HomeMy WebLinkAbout2005-P08829 - stairway to lake � ' ,
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08829
Crystal Bay, Minnesota 55323 Permit Type: User Defined Surc Building
(952) 249-4600 Date Issued:
6/13/2005
SITE ADDRESS: 3826 Cherry Ave Unit#
Mound,MN 55364
PID: 08-117-23-33-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Surc Building Permit Sub-type(s): Stairway to Lake
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83.25 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 84.75
APPLICANT: David J Durkin OWNER: James&Betsy Martin
P.O. Box 3 3826 Cherry Ave
Mound,MN 55364 Mound,MN 55364
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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APPLICANT P MITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
-
��� City of Orono FOR CITY USE ONLY
P.O.Box 66 Date Received: �;,.—J 3-�� Permit#
�' � �7�0Kelle Parl.tiva
�.;.�.,�. � Y y
a 't1'!?�=?;. '�/ Crystal Ba MN 55323 Amount: $ C.U.P Filed:
9 1�1-.1�';, �, Y,
�^ '11�;yr�,l;���,�� (952)249-4600 /��
�ssxog Approved By: P!/ Site Plan:
Recommends: A roval Denial ❑
CITY OF ORONO - USER DEFINED/GENERAL PERl�7IT
(All pznnits must Ue approved Uy thz Building Official and/or Zonine Depaitment)
Job Site/Owner I�iforniation:
Site Address: ���b
Owner: �,0 1�`� �'�.(� � Mailing Address: �(?l/�,�_
City: (7�,(��� Zip: �SS36 y
Home Phone: Altemate Phone: ��-�(��'�61 �
Conn-actor/ Applicant I�ifornlation:
Contractor/App.:�t1�V l� � �l�K.iN Contact Person:
Address: � (`� ��x � State License#:
City: �� Zip: y� y Expiration Date:
Phone: �(�- G��-;�303 Alternate Phone:
TYPES OF USER DEFINED PERMITS
Stairwav to Lake ❑ Retaining Walls ❑ Temporary Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
* (Per LBC) * (Per UBC) * $30.00
*Estimated Cost: � �����•�' *Estimated Cost: $
❑ Docks—42" or Greater ❑ Land Alteration ❑ Zoning Review
General—User Defined Surcharae General—User Detined General—User Deiined
❑ Conunercial—(Per UBC) ❑ 0-500 Cubic Yards *ForO-75'Zone-$30.00
*Estimated Cost: $ �SO.00 (Needs Site Plan)
General—User Deflned ❑ 501+CubiC YaTds
❑ Residential- $30.00 $50.00(Needs C.U.P.)
❑ Tree Removal
General—User Defined
*Within 0-75' -$30.00
I herUy apply for a User Defined Permit and I aclrnowledge 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
w n accordanc h the ap roved plan.
.� �- 1,3-os
Applicant Date
_ __. ___ ._ .
{UserDeSned PeSarit 3l1.8/04)
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�oB No.���29