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Home My WebLink About2010-00043 - new home CITY OF ORONO PERMIT NO.: 2oia000a3 R 2750 KELLEY PARKWAY , ORONO,MN 55356- DATE IssuEn: OU28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 915 PARTENWOOD RD PIN : 08-117-23-21-0011 LEGAL DESC : PARTENWOOD : LOT 002 BLOCK 003 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 1,100,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 1,100,000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00044 APPLICANT ADVANCED PLAN REVIEW 4,131.89 STEINER&KOPPELMAN TOTAL 4,131.89 18340 MINNETONKA BLVD DEEPHAVEN,MN 55391- (612)473-5435 Minnesota State License#: 3721 OWNER SAFAR,MR.&MRS. 915 PARTENWOOD RD LONG LAKE,MN 55356- 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 goveming 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. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. e � ,� City of Qrono Building Permit Application far New Structures or Additions MailingAddress: .�C� fC� -�(,�"%'S �0,� PO Box 66 Permit number: C�� Q Crystal Bay, MN 55323-0066 , Date received: � vv �/d a � a StreetAddress:' Received by: �' ZG 10-- �'.E, � � '� �,ti�' 2750 Kelley Parkway ��i�'� Plan review fee: � l�I �5y C�CC�t�,� r9xESIiO�'� Orono, MN 55356 �� Total Fee;f�� ` Main: 952-249-4600 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�Z 1 6��-3 'P�-�� vl � �r,l� I��Q� 1�(A Job Site Address: ! Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a specia/event permit is required w8h Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �}-e:�� fi �p�.(r�.�r•, 1�.-C, State License# "�'1 Z\ �' Expiration Date: ''j-3E.Za�a Phone: 5'Z. �-'13- S�-3S o�ce C��."Z 4i�--S1Z$ (cell) Maifing Address: �Q��o W'��r...g �. a . Cit : �� ZIP: 5 S39 G�ntart Person��,�„Q 5 .{� ,. �„��1,.p�- o„�Applicant is� Contractor / Homeowner ICircle One1 Email and/or Fax: �,,.�;,,._,,.{�,,�.o,- � s-�--.�;.,.p,- �dnn�.i,r.,L,., �c+� / (g'Sz,� �-l3-52.oi� PROPERTY OWNER INFORMATION: f Name: !�a� S�-�t,i� Phone(day): � -a�4 - Address: Z ,,��,.xb Cit : �rop-o ZIP: S3S� Email and/or Fax rn•�a.,,,,,p (o�� 0 za1 . c,r�w• ARCHITECT/ENGIN ER INFORMATION: Name: J;a 1� r�c� Phone(day): � 41 - S 3� Address: 16�34o hn: �� .�c� Cit :h-�' ��-� ZIP: S'Sj9) Email and/or Fax: y,;e w� S .e;..p ► wv.,�, � �o r-. '3�- ?_p� PROJECT INFORMATION: 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply �New Construction `�Single Family with �Residence ❑Addition attached garage Garage/Accessory Bldg. �Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water "'Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial �Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �CX� p� ...— Last Updated: 9/29/2009 ' - 17 - MEMORANDUM DATE: 22 January 2010 TO: Rachel Dodge, Deputy City Clerk FROM: Melanie Curtis, Planning & Zoning Coordinator RE: Address for Lot 2, Block 3, Partenwood PID 08-117-23-21-0011 Please assign Lot 2, Block 3 Partenwood the address of 915 Partenwood Road. ,% (>,G ; , � ; �i ��,-\� �-i: - � �� L�.(ti�, � � �k'LVlti,l,� � �""�� G��-�C��s�' �, ��`��'��G�1 cl i.�'� �