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Home My WebLink About2003-P06254 (Deck) ' � PERMIT CITY OF ORONO permit Number: 2750 Kelley Parkway- PO Box 66 P06254 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: si�i2oo3 SITE ADDRESS: 1230 Arbor St Wayzata,MN 55391 P I D: 10-117-23-31-0069 DESCRIPTION: uBc 000upanoy R3 Construction'd'ype VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 83•25 Valuatiom: $ 2,640.00 Plan Review Fee: $ 54.08 State Surcharge Fee: $ 1.85 TOTAL F`EE: $ 139.18 APPLICANT: Owner/Self OWNER' P�P&Connie Martin NIN � 1230 Arbor St. Wayzata,MN 55391 THE UNDIItSIGNED HEREBY REQUESTS PERNIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MIl�INESOTA BUII,DING CODE REQUIREMENTS. � , � � � C �- APPLICANT PE ITEE SIGNATURE ISSUED B SIGNATURE Covies: 1-File(Si�nituYes Required).1-Auplicant,1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 gotal Fee: $ 1 �`�' ° r � Date R�ceived: 5�/-�.3 Entered By: � � Permit#: �e�� N � ��,,,,,�� CoCo� CITY OF ORONO - BUII..DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � THE APPLICAN'r IS: (circle one) OWNER OR CONTRACTOR J�B SITE ADDRESS: 1 �D a t�� 5 T' z�:. �.5.3 �I l NAME OF OWNER: �H i y�t� �Gv N N t� V r 1�i��ll'�I�iONE: (home) �j'S� +�7 5' lo�l '� , (work) MAILING ADDRESS: J 2 3 D �(R I�D/,� S T CITY: � �D�tl� ZIP:_ � 3�� CO\"TRACTOR: 5'�' z� PH4NE:. COr�TACTPERSON: g'�t wc � MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: ST�TE LICENSE: # ARCHITECT/ENGINEER: PHONE: �IAII�I�i TG ADDRESS: CITY: ZIP: N��; REGISTItATION# TYPE OF WORK: New Addition_� Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: � �G K �Z 1C 2. � t�E f S �'��c v7 o v r STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. EST'�IATED CONSTRUCTION VALUATION (excluding land): $ /pC� 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 wi1I be in accordance with the approved plan. APPLICANT'S SIGNATURE:� � C%��^— DATE: 5 � � � NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SITB,TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or w be sWred shall be as set forth in this section. + Subd.2. Information reqwlred to be givea individual. pn individual asked to yvpP�Y Private or confidentiat data conceming himself , shall be informed of: (a)the purpose and inrended use of the requested data within the collecting state agency,political subdivisioa,or statewide rystem;(b)whether he may refuse or is legally required to supply the requested data;(c)any imown consequence arising from his supplyiag or refusing to�pply private or confidentiai data;and(d)the idendry of other persons or entides authorized by srace or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursvanc to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav otace the no4ce rewired under this subdivision in the individual income tax or orooertv tax refund instxucdons tnstead 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 whedier it is class�ed as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on iadividuals shall be shown rhe data widiout any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individua!has been shown the private data and informed of its meaning,the data need not be disclosed w him for six taonths diereafter iuiless a dispute or ac6on pursuant to diis section is pending or addidonal data on the individual has been coUected or created. The responsible authoriry shall pcovide copies of the private or pubtic data upon request by the individual subject of the data. The respoasible authority 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 aad legai holidays,if immediate compliance is not possible. If he cannot comply with the request wititin that dme,he shall so inform the individual,and may have an addidonal five days within wluch to comply with the reques� excluding Saturdays,Sundays and legal holidays. Subd.4. Pracedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise d�is right,an individual shall nofify in writing the responsible authoriry descdbin�die�naaire of the disagreemecu. The responsi'ble authoriry shall within 30 days either. (a)correct the data found to be inaccucate or incomplete and attempt w notify past recipiencs of inaccurate or incomplete data,includiag recipients named by the individual;or(b)notify the individuai tLat he believes the data [o be correct. Data in dispute shall be d'uclosed onty if the individual's statement of disagreement is included with the disclosed daha. The determination of the responsible authoriry may be appealed pursuant w the provisions of the adminisuadve procedure act relaring w 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 �ity 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 lic�nse 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 pemut or license requires Council acdon 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. First Middle Last Address C�ry � State Zip Phone I understand my rights as stated above. Signature 6 CHECK OFF LIST FOR ISSUANCE OF PEY2MITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 12.3 c� A�2f3 02 5'r' � PID: � DESCRIPTION OF WORB: p CC=(c Z0.�1I�Ti G REVIEW BY: DATE APPROVED: S-6-03 BUII.DING REV�W BY: DATE A]PPROVED; .S=6= 93 � FEFS TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _� No PLAN REVIEW Yes_/ No SEWER CONNECl'iON STATE SURCHARGE Yes ,/ No WAT�ZCONNECTiON INVESTIGATION FEE � Yes No PARK F]EE � SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CHE.CK LIST Zoning District: Fire Department: � Post Office: School District: • Lot Area: Sq.ft. Acres •`11 ' Width Depth Survey Submitted: Yes�c_ No Date of Survey: 3-2-5 -93 Progosed Setbacks: � ' � Front(�Slce): �I6 Right Side: �{y� Reaz(S�ree�: �ti 0` � Left Side: 33' Adjacent Structures: A.r�c�� Vedand: iv//�I. . Building Height: Def. Hgt. — Peal:Hgt. Lot Coverage: -- � Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # — Resoludon: # Resolution Date: Shoreland District: �., Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Dace of Council Approval: REMARKS(in house): _ 7 BUII,DING REV�W CgECg LIST � UBC: R� 3 � CONSTRUCTION TYpE: '�//J _ Sq Footage $Per Sq Ftg � Basement . . . x _ lst Floor � x . . _ � 2nd Floor x = . �. Garage x _ . �JEUc z�Y x�r �o.n o — TOTAL Fstimated Construction Value: $_ z, �,�p"- Inspections Required: Work Requir�ng Separate Permits: Site PIumbing Fire Hazdcover Removal Mechanical Water Connection •. —�FO°�g � Septic Sewer Conaection � _�,Framing Fireplace Lawn Irri ation Insulation g Wall Boazd ��0�'� Other _�F� • ' (Mfb•) Well(State Permit) . Grading/Filling Electrical(State Permit) Other RE1�ZA.RI�S(IN HOUSE): . � . REVIEW BY OTHERS: DATE: Access: Ezisting New . � Access Approval: Date _ gy. � REMARI�,S (TO BE NOTED ON PEItivIIT�: 8 l �- ✓ � DATE TIME CITY OF ORONO CAu.�D IN ' � INSPECTION NOTI E SCHEDULED ��_ PERMIT NO. COMPLETED ADDRESS ��3(��Lr� OWNER CONTR. L�Z�.e�(. TELEPHONE NO. �.�� y�� DESCRIPTION — , tV 01 FOOTING 11 MECHANICAL RI 18 DCCAV/GRADING/FIWNG Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER H�K-UP 17 SITE INSPECTION Q �_ __� 14 SEWER HOOK-UP O6 PROGRESS ��ar7-DEMO—SITE 27 SEPTIC MAINT. 21 COMPUUNT "� 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FI 35 HARD COVER flEMOVAL UMBING FINAL 36 FOUNDATIOWREMOVAL OWN NTRACTORTOMEETYOU:_YES_NO � COMMENTS: � o �' a oc 0 � W � Q � W W � � d � WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORREGT WOFl1C,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RENRN O CRATION ISSUED ❑STOP OROER POSTED.CALL INSPECiOR O INSPECTtON REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne�i pection 24 hours in advance. (g52) 249-4600 OwnerlContra it • Inspector. �- — Whfte CopyMspector's Flle Canary CopylSite NoUce D E TIME � CITY OF ORONO CALLED IN � INSPECTION NO ICE SCHEDULED � PERMIT NO. ��' COMPLETED ADDRESS��L� �t/c'.�OI� �f� OWNER��i� CONTR. �'7.e�l�.e/� TELEPHONENO. �� 7`�J Cr1 t��I � D N � 1 FOOTING 11 MECHANICAL RI 18 IXCAV/GRADING/FILLING Q 0 ING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FlNAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SfTE 27 SEPTIC MAINT. 21 COMPLAINT Q 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL BING FlNAL 36 FOUNDATIOWREMOVAL OWN ONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a j O � � O � W � Q � W W � � d � ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRE(;T WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERIN(i PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL AETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next nspection 24 hours in advance. (g52) 249-4600 Owner/Cont�� d : b, Inspector. White CopyMapector's Flle Canary CopylSfte Notice