HomeMy WebLinkAbout2006-P10333 - attached deck PERMIT
CITY OF ORONO
2750 Kelley P��kway- PO Box 66 Permit Number: P10333
Crystal Edy, Minnesota 55323 Permit Type:
(952) 249-4600 Addition/RemodeURepair
Date Issued: 10/3/2006
SITE ADDRESS: 360 Leaf St Unit#
Long Lake,MN 55356
PID: 04-117-23-23-0009
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state) Other-(Demo For Garage)
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 307.25 Vatuation: $ 18,493.00
Plan Review Fee: $ 199.71
State Surcharge Fee: $ 9.25
TOTAL FEE: $ 516.21
APPLICANT: Sussel Corporation OWNER: Kevin Munden
654 Transfer Road 360 Leaf St
16B Long Lake,MI�I 55356
St.Paul,MN 55114
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFTED
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 PERM[TEE SIGNATURE ISS ED BY SIGNATURE
Copies: I-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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Total Fee: � ��� � ���Date Received: '� � C?'?'�
Entered By: �� � ��,,� 1� Permit#: � � 5 -��
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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 inforrrtation)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
JOB s�TE anD�ss: �6 C> .�e�-� s�r._.�--�- zir: S"S 3�zS
���.���
Will this be a Parade of Homes, Remodelers Showcase Home or other Dispiay Home?
❑ Yes ❑ No If yes, a special event permit is required 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: ��c� }� ���n �e,r.1 PHONE: (home) 6�� -��— 3��-U
(work)
MAILING ADDRESS: 6�0� ����nr ����� CITY: ����'%�-�� ZIP: �S�f��
CONTRACTOR: S�S�'�/��Qo��iv� PHONE: �.S/-� S�.S-d,�,3/
CONTACT PERSON: � ti� �•-�b e� MOBILE/PAGER•
MAILINGADDRESS:�Sy Ir�-„r�c.^,iQ�e„�1-5�.� /E►3 CITY: -S� ��uL ZIP: S� /
STATE LICENSE: # j,-�'j���- EXPIRATION DATE: 3 -�/a�d �
ARCHITECT/ENGINEER: /j/� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure x
Move Home Remodel/Alteration
PROPOSED WORK(describe in detai� ✓'<�o u-.,� > � �fH � � r G•�-�1
s/,.�. i3":� I� ��;X ,�a-` ✓��t���,� ����,� � s!<.,� %� s�,�.� i��-���,�.
STORIES: SQ.FEET OF EACH FLOOR: i s`�� '� �'7`
NO. OF BEDROOMS: GARAGE STALLS: ATTACHE DETACHED�/�S - /Y�-'
Uc)
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /� � ���—'
,
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 tY►e ordinances and codes of the City and with the State Building
Code;that I understand this is not a permit and wark is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: �� /l-� � DATE: ��
31
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Sec.13.04 RIGHTS 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
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 legally required to supply the requested data;(c)any known consequence azising 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. 'fhis 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 may place the notice required under this subdivision in the individual income tax or property 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 informe�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.
1'he 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 within which to comply with the reques[,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete.An individual may contest the acc�uacy or completeness of public or private data
concerning himsel£ To exercise this right,an individual shall notify in writing the responsible authonty describing the nature of the disagreement.T'he
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.
The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PWVACY 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 federai 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.
cLi'�/ ` nr /��l�P�
First Middle Last
/�s y 7,��..�-f� �a�1 S� /�,�
Address
s� ��/ �r�c� s'.Si/� lsL� s�s-0�3/
City State Zip Phone
I understand my rights as stated above.
Signature
32
�CHECJK OFF �,IST FOR ISSUANCE OF PERi'VIITS
" FOR OFFICE USE ONLY
ADDRESS OR LEirAL: 3 b0 LQ.a� .Sh�a��`"
PID: �Y /a.m..c���
DESCR�i.'ION OF WORK: r a.�e._. 2. -�-
---------------------------=------------------
ZOY.�i tG REVIE`�V BY: --------____� DAT'E APPROVED:
�UIZDING R.EYIE`V BY: DATE APPROVED; �-zr-o c,
FEES TO BE C�-TA,RGED: Misc. Fees Calculated By:
pE��T Yes ,/� No
PLAN REVIEti�V � Yes f No SE��R CO�TNEC'ITON
STATE SURCHARGE Yes —� No tiVATE.RCONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes N.a� STTEINSPECTION
Number of SAC�Units OTHER (specify)
-----------------------------
-----------------------------------------
ZO�� C�CK LIST Zoaing Distric�: � - � �_,
Fire Departmen[: Post Office: School District: �
Lo� Area; Sq.ft. Acres Widch Dep�h
Survey Submitted: Yes � IVo Date of Survey: �J ��P Q
Proposed Setbacks: 1�,r�'1 �� �
Froat�: 1 �' A�t Side:
�v►a. o gc.
Rear(�: !�` �e€tCSide: J�' �. 3
� O i
�.i�3�P�t .CrrLtC�1LZ5; _ (V WPC�?.rSC�:
-' /3'
Builclin� Hei�[: Def. Hgt, 10,� Peal:Hgt.
Lot Covera�e: ��-
Grading: Staff Approval Date: N//-� By: Council Approval Date: '
Szptic: Scaff Approval Dace: N /c/� ,��...�<n BY�
Zonin� File: � '� Resolution: n — Resolutioa Date:
Shoreland Dis[rict: A(f�
Avg. Setback: B!uff Setback: Loc Coverage:
Ecistina Proposed
Hardcover: G-7�'
7�-250'
2�0-500'
500-10C�'
�� �i0 D3C� Oi COILC:i :�pYID`.'�:
H��eco��er Vas':2nce Req�.red: Yes
RE�L4RI�S (inhouse): 1/�IZ�-�2v�e� tS � �'^�¢� 3 ^ ����Z b`��
��¢dr eSs�e.s na�-hnc.a�!�'P��� k- -k' �v"�-�_ ''
BUII�DING REVIEtiV CHECK LIST
�
�C� � v `� � CONS'FRUCTION TYPE: V�
' Sq Footaae $ Per Sq Ftg
Basement . X =
lst Floor x � _
2nd FZoor x = .
Garage X =
x —
TOTAL
Estimated Construction VaIue: $ � $,y�3 0 0
Inspections Required: `York Requiring Separate Permits:
S ice Plumbiag Fire
� Hardcover Removal Mechanical Water Coanectio❑
_�Footing � Septic 5ewer Connectioa
� _�Framing Fireplace Lawn Irrigation
Insuiation (Niasoary) �c Other��►_�-o�. b�r isri� 6��s►ry�
__��Val1 Board (Mfg.) Weil (Scate Permit)
F�� Grading/Filling � Electrical (State Permit)
Other
R.EI�IARKS (IN HOUSE): ' ' -- --
--------------------------
REVIE`4V SX OTHERS: DAT�E: �
Access: Ezisting New
Access Approval: Date By;
-----------------
REI�IARKS (TO SE NOTED ON PERil2IT):
a � 8 . ,
�/ ��A� TIME
ITY OF ORONO CALLED IN '
INSPECTION NOTI SCHEDULED ' : � �
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO.__ f�/51 � l� O33 I
� DESCRIPTION — b�� �� �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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
� 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTiFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �jpHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContra w ro�site:
Inspector. �v
White Copyllnspector's ile Canary CopylSite Notice
������ DATE • TIME V
� ITY OF ORONO CALLED IN �a���' 'O:3 J
INSPECTION NOTICE����LED ___�
PERMIT NO. COMPLETED
ADDRESS 3 � � ��� S'-�.
OWNER IC-Q-�"� h'Yrc��eC�n CONTR. S�S-�e-�
TELEPHONE NO. �� �v �� D 3 3/
� DESCRIPTION � �`� G � ��-� �� C5�$e
� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL fINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (g52) 249-46��
OwnedCon site:
inspector.
White Copyllnspect 's File Canary CopylSite Notice
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i i SURVEY FOR: KEVIN MUNDEN
c�
I I PROPERTY ADDRESS: 360 Leaf Street, Orono, Minnesota.
I I .w._.,� LEGAL DESCRIPTION: Lot 29, Auditors Subdivsion Number 230
C�TY 4� OR�Na `J
�L S1TE Rl.AN CRADING PLAN CERTIFICATION:
����� � ' 1 hereby certify that this survey was prepared by me_or under my direct
U��'� `�Er ����j� surpervision ond that I am a duly Licensed Land Surveyor under the laws
�! A�E��fd�JVED V�ITH R�VISi01VS of the state of Minnesota.
❑ �;?��'����(�Q`1��} Dated this 16th day of August, 2006
BY U.c-� o.wt�.� -� �=r.
DAT` ��L�•p.�
N
Anderso ngineering f in esoto, LLC
t ;i
W E bY _
Jack Bolke
Min esota License No. 20281
S NOTES:
1. The orientation of this bearing system is based on the east line of Lot 29 which
is assumed to have a bearing of North 00 degrees 25 minutes 03 seconds East.
0 30 60
2.The area of Lot 29 is 44,446 square feet or 1.0203 acres. The area of Lot 29
I � � I less Leaf Street is 40,890 square feet or 0.9387 acres.
SCALE IN FEET
3. No title work was provided for the preparation of this survey to verify the legol
description or the existance of any easements or encumbrances.
• DENOTES FOUND IRON MONUMENTATION
� DENOTES SET IRON PIPE MARKED WITH R.L.S. N0. 20281 Anderson Engineering of Minnesota, LL�
C I V I L E N G I N E E R I N G A N D L A N D S U R V E Y I N G
11608 13605 1ST AVENUE NORTH, PLYMOUTH, MN 55441 TEL (763) 412-4000 FAX (763) 412-4090