HomeMy WebLinkAbout2005-P09278 - attached deck PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p09278
Crystal Bay, Min�esota 55323 Permit Type: Addition/RemodeURepair
(952) 249'�600 Date Issued: l0/21/2005
SITE ADDRESS: 1720 North Farm Rd Unit#
Long Lake,MN 55356
P��� 27-118-23-44-0011
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Addition/RemodeURe air Pernut Sub-type(s): Deck-Attached
Pernut Type: p �
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Deck Addition
FEE SUMMARY: Permit Fee: $ 139.25 valuation: $ 7,000.00
Plan Review Fee: $ 90.51
State Surcharge Fee: $ 3.50
TOTAL FEE: $ 233.26
APPLICANT: Hometown Building Remodeling OWNER: Craig&Joan Hanson
3517 44th Ave. S. 1720 North Farm Rd
Minneapolis,MN 55406 Long Lake MN 55356
THE UNDERSIGNE RE REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES T O A ORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA LDIN ODE REQUIREMENTS.
�. ���
APPLICANT PERMITEE S ATURE ISSUE BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
v;:�-�'.7
�Total Fee: $ � a� Date Received: �0- /D—D$
Entered By: ;[?[? Permit#: _�QD gZ7�
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please pr•i�it all infa��nation)
------------------------------------------------------------------------------------------------------------------------
-- --_--_
THE APPLICANT IS: (cif•cle one) OWNER O ONTRACTOI��
JOB siTE a��u�ss: � 7Jn /�o�� �% LLr,�r � ziP: ���S�a
Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes �O If yes, n specinl event permit is reguired tivith Police Department and City Coaincil app�•ova!
60 days py�lor�to lhe event. Shztttle birs service will be�•eqtured unless applrcant dentonstrates
szrffieient on-site parlcing is available. Non-p rn�itted events ivil/not be allowecl.
NAME OF OWNER: C����`� /�-� JC)�`IZ/1 PHONE: (home) ��`�`7�'�31/
MAILING ADDRESS: � 7c�C� ✓V l`��IZl�"1 �l (work)
CITY: G��Cyi�1-F? ZIP: �3�.�
CONTRACTOR: �G�'� U� �- PHONE: ��d � ��� .5�7��
CONTACTPERSON: S � ✓hC� MOBILE/P ER:
MAILING ADDRESS: / zf f�/ '(/ CITY: ����7� ZI : 53-303
STATE LICENSE: # -c�� CU`p EXPIRATION DATE: , �3� �c;�
ARCHITECT/ENGINEER: PHONE:
,_
MAILII�G A�D�SS�__.__-------_..______---- -----.�_---CITY: ZIP:
�..-----�- _
NAME: REGIS .
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration �
PROPOSED WORK(describe in�letai�: ���/F�. ��1����
STORIES: Sf�.�'EE'�'OF'EACI�FL,OOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHEI) DETACI-�EI)
ES'I'IlO�IATEi)CONSTRUCTION VALiJA'I'ION ding land): � ���i�C�
I hereby apply for a building permit and I acknowle e th t information above is complete and accurate;
that the work will be in conformance with the ordi ance a codes of the City and with the State Building
Code;that I understand this is not a w k is o start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: � I)ATE: �� � OJ
31
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.
__._.__ _ ......— - c��►,�i�Infnanation.�equiredio.begiueaindivadual_An.indiuiduaLaskedtnsuPP�l'-Private_or_confidential�ataconceT"�himsel£shall_be_._--- —
informed o£ (a)the purpose and intended use of the 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 rec�µired under this subdivision in the individual income tax or r�operty 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 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 publ ic data on individuals shall be shown the data without any charge to him and,if he desires,shall be infonned 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[o this section is pending or additional data on the individual has been col lected or created. 7'he
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[o pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall 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 compl iance 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
concerning 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 recipienu of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be cortect. 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 au[hority 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 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.
First Niiddle Last
Address
City State Zip Phone
I understand my rights as stated above.
Signature
32
CHECK OF'F LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
AU!DRESS OR LEGAL: �7 Zo �1nv,L��/ �A,�j,�,t,� /lo,e�o
PID:
DESCRIPTIOV OF WORK: c.U�
ZONI�TG REVIEW BY: DATE APPROVED: /o-�3-o r
BUILDIl�i G REV�W B : DATE APPROVED: �a -r 3 -o S—
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/� No
PLAN REVIEW � Yes �/' No SEOVER CONNEC"ITON
STATE SURCHARGE Yes .� No WATERCONNECTTON
INVESTIGATION FEE Yes No �/ PARK FEE
SAC Yes No � STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZOt�T��TG CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sc.ft. Acres Width Depth
Survey Submitted: Yes � No Date of Survey: o�v t=��..�
Proposed Setbacks:
Front(Lake): i��� t' Right Side: �Z�� �
Rear(Street): i�Q � t Left Side: � ,0 � �'�
Adjacent Structures: q.�q� Wetland: N I rp.
Building Height: Def. Hgt. Feal:Hgt. �-
Lot Covera?e: /J f�
Gradino: Staff Approval Da[e: r-- By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: /va
Avj. Setback: Bluff Setback: LotCovera?e:
Existing Proposed
Hardcover: 0-75'
75-250'
2�0-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
�
BUII..DING REV�W CHECK LIST �
UBC: /Z 3 CONSTRUCTTON TYPE: V�
Sq Footage $Per Sq Ftg
Basement x =
1st Floor z _
2nd F1oor x =
Garage z =
z —
TOTAL
Estimated Construction Value: $_ �,pvv �
Inspections Required: Work Requiriag Separate Pecmits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing � Septic Sewer Connection
� _�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Perm.it)
�-F�� Grading/Filling Electrical (State Permit)
Other
RENIARKS(IN HOUSE): .
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
RENIARKS (TO BE NOTED ON PERi�:
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Hometown Building and Remodeling
"Where Hometown Quality Still Exists"
Office: 612-618-3796 • Mobile: 763-286-2353 • Email: Hometownbuildremodel@prodigy.net
Lic. #20179010
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DATE TIME �
�� o- 9-c�
CITY OF ORONO CALLED IN f I �
INSPECTIONNO�TICE�} SCHEDULED /v--21-G�, /�'oc:'�4,v1
PERMIT NO._/�.�)'7 Z 7� COMPLETED
ADDRESS I7.ZCi ,�CI3'�-l�( —�z�c./'�� /�G�.
OWNER CONTR.���'►��7��- ����i.
TELEPHONE NO. �reV-� l� r2 l�f�P .����La
� DESCRIP N ���� G-��i7.
� 01 TIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance. (J52� 249-46�0
OwnerlContrac# sit :
Inspector. ;� �
White Copyllnspector's File Canary CopylSite Notice
�� I PATE ' TIME ��
CITY OF ORONO CALLED IN j 1 I-U J
INSPECTION NOTICE SCHEDULED "2�� lD�Qa
PERMIT NO. ,�CC/� 7 COMPLETED I T�.���Afl�l
, ^� � �� ,
ADDRESS �� C� �/O r'���7 �-c(','17 /`�-C�°'�
OWNER CONTR. �GlZ� �`Z�k%It �5��� .
TELEPHONE N0. L�' �� �r? ��,� � �C4
� DESCRIPTION
W 0�4I1L�1 11 MECHANICAL I 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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GW K�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W , ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on s' e•
Inspector. �,�/ �.+�/ � ��
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