HomeMy WebLinkAbout2007-P10682 - attached deck � � � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10682
Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
1/19/2007
SITE ADDRESS: 905 Ferndale Rd W Unit#
Wayzata, MN 55391
PID: 02-117-23-44-0010
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 329
Permit Class: Building
Permit T e: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
YP
DETAI LS:
Approved per resolution#: 5430
Separate permits required:
NOTICES/REMARKS:
Detached Deck From Home,But Attached To Boathouse&Steps
FEE SUMMARY: Pernut Fee: $ 391.25 valuation: $ 25,000.00
Plan Review Fee: $ 254.31
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 658.06
APPLICANT: Harry Jensen Construction,Inc. OWNER: John&Joan Brooks
4401 Pleasant Ave. S. 905 Ferndale Rd W
Minneapolis, MN 55419 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.
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APP�I�TP� TEE SIGNATUR I SUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
.
Total Fee: $ V �U �l�� DateReceived: ;' '- ��'
Entered By: J � Permit#: ' . '
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print a!l inforniatio�z)
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THE APPLICANT IS: (ci��cle one) OWNER OR Y'ONTRACTOR�
JOB SITE ADDRESS: `! QS t�,rr,�¢,\� It(i-�, � ZIP: 7�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ YeS �NO lTyes, a specinl evenl permit is required 1�vith Police Departnre��t a�rd Ciry Cour�cil app�-oval
� 60 days prior to the eveni. Shuttle bus servrce tivi/!be requtred i�nless npplicant demonstrales
sc�ffrcient on-site parlci�7g is available. No�v-permitted events 1�vill not be a/lowed
I`1Al`✓IE O�'O��NEP.: �n��-, ���� P�IOI�IE: (home)
(work)
MAILING ADDRESS: �RS l�. ��s��J� CITY: (,��Q��_ZIP: ��y�
�o:���.�c�ro�: �cw..se G n , �xoN�: ��• �Z�� Z��.S—
CONTACTPERSON: MOBILE/PAGER: ���� - Zre`7• p�Z.,�
MAILING ADDRESS: �- �c CITY: (��a�no ZIP: SS 3�/
STATE LICENSE: # 13C - Z 03�y � 8 (� EXPIRA.TION DATE: 3 • 31 • Zao`7
ARCHITECT/ENGINEER: ,�'���S(� �CQv\�S c o-�pe. �f� PHONE:
MAILING ADllRESS: �� � ���c l� , CI'I'Y: �s ZIP: .5��y�/
NAME: 1;��"���n S REGISTRA ON: #
TYPE OF WORK: New Home Addition Accessory Structut•e �`--
Move Home RemodeVAlteration (ie: Sidi�lg, Windows)
Any earth movement may require MCWD review and ermitsi
PROPOSED WORK(descrihe��{'�a cletai�: �3,;� � ,n��„� ��C[L ez,^
��e�S - /� t�k.,�i'�ol.i�
S�'ORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDR001VIS: GARAGE STALLS: ATTACHEI) llETACHED
ESTIMAT'ED CONSTRUCT'ION VALLIATION(exclud'eng land): �S e�- �–
I hereby apply for a building permit and[acknowfedge that the information above is complete and accurate;
that the work will be in conformance with the ordinances and codes oi the City and with the State B�iildina
Code;that I understand this is not a permit and worl<is not to start��vithout a permit;and tllat the���ork�vill be
in accordance �vith the approved plan.
APl'LI�A1V'T'S SiG�iA'�tTIiE: �—�A�'E: �– /(' • C,7
3l
Scc.13A4 RIGtITS OF SUBJGCTS 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. Infonnation required to be given individual. An individual asked to supply private or confidential data concerning himselfshal I be
int'onned of: (a)the purpose and intended use of the requested data�>�ithin the collecting state aeency,political subdivision,or statewide system;(b)
��hether he may refuse or is legally required to supply the requested data;(c)any kno�vn consequence arising from his supplying or refusin�to supply
private or contidential data;and(d)the identity of other persons or entities authorized by state or federal la�v to receive d�e data. This requirement shall
not apply when an individual is asked to supply investigacive data,pursuant to section 13.82,subdivision�,to a law enforcement ofticer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income ta�or propertv ta�refund
instructions instead of on those tbrms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shal I be infonned whether he is the subject of
stored data on individuals,and whether it is dassitied as pubiic,private or contidential. 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. Atter an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him tor six
months thereatter unless a dispute or action pursuan[to this section is pendin�or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the privace 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,certitying,and compiling the copies.
The responsible au[hority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of
the date ofthe request,e�duding Saturdays,Swidays and legal holidays,ifimmediate compliance is not possiUle, If he cannot comply with the request
within that time,he shall so inform[he individual,and may have an additional tive days within which to comply with the request,esdudine Saturd�ys,
Stuidays 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 himselti. To exercise this right,an individual shalf nocity in�<<ritin�the responsible authority describing the na[ure of the disagreement. The
responsible authority shall�vithin 30 dlys either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,induding recipients named by the individual;or(b)notify the individual that he believes ehe data fo be correct. Dafa in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination 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 City of Orono or any of its departments may require you to furnish certain private or
confidential infonnation.
You are notified that:
1. The infonnation you fw•nish 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 rec�uested permit or license requires Council action to approve, some information may become
public.
5. You have certain ri�hts w�der NLS. 13.04 (available upon request)to review private data on yourself.
6. �'our full name is required to process this application or pennit.
Eirst i�[iddlc L:�st
.�ddress
Cit}• State Zip Phone
I understand mv ri�hts �ted above.
Sicnatu c
Reset Form 3?
�CI3ECK flFF i�IST FOR ISSTIANCE OF PERi.�IT5
FOR OFFICE USE ONLY
ApDRESS 4R LEuAL: 9 05 ��FWrJAt.E �"�A� W
PID:
DESCR.IFTI��T OF WORK: (Jc:.Lk �t- c-�r-1�
--_�______�..---------
----- --- ---- DATE APP�OVED: i - � ?-�+o a�
ZOY�IG REVIE'4V BY: P G D�,TE APPROVED: /- i�-a'�, .
SUIZDLNG RE`t��V BY: � .
-------- ------------ _ �
k`EES TO BE CHA.RGED: Misc. Fees Caiculated By:
PERMIT Yes � No
PLAN REVIEtiV � Yes -� No SE�VE.R CO�ECTION
STATE SURCHARGE Yes �� No �VATERCONNECTIO�;
INVESTIGATION FEE Yes No � P�IRK FEE
SAC Yes No —�� SITEINSPECTION
Number of SAC�Units OTHER (specify)
-----------------
ZOYI�� C�CK LIST Zaning Discric�: LR- l/� �
Fire Department:
Post Office: School District: �
De [h
l,,or P,zea: Sq.ft. �Z v�g� Acres 2•'�� Width P
Survey Submitted: Yes _� No Date oE Survey: 7-�`l' ��
Proposed Setbacks'; � �
Froac(Lake): �,3 Ri�t Side:
RC3C(Jticetj; LaEt �ide:
Adjacent Structures: AT1/'ICNv� Wetland: /Y ��
Buil�lin�Hei��: Def, Hgt, �.!//� Pe�.k Hgc. —
Lot Coverz�e: /���
No CMr�ivG Co�cLL �pprcv�., Date: --
Gradin�: S�aff App:ov�l Date; t �;:
�
Szpcic: 5�2fi App�Q'/� Dace: /�►//� �:
Zoaing F�lz: R Ob�31� � Reso�u:ioe: n Resolu:ion Da:e: 2 '"Z7`4.6
Shorel�^.d District: �S- _
�v?. Setba�'u: ��Allc�q u L� B��Ff Setback: �J ��' LoC Cove2�e: /�J J�
J EuSc:�g Proposed
HzdCoveC; 0-75' ,Jp. ?i2„ (O.� (�
75-2;0' 3 . 21 � .2/
2�0-SQO'
�00-:G+,���
� r, C���-,��i c.?�-�vz: 2-Z7• 6 6
:.?"�,CC'��. 1+��.�C� `'.'_y'_.:�C: :z5 . � ---•- -�
F.L,�L�'}�S (i.�hou�e):
.
EUILI�ING REVIEtiy C�-IECK LIST
�C� �' � � CONSTRUCTION'TYPE: y/s
Sq Footage $ Per Sq Ftg
Basement • . X _
lst Floor z � _ ,
2nd F1oor z _ .
Garaoe z �
x =
TOTAL
Estimated Constructioo Value; $ z��p pv �
Inspections Required: �York Requiring Segarate Pec7nits:
S ite Plumbing Fire
Hardcover Remova? Mechanical Water Coanection
� Foot�ng � Septic Sewer Connection
� _�_Fra.ming Fireplace Lawn Irrigatioa
Insulation (Masoary) Other
�Vall Board (Mfg.) Wetl (State Permit)
�F�� Grading/Fillin� Eleccrical (State Permit)
O che r
REMARKS (LhT HOUSE): � - '-
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RE'Y��V BY OTHER.S: DAiE: -------
Access: ERisting New
Access Approval: Date gy;
- --------------------------------------------------
REI�IA.�ZKS (,'�Q �F NC�'I'En nv PEF.��ii?�';:
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CITY OF ORONO CALLED IN � � �
INSPECTION�OTICE SCHEDULED G� '��
PERMIT NO. '� Id��� COMPLETED
ADDRESS ��� � �-`r'�'`�0.-1� � ��
OWNER CONTR. f�Qrc-��t��c'r�-����•
TELEPHONE NO. CO� I 'c� �3 ' ( `���' C��r�S
� DESCRIPTION .�)2 �_�t-- I��c'c)�r�� ►'�1.� .
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next'nspection 24 hours in advance. �95Z� 249-4600
OwnerlContrac o s • �
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�
� /��� � �-� DATE� ��:� TIME
CITY OF bRONO l CALLED IN � �
INSPECTION NOTICE (` SCHEDULED ,�/�"�� -� �?C=
PERMIT NO. 5`�'� + COMPLETED
ADDRESS ����� f__.�€'�2_/i c�f�CZ C E', �l� �-�.��
OWNER CONTR.�� C' L C.E �'Z'Yu'1
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TELEPHONENO. �i'/� . ���'L��{�
� DESCRIPTION �y r, ����� ,(--�
� 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
Z
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIG FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-4600
OwnerlCont o ite:
Inspector.
White Copyllnspector' File Canary CopylSite Notice
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^ D -�J� �Z�TI E `�,"
CITY OF ORONO CALLED IN � ��
INSPECTION N ICE �, / SCHEDULED �'l?'�c�l �u�� �
PERMIT N0. �����v COMPLETED
ADDRESS `%-� �n �
OWNER CONTR. � �.�
TELEPHONE N0. � �
� DESCRIPTION I��rl�.�.� �� l.'lx�.{� �- �TIX��LI,���
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 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
J 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:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. u PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 24J-46��
OwnerlContrac n e:
Inspector. r�� _
White Copyllnspector's Fil Canary CopylSite Notice