HomeMy WebLinkAbout2006-P09947 - deck . PERMIT �,
CITY OF ORONO '
Permit N mb r:
2?5U Kelley Parkway - PO Box 66 P09947
Crystal Bay, Minnesota 55323 Permit T pe:
Addition/RemodeURepair
(952) 249-4600 Date Issuied: 6/14/2006
, �:
SITE ADDRESS�: 4465 Bayside Rd Unit#
Maple Plain,MN 55359
PID: 06-117-23-21-0006
DESCRIPTION: BC Occupancy R3
onstruction Type VN
Proposed Use: Residential
ensus Code 434
Permit Class: Building
Permit T e: Addition/RemodeURepair ermit Sub-type(s): Deck-Attached
YP
DETAILS:
Approved per resoluEion#:
Separate permits required:
NOTICES/REMARKS:
Deck on E. Side of House, Carpet&Window In Barn (Update septic by 12 31/2010)
FEE SUMMARY: Permit Fee: $ 9�•25 Valuation: $ 3,500.00
Plan Review Fee: $ 63.21
State Surcharge Fee: $ 1.75
TOTAL FEE: $ 162.21
APPLICANT: Owner/Self OW ER Robert Carlson
NIN 4465 Bayside Rd
I Maple Plain,MN 55359
THE UNDERSIGNED HER�$Y REQUESTS PERMISSION TO MAKE THE RE L IMPROVEMENTS SPECIFIED
AND AGREES TO DO-:�,L VI�ORK IN STRICT COMPLIANCE WITH ALL CIT OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING,.CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), l-Applicant, l-Monthly Reports, 1-Assessing, If Septic, ]-Septic) Page l
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Total Fee: $ �(y��� � Date Received:��� t� -�
: Entered By:� ^r� Permit#: /.� ��q�)�� �]
��������� � � CITY OF ORONO - BUILDING P IT APPLICATION
All information must be submitted in full bef re plan review will be started.
(please print all infor ation)
--------------------------------------------------------------------- -------------------------------------------------
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: ���G�S ��`I � �� � �' �`�`�� ZIP: � �� ��
Will this be a Parade of Homes, Remodelers Showcas Home or other Display Home?
❑ Yes � �10 If yes, a special event permit is reguii�ed w th Police Department and City Council approval
60 days p��ior to the event. Shuttle bu servi ce will be required unless applicant demonstrates
suff cient on-site parking is available No permitted events will not be allowed.
NAME OF OWNER: � `"� �'�`� ��Cr IS c PHONE: (home) �5� ���- � 7 7�1
(work) 4�� �-o( /� �/
MAILING ADDRESS: �-4- �%� �u Sl�� i2� ' ITY: /����^i-� {"l4 ��� ZIP: ���5z�
CONTRACTOR � �" `� � �%� I--�� � PHONE: �l�� ��1 /� 7/
CONTACT PERSON: OBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # E IRATION DATE:
ARCHITECT/ENGINEER: �l� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: GISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure '�
Move Home Remodel/ lteration (ie: Siding, Windows) �
Any earth movement ma re uire MCWD review and permits !
PROPOSED WORK(describe in detai�: ( c —Gts"�"� S ��e �f vs.e
� U C�/� .� c� J (!r� c�� C ri�„
�i� �j(/l G S ��� lj Ct r v�
STORIES: SQ.FEET OF EACH L OR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
r= �-7
ESTIMATED CONSTRUCTION VALUATION(excl ding land): $ ��S C�
I hereby apply for a building pennit and I ackrya�+te' ge tha the information above is complete and accurate;
that the work will be in conformance wi,tkt�'the ordinances nd odes of the City and witl�the State Building
Code;that I understand this is not a�rmit and work is�t to st ithout a pennit;and that the work will be
in accordance with the approved�ilan.
� /'� �
APPLICANT'S SIGNATU�: r DATE: 7�� � � ��
31 I!
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righLs 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 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 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 Iaw to receive the data. This requirement shal l
not apply when an individual is asked to supply investigative data,p�rs�ant 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 properry tax refund
instructions instead ofon 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 fur[her 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. Afrer an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six
months[hereafter 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 ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shal l 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. If he cannot comply with die request
within that time,he shall so inform the individual,and may have an additional five days wi[hin 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 data
conceming himself To eaercise this right,an individual shal I notify in wTiting the responsible authority describing the nature of the disagreement. The
responsible authoriry shall within 30 days either (a)corzect 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. Da[a in
dispute shall be disclosed only ifthe individual's statement of disaereement 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. ]3.04,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 inforniation 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�t7' � State Zip Phone
I understand my rights as stated above. ,
�`� ��i' = ��i
Signature - � .` — —
Reset Form 32
� CHECjK OFF i.IST FOR ISSUANC OlE �ER.IVIITS
. FOR OFFTCE USE ON Y
ADDRESS OR LEGAL: �
PID:
DESCR�'I'ION OF WORK: � cc�R. o�- �w s.�
------ C�A-�r���'C�_S c�v^ a�,.�8.._52 __ ------------------------------------------
ZO.�� G REVLE'�V BY: �, DATE APPROVED: 4_/r(Z�0(o
SULLDING REVIEtiV BY: DATE APPROVED: c�- �y-0 6
FEES TO BE CHA.RGED: Misc. Fees C Iculated By:
PERMIT Yes r/ No
PLAN REVIE`V � Yes � No SEWER CONNECTTON
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes � No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------
ZO�tG CHE.CK LIST Zoning District: � .
Fire Department: Post O�ce: School District:
L,ot Area: Sq.ft. Z�� Acres Width Depth
Survey Submitted: Yes �_ No Date o Survey: ✓l" 7 D.S
Propose�Setbacks: � � ` _ �,,,,ts�.�.�s�c,(�^e.
roac(-�slce): �xcnu.c.Qs rn�h Right Side: r2�f' l�
s�� , 5[ct2 3d��
u.�Cs{'
Rear{�reet): �,cc.oR�3 �.�€t�ide:
N'��,� . NL� •
Adjacent Structures: �-k Wedand: e 3 u-t �� 'P�/��� �S d'�'e� �Z'S `
�'� J
Builuin, Heioht: Def. Hgt, D•k— Peal:Hgt.
Lot Covera?e: N(✓1
Grading: Staff Approval Date: /V!/-� By: — Council Approval Date: — '
Septic: Staff Approval Date: n/j�- BY� r
Zoning File: # — Resolutioa: � Reso ution Date: _
Shoreland District: /vC�
Avg. Setback: Bluff Setback: Lo[Coverage:
Eustino Proposed
Hardcover: 0-75
75-250'
2�0-5d0'
500-1Q00'
Hardcover Variance Required: Yes No Date of Council Approvzl:
RE�LARKS (in house):
BUII�DING REVIE�� CHECK LIST
�C� t2-' � � CONSTRUCTION TYPE: �!�/ �
Sq Footage $ Per Sq Ftg
Basemenc x =
lst Floor x =
2nd Flaor x =
Garaae x =
z _
TOTAL
Estimated Construction '�alue: $ �,j Q� �
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Coaaection
�� Footing � Septic Sewer Connection
_�Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (S[ate Permit)
—1�F�� Grading/Filling Electrical (State Permit)
O[her
REMARKS (JN HOUSE):
----------------------------------------------------------------------------------------------------------------
REV�'4V BY OTT:iERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
-----------------------
REI�IARKS (TO BE NOTED ON PERi1�IIT�:
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CERTIFICATE �F SUR EY FOR � .
R �BERT W . C RLS � N �
OF LOT 1 , BLOCK 1 , JOHNSON HEELER 1 ST ADDITON
HENNEPIN COUNTY, INNESOTA
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(BAYSIDE ROAD) i
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� COUNTY ROAD N0. 84 ; �
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S 89°37' 34" E 206.94 �
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r� I GRAVEL , I M � ��,�i�._._-----� �����...��..���__ �
� DRIVEWAY � ioEXISTINGX �;; � 0 I � ��.m�...�.,a_�..e�..._.a�� �'___�--�_���_.0
I ;_ _.�HOUSE �:>"F 3 I �
r, � 1 . �' �/4485 . � Q
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QI27A 4.3 e ' 266 ....!?....:"............................107n3............. ......................�...
o � Ex�sTn�� � ` I o LEGAL DESCRIPTION OF PREMISES :
o � � - � I
Z � CARAGE I N Lot 1, Block 1, JOHNSON WHEELER 1ST ADDITION
� ssa �
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( � o : denotes iron marker
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� � Bearings shown are based upon an assumed datum.
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I �I This survey shows the boundaries of the above
� ''"I described property, the location of an existing
........:.
P�p�5=r.,._,, driveway, and �he location of four existing
�••••I� �_� O�P\�P�Py���� I buildings thereon. It does not purport to show
, � a sHE�wc � ony other improvements or encrodchments.
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N 89°45' 00" W 206.98
SCALE
DESIGNE REVISIO DATE DESCRIPTION [��� B E R G A N D ��bY�N�at this pian,SpeclflC2t1011,Of feport Was ����30'
prepared by me,o�under m dired supervlsion,and that
A S S C 1 AT E S, 1 N C. �am a duy Ilcensed protess�onai enginner and land oA�
pRpy�.� C O N 5 LTI N G E N G 1 N E E R S, surveyor under the laws o(the State of Minnesota g_27_05
ECD LA D 5URVEYDRS, N' A
AN SITE PLANNER5 i%!�� doeNo.
cHECKeo 445 NORTH LLOW DR. LONG LAKE,MN.553 Mark 3.Gronberp MN Lic.No.12755 Date ..l=27-�-s" 05-231
MSG � 952-473-4141
05-23t
�� � �/
�� DAT TI �
ITY OF ORONO CALLED IN �(' ��
INSPECTION NOTI E SCHEDULED __��1�1�lo O
PERMIT NO. �gg�7 COMPLETED
ADDRESS �S ��� �
�
OWNER�r� �� ��I p'lS�l5Y1 CONTR.
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TELEPHONE N0. �� ����% � -" a �
� DESCRIPTION � [������ _S —�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRAbING/ ILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORL/WET NDS
Q
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REM�AL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPE TION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESSi
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FO�LOW-Ufp
i09 PLUMBtNG RI 23 SEPTIC FINAL 35 HARD COVffR RE I OVAL
J 10 PLUMBING FINAL 36 FOUNDATIC�N/RE OVAL
� OWNER/CONTRACTOR TO MEET YOU: ES_NO I
� COMMENTS: �
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W ❑WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETF
� �ORRECT WORK 8�PROCEED '� ISSUE CERTIFICATE QF OC UPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORdRY
V BEFORECOVERING PERMAN�NT I
❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cj pH0T0 TAKEN
INSPECTOR WILL RETURN I
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
C INSPECTION REOUtRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952� �49 4600
OwnerlContractQr o,p�sit :
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Inspector. � � .�..
White Copyllnspector's File Canary Copy/Site No�ice