HomeMy WebLinkAbout1999-012098 - grading PERMIT
CITY OF ORONO PERMIT TYPE:
lb.2750 Kelley Parkway - P.O. Box 66
Permit Number:
JW-rystal Bay, Minnesota 55323
(612) 249-4600 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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STEINER
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THE UNDERSIGNED HEREBY�-,REQUESJS� P *ISSION T *Wtl
SPECIFIED AND AGREES TO DO ALL VOR K J, TY
ORDINANCES AND STATE OF
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ORONC "'s LDING. C-0EAEOVI:R
APPLICANT,PERM ITEE SIGNATURE 1ED BY:SIGNATURE
,jRONO 6122494616 11/01/99 16:05 5 :07/10 NO:58L,
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Total Fee: $ Date Received:
Entered By: _ Permit#: 1 2nct Q
CITY OF ORONO - BUILDING PERMIT APPLICATION
All Information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ����� C� ����� 4�Xk) Al ZIP:
NAME OF OWNER: J be p b i e gfVc PP16 PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: _` TPi.y(rQ t Kop�e L,,,a,V PHONE: y�2 3 s
CONTACT PERSON: MOBILE/PAGER. _
MAILING ADDRESS: 113 yo CITY: G��y z u+�� ZIP: -5-5 3Y/
STATE LICENSE: # 3-7,Q-
ARCHTTECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: _ ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New _ Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSER 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 accord ce with the approved plan.
APPLICANT'S SIGNATURE: L/7 �' DATE:
NOTEI Parade Qqf Harnes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: -2,0Z10 wa'te 9,rQ1W N M-00%vO
PID:
DESCRIPTION OF WORK: ID0-
ZONING REVIEW BY: DATE APPROVED: IL -4 - 91
BUILDING REVIEW BY: DATE APPROVED;
FEES TO BE CHARGED: , „�Misc. Fees Calculated By:
PERMIT Yes _ 4 No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District: ry o G�
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: W and:
Building Height: Def. Hgt. Pe -Hgt.
Lot Coverage:
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RENIARKS Cin house):
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WELDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE:
Sq-Footage $Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x —
Garage x =
x =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg,) Well (State Permit)
Final Grading/Filling Electrical(State Permit)
Other
REMARKS(1N HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON MUM):
:
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