Laserfiche WebLink
, <br /> � <br /> � <br /> CITY OF ORONO. <br /> BUILDING PERMIT APPLICATION <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> �O�O Mailing Address: Permit number: <br /> PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: <br /> ,� StreetAddress:' Received by: <br /> y�. G�'� 2750 Kelley Parkway Plan review fee: <br /> �.�k�SHo��. Orono, MN 55356 `` ' , <br /> Main: 952-249-4600 Totaf Fee: ` • <br /> Fax: 952-249-4616 www.ci.orono.mn.us <br /> Tl�is applicati�on form mus#be comple#�J iri�tl t8�r�a`�`t�i�ir�id irifc�a��`��mitted: <br /> Incomptete applic��n�witl#�1 r��l��a�'!; (Please print) <br /> GENERAL INFORMATION: <br /> Job Site Address: 3412 5horeline �rive. Navarre, MN 55391 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes X No <br /> li 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 su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Ni col e Bandkl ayde r <br /> State License# Expiration Date: <br /> Phone: (cell) 917-690-6161 (office) <br /> MailingAddress: 4518 Wilshire Blvd. City: Mound ZIP: 55364 <br /> Contact Person: Ni col e/Busi ness owne r Applicant is: Contractor / Homeowner (Circle One) <br /> Email and/or Fax: thecooki ecupstore@amai 1.com <br /> PROPERTY OWNER INFORMATION: <br /> Name: Court Macfarland 612-919-0743 <br /> Phone(day): <br /> Address City: ZIP: <br /> Email and/or Fax cre c out oo .com <br /> ARCHITECT I ENGINEER INFORMATION: <br /> Name: 7ulie ,4bramson- Plan <br /> Phone(day): �1�T36��4, <br /> Address: City: ZIP: <br /> Email and/or Fax: j ul i eab ramson(�aol.com <br /> PROJECT INFORMATION: Descri tion of ro'ect: Remodel from offi ce space to Ki tchen/�i ni ng Area. <br /> 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8� <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 also require 0 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 <br /> Estimated Construction Valuation(excluding land) $ 1 �j�� <br /> P _ <br /> Last Updated: January 2016 <br />