HomeMy WebLinkAbout2001-P03829 - deck � � PERMIT
CIT1P" OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3g29
Crystal Bay, Minnesota 55323 Permit Type: Accessory structures
(952) 249-4600 Date Issued: si24i2oo1
SITE ADDRESS: 180 Big Island
Excelsior, MN 55331
P ID: 23-117-23-23-0036
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Kesidentiai
Census Code �?A"`��3�
Permit Class: Building
Permit Type: Accessory Structures Permit Sub-type(s): Deck-Detached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Thic ic a Tlark fnr a(:a�ahn
FEE SUMMARY: Permit Fee: $ 54.00 Valuation: $ 1,500.00
Plan Review Fee: $ 35.08
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 89.83
APPLICANT: Gerald Walsh OWNER: Gerald&Valarie Walsh
MN 180 Big Island
Excelsior MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� REAL IMPROVEMENTS SPECIFIED
AN D 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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APP CANT PERMITEE SIGNA URE SSUED BY SIGNATUR
Copies: City,Applicant,Assessor, Finance Page 1
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Total Fee: $ '-% ` � Date Received: f� � 3���
Entered By: � � ' Permit#: ,�� i /�/���
f_. . . ,
CITY OF ORONO — BUII..DING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
� (please print all infornzation)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ��'�� �SIC� f��.�N!' ZIP:
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NAME OF OWNER: �._��-�q� (r��/L��/ PHONE: (home) Z�'Z- �2�'9 ���'�
(work) �;1 Z >�7� l���0
�IAII.ING A.DDRESS: I1�2��U 1l�/�a��� ►=',�. CITY: ��'�-� �r�,���� ZIP: SS �`��
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CONTRA.CTOR: " �'L f� PH0��1E:
CONT'ACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHO\TE:
MAILING ADDRESS: CITY: Z�:
�J��,�; REGISTRA.TION# �
TYPE OF WORK: New �� Addition Accessory Structure �
Move Remodel/Alteration Land Alteration
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PROPOSED WORK(describe in detai�: E� rL�: ���'� U���""�;
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROONIS: GAR.AGE STALLS: ATT. � DET.
c���
ESTLI�ATED CONSTRUCTION VALUATION (excluding land): S /� ���
I hereby apply for a building permit and I acknowledge that the informarion 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 a p rm.it and work is not to start without a
permit; and that the work will be ' ordance itt�the approved plan.
APPLICANT'S SIGNAT - �� -- �ATE� '-> �� �� �
NOTE! Parade o Homes events require separale permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.03 RIGHTS OF SLBJECTS OF D:�T�
Subd. 1. Type of data. The ri2h�s of individual on whom t�e data is sto�3 or to be stored shall be as set forth in this secdon.
Subd.2. Information reqirired to be given individual. An individual ask�3 to supply private or confidendal data conceming himself shall
be informed of: (a) the purpose and in[ended use of the requesred daca wi�in the coll�ccing'sta�agency,poliacal subdivision,or sncewide sysum;
(b)whe�her he may refuse oT is legally required co supply the tequested data;(c)any 1�ovrn coasequence arising from his supplying or refusing to supply
priva�e or conndendal data;and(d)the idenrity of o�her peaoas or enddes zathorized by scate or fedecal law ro r�ceive the data..This requ'uemenc shall
not apply whzn an individuai is asked to supply invesrigadve dara,pursus^.c to seccoa 13.82, subdivision 5, to a law enforcemenc ofricer.
The commissioner of revenue r�av place che norice reauired erd�r this subdivision in the individual income tax or prooem tax refund
instructions inscead of on those forms.
Subd.3. ?.ccess to data by indi�idual. Upon request to a res�onsible auc:^.ority,an individual shall be informed whether he is the subjecc
of s�ored data on individuals, and whe�her it is classified as public,privac:or confid=nrial. Upon tils further request, aa individual who is the subjecc
of s�ored private or public data on individuals shail be shown[he data wiu out any ci�r3e to him and,-if he desires, shall be informed of[he concent
and meaning of rhac data. Aftzr an individual has been shown ehe priva��ac�and ic:ormed of ics meaning,che dara need not be disclosed to him for
six mon�hs chereafter unless a dispute or acrion pursuanc co this secdon is�:nding or addiaonal data on the individual has been cotlecced or creaced.
The responsible authoriry shall provide copies of the priva�e or public da�n�on reques:by the individual subject of�he data. The responsible auchoriry
may require che requesdng per5on to pay the accual cos�s of makine,cer;;ing,and compIling the copies.
The responsible authoriry shall comply immedia�zly,if possibl=,with any r=quest made punuant to this subdivision,or wichin five days of
the dat�of the requesc,excluding Saturdays,Sundays and legal holidays,ii ir..media�e compliance is noc possible. If he cannot comply with the request
wiehin thac ame,he shall so inform the individual,and may have an addico;:al five days within which to comply wich the request,exeiuding 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 pri�•ate
data concerning himself. To exercise chis rieht,an individual shall noafy ia wridng�:=responsible authoriry describing�he nanire of che disagreemenc.
The responsible auchoriry shall within 30 days either: (a)correct the dae tcund to be inaccurate or incomplece and attempt to nodfy pasc recipienes of
inaccura�e or incomplete data, including recipients named by [he individL�;or(b) r_orify the individual tha[he believes the data to be correcc. Data
in dispu�e shall be disclosed only if the individual's statement of disagr::�=nt is i^.c:sded with the disclosed dara.
Ttie de�ecminarion of the rosponsible authoriry may bz appza:e�pursuane to the provisions of che admuuscrarive proeedare aet reladng to
conresced cases.
DATA PRIV�CY AD�ZSORY
In accordance wich M.S. 13.04, Subd.2, "RiQh[s of subjects ot data", we would like to inform you that your reauest
for a permit or license from the City of Orono or any of ia deparments may require you to furnish cenain private or
confiden[ial information.
You are notified that:
1, 'Ihe information you furnish will be used to de:ermine�'our qualification for the permit or license requested.
2, You may refuse to supply data, but refusal nay require tha[ the Ciry deny the permit or license.
3, The information may be shared with o�her loc�l, state or federal agencies to the excent necessary to process
the permit or license.
4. If your requested perm.i[ or license requires Council action to approve, some information may become
. public.
�. You have certain rights under M.S. 13.04 (2vailable upon request) to review private data on yourself.
6, Your full name is required to process this zoplicacion or permi�.
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Address 11 //� , y� j.���� ) � �1f l�%1`/'�.� �
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Ci�, Sta[e Zip Phone
I unders d my ri�hts - tated above.
Signamre --
, � � CHECI� O�F LIST FOR ISSUA.�'�TCE OF PER1tiJTTS
FOR OFFICE USE Oi�L.Y ' .
A.DDRESS ORLEGAL: ( �� QI b S.St/4r�1✓J A D 3�8Z�
PID:
DESCRIP'I'IONOF�ORK: l�GU� ��o�- �'�cAZC"f.3a
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Z Or�G REVIEti�BY: D�TE APPROVED: S_2� -U i
BUII,DTs�'G REVIE�BY: D�.TE APPROYFr..D: �,�-'-Z c �o i
FEES TO BE CTiARGED: Niisc. Fees Calculated By:
pEgMI'I' Yes i/' No -�
PLAN R.EVIEW Yes �/' No SES�IER COiV�1EC'I'ION
STATE SURCHARGE Yes _� No `�ATERCONNECTION
Ii�,'VESTTGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECITON
Number of SAC�Units OTHER (specify)
ZONLti G CH�CK `,IST zoning Dis�icc: fZ S' .
Fire Department: C�t-t� Post Ofuce: /J ( /�r School Distcict: - /��✓� �
I.ot�,rea: Sq.ft. /v'd C[�+4r�Acres — � Widch — Depth
Surve;� Sub�itted: Yes_�C No Date of Survey: o�r tt
Proposed Setbacks:
Fron[(Lz'_�e): I SS � RiQht Side: 25' %
. � � +
Reas (Screet): 7 '?� ^' L.eft Side:
�0' .
Adjaceat S�ructures: �.��� �Vetland: /`�<� •
guildin� Hzi�ht: Def. H�t. o .G�- Pea��H�t. D(<
Lot Covera�e: .��i�
Gradi.n�: Stafi Approval Date: "— By: --' Council Approval Da[e:
Septic: Scaff Approval Dace: "— By:
ZQni�� File: n '"'" Resolution: � Resolutioa Date: .
Shoreland District: V-C 5
Av�. Setback: c,.�.(L Blufi Setback: �^-���" LotCocera�e:
E���j proposed
Ha.rdcover: 0-7�'
7�-250' -- ���•
Z�0-500'
500-1dQ0'
Hardcover Variance Required: Yes No�_ Dat� of Council Aoproval:
REl�L4R.�iS (in house}:
7
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BULLDING REV]��V CHECIi LIST
usc: /Z•� - co�rsrRucTTox�E: �v�
Sq Foota?e S Per Sq Ftg
Sasement z —
lst F1oor z —
2nd Floor z —
Garage z —
z —
TOTAL
Esiimated Construction Value: S �Spv��
InspectiorLs Required: S3'ork Requiring Separate Permits:
Site - PIunbing " Fire
Hardcover RemovzI Mechanical Water Connection
_� Footin� Septic Sewer Connec[ion
_�C Framin� Fi�eplace Lawn Irri�ation
Insulation (Masonry) Other
Wal! Board (Mfg.) Well (State Pemu[)
pC Final Gr�ding/Filling Electrical (State Permit)
Other
RE`•iARKS (I�i T HOUSE): .
REVtEW BY OTHERS: ' DATE:
Access: Ezistin� Ne�v
Access Approval: Date gy:
RE��IARKS (TO BE�'OTED ON PERMI'1�:
8
, WALSH GAZEBO 1 �
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CIT� OF ORONO
.� S�ITE PLAN GRADING PLAN
f�-A�e=��1f FD - O�-�t� 'I'
❑ F��'�'FiUV�1� l�1TH REVISIONS 4
❑ �iSAt�� �VE �
�Y �
JAT�_ s-� -o � �
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI� SCHEDULED �� �` _a
PERMIT NO. b S�� COMPLETED 'Z��l C d '
ADDRESS j C' � � �
OWNER Cnrc , (,✓l�-(� CONTR. � � �JG-�o�
TELEPHONE NO. �O/� �� C� �D S�
� DESCRIPTION �� J UI %
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-U�
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� `�IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContrac or on site:
Inspector. � ���Cr G���
White Copyflnspector's Flle Canary Copy/Slte Notice