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Home My WebLink About2008-00123 - detached deck � CITY OF ORONO PERMIT NO.: 2oos-oo�23 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/1 U2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 4150 HIGHWOOD RD PIN : 07-117-23-44-0028 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 034 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK DETACHED ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS VALUATION : $ 500.00 NOTE: DETACHED DECK APPLICANT pERMIT FEE SCHEDULE 25.00 BAKKE-GLYNN,JON&SHEILAH PLAN REVIEW 16.25 4150 HIGHWOOD RD MOUND,MN 55364 STATE SURCHARGE(VALUATION) 0.50 TOTAL 41.75 PAID WITH CASH 41.75 OWNER BAKKE-GLYNN,JON&SHEILAH 4150 HIGHWOOD RD MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in c formance with the State Building Code.This permit may be revoked at�ny ime for due c use. ' � I l � �8 , , Ap ic t Permitee ignature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Total Fee: $ . �� Date Received:`-' �l � � Entered By: Permit � CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. � (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: � I� �/V�� : 7�P: .��3� . Will this be a P�ade of Homes,Remodelers Showcase Home or other Display Home? ❑ Yes "�jNo If yes, a special event permit is reguired with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available, Non permitted events will not be allowed. NAME OF OWNER: �y� n /'�J �G�.,`'/CQ PHONE: (home) ��' - 0 �� (work) �o/�- 3 0� 7—�77 � MAILING ADDRESS: �f �� f�� n�, CITY:��O►v�0 ZIP: ��j'�6 c� CONTRACTOR: �� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding,Windows) Any earth movement may require MCWD review and permits! PROPOSED WORK(describe in detai�: '�Qc J� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED o� ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ' I hereby apply for a building permit and I acknowledge that the information above is compl 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: � ( � � C� 8 31 Sec.13.04 RIGFITS 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 conceming himselfshall be informed of (a)the purpose and intended use of the requested data within the collecting state agency,pol itical 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 confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive ihe data.This requirement shall not apply when an individual is asked to supply imestigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. - The commissioner of revenue may�lace the notice reauired under this subdivision in the individual income tax or pronerty 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 chazge to him and,if he desires,shall be informed of the content 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 thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. � The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days withi�l 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 conceming himself. To exercise this right,an individual shall notify in writing the responsitile authority describing ihe nature ofthe disagreement. The responsible authority 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. T'he 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 subj ects 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 shazed 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. � o n/ �/ � y� �cc�s�.e First Middle Last � �� I�i�n� ��, Add�irels �R'' �12ar� � � 5�.36�j' �/� -��j� C�tY State Zip Phone I understand my rights as s ted above. Signature 32 CHECK OFF LIST FOR ISSUANCE OF PER1vIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �/�SU N/�/��-f-�ro• � '�'°'"✓� PID: DESCRIPTIONOFWORK: ��-� - C��'de c.�s-eC- ^.'o^� �- �'''�'c�.oAHh*+�,a�' ------------------------------------------ -- ZONING REVIEYVBY: DATEAPPROVED: PI f�-vg B UILDItVG.REVIEW BY: DATEAPPROVED: $1t- o s ------------------------------------------------------------------------------------------------------------------------ FEES TO BE CHARGED: / Nlisc. Fees Calctciczted By: PERNIIT Yes t/ No PLAN REVIEyV Yes� No SEWER CONNECTION STATE SURCH4RGE Yes � No � FV�ITER GO� tWECTIO�V I��IVESTIGATION FEE Yes No PARK FEE SAC Yes 1Vo SITE NSPECTIO�V Nzcnzber of SAC Uriits OTHER (specify) ------------------------------------------- ZO�VIIYG CHECh'LIST Zor�ing Disd•ict.� Fire Depa1•trneivt: Post O�ce: School District.• _.., Lot..�irea: Sq.f't. Acres Yvidth Depdi Scvvey Sccbruitterf.� Yes No 1C Date of Scuvey: �� ti Proposed Setbacks: Fr•ont(La�e): Riglzt Side 12ea1�(Sb•eet): Left Si e: AdjaceMt Strcect�u•e : 6�etl d: Buildir�g Heig/ct: Def. H t. Pe k Hg Lot Coverc�ge: G,�ading: SraffA rova!Date: Cot�n '1 Approvc�!Dc�te: Septic: Staff,d proval Date: BY� Zazu=g F'�(e: # Resolc�tior : # Resolc�tion Date. Sha•elanct Dist�•ict: v�� Avg. Setbac� /vl''� BIe�ffSetback: ✓ �r- LotCoverc�ge: ^�� Existing Proposed Harcicover: 0-7.5' 75-2�0' 250-500' 2-�� 500-!000' Karcfcover f/ariance Requii•ed: Yes No_ L Date of Council�lpproval: REIl�IARKS(in laoecse): 31 B UILDIIYG REVIEtv CHECK LIST UB C: R,-3 CONSTR UCTIO cV T YPE: �,//\I � Sg Footage .�Per Sq Ft� Bcrsen�e�:t s = !st Floor s = ?ncf Floor s = Gnr•c�e .r = .r = TOT.4L Estincated Cortstrtcction value: �S SOC� '� I�tspections Required: 6York Requiri��g Separate Perncits: Site Plurnbing Fire Hardcover Re�rroL�al Nlechariical YYater•Gonnection Footi�rg Septic Sewer Connectio�t Framirig Fireplace Lativ�t I�•rigatio�i lnsulation (Mason�y) Other 6Y"a1!Boar•d (A�Ifg.) GYe!!(State Perrnit) �Final Grc�ding/Fillili,; Elech•ical(State Perntit) Otlz er RE1tiIAR1iS(IN HO USE): ------------------------------------------------------------------------------------------------------------ --------- / REt�7EtV BY OTHERS: DATE: .4ccess: Existin„ Netiv ,�ccess Approval.• Date Bti•: RE�'�1f1Rh'S (TO BE NOTED ONPERNIIT): ;? ,i ,; ; i R I ' ,� i! .. . . . .�� t �-' t CITY OF ORONO ,� BUILDIN6 P�M�T P N REVIEW fNSP'cC70R nH;�_ `8 - ►t��p, �;�rn�.�:T no. C,1 ��'r i�;+:.'v::::;:�,S��l�cJ'{'il�� r-7 �,,,,.�•.,,�..,�,� , ..t� .��„ , S;'J�ED - . L1 !' .;1.�'l..:l� 1�Y��ill.Vi'�:i��.:.V�i�ii�J�l � � C '� t r'��'::'b't�f3-- �;.;r:�; -;&i"S ' �1!�T �� Y�' .-2 f,;•,•'� i�- . .;:?i�? ' .. . .::�i�`'.Ft�.i.T. .'...:^.C,r�.5.<�1�;.£d91SB ��I�� 1 1 ` i ; �:1f`1 � �L �, i r��; �� n 'tf� TA7�;A�y C.^.�$. . . .. . . Fn �. �` �..�i! ; � ..�:':•`' ?�;f. 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'F��.�r�� (-�-- C:.- a --- � Yvo � �yv� � �� ' � �. � � �� :�9 : , ! � � � `� DAT TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED � PERMIT NO.c��—f.Y/�3 COMPLETED ADDRESS �-5� D' OWNEF�/D� � CONTR. TELEPHONE NO. �� "J��7— � �70 � DESCRIPTION ��. ��'-�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAI FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q � TREE REMOVAL � ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � d � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on ite: Inspector. White Copyllnspector's File Canary CopylSite Notice