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Home My WebLink About2007-P11551 - attached deck PERMIT GITY'OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11551 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Addition/RemodeURepair Date Issued: l0/19/2007 SITE ADDRESS: 2980 Casco Pt Rd unit# Wayzata,MN 55391 PID: 20-117-23-31-0061 DESCRIPTION: UBC Occupancy R3 Construction Type V 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: Replace back deck-no alteration FEE SUMMARY: Pern�it Fee: $ 111.25 valuation: $ 5,000.00 Plan Review Fee: $ 72.31 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 186.06 APPLICANT: Owner/Self OWNER: Susan F. Giesler M� 2980 Casco Point Rd. Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. / A PLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 � , C�� 7 �a.l� Total Fee: $ �� •�� Date Received: ��-'�-U 7 Entered By: Permit#: �//$��'/ CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) WNER�OR CONTRACTOR JOB SITE ADDRESS: �Z`�� Cr�-<;,-,,, �� 1�� , ZIP: ��`�� I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � NO If yes, a special event permit is reguired with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. �:'�n permitted events will not be allowed. NAME OF OWNER c-`��7'=�F� � ��, �-rC .F PHONE: (home)��"��-y��f- I `.6 ^� (work) MAILING ADDRESS:��a�� n,�._< <, r i� 2T; CITY• ��iy Z�R. ZIP• ��,��`� 1 CONTRACTOR: , PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: f�' 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 ! PROPOSED WORK(describe in detai�: "�,!�-P�.�-r; c= ��- �� `-h� �, I� d f=�LT�(�ti.�-T!�t� STORIES: �=- SQ.FEET OF EACH FLOOR � `�,G ''� NO. OF BEDROOMS: �-; GARAGE STALLS: ATTACHED� DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, '�O �� , ' � I h�reby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance witll 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 accardance with the approved plan. �.�,�� , APPLICANT'S SIGNATURE:C`^.c.kla-�,�._ 1>r � DATE: �� `"��" O� 31 I Sec.13.04 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 se[forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himselfshall be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivisioq 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 orfederal 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 S,to a law enforcement officer. The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or�roqerb�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 confidentiaL Upon his fuRher 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 ofthe content and meaning of that data. Afrer an individual has been shown the private 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 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 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 of the date ofthe request,excluding 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, Sunda}s 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 shal I notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to notify 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 with the disclosed data. Tne determination ofthe responsible authority may be appealed pursuant to the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. l 3.04,Subd.2,"Rights of subjects of data",we would like to infonn 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 refusai 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 e�ctent 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 ful(name is required to process this application or permit. S A r.C—�S F R-o ,J`T— First Middle Last Address City State Zip Fhone I understand my rights stated above. � ignature Reset Form 32 . , . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE IISE ONLY ADDRESS OR LEGAL: z� �,(� C,qsc� ,Da„�,r �,�.p PID: DESCRIPTION OF WORK: /j�c; _ �,,� 2 � L--x re,,.,-n�� ZONING REVIEW BY.• DATEAPPROVED: r v -�S�-�1 BUILDINGREVIEWBY.• DATEAPPROVED: ro-�� -c� FEES TO BE CHARGED: Misc. Fees Calculated By: M � M��_~�~__ PERMIT Yes � No PLAN REVIEW Yes�� No SEWER CONNECTIDIV STATE SURCHARGE Yes_�No GT ATER COI��VECTION INVESTIGATION FEE Y'es No� PARK FEE SA C Yes No SITE INSPECTION Number of SAC Units OTHER (spec�) ZONING CHECK LIST Zoning District: _�~�--_-��-N_��_�— __�_ Fire Department: _ Post Offce: School District: Lot Area: Sq ft. Acres _ GG'idth Depth Swvev Submitted: 3'es� 1Vo Date of Survey: �.r � Proposed Setbacks: Front (Lake): Right Side: Rear(Street): Left Side: ,4djacent Structures: Wetland: Building Height: Def Hgt. Peak Hgt. l/�V C F��'9� Lot Coverage: Grading: StaffApproval Date: By: Council Approval Date: Septic: Staff.4pproval Date: Bj�: + ,�,��` .� Zoning File: !# Resolution: #_ Resolution Date: Shoreland District: y�Q<j b1CG�'D Permit: .4vg. Setback: p.{� B1uffSetback: N (da LotCoverage: �vo �/'�/�5.� Existing Proposed Hardcover: 0-%�' 7.i-�50' ��0-.500' soo-�oon� Hardcover G ariance Regtrired: Yes �'o�_ Date of Council,4pproval: REM.4RIiS(in house): 33 BUILDING REVIEW CHECK LIST L'BC: �' 3 CONSTRUCTION TYPE: V� Sg Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction l�alue: $ S",0 0 0 °� Inspections Required: Work Requiring Separate Permits: Site _ Plumbing Fire Hardcover Removal �lechanical W'ater Connection Footing Septic Sewer Connection _�Framing Fireplace Lmvn Irrigation Insulation (Masonry) Other Wa!!Board (Mfg.) Y�"ell(State Permit) _�Final Grading'Fi!ling Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing N'ew Access App��oval: Date By: REMARKS (TO BE NOTED ON PERMIT): 34