HomeMy WebLinkAbout2000-P03206 - deck R
PERMIT '
C��'rl�O F O RO N O
2750 Kelley Parkway - PO Box 66 Permit Number: Po32o6
Crystal Bay, Minnesota 55323 P@t"1711t Typ@: Addition/RemodeURepair
(612) 249-4600 Date Issued: 9il�i2oo
SIT� ADDRESS: 1480 Green Trees Rd
WAYZATA,MN 55391
P ID: 11-117-23-23-0016
DESCRIPTION: UBC occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Sub-type(s): Deck
Permit Type: Addition/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00
Plan Review Fee: $ 117.78
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.03
APPLICANT: Danberry Company OWNER: C& S PLATOU
4410 Shoreline Dr 1480 GREEN TREES RD
Spring Park,MN 55384 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 OP MINNESOTA BUILDING CODE REQUIREMENTS. ,
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Copies: City,Applicant,Assessor,Finance Page 2
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' PERMIT `
� Ci�TY` O F O RO N O Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Po2s96
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(612) 249-4600 Date Issued: 9itti2oo
SITE ADDRESS: 1480 Green Trees Rd
WAYZATA,MN 55391
P I D: 11-117-23-23-0016
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Buildin Census Code 434
Permit Class: g
Permit Type: Accessory Structures Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#: '��'
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Separate permits required: �� �'�
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NOTICES/REMARKS: � i
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FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
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TOTAL FEE: $ 304.03
APPLICANT: Danberry Company OWNER: C& S PLATOU
4410 Shoreline Dr 1480 GREEN TREES RD
Spring Park,MN 55384 WAYZATA MN 55391
THE UNDERSIGNED HER /Y REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO AL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOT UILDING CODE REQUIREMENTS.
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Copies: City,Applicant, Assessor,Finance Page 1
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� Entered By: Permit#: f-���Z�;� (r
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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 all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: /y�� ��Gt v�-t����S ZIP:
NAME OF OWNER: � ,� � P��-t�c� PHONE: (home) �j(�Z - `��3.�
(work)
MAILING ADDRESS: �� ,�� ct r f{�^fi�c�S CITY: ����..o ZIP: s�"�
CONTRACTOR: �,�, �Cr�'�l ��,, PHONE: y —�s-
CO�TACT PERSON: �r F�F K b�r��_ MOBILE/PAGER: /�
MAILINGADDRESS: y`�/(� ,���nrr,r'�� CITY: 5p� ����,,,{�ZIP: -�1-1T
STATE LICENSE: # / ���_
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration/� Land Alteration
PROPOSED WORK(describe in detai�: �;,,,,�� De ��C �-c� �c ��• ���
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /����
I hereby apply for a building pernut 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 accorda e w' h the ap rov d plan.
APPLICAI\T'S SIGNAT . G DATE: y��—�
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non pernzitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA '
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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 indi��dual. 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 ro supply the requested data; (c)any known consequence arising from his supplying or
refusing ro supply private or confidential data;and(d)the idenbry of other persons or entiries authorized by state or federal law to receive the data.
This requirement shall not apply when an individuai is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcemen[officer.
The commissioner of revenue mav nlace the notice reauired under this subdivision in the individual income tax or prooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. 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 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
of the conten[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 thereafrer uriless a dispute or ac[ion pursuant to this section is pending or additional data on the individual has been
co(lected 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 authoriry may require the requesting person to pay the actual costs of making,certifying,and compiting the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant ro this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shalt 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. 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 authoriry describing the narure 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 correct. Data in dispute shall be disclosed only if the individual's 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 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 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 name is required to process this application or permit.
First Middle Last
Address
C�n, State Zip Phone
I understand my rights as stated above.
Signature
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;; � CHECK OFF LIST FOR ISSUANCE OF PERMITS
�• FOR OFFICE USE ONLY
' ADDRESS OR LEGAL: 1`f f3 a Gl��/i7Lt„�Z3
PID:
DESCRIPTION OF WORK: �cr C.k- t�4-c.a
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ZONING REVIEW BY: DATE APPROVED: �i• �- cso
BUILDING REVIEW BY: DATE APPROVED: �- 7-ov
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: /V'� G ht�
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: We land:
Building Height: Def. Hgt. Pe �Hgt.
Lot Coverage:
Grading: Staff Approval Date: Council Approval Date:
Septic: Staff Approval Date: B :
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback. Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house)•
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BUILDING REVIEW CHECK LIST
UBC: �-' � CONSTRUCTION TYPE: v/J
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
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Estimated Construction Value: $ ( l��C�C�O
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�Footing Septic Sewer Connection
v� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMI�:
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� DATE TIME
CITY OF ORONO �� �� CALLED IN � '� I D �Sl�'�
INSPECTtON NO�ICEz scHEou�E� �J �--� 3a
PERMIT NO. � �� COMPLETED ^* �� ��
ADDRESS �� �� C�,����� ���F=��� �
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OWNER �� �� � � `'�-' CONTR. � ��l�G'��
TELEPHONENO. •�`%�� � ����
� DESC8IPTION --- ��-'� ' �� —�"Y�}���
� _ ——.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 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
v 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
[ICORRECTUNSAFECONDITIONWITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL REfURN
❑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�0
OwnerlContra r on site:
Inspector.,�%'/�����-t!I�
White Copyllnspector's File Canary CopylSite Notice
��DATE IM�d
CITY OF ORONO CALLED IN � �`
INSPECTION TICE SCHEDULED �-��'O° v�
PERMIT NO. � COMPLETED � �'���
ADDRESS �y��
OWNER � CONTR.
TELEPHONE NO. `��I — Q f /� `�
� DESCRIPTION ��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WA 12 WATER HOOK-UP 17 SITE INSPECTION
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Q FINAL 14 SEWER HOOK-UP 06 PROGRESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
Ci CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL REfURN
f7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr r on site:
Inspector. ���C'�N"� ���1.�
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White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO I � SCHEDULED �-��� �
PERMIT NO. COMPLETED 7 —��� �Z= �S
RDDRESS /y sP0 (�✓�h. '��^eeS
OWNER fi.l�2.- J�(��� CONTR.
TELEPHONE N0. �7�—'��� 3
� DESCRIPTION �/�C- ? ���?��r�7 lSv�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34_ZREE REMO�
Z04 WALL BD. 12 WATER HOOK-UP 1_7 S!-FE�I�IS
Q 05 FINAL 14 SEWER HOOK-UP PRO "
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� il CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on sit :
Inspector. �(+����'�
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME
CITY OF ORONO �/�7 Z�ALLED IN /�'7'�
INSPECTION NOTICE "" HEDULED /D—9-/S �
PERMIT NO � COMPLETED
ADDRESS I 7 O� �:���f j ",/'i1-'�S /�d
OWNER TELEPHONE NO.��� -7��.5���
CONTRACTOR � /111c1r�
a DESCRIPTION ,���I��{-t"1�- ���'�C
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RAD N SLAB ❑ MECHANICA�RI ❑ SITE INSPECTION
_ ❑ F MING ❑ MECHANICAL FINAL ❑ RATED WALLS
� SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOfi �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next inspection 2a hours in advance. � 249-4600
OwnerfContractor on site:
Inspector.
White Copyflnspector's File � Canary C pylSite Notice