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HomeMy WebLinkAbout2009-00051 - land alteration CITY OF ORONO PERMIT NO.: 2009-00051 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/13/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 200 WAYZATA BLVD W PIN : 36-118-23-43-0001 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : USER DEFINED PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : LAND ALTERATION(501+CU YDS) NOTE: MUST HAVE MCWD PERMIT BEFORE ISSUING THIS PERMIT,CHECK WITH EVELYN. APPLICANT LAND ALTERATION 50.00 DOBOSZENSKI& SONS,INC. TOTAL 50.00 6450 PIONEER TRAIL LORETTO,MN 55357 (763)420-6945 OWNER CLUB,WAYZATA COUNTRY 200 WAYZATA BLVD W , MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if constructio authorized is not commenced within 180 days of the d e o iss ce,or if construction is suspended for a period of 180 days,t ti a after work has commenced. The applicant is Kesp. : ,l- fir.,sur' g required inspections are requestedim coi fo r IT• ' i e ate uilding Code.This permit may be revoked;at iy tim: s • .use. i i )-fit Applicant P- a Signature Date Issued y SignatureC Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. (1.:,;( 11.-:‘):c. \� City of Orono FOR TY E ONLY `►� Box 66 0, P.O.0 `Date Received: �� 9p h. 2750 Kelley Parkway �,7�� © ermit# . iI ii�qi!L ' Crystal Bay,MN 55323 '�1 DO`�-GT�d" � Q ��wtri;�~oa (952)249-4600 Rfmcot` Amount: :$ Cll.?Filed: j ilf f N.d Approve By: r/ O Site Plan: Recommends: Approval Denial ❑ CITY OF ORONO USER DEFINED/GENERAL PERMIT (All permits must be approved by the Buil ding Official and/or Zoning Department) r Job'Site,/Owner Information Site Address: 'c) 10 4.2.44f /81UJ Owner: Gvik1,4,1... Ca„ w G/,,) Mailing Address: atri Cti-1-F4,4-4 gkci City: C'tov4G Zip: Home Phone: Gid - .StGl - SSU 3 Alternate Phone: ciSc't - 9g- �f.Z./ Contractor/Appllca st Iriformatibt Contractor/App.: O 0S3 ev,bX t 4.-S c,hS Contact Person: 4c.,.,ti A diet, Address: 9s.J. / C, i er( l q State License #: City: J.ej. ,LI') Zip: ..s."15-LS-7 Expiration Date: Phone: 4/.)-X31-J$1S Alternate Phone: 763_'/ -..-e9V g Eb-r`. . 4.::..:',.--TYPES OF USER DEEED PERM TS f.::, ❑ 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: S ❑ Docks-42”or Greater ❑ Land Alteration ❑ Zoning.Review General—User Defined Surcharge General—User Defined General—User Defined E Commercial-(Per UBC) ❑ 0-500 Cubic Yards *For 0-75'Zone-$30.00 *Estimated Cost: $ 0.00(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; hat I un• r =nd this ' r/ permit and work is not to start without a permit; and that the work will be ' acc. e - ' h t. ... oved plan. Applicant Date Reset t Form (User DemedPermit 513/04) Evelyn M. Turner From: Evelyn M. Turner Sent: Tuesday, February 10, 2009 9:12 AM To: grounds_department@wayzatacc.com Cc: 'Robert Olson' Subject: Items remaining for Pond Permit There are still four items to be taken care of before your contractor starts grading or excavating: • The resolution signed by the Country Club. It is available between 8 and 4:30 at City offices. A permit application submitted by your contractor.. We can use the plans received yesterday. The contractor will be called when the permit is ready to be picked up. • The escrow agreement signed and returned. • The City provided with a copy of the MCWD permit or conditional approval. There may or may not be a City easement/covenant to be signed. The City Attorney is reviewing the easement/covenant the MCWD will require to determine if the City document would be redundant. If it is necessary I will send it to you but will not hold up the permit for it. Evelyn Turner City Planner City of Orono 952-249-4623 952-249-4616 (fax) 1