HomeMy WebLinkAbout2016-00118 - adv plan review CITY OF ORONO 11111111111111 1 X111111 I II
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2750 KELLEY PARKWAY * 2 0 1 6 — fd fd 1 1
DATE ISSUED: 02/05/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 470 ORCHARD PARK RD
PIN : T000166 UPDATED COPY
LEGAL DESC : ORCHARD FARMS
: LOT 1 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 900,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 900,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00117
APPLICANT ADVANCED PLAN REVIEW 3,724.45
TOTAL 3,724.45
MSI CUSTOM HOMES,LLC Payment(s)
15101 STONE RIDGE TRACE CHECK 3016 3,724.45
WAYZATA,MN 55391-
(612)867-5955
Minnesota State License#:BUIL-BC639727
OWNER
JONATHAN NORRIS/CATHERINE MORRISON
2080 WEBBER HILLS 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
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suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are (1"
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. J�yj
Applicant Permitee Signature Date Issued By Signature Date
• City of Orono
Building Permit Application
for New Structures or Additions
Mailing Address:
PO Box 66
Permit number: o - DC) /7
�o V0 Crystal Bay, MN 55323-0066 Date received: '
Street Address:' Received by:
A .1.. 2750 Kelley Parkw. Plan review fee: S
L Orono,MN 55356
t1'FFSHOP� Main: 952-249-4600 Total 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: l''I O or-c_ - :1.4-k_ '"
Will this be a Parade omes, Remodelers Showcase Home or other Display Home? El 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: x115 r Ca s419-,-,-... ild-en..es _ 1--1---c----
State
.,.LQState License# Q. 6,39 72-r-7 Expiration Date: ..V3///'7
Phone: (cell) 401.1. ea,`, 5.-fS 5 (office)(p/,t• 06 7, 5 S
Mailing Address: /S,o/ ,nem Q 1raep City: ZIP: 5'5 397
Contact Person: van ()tu l -Q.n n,e v, Applicant is: ontrac r / Homeowner (circle one)
Email and/or Fax: Ma II.t-arl,e , 0 m.c : e4.)•s4-ewi14e,me.S . com
PROPERTY OWNER INFORMATION: `,
Name: _.(e,,. 4_ 0.a (( /Vo,t-tom,
Phone(day): t_-: (ell- •qa23 • 3"'S3
Address: 2v4, ) We-1)6.g:—b4: (J.._% . City: D/`6. .,, ZIP: 5535/
Email and/or Fax mor, @ oo�t.e cc>1jurcCu , Ce)....,,,
ARCHITECT I ENGINEER INFORMATION:
Name: 5 ha.rrce. ,Ae s; rc (ill rt z.2 (Enl e e t-. �/I L 1?z• e .654,
Phone(day): qqz . '1)0• 4717 •1
Address: ea,cif Sece..,�Q S•l-ie,e.f- 5,,,'( 'l 3P tee City: ce(5,-*4--- ZIP: 5-5 33
Email and/or Fax: ;q e s . - - tS�„Ce S=3.� . Go-.-.--,
/lj--�'C� f�
PROJECT INFORMATION: Description of project: 1 / OP A
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
RN Construction ®,Single Family with ❑Accessory Bldg./Garage
❑Addition attached garage 0 Deck 0 Public Sewer
❑Accessory Building ❑ Single Family with 0 Office/Commercial
❑Relocation detached garage Residence (21 Private Sewer
❑Other: (specify) ❑ Multiple Family/CondoIL Retaining Wall(s)
0 Public 4-feet or greater 0 Public Water
**Any earth movement may require ❑Commercial 0 Storage
MCWD review&permits. 0 Industrial ❑Warehouse R 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.orq
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Estimated Construction Valuation(excluding land) &. Oif,0
Packet Last Updated: August 2015
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