is not commenced within I SO days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. , The applicant is responsible for assuring all required inspections are requested in conformance wi[h the State ding Co . his permit may be revoked at time fo cause. �� ,. -s �.Zl�/ � U � � , �� , '�S A i t it Sig ur ate Issued By Signature Date � . • � City of Orono Building Permit Application for New Structures or Additions Mailing Address: �� 5�� QAT PO Box 66 Permit number: � �vQ Crystal Bay, MN 55323-0066 Date received: StreetAddress:' ' --- y ,�- 2750 Kelley Pa a �'� �� Orono, MN 5535 �15��,�� Plan review fee: � •� P ��p kFSHo Main: 952-259-4600 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 prinf) GENERAL INFORMATION: Job Site Address: ` s`�� 0�'�. ,s �v�l ��, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No lf yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates s�cient on-sife parking is available. Nonyoermitted events will not be allowed. CONTRACTOR/APPLICANT INFOR AT ON: / � Name: / L O/'� �J�/'c-G 7�7U State License# gQ p Expiration Date: �-3/_�1-� Phone: ceU —pp office {, Mailing Address: � � ,� Cit : /(/� ZIP: SS3S Contact Person: B Applicant is: ontract Homeowner (Circle One) � Email and/or Fax: p^ ,� Q �q� -�d PROPERTY OWNE NFORMATION: Name: �.9�,c �a � w�r-A.. � Phone(day): Address: p/� S� �a� �°'• City p,��/t� ZIP• Email and/or Fax � ARCHITECT/ENGINEER INFORMATI N: Name: v� �s � SS �i�G�� l�/�� r s Phone(day): ��/ _ ��—2 �� Address: �6 �--7 ��s,� �,�- Citv'�� Zlp• ,�,�pZc� Email and/or Fax: PROJECT INFORMATION: Description of pro'ect: �1'� /Z f'w� S�� 7� `jv dSe.� � 1.Type of Project 2. Proposed Use 3.Struct Type 4. Sewage Disposal 8 ❑New Construction Water Supply ❑Single Family with Accessory Bldg.f6erage-- ❑ dition attached garage ❑ Deck ❑ Public Sewer Accessory Building ❑ Single Family with ❑ Office/Commercial ❑ Relocation detached garage ❑ Residence ❑Other:(specify) ❑ Multi le Famil /Condo ❑ Private Sewer P Y ❑ Retaining Wal�(s) ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may require ❑Commercial ❑Storage MCWD review&permits. ❑ I dustrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District MCWD ( p (y) ❑Other(speCify) ( ) Other: s eci 15320 Minnetonka Blvd �� ,�� /� Minnetonka,MN 55345 � � f V DN� Phone: 952-471-0590 �� M! % �- f Fax: 952-471-0682 www.m innehahacreek.or Estimated Construction Valuation(excluding land) $ g�, Q�(� Packet Last Updated: January 2015 Page 20