Laserfiche WebLink
• <br /> CITY OF ORONO <br /> BUILDING PERMIT APPLICATION <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> O A, Mailing Address: Permit number: �Q�7—� q�� <br /> vO PO Box 66 <br /> RECEIVED Crystal Bay, MN 55323-0066 Date received: 2'-D�3—/7 <br /> AUG 0 3 ZQ'7 Street Address:' Received by: <br /> .S C� 2750 Kelley Parkway Plan revie fee: / 7 00 �'j <br /> `q,�FSHO�h Orono, MN 55356 <br /> CITY OF ORONOsain: 952-249-4600 Total Fee. 3 if Fi,3 (1` � 1 <br /> Fax: 952-249-4616 www.ci.orono.mn.us l <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: 1025 OLD CRYSTAL BAY ROAD, LONG LAKE, MN 55356 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑x 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: GORDON JAMES <br /> State License# BC531961 Expiration Date: <br /> Phone: (cell) (office) (763)479-3117 <br /> Mailing Address: 5159 MAIN STREET E#200 City: MAPLE PLAIN ZIP: 55359 <br /> Contact Person: JOE MCPHERSON Applicant is: ontractor Homeowner (Circle One) <br /> Email and/or Fax: JOE@GORDON-JAMES.COM <br /> PROPERTY OWNER INFORMATION: <br /> Name: ORONO ICE ARENA INC. (CONTACT: DICK LEWIS) <br /> Phone (day): (763) 257-7457 <br /> Address: 1025 OLD CRYSTAL BAY ROAD City: LONG LAKE ZIP: 55356 <br /> Email and/or Fax <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: TOM MOORSE, HTG ARCHITECTS <br /> Phone (day): (952) 278-8880 <br /> Address: 9300 HENNEPIN TOWN ROAD City: EDEN PRAIRIE ZIP: 55437 <br /> Email and/or Fax: CONTACT JEFF ELLINGSON:JELLINGSON@HTG-ARCHITECTS.COM <br /> PROJECT INFORMATION: Description of project: <br /> 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal & <br /> Water Supply <br /> ❑ New Construction 0 Single Family with ❑Accessory Bldg./Garage <br /> ❑x Addition attached garage ❑ Deck ❑x Public Sewer <br /> ❑Accessory Building ❑ Single Family with ❑ Office/Commercial <br /> ❑ Relocation detached garage ❑ Residence <br /> s eci ❑ Private Sewer <br /> ❑ Other: <br /> (specify) 0 Multiple Family/Condo ❑ Retaining Wall(s) <br /> ❑ Public 4-feet or greater ❑x Public Water <br /> **Any earth movement may also require ❑x Commercial 0 Storage <br /> MCWD review&permits. ❑ Industrial ❑Warehouse <br /> ❑ Private Well <br /> Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑X Other(specify) <br /> 15320 Minnetonka Blvd MEZZANINE ADDITION <br /> Minnetonka, MN 55345 & LOCKER ROOM <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 ADDITIONS <br /> www.minnehahacreek.orq <br /> Estimated Construction Valuation (excluding land) $ TBD 0 5-7 atitL <br /> , l�l <br /> -- 0° 0 <br /> Last Updated: January 2016 &1/73)erg© <br />