HomeMy WebLinkAbout2015-01448 - adv plan review CITY OF ORONO * 2 0 1 5 - 0 1 4 4 8 *
2750 KELLEY PARKWAY DATE ISSUED: 1 U12/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDR�ESS� : 2730 PHEASANT RD
PIN : 21-117-23-23-0057
LEGAL DESC : PHEASANT LAWN/2
: LOT MB BLOCK MB
PERMIT TYPE : ADVANCED PLAN REVIEW '
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 300,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 300,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01447
APPLICANT ADVANCED PLAN REVIEW 1,540.23
TOTAL 1,540.23
XPAND,INC. Payment(s)
13727 JOHNSON MEMORIAL DR CREDIT CARD 0244 1,540.23
SHAKOPEE,MN 55379-
(952)292-6107
Minnesota State License#:BUIL-BC457158
OWNER
COTTER,JEFF&PEGGY
2730 PHEASANT RD.
EXCELSIOR,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 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 suthorized 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 pertnit may be `�
revoked at any time for due cause. -l '
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�
PI I � 5 �� k��� � c.� � 1 I ,
A lican e ' e �gnature ate Issued By Signature Date
CITY OF ORONO
BUILDING PERMIT APPLICATION
r
� FOR NEW STRUCTURES OR ADDITIONS
�0A, Mailing Address:
'YO PO Box 66 Permit number: aO� S— L
Crystal Bay, MN 55323-0066 Date received: 1 /
Street Address:� 'ved • ��
'y�, G, 2750 Kelley Parkway �' �$ Plan review fee: �t
�`�KEstto��" Orono, MN 55356 �� � ' � �
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application forrn must be completed in full and all required informa#ion must be submitted.
incomplete applications will be�eturned. (Please print)
GENERAL INFORMATION:
Job Site Address: �� p�n4�S�.� � �1�dh �'�1`N. � '3
Will this be a Parade of Homes, Remotfelers Showcase Home or o her Display ome? Yes ❑ No
If yes,a special event permit is required with Police Department and City Council approyal 60 days prior to the event Shuttle bus service will be
required unless 8pplicant demonstrates sufl5cient on-site parking is available. Nony�ermitted events will not be allowed.
CONTRACTOR/AP��ICAN INFORMATION:
Name: (,� ��,
State License# �1 � Expiration Date: �
Phone: cell -;�� - � office - 4�-6�0
Mailing Address " 7 �at rNQ Ci : �1,c� ZIP: � �
Contact Person: ,� Applicant is: Cantractor / Homeowner (Circle One)
Email and/or Fax: �, r„�- a �
PROPERTY OWNER INFORMA ION:
Name: �� p� �.
Phone (day): _ - �
Address � �. Ci : �o�C � ZIP: Cj� �1
Email and/or Fax •��
ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: Ci#y: ZIP-
Email and/or Fax:
PROJECT INFORMATION: Descri tion of ro'ect:
1.Type of Project 2.Proposed Use 3.Stru�ture Type 4.Sewage Disposal 8�
❑New Construction �f Single Family with Residence Water Supply
�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 also require ❑Commercial ❑ Other(specify)
MCWD review 8�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) $