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Home My WebLink About2010-00241 - land alteration ' ' CITY OF ORONO PERMIT NO.: 2010-00241 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2775 COUNTRYSIDE DR W PIN : 04-117-23-12-0016 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 001 BLOCK 003 PERMIT TYPE : USER DEFINED PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NO"CF,: CONCRETE PAD FOR SPORT COURT 10'X 20'REBOUNDER ON WESTSIDE OF SPOR7�COURT GRADING FOR DRAINAGE PF,RMIT REQUIRED FOR FENCE OVER 6'1IIGH. REBOUNDERS NOT CONSIDERED FENCE. �rv�'INITIAL) / n DIRECT DRAINAGE TO DRAINAGE SWALF,ON PROPERTY TO THE SOUTH. I 1''"��(INITIAL) APPLICANT LAND ALTERATION 50.00 JOHNSON CONCRETE TOTAL 50.00 4074 43RD STREET SE DELANO, MN 55328 (952)473-5291 OWNER MURLEY, TODD&MARY 2755 COUNTRYSIDE DR W LONG LAKE, MN 55356 AGREEMEI�T AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o 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 rclated work which requires separate permits. All provisions of la�vs 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 da[e 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 inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at me for due c use. �� ,2�� Li � 3� � �� , i� Applicant Permitee Signature Date s By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � CITY OF ORONO PERMIT NO.: 2010-00241 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE tssuEn: 04/30/2010 952 249-4600 FAX: 952 249-4616 REPRINTED ON 5/6/2010 ADDRESS : 2775 COUNTRYSIDE DR W PIN : 04-117-23-12-0016 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 001 BLOCK 003 PERMIT TYPE : ZONING PERM[T PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SPORTS COURT< 120 SQ FT NOTE: CONCRETE PAD FOR SPORT COURT 10'X 20'REBOUNDER ON WESTSIDE OF SPORT COURT GRADING FOR DRAINAGE PERMIT REQUIRED FOR FENCE OVER 6'HIGH. REBOUNDERS NOT CONSIDERED FENCE. (INITIAL) DIRECT DRAINAGE TO DRAINAGE SWALE ON PROPERTY TO THE SOUTtL (INITIAL) APPLICANT LAND ALTERATION 50.00 JOHNSON CONCRETE TOTAL 50.00 4074 43RD STREET SE DELANO,MN 55328 (952)473-5291 OWNER MURLEY, TODD& MARY 2�7'S�COUNTRYSIDE DR W LONG LAKE, MN 55356 2��5 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 [he State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.'I'his 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 '� � ��"� � �� 1 r requested in conformance with the State Building Code.This permit may be � revoked at any time for due cause. / / / / ApplicantPermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . i�` Cit of Orono � / /,�0,� Y FOR CITY USE ONLY �� P.O.Box 6G �� Date Received: — � fl Permit� ��/D'�U � � �� a�{,1,4.�.P 2750 Kelley Parkway � �� ,� Crystal Bay,MN 5532 3 n 'I I� Amount: $ S� •�U.P Filed: ��,,.��y�� (952)249-4600 � � ��(( � ��O$ �� Approved By: Site Plan: 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: r Site Address: � � 7� � �-- ' �., . a I p f Owner: l o�d. i v r Mailing Address: ai��j ('�oc�n.�s t d.e,�i d , v ��ty: a �.o Z�p: s�3s � Home Phone: R��' �fb''�- Oa,O � Alternate Phone: �Contractor/Applicant Infornlation: � � Contractor/App.: �T,�t�,�n,�� C ,,�, ,►� Contact Person: ' I a Address: �� l �3r S� 5 F-- State License #: City: �l��,r10 Zip: 55� Expiration Date: Phone: � -/ 3 'S `� Alternate Phone: D ? ?O � � �TI'PES,U�"USER��DEFINED�PERMITS � �� . ' ❑ Stairway to Lake ❑ Retaining Walls ❑ Temporarv Trailer General—User Defined Surcharge General—User Detined Surcharge General—User Defined * (Per UBC) * (Per UBC) * $30.00 *Estimated Cost: $ *Estimated Cost: $ ❑ Docks—One Time(No„-�ke Mtka� ❑ Land Alteration ❑ Zoning Review General—User Defined Surcharge General—liser Defined General—User Defined ❑ Commercial—(Per UBC) ,�] 0-500 Cubic Yards � *ForO- 5'Zone-$30.00 * Estimated Cost: $ $50.00 (Needs Site Plan) �� (� � �� General-User Defined ❑ 501+Cubic Yards ��'� c e .�- ❑ Residential- $30.00 $50.00(Needs C.U.P.) � � �� S' � o� `� �d r ►`I ❑ Tree Removal �Jy1 G d-� ��, �O f� �.J�O!`•T l�O c� r� General—User Defined *Within 0-75' -�30.00 �S� �� - ��j� � ,�� « �• c 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 ode;that I understand this is not a permit and work is not to start without a permit;and that the work will b accor nce with the approved plan. 0 � lD Applic Dat (TJser Defined PeRnit OS/08709) Old Crystal Bay Road - � NORTH 310.00 � � p Orainoge & Utilify � Easement o I ' �- gt5 �S7q0' ��— — -� � � 1 o�>-r�oil Easement-� � o��' �Z� ��"W �o�o �--��--Trail Easement---�=,� o i � � oo�z9 Bituminous Path � � -�'�:- . s t•as'oo"w s�.00 � � —. ---r'� q`�� —�_ � — — — � I � �� 5 _� ,� ��i, ��"'r,� �� is r�l �J ~ ��/� \\ T \ I 'O � jI ` I CD ll��r+-,` . 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Q a�'� �, � 4 � �J �,O c� O C � ^`� c�n ,• �� w ° � � , � p o Z C � � Job Number. 7126 SCHOBORG � hereby certify fhat this cerfificate of survey was prepared by me or under my di�ecf supervision and Book/Page: LL that l am a duly Registe�ed Land Surveyor under the LAD SERVICES �aws of the�,/S#�of Minnesofa. Survey Date: 3-19-10, 4-14-10, 5-08-12 — / i Drawing Name: johnson.dwg 'N�j. _______ D�awn by. KLB ----�----- -- ------ Paul B. Schoborg,� Revisions: 5-16-12 (os-built court & 763-972-3221 8997 Co. Rd. 13 SE �'�� 12 p00% add drainage arrows & confou�s) www.Schobo�gLand.com Delano, MN 55328 Date: �______ Registration No. 14700