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CITY OF ORONO 13 (L9 C <br /> BUILDING PERMIT APPLICATION <br /> FOR NEW STRUCTURES OR ADDITIONS A,�s, <br /> �O A _O Mailing Address: Permit number: OV)/D [w 1/I <br /> 1�/ Cr Box 66 �-rD/g <br /> Crystal Bay, MN 55323-0066 Date received: `JReceived by:Street Address:' carA1-WA.„., <br /> � U� 2750 Kelley Parkway PI review fee: $435. .6 <br /> ei/ sHo�� Orono, MN 55356 t6L1e _ ,i/ DeoDe <br /> Main: 952-249-4600 Total Fee: / <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: o„ -Z?�S $ j Ut,00 a1L,(142- L. <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ 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# BC697545 Expiration Date: <br /> Phone: (cell) 612.716.2627 (office) <br /> Mailing Address: 12800 Whitewater Drive,Suite 20 Cit : Minnetonka ZIP: 55343 <br /> Contact Person: Kevin Cummins Applicant is: Contractor / Homeowner (Circle One) <br /> Email and/or Fax: kcummins@dwhomes.com <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: Mulhern&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 /> O New Construction 0 Single Family with ❑Accessory Bldg./Garage <br /> ❑Addition attached garage 0 Deck 0 Public Sewer <br /> ❑Accessory Building ❑ Single Family with 0 Office/Commercial <br /> ❑ Relocation detached garage 0 Residence 0 Private Sewer <br /> ❑ Other:(specify) 0 Multiple Family/Condo El Retaining Wall(s) <br /> 0 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 0 Private Well <br /> Minnehaha Creek Watershed District(MCWD) 0 Other:(specify) 0 Other(specify) <br /> 15320 Minnetonka Blvd <br /> Minnetonka,MN 55345 <br /> Phone: 952-471-0590 <br /> Fax: 952-471-0682 <br /> www.minnehahacreek.orq <br /> Estimated Construction Valuation (excluding land) $ 250,000 <br /> Last Updated: January 2016 <br />