HomeMy WebLinkAbout2002-P05038 - attached deck PERMIT
�IT�Y OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Poso3g
Crystal Bay, Minnesota 55323 Permit Type: Addition/xemodeURepair
(952) 249-4600 Date Issued: 4�i9�2oo2
SITE ADDRESS: 160 Golden view Dr
I.ong Lake,MN 55356
PID: 33-118-23-43-0022
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Pernut Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required: �iecincai�siaie�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,500.00
Plan Review Fee: $ 7228
State Surcharge Fee: $ 2.25
TOTAL FEE: $ 185.78
APPLICANT: Owner/Self OWNER: Kurt&Carol Schmid
MN 160 Golden View Dr
Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESI'S 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.
' �' ' .�'. ��
APPLICANT PERMITEE SIGNATURE ISSUED Y SIGNATURE
Copies: 1-File(Si�nitures Reauired). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
� Total Fee: $ �" �'�� Date Received: =:�i���S%<<=
Entered By: ' ;- � "7�� � Permit#: � /c �,� => ��
, ._ ,i
, �,
CITY OF ORONO - BUILDING PERNIIT APPLICATIOl�
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�R CONTRACTOR
JOB SITE ADDRESS: r(c� �2 ol��n V>i�LL ���2_ ZIP: �S 3 �U^
NAME OF OWNER: �i.tlt_-i-"' �G-��L�C� PHONE: (home) �/5�-�(�l�i-cc��7
(�}� 6�2 •2?J- Y7�"�
MAILING ADDRESS: ��oC> C��c���r� i�c���-� �z . CITY: C�����ti'�� ZIP: J�S�S�
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure j�
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: .�c��_/�_ ��-f-�«l,e��C -f�1 �-F��� ��� �
�,� -k�E, G��u.s�-
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
c>o
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��ac>`�
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: c�.�,�CL. �C.�.�^+-� DATE: `{-�Z-�'2.-
NOTE! Parade Qf 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.
Sec.13.04 RIGHTS OF S[TB.TECTS OF DATA
Subd. 1. Type of data. The righ�s of individual on whom[he data is stored or to be stored shall be as set forth in this section.
Subd.2. Information reqtrired to be given individual. An individual asked to supply private or confidenaal data concerning himself shall
be informed of: (a)the purpose and intEnded use of the requested data within the collecting'state agency,polidcal subdivisioo,or sratewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown coasequence arising from his supplying or refusing to supply
priva[e or confidenriai data;and(d)the identiry of other persons or ennaes au[horized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investieaave dara, pursuant to seccion 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav pla�e the noace reauired under this subdivision in the individual income tax or oropertv tax refund
instruc[ions instead of on those forms.
Subd. 3. Access to data by indi��dual. 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 confidendal. Upon lus further request,an individual who is the subject
of stored private or public data on individuals shall be shown the dara wi�hout any charge to hun and, if he desires, shall be informed of the content
and meaning of that data. A�tzr an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for
six mon�hs thereafter unless a dispute or acrion pursuant to this secdon is pending or addidonal 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 daca. The responsible authoriry
may require the requesting person to pay the actual costs of making, cerrifying,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 of the request,excluding Saturdays,Sundays and►egal holidays,if immediate comp(iance is not possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addiaonal 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 concerning himself. To exercise this rieht,an individual shall nodfy in writing the responsible au[horiry describing�he�ature of the disagreement.
The responsibte authoriry shall within 30 days either. (a)correct the data found ro be inaccunte or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, including recipiencs named by the individual; or(b)nodfy [he individual that he believes the data to be cocrect. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
Tlie de[erminarion of the responsible authoriry may be appealed pursuant ro the provisions of the administrarive procedure act rela[ing 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 pernut or license.
4. If your requested pernut or license requires Council action to approve, some information may become
public.
5. You have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself.
(. Your full name is required to process this appiication or permit.
� �n�'7/'�z�� ��'(/rz i�
Firsc � M�ddle Lasc
�� �'7t�/�/�6 V � ,(�2,�'�
Address
C�d�;;�p l�Lt� 5s�3 s(P 9„�-y"y�—c�y�/�7
City State Zip Phone
I understand my ri?hts as stated above.
��_ �
Signa re
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ( �� G c���p`�v �i� � �2
PID:
DESCRIPTION OF WORK: (,��C�
Z0��1G REVIEW BY: DATE APPROVED: y-�g -oz
BLJILDING REV�`V BY: DATE APPROVED: Y -��-o--L
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes _� No
PLAi�1 REVIEW Yes _� No SEWER CONNECITON
STATE SURCHARGE Yes � No WATER CONNEC'ITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZONI�'G CH�CK LIST Zoning District: �Z.2 • 13
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depch
Survey Submitted: Yes_� No Date of Survey: dn� �=i cti
Proposed Setbacks: �
Front(�ej: Z���{ Right Side: '3 Z �'
Rear (S�eef}: 11� ± Left Side: ! 2S'±
Adjacent Structures: _�q-r-iwc i-f-�'� Wetland: nl //�
Building Height: Def. Hgt. D .t�- Peal:Hgt.
Lot Coverage: —
Grading: Staff Approval Date: -- By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # Resolution: !� Resolution Date:
Shoreland District: /v'J
Av�. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1Q00'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
.
BUILDING REV�W CHECK LIST
�C� �Z'3 CONSTRUCTIONTYPE: �L►�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor z _
2nd Floor x =
Gazage z =
z —
TOTAL
Fstimated Construction Value: $_y,5 W °�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing ' Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling _�Electrical (State Permit)
Other
REMARKS(IN HOUSE):
- - ----------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy;
-------------------------------------
RENLARKS (TO BE NOTED ON PERI�IIT�:
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CODE REQUIREIV1EtVTS
DATE TIME
CITY OF ORONO CALLED IN =~y i�r
INSPECTION N ICF.�-. SCHEDULEO � G, � -�')')
PERMIT N0.�� ��� COMPLETED
ADDRESS I �S� � � LG�Q�'f� ��, '�1.1 ��Z...
OWNER_��,���Q.�. L- CONTR. �.�Yl(�1 .
TELEPHONENO._._ l�c�—�-I� � —�C���
� DESCRIPTION ��� ��1
� 01 FOOTING 11 MECHANICAL RI 18 EXCA`//GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Q OWNER/CONTRACTOR TO MEET YOU:_ ES_NO
� COMMENTS: �� C� �����
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOA
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on �t :
inspector.
White Copyllnspector's File Canary CopylSite Notice
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