HomeMy WebLinkAbout2008-00389 - land alteration - CITY OF ORONO PERMIT NO.: 2008-oo3s9
• 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3818 NORTH SHORE DR
PIN : 08-117-23-34-OQ��D
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 001 BLOCK 003
PERMIT TYPE : USER DEFINED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS)
NOTE: LAND ALTERATION 0-500 CY-DRIVEWAY IN ROAD RIGHT OF WAY
APPLICANT � LAND ALTERATION 50.00
JOHNSON,PAULA TOTAL 50.00
3818 NORTH SHORE DRIVE
WAYZATA,MN 55391-
OWNER
JOHNSON,PAULA
3818 NORTH SHORE DRIVE
WAYZATA,MN 55391-
AGREEMENT AND SWORI�t STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.'fhis permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By S' ature te
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV
OCT-21-2008 11�08 NORTHWEST AIRLINES I5 612 726 7996 P.01i01
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CITY OF ORONO-USER DEFINED/GENERAL PERNII'T
(Alt permi�a must be app�ovod by dx Building Officiul und/or Zoning Dcpazmienq
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Site Address: 3816 North Shore Drive
Owrie�: Paula Johnson Mailing Address: 3818 N Shore D�
City: WaYzata Zip:
55391
Home Phone: (952)A71•s62o Altemate Phone: (952)�74-3549
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Contractor/App.: � �� Contact Person:
Address: � State License#:
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City: Zip: Expiration Date:
Phone: Alternate Phone:
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❑ Stairwav to Lake ❑ Retainin�Wa11s ❑ Tem o Trailer
Cenrral—Uur Dcfined Succhu�e Oenerol—User De6ned Succl+argc Gencral—User DeFned
"(Per UBC) "(Per UBC) •5�.�
"Estiinsted Cost:S •Estimatcd Cost:S
❑ Docks-42"or Greater Q Land Alteration ❑ Zonin�Review
Ge�unl-User pofincd Surchorgo General-Ua«Detined Generai-U9er Defined
❑ Commercial-(Per I3BC) [� 0-500 Cubic Yatds •ForO-75'Zone-$��
•EstimAted CosC S $5Q�(Nads Sioe Plen)
c,cncrnl-Usa Defined ❑ 50 i+Cubic Yatds
❑ Residential- S3Q00 S5Q00(t,t�dsC.U.P.)
❑ Tree Rem�val �R.)V e W P+� (N ��Q t 4`SI� �' F uJ AW
denetal—Vscr Definexl J
*Within 0-75' -S�00
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I herby apply for a User DeSned Permit and I acknowledge that the infocmation above is complete and
accurate;that the work will be in conformance with the Ordinances and Codes of the City and with the$tate
Buitding at I understand this is not a permit and work is not to start without a permit; and that the
��qrk� � in acco anee with the approved platt.
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Date
AppGcant ,,, , � y,�„;�-r� �r��
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TOTA� P.01