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� RECEIVED <br /> CITY OF ORONO ��kC ; � 7 p15 <br /> BUILDING PERMIT APPLICATION C►TYOFORONO <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> �O` ` Mailing Address: Permit number: � � C/� 6 <br /> ���0 PO Box 66 <br /> , Crystal Bay, MN 55323-0066 1,, Date received: l "' (� — <br /> � y � ! Street Address:' , I�'Y Received by: , <br /> � 2750 Kelle y Parkwa y ���C P l a n r e v i e w f e e: <br /> F �, <br /> lqkESHv�� Orono, MN 55356 � <br /> Total Fee: � �(P�� L�7 <br /> M a i n: 9 5 2-2 4 9-4 6 0 0 Fax: 952-24 9-4 6 1 6 w w w.c i.o r o n o.m n.u s <br /> This appiication 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: 2755 Ethel Ave, 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 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: EVERLAST ENTERPRISES INC <br /> State License# BC591566 Expiration Date: <br /> Phone: (cell) 612-868-0748 (office) <br /> Mailing Address: 41 9 NORTH HORE DR. Ci : ORONO MN ZIP: 55364 <br /> Contact Person: JAMES CLEARY Applicant is: Contractor / Homeowner (Circle One) <br /> Email and/or Fax: I_IM(�FVER A�T NT RPRI� � .OM <br /> PROPERTY OWNER INFORMATION: <br /> Name: SAME AS CONTRACTOR <br /> Phone(day): <br /> Address: Ciry: ZIP� <br /> Email and/or Fax <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: NONE <br /> Phone(day): <br /> Address: Citv: ZIP: <br /> Email and/or Fax: <br /> PROJECT INFORMATION: Descri tion of ro�ect: We decided to finish the basement on this ro�ect. <br /> 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& <br /> Water Supply <br /> � New Constructio Have permit for this. �Single Family with � Residence <br /> ❑Addition #.�C�S('(i �-�S attached garage ❑Garage/Accessory B�dg. � Public Sewer <br /> ❑Accessory Buildi ❑ Single Family with ❑ Deck <br /> ❑ Relocation FINISHING BASEMENT 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&permits. ❑ Industrial <br /> ❑ 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: 952-471-0682 <br /> www.minnehahacreek.or <br /> Estimated Construction Valuation (excluding land) $ � � � ��L <br />