HomeMy WebLinkAbout2006 - P10067 - retaining wall PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10067
Crystal Bay, Minnesota 55323 Permit Type:
User Defined Surc Building
(952) 249-4600 Date Issued: 7/19/2006
SITE ADDRESS: 1010 Willow View Dr Unit#
Long Lake,MN 55356
PID: 28-118-23-41-0013
DESCRIPTION:
Proposed Use: Residential •
Permit Class: General
Permit Type: User Defined Surc Building Permit Sub-type(s): Retaining Wall
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DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 26.55 Valuation: $ 550.00
Plan Review Fee: $ 17.26
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 44.31
APPLICANT: Minnesota State OWNER: Richard&Lori Gherardi
Watertown,MN 1010 Willow View Dr
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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APPLIC T PERMITEE SIGNATURE 4(_/0441{(-----
(``%�I�
ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
4
- P.O.City oBox 66f Orono FOR CITY USE ONLY
Date Received: �,� Permit#��CO 4�y i 2750 Kelley Parkway
-. ,. Crystal Bay,MN 55323 Z t
ti.-)` (952)249-4600 Amount: $ 1 C.U.P Filed:
Approved By: e61400- Site Plan: 7-l 3'04:4
Recommends: Approval. Denial ❑
CITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Information:
Site Address: \0 ‘Zo , • ,,\t J J i,es,,v 4) r c Jho
Owner: %.c G`l `O—CUXd i, Mailing Address:
to )___ 4. in\.14
City: O'CDv...0 Zip: 55'35- 6-)
Home Phone: q5 2.—`{7(-1,.4.02 Alternate Phone: (e(?--1643—.}) y p
Contractor/Applicant Information:
Contractor/App.: `M+.v.,n.(50,-,,(-e ST'S. Contact Person: 's-..,,... rj,%c.,w.
Address: State License#:
City: ,,) „‘-st,,�,. Zip: ,AAAI Expiration Date:
Phone: Alternate Phone:
TYPES OF USER DEFINED PERMITS
❑ Stairway to Lake FRetaining Walls/r'60"A E Temporary Trailer
General-User Defined Surcharge General-User Definee�b Surcharge General-User Defined
*(Per UBC) * (Per UBC) *$30.00
*Estimated Cost: $ *Estimated Cost: $ 3.50:0 v
❑ Docks-42"or Greater ❑ Land Alteration ❑ Zoning Review
General-User Defined Surcharge General-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 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 a permit and work is not to start without a permit; and that the
w• ,ill br i• accordance with the approved plan.
C. 61 j 1 Z-aa(4).
Applican Date
Reset Form - (User Defined Pe=t 3/18/04)
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