HomeMy WebLinkAbout2006-P10605 - land alteration PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10605
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: 11/30/2006
SITE ADDRESS: 1565 Orono Oaks Dr Unit#
Ling Lake,MN 55356
PID: 35-118-23-33-0008
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:
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Owner/S if OWNER: John Dalbec
MN 1565 Orono Oaks Dr
Long Lake MN 55356
THE UNDERSIGNED HERE:Y REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL ORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CO'E REQUIREMENTS.
A
• .PLICANT PERMITEE S NATURE I ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
O•�O�O Ci of Orono r ONLY
P.O.Box 66 Date Received: ��d tl, 'Permit#
W4,...,n r 275 Kelley Parkway /(�{�OS
7 Crys I Bay,MN 55323
�+ i v~� (952 249-4600 Amount: $ C.U.P Filed:
Vit
Approved By: Site Plan:
Recommends: Approval Denial 0
ITY OF ORONO -USER DEFINED/GENERAL PERM T
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site:!Owner information.
Site Address: I C b 6 f G',t'° 0/4cKr' )64
Owner: :4' P4 i4 e Mailing Address:
City: Lo,4v6 '4K'- Zip: 5 3S- ee,
Home Phone:w( > 96 `%" (.4'GQ Alternate Phone:
•5 Z • 41-7 3 —?./C 1252,
Contractor/.App 'ic""ant Information:
Contractor/App.:j Contact Person:
Address: State License #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
. . TYPES OF USER DEFINED PERMITS
❑ Stairway to L ke ❑ Retaining Walls ❑ Temporary Trailer
General—User De ned Surcharge General—User Defined Surcharge General—User Defined
*(Per UBC) * (Per UBC) *$30.00
*Estimated C st:$ *Estimated Cost: $
❑ Docks—42" r Greater X Land Alteration ❑ Zoning Review
General—User De coed Surcharge General—User Defined General—User Defined
❑ Commerci -(Per UBC) p 0-500 Cubic Yards *For 0-75'Zone-$30.00
* Estimated Cost:$ . $50.00(Needs Site Plan) _,
General—User Defined ❑ 501+Cubic Yards ____
❑ Residential $30.00 $50.00(Needs C.U.P.) lb I Z f l C.--(/ / ve t
❑ Tree Removal' VC c
(-111171? `� Gy _
General—User Defined ""�---
* Within 0-75' $30.00re 1 - pi a ii i-n h ve Ce'�(S'so��"
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' ill be in accordance with the approved plan.
K- p
Applicant Date
Reset Form (UserDe nedPermit 3115r04)
.
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