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� � <br /> . .��-'/� 3 � <br /> CITY OF ORONO � <br /> BUILDING PERMIT APPLICATION <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> /�O�O Mailing Address: Permit number: ��� d� �� <br /> f �L PO Box 66 <br /> % Crystal Bay, MN 55323-0066 Date received: ��� - <br /> ��__ <br /> StreetAddress:' / Received by: -� - <br /> � ��L <br /> � � 2750 Kelley Parkway �/�� Plan review fee: � � ��. lcS <br /> `�t,y �� Orono, MN 55356 d � _ �� �� <br /> kfSNO� <br /> 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: <br /> Job Site Address: � SGj'h�f O•�t c! i r �,e � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Djsplay H me? ❑ 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 ill be <br /> required unless applicant demonstrates suffcient on-site parking is available. Non-permitted events will not be allowed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Narpg: STONEBAY BUILDERS LLC <br /> State License# Bc-ssisoa Expiration Date: 3izo�s <br /> Ph0112: (C211) 612-363-4304 (office) �63-479-6926 <br /> Mailing Address: �as�o BRocKTON�rv Ci � N ZIP: 55327 <br /> Contact Person: Tonn osFAR Applicant is: Contracto / Homeowner (Circle One) <br /> Email and/or Fax: tomo@stonebaymn.com <br /> PROPERTY OWNER INFORMATION: <br /> Name: STONEBAY BUILDERS LLC <br /> Phone (day): �s3-a�s-ss2s <br /> Add�eSS: 14870 BROCKTON LN Clty: DAYTON Z�P: 55327 <br /> Email and/or Fax tomno@stonebaymn.com <br /> ARCHITECT/ ENGINEER INFORMATION: <br /> Name: TOM osF,aR <br /> Phone (day): s�2-sss-asoa <br /> Address: 14870 BROCKTON LN City: DAYTON Z�p: 55327 <br /> Email and/or Fax: tomo@stonebaymn.com <br /> PROJECT INFORMATION: D2SCflptlOfl Of pfO�eCt: New Single Family Dwelling <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 x❑ Public Water <br /> ""Any earth movement may also require ❑ Commercial ❑ Other(specify) <br /> MCWD review&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 /> ��7,��r;eh�hacreek orc <br /> Estimated Construction Valuation (excluding land) $ 219,000 <br />