HomeMy WebLinkAbout2006-P10182 - attached deck PERMIT
`CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10182
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 8/30/2006
SITE ADDRESS: 4620 Tonkaview La Unit#
Mound,MN 55364
PID: 07-117-23-32-0063
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:
FEE SUMMARY: Permit Fee: $ 83.25 valuation: $ 2,560.00
Plan Review Fee: $ 54.11
State Surcharge Fee: $ 1.30
t
TOTAL FEE: $ 138.66
APPLICANT: Owner/Self OWNER: Todd Courneya
MN 4620 Tonkaview La
Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC&IED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
CM T T PE 1�fiEE SIGNATURE I ED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
RUG-03-2006(THU) 15; 25 P. 001/005
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Total Fee: $ 1.39-60 Date Received: 0
Entered By: Permit#:
CITY OF ORONO —BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ZfP: X53 6�l
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Dome?
❑Yes ®No If yes, a,special event permit is required with Police Department and Ciry Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrales
sufficient on-sire parking is available. Non permitted events will not be allowed
NAMEOFOWNER: CaorrltYa PRONE: (home) 95Z, y72, Qo3_�
(work) y52, 221. toy 6q
MAILING ADDRESS: goCZ a LOC CITY: d ond,JO Z1P: 5S-36
CONTRACTOR: N I✓a- PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: /J I!- PHONE-
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration(ie:Siding,Windows) X
Any earth movement: may require MCWD review and permits!
PROPOSED WORK(describe in detall):
.MS."N \o 4 oeC�
STORIES: SQ.FEET OF EACH FLOOR:
NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(exclu ' and): $ 500
I hereby apply for a building permit and I acknowl that the information above is complete and accurate;
that the work wil I be in conformance with th dina s and codes of the Cityand with the State Building
Code;that 1 understand this is not a p and tto'" without a permit;and that the work will be
in accordance with the approved p j
APPLICANT'S SIGNATURE: DATE: 9-3- Zoo 6
,31
AUG-03-2006(THU) 15: 25 P. 002/005
SM13.04 RIGMS OF SUBJECTS OF DATA
Subd.1. Type of dam. The rights of individual on whom the data is stored or to be stored shall be as sot forth in this section.
Subd.2.intbnmdon required to be given Individual.An individual asked to supply private orcontidential dam concerning himselfshull be
informed oll (a)mite purpose and intended use of the requested data within the collecting state agency,political subdivision.orsmtewida system;(b)
whether he may refuse or is legally required to supply the requested dam;(c)any known consequence arising from his supplying or refusing to supply
private orconfidential data;and(d)the iderr W of otherpawns orenthies authorized by state or federal law to receive the dam.This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision S,to a law enforcement ofd icer.
The commissioner or revrnue may place the notice ptipnlag Under this subdivisionAn-the indiAd hal income tax M prmiorty thx,r„gfynd
instutions instead of on those lbm,s.
Subd.3.Ace=to dam by individual.Upon n questto a responsible authority,an indivlduul shall be informed whether he is the suWcct of
stored data on individuals,and whether it Is classified as public,private"confidential.Upon his further request an individual who is ihesuttjttct of
stored private or public data on Individuals AM be shown Lite data without any charge to him and,Who desires,shall be informed of the content and
meaning of that dam. After an Individual has been shown the private dam and informed of its meaning,rite data meed not be disclosed to him for six
months thereafter union a dispute or action pursuant to this section is pending or udditionat data on the individual has been collected or created.The
responsible authority shall provide copies of Uta private or public data upon request by the individual subject ofthc data.The responsible authority
may require the requesting person to pay the actual costa ofmaking,cardfying,and compiling the copies.
The responsible authority shall comply immediately.If possible,with any requetmnde pursuant to this subdivision,or within Ove days of
die date ufthe request,occluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.Ifhe cannot comply with the request
within that time,be shall so Inform the individual,and may have an additional Ove days within which to comply with the request,excluding Saturdays.
Sundays and legal holidays.
Subd.4.Procedure when data isnotaccwatc or complete.An individual my contest the accuracy orcompleteness ofpublic orprivatedam
concerning himself.To wwreise thisright,an individual shall notify in writing the responsible authoritydescribing the natureofthe dincreament.Ilia
responsiblo authority shall within 30 days either: (a)comet thio data found to be inaccurate or Incomplete and anempt to notify past recipients of
inaccurate or incomplete darn,including recipients named by the individual;or(b)notify die individual that he believes the damto be correct Detain
dispute shall be disclosed only if the individual's statement of disagremnont is included with the disclosed date.
The doswininatlon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested caws.
DATA PRIVACY ADVISORY
1n 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 inforniWon.
You are notified that:
I. 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 tither 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.
S. 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.
-- oQ RAS - rvuYg
First Middle _ Last
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Address
a VIPW sac 4 ?VZ.47Z.003
Clry State 'Lip Phone
I understand ghXnovc. 2
Signature
oil, F9n 11TII til;
ilhblld�al I SP It w pit.�,�I,lil��iu➢�I :f I lit 32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 462.0 T'o t lycrA\j1 t✓WAN
PID:
DESCRIPTION OF WORK: IQ C-
-------------------------------- ---------------------—-----
ZONING
____--------------------------------------
ZON7NG REVIEW BY: DATE APPROVED: 6 -ZS-D 6
BUILDING REVIEW BY: DATE APPROVED;
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)
ZONni IG CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft.Apkax ?AA-11 Acres .41 Width Depth
j44.V^.- C.G.
Survey Submitted: Yes_1�e_ No Date of Survey: 2-15-°IS
Proposed Setbacks:
Front(Lake): �� Right Side: ?y t
Rear(Street): 12-�o' f Left Side: Gv 3
Adjacent Structures: 4 rTis,-, c Wetland: r4 I✓�
Building Height: Def. Hgt. N ►14 Peak Hgt.
Lot Coverage: 1070
Grading: Staff Approval Date: N 1 td By: — Council Approval Date:
Septic: Staff Approval Date: N 1 A By:
Zoning File: # — Resolution: # — Resolution Date:
Shoreland District: �1-eS
Avg. Setback: N ISA Bluff Setback: N 1 A Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No X--_ Date of Council Approval:
REZYL4RKS (in house):
BUILDING REVIEW CHECK LIST
UBC: R-S CONSTRUCTION TYPE:
Sq Footage $Per Sq Ftg
Basement x =
1st Floor x _
2nd Floor x =
Garage x =
OA"4-
TOTAL
Estimated Construction Value: $ ;S 6 0 °=
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_y Footing Septic Sewer Connection
_mac Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
— Final Grading/Filling —�Electrical (State Permit)
Other
RENLkPM (IN HOUSE):
-------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-------------------------------------------------------------
RE'tvIARKS (TO BE NOTED ON PERIM):
8
TE rr T`1v 1V
CITY OF ORONO CALLED IN 4_i
INSPECTION NOTICE SCHEDULED
\LPERMIT NO. COMPLETED
ADDRESS LI&)_o Iyrkayi e u) kan�
OWNER,I NO Ci)ur0-4(1 CONTR/.,
TELEPHONE NO. L�S�- t ��T
DESCRIPTION Foonfi
61
W 01 FOOTING 11 MEC41NICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL / 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES +�NO
a COMMENTS:
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W RK SATISFACTORY:PROCEED 1-1PROJECTCOMPLETE
LU CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CJ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-4600
Owner/Contr r site:
Inspector.
White Copy/inspector's Fil Canary Copy/Site Notice
l�
D/�`y TIME
C /
ITY OF ORO �LLED /
INSPECTION NaICJ CHEDULED
PERMIT NO. COMPLETED
ADDRESSv
OWNERdd CONTR.
TELEPHONE NO. �
DESCRIPTION FCOf�"g
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W 01 FOOTING 11 MECHANICAL RI 18 EX V/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �LNOIROJECTCOMPLETE
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❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: 7
Inspector. W Lam'" a) -f
White Copy/Inspector's File Canary Copy/Site Notice
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