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HomeMy WebLinkAbout2008-P12150 - deck addition PERMIT CITY OF ORONO 275� Kelley Parkway- PO Box 66 Permit Number: p12150 ' Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 6/19/2008 SITE ADDRESS: 725 Ferndale Rd N Unit# Wayzata,MN 55391 PID: 36-118-23-12-0002 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residentiai Census Code 434 Permit Class: Building Permit Type: Addirion/Remodel/Repair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: DECK(including steps)MUST BE 10 FEET FROM POOL. <�� FEE SUMMARY: Permit Fee: $ 191.75 valuation: $ 9,800.00 Plan Review Fee: $ 124.64 State Surcharge Fee: $ 4.90 TOTAL FEE: $ 321.29 APPLICANT: Exterior Expressions OWNER: Micheal&Margaret Sowada 1335 Parkview Dr 725 Ferndale Rd N Chaska,MN 55318 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. � ��� I z �l � � APPLICAN PERMITEE SIGNATURE I SUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ` �., V� '��� � C � � � � ��, Total Fee: $ ��� � � DateReceived: ��0 Og Entered By: Permit#: f�-/�/51� �— 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 O CONTRACTOR — Z�P: ss3 a/ JOB SITE ADDRESS: ��S `��/`/�/��1� � /�, 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 Depai•tment and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant tlemonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: ��`�Q ��,��7 S�c,{9-��.l, PHONE: (home) a-L -?��y3 (work) MAILING ADDRESS: �a� y����u�� ��CITY: }�'-c ZIP: CONTRACTOR: � ��'}'l � �X �'���5/DNS PHONE: �/�- B��- �/�O CONTACT PERSON: ' �, MOBILE/PA ER - � " ' MAILING ADDRESS: "' ��' r w �/; CITY: � �-5�-� ZIP: ,� 3/� STATE LICENSE: #� �(�a7� �7� EXPIRATION DATE: 3-3/-�� 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 r uir MCWD review and permits! PROPOSED WORK(describe in detai�: .����,� ����C STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $� �G�, �� --���� 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 pennit and wark is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATU � - �� 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 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 concerning himself shall be informed of (a)the purpose and in[ended use of the requcsted daYa 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 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 mav place the notice required under this subdivision in the individual income tax or pro�ertv 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 ofthe 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 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 authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe 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 tive 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 authority describing the nature of the 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[o be correct. Data in dispute shall be disclosed only if the individuaPs 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 eontested cases. DATA PRNACY 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 me is required to process this application or permit. 1 ��` �� �� ��������d� First Mid Last ` � (/���� � l�l��l/ O - Address � � -�� �- 7/�� C��Y � ���/j �"(��State �3��p Phone I understand my rights stated above. � Si�nature � Reset Form 32 , � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 'j 2 �.�, PID: `C. DESCRIPTION OF WORK: �i h�r e c/L c,,�, u,� cle c!C �_�__w__-------------------- _____---------______�____�____�______�� ZONING REVIEK'BY: �� DATEAPPROVED: 6 O BUILDING REi�IEW BY: DATEAPPROTjED: ,y -f(� - �� FEES TO BE CHARGED: Misc. Fees Calculated B}� � � � � -'�____ PERMIT Yes ✓ No PLAN REVIEW Yes �/ No SEu'ER CONNECTION STATE SURCHARGE Yes� No u'ATER CON.�VECTION INVESTIGATIOIV FEE Yes No ,/' PARK FEE SAC Yes No �� SITEINSPECTION Narmber of SAC Units OTHER (spec�) �_�__�-------------------------___---��____________________-------------------------------- ZONING CHECK LIST Zoning District: /�le'l,/..� Fire Department: Post Offce: School District: Lot Ar•ea: Sq ft. Acres Gi�idth Depth SurveySubmitted: Yes ✓ No Date ofSurvey: �S 6„�.�� p�`jwJ� Proposed Setbacks: ���r ���4-' S�}u�.vn f�x�S�i+t��„�a(' Frront�.-czf�J' %j _ ��Side: d/C. �c,�',�.e s F t i l�/4E�.,.n.�� � Rear(Str-eet�: /1��/11�.� Ltft Side: � Adjacent Structures: ? YT'etland: Building Height: Def Hgt. � Peak Hgt. Lot Coverage: �� Grading. StaffAppr•oval Date: B}': Council Approval Date: Septic: Staff Approval Date: gti�; Zoiaing File: # Resolution: T Resolution Date: Sho�•eland District V NICWD Pe�-mit: .Avg. Setback: BlarffSetback: LotCoverage: Existing Pr-oposed Hardcover: D-'.i' ?s-�s0' OK_ ?so-soo� .i 00-1000' Har•dcover 6 ai-iance Requir-ed: }es �'o v Date of Council.9pproval: REMARKS(i�z house): .i 3 BUILDING REVIEW CHECK LIST UBC: �"3 CONSTRUCTIOI�'TYPE: V N Sq Footage $Per Sg Ftg Basement x = 1 st Floor x = ?nd Floor x = Garage z = z = TOTAL 00 Estimated Construction Value: $ �I, $�� — Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover•Removal �fechanical W'ater Connection �_Footing Septic Se�ve��Connection �Framing Fireplace Lawn Irrigation Insulation (��lasonry) Other Wall Boa��d (iLffg.) W'ell(State Permit) � Final Grading,'Filling Electrical(State Permit) Other . REMARKS(INHDUSE): REVIEW BY OTHERS: DATE: Access: Fxisting New .9ccessApproval: Date By: REMARKS (TO BE NOTED ON PERMIT): �C �n����l/h� �(,a,�s s�I Us � h2 �0 -Eee� �c.�c. ��d � T-- �a � � �DATf� TIME �� CITY OF ORONO CALLED IN � v�� � INSPECTION A1 I E SCHEDULED 1� T.,D. PERMIT NO. �� COMPLETED �'•' ADDRESS ,��1. ��-`l_�GC_�C� l'CG� ° - _ OWNER CONTR. �CN�J TELEPHONE NO. — � — � �— � � ` � DESCRIPTION �� �- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED �ROJECT COMPLETE �CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice �� DATE TIME � / CITY OF ORONO CALLED IN V INSPECTION N I SCHEDULED ���g � PERMIT NO. �� COMPLETED ADDRESS 7Z 5 ��/'i'j�� �� /(/ ' OWNER CONTR.��v!/lY� TELEPHONE N0. ��Z n ��� � � DESCRIPTION I�W� ���--�� � ❑ FOOTING � MECHANICAL I ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � WALL BD. Z ❑ ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTfC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � �, �U� � � � 0 � W � Q � Z W � W � � d ;.y��� W 'L�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETUfiN ��CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on s e: � Inspector. � � White Copy/lnspector's File Canary CopylSite Notice