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Home My WebLink About2001-P04016 - attached deck PERMIT C�TY OF ORONO .2750 Kelley Parkway - PO Box 66 Permit Number: Po4oi6 Crystal Bay, Minnesota 55323 P@ft111t Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: �i�i2oo� SITE ADDRESS: 1973 Fagerness Pt[Zd Wayzata, MN 55391 P ID: 18-1 l 7-23-14-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: 2668 Separate permits required: r�umbing iviecnanicai Giectricai (staie j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 8325 Valuation: $ 2,500.00 Plan Review Fee: $ 54.08 State Surcharge Fee: $ 1.25 TOTAL FEE: $ 138.58 APPLICANT: Manley Brothers Construction, Inc. OWNER: Kurtis Manley 646 Lexie Court 1973 Fagerness Pt Rd Eagan,MN 55123 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BU[LD1NG CODE REQUIREMENTS. I �,� � " G,�� ,, , APPLICAN'C PERMI'1'EE SIGNATURE IS D BY SIGNATURE � Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 � • k �/ �. �� ) Total Fee: $ /�� Date Received: �O- �7-G�/ � Entered By: �� %-� Permit#: ��C� �C�_ ; - -, � . � .y,.,.:, � , -� : i � �. 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) WNER R CONTRACTOR JOB SITE ADDRESS: /973 �l�G cr�e s s �pjh-� �QbQ�ZIP: .SS,.3 9/ NAME OF OWNER: Qy��Q�/ �ra�ers l:Dr��ior�PHONE: (home)(�,�/-(�$fj-�/.�lP (work) �"/-y'U,7-/8/�/ MAILING ADDRESS: �c�lo L.'e..y[%ei�t,.r �- CITY: F�l.c,�•� ZIP: /a CONTRACTOR: �+2�/ (��o'�Q►'S �4 V15�v'c�i o✓t PHONE:_(�,TI-9U,7-!S/� CONTACTPERSON: �c. MOBILE/PAGER: (o/a-aS0- �6'7'�0 MAILING ADDRESS: /o�� Xi� (�,D�cr CITY: � � G ZIP: ��s�3 STATE LICENSE: #�00 S�,13�7 ARCHITECT/ENGINEER: �vX_ � Qe�i4�n PHONE: (�,�'/-8'9�-3990 MAILING ADDRESS: �f/5S D/a�S%(,�•�/'k�torie.l�ITY: � /ll�t ZIP: ,3"5/��. NAME: 6r,;, ,, b n REGISTRA ION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: � ��,�r W� ,�o W 5 -t- (J�GIL .�� u� pls Gl�l?�4G - STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �s6 U.bZ� 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 accordance with the approved plan. APPLICANT'S SIGNATURE DATE: �a� -D� NOTE! Parade of Homes events require separate pe � ' approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 f " � ` 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. Infocmation required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the 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)any known consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idendry 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 mav�lace the noace required under this subciivision in the individual income tax or orocertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible 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 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,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 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 authoriry shall 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 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 within that time,he shall so inform the individual,and may have an additional five days within which ro 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 ezercise this right,an individual shall notify in writing the responsible authoriry describing the t�ature of the disagreement. The responsible authoriry 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 disclosed only if the individual's statement of disagreement is included with the disclosed data. The detertnu�ation of the responsible authoriry 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 �ity of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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 required to process this application or permit. -Kt�r�- L_ IMa.�nley First Middle Last or-I� L��Cie� ��r�- Address �a a.,,n i(`t�w 55t a 3 (v�'1-9o.s-I�t I�( Ci�y �-� State Zip Phone I understand my rights as stated above. � � Sig e 6 � CHECK OFF LIST FOR ISSUAI�ICE OF PERMITS , FOR OFFICE USE ONLY ADDRESS OR LEGAL: ( q 13 l=/�GL,R rv�S �O trvT (�A�✓� PID: I(,�-I I"1 -Z 3 I`-i c�o 0 4� DESCRIPTION OF WORK: ��2��;,(�,S + �v L(� �nr Cn.4/lhG� ZOrTvi G REV�W BY: DATE APPROVED: �-3-n I BUII�DING REVIE`V BY: DATE APPROVED: 1 - 3-v c FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes ✓ No PLA��1 REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) Z0��1G CH�CK LIST Zoning District: G/Z-� C.. ire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Dep[h Survey Submitted: Yes No Date of Survey: Proposed Setbacks: �p Fron[ (Lake): Right Side: � Rear (Street): Left Side: L Adjacent Structures: �Vetland: Building Hei�ht: Def. Hgt. Peal:Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # 2 66�j Resolution: # Resolution Date: (�-1( —c� � Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: �u Existing Proposed � Hardcover: 0-75' 75-250' �k 250-soo' � soo-i000� Hardcover Variance Required: Yes No Date of Council Approval: REil�1ARKS (in house): 7 M BUILDING REVIEW CHECK LIST �C� 2` 3 CONSTRUCTION TYPE: V� Sq Footage $ Per Sq Ftg Basement x = lst Floor z _ 2nd Floor z = Garage x _ R = TOTAL F,stimated Construction Value: $ 2,S Oo `�� Inspections Required: Work Requiring Separate Permits: Site )C Plumbing Fire Hardcover Removai _�Mechanical Water Connection Footing ' Septic Sewer Connection � Framing Fireplace Lawn Inigation �Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) _�Final Grading/Filling _�Electrical (State Permit) Other REMARKS(ni 1 HOUSE): -------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date gy: ----------------------------------------------------------------------------------------------------- REVIARKS (TO BE NOTED ON PERi�II'1�; 8 '