HomeMy WebLinkAbout2006-P10054 (deck-attached) PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10054
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
7/17/2006
SITE ADDRESS: 3225 Bayside Rd Unit#
Long Lake,MN 55356
PID: OS-117-23-41-0017
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:
Replace current deck
FEE SUMMARY: Pernut Fee: $ 181.25 valuation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.06
APPLICANT: Owner/Self OWNER: Mr. &Mrs. Sheldon
M� 3225 Bayside Rd
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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; � �
APPLICANT RM[TEE SIGNATURE , [SSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, � u'�o
��� �
Total Fee: $ 30 . b Date Received: �ra�'d �O
Entered By: _ Permit#: ��d�5
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started. ,
(p/ec�se pt�int all information) �l�
-------------------------------------------- ---------------------------------------------------- ��c.5�
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR ba'�'" `
C�
JOB SITE ADDRESS: S.�.�� .��ti S��1�- �`� ZIP: .
v
Will this be a Parade of Homes, Remodelers Showcase Home or other Displa
❑ Yes �o If yes, a specinl evenl per•�nit is��eqa�i�•ed wit/a Po�ice Depnrtmenl and City Council approva!
60 days prior•to the event. Shirttle birs ser•vice tivi/1 be regarir�ect unless applicant demonsn�ates
sufficient on-site par/cing is avai/able. Non-per�mitted events 1�vr11 not be allowed.
NAME OF OWNER: /��'►��ul �����nI PHONE: (home) `�s L-- y �.3�"��S^y
MAILING ADDRESS: �� (�'ork) — � -- 6�$t�o
�v�� ` CITY• cf �i: ZIP: _��
CONTRACTOR: �� PHONE:
CONTACTPERSON: y,l�a �d��i MOBILE/PAGER:
MAILINGADDRESS: ��.- ��,,,v� CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: � �y PHONE:
MAILINGADDRESS: St� �����- CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Ho►ne Addition Accessory Structure �
Move Home RemodeUAlteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe i�z detain: � . ��.�„ '�N �I c::�� t� .
b-ti �w��c.. �!p,c__ O t�:J�� 'r �,�..1.1-=, .�.}�ui"�.t.�. r�..,�� �„S�.�
STORIES: SQ.FEET OF EACH FLOOR:
�NO. OF BEDROOMS: GARAGE ST�LLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��v��
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: C 0
�
v� �l
Sec.13A4 R(GEITS 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 tiorth in this section.
Subd.2. Infonnation required to be given individual. An individual asked to supply private or confidential data conceming himselfshal I be
informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political 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 supplying or reFusin�to supply
private or confidential data;and(d)the identity of other persons or en[ities 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 i,to a law enforcement officer.
The commissioner of revenue mayplace the notice re uired under this subdivision in the individual income tax or aro�ertv tax reftmd
instructions instead of on those fonns.
Subd.3. Access to data by individuaL Upon request to a responsible authority,an individual shall be infonned whether he is the subject oY
stored data on individuals,and�vhether 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 dafa without any charge[o him and,if he desires,shall be informed ofthe content and
meaning of diat data. A(ter an individual has been shown the priva[e 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 authoriry 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 of making,certifying,and compiling the copies.
The responsible authority shatl comply immediately,if possible,with any request made pursuant to this subdivision,or 4vithin tive days of
the date ofthe request,eecluding 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 oCpublic or private data
conceming himself. To ecercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The
responsible authority shali within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notily 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 included wi[h 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.Z,"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, bu[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 rec�uested 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.
First Middle Last
Address
Cit�• State Zip Phone
I understand my righks�s stated above.
Signaturc
Reset Form ��
CHECK OFF LIST FOR ISSUANCE OF PE.R�vIITS
FOR OFFICE USE ONL Y
ADDRESS OR LEGAL: �2� I?� '`� �t
PID:
DESCRIPTIO:V OF y�"O.KK: '
- - --------------------
-------------------------------------- -- --
----------------------------------- ------- --------
ZONINGREVIEtVBY: � � � � ��� : ' � ' DATEAPPROVED: ��5-oC. �0-
BUILDI�VG.REVIEW BY: DATEAPPROVED: �i � - s'-oc.
FEES TO BE CHARGED: Nlisc. Fees Calculated By:
PERrtiIIT Yes ✓� No
PLAN REVIEyV Yes f �Vo SEWER CON�VECTION
STATE SURCH.4RGE Yes ✓ No � �VATER COiWt ECTIOtV
INVESTIGATION FEE Yes �Vo �/' PARK FEE
SAC Yes No� SITE NSPECTIO�V
Nzc�zzber of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONIIVG CHECK LIST Zar�i�:,�Distr�ict: G���
Fire Deparhnerit: Past Offcce: Sc/cool District: __,.
� _ ' i
Lor.�lrea; Sq.f't. �(p`'I �J�7 ,�cres � � 6l�idtlt � U Deptli j�'��
�
Scc�vey Sc�6ruitted. Yes Na � Date of Survey:
Pr•oposed Setbacics:
Fror:t(Lalce): �O d� � Right Side� L S� t
Rear(Street): �t7 d� 'f Left Side: �U6� �"
Ad�acent Struct�u•es: I�O� �" G�etland: N ��
Building Height: Def. Hgt. �1�� Peak Hgt. �
Lo�Coverage: 0•��--
Grading: StaffApprovrtl Date: — By: Coccncil Appr'oval Dctte:
�Septic: Staff,�(pproval Date: �� BY� ��
Zoi�iit,�File: # �- Resofution: # Resolu[fo�i Dnte:
�
Shoreland Dish-ict: ��b — �U U �
Avg. Setback: Bliiff Setoack: Lot Coverage:
Etiistino Proposed
Hardcover: 0-7�' (�. ,��.�"t� �
r�, �� 1 75->j0'
�l'1���� � � 250-500'
500-1000'
Kardcover I/ariance Reqccired: Yes No Date of Co�uicil�pproval:
REttifARKS(in house):
„
��
B UILDIIVG REVIEYY CHECh'LIST
UB C: �' 3 CONSTR UCTIO�V TYPE: �/d`�
Sg Foota,�e .�Per Sq Ft�
Basenieiit t =
!st Floor x =
?nd Floor .1 =
Garc<�e � _
� _
TO T.<iL
Estirrtated Cortstructiaic Y'afue: �' f��U00 ��
C
L�spections Reqcfired: lYark Requirir�g Separate Pervnits:
S(te P(�rmbrrzg Fir•e
Hardcover Removal Nlechariacal Yt�ater Co�u�ection
�_Footirtg Sep[ic Se�vei• Co�iriectioii
� p( �'(l4-w,,,� Fir•eplace Lativ�T lrrigatiori
�_ ion (tl�lasonnJ Ot/ier
� G ' arcl (Nlfg.) YYell(State Pervrtit)
�Final Gradi��g/FilliitJ Electrical(Sta�e Permit)
�^,
Other
RE1bIARli S(IN HO USE):
------------------------------------------------------------------------------------------------------------------------
RE TiIEY�B Y OTHERS: DATE:
.4ccess: E,ristin,� rV'etiv
,�Iccess�ipprov�cl: Date Bti•:
------------------------------------------------------------------------------------------------------------------------
RE�tilARIiS (TO BE NOTED ON PERIYIIT):
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Last update:2/24/2006 at 3:30 PM--READ IMPORTANT DISCLAIMER INFORMATION BELOW
Click for detailed information on this parcel
�roperty ID Approximate Property Perimeter Approximate Property A
05-117-23-41-0017 1,206 ft. 86,933 sq.ft.=2 acre:
Property Address Market Value Total Tax (2006)
3225 BAYSIDE RD ORONO, MN 55356 $749,000.00 $7,776.18
The data contained on this page are derived from a compilation of records and maps and may contain discrepancies that can onl
licensed land surveyor. The perimeter and area (square footage and acres) are approximates and may contain discrepancies. Th
purposes only. Hennepin County does not guarantee the accuracy of material herein contained and is not responsible for any mi.
derivatives.
Please report any map discrepancies to the Hennepin County Survey Division via e-mail at SUI'V2yOf.MdpS�a CO.heC111ep11
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http://wwwl3.cahennepin.mn.us/publicparcelimage/hcpropertymap.aspx?PID=0511723410... 7/5/2006
DAT�J ',� TIME �
CITY OF ORONO CALLED IN " �"
INSPECTION TICE SCHEDULED '�- � {
PERMIT NO. I COMPLETED
ADDRESS 3 �
OWNER CONTR.
TELEPHONE N0. 9��-- ��� rz��7`�
� DESCRIPTION .�I�G�' �_���� C�CGYL � �
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAI. 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 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 FOILOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J MBING FINAL 36 FOUNDATION/REMOVAL
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for th ext inspection 2a hours in advance. (952� 249-4600
Owner/Con o site:
Inspector.
White Copyllnspector ile Canary CopylSite Notice
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ly 01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
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INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContra te:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN
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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 COMPtAINT
� 07 DEMO-FiNA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR W4LL RETURN
❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (952� 249-46��
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OwnerlCon o ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice