HomeMy WebLinkAbout2001-P04082 (deck) ' ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poaog2
Crystal Bay, Minnesota 55323 P@fllllt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: �i2o�2ooi
SITE ADDRESS: 2414 Carman St
WAYZATA,MN 55391
PID: 2o-ii�-23-i2-oos�
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Kesidentiai
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: $ 2,400.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 1.20
TOTAL FEE: $ 138.53
APPLICANT: Martin Woody OWNER: MARTIN D WOODY
2414 Carman Street 2416 CARMAN ST
Wayzata,MN 55391 WAYZATA MN 55391
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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:� r L//y'j'CC(�I' �'��--
PPL P RM[ E SIGNATUR SSUED BY SIGNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports,1-Assessing, l-Finance Page 1
, � ,
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� Total Fee: $���� � � Date Received: 7/3-o/
Entered By: ;'�'ly Permit#: �-d ��O 8�_
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
� � c�-
JOB SITE ADDRESS: �,� ( � C.�� t--��� S�� ZIP: �� �
NAME OF OWNER: �,'���I�% 1,���� PHONE: (home) l�Z `C�� ��'����
(wark) �'�S��- � ��- , �
MAILING ADDRESS: 2-� (� C�' ���lf�-���CITY: ; IP: �� - �" l
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/EI�TGINEER: PHONE:
NIAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: ���-
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 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 acc dance w' � the proved plan.
APPLICANT'S SIGNATURE:
,�'(, i'� DATE: � � I'� �;
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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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 forrh in this section.
Subd.2. Information required to be given individual. 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 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 refusing to supply
private or confidential 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 may place the notice required under this subdivision in the individual income tax or property tax refund instructions
instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsib(e authority, an individual shalt be informed whether he is the subject of
stored data on individuals,and whether it is dassified 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[he data without any charge to him and, if he desires, shali be informed of the content and meaning
of that data. After an individual has been shown the private da[a 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
authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the
requesting person to pay the actua(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 Satuidays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within
that Ume,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 contes[the accuracy or completeness of public or private data
conceming himself. To exercise this right, an individuai shall notify in writing the responsible authority describing the nature of the disagreement. The
responsible authority shall within 30 days either. (a)cotrect the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate
or incomplete data,including recipients named by the individuai;or(b)notify the individual that he believes the data to be correct. Data in dispute shall
be disclosed oniy if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry 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 pernut 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 yourself.
6. Your full name is required to process this application or perm�
�,�h� �v�"" �, vU� -
Fir �'1�I�`vY V" Midd� Last
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Addre f,Q �✓ / vG �� � i
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Ciry � State Zip Phone
I understand my i ts as sta above.
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Signature
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/ HARDCOVER CALCULAT�BN�YORKSHEET
• SETBACK ZONE: (CIRCLE ONE) 0-75' (75-250' - 250-500' S00-1000'
�..
EXISTING HARDCOVER IN ZONE
A. House x = �� �.G��S.F.
Length Width
X = S.F.
x = S.F.
X = S.F.
B. Garage X =
S.F.
C. Driveway x =
S.F.
X = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
X = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. O[her x = S.F.
TOTAL HARDCOVER IN ZONE - C �O� �� S.F. A
TOTAL PROPERTY AREA IN ZONE - ' �� � S.F. B
A — B x 100 = %
PROPOSED HARDCOVER IN ZONE
A. House x = S,t=.
Length Width
X = S.F.
x = S.F.
x _ -- -- S.F.
B. G arage x = S.F.
C. Driveway x = 5.F.
x = S.F.
D. Sidewalk x = S.F .
x = S.F.
E. Patio/Deck x = S.F.
x = S.E .
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.f
Or Fabric
G. Other x = S.f
TOTAL HARDCOVER IN ZONE - S.f . A
TOTAL PROPERTY AREA IN ZONE - S.I . �3
A — B x 100 = ��
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• IiARDCOVER CALCULATION WORK �
� SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250`500�,/ 500-1000'
EXISTING HARDCOVER IN ZONE
A. House x = � �� � �'r S.F.
Length W idth
x = S.F.
x = S.F.
x = S.F.
B. Garage x = ��� �, �?/S.F.
C. Driveway x = /_ , ��,(,� S.F.
x = �� S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.I=.
TOTAL HARDCOVER IN ZONE - � �U• � S.F. A
TOTAL PROPERTY AREA IN ZONE - d � S.F. B
A — B x 100 = _�/�l�
YROPOSED HARDCOVER IN ZONE
A. House x = S.f.
Length Width
X = S.F.
x = S.E=.
x = S.F.
B. Garage x _ = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F�.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. L.andscape x = S ��
Underlain x = S.F.
By Plastic x = _ _ S.E .
Or Fabric
G. Other x = S.f
TOTAL HARDCOVER IN ZONE - I�O •� S.f . r'�
TOTAL PROPERTY AREA IN ZONE - '_'], � , O S.f . B
A — B x 100 = � T� c'� I h `70
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CHECK OFF LIST FOR ISSUAi�10E OF PERI�IITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z�l ��1 C 1��tvN��i 5.T
PID:
DESCRIPTION OF WORK: �,C„«
ZOrTvi G REVIEW BY: DATE APPROVED: 7- �9 - �1
BUII�DING REVIE`V BY: DATE APPROVED: -�- i 5 - o'(
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓ No
PLAl�T REVIEW Yes v� No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZOrTi 1G CH�CK LIST Zoning District: C.2� I Q
Fire Department: ��,v�,� Post Office: ���9 School District: l�t CST-c��►kh
Lo[Area: Sq.ft. No C I�.�P Acres Width Depth
—�-
Survey Submitted: Yes c No Date of Survey: �-(-1 $-(�I
Proposed Setbacks:
�rvet (Lake): 26�I Right Side: N ,��(�l
F�ea�(Street): �0 Left Side: /Z.c�
Adjacent Structures: /b'rT7��.ttt�0 Wetland: �f�.
Building Height: Def. Hgt. Peak Hgt. —
Lot CoveraJe: p (L
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: !# — Resolution: # Resolution Date:
Shoreland District: ��5
Avg. Setback: v• (� Bluff Setback: /'�(✓►' L.ot Coverage: p�(<
Existing Proposed
Hardcover: 0-75'
75-250'
Zso-soo� D. k
500-1000'
Hardcover Variance Required: Yes No�_ Date of Council Approval:
RENIARKS (in house):
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BUILDING REVIEW CHECK LIST
UBC: � • 3 CONSTRUCTION TYPE: �/�i
' Sq Footage $ Per Sq Ftg
Basement z _
lst Floor z _
2nd Floor z _
Garage x _
�L� Z.�ti z t 0,o c� = 2�`-t�o `�
TOTAL
Estimated Construction Value: $
Inspections Required: �Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal MechanicaL Water Connection
_�Footing � Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
Insulation (Masonry)' Other
Wall Boazd (Mfg.) Well (State Permit)
_�Final Grading/Filling Electrical (State Permit)
Other
REMARKS(ni 1 HOUSE): ,
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REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy.:
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RENIARKS (TO BE NOTED ON PEItNII'1�:
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