HomeMy WebLinkAbout2005-P09399 - attached deck PERMIT
CfT-Y OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P09399
6rystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952)249-4600 Date Issued:
11/17/2005
SITE ADDRESS: 521 North Stream Rd Unit#
Wayzata,MN 55391
PID: 25-118-23-34-0007
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
Yp
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00
Plan Review Fee: $ 287.14
State Surcharge Fee: $ 15.00
TOTAL FEE: $ 743.89
APPLICANT: Soleil Design OWNER: Michael J Hahn
Steve Cool 521 North Stream Rd
1060 Circle Dr. 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.
APPLICAN SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant,1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
7�?�.
Total Fee: $ I -7 Date Received: %r
Entered By: H Permit#: (�c?;�2cy
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: I Iii ST ZE AKn —A, ZIP:
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home?
❑Yes 1�g No 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 d.
ermitted events will not be allowed
NAME OF OWNER: I v l i kf— - �L' PHONE: (home) 2-'2-37 -ii yJ Lf
(work) c,tiy73 c,(�z?,
MAILING ADDRESS: S l M . �rf CITY: 0f�y, ZIP:
CONTRACTOR: So(e;l flc 5.0 r\ t PHONEA-12A 3Z X 339?
CONTACT PERSON: S-ty.ire I MOBILE/PAG1 JER, :
MAILING ADDRESS: i O(o& C Tc(� I>2, i= CITY: ""�u` ZIP: (
STATE LICENSE: # 2o3 4L "-I EXPIRATION DATE: 3
ARCHITECT/ENGINEER: Je't ���r.�,rt,�e� PHONE: 7103 4 64- yljo�
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration AI _
PROPOSED WORK(describe in detail): �c-� � ����
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 30WO
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 permit and work is not to start without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: j2L�ADATE: 0 3► f3�`�
31
t-yi C-
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSORLEGAL: 5721 fV- 5Tfz,F-NM %?-oA40
PID:
DESCRIPTION OF WORK: Occ i-
ZONING REVIEW BY: DATE APPROVED: t t- n-dS
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes ,/ No SEWER CONNECTION
STATE SURCHARGE Yes No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sc.ft. Acres Width Depth
Survey Submitted: Yes pe,_ No Date of Survey: 9-Z7-'9-3 (o r Flu's)
Proposed Setbacks:
Front(Lake): t 50' Right Side: 84 T
Rear(Street): 2C10 Left Side: $3f T
Adjacent Structures: A rTAc t4�--*J Wetland: /v IA
Building Height: Def. Hgt. /111,1- Peak Hgt. --
Lot Coverage: Ill 1A
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # — Resolution: # Resolution Date:
Shoreland District: ,1,ej
Avg. Setback. D.X- Bluff Setback: ri )A Lot Coverage: t J
Existing Proposed
Hardcover: 0-75' D•K
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No. it Date of Council Approval:
REMARKS (in house):
7
f
BUILDING REVIEW CHECK LIST
UBC: 9. 3 CONSTRUCTION TYPE: VrJ
Sq Footage $Per Sq Ftg
Basement R =
1st Floor R —
2nd Floor R =
Garage x =
R =
TOTAL
Estimated Construction Value: $_ 3o,ypo cu
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
A Footing Septic Sewer Connection
g Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mpg,) Well(State Permit)
.z Final Grading/Filling Electrical(State Permit)
Other
REMARKS(1N HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
-----------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT):
8
Sec.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 conninghimselfshall be
informed of (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;(e)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity ofother persons or entities authorized by state or federal lawto receive the data This requirement sball
not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissions of revenue may mace the notice required under this subdivision in tae individual income tax or RMp=tax refund
instructions instead of on those forms.
Subd.3.Acmes 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 cats of ranking,certifying,and compiling the copies.
The responsible authority shall comply immediately,ifpossible,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.Ifhhe Carnot comply with the request
within did 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 orcompleteness ofpublic or private data
concerning himself.To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofdmedisagreement.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 of the administrative procedure act relating to
conte cases.
IATA 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 fiimish 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 Fast
Address
lo (—,(. Cl k-r:L ?�pt s
City W c'y7-t,&a' state fy\t'l zip Phone C I L 3 XV—33 0 -1
I understand my rights as stated above.
—2�
Signature
32
DATE TIME V
VCITYOFORONO CALLED IN _If
INSPECTION TI SCHEDULED /
PERMIT NO. COMPLETED
ADDRESS 41 /-/-OWNER CONTR_V;2/_&Z-? �e '
TELEPHONE NO. 2- 329 :�3 l
DESCRIPTION aim
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREIWETLANDS
H 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
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
y COMMENTS:
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ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
cc W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
11
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. I
White CopylInspector's File Canary Copy/Site Notice
W/ I—L/y ' D E TIME v
CITY OF ORONO CALLED IN o2
INSPECTIONNjQTIPE SCHEDULED 62-3-
PERMIT NO. 9 COMPLETED - -
ADDRESS c�
OWNER CONTR.
TELEPHONE NO. Z- 3 2-9 3��
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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
JQ 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
OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
c ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ORATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor i site:
Inspector
White Copy/Inspector's File Canary Copy/Site Notice
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[ ON OF PREMISIS SURVEYED :
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port to show any other- improvements or encroachments . t�( AN R
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