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HomeMy WebLinkAbout1995-007101 - tearoff/reroof (51TY OF ORONO PERMIT PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: i:?_i 4i 1Jd(;' Crystal Bay, Minnesota 55323 (612) 473-7357 Date Issued: SITE ADDRESS: DESCRIPTION:- R' I T, 1 -HIJ U 11 0 1 11 7 17 7 17 '.V �1 25 LIV ;L 1r, REMARKS: FEE SUMMARY: C L CONTRACTOR: 1 Ti H OWNER: i j_ T M L' jj - '44U 'I F.T N RIJ '14 4' - 'kAK THE 1-NDERSIGNED HEREBY REQUEST5-:. PEI R M S 1 0 N T0 E THE REAL ,I3 ' iOl T : TED AND AGREES TO DOAIL WORK IN !3TRICT Cf-IMPL I ANCE W I TH �ALL C I TY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING COQE, REQvIRECtNTS. ,,'., L APPLICANT,'PERIITEE SIGNATURE ISSUED BY SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: Date Received: Date Approved: Entered By:� Permit tt: /�/ C ALL INFORMATION MUST BE SUBMITTEDCheck-IN List FULLBEFse OORo � REVIEW WILL BE STARTED ---------------------- ------------------------------ THE APPLICANT IS: (circle One) OWNER o CONTRACTOR JOB SITE ADDRESS: I'7�'' ���JAC � ZIP: 553S(O (work) NAME OF OWNER: PHONE: (home) MAILING ADDRESS: CITY: i�j (a _ ZIP: CJJ3��0 CONTRACTOR: �� A C�t�J�z- PHONE: q MAILING ADDRESS: X95 �S �( CITY: ts�El�Is\ ZIP: S�3 ' STATE LICENSE: # DbX,__57)S_1 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 accordance with the approved plan. cvS APPLICANT'S SIGNATURE: N`' DATE: CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices _ On the North Shore of Lake Minnetonka DATA PRIVACY ADVISORY In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6 . Your full name is required to process this application or permit. First Middle Last 38q S Address City State Zip G)l 7 :A`7 Phone I understand my rights as stated above. LfSigna ure BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359 ASSESSING CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��� a nG PID: DESCRIPTION OF WORK: (�'O11�S71-t�� �+/�^1�� P &�A ------------------------- ZONING REVIEW BY:- S------ ---- DATE APPROVED: �_ I z - C-1T - BUILDING REVIEW BY: L-tDr DATE APPROVED: ` ) 2- c� -------------------------------------- ------------------------------------------------------------------------ FEES -------------------------FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes 7 No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: L F - IC- Fire Department: (QdllU� Post Office:�IA A44 School District: Lot Area : Width: Depth: Survey Submitted: Yes No Date of Survey: Proposed Setbacks : ' f � �) � Right Side: Front : Rear (S etl: � , + Left Side: ± Adjacent Structures :-6f 1 Wetland: Building Height: Def . Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0-75 ' 75-250 ' O ` 250-500 ' 500-1000 ' Hardcover Variance Required: Yeses No Date of Council Approval: Grading: Staff Approval Date:-&-J7,-95r By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File• # 6--.0 Resolution #: -3 g Resolution Date:�'� REMARKS (in house) : BUILDING REVIEW CHECK LIST �► UBC: CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x - 1st Floor x - 2nd Floor x = Garage x - R,4in-p N Z x 10.0 a = TOTAL Estimated Construction Value: $ 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 V-Final (Mfg.) Other Other Well (State Permit) Electrical (State Permit) ------------------------------------------------------------------- REMARKS (IN HOUSE) : ----------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT) : %0*- //CITY OF ORONO - BUILDING PERMIT APPLICATION �l0 Total Fee: $ � � Date Received: Date Approved: Entered By: - Permit#: �-- ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) ---------------------- THE APPLICANT IS: (circle one) OWNER r CONTRACTOR st .�u'ts�e�� JOB SITE ADDRESS: � �� T�C�© IZIP: ?-19 I (work) NAME OF OWNER:��/ll� �"" tessfH NE: (home) MAILING ADDRESS: ' &SS- CITY: �Q1/w -CA ZIP: �� CO TRA : I PHONE: 1-1'72--19W MAILING ADDRESS: LIM Fik'We-li k'M/'z--r CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION a TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : eAMP- 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 accordance wi h the approved plan. lieAez-5- APPLICANT'S SIGNATURE: d 7 DATE: x s E P E "3a 11 Lc it. r.lr+l v r PrpteCt lV t1J ~ fit{ �} j Show N0. r �, 1 _Y r�!! -►,C3t�� Job Ne Re H'tg-1P C.dP Mf' By ev. Date xt~t D 9- UftJ- tk,L.C;w�G i % lit P-Pff A r5 DECKS, STAIR. , P1 F� �" rOOM All Structural Memoers rlust De Approved Wood Of Natural Resistance To Decay Or —����''`''�''�'' Ire .Z t A J� ` t�cNU1NCa i t P `A 42" MIN Frost Fo�tfn � u\ (~ 9 � I � �J S, lLL91hK; P 1A PLAN ows ECTOR �_ ► t 1 sc OAIE PERtitIT PTCI AP`PRO��.Lj AS Si r MliTE7 FPROVED WITH C04F?ECTIOIN;S AS I14t� NOT APPROVED — CORRECT & RES''-I'�,"IT 1 • t !1 t-!�r ` comments are for your information. All work 5t"eii so G'r'!!tr A�Q! ;a compliance with all r aMicable buadinR & on �uirY eats inU;,l-,,;; Mems not SpP.Cit;C8vy �r cr THIS PLA5� St PLAN - P(Z) C) Q-- (2A I f 1 � NWI 0 2A 1I W s 1 f6 Q 3y 3 e" 4 --sap '+-' T24c rbc( Floweare Hollowcore Plank•PreCaSt Bbflms dnd Columns•Architectural Precast