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Home My WebLink About2001-P04024 (add./remod/repair) + PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po4o24 Crystal Bay, Minnesota 55323 P2t'C1llt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: ��9i2ooi SITE ADDRESS: 3229 Casco Cir Wayzata, NII�I 55391 P I D: 20-117-23-43-0002 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: rium�ing Eiectricai(siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 713.75 Valuation: $ 60,000.00 Plan Review Fee: $ 464.03 State Surcharge Fee: $ 30.00 TOTAL FEE: $ 1,207.78 APPLICANT: Benchmark Contracting OWNER: David Parupsky&Carlson 2331 Driftwood Ln 3229 Casci Cir Mound, MN 55364 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. � �"LC� ')� '�' '�� : � LI � � _. 1 - �7 �� -- APPLI ANT PERMCI'E GNATURE ISSUED BY SIGNATiJRE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 � / � � Total Fee: $ l � � �� Date Received: '7-� -C� / Entered By: �� -rc. , Permit#: /-}�('1 y(�.-�� i �/ry�'.� .� ��/ 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 CONTRACTOR JOB SITE ADDRESS: .�� j � �Gt��c=p v�. �i•�"rIcZIP: �=�� NAME OF OWNER: ,L�IL�t.1'�� l� pa.a�tl,o��iu PHONE: (home) ''�� .r,- .�, . ; " ,1�: �- (work) MAILING ADDRESS: .%�2y'f{- �'�t�,cc-v t�. G;.�/c CITY: �f Q�p ZIP: CONTRACTOR: �_i'J " i�r �0�7�rfzc �� PHONE: �f-`��.3� �`?.�' - ��a,/S CONTACTPERSON: .fl � h,�� ILE/PAGER: �j�- 9�7� -- r-�� MAILING ADDRESS:�3� j'��,��yvnci �1V CITY: !�?o�t�i ZIP: S.�3Cp� STATE LICENSE: # ,�p��Q�� ARCHITECT/ENGINEER: �j�- PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration_� Land Alteration PROPOSED WORK(describe in detai�: p,,�� ' ; �e � � ,�� u, - ,/ �7 �''� f , ` //G�/�� -t��li;r.:t ,�d�T , �n_rir, C��c'L/�-�_, ✓g> �,��:?�.= d"1t>/`?��'sLra�'ec�� r,:� �_ �� 5�' J STORIES: � SQ. FEET OF EACH FLOOR: 1(�QO NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET.� ��> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��,G7Q� 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: �� a , DATE: � � ,�. � � � ; NOTE! Parade of Homes events require separate perntit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 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 individaal asked to suppiy 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 conf'idential data;and(d)the idenary of other persons or entiries authorized by state or federal law to receive the data. This requirement shall not apply when an individuai is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav alace the notice reauired under this subdivision in the individual income tax or oro�ertv tax refund instructions instead of on Ihose forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry, an individual shali 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 con[ent and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disdosed ro 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,certifyin�,and compiling the copies. The responsible authoriry 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 compty with the request within that time, he shall so inform the individual, and may have an additional five days within which to compfy 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 authoriry describing the nature of the disagreement. The responsible authoriry 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 individuai;or(b)notify the individual that he believes the data to be correcL Data in dispute shall be disclosed only if the individual's statement of disagreement is induded with the disclosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administcative 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 � C>c*� � / . Address — 1�c��f 1�� S3�� 5��--��7�—�'7�S City State Zip Phone I unders nd my ri s as s ted above. , igna 6 CHECK OFF LIST FOR ISSUAi�10E OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3 2Z� /� G4 s� Po �� G,u� PID: DESCRIPTION OF WORK: �"Z�;� d�Z - --------------- ---------- --C/��_-----------------------------------�----��--�-�-- ZOrT�ti G REV�W BY: ,. DATE APPROVED• '� 2. -t�� BUILDING REVIE`V BY: DATE APPROVED: 7- z -� � FEES TO BE CHARGED: �isc. Fees Calculated By: PERII�IIT Yes �/ No PLA��1 REVIEW Yes � No SEWER CONNECITON STATE SURCHARGE Yes _� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZOt�1I�G CH�CK LIST Zoning Districr. �v v G Et'►'�y.rc�� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Sid : Rear (Street): Left Side: Ad;acen[ Structures: edand: Building Hei?ht: Def. Hgt. Peal:Hgt. Lot CoveraJe: Grading: Staff Approval Date: ' By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Se ack: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes o Date of Council Approval: REMARKS (in house): 7 BUILDING REVIEW CHECK LIST �C: �� ' 3 CONSTRUCT'ION TYPE: �� Sq Footage $Per Sq Ftg Basement z = lst Floor z _ — 2nd Floor x = Garage R _ R = TOTAL Fstimated Construction Value: $ (�c�,��o�'= Inspections Required: `Vork Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal Mechanical Water Connection Footing � Septic Sewer Connection _�Framing Fireplace Lawn Inigation _�Insula[ion (�lasonry) Other Wall Board —�Final �fg•� Well (State Permit) --� Grading/Filling o�Electrical (State Permit) Other REi�ZAItKS (IN HOUSE): ---------------------------------------------------------- REV�W BY OTHERS: DAT'E: Access: Ezisting New Access Approval: Date gy: ------- ----------------------------------------------------------- REI�IARKS (TO BE NOTED ON PER1vII'1�: 8 �)�is�al� h�w .�i'�57�// ✓,e� ,S/�+t�i;,� �la� aloor w�►��w �vv��Y�. � v✓here e}c r�fi ,�aJ��wr� W t'r�c4nc�w is ►?dW. � ta.�iio�cse.� t'� h0�� C� _ � � t __�_.._._._� I_ _.-- _�_ ._..,._�; �--- _ & - ��.,,,,,,�� i� ��_.....��__.. - � ,T�._w��__,__. 1 i . . � —___� � �� i�r�^e. I I , , s � I � ,:�«'�� ; ' � . � ! � � '- � ' ; i � _ ; i �,� , ��-��t�s � I J'� � ; C7�'� C�OS�- � ; ' WC�,f IS f0 i � �'r„��-�� j E r��`�r�� g , _y� _ .__..... ; i ��5y� f`EQ,4eJ C'�'S%'tY�G'L�J �"---�_�_____ i � � f��41 c�e.�r�t B 5, . .; ' � T{I _�.? �I_ _-____-- E i G-I'1� Wch"7GK ��.�r'1"YTc� � _ .�___..__.....__ ' ��,� i i . ` � � '�-�rcauqJ'� e��.-�"'_ `! - - ------ ', p t.J � �+(C 4�J �l�t�".� � - ____,..... �{ �_.-------_—__ / .._. �3�k� e�-�ir°n�'S / �.I�ts7a�t 1�/ew � � , , � C>a;.raq� � � - ..__. - -L-1'1`3Ta1��n @r ItiCW J SI�G��ii+� ��d:`°��`✓ ? a !'�D�.�`e.1' r,.��Y^ �t�t"�$ 1 i� W�)t Y� C ' ��:.�,� �,.a��ln a.,m y "��! �— �_�.,,..m.__...__ C._r.��, ON— C'4GC►• r,f�PT _"� __�� 1 � �'j�i'rvR�{S. , _WALL �1-a ka� r'GmGsv r --......._.. _, ��. 1 . ,J � #�'—``"-� - - ,.--..-----�- 4 ; _. -,r-- w ,'� ` ; �� s � i _ r I � ( j �'`1 ' .____.�_ ; ' � . .._._... _ � ; � f t m- , __ ; Y . � �� . _ _.._ . . � � � �r ; � �--- �.:� �:� � . � :1:`na°��...I E� r�;�� , ,,, ; �. _...__._�.� ��..,... ; �� , , � �� ' _ ( _ __ _ _ . _._ .._.__..�, � � ,_f � � ,,. � �j.a�n f'c> �exf- rc;or,r� ' -- _— _��.___ �_� G[-r� oF__ ____o__�or� � ___ __ _ _ . _ __ _. _______. . �-��rr��v _. _ __ __ � -_ _. � �UILDIN RMI LAN � onrsPEc�aa _ ! N,�c'`� ��-r�. � • -s -�L __. � �r�a�`�.n. ,�-_—__._ � -- . _ _._ , ._�. cf��#s - .____--._ :.__.__. _� ` � F��'F'R:�?�'ED^,� :;��:�;`�T i�0 _._ ��r� _._..w.,.�.� � �'APF�=tCiVF��ViT�i COF��C?'.0!v�AS�i�TcD �JPECil�1 �TE � �;oT�,t��^��E�..-Cc�,��cT��ts�a�n�T SEE ATTA� °� SHEET These comments ore ior your inior^;z:IOR.Ail WOfK S�12II be danQ , in {uii ;,o�rp!ian�e v:i!h ali applicab�e b::i;tl�ng and zo�;rx3 c�oe. �OR f �"'`i�^Z.Z�O� � • 1�'i�t ` � � 8equirErnants in;;!uc'ing itar��nct speciticalty noted in tf�is roviaw. �`r,��,�,� � KEEP TNIS PI,At�SET ON SlTE AT ALL T1ME� CODE REQUI��MENTS � _.__.. __...._.______,r.T,...,_ c �� . DATE TIME CITY OF ORONO CALLED IN INSPECTION NO C� SCHEDULED r ' � U �� PERMIT N0. �t%Y�''� COMPLETED � -�l 3U ADDRESS n�� CCS��C� /�/ - � OWNER CONTR. � �G'� C.. TELEPHONE NO. <�l� � 7� � L�� U � � DESCRIPTION �. " �1 � - , � 01 FOOTING i 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 1 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 � OWNER/CONTRACTOR TO MEET YOU�YES' O � COMMENTS: � W a � J O � � O � W � Q ti 2 W � W � � � �'�JORK SATISFACTORY:PROCEED ]�ROJECT COMPLEfE W � ❑CORRECT WORK 8�PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL FETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra�to n site: Inspector._/'��'� White Copyllnspector's File Canary Copy/Site Notice �� DATE TIME CITY OF ORONO CAL�ED IN INSPECTION NOTICE SCHEDULED �`� • � la'30 PERMIT N0. �C� �1U�� COMPLE�ED � �' � ADDRESS 3��R ��C_�� C'i�-c,�, OWN ER CONTR.�c-Y.�. v,�k TELEPHONE NO. ��a � ��5 ' �� DESCRIPTION �t' Ot FOOTING 11 MECHA IC L RI 18 EXCAV/GRADING/FILLING 02 RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 3 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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:V YES_NO � COMM NTS• a C d� �� , � � O >. � O � W � Q � 2 W � W � � � ORKSATISFACTORY:PROCEEDv ❑ PROJECTCOMPLEfE ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnedConUactor on sit :-� Inspector. �I/C� White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NO /�E - SCHEDULED �� PERMIT N0. V COMPLETED '�' � ( Z� 3� ADDRESS � � C r�-• OWNER CONTR.� TELEPHONE NO. �D/ � 7 ..S~�D � � DESCRIPTION • � � 01 FOOTING 1 MECHANICAL RI 18 EXCAY/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL �-�9�"�PALL B . 12 WATER HOOK-UP 17 SITE INSPECTION 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�ES O � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � � �IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� Owner/Contr to on site: Inspector. ��- � White Copyllnspector's File Canary Copy/Site Notice