HomeMy WebLinkAbout2006-P10373 - land alteration �
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PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10373
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued:
9/26/2006
SITE ADDRESS: 1331 North Arm Dr Unit#
Mound,MN 55364
PID: 07-117-23-41-0081
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu yc
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Less than 500 Cubic Yards,Must Leave Site Plan On Site!
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
Misc. Fee: $ 50.00
TOTAL FEE: $ 100.00
APPLICANT: OWNER: 7im Peterson
1331 North Arm Dr
Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED
AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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T A�PPLICANT PERM[TEE SIGNATUR� ISSUED BY S[GNATURE �
Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1
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• �g��O City of Orono FOR CITY USE ONLY
� P.O.Box 66 Date Received: Permit!f
��,,,., , 2750 Kelley Parkway
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� i!`���'�* � Crystal Bay,MN 55323
�,�;%o� (952)249-4600 Amount: � C.U.P Filed:
Approved By:�6• MtP6-f s Srt P�an: ��_4 �e��o
GVD/LK STA2� w�� ,P� `�,�,,�
Recommends: A roval Denial '�
CITY OF ORONO-USER DEFINED/GENERAL PERMIT ��"'��
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(All permits must be approved by the Buiiding Official andlor Zoning Department)
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Job Site/�wner Information:
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Site Address: ��31 N����-�1 A-��M D��v�
Owner: �l� ��"�e���, Mailing Address:
c�r�: ��oY1D z�p: '��31�'�
Home Phone: Alternate Phone:
Contractor/Applicant Information:
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�ontractor/A .: �) �D� � �b�on a t Person: 1�Q-���Oc,�,�e2
PP �!��
Address: ���b ��I In���1(� �1��V� State License#: (����y��
Sv���t25
City: _l I�� Zip:�_��P Expiration Date:
Phone: �cJ�'��'���'�.� Alternate Phone: �d�2'���"rJ?J72-
TYPES OF USER DEFINED PERNIITS
irwa t Lake �3� ❑ Retainin�?Walls ❑ Temporary Trailer
Gene — er med Surcharge General—User Defined Surcharge General—User Defined
R��It�t. * . — � *(Per UBC) *$30.00
J�_��Q 1�� * s mated • $�d/ *Estimated Cost:$
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S� ❑ Docks–42"or Greater �Land Alteration ❑ Zoning Review
General—User Defined Surcharge General—User Defined General—User Defined
❑ Commercial–(Per UBC) ,�'0-500 Cubic Yards *ForO-75'Zone-$30.00
* EstimBted Cost:$ $50.00(Needs Site Plan)
General—User Defined ❑ 501+CubIC Ya['ds
❑ Residential- 530.00 $50.00(Neeas c.tr.P.)
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+ General—User Defiaed----—�-'�
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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 conformance with the Ordinances and Codes of the City and with the State
Building Code; that I understand this is not a permit and work is not to start without a permit; and that the
work will be in accordance with the approved plan.
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Applicant Date
. (Usa Defined Perntit 3/18/04)