HomeMy WebLinkAbout2007-P11055 - general land alteration PERMIT
CIT�� OF ORONO
2;� Kelley Parkway- PO Box 66 Permit Number: P11055
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 245-4600 Date Issued:
6/2�/2007
SITE ADDRESS: 865 Ferndale Rd N Unit# �
Wayzata,MN 55391
PID: 25-118-23-44-0002
DESCRIPTION:
Proposed Use: Religious
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Land Alteration(SOl+cu yds
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Owner/Self OWNER: St. Edwards Episcopal Church
MN 865 Ferndale Rd N
Wayzata MN SS391
THE UNDERSIGNED HEREBY REQUESTS PERM[SSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUfREMENTS.
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� APPLICANT PERMITEE SIGNATCRI: SUED BY SIGNATURE �
Copies: 1-File(Signatures Rega�ired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
_.
�;� '-�`��` \ City of Orono // FOR C[TY USE ONLY
� /iQ¢ •r��, P.O.Box66 / ,�� Date eceived c_' Permit# /-,� //cT c c",-
2750 Kelley Parkway ��� � '��
�,�� ��y�� ,���j Crystal Bay,MN 55323 � �
� ' ��.�;�y�� (952)249-4600 Amount: $ C.U.P Filed:
�reuoa�
Approved By: _i �" Site Plan:
� -
Recommends: A roval Denial �]�
CITY OF ORONO - USER DEFINED/GENERAL PERIVIIT/
(All permits must be approved by the Building Official and/or Zoning Deparnnent) �
Job Site /Owner Information:
Site Address: �6 S� �2r�-d�a.l�c. � • � .
Owner: �flrv� oti � Sr�Wo�C�- Mailing Address: �{��j� ����.dl��t � ►`-' ,
City: �rortb , �� �.�-53`I I Zip: `553�i (
Home Phone: G S Z • �{�3 '�2- Alternate Phone: �
Contractor/Applicant Information: �
Contractor/App.: Contact Person:
Address: State License#:
n•. . 7'... c., t' +
�.��y. �i�,. ��pira«on Ja�e:
Phone: Alternate Phone:
TYPES OF USER DEFINED PERMITS
❑ Stairwav to Lake � Retaii�i Walls ❑ Temporarv Trailer
General-User Detined Surchar�c General-Us F.J�efined Surcharg General-Uscr Defined
* (Per UBC) " (Per UBC) \ * $30.00
*Estimated Cost: $ �Estimated Co�$ � • .
__:�__. _.
❑ Docks—42"or Greater �� � Lan'd Alt ratibn � � � ❑ Zoning,Review
General-User Defined Surcharge r General�, scr Define.d General-User Defined
❑ Commercial—(Per UBC) � ❑,'-50*0�Cubic�,,Yards \\ *ForO-75'Zone-$30.00
* Estimated Cost: $ �'� $50.f�0(Nee,Qs Site`Qlan) � 1� ,
General-User Defined � SO l+ �C Ya1'CIS `!� `��� �
r �
❑ Residential - $30.00 $50.00( eds C.uP.) � �L��
�.
❑ Tree Removal _ �� � ,
General-User Defined �' ���
* �Vithin 0-75' -�30.00 �
[ herby apply for a User Detined Per' ;�and 1 acknowlcdge t11at thc information abovc is complete and
accurate; he tivor�c�vi(1 be:}n ca o°y�(i�nce with the Ordirances ar,d Codes of the City and with tile State
Buil ' g o e• ��at I �i der '�n}�t. f5 not a permit and work is not to start without a permit; and that the
�v w' e n ccor ance '' 1�����r ved plan.
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y A�plicant Date `
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