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HomeMy WebLinkAbout1994 - 006606 - kitchen cabinets PERMIT iaciltY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 I NC--i Permit Number: 00bfDf)b Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: ii:: Re DESCRIPTION: 2uilding r Typi-f Building Work Occurncy LU L 51:?0,Vu 10E.00 TT TO. %.• n• L.,' REMARKS: PERMITS ELECTRICAL (S,Tf7 :: . FEE SUMMARY: VFiL0HiSt_iN $70 . 20 CONTRACTOR: - - '61 Lic: , OWNER: ?e,01 MN SS36,:', SS=]. (E12) 472-411J:: THE UNDERSIGNED HERELY REQUETS F-ERMI3SION TO MAKE THE REAL IMPROVEMENTS SPiriCIFIED AND AC...',REES Da ALL WORK IN STR1C1 COMLIANCE ALL CITY OF DkONO ORDINANCES ANO STATE OF MINNESOTA BUILDINfS CODE REQUIREMNTS . L_ I qa.)014•_14.174:e?/ APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE .14-100-GEL CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ /T17-17/5 Date Received: /(1/4/41e/e/ Date Approved: Entered By: A permit#: ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) TUE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: a(v0 ) W i 4-� ���`- ZIP: Sc3/ (work 7S° `0,21t� NAME OF OWNER:-Do� © PHONE: (home) y-72- -y// s/ MAILING ADDRESS: AL a I .,v - �� "^ CITY: O Jvr.-- -' ZIP: CONTRACTOR: l a y < 9)1 'L�^ -- "' - PHONE: 4/73.- U /� 1 MAILING ADDRESS: 31 S3 T11 tr CITY: Xfir.m.--e, ZIP: SS �`1 STATE LICENSE: # V-01 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration y Renovate Land Alteration PROPOSED WORK (describe in detail) : STORIES: SQ. FEET OF EACH FLOOR: Z 5 0 v NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. / DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ C4S o0 . co 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: _ DATE: /047 79 CITY of ORONO CITY Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices 0F.. .. ORONO 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' fromcertain of Orono orr any of its confidential departments inf rmationmay require you to furnishPr 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 he permit or federal agencies to the extent necessary to process r license. 4. If your requested permit or license requires Council action to approve, some information may become p b ic. 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. C C3'\` MiddleO First Last 3tC3 f_ Address City State Zip L/72_ - `-u // k' Phone I understand my rights as stated above. //r- :////r Signature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359 ASSESSING CHECK OFF LIST FOR ISSUANCE OF PERMITS 4 FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2A,001 Wel.-.:1- LWFPNUT E PID: DESCRIPTION OF WORK: KritHeNi c k&we 1-1 5 ZONING REVIEW BY: /04 DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: /v. 2Ss-tiy FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes i . No PLAN REVIEW Yes f No 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 CHECK LIST Zoning District: 1 Fire Department: Post Office: School District Lot Area: Width: / Depth: Survey Submitted: Y •s \ No Date of Survey: Proposed Setbacks: 1 Front (Lake) : Right Side: Rear (Street) . Left Side: Adjacent Str ctures: Wetland: Building Height:/ Def . Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0-75 ' ----._.__..___ 75-250 ' 250-500 ' 500-1000 ' / Hardcover Variance Required: Yes No Date of Council Approval: Grading: Staff Approval sate: $y: Council Approval Date: Septic: Staff Approval pate: /` By: Zoning File: # `/ Resolution #: Resolution Date: REMARKS '(in house) : BUILDING REVIEW CHECK LIST UBC: 0 /c.'› CONSTRUCTION TYPE: %/A) Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ rr,5-6 J°' Inspections Required: Work Requiring Separate Permits: Site p\ Plumbing Grading/Filling Footing Mechanical Fire pcFraming - Septic Water Connection Insulation - Fireplace - Sewer Connection Wall Board (Masonry) - Lawn Irrigation OLFina l (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) :