Loading...
HomeMy WebLinkAbout2006-P10261 (deck-attached) PERMIT CITY �F ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P10261 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Rep air (952) 249-4600 Date Issued: 8/23/2006 SITE ADDRESS: 3133 Casco Cir Unit# Wayzata, MN 55391 PID: 20-117-23-43-0030 DESCRIPTION: UBC Occupancy R3 Consh-uction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Redecking Surface of Existing Deck FEE SUMMARY: Pernut Fee: $ 167.25 valuation: $ 8,450.00 State Surcharge Fee: $ 4.25 TOTAL FEE: $ 171.50 APPLICANT: Owner/Self OWNER: G Becker&T Marchessault MN 3133 Casco Cir Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMTSSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORD[NANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ; , �-t-c c�-b-1.e.��� PLICA PERMITEE SIGNATUR6 ISSUED BY SIGNATURE Copies: I-File(Signatures Regarired), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pri�zt all infoYm�rtio��) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ` �1� �� C'/'--s"r u �.'°i%f'� r ZIP: __ .`.;. �,r, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS ❑ NO Ifyes, a special event permil is r•eqa�ir•ed ivith Police Departn�:ent and City Cotrncil appr•oval GO days prior to the event. Slnittle bus service ivil!be requared unfess app/icant demor�strntes sz��cient of�-slte parkirtg zs available. IVaa-per•iriitted evenls i�vill not be allotived. .— r; ;;-,,' '�'.i a k NAME OF OWNER: �'�-.; ,�"c�'��'•�''� �t: PHONE: (home) �� c ,--�- (work) �'!� - �, :�/'�'o .., MAILING ADllRESS. � .- .. .,., � -,, r CITY <-:;,..,�.�,�, ZIP: ...... l, , CONTRACTOR: , ,`"•/D w�.-?/L PHONE: � '�- � -- ��.:�/ CONTACT PERSON: �:^ MOBILE/PAGER: `' MAILING ADDRESS: /,% �� �^" �� ���'%� r.�- � CITY: s< �` ZIP: _ ' � STATE LICENSE: # EXPIRATI N DATE: ARCHITECT/ENGINEER: �,�'-;� - � PHONE: MAILING ADDRESS: � " CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require MCWD review and permits ! PROPO5ED WORK(rlescribe in detain: !' �� ..5� %f, .... <_' _>. . , r. L. -_•...' :-;� �;� ��A:,.,-� -�-/ _ . . . , : . . ... - ,, t c �. ���::�., j,.,..�, a< fia/. . . ��.: '` . / ft-�_L-l-,._, �! � � ��r' - � �f" . � STORIES: SQ.F�ET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHE� ESTIMATED CONSTRUCTION VALUATION(excluding land): � � `�' ` � I hereby apply for a buildin�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 tmderstand this is not a permit and work is not to start without a permit;and that the work��ill be in accordance with the approved plan. ,. APYLICANT'S SIGNATURE; �--=-f'`�,� � �.____ DATE: � �-� �'� r i l /` 31 Scc.13.0�t RIGHTS OF SUBJECTS OF DATA Subd. l. 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. 3ubd.2 [nformation required to be given individual. An individual asked rosupply privateorcontidential dataconceminghimselfshall be informed of: (a)the purpose and intended use of the requested data wi[hin the collecting state agency,political subdivision,or statewide system;(b) whether he may retLse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusin�to supp(y 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 shal i not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The coimnissioner of revenue mayplace the i�otice required under this subdivision in the individual income tax or propertv 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 classitied as pubiic,private or confidentiaL Upon his further request,an individual who is the subject of stored private or public data on individuals shall be sho�wi the data withou[any charge to him and,if he desires,shal I be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereatter unless a dispute or action pursuant to diis section is pending or additional data on the individual has been coflected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible aufhority may require the requesting person to pay the actual costs of making,certiYying,and compiling the copies. The responsible authoriry shall comply immediately,if possibie,wi[h any request made pursuant to this subdivision,or within tive days of thedateoftherequest,excludingSaturdays,Sundaysandlegalholidays,ifimmediatecomplianceisnotpossible. [fhecannotcomplywiththerequest within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excludine Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of publ ic or private data concerning himself. To e�ercise this right,an individual shall notify in writing the responsible authoriry describing the nature ofthe disagreement The responsible authority shali��ithin 30 days either. (a)correct die data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by die individual;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[he disclosed data. The determinauon 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 pern�it 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 yourself. 6. Your full name is required to process this application or pennit. First �liddlc Last Address Cily Siate 7ip Phcne I understand my ri hts as stated above. /J �� ���.3n 6-( �:i t u rc Reset Form 32 . � CHEC� OFF 3�IST FOR ISSUANCE O� PER�.�fIT5 FOR OFFICE USE ONLY ADDRESS OR LEGAL: �l 3 3 �A 5� G��� PID: DESCR�T'�ION OF WORK: ��c� �G�A�✓Z -f �� ��0� ZO�PtG REVIEtiV BY: `--- - - ___ DAT'E APPROVED: �Q,-2� -J� SLTII�DING REVIEtiV BY: DATE APPROVED: g•2�—o t FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIE`V � Yes /No � SE`�IER CONNECTION STATE SURCHARGE Yes v No `VATERCONNECTION INVESTIGATION FEE Yes Na PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (sgecify) ZON'!VG CHE.CK. LTST Zoning District: 1Vo �1`F�'�C� , u Fire Deparcment: Post Office: School Distr' . � L,ot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Su ey: Proposed Setbacks: Fronc (Lake): Right Side: Rear (Street}: Left Side: Adjacent Structures: etland: Buil�lin� Height: Def, Hgt. Peal:Hgt. Lot Coveraje: Grading: Staff Approval Date: By: Council Approval Date: ' Sepcic: Staff Approval D . �Y� Zoaing File: �/ _ Resolutioa: # Resolution Date: Shoreland 'strict: Av�. Setback: $luff Setback: I.ot Coverage: E�istin� Proposed 0 Hardcover: 0-75' 75-250' �` 2�0-50a' � 500-1000' \ Ila:dcover Va:iance Required: Yes No Da�e F Council Approva!: RE�L4RKS (in house): BLTILDING RE'VIE`V CHECK LIST �C� ��' � CONSTRUCTION TYPE: �� Sq Footage $ Per Sq Ftg Basemen[ x _ . lst Floor z � _ 2nd Floor x = Garaoe z = z = TOTAL Estimated Coastruction VaIue: $ �,�(S� Inspections Required: �York Requiring Separate Permits: S ite Plumbing Fire Hardcover Removal _ Mecha.nical Water Coanectioa Footing ` Septic Sewer Connectioa Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wa11 Board (Mfg.) Well (State Permit) �F�� Grading/Filling Eleccrical (State Permit) Other REMAR]�S (1N HOUSE): - -- �- ----------------------------------------------------------------------------------------------- REVIE'4V BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By: --------------------------------------------------------------------------------------------------------- REI�iARKS (TO SE NOTEL� ON PERil�1IT�: 8