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�-\ <br /> City of Orono <br /> Building Permit Application <br /> for New Structures or Additions <br /> Mailing Address: Permit number: 0056 <br /> .,O jV� PO Box 66 �0 � ~ <br /> /O �\ Crystal Bay, MN 55323-0066 Date received: - 1- , <br /> Ilay� a I, Street Address:‘ Received by: Agi t <br /> \Sic, fir•. �� 2750 Kelley Parkway Plan reviewfee: 1 74 131 pA..l <br /> t9kESHOg Orono, MN 55356 ao j(—O `�q S �� <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: <br /> Job Site Address: 875 Wayzata Blvd,Orono, MN 55391 <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: Kraus-Anderson Construction Company <br /> State License# Expiration Date: <br /> Phone: (612)332-7281 (office) (cell) <br /> Mailing Address: 525 S.Eighth Street City: Minneapolis ZIP: 55404 <br /> Contact Person: Jim Beckwith Applicant is: gontrac ) / Homeowner (circle one) <br /> Email and/or Fax: Jim. Beckwith(a)krausanderson.com <br /> PROPERTY OWNER INFORMATION: <br /> Name: CPE Exchange 33968,LLC <br /> Phone(day): (612)643-1031 <br /> Address: 200 South Sixth Street,#1300 City: Minneapolis ZIP: 55402 <br /> Email and/or Fax <br /> ARCHITECT/ ENGINEER INFORMATION: <br /> Name: Pope Architects <br /> Phone (day): (651)642-9200 <br /> Address: 1255 Energy Drive City: St.Paul ZIP: 55108 <br /> Email and/or Fax: (651)642-1100 <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 El Residence <br /> ❑Addition attached garage ❑Garage/Accessory Bldg. ®Public Sewer <br /> ❑Accessory Building ❑ Single Family with ❑ Deck <br /> ❑ Relocation detached garage El Office/Commercial ❑ Private Sewer <br /> ❑Other: (specify) ®Multiple Family/Condo ❑Warehouse <br /> ❑ Public ❑Storage ® Public Water <br /> ""`Any earth movement may require ❑ Commercial IN Other(specify) <br /> MCWD review&permits. ❑ Industrial Wood Frame Assisted living ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) ®Othr: (specify) 2-Sto <br /> 18202 Minnetonka Blvd Assisted living rY <br /> Deephaven,MN 55391 <br /> Phone: 952-471-0590 ( lb ' " JAA44 r'r" <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.orq <br /> Estimated Construction Valuation (excluding land) $ 5 / 90, Q-6167 <br /> I 000J006 <br />