HomeMy WebLinkAbout2000-P02780 (add./remod./repair-deck) ' � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2�ao
Crystal Bay, Minnesota 55323 P@PC1llt Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: s�la�2oo
SITE ADDRESS: 3237 Casco Cir
WAYZATA,MN 55391
P I D: 20-117-23-43-0013
DESCRIPTION:
Proposed Use:
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 54.00 Valuation: $ 1,500.00
Plan Review Fee: $ 35.08
State Surcharge Fee: $ 0.75
TOTAL FEE: $ 89.83
APPLICANT: GETTY CONSTRUCTION OWNER: JEFF BROWER
13275 BASSWOOD LA 3237 CASCO CIR
ROGERS, MN 55374 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.
�
� � � �
APPLI ANT PERMITEE GNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
,
• Total Fee: $ 3 Date Received: �'3-- c--�G
Entered By: Permit#: ,/� � � 7���
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------r--�---------------------
THE APPLICANT IS: (circle c;�e) OWNER O CONTRACTOR
JOB SITE ADDRESS: 3,,Z37 (°G�Scc� C( t-, 'vc�c��/2�, i�ZIP: �5 3c� �
NAl�� OF OWNER: . �e j j /�j 1�cu�e� PHONE: (home) j-17 ( - 3 G�-/c�
(work)
MAILING ADDRESS: 3 a.3`7 �'c�5cc3 �� t- ; CITY: w4�zcZT� ZIP: S�S3�i/
CONTRACTOR: �7? /��►5 %y-� e r=`.• PHONE: G 7C� � �/FrG 5�
CON'TACT PERSON: �� cT e 7�� MOBII..E/PAGER C'7O _.z,��G�f
MAILING ADDRESS: j 3,�7 5 ��.s5 c�-t �! ,f a CITY: 1<oy e v�� ZIP: S�3 7 5�
STATE LICENSE: # �'� S'� �—
:�RCHITECT/ENGINEER: �G ,,� PHONE:
�IAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detain: y- �,v�� � ^
�"'�` '"� � l.��It�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
c,�•
ESTLI�IATED CONSTRUCTION VALUATION (excluding land): $ � Sc%c�
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
permit; and that the work will be in accordance with the approved plan.
APPLIC.�NT'S SIGNATLIZE: S`�,(� DATE: • � -z c,�v
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non perntitted events will not be allowed.
9
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 3Z3'7 C r4 5c-� Ci R-c_¢_,�,.�
PID:
DESCRIPTION OF WORK: (��� /�cc�ss s-rr� s�s
------------------------------------------------- ---------------------------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: � -(c� �D�
BUILDING REVIEW BY: DATE APPROVED: g -� o-o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/' 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)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District:
rl�r� Fire Department: Post Office: School District:
L���
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes� No Date of Survey: �— 9 ' �3
Proposed Setbacks:
Front (Lake): Right Side:
V,L
Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
��.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setbac : Bluff Setback: L.ot Coverage:
(� Existing Proposed
�1 Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval: _
REMARKS (in house):
7
BUII.DING REVIEW CHECK LIST
UBC: �v "' CONSTRUCTION TYPE: —
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
� on
Estimated Construction Value: $ �.S(�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing � Fire
Hardcover Removal Mechanical Water Connection
� Footing Septic Sewer Connection
�c Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
�_Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REi�tARKS (TO BE NOTED ON PERMI�:
8
Total Fee: $ Date Received: •
Entered By: Permit#:
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: ZIP:
NAME OF OWNER: PHONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGI�YEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (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 and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICAI�IT'S SIGNATURE: DATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.04 RIGIiTS OF SiJBJECTS OF DATA
Subd. 1. Type of data. The righcs of individual on whom the data is stored or co be stored shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. r1n individual asked to supply private or confidenaal data conceming himself shall
be informed of: (a)the purpose and intended use of the requesred data within the collecting"state agency,polidcal subdivision,or statewide system;
(b)whe[her he may refuse oY is legally required to supply[he requested data;(c)any la�own consequence arising fmm his supplying or refusing to supply
private or confidential data;and(d)the idenriry of other persons or enrides auchorized by state or federal law to receive the data. This requirement shall
noc apply when an individual is asked to suppty invesrigadve dara, pursuant ro secdon 13.82, subdivision 5, to a law enforcemen[officer.
The commissioner of re�enue mav place the nodce reouired under this subdivision in the individual income tax or propertv_tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsibfe authoriry,an individual shall be informed whe[her he is the subject
of stored data on individuals, and whe[her 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 individuais shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the content
and meaning uf[hat data. After an individual has been shown[he private data and informed of ics meaning, the data need not be disclosed to him for
six months thereafter unless a dispute or acrion pursuant to this section is pending or addidonal data on[he individual bas been collected or created.
The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actual costs of makin¢, certifying; and compiling the copies.
The responsible authoriry shall comply immedia[ely, 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 reques[
within that time,he shall so inform the individual,and may have an additional five days within which to comply wi[h the request,excluding Saeurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of public or pri��ate
data conceming himself. To exercise chis rieht,an individual shall noafy in wri[ing the responsibie authoriry dzscribing[he 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 nodfy past recipienu 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 individuai's statement of disagreement is included with the disclosed data.
Ttie determination of the responsible authoriry may be appealed pursuant to the provisions of the administraave 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 fumish wiil 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 a�encies to the extent necessary to process
the pernu[ 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 �Siddlz Last
Address
Ciry State Zip Phone
I understand my right ve.
.--�-
Signature
� COPY -
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� CERTIFICATE OF SURVEY F4R
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� GARY NASIEDLAK
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= " - IN Lt�T 18, SPRING PARK
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L�ecr,:i]. Descripi:.i.�n of. }��rce]_ sur.��eyeca
.L,ot 1f3 , Spring Park, also all that part of vacated L�ake Shorc �venue and oC
the tract of land lying between said vacated avenue and I,ake Minnetonka
which lies between the easterly extensions o£ the northerly and south�rly
lines of said Lot 18 . .
�o� .1rro = /6��23 fJ'f,`f,
r
o: Iron marker "` , , , , ,
Bearings shown �tre based on an assumed datum.
h.•
This survey shows the location of all existing buildings on the
above described property. It does not purport to show any other
improvements or encroachments .
(9s1.o) : Exir�i�> E/cv4 f:.� , .
s ,o • /�io/el�•! E/trJ�/�:.� �
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r 3)B.��Er�F,�.r = 9J,i.o .
' :,��'� Ut�c ��
w I hcreby certify that this survcy was prcparrd li�� mc c�r undcr my dir�ct su}�c�- ��n rr. g- q- 93
� ' ' �rv. ia-7v.-.P.3
1 � � � vision, and that I am a duly rebisterrd Civil Enginrer,�nd L�ne1 Survcyc�r undcr
�� the laws �f the State of Minncs<�ta. ,
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ticni.i: I = YO
sy�_..�'.��-���.�> _
����;��� 93�36(
M�rk S. Gronb�r�; Minncsota Liccnse Numbcr 12755
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