Project Packet - Laserfiche WebLink

Home Browse Search

City of Orono P.O. Box 66 . • : Fr '":ITY USE ONLY Date Received:· ____ · Permit # ___ _ 2750 Kelley Parkway Crystal Bay, MN 55323 (952) 249-4600 -Amount: $ ___ _ C.U.P Filed: --- . •Approved By: ____ Site Plan: ---,- . ~ecom~ends: . ~ roval O Denial O . CITY OF ORONO -USER DEFINED/GENERAL PERMIT (All pennits must be approved by the Building Official and/or Zoning Department) I Jo~.S~te,/ QwriefJ q#,ormation : . Site Address: Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: I 'c'ontractor/A.pp1icant Information: . Contractor/App.: Yr //aR !-/orrwJ Contact Person: Address: /J. S-Laju; 1f State License #: City: Phone: warzdc< Zip: Mtt gsa-472 --~55:l Expiration Date: Alternate Phone: TYPES OF USER D~FINED PERMITS ; D Stairway to Lake General -User Defined Surcharge * (PerUBC) *Estimated Cost: $ ___ _ D Docks -42" or Greater General -User Defined Surcharge D Commercial -(Per UBC) * Estimated Cost: $ ___ _ General -User Defined D Residential -$30.00 D Tree Removal General -User Defined * Within 0-75' -$30.00 D Retaining Walls General -User Defined Surcharge * (Per UBC) * Estimated Cost: $ ___ _ ~ Land Alteration General -User Defined ~ 0-500 Cubic Yards $50.00 (Needs Site Plan) D 501+ Cubic Yards $50.00 (Needs C.U .P.) - 1¢o Cµt(mvJ/{ :2oJ I ?J? <o-S- 5 /4~ D Temporary Trailer General -User Defined * $30.00 D Zoning Review General -User Defined *For0-75' Zone-$30.00 I herby apply for a User Defined 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 Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. ~fl,-~ Date