Laserfiche WebLink
��..�, <br /> � <br /> . <br /> City of (Jrono <br /> Building Permit Application <br /> for New Structures or Additions <br /> _ — Mailing Address: Permit number: dj��p=��Sg <br /> o�O�0 ,, COrysBtalxBay, MN 55323-0066 Date received: —y�� <br /> � � ,;�._,� �/`I' Received b . _... <br /> �a ��"�':�� . �,I, Street Address:� Y� <br /> '� �j ��' ``'"� 2750 Kelle Parkwa q <br /> � , 1.�. 1v�;�.�o,, Y Y �� j_ P.I��view fee: �7 • / �, <br /> � 9gEs��s�,, Orono, MN 55356 C' p?D/�- DO�� ' <br /> __ TotaT ee'_'--------- , <br /> -- -------- <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. (P/ease print) <br /> GENERAL INFORMATION: <br /> Job Site Address: 3980 Dahl Road Mound MN 55364 <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 Uie event. Shuttle bus service will be <br /> required unless applrcant dernonstrafes sufficient on-site parking is available. Non-pennitted events will not be allowed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: __ Narr Construction, Inc. <br /> State License # BC003785 Expiration Date: 3/31/2014 <br /> Phone: 952-938-8781 (office) 612-816-1091 (cell) <br /> Mailing Address: p n Rnx .�i�(17 City: HO�kIIIS z�P� 55343 <br /> contact Person: Greg Narr Applicant is: Contractor / F�(r��y!(i�x (Circle One) <br /> Email and/or Fax: __ narrrnn�trurtl�ll CAm 952-931-0449 <br /> PROPERTY OWNER INFORMATION: <br /> Name: Tom and Toni McGlynn <br /> Phone(day): ���_75�-�5�. <br /> Address: same as site a dress City: ZIP� <br /> Email and/or Fax tom(cD.atownrealty.com <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: Sharratt Desiqn Companv <br /> Phone(day): 952-470-9750 <br /> Address: 464 Second St Suite 100 City:Excelsior ZIP� 55331 <br /> Email and/or Fax: msharratt(c�sharrattdesiqn.com <br /> PROJECT INFORMATION: <br /> 1. Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal& <br /> �] New Construction Water Supply <br /> � Single Family with � Residence <br /> ❑Addition attached garage ❑Gara e/Accessor Bld <br /> ❑Accesso Buildin 9 Y 9� � Public Sewer <br /> ry g ❑ Single Family with ❑ Deck <br /> ❑ Relocation detached garage ❑ Office/Commercial <br /> ❑ Other:(specify) ❑ Multi le Famil /Condo ❑ Private Sewer <br /> p y ❑Warehouse <br /> ❑ Public ❑ Storage ❑ Public Water <br /> *'Any earth movement may require ❑ Commercial ❑ Other(specify) <br /> MCWD review&permits. ❑ Industrial <br /> Minnehaha Creek Watershed District(MCWD) [�Private Well <br /> 18202 Minnetonka Blvd ❑ Other:(specify) <br /> Deephaven, MN 55391 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.or <br /> Estimated Construction Valuation (excluding land) � 1,000,100.00 <br />