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HomeMy WebLinkAbout2003-P06817 - attached deck ITY F R N PERMIT C O O O O 2750 Ke;ley Parkway - PO Box 66 Permit Number: Po6ai� Crystal Bay, M�innesota 55323 Per'mit Type: Addition/RemodevRepair (952) 249-4600 Date Issued: 9�2a�2oo3 SITE ADDRESS: 1223 Brown Rd S Wayzata,MN 55391 PID: 10-117-23-31-0065 DESCRIPTION: Proposed Use: Residential Buildin Census Code 434 Pernut Class: g Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: �--�- �---� �—�---�- -_, :- ---- --�----�-------� FEE SUMMARY: PernutFee: $ 111.25 Valuation: $ 4,300.00 Plan Review Fee: $ 72.28 State Surcharge Fee: $ 2.65 TOTAL FEE: $ 186.18 APPLICANT: Midwest Turf OWNER: Curtis Quady 1251 Brown Rd S 1223 Brown Rd S Wayzata,MN 55391 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. �� � � ;�',�-'� C��yy� ��-y� f��`" A LICANT PERMITEE SIG ATURE SSUED BY SIGNATURE Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 �� Total Fee: $ Date Received: Entered By: Pernut#: CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � ----------------------------------------------------------------------------------------------------------------- THE A.PPLICANT IS: (circle one) OWNER OR CONTRACTOR �j -- JbB SITE ADDRESS: l.�� T� c✓�� ZIP: .s� 3�� /��`� ✓JCUL✓ / )i� J' NAI�iE OF OWNER: PHOiVE: (home) . (work) MAILING ADDRESS: CITY: ZIP: �s � - y��- 7�/� CO�'TRACTOR: ��'1,��.,� �- �„�' Pxo�:. �ia - 3� 7- y.�y� CO`�TACT PERSON: r�, NIOBILE/PAGER: NLAII.ING ADDRESS: /� �'/ ,�s'.�,�,.r �7�/ I CITY: �-,J, - � ZIP: �s�/ ST�T'E LICENSE: # •.ARCHITECT/ENGINEER: PHO�TE: MAII.,I�i TG ADDRESS: CITY: ZIP: NA�I�IE; REGISTR.ATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: /�P,y,�t.� �.�.� �z-��<<P r�'S�s �'—��� STORIES: SQ. FEET OF EACH FLOOR: 1�'O. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. c�J EST�IATED CONSTRUCTION VALUATION (excluding land): $ ��U�� � 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 perm.it; and that the work wiR be in ac rdance with th roved plan. APPLICANT'S SIGNATURE: �,.J L DATE: �7 �y �� NOTE! Parade of Homes events require separate permit approval by Police Department and Cily Counci160 days prior to the event. Non permitted events will not be allowed. 5 �� . Sec.13.04 RIGHTS OF SiJBJECTS 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 indiridual. An individual asked to supply private or co�dencial data concerning himself shall be informed of: (a)the purpose and inrended use of the requesred data within the collecting state agency,poliacal subdivision,or stacewide system;(b)whether he may refuse or is legally required to supp(y che requested data;(c)any Imown consequence arising from his supplying or retusing to supply private or confidendal data;and(d)the idendry of other persons or entiaes authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigaave data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. 'Ihe commissioner of revenue mav lace the notice re uired under this subdivision in the individual income taz or ro ertv tax refund instrucrions instead of on those forms. Subd. 3. Access to data by indiridual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuais,and whether it is classified as pubiic,private or co�dendal. 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 rhe content and meanin�of that data. Afrer an individual has been shown the private data and informed of its meaning, the data need not bz disclosed to him for six months thereafter unless a dispute or acaon pursuant to this section is pending or addicional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon requesc by the individual subject of the data. The responsible auchority may require the requesring person to pay the actual costs of making,cerdfying,and compiling the copies. The responsible authoriry shall comply immediate(y,if possible,with any request made pursuan[to this subdivision,or within five days of the date of the request,exciuding Saturdays, Sundays and legal hofidays,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 addirional 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 dara conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing the�ature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to bz inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,inctuding recipients named by the individual;or(b)noafy the individual that he believes the data to be correct. Data in dispute shal]be disclosed only if the individual's statement of disagreement is inctuded with the disclosed data. The determinaaon of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 �ity of Orono or any of its departments may require you to fumish 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 ocher local, state or federal agencies to the extent necessary to process the pemut 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. First Middle Last Address C�n' State Zip Phone I understand my rights as stated above. Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY AnDRESS OR LEGAL: / �Z� �3/��,,,� /�,,y,� S PID: DESCRIPTION OF WORK: (��LK ,Z.�,�Pt�lcc nn�-� ZOtiTi 1G RE'V�W BY: DAT'E APPROVED: 9-Z y- 03 BUII.DI�i TG REV�`V BY: DA'TE APPROVED; S-Z�- aS 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) ZONING CH�CK LIST Zoning District: (7•�C p�C N.C,, Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Righ[Side: Rear (Street): Left Side: Adjacent Structures: Wetl d: Building Height: Def. Hgt. Peal: gt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland Disuict: Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house). jo f ll�-D t..= L���- �J c:G(� [,� ��� 24�� i.S /� ivo.r c�=N c2oa� i-t w��/T 7 BUII,DING REVIEW CHECK LIST � �C' �`�J' CONSTRUCTION TYPE: V� _ Sq Footage $Per Sq Ftg Basement x _ lst�loor x _ 2nd F1oor x _ Garage x _ x = TOTAL Estimated Construction Value: $ �/�S Up � Inspections Required: �Vork Requiring Separate Permits: S ite Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ` Septic Sewer Connection _�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) —�-F�� Grading/Filling Electrical (State Permit) Other REMARI�S(IN HOUSE): ------- ----------------------------------- --- REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date BY: ----------------------------------------------------------- RE11'1ARKS (TO BE NOTED ON PERivIIT�: 8 ��� ��� �' SP�CIAL.S�I��T'�� � '�'�?s� ��>r ,�''�f ��� � ° � r�.�-"y t�-'' `�{ !�� r7 / � � ��E d`���Y����� ���E� ? 1� +"� i r- r. � ��"�o�� ' r-';.�' � �,,,� l�6G�L,rYe , ) . /f ��y f ��JL,��� /� � :d i�...���I L � \_ �`/Sr t � .L1� I • �r / \ � �p1�Y ��dbe P1:rot �,.`a.�� l� . _ r {"' ���,-yn i .. ..�.+. �.-�r�u ' • r ' 1..w.t.-..... _.. . . . . � A / / ��',�.���i �x y �let�:� �rr��r� r1u1 P" L`Y�f ^� �o o T►�� ��� n��ax. r::���>-� ��„ r,�,�N, �i�F-,�t� . cr._,,, :�•.::��. t,�.;.rt�;�>�r:7,�,� !���� �.� \ tY L�'�! i-: i� ��"��a�i9� i��=r��!if.Fl�� `:�b �-. - :; l�o�b� a x g ��,;�, ��i�-� �..a �..�a___�... _____�..... _a ____�� /��'� �t�� � aa•' �"'.. - S,�s ^ � i --..__:-.,_ �. � � �� � - —'��_-` � � �/ �I � z1 � . �gb� 6� )� ..a�, % "�� ``~-� - G g , .. CiTY OF ORQN� \ o� �J� 3 �x /�2 Sft�s � . -- �::�.,..� -�- - ll�; , ER" .T FLF,�: '�:.. ,,._�:`J vl `......1 ��`�-,`�---�--b• BUILD G }�. `, "-..-�..._.. INSPECTO� �o�^—_�---_-�� �� ` ' � _-� _Gb - - �• - �/ � �� DATE `�l' 3 -�—P�.r.:,.�� ��:'�.--------- .I 6 � �'APP�G`!r� � " .: :;` /�r � ��ti�r�.�� „ �:L•, � � �- p ._ . _ _ ' ' ..., � �&% a.;=;� ,,_�4 �T .;, , �r � ��� ; , r � � % r' , ❑ ��JT r �J !L'.�i•-- t - �c � ' "� +� I Tr r.c,rr��' ` � r � /. � � :;���� i ��Z '/y� � �il il.V c.C.''�t') , .r ��n� � � �� � "! �i�.� ll.•,���,�.�ei�� /� -�.,. . . . . . _ ._._..-..�-_.._._w._.v_... .�-��.,, . , . d�, . ... . . . ,� . Reqi�r�•me^5., �..,�,.d.�,��..r,r. �.,.�r.cJ'c:.'�y r,,,2d,nt1�r�iPtv -----•.-...._.__......__..�....�,._ __._.,._.._r..._-.__.. _ _..._ _.. _ 1 KEEP THiS PLAN SET ON 81TE AT ALL TIP7rES` _ ' --- •-�--��-- ----- � �� � � �� � / I 1 ...,_._.. _..._. �r� Z� �J , � �f�<<' �t C��^� 1 n Lt°� ��a�t'S �� �.r;^, �+^^• 4� st+r't'+�s' J � � j o i)!`1 1 . � .��►5�- ��_���� Op�1 " DATE TIME CITY OF ORONO CALLED IN g�Z� INSPECTION TIC SCHEDULED -�3 � PERMIT NO. COMPLETED ADDRESS �aa 3 /� S � OWNER CONTR. TELEPHONE NO. �O�Z .3�7 �3�7 � DESCRIPTION F�l/V`�� � ��Gl� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z0 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 INAL 14 SEWER HOOK-UP 06 PROGRESS � EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 7 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL ,- 35 HARD COVER REMOVAL � 10 PLUMBING FINAL ��� 36 FOUNDATION/REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES"NO � COMMENTS: � � W a � J O >. � O � W � Q � Z W � W � � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALI INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlConUacto�n it : r ' Inspector. White Copylinspector's File Canary Copy/Site Notice