HomeMy WebLinkAboutpermit #'s - 7318, 7431, 8736 3 X85
PERMIT RECORD
Permit No. Date Type of Permit
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PERMIT RECORD
Permit No . Date Type of Permit
GENERAL PERMIT CITY PERMIT No 8736
CITY OF ORONO
OW /') jqS/4
P.O. BOX 66 Date /
CRYSTAL BAY, MINNESOTA 55323
(612)4733-735, (r
473-7357 �
Owner R � �l_x.(.(/li-i4S Address ("15 G"' "' `'///3
Contractor 741/LAO-fZ/ C/ t Address
City License No. City
REMARKS AND SPECIAL CONDITIONS
PERMIT TYPE AND FEE: 0 NEW 0 ADDITION 0 REPAIR 0 REMODEL
Inside Plumbing(#fixtures ) Fee $ Water Well Fee $
Water Meter(Size ) Fee $ Mechanical Equipment Fee $
Meter# Fireplace/Wood Stove Fee $
Remote# Moving/Lifting Buildings Fee $
Municipal Water Connection Fee $ Land Alteration(Excavation, a
eo
Grading, Filling,etc.) Fee $
❑ Copper ❑
Design Review Fee $
Municipal Sewer Connection Fee $ Fire Fee $
❑ PVC ❑ Cast 0
MWCC SAC Charge Fee $ Sprinkler System(Fire) Fee $
Other: /2' -- Fee $ •Ov
On Site Spetic System Fee $
After-the-fact Investigation Fee $
ACKNOWLEDGEMENT TOTAL
State Surcharge: Fee $ 5-6
The undersigned hereby acknowledges receipt of this limited permit,
including acceptance of all special information, terms, conditions or Total Amount Paid to City Fee $ /a/,C/ `5.6-v
requirements written above. The undersigned understands and agrees
under penalty of law that this permit is strictly limited in scope to the work, t//e& / �n3
activity or improvement specified;that this permit does not grant any ( �/
authority to do work or activities requiring separate permit approvals;and
that this permit does not grant authority to violate any provision of any City
ordinance or State law,rule or regulation.All work shall be done in strict This permit is not valid until the proper fee is paid and it is approved
compliance with all City ordinances, building codes and/or health
department regulations,and shall be subject to inspection,approval or by an authorized City Official.
rejection by the City.Whenever so ordered,the undersigned agrees to
correct any work found to be in violation of the conditions of this permit.
Sign • of Applicant
Signature of City Official
Code: White—File Copy Canary—Inspector's Copy Pink—Finance Copy Gold—Applicant's Receipt
' ria -
04� City of Orono FOCI SE ONLY
P.O.Box 66 Date Received:��Z Permit O p
�U� S
2750 Kelley Parkway
Crystal Bay,MN 55323 Amount: $ C.U.P Filed:
(952)249 4600
Approved By: Site Plan:
-3- �_ _ C� Recommends: Approval 0 De a ❑''
CITY OF ORONO - USER DEFINED/GENERAL PERMIT .../...-64/1/44c_ 5
(All permits must be approved by the Building Official and/or Zoning Department)
4 *te/'... ' ea',` i %fie. '� !/
Site ddress: ,5L(F‘5 ,c ,,mss P
Owner: ICK /' Mailing Address ey¢,l.9�, ..,-.47-1._____-)
City: O Rol,v Zip: )-=----? ( o)--
Home Phone: ��- ? — 305-1) Alternate Phone: 56,-- -
Contractor/App.: 444 4f 2b S Contact Person:
Address: o2`1 LOA - , ..' State License#:
City: Okty4,0 Zip: `5-`7-357o Expiration Date:
Phone: Alternate Phone:
a .iy2 ) Ys »r Y 9 % X 31 fr . 3 _
-� �'' �„ " �t r3�. Q- e z ... °�� �,.a .E..�.v� � A 4� IN ..4.E"a"'". �, •,4 ii"V.� .3fi. .-,
1
El St
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: $ *Estimated Cost: $
I
Docks-One Time(Non-Lake Mtka) III Land Alteration III Zoning Review
General-User Defined Surcharge General-User Defined General-User Defined
❑ Commercial-(Per UBC) N. 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 ape rmit and work is not to start without a permit;and that the work
will be • accordance with the approved plan.
//-Aci-- 0 ?'
Applicant Date
N $i*O9l
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INDUSTRIAL JOHN A. PETERSON FRANK R. LENZ, JR. PLATTTN,.
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BUSINESS LAND SURVEYORS FARM SURVEYS
CITY LOTS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LAKESHORE
(': TOPOGRAPHIC MAPPING LICENSED BY ORDINANCES OF CITY OF MINNEAPOLIS JUDICIAL
3300 LYNDALE AVE. SO. MINNEAPOLIS, MINN. 55408
824.0370
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BLOCK 6, TOWNSITE OF LANBDON PARK
C. E. COULTER & ASSOCIATES, INC.
INYOUSTRIAL JOHN A. PETERSON FRANK R. LENZ. JR. PLATTING
BUSINESS LAND SURVEYORS
FARM SURVEYS
CITY LOTS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LAKESHORE
TOPOGRAPHIC MAPPING LICENSED BY ORDINANCES OF CITY OF MINNEAPOLIS JUDICIAL
t 3300 LYNDALE AVE. SO. MINNEAPOLIS. MINN. 55408
824-0370
'urbepor'9 Certificate ,
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