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HomeMy WebLinkAbout2003-P06081 CI�Y C�F ORON PERMIT O Permit Number: 2750 Kelley Parkway - PO Box 66 P06081 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 3�s�2oo3 SITE ADDRESS: 3960 Bayside Rd Maple Plain,MN 55359 PID: OS-117-23-22-0007 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Pernut Class: Building Census Code 329 Pernlit Type: Accessory Structures Permit Sub-type(s): Shed DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 209.25 Valuation: $ 12,000.00 State Surcharge Fee: $ 6.50 TOTAL FEE: $ 215.75 APPLICANT: Owner/Self OWNER: Todd H. Cheslock MN 3960 Bayside Rd Maple Plain,MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , ,� � ln � Y�4lrr._ � 1frS�1� �� C � c APPLICANT PERMITEE SIGNATURE ISSUE BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 . ,� . Total Fee: $ Date Received: Entered By: Pernut#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � ------------------------------------------------------------- ----- - - - - ----------- ----------------------- THE APPLICANT IS: (circle one) OWNER R CONTRACTOR �-- JOB SITE ADDRESS: ��,c_� ��;�. ZIP: NA.�iE OF OWNER: �� .; 'r _ PHONE: (home) ��°�, . � o , _ ;��� �„�� ' �,-;�„r, t�� �- �� - �work) � - , :.� z_ �� - ���f� MAILING ADDRESS: ������� ��',��:��, CITY: � d�: ���.�. ,> ZIP: '">�_`�- �� `� CO\�'RACTOR: PHONE: COr�TACT PERSON: NIOBILE/PAGER: M.4II.ING ADDRFSS: CITY: ZIP: ST?,TE LICENSE: # ARCHITECT/ENGINEER: PHO�TE: i�1AII�L�1G ADDRESS: CITY: ZIP: N�I�IE: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: f �,� ( � ���E�, STORIES: SQ. FEET OF EACH FI.00R: NO. OF BEDROOMS: � GAR.AGE STALLS: ATT. DET. EST�IATED CONSTRUCTION VALUATION (excluding land): $ 12�c,r,r�, `'`--' I hereby apply for a buildin� permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work wiR be in accordance with the approved plan. APPLICAI�iT'S SIGNATURE:����,� ��� �, _ �..: ' : �� 'C DATE: ���,� NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. y' �- �`t� � 5 C� '� - � CHECK OFF LIST FOR ISSUANCE OF PERIVIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: PID: DESCRIPTION OF WORK: ZO�tING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAI�t REVIEW Yes No SEWER CONNECTTON STATE SURCHARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZOti�1G CHECK LIST Zoning Districr. Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Reaz (Street): Left Side: Adjacent Structures: Wetland: Buildin; Height: Def. Hgt. Peak Hgt. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Av�. Setback: Bluff Setback: L,ot Coverage: Existin; Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Vaziance Required: Yes No Date of Council Approval: RE�ZARKS (in house): 7 \ .'� �--� !� � �---._ _�1 '-. ��_ \\ �` . ---��. r,-�'^\\�\�� �� + `' '" \\\ �\\ b i. \ �\ \\ .�d- ``.er�l �\ �� \\\\ �\ ` ,o� I� \ �� \�\�\\\\� ' � \I \\\ \�\\\` \\\\\� �� �—�,\ I �,� � �� \\g\3`$\\e�\ \��\\� ��� —��� c . \\ ; i.7`\r ? \� \ �\�\,���`i�`_—�' � �r.t7c1 � «� I�_ � \�����\ \\���\ � �) ��� � ;" � : �� I �� ����` � ����\����_--�%� �I .: ..��;: � � 1 � ���1 � ��l� `—� � � �� J � � , � j � �l�� ����' ,��_% � �._�., � � /���lii�r� - ,l__ � ����=— -� ��� �—� / /�/ //�/�/ � %/ ��� ; ������ / j / � l ( � � �j� � � i ��� � ��� "` <_ � �,-�-,� � i � � � i � I I 1�.�\ � �� �-� •, . ��� � �� I � j I I i � ( j j \����� � `� � � , j � �� � 1 i I � I � ` �����=�s m � �� � I I I I i 1 i 11 �����,;` � _`_� � � o �— ��\ �� � , ► �� � ; \� �� • � �_ � �,, � �_ � � �� � � \ I \\��\1 ' \ ' \��_ — <<±u \ ''� � \\ 1 � \\�\\\��` ��*�� -- � � � \ I ���� �\� -�,,,�_L � �\\� \�.��—_ _ , — n•—t� � � • \\\\\ � ����sa—� �\ . \ \� \ � I �\��\ s k_'� �� \ \ \ �����g;� � �,.� \ \\ �� ���\\a��\ � 11 1 1� r� \�����\� 1 � � � I � �� � � � r`�,� r�`-.—, � I 1 ` � \ I � ` , ' / j i 1 4 1�,�\ l �� ' � i l �� g����� /' � � ,g I � � � � � � i `~J 1 1 \i � \ 1\ (��/ �/ / i ; � ��� \� �� ��� �/� � � ` � / �,� \\\\� ��i� ��/ ---� �� � � /�� /�•— � � ; ,:� � � .�� � �osg � ,��` � � / � l\ � �_� � �-----� � c�,s�, l ��� 1 � � ` - �—� _ J �''(�' I \ ��� -- ���43 tc��u.� E�yI I I � . i � f`%J I J y `Iflr� I `i� ��J � 0 �_ ' .'`zE J; I L� �!�a-�, S_C? �•_;l� �TcZ�