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r � <br /> � !� � � � ,�� � 9� <br /> CITY OF ORONO / <br /> BUILDING PERMIT APPLICATION <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> � �� <br /> �O A T MailiPO Bo�r66. Permit number. L �'� �Ch� � <br /> •v� Crystal Bay, MN 55323-0066 Date received: �`"� �'�'�(D <br /> — „ eceived by: !�-+' �_ <br /> `� Street Address:' � _._-._.__— '�,` ,\ <br /> ti�, G� �lr 2750 Kelle Par � �'y�� � lan review fee: ' <br /> � '� Y �Y ��, � � �' , <br /> '�j Orono, MN 55356�'�,� � � _________. _._._ / <br /> `�'FfSHO�� �/ __ _._._ <br /> Main: 952-249-4600 �'�` - <br /> To�aT�ee:r c�� <br /> 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. (Please print) <br /> GENERAL INFORMATION: <br /> Job Site Address: 940 North Arm Drive, orono, MN (PID# 07-117-23-11-0014) <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No <br /> ff yes,a specia/event pe�mit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be <br /> required unless applicant demons6ates sufl`Icient on-site parking is available. Non pemtitted events will not be allowed. <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: villamil Construction Co. <br /> State License# BC633780 Expiration Date: o3/3i/2oi� <br /> Phone: (cell) 612.221.7511 (office) <br /> Mailing Address: ss35 CR 151 Clt : Minnetrista ZIP: 55364 <br /> Contact Person: ian villamil Applicant is: Contractor Homeowner (CircleOne) <br /> Email and/or Fax: �-,�,�V�1l(.�,M,,I Q�mai G f o;rv� <br /> PROPERTY OWNER INFORMATION: <br /> Name: Roman Olshansky <br /> PhOl1@(d8y): 612.296.0409 <br /> Adtlf@SS: 14545 7th Ave N Clty: Plymouth ZIP: 55447 <br /> Email and/or Fax romanolshansky26C�gmail.com <br /> ARCHITECT I ENGINEER INFORMATION: <br /> Name: Kevin Factory Home Center <br /> Phone(day): so�.644.21i5 <br /> Address: 2s5o2 State Highwav 55 East City: Paynesville ZIP: 6362 <br /> Email and/or Fax: kevin@factoryhomes.net <br /> PROJECT INFORMATION: Description of roect: ��'' E, `�`` ��`� �� �� � ����` <br /> 1.Type of Project 2.Proposed Use 3.Structure Type � 4.Sewage Dlsposal 8� <br /> Water Supply <br /> ❑X New Construction ❑ Single Family with ❑Accessory Bldg./Garage <br /> ❑Addition attached garage ❑ Deck X❑ Public Sewer <br /> ❑Accessory Building � Single Family with ❑Office/Commercial <br /> ❑ Relocation detached garage ❑ Residence ❑ Private Sewer <br /> � Other: (specify)Manufactured hom ❑ Multiple Family/Condo ❑ Retaining Wall(s) <br /> ❑ Public 4-feet or greater ❑ Public Water <br /> *`Any earth movement may also require ❑Commercial ❑Storage <br /> MCWD review&permits. ❑ Industrial ❑Warehouse � Private Well <br /> �n�nah,�.....�_,.,--- � �-- ier: (sPeci�Y) � Other(sPeci�Y) <br /> Manufactured Home <br /> t��� � � � �� <br /> ,," ,�_-�___��� ���� <br /> ��, �, °°CONSTRUCTION CO.,� <br /> � --- - d� a 145,000.00 <br /> 5535 County Road 151 <br /> Minnetrista,MN 55364 <br /> Cell: 612-221-7511 <br /> LEED <br /> ianvillamil@.gmail.com AP <br /> www.villamilconstruction.com <br />