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Home My WebLink About2015-00053 - new house CITY OF ORONO * 2 0 1 5 - PJ 0 0 5 3 * � � 2750 KELLEY PARKWAY DATE ISSUED: OU20/2015 � ' ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3135 NORTH SHORE DR PIN : 09-117-23-32-0018 LEGAL DESC : REG. LAND SURVEY NO. 1113 : LOT 000 BLOCK 000 PERMTT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 340,076.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 340076.00 TYPE OF PERMIT THIS PAYMENT IS FOR:NEW HOUSE PERMIT#THIS PR�PAYMENT IS TIED TO:2015-00054 APPLICANT ADVANCED PLAN REVIEW 1,708.13 TOTAL 1,708.13 REVOLUTION DESIGN BUILD Payment(s) 18110 MINNETONKA BLVD CHECK 7073 1,708.13 WAYZATA,MN 55391- Minnesota State License#:BUIL-631863 OWNER MARX,KELLY 3135 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 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.This perrttit 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 confortnance with the State Building Code.This permit may be tevoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date b � .�� -� � Ci of Orono �� • � �l Building Permit Appl�cation for New Structures or Additions _ ps Meiling Address: Permit number. � PO Box 66 �01vO Crystal Bay,MN 55323- 1 Date received: _� ��V/ Received by: D�.� Street Address:' '1. � Plan review fee: D S_ � 2750 Kelley Par�y � ��_ ! Orvno,MN 55356 �`�t,��SHo�,�� Main: 952-259-4600 ci.orono.mn.us To e' � Fax: 952-249-4616 �►� \ This application form must b e$mpca��s��bea1re�tu�m�d d��ea�a print)ust be submitt lncomplet pp GENERA� �NFORMATION: v� �3°►I Job Site Address: 3 3S va160 days prior to the eve,nt. Sh le us servfce w�H be O Will this be a Parade of Homes, Re�od�e�rm S aowc.as�no me�or othe Display Home? Yes /�yes,a sp�i�event perm'd is required with Po! P itted events wiN not be allowed. required unless applicant demonstrates sufficieM on-site Park+n9+s available• Non-P�m CONTRACTOR I APPLICANT INFORMATION: � „�+�.,.,n:,tR 3 31 1PN. Name: v�,� �,�F.[�oG��,Ac ��,o� State License# '3 'S �f�ce S • �E -50 Phone: � GI - -T SS Ci : p� ZIP: Mai{ing Address: lo qpplicarrt is: orrtr'a�tor' / Hom�wn�' t��"�O� � �_� A. wG��/'� �2 Contact Person: Email andla Fax: ' PROPERTY OWNER INFORAAATION: Name: � Phone(dayj: q52 ��—'$082" Ci : �Ja ZIP: S�� Address: 1 S S � Email and/or Fax (l.O� ARCHITECT 1 ENGINEER INFORMATION: Name: Phone(day}: C� : ZMP: Address: Email andlor Fax: p,,� � o �0�� PROJECT tNFORMAT{ON: Descti ion of ro'ect: SEUt� 3.Structure Type 4.sewa9e Disposal8� 1.Type of Project 2.Proposed Use Water Supply `�Single Family with ❑Accesg°�Y B�dg.I Garage �Pu��Sewer �New Construction a�ached ga�ge ❑Deck Addition � Single Family with ��COm��e� ❑Private Sewe� ❑qccessory Building de�ached garage esidence ❑ Relocation �Multiple Family/Condo Retaining Wall(s) �Pub��water ❑Other.(specify) �public 4-feet or greater ire ❑Corrnr►erciaf ❑Storage �Private WeR *'My earth movemer►t may requ �lndustriai ❑Warehouse MCVYD review&permits. Mcw�} ❑Other.(specify) ❑Other(speaiY) Minr�haha Creek Watecshed District( 1532(?Mi�u�etcx�ka Blvd Minnetonka,MN 55345 Phate: 952�71-0590 Fa�c 9521t7t-0682 .min ehahaaeek. r � S ��07�i.O0 Estimated Construction Valuation(excluding land) P�Cet tast Updated: January 2015 p�20 � r . .. . . •. . .• .. .. . . v.<<ory. I�7.3 O�' , REVOLUTION DESIGN AND BUILD LLC TCF BANK W g 78110 M(NNETONKA BOULEVARD so1 MARQUfTTE AVENUE �` � WAYZATA,MN 55391 MINNEAPOUS,AAN 55402-3475 �G�' 17-70000/2910 ��'��5 @ � ORDER OF� G(�(� OF Orvl� W I��$'+3 � O� '17�10'�� tiVE1J"IaN1�lD�f7D A(oMtS� �JP �s/IaD Rs m y 8 _ T I Memo �� i � i�'007073�i' �: 29 L07000 L�: L439353406�i' n� n,P �W,o KELLY J MARX 7696 MELODIE S MARX »-�ooa2s�os3 1 WEBSTER PL � � 3869380948 HOPKINS,MN 55305 ate f O yer of e � �(J� �(/'•�Q �!W / . ° � } ' Dollars �i � .... .� TCF National Bank .�1 tc�ank.com Memo�t/f � ��J�X�Ai rP �: 29 i07000 L�: 3869380948�' 076 6- ��