HomeMy WebLinkAbout1995-6744 - permanent sign PERMIT
CITE( OF ORONO PERMIT TYPE:
2750 RdIbV Airkway - P.O. Box 66
Permit Number:
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued'.
SITE ADDRESS:
W. y 7 A
DESCRIPTION:
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REMARKS: V L-
FEE SUMMARY: ij I T i A-
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CONTRAGTOR: 1 x,1 7:
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THE UNDERSIGNED HEREBY 'REQUESTS PERMT!3S TO MAKE THE R'
-.XJL I I EAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH'ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE PEE UIRVIENTS.
APPLICANT,,PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: , � �1
Perini t
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
JOB SITE ADDRESS: 026TZIP: SS.3sC
(work) 4lb- 921`Z
NAME OF OWNER: ' ��� PHONE: (home)
MAILING ADDRESS: �6 g 7 �' CITY: ���i'Ly ZIP:
CONTRACTOR: PHONE: 7az - 3 g Y
MAILING ADDRESS: I%/4// .j�o d/ N e- wCITY: jJ7�v ZIP:
STATE LICENSE: z
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.
LSTIMATED CONSTRUCTION VALUATION (excluding land) : $ 4100.b6
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.
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APPLICANT'S SIGNATURE: '/ ' �jt/L� DATE:
CHECK OFF LIST FOR ISSUANCE OF PERMITS
' - FOR OFFICE USE ONLY
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ADDRESS OR LEGAL: Z V�7 W�y7.dt?Yt C�c-J� PID:
DESCRIPTION OF WORK:
-------------------- - - -----
-------------------------- -
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: AIM DATE APPROVED:
----------------------------------------------
FEES TO BE CHARGED: Misc. nFees Calculated By:
PERMIT Yes )L � o
PLAN REVIEW Yeses_ 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:
Fire Department: Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks :
Front (Lake) : Right Side:
Rear (Street) : Left Side:
Adjacent Structures : Wet and: 1
Building Height: Def . H eF
Avg. Setback: Lot Co erE s ing Pro ose
Hardcover: 0-75 '
75-250 ' 7 L
250-500 '
500-1000 '
Hardcover Vari nce RVIate:_
d: Yes No Date of C uncil Approval:
Grading: Staf Approte: By: Cou cil Approval Date:
Septic: Staf Approv By:
Zoning Fil : # esol io # : R solution Date:
REMARKS ( ' house) :
BUILDING REVIEW CHECK LIST
UBC:-- �/fd- CONSTRIICTION TYPE
�K�
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 Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�aFina l �r n (Mf g.) Other
Well (State Permit)
Other
Electrical (State Permit)
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REMARKS (IN HOUSE) :
-------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval : Date By:
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REMARKS (TO BE NOTED ON PERMIT) :
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