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Home My WebLink About2006-P10238 - attached deck PERMIT CITY OF ORONO 2750 Kelley �arkway- PO Box 66 Permit Number: P10238 Crystal`Bay, Minnesota 55323 Pel'mlt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 9/8/2006 SITE ADDRESS: 2715 Countryside Dr W Unit# Long Lake,MN 55356 PID: 04-117-23-12-0019 DESCRIPTION: UBC Occupancy R3 Consh-uction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Deck-Attached Permit Type: p DETAILS: Approved per resolution#: Separate permits required: Other-O NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 593.25 Valuation: $ 45,000.00 Plan Review Fee: $ 385.61 State Surcharge Fee: $ 22.50 TOTAL FEE: $ 1,001.36 APPLICANT: M A Peterson Design Build Inc. OWNER: Mark&Kirstin Wilson 6161 Woodale Ave S 2715 Countryside Dr W Edina,MN 55424 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 ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. APPL[CANT PERMITE ISSUED BY S[GNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, ]-Septic) Page 1 . �� G�� G ; Total Fee: $ �� /`�� Date Received: 0 Z-� �U� Entered By: � Permit#: � /�;� � � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all info�mation) ------------------------------------------------------------------------------------------------------------------------ __ �. THE APPLICANT IS: (circle one) OWNER O ONTRACTOR �—___ _ JOB SITE ADDRESS: �71� ��'�v TS1�C `C��r= i�;�s_�- ZIP: �S�S � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO /fyes, a special event permit is required with Police Department and City Council approval 60 days prio��to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. 1��on permitted events will not be allowed. � NAME OF OWNER: �' j?�'� � ��,ST7�'l� f,�,', Iscnn PHONE: (home) " �� (work) MAILING ADDRESS: �71S L�c+U rtit-rz �� 4t CITY: �or�.� ZIP: S -�5_ CONTRACTOR: � PHONE: " - CONTACT PERSO : �= Z � - MOBILE/PAGER: �SZ L'!7S �r�sj— f i�F-- �S� MAILINGADDRESS: �� ,(��,�;¢�/HGG �. CITY: �c�ivu ZIP: ssS..-�� '/ STATE LICENSE: # G 7C Y EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �_ Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detai�: ��y�y-i,� �c��r�vi,�� (�t:�.K _ �2�'PL"5�-7� I'(�� C�K- . ��-Pf4-.'� ��: ��L-L� �,..�Ft�-i--�2 D.�u,-�v�-�c--�= c��,�79-Y�=1t�7' J'��'� - STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �S ,�t'�' I hereby apply for a building permit and 1 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 SIGNATUR�' �!^ ��-�, DATE: � �� 2� ` Z�(� 31 . Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. ]. 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 infonned of: (a)the purpose and intended use of tlie requested data within the collecting state agency,political subdivision,or statewide system;(b) Hfiether he may refuse or is Iegally 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 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 5,to a law enforcement officer. The commissioner of revenue may_place the notice required under this subdivision in the individual income tax or Rrooerry tax refund instructions instead of on 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 further request,an individual who is the subject of stored private or public data on individuals shall be shown the data��ithout 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 informed of its meanii�g,the data need not be disclosed to him for sia 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 authority may require the requesting person to pay the actual costs of making ceRifying and compiling the copies. The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and]egal holidays,ifimmediate compliance is no[possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,eadudin�Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or compleYe. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shal I notify in writing the responsible authoriry describing the nature of tlle disagreement. The responsible authority shall within 30 days either. (a)correct 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. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination ofthe 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 pern�it 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 detennine your qualification for the permit ar 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 inforn�ation may become public. 5. You have certain rights under M.S. li.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. ��'��1�L-�1' �7'1/1f.'71-f- ��'1 L�C:. First Middle Last ��frr� �C�.^►.�(�19'2G �'l.�-/ • �c��J�'�i 1 . Addre s ��°�� h�.� 5�`�� Z_� �IS2 -��ZS -1�5'� City Statc Zip Phonc �Y� �J� I understand my rights as stated above. -- � �--� _.__7. S gnature Reset Form 32 � CHECIK OFF i.IST FOR ISSUANCE O�' �E��TS FOR OFFICE USE ONLY � D(�. A)DDRESS OR LE�AL: � � 1 J C v��`� S' �C� P PID: T3ESCRII''I'ION OF WORK: OCc-�� -------------------- ZO�G REVIE�4V BY: .� DAT`E APPROVED: S • G � o � BUII�DING REVIE'4V BY: � DATE APPROVED: � •Z� •O � k`EES TO BE CHA.RGEA: Misc. Fees Calculated By: P�g�T Yes � No PLAN REVIEtiV Yes -� No SE�VER CO�INECTION STATE SURCHAR.GE Yes —� No �VATERCONNECTION INVESTIGATION FEE Yes No c/� PARK FEE SAC Yes No � SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CTrLE.CK LIST Zoaing District: Fire Departmen�: Posc Office: School District: Lot Area: Sq.ft. Acres �•� 1 Widch Depth Survey 5ubmicted: Yes No � Date of Survey: i � � ,_ Jf', �' : Proposed cks: � /� �'�(��G �,�:f` r ` ro (Lake): �� t Side: V , i ' �i 151 v�v p ' L�ft Side: ,- r� V(/-P� �l� ?�"�6��`:p_-, Rear(St;eet)� , � - � . r �.u��P�r jrntChlrzj; �/(✓� �\jPelan�: ' Y� • ,4 ��'�It/V,�V�/�1/"�' Builclir_g Height: DeE. Hgt, /J ( Vl- Peal�Hgc. — Lot Covera�e:N Grading: Staff Approval Date: �..J t v°� By: � Councll Approval Date: ' Septic: Scaff Approval Date: �' �j !J �"� �Y� �'`1� Zoaing File: � /U`� Resolutioa: R Resolution Da[e: Shoreland Dist:icc: Iv� Avg. Setback: B!ufi Setback: L.otCovera�e; Eusting Proposed Harecover: G_i�, 7�-250' 2�0-500' 500-1C�C�J' �3C2 Oi COl17C'� r.p rn`�al: Ha��dco�er V�i�.ce Requirzd: Ye� ��c p..,._ R.E�L�R�S (in house): BUII�DING REV�tiY CHECK LIST �C: CZ' 3 � CONSTRUCTTON TXPE: \//� Sq Footaoe $ Per Sq Ftg Basement . x = lst Floor z = 2nd F1oor x _ Garage X _ x = TOTAL Estimated Coastruction Yalue: $ y J, C�O 0 �� Inspections Required: `York Requiring Separate Permits: S tte Plumbing Fire � Hardcover Removal Mechanical Water Connection _ C Footing ` Sepcic 5ewer Coanectioa � O� Framiag Fireplace Lawn Irrigation Wal1 Board ��0�'� Other (11'1fg.) Wetl (State Permit) _�F�� Grading/Fillin� Eleccrical (State Permit) O che r RENIARKS (IN HOUSE): ' -- -- - -------------------------------------------------------------------------------------------------- REV�'4V BY OTHERS: DAT'�: Access: Existing New Access Approvai: Date By; - - ---------------------------- REI�IAI�tKS (TO EE NOTED O�PERi1�iI'I�: 8 ' �� / DAT TIME " CITY OF ORONO CALLED IN I�`� � �Ca INSPECTION NOTICE SCHEDULED - -�' L1�� >i=�i, PERMIT NO. p(s7�-�c� COMPLETED �^ � , , ADDRESS � 7I�� C GZc..it 77 L1S� ��C '� . L� OWNER CONTR./l/�� -' �`�`� TELEPHONE NO. ..�l, `��l C� �� ,� C� /� / / � DESCRIPTION C�-C.�C-(C-- 1—i^��-�-�� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � �S � ' ` " 5 - � a � W � Q � Z W � W � � � d W WORK SATISFACTORY:PROCEED C I PROJECT COMPLETE � RRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY W O Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (J52� 249-4600 OwnerlContr o n i : � Inspector. ` White Copyllaspector's File Canary CopylSite Notice �nt/►+C�:rL w �� AT TIME CITY OF ORONO CALLED IN � �� C� INSPECTION�OTICE SCHEDULED � f� G ''3 PERMIT NO. � �� ? [> COMPLETE�,Q�_ ADDRESS � +��s yG��f.�1�2r �C�� OWNER CONTR. �•�• ��Y�� TELEPHONE NO. l Iv � �� 1�� DESCRIPTION ��-� �l%�'I ��S ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 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: � W � � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED D INSPECT�ON REQUIRED.CAL�TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (J52� 249-46�� OwnerlContrac ite: Inspector. White Copyllnspector's File Canary CopylSite Notice G� ✓� I DATE , TIME CITY OF ORONO CALLED IN �� INSPECTION NOZI�C/,�E SCHEDULED � y ��' PERMIT NO._�/:�� COMPLETED ADDRESS �� OWNER CONTR.,�A � 7�,�'-j'n� TELEPHONE NO. ;��5�� O�/ � �;DESCRIPTION C�� lC rlU 01 FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � NG 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS y - Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 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: -�' � W a � J O � � O � W � Q � Z W W ❑ PROJECT COMPLETE ❑ ISSUE CERTIFICATE OF OCCUPANCY TEMPORARY PERMANENT RS. G PHOTO TAKEN ❑ CITATION ISSUED i. �s in advance. (952) 249-4600 Canary CopylSite Notice � �� t' 3a r��-� ` / ATE TIME �/ CITY OF ORONO CALLED IN l� INSPECTION T�C�� SCHEDULED PERMIT NO. � COMPLETED ADDRESS ��I S G(�11Gt� �YI� (��'� OWNER CONTR. �� TELEPHONE NO. �63 �� C�3 � CRIPTION �d�� r �" EJQ�/� � 01 F OTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � � O � � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED f i PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑Ct�RRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C� PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the e t inspection 24 hours in advance. (952� 249-46�0 OwnerlCon act o s _ � Inspector. ` White Copyllnspectors File Canary CopylSite Notice �.�,-. � ✓ /.,pATF TIME ITY OF ORONO CALLED IN °� lo INSPECTION �I SCHEDULED �� - PERMIT NO. �� COMPLETED ADDRESS a zi 5 � � OWNER CONT .�� TELEPHONE NO. 6 �� 7 7i"�/� � DESCRIPTION — �'N�-� � 01 FOOTING 11 ME ANICAL 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 Z0 ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 F AL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a � � J O a � O � W � Q � 2 W � W � j d W WORKSATISFACTORY:PROCEED i PROJECTCOMPLETE � W �❑CORRECT WORK&PROCEED 'C; ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. \ Call for the next i spection 24 hours in advance. (952� 249-4600 OwnerlContra�torLbn s e Inspector. � - White Copyllnspector's File Canary CopylSite Notice