HomeMy WebLinkAbout2007-P11468 - detached deck � PERMIT
CIT� rJF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11468
Crysta! Bay, Minnesota 55323 Permit Type:
Accessory Structures
(952) 249-4600 Date Issued: 9/20/2007
SITE ADDRESS: 1074 Loma Linda Ave Unit#
Mound,MN 55364
P��� 08-117-23-23-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN ___
Proposed Use: Residenrial
Census Code 329
Permit Class: Building
Pernvt Type: Accessory Structures Permit Sub-type(s): Deck-Detached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Replace Deck Boards Only!
FEE SUMMARY: Permit Fee: $ 83.25 Valuation: $ 2,170.00
Plan Review Fee: $ 54.11
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 138.46
APPLICANT: Unlimited Services Inc. OWNER: Margaret Mattson
1415 Westwood Dr. 1074 Loma Linda Ave
Minnetrista,MN 55364 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 BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
PERMIT
CITY �OF ORONO
2750 Kelley Pa�kway- PO Box 66 Permit Number: pi 1468
Crystal Fay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
9/20/2007
SITE ADDRESS: 1074 Loma Linda Ave Unit#
Mound,MN 55364
P��� 08-117-23-23-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 437
Permit Class: Building
Pernut Type: Accessory Structures Permit Sub-type(s): Deck-Detached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Replace Deck Boards Only!
FEE SUMMARY: Permit Fee: $ 83•25 Valuation: $ 2,170.00
Plan Review Fee: $ 54.11
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 138.46
APPLICANT: Unlimited Services Inc. OWNER: Margaret Mattson
1415 Westwood Dr. 1074 Loma Linda Ave
Minnetrista,MN 55364 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 OR NO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE � ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1
PERMIT
CITY OF ORONO
2750 M:elley Parkway- PO Box 66 Permit Number: p11468 �`=��i�
�ry�tal Bay, Minnesota 55323 Permit Type: Addition/Remode air ���^C N�C�
(952) �L49-4600 Date Issued: � �?�
9/20/2007
SITE ADDRESS: 1074 Loma Linda Ave Unit#
Mound,MN 55364
PID: 08-117-23-23-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential `�'�
Census Code � �
Permit Class: Building
Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Replace Deck Boards
FEE SUMMARY: PermitFee: $ g3•25 va�uation: $ 2,170.00
State Surcharge Fee: $ 1.10
TOTAL FEE: $ 84.35
APPLICANT: Unlimited Services Inc. OWNER: Margaret Mattson
1415 Westwood Dr. 1074 Loma Linda Ave
Minnetrista,MN 55364 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 BUILDING CODE REQUIREMENTS.
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APPLICAI+} PERMI TURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
. �. ' R � �
� � Total Fee: $ ��, � Date Received: g- 9-�
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)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR�
JOB SITE ADDRESS: J��y���� ��`� �� ZIP:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �No 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
sufficient on-site parking is available. Non-permitted events will not be allotived
NAME OF OWNER: ��. 1�„�° � � � PHONE: (home�� � �,�;��,�J
(work) �-----
MAILING ADDRESS: ��7� ,�y�. ��'y��CITY: � ZIP:
CONTRACTOR: j���Yh.;��t�I ��'j«`"; 1'��(' PHON i 7- � '�',,�O�l'
CONTACT PERSON: - OBILE/PAGER - ��� � ,�
MAILING ADDRESS: �y} ; � ' CITY: •' ZIP:
STATE LICENSE: # �_ EXPIRATION DATE: ,3 �' �f �-�
ARCHITECT/ENGINEER: �" PHONE: ---`
MAILING ADDRESS: -----�- CITY: ZIP: r—�.
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 ermits !
PROPOSE�WOR (describe in deta' : �
p � � I �' ' -, 1 /�°'L/
STO E� �V � 'SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
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ESTIMATED CONSTRUCTION VALUATION(excluding land): $ p�.l ��' � �-
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 permit;and that the work will be
in accordance with the approved plan.
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APPLICANT'S SIGNATURE: ''� DATE: �" 'Z'1
31 ND ?�N/rt1� /7-�Z/L� /'G�,�`y ,
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:�
Sec.13.04 RIGHTS OF SUBJECTS OF DATA � �
Subd.l. 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 concerning 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 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 tax or pronertv tax refund
instructions instead of on those fortns.
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 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 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.
7'he responsible authority shal l comply immediately,if possible,with any request 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 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. An 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 ofthe disagreement. The
responsible suthority shall within 30 days either: (a)coriect thedata 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 authotity 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
conftdential 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.
"�� t�V�`�1�'� �'z� �•�
First Middle Last
r�ri� l��-✓�,� F
A dres�s—
�-i vt✓���'�i 5 f'� v�i� ���5�� g�7-�f,�-�i�
C�tY State Zip Phone
I understand my rights as stated above.
Signature
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Y . CHECK OFF LIST FOR ISSUANCE OF PERMITS
' � FOR OFFICE IISE ONLY
ADDRESS OR LEGAL: _ I p-�y �„�,,,. �,� ,pw
PID:
DESCRIPTION OF WORK �?x.�t�e►c� „p C-L,�c �v��,v �
ZONING REi�IEW BY.• j�1 I(� DATEAPPROVED:
BUILDING REi�IEW BY.• DATEAPPROVED: 4 • �s� -cr-1
FEES TO BE CHARGED: Misc. Fees Calculated By: .�
PERMI7' Yes_� No
PLAN REVIEW Yes No �/ SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (spec�)
ZONING CHECK LIST Zoning District: i✓'D C/-f-�'/✓�2
�i
Fire Department: Post O�ce: School District.•
Lot Area: Sg.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbackr:
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: W tland:
Building Height: Def. Hgt. P ak Hgt.
Lot Coverage:
Grading: Sta,fJ'Approval Date: Council Approval Date:
Septic: Sta,fJ"Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: CWD Permit:
Avg. Setback: B1uffSetback.• LotCoverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
33
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B UILDING REVIEW CHECK LIST
UBC: !Z' 3 CONSTRUCTION TYPE: 1(�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ Z 11� ��
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 Board (Mfg.) Well(State Permit)
C.Final Grading/Filling Electrical(State Permit)
Other
REMARKS(INHOI7SE):
REVIEW BY OTHERS: DATE:
Access: Fxisting New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERMIT):
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CiTY OF OROt�tO '
BUILDING �iP T PLAP� RcVi�W
INSPECTOR
DATE R'7..0•0�2 P.r-.Rt:•.1T i'A.�
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j in fuf ccm;;iiar�ca witn o;i a;p:i���!e �ui:c:ir�� und zcc'�g code�
/ �l ReqiyYP^l@iils inciudiny i,es,ro;:�,ec3;c�;iv�:c!�U���t;;ie review
(,�! IcEEP THIS PLAN SEi ON 3(TE AT ALL 7iMES
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CITY OF ORONO CALLED IN �Z�
INSPECTION NOTICE SCHEDULED •Z '� �
PERMIT NO. �I I�OR� COMPLETED
ADDRESS__ ����' ��_L��OL--/1�'�
OWNER CONTR. ��
TELEPHONE NO. C�b� ��� ���
� DESCRIPTION � — I.�U,�--�
� ❑ FOOTING � MEC NI AL RI ❑ EXCAV/GRADING/FILLING
y ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETIANDS
O ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOFi TO MEET YOU:_YES_NO
� COM ENT �
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ RRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� CARRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (g52) 249-46��
OwnerlCon o ite:
Inspector.
White Copylinspector's Fi e Canary CopylSite Notice
�').{/ 'f�D/AT��E (� T^IM�E "
�� CITY OF ORONO CALLED IN w�`T� �1•'�W�
INSPECTION NO IC SCHEDULED LO•5•07 2:30 PM
PERMIT NO. ��� COMPLETED
ADDRESS ��14 WI1'�DL L��1'�� �
OWNER CONTR. ���� ��/
TELEPHONE NO. ��� �S`1-Q 2-�2—
� DESCRIPTION �1"wt �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
Q ❑ 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
� ❑ DEMO-FINAI ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
= O PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice