HomeMy WebLinkAbout2003-P06657 (add./remod./repair) r � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po66s�
Crystal Bay, Minnesota 55323 P@1'CTllt Typ@: Addition/RemodeURepair
(952) 249-4600 Date Issued: s�ia�2oo3
SITE ADDRESS: 3229C Casco Cir
Wayzata,MN 55391
PI D: 20-117-23-43-0004
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate pernuts required: Eiec;uicai�siaiej
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 1,385.75 Valuation: $ 170,000.00
State Surcharge Fee: $ 85.50
TOTAL FEE: $ 1,471.25
APPLICANT: Beauclair Construction&Cabintry Inc. OWNER: Gregory&Shraon Tripp
3120 68th. St. E 3229 Casco Cir
Inver Grove Heights,MN 55076 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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� + APPLIC�NT P�MITEE SIGNAT��� ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
, �
Total Fee: $ � �a?�,�� Date Received: � - � `�-��3
Entered By: �1�-- Permit#: �� ��(p��
CITY OF ORONO - BUII.,DING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information) �
TI3E APPLICANT IS: (circle one) OWNER OR RACTOR
JOB SITE ADDRESS: 3 2 2�j - (_ C (9 S�a C�rc� ZIp:
NA1�iE OF OWNER: �rey, 'f f�i� PHONE: (home)
: (work)
MAILING ADDRESS: s 2 Z�� -C C�s c�- r,r�.� CITY: �- ,�2NQ— Zg''
CO\�'RACTOR: �e�1-u�h�i Ca.��H�� PHONE:. 61 Z L�'S-31"b y
COr�TACT PERSON: K°�., (�Pq�C(�, r MOBILE/PAGER: `� `^
1VLAII.ING ADDRESS: �1.2a !Y n Sf.�� CITY: ���-��-� �� ZIP: �'�`�Je
ST�iT'E LICENSE: #
A.RCHITECT/ENGI'�1i EER: Fl L.�r�� �S•5�• PHONE: �S� 'y7 3 - t?77�
NIAII..ING ADDRESS: 40 l E 14 '�. CITY: � — ZIP: s---��
NA_`IE: �(��.t yl�e.� REGISTRA ION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK (describe in detai�: �n� ,P.� a� ��`+�` 5�� �'�'-- /�`'�' �'"'S�,
('�.�Loc�. S rQy�, �, w N�o�� ;
---r
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROO�iS: � GARAGE STALLS: ATT. DET.
EST�IATED CONSTRUCTION VALUATION (exclud.ing 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 Ciry and with
the State Building Code; that I understand this is not a permit and work is not to start without a
perm.it; and that the work wilI be in accordance with the approved plan.
' SIGNATURE• � �'.5�� DATE: �' ;7`°
APPLICANT S �� -Z �
NO?'E! Parade of Homes events require separate permit approval by Police Deparlment and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5 �
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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 secaon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,policical subdivision,or statewide
system;(b)whzther he may refuse or is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or
refusing co supply private or confidenciai dara;and(d)the idenaty of other persons or endries authorized by sra[e or federai law to receive the data.
This requirement shall not apply when an individual is asked to supply investi;ative data, pursuant to secrion 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue ma lace the notice re uired under this subdivision in the individual income taz or ro ertv tax refund
instrucdons 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,private or confidendal. 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 char;e to him and, if he desires,shall be informed
of the content and meanin�of that data. Afrer an individual has been shown the private data and informed of iu meaning,the data need not be
disctosed[o him for six months thereafrer unless a dispute or action pursuant to this secoon is pending or addirional dara on the individual has been
collected or created. The responsible authority shaIl provide copies of the private or public data upon request by the individual subject of the data.
The responsible auchoriry may require the requesring person to pay the actual cosu of making,certifying,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 dace of the request,excluding Saturdays, Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request wirhin[hat ame, he shall so inform the individual, and may have an addidonal five days within which to comply with the request,
excluding San:rdays,3undays 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 conceming himself. To exercise this right,an individual shall noti�+in writing the responsible auchoriry describing the nature of the
disagreement. The responsible authoriry shail within 30 days either. (a)correct the dara found to be inaccurate or incompiete and attempt to nodfy
past recipiencs of inaccurate or incomplete data,including recipienu named by the individual;or(b)notify the individual that he believes the data
�o be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administraove procedure act relaang
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 pernut or license requires Council aciion to approve, some information may become
public.
5. You have certain rights under N1.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 Middlz Last
Address
C�ry State Zip Phor.e
I understand my rights as stated above.
ti,/� ��� `�'� ' '
Signa e .
6 ,
.' �.
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3 z2�� C�4 s� c i2�
PID:
DESCRIPTION OF�VORK: C �-��c,,e /20o c -(� C.a••�� �. ►-c� � /L�7Jl.�u t,��-�Jawf
�
ZO��'VG REVIEW BY: DATE APPROVED: g � i �{- �3
BUII�DING REV�W BY: DATE APPROVED: �g - ,y -�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
pLAN REVIEW Yes No �/ SEWER CONNECTION
STATE SURCHARGE Yes t/ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------------------------------------------------------------------------------------
ZOti1NG CHECK LIST Zoning District: N d G�f, ..Q
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes N Date of Survey:
Proposed Setbacks:
Front (Lake): Right ide:
Rear (Street): Left ide:
Adjacent Structu�es: Wetland:
Buildin� Height: Def. H?t. Peal:Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date: .
Shoreland District:
Av�. Setback: Bl ff Setback: I.ot Coverage:
E s(ing PropOsed
Hardcover: 0-75'
75-2�0'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
RE\�I:ARKS (in house): �2�cdit/ o r= /lv o�- /�,^-�i ���► .� rs'`� �/O f
�, ISS� �
7 �
' .. .
BUILDING REVIEW CHECK LIST
�C� 2 - � CONSTRUCTION TYPE: �/�
Sq Footage $ Per Sq Ftg
Basemen[ R _
lst Floor x _
2nd Floor R =
Gara�e R _
R =
TOTAL
Estimated Construction Value: $ /7 �, v�b °'"
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
•� Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
_�_Wall Board (Mfg.) Well (State Permit)
� Final Grading/Filling _�Electrical (State Permit)
Other
RE�IARKS(IN HOUSE): -------�-
-----------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMI�:
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W 116Y lU/II//L1 Iklk'1',l�Hl:li
ADVANCE SURVLYING & LNCINELRING CO.
5300 S.Hwy.No.101 Minnetonlu,MN 55345 Phunc(952)474-7964 Fu(932)4748267 � � ��
SURVQY FOR: GREG TRIPP , � ���' � � ��� '
/ ' !Y S. k! t � . f`
/ n1'\
7, ��Ci � C'C% �.:i�
suaver�: sepumt�,zoo� pg�Q; sa�,�.�,zoo3 . �
,r,•�" /�J� , • r':
LEOAL DESCRIP'i10N: � ' '
Tnd C,Itegi�tercd Iaod Survry No.1333,City oC Weyata,Firnnryin County,Minnneata
SCOPE OF WORK: „�,�,,,,,,,__ •
I. 9howinO�he IenQih�nd diteclion of boutuLry linee of Ihe�bove le4�l de�ipuun. The�cope
of au�mvica doe�not i�cludo detcm�ininQ wfut yw own,which u a IeQd m�tter. Plwo i���`�r�l. :! '
cAat uw teQ.l da.cripaoc w1W your record,or c«uuu wim oompami leQal ca�uucl,if� ��� �� ���:��� �
OOCpYIY�t0 OYIIO M!R ULLl Il I�COII'OCt��OII UYl by�UQt OFfOWfI�NCh Y O�N�W that "'.; ,,k�;:� _` ����,c t. ;�`, �
yw wuh�hovm oa the nm�ey,6�ve bern rhowa -� �"� � r " k . .
r-3 ��-y,.�, ' �
2. ShowinQ t6e laution of mwt6�g Improvemrnu we de�od imporunt � -," .A OQ 1��/J//K.`�w� .
). Sdting new manumrnp or veritying old monumco4 b mulc tha oomen o(the property, r r i ��-f �
�. The dcclu on the&rt iide of tho hwie�ro aot�hown baw�o�hay mahp wiU�the � s � ?
�-, ; � = } t '�;'��E k 1.�!:r n
I�ndiapinQ brneuh Ihe deck�. Tha henl covcr fa I!w Jab ue eilher complekly iiuido Ihe FKS_TING I IAII� COVER iAf7111 All(kJ; Z ,_ � ��' + `t� ¢ .
I�nd�c�pinp or ue on the�econd�nJ U�in101�wn whc�e dmro ue rol lunl cava iuun ba�wa � �,
of U�e haiyht of 1he Ja:t�, u���.e � 7,/�ti ����. 1� _ �,_+ ��e -
('nn<f�l• 7�fl�U ."�. I 1. i .1A 1
WuoJ SI�V� I 35N Sq. f L : !
STANUARD 9YMOULB dc CONVI:N'I'ION ,.S• Decke 179 Ft. � � � . � �
"�'Da�ota IR"ID pipe wilh plutic ptuO beuio�SuW Liceoso Numbet 9235,ict,uoleu Plaetic-Ilned�lond�co n t,B13 � `�'�r / '
ol6mvi�onoted. , I f� v Sq. Ft. � ,;i���1 ':.._______-. .. ___k����� . '��;
Totol: ._,.,_,__,.,,,__._.,,,�,, a�`.�
I 7.928 Sq. FL 1...
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I hereby certify tlut thii plen,�pecfficetion,repoR or eurvey wu prepued by me or �o� N�o� 2o,t5s Sq. Ft. �
under my dlrect�uprnieion�nd Ihet 1 am�liceoeod Frokeeioml Engineer and x Nord Cover. I 39.3x • a r��
v j� �
Profeaeioml Sucvoyor under the lawe oCthe State of Mianeeota � �
,,� ry �
n�"`-�� -`���L CDGE Of' WATER
- ' I .�z� � scrt. z. 200�
em e f I.Puker P.6.Qc P.S.No.9235 /OUND.W , •�
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CITY OF ORONO � CALLED IN �! � �
INSPECTION NOTICEr"'� �r SCHEDULED � �' D � o= : �
PERMITNO. �?<i���J ( COMPLETED
ADDRESS � J�o�.gC � =c.�J �[� C�K--'
OWNER T�P� CONTR. �� � Z�CG�c�GI
TELEPHONE NO. �J � � �c' � � ��
� DESCRIPTION ( ,(X� `� S�Z'�� S1z��/ C�
lL 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
� 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: �,�� � aLc* ��
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. L, pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
Owner/Contractor o
Inspector.
White Copyllnspector's File Canary CopylSite Notice