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Home My WebLink About2009-00549 - replace existing glass enclosure t . CITY OF ORONO PERMIT NO.: 2009-00549 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/21/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 581 NORTH STREAM RD PIN 25-118-23-34-0005 LEGAL DESC NORTH STREAM LOT 002 BLOCK 001 PERMIT TYPE ADDITION/REMODEL/REPAIR PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 10,260.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) REPLACE EXISTING GLASS ENCLOSURE. APPLICANT PERMIT FEE SCHEDULE 206.50 PATIO ENCLOSURES,INC. PLAN REVIEW 134.23 2123 OLD HIGHWAY 8 NEW BRIGHTON,MN 55112 STATE SURCHARGE(VALUATION) 5.13 (651)631-1100 TOTAL 345.86 Minnesota State License#: 1676 OWNER LARSON,DAVID&JANIS 581 NORTH STREAM RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conforqpance with the State Building Code.This permit may be r ed at any 'm or due cause. / /O Appli a tee Signature Date fisyfed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Total Fee: $ � Date Received: U// Y g Entered B : �I�vPermit#: - 40,5 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 O)1Q0NTRACTOR JOB SITE ADDRESS: �'1 N®r f l r-r Wil P J t ZIP: NAME OF OWNER: PHONE: (home) 9ja (work) MAILING ADDRESS: CITY: o r►®flo ZIP:�-n CONTRACTOR: ea-016 J��6 c 10-RA M PHONE: teS'/"C031-f 1 OD CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: 21 l k6-44 y�/.P.y. CITY:�eZIP:_si STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Y.- Land Alteration PROPOSED WORK(describe in detail): C- ' r1),A- &t yf A0 A Le, - +71 12- Olt lAU IV STORIES: ' SQ. FEET OF EACH FLOOR: 3s, NO. OF BEDROOMS: - mww� GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 119 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: A6L,,----DATE: 7 -3` -09 NOTE! Parade of Homes eventkreffire'segarate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. s � r Sec.13.04 RIGHTS Ob"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 himself shall 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;(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 reouired 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 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 to this section is pending or additional data on the individual has been collected or created. The 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 to pay the actual costs of making,certifying,and compiling the copies. The responsible authority 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 compliance 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 of the 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 of the responsible authority 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 Middle Last Address City State Zip Phone I understand my rights as stated above. Signature 6 Plan Review Checklist for New Structures / Additions Address/PID/Legal: S$1 N om-n-j 5-'f (2JQ Description of work: b CA(=A ,sv,.j aA o w— Septic review by,: N/A Date Approved: Zoning review by: er44 Date Approved: Building review by: Date Approved: r- 2- a q Grading review by: Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office Sc of District Zoni Lot Area: SF/AC Width: Depth: Survey S%Se ed: 0 Yes 0 No Date of Survey: Pro osedacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W Other Buildings Wetland Front(Lake)\ Side Side Building Defined Height: Building Peak ight: FOR A BUILDING WITH A BASEMEN OR CRAWL SPACE: R A BUILDING ON A SLAB FOUNDATION: START the distance betty n the basement floor/ START the distance between the slab and the WITH crawl space floor an the highest roof peak, WITH highest roof peak, the top of the cornice the top of the cornice o a flat roof, the/ of a flat roof, the deck line of a mansard line of a mansard roof, o he uppermost roof, or the uppermost point on a round or point on a round or other a - e roo other arch-type roof SUBTRACT half the distance between theXighe5K SUBTRACT half the distance between the highest window and highest roof peako itched window and highest roof peak of a roof itched roof SUBTRACT the distance between tybasent 'i or/ ADD the distance between the slab and the crawl space floor and tt existi highest existing grade within the grade within the foundfeet, foundation whichever is less. EQUALS Defined building height EQUALS Defined building heigKt Lot Coverage: SF % Shoreland District MCWD Permit Received Avera a Lakeshore Setback Bluff 0 Yes 0 No/ 0 Yes , 0 No 0 N/A 0 Yes O No 0 N/A 0 Yes 0 No Permit Number: Setback: Hardcover Zo s Existing Proposed Variance Re fired CUP Required 0-75' 0 Yes 0 No 0 Yes 0 No 75-2 Type(s): Type(s): 250- 00' 500-1 00 REMARKS (in-house): \ Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO Perrnft Plan Review State-Surcha a Investigation Fee SAC—:Nurnber..of SAC Units r/ Sewer Connection f 'Water Connectlon Park Fee .� Slte ins ectlan Other(specify) 'M).icellaeeous Fees Calculated By: UBC: iz Construction Type: Square Footage $ per Square Footage Basement X = $ 1 Floor X = $ 2" Floor X = $ Garage X = $ Estimated Construction Value: $ 1 C,i.to o Orono Inspections Required Work Reauirina Separate Permits Required State Permits 0 Site 0 Plumbing 0 Grading/Filling 0 Well 0 Hardcover Removal 0 Mechanical 0 Fire 0 Electrical 0 Footing 0 Septic 0 Water Connection 0 Foundation Survey 0 Fireplace 0 Sewer Connection 0 Framing 0 Masonry 0 Lawn Irrigation 0 Insulation 0 Mfg. 0 Wall Board 0 Other(specify) 0 As-Built Survey -9 Final 0 Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: 0 YES 0 NO New: 0 YES 0 NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 07/01/2009 zAfonns\plan review checklist.dom 11- I �t� //—PIF DI TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED PERMIT NO. —(M?,�XOMPLETED ADDRESS Af OWNER CONTR. W TELEPHONE NO. DESCRIPTION �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: mo WrY7 1) (Ja be cc , W 0. cc J O cc O LL W cc Q Z W z W cc OW ❑WORK SATISFACTORY:PROCEED iM JECTCOMPLETE LU W ❑CORRECT WORK&PROCEED P_ ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR El 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. t White Copy/Inspector's ile Canary Copy/Site Notice