HomeMy WebLinkAbout2016-01202 - adv plan review CITY OF ORONO 1111111111 11111111 111 11
` 2750 KELLEY PARKWAY * 20 1 6 - 0 1 202 *
DATE ISSUED: 09/26/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 460 ORCHARD PARK RD
PIN : 32-118-23-23-0012
LEGAL DESC : ORCHARD FARMS
: LOT 2 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 650,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 650,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01201
APPLICANT ADVANCED PLAN REVIEW 2,871.32
MULHERAN,PATRICK&MELISSA TOTAL 2,871.32
Payment(s)4128 HALLGREN LA
CHECK 4836 2,871.32
EXCELSIOR,MN 55331-
Minnesota State License#:BUIL-BC103407
OWNER
MULHERAN,PATRICK&MELISSA
4128 HALLGREN LA
EXCELSIOR,MN 55331-
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.
Ai Le--� ro1 ,zplApplicant Permie Date Issued By Signature Date
City of Orono
1
Building Permit Application
for New Structures or Additions
Mailing Address:
Permit number:
Po Box 66
20 — / l
Crystal Bay, MN 55323-0066 Date received: /2i(4 /�C.,
Street Address:'
`1, ��I°0 eceived 4y: E '
2750 Kelley Parkw y 2� Plan review fee:
to
�` Orono, MN 55356 CIG Cf _
t"�k stto�`� Main: 952-249-4600 if.)
tal :
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:
ION: ix, D Q t1 4 rr) 01 Omen
Job Site Address: tri d
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 ivilPtre
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APP (CANT I FORMATION:
Name: 1 • )A _•
State License# C ,. Expiration Date: -
Phone: cell — "a — eireVAIMAJW _ - . —
Mailing Address: . S I /= ! ZIP: 3 R
Contact Person: - air 4 Applicant is: ontrac or / Homeowner (Circle One)
Email and/or Fax: j pe;,,1en i /_e+-itoh he,evvc ,C o
-441
PROPERTY OWNERFORM TION: i/
Name: p#1,,., i4 uii't.4r"
Phone(day): 2_ c, 4 _g 6 FS
Address: g /f/1%/�, vi L/.1e'!P City:C�C�'/Sjb� ZIP. --)J/
Email and/or Fax p rn Li /46-4-A, 17 JA /.- - G yi
ARCHITECT/ENGIN§ER I FORMATION:
Name: II e4.5-4,,-7
Phone (day): 7 6 7/ 7
Address: 9 / 60 2-71o( cam/ /�G City: /4;/P ZIP:5-3.—Vry
Email and/or Fax:
PROJECT INFORMATION: Description of project:
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal &
Water Supply
New Construction Single Family with
attached garage ❑Accessory Bldg./Garage
["Addition 0 Deck
❑Accessory Building 0 Single Family with Office/Commercial ❑ Public Sewer
❑ Relocation detached garage Residence ,Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo "'❑❑❑ Retaining Wall(s)
0 Public 4-feet or greater 0 Public Water
**Any earth movement may require 0 Commercial 0 Storage
MCWD review&permits. 0 Industrial 0 Warehouse XPrivate 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) $ c 50000 co
Packet Last Updated: August 2015