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Home My WebLink About2016-0021 - garage permit CITY OF ORONO �0 1 6 - 0 0 z 1 4 * 2750 KELLEY PARKWAY DATE ISSUED: 03/03/2016 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 520,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$500,000.00 FOR NEW HOME&20,000.00 FOR GARAGE TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERM[T&GARAGE PERMIT PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00213 (NEW HOME)&2016-00215(GARAGE) APPLICANT ADVANCED PLAN REVIEW 2,427.70 TOTAL 2,427.70 KEVIN TRAMM CONSTRUCTION Payment(s) 4771 126TH ST CT N CHECK 4161 2,427.70 WHITE BEAR LAKE, MN 55110- (612)226-8501 Minnesota State License#: BUIL-BC004343 OW1vER RUCINSKI,MICHEAL&HOLLY 3188 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AIYD 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speci6ed 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 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the S Building Code.This permit may be � revoked at any time f�due ca e. `/> � / ^ _ ;-�' � - , � �' ;,' ` , , �c� � � �-� S� � � � i �I� A lica er i e Si e Date Issued By Signature Date r 1 City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4bU0 Receipt No: 3.015153 Mar 3, 2016 Orange Cloud Holdings Previous Balance: .00 Permits 2016-00214 3188 North 2,4L7.70 Shore Dr 101-34410 Plan Check/Sit�a Exam Fees -------------- Tota1: 2,427.70 Check Check No: 4161 2,427.70 Payor: Orange Cluud Holdings Total Applied: 2,427.70 Change Tendered: .00 03/03/2016 02:23PM ��,•� ��,,o� City of Orono �� `'`� Buildin PermitA li i o�„� g pp cat on �i for New Structures or Additions Mailing Address: Permit number: Z o((F.. --L�� , /3 � PO Box 66 � �Q Crystal Bay, MN 55323-0066 Date received: 3 3 / (o Street Address:' � I"'`� y ,� 2750 Kelley Parkway �C(�, —D�'�-�� . � `� �� Plan rev�ew fee: �• `7 �� Orono, MN 55356 r � � �,Q kESHo� Main: 952-249-4600 Total Fee: � 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: �� jC� �Cy�;�, p� �,y�y , rn� �� t Will this be a Parade of Homes, Remodelers Showcase Home or ot er Display Home? ❑Yes No If 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 requiied unless applicant demonstrates su�cient on-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �U:v� �'S'c�vV�yti �.CS ti1��.�-t�C�� '�1G. State License# ��{�t-�� Expiration Date: �� ;� �� Phone: cell 1 . 'Z � , �Q�� office --- Mailing Address: '°')� � � � Cit :'tu�.� ��r;� Contact Person: ; vr.y�. Applicant is: Contractor / Ofll@OW . (Circle One) Email and/or Fax: PROPERTY OWNE�R,�N�ORMATION: y , Name: if►�+G�� ts�� '�S�-t Phone (day): . tSCX� . '��' `v . f _ Address: .�".�1'3 � Ci � �,�,�� z�p: �yt'�7 Email and/or Fax �c tr�� v� ��„ �y� �v� p �,�p`y� ARCHITECT/ENG EER INFORMA ON: , Name: ;�,�( � �P �' c�' �0. � Phone(day): �Z• 'Z, � j Address: '� as� G Ci :� 1 '��'� ZIP�� Email and/or Fax: u��L�, ;,�� ` ,��} � .`�y PROJECT INFORMATION: Descri tion of ro�ect: � •.. `r� �L� ' �ry� �,.` �,L 1.Type of Project 2.Proposed Use 3.Structure Ty 4.Sewage Di osal 8� �� Water Supply �New Construction �� (Single Family with ❑Addition attached garage ❑Deck � Public Sewer ' ` ❑ ❑Office/Commercial Relocation Residence ❑ Other: (specify) ultip e Fami y Condo �Retaining Wall(s) � Private Sewer ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may require ❑Commercial ❑Storage MCWD review 8�permits. Industrial ❑Warehouse �Private Well Minnehaha Creek Watershed District(MCWD) ther: (S eCi ) ❑Oth2r(SpeCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �j� ��;'j ✓^ � ' Packet Last Updated: August 2015 Page 21 ,� . CITY OF OROIVO • a � �\� BUILDING PERMIT APP �C �,� LICATION FOR NEW STRUCTURES OR /4DDITIONS Mai/ing Address: � �l�P- � � njO Permit number: — , c PO Box 66 Crystal Bay, MN 55323-0066 Date received: � ?� - y � Streef Address:' 2�� Received b � � G. 2750 Kelley Parkw Z�;t(�'�� Plan review fee: �crv��%1�-�� w t�kESHOR� Orono, MN 55356 � � Z� ��.�; —��,� j-�� -�� - Main: 952-249-4600 Total Fee: 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: � � �c ` � � �,�,� ,r ,� _ � Will this be a Parade of Homes, Remodelers Showcase Home or other isplay Home? ❑ Yes o If yes,a special event permit is required with Police Departmenf and City Council approval 60 days prior to the event. Shuttle bus service w�I be required unless applicant demonstrates sufficienf on-site parking is availab/e. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATtQN•� � � Name: • r�p�, v State License# p Expiration Date: ' � d Phone: cell � -� �i` office -- Mailing Address: [ ( �!� � , Contact Person: � � Cit . ;�� a IP: � Applicant is: ontrac / Homeowner �c��ie o�e> Email and/or Fax: �r�a�,��,� ,�,-��,�� y�'�;�� ",� PROPERTY OWNER INFORMATIO ` Name: ' � � `,� � y��,� Phone (day): � --�- Address: . 2 Cit : Email and/or Fax �. �„e. ��,v�� •� �.. �� Z�P' �� ARCHITECT/ ENGINEER INFOR TION1:_ , (� Name: J�,u i SP � t�'Tc�;{� �e`c �� 1T c.c��' Phone (day): �. � Address: '7 h � Cit : ZIP: '"�'�� Email and/or Fax: ; ,n �; � PROJECT INFORMATION: Description of pro'ect: � � �9 vt B..�G�e G�'� e. `; �c�i�(� 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal 8� ❑ New Construction Water Supply ❑ Single Family with Accessory Bldg./Garage ❑Addition attached garage Deck ❑ Public Sewer �ccessory Building l�cz/qG�Q, ❑ Single Family with ❑ Office/Commercial LJ Relocation detached garage ❑ Residence ❑ Private Sewer ❑ O t h e r:(specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water �*Any earth movement may also require ❑ Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) �Other: (speCify) ❑ Othef(speCify) 15320 Minnetonka Blvd Minnetonka,MN 55345 a� Phone: 952-471-0590 �� q � Fax: 952-471-0682 �� n ��,�� www.minnehahacreek.or rC, Estimated Construction Valuation (excluding land) $ �(� �'� . Last Updated: January 2015