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Home My WebLink About2003-P06990 (building- add./remod./repair) CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po6990 Crystal 3ay, Minnesota 55323 P@PI711t Type: Addition/Remodel/Repair (952) 249-460C Date Issued: iii24�2o03 SITE ADDRESS: 3703 Casco Ave Wayzata,MN 55391 P I D: 20-117-23-31-0004 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Pernut Class: Building Census Code 434 Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate pernuts required: riumoing iviec;nanicai r,iecmcai�statej NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 542.75 Valuation: $ 40,000.00 Plan Review Fee: $ 352.83 State Surcharge Fee: $ 20.50 TOTAL FEE: $ 916.08 APPLICANT: Owner/Self OWNER: John&Cynthia Springman � 3703 Casco Ave 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. , �� ' ' 'L ,� r �/ji�(_'f'�'� � _.::.��r'�-1 —�� :- �— ._:,�= � G'L -P� APP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Cooies: 1-File(Si�nitures Required), 1-Anplicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1 t. ' Total Fee: � � �'��i, �� Date Received: /1—1�-1�.3 Entered By: `i 1y'�� ___ Permit#: _�f�A D � ;,` ,• 1j��, ' u� CITY OF ORONO - BUILDING PERMIT APPLICATION li��/ ��' All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) WNE R CONTRACTOR JOB SITE ADDRESS: 3�03 �z�- t�V.eV11�L _ ZIP:_ �� I , I . (�f�2,��"7 I- �`�� NAI�IE OF OWNER: ��1�1 � I}�1 cJJ �I G�"PHONE: (home) . (work) �(2 MAII..ING ADDRESS: 7(� _ �i�o _CITY: � ZIP:�� I �V�Y1 V� CO\'TRACT�R: ,� V�1 PHONE:, ^ COti'TACT PERSON: MOBILE/PAGER: � �- �� NL4ILING ADDRESS: C� CITY: ZG't ZIP: ��!( ST�TE LICENSE: # ARCHITECT/ENGINEER: PHOI�r� � �0 MAII,ING ADDRESS: CITY: �� rJ��,�; REGISTRATION# TYPE OF WORK: New Addition '� Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: 0 STORIES: , SQ. FEET OF EACH FLOOR: �S� NO. OF BEDROOVIS: ��_ � GARAGE STALLS: ATT. �--- DET �y�� ESTLI�IATED CONSTRUCTION VALUATION(excluding land): $ � (�O 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 Building Code; that I understand this is not a permit and work is not to start withbut a perm.it; and that the work wiR be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: ��! 71�� NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. �! Sec.13.04 RIGATS OF S[JBJECTS 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 secaon. Subd.2. Information required to be given indivfduai, pa indi�idual asked ro supply private or confidenda!data conceming himself , shall be informed of: (a)che purpose and intended use of the requested data within the collecdng state agency,po(idcai subdivision,or statewide rys�em;(b)whether he may refuse or is legally required to suppIy the requesud dara;(c)any Imown consequence arising from his supplying or refusing ro supply priva[e or confidrndal data;and(d)the idenriry of othec persons or enuties autharized by sate or federal law to receive che data. This requirement shall noc apply when an individual is azked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforeement officer. The commissioner of revernte mav otace the notice rcwired under this subdivision in the individual income tax or or em tax refund ir�cnurions mscead of on rhose fortns. Subd. 3. Access to data by iadividual. Upon request to a responsible authoriry,an individual shail be informed whether he is the subject of scored data on individuals,and wherher it is c(assified as public,private or con6denrial. Upon his further request,an individual who is the subject of stored privare or public data on individuals sha11 be shown the data wirhout any charge to him and,if he desires,shall be infocmed of the con�ent and meaning of that dara. After an individual has been shown the private data and informed of its meaning,rhe data need not be disciosed w him for six months thereaftec unless a dispuu or acdon pursuant ro dus section is pending or addiriona!data on the individuai has been collected or created. The responsible authoriry shall provide copies of the private or public dara upon request by the individual subject of the data. The respoasible authority may require the requesring person to pay the actval cosu of making,certifying,and compiling the copies. Tha responsibte authoriry shall compty immediately,if possible,wi[h any request made pursuanc to this subdivision,or wichin five days of the dace of rhe request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with che requen wirhin that time, he shall so inform the individual,and may have an addidonal five days wirhin which to comply with the request, cxctuding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comp(eteness of public or priva[e daca concerting himself. To eaercise this right,an individuai shall notify in writing the responsible authority describing the nature of the disagreemen� The responsible authoriry shall within 30 days ei[her: (a)correct the data found to be inaccurate or incomplete and attempt to notify past migiena of inaccura[e or iiuomple�e dard,inc(uding recipients named by the individual;or(b)noafy 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 determinaaon of the responsible authoriry may be appealed pursuant to the provisions of rhe adminisu�aave procedure act relaring to contes[ed 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 �ity of Orono or any of iu departments may require you to furnish certain private or confidential information. You are notified thar. 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 requ'ue that the Ciry deny the permit or license. 3. The information may be shared with other local, s[ate or federal agencies to the extent necessary to process the permit or license. 4. If your requested pemut or license requires Council action to approve, some information may become public. 5. You have certain ria�hts 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. Firs`=''1�i� �� G� M�ddle �S� �� QC � �/l�� ?.ddres�n� � A^� Y V Iwt, �� I �2. ��—'��p1� Ciry 3tace Zip � Phone I understand my rights as stated above. � SignaNre � ; � S ; � CHECK OFF LIST FOR ISSUAI�ICE OF PERi�IITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: •PID: DESCRIPTION OF WORK: Z0�1ING REVIEW BY: D�TE APPROVED: BUII�DING REV�W BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No pLAN REVIEW Yes No SEWER CONNEC']CION STATE SURCHARGE Yes No «'ATER COl�fNECITON INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZOti�Il�1G CHECK LIST Zoning District: Fire Departmen[: Post Office: School Disuict: Lot Area: Sq.ft. Acres Width �p� Survey Submitted: Yes No Date of S�-vey: Proposed Setbacks: Front (Lake): Righc Side: Rear (Street): Left Side: Adjacent Structures: Wedand: Buildin� Heig,ht: Def. Hg[. Peak Hgt. Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Av�. Setback: Bluff Setback: L.ot Covera�Qe: Ezistino Proposed Hardcover: 0-75' 75-250' 2�0-500' " 500-1000' Hardcover Variance Required: Yes Iv'o Date of Council A�proval: REMARKS (in house)• _ 7 . � } � r BUILDING REVIEW CHECK LIST � �C� CONSTRUCTION TYPE: Sq Foo[age $ Per Sq Ftg Basemen[ R _ lst Floor R _ 2nd Floor R _ Garage x _ R c TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removai Mechanical Water Connection Footing Septic Sewer Connection Framin� Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Permit) F�� Grading/Filling Electrical (State Permit) Other RE�IARKS(IN HOUSE): � ~ ------- -------------------------------------------------- REVIEW BY OTHERS: D��: Access: Eacistin' New Access Approval: Date By: ------- -------------------------------------------------- REil�1ARKS (TO BE NOTED ON PERMI�; 8 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY A�DRESS OR LEGAL: ��03 C A 5 c.o A v c . 'PID: DESCRIPTION OF WORK: /4 D/J� n e,•� 7- .Dz:zf� ZO.�tI�1i G REVIEW BY: DATEAPPROVED: /�-iQ-4� BUILD�IG REVIEW BY: DATE APPROVED; /�-�� -47 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PL?.N REVIEW Yes '� No SEWER COi�TNECTION STATE SURCHARGE Yes ✓ No WATERCONNECITON INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZONING CH�CK LIST Zoning District: Fire Department: 2 S y o Post Office: School District: � Lot Area: Sq.ft. °7a�7 9 a Acres Width Depch Survey Submitted: Yes� No Date of Survey: '� �3 Proposed Setbacks: . Front (bakc): S� � Right Side: G � � -- (,�w (,�crPc ✓Jeu� i� Ne•v ��c.�,o,�c�,� Rear(St�eet): �7.�' � Left Side: Zg � Adjacent Structures: /;�U-�c.M �Vetland: N �� Building Height: Def. Hgt. (� .�L Peal:Hgt. L,ot Coverage: CU •1� Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: �# — Resolution: # Resolution Date: Shoreland Disuict: Y� Avg. Setback: �1/a. Bluff Setback: �!1�- L.ot Coverage: Eusting Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' o.k Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 BUII.,DING REVIEW CHECK LIST � . �C' i�' � CONSTRUCTION TYPE: � _ Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x = Garage x _ z = TOTAL Fstimated Construction Value: $ �-{(��Q�v °� Inspections Required: `Vork Requiring Separate Permits: Site �D _Plumbing Fire Hazdcover Removal o� Mechanical Water Connection _�Footing ' Sep[ic Sewer Connection _�Framing Fireplace Lawn Irrigation __�Insulation (Masonry) Other ____¢_Wall Board (Mfg.) Well (State Permit) --�F�� Grading/Filling _�Electrical(State Permit) Other RE1�1.aiRKS(Ti�T HOUSE): — ------- --------------------------- ------------ REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date gY: — --------------------------------------------------------- REMARKS (TO BE NOT'ED ON PER1vII'1�: 8 � T TIME � CITY OF ORONO CALLED IN '� INSPECTION Nqy� g,gg � SCHEDULED —�� ,'.3-d PERMIT NO. �� COMPLETED ADDRESS 3 7D� � � OWNER p,��I�� .�.0�-GC� CONTR. TELEPHONE fVO.__ /SZ �7 � QZSZ � DESCRIPTION � � 01 FOOTING 11 MECHANI A RI 18,EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � e � � � O � � O r'�_/� ./1 � v'v v(,. W � Q ti Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe ne t inspection 24 hours in advance. (952� Z49-4600 OwnerlCont o s e: Inspector. White Copyllnspector's File Canary Copy/Site Notice