The URL can be used to link to this page

Home My WebLink About2005-P08640 - attached deck PERMIT CITY.OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P08640 Cry�tal Bay, Minnesota 55323 Permit Type: add�c�o�xemoaevRepa�r (952) 249-4600 Date Issued: s�3i2oos SITE ADDRESS: 2760 Countryside Dr w L,ong Lake,MN 55356 PID: oa-ii�-23-i2-ooil DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Buildin Census Code 434 Permit Class: g Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: r�__i_r______:_" .�:..,C..�'.i:«......." FEE SUMMARY: Permit Fee: $ 69.25 Valuation: $ 2,000.00 Plan Review Fee: $ 44.98 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 115J3 APPLICANT: Owner/Self OWNER: 7on&Molly Stern MN 2760 Countryside Dr W Long Lake, MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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. �-- ' �° � �.� C' �� PLICANT PERMITEE SIGNATURE ISSUE BY SIGNATURE Copies: 1-File(SiQnitures ReAuired), 1-Applicant. 1-Monthlv Reoorts. 1-Assessin�, 1-Finance Page 1 �� y.n,C'S , �-2� -D Total Fee: $ ��S 73 Date Received: ` ' ��`> � `� Entered By: _��— Permit#: f' .i�, �— CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all i�tformation) ----------------------------------------------------------------------------------------------------------------------- THE APPLICAI\TT IS: (circle one) OWNER OR CONTRACtT�ORQs � JOB SITEADDRESS: �� p U �v��t S-� � ZIP: ��3�� Will this be P ade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �0 If yes,a special event pennit is required with Police Department and Ciry Council approval 60 days prio�•to the event. Shz�ttle bars se�-vice will be reqirired z�nless applicant de�nonstrates sz fficient on-site parking is available. Non pennitted events will not be allawed. c ' �'7'� -7330 NAME OF OWNER �0� -�tfrl'� PHONE: (home �S��G �-7.33d (work� MAILING ADDRESS: �� (� Covn-F,7 s-� CITY: Ora�o ZIP: SS S 'I f.�-. �..J es-1- CONTRACTOR: tt�mr� d�.�.er PHONE: `1S� - �I (�--73�0 CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: -�{;I S ��.e � D4S-��1 PHONE:(�OS/ Y 3��.��3 � MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration x PROPOSED WORK(describe in detai�: �eG�C e�A-�S'ey— Q�t� �l�v� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $Z UDO. O G 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: ATE: 2� (� 5� 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. Information required to be given individuaL An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested 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 priva[e or confidential data;and(d)the identity of other persons or entities authorized by sta[e 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 may�lace the notice re�uired under this subdivision in the individual income tax or�opertv tax refund instructions ins[ead 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 che 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 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 crcated. 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[he requesting person to pay the ac[uaf costs oFinaking,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,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 compliance is not possibie. If he cannot comply with the reques[ within that time,he shall so inform the individual,and may have an additional 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 cotnpleteness of public or private datn concerning himsel£ To exercise this right,an individual shall notify in wiiting the responsibte authority describing the nahzre of the disagreement.The responsible authority shall within 30 days either. (a)con�ect the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individuai;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 of[he 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 subj ects 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 fumish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the perniit 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 Middle Last Address City State Zip Phone dersta d my rights as stated above. Signature 32 � CHECK OFF LIST FOR ISSUANCE OF PERMITS . FOR OFFICE USE ONLY ADDRESS OR LEGAL: �.-1 �,c:� L�,�,,,�.,�i, s.,.�; �� PID: DESCRIPTION OF WORK: �);rc�� o�.-�.:-� -, �n �,ti' -----------___—_--____------- --�--------------------------------------------------------------------- -- ZO�G REVIE`V BY: _ L DATE APPROVED: �- 2�r ��'�� BUII..DING REVIE`V BY: ` � . � DATE APPROVED: `t- �y - �-,- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes / No PLAN REVIEW Yes No SEWER CONIVECT`ION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) -------------------------------------------------------------------------------------------------------------------- ZOYIYG CH�CK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Dep[h Survey Submitted: Yes_�� I�10 Date of Survey: c:N ;=�C.,�: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: �L Ad;acent Structures: Wetland: (�` Building Height: Def. Hgt. Peal:Hgt. Lot Covera;e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: /r,f.% Avg. Setback: Bluff Setback: L.ot Coverage: Ezisting Proposed Hardcover: 0-75' 7�-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REviARKS (in house): � BUILDING REVIE`V CHECK LIST UBC: /`- > CONSTRUCTION T'YPE: �l/� Sq Foota;e $ Per Sq Ftg Basement x = lst Floor x _ 2nd Floor z = Garage z = z — TOTAL Estimated Construction Value: $ �?,(��c;` �— Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing ` Septic Sewer Connection _�Framing Fireplace Lawn Irrigation Insula[ion (Masonry) Other Wall Board (Mfg.) Wetl (State Permit) �F�� Grading/Filling Eleccrical (State Permit) Other REi�IARKS (IN HOUSE): ^ ------------------------------------------------------- REV�`V BY OTHERS: DAT'E: Access: Ezisting New Access Approval: Date gy: --- ---------------------------------------------------- REI�IARKS (TO BE NOTED ON PERII�II'I�: 8 FROM : HILSCHER DESIGN AND ECOLOGY FAX N0. : 651 436 3836 Apr. 22 2005 12:28PM P2 I �� '---.� �J .} � — � � •.J `,�� -1 � r r 'c`� � i � � \�,..._....�`�...J �-. ��. � � . �� __ � � � � . �- �G I � � . .,� � � ; � �£ � ` !, � �. _ . � ' �. � �' � � �-� a N � �� ; � . . ; , $ � rn . 'x . - e"� -� � � ,, . ' G � ---1 ! � � i � � � N " ° �'�9 � � Z � - � g� � � . � � � I , x --- _ � J �6 0 '1� � � r � - �� (. � �1 / � � � � � \ �� - � � ,� � � - � �l � � . � L` F �� T �•_�.__ . � m � 'I � �� ,� � '�� -' ,� i .,.�� T�� . � �y::� ',.��:�..-�� .�']li �j � ::�ir=� � � �.-��: � �� .� .� � � �.�:� ` � � — ` . .. 4 J "� ,~ W \1 � � � � � �. h� � J _. . . �~ � 1 � � � , _ . ' � ' ';+ � _ ,� "� "'� � �� rn `� `� � �° �. ' ; � � �' f�'i � 1 � . �.c '; � n�; ,��, '� � iZ '� �6 i � � r � � t_:, ;-� �:� � �'�!' � '� `4 , . - � �, � � �� ;; � -.., . ..� � �,�., �l � � (�'9 p _ 'V� � C C1� �. �\ �. �� C3 - ;.� 1� '.� �� d`� � � � a. _ �,, ) ti �� ; 'O �� • i� , , ` _ ` _ ;: � " � �� ti . � , � -� r� � u.D _; , ' t T i'� T�1 N � � ��/� � ' _ ; a9 '.� ,' � �� ,.� � � l/`\.o � � j f � y;�' ;.,'� �-J �.�,—.-_.�. ;� G 6� r ,:: � ; � � f-t .�,. � � �- ^ ( �� •.� � '.. I � \\ � � ((}� .�; ' �j I1 1 � � �' P � • I ; � �, � �W. , �_ ._; .�..� ,..�.��.,�,�� J �. .._ I�� pAT TIME V CITY OF ORONO CALLED IN 7�, �-�� INSPECTION NQ�TI SCHEDULED 7-(�-C� U: 0 PERMIT NO. ' �, COMPLETED 6) , 1 ADDRESS �` �L� D (`x�Ul1��/�� iC � G� OWNER � LI�-M `�- �IIT C1�1 CONTR. �� TELEPHONE NO. C�'�-� 7v7 3.�2D '�fo� ^ �r'1�- � DESCRIPTION �t�QC�� -�C�-� � �—B1'f'O(Pf�G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 a � J O J ^ � v'v� O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ 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. � pH0T0 TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. �952� Z49-46QQ OwnerlContr c� t on si e: Inspector. White Copyllnspector's File Canary CopylSite Notice