HomeMy WebLinkAbout1994-006742 - post office park lot , PERMIT
CITY OF ORONO' PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - _- '= i ` - -
Crystal Bay, Minnesota 55323 Permit Number. �.�'-�.,-:
(612)473-7357 Date Issued:
SITE ADDRESS:
I
DESCRIPTION:
REMARKS:
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FEE SUMIIAARY:� �
CONTRACTOR: OWNER: ` ` = �•- `
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
� C?TY 0��' ORONO - BIIILDING PERMZT APPLICATION
� Date Received: � �" � " y y
Tota)_ Fee: $
Date Approved:
Entered By: -�^'�� f��7y �-
Permit tt:
AT.T• INFORMATION MDST BS SIIBMITTED IN FULL BEFORE PLAN REZ7IEW WIZS� B$ STARTED
(See Check-off List Enclosed)
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TgE APPLICANT IS: ( circl.e one) OS�ER or CONTRACTOR
JOB SITE ADDRSSS: /3 S�� ����'� /� D S- ZIP: S -�3�3
(work)
NAME OF OWNER: C / o � v PHONE: (home)
MAILING ADDRESS: �0 �bX L � CITY:G�1��8�/ ZIP: 5 s�3 z3
CONTRACTOR: S/f�' p$���
IKAII�ING ADDRESS: .S'/�/- CITY: ZIP:
STATE LICENSE: n ��•��
_ PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
CITYs ZIP:
NAME- REGISTRATION n
TYPE OF WORR: �iew Addition Accessory Structure
rlove
Demo Remodel/Alteration Renovate Land Alteration�_
PROPOSED WOI2R (describe in detail) :_ /',�����-� � 6 o x iz_o � ��-����`�j
ir�-e-�
STORIES: SQ. FEET OF EACH FLOOR.s
NO. OF BEDROOMS: GARAGE STAI.Z.S: ATT. DET.
ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the work will be in conformance �n71thathI
ordinances and codes of the City and with the State Building �°eZmit; and
understand this is not a permit and work is not to start without a p
that the work will be in accordance with the approved plan.
/ l / � /
APPLICANT'S SZGNATDI2E: QG✓�rn �/�}--Gr���'':`y''� DATE: / / y`�
` � ,
��.,, �`�� �, :��
a�
n�t��ax���l y���':;� �I'�Y o� ORON�
� �£�C�a�.Y t� y'�
#�:.��r �:-`� } 1
�:-. � '`=R +° �' ;-$ . Minnesota 5a323•Municipal Offices
G��_ _ �i Post Office Box 6fi Crystal Bay,
• � '"'
• - • •
���" On the North Shore of Lake Minnetonka
DATA PRNACY A�VISORY
In accordance with M.S. 13.04 , Subd. 2 , "Rights of subjects of
data" , we would like to inform you that your request for a permit or
license from the City
of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. The information you furnish will be ulled ed, aetermine your
qualification for the permit or Iicense req
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with oth��r e scthe permit or
federal agencies to the extent necessary to p
license.
a. If your requested permit or Iicense requires Councii. ac�ior.
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6 , Your ful.I. name is required to process this application or
permit.
-��,����i �� .���L/��'',P/J S �'J
First
Middle Last
0 i3 � � � �
Address
lC�� S� ;�Z— /�:�'l
I/j/.� �>>-�� �
City State Zip
��^ '-� /leLo�
x�� ,
Phone
I understand my rights as stated above.
a�!�'� /1
Signature
BUILDING&ZONING—473-7357 • ADM1NiSTRATION&FINANCE —473-7358
• PUBLIC WORKS —473-7359
ASSESSIN G
CH�CR OFF LIST FOR ISSUANCE OF PF�2MITS
' � FOR OFFICE USE ONLY
ADDRESS OR LEGAI,: ;�.13� +�C��--7� I�� S PID: /G' _�� � - � 3 3/ O� �,6
D$SCRIPTION OF WORR: �'U � � l Z� � � L , �,f ;j - `� �
-------------------- ----- -
--------- ------- ------- -�-----------------
ZONING REVIEW BY: �. DATE APPROVED: Z- �- �1�
BIIII,DING REVIEW BY: ��� DATE APPROVED:
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FEES TO BE CHARGED: Misc. Fees CaJ�culated By:
/ �,���;�� PE2.,�.�-r
PERMIT Yes �/ No
PLAN REVIEW Yes� No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
--------------f-------
----------------------------------------g- •
ZONING CHECR LIST Zonin District /eQ� .g
Fire Department• Post fi e J —School District:
� �-,�(-�-� �
, % � th:
Lot Area: -� �-'Width: �P
Survey Submitted: Yes� No Date of Survey: �t- �-`�`"(
Proposed Setbacks : ,
Front (��) : � Right Side: �`��v�
Rear ( Street) :_(��� r Lef t Side: 3`�� �'
Adjacent Structures: S� We and: ! � '
Buil.ding Height: Def. Hgt. Peak�-Igt
Avg. Setback: ��
� ot Cove�ge� '�
Existing Propdsed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 ' �Z��
Hardcover Variance Required : Yes No � Date of Council ApprovaZ :
B ��, Ccuncil� Approval. Date: /'�'�
Grading: Staf f Approval Date: I ? �� ""`7 �f Y�
Septic: Staf f Approval. Date: /v �/-� BY�
Zoning File: # /q64 Reso].ution # : 3�� Resolution Date: /1-ZY-`/
REMARKS (in house) :
BIIILDING REVIEW CHECR LIST -
pBCs CO STRIICTION TYP&: _
_ � ; '
Sq Footage f $ Per Sq F�'g �
Basement jx = %
lst FJ.00r x = �
2nd Floor x =
Garage ' X %� _
f x ��
TOTAL %�� ! �� ��
�"
% / i/
i� / %
stimateq�. Cor�rstruction�alue: $ �
� �
% �
Inspect'ons Requi�ed� i�}Tork Requiring Se�parate Permits:
Sit � / P�umbing j Grading/Fi�].ing
Foo ing �� J � Mechanica� ; Fire
Framing � Septic �, Water Connection
Insulation Firepl.ace Sewer Connection
WaJ�I Board (Masonry) Lawn Irrigation
,�CFinal (Mfg.) Other
�Other �'�,, L� t-4 �-�•:�1r��c/� We�1 (State Permit)
-r Electrical (State Permit)
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��F.MARKS (IN HOIISE) :
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RLfV IEW BY OTHEF2S: DATE:
Access: Existing New
Access Approval: Date By:
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REMARRS (TO BE NOTED ON PERMIT) :
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED
PERMIT NO. COMPLETED
ADDRESS ��'�.� �� r �a,
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION �L'-- f' �
� 01 FOOTING 11 MECHANICAL RI 18 AV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 5 FI 14 SEWER HOOK-UP 06 PROGRESS
� 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
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d ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advi ce.473-73`'J7
Owner/Con or s' e:
Inspector
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