HomeMy WebLinkAbout2003-P06653 - front/rear steps to home CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po66s3
Crystal Bay, Minnesota 55323 Pel"1711t Typ2: Addition/Remodel/Repair
(952� 249-4600 Date Issued: si2si2oo3
SITE ADDRESS: 3458 North Shore Dr
Wayzata,MN 55391
PID: 08-117-23-43-0025
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Pernut Type: Addition/Remodel/Repair Permit Sub-type(s): Front/Rear Steps to Home
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 23.50 Valuation: $ 400.00
Plan Review Fee: $ 15.28
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 39.78
APPLICANT: Owner/Self OWNER: Mary&Dean Lindbloom
� 3458 North Shore Dr
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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PPLI ANT PE [TEE SIGNATURE ISSUED BY GNATURE
Conies: 1-File(SiQnitures Required), 1-Annlicant. 1-Monthlv Reoorts, 1-AssessinQ, 1-Finance Page 1
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Total Fee: $ Date Received:
Entered By: Pernut#: � ��3
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CITY OF ORONO - UILDING PERMIT APPLICATIOI`�
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All information must be submitted in full before plan review will be started.
(please print all information) ' 1 S 4�;::�;'�
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THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR �'!` ' �'` � �kx' �:0
JOB SITE ADDRESS: %G7r� �1/`��L�J ZIP: ��1��
y��6��9/
NAME OF OWNER: �1��G� PHONE: (home) �'�7.3'�z'�
�� �� � (work)
MAILING ADURESS: G�L�/7r1�-- CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detain: SE� Pt'R�cNcD
STORIE5: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
� o�.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �CS.r' `��o
I hereby apply for a building pernut 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 under nd this is not a permit and work is not to start without a
permit; and that the work will be ' cordance with the approved plan.
APPLICANT'S SIGNATLTIZ� � � DATE: `g ��`��
,
✓
NOTE! ParadeQf Homes eve require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be alloweii.
Sec.13.04 RIGHTS OF SLJB.TECTS 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 ia this section.
Subd.2. Information reqirired to be givea individual. An individual asked to supply private or confidenrial data concerning himself shall
be informed of: (a)the pucpose and inteaded use of the cequested data within the collecting state agency,political subdivision,o�statewide system;
(b)wherher he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply
privau or confidentiai data;and(d)the idenary of other persons or enaties authorized by state or federal law to receive the data. This requ'uement shall
not apply when an individual is asked to supply invesrigadve data,pursuant to secdon 13.82,subdivision 5,to a law enforcement officer.
The commissioner of re�•enue mav place the noace required under this subdivision in the individual income rax or propertv taz refund
instrucaons instead of on those forms.
Subd.3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject
of swred data on individuals,and whe[her 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 wichout any charge W 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 neaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuanc w this secuon is pending or additional data on the individual has been collected or created.
The rsponsible authoriry shall provide copies of the private or public data upon request by the individual subject of the dara. The responsible authoriry
may require the requesting person to pay the actual cos[s of cnaking,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any requesc made pursuant to this subdivision,or within five days oi
the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possibte. 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 lega!holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing che nature of the disagreement.
The responsibie authoriry shall within 30 days either: (a)cocrect the data found to be inaccurete or iacomplete 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 correct. 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 administtarive procedure act reladng to
contesud 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 aze 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 datai but�'efusal 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 eztent 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.
Fin Mid e � Last
Add s � p� �1
/ �(,.
Ci�, State Zip Phon
I und tand my rights as stated above.
.
• .
Signa
. BUII,DING REVIEW CHECg LIST
� USC: _ �Z � ' .
CONSTRUCTIpN TypE; �[pJ
_ Sq Footage $Per Sq Ftg
" Basement
� � . x . .
lst Floor � x . . . ' . . .
2nd Floor x . _ - . . �
Garage x = � ' �
x �
TOTAL � �
Fstimated Construction Value: $ t-�pp 0° �
Inspections Required: , `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical �
Footing ' Water Connection
� ' Framing Septic Sewer Connection . ,
Insulation Fueplace Lawn Irrigation
Wall Boazd ��0�`� Other
_�Cp� ' � �MfS•) WeII(State Permit) - --- ----..._ _. _ .
Other Grading/Filling Electrical(State Permit) "
-.—_._.__
REMA,RKS(ni T HOUSE): .
�
--------------- -----______---__
V�W BY OTHERS; DATE:
Access: Existing�_ New . �
Access Approval: Date �
By: �
RENIARKS (TO BE NOTED - -______-------------------------�
ON PERII�IIT�;
8 '• .
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS ORLEGAL: 3�1543 N o2TN SN-oct�. �r'� �
PID:
DES CRIPTION OF WORK: S?�E�°�K.� C�v�r�!��� ,ay.1/� N�� 2A i� r.� D�.
ZO�TG REVIEW BY: � fQ.�_ ~~ DAT�APPROVED: 8•z.i• 0 3
BUII.DING REVIEW BY: � DATE APPROVED: �•i�� a'3 �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER11iIIT Yes ✓ No
PLAi�i REVIEW Yes v' No SEWIIt CONNECITON
STATE SURCHARGE Yes � No WATERCONNECI'ION
INVESTIGATION FEE � Yes No PARK FEE
SAC Yes No SITEINSPEClTON
Number of SAC�Units OTHER (specify)
ZO1vI�TG CHE.CK LIST Zoning District: N� CKfMlb� .
Fire Department: � Post O�ce: School District: • �. �
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: � � �
Front(Lake): Right Side: � .
Reaz(Street): Left Side:
Adjacent Structures: � tland: .
Building Hei;ht: Def. Hgt. Pe •Hgt.
Lot Coveraae:
Gradina: Staff Approval Date: y: Council Approval Date:
Sepdc: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date: �
Shoreland District:
Avg. Setback: Bluff Setb ck: Lot Coverage:
Existing Proposed
Hazdcover: 0-75' .
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARI�S(in house): ��
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DATE TIME
CITY OF ORONO CALLED IN '22'�
INSPECTION N T1��3 SCHEDULED �1-27 p�f �3 M
PERMIT NO. U COMPLETED
ADDRESS 3�5 8 ��I�T��tfl/'�o��
OWNER �0.2f ��+�-��b/oa�CONTR. J i n� lC.�s�LQr
TELEPHONE NO. �SZ �73 y�Z�
� DESCRIPTION �Q-CIC �'a-i I ��/�.q
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUTATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q FI 14 SEWER HOOK-UP O6 PROGRESS
� O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTICFINAL 35 HARD COVER REMOVAL
v BING FINAL 36 FOUNDATIOWREMOVAL
WNE ONTRACTOR TO MEET YOU:_YES_NO
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� WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952) 249-46�0
Owner/Contr 'te:
Inspector. �-
White CopyllnspectoPs Fil Canary CopylSite Notice