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HomeMy WebLinkAbout2005-P08693 - land alteration ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Pog693 Crystal Bay, Minnesota 55323 Permit Type: User Defined (952) 249-4600 Date Issued: siioi2oos SITE ADDRESS: 755 Dickey Lake Dr Long Lake,MN 55356 PID: 34-118-23-22-0009 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: User Defined Permit Sub-rype(s): Land Alteration(0-500 cu y� DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Approved by Greg Gappa FEE SUMMARY: Permit Fee: � 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Advanced Excavating OWNER: Terrance&Mary Esau 700 O'Brien Parkway 755 Dickey Lake Dr Belle Plaine,MN 560ll Long Lake MN 55356 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. i��L`�' . � � � ___ _ _ APPL ANT PERMITEE SIGNATURE S UED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance paQP � - - - ,��� City of Orono FOR�jIT�y,�ONLY P.O.Bo�66 Date Received: c�—(D—� Permit# �� �a;,�,�.,,�. �1 27�0 Kelley Parkway a �1?�=�:f'� '� Cr stal Ba MN 55_23 �. �:1:,{k•,.� ,c Y Y� Amount: � C.U.P Filed: �"t'�I�;k�7t;i�$�`•I �952)249-=t6U0 '�seaog� Approved By: �a�i�� Site Plan: �_ ���- Recommends: A roval � Denial ❑ CITY OF ORONO - USER DEFI�'ED/GENERAL PERI�ZIT (Ail penni[s must Ue approved by the Buildine Official andior Zonino Department) JoU Site/O�«ier I�iforniation: Site Address: ��� ��--� �� ^ /� � f�.14� Owrizr: .,��r �.�f�-C� Mailing Address: ��5� i` � � City: /�✓�G'l,�J Zip: ��35'� Home Phone: !-�����1�'-�� � � Alternate Phone: ��'7 Z-- �,5�— ���g Conh-actor/Applicant I�ifornlation: Contractor/App.: �}�a(Vqt✓aC e� �ZG'Ca.y�,�'�'�'t� Contact Person: �Ii� �e�/"�S'O�� Address: T�O a/l/'���R ���',Y State License �: Z�y� /�C �C /�la<i'�G � City: Zip: I�1� Expiration Date: j l•—� — O' Phone: ��"�7�' �`� Alternate Phone: �`��/�r'��� TYPES OF USER DEFINED PERMITS , ❑ Stair���ay to Lal:e ❑ RetaininQ Walls ❑ Temporarv Trailer Genzral—User Defined Surcharge General—User Defined S�uchar�e Generai—User Defined * (Per UBCj * (Per UBC) * $30.00 *Estimated Cost: � *Estimated Cost: $ ❑ Docks—42" or Greater Land Alteration ❑ Zonin�Re��ie�� General—User Detined Surcharse Gener —User Detined General—User Detined ❑ Conunercial-(Per UBC) [�-500 Cubic Yards *ForO-75'Zone-$30.00 * Estimated Cost: $ �50.00 (Needs Site Plan) General—User Dellned ❑ 501+Cubic�'at'd5 ❑ Residential- 530.00 $50.00(?.eeds C.u.�'.) ❑ Tree Removal General-User Def ned *Within 0-75' - $30.00 I herUy apply for a User Defined Permit and I acknowledge that the information above is complete and accurate; that the work«�ill be in conforniance with the Ordinances and Codes of the City and with the State Building Code;that I un is is not a pei-mit and work is not to start without a permit;and that the work will be in n wi t pproved plan. �/5�(� � Annlicant Tl.,+o t � IlGnnesote PoNutfon Control Agency + Individual Sewage Treabment Systems Professiona�Registration Michael G. Peterson Installer L�� Reg#R7876 Expires: Nov 17, 2007 Auttw�ged for wo�k oniy if accompan'ied by a valid business license. a �ey la .� rJ �� � �� � 5 Ic�� �� L� � � Gn . ` � �- � ��� �S J` � s .�' � ci� � � � � ��� .fy ��, �t�y�. ---------- r _.__.-----.___.__--__- <�� � __ _ _ _ ` __________ �o- �: �---.-- � �� c � � � �� � � 1;�,� i ; � 1 , � , . :� ; � . ;-- kc�r _. �� _ � S' . �� � y�,��� , , ,� ��_. k� ���� ,;'-�� � {� �, � t, / � ., Y`- �D� `�- - � � �� y '� d ru �<i Y` ��<<� ' � L� _ � � �� .�,�?,'�" ;. - --- � ��� � _--__- --_ ��P �� Sl��� ; � _------- -- � �-, . 3 `� � �� �� � , �/�� � , O� i � � L''�x, N ' ��S S � � r.�1L��J 1.,� l� � U��. � � L� � � , --�-' �. � '� � � � ,, ` ;• �� v � ,.�. Y+� ' .�'��Y" 4. . C' � , x �+' ��p -� ,� � r 'r `�' � � . , n ",Q' , a • ' r..- . r - . �. . � . �^ * � � , � � . x � n ,`,� 'fi' ^" " �;r' "*. . u� . - ' r �t � � '� �+ � , ��� . ., ��{ r ���� . . � �'lJW r 1"'� � '1 ` �...i.i w, '`��* ., ��� "�-.a�.._--.--^ � "'�, .s'� �r:" . x py � � .. . �.n. �:'�` +�, 4 �,-�, �� �� , .. � ~� � � ��Y -:,f j:.� ''�.� . . . � ` �� �� f, ..n ,..� v ' . . ' y�.{� �, � .�._- 1 P. . . :;If' , �-. �.� . �� ,d e a`" : ^�!r v�� .. ,. y�'��� �� . a �'° ,,'�f �� ,ty''��� .. � �. sMM ' � � ""i i� � '"`�� � : � ��w � �',Y �'�: r✓ � � VY�'. ! � "I'>» . �`-� �%� �,,,�` �� �� � °� r. �• �-y .'' & �,.,, . � � � �� �!±��� � � �..:� . �. "� \ , , - . � " ' "� ,�,; . ,` r� j w. ' � "'�� �'' �l�! � �. , , �. ., , i „• � ��9"t. . ,, �� � • : , ' . ,�,�.t a� . + � � �'/'. ' • � ,;'�(T � . .,,..�-.- . ;�C �(��r� � r U ��.� ^ .. ,. N^ �:.. . �'� � .4 �/i i �� _,�. . � �. �� , �. .. '�. " .vW ._— ;:. .'..� 200 0 200 400 Feet