HomeMy WebLinkAbout2005-P09271 - attached deck PERMIT
CITY Q,F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09271
Crystal Bay, Minnesota 55323 Pei'mit Type: Addition/RemodellRepair
(952) 249-4600 Date Issued: l0/21/2005
SITE ADDRESS: 420 Deborah Dr Unit#
Maple Plain,MN 55359
PID: 31-118-23-23-0009
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
YP
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ g3.25 valuation: $ 2,500.00
Plan Review Fee: $ 54.11
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 138.61
APPLICANT: New Image Deck Construction OWNER: Robert&Rachaelle Brady
1758 Sterling Rd 420 Deborah Dr
Waconia,MN 55387 Maple Plain MN 55359
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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APPLIC PE EE S[G ' RE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ � �� llate Received: j(� - � -Ci�
Entered By: �;y� Permit#: ;j v''��7�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will bc started.
(please prii�zt nll information)
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THC APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDR�SS: �"� � 1,J e bD 1� a � ZIP: .� S 3 S�'J
Will this be a Parade of Homes,Remodelers Showcase Home or other llisplay Home?
❑ YCS ❑ NO Lfyes, n special event pern�rit is r•eqi�ired ivith Police Deparlment and Cily Coi�ncil npproval
60 days pr•ior to the everat. Shirttle bzEs service wil/be reytdr•ed i�nless applicant denao�astr•ates
szr�cient on-site parking is ai�ailab/e. Non-�ermitted events wiU not be allowed.
NAMEOFOWNER: � V PHON�: (home) I-�-7S-- 3d� S
(work)
MAILING ADDRESS: ��C� 0..��p�a� � CITY: � ZIP: S' S 3.S �'1
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CONTRACTOR: ��.Pw�y�,��,� ,�e �o �,1 PHONE: �-5��--�OL�r
CONTACT PERSON: � � 5' MOBILE/PAGER: �$� -� O�f �
MAILIIVG ADDRESS: (; � CITY: L.�a�o��,,,�G ZIP: SS3Ss '7
STATE LICENSE: # `' c�� /5 y' � �— EXPIRATION DATE: 3 -3! - O 6
ARCHITECT/ENGINEER: PHON�:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition _� Accessory Structure
Move Home Remodel/Alteration
PROPOSED WORK(describe in cletai�: (�.e� �
STORIES: I SQ.F�E'I'O�'�ACH�'LOOR: I � �
NO. OF BEDROOMS: GARAGE STALLS: ATTACHF.D DETACHF.D
i
ESTIIVIATED CONSTRUCTION VALUA'I'ION(excluding land): $ o� .SQ�. Go
I hereby apply for a building permit and I acknowledge that the infor►nation 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 tt�e approved plan.
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APYLICANT'S SIGNATURE: � / llATE: ���S G S
31
Sec.13.0�{ RIGFITS OF SUBJECTS OF DATA
Subd. l. Typc of data. "I�he righu of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information rcquired to be given individual.An individual asked to supply private or confidential data concerning himselfshall be
informed ofl. (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 trom his supplying or refusing to supply
private or confidential data;and(d)N�e identity of odier persons or entitics authorized by state or federal law to receive Uie 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.
Thc commissioner of revenue mav pface the nolice required under this subdivision in the individual income ta�orpropertv taa refund
ins[ructions instead of on those fonns.
SuUd.3. necess to data by individual. Upon request to a responsible authority,an individual shall be inlonned whether he is the subject of
stored data on individuals,and whether it is classified as public,private or contidential. Upon his further request,an individual who is the subject of
s[ored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed ofthe 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 thercafter unless a dispute or aclion pursuant to this section is pending or additional data on the individuai has been collected or created. The
responsible authority shall provide copies of the private or public data upon reyuest by the individual subject of the data. The responsible authority
may rcquire the reyues[ing person to pay the actual costs of making,certifying,and compiling the copies.
The responsible aulhority shall comply immediately,if possible,�vith any request madc pursuant to this subdivision,or�viUiin tive days of
the date of the requcst,eacluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
wiNiin that time,he shall so inform the individual,and may have an additional t ive days�vithin which to comply with dic request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure ti-hen data is not accurate or complete. An individual may contest the aceurucy or completeness of public or private data
concerning himseif. "l'o e�ercise this right,an individual shall nolily in writing the responsible authority describing the naWre ofthe disagreement. The
responsible authority shall within 30 days either. (a)correct the data�'ound ro 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[he data[o be correcL Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with Ihe disclosed data.
'I'he determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
cantested cases.
DATA PRIVACY ADVISORY
In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inforn�you that your request
for a pernlit or license from the City of Orono or any of its departments may rec�uire you to furnish certain private or
confidential infonnation.
You are notified that:
1. Tlte infonnation you furnish will be used to detennine your qualifcation 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 agencics to the extent necessary to
process the permit or license.
4. If your requested pennit or license requires Council action to approve,some infonnation may become
public.
5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
G. Yow�full name is required to process this application or permit.
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C�u�a,�. ,� � f/�/l � .�5-3�s ? �S�� — �-v�- /
� Cit�� State Zip Phone
1 understand my ' rts as st d above.
a
Signaturc —"�
32
, CHECK OFF LIST FOR ISSUA��TCE OF P�RMITS
, FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y2 v ,0�l3a�zAH
PID:
DESCRIPTION OF WORK: ���Ic
------------------------ -----------------------------------------------------------------------
ZOV�G REV�W BY: � DATE APPROVED: _��-r 3 - �5'
BUII�DI�'G REVLE`V BY: DATE APPROVED: i�-��3—o s
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW Yes �/ No SEWER CONNECITON
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZO\�G CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sc.ft. Acres Width Depch
Survey Submitted: Yes � No Date of Survey: pnr t=1 C.�,
Proposed Setbacks:
Front (Lake): I 35� Right Side: 31S � +
Rear (Street): Z3o� Left Side: Lo�' �
Adjacent Structures: �--r7�4UfityJ Wetland: �v)�
�tuildin� rieig:nt: Def. Hgz. �/i4 reai:iiot. "'
Lot Coverage: n/�•'a-
Grading: 5taff Approval Da[e: n/��j By: Council Approval Date:
Septic: S[aff Approval Date: — By:
Zon.ing File: # — Resolution: # Resolution Date:
Shoreland District: /V p
Av�. Setback: Bluff Setback: L.ot Coverage:
Existin� Proposed
Hardcover: 0-75'
7�-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
R�NiARKS (in house):
�
BUILDING REVIEtiV CHECK LIST
�C� R" 3 CONSTRUCTION TYPE: �1�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x _
2nd F1oor x _
Garage R =
z —
TOTAL
Estimated Construction Value: $ Z,So a°�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_� Foo[ing � Septic Sewer Connection
a Fr��o Fireplace Lawn Irri;ation
Insula[ion (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�F�� Grading/Filiing Electrical (State Permit)
Other
RENIARKS (iN HOUSE): ��
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
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REVIARKS (TO BE NOTED ON PERivfl'1�:
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�I DECK CONSTRUCTION
11 o J� 3o rn� 1758 STERLING RD WACONIA M
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____.,__.__._..__�_._._._..._... `PH#952-442-1308 LIC#24�19985
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IRAILING:MAX SPACE 4"�%5�tN'"J�
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MIN HEIGHT:36"
I STAIRS: MIN TREAD 9"
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ITY OF ORONO CALLED IN ! ��a�1��
INSPECTION NOTIC �' G�,�' SCHEDULED _ a` pS 3:�30
PERMIT NO. COMPLETED
ADDRESS `�T�� ���O�C�� D�
OWNER CONTR. I�L.�-� �'l�-V�—
TELEPHONE NO. �� ��4 a � �a
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� DESCRIPTION ���/ l�;��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE 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:
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W WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDlTIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the xt inspection 24 hours in advance. (952� 249-4600
OwnerlCo c�' ite:
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Inspector. ti
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