HomeMy WebLinkAbout1993-05-07 Application & Permit, New Residence-2Pgs #005121CITY OF ORONO YEhIW PERMIT TYPE: t//"-
2750 Kelley Parkway • P.O. Box 815 PermBUILDING
Date I
Orono. Minnesota 55356-0815 Number 005121
(612) 473-7357 Date Issued 0-5/07/9`3
SITE ADDRESS:
FERNDX)LE 6RFEN
LSV
P . I. N . , :,6-1 I - :: -44-I: 01'�+
DESCRIPTION:
NEW RESIDENCE
Building Permit Type =;ILL FAMILY -NEW
Building Work Type RE'-:IDENC:E
UGC Occupancy :39 R-3
Const.ructic,n Type VN C11Tt OF 1 WN0
?I,nin3 R-1A FINANCE LFFICE
13131 00000
01 0 11-M".00
1 j50100000
01 11rN 913.90
01 CEN 137.50
1 «<b00000 1
01 UW 750.00
13131100000 A
01 WN 7«4.57
1 D 3100000 A
REMARKS:
CHECK TL IJ709.05
SE.F' PE RI i I T'_; RE.QD FOR PLEG, MEC:H, FF' , _:EWER & WATER GONNEC T I CEt�,,
T T COO _�'T/\'TC GCGbt T TC Ci�G LiCI I i. CI is i � TC 7 i �,11 /\C,OT1 OCO i ,ilhl.l T T T I L.+
FEE SUMMARY:
YALUAT I (EN $ 7.�,
Lase Fee $ 1 , 25'2.00 '::;EWER CONNECT I ON $ 7, 224.57
Flan Review $81 C:. so WAI ER C:iINNE C:T I ClN ___ _$'�_1_
Surcharge $1:37. 5o Tc -t.al Fee $13, 70'i, 05
SAC: $7SO.00
SAG Z 100
►0
SAC Vn i t•s --------------
Subtot•al $ , _S'—J. 0
CONTRACTOR: "- Applicant - ST . L I C .OWNER:
SCOTT LARSON HOMES 1937S680 112E HC T'..INS KEN
1S87'3 ELOOIE LN 1587:3 ELODIE LN
M I NNETONKA MN SS345 M I NNETONK:A MN
(612 ) 937-S680 (612 )9:37-56:34
THE UNDER'_; I GNED HEREBY REQUE:i-jS PERM I' ;L; I ON TO MAKE THE REAL IMPROVEMENTS
F'EC: I F I ED AND F? LihEE'3 Tit 01-1ALL W:=EFt> :: IN STRICT CE iMPL I ANC:E WITH ALL CITY OF
ORONC E CiR1)1 NAN::E'=; AND ' ;TATE OF M I NNE'_;OTA PU I LD I NG CCEDE REQU I REME ATS .
L _I
PPU AN PE ITEE SIGNATURE ISSUEDBY SIGNATURE ���