HomeMy WebLinkAbout2000-P02442 - deck � ' � PERMIT
C,ITY OF ORONO
2750 Kelley F'arkway - PO Box 66 Permit Number: Po2442
Crystal B�,r, Minnesota 55323 Permit Type: ada�t�onixemoaevxepa�r
(612) 249-4600 Date Issued: 6�i2ioo
SITE ADDRESS: 2108 Sugarwood Dr
LONG LAKE, MN 55356
PID: 34-118-23-21-0024
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 3,900.00
Plan Review Fee: $ 63.18
State Surcharge Fee: $ 1.95
TOTAL FEE: $ 162.38
APPLICANT: Rvc HOMEs OWNER: Rvc xoMEs�rrc
4700 CREEKWOOD TR 2104 SUGARWOOD DR
ORONO,MN 55359 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.
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APPLI A ERMITEESI NATURE ISSUEDBYSIGNATiJRE /`/
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Copies: City,Applicant, Assessor, Finance Page 1
S• � ,
Total Fee: $ /6�.3� Date Received: _��j'/a�
� Entered By: ,� Permit#: ��;,;���.2--
CITY OF ORONO - $UILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
__, _ ..,�----------------------
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THE APPLICANT IS: (circle one)( OWNER�K CONTRACTOR�
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JOB SITE ADDRESS: �� I c��� ��,-,�-`,.�p� � ZIP:
NAME OF OWNER:���C.- ��'� PHONE: (home)(fl tZ-3 z�-��.(Z,�
(work) i.:,c2-�-z� -t�Z.�
MAILING ADDRESS: ��� L.'�-���c:�.-�;,�;r� i�ITY: t�,�..� ZIP:
CONTRACTOR: ��� ���� PHONE: �Z;�-i�-i Z- (
CONTACTPERSON: Z� MOBILE/PAGER: ��z,�-��-Iz_�
MAILING ADDRESS: r._(Z�! �j,,,2��_CITY: pQ,��v�' ZIP: -�3-�'
STATE LICENSE: # �,y;
ARCHITECT/ENGINEER: �i P /;�z„-..2..,--, , ;_���,�.PHONE: �o�,(- C�.3�_ ��;
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New '-�' Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: ��;v����4L,u���-ti ���� (�_ r�^ ,��)�_.,�
STORIES: _� SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �����
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 start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: ` DATE: � ��'��
NOTE! Parade o 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.
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Sea 13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righu 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 individuai 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,poli[ical 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 suppiying or
refusing to supply private or confidential data;and(d)the idendry of other persons or ennries 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 mav olace the norice required under this subdivision in the individual income tax or prooer[v tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,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. Aftec 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 acdon pursuant to this section is pending or additional data on the individual has been
collecred or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authoriry 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 disagteement is included with the disclosed data.
The determinadon of the responsible authoriry 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.
:c..1C__ �--� _, l�� �� -��z�c,
Firs[ Mi e Last
L( �w L r°C-t-�lC +.`cx:/� ZZ
Address
1`'�/Z oN`r /t/�� ' '=3��� S �7
Ci�y State Zip Phone
I understand my rights as stated above.
Si ture
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z f 0� s v b Wn/L w o c�� S �2
PID:
DESCRIPTION OF WORK: �e uc
ZONING REVIEW BY: DATE APPROVED: S-i�• ov
BUII..DING REVIEW BY: DATE APPROVED: S-�a•ou
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/" No
PLAN REVIEW Yes ✓ No SEWER CONNEC"TION
STATE SURCHARGE Yes ✓ No WATERCONNECTION
INVESTIGATION FEE Yes No� PARK FEE
SAC Yes No � ' " STTEINSPECTTON
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: R -1 A
Fire Department: Lorv� �c,� Post Office: ��S lktr.c.' School District: p.t,on�c�
�
Lot Area: Sq.ft.Lo�Acres Width Depth
v-
Survey Submitted: Yes 1C No Date of Survey: Y �3 S
Proposed Setbacks: �
Front(Lake): �3 Right Side: (40`
Reaz(Street): I 3� � Left Side: �0�
Adjacent Structures: /4�17�+Gt�cc� Wetland: N(A
Building Height: Def. Hgt. �./�. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
•P,• Shoreland District:
�11 Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
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BUII..DING REVIEW CHECK LIST
UBC: ��� 3 CONSTRUCTION TYPE: l//`�
Sq Footage $Per Sq Ftg
Ba$ement . x =
l st Floor z =
2nd Floor x =
Garage z =
R =
TOTAL
Estimated Construction Value: $ 3,4 C�v �
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanjcal . , , Water Connection
�Footing Septic � Sewer Connection
�Framing � Fireplace . Lawn Inigation
Insulation (Masonry) Other �
Wall Boazd (Mfg.) Well(State Permit)
_�Final Grading/Filling Electrical(State Permit)
Other_r�. : ,
REMARKS(IN HOUSE): '
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERNIIT�:
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cirY oF oRONo � �.�,�k..s ����s
BUILDINQ �R T PLAN REVIEW � , ;, ,
INSP�C1'OR t� ���.�, g t/ 1.���' ���
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HY-LAND SURVEYING , P .A.
� � 3 � � LAND SURVEYORS
Proposed Top of Block INVOICE NO_ 18I68-I68
1 U 3 � 2- 8700 Jefferson Highway F.B. N0. 243028
' Proposed Garage Floor SCALE I = �
Osseo, Minnesota 55369
�U�3.� Proposed Lowest Floor 493-5761 O Denotes Iron Monument
Type of Building - s�urUP �Tr$ �Pr�ifirtttP � Denotes Wood Hub Set
�1T For Excavation Only
�v�l `j�Se� e���"
�� � ���� �0�3 x000.0 Denotes Existing Elevation
N 0 Denotes Proposed Elevation
Area: 36,503 Square Feet �-- Denotes Surface Drainage
W �� E
RVC BUILDERS
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_ _ �,DRAINAGE & U7ILITY EASEMENT -%� y
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_ — 155.23 -, _ `� �__.._.,
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LOT 5, BLOCK 4, SUGAR WOODS �RQNO C��Y
The only easements shown are from plats of record of information provided by client.
�
I hereby certify that this survey was prepared by me or under � ��� � .` � /,
my direct supervision, and that I am a duly Registered Land � ��:', / � /;
. Surveyor under the laws of the 5tate of Minnesota. Slgned �` ` `�� �
Surveyed by us this 13TH day of SEPTEMBER , 19 99 Milton E. Hyland, �' n. Reg. No. 20262