HomeMy WebLinkAbout1993-005460 - land alteration PERMIT
CITY OF ORONO PERMIT TYPE: V:.'.;FR DE .I NEr•
2750 Kelley Parkway • P.O. Box 815 Permit Number: 0(Y3460
Orono, Minnesota 55356-0815 Date Issued: /2E,/
(612) 473-7357
SITE ADDRESS:
CHERRY PL
LS%)
. 1 . N . : 08-117-23-33-0001
DESCRIPTION:
ISO CUBIC YARDS FILL
User Permit Type LAND ALTERATION
REMARKS:
FEE SUMMARY:
BaSe Fee
Total Fee $75 . 00
CONTRACTOR: — Applicant — OWNER:
LANMIEW LANDSCAPING 147057E3 '6UMEY SUSAN
3670 HIGHWAY 7 1330 CHERRY PI_
EXCPLSIOR MN S5331 ORONO MN 55364
(612) 470-5263 (612)471-8353
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 .
JAGdiet& X_zykte.)-t_
f APPLIC•.1/7ERMITEE GNATURE
ISSUED BY:SIGNATURE
CIT OFORONO - BUILDING PERMIT APPLICATION
Fee• $ - '���• ..41 , 0� Date Received: q2...s-77JTotal
' Date Approved:
�`J
Entered By: �, � 5 ! (P �j
Perrnit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR J
JOB SITE ADDRESS: ) b LAeti PAce_. ZIP: • , v �/
(work) ?,VS- x 9 7
NAME OF OWNER: S (4 5a.v it&Lt ,e lilI` Ie PHONE: (home) L/ 2/- e?s$
MAILING ADDRESS: Sat/14e. CITY: SCMAQ ZIP: 3adi-Q c
Zo Usew v1 ccp /u'1, PHONE: / 9[� 'S6.3
CONTRACTOR: /l ,�/�� � / � I
MAILING ADDRESS: 3 96 /IW 7 CITY: FxCe(.Sivf ZIP: 5633 I
STATE LICENSE: #
ARCHITECT/ENGINEER: &A R. PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration __-
PROPOSED WORK (describe in detail) : S r(4A ("019,4 t 1,16Atewle i
ac d1� #�� �,e,, 150 �� ;c- ar s 0 )
STORIES: SQ. FEET OF EACH FLOOR: / Z---06 */3/ 4t'Aba r` I/
NO. OF BEDROOMS: Z GARAGE STALLS: ATT. [ DET.
0th!
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $5-0(90`
I hereby apply for a building 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 i ;cco dance kith the approved plan. 25-
14, filf
APPLICANT'S SIGNATURE: I , DATE: VIIIii?-3
0
. _., . .
,..2 ___- _-- _,- .:,.-
-• (JITYofORONO
il, _ CI-M_-,-,-.:- Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
Q On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
or
data", we would like to inform you that your request for a permit
license from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
1. The information heye permit or licensebe used to requested, determine your
qualification
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other local , state he permit or
federal agencies to the extent necessary to process
r
license.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
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Last
Fir t M dle
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Address 5-5-13 3 j
City State Zip
Phone
I and iand my light- as st- = •ove.
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Sign=ture /
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS —473-7359
ASSESSING