HomeMy WebLinkAbout2008-P11932 - deck � - PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11932
Crystal Bay, Minnesota 55323 Pel'I711t Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
4/21/2008
SITE ADDRESS: 2135 Colin Dr Unit#
Long Lake, MN 55356
PI D: 03-117-23-21-0016
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 57.50 valuation: $ 1,500.00
Plan Review Fee: $ 37.38
State Surcharge Fee: $ OJS
TOTAL FEE: $ 95.63
APPLICANT: Terry Buih OWNER: Mr. &Mrs. David Healy
340 Leaf Street 2135 Colin Drive �
Long Lake,MN 55356 Long Lake MN 55356
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 ORD[NANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
A LICANT PERMITEE UKE [SSULD B SIGtiATURE
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Copies: 1-File(Signatures Xeguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) - Page 1
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Total Fee: $ �J�•�D�J DateReceived:� ��
Entered By: Permit#: 3
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan re��iew will be started.
(please print all information) �
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (ci��cle one) OWNER OR ONTRACTO
JOB SITE ADDRESS: �/ �S Co�i n ��/ �orr� �/f�e ZIP: S�S 3.5�
Will this be �de of Homes, Remodelers Showcase Home or other llisplay Home?
❑ Yes No If yes, a special event pe��mit is��equired with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates
sufficient on-site parking is available. Non-permitted events will not be allowed.
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NAME OF OWNER: ��/�D � L� c�/ ��E2Q.�u PHONE: (home) /�/ � - ��/� '
� (work) 3� 7�
MAILING ADDRESS: SA�'1�° CITY: ZIP:
CONTRACTOR: /�,Q,es/ $k,�T PHONE: ��� -QSp -v�,q �
CONTACT PERSON: ja,�.i 71����/ MOBILE/PAGER:
MAILING ADDRESS: 3 Y� �e.s+--� ST CITY: p,eo-y,c� ZIP: �'"S-3S`
STATE LICENSE: # �g�� EXPIRATION DATE: �_ 3� - p g
ARCHITECT/ENGINEER: /1/ort e PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Sidinb, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(desc�•ibein detai�: f� ,(��Ql�,o ���� -�ra,�,t �,Q�y i,�,�r �
l0 X /� ' Ta � D ' X / c� ' 1n x�a �i��i P�F �ri'.�ri T �'-` �//S~�/�
/o -/ 7--07
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
OJ
ESTIMATED CONSTRUCTION VALUATION (excluding land): $�QOr (i v�'I A L � S�U c�
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 wark is not to start without a permit;and that the work will be
in accordance withthe approved plan.
�
APPLICANT'S SIGNATURE: DATE: � — a f- v g
i
31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. 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. ]nformation 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 ofthe requcsted 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 identiry of other persons or entities authorized by state or Yederal law to receive the data.This requirement shal I
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision�,to a law enforcement officer.
The commissioner of revenue mav�lace the notice reyuired under this subdivision in the individual income tax or property ta�refund
instructions mstead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible autliority,an individual shall be informed whe[her he is the subject 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 disdosed 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 authoriry
may require the requesting person to pay.the actual costs of making certifying and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five davs of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,ifiminediatecompliance is notpossible. Ifhe cannotcomply with the request
within that time,he shall so inform the individual,and may have an additional five days within which to comply wi[h 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 theresponsible authoriry describing the nature ofthe disagreement The
responsible authoriry shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt[o notify past recipients of
� inaceurate 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 disagceement is induded 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. 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 den}�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 pernlit or license requires Council action to approve, some information may become
public.
5. 1'ou 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.
��'�o r+-t A S ,ri4 vtit e 5 �,E�P,e c/
First �liddle
Last
3yo /�A-F ST.
Address '
�/�o � o j�/. SS3 s"� �i.2 - �.�o•o�s g
Cit�� State Zip Phonc
I understand my rights as stated above.
�—
1
Signature
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Reset Fonn 3?
. .
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �,�
PID: .
DESCRIPTIDN OF WORK j"�-U ��j� p� ��/Cl r C.�-,
ZONING REVIEW BY.• DATEAPPROVED:� �2 - Q �
BUILDING,REVIEW BY.• D A T E A P P R O l�E D: 3 - �.� ,p e�
FEES TO BE CHARGED: Misc. Fees Calculated By: ��'
PERMIT Yes � No
PL�4N REVIEW Yes—� �10 SEWER CONNECTION
STATE SURCHARGE Yes� No WATER CONNECTION
INVESTIGATION FEE Yes No �' PARK FEE
SAC Yes No—�� SITEINSPECTION
Number of SAC Units OTHER (spec�)
ZONING CHECK LIST Zoning District: — 13 �� � ��
Fire Department: Post O�ce: School District.•
Lot Area.• Sq.ft. Acres lY1GrQ. �� K�idth Depth
Survey Submitted: Yes_� No � Date of Survey.• � �
Proposed Setbacks: � �D�� 3 ��`� (''�� ��' �✓('i w s 2-.�
Front(�a#e}.: ��e'� �.�.
Rig�{rt Side: �.�
l
Rear(4tr�P;1: Q � LeftSide: � �
Adjacent Structures: Wetland:
Building Height: Def. Hgt. _� j�- Peak Hgt.
Lot Coverage:_ � �
Grading: StaffApproval Date: By: Council Approval Date:
Septic: StaffApproval Date: 3 v�� "(�� By: i �(,—
S�
Zoning File: # Resolution: # Resolution Date:
Shoreland District� �(�_ MCWD Permit:
Avg. Setback: BluffSetback: LotCoverage:
Fxisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover I�ariance Required: Yes No Date of Council Appiroval:
REMARKS(in house):
33
. .
B UILDING REVIEW CHECK LIST
UBC: �' 3 CONSTR UCTION TYPE: �l nJ
Sg Footage $Per Sg Ftg
Basement x =
Ist Floor x =
2nd Floor x =
Garage x =
z =
TOTAL
Estimated Canstruction Value: $ f,SnC� ��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_ C Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
_�Final Grading/Filling Electrical(State Permit)
Other
REMARKS(INHOIISE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARI►S(TO BE NOTED ONPERMIT):
34
�j D E TIME �
CITY OF ORONO cA ED IN 0 '
INSPECTION NO�j I��q SCHEDULED - -� C�
PERMIT NO.�3�-- COMPLETED
ADDRESS a��S ����'/ •
OWNER CONTR. Te�
TELEPHONE NO. ��a-lSSO �
� DESCRIPTION �C�
� ❑ FOOTING ❑ MEC NICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ 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:
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� ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �j pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REC�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnedContractor on site:
Inspector. �� �
White Copyllnspector's File Canary CopylSite Notice
� �AyE� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOT �l p3 Z SCHEDULED -�-� •�'3
PERMIT NO. COMPLETED
ADDRESS °��S G�OLL/2 C�l�
OWNER CONTR. TDh'1 Tt�/"y,
TELEPHONE NO. �0�2 ' p SD"-��9'�
� DESCRIPTION �e�� ���
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLET_E
� ❑CORRECT WORK E�PROCEED C ISSUE GERTI,FI.CATE OF OCGIiPANCY
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� �RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� EFORECOVERING
- P�RMANENT
❑ CORRECT UNSAFECONDITION WITHIN HOURS. "` ' `"' '��
• INSPECTOR W4LL RETURN � PHOTO TAKEN
. I7 CITATION ISSUED,
�STOP ORDER FOSTED.CALL INSPECTOR . �. ._.. _
G INSPECTION REQUtR�D.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�fl
OwnerlContractor on site: . �
Inspector. � D /' �..
White Copyllnspector's File Canary CopylSite Notice
� '� T_ � ATE/� TIME ✓
CITY OF ORONO CALLED IN !!v
INSPECTION N ICE � ) SCHEDULED D'�
PERMIT NO. � v"' COMPLETED
ADDRESS /�I 1/�e.
OWNER CONTR.
TELEPHONE NO. l -' 0 5�- �
� DESCRIPTION
��
OOTING � MECHANICAL R ❑ EXCAV/GRADING/FILLING
� ❑ FRAMING MECHANICAL NAL
Q ❑ ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER PLACE
Q ❑ 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:
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W ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on site:
Inspector. �
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White Copyllnspector's File Canary CopylSite Notice
-0�/�3�' �'a�� �1 ►�e.
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CERTIFICATE OF SURVEY FOR
ANDY ANDERS4N
City of Oror^� OF LOT 1, BLOCK 2, KELLEY GREEN ���E���o��� �#,,�-��,��-�
Planning &Zonu�y Plan Review �
� , HENNEPIN COUNTY, MINNESOTA :�'�� = ��` �� '� � �`
S�•e� lan Review Date: s?�.��lC.---
��`-�1 City of Orono
.�APPROVED
Q APPROVED WITH REVISIONS(see notes) Planning & Zoning Plan Review
p DENIED i an Review Date: �� � �
statf: -� �''���
. . �"APPROVED
❑APPROVED WiT VISI notes)
❑DENIED .
. Staff: V YZ1 L��Y
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LEGAL bESCRI?TION OF PREI4ISIS SURVEYED: ��"',�f� ��(
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`Lot 1 , Block 2. X�LL�Y GP.EE�! �
o : denotes iron marker
This survey in'_e�ds to_sho�t tiie boundaries of the above ',
described propenty and the location of an existir.g house
tiiereon. It does not purport to show any other improvements
or encroaclments.
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