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i Vv f' <br /> . . #co�� , � •�� `' ��� � SC. <br /> d SPi' <br /> + Oif oblo i- <br /> City of Orono ce.we__4-z__ c <br /> Building Permit Application -.-\ ` r- <br /> for New Structures or Additions c °n ct1is <br /> Mailing Address: Permit number �O 5 <br /> (Vv 0 PO Box 66 o�r'�.Crystal Bay, MN 55323-0066 Date received �p 1 <br /> 7 ' e <br /> it a l'')/ <br /> ,I, Street Address:' Received by �®® <br /> ` ti/ 2750 KelleyParkway7 v OA! <br /> \^l�ix s Plan revlev✓fee - z/ <br /> RgEst-to- Orono, MN 55356 m S� 1 <br /> Total Fee: <br /> o1oJ4n' `{� <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@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 /> E 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 ❑ Private Sewer <br /> ❑ Other: (specify) ®Multiple Family/Condo ❑Warehouse <br /> E Public ❑ Storage E Public Water <br /> "`Any earth movement may require ❑Commercial ® Other(specify) <br /> MCWD review&permits. ❑ Industrial Wood Frame Assisted living ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) ®Other: (specify) 2-story <br /> 18202 Minnetonka Blvd Assisted living <br /> Deephaven,MN 55391 <br /> Phone: 952-471-0590 • <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.orq <br /> Estimated Construction Valuation (excluding land) $ / 9 0 01=9I J <br />