HomeMy WebLinkAbout2005-P08524 - attached deck PERMIT
C'-���( 7 F O RO N O Permit Number:
275�Kelley Parkway - PO Box 66 Poss24
Crystal Bay, Minnesota 55323 P2C'tlllt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 3�29izoos
SITE ADDRESS: 2220 French Creek Cr
Wayzata,MN 55391
PID: 10-117-23-32-0004
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 349.25 Valuation: $ 21,650.00
Plan Review Fee: $ 226.98
State Surcharge Fee: $ 11.35
TOTAL FEE: $ 587.58
APPLICANT: Boyer Building Coiporation OWNER: Robert&7eanne Fayfield
3435 County Road 101 2220 French Creek Cir
Minnetonka,MN 55345 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL CANT PERMITEE SI ATURE [SS D BY S[GNATURE
Copies: 1-File(Sienitures Required), 1-Applicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Totai'Fee: $ "�� ���, `�� Date Received: ?-- I 5 - L'�
�Entered By: ��t,'��+2— Permit#: �v�5 Z�f
: ,
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CITY OF ORONO - BUILDING PERMIT APPLICATION
�,:Z������ All information must be submitted in fu❑ before plan revie�v will be started.
�� (please priiit all iiifor»iatioiz)
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THE APPLICANT IS: (circle ofie) OWNER OI���CONfi�ACT(3R
JOB SITE ADDRESS: ����;�1,�U ��i�C� C'►��� (`;rC,t� ZIP: .>33`7l
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �No If yes, a special event permit is require�l with Police Department and Ciry
Coicncil approval 60 days prior•to the event. Non permitte�l events will not
be allowed.
NAME OF OWNER: S���N���- �- 7j �'�1:��,c�� PHONE: (home)`75,2-��?y-���
(work)
MAILING ADDRF,SS: ,�!'� !�)v}-in.�fzw }}�„� S CITY: S�C�v, S PAriz ZIP: �yj�,
CONTRACTOR: r�a y.�� 13�-���iti.�C������rn}�,;,,- PI�ONE: ��S-�-<<�s= Zv�t7
CONTACT PERSON: Tdyr� y��,;�,.�,, MOBILE/PAGER:
MAILING ADDRESS: 3 N3 s c�z c�, CITY: ���,� ZIP: sj3sL
STATE LICENSE: # � �r K�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Accessory Structure
Addition Move
RemodeUAlteration Land Alteration
PROPOSED WORK(describe in detai�: �'�1;,���� �.,c.;s�t,�.:u �,t'���,, ���f ,� �� �,�,�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $� �,T� ��
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 work will be in accordance with
the approved plan.
APPLICANT'S SIGNATURE: f��i � � DATE: 3���"�p�
Scc.13.04 RIGHTS OF SURJECTS OF DATA ' �
Subd.1. Type of data. Thc rights of individual on whom the data is stored or to be stored shall be as sM forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himsclf shall bc
intormed of: (a)the purpose and intended use of thc requested data�vithin the collecting state agency,political subdivision,or statewide system;(b)
whethcr he may refusc or is Icgally requircd to supply the reyuested 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 scction 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue ma�� nlace the notice required under this subdivision in the individual income taz or propertv tax refund
instructions instcad of on thosc forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individuat shall be informed whether he is the subject of
stored data on individuals,and whether it is classified as public,private or conCdential. Upon his further request,an individual who is the subject of
storcd privatc or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the contcnt and
meaning of that data. After an individual has bcen shown the private data and informed of its meaning,the data need not be disclosed to him for six
months[hercafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected m•created. The
responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. Thc responsible authority may
require the requcsting person to pay the actual costs of making,certifying,and compiling the copics.
The responsiblc authority shall comply immediately,if possible,with any request made pursuant to this subdi��ision,or within five days of the
date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with thc request within
that time,hc shall so inform the individual,and may have an additional five days within which to comply with the reyucst,cxcluding 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 himselt. To exercise this right,an individual shall notify in writing the responsible authority describing the nature olthe disagreement. The
responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noti(y past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he belicves the data to bc correct. Data in
dispute shall be disclosed only if the individual's statement o(disagreement is included with the disclosed data.
The determination of the responsible authority may be appcalcd pursuant to the provisions of the administrative procedm•e act relaling 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 pernut 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.
--�v�v� � l�"��i U�
First Middle t
Address
City State Zip Phone
I understand my rights as stated above.
_:_..__ � `�
7
Sig ature
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CHECK OFF LIST FOX ISSUAIYC.E OF PER1I�IITS
FOR OFFICE USE ONL Y
ADDRESS OR LEGAL: Z�� ���H G���`� G/�"�"��
PID:
DESCR�TPTXOV OF Yf�O.RK: �Ec.
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ZO�VING REVIE GF�B I`: �w�C a��-- DATEAPPROVED: 3-(l��s �
BUILDING REVXEl�BY: �� Df1TEAP.�'R06`ED: 3 -�1 - �S
---------------------------------------------
FEES TO BE CHARGED: �Llisc. Fees Cnlcccfated By:
PEI�LIIT Yes � No
PLAN REI�IEGV Yes � t�Io SEtiVER GO�V�VEGTIOrV
STi�.TE SURCH.4RGE Yes '� No tiV�TER CONNECTIOIV
ItVVESTIG.4TION FEE Yes tVo PARK FEE
SAC .Yes tVo SITE tNSPECTION
Number•of SAC U�tits OTHER (specify)
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ZOrVING CHECh'LIST Zo�«,�;otsa�tcc:
Fi+•e Departmer�t: Post Off ce: Sclzool Dist�•ict: __..
Lor.�(ren: S r. Acres 6Yidth Deptli
4•f
Scuvey Sc�b�riitted: Yes�_ No Date of Scuvey: 6•1- �7 r N F+t_,��
Proposed Setbncks: � ,
Fi•orir(Lal.e): I �"Z� +' Riglzt Side: I Zo 'i
'�� Ge t Side: c�3� �
Renr(Sh•eet): Gf f
Adjacent Structures: N �/�-
Gf�etlnnd: �� � �
Building H�igh[: Def. Hgt. C�.(L Peak Kgt. 0�L�
Lot Coverage: � N 1 A-
G�•acling: Scaff.4pproval Date: N I v4 By: Cot�ncilrlpproval Date:
Sepric: Stnff�4pproti�a(Date: N l ✓�-- BY�
Zo��ing File: # — Resalutia�t: # Resolutiaz Dnle:
Sltoreland Dish•ict: -e _
Avg. Setback: �,�L Blc�ff Setbac�: n/�� Lot Cover•age: N��
Exis[in,; Propasecf
Hai•dco�er: 0-7�'
�s-zso� ' o,�L
?so-soo� !
500-1000'
Har•dcove�• Vm•iatice Reqccired: Yes No aL Dnte of Co�i�icil Approval:
.RED�IARKS(i�t Itotcse): .
31
; ; ;
,�,;,
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B UILDX�VG.RE T/IET Y CHECIi LIST
UBC: R'� CONSTRUCITO�V TYPE: �lG�
Sq Foata,�e S Pei•Sg Ft�
Bc�se��ierit � _
Lst Floor x =
3nd Floor s =
Garc J e s =
x =
TOTAG
Estima[ed Coiistrccctiaa Y`a(cee: ,� Zt,(o�y�v
Inspectioiis Reqcci�•ed: 61�ork Requiri�ig Separate Pe,•n�its:
Si�e Plu�nbing Fire
Hai�dcover•Rerrio�•al N(ecliani.ca! Wntei•Co�t�iectian
_�Fooh:ng Septic Setiae+•Conaectiai
_�l Framiu,� Fireplace Lc�tiw�.lrrigntiat
lrTsulatioii (r�lasoiirl�) Other
GY"af!Board (rtilfg.) 4Vell(State Per��iit)
� Final Gradi�ig/Filli,�„ Elecn-ical(Sta�e Pennit)
Otlier-
RE�tiIARIi S(.CN HO USE):
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RE irlE Yv B Y OTHERS: DATE:
Access: Exiscin,; Ne�v
,-Lccess�fpproval: Date By:
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RE�tiI�Rh'S (TO BE NOTED ONPERNIIT):
32
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SURVE�Y FOR: �
,�SpLUND �USTOM F�OMES
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NOTES & LEGEND
PROPERTY DESCRIPTION
' * 961.4 Denotes existing elevation
Lot 5 Block 1, FRENCH CREEK according to the re- �-9�0}— Denotes proposed yard elevation
corded plat thereof, Hennepin County, Mmnesota.
* Proposed garage floor elevation = 968.2
We hereby certify that this is a true and correct * Proposed front house entry elevation = 969.1
representation of a survey of the boundaries of * Proposed top of block elevation = 968.5
the land above described and of the location of * Proposed basement floor (walkout) e e-T vation
all buildings, if any, from or on said land. = 959.5
Dated this 1st day of June 19a1. * The proposed elevations and proposed house loca-
tion are subject to review anA. change by the
SUNDE LAND SURVEVING, INC. City Engineer, [3uilding Dept., developer and
owner. Proposed grades and house location which
are approved by tlie City are final.
BY: � V. .
Edward H. Sunde, R.L.S. Reg. No. 8612 ���^ �`��C� �`�,;,/)�
t,' P U �� �� ;.[� .
I�ue��Ic 11_:�ud 5ur����in� lnc.
9U71 E Dinominqion F.nwny�35W�
fll�nmint�lo�.MN 5'•�70
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144-87 24?_/15 T.II7. R 23.S 10 JA7
�� � �� ATE TIME �
CITY OF ORONO CALLED W ���
INSPECTION NOTI SCHEDULED 7 (/ � :3u
PERMIT NO. ����� COMPLETED
ADDRESS ;�a�� ��i�%j�1�'.!%i C��. �, �,
OWNER CONTR. 'Z �C�
TELEPHONE NO. �� � � � �
� DESCRIPTION ��T �N�j
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
W
a
�
�
O
a
�
O
�
W
�
Q
�
Z
W
�
W
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d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContrac � 'te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �
t� DAT TIME
CITY OF ORONO CAILED IN �
INSPECTION NOTIC f�SCHEDULED ��
PERMIT NO. � �Z ! COMPLETED
ADDRESS ���0 �<''���'��� .
OWNER CONTR. �D�.t�JJ�Z�
TELEPHONE NO. ��� � �s �� �
� DESCRIPTION US� ���1� ��C/�- �/"
� 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 05 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:
�
W
�
�
�
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
j
d
W WORK SATISFACTORY:PROCEED C-� PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (J52� 249-4600
Owner/Contrac sit •
Inspector.
White Copylinspector's File Canary CopylSite Notice
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CITY OF ORONO
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