HomeMy WebLinkAbout2008-P12163 - attached deck PERMIT
�ITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: pi2163
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
6/18/2008
SITE ADDRESS: 3070 Farview La Unit#
Long Lake,MN 55356
P��� 04-117-23-34-0013
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 perresolution#:
Separate permits required: ��Q.�.0 ��G�
NOTICES/REMARKS:
Replace Deck Boards and Railing
FEE SUMMARY: Permit Fee: $ 73��5 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 74.75
APPLICANT: Owner/Self OWNER: David&Barbara Silus
MN 3070 Farview La
Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE S[G:�'ATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Total Fee: $ Date Received: �o -�3 -�8
Entered By: Permit#: ��a��3
CITY OF ORONO - BUILDING PERMIT 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) OWNER OR CONTRACTOR
J�B SI•I•E E�D�ss: 3070 Farview Lane ZIP: 55356
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 lo the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non-permitted events will not be allowed.
NAME OF OWNER: Da`'e a"a Barb s'1°S PHONE: (home) (9s2�a�3-�829
�WOCk� �952)249-4605
MAILING ADDRESS: 3070 Farview Lane CITY: Long Lake ZIp; 55356
CONTRACTOR: S�tf PHONE:
CONTACT PERSON: Dave MOBILE/PAGER: (612)720-2758
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 require MCWD review and permits!
PR�p�SE�w�RK�lteSCY[bB ll2 l�el[ll�: Replace deck boards and railing
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2,000.00
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 wark will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: Q-�-4 DATE: � /�3 D cS�
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 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 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 irom his supplying or refusing 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 ofticer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or pro�erty 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 charge to him and,if he desires,shal I 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 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,exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe 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,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
conceming 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 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 determination of thc 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 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.
First Middle Last
Address
City State Zip Phone
I understand my rights as stated above.
��£� � /3 D�
Signature
f,�,
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.
Reset Form � €; �, 32
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �0-7 � �q Qv�L w �q N L
PID:
DESCRIPTION OF WORK: �,p�qc�: �p.e.�� C3 oAn�S r4 j2..�,�,,,.�
ZONING REVIEW BY: �✓� DATEAPPROVED;wMwY��_
BUILDING REi�IEW BY.• DATEAPPROVED: 6-c 6_o r�
__---------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes IVo �/ SEWER CONNECTIOIV
STATE SURCHARGE �'es � No GYATER CON7VECTION
INVESTIGATION FEE Yes No_� PARK FEE
SAC Yes No c� SITE INSPECTION
Nirmber of SAC Units OTHER (specify)
-----------------------------------_----_—__
ZONING CHECK LIST Zoning District: (/1,lv G�..y�.W�
Fire Department: _ Post O�ce: School District:
Lot Area. Sq ft. Acres GGtdth Deptlz
Survey Sa�bmitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: Y�' land:
Building Height: Def Hgt. Pe k Hgt.
Lot Coverage:
Grading. S�aff,�lppr•oval Date: By CouncilApproval Date:
Septic: StaffApp�roval Date: gy:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: �L/C[�D Pe�-mit:
.Avg. Setback: Bla�Setback: LotCoverage:
F�isting Proposed
Nardcover: 0-7.i'
75-?50'
2�0-.i 00'
.i 00-1 D00'
Hardcover 1 ar�iance Requir-ed: 3'es �'��`o Date of Council Approval:
REMARKS(in house):
33
BUILDING REVIEW CHECK LIST
UBC: (Z• 3 CONSTRUCTIOrti'TYPE: ViJ
Sq Footage $Per Sq Ftg
Basemen� z =
1 st Floor x =
2nd Floor x =
Garage x =
z =
TOTAL
Estimated Construction Va[ue: $ �2.,Ouo `�'
Inspections Required: W'ork Requiring Separate Permits:
Site Plumbing Fire
Nardcover�Removal Afechanical YY'ater Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn L�rigation
Insulation (�Lfasonry) Other
YG"all Board (1l�Ifg.) YG"ell(State Permit�
_'�C Final Grading�Filling Electrical(State Permit)
Othe�-
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing ��'ew
Access Approval: Date By:
REMARIiS (TO BE NOTED ONPERMIT):
34
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DATE TIME V
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � �
PERMIT NO. COMPLETED
ADDRESS 30 7D � �v� �� (�
OWNER �!Z'lA�� S/�Ll S TELEPHONE NO.
CONTRACTOR
a DESCRIPTION ���QL ^ `����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
W ❑CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETI}RN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector._��
White Copyllnspector's File Canary CopylSite Nofice