HomeMy WebLinkAbout2006-P10239 - attached deck PERMIT
CITY OF ORONO
Permit Number:
2750 Kelley P�arkway - PO Box 66 P1o239
Crystai�Bay, Minnesota 55323 Permlt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
9/15/2006
SITE ADDRESS: 60 Smith Ave Unit#
Wayzata,MN 55391
P��� 02-117-23-21-0003
DESCRIPTION:
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
YP
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 83•25 Valuation: $ 2,520.00
Plan Review Fee: $ 54.11
State Surcharge Fee: $ 130
TOTAL FEE: $ 138.66
APPLICANT: Owner/Self OWNER: Theodore Bonnett
1V1N 60 Smith Ave
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 RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� Total Fee: $ '?j�� Date Received: �-� `
Entered By: �;�'Yj�, Permit#: ;,�- (� 7, ?�7
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' ` CITY OF ORONO - BUILDING PERMIT APPLICATION
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� � All information must be submitted in full before ptan review will be started.
(please pYint all information)
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THE APPLICANT IS: (ci�cle one) OWNER OR CONTRACTOR
.ros siTE Annr�ss: _ (�<�� 5�„�;.�,� �-��. ziP: :Ss 3 r� I
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �o If yes, a special event perozit is regui��ed with Police Department and Ciry Council approval
60 days priw�to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: "� ( �����t-� PHONE: (home) �I a � 3 s'� -�7�c�,
(wark) 1 S� � `l7 3� S���
MAILING ADDRESS: (s, c� 5��..: I-1� .� CITY: G��� � ZIP: SS3�r I
CONTRACTOR: T� 3�,�^,��j--f PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Hoine Addition Accessary Structure
Move Hoine Remodel/Alteration (ie: Siding, Windows) X
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe iiz detai�: 1��� o('� t� l�ctcic� �,� h.��,,,.�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $����
2, �Z� ^
I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; ��S�y�
that the work will be in conformance with the ordinances and codes of the City and with the State Building �..��.-e.��
Code;that I understand this is not a pennit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: � � �-��� DATE: 5� �� o�.
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA '
Subd.I. Type of data. The righLs of individual on whom t6e 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 shal l be
informed of: (a)the purpose ar�d 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 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 officer.
The commissioner of revenue mayplace the notice reguired under this subdivision in the individual income tax or property t�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 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 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 authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the actual costs ofmaking,certifying,and compiling the copies.
The responsible authority shal l 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
conceming himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nahue ofthe 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 to be correct.Data in
dispute s6all 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:
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.
�tr��+�8�^'�-- J�w�� S �I-� c� �Y�.L�'
First Middle Last
Cfl c.� ��' E-� �-�.�,�
Address s
l� t�c�v�u 1�1�v� �53�{ l (o I�, �P a .7�c1,v
� City State Zip Phone
I understand my rights as stated above.
Signatur � �"
�'� ^�" 32
-- �HEC�K OF`F i�IST FOR ISSUANCE 4F �E�2.i'YIITS
� FOR OFFICE US ONLY��� �
AADRESS OR LE�AL: �
PID:
DESCRIP'I�ION OF WORK: �LC C �� ` "�
--------------------------------
------- G REVIE�V ]3Y: --------1_�_�___ DATE APPROVED: q � (� U
ZO� -
,
� � . DATE APPROVED: G I�-
BUiLDING REVIE'FV BY: _
--------- ---- ---------------------------=----------------------------� .
FEES TO BE CHA.RGED: Misc. Fees Calculated By:
pEg�T Yes _1v� No
PLAN REVIE`V � Yes / No SE�VER CONNECTION
STATE SURCHARGE Yes t/ No `VATERCONNECTION
INVESTIGATION FEE Yes No _�/PARK FEE
SAC Yes No �/ STTEINSPECTION
Number of SAC Uruts OTHER (speci�y)
------------------------------------------------- - �
ZON'L�IG CHE.CK LIST Zoning Districc: .
Fire Deparcmenc: Pose.Office: School District: �
Loc Area: Sq.ft. Acres Widch Depth
5urvey Submitted: Yes �/ No Date of Survey: � S
Proposed Setbacks: t •� `�,� � I
Froa[('T "�r: l�pt �Side:
�
Rear(�` Q,�l-�UU��� Left Side: t��.�l'l'�'� �
Ad;aceIlr .Cr;llCh1IZ5; �47T�?-C�I-I-�� Werland; A�
auilclin� Hei�t: DeE. Hgt, �J/� Peal:Hgt. —'
Lot Covera�e: U 1�—
Grading: Staff Approval Date: �t/(/-� By: — Councll Approval Date:
Szptic: Staff Approval Date: � �Y� .���►4a'
Zoaing File: � Resolution: n Resolution Date:
Shoreland District:
Av�. Setback: B!uf�Setback: L.otCovera�e:
Ecistin� Proposed
0
Hardcover: �-7�'
7�-250'
2�0-500'
500-1QG0'
Hzreco��er Vzi2ace Required: Yes `�c Da�e o�Cou�cil Approvz!:
RE�L�I�S (in house): C�,�bl.� C�cLC�- �2- S i�.
4� �� � �a�
. �
BUII�DING REVIE�Y CHECK LIST
UBC: 6` •3 ' CONSTRUCTION TYPE: �/J
. Sq Footaoe $Per Sq Ftg
� Base�ienf � . .. x _ .
lst Floor � x • _ . � � � � ,
2nd Floor x = � � � .
G�-2.LI�c z _ .
Z�Z- x tO,c�o — z.52b —
TOTAL
F,stimated Coastruction VaIue: $ ?� $ZO��
,
Inspections Required: Work Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Coaaection
_�( Footing ` Septic Sewer Connection �•
� Fra.ming . � Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (11�Ipg,) Well (State Permit)
_�F�� Grading/Filling Electrical (State Permit)
Other
------- -
REI��ARKS (IN HOUSE): .
- - --------------------------------------------
REVIE�V SX OTHERS: DATE:
Access: Ezisting New �
Access Approval: Date By; �
- -----------------------------------
REI�IARKS (TO SE NOTED ON PER1bII'1�:
8
The N m Depot#2808 �����; ���� ��Sm��i�I
1705 ANNAPOLIS LANE, PLYMOUTH, MN 55441 ��r, : ,:� � ; 3 �
(763) 509-9590 l:.�,�',i�+�'�'� �.��<�
Fri Aug 18 18:38:�9 2006 �Oi�"ti/ �� �R��Q •
The mater�x�is for this project will cost $3467.97
6UILDI�Ir PE;F AJ;i �'� r,P�� �;EVIEW
���f� INSPcCTOi��
�BONNETT GAT�_� �t-I1-o(o - --�-i'
TRIPLE DECK �_.__�_ ;-:.::�:;st,r;•,o
269272 L7 i'.'�i'r�:i1.��;,;t;: "';,:; ,-
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CITY OF ORONO •� CALLED IN
INSPECTION N�Cf scHe�u�Eo
PERMIT NO. COMPLETED �p
ADDRESS C�(`� �h�,� �
OWNER � 7'1/1.✓�-2'd�CONTR.
TELEPHONE NO.
�
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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
v 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WIIL REfURN
�STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 49-4600
OwnerlContractor on site:
Inspector. �s
White Copyllnspector's File Canary CopylSite Notice
����� �-C� DA E TIME �
��ITY OF ORON CALLED IN _�'�Q�D
INSPECTION NO ICE SCHEDULED (o � !�
PERMIT NO. �l�v��� COMPLETED
ADDRESS �'�� / �
OWNER �h.�oc-��— coN S�`� f o�� -��3--�f3/U�
TELEPHONE NO. �i�CY/Yl.c-Y'�Qi- �� -- ��-� `�c�'`�-
� DESCRIPTION ��� ��I���'��
� 01 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS 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
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on si :
Inspector. �✓ �r� �. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. I � COMPLETED �
ADDRESS��� �7�n.+ �
OWNER �/1„d,F✓ �f�— CONTR.
TELEPHONE NO.
�.
� DESCRIPTION
tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z�LL B 12 WATER HOOK-UP 17 SITE INSPECTION
AL �� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site•
Inspector. �„1 r /���-�
White Copyllnspector's File Canary CopylSite Notice
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