HomeMy WebLinkAbout2017-00109 - adv plan review CITY OF ORONO I I I II 1 1 1 1 III LIQ 1 IIS! I I I I I I IIII I I 1 I
2750 KELLEY PARKWAY * 2 1 - 0 0 1 9
DATE ISS - 00
02/07/22 017
ORONO,MN 55356-
_ - (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2335 OLIVER HILL
PIN : 34-118-23-33-0077
LEGAL DESC : OLIVER HILL
: LOT 2 BLOCK 2
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 314,576.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 314,576.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00108
APPLICANT ADVANCED PLAN REVIEW 1,601.87
TOTAL 1,601.87
COUNTRY JOE HOMES Payment(s)
22260 DODD BLVD CHECK 24573 1,523.73
LAKEVILLE,MN 55044- CREDIT CARD 7100 78.14
(952)469-4066
Minnesota State License#:BUIL-BC627670
OWNER
D'ALESSANDRO,GREG&JENNIE
6368 HIDDEN LAKE CIR
RICHLAND,MI 49083-
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.
- 7-/7 /2--u_`(s6, i 7i /7
Applicant Peitee Signature Date Issued By Signature Date
CITY OF ORONO
ti BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
��l V Mailing Address: Permit number: ZQ DO
O PO Box 66
Crystal Bay, MN 55323-0066 1p Date received: 1 11 I 1
Street Address --4-6-11'
- Received by: o- ��
G` 2750 Kelley Parkway �6 t Plan review fee:
I �Q �j
�tgKISHO¢�c Orono, MN 55356 Cil 1 —00 /
Main: 952-249-4600 — otal 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: 2335 OIiver hill
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes N 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: YOUR) fie-id 14o -5 Act cocmifry Toe Nori.e-S
State License# 13 C.v 2.7 6 70 Expiration Date: 3 - 3i - 17
Phone: (cell) q 52 - 3�O - 812.o (office) 952- /C 9 - yo 66
Mailing Address: 2Z_Co Dodd 6 j vd. Cit : Lr Ke-Vi t fe% ZIP: f$'o 1
Contact Person: Si-eve Sa k,i, j Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax: SSG-LtI)er0 C_o(4-0,7-ry }Ce-Aecre,e-5„ Corn
PROPERTY OWNER INFORMATION: ,/
Name: (AZEb crliNNIC lD ' Ftc.6ss►9-A/D.' r,
Phone (day): 95Z. -2-,)--GIG,
Address: Gr3?ro hi,0,96A, L•4/ EE G„xG,� City: %Zc '-fc/rev o ZIP: .Y9e1i3
Email and/or Fax
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project: Fri 5 ('L fel I/ o
kor
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
.New Construction r2 Single Family with 0 Accessory Bldg./Garage
❑Addition attached garage 0 Deck [g Public Sewer
❑Accessory Building 0 Single Family with Office/Commercial
❑Relocation detached garage Residence 0 Private Sewer
❑Other:(specify) 0 Multiple Family/Condo ❑Retaining Wall(s)
0 Public 4-feet or greater 0 Public Water
**Any earth movement may also require 0 Commercial 0 Storage
MCWD review&permits. 0 Industrial 0 Warehouse I(Private Well
Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 0 Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.org
Estimated Construction Valuation (excluding land) $ 31( -7b
I
Last Updated: January 2016