HomeMy WebLinkAbout2005-P09090 - land alteration - • � PERMIT
CITY OF �RONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po9090
Crystal Bay, Minnesota 55323 Permit Type:
User Defined
(952) 249-46Q0 Date Issued:
8/30/2005
SITE ADDRESS: 809 Brown Rd N Unit#
Long Lake,MN 55356
PID: 27-118-23-34-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu y�
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 50.00 Valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Hauck Associates, Inc. OWNER: Jerad&Leslie Hahn
3620 France Inc. 809 Brown Rd N
St.Louis Pk,MN 55416 Long Lake,MN 55356
THE UNDERSIGNED HERE REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO L RK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BU I ODE REQUIREMENTS.
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APPLI P 1 I NAT RE ISSUED BY SIGNATURE �I
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page I
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,��� City of Orono FOR CITY U5E O�ILY
� 0 P•0.Bo�66 Dzte Received: ' L cY" Permit# " �/C�C' ,
�i;�•,;.,,. � 27�0 Kelley Parl.way O0
� �1'�?P��4r• �' Cr s[al B2 MN 55_2.
�t 1�1..{<<,,,; F Y Y� Amount: S SO C.U.P Filed:
�'�'�e���o�o/ (952)2a9-�1G00 �
Approved By: Site Plan:� 'Z •O
Recommends: A roval Denial ❑
CIT1' OF ORONO - USER DEFI�'ED/GENERA.L PERIVIIT
(All pe»»i[5 mus[be�pproved by thz Buildi�lg Official and!or Zoning Department)
Job Site/O�«ier I�ifornlation:
Site Address: �� � � ��,�� � �� -
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O�vner: � ��2�a�f-�� Mailing Address: �
City: ���(� �� � Zip: �
Home Phone:��� ��� ��� A1tenlate Phone:
Conh-actor/ Applicant I�ifomlation:
Contractor/App.:/�t�(�(:,� ���Ci (��`i Contact Person: �
/ r �
Address: �/G�� �"���� �- State License �: � �
City:�,� �U�S �C� Zip: �-� E�piration Date: � -�/ ��
5��2 c�� �� � ,
Phone: � � Altei�zatePhone: �i2'G��-U��-�
'I"4'PES OF USER DEFINED PERIVI�TS
❑ Stairway to Lal:e ❑ RetaininQ Walls ❑ Temporarv Trailer
General—User Defined Swcharge General—User Defined Surcharoe General—User Defined
* (Per UBC) * (Per UBC) x $30.00
*Estimated Cost: � * stimated Cost: S
❑ Docks-4�" or Gre�ter Land Alteration ❑ Zonina Review
Gene:al—User Detined Surchar�e Gzner I—Us�r De;ined Generai—User Defined
❑ Connnercial-(Pe� U�C) �00-�OOCubicYards *ForO-%�'Zone-530.00
" Estimated Cost: � SSQ.00 (�eeds Si�e Pian)
General-User Delined ❑ 501+Cubic Yards
� Fesidential- �30.00 ��0.00 ��eeds C.U.P.)
� Tree Remova�
General—User Defined
*Within 0-75' - ��0.00
I her�y apply for a Lser Defined Pezznit and I ackno�yX;�zat the information abo�-e is complete and
accurate; that the work�vi�l be in confornzance with t' rdinances anc't Codes of e Citv and with the State
Buildine Code;tnat I under�tand this is not a perm;�F ��ork is � o start wit pu�ap;r;nit;and thai the work
wii1.be in acco-dance witn the approved plan. ///� � '
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�� ���'� �b E TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION I E SCHEDULED �D ���
PERMIT NO. O COMPLETED �Q����
ADDRESS
p�hi#ER -�S�G CONTR.
TELEPHONE NO. g'sZ zl� f��l �`r��G�`
� DESCRIPTION r •
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED f� ROJECT COMPLETE
W ❑CORRECT WORK 8�PROCEED G I SUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
C INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on s' e:
Inspector. J
White Copyllnspector's File Canary CopylSite Notice