Laserfiche WebLink
- City of Orono <br /> Building Permit Application <br /> for New Structures or Additions <br /> MailiPO Bo�r66� Permit number. �/� �CD� <br /> / �O{v� Crystal Bay, MN 55323-0066 Date received: - - 9 -/ � <br /> l <br /> � � � � Streef Address:' ,.���_ Received by: ��� <br /> y ,; 2750 Kelley Parkway Plan review fee: <br /> \ c.� Orono, MN 55356 � C�I �� <br /> l�kF S H UP� Main: 952-249-4600 <br /> ~"'"� Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be retumed. (Please print) <br /> GENERAL INFORMATION: <br /> Job Site Address: 3472 L ric Ave Orono, MN 55319 <br /> Will this be a Parade of Homes, Remodeters Showcase Home or other Display Home? Yes No <br /> If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the evenf. Shuttle bus service will be <br /> required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Joshua/Markum Builders, Inc. <br /> State License# BC631542 Expiration Date: 03/31/2018 <br /> Phone: (cell) 612-998-7818 (office) <br /> Mailing Address: _ 7867 Eastwood Road Ci : Mounds View ZIP� 55112 <br /> Contact Person: Mark Olson Applicant is: Contractor / Homeowner (CircleOne) <br /> Email and/or Fax: markCcDioshuamark�m com <br /> PROPERTY OWNER INFORMATION: <br /> Name: SAME AS ABOVE <br /> Phone (day): <br /> Address: City. Z�p. <br /> Email and/or Fax <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: Littfin Design Mitch <br /> Phone (day): (320)-224-7844 <br /> Address: 449 Lake trail Ciry: Winsted ZIP� 55395 <br /> Email and/or Fax: _ mlittfinlc�hotmail.com <br /> PROJECT INFORMATION: Descri tion of ro'ect: Y`���-�' f--f c�y�'�� <br /> 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal 8 <br /> New Construction Water Supply <br /> (�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 <br /> ❑ 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 <br /> Minnehaha Creek Watershed District(MCWD) ❑Othef: s eCi ❑�rivete Well <br /> 15320 Minnetonka Blvd � P �� ❑Othef(SpeCify) <br /> Minnetonka,MN 55345 <br /> Pho�e: 952-471-0590 <br /> Fax: 952-d71-0682 <br /> www.minnehahacreek.or <br /> Estimated Construction Valuation (excluding land) � $300,000 <br /> Packet Last Updated.� August 2015 <br /> Page 21 <br />