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I� . <br /> � - . <br /> . � <br /> �',ii�'���' �1i� City of Orono <br /> �' �`� Buildin Permit A lication <br /> J pp <br /> for New Structures or Additions <br /> �<------� Mailing Address: Permit number. �0//—D�O�� <br /> �:¢,D,�j.\ PO Box 66 <br /> %�O O`,,� Crystal Bay, MN 55323-0066 Date received: �-�3—� � <br /> � ��`� � ;, . Received by: �S <br /> ��,� ��T � �,�, Street Address: <br /> �::�w <br /> �'�',�, u� Gti 2750 Kelley Parkway Plan review fee: <br /> ��xE$xo�� Orono, MN 55356 ,y� <br /> ___== Total Fee. ��fJ���� �9 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.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 /> .�Ob $It@/�►C�C�P@SS: aso Sussex Lane <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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 unless applicant demonstrates sufficient on-site paricing is available. Non-permitted events will not be allowed. <br /> CONTRACTOR!APPLICANT INFORMATION: <br /> �Ja�pe: Water Street Homes,LLC <br /> State License# zossosos Expiration Date: sis�izo�s <br /> Phone: tQ.�2• e>a •�Oa'�— office 2� 8S0 � �{�3-- cell <br /> Mailing Address: //�� �r�z�.)'�`� c,UrO �; �Zo 8 City: (,�1�1-�(z�� ZIP: N ��"�� <br /> CO(1taCt P@fSOfl: Rick Carlson Applicant is: Contractor � �AFi�A1M1lA@f (Circle One�) <br /> Email and/or Fax: R��k@wacerscreetHomes.com <br /> PROPERTY OWNER INFORMATION: <br /> Na►pg: William and Mary McMillan <br /> Phone (day): <br /> Address: y�g O Sc�jv/c`b� � City: p�2,aWd ZIP: <br /> Email and/or Fax � <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Na�p@: Water Street Homes,LLC <br /> Phone (day): �s�2�aso-aoo2 <br /> Address: City: ZIP: <br /> EfT131� at1Cj�Of FBX: rick@waterstreethomes.com <br /> PROJECT INFORMATION: <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 Buifding ❑ Single Family with ❑ Deck <br /> ❑ Relocation detached garage ❑ Office/Commercial � Private Sewer <br /> Q OthBf: (SpBCITy� Remove wall!add beam ❑Multiple Family/Condo ❑Warehouse <br /> ❑ Public ❑ Storage ❑ Public Water <br /> **Any earth movement may require ❑Commercial ❑ Other(specify) <br /> MCWD review 8�permits. ❑ Industrial 0 Pnvate Well <br /> Minnehaha Creek Watershed District(MCWD) ❑Other: (specify) <br /> 18202 Minnetonka Blvd <br /> Deephaven,MN 55391 <br /> Phone: 952�71-0590 <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.or <br /> Estimated Construction Valuation (excluding land) $ z,000 <br /> Last Updated: 9/29/2009 <br /> - 17- <br />