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Home My WebLink About2014-01333 - new home JUM CITY OF ORONO * 2 0 1 4 — la®�M 2750 KELLEY PARKWAY DATE ISSUED: 11/14/2014 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2490 OLD BEACH RD PIN : 21-117-23-22-0005 LEGAL DESC : SHORE HILLS : LOT 004 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 1,400,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 1,400,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-01334 APPLICANT ADVANCED PLAN REVIEW 4,911.89 LEGACY DESIGN BUILD Payment(s) TOTAL 4,911.89 13860 IST ST CHECK 11289 4,911.89 BECKER,MN 55309- Minnesota State License#: BUIL-629400 OW ER MCINTEE, SHAWN&JACQUELINE 2490 OLD BEACH RD 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 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. /�v Ap cant Permitee Signature Date Issued By Signature Date City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.012254 Nov 14, 2014 Shawn McIntee Previous Balance: .00 Permits 2014-01333 2490 Old Beach 4,911.89 Rd 101-34410 Plan Check/Site Exam Fees --------------- Total: 4,911.89 --------------- --------------- Check Check No: 11289 4,911.89 Payor: Shawn McIntee Total Applied: 4,911.89 --------------- Change Tendered: .00 --------------- --------------- 11/14/2014 09:53AM CITY OF ORONO BUILDING PERMIT APPLICATION FOR NEW STRUCTURES OR ADDITIONS OA, Mailing Address: Permit number: 2-0 (4 `O( � VO PO Box 66 Crystal Bay, MN 55323-0066 Date received: StreetAddress:' Received by: SF 2750 Kelley Parkway G (C� 1� �� Plan review fee: " IL `9 Orono, MN 55356'rESHn�� 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: 29r0 CZD Se�l / 2D. QE6v1JQ A4A,) Will this be a Parade of Homes, Remodelers Showcase Home or other 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 required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 44ca CL/ L7t'��ICti F-Su , State License# Expiration Date: Phone: cell - office (p Mailing Address: I 6 IV S4, City: ZIP: Contact Person: v Applicant is: Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: �1 Name: [�It 1 .�G t Ale L&A62, Phone(day): Address: City: ZIP: Email and/or Fax ARCHITECT/ ENGINEER INFORMATION: Name: AIE.k x F(z 7) fps" Phone(day): 'F' 2- 5f23 -87-7-7 —� / Address: yo/' estsr- 1.4� Sr. City:(r�AVF4,1i4 ZIP: 15Z535Z Email and/or Fax: � z _ X73 X222 PROJECT INFORMATION: Descri tion ofproject: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply 6New Construction gSingle Family with J9 Residence Addition attached garage ❑Garage/Accessory Bldg. Public 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. ❑ 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.minnehahacEggL.org GfJ 1 r-, L;' Estimated Construction Valuation (excluding land) � , � f � �