HomeMy WebLinkAbout2003-P06375 - attached deck CITY O`F ORONO PERMIT
2750 K�Iley Parkway - PO Box 66 Permit Number: Po63�s
Crystal Bay, Minnesota 55323 PerCTllt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued: 6�si2oo3
SITE ADDRESS: 1981 Fagerness Pt Rd
Wayzata,MN 55391
PID: 18-117-23-14-0005
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Pernut Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 8,000.00
Plan Review Fee: $ 99.58
State Surcharge Fee: $ 4.50
TOTAL FEE: $ 257.33
A►PPLICANT: New Image Deck Construcrion �WNER: Micheal&Julie Whittington-Groenke
216 Linden Circle 1981 Fagerness Pt Rd
Waconia,MN 55387 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.
•; �
APPLIC T PERMI7'EE I ATURE ISSUED SIGNATURE
Copies: 1-File(SiQnitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
.
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Total Fee: $ Date Received: �� � - �1�
Lntered By: ;�,�t�, Pernut#: /�C1 G�37�
CITY OF ORONO � BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information) �
---------------------------------------------------- - -----------------------------------------------
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THE APPLICANT IS: (circle one) OV�1ER OR CONTRACTOR
� �
JOB SITE ADDRESS: � � (��j'� � ZIP: �5��
NAI�iE OF O � (,C (�"[� l PHONE: (home �� �?��
, (work)
MAILI�i 1G ADDRESS: ' � CITY: �j�_ZIP:5__�39 /
�
CO\�'RACTOR: l/(�.�'�LL� ��t � , PHONE:. Z�`7�� �,�
COti�TACT PERSON: /1� ,�r � NIOBII,E/PAGER:
NI.4ILI�i'G ADDRESS: ..����C_l�-r,,�o_CITY: �G�C c-L1 (� ZIP: '7 5� : /
ST�TE LICENSE: #
�-'1 AF CHTI'ECT/ENGINEER: PH0�1E:
f(�� � 1�I_aII.L�1G ADDRESS: CITY: Z�:
V �,T���; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
�,�,.(%��/ L/1�-�,%C� il�r C� ��
r� �
STORIES: SQ. FEET OF EACH FLOOR:
l�'O. OF BEDROO�iS: � � GARAGE STALLS: ATT. DET.
ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ �`�GY�.)
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
perm.it; and that the work wil� be in accordance with the approved plan.
, � ,
APPLICANT'S SIGNATUREy�� .������ DATE•
i,
NOTE! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGHTS OF SiJBJECTS OF DATA .
Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual azked to supply private or co�dencial data concerning himself
shall be informed of: (a)the putpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide
rystem;(b)whether he may refuse or is legally required to suppty the requested data;(c)any Imown consequence arising from his supplying or
refusing to supply private or confidential dara;and(d)the idenary of other persons or entides authorized by sate or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to seccion 13.82, subdivision 5, to a law
enforcement officer.
'I�e commissioner of revenue mav lace the notice re uired under this subdivision in the individual income taz or ro ertv tax refund
instrucrions instead of on[hose 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 confidenrial. 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 rhe 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 uriless a dispute or action pursuant to this secoon is pending or additional data on the individual has been
collected or created. The responsible authoriry shall provide copies of the private or pub(ic data upon request by the individua]subject of the data.
The responsible authoriry may require the requesang person to pay the actual cosu of making,certifyin„and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or withia five days
of the dace of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compiy with
the request wi[hin that time, he shall so inform the individual, and may have an addidonal five days within which to comp(y wich 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 pubtic or
private dara conceming himself. To exerzise this right,an individual shall notify in writing the responsibie authoriry describing the nature of the
disagreement. The responsibie authoriry shall within 30 days either: (a)correct the data found to be inaccuiate or incomplete and attempt to notify
past recipienrs of inaccurate or incomplete data,including recipients named by the individual;or(b)noafy the individual that he believes the data
to be correct. Data in dispute shali be disclosed o�ly if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaang
to contested cases.
DATA PRIVACY ADVISORY
In accordance with N1.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 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 pernut or license requires Council action to approve, some information may become
public.
5. You have certain rights under I�I.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
��,� � ��' ,�,���'�`�L.:ht�—.�
� r, (` � � Midd Last
7 � �-�N''�ZX� s" ,,�'� �r.�
Address
�:� c� �: :���- ���"l / 5��.�?/� ;r�
> �` /
C�ry State Zip Phone
I understand my rights as stated above.
Signa r "
6
: _ .
CHECK OFF LIST FOR ISSUANCE OF PERMITS
, FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �q �� �=�c,�;�,r.,-�-; ��
PID:
DESCRIPTION OF WORK: (ac.uc
---------------------------------------------------------------------------------------------------------
ZO�TING REVIEW BY: �J U',i�.- DATE APPROVED: �,-S-0 3
BUII�DING REVIE`V BY: � �1.�:..._ DATE APPROVED: `_s-_ o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERIVIIT Yes /' No
pLAIv REVIEW Yes �✓' No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC Units OTHER (specify)
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ZOrTvi G CHECK LIST Zoning District: L,�- �C.
Fire Department: Post O�ce: School District:
Lo[Area: Sq.ft. Acres �� Width Depth
Survey Submitted: Yes p� No Date of Survey: Z- � � c��'
Proposed Setbacks:
F�et3t (La�ce): ii ?s Right Side: + 7 �
�; ilt�u'
,]�g��eetj: 1�-t Z- Left Side: S�
Adjacent Structures: 3 3� Wedand: �� �/�
Building Hei�ht: Def. Hgt. — Pealc Hgt. —
Lot Covera�e: --
Gradin�: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # v y- ��"y�� Resolution: # Resolution Date: �-?7-�.�
Shoreland District: ��y
Av�. Setback: C�.�� Bluff Setback: �f i/� L,o[Coverage: —
Existing ,,,;/ ` Proposed�c,�, �
Hardcover: 0-75' 'Ll 3� / y'. `� `�� 3' � `ry -��
75-2�0' '��• q
2�0-500'
500-1000'
Hardcover Variance Required: Yes ;x No Date of Council Approval: �-27-��
REMARKS (in house):
7
. , �.
. �
BUILDING REVIEW CHECK LIST •
�C� � 3 CONSTRUCTION TYPE: �"�
Sq Footage $ Per Sq Ftg
Basemen[ x _
lst Floor x _
2nd Floor R _
Garage R _
R =
TOTAL
Estimated Construction Value: $ g,noo°—°
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�C Footin' Septic Sewer Connection
_ o�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
� F�� Grading/Filling Electrical (State Perm.it)
Other
REMARKS(IN HOUSE): -------__
------------------------------------------------------------------------------
REVIE`�" BY OTHERS: DATE:
Access: Existing Ne��
Access Approval: Date By:
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REA�ARKS (TO BE NOTED ON PERMIT�:
8
BUILDER NEW IMAGE CO:^IST
� 216 LINDEN CIR WACONIA
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• - PHONE Nit1VIBER 952-442-13Q8
^_- t - � � ``� �7a, �' .s -c . ,. ��.: � r . .
� "` FUOTING: MIN DEPTH 42 INCI�S
��T;�q��-_. MIN ola �z lucr��
RAILING: MA�� SP.qCE� [NCHES
F3" �1A�. E:,�;Si!z S" R�„N. T:E���7 MI�!HEIvHT 36 IIvrCHES
6' �" P�i�i�v. i-i�.^,�;�i;0,'.3���! STAIRS� iVfIt�(T`REr1D 9 INGHES
��T t_E:15 i '--'��E H:"��.r�;��l�:.�'��L ;�_�;?�_;il:tD h1�Y R.ISE 8 1NCHES
C;t_.�i�::�RAiL CY�:rd SlDES LEDGER: I�AGGED AND F`LASHED
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�� DATE TIME
CITY OF ORONO I��'� CALLED IN
INSPECTION NOTICE SCHEDULED � �' z�'-� �/�'►
PERMIT N0. �� � ��� COMPLETED
ADDRESS���/ ��u,.e.t�.u' .� �t I� �
OWNER (d,•'_ �` �.�...3 � CONTR. 7���' �n�-.t-��v
TELEPHONE N0. �S � �Lf'�� —j 3 O �
� DESCRIPTION ,�p���
� O7 F60TIN 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ��= c" �[/X.��t/ '
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OiiDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call fo�the ne t inspection 24 hours in advance. (952� 249-46��
OwnedContrac�bp e:
Inspector. � ��
� White Copyllnspector's Fil Canary Copy/Site Notice
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> DAT TIME
CITY OF ORONO CALLED IN ���
INSPECTION TI �] SCHEDULED ���-�� :�= �'
PERMIT N0. • / � COMPLETED
ADDRESS__ l ��� ������� �� �`�
OWNER � CONTR.�C"�lC� �/�I�
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TELEPHONEN0. ��z ^ ��l-".37�` 9
� DESCRIPTION /- �/�C(,�-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
ZWALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 INAL �� 14 SEWER HOOK-UP O6 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL �� / 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:v YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W O CORRECT WORK&PROCEED .❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for ihe next inspect on 24 hours in advance. �95Z� Z49-4600
OwnerlContractor o si .
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
. INNETC� NKA � x �. :� �J UL1 � vv .nll 111�
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,,�e.� �, . OF LOT 4, FAGERNESS & ADJACE
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