HomeMy WebLinkAbout2006-P10155 - attached deck PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10155
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued:
8/24/2006
SITE ADDRESS: 330 North Shore Dr W Unit#
Mound,MN 55364
PID: 06-117-23-23-0004
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00
Plan Review Fee: $ 117.81
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 304.06
APPLICANT: Owner/Self OWNER: Kristian Lindeen
MN 330 North Shore Dr W
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
MINN OTA BUILDING CODE REQUIREMENTS.
/l
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A AN E TEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page I
Total Fee: $ Date Received: 7-2i?-Ok,
Entered By: Permit#: A/O/55
CITY OF 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 b R CONTRACTOR
JOB SITE ADDRESS: 3jc, I Wyi l ( (SYS I I U-c V" ZIP: SEW
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑ Yes XNo If yes, a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates
sufficient on-site parking is available. Non permitted events will not be allowed.
NAME OF OWNER: 6VIA e eS �-V1ShaPA ❑y1J<1'kA PHONE: (home)2' g1S_6z0$
(work) StfMC
MAILING ADDRESS: �E AS &WE CITY: ZIP:
CONTRACTOR: N/A PHONE:
CONTACT PERSON: E�V\y1 Ukvy e°an MOBILE/PAGER: , S - -140l
MAILING ADDRESS: CITY: ZIP: -LN S_o2US
STATE LICENSE: # EXPIRATION DATE: ivsf)
ARCHITECT/ENGINEER: s,"I PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition Accessory Structure
Move Home Remodel/Alteration (ie: Siding, Windows)
Any earth movement may require MCWD rev' w and permits !
PROXOSED WORK(describe in detail): D X
C&v_-"Cb cda.v- 1oeRr,tn S
Vef L11 i-`PA YX4, - S x8 ✓A%LAO VA y S�ypio ��t�c�vtt�s��
STORIES: 11z_ SQ.FEET OF EACH FLOOR: ? 3qbo -tr-jao
NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ( t7 , t3).,�C7
I hereby apply for a building 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 Building
Code;that I understand this is not a per nd work is not to start without a permit;and that the work will be
in accordance with the approved plan
APPLICANT'S SIGNATURE: � DATE: i tc Q Q(p
31
See.13.04 RIGHTS OF SUBJECTS 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 section.
Subd.2. Information required to be given individual.An individual asked to supply private or confidential data concerning himselfshall be
informed of: (a)the purpose and intended use ofthe 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 may place the notice required under this subdivision in the individual income tax or property tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed 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 public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed ofthe 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 to this section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authority
may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority she comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.Ifhe 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.
S ubd.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 recipients 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 ofthe responsible authority may be appealed pursuant to the provisions ofthe 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 Middle Last
Address
City State Zip Phone
I understand nigh s d above.
Signature
Reset Form 32
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3 3 A(cYd 1 shW-1�• 7X1
PID:
DESCRIPTION OF YVORK: Ckcv
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ZONING RE VIE GV B Y: DA TE APPR O VED: 8 l
BUILDINGREVIEWBY: DATEAPPR06'ED: ff- 2�;_-Qa6
FEES TO BE CHARGED: Alfisc. Fees Calculated By:
PERMIT Yes v-' No
PLAN REVIEW Yes v"' No SEYVER CONiVECTION
STATE SURCHARGE Yes No WATER COiVNECTION
INVESTIG.4 TION FEE Yes iVo PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------- --- -
ZONING CHECKLIST Zoning District:
Fire Department: Post Office: School District: _..
Lot Area: Sq.ft, Acres 3.3 _ Width 7719- /l Depth S T 2 .8 5
Survey Submitted: Yes_V-' No Date of Survey:
APS
Proposed Setbacks: y (A -
Front(•�,e�,4a�: ZG� 9ig-Side:
Rear free n .Lef-Side:
Adjacent Structures: 6tletland: pro c-t" clue-S
p(- `✓lcftfvY �
Building Height: Def. Hgt, Peak Hgt.
Lot Coverage: 17A
Grading: Staff Approval Date: Bv: Council Approval Date:
Septic: Staff //Approval Date: "f ' (O B,
Zoning File: 9 /J rA-- Resolution: # Resolution Date:
Shoreland District: nkr
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:
REMARKS(in house):
31
BUILDING RE VIEW CHECKLIST
UBC: R- 3 CONSTRUCTION TYPE: -Nil-/
• Sq Footage S Per•Sq Ftg
Basement x =
!st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: S 16,000
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_ t,4 Footing Septic Sewer Connection
_pt, Framing Fireplace Lawn. Irrigation
^�tnsl4ation (Masonry) Other
6Yali Board (Mfg-) Well(State Permit)
_Final Grading/Filling Electrical(State Permit)
Other `
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REMARKS(IN HO USE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date Br:
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REMARKS (TO BE NOTED ONPEMWIT):
32
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CITY OF ORONO CALLED IN �/"
INSPECTION NO CE SCHEDULED - C2 841
PERMIT NO. COMPLETED
ADDRESS _320 ' N: S 16 re- LLAl-we
OWNER S 1. G� CONTR. Ot
TELEPHONE NO. S
DESCRIPTION
01 FOOTING 11 ME01qANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED. LLTO ARRANGE ACCESS.
Call f xt'nspection 24 hours in advance. (952) 249-4600
Owner/Co r n it
Inspector. UA
White Copylinspector's File Canary Copy/Site Notice
�( DATE TIME Y
Av� w
il OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 01,5C-2 COMPLETED>,,
ADDRESS :3 /U Shore Dl?. LQ
OWNER CONTR.
TELEPHONE NO. 9�q — Z15 O
DESCRIPTION
01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z
04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:1YES NO
COMMENTS:
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-4600
Owner/Contra on i
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
1 \CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOPCE y SCHEDULED /a ( : 00 /
PERMIT NO. 0 /3S COMPLETED `l
ADDRESS ��� k,)/6 ` �i1 11 0 Di.0
OWNER 'r�'.s �r�n Z ll c664 CONTR. GUPLJ'
TELEPHONE NO. - r '� // 51�2 ko 7 -2 ZE r
DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 18 EX AWGRADING/FILLING
0202 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q'II3 11tl3$t�TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (952) 249-4600
Owner/Contr 10 site:
i
Inspector.
White CopylInspector's ile Canary Copy/Site Notice
.NDATE TIME V
CITY OF ORONO CALLED IN ` QL(�
INSPECTION NO ICE SCHEDULED f�t, ' 07,4A
PERMIT NO. qOMPLETED,
ADDRESS�J � arm
OWNER C;� rS CONTR. L'Aekt4
TELEPHONE NO. OPJAZz— ��� F07 _27 e�_
DESCRIPTION /, e�
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WVALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
V,
DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR 7-CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forA.,spection 24 hours in advance. (952) 249-4600
Owner/Contr
Inspector_
White Copy/Inspector's File Canary Copy/Site Notice
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SEC.
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6-117-23
SITE PLA"N GRADING PLAN
1aAPP80Vr.D 60101T700i
0 APKIc. VE.10 t'VITH IiiTV ISI NS
BY
71
S 89047' 20" W 375.55
PREMISES - •
h 418. 9 feet of the South 854. 5 feet of the Southwest Quarter
ter of Section 6 , Township 117 North , Range 23 West of SOUTH LINE
idian , lying west of the East 942.30 feet thereof . .NW 1/41/4 OF OF
SEC. 6-117-23
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sed upon an assumed datum. —