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HomeMy WebLinkAbout2007-P10936 - dock PERMIT CI�Y OF ORONO � 2750 Kelley Parkway- PO Box 66 Permit Number: P10936 Crystal Bay, Minnesota 55323 Permit Type: User Defined (952)249-4600 Date Issued: 4/27/2007 SITE ADDRESS: 2095 Salem Ct Unit# Long Lake,MN 55356 P��� 27-118-23-34-0007 DESCRIPTION: Proposed Use: Residential Permit Class: General Pernut Type: User Defined Permit Sub-type(s): Dock DETAILS: Approved per resolution#: Sepazate permits required: NOTICES/REMARKS: Dock-42'or greater FEE SUMMARY: Pernrit Fee: $ 30.00 Valuation: $ 0.00 TOTAL FEE: $ 30.00 APPLICANT: Owner/Self OWNER: Paul Bieganski MN 2095 Salem Ct Long Lake,MN 55356 THE UI�iDERSIGNED 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. � APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 O¢��O City of Orono ', -' FOR CITY USE ONLY P.O.Box 66 Date Received: Permit# � 2750 Kelley Parkway � �' ,� � Crystal Bay,MN 55323 Amount: $ C.U.P Filed: : Y.; � gyo (952)249-4600 �O ApprovedBy: ' SitePlan: Recommends: A roval ❑ ' Denial ❑ CITY OF ORONO -USER DEFINED/GENERAL PERMIT (All permits must be approved by the Building Official and/or Zoning Department) t r � � � ,� � +� n �kJ�+� ��'�?s �s hr,.� � � ;� ,�,' ��t,��� Site Address: �`�� �"�4G/`'t G� Owner: `,PA'�- ���C�°r''v S K� Mailing Address: �j'7�!`ri� City: ��c�� Zip: 5�3 S� Home Phone: �'-1�2" g��—'�� Alternate Phone: 6�2 "- 3S2 ^ 3�2-/ �� �� � � �� ���� _ � �� ,� ����� ����� � ''a� ,�.� � „b ��. � � � Contractor/App.: Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: Alternate Phone: � $ � -� �� .� ��: e � �.s , ..:. �"..� ;.'. !u' � ,�*.^-' +� „.�,, � w� r ❑ Stairwav to Lake ❑ Retaining Walls ❑ Temporarv Trailer General—User Defined Surchazge General—User Defined Surcharge General—User Defined *(Per UBC) *(Per UBC) *$30.00 *Estimated Cost:$ *Estimated Cost: $ �ocks-42"or Greater ❑ Land Alteration ❑ Zoning Review 1' General—User Defined Surcharge General—User Defined General—User Defined ❑ Commercial-(Per UBC) ❑ 0-500 Cubic Yards *ForO-75'Zone-$30.00 *Estimated Cost: $ $50.00(Needs Site Plan) General-User Defined ❑ 501+Cubic Yards � Residential- $30.00 $50.00(Needs C.U.P.) ❑ Tree Removal General—User Defined *Within 0-75' -$30.00 I herby apply for a User Defined Pernut and I aclmowledge 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 pernrit;and that the work will be in accordance with the approved plan. . � �/Z�/��- App icant Date ' � � . , _ : � �� � �� � �,� ' ./ J'�- `�� � �° ��� �� � .�. �� � . �� � � � . . � a3�'•► a . /�����, �r� �3s v �,�ti 4'%� �oa� , � 5� � .,, ooa , : ��_ . � � � � :�•,� �v � �v� ' . . ,� '� .• � a,. � � • �a• 'j��S/ � � c� ,�+� —�j�� e i ' . . � � r —�„ i A` .C•�r..,,�� ►�'�,t�_7i�<.�i �� � '�/ ,� � � • y � � � `g � �`-R,��p- . _ ..� � . . ... � _^ •�, , �� , . a ta `�� . ... . _ .._ •--_ . . .. ._ ...._. ��` ` `��X' . • ' •f�y, .... .. . � '�4� �� ,j, a� �� 0 Z �. �•;�i � ~ � ,� x• � � y k...i • ,�. :' a`�, � •� . , I , � / , • � � �•� / , / . . �� ' ' .� .r �1 �'.r� y`��, `' ., . �� � � • ,y�� •`� '' �d, , �� Q ��j �'Y' �• � � �� �-� �'� �d. : g`� � ' ' � 3 ,, . ,,� � ` i ♦ P � � O / % � � • � t �; ��• � � ( , �, pd'' �- • � �� , � '>^�'� H1.z�oN 3 $ � / �� � ' --F9'Ith• - ,� R � '�� - � � �+� W �• J —�__ ` j t�e � � 7 O a � " ' ='� ---rrsez--• � - J N.l.aoN Q n � � . � �