HomeMy WebLinkAbout2008-P11748 - retaining wall PERMIT
CITY C�F ORONO
275U Kelley Parkway - PO Box 66 Permit Number: p11748
Crystal Bay, Minnesota 55323 Permit Type: User Defined Surc Building
(952) 249-4600 Date Issued:
1/4/2008
SITE ADDRESS: 210 Big Island Unit#
Excelsior, MN 55331
PID: 23-117-23-23-0034
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Surc Building Permit Sub-type(s): Retaining Wall
DETAILS:
Approved per resolution#: 3323
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 8,000.00
Plan Review Fee: $ 99.58
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 256.83
APPLICANT: Structures Unlimited,Inc. OWNER: Jud Champlin
5425 Clayton Drive 2643 Thoroughbred Lane
Maple Plain,MN 55359 Long Lake,MN 55356
THE NDE SIGNED HE B REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AN AG ES TO DO AL ORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MIN ES�TA BUILDING DE REQUIREMENTS.
, �� � �Y�.��,��1
,!`_'�- ���
�L 'T P6RMITEE SIG TIiRE ISSUED BY SIGNATURIi
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
o,�p�o City of Orono FO ci Y usE orrLY ���,��
P.O.Box 66 Date Received:/ fl Pennit#�_
�yt�„ 2750 Kelley Parkway
, � i��zi:� F Crystal Bay,MN�5323 Amount: $ '�� C.U.P Filed:
�'t��'F'}r��'�°` (952)249-4600 �
��BKO� Approved By: Site Plani �_
Recommends: A roval � Denial ❑
CuP/v���►�.. o�� 332.3
CITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All perniits must Ue approved by the Building Official and/or Zoning Departmen[)
Job Site/Owner I�iforniation:
Site Address: 2�� L�(4-�5 ��1�
Owner: �f Cr�c� ��,�7/'J�/f-f Mailing Address: Z(v�3 CG��S�c(¢,�:
City: (,�ir14 �A�.. Zip: ..��35�_
Home Phone: Alternate Phone:
Connactor/Applicant Information:
Contractor/App.: �1'uG�1ir'CS Un�Im��d,.Zhcr. Contact Person: �OSS �.Ah 9���
Address: J��"�2 S C�I�/tt�7 � State License#: Z 017 �39,[•�_
City: �g�h Zip: .�S357 ExpirationDate:
Phone: �v� "3�4'' ��o�03 Alternate Phone:
TYPES OF USER DEFINED PERMITS
❑ Stairwav to Lake [�Retainin�Walls ❑ Tem}:,orary Trailer
General—User Defined Surchar�e General—User Defined Surcharge General—User Defined
* (Per UBC) * (Per UBC) * �30.00
*Estimated Cost: $ * Estimated Cost: $ g,b�p 60
❑ Docks—42" or Greater ❑ Land Alteration ❑ Zonin�Review
General—User Defined Sw charge General—User Defined General—User Defined
❑ Corrullercial—(Per UBC) ❑ 0-500 Cubic Yards *ForO-7�'Zone-�30.00
* Estimated Cost: $ $50.00 (Needs Site Plan)
General—User Defined ❑ 501+Cubic Yards
❑ Residential- �30.00 $50.00 (t�eeds C.u.P.)
❑ Tree Removal
General—User Defined �
*Within 0-75' - $30.00
I herby app y for a User efined Permit and I acicnowledae that the infonnation aUove is complete and
accurate; that the work 1 be in conformance with the Ordinances and Codes of the City and with the State
Buildin��Code;that I u derstand this is not a permit and work is not to start without a permit;and that the work
_ _
will be:in accordan�'e � rove pIan.�' ,,
� �
A ' nt Date
i���P,n..F..>.�o....,;�iii cinni
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONL Y
ADDRESS OR LEGAL: „7 t rt j (..� ,- �-� S [A�c-1
PID:
DESCRIPTION OF WORK: ���,���, i�i i , , u -�,
,
ZONING REVIEW BY.• DATEAPPROVED: I Z, ►� CT�f
BUILDING.itEVIEW BY.• DATEAPPROT�E'D:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (spec�)
ZONING CHECK LIST Zoning District: � ����
Fire Department: Post Off ce: School District.•
Lot Area: Sg.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: StaffApproval Date: By: Council Approval Date:
Septic: Staff Approval Date: /,�f� �Q� By. LJ Z''
Zoning File: # Resolution: # Resolution Date:
Shoreland District: MCWD Permit:
Avg. Setback: BluffSetback: LotCoverage:
Fxisting Proposed
Hardcover: D-75'
75-250'
250-500'
500-1000'
Hardcover I�ariance Regui�-ed: Yes_�No Date of Council Approval: �� �Z• ��
REMARKS(in house): G(�� E-�i�t►'C� Cu-c.✓' 1//bYl/�vl�.¢.� � � -� 3 �_
33
B UILDING REVIEW CHECK LIST
UBC: CONSTR UCTION TYPE:
Sq Footage $Per Sg Ftg
Basement x =
Ist Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Constructian Value: $
Inspections Required: Work Requiring Separate Per►nits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
Final Grading/Filling Electrical(State Permit)
Other
REMARKS(INHOITSE):
REVIEW BY OTHERS: DATE:
Access.' Fxisting New
Access Approval: Date By:
REMAR�'iS(TO BE NOTED ON PERMIT):
34