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HomeMy WebLinkAbout2005-P08815 - retaining wall �� PERMIT �'ITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08815 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 User Defined Surc Building Date Issued: 12/28/2005 SITE ADDRESS: 849 Brown Road N Unit# Long Lake, MN 55356 PID: 27_118-23-34-0012 DESCRIPTION: Proposed Use: Residential Permit Class: General �Permit T e: User Defined Surc Building Permit Sub-type(s): Retaining Wall YP DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 321.25 valuation: $ 20,000.00 State Surcharge Fee: $ 10.00 TOTAL FEE: $ 331.25 APPLICANT: The Nature Group, Inc. OWNER: Mark&Christine Schwarzmann 420 North Sth. St. 3060 Nathaniels Green Minneapolis,MN 55401 Williamsberg, VA 23185 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL 1MPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. l _,..__. APPLI ANT tiIITEE SIGNATURE S UED BY SIGNATURE � Copies: 1-Fi(e(Sigiiatures Required), l-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 1 � "• ��� 1 �,.. i �,,n� �� � �- � p��„ City of Orono � FOR CITY OSE ONLY � ,1�¢ �,�'+ P.O.Box 66 � Date Received: � � � Permit# �'��''�� �-, 2750 Kelley Parkway '� 11�'�' ��;� Crystal Bay,MN 55323 �" c "���r�p4�o�,� (952)249-4600 ��� mount: $ J`�� ' �C.U.P Filed: ..__ '. APProvedBy i/FE� 9ri�FEn:�'�6'�� Recommends: A roval 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: U�� �Wln IZOG� I`4�L,TVI , DI/�✓�� Owner: MA�I�� �►N' IS �X.VIWAI�ZV�Q�I� Mailing Address: Z�O UnAA WDD� u1� �A '2� M��9/ c�ri: z►p: Home Phone: `�I,J2' �1�•1 IZ� Alternate Phone: Contractor/Applicant Information: ��0� �f�� Contractor/App.: �e Ncth�� b►�u� Contact Person: n Y�ly ���1�I 1'Y) Address: � N � ST Su���� State License#: City: �S Zip: �7�� Expiration Date: Phone: �I2 ��� �`'�� Alternate Phone: �Z• I-la•�� I � SC.QII TYPES OF USER DEFINED PERMITS ❑ Stairwav to Lake [� Retainin� Walls ❑ Temporary Trailer General-User Defined Surcharge General-User Definzd Surcharge _ General-User Defined *(Per UBC) *(Per UBC) �" ����� *$30.00 *Estimated Cost: $ * Estimated Cost: �� � a� E-�] Docks-42"or Greater � Lan�l Alteration ❑ Zonin�Review In At W i w �,� General-User Defined Surcharge Gener2l-User,Defined General-User Defined ru�� f^ � Commercial-(Per UBC) '�f 0-500 Cubic Yards *ForO-75'Zone-$30.00 M�inn. e� * EStimated Cost: $ $50.00(Needs Site Plan) Wa�rs�d General-User Defined Q-501+Cubic Yards ❑ Residential- $30.00 ,�" $50.00(N�eds C.U.P.) ��S�l'I�� ,�' e ov f �� L�wiC , e eral U er fineb r ` i P� ) ',,�* i in ' -$��0 ��� � )('' � l_�''� ���r r� � �1�� 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 unders this is not a permit and work is not to start without a permit; and that the w 'll be in a c r ae ith,the approved plan. " ' `� �.7-0+� ica t Date Reset Form (UserDefinadPamit3/IS/04)