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:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: — �p�,l i��,�,�. — OWNER:
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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)� �
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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 -
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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)
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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)
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REMARKS (IN HOIISE) :
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REVISW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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RF,1�IARRS (TO BE NOTED OTi PERMIT) :
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