HomeMy WebLinkAbout2002-P05415 - attached deck � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05415
Crystal Bay, Minnesota 55323 Permit Type: Addic�o�xemodet�Repair
(952) 249-4600 Date Issued: �i29�2o02
SITE ADDRESS: 1520 Bohns Point Rd
Wayzata,MN 55391
PID: 09-117-23-33-0006
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial
Buildin Census Code 434
Pernut Class: g
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 66.20 Valuation: $ 1,820.00
Plan Review Fee: $ 43.00
State Surcharge Fee: $ 1.45
TOTAL FEE: $ 110.65
APPLICANT: MIHM Custom Homes Inc. QWNER: David&Jodi Dalvey
842 Ivy Lane 1520 Bohns Point Rd
Eagan,MN 55123 Wayzata,MN 55391
THE 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
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICAN'I'P 1"I'EE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required). 1-Apvlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
/ _ �'
Total Fee: $ ��� • ll� J Date Received: ��� ��' ' ` � '
Entez�ed By: -! Permit#: � �y/ �-;
�-_��"l�C �� U�
CITY OF OR�NO - B DING PERMIT APPLICATIOIet
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB SITE ADDRESS: I�Z� �0�4�S j�0��� �ol+ +� ZIP:
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: /�/H/�'I ��fTo m 1�o Me S PHONE: (o Sl-6��'- 9 7.��7
CONTACT PERSON: �m /'J)�//rn MOBILE/PAGER (�/L �p,3 -Z Z SO
MAILING ADDRESS: 8�Z ._ /v y L�,� e CITY: ��GA� ZIP: SS�Z 3
STATE LICENSE: # �38 5� ��
ARCHIT'ECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NA1�IE: REGISTRATION#
TYPE OF WORK: New ✓ Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �D D �Ec K ,-o !�E r,�l ��,c�,572 u eJ'�o•J
STORIES: SQ. FEET OF EACH FLOOR: �!S'oZ
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. .. _. ----------
ESTI'�i IATED CONSTRUCTION VALUATION (excluding land):
________.._
I hereby apply for a building pernut 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 SIGNAT DATE: �-/-�=v �
NOTE! Parade Qf Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGHTS OF SUBJECTS OF DaTA
Subd. 1. Type of data. The rights of individual on whom che data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Informadon reqtrired to be given individual. An individual uked to supply private or confidendal data concecning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecang'state agency, polidcal subdivision,or sratewide system;
(b)whecher he may refuse oY is legally required to suppty the requested data;(c)any imown consequence arising from his supplying or refusing to supply
priva[e or confidenrial data;and(d)the idenriry of other penons or enrides authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigarive data, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav place the nodce reauired under this subdivision in the individual income tax or oropectv tax refund
instructions insczad of on rhose forms.
Subd. 3. Access to data by indi��dual. Upon requesc to a responsibie authoriry,an individual shall be informed whether he is the subject
of stored data on individuais,and whe�her it is class�ed as public, private or confidendal. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data wichout any charge to hirn and,�if he desires, shall be informed of the content
and meaning of that data. Afczr an individual has been shown the private data and informed of its meaning,the dara need not be discfosed to him for
six monchs thereafrer unless a dispute or acaon pursuanc to this secrion is nending or addidonal data on the individual has been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesring person to pay[he actual cosrs of making, cerdfying,and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any reques[made pursuant to this subdivision,or wichin five days of
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possibie. If he cannot comply with the request
within rhat time,he shall so inform the individual,and may have an addirional 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 concerning himself. To exercise this right,an individual shall noafy in writing the responsible authoriry describing[he nature of the disagreement.
The responsible authoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipienu of
inaccumte or incomple[e data, including recipients named by the individual;,or(b)notify the individual thac he believes the data to be correct. Data
in dispu[e shall be disclosed only if the individual's sta[ement of disagreement is included with the disclosed data.
The de[erminarion of[he respensibte au�horiry may be appealed pursuant to the provisions of the ad¢unistrarive procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would like to inform you that your request
for a pemut or license from the Ciry 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 wiil be used to deternune 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.
First �fiddle Last
Address
Ciry State Zip Phone
I understand my rights as stated above.
Signamre
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /52 v ��{�,vs ��„�y-
PID:
DESCRIPTION OF WORK: �uc'
ZO�TI�1G REV�W BY: DATE APPROVED: -7 • i 43-o z
BUII.DING REV�W BY: DATE APPROVED; --z _� � -o Z.
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes _�- No
PLAi�T REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes J No WATERCONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Dep[h
Survey Submitted: Yes_ c� No Date of Survey: Drr ►-=��
Proposed Setbacks:
Front (Lake): )SS� Right Side: 32
Rear (Street): ( ��t' Left Side: �-{�
Adjacent Structures: �-rt�c..t.w� Wedand: /v !�
uilding Height: Def. Hgt. � /�{ Pea�:Hgt. —�
Lot Coverage: N G
Grading: Staff Approval Date: By: Council Approval Date:
�, Septic: Staff Approval Date: By:
N•� Zoning File: # Resolution: # Resolution Date:
���
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUII.,DING REVIEW CHECK LIST
�C: �' 3 CONSTRUCTION T'YPE: V�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor z =
2nd Floor x =
Garage z =
��� I �JZ R �('-UO c
TOTAL t
Estimated Construction Value: $ �,�ZC�• o �
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
� _�Footing = Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling Elecuical(State Permit)
Other
REl�Z4RKS(IN HOUSE): .
----------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
--------------------
REMARKS (TO BE NOTED ON PERNIIT�:
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�31`
DAT�_ �.��•�Z
D` � AT� v� TIME
CITY OF ORONO CALLED IN
INSPECTION NO E SCHEDULED 1�3;�10'�..3 ' ! :5
PERMIT NO.��� COMPLET D
ADDRESS U ' /���5 �
OWNER CONTR. �cJS S ,
TELEPHONE NO.__ ��� �� e c�t�_ST�
� DESCRIPTION ` ��� � � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC F AL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR T EET YOU:_Y S_NO
� COMMENTS: u��e(` ��tJP.t(� � s �P.11'����
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING �_pERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContract 't :
inspector.
White Copy/lnspector's File Canary Copy/Site Notice