HomeMy WebLinkAbout2005 - P08649 - stairway to lake PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P08649
Crystal Bay, Minnesota 55323 Permit Type: User Defined Surc Building
(952) 249-4600 Date Issued: 5/16/2005
SITE ADDRESS: 356 Westlake St
Long Lake,MN 55356
PID: 05-117-23-23-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Stairway to Lake
Permit Type: User Defined Surc Building
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 167.25
Valuation: $ 8,500.00
Plan Review Fee: $ 108.68
State Surcharge Fee: $ 4.25
TOTAL FEE: $ 280.18
APPLICANT: Pro-Wall,Inc. OWNER: Julie Fritzpatrick
7990 69th Avenue 356 Westlake St
Rockford,MN 55373 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.
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APPLICAN PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
04/20/2005 WED 4:41 FAX General Mills 2o06/006
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O�` City of Orono FOR9YUtNLY /1 TLL� ltri
, 4-.. Crystal Bay,MN 55323 ,/', /
„r,..,,,:'..„...(77:. (952)249-4600 AMUUtlt: C. Filed:
Approved By:�y�f /'Site Plan:5•1,' CS
Recommends: .&ppprovei Denial C
CITY OF ORONO-USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
l Job Site/Owner Information: I
Site Address: .__.._; 5 ._...__Gk%�5Lci.hf_...:S4_.
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Owner: Kc.1J t+t 4aU(t'-t ,fop,:irf(.U Mailing Address: ,?� �- `i` , /�i
City: Na IY (.roJ. Zip: c-5-3( 1
Home Phone: 423._if tl( '1102 51..__-.___ Alternate Phone: ?(s 3 ` )L Li--??.5.1)
Contractor/Applicant Information:
Contractor/App.:,_--An-t-30-1/1/lc- , .... Contact Person: 1?--tyun J C c z.
Address: a "7‘7. 0 6ctIti .ac. State License#:
City: eoe-kro� _ Zip: _S.S373 Expiration Date: ----------- ---.-----.
Phone: (6IZ) Cl--Z7cia Alternate Phone: . SZ)`?`ff 6oa-I
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1 TYPES OF USER DEFINED PERMITS
Stairway to Lake ERetainintt Walls TemporaryTrailer
General-User Defined Surcharge General-User Defined Surcharge General-User Defined*(Per UBC) *(Per UBC) *$30.00
*Estimated Cost:$ S CO. *Estimated Cost:$
E Docks—42"or Greater ❑ Land Alteration ❑ Zoning Review
General•-User Defined Surcharge Ge oral-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 De ikd L 501+Cubic Yards
❑ Residential- $30.00 $50.00(Needs CU P.)
❑ Tree Removal
General--User Defined
*Within 0-75'-$30.00
1 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 accordance with the approved plan.
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App App is a Date
Reset Form (Usu.DctirmiPermit 3115tra)