HomeMy WebLinkAbout2005-P09143 (add./remod/repair) CI�Y OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P09143
Crystal Bay, Minnesota 55323 Permit Type:
Addition/Remode URepair
(952) 249-4600 Date Issued:
9/13/2005
SITE ADDRESS: 3125 Casco Cir Unit#
Wayzata,MN 55391
P��� 20-117-23-34-0021
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential Census Code 434
Permit Class: Building
Permit Type: Addition/RemodeURepair Pem,it Sub-type(s): Porch-Residential
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
Replace greenhouse with 3 season porch
FEE SUMMARY: Permit Fee: $ 643.75
Valuation: $ 50,000.00
Plan Review Fee: $ 418.44
State Surcharge Fee: $ 25.00
TOTAL FEE: $ 1,087.19
APPLICANT: NEIGHBORHOOD BLDG OWNER: Mr. &Mrs.Dudley
10024 MTKA BLVD 3125 Casco Cir
MTKA,MN 55305 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL ORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING ODE REQUIREMENTS.
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APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNA"IURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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Total Fee: $ (D g7.�g Date Received: �- (p— O�
Entered By: Permit#: .al��/�1;3
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please prirtt all information)
----------------------------------------------------------------------------------_.._-----------------------------------
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR
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JOB SITE AllllRESS: � `L� �.��(� ��G�� ZIP: � � ` �
' Will this be • arade of Homes,Remodelers Showcase Home or other Display Home?
❑ YeS NO Lf yes, a special event permit is regzrired wilh Polzce Uepaf7ment and City Coau�cil npprovnl
6�days prior to the event. Shtrttle bzts service tivill be regt�ir•ed zrnless applicant denra�strates
s rcient on-site parking is availabfe. Non-permitted events will not be allorved.
NAME OF OWNER: l ���E PHONE: (home)
7 ( (work)
MAILING ADDRESS: J12� �a.�t��Cd'GI�.CITY: v`O ZIP: �3S b
CONTRACTOR: � ��� U�l ' 1 1��I PHONE: �'/ � . �-(-��-3
CONTACT P�RSON: �- MOBIL /P GER: � _
MAILING ADDRESS: CITY: ZIP: p�
STATE LICENSE: # ��j�(„ EXPIRATION DATE: - ZC,O
Al2CHITECT/ENGINEER: PHONE:
MAILING ADDRF,SS: CITY: ZIP:
NAME: REGISTRATION: #
TYPE OF WORK: New Addition Accessory Structure
Move Home Remodel/Alteration �_
PRO. SED WORK(describe in detain: '�]CG � �� k (o .,,`�,,�'`�,,,�,�--
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�'I'ORIES: I SQ.�F�'T OF EACH FLOOR: I��
NO. OF BEDROOMS: C GARAGE STALLS: ATTACH�D (� DETACHED c7
,�.�
ESTIMATED CONSTRiJCTION VAL[TA�'ION(excluding land): $ �, ���
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 a' d work is not to st• -t without a permit;and that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: llATE: �-- � - ��
3l
Sec.13.04 RIGI[TS OF SUBJECTS OF DATA
Subd. 1. Typc of data. The rights of individual on whom thc data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required[o be given individual.An individual asked to supply private orconfidential dataconcerning himselfshall be
informed ot: (a)Nte purpose and intended use of thc requested data within thc collecting state agency,political subdivision,or statewide system;(b)
whether he may refuse or is legal ly required to supply thc requested data;(c)any known consequence arising from his supplying or rePusing to supply
private or contidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. "I'his requirement shall
not apply when an individual is ashed to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
'Che commissioner of revenue may.place the notice required under this subdivision in the individual income tax or propertv tar refund
instructions instead of on those Forms.
Subd.3. Acccss to data by individual. Upon request to a responsible authority,an individual shall be infonned whether he is d�e subjectof
stored data on individuals,and wheNier it is classified as public,private or contidential. Upon his further request,an individual who is the subject of
stored private or public data on individuals shall be shown the data widiout 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 privale data and infonned of i[s meaning,the data need not be disclosed to him for six
months thereafter unless a dispute or action pursuant ro this section is pending or additional data on the individual has been collected or created. The
responsible a�thority shall provide copies of the private or public data upon request by tlie 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 possiblc,with any request made pursuant to this subdivision,or within tive days of
the date oY the request,exduding Saturdays,Sundays and legal holidays,if immediatc compliance is not possible. If he ca�mot comply with the request
wifhin that time,he shall so inform Nie individual,and may have an additional Pive days within which to comply with thc 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 himsel£ �Io exercise this right,an individual shall notity in writing the responsible authority describing the nature ofthe disagreemenL The
responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recfpients 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 stalement 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 ADV[SORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to infonn 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:
l. 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 rec�uested 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 proc this applicatiott or permit.
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First h1iddle Lnst
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I unde�stand my ights as stated abo e.
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Signature
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CHECK OFF LIST FOR ISSUAI�TCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 31 ZS CASC.� C�Rc.t� -
PID:
DESCRIPTION OF WORK: 3 sV',€�3on5 -QD�.C>�(.�
ZO.vI�Ti G REY��V BY: DATE APPROVED: S -•(2 -c>s
BUII�DI�i �"G REVIE`V BY: DATE APPROVED: � - �z-as
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes r� No
PLAN REVIEW Yes _� No SEWER CONNECTION
STATE SURCHARGE Yes _� No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
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ZONI�IG C�CK LIST Zoning District:
Fire Departmen[: Post Office: School District:
Lot Area: Sc.ft.�F3�t� Acres 1, z`� Width Depth
Survey Submitted: Yes_� No Date of Survey:
Proposed Setbacks: �
Front (Lake): 2-`�S � Right Side: �- �
Rear (Street): 2`io` � Left Side: y2� '�"
Adjacent Struccures: �q.�ch�c_� _ _ Wetland: N!�
Building Hei�ht: Def. Hgt. [� .� Peak Hgt. —'
Lo[Covera�e: D,K S°Za
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: --- By:
Zoning File: �# —' Resolution: # Resolution Da�e:
Shoreland District: ��
Av�. Setback. c�•� Bluff Setback: rl I�a I.ot Coverage: S °7�
ExistinQ Proposed
O
Hardcover: 0-7�' U �
7J-250' i g•�+ �
2�0-500' 2 S.l Z S 3
�00-1000'
Hardcover Variance Required: Yes No _� Date of Council Approval:
RELI�IA,RKS (in house):
.,
BUILDING REV�`V CHECK LIST
�C� �z� 3 CONSTRUCTION TYPE: V^�
Sq Footage $ Per Sq Ftg
Basement x _
lst Floor z _
2nd Floor x _
Garage x _
x =
TOTAL
Estimated Construction Value: $ S'�,�oc� °S
Inspections Required: `Vork Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing � Septic Sewer Connection
Framin�
_�. b Fireplace Lawn Irrigation
Insulation (Masonry) Ocher
Wall Boazd (Mfg,) Well (State Permit)
°� F�� Grading/Filling _�Elecuical (State Permit)
Ocher
REI�IARKS (IN HOUSE): �
--------------------------------------------------------------------------------------------------------
RE'VIEW BY OTHERS: DAT'E:
Access: Existin� New
Access Approval: Date gY:
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REVIARKS (TO BE NOTED ON PERNII�:
8
� Neighborhood Building and Remodeling Co.
10024 Minnetonka Blvd.
Minnetonka MN 55305
License #3096
Denis Ostroot
952.933.7673 / 612.840.1703
Addition for:
Ron and Pat Dudley
3125 Casco Circle
Orono MN 55391
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Air shute,insulate,and vapor barrier(typ J
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t-3/4 x i t 7/8 LVL Ridge ---I
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� Cedar lap siding(typ)
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2"x 4"frame walls above the block(typ)
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� 42"x 56"(aprox.) i Insulabng foam between and around windows and doors(ryp)
double hung
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2 x 12 treated plate(typ)
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_yy�ng � Sill seal
inge right I � ; i Exterior epoxy waterproof coating
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� ' R11 fiberglass insulation
_�( �! �� intenor poly vapor barrier
� ' ' i T 8 G pine interior
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Epsting basement wall �'V Granular fill
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20"x 8'rei footing
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C" DATE TIME V
CITY OF ORONO CALL� /p-
INSPECTION N�JTIC(� SCHEDULED l�� -� �
PERMIT NO. v � /��� COMPLETED
ADDRESS c�/Gt�.� �Q�S� �-/
OWNER CONTR. /`�/�
TELEPHONE NO. 7�P 3 7�p7 gSo2 �t'
� DESCRIPTION /����'" `'" �'►
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS 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
� COMMENTS:
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O ❑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 '�CITATION ISSUED
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Ca11 for the ne t inspection 24 hours in advance. (J52� 249-4600
OwnerlContr te:
Inspector_
White Copyllnspector's File Canary CopylSite Notice
D`� DATE TIME "
CITY OF ORONO CALLED IN I�'�y�
INSPECTION NQ�ICE�3 SCHEDULED /�'�7 �
PERMIT NO. C' � COMPLETED
ADDRESS ��2 � L-�G�.-� C��
OWNER �li�[�, CONTR. ��dy
TELEPHONE NO. (p/ Z- g�6 —/JD3
� DESCRIPTION (�-u�jt/
W 01 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRA ING 13 MECHANICAL FINAL 19 LAKESHORE/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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-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
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CAL�INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe ne � inspection 24 hours in advance. (952� 249-4600
Owner/Contra�c�e� i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DA�T / TIME �
CITY OF ORONO CALLED IN �I�iJ -dy
INSPECTION NOTICE I[ SCHEDULED 9'-/(a '�3 d
PERMIT NO. �d ��T� COMPLETED � '��_ /U �C�
ADDRESS 3� � � C��d �
OWNER CONTR. A'A��
TELEPHONE NO. �7(o ,��' ' vZ�� - `j � 7 v �'V�u�k
� D IPTION ���.�✓ ��e��
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
v 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
� COMMENTS:
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W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �j pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on site:
Inspector. �-t/ �L ��s
White Copyllnspector's File Canary CopylSite Notice
� �� DATE TIME
CITY OF ORONO CALLED IN =_`�� �r
INSPECTION NQT,IC SCHEDULED _r�a",�
PERMIT NO. f�U � COMPLETED
ADDRESS ��a.s �QsCp �-���2'GC�
OWNER CONTR.��G'i���� ��
TELEPHONE NO. ��d -' ��`D —l 7D ,3
� DESCRIPTION � `�"� f' ���`�
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe n xt inspection 24 hours in advance. (952� 249-46��
Owner/Cont ite:
Inspector.
White Copyllnspector's Fi e Canary CopylSite Notice