HomeMy WebLinkAbout2002 - P04837 -addn/remodel/repair PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P04837
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 3/6/2002
SITE ADDRESS: 2160 Wayzata Blvd
Long Lake,MN 55356
PID: 34-118-23-21-0002
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Commercial
Permit Class: Building Census Code 437
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 38.75
Valuation: $ 1,000.00
Plan Review Fee: $ 25.18
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 64.43
APPLICANT: Owner/Self OWNER: Wear Willaim
MN 2160 Wayzata Blvd
Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APP CANT PE• ITEE SIGNATURE r ISSUED BY SIGNATURE
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Copies: 1-File(Siinitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing, 1-Finance Page 1
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Total Fee: $ I/ 7 3 Date Received: G �Z
Entered By: in y Permit#: `? '
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one OWNER R CONTRACTOR�/
JOB SITE ADDRESS: /lv D 1/�! ll��� �G , E 1✓G( ZIP: 5535 (n
NAME OF OWNER: A,di i am V1I Wear PHONE: (home)952 473-L/1)3O
(work) 9 -4"75- 704"7
MAILING ADDRESS: p Q ,B o x '306 CITY:Lfl k 1KP ZIP: 35
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( cI'�\ CONTRACTOR: Sri 1— PHONE: SOrrie 9 S 0 VC--
CONTACT PERSON: tido. K MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration X Land Alteration
PROPOSED WORK(describe in detail): K 0Li,, 0, �I m ' �l ,/ a
o ,�,�� cu.�e✓ A, (e Ltd9e0,0 .fly
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /62f2t
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.
APPLICANT'S SIGNATURE: I , ,"jj I' elq DATE: Sir)
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: a I(,O W . W A y zAA-T1 (a L J a
PID:
DESCRIPTION OF WORK: -1 i'V A sr SPA GC- ( 'i1 rJ c5Z
ZONING REVIEW BY: 43--,-6 DATE APPROVED: / . 2 8 -o Z
BUILDING REVIEW BY: j DATE APPROVED: -o z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes t/ No
PLAN REVIEW Yes i/' No SEWER CONNECTION
STATE SURCHARGE Yes No WA I ER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No V SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: /Uo Chi-00V
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetland
Building Height: Def. Hgt. Peak Hg'
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # R-solution 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:
REMARKS (in house):
7
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BUILDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x =
1st Floor
2nd Floor x =
Garage x =
x = #
TOTAL
Estimated Construction Value: $ + 000 ''—
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 x Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
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