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2005-P09469 - attached deck
� - ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P09469 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 12/19/2005 SITE ADDRESS: 1580 Sixth Avenue N Unit# Long Lake, MN 55356 PID: 26-118-23-32-0006 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Adding 2 decks to new home PO 7634 FEE SUMMARY: Permit Fee: $ 69.25 valuation: $ 2,000.00 Plan Review Fee: $ 45.01 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 115.26 APPLICANT: Alden Construction Co. OWNER: Robert Mack 1015 Maria Ct 1650 North Farm Rd Minnetrista,MN 55364 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 PERMITF,E SIGNATURE ISSUED BY SIGNATURE Copies: ]-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 1 , � �O� l.�n �2-13 Total Fee: $ /�J� �� Date Received: �^- 7 `- � Entered By: ��� % ' Permit#• ��1���{C�`j CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (�ilease print all inforfrration) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle o�:e) OWNER OR CONTRACTOR Jos sITE an��ss: lS�U'' ���.f�G� � �- ziP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ I�eS �lV0 IJ,ves, a special event perrnit is r•equired x�ith Police De�nrirnent and City Co:.rncil approval 60 days pr-ior to the event. Sl�uttle bus ser•vice tivill be reqari�•ed a�nless applrcant de�rnonstrates su�Jiczent on-site�arking is available. Non-perrnitted events will not be nllowed. NAME OF'OW1�iER: �0;6 �/�G` PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: CONTRACTOR: ��,D��� ���/,S7`/��Gj,ps� .,��js PHONE: CONTACT PERSON: SCc,Z~ ,�/��'� MOBILE/PAGER: (�p/,��'�� �?� MAILING ADDRESS: (�l� /1?�z�"-'i<<-- �-% CITY: /�1iti:r�cj�S�ZIP: � _3��' � STATE LICENSE: # �-c��g���3 EXPIRATION DAT�: ,���l��� ARCfII'I'ECT/ENGINEEIZ: PHONE: MAiLiNG ADDRESS: CIT�': ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding,Windows) PROPOSED V6'ORK(describe in rletain: „�.1� � %✓O %J�c'�S' � �'��� �Is� - c� ; ` :�C'�' �.��-i�T !� � � S"TORIES: ��.�'EE'�'OF E�CI�F�.4)OR: NO. OF �EI)gZ001l�IS: GA�AGE S7'AI,LS: A'I"TAC�-IEl) DETACI�ED ES'I'I1VIA'I'ED C0:�1S'I'I�IJC'�'IO'_�VA�,iJ�'TION(exeluding land): � I hereby apply for a building pennit and I acknowledge that the infonnation above is complete and accurate; that the work will be in conformance wit1� the ordinances and odes o e City and with the State Building Code;that I understand this is not a pennit and work is not , start � out a pet-�nit;and that the work will be in accordance with the approved plan. � �` �/ ���� .-''�� 1 f�Y�LY�f�ial�p.J J10J1♦�l.'iJ Il�.' - ,�J •�'���jr 3��!Y L' : �./ �"�! fN " ��/ 31 � �: � , Sec.13.04 RIGHTS 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 conceming himself shall be informed of: (a)the purpose and intended use of the roquested data within the collecting state agency,political subdivision,or statewide 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 confidential data;and(d)the identity of other persons or entities 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,to a law enforcement o�cer. The commissioner of revenue ma�place the notice required under this subdivision in the individual income tax or property tax re£und instructions instead of on those forms. Subd.3.Access to data by individual. Upon request to a responsible authority,an individual shall be infortned 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[o him and,if he desires,shall be infortned 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 thereafter 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 costs of making,ceRifying,and compiling the copies. The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,orwithin five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f 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 ttie 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)coRect 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 to be coirect. Data in disnute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to 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 City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: l. 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 perniit 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 publia 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. First Middle Last Address Citv State Zip Phone I understan ri ts a ated above. —_-------. igna 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: /S�v �S�K r'r� �9 u� N PID: DESCRIPTION OF WORK: (��Gts S Z0.�1Iv.i G REV�W BY: DATE APPROVED: �z- i 3 _c,s BUII.DII�G REVIEW BY: DATE APPROVED: �Z-�3 -�s- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW � Yes ✓ No SEWF�t CONNECTION STATE SURCHARGE Yes J No WATER CONNECrION INVESTIGATION FEE Yes No �/ PARK FEE SAC Yes No � SITEINSPECTION Number of SAC�Units OTHER (specify) Z0�1I�TG CH�CK LIST Zoning District: No Gi.tia,n,�,e_ Fire Depaztment: Post Office: School District: Lot Area: Sc.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear (Street): Left Side: W i n.�,„/ `(,e�S.f Adjacent Struccures: Wetland: �c-f �$i9�9 /��`�`� Building Height: Def. Hgt. Peal:Hgt. W �T�'� N� �� Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Av�. Setback: �v/� Bluff Setback: .✓��- Lot Coverage: — Ezistmg Proposed Hardcover: 0-75' 7�-250' +`�-� 2�0-500' 500-1000' Hardcover Variance Required: Yes No_� Date of Council Approval: gZEI�iA�2KS (in house): 7 . BUILDING REVIE`y CHECK LIST �C� �' 3 CONSTRUCTION TYPE: V/�! Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x _ Garage x _ -�'� Z° u x- �0-p v = Z{oc�o TOTAL Fstimated Construction Value: $ Z,c�oo "'— Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection ic Footing ` Septic Sewer Connection _�Framing Fireplace Insulation ��o�,� Wall Boazd (Mgg,) Well (State Permit) o` F�� Grading/Filling Electrical (State Permit) Other REMARKS(1N HOUSE): , REVIEtiV BY OTHERS• �M---------DATE: ------------------------------------------------ Access: Existing New Access Approval: Date gy; RENIARKS (TO BE NOTED ON PER�VIIT�:------------------------------------------------------------- 8 �� � . ` ``��, . . ,� M1 `;�4 -._.� :;� �� �� -�� . �-� � ,�. >� �� .,� � � ,, ,�.� . � � �� �� \�, � ��' .. �- � V � �� �� �� �, �, ���y,� �r=� � �h � i .X.'� . �� � � i i �p ��p � � C \ "{ N� ..,�t �3 t;.,a �� ,� � � � W � � � � `� �. � � �, V • �` r � �.. ��� � e`�`"� �� �� �a� � � � `:;; �° � �� � �� � � \ (� �, � �� � `s� ��..�, v O. ! \ «��i T�. `\� ��``'c �V �' � k._ . � ���'�� ; �� b,.. za� i.� � ��. �.. �� �� � ,,., �, �y �� y :� ��9 �� � � E`_� �� �':0 4 4� '`� � � ° `����. �. � � .:��_ �� �,. ,:.� �4 � � � ���.. � �A� r�- �",� ��, � ,� _ .,� � � ���� `�{� �-; i.,y +.` �'� '4..1�, "..i�"> "�, � R � � �M���� `� � 6�..�.. �..,. � ! a c� � � � �� � _ ��. � ��... �; o o Q � � � � �;,�;. �'L � � `� � ``�`�� � � � � � � � � �� � �'' �.' � � � � �. 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L�,� r�[1 3 � � � �. � . �aJ" a' f� t � �� ; � � �—. �,I � � �� � � t _ __ -_-" _ J � '4 � � � � �.�.'y . i � � 3 ���--- " �s�� _ --- � ,-�__.�.�� � � � JI ► ��,�`+�A#�pqTE .}(� TIME ✓ �) \J�� ` ' (� CITY OF ORONO v CALLED IN �1 � �� INSPECTION NOTIC / �r SCHEDULED � ��7 ���'.�). PERMIT NO. /�O�yCJ % COMPLETED � � --_1�� ADDRESS /S� , ���C�— �_ �.�• OWNER CONTR. �T! �I y,U� ���rr�� . TELEPHONE NO. Lf'/.� - 3� � '� � ��' � � QESCRIPTION ,��. � l� ��UT!/I�C� ���-FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J � ,. � �-�� O � ��� (C C� �/� .- � ��! �JI� �l � J(�� � �/ 'T C'� W � Q � Z W � W � �. d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL AETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. 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