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Home My WebLink About2004-P07876 - attached deck PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�s�6 Crystal Bay, Minnesota 55323 Peft711t Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: si2ai2ooa SITE ADDRESS: 1045 Brown Rd S Wayzata,MN 55391 P I D: 10-117-2 3-24-0002 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Perniit Sub-type(s): Deck-Attached DEfAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: ,.�-�- ---�-�--_.,---- -----:� ...;.:.��...��.. .......,..�r�---..� FEE SUMMARY: Pernut Fee: $ 69.25 Vatuation: $ 2,000.00 Plan Review Fee: $ 44.98 State Surcharge Fee: $ 1.50 Misc. Fee: $ 69.25 TOTAL FEE: $ 184.98 APPLICANT: Betz Builders Inc. OWNER: Steve Vandeveire 300 Crestview Ave. 1045 Brown Rd S Long Lake,MN 55356 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION 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 MINNESOTA BUILDING CODE REQUIREMENTS. �. c1 � � � APPLICANT PERMITEE SIGN RE SUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 , ��(��a� Total Fee: $ I 8�.q� Date Received: S"�� Entered By: �� Permit#: ��$ fl0'7 g"��v CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all i�iforniation) THE APPLICANT IS: (circle o�te) WNER CONTRACTO JOB SITE ADDRESS: �Q�S �l''OLtJ"t? /V� ,.S• ZIP: �3ct I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special everit permit is required wit17 Police Department ar�.d City Council approval 60 days prior to the event. Non perrnitted events will not be allowed. NAME OF OWNER: ��_ ��(,(CL�� '�-� PHONE: (home _"Z 7 5 (work) � MAILING ADDRESS:�� C/�j�� CITY: ZIP: � �� CONTRACTOR: PHONE:�o��z-2-1-Z`7�'� CONTACT PERSON: G�`7�L- MOBILE/PAGER: MAILING ADDRESS: ��Q CITY: ZIP: ��— STATE LICENSE: # ��/� ARCHITECT/ENGINEER: �/� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New �_ Accessory Structure Addition Move Remodel/Alteration Land Alteration � � / ,,�[ �� PROPOSED WORK(describe i�z detai�: �� /� �( l� �.�Z�'l�. lZ' �ie1 !/'1.q 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 aclrnowledge 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 pernut 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 � Sec.13.04 RIGHTS 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 forth in this section. Subd.2. Information required to be given individuai. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data rvithin the collecting state agency,political subdivision,or statefvide system;(b) �vhether he may refuse or is Icgally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or con�dential 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 mav nlace the notice required under this subdivision in the individual income tax or pronertv tax 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 conflidential. 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 in(ormed 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 udditional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon requcst by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days o(thc date of the request,excluding Saturdays,Sundays and legal holidays,if immcdiate 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�ve days within which to comply with the request,excluding Satw•days,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 concerning himself. To exercise this right,an individual shall noti[y in writing the responsible authority describing the nature of the disagreement. Thc responsible authority shall within 30 days either: (a)correct the data[ound to be inaccurate or incomplcte and attempt to notify past recipients o[ 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 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 yoursetf. 6. Your full name is required to process this application or permit. First Middle Last `-� ' L / R.l Address City State Zip Phone I understan rights as s�d ab / Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY A.DDRESS OR LEGAL: �04S �2�,� (�,�.q,/, PID: DESCRIPTION OF WORK: Q��c ,/��,p ,rt a.� ZOY.ni IG REV�`V BY: DAT'E APPROVED: F3 •Z 3-a y BUII.D .ri 1G REVIE`V BY: DATE APPROVED: S3 -Z3•o y FEES TO BE CHARGED: Misc. Fees Calculated By: PER1tiITT Yes �/ No PLA��t REVIEW Yes � No SEWER CONNECITON STATE SURCHARGE Yes � No WATE.RCONNECTION ��E-INVESTIGATION FEE Yes r/ No PARK FEE � SAC Yes No ✓ SITEINSPECTION �� Number of SAC�Units OTHER (specify) Z01�1I�tG CHE.CK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Wid[h Dep[h Survey Submitced: Yes �C No Date of Survey: 1 Z-�v ��2 Proposed Se[backs: Front(L'�e): 1 9S Right Side: "17 � � � Rear (S�eet): � � Left Side: �O' Adjacen[ Structures: �hh�`t�4c.tt-�� `Vetland: n/ �ya Building Heighr. Def. Hgt. — Peak Hgt. —" Lot Coveraoe: — Grading: Staff Approval Date: -- By: Council Approval Date: Sepcic: Staff Approval Date: � By: Zoning File: # � Resolution: � Resolutioa Date: Shoreland District: � Avg. Setback: Bluff Se[back: L.ocCovera�e: Eusting Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): � W02K S�,�Zn_.� W/d �Pc;R� T 7 BUII.,DING REV�W CHECK LIST UBC: R•3 CONSTRUCTTON TYPE: �,!/J _ Sq Foo[a�e $ Per Sq Ftg Basement x _ lst F1oor x _ 2nd Floor x = Garage x = z = TOTAL Estimated Construction Value: $ 2,C�c�� `'� Inspections Required: `Vork Requiring Separate Permits: S ite Plumb ing Fire Hardcover Removai Mechanical Water Connection a� Footing � Septic Sewer Coanection Framing Fireplace Lawn Irriga[ion Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Permit) _e�FinaI Grading/Filling Electrical (State Permit) Other REI�IARKS .(I�i'HOUSE): . -------------------------------------------------------------------------------------- REV�W BY OTHERS: DATE: Access: Ezistino New Access Approval: Date gY; --------------------------------------------------------------------------------------------- RElYIA.RKS (TO BE NOTED ON PERivII'1�: 8 . /o ��-�3��.� 2� • ' � ��S� i/�,� �-�-a Ni ,� - � ��- �.,�.�,�. , ��f� � � � �� • _ __ �.JC�S��/6 � _ �---___ ._ _ _ _ _ _ . ��t� C �\ o� � l a. � 7- �- l6�� o� _� _ _ _ � __ _ . S�-�i r� ��x� s �5 Ce�i� � � _ ��, �s - � _ . _ � �� .. _ _ _ � �cr�. ��z`? � � � _ _ _ __ _ � � _ __ . _ _ �`'� _ - ' ��f'��r _ % _ -- � , • - / - ._ _ _ _ _ f/ _ � �,� ___ _ ; !� ------- ------------- - ------- _ --__ - _ _ . _ - .: _ i� _ _ _ _--- --___ _--- _ _ __ �- ___ ___. _ __ _ , � ___.� . __. - - -- _-� __ -- --- -- _ --- - - � �a r� � � ; _ - - �, �s B� . --_-- CITY OF �1D��,�� .� BU(LGi�G n"•-�a•- r _ .__ �� r� �i! ,��A; C;(_ _�"✓ _ IW.9PFCT�:R_ �_ . _ . .. i, a"� ,�Z3•'aY , , �� ; , --,_—_� C I `J �� 1 �C'i � ;.Jr�1.�<��:::',.�'t � n C ' � ;. r : �.f�:� _ _ _ r �- I . ..� � 'L ��Y'St�:� � r=� � .?3^ � Til:? r �� i f �I _._ .. . . . . . . .IL , .-_c �1..i,t tY:c.'r..ahln...+ ..h� _.. �� + ;.�i :�• .i _ : • � � L .. � F,2.� ��r�.i T: - . � }'..I�' :f ill� 711�.,^� U�B G:1,1 1 . �� i;OdB. ��JI � ,LI: j. i11:'!M�I-II5�Qy(�/ " ��tr�1 rir5 PL;�h S�i-G�J 9tTE AT AtL T{Me5 ----------------------.___._---------------__- ----r-- � I — -- � I � �________._ ^__ �I i ----- --- I I � , � . • ..J� ; __,___�_..._�. __ _. . ----- __:__._. _ _._.. , _ � -- - - --... _ -_..,-- — � ax1� Pr' �� ,�oe � e '�� r��, b 5�s �c��,� ., � � �.cx �Uo��2�s � �.:�� N �� ,1� /� ,� `j; , � ` � �� ` �� '�, � � � � ; 'S I , � % ; r I - � / __� , ; , � ; � , ; __ , � ',' � a �Z.`' X�.t�Z�, � � � �n�-,� S` / �_ � ,- , .�6�'1- �i�-� 5e.�- 3 ►�� Li�,e,, � �� 5�� '�,�s �� T� �c i� l�l�-�v �� Thomas R. Betz Betz Builders inc. 300 Crestview Ave. Long Lake, MN 55356 � � DATE TIME CITY OF ORONO CALLED IN � INSPECTION N TICE SCHEDULED % PERMIT NO. COMPLETED ADDRESS 0 S OWNER CONTR. TELEPHONE NO. �l I Z Z-Z—I Z�� DESCRIPTION �'"(/1'�•d� — (1Z � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � j d W ORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑C RRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W p ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. (952� 249-4600 OwnerlCont on 't Inspector. White Copylinspector's Fite Canary CopylSite Notice U`''� DATE TIME v CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED y�_�l� �(I.'O D PERMIT NO. 7 COMPLETED ADDRESS /�� /`f!� -S. OWNER CONTR. � �� TELEPHONE NO. ��Z " � � " Zg�-3 � DESCRIPTION �� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � ti � Q � Z W � W � � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUtRED.CA TO ARRANGE ACCESS. Call for the n t spection 24 hours in advance. (J52� 249-4600 OwnerlCont r on i : Inspector. t White Copyllnspector's File Canary CopylSite Notice