HomeMy WebLinkAbout2003-P06073 - addn/remodel repair . t
PERMIT
ClTY OF ORONO Permit Number:
2750 Keiley Parkway - PO Box 66 P06073
Grystal Bay, Minnesota 55323 P@I"CTllt Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: 3�i3�2oo3
SITE ADDRESS: 2655 North Shore Dr
Wayzata,MN 55391
P I D: 09-117-23-42-0001
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: i'ium�ing niecuicai�siate�
NOTICES/REMARKS:
�_,__._ „ _,_,
FEE SUMMARY: Permit Fee: $ 643.75 Valuation: $ 50,000.00
State Surcharge Fee: $ 25.50
TOTAL FEE: $ 669.25
APPLICANT: Danberry Company OWNER: Craig&7ennifer Lindell
4410 Shoreline Dr 2655 North Shore Dr
Spring Park,MN 55384 Wayzata MN 55391
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.
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APP,CA T P R ITE I NATURE ��[SSUED BY SIGNATURE
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Copies: 1-File(SiQnitures Repuired), 1-Aoplicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
, _. .
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. Total Fee: $ ,'�'�� � `L Date Received: ��� � � �
�! I �,�,�` ( , � �-'-� Pernut#: �� 2 �, O�
Entered By: ���* �
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CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
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JOB SITE ADDRESS: ��j��-�,-ff�S`�,� ,�/'��� ZIP:
NAI�iE OF OWNER: �y�i„� � i ��C � I PHONE: (home) R S�-�1��- Q'�r��
(work)
MAILING ADDRESS: e2(j 55 ./�i��r f-� s�rt�r CITY: �� ✓�4 � ZIP:
�rs'-�-y�71~os3 Z
CO\�'RACTOR: �z „��err PHONE: �l�-,2S0�7�1���
COr-T'ACTPERSON: ;�Q� MOBILE/PAGER:
NI.AII,ING ADDRESS: _4�l 1� ��z�rz l� d..e CITY:�����r l�-7IP: S� k
ST�iTE LICENSE: # j�G� �
ARCHI'I'ECT/ENGINEER: PHOi�TE:
MAII.ING ADDRESS: 7" �2 L CITY: ZIP:
N�il IE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detain: � ' � 1�e. � /
� �-�C C r` C
STORIES: �_ SQ. FEET OF EACH FLOOR:
NO. OF BEDROOviS: � � GARAGE STALLS: ATT. DET.
�
EST�IATED CONSTRUCTION VALUATION (excluding land): � �
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
perm.it; and that the work wiR be in acco with app ved plan.
APPLICANT'S SIGNATURE: ` DATE: ,.Z �Z ��3
NOTE! Parade of Homes events require separate permit approval by Police Department and
Cily Counci160 days prior to the event. Non permitted events will not be allowed.
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,� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
, ADDRESS OR LEGAL: z c s s rvo cz,r�+s�<t,c �O R �
PID:
DESCRIPTION OF WORK: �,Tc.�1�, �ZL,=�.,.oe,�..� ,
ZO�tG $EVIEW BY: I� DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED; _3-6 •0 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓ No
PLAN REVIEW Yes _� No �/ SEWER COrtNEC"ITON
STATE SURCHARGE Yes _/� No WATERCONNECTTON
INVESTIGATION FEE � Yes No PARK FEE
SAC Yes No STTEINSPEC'I'ION
Number of SAC�Units OTHER (specify)
ZONiNG CH�CK LIST Zoning District: IV'0 G��vG�
Fire Department: Post Office: School District: �
Lot Area: Sq�.ft. Acres " idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: �
Front(L.ake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peal:Hgt.
Lot Coveraoe:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Rcsolution: # Re olution Date:
Shoreland Disuict:
Avg. Setback: Bluff Setback: Lot Coverage: -
E���o Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RENIARI�S (in house):
7
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BUII,DING REV7EW CgECK LIST . ' ,
�C' — �'� CONSTRUCTTON TYPE: �(/� '
= Sq Footage $per Sq Ftg
� Basement . . x _
lst floor � x . _
2nd F1oor x _
Gazage x _
x _
TOTAL
Fstimated Construction Value: $_5'O,�pp ac2
Inspect�ons Required: `Vork Requiring Separate Permits:
Site OC Plumbing Fire
Hazdcover Removal Mechanical �
F���g . , Water Connection
. Septic Sewer Connection
�_Framing Fireplace Lawn Irri ation
�_Insulation g
Wall Boazd ��0�'� Other
� ' (MfS•) Well(State Permit)
--�-F� Grading/Filling Q� Electrical(State Permit)
Other
REMAR��.S(IN HOUSE): .
REVIEW BY OTHERS: DATE: N -
Access: Existing New .
Access Approval: Date
By:
REMA►RI�S (TO BE NOTED ON PERivII'1�: ����~� �
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