HomeMy WebLinkAbout1996-008364 - grading/filling � PERMIT
' CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: _ � �����,�y�r}
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Crystal Bay, Minnesota 55323 Permit Number: t.t�i;_;:;f:�
(612)473-7357 Date Issued: i r�=�i;. $/�=r�,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — �-1����j, i r�;�;�t. —
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ Date Received: ,S- ,( �� - �/;�
Entered By: r Pernut#:
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
JOB SITE ADDRESS: �`��U L,�c�L �� �;�ic.�,.r ZIP: sS 3��
NAl`TE OF Oti�TER: �� i �l, � J ci!���. �c I 1 '^J�y���1 PHONE: (home) � 7 f� �� �` �t
� (work) lk. ��(l� - _5 �f l - /�� �(
NIAIi.ING ADDRESS: 3 �-�� �F_ c-�- j j— CITY: L� r ��L. 'J ZIP: SS ?S�
COti'TRACTOR: PHO�'E:
CONTACT PERSON: MOBILE/PAGER:
MAILI�i 1G ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECTlENGINEER: PH0�1E:
MAILI�i TG ADDRESS: CITY: ZIP:
NA�'�IE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alceration „ - Land Alteration
PROPOSED WORK(describe in detai�: (2/�i S�: C��Jt . �,'-a0 t..�-�'U���-,0�=
;��_r ��� ,r-:���..P �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
EST�IATED CONSTRUCTION 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 Ciry and with
the State Building Code; that I understand this is not a permit and work is not to start �vithout a
permit; and that the work will be in.a cordance with the approved plan.
, , `�' �
APPLICA:�'T'S SIGNATURE: �_ L� ' � �Z:�1 DATE: � � � �— �
�
NOTE! Parade of Homes events re�uire separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRE5S OR LEGAL: ���� �;�.��= ���
PID:
DESCRIPTION OF WORK: �;f L��'����,
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ZONING REVIEW BY: � ���. DATEAPPROVED: �'—i�'. y �
BUILDING REVIEW BY: � �/�- DATE APPROVED:
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes v'' �'r�o�
PLAN REVIEW Yes No SEWER CONNECTION
STATE SUR`�IARG� Yes No WAT'ER CONNECTION
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Y�s No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
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:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: `� -IC`� • `? � By: � Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland Dist:ict:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
26
BUII.DING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage x =
R =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Frazning Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
�K Fina1 Grading/Filling Electrical (State Permit)
Other
REMARI�S (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By: '
REMARKS(TO BE NOTED ON PERMIT): �
27
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