HomeMy WebLinkAbout2007-A11281 (denied) 0 City of Orono �, „�„�, FO ITY USE ONLY
0¢ �0 P.O.Box 66 'WII'I-!,Y/ /( Date Received: -7/ dir,7 Permit#/4 I/�1
eta 2750 Kelley Parkway l ``�
- a ? E* Crystal Bay,MN 55323 'f'2' Amount: $ 460'iV C.U.P Filed:
1. 4.
k S,°` (952)249-4600
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frApproved By: Site Plan: °.S•2-6 7
Recommends: Approval Denial 0
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CITY OF OR NO - USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Information:
Site Address: "
�� C Cot R-/ T / AcA,Vc/ `.� .- ,�&
Owner: J-`/n ,rnQ4 '\-'.50/J Mailing Address: jsy zne
City: j-(fvnJ Zip: 3-75-3z/
Home Phone: Alternate Phone: f`7-f/'" F7 7 3
Contractor/Applicant Information:
Contractor/App.: r!;cCvi 1 e AvJSetxPc Contact Person: 1/qA)
Address: /G / 5 5- S State License#: 4/. f1
City: 4--
+.vF e Zip: 5 6 y Expiration Date: /11. 4
Phone: 6()- i2/ 4773 Alternate Phone: ra oc—ci----
TYPESOF USER DEFINED PERMITS
X ❑ Rettairway to Lake
S
aining Walls ❑ Temporary Trailer
General-User Defined Surcharge General-User Defined Surcharge General-User Defined
*(Per UBC) re * (Per UBC) * $30.00
*Estimated Cost: $ ?,5-0----- *Estimated Cost: $
❑ Docks—42"or Greater ❑ Land Alteration ❑ Zoning Review
General-User Defined Surcharge
❑ Commercial-(Per UBC " 1' �J � See
t '` ,
*Estimated Cost: $ /'� f c l v ct i-J /"3-
General-User Defined
❑ Residential- $30.00 p.,e,„ tivu,,,7---- -, ii )/1--e --'2'6
❑ Tree Removal
General—User Defined ��� 1/Y--- .5✓1 S
*Within 0-75' -$30.00 !
- ..PC.) .1
I herby apply for a User Defin
accurate; that the work will be ii
Building Code;that I u derstanc
will be in accorda.' : with thea
Applicant ,amu«,
(User Defined Permit 1/I S/041
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/ç/7 ) ORONO CPIy
CIT OF ORONO
BUI • NG *EA'MIT PLAN REV:EW
A i a t..... I-1D Ot"
INSPECTOR ..L..2 L. _
DATEce`Z--Slr 0 PERMIT NG.
rAF.'F'IOVED AS.:1.1F4i)TTED
AFI'"Ac.:t.';d7.);MTH c-:,or.nz.7,1.1oNs As NOTED
r : - ,.,DD---...,-!or L,•• EL:3UE:14T
Th.. -... .:-. ,•a! ter your:!.fori-nrg A:i,,vcris;:ns,11 be done
in i . - .. eil22p;ica':.,le !-,u1:7.g and zrming code.
Rer,:ou • . .' .,Arci;r4!ti.:nis not sp.tc»ficz1;y notan in this review.
As PLAN SET ON SITE AT ALL TIMES
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CT OF ORONO
BUI 9 NG -E MIT PLAN REV:EW t
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ti'V CI
INSPECTOR
DATE ce`L” •-• _L PERMIT
tfel•fAF.'"?'10vED Ai");7.1),F,LTITED
Q Ary,";.-.7:1 w!THC!".,r;I::,:".: n',.!r3 AS? CITED
r ' . '.,-,i.,.--'.:'VED---.0:2i-.:::::•!-L; F.:::SJ1.
fcr yo;:i :',.,',:,:,,:'-', Ai:‘,.,vis t!i•-_.71 be done
in 1 . : ‘.:h eil ::::p;t ,1'..-:.• i::-.0
Fiez,..1. • ..;irtc,itri riot sp•-!.;.lici•J;y nc:•3o in t.ks review.
PILL....-' :,AS FL-AN sei ON 311:E AT ALL TIMES I
As. vi.3,-../5.Sod ti.t 7-74 ,67 , ---e (-14,^-5
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/a— .-- 77$
-CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY.
ADDRESS OR LEGAL: 17 D e.
PID: •
DESCRIPTION OF WORK: z."4 /1cceyS s ,mss
ZONING REVIEW BY: _ ,z(?), F/ DA:].'}APPROVED: 8 -2-0
•
BUILDING
REVIEW BY: /,4f/ DATE APPROVED: e-z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes J/ No
PLAN REVIEW Yes No ✓ SEWER CONNECTION
STATE SURCHARGE Yes I/ No WATER.CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes • No SITEINSPECTION
Number of SAC.Units OTHER (specify)
/ZONING CUIRCK LIST Zoning District:
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: •
Pear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: AfA By: t��L
Zoaing File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverzge:
i✓ fisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
ar Ya_ once ReGure' �i
: e3 No D_:_ v. Cou.__j A =
1�_CCo`%er
PE ARKS (Ln hoe):
•
BUILDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x _ •
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 1 So.
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)
v._ Final Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE): •
REVIEW BY OTHERS: DATE:
Access: Existing New •
•
Access Approval: Date By:
REMARKS (TO BE NO i'ED ON PERMIT):
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