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HomeMy WebLinkAbout2004-P07479 - reconstruct driveway CITY OF ORONO PERMIT 2750 �:elley Parkway - PO Box 66 Permit Number: Po�4�9 Crystal Bay, Minnesota 55323 Permit Type: User Defined (952) 249-4600 Date Issued: si�i2oo4 SITE ADDRESS: 100 Che�y Chase Dr Wayzata,MN 55391 PID: 36-118-23-41-0030 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu yc DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: Reconstruct driveway-HAVE GREG GAPPA DO FINAL INSPF{'Tio N FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Owner/Self OWNER: Michael&Katie Simpson MN 100 Chevy Chase Dr _ ._ --- - Wayzata,MN 55391 ,._ _�.. 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 _ .. _ ..,.. . ....., ... . . ....._._._.._._..w_ _ .__ .__._ MINNESOTA BUILDING CODE REQUIREMENTS. __ _ .. . . . ._._ _ __.. _. _ _ __.. --�'�. ��'11-Q—+'l.. ._. _ . APPLICANT PERMITEE SIGNATURE S UED[3Y SIGNATURE Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 ,¢0� City of Orono � � s^� FO�ITY USE ONLY O s O P.O.Box 66 ����y'�;��/ Date Received: ,�— �� Permit# ,�,,;��,,,. 2750 Kelley Parkway � 'U��;�'� ti CrysCal Bay,MN 55323 �� �� - Amount: $��°�� C.U.P Fi1ed: • �'��r��r���,�` �9sz�2a9-46o0 , � 1 c.`� � ` � �Kpe Approved By: �.V � Site Plan: t/ �,'r���'�✓`f��✓�(.� ,�..,/ Recommends: A roval c� Denial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERMIT (All pe�n�its must Ue approved by the Building Official and/or Zoning Department) c G'� "�(1 r Job Site/Owner Infornlation: Cm�� � f �f � �I`�G� j �\�c,� �� S��eC��an. Site Address: 1 UU ��� �,,.�s� Owner: 1� i��n�,�` J ��n�Sc��• Mailing Address: ipp L.�e�., ��s`. City: � `�.,,a Zip: � � �� 553`�( Home Phone: �l'�7_ Z�� `� ,� z Alternate Phone: ��(Z� �o L'�5 3(a ��,1� Contractor/Applicant Inforniation: Contractor/App.: -�o�,�� � Jv..� Contact Person: ��oe'_ Address: �� l�x 10 5`� State License #: City: ��,`,,��_aT�� V�N, Zip: S53�}"1 EYpiration Date: Phone: "��Z '��kS l�-�Z i1 Alternate Phone: �uuk �'�2 ��t�-�;�-'-�o TYPES OF USER DEFINED PERMITS ❑ Stairwav to Lake ❑ Retaining Walls ❑ Temporarv Trailer General—User Defined Surcharge General—User Defined Surcharge General—User Defined * (Per UBC) * (Per UBC) * $30.00 *Estimated Cost: $ *Estimated Cost: $ ❑ Docks-42" or Greater Land Alteration ❑ Zonin�Review General—User Defined Surcharge Gener 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 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 will be in accordance with the approved plan. 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