HomeMy WebLinkAbout2001-P02939 - deck PERMIT
C«'Y O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P02939
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4�G00 Date Issued: 4i3�2oo1
SITE ADDRESS: 1209 French Creek�r
WAYZATA,MN 55391
P I D: 10-117-23-23-0002
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: tcesidentiai
Permit Class: Building Census Code 438
Permit Type: Accessory Structures Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#: 2655
Separate permits required: '
NOTICES/REMARKS:
Ilata�har� Ilark
FEE SUMMARY: Permit Fee: $ 293.25
Valuation: $ 18,000.00
���l �� �10.,5 �
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 492.83
APPLICANT: REL[ABLE BUILDERS INC EAGAN OWNER: R C&N LUX
3745 DREXEL Ct 1209 FRENCH CREEK DR
EAGAN, MN 55123 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERM[SSION 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 REQU[REMENTS.
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• APPL[CAN7'PERMITEESIGNATURE IS -DBYSIGNATURE
Copies: City, Applicant,Assessor, Finance Page 1
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`Total Fee: $ C�� � � � Date Received: /�- �/-o�
Entered By: l� Permit#: �}- �� � y3 y
CITY OF ORONO - BUILDING PERMIT APPLICATION
- �°'� I u 1 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
JOB SITE ADDRESS: �� � ' ZIP: �
� �� _
NAME OF OWNER: - PHONE: (home)
(work)
MAILING ADDRESS: ' - ,;'�,CITY: ZIP: ` ``'
�
CONTRACTOR: �� � � PHONE: -� � , ',� -- `, � ;, ��<<, '.-
CONTACT PERSON: ` MOBILE/PA,GER: �•�
MAILING ADDRESS: CITY: ZIP: .:� �
STATE LICENSE: #
�
ARCHITECT/ENGINEER: � � <� ; / PHONE: ���-� �" �� � � �
NIAILI�\G ADDRESS: ' � � � '� CITY: ��� ZIP:
NAME: � � REGISTRATION#
TYPE OF WORK: New Addition ' Accessory Structure
Move Remodel/Alteration �' Land Alteration —' --�J,_,.�"
/� /�'� � '�
PROP WORK (describe in detai�: - � '
��� 0
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIl�IATED CONSTRUCTION VALUATION (excluding land): $ ��" i d Uoo°J
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:� / . DATE: �
NOTE! Parade o�Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
. �
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 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 refusing to supply
private or wnfidendal data; and (d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not appfy 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 Droperty 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 individuai who is the subject of stored
private or public data on individuals shali be shown the data without any charge to him and, if he desires, shall be informed of the content and meaning
of that data. Afrer an individual has been shown the private data and informed of iu meaning, the data need not be disclosed to him for six months
thereafrer unless a dispute or acaon 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 reques[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 possibie, with any request made pursuant to this subdivision, or within five days of the
date of the cequest,excluding Satuniays,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 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. M 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 authority describing the na[ure of the disagreement. The
responsible authoriry 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 corcect. Data in dispute shall
be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinabon 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 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.
First , Middle Last
��.).� ��
�,
Address�—
� � ' �� / � i _� �j �;-
Ciry State Zip Phone
I understand my rights as stated above.
,% � �_ �
Signature
10
CHECIi OFF LIST FOR ISSUAl�TCE OF PERti1ITS
_ ' FOR OFFICE USE Oi�L,Y � .
ADDRESS OR LEGAL: � Z c��, F R--�►'�C k� C!�-�`�.�� ��
PID:
DESCRIP'I'ION OF�ORK: � - L� -
ZOrZ\�GREVIEti� BY: D�TEAPPROVED: 3-3C� -O(
BUILD .T�i TG REVIE�BY: D�.TE APPROYID: 3 -� -� f� t -
FEES TO BE C�-L4RGED: Niisc. Fees Calculated By:
pEgNII'I' Yes ✓ No :
pLAN REVIEW Yes ✓ No S��ER CONNECITON
STATE SURCHARGE Yes � No ��ATER CONNECITON
IT,'VESTIGATION FEE Yes No �/' P.��E
SAC Yes No � SITELtiSPECTION
Number of SAC�Units OTHER (specify)
ZOti1.�tG C�CK LIST Zonin�Dis�icc: R Z - �� P2�
Fire Department: (x.�n1G�(t�G Post Office: W��(�� S:.aool D:strict: �tZ�OG� �
Loc Area: Sq.fr. S�, 31� Acres I �3l� Width Depth
Surve,� Subu..itted: Yes_� No Date o,`S•.:.-vey: D�i' l � -2���
Pro ased Se[b2cks: /�
P Froat(�e): � �O Ri�b.t Side: cl`'� I �%
Rear (S�eeE): 5'� Left Side: �
Adjacent Structures: _/�r�-rac�t-�.e� �Vetland: S 3� �
Buildin� Hei�hr. Def. H�t. t� . I� Pea'_:H�t. O• (�
I,ot Coverage: N I/�
Gradin�: Stafi Approval Date: nl l�1- By: Counc� Approval Date:
Septic: Staff Approval Da�e: � N /� By:
Zoain� File: � Zb S5� Resolution: ; ResoL_�o�Da:'-= Z -��- '�i �
Shoreland District: y.eS
Av�. Setback: o •t�- B[uft Secback: � �/� I-ocCo�'erage: /f��
E���� proposed
Hardcover: 0-7�' d �
7�-250' 2�• Z
ti0-500' �� �-�
500-1OQ0' -
Hardcover Varia.nce Required: Yes No Dat� e;Council Aoproval: ___
gEI�IAR�iS (in house):
7
BUII.DING REVIEW CHECK LIST
usc: R �3 - co�rs�rxuc�o�r�E: V�
Sq Footage � Per Sq Ftg
Sasement x =
lst Floor z =
2ad F1oor z =
Gara�e z =
z =
TOTAL
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Fstimated Construction Value: $ (� 0�
InspectiocLs Required: �Vork Requiring Separate Permits:
Site Plumbing ' Fire
Hardcover Removal Mechanical Water Connection
_Z Footin� Septic Sewer Connection
� Framin� Fireplace Lawn Inigation
Insulation (Masonry) Other
�Vall Board (Mfg,) Well (S[ate Permit)
_ C Final Grading/Fillin; Electrical (State Permit)
Other
REI��iARKS (Pi t HOUSE): �
REVIEW BY OTHERS: � DATE:
Access: Ezis[in, I�'ew
Access Approval: Date By:
RE�L4RKS (TO BE I�'OTED ON PERMI�:
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CITY OF ORONO CALLED IN Lf /Ti""
INSPECTION NOTICEf',,'�� �-j SCHEDULED � �'� /� ��
PERMIT NO. GI�° � COMPLETED � ,����
ADDRESS �� �� �� �i�%')Cti ,CrPP� ���
OWNER CONTR. ��F/r Gi_hCc �%��S
TELEPHONE NO.Cl�� �(G`�'"��� �'�l " �i'�r�l ��gD�
�
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� DESCRIPTION �� G�(,�7�3
tL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� C, MENTS:
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d ORK SATISFACTORY:PROCEED -I PROJECT COMPLETE
W
� ❑ CORRECT WORK 8�PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pH0T0 TAKEN
INSPECTOR WILL RETURN
f7 STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
Owner/Contrac�r on ite-
Inspector.�� ��i►7
White Copyllnspector's File Canary CopylSife Notice