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Home My WebLink About2007-P11513 - attached deck PERMIT GITY�'OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 Pi 1513 Crystai Bay, Minnesota 55323 Pe�mlt Type: Addition/RemodeURepair (952)249-4600 Date Issued: 10/4/2007 SITE ADDRESS: 875 Partenwood La Unit# Long Lake,MN 55356 P�� OS-117-23-34-0013 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/RemodeVRepair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Replacement of portion of existing deck on existing footing. FEE SUMMARY: Permit Fee: $ 9�•25 valuation: $ 3,800.00 Plan Review Fee: $ 63.21 State Surcharge Fee: $ 1.90 Misc.Fee: $ 97.25 TOTAL FEE: $ 259.61 APPLICANT: Sawdust Construction OWNER: Gregory&Agbueszja Hatfield 1455 Oxford Ave. 875 Partenwood La Delano,MN 55328 Long Lake,MN 55356 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. �� TU� I D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ��-g. � - o Total Fee: $ � Date Received:� � ` � Entered By: j'�% Permit#: 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 ONTRA JOB SITE ADDRESS: g�� (j � ZIP: �3 J C�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Y0S ❑ NO If yes, a special event permit is required lvith Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: -� � � PHONE: (home) L� �L (work) MAILING ADDRESS: �_��,�t,,,P,A�.�_CITY: ZIP: �, CONTRACTOR: �� „�-� (v�-�Y� L.-�-�V✓( PHONE: � �a �(�'S-a��3 CONTACT PERSON: MOBILE/PAGER: ajs�. � r � a�{�""� MAILING ADDRESS: �S c��Jl�J � �_CITY: ��.t,�,� ZIP: �3a� STATE LICENSE: #� -�� EXPIRATION DATE: cv�. ARCHITECT/ENGINEER: 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 review and permits! PROPOSED WORK(desc��ibe in detain: �'X �� VJct�. ►/�-t--Fu�.l�, � (��5_-�j� �c-I� t^'�;`�1 5��✓�C�-.5� �=-Wl.�.�. ��,it�.�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ;3�� ,"� —� 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: DATE: %v � U ` 31 r i 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 requ'ved to be given individual.An individual asked to supply private or confidential data conceming himself shall 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 shal I 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 prouerty tax refund instructions mstead 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 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 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 conceming himsel£ To exercise this right,an individual shall notify in writing the responsible authority describing the nahve 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 of the responsible authority may be appealed pursuant to the provisions ofthe adminisVative 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 reyuires 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 C�tY State Zip Phone I und stan y rights as stated above. Signa re ,,, � 32 CHECK OFF LIST FOR ISS UANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��S p/-12 7Z��,.�o p� PID: DESCRIPTION OF WORK: �O��`+1 or�v �-c, �c�K ZONING REYIEW BY.• DATEAPPROVED: �o -� -a 7� BUILDINGREVIEWBY: DATEAPPROi�ED: ��.��r� FEES TO BE CHARGED: Misc. Fees Calculated By.• �� 'w_______ PERMIT Yes � No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes �/�� o WATER CONNECTION INVESTIGATION FEE �,�hYes ✓ No PARK FEE SAC Yes No� SITEINSPECTION Number of SAC Units OTHER (spec�) �-�--�--�--�--��-�----------- ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitled: Yes No ry� Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear(Street): Lefl Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: StaffApproval Date: By: Council Approval Date: Septic: StaffAppi•oval Date: gy; Zoning File: # Resolution.• # Resolution Date: Shoreland District: MCWD Permit: Avg. Setback: BluffSetback: LotCoverage: Existing Proposed Hardcover: 0-75' 75-250' 250-.i 00' 500-1000' Ha�-dcover Variance Required: 3'es No Date of Council Approval: REMARKS(in house): � (� S-rtq 2.�0 �,— — T1�1I5 �-r — /J- 0�'T� /v C. d l� c`x�51� 6 a n �1�4r w AS o- f�. �c.2 v�v✓L� ,�,, ` 33 �£ �(.lIWaT�d�O Q�.LOA��S O.L)SJIXi�� :�Cg aznQ :jnno.rddy�ssa�� Ma� Sut�srx;� :ssa�� .LY'Q �SaI�H.L0dS�1�I�1�X �(SSI20HA�1)S'X�TY'11��X .�ayz p (�tu�.rad a1n1S�l��t.r��at� BuillF.hl/8u:pn.r� lnut.��— (�twaad a��SI11aM ('$.�11�) PanoSlln�1 aacf�p (�fiuosnyy) uot�ntnsul uot;n8t.�.�l unw7 a�npda.r:,� Sututna,� uot��auuo�aan�as �ildas Sutzoo,� uotJ�auuo�aazn,� 1n�tuo��ay�r laaou�a�.�aao�pmH a.rt,� 8uiqu�n�d a�ts :s�nu�ad a�nlndas�u»�nba��ao,H :palinbag suo�adsul ,�� $ :an�nn uorJ�nl�suo�pa�mur�s� 7Y'.LO.L = x = x a8n.rn� — x aoo�,�puz = x .rool,�1S7 = x luauiast�g 81,�bs.�ad$ a8n�oo,�bs /�/h �3dd.L�IOLL�4?LLS�1l0� £'. �J84 ssl7 g�aH��aar�ntrQ7rn s � L�� . 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' � � � � iY � � L �' S q, � . . _ . ._.�.._ _-__ _.__. . .. ��._.�..1- k-.is_o' . .... ._ .. .. ._._(�i – -__.._ _ __._.. �. � ._ � / `��— ...._._. ...__.. .._.._ .. -\L_.__ ._ _ - _ �a l � 0 _..i , �; :�r __ _ �- � '- E"3.�:- y N._. _4.__. ,- _� _ � � � __ � .� . i� � �'rn� __ _ _ _____ _ i ^ ' f' c " . . _ � � � � '��'(1, . ._.._ _._.. ... .�. _ . Z.. �. .��_i :..�_ 4 ,y,�r . .... .. ... ... _ ... � . Q . _., - � U i � _.. .... . . . . ._. .... . .. .. __.. __.. .. _.__,... ---'�----- g � J � �� c �� _ ___#; _ � O_. E� r.. ` c t� :F� _ ♦ m V � ,n,_ ._� U � a� _ _ _ _ __ � � �l ... � ' W _ __ � �� °' � �ir9L __ — ❑-- -- , _ � _ _ _ _ . , � D �CC _ __ 7 •. - - ___ __-. � :" . . __ _ _. _ �`-" � DATr� TIME � CITY OF ORONO CALLED IN l�-`�' INSPECTION N TIC SCHEDULED ��07 % PERMIT NO. ��S�3 COMPLETED ADDRESS 87-5 Pa'�-�S*-u�"�D�-- L�-� OWNER CONTR.��w�`�f �� TELEPHONE N0. �.5a -9i� ' a S�J�/ � DESCRIPTION �n� °'n �Pc�- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a j O >. � O � W � Q � Z W � W � � O W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ,�ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiTIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on sit • Inspector. '/S White Copy/l�spector's File Canary CopylSite Notice