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Home My WebLink About2005-P08835 (add./remod./repair) * � PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P08835 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Addition/RemodeURepair Date Issued: 7/20/2005 SITE ADDRESS: 3229B Casco Cir unit# Wayzata,MN 55391 PID: 20-117-23-43-0003 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addirion/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 818•75 Valuation: $ 75,000.00 Plan Review Fee: $ 532.19 State Surcharge Fee: $ 37.50 TOTAL FEE: $ 1,388.44 APPLICANT: Friedell Architects&Builders OWNER: Kent&Mary Swanson 2238 Edgewood Ave. S 3229 Casco Cir St. Louis Park, MN 55426 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEGFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. -� ` '� �? �l,�� T PERMI E GNATL'RE ISS D BY SIGNATURE Copies: 1-File(SignaturesReguired), l-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 . , - , � � ;�' r� �� , �- � �� , eJ �� ti � ��?�J;' ti�' �\��G ,� �''` `'b '',� ` � � '� � �� Total Fee: $ I �� `�' .7 �DateReceived: �, -��-GS' Entered By: �,�� 7 i'�IY�Sc1 �'�I� . �:, Pei-nnit#: ��_ ". ,��- A (;�S`�5 �� CTTY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pf•int all i�zforniation) --------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR JOB SITE ADDRESS: 32'2`�Ia C.�15Ca �� ZIP: �3�1 VVill this be a Parade of Homes, Remodelers Showcase Home or other Display�Ho:ne? ❑ Yes �NO If yes, a special event per•rnit is required with Police Departmer�t and City Council approval 60 davs prior to the e�ent. Slzzrttle bus servrce will be required z�nless applicant demanstrates sa ff cient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: l�-�� '`�G15A� S��S a� PHONE: (home)�15 2• �/7�/ 7.� (work) 1VIA.I�,INGADDRESS: /�3aJ� CITY: ZIP: CONTRACTOR: �1GiF��LL ��i�i5i ��y/L�0�5 PHOlV'E: `�5 2-��{rd 70� c� CONTACT PERSON: �,��G,�rt �,sc�y►� MOBILE/PAGER: y5'Z. -Z.Z/ - 7.SG � MAILING ADDRESS: �2238 �D��l1100� ,Q�U�' CITY: � L��s�,� ZIP: �Sy?�6 STATE LICENSE: # �7 Z.._- EXPIRATION DATE:�'j�,¢e t{ o,� ARCHITECT/ENGINEER: j . � PHONE: c1�Z `/7 5��/�� MAILING ADDRESS: 2 r� CITY: J�=��`�°v�IP: �� r NAME: REGISTRATION: # TYPE OF WORK: New Addition Accesso Structure Move Home Remodel/Alteration � PROPOSED WORK(describe in detai�: LO�� G.L �J��/�/�� wj. STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GAR.AGE STALLS: ATTACHED DETACHED o�o ESTIMATED CONSTRUCTION VALUATION(excluding land}: $ �� I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate; that the work wi11 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 pennit;and that the work will be in accordance with the approved plan. � APPLIC�NT'S SIGNATURE: DATE: �• � �� 31 Sec.13.04 RIGH'TS OF SUBJECTS OF DATA Subd.1. Type of data. The rights of individual on�vhom 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 ro supply private or confidential data conceming 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 legaliy required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confiden[ial daca;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 13.32,subdivision 5,to a law enforcement officer. The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or pro�ertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,,and whether it is classified as public,priva[e 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 individua]has been shown the pnvate 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 da[a upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual cosLs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or�;�ithin fi�e days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comp!y with the request within that[ime,he shall so inform the individual,and may have an additional five days wichin 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 ofpublic or private da[a conceming himsel£ To exercise this right,an individual shall no:ify in wiiting the responsible authonty describing the nature of the disagreement.The responsible authority shall within 30 days either: (a)con�ect the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccura[e 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 disdosed data. The determination of[he responsible authority may be appealed pursuxnt 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 subj ects 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 fumish certain private or confidential information. You are notified that: 1. The information you fumish will be used to deternune your qualification for the pem:it or ]icense requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or Iicense. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pernlit or license. 4. If your requested permit or license requires Council action to approve, some infornZation may become gublic. 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��, State Zip Phone I understand my rights as stated above. Signature 32 . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY A.DDRESS OR LEGAL: 3 Z Zat �3 C�+sc..� G�rZ� PID: DESCRIPTION OF WORK: �?.r,-v�•.,��cr� �(Io2�� o �-�- l.�e�- ZOv1�ti G REVIE`V BY: DATE APPROVED: � -�y-a y BUII,DING REV�W BY: , ..�.-- DATE APPROVED: 6 - r Y- �Y �EES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes ,/ No SEWER COiVNECTION STATE SURCHARGE Yes � No WATERCONNECT'ION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ---------------------------------------------------------------------------------------------------------------------- ZONI�tG CH�CK LIST Zoning District: �_G_��i��.e Fire Department: Post Office: School Dis[rict: Lot Area: Sq.ft. Acres Widch Depch Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adiacent Structures: etland: Buildin; Height: Def. Hgt. Peal:Hgt. Lot Covera;e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: ZoninJ Fue: # Resolu[ion: # Resolution Date: Shoreland Dis[rict: Avg. Setback: Bluff Set ack: L.ot Covera�e: Eustin� Proposed 0 Hardcover: 0-7�' 7�-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RE�IARKS (in house): � BUILDING REV i tiy CHECK LIST �C� ��- 3 CONSTRUCTIONTYPE: `//`� Sq Foo[age $ Per Sq Ftg Basemen[ x _ lst Floor z _ 2nd Floor R _ Garage x _ R = TOTAL Estimated Construction Value: $ �5��pv °a Inspections Required: �Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing ` Septic Sewer Connection X Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) —�F�� Grading/Filling �'Electrical (State Permit) Other REMARKS (IN HOUSE): � � -------------------------------------------------------------------------------------------------------------- REV��V BY OTHERS: DAT'E: Access: Existin� New Access Approval: Date gy; - --------------------------------------------------------- REI�IARKS (TO BE NOTED ON PER�tiII'I�: 8 � � � � � j TE � TIME F��ITY OF ORONO CALLED IN ��l INSPECTION NOTICE c_�_<J. ,i - SCHEDULED ' _,� PERMIT NO.�.�1� �Jr� , COMPLETED ADDRESS �`�� OWNER � � � CONTR. TELEPHONE NO. ��L:��tS - �G�.�C� � DESCRIPTION C � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV RADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PIUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO YES_NO � COMMENTS: � W a J l 1� ( ` ��e- O a � � �� 7� � W � �D�b� 7 0�� Q - � �O q 0 a,�-- z w � � O � a W� ORK SATISFACTORY:PROCEED � PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL{NSPECTOR C INSPECTfON REQUIRED.CAL�TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance. (952� 249-46�� Owner/Contrac te: Inspector. White Copyllnspector's F e Canary CopylSite Notice �C�� -�� ✓ � ��y/� TIME CITY OF ORONO CALLED IN INSPECTION N IC� SCHEDULED ��,�/�ln l • �j PERMIT NO. � COMPLETED ADDRESS ��a� � ��Cc� �� - OWNER CONTR. !'C�� ,Q ,�� TELEPHONE NO. �S� a � � � ��n �� DESCRIPTION �/!�1 G�- � � ��.t' � 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 � 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: � W � � t �20/�ltil� 0 � � ° �S ►r0� W � Q � z W � W � � d W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOF REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for th next inspection 24 hours in advance. (952� 249-460� Owner/Cont o ite: Inspector. � White Copyllnspector's ile Canary CopylSite Notice .� D TE TIME CITY OF ORONO CALLED IN ' INSPECTION N IC SCHEDULED �'�" PERMIT NO. COMPLETED ADDRESS �� C�� OWNER CONTR.��f�P�� n�r?'/lT� TELEPHONE NO. �/d ��D �S�fl � DESCRIPTION I�S��QvL � 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 B0. 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 FINA� 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � w � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDlTION WITHIN HOURS. r-� pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 249-4600 Owner/Contr� ite: Inspector. � - White Copyllnspector's ile Canary Copy/Site Notice