HomeMy WebLinkAbout2015-00216 - adv plan review CITY OF ORONO III L1 1 1 111 � ( 11 1 6 *
2750 KELLEY PARKWAY DATE ISSUED: 11/17/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2310 OLIVER HILL
PIN : 34-118-23-33-0075
LEGAL DESC : OLIVER HILL
: LOT 5 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 500,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT: $500,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-01428
APPLICANT ADVANCED PLAN REVIEW 2,246.89
TOTAL 2,246.89
GORDON JAMES CONSTRUCTION Payment(s)
5159 MAIN STREET E CHECK 11724 2,246.89
P.O. BOX 306
MAPLE PLAIN,MN 55359-
(763)479-3117
Minnesota State License#:BUIL-20531961
OWNER
ALMSTEAD,DAVE&CHALEEN
415 NO. 1ST ST
#514
MINNEAPOLIS,MN 55401-
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. 1\(\
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WO' ( / 11/ iq_
Applicant Permitee Signature Date Issued By Signature Date
• CITY OF ORONO
NOV 17 2014
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS c-- 7------
-- -
�O` ` Mailing Address:PO Box 66 Permit number: ,-- 6)/1--/ "41� �
0 Crystal Bay, MN 55323-0066 Date received: //-/7—/5i
Street Address:' Received by: ��
y • 2750 KelleyParkes 1"' CK—.2 (O .
11 ff Plan review fee:
`� Orono, MN 55356 1 �1 ��
lgkESH0°'
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:„\ , 1 �j i
Job Site Address: 1310 V�ove-c l- 1Q ?)1Q o rbc- t I l�oi
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 0,10
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 OR�VIATION: \
CName: _2orc s c---,02S nS � °''-1 1 ‘r.C.
State License# ..3 C.5 3 1 Expiration Date: 3/•;t S
� ,
Phone: (cell) (Isl..- i, i- gq 0 (office) '�.O; 4-49 - 311 q
Mailing Address: Sty) Isla.:., S-i. Qo W3oy%. "306 City: R.:, ZIP: S'S3S1
Contact Person: -.......\,...1.-\,...„_ ifc ' d Applicant is: ontra for / Homeowner (Circle One)
Email and/or Fax: i�1�„4, ( _,��c n — J ¢S• c v �� '�c3.. Li-3-`i- m14
J �
PROPERTY OWNER INF RMATION• ,�-`` f(�� AA
c
Name: av � CIO-LLA. "-es.' O-X a .s. 4L5
Phone (day): (=A2.- - i—to• ci't•33 • 5-5%-to (
Address: '-►5. AL. I -Sd= IS-I'-i City:/"`•^".'"Y`'Q' % ZIP:
Email and/or Fax C4a _r t S42e M e c� �„�c�v� C
. e G�,a Le, e en C . C.2.en S-c
ARCHITECT/ENGINEER INFORMATION J J J — �rc�� F . C-cr�
Name: La&*J t r4eIA CAAT-.aA LL C
Phone (day): _StZ `E- '2— S- ci t t 1 1 1
Address: t400 ,�.n„acL-e, �.1City:Vv.n� a.r.,S .. ZIP: Cc `i
Email and/or Fax: q« c,nt , Aeve 1,,,tati Q. CvA.
PROJECT INFORMATION: Description of project:
—
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
Ertiew Construction )4ngle Family with ;gc.. esidence
❑Addition attached garage ❑Garage/Accessory Bldg. Ajublic Sewer
❑Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
0 Other:(specify) 0 Multiple Family/Condo ❑Warehouse
0 Public 0 Storage 0 Public Water
**Any earth movement may also require ❑Commercial ❑Other(specify)
MCWD review&permits. ❑ Industrial *Private Well
Minnehaha Creek Watershed District(MCWD) 0 Other: (specify)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.orq
Estimated Construction Valuation (excluding land) $ 00 ®d
GORDON JAMES CONSTRUCTION CENTRAL BANK 11 724
as PO.BOX 306 6640 SHADY OAK ROAD
6 5159 MAIN STREET EDEN PRAIRIE,MN 55344
MAPLE PLAIN,MN 55359 75-511-919
DATE 11/17/2014 x
0
S
g PAY TO
ORDER OF THE
City of Orono
$ "`2,246.89
Two Thousand Two Hundred Forty-Six and 89/100
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