HomeMy WebLinkAbout1995-007057 - grading PERMIT
CITY OF ORONO PERMIT TYPE:
-
2750 Kelley Parkway P.O. Box 66
Permit Number:
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued'.
SITE ADDRESS:
DESCRIPTION:
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FEE SUMMARY:
--------- - -
CONTRACTOR: OWNER:
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THE, UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPEC:IFIECS, AND AGREES TO DO ALL WORK IN STRICT COMPL IANCLE-:.WI TH' ALL CITY 'OF
ORONO ORDINANCES AND STATE OF M1,NNE-.3OTA BUILDING CODE REQUIREMENTS.
,,�PLICANT/PERMITEE,el—G+URE ISSUED BY:SIGNATURE
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
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ADDRESS OR LEGAL: S� PID_ -
DESCRIPTION OF WORK: __ _ ____
--------------------- -- -------------DATE APPROVED-.--------------------------
PPROVED:--------- -------------
ZONING REVIEW BY:
�"— DATE APPROVED:
BUILDING REVIEW BY: --------------------------------------
-------------
--------------------------
_ _ __ __ --------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes
� Nod>�L491� �w�-,'t'
EW Yes No ✓' SEWER CONNECTION
PLAN REVI WATER CONNECTION
SURCHARGE Yes i
STATE SURCH No rpp,RK FEE
INVESTIGATION FEE Yeses No S TE INSPECTION
SAC YNo
O HER (specify)
Number of SAC Units -----------------
___ _ -----------
ZONING CHECK LIST
Zong District:
Fire Department:
Post Offic cho 1 District:
Lot Area:
Width: D pth:
Survey Submitte Yes
No Da e of Surve
Proposed Setba k R ght Side:
Front (L ke :
Rear (S ree ) : eft Side:
Adjace t St uctures: Wetland:
Building H ig
ht• Def. Hg Peak Hgt
Avg. Setb ck: L Coverage:
Exi ing sed
Hardcov r: 0-75 '
75-250 '
250-500 '
500-1000 '
Hard ver Varian e equire Yes No
Date of Cc ncil Approval:
Grad ng: Staff A p oval D e: By:
Counci Approval Date:
Sep ic: Staff Approval Da e: By:
Zoning File:# es lution # • Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: ONSTRUCTI TYPE:
Sq Foot e $ Pe Sq Ftg
Basement -- - - - -x _
1st Floor x2nd Floor -Floor - x
Garage x =
x -
TOTAL
Estimated nstruction alu $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�CFinal (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
------------------------------------------------------------------------------
REMARKS (IN HOUSE) :
------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------
R_F.MARKS (TO BE NOTED ON PERMIT) :
CITY OF ORONO — BUILDING PERMIT APPLICATION
Total Fee: $ 5'D. o ` Date Received:
Date Approved:
Entered By: Permit#: Z('S�
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
-----------------------(See_Check_off List_ ___---______--__------
Enclosed) ---__
THE APPLICANT IS: (circle one) O��r CONTRACTOR
SITE ADDRESS: ZIP: ijy�
JOB S y�
(work)
NAME
NAME OF OWNER: r PHONE: (home)L : `_O
MAILING ADDRESS: O� CITY: d Ge ZIP:
CONTRACTOR: i e�"YG�i°~� PHONE:a:�-0 -4 j 3`
MAILING ADDRESS: CITY: ZIP:
I
STATE LICENSE: #
ARCHITECT/ENGINEER:
PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
I hereby apply for a building permit and I acknowledge that the information
above 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
that the work will be in acc ce wi h the approved plan.
APPLICANT'S SIGNATURE: DATE: �C c/
COUNTY
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