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Home My WebLink About2011-00157 - adv plan review a� -/�.. CITY OF ORONO PERMIT NO.: 2011-00157 � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEv: 03/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 340 LEAF ST PIN : 04-117-23-23-0008 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 028 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW � PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 20,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ BASED ON$2Q000(I READ WRONG SB$30,000)WE WILL HAVE TO COLLECT DIFFERENCE TYPE OF PERMIT THIS PAYMENT IS FOR: ACCESSORY STRUCTURE OF GARAGE PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-00156 APPLICANT ADVANCED PLAN REVIEW 220.51 JUUSOLA&BETH H,BRENT TOTAL 220.51 340 LEAF ST ' LONG LAKE,MN 55356- PAID WITH CC# 9044 OWNER JUUSOLA&BETH H,BRENT 340 LEAF ST LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the i State Building Code. This permit is for only the work described and does ` not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not ` commenced within 180 days of the date of issuance,or if construction is suspended for a period of]80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ��--(�� c�.� I��-- �zd C,�-U�.c�d=,1, J ��C�i�-Q-c1 <..�_.�; , �:�.�uJ�� City of Orono � �� `�'. : -��.�t;ylv�� y �--�L� �, ' Building Permit Application for New Structures or Additions Mailing Address: Permit number. � G �O,j�. PO Box 66 ` Q �' � Crystal Bay, MN 55323-0066 Date received: �e�.:z;. � StreetAddress:' c.Y''�S �' �� Received by: � CL �, � � 2750 Kelley Parkway �C�.a.z c+ C� z i �c�0 . �� Ptan reriewn fee: '�g�Koq�$G Orono, MN 55356 ��-_-� Total Fee: Main: 952-249�1600 Fax: 952-249-4616 www.ci.orono.mn.us This application fo�m must be compteted in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: � / r / r ��3�/ Job Site Address: J �� L�V. l St✓�� Lo� Lu1�2. b Will this be a Parade of Homes, Remodelers Showcase Home or other Disp ay Home? Yes No If yes,a speclal everrt permit is required with Police Department and City Counci/approva!60 days prior to the event. Shuttle bus servke il be required unless applicant demonstrates sufficient on-sJte parking is avaTlable. Non Permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: / Name: ��-P.✓�� 1�,1.ti S D!Gj State License# Expiration Date: Phone: 4 — •- 1 office cell Mailing Address: ?�. t� t' Cit : +� • .a. ZIP: "-3 j Contact Person: r wv.So Applicant is: Contrac or / omeown �c�.�a o�.� Email and/or Fax: � u.u��,�,,., �_^� � k c. p�,aho�», PROPERTY OWNER INFORMATION: r Name: �f�'✓� ��.u5�/u Phone(day): �,- b / f Address: p �e� �• Cit :`a" �c•-rc� ZIP: ,��5-,(� Email and/or Fax ' �1�,,i ARCHITECT/ENGINEER INFORMATION:^.,,_ /� /� j,, Name: .�� w� ! I�'�-�� / ►��i 7 QC.�� Phone(day): �f!- �t'r �� 1 /� j , Address: _ _J�� Gr3� �,,� 'tJ�, City: �7, YO`�1 ZIP: �,5�(��'� Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8 Water Supply ❑New Construction ❑ Single Family with ❑Residence ❑Addition attached garage �Garage/Accessory Bldg. ❑Public Sewer Accessory Building ❑ Single Family with ❑beck Relocation detached garage ❑Office/Commerc�al ❑Private Sewer ❑Other: (speafy) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑Public Water ""Any earth movement may require ❑Commercial ❑Other(specify) MCWD review$permits. ❑ Industrial ❑Private Well Minnehaha Creek Watershed District(MCWD) O er: (S eG � 18202 Minnetonka Blvd a��, �� Deephaven,MN 55381 Phone: 952-471-0590 Fax: 952-471-0682 www.m i nnehahacree k.o r Estimated Construction Valuation(excluding land) $ ��p 5 � � � '� ��'� `�'�; , .,� k�� ;�` «`� G ..� � .r'' c: �k: � ��' � ��