HomeMy WebLinkAbout2001-P04153 - attached deck CITY-OF ORONO PERMIT
Permit Number:
2750 Kelley Parkway - PO Box 66 Po41s3
Crys�al Bay, Minnesota 55323 P@C'CTtlt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: sitoi2ooi
SITE ADDRESS: 1545 Minnie Ave
Mound,MN 55364
P I D: 08-117-23-3 3-0066
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83•25 Vatuation: $ 2,500.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 138.58
APPLICANT: Owner/Self OWNER: Diane Dunlap
MN 1545 Minnie 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.
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APP ICANTPERMITEESIGNATURE ISSUEDBYSIGNATURE
Covies: 1-File(SiQnitures Required), 1-Apvlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: � - � Date Received: � l C/
Entered By: �'�',� Permit#: > � /�=>"
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CI� �?� 03�ON0 - BUILDII�TG PERMIT A.PPLICATION
A.11 information must be submitted in full before plan review �vill be started.
' (please print a11 information)
THE A.PPLICANT IS: (circle one) O��NER R CONTRACTOR
JOB SITE ADDRESS: �5�S i�,i n ri t�.... �.7 E- ZIP: 5���l��
�S�y
NAME OF O��NER: ,�t0.r��2. �u.r� ��� PHOi�TE: (home) �'S��-'�?!�
(work)
1�I.A.II..Pi tG ADDRESS: ���S rti�t��n;�� /�v� . CITY: �k�e,r-�c zIP: �5`.�t� �
CONTRACTOR: " PHO��:
CO�tTACT PERSON: �IOBILE/PAGER:
NIAILING ADDRESS: CTTY: Z��
�TATE LICENSE: #
ARCHIT`ECT/ENG�'EER: PHO\rE:
NIAIL�'G ADDRESS: CITY: Z�:
�T��,�; REGISTRA.TION# �
TYPE OF �i'ORK: New Addition Accessory Structure ➢�
Move Remodel/Alteration Land Alteration
PROPOSED�VORK(describe in detai�: ��` x �4� � ��r��' ���=k �'�`' ��0�'� ��� �`��s� �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF B�.DROOI�IS: GARAGE STALLS: ATT�. � DET. � - = - � �� .,
ot�
ESTII�i IATED CO`'STRUCTION VALUATIO\ (excludi.ng land): � ����
I hereby apply for a buildin� 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 BuildinJ Code; that I understand this is not a perm.it and work is not to start without a
permit; and that the work will be in a rda 'ith the approved plan.
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APPLTCA.���T''S SIGNATURE: � DATE: � —
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1�'OTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0-t RIGHTS OF SUBJECTS OF DAT?, �
Subd. i. Type of data. The righcs of individua!on whom ctc dara is s�:�or to be scored shall be as sct forth in this secaon.
Subd.2. Information reqtiured to be givm individual. An icdi��idua!asY�w suppty privace or confidandal data cancecning himself shali
be icu`ormed of: (a)[he purpose and incended use of the requesud dam w:�in the collecang�State agency,poliacal subdivision,or sratewide rystem;
(b)whec'�er he may mfuse oi is legally requiced to supply[he mquested dat�:(c)any Ico•r+n coatequence arising from his supplying or refusing to supply
pri+ace or eonndeneal daca;ar.d(d)the idendry of other persoas or eaddes xe►uorized by state or federal law to rceive the daca..This requiremea�shail
r.oc apply when an individuai is asked to supply invesdgadve dan,purs�c[o secaoa 13.8?,subdivision 5,to a_[aw enforcemenc o�cer.
Tht commissianer of ce�•enue mav vlace the nocce rauired er.der this subdivision in the individual ir:come tax or orooectv tax cefund
in:;ruccions instead of on chose forms.
Subd.3. Access to data bp indi�idual. Upon requesc to a r_roosible aechoriry,an iadividual shall be informed whaher he is the subject
of swr_d data on individuzls,and whecher it is class�ed as public,privar�or conF�der.rial. Upon his furcher requesc,an individual who is the si:bjecc
of s:orod priva[e or public daca on individuals shall be shown the dara�i�.out any c'"'�e to him and;if he desires,shall be informed of the concenc
x^d meaning uf chac daca. Aft�r an individual has been shown ehe priva��aa and iz;or�ed of ics meaaing,the daca need not be disclosed to h'un for
si� mon�hs ehereaite�uniess a dispuce or acdon pursuanc to chis secdan is�ending or addiaonal data on the individual has been collec�ed or cr:ared.
Tr.e respansible auchoriry shail provide copies of the priva[e or public da�L:on reqies:by che individu�l subjecc of�hc daca. Tne responsible auchoriry
ray r:quire[he rcquesring person to pay the acaial coscs of makinz,cc.�;ing,az:d eompiling the copia.
The responsible au�horiry shall camply immediacely,if possib!a,wich any r:quest made pursuant to this subdivision,or wichin five days of
the dac_eE the request,ezclading Saturdays,Sundays and legal holidays,ii is.mediace compliance is noc possible. If he canaot comply wich the r.quest
wiL�ltl[$3[QILIG,he shall so inform che individual,and may have an addi�ec3!five d3ys wiehin which to comply wich the request,excluding Satucdays,
SLr.days and legai holidays.
Subd.4. Pracedure when data is not accurate or eomplete. :�n individual may concest the accuracy or completeness of public ar prieate
daa concerning himself. To exercise�his righc,an individual shali nodfy ia wridng ce respoasible auehoriry describing ehe nature of the disagremeac.
Tl;e responsible auctioriry shall wi�hin 30 days eieher: (a)correct ehe dae icund to be ic�ccurate or incomplece and aaempt to norify past recipien[s of
ir:accurce or incomplete dara, including recipiencs named by�he individLt:or(b) codfy the individual thac he believes rhe daca to be coaect Dar,a
ia dispuce shsli be disclosed only if che individual's stacemenc af disagree�enc is i^.c:•�ded wich�he disclosed daca.
The dzcerminarion of the responsible auchoriry may be appaa�c�pursuacc to che provisions of tha adminiscrdrive procedure act reladng to
conces:ed cases. .
DATA PRI�':�CY AD�ZSORY
In accordance with M.S. 13.04,Subd.2, "Rights of subjects ot c�aca", we would like to inform you tha[your reauest
for a permit or license from the Ciry of Orono or any ot i� deparmencs may require you to furnisfl certain privaee or
confidencial information.
You are notified thar.
1. 'Ihe informacion you furnish will be used to de;ermine�'our qualification for the permit or license requested.
2. You may refuse to supply data, but refusal nay require that the City deny the permit or license.
3. The information may be s�ared wich ocher locz, state or federal a�enci�s to the extent necessary te process
the permic or license.
4. If your requested pecm.it or licease requires Council action to approve, some information may become
. , public. .
�. You have certain ri�h�s under M.S. 13.04 (a•railable epon request) to review private data on yourself.
6, �'our full name is required to process this agplica[ion or permic.
Firsc �fiddle Last
Addross ,
Ciry State Zip Phone
I u rstan y ri�hts as ated ab ve.
S
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s�,nam�
CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
, ADDRESS OR LEGAL: t Sti S W1 1 NN I l-'.. �4v L
PID:
DESCRIPTION OF WORK: �L C�c
ZOr11i TG REVIEW BY: DATE APPROVED: �'8•�- 01
BUILDING REVIEW BY: DATE APPROVED: g 7- o t
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER�viIT Yes ✓ No
PLA1�1 REVIEW Yes � No SEWER CONNECTTON
STATE SURCHARGE Yes � No WATER CONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZO�TG CH�CK LIST Zoning District: �2- I L.
Fire Department: Wl�v iN� Post Office: yw,��,,�-,o School District: �;,��S n��11�A
Lot Area: Sq.ft. 2l, (,�t q.S Acres • `'�`17 Width � 5 o Depth 1�-i'd.33
Survey Submitted: Yes_ c� No Date of Survey: `� -Z� '��
Proposed Setbacks:
Front(Lake): �-7' � Right Side: '12•"Z' �`
Reaz(Street): `t l � �' I.eft Side: 5 3� *
Adjacent Structures: N (t4 Wetland: /V(�
Building Height: Def. Hgt. d,�� Peak Hgt. Q.«
Lot Coverage: f�.(�
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: -- By:
Zoning File: #� — Resolution: # Resolution Date:
Shoreland District: nt c�
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RE1�Z,ARKS (in house):
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BUII.,DING REV�W CHECK LIST � •
��� 2"3 CONSTRUCTION TYPE: U l�l
Sq Footage $Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x _
Garage x _
x =
TOTAL
Estimated Coastruction Value: $ Z,Spc� °`
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removai Mechanical Water Connection
�G Footing ` Septic Sewer Connection
_ Framing . Fireplace Lawn Irrigation'
Insulation (Masonry) Other
Wall Boazd , (Mfg,) . �'Well (State Permit)
.�F�� Grading/Filling Electrical(State Permit)
Other
REI�ZARI�S(ni t HOUSE): , .
--------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Ezisting New .
Access Approval: Date gY;
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1tEMARI�.S (TO.BE NOTED ON FERNIIZ�: "
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iNSPECTGR C,SV1Mau�^-- ____ �r�o,�-� t L�ncK
Q/;?_ �-7-0� P�RMiT NO.
�r�r�PROVED A,S SUBM!TTr_D �
❑ !�Pi ROVEC.'�'!TH COfi!?ECTIONS AS NOTED ��'� �f��>��I�,(y- CsoCS ov�'f� CLUGf_R `f!-�L
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Tt;e�e cerrunFets a��far yn�r infe�ma5or.Aii wcic sh�.�t�e done
in f�il ccmpiiance with all applicabl2 bu:,ding and zor.�n^y code. S�(-�ov-� F I ooi: L L��� �- �D f� ��T'T�N O F
RaGuiremants includ���items no:�pecit;ca�iy nuted in thls review.
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�. SITE PLAN G�ADING PLAN TNlS ITEM H�S BE�I�
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� APPROVED VVITH REVISIONS rl�t or :��u�;P�� MICROflLMED �
❑ QISAPP 0 ED for �nzm;or�d L. �re'�c'rP
BY f :,ols 6, 7, sr.d �, Hic'{omr :iill
DATE � '�' d � H�nne�in CountJ, Minnescta
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Srai s: ��' - 4�' Gordon F.. COfilri Re� ..o. 6�54
�tP : �-='.5-7b i,ar.d Su,rve.�or and Planner
o . Iron m3rKer Lon� :,ake, Minnesota
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC SCHEDULED
PERMIT N0. COMPLEfED s�' "�� d`
ADDRESS ,,���`z� /�!/�/Ii � !/2
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� CQI�IIMENTS: �
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W� ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CAIL INSPECTOR O CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notke