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� <br /> � � Cit of Orono � �' ��� <br /> v � �� <br /> Building Permit Application � <br /> for New Structures or Additions <br /> Mailrng Address: Permit number: �� l(p—��� <br /> Q PO Box 66 <br /> � � �Q Crystal Bay, MN 55323-0066 Date received: 3' �l— �b <br /> StreetAddress:' Received by: <br /> �,^ � �, 2750 Kelley Parkway Plan review fee: � � 'Jr <br /> �' ' �! Orono, MN 55356 � S� <br /> � lqk�sHo�``` Main: 952-249-4600 Total Fee: ��� �� �� <br /> Fax: 952-249-4616 n��✓�� c���rc irc� ;n=�`.us <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: _��U �� �.-��`,T�G G,S/_ QY�v �"l _ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? � Yes ❑■ No <br /> !f 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 unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Na�pe: Stonebay BuildersLLC <br /> State License# BC681308 Expiration Date: <br /> Phone: (cell) (office) <br /> Mailing Address: 148702 Bro�kton LN N Cit : Da ton ZIP: 55327 <br /> Contact Person: Tom osfa� Applicant is: ontract / Homeowner (Circle One) <br /> Etll81� 8tld/Of FaX: tomo@stonebaymn.com ' <br /> PROPERTY OWNER INFORMATION: <br /> Narpe: Essay Holdings <br /> Phone (day): siz-��o-sooa <br /> Address: 2110 Lvndale Ave. S City: Mpls ztP:55405 <br /> Email and/or Fax aggarwal@yahoo.com <br /> ARCHITECT/ ENGINEER INFORMATION: <br /> Nafpg: Tom Osfar <br /> Phone (day): siz-sss-a3oa <br /> Address: 14870 Br�ckt�n LN City:Dayton ZIP: 55327 <br /> EI'llal� 811d/Of FaX: tomoCo�stonebavmn.com <br /> PROJECT INFORMATION: Des�ri t1011 Of pf0 @Ct: new residential townhome <br /> 1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & <br /> Water Supply <br /> ❑■ New Construction �■ Single Family with ❑Accessory Bldg. /Garage <br /> ❑Addition attached garage ❑ Deck ■❑ Public Sewer <br /> ❑Accessory Building ❑ 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 minnehahacreek or RECEIVED <br /> Estimated Construction Valuation (excluding land) $ � ��� � MAR � 1 2Q�� <br /> CITY OF ORONO <br /> Packet Last Updated. August 2015 <br /> Page 21 <br />