HomeMy WebLinkAbout2003-P06873 - attached deck � PERMIT
CIT`� OF ORONO Permit Number:
2750 Kelley f'arkway - PO Box 66 Po6g�3
Crystal Bay, Minnesota 55323 P@Pllllt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: io�2o�2003
SITE ADDRESS: 1199 Elmwood Ave
Mound,MN 55364
PID: 07-117-23-14-0059
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Pernut Class: g
Pernut Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#: 5050
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 83.25 Valuation: $ 3,000.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 139.33
APPLICANT: New Image Deck Construction OWNER: Mr. &Mrs.Harvey
1758 Sterling Rd 1199 Elmwood Ave
Waconia,MN 55387 Mound MN 55364
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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APPLICANT PERMITEE SIGNATURG SSUED BY SIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
Total Fee: $ � 3��, Date Received: �C �°�� ��--
• Entered By: ����-1���. Permit #: � (cS���,
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CITY OF ORONO - BUILDING PERIVIIT APPLICATION
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�, �,�r"' ��� All information must be submitted in full before plan review will be started.
�,� �,j`�� (please print all information)
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�� THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: // 9 9 �/,,,� <<,A o � � � ZIP:
NAME OF OWNER: ;s� �a,� u� � PHONE: (home) �7� — 1 g 4- �
(work)
MAILING ADDRESS: �� �� ��,,�"o: � CITY: Q,�,�� ZIP:
CONTRACTOR: � P4�� ��Q �-.-P .�� �.s � PHONE: Cf�f�/3G�
CONTACT PERSON: , MOBILE/PAGER: 4-$�-�c,� L_
MAILING ADDRESS: � CITY: (,��,�,,�d,� ,�� ZIP:�� 7
STATE LICENSE: #"p � /�y � �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detai�:�e e ��
STORIES: � SQ. FEET OF EACH FLOOR: c3 J��
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTIO`VALtiATION(excluding land): $ 3� � 0 a
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 wit�out a
permit; and that the work will be in accordance with he approved plan.
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APPLICANT'S SIGNATURE: — DATE: /� ^�.D 3
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0=! RIGHTSOFSUBJECTSOFDATA
Subdivision!. Type ojdata The rrghts of individua!on whom the dota is stored or to be stored shall be as set jorth in this section.
Subd.2. Injormation required to be given individuaL An individual asked to supply private or confidential data concernrng himselj
shal!be rnformed of. (aJ the purpose and intended use of the requested data withrn the collectrng state agency,polrtrcal subdrvision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)arry known consequence arising from his supplying or
refusrng to supply private or confidentia!data;and(dJ the rdentrty of other persons or entities authorized by state or federa!lmv to recerve the data.
This requirement shall not apply when an individua!is asked to supply investigative data,pursuant to section 13.8'.subdivisron 5, to a lmv
enforcement officer.
The commissioner a{'revenue may place the notrce required under this subdivision in the individua!income�ar or properry tas refund
instructions rnstead oI on those forms.
Subd.3. Access to data by individuaC Upon request to a responsible authority,an rndividual sha!/be informed��hether he rs the subject
of stored data on indrvrduals, and whether r!is classrfied as public,private or confrdential. Upon his furlher request.an individual who is the
subject of stored private or public data on indivrduals shall be shown the data ivithout any charge to him and, if he desrres,shal!be injormed of
the content and meaning oj'that da1a. Ajter an indivrdual has been shown the private data and rnjormed of i1s meanrn,;, the data need not be
diselosed to him for six months thereafter unless a dispute or action pursuant to this sectron rs pending or additiona!deta on the rndividua!has
been collected or created. The responsible authority shall provide capies of the private cr pub/ic data:�pon request b}�rhe indivrdual subject of
the data. The responsible authorrty may require the requesting person to pay the actua/costs of making,cert�ing,arrd comprling the copies.
The responsible authority shall comply immediately,ifpossible,tivith any request made pursuant to this subdn uion,or within five days
of the date o.jthe request,excludrng Saturdays,Sundays and legal holydays,if rmmedrate complrance rs no�possrble. /jhr cannot comply with lhe
request within that trme,he shall so inform the individual,and may have an addilional frve days tivrthin whrch to comply i�uh the request,excluding
Saturdays,Sundays and legal holydays.
Subd.4. Procedure when data is not aecurate or eomplete. An indrvidua!may contest the accuracy or complerzness ofpublrc or prrvate
data concerning himse f To exercise this right, an individual shall notify rn writing the responsible authority descrrbrng the nature oj the
disagreement. The responsible authoriry shall withrn 30 days either: (a)correct the dafafound to be inaccurate or incomp,'ete and attempt to nol�
past recrpients of rnaccurate or incomplete data,rncludrng recipients named by the indivrdual;or(bJ not�the indrvidual rhat he belreves the data
to be correct. Data in dispute shal!be disclosed only if the individua!'s statement ojdrsagreement is included with the disclosed data.
The determination of the responsible auihority may be appealed pursuant to the provisions ofthe admrnistratne procedure act relating
to contested cases.
DATA PRIVACYADVISORY
In accordance with M.S.13.04,Subd.2, "Rights ofsubjects ojdata",we would like fo inform you that your requestjor a permrt or license
Jrom the Crty of Orono or any of its departmenls may require you to furnish certain private or confidentia!rnformation.
You are notified that.•
1. The rnfarmation you furnrsh will be used to determine your qua/iftcation for the permit or licens2 requested.
2. You may refuse to supply data,but refusal may require that the City deny the permit or license.
3. The injormation may be shared with other local,sta[e or federal agencies to the extent necessan•to process the permit or
lrcense.
�l. Ijyour requested permrt or license requires Counci!action to approve,some information may become public.
S. You have certarn rights under M.S. 13.04(see following pageJ to revietiv private data on yourself.
6. Your jull name is required to process this application or permit.
PLEASE PRINT
,�2,�t ��I��,,...�m u� �- I-
First Middle Last
/7 s 5��� �;� �
Address �—
�(.l Fcy�.. �' O� �t'�..._ J S � /
rry State Zip Phone
I un e/� ights as stated above.
Signalure
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� CHECK OFF LIST FOR ISSU�1"CE OF PERMITS
FOR OFFICE USE O:VLY
ADDRESS OR LEGAL: I I�� C�rn�,oa b �1v�.
PID: '
DESCRIPTION OF WORK �ELK
ZONING REVIEW BY: DATE APPROVED: I I- � 3 •��
BUILDING REVIEW BY.• DATE APPROVED: � i- ► 3- 03
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLANREVIEW Yes f No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNEC770N
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPEC770N
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres «idrh Depth
Survey Submitted: Yes ,� No Dare of Survey: �- I 6-U 3
Proposed Setbacks:
Front (Lake): 7 2 � Right Side: Zs �
Rear (Street): '7Z� Left Side: 3�(
Adjacent Structures: ^ Wetland: --
Building Height: Def. Hgt. — Peak H;t.
Lot Coverage: �
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approva[Date: -- By:
Zoning File: # U3-24`�I� Resolution: # Rese:lrion Date:
Shoreland District: y�f ,�l
Avg. Setback: � Q�/� Bluff Setback: � �� Lot Coverage: � `/ ! d
Existing Proposed
Hardcover: 0-75' y S6 `�f• S 6
75-250'
250-500' .
500-1000' f
Hardcover Variance Required: Yes No Date of Council Approi•al:
REMARKS(in house): �:s a `s S�6NGJ ?
32
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BUILDING REVIEW CHECK LIST
UBC: J�- � CONSTRUCTION TYPE: ��N
Sq Footage $Per Sq Ftg
Basement x =
Ist Floor x =
2nd Floor x —
Garage x =
x —
TOTAL
Estimated Construction Value: $ 3, p o 0 0—`�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
K Footing Septic Sewer Connection
�Framing Fireplace Lawn I�rigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling Electrical (State Perntit)
Other
REMARKS(INHOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
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� �E,aRINGS CN ?RCPC�� INFORMATION y1RAGc FZOCR E3..E�/.
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I hereor cartrN tlrat tfl�s cartiftqLe of survey wes preparoo by me �O� J 8#
SCN080RG or under mr dire�supernswn and that I am a duly Regrsiered Land
LA D SURVEYING Survayor i:naer��_t�ws ot the ot MJnn�sota. , 8�07=�AGE
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DATE TIME
CITY OF ORONO CALLED IN ��'�
INSPECTION N TICE SCHEDULED la-�-o3 'O�
PERMIT NO. �8 �--3 COMPLETED
ADDRESS �l� > � � ��
OWNER CONTR. /�eGc� 1�r1�'.��
TELEPHONENO. �S2 ' � — �D �I
� DESCRIPTION ��� /"" ���
� 01 FOOTING 11 MECHA AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREJWETLANDS
y 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 INST . 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContra�c� site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED iN / ��
INSPECTION NOTICE SCHEDULED � y C3 '� 't� �"'1
PERMIT NO. �f1 ���7...3 COMPLETED
ADDRESS �/� �_//ZiGC%Ci�C.S� E � �
OWNER CONTR. .�L�r��Li ;,L-�.y��s�
TELEPHONE NO.�S�y�Z � 3 U �
� DESCRIPTION G%�.��
� 01 FOOTING 11 MECHANICAL 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINA 14 SEWER HOOK-UP O6 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: •
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (gSZ� Z49-4600
OwnerlContractor e:
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Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
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