Laserfiche WebLink
CITY OF ORONO <br /> BUILDING PERMIT APPLICATION <br /> FOR NEW STRUCTURES OR ADDITIONS <br /> Mailing Address: Permit number: c? /7 6/'Q''/ <br /> O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: - 1 7 <br /> Received by: �r <br /> Street Address:' <br /> 2750 Kelley Parkway Plan review fee: <br /> �gk�stta�� Orono, MN 55356 ' <br /> Main: 952-249-4600 Total Fee: 9 <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: 795 N Old Crystal Bay Road, Long Lake, MN 55356 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes Q 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: Kraus-Anderson Construction Company <br /> State License# N/A Expiration Date: <br /> Phone: (cell) 763-234-5645 (office) 763-792-3686 <br /> Mailing Address: 8625 Rendova St . NE, P .O. Box 158 City: Circle Pines ZIP: 55014 <br /> Contact Person: Jason Peterson Applicant is: Contractor / Homeowner (Circle One) <br /> Email and/or Fax: jason.peterson@krausanderson.com <br /> PROPERTY OWNER INFORMATION: <br /> Name: Orono Public Schools - John Morstad <br /> Phone (day): 612-449-8300 <br /> Address: 685 N Old Crystal Bay Road City: Long Lake ZIP: 55356 <br /> Email and/or Fax jmorstad@orono.k12.mn.us <br /> ARCHITECT/ENGINEER INFORMATION: <br /> Name: Wold Architects and Engineers - Eric Linner <br /> Phone (day): 651-227-7773 <br /> Address: 332 Minnesota Street, Suite W2000 City: St. Paul ZIP: 55101 <br /> Email and/or Fax: elinner@woldae.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 0 Accessory Bldg./Garage <br /> ®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 0 Storage <br /> MCWD review&permits. 0 Industrial 0 Warehouse <br /> MCWD 0 Private Well <br /> Minnehaha Creek Watershed District <br /> (MCWD) 0Other: (specify) ® Other(specify) <br /> 15320 Minnetonka Blvd Public School <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) $ $1, 200, 000. 00 <br /> SEP 2 62017 <br /> CITY OF ORONO <br /> Last Updated: January 2016 <br />