HomeMy WebLinkAbout2007-P11270 - attached deck � PERMIT
C-ITY OF ORONO
2750 Ketley Parkway- PO Box 66 Permit Number: p11270
Crystal Bay, Minnesota 55323 P2rmlt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
7/30/2007
SITE ADDRESS: 3070 Farview La Unit#
Long Lake,MN 55356
PID: 04-117-23-34-0013
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
Replace Deck Boards
FEE SUMMARY: Permit Fee: $ g3.25 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ $4.75
APPLICANT: Oak Lake Construction OWNER: David&Barbara Silus
10520 County Road 24 3070 Farview La
Watertown, MN 55388 Long Lake MN 55356
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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APPL[CA T PGRMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
h
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print al/information)
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THE APPLICANT IS: (circle one) OWNER OR `�ONTRACTOR
_ __ ..----�
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JOB SITE ADDRESS: �U j(� ��r v�'cw ���� 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 Department and City Council approval
60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates
su�cient on-site parking is available. Non-permitted events will not be allowed
NAME OF OWNER: ��, v t S , �,.,S PHONE: (home)
(work)
MAILING ADDRESS: �✓7U �����'zw ����� CITY: (�V�� G ZIP:
CONTRACTOR: �;c�c�C Z�lt � CU tiS•-� . PHONE: ��� -�v��-s"a�3�
CONTACT PERSON: �l'J " =� � �� " MOBILE/PA�f ER: �/,2 - ��� - s-�.3�
MAILING ADDRESS: /p 5'2c, �� �' � •2 � CITY: ��J�/c�✓/�w.1 ZIP: S�3��
STATE LICENSE: # 2 c�S 2�.2 5"� EXPIRATION DATE: 3/3�/ p�
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 require MCWD review and F('�rmits !
PROPOSED WORK(descri tn detain: � .w T �' ��c j� � r„� oi,,,�y
S C �-f-��, s �v� �c'v-c%� �� �c ,�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,3G U C�, ��
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�✓ork's not to start withou�ermit;and that the work will be
in aceordance with the approved plan. ;��•� �_—� � �,�- �
APPLICANT'S SIGNATURE: / :'�, ' DATE: � '� (�
31
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. I. 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 to be given individual. An individual asked to supply private or confidential data conceming himselfshall 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 refusine to supply
private or confidential data;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 required under this subdivision in the individual income tax or property tax refund
instructions mstead 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 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 authority shall 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,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 compl iance is not possible. If he cannot comply with the request
within that time,he shall so infbrm 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 authoriry describing the nature ofthe 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
inaccu�ate 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 determination of the responsible authority 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 ]ocal, state or federal agencies to the extent necessary to
process the permit or license.
4. lf 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 Middie Last
Address
C�t3' State Zip Phone
I unders my rights as stated above._____. ...__..---.--.---_�
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�D NINCs
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DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION N TICE p� SCHEDULED — -0
PERMIT N0. ��� �/ COMPLETED
ADDRESS �o7D ��" U�e-� !�-�
OWNER CONTR. Q�� � C�
TELEPHONE N0. �cS./L �7�� 7C�Z.�
� DESCRIPTION �L�[ac-- ��
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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 �tROJECT COMPLETE
W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN �CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContract si .
Inspector.
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