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' y ' CITY OF ORONO <br /> � .�(��.` <br /> BUILDING PERMIT APPLICATION > <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> O Mailing Address: Permit number: Z�I,J '�� <br /> PO Box 66 <br /> � � Crystal Bay, MN 55323-0066 � Date received: � 'S '(Q' <br /> � St►eetAddress:' � Received by: <br /> S.F �" 2750 Kelley Parkway -,`��� Plan review fee: � �•� ' <br /> tq � L Orono, MN 55356 1� �� ��13 � <br /> '�Estio �c. <br /> Total Fee: <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � (:�C.�'1�2�'3(p <br /> This applicatiott form must b�t�t�slete�i in f�11 aeu��!{t�quit�!iri t�rrnat�n�aust t�;�i�b�i' : �� �.�}- <br /> In+c+�m��ete appli�tian�wttl;i�t�tmed. (P/ease print) ���-2-� <br /> GENERAL INFORMATION: <br /> Job Site Address: 517 Ferndale Road N. 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 se►vice 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: Denali Custom Homes Inc. <br /> State �icense# BC175394 Expiration Date: 03 31/2015 <br /> Phone: (cell) 763-452-8347 (office) 952-476-2679 <br /> nnai�ing Address: 18352 Minnetonka Blvd Ci : ee aven zIP: 55391 <br /> Contact Person: Joe Mailhot Cell:(763�52.8347 Applicant is: ontractor / Homeowner �ci►�ie o�e� <br /> Email and/or Fax: joem@denalicustomhomes.com <br /> PROPERTY OWNER INFORMATION: <br /> Name: Steve and Stacia Andersen <br /> Phone(day): 612-965-3698 (Steve's Cell) <br /> Address: 16825 Enclave Circle ��ry: Eden Prairie Z�P� 55347 <br /> Email and/or Fax sjasla a�gmail.com <br /> ARCHITECT/ENGINEER INFORMATION: <br /> tvame: Alexander Design Group <br /> Phone(day): 952-473-8777 <br /> Address: 401 East Wayzata Blvd city: Wayzata z�p: 55391 <br /> Email and/or Fax: kathryn@alexanderdesigngroup.com> <br /> PROJECT INFORMATION: Descri tion of ro'ect: <br /> 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8 <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 ❑ Public Water <br /> *"Any earth movement may also require ❑ Commercial ❑ Other(specify) <br /> MCWD review 8 permits. ❑ Industrial � Private Well <br /> Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) <br /> 18202 Minnetonka Bbd <br /> Deephaven,MN 55391 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.minnehaha r k. r <br /> Estimated Construction Valuation (excluding land) $ �,300,���� <br />