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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. -j r � _ ��� � �-� ����.� ������ 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) ------------------------------------------------------------------------------------------------------------------------ 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: --------------------------------------------------------------------------------------------- REI�tARKS ('I'O SE NOTETJ ON PERil�llT�: 8 Minnesota Commerce Page 1 of 1 s Commerce Home � North Star Home � Commerce Site Ma� �/j�,��g�p�q Thursday,August 24,20i DCPART3dCNT OF +� '` � �CONCMERC� rtOrth5t�3a Energy Info Center � News Releases � Adv�nced Search � Search Topics� �;%All NorthSt�r� �`0�Commerce Site Only �� Cantact Us j � Consumer Industry Applications, Unclaimed Heating Weights & Minnesota Info and Info and Registration, Property Assistance Measures Relay Petrofund Services Services Certification 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 ��1".yYl'�'e�','C���'f'�!"��'!�`I'���"�V� Copyright 200Q North Star, Minnesota State Government Online State Of Minnesota �About Us � Get Acrobat North Star is led by the Office of E�iterprise Technology Reader( This site best viewed with 1024X768 or greater and with Netscape 4.7 or Internet Explorer 4.5 or greater. https://www.egov.state.mn.us/Commerce/license_lookup.do?LIC_NUM=20271211&LIC ... 8/24/2006 ��.V DATE !, TIME � �� -(/� 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: � W � � � O a � O � W � Q � Z W � w � � a 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