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HomeMy WebLinkAbout2003 - P06829 - land alteration PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P06829 Crystal Bay, Minnesota 55323 Permit Type: User Defined (952) 249-4600 Date Issued: 10/9/2003 SITE ADDRESS: 1006 Wildhurst Tr Mound,MN 55364 PID: 07-117-23-24-0045 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu yc DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Must be removed&restored within 180 days of issuance of permi FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Owner/Self OWNER: Craig Scherber MN 1006 Wildhurst Tr Mound,MN 55364 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. ---'1---)AP7 /7 ,4__ &_ 63-7i-v--___ 09-1/;---) PLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 r ��U City of Orono FOR CITY USE ONLY /� \ P.O.Box 66 Date Received: C_;Z,S=3 Permit# HO 4AZ of ��`, 2750 Kelley Parkway � !R - Crystal Bay,MN 55323 Amount: S `ti C.U.P Piled.-"'� r�,r ^f (952)249-4600 �� `y Approved B : LL) Site Plan: Y Recommends: Approval E Denial 0 (cct.Ceoi /C/to CITY OF ORONO- USER DEFINED/GENERAL PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Site Address: c. 1.'L_ 1 L J Owner: 1� Mailing Address: /c c.i_ i 7 ;/ . 2,7 1 City: 0/9 on)(..) Zip: Home Phone: '152 - '172 001 Z Alternate Phone: z -.S'i D- 3'100 litla eA � . 1, ,q,,,,:,,!,!,-,.,:,.. of Contractor/App.: Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Stairway to Lake ❑ Retaining Walls ❑ Temporary Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined *(Per UBC) *(Per UBC) *$30.00 *Estimated Cost: $ *Estimated Cost: $ ❑ Docks-42"or Greater Land Alteration ❑ Zoning Review General-User Defined Surcharge Gen al-User Defined General-User Defined ❑ Commercial—(Per UBC) M 0-500'-$50.00(Needs Site Plan) *For 0-75'Zone-$30.00 *Estimated Cost: $ ❑ 501'+-$75.00(Needs C.U.P.) General—User Defined ❑ Residential- $30.00 ❑ Tree Removal General—User Defined *Within 0-75' -$30.00 i-, ,''y) -. ' 2. i- ,(( 1)% . (- , (-, ,. 1 I herby apply for a User Defined 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. Li AppliAant Date CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 10 0 W co\-\u R s Z-2A► t _ PID: DESCRIPTION OF WORK: -re-)-np ZONING REVIEW BY: /� DATE APPROVED: t©-3•cs-g BUILDING REVIEW BY:/ DATE APPROVED: FEES TO BE CHARGED: 4QAnwS Mtsc. Fes 5 FesCctiBy ".-3)) PERMIT Yes // No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC-Units OTHER (specify) ZONING CHECK LIST Zoning District: ,vo 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.tland: Building Height: Def. Hgt. Pe. •Hgt. Lot Coverage: Grading: Staff Approval Date: :y: Council Approval Date: s Septic: Staff Approval Date: :y: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setbac : 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): c-c_ ,'cess 7 • BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: Sq s stage $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 Wall Board (Masonry) Other (Mfg•) Well (State Permit) X Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: ------� w-� Access: Existing New Access Approval: Date By: -- ------------------------------- REMARKS (TO BE NOTED ON PERMIT): t' sr 6..e lLt=-wc a v2 "A.0 (kms AArP C.-wr1-s,n) / �0 DA-y-5 p, /.5-0 t/.4 O 1,7- 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE��� SCHEDULED l0 PERMIT NO. PLETED ADDRESS /0 Ur (0 w t i&�C(t -- OWNER CONTR. TELEPHONE NO. DESCRIPTION IQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING • 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREM/ETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL 5 OWNERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: cc Q.cc c� A P.f'vinCC i Vl / IJP CC W W CC d WCC ClWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contraf s'te: Inspector. aAA White Copy/Inspector's FL Canary Copy/Site Notice