HomeMy WebLinkAbout1992-10-30 Permit, Land Alteration #004755IV
CITY OF ORONO
1335 Brown Rd. South • P.O. Box 66
Crystal Bay, Minnesota 55323
(612) 473-7357
SITE ADDRESS:
E.2'7
L Y
P . I . N.
DESCRIPTION:
REMARKS:
PERMIT
PERMIT TYPE: t-ISER DEFINED
Permit Number i ii t4755
Date Issued 1 0 / _;0 / 9
FERNDALE RD N
DRAINAGE SWALE
User Permit Type LAND ALTERATION
:WAL E: TO E E I ►J = TF'�l_i . C+ : F.' FROM (WETLAND
FEE SUMMARY:
Ease Fee
Tc ,ta 1 Fee
ICONTRACTOR:
OTTEN BR +'
IL
LONG LAKE
(F 12) 47:.3-S42 S
---------*5Q- ►Q
$.50 . 0(.)
CITY Of ORM
FINWE OFFICE
1313300000 1
01 aw 50.00
Q ECK TL 50.00
RELZIPT-THANK YOU
C 5T320 C001 R01 T14:1!
SETBACK SHALL BE STAKED BY STAFF.
c {r-0, fj!�r 6PPuIFe-3 -TV
- Applicant. -
1473S4215
MN 55355
CUP 6iuus-.4`+,
OWNER:
iih+lN+=+
TIM
FERNDALE RD N
MN 55391
THE UNDER'_:I GNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DID ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
C+RC+NO ORDINANCES AND STATE OF MINNESC+TA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE--ISSUEU9V SIGNATURE 6 -c/t
J
e1%
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ 5- e Z,
Entered By:'
Date Received: l0 Qy I
Date Approved: 16 - 30 -biz.- I
Permit#: AL ti
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check -off List Enclosed)
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: C Z7 n 1 ZIP: ``,:: ,J� I I I
(work)
NAME OF OWNER: --rl M J U HAV „U 0 PHONE: ( home )
MAILING ADDRESS: b2-7 &Pj DAU- CITY: ZIP:
CONTRACTOR: PHONE: y7 - Sys
MAILING ADDRESS: I :-,U . Jk Z `: o CITY: zXW_4- Akf—
STATE LICENSE: #
'MiCHITEf�WENGINEER:_ X
ZIP: `'r 3; C,
PHONE: `l13 Sys
MAILING ADDRESS: Dh 2t9 CITY: &,ve, ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration_
PROPOSED WORK (describe in detail) : AIV6 /�L�fief}TIGN �O,c
Uc. 61&1 (
STORIES:
pKP /nJ /`►G
SQ. FEET O
W5�
e
F
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L2DD .
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conrormance 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 accgrdance with the approved plan.
APPLICANT'S SIGNATURE: / ' (� �' , %c DATE: