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i <br /> City of Orono <br /> Building Permit Application <br /> for New Structures or Additions rpp <br /> Mailing Address: Permit number: c 2 —�,�p <br /> ��,►„O,jV. PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: <br /> Received. <br /> Street Address:' ,cam <br /> 2750 Kelley Parkway d Plan review fee: ��4 "•+a <br /> N EeH Orono, MN 55356 Total Fee:Main: 952-249-4600 Fax: 952-249-4616 www.d.orono_rnn.us 4(„p!7�, <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: 125 Turnham Road <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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 /> Name: Masterpiece Homes, Inc <br /> State License# B C 0 014 3 5 Expiration Date: 3/31/2014 <br /> Phone: 651-484-3244 (office) 612-363-3022 (cell) <br /> Mailing Address: 127 East County Road C City: Little Cana7M: 55117 <br /> Contact Person: Howard Vigen Applicant is: Contractor / Homeowner (Circle One) <br /> Email and/or Fax: 651-484-7723 <br /> PROPERTY OWNER INFORMATION: <br /> Name: Anthony and Surya Rochel <br /> Phone(day): 612-812-8252 <br /> Address: Aga Portland AvP g1iite #-u7 City: Minnea.}')a1igZIP:r;c;4n4 <br /> Email and/or Fax <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: Masterpiece Homes, Inc. <br /> Phone(day): _651-484-3244 <br /> Address: 127 East County Road C City: Little CanacgtP: 55117 <br /> Email and/or Fax: GfiP�TPn�7�maG1 arniar Phnmacmn rnm <br /> z <br /> PROJECT INFORMATION: <br /> 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& <br /> Water Supply <br /> [$New Construction 0 Single Family with CN Residence <br /> ❑Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer <br /> ❑Accessory Building ❑ Single Family with ❑ Deck <br /> ❑ Relocation detached garage ❑Office/Commercial [$Private Sewer <br /> ❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse <br /> ❑ Public ❑Storage ❑ Public Water <br /> —Any earth movement may 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 /> vvvvvv mone;hanacreek.orc <br /> Estimated Construction Valuation (excluding land) $ 463 000 <br />