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Home My WebLink About2005-P09136 - attached deck PERMIT CITY't�F ORONO 275� Kelley P�rkway- PO Box 66 Permit Number: p09136 Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair (952)249-4600 Date Issued: 9/14/2005 SITE ADDRESS: 1980 Sixth Avenue N Untt# Long Lake,MN 55356 PID: 27_118-23-42-0004 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residenrial Census Code 434 Permit Class: Building Pemvt Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: Build 14'x 20'deck FEE SUMMARY: Permit Fee: $ 111.25 valuation: $ 5,000.00 Plan Review Fee: $ 7231 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 186.06 APPLICANT: Brian Stephenson Construction Inc. OWNER: Judy Pierpont 2025 Pawnee Rd. 1980 Sixth Avenue 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. � PLICANT PERMITEE GNATURE SSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I 4 Total Fee: $ � � �v •�� Date Received: 7-1�� Entered By: � Permit#: ,Ejpg/3(p �.�� `-�'�C�' CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in fu❑ before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR ONTRACTO JOB SITE ADDRESS: _�9�� CQ �,� �p ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �No If yes, a special event permit is reguired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed NAME OF OWNER: �yn�� Qnh�" PHONE: (home) �,��-�7.�9�� (work) MAILING ADDRESS: �gd/ �•t�c�S�"�i4-�2 vr� �� CITY: ��1y-��e ZIP: CONTRACTOR: 4 e ��}-itJ �?�� 't5Ck7 Cc��S�. �vIC PHONE: �1a2�-�'�J�-G7�7 7 CONTACT PERSON: �� 5-�--��e,?�,.� MOBILE/PAGER: MA.ILING ADDRESS: �D�',,�,tw,•v� IZD CITY: l�lr��.wn ZIP: �'t.� STATE LICENSE: # �O,�� ,� EXPIRATION DATE: 3- 3 1-0 6 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration i PROPOSED WORK(describe in detai�: �U�� •�'�D � ,�G� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ , �l�p � I hereby apply for a building 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 s rt without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: .� � DATE: ��`�� 31 � Sec.13.04 RIGFITS 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 requested data within the collecting state agency,political subdivisioq or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence azising 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 officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by individual.Upon request to a responsible 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 individua]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 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 suthority shall provide copies of the private or public data upon request by the individual subject of the data. T'he responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.Ifhe 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 ofpublic or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible suthority describing the nature ofthe disageement.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 to be correct.Data in dispute shall be disclosed only if the individual's statement of disagreement is inc►uded 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 aze 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. c �1 �Z�r�.� � �7-°e�enSa,J First Middle Last �2�a`tS t�fi t�/�N� 17,17 Address i��.r/� /�� ✓��O ��-g�4�17 7 City State Zip Phone I understand m rights tat d a ve. Signature 32 . BUILDING REVIE`V CHECK LIST UBC: n ' 3 CONSTRUCTION TYPE: '�� Sq Footage $Per Sq Ftg Basement x _ 1st Floor x _ 2nd Floor x _ Gazage x _ x = TOTAL Estimated Construction Value: $ S,U o� �" Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection _�Footing ` Septic Sewer Connection _ZC Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) —�F�� Grading/Filling Elecuical(State Permit) Other RENIARI�S(IN HOUSE): . --------------------------------------------------------------------- REV�W BY OTHERS: DATE: Access: Ezisting New Access Approval: Date gy; --------------------------------------------------------------------- RENIARKS (TO BE NOTED ON PERivIIT): 8 ` CHECK OFF LIST FOR ISSUANCE OF PERMITS � - FOR OFFICE USE ONLY ADDRESS OR LEGAL: ►q�O c� 2d � — PID: DESCRIPTIO�t OF WORK: rJ�c..� ZO�TPi iG REVIEW BY: DATE APPROVED: S - 9 -o f BUII�DII�G REVIE�V BY: DATE APPROVED: 5-t� -�� FEES TO BE CHARGED: ✓, Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW � Yes � No SEWER CONNECTION STATE SURCHARGE Yes —� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CHE.CK LIST Zoning Districc: Fire Department: Post Office: School Disuict: Lot Area: Sc.ft. Acres Width Depth Survey Submitted: Yes_o� No Date of Survey: �-�3 •5 ° Proposed Setbacks: Front(Lake): Z°��$ � + Right Side: �Y� } Rear (Street): �S� � �` Left Side: q� � � Adjacent Structures: N 1 A. Wetl2nd: N 1 r� Building Height: Def. Hgt. nJ ►,� Pea�:Hgt. "' Lot Coveraoe: N ��- � Grading: Staff Approval Date: ^ By: Council Approval Date: Septic: Staff Approval Date: �' BY: Zoning File: # — Resolution: # Resolution Date: Shoreland District: /� Av;. Setback: Bluff Setback: Lot Coverage: Ezisting Proposed Hardcover: 0-7�' 7�-250' 2�Q-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REi1�1ARKS (in house): � �V i �. 4 DAjf�j TIME � CITY OF ORONO ALLED IN � � INSPECTION N TIC SCHEDULED .'�!--[� PERMIT NO. COMPLETED � J ADDRESS � � OWNER CONTR. ��`l��n �1� TELEPHONE NO. �/oZ �[S'9 O� 7� � DESCRIPTION � � 01 FOOTING 11 MECHANIC 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � W a o [ � C�'�-f'l n G-S � l �v � � 0 � W � Q � Z W � W � � ��'�NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. C�c./ �,►-�� White Copyllnspector's File Canary Copy/Site NotYce