HomeMy WebLinkAbout2006-P09902 - land alteration PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09902
Crystal Bay, Minnesota 55323 Permit Type:
User Defined
(952) 249-4600 Date Issued: 5/30/2006
SITE ADDRESS: 645 Tonkawa Rd Unit#
Long Lake,MN 55356
PID: 05-117-23-33-0019
DESCRIPTION:
Proposed Use: Religious
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Land Alteration>500 cubic
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Applied Ecological Services OWNER: Temple Isreal Of Minneapolis
21931 Mushtown Rd. 645 Tonkawa Rd
Prior Lake,MN 55372 Long Lake MN 55356
THE UNDERSIGNED 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.
APPL[ T PERMITEE SIGNAT ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Q¢O�0 City of Orono .S�2S/e� TOR SE NLY
P.O.Box 66 ` Date Received: ,7 Zy b Permit# (�
'8 2750 Kelley Parkway
Crystal Bay,MN 55323
�`• ry y
(952)249-4600 Amount: $Sn fes'
U r &P�F`iled: o
Approved By: 11A• Site Plan:
Recommends: A royal Denial ❑
CITY OF ORONO -USER DEFINED/GENERAL%KNIT �. !3 y
(All permits must be approved by the Building Official and/or Zoning Department)
Site Address:
Owner: -Te-�V 2S (°1 e Mailing Address: (PL'5- Ton Lo(
City: Dfd,,p Zip:
Home Phone: ( Z. 2,n1� Alternate Phone: �(Z AZO.OZz-�-
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Contractor/AppA eR(-a rC-065&'l SudriPS Contact Person: C-�<<� !ae 5e l
Address: 2193/. 11" State License#:
City: Zip: ' �' 2— Expiration Date:
Phone: 4oY,7- Alternate Phone: i S-Z Y1 7.7
❑ Stairway to Lake ❑ Retaining Walls ❑ Temporary Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
*(Per UBC) *(Per UBC) *$30.00
*Estimated Cost:$ <General
*Estimated Cost:$
ElDocks-42"or GreaterLand Alteration ❑ ZoningReview
General—User Defined Surcharge —User Defined General—User Defined
❑ Commercial-(Per UBC) ❑ 0-500 Cubic Yards *For 0-75'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 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
wor ill b cc anc ith the approved plan.
Applicant Date
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