2011-01360 - land alteration - Laserfiche WebLink

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CITY OF ORONO PERMIT NO.: 2011-01360 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/30/2011 (952)249-4600 FAX: (952)249-4616 ADDRESS : 85 OLD CRYSTAL BAY RD S PIN : 04-417-23-21-0004 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 009 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: MINOR LAND ALT TO EXTEND DRIVEWAY AND BUFFER IMPROVEMENT $2,700 SB COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000.00-PERMIT AND$700.00 WETLAND BUFFER * PLANTING AND SEEDING ESTABLISHED PRIOR TO BUFFER ESCROW RELEASE 1/1 \ (INI LAL) * FINAL INSPECTION(ENGINEER)MUST BE PASSED PRIOR TO$2,000 ESCROW RELEASE (INITLAL) APPLICANT MINOR LAND ALTERATION 50.00 MILLER,SCOTT&MICHELLE TOTAL 50.00 85 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- PAID WITH CC# 7460 OWNER MILLER,SCOTT&MICHELLE 85 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Stat uilding Code.This permit may be revoked a y ti a for due c se. �l / / , / /` / Vplicant Permitee Signa ure Date O ssue,�:y Signature / / Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.