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HomeMy WebLinkAbout1993-005699 - land alteration . PEI�MIT CITY OF ORONO '' � PERMIT TYPE: 2750 Kelle Parkwa • P.O. Box 815 ���=���t-�j�� `�'��,�-` y Y Permit Number: ;;{�t.;;.:,�-��.� Orono, Minnesota 55356-0815 Date Issued: - � (612) 473-7357 ' �i'i�=�-�:�; SITE ADDRESS: ��'7`=�i� =;�'i���.—:'_-;_i�`v�� �.��'�: L'•:_��J �`. I . :'�1 . . i :--�. i�--'_':=:-:;�.-��,t_,��:ti DESCRIPTION: �.t�'�`�f�t}� F.{_) }�f?'.-: ���� ?_�s!_�� �_'*�i�r�4 i t• T�fi-��- L�t�li:� t�L?���iR?'I:af�� �I F�',UjF �it���u 7 i i if3nii�.�,� vi�1 LrL 1�31���.�V L�V�V n �) t y ��1 VLj 1� J1.��L��Y L•/-7L411 t?i. y. .lifaVY ii�i+ii��_±�urn°#ii i=vJ id rf.it u��l i�'!9 f{Ti i i#f�,�;'1 7fG.VVli'V 4 S t Vl l 1 V � � 1 1 f�VLt/�J REMARKS: FEE SUMMARY: ���:;��� F��� --•------��i 7�-t=�y `}s;{.� I ��� 55�i), tii_} CONTRACTOR: OWNER: ` ��F'�'�. _��!+�• — �_n�"_�'_�c`� �=`Hl}� .t:'°�a::, �=.{-;i�+F'�!I t�E Cf�; ii���it{��=� hii�a ��:;°�� t:��i i i d 7�.-:�1=._-;.-:� r - �--� �'--._ r;':=`, �y._=�,..i=^ r_.-1�=�; - - - d � f� �-- ,._:�_r�.: . � {�,s_•'���"' ' . � s��7l_ .�-_{�..� .._.'+�+�.t�.'•i��!» � �::.?':`W..w � � t' __� , .,_ , �_� .� +.� _ _ ! I.�?�j J!; i•F;'';i��.[� !;t�: i t:.. :-�;_ _�`�s 1'�:�� =,•#i;;•:S'�'._; _, ....,. ..r� r;t. _; _ � 7�F = ":";. 7 %+.���-.�- : --t.� r,.i - f `.-., �� �.3 °�:? �•,�•�1; r-,t-�I�._.�._. :;i !_:;...� . ._.._ . E . .. _.. . .. . .,.�C;� _,:E_i�''`��'i a'r���:�_:` v.`.�. E!'� �,�...i _. _ s 'S� �_I�' j���4 3�*;. ! 1i � ' i r-.j��i'.I(._�_.._ .;r�t t _, I �-i ! +: _�F !: (i`•(;'��'_�,1_!,r �=�'_2 P 3_�r����?J F_!_.I_:�. . . _i.j�..�S�':�1°,�-�� . . i�.._.a ! '- L � J �y�'z�.c,��o� C.�� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CHECR OFF LIST FOR ISSUANCE OF PERMITS FOR �OFFICE USE ONLY ADDRESS OR LEGAL: 37�1�� SHG�Zt;C-iNL. 1�12 PID: �� � > - //l -.�_3 }/ ��'c?j� DESCRIPTION OF WORR: r ��..�- ------------------ ------------------------ ---------------------------------- ZONING REVIEW BY: � _ DATE APPROVED: /b - L i- � 5 BIIILDING REVIEW BY: � (I�- DATE APPROVED: ------------------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: �- G,IZ�D�n;� PC:lZ✓v�l�; PERMIT Yes�( � No PLAN REVIEW Yes No ►�-f� SEWER CONNECTION STATE SURCHARGE Yes No ��' WATER CONNECTION INVESTIGATION FEE Yes No �-- PARK FEE SAC Yes No ::-� SITE INSPECTION Number of SAC Units OTHER ( specify) ------------------------------------------------------------------------------- ZONING CHECR LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Width: Depth: Survey Submitted: Yes No Date of Survey: Proposed Setbacks: � Front (�e) : I ��-' �� Right Side: ►O �"" Rear (�����-!, • ��GG ` �+� Left Side: �'�� �' Adjacent Structures : /'G�'�? Wetland: Building Height Def . Hgt. %Peak Hgt. Avg. Setback: � � Lot C�verage: Existing Prqposed � \ Hardcover: 0-75° %� I ` 75-25d' �_ , %� 2so—sop � �� 'I , `� ,� 5 0 0-10 0% ' t�' -_--__- � Hardcover Var�ance Requ�.red : Yes No �ate of Counci!1 Approval: Grading: Staff Approval �ate: By:�� Council A�proval Date: : d Septic: Staf f� Approval Da�te: , ;$y: '� � � i � Zoning File: # I�esokution # : Resoluti�on Date: ; REMARKS (in hbuse) : �'� `, � � � BUILDING RL�IIEW CHECR LIST - . DBC: CONSTRIICTION TYPE: Sq Footage $ Per Sq Ftg Basement x = lst F�oor x = 2nd F�oor x = Garage x = x = TOTAL Estimated Construction Va�ue: $ �'LI l/'�� Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Fi�]�ing Footing Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wa�� Board (Masonry) Lawn Irrigation �FinaJ� (Mf g.) Other Other Wel.l (State Permit) Electrica� (State Permit) ------------------------------------------------------------------------------- REMARRS (IN HOUSE) : ------------------------------------------------------------------------------- � REVIEW BY OTHERS: DATE: Access: Existing New Access Approva�: Date By: ------------------------------------------------------------------------------- RENl�RRS (TO BE NOTED ON PERMIT) : (�Ip D 1 J l c�N A�- �� �� W t I� t�'-C U`'� �r� �� t~S�c�i � ( ;� ��v✓a-c_ � � t�-�iLw���" ��.0✓V� G�T-� C��.� ✓�c,� 1 — S!a Gi�� +f��I L N c, ���-�}-{ p n.1 v c � /`.�OT� r��--l-a�J� , CITY OF ORONO - BIII1DING PERMIT APPLICATION C�, O�G Y _�tal Fee: $ J�" Date Received: Date Approved: Entered By: � (��` Perinit� _��` ��� ' �L INFORMATION MIIST BB SIIBMITT� IN FUI�L BEFORE PI�N REYIEW WII,L B$ STARTED (See Check-off List Enclosed) ------------------------------------ ----------------------------------------- THE APPI�ICANT IS: (circl.e one) OWNER or CONTRACTOR JOB SITE ADDRBSS: �7�� S!j�0lP�L�/I�� .D��UL� ZIP: �S� �� (work) �[J �i� NAME OF OWNER: / f�v[� �,/��1� PHONE: (home) `7 �'���� MATI,ING ADDRESS: lD S/S�O�L�� nL�� CITY:S�II�G !�<vl ZIP: S�S���� CONZ�2ACTOR: ,�i`� � PHONS: .'�I,ING ADDRBSS: CITY: ZIP: STATS LICENSE: u r3RCHI TE CT/ENGINffi�: PHONE: MAILING ADDR$SS: CITY: ZIP: N�: R.BGISTRATIOA F TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel./Alteration Renovate Land Alteration PROPOSF.D WORK (describe in detail) : /7PP/� �o y��Ds C��/V ��� ��R��D �7- �1���'� ��13 s�T� .r� ,g���� ���-�ti� �TORIBS: SQ. FEBT OF EACS FZOOR: �d0. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ = hereby apply for a building permit and I acknowledge that the information :bove is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and �hat the work wil.I be in accordance with the approved plan. �.PPLICANT'S SIGNATIIRE: � �1rv" `, rOCT 2 � 1��J DATE: ��Z��� _. . , � � L� . — . . 1 S1•e v�, ��, A � �� , �NE ' 0� �` ' , , oP P RK � � P �:... , , � � QR NG �•�; � � �'�'`�� C �Y ` � ,1� � �`�� � � � � � � � � � /, � o ; � � � � � � - � ► � ..;� � � � � �-�'* ��- � � � � � � � � � � � . 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