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Home My WebLink About2004-P07845 - attached deck CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Po�s4s Crystal Bay, Minnesota 55323 Pe►-mit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 8�2ai2ooa SITE ADDRESS: 1290 Loma Linda Ave Mound,MN 55364 P I D: 07-117-23-41-0089 DESCRIPTION: UBC Occupancy R3 Consri-uction Type VN Proposed Use: Residential Pernut Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 125.25 Valuation: $ 6,000.00 Plan Review Fee: $ 81.38 State Surcharge Fee: $ 3.50 TOTAL FEE: $ 210.13 APPLICANT: Owner/Self OWNER: Jennifer&7im Matasovsky � 1290 Loma Linda Ave 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. .� r ' ;(/ , , APPLI ANT PER [TEE SI A RE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Avplicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1 ` I � fJ', �lti � Total Fee: $ o?/d,f 3 Date Received: �V 7g`f� Entered By: Permit#: b � �1 /�-j CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (pleas�print all information) ------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNEF�OR CONTRACTOR �_� JOBSITEADDRESS: _��Z�t�, �c`,}��c;. �__,� �cic�_ _ZIP: `.� L} .�1�-,i_i Will this be a�'arade of Homes, Remodelers Showcase Home or other Display Home? ❑ Ye� � NO If yes, a special event permit is reguired with Police Department and City Council approl�al �� 60 days prior to the event. Shuttie bus service will be required unless applicant demon,strates suff c�ent on-site parking is ai�ailable. Non permitted events will not be allow•ed. NAME OF OWNER: .)�_ � , -t c" �,'�c.�j�^`,�•v �-�-•- PHONE: (home)�'�; ..y-- :i�•,._ � (wark) )� "3 =,�y ?"=;2� 1VIAILIN(UAllDRESg: _l'1.`�5;� [ ;-�,�>>�,�_ L�•;�c�c�. t�, CITY: 11�;��.; �„�,__��,I�: �.�t,�-`:i_ � _ C�NTRAC'�'UR: __�ti'� --- --�HOitik: _ _i__ COI�ITACT PERSON: �' ;�:;.G:: \`ti�, 't� .-1:>,,�G"�_ MOBI�,EiPA�ER: t��!"L r��t [_'�t.i'-- MAILING ADDRESS: �� Cl l'Y: 'LIP: STATE I,ICE]�1SE: # � E�PIRA�CION DATE: �RCHITECT/El�(pINEER: PFIONE: MAILII�G ADDRESS: CITY: �I'�; NAME: REGISTRATIOW: # TY�E OF WORK: New Addition Accessory Structure x, Move Home Remodel/Alteration PROPOSED WORK(describe in det�i�:��{}o.�hrc,l ��l r�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ((�(�O("� ,�C 1 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 ardinances and codes of the Ciry and with the State Building Code;that 1 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: ' i-�- DATE: ��, - 1�1 - �� 31 Sec.13.04 RIGHTS OF SUBJECTS OF DA'CA 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 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 mav place the notice required under this subdivision in the individual income tax or propertv 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 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 inonths thereafrer 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 acmal costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,ifpossible,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 :vithin 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 public or private data ooncerning himself. "Co exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The respons:ble 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,induding recipients named by the individual;or(b)notify the�ndividual that he believes the data to be cotTect. Data in di.spu?e shall be disclosed only if the individual's statement of disagreement is included with the disclose3 data. f'he determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to .or.tested cases. DA'TA PRI�"ACY 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�riay 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. 'l. 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 ar 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(avai.lable upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. _�1��titil��" �-�.0 i ric�-L�, �_Ci`�,�� c;�jC,�� .. First Middle Last (2�� L�r��;- �_�. �;��a,�,. 1_ �� Address t ( �_ ' �-'�aL' ;L t N � ��_, { c'i.� � ..�--��^2 �`Ir�'r� City State Zip Phone I under�tand y rights as stated above. I ; 1. � Signature 32 ' CHECK OFF LIST FOR ISSUANCE OF PERMITS • FOR OFFICE USE ONLY ADDRESS OR LEGAL: �Z�p L,o�q L�,nr�,4 � PID: - DESCRIPTION OF WORK: �c�c ZO�IG REV��V BY: - --- ---------------DATE APPROVED: ----$--Z3-n`� BUILDI�tG REV�`V BY: DAT'E APPROVED; Q- 2 3-�`� FEES TO BE CHAKGED: Misc. Fees Calculated By: PER11�fIT Yes � No PLA1�T REVIEW Yes r/' No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECT'ION INVESTIGATION FEE � Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Un.its OTHER (specify) ZONING CHE.CK LIST Zoning Districc: . Fire Department: Post Office: School District: � Lot Area: Sq.ft. 4(�, �6Y• SZ Acres , g 3� � Width 2om•�1 h.•..t Depth Zo 3•a1 I �4�c. Survey Submitted: Yes�_ _ No Date of Survey: c�� Q Proposed Setbacks: , � Front(Lake): �2 "� Right Side: '1 $ Reaz(Street): 10`�' t Left Side: �S� Adjacent Structures: A��.s-� Wetland: /`��/¢ Building Hei;ht: Def. Hgt. 0 ,��- Peal:Hgt. -" Lot Coveraoe: n.K Grading: Staff Approval Date: — By: Council Approval Date: Septic: Scaff Approval Date: — By: Zoning File: # � Resolution: # Resolution Date: � Shoreland District: �-QS Avg. Setback: n/'i✓�- Bluff Setback: �/� I.otCovera?e: — Existing Proposed Hazdcover: 0-75' 75-250' 250-500' / •/ 500-1000' Hudcover Variaace Required: Yes No Date of Council Approval: REMARKS (in house): 7 BUILDING REV�W CHECK LIST UBC: R- 3 � CONSTRUCTION TYPE: �(/� _ Sq Footage $Per Sq Ftg Basement . x _ lst F1oor x . _ 2nd F1oor x = Gazage x = � x = TOTAL Estimated Construction Value: $ (,,o�o �= Inspections Required: `vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _1�Footing ` Septic Sewer Connection � _�Fratning Fireplace Lawn Irrigacion Insulation (Masonry) Other Wall Boazd • (Mfg.) Well(State Permit) o'�' F�� Grading/Filling Electrical(State Permit) Other . REMARKS( .Iiv HOUSE): . _____------------------------------------------------------------ REVIEW SY OTHERS: DAT'E: Access: Ezisting New . Access Approval: Date gy; RENIAR]:�S (TO BE NO'I'ED ON PEItitiII'T);------------------------------------------------------------ 8 E � 4 " ! �'}� � ,� � iJ �i� � NARDCOVER CALCULATI ON WORKSHEET_ _...-._ . `�' '`" ' � ° � =-�� ' ... l ,J�� ;.. �` SETBACK ZONE: �CIRCLE ONE) 0-75� �� ` 25�-5�� 50�—�� .._��- � , ---� �- \_.��.�--'�' EXISTIP�G HARDCOVER IN ZONE -------------------------- - � � ,-,;� .. � , .. A. NOUSc "1._'= X � ��%'- _ -� ~' _ S�F� f; � LENGTH WIDTH X = ' S� F� X = S� F, X = S� F� X = S, F� �.� , � � :i _ � � _ - ' l : � S�F�� _; B. GARAGE - � '�� X — � -- _ . �;; , , C, DR I YEWAY ' ' `� ' X ' _ ' " S� F� `�y '^, X I _ - . �� S� F� '��.y ,, D� $IDEwALK ��.�, o �d.. X _ " ,; �_ ; S� F�, �'.� X = S� F� . ', , _ � -, , � ��, X - — S� F�._ E� PATIO/ llECK � - X � = 4� �r- S.F,;'_. ,i ,� , , F� LANDSCAPE "''`" ,'� - ,c` '- X - , _ '�` S.F� AREAS UNDERLAIN BY X = S, F� PLASTIC SHEETING X = S.F� X = S.F� rbQd�C G� OTHER (V.�v� ��-� X __��--j--- S.F, TOTAL HARDCOVER I N ZONE - `'�,y �`� ' ''� S� F. Q '�°a3 TOTAL PROPERTY AREA IN ZONE - ��c'��?�-�''C' S.F� � q % � � �,�. C' ; B ��` �,��,r- x 100 = I-i ��' � �-� i �c� , � � _ � 8 ,► I 19 C� DAT �J TIME ✓ CITY OF ORONO CALLED IN D' 0 INSPECTION N IC� � SCHEDULED a�� PERMIT NO. COMPLETED ADDRESS �a90 �� .�� 7'1 vz� OWNER �1'! ��s TR. TELEPHONE NO. l�o� oZ 3al�� DESCRIPTION � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILL�NG � 02 FRAMING 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 OS 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � 'O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next i spection 24 hours in advance. (g52) 249-4600 OwnedContra o si . Inspector. White CopyllnspectoPs File Canary CopylSite Notice V DAT TIME CITY OF ORONO CALLED IN �U'�'-US� INSPECTION NOT/IC9/E� p!/ SCHEDULED /�S ��"! PERMIT NO. I�V�0 '1� COMPLETED i - ADDRESS 1��n/yl l� _i , �� OWNER �P.I�Nt I-c-r/�Gti.�"(.S UUS,C�c/ CONTR. 4 ��Q�� TELEPHONE NO. C� `� a�a S� .��D� � DESCRIPTION �„�� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 I TION 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � ti � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspectio 24 hours in advance. (952� 249-46�� OwnerlContractor on site- Inspector. White Copyllnspector's File Canary CopylSite Notice �� , Vi � �l� � - �..��G�� l r� '� ` .� / �z'- r 1 ,� $ , � � �_=��_ .. - Jvf�, ;�G� t o�� '��' ��---_..�,1 �j� . ' �----�._.�� -��. � �� . /=-� .�; +`"-`� �� , _,�� _ � `�.�'. �� '.�— , ,; , . , � ';� - � �'t � .. � '��`! . . �J �-j / � , `yf'-.i'�° % �IC./,/,�,��t' 7� �Y �, Y C.�r,� �o�"1� ' / � ,r; .� � ;'�..� � �'�i.- '•,,IG•i v/7/��,pY�'�tj�"cy'�� y�� _, � ��t==` �f��`�`'`��L} � , -, �,. _. ��,a . � ,/n ~ �...._ M� K � x�`� 9 ��. �r� ` ' '�� . ._ �� . � .- — �, . . _ �__ � --- - -----_�__�_-0�\��_� x /40— ��,��? �ra�1 � .,��•..,� .,� Iror� � �.� �� i � � � � 6�(, �: 9��' 1 � k��t�j. . � - � /� � ��- i V:� L. �� 4 Y' �\ � � .�i �Y p� l.-�_.� l �� l4 �` 1 '... \` �� ri 3 ` � � � +D(,, 1 �� , ` a/1 O�C� � �c 1� tn�r% }1 �� _:,ol�{�° �(�`�nc� �_ �.�� `i � v"' ,S� � .��a�? � . �, � � t�9� /� y . � ' '� °j; $�'� �� 1�� n\ �v 1 � ��_ .l � ' �� 0 ` s � . '0 � ? .---� �1�. �. � � t \ U " g �(r;� �,�" �- r � Sr `}�� 3��z c�. �� ..- � �� r ; .� �.��;,�r- :� n��v _ �y ,� � �ii.S�- ` ti��l � �� \ Ivv� � ��t�,` '� � - /,'' r. ,�.G :__ tt9 � ' �o � � ` �.. dlb % � v�"nl tl � . �?,a`�• r/ �' f - � • c� Vh� � v � (i � -' ' �j9�� . f,.� J . � x �i ,� �� .': • •, V 1`- `�� i p v✓v/ � f t�C r I��+ R� � � = V\ "` -- ' _ . ._. � • ,`� � � -->--�- � �(3�- � � `\ �.. A � _ � �' i �k y -�--� � i�3� g f z1 � � �,� �`," _ j �,1 � ,�:�,� �Z! r(y� �6�' � . . _..' �� R � , __ {��y ��bi� / �^a O �.,_r \ "� ��i \u� �; � - t =-a--,;'--` � 5 .-- - , , -- `, �. �� `� 1 fi. � � „ ��a ' ll b `� \o�.� \ �' - x .�_' � �' 4 � � N ' � K p �� `' /+ ``� ' !�� r��._ �.. /iS� ��a _ ._ ;'rdr� ... �. ''��- t�'f� - 1 , � � - CITY OF OR0�0 - - " ---°� �T� P�� GRADING PLAN � �RP�O'dtD ��,� � �PPR�V�D �'ViTH REV�SIONS ❑ DI�APPR �' p BY DATE ^Z3-oy . , �.i,vr�.� ��'� �� DESCRIPTION : i�� c �.�r�� t�� Lots 6 , 7 , 8 and 9 , Block 8 , SAGA HILL REVISED We hereby certify that this is a true and correct represen�tatzon of a survey of the baundaries of the land above described and of the loca�ion of all buildings , if any, thereon ar�d all- visible encraachments , if any , from or on said land . Dated this 4th day of April , 1986 . , , , . , ,: ,; :�r,r CARLSON & CARLSON ; �NC . . : � _ 5<„�" LA�f�fl SURVEXORS : r- , , ,C�-o i,•�� ;%, 'ZS.� p �- �. ��.:�.�: �� . � . � . .. i b Y �...�.,z� -�:.;� � .{,"'� ,.,�,,,"`"�.� �.��:..-+� -r ..., .�