Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
City of Orono <br /> Building Permit Application <br /> for New Structures or Additions <br /> Mailing Address: Permit number: o0/0-DU/00 <br /> 'gi,0 PO Box 66 <br /> O <br /> Crystal Bay, MN 55323-0066 Date received: <br /> ',, <br /> a Street Address:' ::: ee. <br /> by: <br /> 1 ',hi;� . oti 2750 Kelley Parkway Q.51 <br /> <1k;I:u. Orono, MN 55356 <br /> criC2 I0- 00/0/ <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: 40 Wear Lane <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# 1435 Expiration Date: 3/31/2010 <br /> Phone: 651-484-3244 (office) 612-363-3021 (cell) <br /> Mailing Address: 127 East County Road C City: Little CanadaZIP: 55117 <br /> Contact Person: Steve Peters Applicant is: Contractor .-/ Homeowner (circle one) <br /> Email and/or Fax: stevep27@masterpiecehomesmn.corn <br /> PROPERTY OWNER INFORMATION: <br /> Name: Hugh and Dianna Hoffman <br /> Phone(day): 612-325-6730 <br /> Address: 40 Wear Lane City: Orono ZIP: 55356 <br /> Email and/or Fax hugh.hoffman@)craig-hailum.com <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: <br /> Phone(day): <br /> Address: City: 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. 0 Public Sewer <br /> a Accessory Building ❑ Single Family with 0 Deck <br /> 0 Relocation detached garage 0 Office/Commercial Private Sewer <br /> ❑Other: (specify) 0 Multiple Family/Condo ❑Warehouse <br /> ❑ Public 0 Storage 0 Public Water <br /> "'Any earth movement may require 0 Commercial ❑Other(specify) <br /> MCWD review&permits. ❑ Industrial 0 Private Well <br /> Minnehaha Creek Watershed District(MCWD) 0 Other:(specify) <br /> 18202 Minnetonka Blvd <br /> Deephaven,MN 55391 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.orq <br /> Estimated Construction Valuation(excluding land) $ 20,000 <br /> Last Updated: 9/29/2009 <br /> - 17- <br />