HomeMy WebLinkAbout2006-P10262 - attached deck PERMIT
CITY OF ORONO
Permit Number:
�750 Kelley Parkway - PO Box 66 P1o262
�rystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued:
8/24/2006
SITE ADDRESS: 1510 Green Trees Rd Onit#
Wayzata,MN 55391
P��� 11-ll7-23-23-0015
DESCRIPTION:
Proposed Use: Residential Census Code O/S -Building
Permit Class: Building
Permit Type:
Minor Alterations Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Re-deck&rail
FEE SUMMARY: Permit Fee: $ 181.25 valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 186.25
APPLICANT: Mitchell Shepheard OWNER: George&Nancy Danko
3140 Minnehaha Ct. 1510 Green Trees Rd
Wayzata, MN 55391 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSfON 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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APPLICANT PERMITEE SIGNATURE [ SUED BY SIGNATURE
Copies: I-File(Srgnatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page l
Total Fee: $ Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print al!infor�nation)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTO
JOB SITE ADDRESS: ���� GJ`e,��1 �i I'�eE'S' /�OQU ZIP: 553� �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Z'eS �No lf yes, a special event permit is required with Police Depnrtnrei�i and City Council nppr•oval
60 davs prior to the everat. Shuttle bus servrce ivil!be r•eqa�ired unless applicant de»zot�strates
sa�ffrcient on-st�te pai�ki��g is available. Na�-�er�n�ittecl enents lvill not be allotived.
NAME OF OWNER: (����e_ �N���u /�CLnC"C� PHONE: (home)�� �z -C��B�G�
` T (work)�J5 2 2/5 S"Oz�
MAILING ADDRESS: /-�J ��i0✓� CITY: ZIP:
CONTRACTOR: � ��t ��� �("� PHONE: ��i/'Z 7l6 ZS�S
CONTACT PERSON: /hr '1? �� MOBILE/PAGER:
MAILING ADDRESS: , � �• 'G CITY: Gt fi�-� ZIP: ;i�l
STATE LICENSE: # 2 02 712 i l EXPIRATION DA :
ARCHITECT/ENGINEER: PHONE:
MAILING ADDKESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home RemodeVAlteration (ie: Sidi�ig, Windows) �
Any earth movement may require MCWD review and permits !
PROPOSED WORK(describe in detai�:�� p�P_C k � �����!
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED
ESTIMATED CONSTRUCTION VALUATION(escluding land): � �� �Od
�
I hereby apply for a building permit and 1 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�eith the State Building
Code;that I understand this is not a permit and�vork is not to start���ithout a permit;and that the�vork���i II be
in accordance with the approved plan.
APPLICANT'SSIGNATURE: j�,�__ DATE: �� Z4`�6
�t
.
Scc.13.0�1 R[GEITS OF SUBJECTS OF DATA
Subd. l. 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 contidential data concerning himselfshalf be
informed of. (a)the purpose and intended use ofthe requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is leeally required to supply d�e requested data;(c)any known consequence arising Yrom his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized by stare or federal law to receive the data. This requirement shal I
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcemen[officer.
The commissioner of revenue mav place the notice required�mder this subdivision in the individual income tax or prooerty ta�retimd
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon requestto a responsible authoriry,an individual shall be infonned whether he is the subject of
stored data on individuals,and whether it is classitied as public,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 ofthe content and
meaning of that data. After an individual has been shown the private data and infonned of its meaning,the data need not be disclosed to him for six
months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been coflected or creared. The
responsible authority shall provide copies of the private or public data upon request by die individual subject of the data. The responsible aufhoriN
may require the requesting person to pay die actual costs of making certiYying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or witl�in tive days of
the date of the request,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. [f he cannot comply with the request
within that time,he shall so inform the individual,and may have an additional tive days within�vhich to comply with[he request,excluding Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or private data
concerning himself. To eeercise this ri�ht,an individual shall notify in writing the responsible authoriry describing the nature af d�e disagreemen[.The
responsible authority shall within 30 days eithec (a)correct the data found to be inaccurate or incomplete and attempt to notif'y past recipients of
inaccurate or incomplete data,induding 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�vith 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 inforn�you that your request
for a pern�it 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:
l. 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 ri;hts under l�t.S. 13.04(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
l�i �C�e�l �J�e ��i���e�c�
First �Iiddlc Last
31�0 /h��n���� c�
.4ddress
(,Jc�-�Pz�.f-a l�?�U �53��� �/� 1�� 2��5
Cil}' State lip Phane
I understand mV rights as stated above.
//�
Sign.�turc
ReseC Form 3�
�TiEC�K OFF i,IST FOR ISSUANCE O�F PER.i1�IITS
� FOR OFFTCE USE ONLY
ADDRESS OR LEGAL: 1 S�U G��T��S --
PID:
DESCRIPTION OF WORK: New CJc����6 * �"- oN ��c� 'r'^`�` "4'`-�
ZON�i IG REVLE`V BY: --- — ----_._-_" DATE APPP.OVED: g�2 Y -�-6
BLIII�DING REVTE�V BY: DAT'E APPROVED: �g•Ly -a t
FEES TO BE CHA.RGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIE`V � Yes No ,/ S�VE.R COVNECTION
STATE SURCHARGE Yes _� No `VATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZOY�tG C�CK LIST Zoning District: �� Gc�,�c� .
Fire Department: Post Office: School District:
L,ot Area: Sq.ft. Acres idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: .
Front(Lake): Right Side:
Rear (Street): Left Side:
Adjaceat Structures: W tland:
Buildin� Hei�it: Def, Hgt, Pe • Hgt.
Lot Covera�e:
Grading: Staff Approval Date: y: Council Approval Date: '
Septic: Staff Approval Date: ��
Zonin� File: � Resolution: � Resolution Date:
Shoreland Distric[:
Av�. Setback: Bluff Secba : I.ot Coverage:
E�istin� Proposed
a
Hardcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardco��er Va:iance Required: Yes No Da�e oE Council Approvzl:
�E��LARKS (in house):
f
BLTII.,DING REVIEtiV C�-IECK LIST
�C� R `� CONSTRUCTION'TYl'E: �lN
Sq Footage $ Per Sq Ftg
Basemen[ x =
lst Floor x _
2nd Floor x =
Garage x _
z =
TOTAL
Estimated Construction Value; $ �(�,V dp °Q
Inspections Required: �York Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing � Septic Sewer Connectioa
Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Weil (State Permit)
-�F�� Grading/Filling Eleccrical (State Permit)
O ther
REMARKS (1N�-IOUSE): - -- --
-----------------------------------------------------------------------------------
REV�W BY OT�iERS: DATE:
Access: Existing New
Access Approval: Date gy:
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REI�tARKS ('I'O SE NOTETJ ON PERil�llT�:
8
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License Detail
Here are the details for the license you are currently looking for:
Licensee Name: SHEPHEARD MITCHELL(DBA: MITCHELL SHEPHEARD )
Licensee Address: 5613 W GLEN MOOR RD
City State Zip: MTKA , MN 553450000
License Number: 20271211
License Type: Residential Building Contractor
License Status: ACTIVE
License Effective Date: Apr 17, 2001
License Expiration/Renewal Date: Mar 31, 2007
Qualifying Person: MITCHELL SHEPHEARD
Number of hours of continuing education required to renew license: 7.0
Enforcement Action: No
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��.V DATE !, TIME �
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CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED - �'� l �' �
PERMIT NO. G� coMP�ErE�
ADDRESS l� �(�,�'.�7 ��� ��
OWNER CONTR.,���� , ���z�
TELEPHONE N0. �,��oZ 7��� � S��S�
� DESCRIPTION ��/LZ- ��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/N/ETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q.�F_I�F L 14 SEWER HOOK-UP 06 PROGRESS
� 0 O-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
� OWNEH/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice