Laserfiche WebLink
49 <br /> I <br /> City of Orono� <br /> Building Permit Application / 7/ 75_ <br /> for New Structures or Additions s� <br /> Mailing Address: Permit number: <br /> ¢,O PO Box 66 <br /> O O Crystal Bay, MN 55323-0066 Date received: <br /> Street Address:' Received by: I(�,��• <br /> 2750 Kelley Parkway Plan review fee: <br /> t9kE.14 Orono, MN 55356 <br /> Total Fee: <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: 2985 Watertown Road <br /> Job Site Address: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes El 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: Brennan Properties LLC <br /> State License# 20381410 Expiration Date: <br /> Phone: #612-616-4447 (office) (cell) <br /> Mailing Address: 15680 Fish Point Road SE City: Prior Lake ZIP: 55372 <br /> Contact Person: Joe Brennan Applicant is: / Homeowner (circle One) <br /> Email and/or Fax: Joe.Brennan@mchsi.com fax 952-856-5081 <br /> PROPERTY OWNER INFORMATION: <br /> Name: Lori Gherardi <br /> Phone (day): 612-670-4228 <br /> Address: 1010 Willow View Lane City: Orono ZIP: <br /> Email and/or Fax <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: DFP Planning and Design <br /> Phone (day): 763-780-8015 <br /> Address: 9100 Baltimore St NE Suite#106 City: Blaine ZIP: <br /> Email and/or Fax: <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 Building ❑ Single Family with ❑ Deck <br /> ❑ Relocation detached garage ❑ Office/Commercial ❑x Private Sewer <br /> ® Other: (specify) also remodel existing ❑ Multiple Family I Condo ❑Warehouse <br /> ❑ Public ❑ Storage ❑ Public Water <br /> **Any earth movement may require ❑ Commercial ❑ Other(specify) <br /> MCWD review&permits. ❑ Industrial Q 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 /> www.minnehahacreek.or <br /> Estimated Construction Valuation (excluding land) $ $110,000 <br /> Last Updated: 4/26/2011 <br /> - 19- <br />