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Home My WebLink About2008-P12033 - attached deck '� • PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12o33 Crystal Bay, Minnesota 55323 Pel'mit Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: 5/12/2008 SITE ADDRESS: 1265 Elmwood Ave Unit# Mound,MN 55364 PID: 07-117-23-41-0017 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-type(s): Deck-Attached Permit Type: P DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Replace Existing Deck As Is � FEE SUMMARY: PermitFee: $ gg�s� valuation: $ 3,000.00 Plan Review Fee: $ 57.53 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 147.53 APPLICANT: Owner/Self OWNER: 7ohn Perkins MN 1265 Elmwood Ave 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 BUILDI G CODE REQUIREMENTS. �_. l/fiL AP ICAN PERMI EE SIGNATURE ISSUED E3Y SIGNATURE ! Copies: 1-File(Sign res Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 l . �/ �� (o� Total Fee: $ �']�7 S.� '� /`-�-'�-� �' Date Received: Entered By: Permit#: ��j��;.� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all inforrreation) ----------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: 'Z(Q� ��1v� l,(�u� I�' ZIP: S�S3Co Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ NO /fyes, a special event permit is reguired with Police Departmenl and City Council approval 60 days prior to the eveni. Shuttle bus service will be required unless applicant demonstrates suff cient on-sile parking is available. Non permitted events will not be allowed NAME OF OWNER: �B �rr- �I�i.:� PHONE: (home)�2-`{7 Z•3GO l� MAILINGADDRESS: �ZtoS ��.w„� dy,,�.ciTY: C�I�.av�c) �W�ziP�ss3�� CONTRACTOR � S PHONE: Ce�Z -�l�D -�G��o CONTACT PERSON: ,.`, MOBILE/PAGER: �,� MAILING ADDRESS: � CITY: ZIP: STATE LICENSE: # �-- EXPIRATION DATE: ARCHITECT/ENGINEER: Jo�� PHONE: S,oiwQ.. MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) �_�G- Any earth movement may require MCWD review an pe� PROPOSED WORK(describe in etai�: N �L`�16C. STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $3(',�DO � 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 or ' ances and codes of the City and with the State Building Code;that I understand this is not a permit an rk is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATUR • DATE: '.��'-�Ob 31 i, i�irL�� I � . , 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[o be given individuaL An individual asked to supply private orconfidential data concerning himselfshall be informed of: (a)the purpose and intended use ofthe 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)an_y known consequence arising from his supplying or refusing to supply private or confidential dafa;and(d)the identity of other persons or entities authorized by state 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 place the notice reauired under this subdivision in the individual income tax or prooerg�tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon requestto a responsible authority,an individual shall be informed whether he is the subjectof stored data on individuals,and whether it is classified as public,priva[e 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,ifhe desires,shall be informed ofthe content and meaning of that data. Afrer 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 created The responsible authority shall provide copies of the private or public da[a upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying and compiling the copies. � The responsible authoriry shall comply immediately;if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request;excluding Saturdays,Sundays and legal holidays,ifimmedia[e compliance is not possible. Ifhe cannotcomply 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either (a)correct the data 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 discloscd only if the individual's statement of disagreement is included with[he disclosed data. The determination of the responsible authorit}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 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 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 re�uired to process this application or permit. �; First �� Mi�le�� /�j�-�' Last �, ��c., ii Address City State Zip Phone I understand my rights as s�ated a �ove. - � =� 7 � Signature � Reset Form 32 F f � CHECK OFF LIST FOR ISS UANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �Z�5 ��,M w�� q v� PID: DESCRIPTION OF WORK: Q�x. /1�p - c.�T ZONING REVIEW BY: DATEAPPROVED: S-�_�� BUILDING REf�IEW BY.• DATEAPPROVED: s--ca-o� ----------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes_� No PLAN REVIEW Yes �/ No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTIOR� INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) --------------------------- ZONING CHECK LIST Zoning District: Fire Department: Post Off ce: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Streel): Left Side: Adjacent Structures: etland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: StaffApproval Date: y: Zoning File: # Resolution: # Resolution Date: Shoreland Distr-ict: MCWD Permit: Avg. Setback: BluffSet ack: LotCoverage. Existing Proposed Hardcover: 0-75' 75-2�0' 250-�00' 500-1000' Nardcover T�ariance Reyuired: Yes No Date of Council Approval.� REMARKS(in house): ►NO C,l� �" C� rL� -t � - p r� 33 1 . � BUILDING REVIEW CHECK LIST UBC: �-3 CONSTRUCTION TYPE: V/� Sq Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 3,O��O � Inspections Reguired: Work Requiring Separate Permits: Site Plumbing Fire Hardcove��Removal Mechanical I�ater Connection �Footing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) YG'ell(State Permit) �Final Grading/Filling Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: F�isting New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): 34 � . � , � � � , t � O � / ` T� � --yR ---�� o � . � u�� ,,, g � � � fr; � .�. 1 a � �. 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TELEPHONE N0. �" l� _�L�� / � �� . � DESCRIPTION _ �(��?��Cy " � �r^�—. � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP �U ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL r ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: i a �L2-E � � ''✓�/v . � J O a � / O l_./ � � � �, i W � Q � Z W � W � � d ' WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. u PHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in acivance. (952� 249-46�� OwnerlContractor on site: Inspector. �,�./ �'�� ,� � White Copy/l�spector's File Canary Copy/Site Notice � 7 � / TE TIME � CITY OF ORONO CALLED IN ��/ � INSPECTION TICE SCHEDULED D /•: 3� PERMIT NO. � d� COMPLETED ADDRESS `�� %�-r�� OWNER CONTR. TELEPHONENO. �� — lS��-��- ' 7j(��1 � DESCRIPTION ��- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q �'FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o /''�f��S �TCY`,c� % a � 0 � W � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cal{for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: inspector. fcr ,.,�� White Copylinspector's File Canary CopylSite Notice