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Home My WebLink About2008-P12106 - attached deck • f , ' PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p12106 Crystal Bay, Minnesota 55323 Permit Type: Addirion/RemodeURepair (952) 249-4600 Date Issued: 6/26/2008 SITE ADDRESS: 1580 Long Lake Blvd Unit# Long Lake,MN 55356 P�� 26-118-23-33-0031 DESCRIPTION: Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: Grade Level Deck FEE SUMMARY: Pemut Fee: $ 103.25 Valuation: $ 4,000.00 Plan Review Fee: $ 67.11 State Surcharge Fee: $ 2.00 TOTAL FEE: $ 172.36 APPLICANT: Pacific Home Improvement OWNER: Shawn Hendrickson 2580 Fox St. 1580 Long Lake Blvd Wayzata,MN 55391 Long Lake,MN 55356 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. APP PERMITEE SIGNA ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 , , , � Total Fee: $ ��O�• �� Date Received: �-27-D g �Ent red By: ��L Permit#: ��a/D�� I101p 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: (circle one) OWNER O CONT O JOB SITE ADDRESS: �� G��`l G/`�/� ��U� ZIP: .j.�� 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 60 days prior to the event. Shuttde bus service will be reguired unless applicant demonstrates su�cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: .:5�/�E%/C�/��/�� PHONE: (home) MAILING ADDRESS:�S�D L��1 UY��l3��CITY: �/�G� (woZIP: Z� � CONTRACTOR: i�,/F,�/y��/i��>�� PHONE: �Z�U�� CONTACT PERSON: /lO�i�"��"Cyi/ MOBILE/PAGER: � MAILING ADDRESS: ;�� fG� 5? CITY: p/2Gat.� ZIP: .SS39'/ STATE LICENSE: # 2EX�7/�� EXPIRATION DATE: 3.3/.��f' 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 WORK(describe in detain: �� ,L� 0� ��-r -�� Z�z STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �J�7 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. APPLICANT'S SIGNATURE:�� DATE: z/ � 31 f i � .. 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 of the requested data within the collecting state agency,pol itical 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 shal l 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 pronerty tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shal I be infortned 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 ofthe private or public data upon request by the individual subject ofthe data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The 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.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 public 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 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 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. T'he 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 perrr►it 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 reyuested perrr►it or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(available upon.requesY)to review private data on yourself. 6. Your full name is required to process this application or perm�t. �lyP�—� � !Vdr��d/� First Middle Last �� X �J"��e�t Address ow�r� 1�1(� s �?� rr C�b' State Zip Phone I understand my rights s tated above. Signature � ` ' 32 . . , CHEC%OFF LIST FOR ISSUANCE OFPERMITS F R OFFICE USE ONLY ADDRESS OR LEGAL: _ S�D �i G i1�� 12 c� PID: � DESCRIPTION OF WORK: Q,�,� ZONINGREVIEWBY.• DATEAPPROVED: —O� BUILDING REVIEW BY.• DATEAPPROifED:._�- � . ��, FEES TO BE CHARGED: Misc. Fees Calculated By.• PE��' Yes �/' No PLA?V REVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATER CONNECTION WVESTIGATION FEE Yes No ✓ PARK FEE SAC Yes No �/ SITEINSPECTION 1Vumber of SAC Units OTHER (spec�) ZONING CHECg LIST Zoning District: Fire Department: Post O�ce: School District.• Lot Area: Sq.ft. Acres Widsh Depth Survey Submitted.• Yes ✓ No Date of Survey: v� �-.--, �j/2 d�Q'� '�iruvh �i Proposed Setbacks: �� lr r Front(Lake): n�r �ight Side: �T Rear(�tr.�at): � Z �Side: � Cp ! Adjacent Structures: �/� Wetland.• � �r ' Building Height: Def.Hgt. h (/�r Peak Hgt. Lot Coverage:_(/1�_ Grading: Sta,f�'Approval Date: By: Council Approval Date: Septic: StafJ'Approval Date: � gy. �_� Zoning File: # Resolution: # Resolution Date: Shoreland District: ✓ MCWD Permat: Avg. Setback: �1 A Blu,f,�'Setback: LotCoverage.• Existing Proposed Hardcover: 0-75' n p C��p,yi(�� 75-250' � �� f�5. �� zso-soo� �3 !� � �((�,.,�� b 500-1000 v Ar t aaC� Hardcover,Variance Required:( Y�i�- No_� Date of Council Approval: (� 9,' � REMARKS(in house): �,� �Z �. � o� cm zalawcA � 1 fi�^Q._ (� Z AIn1n l,�A,u rlc� 33 � . � B UILDING REVIEW CHECS LIST UBC: (Z-3 CONSTR UCTION TYPE: V� Sq Footage $Per Sq Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ `'��00 0 =° Inspedions Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing Septic Sewer Connection e� Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) _�Final Grading/Filling Electrical(State Permit) Other x��xxs��vr�ousE�: REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REAIARKS(TO BE NOTED ONPERMIT�: S�o t7� i h .t�, ('�v' u�I rn��s� (��, s �h� I�z e �- -� �rvi .., a ►'�a �ns flec.hrr�-, 34 , � \\\� I N L 0 T Sjtent#�5-�C A��!0%�/�16� File 6- 221 11 0 .?�6 � , �� S 660 98� HENNEPIN . � ��.�, ........ 3S, OFLLOTNE2��I ` � 7�'� ��i I Q ' ` � �� 18" ASIi�'•. I � I � I �9S0 W OD PR�IVACY !n FENCE I � "� 9 \ EXISTING � �,°� � �� HOUSE I � � �� #1586 / �o" �� (978.4) � ` � /� PMIES \� � `") � 9g� � �� e : RETA NE G '� ' � � • WALL T � / ;'� REMAIN � �� ,n U�� c9».9, I9j =; g 78 �� f..68� � ` � �',�1.� G�C� �` . p � �-- '�'_-�` , i sr�e.s zIz �+. O � / t �o � ��. � RIVACY ENCE ��lw�/, //� � • i .3�� -� � ' . <C/ � � �� _�i 3s•o � ...io.o'•- I �J I . I / � O� I o PROPOSED SHED 1 r � . , ^ �; HOUSE � EXISTING '� � L � r°^� v� ir� �\� #1580 0 � � �.J � frl � � ro . 9, � � �o�� \�� s.o �`\ a GARAGE/ ��? � PROPOSED � DRIVEWAY � I \ o �G (975.5) � �O \ N V ��'q�, �9� � % I � � �� . �sq.°ti '�/., '1 \ • 3 2 2 3 . � I � 20.0 � ' ` � --�o.o � • \ . (s7t.4) `��p � G� �L � _ � OFLLOTNE2 I F:�'�� ro. \ j O I� 9,Q . . I : o� .�� , r� ;9 g . \'\ ,� � ��• ` N • � ,I� o �,,..�,,,_ �, � ' S ° 9 O ` ' ti�.. O (s�,.zj' � ''•��` s�' � � (9�4.1j EXISTING V_ ►' '9 � � � �' O•, HOUSE 9��L,9T0,� #1570 � � . _ �9� � /J . �s� 9 26�. A .�/ 9 sN '� , ayqr (s��.t) s�i.� .�9. ,�� --•- 's�a.o) � � O �9� 9�4 �'��. °J �' , , , , ,,.., ��;:��1 ��!��"�..��"d��a�,�„q • 7{�' L(��S �-�;�I��,• �•�i{�'� >^�A� � , ` ��"��-,o c'- v=�*''tJ''O ��+�I �..�TS � � � � � .... , ��. : ,�(_."�,"�,�. �4-"��' 9-1.0-o�b � ' HATZDCOVER CALCULATION 1VORKS�T�E'T SETBACK ZONE: (CIltCLE ONE) o-�� s-Z�o� zso-soo� soo-1o00� 5 5 � -; . EXISTING HARDCOVER 1N ZON� � � A. House x = S.F. L.englh W iddi .. - x = S.F. x = S.F. �� x = S.F. B. Garage x = S.F. C, Dnveway x = S.F. x = S.F. D. Side�valk � = S.F. x = S.F. E. Patio/Deck x = S.F. . ;� = S.F:.. F. Lundscape x = S.F. Underlain x = S.F. " Bv Plastic x = S.F. Or Fabric G. Other x = S.F. TOTAL HARDCOVER IN ZONE - S.F. A .. TOTAL PROPERTY A�it.EA IN ZONE - S.F. B A = B x 100 = % PROPOS�D H.ARDCOVER IN ZONE' � C18 F S.F.-��'�:�':��.� A. House x = ya�,,�� . Length Width ._ X = s.r. x = S.F, . .. . _ x = Z3 s.F. - SrvoP B. Garage � = S.F, C. Dnveway x = S.F. .,_.... . . 1 = . S F.... D. Sidew�lk x = S.F. x = S.F. � ZfZ E. Fatio/Deck x = S.F.- �EU� x = S.F. F. La.ndscape x = S.F. Underlain �: = S.F. . Bv Plascic x = S.F. Or Fabnc t30v�-t�G�z _"�� _._. w1'��,L i 1� �L�I Y�"�" G. O[hzr . � ��j-f��.:-?�t��I .�Y�Ur - P3 S.F, _. v� r�I a�� y� �s F To�u �x��,oti�R r�r.zor�� - ' i��z. s.F. �. TG��r PROPERTY A.REA IN ZONE - k-7�' � S.F. B A = E x 100 = � % � � � DA E TIME � CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED — �"� �� PERMITNO. a�� COMPLETED ` ADDRESS �J��D L 07�9 L.�e �/vL OWNER CONTR TELEPHONE NO. �b �!a a4�O Dg S � DESCRIPTION �a� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP p PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �'r�N►�, � a "F I�tSfiJtS �pll/t-�0�.�� J O � � O � W � Q � 2 W � W � � d 1 � �fp WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECl'WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 2a hours in advance. (g52) 249-4600 Owner/Contracto site: Inspector. White Copyllnspector's Flle Canary Copy/Site Notice TE � TIME v (� 7 `/ � CITY OF ORONO CALIED IN � INSPECTION NOTICE SCHEDULED ^ PERMIT NO. P%a/(�C� COMPLETED � I `t ADDRESS 1SS�C7 L QY1Ca L!� f3i �� OWNER CONTR. �G�cCI�i� � TELEPHONE NO. �� `�� ' ��5 ��P � DESCRIPTION ��h�� —�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ 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-FINAL ❑ SEPTIC INSTALL. ❑ FOILOW-UP _ ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: a .J�� ''��;�. � U� a � �� . 3 5'` ��;; `:.j' � � 0 � W � Q � z W � W � � d W��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ��,,. CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on sjte• Inspector. ; s�/ �- White Copy/inspector's File Canary Copy/Site Notice