HomeMy WebLinkAbout1994 - 006215 - rmv wall add header PERMIT
CITY OF ORONO PERMIT TYPE:
275C..Kelle ParkwayP.O. Box 815
Wit_ _i;F�°'`
y ' Permit Number:
Orono, Minnesota 55356-0815 -
(612) 473-7357 Date Issued: 3:Ir; � _;; ay
SITE ADDRESS:
WHITE OAK d:I R
LSV
F .. I . N .
DESCRIPTION:
'Y`•,. WALL ADD HEADER
Elul id3T'i`p Permit yC'}= _. -i-iDD;r i.-;`1S_I}?-L
Buildina Work Type RENOVATE/REMODE1
i_%E:C: Dc cupA n{_y
C.}_if.Is'I:.3:ui't. i;YIn Type
L•1 1 ! L'! 41114'ITL'
L tAfrl AUT fir r T
1ITt"1TL•L L'! ! 1L•L
°J131i%000
VS LEN 63.0V
1222:.'00000
VV !T
01 VLtf 2.00
Dig 65.00
Y L?31.%i:ir! !•'!s?fit 5 5? TT rl a:it
Yt:_'VVV•TV L•VV1 1\V1 f 1-Y•-VJ
`'1.. .714
` •,1i
REMARKS: ti:."
FEE SUMMARY:
VALUATION $4, 000
Base Fee ` "•-`
. 00
_#o 1•,._I i }"F:.:_ $6.-4
. 00
CONTRACTOR: - AIp_-`t i =.nt. -- OWNER:
_, I EF'HEt:i'-;I_,It;3 CONSTRUCTION 1 4. F;S .':` SHANNEN 1-::: T E
PA NEE AVE _'; WHITE OAK K CIF
APE PLAIN MN S[ 'S`'3 ORONO MN 'tiS'35F,
(612: 47R-56T7
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
VEMENT=_,
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COr iFLIANS E WITH ALL r:;•"v OF
ORONO ORDINANCES AND STATE OF MINNESOTA E:t_UI C'ING CODE REQUIREMENTS.
L_ ?,;
is
I�� AUMP.66 95)APPLICANT/PERMIT' SIG ATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total''Fee• $ Cp 5 b6 Date Received:
Q , ,) Date Approved:
Entered By: N6`" Permit 4°- �-
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTM)
(See Check-off List Enclosed)
THE APPLICANT IS: (circle G�l/o�nee) OWNER or CONTRACTOR
JOB SITE ADDRESS: 7727k9ifl�e (94 of
l,, q
(work)
NAME OF OWNER: �,1-7L/e f , ,t/,/��� PHONE: (home)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: � � /l��S�.� �/1S'f PHONE:
MAILING ADDRESS: Dai / 7A/,,EE4 CITY: i�7144 4 ZIP: �..APL7
STATE LICENSE: # ,JQ) -7g7 )
ARCHITECT/ENGINEER: � �� / /AY4 PHONE: 4/ SCD/
MAILING ADDRESS: / CITY: /f/M4Z ZIP: 1/7V/
NAME: REGISTRATION tt
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : _ 2 5T4`7 ��✓0 /.7 00/2 LC, Art /
i4;i4,49 7271,7, /
AGYi�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ,022
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: ‘—p?l? r/7
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 21 L0 k-^-.)14-` Cek-"� PID:
DESCRIPTION OF WORK: (1. ---1",_„,,,-(7 �A-t-L A DO 1-1,--t.....---)4-042,
ZONING REVIEW BY: Al ` DATE APPROVED:
/ DATE APPROVED: 6 -Z 9 y
BUILDING REVIEW BY: /I __„, , it
TEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No L SEWER CONNECTION
STATE SURCHARGE Yes 7No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify) ;'l
, -
ZONING CnECR LI' 1 Zoning District:
I
Fire Department:
Post Office: / School Distilict:
Lot Area: Width: / Depth: / I
Survey Submitte. : Yes No /Date of/Survey:
I
I/
Proposed Setbac s:
Front (Lak - ) : Right hide:
Rear (Street) : / Left tide:
Adjacent truc •ures: /
Wetland:
Building Heig t: De . Hgt. ' /___ ,
Peak Hgt. 1
1
I
Avg. Setback: Lot Coverage: I
a istin Proposed
Hardcover: 0 . 75 '
75 250 ' /
250 500 ' /
r
500 1000 '
!! I/
Hardcover ariance Recuir d: Ye Date of Council Approval :
r--- 1
Grading: aff Approval D te: / / By: Council Approval Date:
Septic: S aff Approval] Dalte: / / By:
Zoning Fi e:# Resolution /4 : Reso .ution Date:
REMARKS in house) : ,%
BUILDING REVIEW CHECK LIST 44
UBC: (2_-3 CONSTRUCTION TYPE: CCN
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x
2nd Floor x
Garage x
x
TOTAL
and
Estimated Construction Value: $ `"L(bC)C--
Inspections Required: Work Requiring Separate Permits:
SitePlumbing Grading/Filling
Footing Mechanical Fire
Framing - Septic Water Connection
Insulation - Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
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) :
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