HomeMy WebLinkAbout2008-P11491 - land alternation • i PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11491
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: 5/9/2008
SITE ADDRESS: 795 Old Crystal Bay Rd N Unit#
Long Lake,MN 55356
PID: 28-118-23-34-0003
DESCRIPTION:
Proposed Use: Institutional-Schools
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Land Alteration(501+cu yds
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Resurface Track,Replace Field Grass w/Artificial Grass-SEE PERMIT
FEE SUMMARY: Permit Fee: $ 50.00
Valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: G.L.Contracting OWNER: Orono School Dist No.278
4300 Willow Drive 795 Old Crystal Bay Rd N
Medina,MN 55340 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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
• . oA,, City of Orono SE ONLY
y P.O.Box 66 .�Q
/O, eh Datelleceived. Perrriit
Sti,;.. 2750 Kelley Parkway A.f I llet
• "? h t Crystal Bay,MN 55323 '—"
\* ri5AN C (952)249-4600 „ ?,3(f C
o� Amount: $ ' C.U.P Filed: �J7.124>
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Approv y, Site Plan: c.9 Z4'/QC/
Recommends: Approval Denial 0 .
CITY OF ORONO USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Buil ding Official and/or Zoning Department)
::lb b -Site/Owner Information
Site Address: 75 5 o t G C 4th, i � QOAc N 0441
o) Owner: 1(3rC/vlo COO S Mailing Address:
of City: Zip:
Home Phone: Alternate Phone:
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;;'Contractor/Appltc•'a rt Information ,A��;
j Contractor/App.: i(--.-_ ;-( eli—a/--contact Person:
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7,-...., y Address: "C�("D all c-'---0 w btz State License#:
City: 1%1,e:76 /4,-0-Zip: -C.--C-7 Y U Expiration Date:
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Phone: �� '�l�� ��� 2-� Alternate Phone:
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❑ Stairway to Lake ❑ Retaining Walls ❑ Temporary Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
\��\S *(Per UBC) *(Per UBC) *S30.00
J *Estimated Cost:$ *Estimated Cost:$
c..„, ❑ Docks-42"or Greater ❑ Land Alteration
❑ Zoning Review
----- C.i General—User Defined Surcharge General—User Defined General—User Defined
❑ Commercial-(Per UBC) ❑ 0-500 Cubic Yards *For 0-75'Zone-$30.00
*Estimated Cost:$ $50.00(Needs Site Plan)
General-User Defined (x501+Cubic Yards
❑ Residential- $30.00 $50.00(Needs C.U.P.)
S��
❑ Tree Removal rep/q-ce-rg 5 t vYi4 Ce- /v4c IC cv� t+1 K S S c/rt v.,
General—User Defined
S fl4cl t LAN' he(c(?r, O4ss (-�%n4 I c of gVA-CS
•.....L. * Within 0-75' -$30.00 ' C (Z Opel f3�'IP/► 01- S Clt v _i c�/
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I herby apply for a User Defined Permit and I acknowledge that the information above is complete and
k. 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
wo • 1 be in accor nce with the approved plan.
Applicant _.
.. l C Date
Reset f orm
(User Defined Penni t3118/W)
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CITY OF ORONO CALLED IN —
A / TIM
INSPECTION N ICE SCHEDULED 1-5.1V-0 `/ /Age
PERMIT NO. r//VY� COMPLETED
ADDRESS 7q5 0I-/ Crysf /�� /��u /O
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OWNER CONTR. ( LCdret.
TELEPHONE NO. 7& 3 24(2 03 `4p•
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E DESCRIPTION 11naL_ —' rebat C - d/iqei
uj 0 FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q 0 FRAMING ❑ MECHANICAL FINAL 0 LAKESHORE/WETLANDS
H 0 INSULATION ❑ WOOD BURNER/FIREPLACE
0 TREE REMOVAL
Z
0 WALL BD. ❑ WATER HOOK-UP 0 SITE INSPECTION
Q 0 FINAL 0 SEWER HOOK-UP 0 PROGRESS
0 DEMO-SITE 0 SEPTIC MAINT. El COMPLAINT
v 0 DEMO-FINAL 0 SEPTIC INSTALL. ❑ FOLLOW-UP
IQ 0 PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL
v ElPLUMBI 0 FOUNDATION/REMOVAL
Z OWNE ONTRACTOR MEET Y•U:.YES NO
o COMMENTS:
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W 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
41
W 0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 LD CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C../ FORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: � �/( „�C
Inspector. 0 V
White Copyllnspector's File Canary Copy/Site Notice
ATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICESCHEDULED / 0: 30
PERMIT NO. PI I 1-19 I COMPLETED
ADDRESS 1 1 D D 1A Cr1-1 Sta I
OWNER CONTR. I C_Dr •
TELEPHONE NO. ) (O 3 — a�a — 0 3 g
DESCRIPTION r ra I - / *90
IQ ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING^
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS""-1eh
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
• 0 WALL BD. ❑ WATER HOOK-UP 0 SITE INSPECTION
Q 0 FINAL 0 SEWER HOOK-UP 0 PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
I ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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W
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4.1 ❑WORK SATISFACTORY:PROCEED T PQOJECT COMPLETE
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CI CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on..ite:
Inspector. 4 ��
White Copy/Inspector's File Canary Copy/Site Notice