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HomeMy WebLinkAbout2005-P08685 - land alteration CITY �OF ORONO PERMIT ,275(1 Kelley Parkway - PO Box 66 Permit Number: Pos68s Crystal Bay, Minnesota 55323 Permit Type: user Deflned (952) 249-4600 Date Issued: si6izoos SITE ADDRESS: 1749 North Farm Rd I.ong Lake,MN 55356 P I D: 27-118-23-41-0003 DESCRIPTION: Proposed Use: Residential Pernut 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: Mound to be repaired by licensed contractor before continuing FEE SUMMARY: PermitFee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Maple Crest Landscaping OWNER: Mr. &Mrs. Quiram PO Box 387 1749 North Farm Rd Maple Plain,MN 55359 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF MINNESO A B ILD G CODE RE MENTS. l � .t�. c_ � c�) ; �c,_ , r P ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Revorts, 1-AssessinQ, 1-Finance Page 1 ,��� City of Orono F CITY USE ONLY P.O.Box 66 Date Received: ��� Permit# � ��;,:.:.�. � 27�0 Kelley Parkway ` � �l�'�=��m- '� Crystal Bay,MN 55323 Amount: $ � � C.U.P Filed: �t 1,�1.:1�;:�,' � �'"u�;krJi":v3��,� (952)2a9-aGoO ��axog Approved By: Site Plan: Recommends: A roval ❑ Denial ❑ CITY OF ORONO - USER DEFINED/GENERAL PERI��IT (All pennits must be approved Uy thz Buildine Official and/or Zoning Departinent) Job Site/ Owner I�lforniation: Site Address: 1 —]L--� Qj 1�'C��T't-� =A�1� �j� Owner: .�oC`� v�l5 � �.� Mailing Address: ��e�1� City: �2C�1�0 Zip: Home Phone: �� ���-( (��-{ — �I 3��j Alternate Phone: Cont�•actor/Applicant I�lformation: . � ��������� �� �k�z Contractor/App.: U�P��� Contact Person: � 5��4 I Address: �-� �v cl,' �vc State License #: � City: ��,��� .�,.y� Zip: ���� Expiration Date: Phone:�Q�oZ--�(Q�"37.-2-� AlternatePhone: 7�J� - �79� 8�-5� TYPES OF USER DEFINED PERMITS ❑ Stairwav to Lake ❑ Retaining Walls ❑ Temporarv Trailer General—User Defined Surcharge General—User Defined Surdiarge General—User Defined * (Per UBC) * (Per UBC) * $30.00 *Estimated Cost: $ * Estimated Cost: $ ❑ Docks—42" or Greater ❑ Land Alteration ❑ Zonin�Review General—User Detined Surcharoe General—User Defined General—User Detined ❑ Conunercial—(Per UBC) (�, 0-500 Cubic Yards *ForO-7S Zone-$30.00 *Estimated Cost: � SSO.00(Needs Site Plan) General—User Delined ❑ 501+Cubic Yards ❑ Residential- 530.00 $SO.00(Needs C.U.P.) ❑ Tree Removal N�fe O r� �rm�T+ MpUv�d ��d �C,' � i f� � l�LPi►15�� General—User Defined '��b�_Lr f� ��� � *Within 0-75' -$30.00 �� � `r TIJ ����� ..--- I herby apply for a User Defined Permit and I aclrnowledge 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 pernut;and that the work will be in accordance with the approved plan. Applicant Date v� ��� (User.Ik6ned Prnnit 3/1.8/04) -�` � ,�,. �---� �'' `'` a-,- -.��--�._.,...� : . ; .. �,.,.� . � _ � :� � ► ; , _. i� ; � ,� I� � �� / � , ��, ,� , � � � � �� � _.... -�- . �� ,; _ - � � . -�- � ,•` � j ;. / ; �:a�...f" f lr =_�,� � �' f �'� _ _`.�' � C.' , ��� y _...� :���� ��� ' ; ` � _. .���� � ��.�_, � r.�� � .g..�.._.� �'"� ._---. —� `'�� - � ,�.r5. �'; �_� � � ��� �,.:. _..� a ; � � , y ,;t ; ����. .�. _ . � � ;�tl `�� � , a � �,. ; � �i �I x ' '•�. {! � q f `�� �`�"` _,.. _�' �, � o�"� E • �p7� � � ' � ��; � , �" � ' , '���fl��� �'� \A)�' ,�..��`� �� `ti � � � v `� � �1 � � _ ± � �, ��, � w.,�.r. ,� r� �� n � s � ��� � �� �,- � � � �- `�'. �-� ' a � ?�._,..� . . i�I � � C r= � _ ^ �� ��fa ' �'`�� �m�O's����� ^�O � �t ` I � .* bi ± �4r I fi''`' s.t ,.o=^-+...� �I �: � � "— ^ `�- 1��1���� , �' .�� `��\ � '�� ....,-'� �'� ��..._„ ...,.:�. .. . ,� , � . . p�'U,�.p �� � ���� � h ti �'t�'E8X0¢�G 2750 Kelley Parkway . P.O. Box 66 Crystal Bay, MN 55323 (952) 249-4600 Fax: (952) 249-4616 FAX TRANSMISSION COVER SHEET Date: �� / "r�-S� To: ,DC1irL� F�: �� 3 y 7�' �/S � Re: �y 07`/��!1�ilyt-C-�` !!�i[���C'Q.7�'lO�i Sender: - 9���CJ YO U SHO ULD RECEIVE � PAGE(S), INCL UDING THIS COVER SHEET. IF YO U DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (952) 249-4600. . 7�u�' �S N�T'Q �in a.� �o�'���,� - /r��r�'a-r`,-r�a�nc2,p G(5� �� , �a.et ,�3�u�e U�n ��r.z� �s fzaN� � G� �i�i,u,� �ius� 1� si��ed, �od �'a�- � ��c,�d �` c��-y L����e� . Confiirmation Report — Memory Send Time : May-04-2005 03:36p� Tel line : +9522494616 Name : CITY OF ORONO Job number . 741 Date . May-04 03:35pm To . 7634798159 Document pases . 002 Start time . May-04 03:35pm End time . �ay-04 03:36pm Pages sent . 002 Status . OK Job number : 741 *** SEND SUCCESSFUL *** og��o C'z�y of Oy-ono. � �. `� a�so�csrzaa,p�xw�, , P.O. Box 66 CrysYal Bary, 11�1N SS323 . (9S2) 249-4600 Fox: �952) 249-46I6 FAX TRANS1VB38ION COVF3R SI�ET Dats: J�'���-5— Tor ,�ii'Li F�: �� 3 S/ �S �is 5= 1xg_ o�'/� /.c o o�-, ^ Ssnder: - YOUSHOtJLD REG'EIVE a P.4GE(S). INCLZJDlNC3 Z'XIS COYER SHEFT. IF YO t1 DO NOT RECElVE�1LL THE P.4 f3ES, PLEIISE CitZL (9S?) ?49-4600_ �Ll�S /5 /����Q T/II GZ� fp Q�' ` �/'77�d7��yl4�ZC�TG2� �.S'� G7r1_c..i - -J C�O�?�iQ.Gf .�/"!��'� �/�Z� L�/GZ� �UC�S'fZ Oyrs� L/ /��*-iru�' hutS� �� Si��� �oGt ��i" � �/c.F�d �p- ci-7"_ . �-�y �"�s« • •Confiirmation Report — Memory Send Time : May-04-2005 03:37pm Tel line : +9522494616 Name : CITY OF ORONO Job number . 742 Date . May-04 03:36pm To . 7634798159 Document pa8es . 003 Start time . �ay-04 03:36pm End time . �ay-04 03:37pm Pages sent . 003 Status . OK Job number : 742 *** SEND SUCCESSFUL *** o��1vo CZZy O,f OT''OTZO . � � � 27so KeZtay Parktivay . P.O. Sox 66 . CrystaZ 8ay. �N SS333 (�952) 249-4600 Fcoc: (9S1,j 249-46I6 FAX TR.e�NBMISSION C�VER SHEBT nara= 5-`f OS- Ta: ��`� F�: '7l0 3 �,/ 7� 8'/S 'r3 xc: a.�' � /�c•t�-a o-� Sender: " ���� YOUSI-3'OULD RFsCEIVE a PAGE(S). INCLZlDING THIS COVER S.FaTEET. IF YOZJ DO NOT RECEIi/E ALL TXE PAGES, PZE�iSE CALL (952) a49-4600_ 7�lcS /S /�f�^ 4 ��Z Q' l ��� � �/J7�'I774�ZOs7G1� us�e oxcy - G'ort�,Q�t �'3 f-u�c !/���. �- �yC�s�z oy.S ��rr.-n.��- h..c�s� �L'� s.�cl� �d ��- �' ����c.`-_