2012-00345 - attached deck - Laserfiche WebLink

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L'� ' `� y�.,, . �� , Cit of Oron � � � y o ' Building Permit Application for New Structures or Additions Mailing Address: ,":�C/�? _Ct'�''X � ; ��v 0,�\, PO Box 66 Permit number: - � � r Q s O�� Crystal Bay, MN 55323-0066 Date received: ?x� L �I �z� >` �� - 11 a °'�''� '"" a, , Street Address:' Received by: ` ��`�'�n ��,;��.�t�, �� 2750 Kelley Parkway Plan review fee: �'"-, ; • � � � �`�gEs�Hog�� Orono, MN 55356 � � �_ ,/ `--�-� Total Fee: �, 2 ?) � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �� ` �,�;�u,k'� �( Q�� (y��U ��3 � Will this be a Parade of Homes, Re odelers Showcase Home or other Display Home? ❑ Yes No 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 required unless appficant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: �� ,4�� Applicant is: Contractor I �FTOfllBO_ (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: r Name: ��'?�� `+ �C�C, �� ' Phone (day): (Q I l-(d�iLl—�G S� Address: I '1� hv��«^�l �Z�— City: �r�;� � ZIP: ��j��{ Email and/or Fax ��S �,��2b�C�ir�u�i�. Paw'� ARCHITECT/ ENGINEER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal & Water Supply ❑ New Construction ❑ Single Family with ❑ Residence ❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer ❑ Accessory Building ❑ Single Family with �Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Other: (specify) ❑ Mu1ti le Famil /Condo ❑ Private Sewer p y ❑Warehouse ❑ Public ❑ Storage ❑ Public Water '*Any earth movement may require ❑ Commercial ❑ Other(spgcjfy) MCWD review 8� permits. ❑ Industrial !�1.� I� �f--c.� � 1�.`��hC.2�� ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven, MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construcfion Valuation (excluding land) $ �—"