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A From ALLSTAR CONSTRUCTION 17634796900 05/11 /2015 09:05 #144 P.002/003 <br /> CITY OF ORONO <br /> BUILDING PERMIT APPLICATION <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> Mailing Address: Permit number: 5 <br /> O PO Box 66 <br /> Crystal Bay,MN 55323-0066 Date received: <br /> Street Address:' Received by: <br /> 2750 Kelley Parkway Plan review fee: <br /> kfSHO �� Orono,MN 55356 �} �7 <br /> RQ' <br /> Total Fee: IT <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. 1 <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: <br /> Job Site Address: 1145 W ndmere Road -Wayzata, MN 55391 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El Yes X 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 I APPLICANT INFORMATION: <br /> Name: Allstar Construction-Residential <br /> State License# BC690352 Expiration Date: March 31,2016 <br /> Phone: (cell) 612-365-8262 (office) 763-479-8700 <br /> Mailing Address: 5145 Industrial Street, Suite 103 Ci aple`Plain Zlp; 55359 <br /> Contact Person: Braden Larson Applicant is: ontracto / Homeowner (circle one) <br /> Email and/or Fax: braden@allstartoday.com 1763-479-6600 <br /> PROPERTY OWNER INFORMATION: <br /> Name: Gretchen Gill <br /> Phone(day): 952-258-0470 <br /> Address: 1145 Wyndmere Road City: Wayzata Zip: 55391 <br /> Email and/or Fax gill.gretchen@gmail.com <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: NA <br /> Phone(day): <br /> Address: City: ZIP: <br /> Email and/or Fax: <br /> PROJECT INFORMATION: Descri tion of ro'ect: <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 ElPrivate Sewer <br /> ® Reroof Other:(specify) ❑Multiple Family/Condo ❑Warehouse <br /> ❑Public ❑Storage ❑Public Water <br /> —Any earth movement may also require ❑Commercial ❑Other(specify) <br /> MCWD review&permits. ❑Industrial ❑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: 952471-0682 <br /> www.minnehahacreek.or <br /> Estimated Construction Valuation(excluding land) $ 122,015.00 <br />