HomeMy WebLinkAbout2000-P03090 - deck PERMIT
CITY GF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3o90
Crystal Bay, Minnesota 55323 Peft111t Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: io�tsi2o
SITE ADDRESS: 2965 Deer Run Tr
LONG LAKE, MN 55356
P I D: 04-117-23-24-0012
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#:
Separate permits required: Eiecaicai�siaie j
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 678�75 Valuation: $ 55,000.00
Plan Review Fee: $ 441.28
State Surcharge Fee: $ 27.50
TOTAL FEE: $ 1,147.53
APPLICANT: WINDSOR COMPANIES INC OWNER: S J HEMSLEY&B K HEMSLEY
1175 HWY 36 2925 DEER RiJN TR
ST. PAUL, MN 55109 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.
/
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� ANT P RMITEE I NATURE IS ED BY SIGNATLJRE
Copies: City,Applicant,Assessor,Finance Page 1
'Total ree: $ ��/`�7 y 5 7 Date Received: �b'���
Entered By: Permit#: �3 b�J
l� ^7''11
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CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ���}��� �-�� �L.ufv 1�2�1(..• ZIP: � 5���� �j
NAME OF OWNER:��v'C- `f-�/�,',�L�� PHONE: (home)�5 —�-7S—���
(work)
�1AILING ADDRESS: '?�`�,S��n�-{v V2��-CITY: c��a'��'�(v�-~; ZIP: �;"�S�
CONTRACTOR: I ti�i�r.��JJE�crL��tt�l�(j•(Li�� .1-ti��- PHONE: �,.,SI �-4��'�OZ��
CONTACT PERSON: ���—r=- ,►�_�}C��_ MOBILE/PAGER: ���2�,. -- �_�
I��AILING ADDRESS: � l7S �I :�l,� CITY:�;T�'�c_._- ZIP: SS�
STATE LICENSE: #�,�'��
ARCHITECT/ENGINEER: ��`T�L���c�a.� PHONE: �,��1 ���3'2--�=��'�
MAIL�TG ADDRESS: 1 l �S f�ti '�4� CITY:�s�- �-�fiz.� ZIP: `�S i�5
l�JAME; �� �L�',c,� REGISTRATION#
TYPE OF WORK: New Addition �,�Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: ��.� � � f��,�i S
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 5`_� ��;'�> . G�
r
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 accordan e wi a r d lan.
APPLICANT'S SIGNATURE: '� DATE: I�� C�L�
NOTF.! Parade of Homes events require separate permit approval by Police Department ared
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.0�RIGH'TS OF SUB.lECTS OF DaT�1
Subd. 1. Type of data. The righ[s of individual on whom[he data is stored or co be scored shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. .�.n individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and in[ended use of the requested data within the collecting'state agency,poliacal subdivision,or sratewide system;
(b)whe[her he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supp(y
priva[e or confidenrial data;and(d)the idenriry of other persons or enriries authorized by state or federal law to receive the data. This requirement shall
no[apply when an indieidual is asked to suppiy investiearive dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue riav place the norice reauired under this subdivision in the individual income_tax or propem tax refund
instruc[ions insrezd ot on those forms.
Subd. 3. Access to data by indi�zdual. Upon reques[to a responsib(e authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified 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�he data wi�hout any charge to him and, if he desires, shall be informed of the contenc
and meaning uY'chat data. Afrer an individual has been shown che priva[e data and informed of iu meaning,the data need not be disclosed to him for
six months thereaher unless a dispute or acrion pursuant to this secaon is pending or addidonal data on the individual has been collected or crea[ed.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of che data. The responsible authoriry
may require the requesting person to pay [he actual cosu of makine, cerdfying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, wi[h 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 possible. If he cannot comply with the request
wi[hin that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays,
Sundays and legal hotidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or pri�•ate
data concerning himself. To exercise this right,an individual shall noafy in wriang che responsible authoriry describing[he nature of the disagreement.
The responsible authoriry shall wi[hin 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomp(ere data, inc(uding recipients named by the individual; or(b)notify the individual that he believes the data to be correct. Data
in dispute shall be disc(osed only if the individual's statement of disagreement is included with the disclosed data.
Tiie determination of the responsible au[horiry may be appealed pursuant to the provisions of the administradve procedure act relatine to
contes[ed cases.
DAT�, PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your reauest
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 pemut 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 pernut or license.
4. If your requested pernut or license requires Council action to approve, some information may become
public.
j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
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Address �
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I underst my ri stated abov �
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Signature
CHECK OFF LIST FOR ISSUAz��CE OF PER11�fITS
_ � FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ��,�� �.P��/� c��+ I�-� �
PID:
DESCRIPTION OF�ORK: -2� �
.
ZO�'G REVITT`� BY: DATE APPROV�D: �� - � 7 -cx�
BUII..DING REV�tiV B . Y�c�,v�s. DATE APPROVID: ,/O�1��
FEES TO BE CH.4RGED: Niisc. Fees Calculated By:
pERMIT Yes �_ No :
pLAN REVIEW Yes 1c No SER�R CONNECTION
STATE SURCHARGE Yes X No WATERCONNECTION
IIr'VESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECITON
Number of SAC�Units OTHER (specify)
Z011I.11G CH�CK LIST zoni.ng District:�2./� -`� N
Fire Deparcment: `n < Post Office: !��'1� �� School District: � Z 7�
Lot Area: Sq.ft. No cc.r,�.� Acres Widch Depth
Survey Submitted: Yes�_ No Date of Survey: '�
Proposed Setbacks:
Fron[ (Lake): Z`t�� '� Rioht Side: �IS � �
i �
Rear (Screet): 39 Z � �- Left Side: 2–�'Y
Adjacent Structures: 1 b � Po� l Wetland: N /� �
Buildin� Hei?ht: Def. H�t. — Pea�:Hgt. —
Lot Covera�e: "
Gradin;: Scaff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: --- By:
Zoain;File: # t�' Resolution: � Resolution Dace:
Shoreland District: ��
Av�. Setback: Blufi Setback: L.otCovera�e:
Ezis�inQ Proposed
�
Hardcover: 0-75'
75-250'
ti0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
�tE�IA,RKS (in house):
7
BUII..DING REVIEW CHECK LIST
UBC: 12 • 3 CONSTRUCTTON TYPE: �)UJ
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor z =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ S S, O�O i9�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing � Fire
Hardcover Removal Mechanical Water Connection
_ ( Footing Septic Sewer Connection
0� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
a Final Grading/Filling _� Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
RE��IARKS (TO BE NOTED ON PERMI�:
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DATE TIME
CITY OF ORONO CALLED IN ¢ �C' ' Z- �C�`
INSPECTIONrI�.QL, : ;` SCHEDULEDPD �,�_r�r �� �"'^s'��'' ,�7
rERMIT NOri ' COMrLETED � � �
ADDRESS ��/'lG� L��C'/L /�-Lcr7 ���.
OWNER �--Ck./')')fj�/!? CONTR. :>fC�/U�,C° �`I �r��,
TELEPHONENO. �L �` �lG—�'
�- DESCRIPTION ����"'���� �� l�
�
ly Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL` 3/6 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO `f���` `
� C MMENTS: ' rQ�-�2 �%SSP ct f tF/ 5. s
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W ❑WORKSATISFACTORY:PROCEED ' PROJECTCOMPLETE
� +j(��CORRECT WORK 8 PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
W
O �❑�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
f]CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.��D���s
White Copyllnspector's File Canary CopyiSite Notice
DATE \ TIME
CITY OF ORONO CALLED IN �—��Jr �� � `
INSPECTION NOTI E SCHEDULED � / U ,
PERMIT NO. � '� COMPLETED ���= D�G�C�
ADDRESS �-�� �'� � � � �����e
OWNER CONTR. ��Ul!'1 � ,���.�l�'� .
TELEPHONE NO. C�`� � ���� -CZU-�
� DESCRIPTION ���7 � � N�l --� n � �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 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
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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COJVINt,ENTS:
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� t�CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
CICORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-46�0
OwnerlContra r on site-
Inspector./'/���'� �
White Copyllnspector's File Canary CopylSite Notice
j��rm�t '� i n�pcct..s1.�-cr �n �l^� J
� `�9� SC r2 E(� �0 I��-�` /l.e�iC r�
a DQT� � TIME
CITY OF ORONO CALLED IN � � � '`�3 �'`'�
INSPECTION NO �jE2 SCHEDULED �' '�� �
PERMIT NO. V J��� COMPLETED ��Zd� �/•�D O
ADDRESS a gL9S ��e-r" K��V l /2�l c.. L-C.-
OWNER CONTR. (���1 Sa� CU .
TELEPHONE N0. � �� ��Lt�3 ��2-�
� DESCRIPTION ��' '� � � � �- C i�� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/ RADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
� 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
� COMMEfyTS: ,
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W� J�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR FEINSPECTIOh1 TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� Z49-4600
OwnerlContr or on sit -
�
Inspector.,��C.c���
White Copyllnspector's File Canary Copy/Site Notice