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� . . /, <br /> ��� <br /> , CITY OF ORONO ���.� S�l �� <br /> BUILDING PERMIT APPLICATION � <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> �O� MailingAddress: Permit number: �d< —D � <br /> PO Box 66 <br /> 0 Crystal Bay, MN 55323-0066 Date received: ����—/ <br /> StreetAddress:' � � Received by: � <br /> y � 2750 Kelley Parkway � 7�-- Plan review fee: / J�b• �5 <br /> � <br /> ��,� Orono, MN 55356 a���_����� <br /> l�k�SH� Total Fee: <br /> Main: 952-249-4600 Fax: 952-249-4616 <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� �s � / O v D �� � � <br /> Job Site Address: Gt KOI T � •V' r ,�I� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display ome? ❑ Yes No <br /> If 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 /> Narpe: STONEBAY BUILDERS LLC <br /> State License# BC-681308 Expiration Date: 3i2o�s <br /> Phone: (cell) 612-363-4304 (office) �63-479-6926 <br /> M8111f1g Addf@SS: �4870 BROCKTON LN Cjt : DAYTON ZIP: 55327 <br /> Contact Person: Tonn osFAR Applicant is: on ractor / Homeowner (Circle One) <br /> Email and/or Fex: tomo@stonebaymn.com <br /> PROPERTY OWNER INFORMATION: <br /> Name: STONEBAY BUILDERS LLC <br /> Phone (day): �ss-a�s-ss2s <br /> AdC1f2SS: 14870 BROCKTON LN Clty: DAYTON ZIP: 55327 <br /> Email and/or Fax tomno@stonebaymn.com <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: TOM osFa,R <br /> Phone (day): s�2-sss-a3oa <br /> AddfeSS: 14870 BROCKTON LN Clty: DAYTON ZIP: 55327 <br /> Email and/or Fax: tomo@stonebaymn.com <br /> PROJECT INFORMATION: Des�ription of pro'ect: New Sing�e Fami�y�we��ing <br /> 1. Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & <br /> Water Supply <br /> � New Construction ❑ Single Family with � Residence <br /> ❑Addition attached garage ❑ Garage/Accessory Bldg. � Public Sewer <br /> ❑Accessory Building ❑ Single Family with ❑ Deck <br /> ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer <br /> ❑ Other: (specify) ❑ Multiple Family/Condo ❑ Warehouse <br /> ❑ Public ❑ Storage � Public Water <br /> "'`Any earth movement may also require ❑ Commercial ❑ Other(specify) <br /> MCWD review 8�permits. ❑ Industrial ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) <br /> 18202 Minnetonka Blvd <br /> Deephaven,MN 55391 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> � ,�i, �t'��hacreek o=: <br /> Estimated Construction Valuation (excluding land) $ 2�9,000 <br />