HomeMy WebLinkAbout2000-P02230 - deck � � � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po223o
Crystal Bay, Minnesota 55323 P@C'I'Yllt Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 3i29ioo
SITE ADDRESS: 1675 Shadywood Rd
WAYZATA,MN 55391
P I D: 17-117-23-21-0004
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: � l 11.25
Valuation: $ 4,200.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 2.10
TOTAL FEE: $ 185.63
APPLICANT: RICHARD NORUM OWNER: RICHARD O NORUM& WIFE
1675 SHADYWOOD RD 1675 SI�ADYWOOD RD
WAYZATA, MN 55391 WAYZATA MN 55391
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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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Total Fee: $ /8�: �3 Date Received: g�.1Z/�'�
� Entered By: �j Permit#: /-� ��;r2 3 0
� CITY OF ORONO - BUILDING PERMIT APPLICATION
.
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All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------- ----------------------------------------------------
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: � S _S. �1� ,' �� ZIP: S� S 3 ��
NAME OF OWNER: ,�����,�� �,�;�� PHONE: (home)
(work) (>/z-�f�i-' 7�rQ_
MAILING ADDRESS: ��/x yc�� CITY: ' � � _ ZII': sS s�t�
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCffiTECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detai�: /V-P�f �i>'1� ,��G�—
o� � zl � �� - �� '-. ����. .
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
'�h��C.�O.�f'4
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �
I hereby apply for a building pernut 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 will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �, DAT'E: r'��- �/
NOTE! Parade of Homes events require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGH1'S OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. �
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself `
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide y
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidenual data;and(d)the identity of other persons or entides authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, [o a law
enforcement o�cer.
The commissioner of revenue mav alace the norice required under this subdivision in the individual income tax or orooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsib(e authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafrer unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual, and may have an additional five days within which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
ro be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinauon of the responsible authoriry may be appealed pursuant ro the provisions of the admuustrative procedure act relating
ro contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your
request for a permit or license from the �ity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
� � `'i.s'�i„!/�.—_.
First Middle - Last
/� 7S .-.��a � -
Address
� .� , S-1`�- �O/�- � � 7 '
C[�y State Zip Phone
I understand my rights as stated above.
Signature
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
- ADDRESS OR LEGAL: I�� S S ttw�yl�,o�� ��
' PID:
.
DESCRIPTION OF WORK: �.�
ZONING REVIEW BY: DATE APPROVED: 3•27-n a
BUILDING REVIEW BY: DATE APPROVED: 3-Z� - ov
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: !.R•�L
Fire Department: �,o u N✓J Post Office: ���,�t,q School District: t,�e stvn+u�a
Lot Area: Sq.ft. nro c rr,�vs„� Acres — Width Depth
Survey Submitted: Yes � No Date of Survey: e.J �iL� S•Z?�9 i
Proposed Setbacks:
Front(�t): �g � � Right Side: GO� *
Rear(Street): �y� ' Left Side: �3 z� ±
Adjacent Structures: �4�iaG�� Wetland: N �A
Building Height: Def. Hgt. N �✓1 Peak Hgt.
Lot Coverage: No C/�s�✓�,!
Grading: Staff Approval Date: — By: — Council Approval Date: --
Septic: Staff Approval Date: � By:
Zoning File: # -- Resolution: # Resolution Date:
Shoreland District:
Avg. Setbac : /V�/�- Bluff Setback: �J //s LotCoverage: -
Existing Proposed
Hardcover: 0-75'
75-250' �`,�
250-500'
500-1000'
Hardcover Vaziance Required: Yes No OC Date of Council Approval:
REMARKS(in house):
7
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- �
BUILDING REVIEW CHECK LIST �
UBC: ��• ', CONSTRUCTION TYPE: V^�
.
Sq Footage $Per Sq Ftg
Basement z =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ ''��'Ld o o-
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
�Footing Septic Sewer Connection
K Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
iC Final Grading/Filling Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMII�:
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CiT�`= eZSF'"c'�Rr01�14 �� �
BUILDING P^ P�tIT�LAN REVIEW � I
INSPECTOR �S�h`^«�1
DATE 3•Z�J- 00 pcFi",1:T f\O.
❑ Af�PROVED A�Si.!s'�4'f`!"=J
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in FuU complianca �aK'n�f c:�pGr���ts��?:i�i'Sy�;r.,C zoring codA. - . .. ,., ��
Rey4iremsntsindu��irgite�:s^o!:�p�e�'a��'rsc�ec��d�h(sreview ��^� �=�� 1••=r.n�5ct'�. � � ZZ3U �
K�EP 7H1S PLAl�i SET ON SITE AT ALL TIMES �
-�/ a�/�O
DATE TIME
CITY OF ORONO CALLED IN -S�«�C`�
INSPECTION NOTICE SCHEDULED Sf�r/cx f � c;�
PERMIT NO. �OvZ�2-30 COMPLETED �� _L�1
ADDRESS ' 7 �� -�
OWNER � ONTR. ��o2�rs�-�J
TELEPHONE NO. '4�'Il -' `7 7 l C�
� DESCRIPTION C2�e-�-k> 1�.�.�.,�J
W 01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WAI.�D. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINA 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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d �1jVORK SATISFACTORY:PROCEED �ROJECT COMPLETE
��O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN
INSPECTOR WILLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
I n s p e c t o r���Q_GCC-%�£���
White Copyllnspector's File Canary CopylSite Notice