HomeMy WebLinkAbout2005-P09445 - land alteration ' 1 PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09445
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: 11/23/2005
SITE ADDRESS: 1075 Tonkawa Rd
Long Lake,MN 55356
PID: 08-117-23-13-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu yc
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
Misc.Fee: $ 50.00
TOTAL FEE: $ 100.00
APPLICANT: RobertDvorsky OWNER: RobertDvorsky
5108 Tuxedo Blvd 5108 Tuxedo Blvd
Mound,MN 55364 Mound,MN 55364
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
ZMINN4ESOTAING CODE REQUIREMENTS.
PE TEE SIGN ISSUED BY SIGNATURE
Conies: 1-File(SienituresReauired), 1-AvDlicant, 1-MonthlvRevorts, 1-Assessing, 1-Finance Page 1
�0 City of Orono FO_ rryE ONLY f X19
0 P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
SOCrystal Bay,MN 55323 001 (00
(952)249-4600 Amount: $ � �'ii��. C.U.P filed:
Approved 134eA Site Plan:
Recommends: Approval Denial ❑
CITY OF ORONO-USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Site Address: Ad S Q•✓ A �NO
Owner: 41� s Mailing Addres ` aco
XO /'� •
City: �L71n Zip: eDf '*P/
Home Phone: $��-AWYO Alternate Phone:
Contractor/App�. 4 s SaN/
/�� Contact Person.
Address: ApAk.P-•;Q;��tate License#:
City: Zip: Expiration Date:
Phone: ��S'47*"r/0 7 Alternate Phone:
❑ Stairway to Lake ❑ Retainina Walls ❑ Temporary Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
*(Per UBC) *(Per UBC) *$30.00
*Estimated Cost: $ *Estimated Cost:$
❑ Docks—42"or Greater Land Alteration ❑ Zoning Review
General—User Defined Surcharge General—User Defined General—User Defined
El 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, c will be in conformance with the Ordinances and Codes of the City and with the State
Buil ' g o ,th this ' not a permit and work is not to start without a permit; and that the
wor accor ance with t pproved plan.
A licant U, Dat
Dvorsky After the Fact Land Alteration/Restoration Permit- 1075 Tonkawa Road
Conditions of Issuance:
1) Double fee
2) Permit allows/requires restoration of 0-75' grades to the contours shown on City
topography maps.
3) Verification of grade restoration in 0-75' zone shall be shown by an as-built
survey to be provided at the time a building permit for the new home is applied
for.
4) Erosion control measures will be required, subject to City Inspector and MCWD
requirements.
5) This approval does not imply the City has accepted the grading conducted outside
the 0-75' zone. A grading plan for the new home must be submitted and
approved by the City before a building permit will be issued. Drainage impacts to
neighboring properties will be a factor in determining an acceptable grading and
drainage plan.