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� <br />. + � <br /> City of Orono 53/ �, � �-' <br /> i <br /> Building Permit Application <br /> for New Structures or Additions <br /> Mailing Address: Permit number: �C��rv' ` (`� <br /> �(�A> � PO Box 66 _ <br /> �`w(� Crystal Bay, MN 55323-0066 Date received: � ( � <br /> / Street Address:' • p . O I <br /> � ,�` .�j� (c� 2750 Kelley Par ay C'C��p an review fee: 3 ,�. Z • <br /> �` c�` � �� Orono, MN 5535 <br /> �'�k�sx��`�' �� Main: 952-249-4600 Total Fee: <br /> Fax: 952-249-4616 www.ci.o�ono.mn.us }� � <br /> This application form must be completed in fuli and all required information must be sub ed. m(ylDiA �Gy�✓ <br /> Incomplete applications will Ise returned. (P/ease print) �� <br /> GENERAL INFORMATION: <br /> Job Site Address: 515 Kokesh Farm Road <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No <br /> /f yes,a specia/event permit is required with Po/ice Department and City Counci/approval 60 days prior to the event. Shutt/e bus service wi/l be <br /> required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be al/owed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Nam2: NarrConstruction, Inc. <br /> State License# BC003�85 Expiration Date: 3-31-16 <br /> Phone: (cell) 612-816-1091 (office) 952-938-8781 <br /> Mailing Address: Po Box soo� Clt : Honkins Z�P� 55343 <br /> COfltaCt P2fSOf1: Greg Narr Applicant is: Contractor / E��r (Circle One) <br /> Email and/or Fax: gnarr narrconstruction.com <br /> PROPERTY OWNER INFORMATION: <br /> Name• Mark R Anita I itack� <br /> Phone(day): s�2-:�R�-�2s� <br /> AddfeSS: 4360 Countv Road#6 City: Orono ZIP: 55356 <br /> Email and/or Fax �arkliteckvl�Dqmail.com <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: Sharratt Design <br /> Phone(day): ss2-a�o-s�so <br /> Address: asa se��d st. City: Excelsior ZIP: 55�� <br /> EPT1811 8f1d/O�FBX: �gharrattla�sharrattdesiqn.com <br /> PROJECT INFORMATION: Descri tion of ro ect: <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 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.mi nnehahacreek.or <br /> Estimated Construction Valuation (excluding land) $ �50,000 <br /> Packet Last Updated: August 2015 <br /> Page 21 <br />