HomeMy WebLinkAbout2004-P07805 - land alteration •
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07805
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: 8/9/2004
SITE ADDRESS: 4045 Watertown Rd
Maple Plain,MN 55359
PID: 31-118-23-41-0003
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
TOTAL FEE: $ 50.00
APPLICANT: Owner/Self OWNER: Dana&Gregory Kellenberger
MN 4045 Watertown Rd
Maple Plain MN 55359
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.
--,C c kifAic,/
APPLIC T P RMITEE SIGNATUREED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
11
o City of Orono FOR CITY USE ONLY
P.O.Box 66 Date Received: 8-0s-0'1 Permit#
t6,'"
2750 Kelley Parkway
' Crystal Ba ,MN 55323� Y Amount: $ C.U.P Filed:
o�6o (952)249-4600 /�
Approved By: Site Plan:
Recommends: Approval kg. Denial ❑
CITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Infornation:
Site Address: 404-5 U\-) M>
Owner: EL-� Bb? gy ,p }- Mailing Address: 04 T2 -JM
City: V ?-01\16 Zip: 55 351 Vim"
Home Phone: t — 41/e 40¢1 Alternate Phone: q`5 Z— 41 O 69749 -- (g'iCa
12
Contractor/A licant Information: 3 ��
3 �J
PP
Contractor/App.: Contact Person:
Address: State License#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
TYPES OF USER DEFINED PERMITS
❑ 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: $ *Estimated Cost: $
(l Docks-42"or Greater dLand Alteration ❑ Zoning Review
General-User Defined Surcharge General-User Defined General-User Defined
❑ Commercial-(Per UBC) 0,0 0-500 Cubic Yards *For 0-75'Zone-$30.00
*Estimated Cost: $ $50.00(Needs Site Plan)
General-User Defined ❑ 501+Cubic Yards
❑ Residential- S30.00 $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 work
will be in accordance with the approved plan.
:/CAA C34
Applicant Date
(UserDefned,Per A,ItW04)
ti
8B'OZ�/ �fi _7,rb0,82o6G9/Y -
;' £s'LLs - -- -,- 172'861 - - ., cn
vR L
n Q
~� F9, a
'£�y'/ailb
v
11)
h
� G� C �. o � p.bo ", �
:'j-
L9
,.---
CC
� LJ r) Li— 1
.)-
01
` ost e
CD I lr vI 13 ,"o-fi
to
u. V ^°" � of
� Lpv* 1
W Cl. i 4 f
v5 CL. c3 W o � I -04
lE1 0 L � ❑ mo i � i J
NAK
J ,I
I� � y , �—
spo�sf )1-11—
,J1
U
c7
1 o --1
(1_
.„11.___________)
o
. I
� I
r
CI NIIQs-
- I
L`ko
IA
3 ti
Nit
0
o t
ti
3
�` 42. 1
Z
3 0 o0
o -v._
I —,,i 4Z5
N
VI
4.o
vt.
0
43
I
N
O
CO
\o
a �r r
r