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� C i ty of O ro n o �i� <br /> , <br /> , ` Building Permit Application � �� <br /> � <br /> I <br /> for New Structures or Additions <br /> Mailing Address: ���_� �3 <br /> �Q�O PO Box 66 Permit number: <br /> Crystal Bay, MN 55323-0066 Date received� �— �J( — � � <br /> � � I Street Address:� Received by: <br /> �; 2750 Kelley Parkway �/ Q <br /> ��% �,'' Orono, MN 55356 Plan review fee: �%'SI.�.Ss <br /> �q��sHo'�� � Main: 952-249-4600 Total Fee: �! `�O� <br /> Fax: 952-249-4616 ,-.���.� �v��_ 7� •;r-��s <br /> ____.._._�._______ __.__ <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) • <br /> GENERAL INFORMATION:, /— <br /> Job Site Address: _�� � � � �� ' q h J �S� <br /> �l'.�t, � 1��.� „� �1�1�- � _� -- <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Hom . ❑ Yes ■❑ No <br /> lf 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 <br /> required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be atlowed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> (�a►pg: Stonebay BuildersLLC <br /> State License# BC681308 Expiration Date: <br /> Phone: (cell) (office) <br /> Mailing Address: 148702 Brockton LN N Cit : Da ton ZIP: 55327 <br /> Contact Person: Tom osra� Applicant is: ontract / Homeowner (Circle One} <br /> EI'T181� 8fld/Of FaX: tomo@stonebaymn.com <br /> PROPERTY OWNER INFORMATION: <br /> (varpg: Essay Holdings <br /> Phone (day): s�z-��o-sooa <br /> Address: 2110 Lvndale Ave. S City: Mpls ziP:55405 <br /> Email and/or Fax aggarwal@yahoo.com <br /> ARCHITECT/ ENGINEER INFORMATION: <br /> nJa�'p@: Tom Osfar <br /> Phone (day): s�z-sss-asoa <br /> Address: 14870 Br�r.kton LN C;ty:Dayton ZIP: 55327 <br /> EIll81� 811C�/Of FBX: tomo@stonebaymn.com <br /> PROJECT INFORMATION: Descri tion of f0 @Ct: new residential townhome <br /> 1. Type of Project 2. Proposed Use 3. Structure Type 4.Sewage Disposal & <br /> Water Supply <br /> 0■ New Construction �■ Single Family with ❑Accessory Bldg. /Garage <br /> ❑Addition attached garage ❑ Deck � Public Sewer <br /> ❑Accessory Building I ❑ Single Family with ❑ Office/Commercial <br /> ❑ Relocation detached garage ■❑ Residence ❑ Private Sewer <br /> ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Retaining Wall(s) <br /> ❑ Public 4-feet or greater �■ Public Water <br /> *"Any earth movement may require ❑ Commercial ❑ Storage <br /> MCWD review 8� permits. ❑ Industrial ❑ Warehouse ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) ❑ Other: (Specify) ❑ Other(speCify) <br /> 15320 Minnetonka Blvd <br /> Minnetonka, MN 55345 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www r?�innehahacreek or <br /> Estimated Construction Valuation (excluding land) $ � ,�C/ l'� RECEIVED <br /> ��R :� 12Q�6 <br /> Packet Last Updated: August 2015 CITY OF ORONO <br /> Page 21 <br />