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Home My WebLink About2014-01359 - adv land review UMIMMMM CITY OF ORONO js; * 2014 - 01359 * 2750 KELLEY PARKWAY DATE ISSUED: 11/21/2014 ORONO, MN 55356— (952) 249-4600 FAX: (952) 249-4616 ADDRESS 4680 NORTH SHORE DR PIN 07-117-23-32-0050 LEGAL DESC TONKAVIEW GARDENS LOT 000 BLOCK 000 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADVANCED PLAN REVIEW VALUATION $ 175,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 175,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-01358 APPLICANT ADVANCED PLAN REVIEW 979.39 TOTAL 979.39 MIDWEST CUSTOM CONST. Payment(s) 716 HWY 10 NW CHECK 5156 979.39 BLAINE,MN 55434- (763)780-5000 Minnesota State License#: BUIL-683235 OWNER Tonka Lake Properties LLC 3535 CTY RD 44 MINNETRISTA, MN 55364- 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 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requesteX with the State Building Code.This permit may be revoked t e cause. 1( zJ Applicant Per Signature Date Issued By Si nature Date City of Ormo 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.012346 Nov 21, 2014 Midwest Custom Const LLC Previous Balance: .00 Permits 2014-01359 4680 North 979.39 Shore Or 101-34410 Plan Check/Site Exam Fees --------------- Total: 979.39 --------------- --------------- Check Check No: 5156 979.39 Payer: Midwest Custom Const LLC Total Applied: 979.39 -------- ---- Change Tendered: .00 --------------- --------------- 11/21/2014 01:44PM City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.012346 Nov 21, 2014 Midwest Custom Const LLC Previous Balance: .00 Permits 2014-01359 4680 North 979.39 Shore Or 101-34410 Plan Check/Site Exam Fees --------------- Total: 979.39 --------------- --------------- Check Check No: 5156 979.39 Payor: Midwest Custom Const LLC Total Applied: 979.39 --------------- Change Tendered: .00 --------------- --------------- 11/21/2014 01:44PM • CITY OF ORONO • NOV 2 '1 2014 BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS.7- O ` Mailing BoxAddress: s . Permit number: 0 Crystal Bay, MN 55323-0066 Date received: ceivec�b Street Address:' �-- - 2750 Kelley Parkway f rL ,l � Plan review fee: `� s✓ Orono,MN 55356 rgk�stto `` Total Fee: Main: 952-249-4600 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 print) GENERAL INFORMATION: Job Site Address: LiLl D 40 Will this be a Parade of Homes, Remodelers Showcase Home or oth r Display Home? Yes Pdo- 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 required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICA T INFOR ATION: Name: C C State License# Expiration Date: Phone: cell - "00 office Mailing Address: City:--- 44,q A-k L ZIP: Contact Person: a Applicant is: ntrt / Homeowner (Circle One) Email and/or Fax: S PROPERTY OWNER INFOR ATION: Name: <<^C Phone(day): u� Ci : S ZIP: ��3 Address: Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: % v UA Phone(day): Address: ndtJ City: ZIP: Email and/or Fax: c-k1O `i< til)• -7 63-0'72 -2 2 PROJECT INFORMATION: Descri tion ofproject: 1.Type of Project 2.Proposed Use 3.Structure Type 4. Sewage Disposal & Water Supply New Construction 21ingle Family with esidence ❑Addition attached garage ❑ Garage/Accessory Bldg. ublic Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑Office/Commercial ❑ Private Sewer ❑ Other:(specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑Storage ❑ Public Water *'*Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review&permits. El Industrial Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other.(specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek-or $ Estimated Construction Valuation (excluding land)