HomeMy WebLinkAbout2007-denied permit �
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Buiiding Permit Application #
i�i� �i Date Received: � d/_
E e ed Permit#: �-
Reason(�s� �or ��iia .
s �
� O ONO - BUILDING PERMIT APPLICATION
Staff:�{ � �e�-��'�"��
ti�rlfm'm �4on e s�bmitted in full before plan review will be started.
(please print all informntion)
THE APPLICANT IS: (circle one) OWNER -CON CTO
JOB SITE ADDRESS: -�-JlQ /��nv��� L� ZIP: 3.SG
Will this be a Parade of Homes, Remodelers Showcase Home o other Display ome?
❑ Yes ❑ No If yes, a special event permit is reguired w' Police Dep tment and Cit Council crpprova/
60 days prior to the event. Shuttle bi�s servic will be requir d i�nless ap icant demonstrates
szrfficienl on-site parking is availnble. Non p •n�itted even rvill not b allotived,
NAME OF OWNER: S��K' �d �r M��� PHON • ome) 9S-?- �i`-•��/�
(work)
MAILING ADDRESS: 309� �'�'�`���� CITY: �'Oi" ZIP: ,s3
CONTR.ACTOR: 17o�pN ','� �°�� HONE: ��3'S��-9001�
CONTACT PERSON: � �v°'`�`�� �� M BILE/PAGER: �G3-3an- 90�.�
MAILINGADDRESS: /��Cw'''� 9 � TY: ���^�°�N ZIP: SSKycI
STATE LICENSE: # ..ZO GG�S EXPI TION DATE: �.3- o�
ARCHITECT/ENGINEER: PHONE:
NIAILING ADDRESS: CI Y: ZIP:
NAME: ISTRATION: #
TYPE OF WO . ew Home Addition Accessory Structure �C
e Home Remodel/Alteration (ie: Siding, Windows)
Any rth move ent may require MCWD review and permits !
PROPOSED WORK(describe �letcri�: N G'�✓ND �.2' x ,�5' ��Nyt Le�✓l�o sw�r��►s
��L
STORIES: SQ.FEET OF CH FLOOR: �`�D s9 �
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACAED_
ESTIMATED CONSTRYJCTION VALUATION(excluding 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 with the ordinances and codes of the City and with the State Bui(ding
Code;that[ understand this is not a permit and work is not to start without a permit;and that the�vork will be
in accordance with the approved plan.
APPLICAlVT'S SIGNATURE: DATE: ���� �,
�t - .
SURVEY FOR
CHMIDT
K 2,- FARVIEW
TY, MINNESOTA
Building Permit A � �(�
pPiication #
D E
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ZE ET E
� Reason(s) tor deni •��� ,
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�CKEC]K pFF i�IST FOR TSSUANCE OF 3'E��TS
FOR OFFICE USE ONLY
�,.pDRESS OR LEGA.L: o `1 O A (Jt�1,.�
PID: �w�c! S�, ,�,v+��viti �oc; � �l O� b�,v�
�7ESCRIPTI��T 4F WORK: �►�
_-----_____.------ ------------____�__'------------- DATE APPROVED:
ZO�'1NG REVIE�V 13Y: , DAT'E APPROVED:
�UILDING REVIE�V �Y: .
FEES TO BE C�T..��G-Ep: r Misc. Fees Calculated By:
PERMI.T Yes N� —
PLAN REVIEtiV � Yes No . SE�VER COI�TNECTTON
No tiVATER CONNECTION
STATE SURCHARGE YeS Na p��{ FEE
II�iVESTIGATION FEE Yes N,o STI'EINSPECTION
SAC �'es —
OTHER (specify)
Number of SAC�Uruts ______________________________
-------------------------------
_____.
--------------------------- f� f,�t
ZQ! � G C�CK LIS�' Zoaing Distric�: � �
Post Office: Schaol District: � �
Fire Dep3.rt.ment: .
Acres 7Ac� Widch �S � Dep� 5`{ �
L,oc Area: Sq.ft. .
/ �o Date of Survey: S � � 7
Survey Submitted: Yes ✓
� 1��� , cLa�.C� ,
Proposed Secbacks: n�+� '
Froat(Lake); -��t Side: S 3 �I'��s�v� ,
�3' tleu�-
P.ear�e�)� �'� " l'f'�1�� Left Side:
�P�r c���cn�r�s; li7s /� tiVet!?�d; I��I�
��d;a.,.....
J
Buil�lin� Hei�t: DeE, H�t, �� �e�`�'d�. M
Lot Coverage: �?/�-
Gradi.n�: ScaEf Approval Date: _
gy; Council_ Approval Date: '
��pcic: S�af` Approv3. D°t'-: �' �` � �v: ��
Zoa+n� Flle: �'____
Resolutioa�. n_____ RP`olu�ior: Da:e:
�ho�e;�,d Dist:icc: �1� 7.,.��Cav?2ge:
��,� �e��ba�,�:. E',�,!f�:Set�ack
�ts��c p;oposed
H�ec�vPr. G_7�' —_.---
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[;^1 T .�T.{�1 �� _ ["i��'.t:=�
r . �
BUII�D►ING- REVIE�V CHECK LIST
��� � CONSTRUCTION TXFE:
Sq Footage $ Per Sq Fcg
Basemen[ , . , x =
lst Floor � _
2nd Flaor x = .
Garaoe X =
x —
TOTAL
Estimated Cous-truction VaIue: �
Inspections Required: Work Requiring Separate Permits:
S ice Plumbing Fire
Hardcover P.emoval Mechanica; Water Coanectio❑
Footing � Septic Sewer Coanection
� Fra.ming Fireplace Lawn Irrigation
Ivutativa (n�iasonry) Ocher
�Vall Board (Nifg.) Wetl (Scate Permit)
F�� Grading/Filling Electrical (State Perrait)
OCher
RENIARK� (INHOUSE): - - --
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REVIE'FV BY OTHERS: ���;
Access: Ezisting New
Access Approva;: Late �y:
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REI�LAFxS (TO EE NOTED Q�I PER.MIT}:
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