HomeMy WebLinkAbout2007-P10945 - attached deck � y PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p1o945
Crystal Bay, Minnesota 55323 Permlt Type: Addition/RemodeURepair
(952) 249-4600 Date Issued:
5/1/2007
SITE ADDRESS: 1027 Linden La Unit#
Mound,MN 55364
P��� 07-117-23-13-0094
DESCRIPTION:
Proposed Use: Residential
Census Code 434
Permit Class: Building
Addition/RemodeURe air Permit Sub-type(s): Deck-Attached
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
repair deck,resheet&shingle garage roof
FEE SUMMARY: Permit Fee: $ 153.25 valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 157.25
APPLICANT: Pleasant Valley Homes,Inc. OWNER: Timothy&Jodi Erhner
243 Revere Lane 1027 Linden La
Champlin,MN 55316 Mound,MN 55364
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 BU[LDING CODE REQUIREMENTS.
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APPLICANT PE T SIGNATURE I ED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
Total Fee: $ ���' Z s Date Received: /-`3 D D 7
Entered By: _T� Permit#: �}/D9��
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all info��mcrtiorz)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
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JOB SITE ADDRESS: i L' Z� � ''i a e'` ��'� �--- ZIP: � �� � ��
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �10 /fl�es, a special event permit is r•eqr�ired with Police Depar•Unent and City Cotmcil approval
60 days pr•ioi�•to the event. Sha�tlle bus servrce�vill be r•eguir•ect ainless applicant denzonstr•ates
su�ciei�t on-site parkrng is available. Non-pe��n�itted events will not be allowed.
NAME OF OWNER: T�m �-��o:�� �r l f�'1 eC, PHONE: (home)
(work)
MAILING ADDRESS: � �Z� ��n�E^ �-�^�ITY: ��0�(1 C) ZIP: ..5�,�'3�y
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CONTRACTOR: �C' SG.� U���`� ����s , PHONE: I Z �2� � Z l((
CONTACT PERSON: G� � MQBILE/P�GER:
MAILING ADDRESS: 2 `-�3 ��/ef e Lu�,,c �CITY: fU�!� ZIP: �3(�
STATE LICENSE: # Z n/ .31 �ZO 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�ORI�(desa•ibe i�t detain: Q�pC��.� �-�c:-k
c 5�ccf �i- S�-.�:•�;f e C��,r�.-�sz R�o�'
STORIES: SQ.FEET OF EACH FLOQR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ g��• � �
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the�vork will be in conformance with the.ordinances and codes of the City and with the State Building
Code;that[ understand this is not a permit and work is not to start �ithout a permit;and�tllat the work will be
in accordance with the approved pl� . •
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APPLICANT'S SIGNATUR : L' TE:
�°�'/r'°`'-e� ,�'3� -o�
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Sec.13.04 RIGHTS O�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 dataconcerning himselfshall be
informed of: (a)d�e purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legally iequired to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or contidential data;and(d)the identiry 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 may_place the notice required under this subdivision in the individual income tax or ro ooerty�ax 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 publ ic data on individuals shall be shown the data without any charge to him and,if he desi�es,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 W him for six
months thereatter 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 W pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive 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 W 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 responsible authority describing the nature of the 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.
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 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 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.
First Middle Last
Address
Cit � State Zip Phone
I u der ta�d my ri hts as stated bo e. �
Signature '
Reset Form 32
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DATE TIME ✓
CITY OF ORONO CALLED IN 7 i1 � 3 .�m
INSPECTIONNO I SCHEDULED �� 3d0�M
PERMIT NO. ���J COMPLETED
ADDRESS IGZ�) Lt YIC�'CYl ��f��
OWNER��'��Q�-�'� CONTR. � � '
TELEPHONE N0.1�'���- ,,�q Z I I �
� DESCRIPTION ���,I ' I�Xu�—
� 01 FOOTING 11 MECHAN�CAL 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL{NSPECTOR ''CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. �952� 249-46QQ
OwnerlContr r ite:
Inspector. r
White Copyllnspector's File Canary CopylSite Notice
DAT TIME ✓
�ITY OF ORONO CALLED IN � � �
INSPECTION NOTIC '/ SCHEDULE�`(P �=(�
PERMIT NO. I Y COMPLETED
ADDRESS ��Z� � f (/1G1A�/") L �/
OWNER CONTR. ��"�Sa� I�Q�
TELEPHONE N0. Cy �a1 � �(�� '� �
� DESCRIPTION / � �� � `-�C I� a�/l
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-S�TE 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
y COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� FORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nex ..nspection 24 hours in advance. (952) 249-46�0
OwnerlContr n it :
Inspector.
White Copyll�spector's File Canary CopylSite Notice