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HomeMy WebLinkAbout2007-P11555 - deck PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11555 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 10/16/2007 SITE ADDRESS: 4680 Bayside Rd Unit# Maple Plain,MN 55359 PID: 31-118-23-33-0014 DESCRIPTION: UBC Occupancy R3 Construction 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: FEE SUMMARY: Pernut Fee: $ 9�.25 valuation: $ 4,000.00 Plan Review Fee: $ 63.21 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 162.46 APPLICANT: Owner/Self OWNER: Mary Sletten&Micheal Snetsinger 1�1N 4680 Bayside Rd Maple Plain,MN 55359 '�kiE 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 MWNESOTA BUILDING CODE REQUIREMENTS. � . �C� /l,�o APPLICAN E ITEE SIG TURG ISSUED BY SIGNATURF, Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �� � Total Fee: $ f�P 2-, Date Received: �� � l0 — 07 Entered By: Permit#: R//�'S'�' 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) OWNER OR CONTRACTOR JOB SITE ADDRESS: , � ZIP: �%��� Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS NO !f yes, a special event permit is reguired with Police Department and City Council approval 60 days p��ior to the event. Shuttle bus service will be required unless applicant demonsirates sufficient on-site pa�•king is available. Non permitted events will not be allowed. NAME OF OWNER: ������j S�� /;/� PHONE: (home) %�,�� y T�� C=�� ork)�' ..rr� MAILING ADDRESS: �� /Q�.� � � CITY: ��� � ZIP: < < � CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITEC /ENGINEER: PHONE: —��� �)I'v< ��� MAILING RESS: ��r�� � � � CITY: ZIP: �S .� NAME: �/,�� ,-;>.�rn REGISTRATION: �j�y ]7� TYPE OF WORK: New Home Addition Accessory Structure �_ Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may equire MCWD review and perm'ts! PROPOSED WORK(describe in detai�: �� �� � � ��- � STORIES: � SQ.FEET OF EACH FLOOR: ,� �� NO. OF BED OOMS: _� GARAGE STALLS: ATTACHED DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��, ��J 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 accordance with the approved plan. APPLICANT'S SIGNATURE: ___-?���������� DATE: �l� `s-l�i 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. 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 individual. An individual asked to supply private or confidential dataconceming 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) whelher he may refuse or is legally required to supply the requested data;(c)any known eonsequence 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 mav place the notice reauired under this subdivision in the individual income tax o�roperty tax refund instructions mstead of on those torms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subjcct of stored data on individuals,and whether it is classified 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 the data without any charge to him and,if he desires,shall 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 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 ofthe 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 shall comply immedia[ely,ifpossible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compl iance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an addi[ional 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 data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days eithec (a)correct the data iound 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 individuaPs statement of disagreement is included with the disclosed data. The determination of the 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. 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 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 permit. �lr' ���l �%r��' l� �����Y�/j/l First � Middle� Last { If Address 1 / 'L-�;�":��L�//- /��G[/ 5���/ /�A'��'� / />P� {�'�%��7/ C��' State Zip Phonc I understand my rights as stated above. � S�gnature Reset Form 32 o s � � ° � o � � � N I � � yhb '� � � N i b ;� a - � � ,� � �. b 2 a � O � � n � � � � t� � O � t� bb �� � � :� a. �' � � c °$° � ;� .�� `�° �' � b � j c��o' y � � � y � b � � ��! �7 p p � b co ,� � p� c� �,sy, � o ,� � t� � C,� _ � � � l�7 y p i �' C� � '�+ � � a. � � �' � �- � `° °a°. ° � s A ^ �, � n � � � .�b ti � I Cj %� � y � �, � � q ^ I o b "' � o �' a' �' lT1 j � �' � � � i '� �" I Q bC fi �, x- I � o ``°b., � �- ��o`' � i n C � '�" � � R� � O ��''1 � � b � � � � ! � '� � ai ��" � � � � \• � �,� �.� v o m � � y .� C� � � � � (� i `� � a � �o 0 o i:, i.; `° � ` '�3 ; �T7 ; �j 'r' � � h '�"i � �. � �, o I b � �c t� � o00 � , � � � 00 , � � � �' � N � � �-�; � � � � a' o � ° '�, � � �° `�° ° � c�o � R7 � � o � y ° ° � � � I� � x `�' � � �, � � � o � � � � ` � � i � � i I � oy � � � � � � � � � � � , � 1 � o z � � � � i° �, I � .� �, � � o 0 0 0 0 � ! ~ � �, _ € W I �- S i � i i ' � �j � � � 1 � � V � � � o �: F \ I � � C � � � � � �- ; � � � � � � Ma o � b b b r l + } � � I � � � � � � ; bbf � � � � � � � � ° � R�i � � � � � � y � � � � ^; � ^ � � � � � b � o � ^ � � o ; � � � � n � � aa ,� �' r� � o o a t �. � � � � oo '�= � bb � � � � � p n n � � :b :�+ � p � 0 0`��° b � ,� � �' � n n � �i �i � � � � �� � � � oo i bb � � � � � � ; � o . . 1 � � ' = o o, ! 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COMPLETED ADDRESS �68D � OWNER �G� CONTR. TELEPHONE NO. g5a �7a� �.3-3 � � DESCRIPTION ��� — �e � � ❑ FOOTING ❑ MECHANICAL R ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP � SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED '-I ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the ext inspection 24 hours in advance. (952� 249-4600 Owner/Con n site: � Inspector. White Copyllnspector File Canary CopylSite Notice