HomeMy WebLinkAbout2006-P10060 - attached deck �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10060
Crystal Bay, Minnesota 55323 Permit Type:
Addition/Remode URepair
(952) 249-4600 Date Issued: 7/17/2006
SITE ADDRESS: 1945 Fagerness Pt Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-23-0018
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: Pernut Fee: $ 97.25 valuation: $ 3,989.00
Plan Review Fee: $ 63.21
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 162.46
APPLICANT: Wille Enterprise Inc. OWNER: Kevin Grell
6805 Rolling Hills Road 25233 Eureka
Corcoran,MN 55340 Wyoming,MN 55092
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 COD EQUIREMENTS.
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APPLICANT PERMI EE GNATURE �
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ISSUED BY S[GNATURE -
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
- �
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Total Fee: $ ��� � � DateReceived: � f �C� � C'
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Entered By: C� (� ` ��'� ��" Permit#: l.� � ��,� ��tp
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all i�zformation)
------------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER O CONTRACTO
JOB SITE anD�SS: �`� �l � �A q�� n e�,� ���-: �� ZIP: S�� � �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �o !f yes, a special event permit is reguired 1��ith Police Departrnent and City Cozmcil approval
GO days pi�ior to the event. Shuttle bus service wil!be reqa�ired unless applicant denaonstrates
szrfficient on-site parking is avai/able. Non-pei�mitted events 1vi11 not be a11o1>>ed.
NAME OF OWNER�p55�D�n �'(q r►�� , �^�—C- PHONE: (home)�6 �" '�����
� ,�~ j (work)
MAILING ADDRESS: � � `"I �-5 `a ��CITY: �� ZIP: ����
CONTRACTOR: •� � �rl�� `�c- � PHONE: /� - S�� S� ��'3�'
CONTACT PERSON: �n MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
�
ARCHITECT/ENGINEER: ����� ( �� � PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure �
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may requir MCWD review a pe mits!
PROPO ED WO K(des ' e 'n detai�: Lan � �G� j 3 a �c.� p-,L ,
,G. �` I �� F� � � "? �L '� 42 ' c,15 �-�1���
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): � �C� �'
� /
I hereby apply for a building permit and I acknowledge that t information above is complete and accurate;
that the work will be in conformance with the ordinance and c des of the City and with the State Building
Code;that I understand this is not a permit and work is ot to st t without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: ' jp� ��p
'�_.
31
, s�
�Total�Fee: $ DateReceived:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT 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 S1TE ADDRESS: ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ❑ NO If yes, a special event permit is required with Police Depart�nent and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant de»zonstrates
sufficient on-site pa�•king is available. ��on permitted events will not be allowed.
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # EXPIRATION DATE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Hoi��e Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detai�:
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
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 tllis is not a permit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
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[o be stored shall be as set forth in this section.
Subd.2. lnformatiai required to be given individual. An individual asked to supply private or confidential data conceming himself shal l be
informed of. (a)the purpose and intended use ofthe requested data within the collecting staCe agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)any known conseque�ce arising from his supplying or refusing to supply
private or confidential data;and(d)the identicy of other persons or entities authorized by state or federal law to receive the data. This requirement shal I
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 ma�place the notice required under this subdivision in the individual income tax or�ropert�tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private 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 charee to him and,if he desires,shall be infonned of the 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 sliall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority
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,eacluding Sat�rdays,Sundays and]egal holidays,if immediate compliance is not possible. If 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,eacluding 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 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 eithec (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[he individual;or(b)notify the individual that he bel ieves 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 ofthe responsible authority may be appealed pursuant to the provisions ofthe 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 deterniine 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 required to process this application or permit.
First �,_D�i�d� Last
(/`1/1/�
Address
City Sta[c Zip Phone
I understand m rights a tated ab ve.
� - 30 - 0
Signa r
:�
Reset Fom� 32
CHEC�K OFF i,IST FOR ISSUANCE OF PE�'VIITS
FOR OFFICE USE ONLY
ADDRESSORLEGAL: ��y5 (—'►q,�C�zrv,:ss PoirvT' ►�"b
PD�:
DESCRIPTION OF WORK: r�c_Zl�
ZO.�i G REVIE`V BY: AATE APPP.OVED: -t- � 2-c�:�
SLIIZDING REVl-E�V BY: DATE APPROVED: -, -i Z.- c��
FEES TO BE CHARGED: Misc. Fees Catculated By:
PERMIT Yes ✓ No
PLAN REVIE`V � Yes No SE`VER CONNECTION
STATE SURCHARGE Yes � No `VA'I'ERCONNECTTON
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No � SITEINSPECTTON
Number of SAC�Units OTHER (specify)
ZONi�iG CI-3�CK LIST Zon.ing Districr. LR-�L ,
Fire Department: Post Office: School District: �
L,oc Area: Sq.ft. . 5 2 Acres 22,5�� Width Depch
Survey Submitted: Yes _ x No Date of Survey: 2-�—►'��
Proposed Setbacks: , �
pY6at (Lake): 1 3 S � � Ri�t S ide: q 7 �
Rear (�: l'j.� Left Side: 3`i '-±
Adjacen[ Structures: �.-r>pc.6�-e� Wetland: i✓��
Buil�lin� Hei�ht: Def. Hgt. /U /✓� Peal:Hgt. —
Lot Covera�e: � �L• �
Grading: Staff Approval Date: ^/ (a4 By: Council Approval Da[e: '
Septic: Staff Approval Date: ,l/ �tq� By�
Zoaing File: n o S-'�iS� Resolution: n 538�{ Resolution Date: °�- Z-6• 65
Shoreland District: �, r s _
Av�. Setbac� yti � ih Bluff Secback: �/!/i- T--otCoverage: � Z. S.
Ecisting Proposed
Hardcover: 0-75' (� �
75-25Q' �_ 2� 3
2�0-500'
500-1000'
e ' • Ha:dcover Va;ia�ce Required: Yes �C_ No Da�e oE Council Approval: cf- Z�-0�
R.E`L�.RKS (in house):
Bu�n�r� x�v�tiv c�cx LIST
�C� � ' 3 CONSTRUCTTON TYPE: �//J
Sq Footaoe $ Per Sq Ftg
Basement X _
lsc Floor x =
2nd Floor x _
Garage x _
z =
TOTAL
Estimated Construction Value: $ ��e� �°
Inspections Required: �Vork Requiring Separate Permits:
S ite Plumb ing Fire
Hardcover Removal Mechanical Water Coanection
_ c�Footing ' Septic Sewer Connectioa
_� Framing Fireplace Lawn Ircigation
Insuiation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
—�F�� Grading/Fillin� Eleccrical (State Permit)
Other
REMA.RK� (IN�IOUSE): - - --
---------------------------------------------------------
REVIEW BY OTHERS: DAT'E:
Access: Existing New
Access Approval: Date By:
----------------------------------------------------------------------------------------------------
REI�IARKS (TO SE NQ'I�ED ON PERII�II'�:
8
CERTIFICATE OF SURVEY FOR
TIM P � W
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QDA � TI E
CITY OF ORONO LLED IN ��
INSPECTION TICE SCHEDULED ' �
PERMIT NO. COMPLETED
ADDRESS / 6 7S �fi �`��—�
OWNER CONTR. CUL�Qi �✓[�t
TELEPHONE NO. �� a ��� �j �J�
i -ti
� DESCRIPTION
� 01 FOOTING 11 MECH CAL RI 18 EXCAV/GRADING/FIL�ING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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
= 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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O ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
�
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-4600
OwnerlCon rac o te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�r� ��� DATE T
CITY OF ORONO CALLED IN �
INSPECTION T SCHEDULED • __ �, .C)Drn
PERMIT NO. �_ COMPLETED " �"
ADDRESS
OWNER CONTR. IfVL� �� �,���
TELEPHONE NO. � O
� DESCRIPTION
l�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q OZ'FRAMING 13 MECHANICALFINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREP 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
? 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. /�� � v
White Copyllnspector's File Canary CopylSite Notice
��� �j I�� DAT� �� TIME�
CITY OF ORONO CALLED IN �� � ��
INSPECTION NOTICE SCHEDULED r1 Dlo
PERMIT NO. ���� �P� COMPLETED
ADDRESS f � � � ���JZC'/� �'
OWNER CONTR. �c��! ��(P �,Q���-
TELEPHONE NO. �,r��� -�� -�l��
� DESCRIPTION I��U1-!lVC�- —,���
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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CORRECT WORK&PROCEED !- 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.CALL TO ARRANGE ACCESS.
Call for the xt inspection 24 hours in advance. (952� 249-46��
OwnerlCon o site:
Inspector.
White Copyllnspector's le Canary CopylSite Notice
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CITY OF ORONO cA� �
INSPECTION N ICE SCHEDULED —
PERMIT NO. COMPLETED
ADDRESS �.���� ��Q�a'l�t��Jd �7� 4��
OWNER CONTR. �JI•CLQ, ��.
TELEPHONE N0. �OIa 0 S� _ I
� DESCRIPTION ��^��
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED L"� PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY
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��ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �y�'� � CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACC��S. �� �
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Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice