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1 CITY OF ORONO t <br /> BUILDING PERMIT APPLICATION 7/0. 3"/ <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> 'O A, Mailing Address: Permit number: oSD/ 8 Z7b& <br /> f VO PO Box 66 <br /> Crystal Bay, MN 55323-0066 yl� Date received: I—/nJ <br /> ,, Street Address:' � " Received by: �J� <br /> y� 2750 Kelley Parkway Plan review fee: ?j 5,7� <br /> l4kEsHo�t- Orono, MN 55356 o?a/ 2 4.7 <br /> Main: 952-249-4600 T a Fee: <br /> Fax: 952-249-4616 www.ci.orono.mn.us L/yuJ 01,,9-OLIO1pS' <br /> This application form must be completed in full and all required information must be submitted. t/ err( <br /> Incomplete applications will be returned. (Please print) VU <br /> GENERAL INFORMATION: <br /> Job Site Address: ,Rnq r;n, pnrni‘A/ay <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 0 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: David Weekley Homes <br /> State License# B6697545 Expiration Date: <br /> Phone: (cell) 612.716,2627 (office) <br /> Mailing Address: 12800 Whitewater Drive, Suite 20 City: Minnetonka ZIP: 55343 <br /> Contact Person: Kevin Cummins Applicant is: Contractor / Homeowner (Circle One) <br /> Email and/or Fax: kcummins@dwhomes corn <br /> PROPERTY OWNER INFORMATION: <br /> Name: `Same As Above* <br /> Phone(day): Melissa Johnson 612.462.6932 <br /> Address: *Same As Above* City: ZIP: <br /> Email and/or Fax mjohnson@dwhomes.com <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: Mulbern&Kulp <br /> Phone(day): 215.646.8001 <br /> Address: 20 South Maple Street,Suite 150 City: Ambler,PA ZIP: 19002 <br /> Email and/or Fax: <br /> PROJECT INFORMATION: Description of project: _ <br /> 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& <br /> Water Supply <br /> 0 New Construction 0 Single Family with 0 Accessory Bldg./Garage <br /> 0 Addition attached garage 0 Deck 0 Public Sewer <br /> ❑Accessory Building 0 Single Family with 0 Office/Commercial <br /> ❑ Relocation detached garage 0 Residence 0 Private Sewer <br /> ❑Other: (specify) 0 Multiple Family/Condo 0 Retaining Wall(s) <br /> ❑ Public 4-feet or greater 0 Public Water <br /> **Any earth movement may also require 0 Commercial ❑ Storage <br /> MCWD review&permits. 0 Industrial ❑Warehouse <br /> ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) ❑ Other(specify) <br /> 15320 Minnetonka Blvd <br /> Minnetonka,MN 55345 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.orq RECEIVED <br /> Estimated Construction Valuation (excluding land) $ 250,000 <br /> JAN 1 J 2018 <br /> Last Updated: January 2016 CITY OF ORONO <br />