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• <br /> City of Orono <br /> Building Permit Application <br /> for New Structures or Additions t` <br /> Mailing Address: Perrnit number <br /> o9 0/1— 00 5 5 5 <br /> (=0.0,jvN PO Box 66 <br /> P. 0 Crystal Bay, MN 55323-0066 Date received: 60 ZI- / I <br /> `' Received by: e�J <br /> I A 1 Street Address p <br /> See x.8_ �/ 2750 Kelley Parkway Plan reviewfee: I 7t'p�J-.C3� p�L <br /> tykEs Orono, MN 55356 co/(--01, `f iS t <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: .ntracjr) / Homeowner (circle One) <br /> Email and/or Fax: Jim.BeckwithAkrausanderson.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 ❑ 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 II 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) $ j / 90 000 <br />