HomeMy WebLinkAbout1989-06-21 Permit, New Residence #001673/PERMIT
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i CITY OF ^ ONO
1335 Brown Rd. c < • P.O. BOX 66
Crystal Bay, Minnesota 55323
(612)473-7357
PERMIT TYPE:
Permit Number:
Dale Issued;
BUILDING001G73
SITE ADDRESS:
120S FRENCH CREEK DR
P. I .N. : l0*-117“23-23-000l
DE^RIFTION:y
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Building Permit Type
Building Work Type
UBC Occupancy
Construction Type
Son ini,
B6L FAMILY-NEWf* RESIDENCE If
85 '4
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SEPARATE PERMITS REQUIRED FOR PLBG, MECH, WELL, SEPTIC i FIREPLACE
FEE SUMMARY:
VALUATION $S00,000
Base Fee
Plan Review
Surcharge
Total Fee
$2,333.50
$1,520.58
______^300^00
$4,160.13
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CONTRACTOR: — Applicant —
BOLOENQW JERRY 19340106
15912 EXCELSIOR BLVD
MINNETONKA MN 5.534.5
(512) 934-0105
OWNER:
BLOOGETT MIKE
BUX 593
LONG LAKE MN 553.56
473-89.55
I
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
Q.SPECIFIED AND AGREES TO DO ALL ORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF iNNESOTA BUILDING CODE REQUIREMENTS.
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i APPLICANT-PERMITEE SIGNATURE issuro/fv SIGNATURE {/
1
CITY cf'^ROHO - B01LDIN6 PBRMIT AP^ CATION
Total Fees $ / (j 0 ^_ _ _ _ _ _ Date Received:,
Date Approved!
Permit#:/^ '1?) Project#:,
Building Permit Application Requirements:
1. Building permit application to be filled out completely and signed
2« 2 seta of construction plans to Include the following:
a) Floor plans;
b) Footing and foundation plan;
c) Elevations (of all sides);
d) Wall sections and cross sections;
e) Details - stairs and any special connections.
Certificate of survey with -location of existing and proposed
structures including hardcover calculations and grading and drainage
plans as required.
Energy calculations - form provided.
Septic report and design if required.
3.
4.
5.
ABOVB mFORNATIOH HOST BE 8UBHITTBD IN FULL BBFOilB PLAN REVIEW WILL BE STARTED
TEE APPLICANT ISi (circle one) OWNER orrCONTRACTOR^
JOB SITE APDRESSi "Pg.
NANE OP OWNER:Hit '^f^)rmc^^T~T (wor)c)
PHONE: (home
NAILING ADDRESS: -Ro, ^
CONTRACTOR:
____ CITY: L<dajCx IIP:
^^OL^J~)e:K)OL^ )_____________ PHONE:
MAILING ADDRESS: I ^ 'S/OIV "MjZgITY: t^l/\n\i^rrO>K}4tZIPs ^
ARCHITECT: ^ElfPPPV u ^______________ PHONE: -r)i
MAILING ADDRESS: Gorj CITY: A ZIP:
TYPE or WORE: New V Addition
De«o Remodel/Alteration
Accessory Structure Move_
Land Alterati iRenovate
PROPOSED USE (describe in detail): A)e:u^ PTi
STORIES:SQ. FEET OF EACH FLOOR: ^XDOO / - )^jy<<7
NO. OP BEDROOMS: y GARAGE STALLS: ATT. ^DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a building permit and I ac)cnowledge that the information
above is complete and accurate; that the wor)c 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 wor)c is not to start without a permit; and
that the work will be in acCprdance with the ^proved plan.
APPLICANT'S SIGNATURE:
/
(Please ^i:li ogt^^tne reverse side of this form)
DATE: /-y7-S‘9
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CHBCI^^FF LIST FOR ISSDAMCB OF F \LTS
FOR OFFICE USB ONLY
ADDRBSS OR LBGM. PBSCRlPTlORt ^
/o V/7 Oc^lPIOs
DB8CRIPTI0H OF WORK:
SOaZRG RBVIBW BTt
BOIXOIWS RBFZBN
PBRNIT ZS8UBD BTs
_ _ _ _ DATE APPROVRDt ^ ^
hr%^.PATH AFPROVBPx Z-
DATBs
Nlsc. Fees Calculated By>
SEWER UNIT $ _ _ _ _ _
SEWER CONNECTION _ _ _ _ _
WATER CONNECTION ^_ _ _ _ _
PARK FEE _ _ _ _ _
SITE INSPECTION _ _ _ _ _ _
OTHER (specify)
FBB8 TO BB CBARGBDt
PERMIT Yes ^ No
PLAN REVIEW Yes ^ No
STATE SURCHAI^GE
PENALTY
SAC
Yes,
Yes
No.
No
Yes Mo
S0IIIB6 CBBCX LIST Zoning District:
Fire Department: ^ > L ♦ Post Office: School District; O
Lot Area: ^ A t d- Width; i Depth; 2^
Survey Submitted: Yes ^ No_ _ Date of Survey: *"
Proposed Setbacks: ^
Front (imhe-): Right Side; ^
Rear (BBeeetr)/_ _ _ Left Side: 'Z-S
Adjacent Structures;Wetland:
Proposed-m 7444
Existing
Hardcover: 0-
75
Hardcover Variance Required: Yes
Grading: Staff Approval Date:^ Council Approval Date:
Septic: Staff Approval Date: f‘ B ^ By:/
Zoning File:#_ _ _ _ _ _ Resolution #:_ _ _ _ _ _ _ _ Resolution Date:,
Yea_ _ No/^ Date of Council Approval: '"***"
iL Council A
REMARKS (in bouse):