HomeMy WebLinkAbout2001-P04030 - attached deck � PERMIT
CITY OF ORONO �
2750 Kelley Parkway - PO Box 66 Permit Number: Poao3o
Crystal Bay, Minnesota 55323 Peftlllt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: vsi2oot
SITE ADDRESS: 3925 North Shore Dr
Mound,MN 55364
PID: i�-ii�-23-22-000�
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: ttesiaentiai
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:
Ctanc tn Tlarlr
FEE SUMMARY: Permit Fee: $ 83.25
Valuation: $ 3,000.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 138.83
APPLICANT: Lynn Christine OWNER: Lynn Christine
� 3925 North Share Dr
Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDTNG CODE REQUIREMENTS.
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APPLICAN �RMITEE SIGN URE ' SUED BY SIGNATURE �
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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Total Fee: $ Date Received: - �' �-�(�, ���
Entered By: � Permit#:
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� �ITY 6F ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information) �
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
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JOB SI'TE A.DDRESS: ��'I�.� �• ��j,�7/�� „f�!'•� ZIP: �
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N��LE OF OWNER: G— �� 1� /l���PHONE: (home) ( � �` �J
. (work)
NIAII,ING ADDRESS: CITY: Zg':
CO\?TRACTOR: �C��`��' C'>C�L�Ii,�C: �'� PHONE:.
COr�T'ACT PERSON: MOBTI.E/PAGER:
1VLAaZING ADDRESS: CITY: Z�:
ST�TE LICENSE: #
ARCHTTECT/ENGINEER: PHOi�tE:
NI_�II,Pi 1G ADDRESS: � CITY: Z�:
�Tey��: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: I� �"C � � S �`�i1�-5
, t� �-�
.
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOviS: GARAGE STALLS: ATT. DET.
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ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ `�i��d�. ��
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 Buildin� Code; that I understand this is not a permit and work is not to start without a
perm.it; and that the work wilI be i corda � 'th the proved plan.
� �
APPLICANT'S SIGNATURE: L ��' DATE: �G� G� � ��
NOTE! Parade of Homes events quire 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.13.04 RIGHTS OF SUB.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 in this secdon.
Subd.2. Information required to be given indiridual. 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 collecdng state agency,polidcal subdivision,or statewide
rystem;(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or
refusing to supply private or coofidenaal dara;and(d)the idendry of other persons or endaes authorized by sate or federa(law to receive the data.
This requiremenc shall not apply when an individual is asked to supply investi;adve data, pursuant to secdon 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenve mav olace the notice reauired under this subdivision in the individual income raz or orooertv tax refund
instrucrions instead of on those fortns.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals, and whether it is classified as public,private or confidenaal. Upon his furrher request,an individual who
is the subject of stored private or public dara 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. Afrer an individual has been shown the private data and informed of its meaning,the data need not be
discfosed to him for six months thereafter unless a dispute or action pursuant to this secdon is pending or addirional data on the individual has been
co(lected or created. The responsibte authoriry shall provide copies of the private or pub(ic data upon request by the individual subject of che data.
The responsible authoriry may require the requesring person to pay the actuai cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possib(e,with any request made pursuant to this subdivision,or within five days
of the da�e of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply wirh
the request wirhin that time, he shall so inform the individual, and may have an addirional five days within which to comply with the request,
exc(uding Saturdays, Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of pubiic or
private dara concerning himself. To exercise this right,an individual shail notify in writing the responsible authoriry describing the nature of the
disagreement. The respocuible authority shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify
pasc recipiencs of inaccurate or incomplece dara,including recipienu named by the individual;or(b)nodfy the individual that he believes the data
[o be correct. Data in dispute shal!be disclosed only if the individual's statement of disagreement is included wich the disclosed data.
The detertnination of the respoasible authoriry may be appealed pursuant to the provisions of the administraove 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 Ciry 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 o[her local, state or federal agencies to the extent necessary to
process the pemut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
S. 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 Middle Last
Address
���Y Srate Zip Phone
I unde stand my right as,�st d above.
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s�gnatu�e
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� CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3g z S VU o�ZT1� sl-}o�'� �2
PID:
DESCRIPTION OF WORK: c2L.(-'�c.c s��5 �=w�0��0 i0/�o
Z01TING REVIEW BY: DATE APPROVED: �- -Z-c�t
BUII�DING REVIEW BY: DATE APPROVED: -� . ��
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
pI,AN REVIEW Yes ✓' No SEWER CONNECTION
STATE SURCHARGE Yes� No WATF12 CONNECTTON
INVESTIGATION FEE Yes No ✓' PARK FEE
SAC Yes No �� STTEINSPECTION
Number of SAC Units OTHER (specify)
ZOti'ING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Nc7
Lot Area: Sq.ft. Acres Widrh DeP� G�
Survey Submitted: Yes C No Date of Survey: o� �
Proposed Setbacks:
Front(Lake): 7�� �" Right Side: ���
Rear(Street): y 1 � + Left Side: $��
Adjacent Structures: ,a�a,F.P� 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: �-Cl
Av;. Setback: h%4- Bluff Secback:--- Lot Coverage: —
Ezisting Proposed
Hardcover: 0-75'
75-250' v-(L
250-500'
500-1000'
Hazdcover Variance Required: Yes No�_ Date of Council Approval:
REivI,ARI�S(in house):
7
, � �
BUILDING REVIEW CHECK LIST �
UBC: 1 `" 3 CONSTRUCTION TYPE: Y�
Sq Footage $Per Sq Ftg
Basement z =
lst Floor x _
2nd Floor x =
Gazage x =
x =
TOTAL
Estimated Construction Value: $ 3,�0�B'�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
L F� Grading/Filling Electrical (State Permit)
Other
RENIARKS(IN HOUSE): .
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
---- ---���------------- ---------
REMARKS (TO BE NOTED ON PERMIT�:
8
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� 8" MAX. RAiSER 9" MIN. TfZEAD
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� SITE PLAN GRADING PLAN �" ��•'�%�� f�-�•�=��p, �' r:'!IN. Ti�EAD
�AF�'ROVED - �TtJ f- S7"�/�S �,�-�," �,�i�.�. i-tE.�r�r;r�n�.1
�� NPt�r�OVCD Vlr',';H R�VISIONS �T L� C�,��AKDR L G EN StpE4$UfRED
i� D1Sf;PPRO� �
8�{ SPEG!�?! �'��'E
DA?E � �- 'O � , r--��s-; SN��T
SEE AT�!'�+-.--- � w
FOR �-�T_�(1'q'l�— � —
�xistinc� Leqal �escription GODE REQU(REMENTS '
n /
' D� TIME
CITY OF ORONO _ �ALLED IN -Q
INSPECTION TICE. �� SCHEDULED 0���
PERMIT NO.' � �3 �'� COMPLETED ^ '"� d r- �
ADDRESS�%�/�o� .�-�u� �/�' •
OWNER ` � CONTR. -d�J�-�-�,
TELEPHONE NO. ���� ��� b I��'
� DE ON --��
l� 1 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 0 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 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
� 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
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContr or on site:
Inspector �� �
White Copyllnspector's Ffle Canary Copy/Site Notice