HomeMy WebLinkAbout2016-00970 - adv plan review CITY OF ORONO 11111111111141111111111141
t y 2750 KELLEY PARKWAY * 2 0 1 6 — 0 0 9 7 0
DAT[: tSSUEpk,08/15/2016
er, ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 570 ORONO ORCHARD RD S
PIN : 1000181
LEGAL DESC : MINNETONKA BLUFFS
: LOT MB BLOCK MB
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 538,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 538,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00969
APPLICANT ADVANCED PLAN REVIEW 2,489.12
TOTAL 2,489.12
KRJ HOMES Payment(s)
16890 80TH PLN CREDIT CARD 6111 2,489.12
MAPLE GROVE,MN 55311-
(612)850-5260
OWNER
JAGLO&JOHN BRUNELLO,JEFF
570 ORONO ORCHARD RD S
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
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 ti for due cause. 61/—'7)
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Applic rmitee Signature Date Issued By Signature Date
r`. City of Orono
Building Permit Application
r for New Structures or Additions
Mailing Address: Permit number: 2.oI '-X 1(1 9
0 PO Box 66
f VQ Crystal Bay, MN 55323-0066 Date received: 0? I' I to
Street Address:' V w v i sal__ __ Received by:
y , 2750 Kelley Parkw �
c> Orono, MN 55356 O(b-O0��[� Plan review fee: 2 d y S 9 •
lAXESHO��' 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: 11 �q
Job Site Address: 70 0x-0.00O rnl CO Crow //t N
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ] Yes ❑ No UNC
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: IK R a' )40IM S-
State License# ¢4 (,f,3 fs9 Expiration Date: •/3/l c?()d-7
Phone: (cell) G 1,a so Salvo (office) _Stip")t.
Mailing Address: ,•'tb ; Qac, Mk Cit : -- rove- ZIP: S'S3i/
Contact Person: . 0'a 4Q Applicant is: ontrac or / Homeowner (circle one)
Email and/or Fax: Z J/crr J CONI 0 C0/40.ST t MET
PROPERTY OWNER INFORMATION:
Name: TEFF JRti4t3 *' To kw R1tv:"VEcco
Phone (day): (pia -4.So --Sa(cu
Address: ►(. B/0 ?,c' race NAR rk City: Mope u(,. ZIP: �5'.3Jd
Email and/or Fax 4igi u.J KR0T(Om C'can,,C r T ,.NET
ARCHITECT/ ENGINEER INFORMATION:
Name: t iS/'mpI vv.
Phone (day): *Gv^py S!o ( (../-a)
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION: Description of project: Al--e-Lt.) >Ll
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
Water Supply
grNew Construction
mingle Family with 0 Accessory Bldg./Garage
❑Addition attached garage 0 Deck I "Public Sewer
❑Accessory Building 0 Single Family with 0 Office/Commercial
❑ Relocation detached garage 0 Residence
❑ Private Sewer
❑ Other:(specify) 0 Multiple Family/Condo 0 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 ( Krivate 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
Estimated Construction Valuation (excluding land) $ 5.;8i000
Packet Last Updated: August 2015
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