HomeMy WebLinkAbout2009-00218 - retaining wall CITY OF ORONO PERMIT NO.: 2009-00218
" 2750 KELLEY PARKWAY
. ORONO, MN 55356- DATE ISSUEn: OS/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1500 BRACKETTS POINT RD
PIN : 11-117-23-34-0001
LEGAL DESC : BRACKETTS POINT 2ND ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : USER DEFINED
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : RETA[N[NG WALL
ENTER VALUATION 40000
APPLICANT USER DEFINED PERMIT FEE 574.25
BARKLEY LANDSCAPES USER DEFINED PLAN REVIEW 373.26
10820 46TH PLACE N
PLYMOUTH, MN 55447- STATE SURCHARGE USER DEFINED 20.00
(612)598-9895 TOTAL 967.51
PAID W[TH CC# 0498
OWNER
PADDOCK, BRUCE
920 SHADY LA
WAYZATA,
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at a ime for d
� / �/ � / /
pplic t rmitee Signature Date Issued By nature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
City of Orono FO�SE ONLY
' P.O.Box 66 Date Received: Permit# p?00�'f-'aQp��g
2750 Kelley Parkway
� Crystal Bay,MN 55323
(952)249-4600 Amount: $ C.U.P Filed: �
Appro ed Site Plan: C%�
:tZ .0,
Recommends: A roval Denial ❑
CITY OF ORONO-USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Otl"icial and/or Zoning Department)
Job Site/Owner Information:
Site Address: l�� ^ c ����
Owner: �� � Mailing Address: C`s�� ��e�'�� ���'�`'��"I
City: ���7"P� Zip:
Home Phone: Alternate Phone:
Contractor/Applicant Information:
Contractor/App.:��`�� Contact Person: ��
Address: ���� �� �L. l� State License#:
City: � Zip: ��`.�' Expiration Date:
Phone: ���--�c����—Q� Alternate Phone: ���
TYPES OF USER DEFINED PERMITS
❑ Stairwav to Lake �RetaininQ Walls ❑ Temporary Trailer
General-User Uefined Surcharge General-User Defined Surcharge General-User Defined
*(Per UBC) *(Per UBC) �� ��' *$30.00
*Estimated Cost: $ * Estimated Cost: $�_
❑ Docks-One Time(rron-Lake Mcka� ❑ Land Alteration ❑ Zonin�Review
General-User Defined Surchazge General-User Defined General-User Defined
❑ Commercial-(Per UBC) � 0-500 Cubic Yards *ForO-75'Zone-$30.00
*Estimated Cost: $ $50.00(Needs Site Plan)
Generai-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 acknowledge that the information above is complete and
accurate;that the work will be in conformance with the Ordinances and Codes ofthe 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 acco�da��with the approved plan.
S ��-d�
A p� Date
/ Reset Form
(User Defined Permit 05/08/09)