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Home My WebLink About2015-00815 - adv plan review CITY OF ORONO * 2 0 1 5 - 0 0 8 1 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2015 ORONO, MN 55356- � 952 249-4600 FAX: 952 249-4616 ADDftESS : 4009 NORTH SHORE DR PIN : 07-117-23-44-0004 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 600,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 600,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00814 APPLICANT ADVANCED PLAN REVIEW 2,700.48 TOTAL 2,700.48 Craig Scherber&Associates,Inc. Payment(s) 305 LAKEVIEW DR CHECK 10042 2,700.48 TONKA BAY,MN 55331- (612)810-3484 City o� Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 OWNER Receipt No: 3.013674 Jun 23, 201� Craig Scherber&Associates,Inc. 305 LAKEVIEW DR Crdig Scherber & Associates TONKA BAY,MN 55331- Previous Balance: .00 Permits Plan Review 2,100.48 AGREEMENT AND SWORN STATEMENT 101-3d410 The work for which this permit is issued shall be performed according to Pian Check/Si te Exam Fees the approved plans and specifications,applicable City approvals,and the --------------- S[ate Building Code. This permit is for only the work described and dces Tote l: 2,700.48 not grant permission for additional or related work which requires separate _______________ permits. All provisions of laws and ordinances governing this type of work Cheek shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not CheCk No: 10042 2,700.48 commenced within 180 days of the date of issuance,or if construction is PeyUr: suspended for a period of 180 days at any time after work has commenced. Crel g SCherber & Associates The applicant is responsible for assuring all required inspections aze TotB? Appl led: 2,7G0.48 requested in conformance with the State Building Code.This permit may be --------------- revoked at any time for due cause. Change Tendered• .00 1 f ' � --__-___- --- (' � � , -- � -=---= � 1...�. ;�/�_ �L �� , 06/23/2015 02:51PM App cant Permitee Signature Date Issued 13y signature Date City of Orono Building Permit Application � for New Structures or Additions ' Mailing Address: permit number. '� � � QA. PO Box 66 � `wQ Crystal Bay,MN 55323-0066 Date received: � Street Address:' ' y ,� 2750 Ke�ley Parkway n:11�� f�: s'v"1 , '" c? Orono,MN 55356 L V► VV ��'rESH�Q'� Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono.mn.us This application fortn must be completed in full and all required infortnation'must be submitted. lncomplete appUcatlons will be retumed. (P/ease print) GENERAL INFORMATION: ,!� Job Site Address: �_QR�� jl{ �-+(' Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No N yos,a specie/evenl permit is requ�ed with Police Department and City Council approve/80 days priw to the event. Shuftle bus service wdl be requi�ed unless appliceM demonstrates su/Ficient on-sife perkirg is available. Non-permitted events wAI rrot be allowed. CONTRACTOR/APPLICANT INFORMATI�Of� Name: �'i)e(`c�tya tH!'j/yleS �.'N� State License# QCap�5�'7 Expiration Date: —3J�-/�e Phone: cell office p� � Mailing Address: �(QoS CavhOu t f�[" City ^ti.r�rxa�4� p• yt� Contact Person: rv� � Applicant is: / Homeowner �a.d.on.� Email and/or Fax: �}^�� p /�J[�r� �Ps C,,,,,,,,, PROPERTY OWNER I ORMATION: Name: �i`� ��rL�r . Phone(day): _ ^- pp Address: '?oS viG,� _ _ Citv:�v�/ � ZIp• �� Email and/or Fax "+' ARCHITECT/ENGINEER INFO MATION: Name: S � Phone(day): _ / Address: � r� Cit :�l n,1�_ ZIP: " `T Email and/or Fax: PROJECT INFORMATION: Descri tion of ro'ect: -'�-LV 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply �New Construction �Single Family with ❑Accessory Bldg./Garage Addition attached garage ❑Deck �Public Sewer ❑Accessory Building ❑ Single Family with ❑Office/Commercial ❑Relocation defached garage ❑Residence ❑Private Sewer ❑Other.(specify) ❑Multiple Family/Condo ❑Retaining Wall(s) O Public 4-feet or greater (�Public Water "Any eaRh movement may require ❑Commercial ❑Storage MCWD review 8 permits. ❑Industrial ❑Warehouse ❑Private Well Minnehaha Creek Watershed District(MCWD) ❑p�er.(specity) ❑Other(specify) 15320 b6nnetonka Blvd Minnetonka,MN 55345 Phane: 952-471-0590 Fax: 952-471-0682 www.min h h r k r a � Estimated Construction Valuation(excluding land) Q Packet Last Updafed:January 2015 Page 20 �. �. �� , u� h� v� �_ �� (� (��'1 G C� '' C C� /