HomeMy WebLinkAbout2006-P09788 - land alteration PERMIT
CITY.,OF ORONO
27�50 Kelley Parkway- PO Box 66 Permit Number: P09788
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued:
6/6/2006
SITE ADDRESS: 1485 Long Lake Blvd Unit#
Long Lake,MN 55356
PID: 35-118-23-22-0001
DESCRIPTION:
Proposed Use: Residenrial
Pernvt Class: General
Permit Type:
User Defined Pemut Sub-type(s): Land Alteration(0-500 cu yc
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Level earth/sod at lake
FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Norling Lake Minnetonka Landscapes OWNER: Mr.&Mrs.Greenley
P.O.Box 361 1485 Long Lake Blvd
Spring Park,MN 55384 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.
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APPLICANT PERMITEE SIGNATURE D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
��`� City of Orono � �'Z�ID� F R CITY USE ONLY
O¢ `r��� P.O.Box 66 Date Received: -2 -CYo Permit#yQd 9785
• y 2750 Kelley Parkway
- �� 3Ety�f;+- � Crystal Bay,MN 5�323 �D
��' " t �� 952 249-4600
y��o�,s.� � � Amount: $ 5� � �C:U.P Filed:�
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Approved By:CIy��Site Plan: /U�iq
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Recommends: A roval Denial ❑
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CITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Offcial and/or Zoning Department)
Job�Site/ Owner Information: ����� � �
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Site Address: .
Owner: • Mailing Address:�y
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City: L���l r"�' ' Zip: S �
Home Phone: Alternate Phone: lD�v7 ' 3j � ' ���
C tr tor/Appl' a Information:
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" Contractor p .: Cont t erson: �
Address: ` . C I State License #: � ,
Cit � Zip: _S�d"/ Expiration Date: l 3 - �
Phone: ��J� - ��7� -��� Alternate Phone: ��c�- � `«c3 7�c�
� ; ' TYPES OF USER DEFINED PERMITS
❑ Stairwav to Lake ❑ Retainin Walls ❑ Temporary Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
*(Per UBC) * (Per UBC) * $30.00
*Estimated Cost: $ *Estimated Cost: $
❑ Docks—42"or Greater �Land Alteration ❑ Zonin�Review
General—User Defined Surcharge General—User Defined General—User Defined
❑ Commercial—(Per UBC) ,[� 0-500 Cubic Yards *ForO-75'Zone-$30.00
* Estimated Cost: $ $50.��(Needs Site Plan)
General—User Defined ❑ SOI+CublC Yards
❑ Residential- $30.00 , $SOA (Needs . .P.)
� �V�^ iX�:]LrC�C [�2'�' `,�
❑ Tree Removal �
General—User Defined � � (/�(XiL1/ ������C� l >
* Within 0-75' -�30.00 � � �
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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 confarmance with the Ordinances and Codes of the City and with the State
Building ode;tha'I u erstand this is not a permit and work is not to start without a permit; and that the
work il be in ac ord ce`ith the approved plan.
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Applicant �_ � t � Date �
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