HomeMy WebLinkAbout2005-P09030 - land alteration PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P09030
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued:
8/2/2005
SITE ADDRESS: 2525 Dunwoody Ave Unit#
Wayzata,MN 55391
PID: 20-117-23-22-ools
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
User Defined Permit Sub-type(s): Land Alteration(0-500 cu y�
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 50.00 va�uation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Keenan&Sveiven Inc. OWNER: Michael Peel
15600 Wayzata Blvd 2525 Dunwoody Ave
Suite 108 Wayzata,MN 55391
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
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT P�EF�MI"�EE SIGI�ATURE I SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
0,���0 City of Orono FOR CITY USE ONLY
� P.O.Bo�66 Dzte Received: Permit�
�;�.,,,,, 27�0 Kelley Parlcway
� ij��'?:�:�'. � Cr stal Bz MN 5�=2=
� 1:i.,t�',,: � Y Y, Amoun.: � C.U.P Filed:
`�t"�(�f�j'���,�,r �952)2a9-4G00
'�"sexo�`� Appro��ed By:��>��� Site Plan:
Recommends: A roval Denial ❑
CITY OF ORONO - USER DEFTNED/GENERA.L PERIVIIT
(AI!pennics mus�Ue appraved by the Buildi��Oificial and%or Zenine Department)
Job Site/O��Zler I�ifornlation:
SiteAddress: ��%�.� �����;�t<<��:y-� � ���� ('
Owner: �`l� � � � j�' f'��.��� Mailin� Address: ��� �
City. ����<�� (i Zip:
Home Phone: Altenlate Phone:
Cont�-actor/ Applicant Iufornlation: I
��� � �� � � ��,�� �� '� � i`�� -
Contractor/App.: (����i�� ��r c� «t� � Contact Person: ����� �z''�/�l�l�
Address: l ���i' �t/c��2���i (�I v� • State License #: �G -' 7Z-� �
City. �l/c�,� zcc�l't Zip: SS-��?� Expiration Date: � ' � � ' v �
Phone: ��� ' �l������ � Altei�zate Phone: ��Z � ��� - � S�6
TYPES OF USER DEFINED PERNI�TS
❑ Stair���ay to Lalce ❑ Retaii7inQ Walls ❑ TemUorarv Trailer
General—User Defined Surchar�e General—User Defined Surci�a�oe General—User Defined
" (Per LTI3C) * (Per UBC) * $30.00
*Estimated Cost: �, *Estimated Cost: S
❑ Docks-42" or Greater �J/ Land Alteration ❑ Zonine Re��ie���
General—C1ser Dztined Surchar�e General—Us�r De'ined General—User Detined
❑ Conunercial-(Peo� UBC) �0-�00 Cubic 1'a�ds *ForO-%�'Zone-�30.00
'` Estimated Cost: � s50.00 (Needs Si�e Pfan)
General-Us:r Delined ❑ 501+Cub1C Yal'ds
`� Residential- �30.00 ��0.00 ('.eeds C.u.t�.j
❑ Tree Remova�
Gene;al—User Defned
� �'ithin 0--�' - 530.00
I he:by apply for a User Defined Peizr.it and I ack7:owledQe fna? the iniornlation above i� complete and
accurate; that the work«�iil be in coniorniance�vith the Ordinances and Codes oi the Cit�,� and�vith the State
Building Code;that I unders?and this is not a permit and�vork i�not to sta�witnout a per.mit; and that the work
wiil be in zcco�dar.ce witn the aporoved plan.