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Home My WebLink About2006-P10025 - attached deck T � � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10025 Crystal Bay, Minnesota 55323 Permlt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 7/6/2006 SITE ADDRESS: 2485 Dunwoody Ave Unit# Wayzata,MN 55391 PID: 20-117-23-22-0016 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached YP DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 83.25 valuation: $ 3,000.00 Plan Review Fee: $ 54.11 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 138.86 APPLICANT: Don Ahlstrom OWNER: Mr. &Mrs. Hickey 4683 75th. St. SW 2477 Dunwoody Ave Waverly,MN 55390 Wayzata MN 55391 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. _ �� . �� r, / � _L`- ` � \ , ^ APPLICA PF,RMITEE SIGN URE UED BY SIGNATURE ,� �_._� Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 . R Total Fee: $ � Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print al[information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circ[e one) OWNE OR CONTRACTOR JOBSITEADDRESS: p�7$J� .V�7LtJC1�d'� /`IVP� ZIP: J'rJr•34� Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes �1�10 If yes, a specia!event permit is required wilh Po/ice Depai�tment and City Council approva/ GO days prior to the event. Shuttle bus service will be required unless applicant demonstrates ste�cienl on-site parking is available. Non-permitted events�vil/not be allowed. NAME OF OWNER: GV�!11QA� [; �C./4e y PHONE: (home) ��7 -0,3�2 (work) MAILING ADDRESS: oZ� .S CITY: �6t. ZIP: ,� CONTRACTOR: S 6!�o PHONE: er Dl�r �r CONTACT PERSON: i` i` � MOBILE/PAGER: MAILING ADDRESS: �S�CITY: — ZIP: -- STATE LICENSE: # �,� EXPIRATION DATE: O3 31 f OT . �-AI� D �N � � r� PHONE: �er � cr MAILING ADDRESS: � CITY: — ZIP: " NAME: �/,f} REGISTRATION: # TYPE OF WORK: New Home Addition �De�k�Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may require CWD review and per,�i,ts! PROPOSED W RK( escribe in detain: �' S�"rve."� GJae � V�r' ` 7� �aCve`� �9 ' o � v o �''�vr- P�rn,► v,nb�r-: I�ogo4�{ �o/a mn � e. an Per a a rnen � STORIES: � SQ.FEET OF EACH FLOOR: A/ NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED� ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a5D0- 3; �0 , 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 witl�the ordinances and codes ofthe City and with the State Building Code;that I understand this is not a permi work is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: � DATE: G1(o .�23 0(� 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. Infonnation required to be given individual. An individual asked to supply private or confidential data concerning himselfshal I be infonned of. (a)the purpose and intended use of d�e requested data within the collecting state age�cy,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 federal law to rcceive the data. This requirement sha!I �ot 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 Qigyer�y tax refund instructions instead of on those fonns. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shail be infonned whether he is the subjectof stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individuai 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 thereatter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry shaii 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 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 possible. [f he 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,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 erercise this right,an individual shali notify in writing the responsible authority describing the nature of the disagreement.The responsibie authority shall within 30 days eithor: (a)correct the daca 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 of the resportsible 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. ]3.04,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 deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary tu process the oermit or license. 4, If your rec�uested permit or license requires Council action to approve,some information may becorne 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. ;1I �' Ic � First �liddk Last 02�85 �vn �oo�.� Av� ' Addres c� M �J�.� 71�d3 City Stnte Zip Phone I understan my ' ts as stated above. Signaturc Reset Form 32 � CHEC3K OFF i,IST FOR ISSUANCE O�' �ERNIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �2 �{ ��"� 1.7�,✓� ��x�'�-J_,L� �c� PID: DESCRLP'TIO�I OF WORK: �c�,�. o �. � � s�� 5� --- ---------___---�__.----------------- ZO,�i G REVIE`V BY: �I I�� I �, DATE APPROVED: 7-�-c�� BUILDING REVIE'�V BY: DA'I'E APPROVED: � - s-o� FEES TO BE CHA.RGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIE`V Yes �' No SE�VER CONNECTION STATE SURCHARGE Yes —� I�o tiVATERCONNBCTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC�Units OTHER (specify) ------------------------------------------------------------__ ZONIl�IG CHE.CK LIST Zoni.ng District: �'�+ � , . Fire Department: Pos[Office: Schaol District: ` L,oc Area: Sq.ft. J��f�I j� ��Acres � ' ��I Wid[h Dep[h Survey Submitted: Yes No �`'. Date oE Survey: �-�`'��3 Proposed Setbacks: . Froat (Lake): Riaht Side: Rear (Street): Left Side: � G�.�.�o O A,�•��P�r �rn�ctures, Wetland: ,.;.. Buil�lin� Hei�t: Def. Hgt, Pealti Hgt. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Sepuc: Scaff Arr roval Date: �Y� �� Zoaing File: � ^ Resolution: � Resolution Date: Shoreland Distric[: Av�. Setbac : (�_ � Bluff Se[back: n//,2 I..otCoverage: �• EListin� Proposed 0 Hardcover: 0-75' ,,��, 7 /�(� 7�-250' � G ' �� +° C l-��'`�� 2�0-500' 500-1000' H��dcover Variance Required: Yes No X Da�e of Council Approval: FE�lL4R�iS (in house): S-Qt �.Q„r„�..T # PD �6YY td GL �o U-n s� �- f!.C_ --� . ' BUILDING REVIEtiy CHECK LIST �C� 2` 3 CONSTRUCTION TYPE: �/!� Sq Footage $ Per Sq Ftg Basement X _ lst Floor x _ 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 3,00a °=� Inspections Required: tiYork Requiring Separate Permits: S ite Plumbing Fire Hardcover Removal Mechanical Water Connection 'Foo[ing ` Septic Sewer Connection _�Framin� o Fireplace Lawn Irrigation Insulation (Masonry) O[lier Wal1 Board (Mfg.) Well (State Permit) _�L.Fl°al Grading/Filling Eleccrical (Stace Permit) Ocher REMARKS (INHOUSE): � - ----------------------------------------- REVIE`V BY OTHERS: DAT'E: Access: Existing New Access Approval: Date By; --------------------------------- REI�IARKS (TO BE NOTED ON PERiI�IIT�: 8 �-�� S-e-f- DAT CITY OF ORONO CALLED IN � INSPECTION�TjC�� SCHEDULED ��Q.� � PERMIT NO. �•�� COMPLETED ADDRESS OWNER CO R. � TELEPHONE NO.��1 ��l- V�J� �I� � DESCRIPTION � ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �FRAMING 13 MECHANICALFINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREP 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q "0� INAL 14 SEWER HOOK-UP 06 PROGRESS � 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 Z OWNEflICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J /` l, O >. � O � W � Q � Z W � W � � � d W WORKSATISFACTORY:PROCEED ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the xt inspection 2a hours in advance. (952� 249-46�� OwnerlC ra tor site: Inspector. White Copyllnspector's File Canary CopylSite Notice