HomeMy WebLinkAbout2010-00556 - stairway to lake - CITY OF ORONO PERMIT NO.: 2010-00556
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 07/30/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1435 PARK DR
PIN : 07-117-23-42-0020
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK O15
PERMIT TYPE : USER DEFINED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STAIRWAY TO LAKE
NOTE: THIS PERMIT INCLUDES STAIRWAY TO THE LAKE AND LAND ALTERATION OF 0-500 CUBIC YARDS FOR PLAY AREA.
ENTER VALUATION 12400 STATE SURCHARGE 12400
APPLICANT USER DEFINED PERMIT FEE 236.00
OUTDOOR EXCAPES, INC. STATE SURCHARGE USER DEFINED 6.20
2345 DANIELS STREET
LONG LAKE,MN 55356- MINOR LAND ALTERATION 50.00
(952)926-6899 TOTAL 292.20
Minnesota State License#: 20630819
OWNER
CAMERON, JENNIFER& DAVID
1435 PARK DR
MOi1ND,MN 55364-
AGREEMENT AND SWORN 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 gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This perrrtit wili
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
rev ed at any time for due cause.
.''�L-�� ,' `� .=�- T / 3 ii / % � �� � �
Applicant Per �tee Signa Date Is e By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRiBED ABOVE.
Cit of Orono
� �,O,� Y � �� ��USE ONLY
� O O P.O.Box 66 Date Received: ' L� Permit# � J-- /ZJ���
�",L 2750 Kelley Parkway '
`li'i �?� �r
� ���� `� Crystal Bay,MN 55323 e ��', Amount: $ �%a.�yQU.P Filed:
'ij ��y� (952)249-4600 ��� � �
�'�+t�o$ , , .
- Approved By: �� Site Plan: -�"(-
Recommends: A roval Denial ❑
CITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Information: '
Site Address: ���� ��-I �� � •
Owner: -1-��•s`C' � �e/`���e�` �aMe2� Mailing Address: ��13� ���.��
City: �Jf2�/� Zip: ����U�
� ���Home Phone: ���7� � �z — � � � Alternate Phone:
Cont�•actor/Applicant Information: i
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Contractor/App.: Vc��l ����� ��� Contact Person: ' �_�.�
Address: Z:�y� �n.,� �f , State License#: '���$3 (o�
/ � �
City: �n� �/� Zip: SJ��p Expiration Date: �1 � z
Phone: �J 2' �2!O� ��`�� x�� Alternate Phone: �]��-��3L-2y2"I
� �h `° �� �, TYPES OF US�R D�FI�-ED°PERMITS ��i;,�� � T �' � ��� �
[�Stairway to Lake ❑ Retainin Walls ❑ Temporarv Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
*(Per UBC) �.� *(Per UBC) * $30.00
*Estimated Cost: $ 1'Z��-{CN * Estimated Cost: $
❑ Docks-One Time(tvo�-Lake Mt�) [�'Land Alteration -.�iq � ❑ Zonin�Review
General—User Defined Surcharge General—User Defined 7 `�� 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 ❑ 501+Cub1C YaTds
❑ Residential- $30.00 $50.00 (Needs c.u.P.)
❑ Tree Removal
General—User Defined
*Within 0-75 -$30.00
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 wark is not to start without a permit;and that the wark
will be in accar w' h the approved plan.
_ ?
Applicant � Date
tUser Defincd Pamii 05/48f09}