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v . CITY OF ORONO , �,�jl <br /> BUILDING PERMIT APPLICATION � � <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> �r Mailing Address: Permit number: �� GJ–��g0 <br /> ��`VO PO Box 66 G 1 <br /> Crystal Bay, MN 55323-0066 Date received: -✓ � ! ��'J' <br /> Received by: <br /> �, ,, Street Address:' / 8„/- � <br /> ti� G� 2750 Kelley Parkway Plan review fee: � ! <br /> !�'�ESHO�� Orono, MN 55356 ` s— � <br /> Main: 952-249-4600 Total Fee: � � <br /> Fax: 952-249-4616 www.ci.orono.mn.us � � S v <br /> This application form must be completed in full and all required information must be submitt .�r,n;J ,,,� <br /> Incomplete applications will be returned. (Please print) �r`'1°`��'� <br /> GENERAL INFORMATION: <br /> Job Site Address: 2677 Casco Point Road <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: Norlinq's Lake Minnetonka Landscapes ; <br /> State License# �c�c ��(�,,,� ��� Expiration Date: ���� :��`,:'��'�`�� <br /> Phone: (cell) 612-919-3420 (office) 9.52-471-02.55 -� <br /> Mailing Address: PO Box 361 City: S�ring Park ZIP: 55384 <br /> Contact Person: George Norling Applicant is: Contractor / Homeowner (CircleOne) <br /> Email and/o� Fax: nPnrnannnrlinnc nat <br /> ������ <br /> PROPERTY OWNER INFORMATION: <br /> Name: William and Julie Snyder <br /> Phone (day): - - <br /> Address: 2677 Casco Point Road City: Orono ZIP: 55391 <br /> Email and/or Fax wfsmithCc�live.com <br /> ARCHITECT I ENGINEER INFORMATION: <br /> Name: Terry Duffy, Duffy Enqineering, <br /> Phone (day): 320-259-6575 <br /> Address: Cit : St. Cloud ZIP: 56304 <br /> Email and/or Fax: U u ng.com <br /> PROJECT INFORMATION: Description of project: <br /> 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & <br /> Water Supply <br /> ❑ New Construction ❑ Single Family with ❑ Accessory Bldg./Garage <br /> ❑ Addition attached garage ❑ Deck ❑ Public Sewer <br /> ❑ Accessory Building ❑ Single Family with ❑ Office/Commercial <br /> ❑ Relocation detached garage ❑ Residence ❑ Private Sewer <br /> ❑ Other: (specify) ❑ Multiple Family/Condo �Retaining Wall(s) <br /> ❑ Public 4-feet or greater ❑ Public Water <br /> '"`Any earth movement may also require ❑ Commercial ❑ Storage <br /> MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) ❑ Other(specify) <br /> 15320 Minnetonka Blvd <br /> Minnetonka, MN 55345 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.m innehahacreek.or <br /> Estimated Construction Valuation (excluding land) $ ' )'-' <br /> Last Updated: January 2015 <br />