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HomeMy WebLinkAbout2014-00615 - new structure CITY OF ORONO 111111111 111111111111111M w * 2 0 1 4 — 0 0 6 1 5 * 2750 KELLEY PARKWAY DATE ISSUED: ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 PRINTED WITHOUT ISSUING 6/17/2014 ADDRESS 3740 NORTHERN AVE PIN 17-117-23-34-9994 LEGAL DESC REG.LAND SURVEY NO. 0763 LOT 2 BLOCK 1 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 325,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 325,000.00 r� Y JA TYPE OF PERMIT THIS PAYMENT IS FOR: NEW STRUCTURE Oil PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00616 THIS PLAN REVIEW FEE WAS BASED ON THE WRONG VALUATION. AN ADDITIONAL9.50 WILL BE COLLECTED WHEN ISSUE TO BUILDING PERMIT. APPLICANT ADVANCED PLAN REVIEW 1,564.39 TOTAL 1,564.39 ATLAS HOMES INC Payment(s) 14450 117TH AVE N CHECK 15301 1,544.89 DAYTON,MN 55369- TOTAL PAID 1,544.89 (763)691-9044 DUE 1 0 Minnesota State License#: BUIL-BC20269686 OWNER Real Assets II,LLC 550 25TH AVE N ST CLOUD,MN 56303- 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. t4 Applicant Pennitee Signature Date Issued By Signature Date 15301 MINNWEST BANK,M.V. 3130 2nd Street S-PO Box 7429 Real Assets 11 LLC St.Cloud,MN 56302 PO Box 6061 Money Line 1-888-616-2265 Saint Cloud, MN 56302 75-1564/919 a-2PAY TO „ Iy ORDER OF E �I `f7; l/ Y,� ✓-� O Wt- — ���✓SN ti(/Q — F� _ "I �� E td/�y — ��� �C�d DOLLARS nr 1100 IS 30 LII' 1:09 19 L 584 5I: LO L00 L 56 L6 ' TH18 DOCUMENT CONTAINS A COLORED BACKGROUND ON WHITE PAPER.M,CROPRINT IS LOCATED BELOW THIS WARNING BANG. City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.011144 Jun 17, 2014 Real Assets Previous Balance: .00 Permits 2014-00615 3740 Northern 1,544.89 1 'r �tofy Ave v 101-34410 coo r 5 q Plan Check/Site Exam Fees V 1 ?A Total: -- ---1,544.89 Check �16 L� Check No: 15301 1,544.89 Payor: Real Assets �� Total Applied: - 1,544 89 Change Tendered: .OU ��� e06/17/2014 10:52AM - CITY OF ORONO BUILDINGP RMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS MQaiiing Address: Permit number: © 01 L/ O PO Box 66 Crystal Bay,MN 6=3-00W Date received: Street Address:' Reci6ived by: ti 2750Kelley Parkway Plan review flee t Orono:,MN 55356slio Total Fee. i Main: 952-2494600 Fax: 852-24 1'6 wwwu, i.orono.mnaus jj/c/-p , ' - This application form must be completed in full and all required information 11 ps be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: LST' �wec�c. I Job Site Address: - -s Will tills be s Parade of Homes, RemodelersShowcase Mome:or other Display Home? EIVes No; If yes,a spede/event permit is r"Wred with Police Department and City Council approval 60 days prlar to the event ShutHe bus service till be required unless applicant demonstrates sufficlent 6n-site parking is a vailable. Non-permitted events Wfil not be allowed. . CONTRACTOR/APPLICANT INIFORMATION Name; 1 opt-e-3 u C Stat6 License,# ( t 2 6 I &®��, Expiration Date: 6 3 31 `/ J Phone: cell iia 9It, -i1- t!Z 3 3 Mal1JngAddress: l qH o 111+-!3 City: 1>. K_ zip S5 _"67i Contact Person:, Applicant w Contra or / Homeowner (cimte one) ;f Em M1 and/or Fax: vw4v k- G a lam '6 ntj ftA .G® PROPERTY OWN �. ESR INFORIl11A�11,ON� Man ir: Phone(day): •ks 3 S �' Z-0 C9 z> Address: _ � AT, City: 5`C(o ZIP: 5 6 7503 €mail!and/or FaX -s s°A. ILO ilasr C@, Alk ARCHITECT/ENGINEER INFORMATION" Name: C.rth�fC A Phone(day): !t1 Address, 7�0�'�, -7 T 7 5-41-7 City: Email and/or Fax: :1 , -757 0 35�3 P R QJ IE C T IINFORMAT19,N; Pescriplon of project 1.Type of Project 2.Proposed tse 3.Structure Type 4 Sewage'Disposal 8 Water Supply New Construction Single Family with Residencx= Addition attached garage Garage/,4ccessory Bldg. ' Public Sewer ❑Accessory Building 10, Sing[ Family w ith B,Dock ❑ Relocation detached garage OfFuce/Com Nmercial Private Sewer ❑Other: (specify) Uu,Itiple Family F Condo ]Warehouse Publ c [3 Storage i?r�blic Water **Any earth movement may,also require E]Comrr�rcial 'OOther(5pedffy) MCWD review 8 pectnits. �industrial — fl Private Well . :Min,0 ehaha Creek Watershed District(MCWD) ]Other:(speafy) -` 18202 Hhh6ton'ka"Blvd Deephaven;MN 55391 r, 1,Phonw, 952-471-0,590 - _ . ) Fax: 92-O1.M82 www.minnehahawreek.oM," Estimated;Construction Valuation (excluding land) r