Laserfiche WebLink
FEES COLLECTED <br />PERMIT -- <br />STATE S. C. <br />S. A, C . _ <br />WATER METER — <br />OTHER <br />TOTAL $_ <br />RECEIPT NO. <br />STREET <br />-7 k <br />STREET <br />CIRCLE STREET SIDE <br />DETAILS OR REMARKS <br />�OWNER � nJr. tY In <br />ARCHITECT <br />-kENERAL CONTRACTOR <br />MASONRY CONTRACTOR <br />n <br />PERMIT NO. <br />CITY OF ROSEVILLE —(for dept use only) <br />2660 CIVIC CENTER DRIVE / r, <br />ROSEVILLE, MN, 55113 <br />PHONE: 484-3371 DATE —___ 19 <br />APPLICATION FOR GENERAL PERMIT <br />� L r ZONED / ---- <br />STRUCTURE USED AS __ <br />APPROVED BY <br />STRUCTURE OLD NEW BUILD INSTALL DRIVEWAY CURB -CUT SWIMMING POOL <br />DETAILS ALTER OR REPAIR REROOF RESIDE MOVE WRECK FENCE <br />(CIRCLE) -- — --- -- <br />TYPE OF EASEMENT (CIRCLE) STANDARD WALKOUT SPLIT ENTRY <br />TYPE OF CONSTRUCTION WIDTH LENGTH HEIGHT <br />SIGN USE ONLY _ <br />SIGN EREC'i NEW SIGN <br />DETAILS (CIRCLE) PROJECTING <br />ILLUMINATED NON- ILLUMINATED <br />WALL PYLON <br />SIZE WIDTH HEIGHT. <br />OF <br />SIGN SIGN HEIGHT ABOVE FINISHED GRADE: BOTTOM <br />— DISTANCE FROMNORTH/EAST/WEST/SOUTH <br />�w DISTANCE FROM NORTH EAS T/WEST/SOUTH <br />1'a NUMBER OF SIGNS APPLIED FOR <br />�a►. VI <br />LOCATE SIGNS ON DRAHING <br />REMARKS <br />.V? Y- 3 <br />TYPE OF MATERIAL <br />TOP <br />PROPERTY LINE <br />PROPERTY LINE <br />— I ESTIMATED VAL41K$ <br />ADDREA/ 3q/ <br />A ESS l <br />ADDRESS_. ;0qy7`�/,>f— <br />��� ADDRESS <br />NUMBER <br />STREET <br />BETWEEN WHAT CROSS STREETS <br />DIST. <br />PLAT NUMBER <br />PARCEL <br />BLOCK <br />ADDITION OR TRACT OR SECTION NUMBER <br />79 <br />LOT <br />SIZE <br />WIDTH <br />D TFi— <br />SIDE YARD SETBACK DISTANCE +� <br />FRONT YARD SETBACK DISTANCE _ <br />NOTICE! PENALTY FOR VIOLATION ANY OF THE PROVISIONS OF THE <br />BUILDING CODE iS A FINE OFggFROM <br />g�FIVE p DOLLARS TOO THREE <br />DAYS. A SPELCIAL PERMITRMUST BE FOR <br />BTAINED FOR ETO LECTRICAL, <br />PLUMBING HEATING, AND DRIVEWAY INSTALLATIONS AND FOR <br />THE USE bF PUBLIC PROPERTY SUCH AS STREETS, SIDEWALKS, <br />ETC.. IF WORK HAS NOT BEGUN IN NINETY DAYS THIS PERMIT <br />WILL EXPIRE. <br />CURBING IS CONSIDERED UNDAMAGED AT THE START OF CONSTRUC- <br />TION UNLESS NOTICE OF ANY DEFECTS IS GIVEN TO THE CITY <br />ENGINEER PRIOR TO CONSTRUCTION. <br />ay /tl'rl/c0 <br />OWNER (APPLICANT) SIGNATURE <br />YOU MUST CALL FOR THE FOLLOWING INSPECTIONS <br />1•EXCAVATION 2. FOOTINGS 3.FRAME 4. FINAL 5. CURB <br />OTHER REQUIRED PERMITS L] RAMSEY CO. ❑ RwE CREEK WATERSHED DISTRICT <br />❑ MNDOT DISTRICT 9 ❑ DEPT. OF NATURAL RESOURCES OTHER _ <br />ASSESSMENT CHECK AND SPECIAL CHARGES: (CHECK) <br />❑ ROAD IMPROVEMENT ❑ EASEMENT ❑ STORM SEWER <br />❑ CURB DEPOSIT ❑ METER DEPOSIT ❑ SANITARY SEWER <br />❑ STREET REPAIR ❑ WATER ❑ SEWER SERVICE <br />❑ STREET SWEEPING ❑ WATER SERVICE SUB -TOTAL <br />OTHER 1 <br />