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HomeMy WebLinkAbout1994-005977 (Remodel) PERMIT � � �- CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Numb�r: E'��?�LL}1�`�4� ' Orono, Minnesota 55356-0815 , iFt.i���;7 (612) 473-7357 Date Issued: ����;{j��,�� SITE ADDRESS: �1�:� Hf=+:E,�=eh, '=�T �:H � �� I .�d. � �q?-1 1�—-�-_.='�—d_�i i:�'1 DESCRIPTION: E���T� �;E�i`�+C���. E,,ai 1t�i���3 F'�o�r�E; fi. T���N •=��—t��jL�f`f,EC°ii+i�EL F,��? l��a.��� 1���,��: �'�•�� �Ef�CE�`s�T�.��;Ei�e�'CSEL_ �-P�•�I ���i{. ��t B�1 dr��t.)1�`]d ii e� 4;,:�aj�'��{.E�I.je�.7 i��l � ;+'F'�_° 'c�� T �-} r3y�y �3�}� ilir �.�Ui'fL-r Fi��'A,�zE vFFI�E .�,�1�.���i�t� � L�S LLf� �t�I.'O CW ' .�3�����h`�� #' , � i:� �:' �.�.�'t7 i � �'��' 1`�«'t�.'�4f!� ' ;7'.� G��' �.4� i'�E/'�j' 7' T�i)��(},���-}�.�S� fS�Gt�.d��—e t71'�7i fl• 1r��i! �,9'��'�;i� �t�i.'�.� �� �.�,���+`� ��r��:� REMARKS: �_�FF'��'�l�"E f'E�'Ci I T'; �;��'—".�.�,�i!i Fa�D ��=�h �`L��t°1E�e t�lt� A�+l4� EL�L�Tf�:T i:�i_ 4::_�Tt�TE:� . FEE SUMMARY: '����(!�'��j T!I('�{ �$4Yr �,iifl ��el�= F��_ ';��.�"_�,l b i j i �'�c'S�l ��'�,+1 r=°',,� ��:� .'�f 9 � '._:��lf'i�'t�.i'�� ---------��i,.�ty� `(�_�t•ct 1 F�'� ��1.;i.'��� ' CONTRACTOR: — �p�,l i��,�,�. — OWNER: °=;t�s�l�-(i��,`•_;� �.�i:=:��F:;��s'.�° +�t�,��`.L'�:lit'1 '_+T��.�Et°J �.%'�.�7 ���''+}f�f ���� _ �. ���� '�'�ti.�:i f�� ���I ��E�.E�I C��=�dt��E t 1C� ���.:�'` ���;i ttda=0 �°1�! ��=�'�1 t,�'s$.t..� �5.,;��_��d�_i Ciy i '���i% ;.��,��i��;:�:Z��t�l�.�.� �����;�`' F;��:et_��:��o i:�� F'E�=t��:�;°�;��at� l�i:� t����.:� I�E F���ei.. 3 t��F.+:J�:`c�°1cr�1�.�: �;;=°�t:�.F 3 L�3 sit•.lt�! ��.��'�'�,_�� ��et ��� i�#l., ��,i��e: i�t� :_�T�;���'i =:;.ti4��d='��"t�4��i:C 4K����-f ta!� ;:i��;� �a�: � ��'i�i;_,'-;€��t _��;�;� ���=����:�� �f���� �d,`i�;�`� vt�� f����.��'�1��:��;��r� Ea�.t T.�C�T h�R� t�:�:.��'��. �'E;�j�.����t°1����T�:� � J APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � -+ CITY OF OR�NO - BIIILDING PER1�iZT APPLICATION ,�' �i Fee: $ �/o?. �'/'� � Date Received: ,3- ��` �7 _ Date Approved: � Entered By: �,('� permit#;��7 �/� AT.T. INFORMATION MIIST BE SIIBMITI�D IN FULL BEFORE PLAN REVIBW �TII�L BE STARTED (See Check-off List Enclosed)� � -------------------------------------------------------------------------------- T� APPI,ICANT IS: (circle one) OWNER o�CONTRACTOR JOB SITE ADDRESS: IISr-�. A�.�►z 5-rQe�r ZIP: �53�,I (work) NAI� OF OWNER: �T rIT�ArJDI. GAtZLyG� PHONE: (home) MAII�ING ADDRESS: I185 Att��� �-�EeT CI�: Da.rrr�o ZIP: ��11 CONTRACTOR: ���d I.}o�� PHONE: �33-03�2. MAILING ADDRESS: �-�4D d2'�D /�.rEaae �+o,�r�+ CITY:��,�,,.�yn,,,� Z IP: 5�2� TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration ,� Renovate Land Alteration PROPOSED WORR (describe in d�tail) : ����.�r�or��� ' _ STORIESs SQ. FEET OF EACH FLOOR: NO. OF BSDROOMS: GARAGE STALI.S: ATT. DET. , BSTIMATED CONSTRQCTION VALIIATION (ezclnding land): $ 10�1��" I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work wil•1 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 thelwork will be in accordance with the approved plan. • • Jr%2�L1 � DATE: � a'�+ / � APPLICANT S SIG�1'ORE. �// CHECR OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDRRSS OR LEGAL: I� �-5 ��� � ' PID: /l> -0/�- 0�3 a '� ���/ DESGRIPTION OF WORR: /��' �Z.P/J - -------------------------------------------------------------------------------- ZONING REVIEW BY: N lH' DATE APPROVED: BIIILDING REVIEW BY: DATE APPROVED: 3 -Z�"gY FEES TO BE CHARGED: Misc. Fees Ca�cu�ated By: PERMIT Yes ✓ No PLAN REVIEW Yes ✓ No ' SEWER CONNECTION STATE SURCHARGE Yes� No WATER CONNECTION INVESTIGATION FEE Yes No '� PARR FEE � SAC Yes No � SITE INSPECTION � Number of SAC Units OTHER (specify) -------------------------------------------------------------------------------- ZONING CHECR LIST Zoning District: Fire Department: Post Offi School District: Lot Area: Widt De h: Survey Submitt . Yes No Dat of Survey: Proposed Setba k : Front (La e) : Rig t Side: Rear (Str et) : Lef Side: Adjacent tru ures: Wet and: Bui7.ding Heigh : D . Hgt. eak Hgt. Avg. Setback: Lot Co rage: E isting Prop sed Hardcover: 0-7 ' 75-25 ' 250-50 ' 500-100 ' Hardcover Vari nce Requir d: Yes No Date of Council Approval: Grading: Staff Approval Da e: y: Counci� Ap roval Date: Septic: Staff proval Date By: Zoning File:# Resolution #: ResoJ.ution Date: RFMARRS (in house) : BIIILDING REVIEW CHECR LIST DBC: �•'� CONSTRIICTION TYPE: VN Sq Footage $ Per Sq Ftg Basement x = lst F].00r , x = 2nd F].00r x = � Garage x = - � X = TOTAL Sstimated Construction Value: $ Io, cao °= 0 Inspections Required: Work Reqniring Separate Permits: Site �P7.umbing Grading/Fil.�ing Footing Mechanical ' Fire �Framing Septic Water Connection Insu]�ation Fireplace Sewer Connection Wa�]. Board (Masonry) Lawn Irrigation ina 1 (Mf g.) Other Other Wel� (State Permit) a�.E�ectrical (State Permit) ------------------------------------------------------------------------------- REMARKS (IN HOIISE) : ------------------------------------------------------------------------------- REVISW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------- RF,1�IARRS (TO BE NOTED OTi PERMIT) : r �