HomeMy WebLinkAbout2014-01414 - adv plan review � �
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CITY OF ORONO * z 0 1 4 - 0 1 4 1 4 *
2750 KELLEY PARKWAY DATE ISSUED: 12/10/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 930 PARTENWOOD RD
PIN : 08-117-23-21-0007
LEGAL DESC : PARTENWOOD
: LOT 003 BLOCK 001
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 705,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 705,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY HOUSE
PERMIT#THIS PRE-PAYMENT IS TIED TO: 2014-01415
APPLICANT ADVANCED PLAN REVIEW 2,913.14
TOTAL 2,913.14
THOMPSON CONSTRUCTION LLC Payment(s)
505 COUNTY ROAD 19 CHECK 1527 2,913.14
MOLIND,MN 55364-
(952)393-5349
Minnesota State License#: BUIL-BC686985
OWNER
MOORE,KIRK&PAM
27475 MAPLE RIDGE LANE
SHOREWOOD,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 Ciry 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 sepazate
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 aze
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
. . �
�
�
City of Orono �
. . . . . �
Buiiding Permit Application �
for New Structures or Additions
Mailing Address: permit number: �d��f—����
�A: PO Box 66
� f v� Crystal Bay,MN 55323-0066 Date received: /a��G'"/
StreetAddress:' Received by: `��
� ,� 2750 Kelley Parkway 5'�3 �
9�, Plan review fee:
�` Orono, MN 55356
�'��ESNo��' Main: 952-259-4600 Total Fee: ���/—�����
Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be compieted in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INF�RMATION: /
Job Site Address: ��3 0 �°a r fen c,v oo �cF �rOnO M/1� 55 35!o
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home. ❑ Yes No
/f yes,a speciel ever►t permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
r�quired unless applicant demonstrates sutncie�t on-site parking is available. IVon permitted evenis w1J1 not be allowed.
CONTRACTOR/APPLICANT INFORMATION: ,
Name: T o/►� on oti�5�'/^ Gfloh L LG
State License# �8'6 9 8S Expiration Date: 1 01 O /
Phone: cell office
Mailing Address: 505 Cit : d ZIP: 5� (�
Contact Person: L�d rf q rJ pn Applicant is: on rac o / Homeowner �ci�.o�.�
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �r pQ/r� /?'1 oor�
Phone(day): 2 J 9' � — O
Address: �- Cit : S r�. o ziP: 5 5 3 31
Email andlor Fax K p
ARCHITECT/ENGINEER INFORMATION: , ,
Name: IJ. . J� Pfa�r>>/z ¢ .�G
Phone(day): — � 0— .�./O�
Address: q' D O a or� N� �ui fG Ci : ZIP: 5S
Email and/or Fax: o F ! it/
PROJECT INFORMATION: Description of pro'ect:
1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Dtsposal 8
Water Supply
�New Construction �ingle 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: (speoify) ❑Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑Public Water
**Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD revlew&permits. ❑ Ind�strial �Private Well
Minnehaha Creek Watershed Disfict{MCWD) ❑Other. (SpeC'rfy)
18202 Minnetonka Blvd
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehah creek.or
Estimated Construction Valuation (excluding land) � �'ds � �O� �
Packet Last Updated.• 04/992013
Page 22 of 23
ADVANCE SURVEYING & ENGINEERING CO. ��
5300 S.Hwy.No.101 Minneronka,MN 55345 Phone(952)474 7964 www.advsur.com �Ir���� /�1 �
SURVEY FOR: KIRg d�C PA�II MOORE ��� � ''� � �
SURVEYED:September 1 l,2014 DRAFTED:September 12,2014 ��(� �aJ1..��
REVISED:September 18,2014 to show neighbo�s 6ouses.
REVISED:November 6,2014,w show topography,trees,and hardcover caiculadons.
LEGAL DESCRIPTION:
Lot 3,block 1,Partenwood,Henaepin Couaty,Minnesota.
SCOPE OF WORK:
I. Showing the length and direction of boundary lines of the above legal description. The scope
of our services dces not include determining what you own, which is a legal matter. Please
check the legal description wit6 your recards or consult with competent legal counsel,if necessary,
to make sure that it is correct,and that any matters of record,such as easemenu,fhat you wish shown
on the survey,have been shown.
2. Showing the(ceation of existing improvements we deemed important.
3. Setting new monuments or verifying oid monuments to mark the comecs of the property.
4.Showing aad tabulating hard cover and area of the lot for your review and for the review of such
govemmental agencies as may have jurisdiction over hard cover requirements.
STANDARD SYMBOLS&CONVENTIONS:
"�"Denotes U2"ID pipe with plasdc plug bearing State License Number 9235,set,unless otherwise
noted.
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