HomeMy WebLinkAbout2016-00544 - adv plan review CITY OF ORONOI 11'
* 20 1 6 - 00544 *
• 2750 KELLEY PARKWAY• DATE ISSUED: 05/18/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1380 ORONO LA
PIN : 02-117-23-34-0012
LEGAL DESC : REG. LAND SURVEY NO. 1350
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 1,375,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 1,375,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00543
APPLICANT ADVANCED PLAN REVIEW 5,089.45
TOTAL 5,089.45
STONEWOOD,LLC Payment(s)
153 E LAKE STREET CHECK 14077 5,089.45
WAYZATA,MN 55391-
(612)462-4000
Minnesota State License#:BUIL-BC594315
OWNER
BELTNICK,LUKE&ELENA
3018 EMERSON AVE S
MINNEAPOLIS,MN 55408-
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 B 'Iding Code.This permit may be
revoked atran time for due cause.
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Appli t Rafmi S gnature Date Issued By SiirIture Date
e
CITY OF ORONO
BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
V.,*,„,.. Mailing Address: Permit number. �6 I - COAL-
PO Box 66
Crystal Bey,MN 55323-0066 Date received: ( c'/ to
Street Address:' Received by: JO
fppSH �.1. Oron0o,MN 5535 Park y9 01(o-oU5 -Ia review fee: 5_, �% S)
Main: 952-249.4800 A.
Fax: 952-249-4616 www.ci.orono.mn.us Total Fee:
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: / go a FOrvc I,ANT_
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? II Yes iI No
If yes,a special event penn/i Is required with Police Department and City Council approval 60 days pax to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking Is available. Non permitted events wilt not be allowed
CONTRACTOR/APPLICANT INFORMATION:
Name: S-f-aue-v-aois Lr_L
State License# ac,c44-316-- Expiration Date: _ =31.'5//2c-Le
Phone: (cell) All ;IS i' `f-°i (office) 6 I-t-- 44'z.-4000
Mailing Address: I53 r- !.A rr-V ..i . City: in,r,- e r,4- ZiP: 571 r
Contact Person: c V E tJ 4-1/41 lkP;o J Applicant is: Cotractyr I Homeowner (Circle One)
Email and/or Fax: Svi!r,e c{-cyvt.,wAo c-Pv+f^-s.
PROPERTY OWNER INFORMATION:
Name: ..r NI t _ _ " EV a CA'k LE- sr"
Phone(day): 612-R51-34 t e)
Address: 30153 CAi'Koxi Ave3 City: M)tiide L11 ZIP: T 4og
Email and/or Fax i....ge LT-.,1 c v-6) 4 IN At L ein..�
ARCHiTECT/ENGINEER INFORMATION:
Name: lVn.td4../ Rctlne, 41- i7Cs1&,41. .L,uc.. IAip pLANr✓1ti.6. ' Pe-sikA/
Phone(day): b3-;tom- Bio 4-
Address: 6/60 &alh,.,o t 51;• /VC (rd__ City:,R.,,-m./e" ZIP: cc 4-4-/
Email and/or Fax: ii,i,p eg f des+9n•cawe
PROJECT INFORMATION: Description of project: A,�Q c., j ± ( 5 __
1.Type of Project 2,Proposed Use 3.Structure Type 4.Sewage Disposal&
gi Water Supply
New Construction
(f]Single Family with ❑Accessory Bldg.I Garage
Addition attached garage ❑Deck W Public Sewer
Q Accessory Building 0 Single Family with 0 Office/Commercial
Relocation0 detached garage 41 Residence
❑Other(specify) ❑Multiple Family I Condo ❑Retaining Walls) ❑Private Sewer
,R 0 Public 4-feet or greater 0 Public Water
Any earth movement may also require 0 Ctlmrnerciai 0 Storage
MCWD review&permits. 0 Industrial 0 Warehouse IZI Private Well
Minnehaha Creek Watershed District(MCWD) ❑Other:(specify) 0 Other(specify)
16320 Minnetonka Blvd
Minnetonka,MN 55346
Phone: 952-471-0590
Fax: 952-471-0882
�www.rgjnQshecreek.orcL_
Estimated Construction Valuation(excluding land) $ I / 17 7 I o a'
Last Updated: January2016