HomeMy WebLinkAbout2002-P05026 (add/remod./repair) CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poso26
Cryst�l Bay, Minnesota 55323 P2fCillt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: si2i2oo2
SITE ADDRESS: 3229B Casco Cir
Wayzata,MN 55391
P I D: 20-117-23-43-0003
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/RemodeURepair
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: PermitFee: $ 279.25 Valuation: $ 17,000.00
Plan Review Fee: $ 181.48
State Surcharge Fee: $ 9.00
TOTAL FEE: $ 469.73
APPLICANT: Architects Plus Inc OWNER: Kent&Mary Swanson
16100 Valley Road 3229 Casco Cir
Eden Prairie,MN 55347 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.
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APPLICANT PERMITEE SIGNATURE ��� IS ED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Total Fee: $ �(ra�� �7;; Date Received: `�/D��
Entered By: �l7 Permit#: �D 50 � �
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CITY OF ORONO - BUILDING PERMIT APPLICATIOleT
All information must be submitted in full before plan review will be started.
(please print all information)
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TI3E APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �j fL'Z-`�, �j G,D.S G O Gl �,k�ZIP: � � 3 q f
NAME OF OWNER: �€rtT- S w,�r�l s o ti PHONE: (home) K 7 J- ?�o a
(work)
MAILING ADDRESS: 3 ZZ�t g c�5c.v CITY: G i t�_ ZIP: � � �q �
CONTRACTOR: ��.t-�:T�c�� P�- u S PHONE: �S Z-�3 7 -S�a S
CONTACT PERSON: �lAr-� /�t�E��'�S t�r� MOBILE/PAGER: �, Z- z z t -��l p g
MAILING ADDRESS: !Co�o C� �l�-u-�y 2�. CITY: ��r( P(z_ ZIP: �S 3 4 7
STATE LICENSE: # .5`f�S
ARCffiTECT/ENGINEER: 1�i�5y�i ��{_ PHONE: �S z - �{-7�- � �oo g
MAILING ADDRESS: i y 1 �, rLo S�, CITY: �xc�F�sia� ZIP: �S 3?�
NAME: r�t,�2�- ti��S�TT REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED WORK(describe in detain: N�w �,�-ra-4 ,�..�� -T'a-���-i S /F��+�' ,�
ao�1�T�c.�.r'� � P�c:-u�-.
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ i 7,OOC�-`�
I hereby apply for a building pernut 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
pernut; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �/,-�- DATE: ¢, ro �o Z
NOTE! Parade Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLJBJECTS 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 secdon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and intended use of the requesied data within the collecting'state agency,polidcal subdivision,or sratewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any irnown consequence arising fmm his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or enrities authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to suppiy investieaave data, punuant to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or property tax refund
instructions inscead 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, private or confidential. Upon his further request,an individuat who is the subject
of stored private or public data on individuals shall be shown the data wi[hout any charge to him and,�if he desires, shall be informed of the content
and meaning of�hat data. After an indi�+idual 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 acaon pursuan[to this secdon is pending or addirional data on rhe 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[he requesting person to pay the acmal 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 addiaonal 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 pm•ate
data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing�he nature of the disagreement.
The responsible authoriry shall within 30 days ei[her: (a)correct the data found to be inaccunte or incomplete and attempt to nocify past recipients of
inaccurate or incomplete data, including recipienu 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 determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating [o
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 pemut 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 detemune your qualification for the permit or license requested.
Z. 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.
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First Middle Last
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Address - —
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Ciry State Zip Phone
I understand my rights as sta�above.
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� Signamre ��
CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: __�Z��t 6 Cytsc-� c.�✓�.c.�.�:
PID:
DESCRIPTION OF WORK: N t�-z� �La i�,,.r� ,���w� ,q.,�,� o ecu
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ZO.Yi�i TG REV�W BY: DATE APPROVED: y- 30 -oZ
BUILDING REVIE`V BY: DATE APPROVED; �{- 3 a -02
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER�VIIT Yes ,/' No
PLAN REVIEW Yes �/' No SEWER CONNEC"ITON
STATE SURCHARGE Yes _� No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning District: �v C�-���
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetl d:
Building Height: Def. Hgt. Peal: gt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: !# Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Ezisting Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): (LF�PcA c.P,v c, (�.��•�c�s r=�?rv-c_Q ,�-,v✓� srvw I �( llec.�c
/�lv.'Y� o.,-� c,Zi �5-�—�,.�G %���u..-e-.
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BUILDING REVIEW CHECK LIST �
�C� �' 3 CONSTRUCTTON TYPE: V�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R c
TOTAL
Estimated Construction Value: $ �7,U00�
Inspections Required: �Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�Footing ' Septic Sewer Connection
'�C Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
oL Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
---------------------------------
REV�W BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy:
--------------------------
REMARK.S (TO BE NOTED ON PER1vII'1�:
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, / DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTION N C /) SCHEDULED -f Z:� /v�
PERMIT N0. �v�� COMPLETED � � -�
ADDRESS 3�� � � � � �c�C.�L
OWNER CONTR.��-r�'c./ s ,q`��,.;5
TELEPHONE N0. l-�� l� �SZpG�.Ss
� DESCRIPTION _ -�c��;' ��t
� 01 FOOTING � 11 MECHAI.,IC�AL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 O6 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
� OWNER/CONTHACTOR TO MEET YOU:_YES_NO
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W �ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-460�
Owner/Contractor on site:
Inspector. ;%lC�-�/'� Gc.,(��
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White Copyllnspector's Ffle Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED
PERMIT NO. � COMPLETED CyC�y= '
ADDRESS��� ,L'� Cti2��C'-c:� C,//'.
OWNER CONTR.A.�"C�, f�� ��v�
TELEPHONENO. _ l_o/� �� / glUd'
� DESCRIPTION �`�C /C
4� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�,�2 FRAMIN 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 O5 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 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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� �DyORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W�❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-460�
Owner/Contractor on site:
Inspector.l�%i�L� � ����
White Copylinspector's File Canary CopylSite NoNce
f;
DATE TIME��
CITY OF ORONO CALLED IN 3 '�
INSPECTION NOT CE SCHEDULEO .�"' ��3 _�Q�L(/l
PERMIT NO. ��n5�z� COMPLETED
ADDRESS 3�a�I � � �t ,
OWNER CONTR.I�rc��-c C�-s ��v_S
TELEPHONE NO. �S� y � 7 �f.�-��p
� 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
Z 0 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINA 14 SEWER HOOK-UP O6 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLU � 36 FOUNDATIOWREMOVAL
� OWN CONTRA T MEETYOU:"YES_NO
� COMMENTS:
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W� ,�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONOITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION RE�UIRED.CALLTO ARRANGE q2`CESS. 1
Cail for the next inspe io�24 hours' ' vance. 952 249-4600
OwnerlC�ra or on site: �
Inspector. + � �
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hite Copyllnspector's File anary Copy/Site Notice