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Home My WebLink About2005-P08766 - attached deck ` � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08766 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 6/1/2005 SITE ADDRESS: 2503 Kelly Ave Unit# Excelsior,MN 55331 PID: 20-117-23-12-0054 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Pernut Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 153.25 valuation: $ 8,000.00 Plan Review Fee: $ 99.61 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 256.86 APPLICANT: Magnum Construction Co.,Inc. OWNER: Micheal&Barbara Ward Kellen 9740 230th St.E 2503 Kelly Ave Lakeville,MN 55044 Excelsior,MN 55331 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 OF MINNESOTA BUILDING CODE REQUIREMENTS. / ' �--1 APPLIC RMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ,_ `. Total Fee: $ �' -��` � � Date Received: ��{ -C1� Entered By: � �,,d,��.! � 3;�t �/�;}'J�L�S �ermit#: A�; R7(�� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please priizt all infor►�aation) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWIVER OR CO'_�TTRACTOR JOB SITE ADDItESS: �.�9 l��(Nl�y �J/P ZIP: ✓rS�j�� Will this be a Parade of Homes, Remodelers Showcase Fiome or other Display Home? ❑ Yes �NO If yes, a special event permit is required wilh Police DepartmerTt and City Council approval 60 davs prior to the event. Slzzrttle bzrs service will be required unless applicant demanstrates st ff cient orz-site pa�•�ing is available. Non per•mitted even!s wi11 not be allowed. NAME OF OWl�TER: �!�E ��f�{� PHO�iE: (home) 9.�a`y��-OQ,T� � (work) f�/� �B��'l-3�/y�'J MAILINGADDRESS: a�0 3 ,�'Ff(v ��r CITY: �xc��yr`�� zl�: ;� CONTR.ACTOR: IVla9Aum ��s�r��x,�or� ��, ,-�� Pxo�: �ia�.��a �6 CONTACTPERSON. 1� �Ne � lV OBILE/PAGER: MAILING ADDRESS: 7y0 a3a tl+ �x.�. CITY: �41� �;l/ ZIP: s 0'�Y STATE LICENSE: # �p�/ 7 7�y EXPIRATION DATE: 3 3 j/p�, ARCHITECT/ENGINEER: l�ay�l u� L oq 57��4 c�`�9�f�,��f• PHONE: MAILING ADDRESS: �' C�ti, � CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Addition� Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detai�: /�,g�y, Ov2 �'X•`S��n ti G�cdc/� 9F uc�`i F�ii STORIES: SQ.FEET OF�ACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land}: $ g� 00� 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 gemut;and that the work will be in accordance with the approved plan. APPLICA_NT'S SIGNATURE: ` � - DATE: '�\�' ��O,S � 31 Sec.13.04 RIGIiTS 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 himself shall be informcd of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;@) whether he may rofuse 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 the data.This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav�ace the notice reguired under this subdivision in the individual income tax or urouertv tax refu� �nStructions instead of on thoso forms. Subd.3. Access to data by individual.Upon request to a responsible authority,an individual shali 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 individua(who is the subject of stored private or public data on individuals shall be shotivn the data without any charge to him and,if he desires,shall be informed of the content and meaning of that daca. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six manths thereafter unless a dispute or action pursuant W this section is pending or additional data on the individual has been collected or created. The responsible auchority shall provide copios 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 suthority shall comply immediately,if possible,with any requesc made pursuant to 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 comp(y with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Sacurdays, 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 cesponsible authority describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)conect 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 cortect.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 authoriry may be appealed pursuant to the provisions of che administcative 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 pernut 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 informarion may be shared with other local, state or federal agencies to the extent necessary to process the perruit or license. 4. If your requested permit or license requires Council action to approve,some information may become publia 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��, State Zip Phone I understand my rights as stated above. /�,��. -�� Si ature 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY A,DDRESS OR LEGAL: Zs0 3 kellc� �4.}e _ __ _ __ PID: DESCRIPTION OF WORK: �EG� ZO.�tI�1i G REVIEW BY: DATE APPROVED: 5 -z� .-o y BUII.DING REV�+`V BY: DATE APPROVED; � -Z� -o� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ./ No PLAN REVIEW � Yes � No SEWF�CONNEC"TION STATE SURCHARGE Yes � No WATERCONNECTTON INVESTIGATION FEE Yes No � PARK FEE SAC Yes No c/ STTEINSPECTION Number of SAC�Units OTHER (specify) ZONI�TG CH�CK LIST Zoning District: Fire Department: Post O�ce: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes �c. No Date of Survey: ��► � (� Proposed Setbacks: Front(Lake): Right Side: Rear (Sueet): Left Side: n� � ��!� Q7 V��(g INf� �/�'� J Adjacent Structures: Wetland: Building Heigh[: Def. Hgt. �/ //1 Peal:Hgt. Lot Covera�e: �/ ��1' Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: By: Zoning F:le: # — Resolution: !# Resolution Date: Shoreland District: N� Avg. Setback: Bluff Setback: L.ot Coverage: Ezisting Proposed Hazdcover: 0-75' 75-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RE�LARKS (in house): ___ � BUILDING REV�W CHECK LIST �C� � ' 3 CONSTRUCTTON TYPE: �i'�l Sq Footage $Per Sq Ftg Basement x _ 1st Floor z _ 2nd Floor x _ G2I3ge x _ x = TOTAL Estimated Construction Value: $ ��VOp `�- Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing ' Septic Sewer Connection _�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Permit) _�F�� Grading/Filling Electrical (State Permit) Other REMARKS(1N HOUSE): � . ------------------------------------------------------------- REVIE�V BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; -- - ------------------------------------------------------- RENIARKS (TO BE NOTED ON PERII�IIZ�: 8 �'. T� '�, � ' �'�='� �C�Ll�� . • � � , ��" � -- ______�__ _ - ----- ----J ; _ _ __ __ _ _ __ ___ _ _ _ . _ �- � �� ' _ __ � �� . , � � G - �� , I � �--' ;( n . 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' F �,;.� �� / D/AT_En -� TIME � CITY OF ORONO CALLED IN �� INSPECTION N TICE SCHEDULED ��-3-� ��'U PERMIT NO. COMPLETED ADDRESS �a��D�J ,L��L'E: OWNER CONTR. ; ��> lJ'r1 TELEPHONE NO. (�'�d� S�/I �7��p /� C/� � � DESCRIPTION l� FOO IN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 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 INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � ti � Q � Z W � W � � d � WORKSATISFACTORY:PROCEED C; PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. �j pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor Inspector_ White Copyllnspector's File Canary CopylSite Notice �. � ( DAT TIME � CALLED IN CP ` � �� CITY OF ORONO � INS�ECTI�N N� / SCHEDULED U _ [% PERMIT NO. �C��l� COMPLETED ADDRESS •�`J��-�F��/�°l' � OWNER CONTR. C�Q/1 G% � TELEPHONE NO. � �� DESCRIPTION�i��,C�-/� ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5��y�FIN,k.� 14 SEWER HOOK-UP 06 PROGRESS � 07 DE 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: P�r/YI� � i:/I S�ic�� 5"S c-��d� W � � � O � � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the ext inspection 24 hours in advance. (952� 249-4600 OwnerlCon r site: Inspector. White Copyllnspector File Canary CopylSite Notice