HomeMy WebLinkAbout2008-00391 - attached deck , CITY OF ORONO PERMIT NO.: 2008-00391
; 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 1 U19/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 990 LOMA LINDA AVE
PIN : 07-117-23-14-0070
LEGAL DESC : LAKESIDE HEIGHTS
: LOT 001 BLOCK 001
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK ATTACHED
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 1,500.00
NOTE: ADD 10 X 10 DECK TO ACCOMMODATE A HOT TUB ALONG SIDE OF HOUSE,
ADD 3-42"DEEP FOOTINGS OT OUTER CORNERS
APPLICANT pERMIT FEE SCHEDULE 57.50
ZUGSCHWERT, STEPHANIE&JOHN PLAN REVIEW 37.38
990 LOMA LINDA AVE
MOUND,MN 55364 STATE SURCHARGE(VALUATION) 0.75
TOTAL 95.63
OWNER
ZUGSCHWERT, STEPHANIE&JOHN
990 LOMA LINDA AVE
MOLJND,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 oniy the work described and dces
not grant permission for additional or related work which requires separate
permiu. All provis1ions of laws and ordinances governing this type of work
shall be compied w�th whether or not specified herein.This permit will
expire and become ull and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a pe od of 180 days at any time after work has commenced.
The applicant is res onsible for assuring ail required inspectio�s aze
requested in cqn�' ance with t�he uilding Code.This permit may be
revoked at any time o di se[�e.
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Applicant P i nature Date Issue ig e Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE.
Total Fee: $ 9S 63 llate Received:// �'
Entered By: Permit#: �D 0 8`� /
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: (circ[e one�� OWNER'�OR CONTRACTOR
�..
JOB SITE ADDRESS: ZIP: J��
`' �D �o� C�`ti ��v�- 5� '
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑YeS �NO If yes, a special event permit is required with Police Department and City Council approval bQ�`���
60 days prior to the event. Shuttle bus service will be required unless applicant de ons at s _
su�cient on-site parking is available. Non-permitted events will not be allowed����j��
cI� `� ,� i-r ��.,�r � � 3
NAME OF OWNER ; �I^n 4 �C,P�t e (�vC�SG�'lU'`I�PHONE: (home) ��� �2�S�
� I.l�U�� �woZIPq S Z S�� f�(�S Z �
MAILING ADDRESS: �'����- CITY: <����,�
CONTRACTOR: ���` C�°�� S l�"`�'"' PHONE: �����3 Z �`j �
CONTACT PERSON: S��- MOBILE/PAGER: � Z
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: # j �7� EXPIRATION DATE:
ARCHITECT/ENGINEER: /1�v Yl� 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!
PROPOSE WORK(describe in detain: ( ?C c�c.� -f-o a�Cv�"1�°c�°� �- ``v �
��-�, S t�lz .� h w « w � � c� Ca�.�(1�S
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� � � ��
�
I hereby apply for a building permit and I a owledge that the information above is complete and accurate;
that the work will be in conformance witH e ordinances and codes of the City and with the State Building
Code;that I understand this is not a d work is not to start without a permit;and that the work will be
in accardance with the approved p n.
APPLICANT'S SIGNATURE: DATE: I v �-
31
.
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: _ 5 9U (,v�i��,v4 ,q.v�
PID:
DESCRIPTION OF WORK: !0 X � � Oea'�
ZONING REVIEW BY.• DATEAPPROI�ED: �/•/9• O�
B UILDING RE[�IEW BY.• DATEAPPRO i�ED: J�.�q • o$
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes� No SEWER CO.NNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTION
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes Nb � •� SITEINSPECTION
Number of SAC Units OTHER (spec�)
ZONING CHECIf LIST Zoning District:
Fire Department: Post Office: School District:
LotArea: Sq.ft. 67, NZS Acres /.�"�{ Width �qNL 23l• 1 Depth 290, j
Survey Submitted: Yes_� No Date of Survey. D� IC'i[.t� (•2 s•4 7
Proposed Setbacks: �
Front(Lake): /S$ Right Side: I po ti
. i
Rear(Street): 12 s Left Side: /O �,�/
� Adjacent Structures: iQT}y.�e/fe'7� Gf'etland: N//9
Building Height: Def. Hgt. /1//R Peak Hgt. "
Lot Coverage: 0•K
Grading: Sta,fJ'Approval Date: /✓/�4 By: Council Approval Date:
Septic: StaffApproval Date: _1V/�9 By:
Zoning File: # �- Resolution: # Resolution Date:
Shoreland District: v�L� MCYYD Permit:
Avg. Setback: /V/ral Bluff Setback: _f//�c1 Lot Coverage: e.�L
Existing Proposed
Hardcover: 0-7�'
75-2�0'
250-.500'
� .i 00-!000'
szLt x Z9o.s � ��, YZS X 3d�o s ,rJ,qrtrpGd•r�, �s G tff �►N
= ZD,Z1"7•
Ha�•dcove�• G'ariance Reqz�ired: 3'es No� Date of Council,4pproval: �'i�t�•s
RE1l�4RKS(i�r house):
33
,_.
BUILDING REVIEW CHEC%LIST
UBC: I Z '3 CONSTR UCTION TYPE: __V(J
' � Sg Footage $Per Sg Ftg �
BasE'ment • • x =
1 st Floor x =
1nd Floor x =
Garage x =
x =
TOTAL
Estimated Consrruction Value: $ �•s� '—
Inspections Required: Work Requiring Separate Per»uts:
Site Plumbing Fire
Hardcover Removal Mechanica! W'ater Connection
_ZC Footing Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulafion (Masonry) Other
�WaII Board ' '' ' � ' (Mfg.) � YY'ell(State Permit) �
IC Final Grading/Filling Electrical(State Permii)
Qther. ' � - • �
REI�IARKS(INHOUSE): � � ` '
REVIEW BY OTHERS: � DATE: � `� �•`�
Access: Existing New
Access Approval: Date By: �
REMARKS(TO BE NOTED ONPERMIT):
� ' ' ' " ' , . . ��. . . -.. ,� . . . , . .. e- . ' � _ � � .• . .. '
34
Sec.13.04 RIGHTS OF SUBJECI'S 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 wnfidential data conceming himself shal I 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 daca;(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 mayplace the notice required under this subdivision in the individual income tau or�rop�rty ta�c refund
iqstructions 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 ciassified as public,private or wn6dential. 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 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 thereaRer unless a dispute or action pursuant to this section is pending or additional data on the individua(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 resporisible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the request,exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he 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 request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete.M individual may contest the accuracy or completeness of publ ic 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 suthority 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,incl�ding recipients named by the individual;or(b)rwtify 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 da[a.
The detertnination 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. T'he 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 yow 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 rocess this application or permit. �
�; ,�1'1 -� -� �. � �� �3U
First � \ � � id�le � !^ '�/%/� Last
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Address � � � /'1 ��-� ��Z
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City State Zip Phone 1 ��
I understand my righ as at ab ve.
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Signature
Reset Form 32
� — � / AT TIME �
CITY OF ORONO CALLED IN �6� ��
INSPECTION NOTICE -� SCHEDULED � �
PERMIT NO.����OD{,L 1 COMPLETED
ADDRESS �G,II� C�l.flt : G�GC� �C�/`��_ _ _____
OWNER CONTR. '
TELEPHONE N . — L ' g�� 0
� DESCRIPTION � ' ��
��OOTING ❑ MECHANICAL ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ IAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP O PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
r �Inspector. /7� , ____- -
White Copylinspector's Flie Canary CopylSite Notice
�� � 1 �� DATE TIME
t:��l�/ '
CITY OF ORONO LLED IN � �
INSPECTION NOT C �/ scHE�u�Eo / ��
PERMIT NO. r��` COMPLETED
ADDRESS �
OWNER CONTR. ��
TELEPHONE N0. — � �— �
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� DESCRIPTION �
W ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q �FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOF REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETItRN
❑STOP ORDER POSTED.CALI INSPECTOR '� CITATION ISSUED
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-460�
Owner/Contractor on site:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice