HomeMy WebLinkAbout2005-P08605 - land alteration - ! PERMIT
CITY OF ORONO i
2750 t�elley Parkway- PO Box 66 Permit Number: Po86os
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: 4�13i2oos
SITE ADDRESS: 2175 Shevlin Dr
Wayzata,MN 55391
P I D: 03-117-23-34-0007
DESCRI PTION:
Proposed Use: Residenrial
Pernut Class: General
Pernut Type: User Defined Pernut Sub-type(s): Land Alteration(0-500 cu yc
D�AILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
Ok'd By Greg Gappa
FEE SUMMARY: Pernut Fee: $ 50.00 Valuation• $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Owner/Self OWNER: James&Amy Lloyd
MN i 2175 Shevlin Dr
Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND REES TO DO ALL ORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
SOTA BUILDING C DE QUIREMENTS.
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PLI ANT PE ITEE SIGNATURE SSUED BY SIGNATURE
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Conies: 1-File(SiQnixures Required),1-Atmlicant,�l-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
,��� City of Orono FOR CITY USE ONLY
0: �� P.O.Box 66 Date Received: Permit#
�`a.<.,,. 1 27�0 Kelley Parkway
� ij'�''t'r''- � Crystal Ba MN�5323
, y ���;_�i:,;�- � Y� Amount: $ C.U.P Filed:
�''if;°Fr�+;{1��,�` (952)249-46C)0 /
��gxO� Approved By: `��� Site Plan:
Recommends: A roval �-� Denial ❑
CITY OF ORONO - USER DEFINED/GENERAL PERI�ZIT
(All pennits must Ue approved Uy fhz Building Official andior Zonin�Depaitment)
JoU Site/Owlier I�zforniation:
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Site Address: � ���U ��; U
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Owner: ��//�� � �)�-f�� � Mailing Address:
City: ��V�'�� Zip:
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Home Phone: � �2 " �� �` � �� Altemate Phone: ,o j'L � ?� p � �(o k�
Conn-actor/ Applicant I�lformation:
Contractor/App.: 1�°r (��,� . Contact Person:
Address: State License #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
TYPES OF USER DEFINED PERMITS
❑ Stairway to Lake ❑ Retaining Walls ❑ Temporarv Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
* (Per L"BC) * (Per UBC) * $30.00
*Estimated Cost: $ *Estimated Cost: $
❑ Docks—42"or Greater �and Alteration ❑ Zonin�Review
General—User DeYined Surcharae General—User Defined Gen�ral—User Detined
❑ Conunercial—(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(t�eeds C.u.P.)
❑ Tree Removal
General—User Defined
*Within 0-75' - $30.00
I herUy 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 ode;that I u de stand this is not a permit and work is not to start without a permit;and that the work
will b in ccordance it the approved plan.
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Applicant Date
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(User De6ned Peanit 3l18/04)
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M & ACo.
Mike McRoberts
1705 Fernbrook Lane N.
Plymouth, MN 55447
(612) 404-1433
PROPOSAL SUBMITTED TO r` DATE � �/ /� �
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ADDRESS � �/• � PHONE
, DATE OF PLANS
' We hereby submit specifications and estim�erms and condition as set forth on both sides.as follows: �
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a�f r��� .:►,.r.vrr L�Gfil /nZ il
, �.�� � $� z�Sfa��, f'��
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' Terms: All work is to be cash upon completion unless prior arrangem nt have been made.
�e �x��nsE hereby to furnish matQrial and labor—complete in accordance with bove specifications�
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for the sum of: `� s �� �( dollars ($L 6�)
Note:This proposal will be withdrawn by us Authorized y
if not accepted within thirty days. Signature
�ccP�te�:
All work is to be completed in a workman-like manner according to standard practice. Any alteration or deviation from
above specification involving extra cost; objects hidden below the surface other than gravel or soil will be charged for on a
time and material basis. All agreements contingent upon strikes, weather, accidents, or delays beyond our control.
Date Signature