HomeMy WebLinkAbout2002-P05551 - attached deck CITY OF ORON PERMIT
� Permit Number:
2750 Kelley Parkway- PO Box 66 Posssi
Crystal Bay, Minnesota 55323 P2�Ctllt Typ@: Addirion/RemodeURepair
(952) 249-4600 Date Issued: s�2si2oo2
SITE ADDRESS: 20 Myrtlewood Rd
Wayzata,NIN 55391
PID: 36-118-23-33-0010
DESCRIPTION: UBC Occupancy R3
Construcrion Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 83.25
Valuation: $ 2,100.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 1.55
TOTAL FEE: $ 138.88
APPLICANT: Verena Pearson OWNER: Verena Pearson
20 Myrtlewood Rd 20 Myrtlewood Rd
Wayzata MN 55391 Wayzata MN 55391
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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YTl 1/11 A`_'4."�L`r��- /�iJ✓
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Atrolicant, 1-Monthlv Renorts. 1-Assessing, 1-Finance Page 1
Aua-20-2002 12:52pm From-CITY OF ORONO +9522494616 T-874 P.002/003 F-586
, I � '�'
1 otal Fee: $ Iaate keceived: x�`�L,� -L%-�
Encered BY� �'�— Permit#: .�rs j
lr j �l. �' �,. �� ��
CITY O OR�N -�iUILDING PERNIIT APPi,ICATTON
Alt information must be submitted in fttil before plan review will be started.
(please prinr all informarion)
-------------------
THE APPLICANT IS: (circle one) OWNE OR CONTRACTQR.
JOB $�TE ADDIZESS: ,20 P�tl��,�od E�ad 4�iy�zta NN ��: 55391
�TA.MC dF OwN�R: Verena L. Pearson PHOiVE: (110me)_952.473.5237
(Wo�k)dau hter Judie 763.553.1144
1VIAiLING ADDRESS: S�e CITY: ,ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/'PAGER:
�LING ADDRESS: C�TX: ZIP:
STATE T.YCENSE: # �
A�tC�TTT'ECT/ENGAVEER: P�ONE:
iV.�AILi'rr'G[�iIiDRESS: CYTY: Z1Y':
NAME• REGIST�tATION#�
TYPE OF WORK: New Addition Accessory Suuccure
Move �Remodel/Alteration � Land AlteraCion
PROPOSEb V�ORK (desC►'ibe in deta�n: replace existinq deck
STORIES: one SQ. + +�T OF EAC�i FT..00�: 220 SF
N4. OT BEDItOOMS: GAR1�,G� STALLS: ATT. DET.
ESTIMATED CONSTRUCTYON'V'ALUATION (ea�cluding land): $ 2�oo.00
I hereby apply for a building pernnit and I acknowledge t1aaC the information above is coznplete azxd
accurate; that the woxk will be in eonformance with the ordinances and cod�s of the Ciiy and wii�
the Stace Building Code; that I understanci this is noC a permit and work is noi ta start without a
persnic; a�d that the work will be in accordance with the approved �lan.
APPLYCANT'S SIGN.A,TURE��.�e..�,� ,� o'� �-� DAT'E: o '�I_- �Z __
NOTE! P r Q;�,� events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Aua-20-2002 12:52pm From-CITY OF ORONO +9522494616 T-874 P.003/003 F-586
Scc.13.04 RIGH'FS OF SUBlEC'fS OF DATA �
Subd. 1. Type of dasa. 7he rig6u of individual on whop�rbe data is sw�ed o�[o bt 5oored shall be as set forth in this sccqop.
Subd.3. Informa�ioe requtred to he�i�ea individusl. ,an ii,dividva!asked eo supply privao�or confideeasl data coaceening bimself shall
be informed oP� (a)rhe purposc and 'en��ded use oP tlre requesx+d daia wishia d�e collccdng§�a[e ageeey,potidcal subdivision,or sffitewide syscem;
(b)wherher he may retuse or is le,�ally�equind oo suQply the Rr{uesud data:(c)an,y imow�e consequence arisiag froro his saPP�Y�or reCitsing�o suFP�Y
privace or aonfidendal dard:aesd(d)the idendry of o�her persoas or enc[ie�authOrized by snpe Or fcderal law�o racaive tho da�a. 'Phis requiremcn�shaii
noc apply when an individu�l is asked io supply invesrigadve data,pursuaat ro secaon 13.83,subdivision 3,to a law enforeemene o8fcer.
The cornmissioner of ee�-enue ma� �lace �he nocec se�i� under dees subdivision in rhe individusl inaame e�x or orooerev raz rcfi,nd
inscruccions_ins�ad of an chose Forms.
Subd.3. Access to data by'uidividu9i. Upon�ryuen w a responsible aurhoriry,an individusl shall be iaformed wherher he is r6e subjec�
of sw�ed da�a on individuals,s�whee�er ie is classified as pubGc,privare or eonfidenrial. Upon his fiuiber nques�.aa individual who ia�hc subjac�
of snored private or public ds�a on i�sdividuals shall be s6own the da�a wid�out any charge to hisn u�d;if he desires,shaU 6e infottned of ehe�on�ent
and meaning of d�s[da�a. After an individual has heea shown du privare daca and ioformed of ics maaaing,me data aecd no�be disclosed w him for
six moedu d�e�afozr un(ess a d'upuu or acdon pursuam w dsis secaon is pending or atldiaoosi da�on d�e individual 6as be�n collccccd or creaced.
The responsibie au�ho�ry shall provide copies of dte priva�e or public dara upon rrquest by the individua!subjeci o[[he data. Thc responsible Aushoriry
may requi�e rbe�ques[ing pz�sOn to pay the acival cosrs of m�lcing,cersitying.and compiliag the eopies.
• 'I'ho rcsponsible aurho�ry sbaU comply immediarely,if possible,wich any�quest made pursuant ro zhis subdiviaion,or wi�hin�ive days of
rhe da[e of�he requese,exduding Samrdays.Sunday3 and lrga!holidays,if irtunediau campiiance is no�possible. If qe canno�comply wid�d�e requesc
wirhin�hae amr,ha sHalt so inlorm che individual,end may hava an addioonal five days wirhin w6ich to eompEy wid��he reqyes[,eaelueiag San,�days,
5undays and legal holidays.
Subd.4. Procedure witea data is aot aceurate or eamplete. An individua[may oon�es�rhe acouracy or complereness oF public oe pri�•aie
dara eoacaming himselP. To exercise d�is righe,an individual shaU nadfy in wricing�he rrsponsible au�horiry describing d�o nan,��e oP ehd disagreemenc.
The responsible aud�oriry sbalt within 30 days eir�cr: (a)coaec�ihe dara found ro be inaccurace or iacomplrsc and aaempc co nority past recipina�s of
inaccurs�e or incomplex da�a,including rrcipiertes named by�he;�dividual;or(b)aorify rhe individual�ha�he believes�hc dara co be co�rect, Ds�.
in dispua shall t�c discleszd only if ehe individual's seaccmen�of disagrcamenc is iacludad widt che disclosed dam.
The daecminadon vf the respoasihle aurhoriry may be appealed pursuaac m rhe provisions of the admiaisaacive ptocedure act relaaag to
conecsced Cases. •
DATA, PRNACY ADVISORY
In accordance with M.S. 13.04, Subd.2� "lti,ghu of subjeccs of data",we would like co inform you thac your requesc
for a pernu� or license from the City of Orono or any of ics depanmen�s may require you [o furaish certain private or
confideatial infArmation.
You are natified that:
1. The information you furnish will be used to determine your qualification for zhe peraiit or licen,se requested.
2_ You may refuse to supply data, but refusal may require iha� the City deny the permit ar license,
3_ The Infotmation may be shared with o�ter local� state or federal agenCies to the extent necessary to process
che permic or license. '
4. If your requeste� percnit or license requires Couneil ae�ion cq apprvve, some infotmation may beepme
public,
5. llou have cenain rights under M.S. 13.04 (available upon request) io review pnvate data on yvurself.
6. Your full name is required co process �his applica�ion or permic.
Verena Laura Pearson
p��� Middle Lasc
20 Mvrtle Rc�ac�
Atla�eu Wayzata, MN 55391 952.473.5237
���y Sace 2ip Phone
I understand my rights as stated above.
��-�-����-a--«- �-21-U2
,
Sigtta[ure �
" ' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2 o rny RT�.Ev.�oo� 20�
PID:
DESCRIPTION OF WORK: p�uc �P�c,En���
ZO.�TI��tG REVIEW BY: DATE APPROVED: 8-2.� •o-Z
BUII.DING REVIEW BY: DATE APPROVED; � .z� •a�z.
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓ No
PLAN REVIEW Yes �/ No SEWER CONNECTTON
STATE SURCHARGE Yes _,1 No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTTON
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District:
Fire Department: Post Office: School District: �
Lot Area: Sq:ft. t+►cres Width Depth
Survey Submitted: Yes_ G� No Date of Survey: g-2�'b� d'Z-
Proposed Setbacks:
Front(beic$�): (0 3� t Right Side: 12 5� �
Reaz(St�eet): I 30' t Left Side: 4 0' t
Adjacent Structures: �:-�c�-4ca'tij Wetland: �
Building Height: Def. Hgt. -- Peak Hgt. —
Lot Coverage: —
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: —' By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: �
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hudcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
, . 1
BUII.DING REVIEW CHECK LIST
UBC: 2' 3 CONSTRUCTION TYPE: �(N
Sq Footage $Per Sq Ftg
Basement . x =
lst Floor x _
2nd Floor x =
Gazage x =
x —
TOTAL
Estimated Construction Value: $ Z�p o °�
Inspections Required: Nork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
_ � �z�sn.v9 Septic Sewer Connection
_�,Framing F7t o.JC. p Fireplace Lawn Irrigation
Insulation r�'
Wall Boazd ��0�� Other
(Mfg J Well(State Permit)
.�F�� Grading/Filling Elecuical(State Permit)
Other
REMARKS(IN HOUSE):
---------------------�__
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date � By;
REMARSS (TO BE NOTED ON PERMIT�: ~ �
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0 COPY
C Y F ORONO
gUlL ING P RMIT LAN REVIEW
INSf'ECTOR
—�_ � pATE �2 – PERPAfT NQ._
�A,°PP,OVED AS SUafvtiTCED
❑ F'?PROVED WlTH CORRECTIONS AS PdC�TcD
D �<;'3=APPROVED---COR�'E�:,T&RESl1RU11T
Th ,cor��mert5 Gre for your inforrnation. A!i wo;k shali ha dena
in: .., ^:i...^,ce v:it�� al! apolicabl? huild;�,and zenin;a rnde.
Re�; ,,,,, .:.' �:��r , ::�' ,, ;�.r.:':e�t!tis;,:�aw.
KctP I�HtS PLAN SET UN SITE AT ALI.71MES
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I WILLIAM D. SCHOELL Y ��T T CARLISLE MADSON
� REa15TERED CIVIL ENGINEER S C�..�J.�.:..-.� A N D 1✓���S O N� �NC REOI&TERED LAND SURVa1fOR
� MINN. NO. 2260 ENGINcERS AND SURVEYORS MINN. NO. 4�7I�
i50. DAK 7as 'J vs2 ' ao NINTH�AVENUE SOUTH so. owK. 79f
WIs. No, fi•817• /�O HOPKINS, MINNESOTA [��y� a �N�i. NO,f-674
RLORIDA NO. 6271 � PHONE: D38-7814 ��0� j��y, p�Q{' �OWA NO.7706 �
I NO. DAK. 833 1 0 �.r� ■y NO. DAK. 110D
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WS H�REBY CERTIFY THAT "ii-.,� .= AND GORRe.CT REPRcScNTA iN OF A SURVEY OF THE
BOUNDARIES O�:
� �o f 2, �Io�k 1 �y�t/� :�00%
AND 0= Tnc LOCA,-�G;: O: r.LL �.:iiLD:�GS. IF ANY. THEREON, AND ALL VISIBLE ENCROACHMENTS, IF
ANY. FROM OrZ ON 5.�::� L.;:�J. � A 9�5� �
' AS SURVcYED cY U5 'i fi1S �a �n DAY OF- � .,, �fl�
' /� 4/so shows fh e /occ�f io��
� of fhe sfo%s Qs s�f for q ��� , -� �
�ro�o s �q' �c.��.�����9 : .
REGISTERED LAND SURVEYOR
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HARCO
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TICE SCHEDULED �'—-lO �
PERMIT N0. J~JrJ�� COMPLETED
ADDRESS �G /�-��1/'T721��GcQ
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OWNER�`(P 7� l�t-iSd`/1 CONTR. Gw�e`�
TELEPHONE NO.`�� `7 7.3 S^�.� 7 - YS�-�l�/ -3��O
� DESCRIPTION /2�i°-�!i/C�
� 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 W 12 WATER HOOK-UP 17 SITE INSPECTION
05 FIN L 14 SEWER HOOK-UP 06 PROGRESS
� 0 O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (g52) 249-46��
OwnerlCon� 'te:
Inspector. _
White Copy/lnspector's ile Canary CopylSite Notice