HomeMy WebLinkAbout2004-P07424 (deck- attached) ' PERMIT
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CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�424
Crystal Bay, Minnesota 55323 P@t'CTllt Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: s�6i2oo4
SITE ADDRESS: 3243 Casco Cir
Wayzata,MN 55391
PID: 20-117-23-43-0010
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
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FEE SUMMARY: PermitFee: $ 251.25 Valuation: $ 15,000.00
Plan Review Fee: $ 163.28
State Surcharge Fee: $ 8.00
TOTAL FEE: $ 422.53
APPLICANT: 4 Quarters Design&Build OWNER: George&Marilyn Mileusnk
16376 Javari Court 2110 Sugarwood Dr
Lakeville,MN 55044 Orono, 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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APPLICAN RM[TEESIGNATURE 1 SUEDBYS[GNATURE
Cooies: 1-File(Sienitures Required), 1-Applicant� 1-Monthlv Reports, 1-Assesstn�, 1-Finance Page 1
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Total Fee: $ �"� ' �� ' ,� �`? � Date Received: 7►(�� �
Entered By: " '-i=� `,� � � Permit#: �1..��-1���
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CITY OF ORONO - BUILDI G PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all inforrnation)
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THE APPLICANT IS: (circle one) O`VNER OR NTRACTO
JOB SITE ADDRESS: �.�-�t'S Cr$ �� o P,••1` ��n� ZIP: J��S � �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes ��1'o If yes, a special event permit is reqtcired with Police Department and City
Council approva160 days prior to the event. Non permitted events will not
be allowed.
NAME OF OWNER: _ � M��r� � h �`+It�,l�tS�,�� PHONE: (home) �SZ , '�'� c�C��
I� (work)
MAILING ADDRESS: J� >>-�� A��x�-��fS CITY: ZIP•
CONTRACTOR: ' �l�r��,rS ��'"" � ��'I� PHONE: (�jZ ZS �` I ��
CONTACT PERSON: s,�;�r. ;�'��°-vl,;o r MOBILE/PAGER:
MAILING ADDRESS: lbS�(, T�����', ��"�r�- CITY: L•=��r1� ZIP: '3 i� '�"
STATE LICENSE: # ���� (� j���" S�� �_ 3 � � � � c� S
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New �-� Accessory Structure
Addition Move
RemodeVAlteration Land Alteration
P OPOSED WORK(describe i detai�•�Z-c� � ��v�z�,,,.t�� �,,r�,�. �.Q,lo�J
���� �'�" C1'v.c,v--��c� ���t�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTII�IATED CONSTRUCTION VALUATION (excluding land): $_ ��, �U�'
I hereby apply for a building permit and I aclrnowledge 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: . DATE:�� '�� � � ���
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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.
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Subd.2. Information required to be given individual. An individual asl:ed to supply private or confidential data concerning himself shall be
informed of: (a)the purpose and intended use of the requested data within the collectitc�state agency,polltical subdivision,or statewide system;(b)
whether he may refuse or is legally required to supply the requested data;(c)an��l-nown oonsequence arising from his suppl}•ing or reCusing to supply
private or confidentiat data;and(d)the identity of other persons or entities author¢ed b�state or federa!law to receive the data. This requirement shall
not apply when an individual is asked to supply investigative data,pursuant to seaion 1�.82,subdivision 5,to a law enforcement otficer.
The commissioner of revenue mav olace the notice reanired under this sub�ision in the individual income ta�or orooertv tax re[und
instructions mstead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible aQthori2c,an individual shall be informed w hether he is the subject of
stored data on individuals,and whether it is classifed as public,pri�ate or confdential. L-pon his further request,an indi�-idual who is the subject o(
stored private or public data on individuals shall be shown the data without any�cha se tn him and,if he desires,shall be inCormed o[the content and
meaning o(that data. After an individual has been shorvn the pri�ate data and informex�of its meaning,the data need not be disclosed to him for sir
months thereafter unless a dispute or action pursuant to this section is pending or addiUonal data on the individual has been collected or created. The
responsible authority shali provide copies o[the private or public data upon request by the individual subject otthe data. The responsible authority may
require the requesting person to pay the actual costs of making,cemfying,and compilin_t6e copies.
The responsible authority shall comply immediately,if possible,with an.-requtst made pursuant to this subdivision,or within eve days of the
date of the request,ercluding Saturdays,Sundays and legal holida��s i[immediate complixnce is not possible.If he cannot comply with the requestwithin
that time,he shall so inform the individual,and may have an additioual�ve days N ithin w hic6 to comply with the request,e�cluding Saturdays,Sundays
and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An indtvidual ma�-contest the accuracy or completeness of public or private data
concerning himself. To exercise this right,an individual shall notif�in writing the respoan"ble authority describing the nature of the disagreement. The
responsible authority shall within 30 days either: (a)correct the data found to be inan-.nrate or incomplete and attempt to notity past recipients of
inaccurate or incomplete data,including recipients named by the iadividual;or(b)notif�-tLe individual that he believes the data to be correct. Data in
dispute shail be disclosed only if the individual's statement of disatreement is tnclvded rrith the disclosed data.
The determination of the responsible authority may be appealed pursuant to che provisions o[the adminlstrati��e procedure act relating to
contested cases.
DATA PRNACY AD�ZSORY
In accordance with NI.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform�-ou that your request
for a permit or license from the City of Orono or an}-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 yoar 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 ac�ion to approve, some information may become
public.
5. You have certain rights under M.S. 13.0-3(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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1 E�S �-� J�-.��_,� , c:��rl�
Address
���,�v,l�.� �'�,� S s'o�-�- 61.z ����� j���
City State Zip Phone
I understand my rights as stated above. ,
Signature
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CHECK OFF LIST FOR ISSUANCE OF PERMITS � , �
FOR OFFICE USE ONLY
A.DDRESS OR LEGAL: �Z�t 3 C A 5� Po►�r T R�o►an
PID:
DESCRIPTION OF WORK: =c�c �,.. ,� Sc��,.f atiC,�, /o w
ZOYPi 1G REVIEW BY: DATE APPROVED: s-y- o y
BUII.DING REVIEW BY: DATE APPROVED; � Y-o �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes _�/ No WATERCONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPEC"TION
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: L2-I L
Fire Department: Post O�ce: School District:
Lot Area: Sq.ft. /5.7`f� Acres • 3(� Width Depth
Survey Submitted: Yes� No Date of Survey: � �3
Proposed Setbacks: �
Front (Lake): ��� � Right Side: /T
Rear(Street): /y0� Left Side: �(•5'�
Adjacent Structures: /�zT'+'kc t+G� Wetland: /`l��
Building Height: Def. Hgt. � •(�- Peal:Hgt. d��
L.ot Coverage: /5'.(
Gradino: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: #oy-2949 Resolution: # Resolution Date: y-26- ��
Shoreland District: �.�PS
Avg. Setback: ��(L�,A-r•►ca Bluff Setback: LotCoverage:
Existing Proposed
Hardcover: 0-75' �I��b �Y ��
75-250' 3 0 �o
250-500'
500-1000'
Hudcover Variance Required; Yes No Date of Council Approval:
REMARKS (in house):
7
,
BUILDING REV�W CI�CK LIST
�C� �`�� CONSTRUCTION TYPE: �I�
_ Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x _
2nd F1oor x _
Garage z _
z =
TOTAL
Fstimated Construction Value: $ 15,Ooo °�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_�Footing � Septic Sewer Connection
oc Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
--,�.F�� Grading/Filling Electrical (State Permit)
Other
REMA.RKS(IN HOUSE): .
----- --------------------------------------------
REVILW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date BY:
-___________�--------------------------------------------------------
REMARK.S (TO BE NOTED ON PERMIT�;
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DATE TIME `�
CITY OF ORONO CALLED IN 5`—%��'
INSPECTION NA TICE`/ SCHEDULED 5'�l i 3 a .'t-L
PERMIT NO. /'� ,T�y COMPLETED
ADDRESS ���'�L�' 3��f� ��c �� /°�
OWNER j1'L��?.�h_c.Ic. CONTR. `'� �(.{u�-�t� �.e-(�L-�
TELEPHONE NO. (P/� ' �3 �'1��1� µ
� DESCRIPTION d/.�G�'�--
FO TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� NG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED I_i PROJECTCOMPLETE
WO CORRECT WORK&PROCEED f� ISSUE CERTIFICATE OF OCCUPANCY
� ❑ COFRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the nex�inspection 24 hours in advance. (952� 249-4600
OwnerlContrgct ori siie:
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Inspector. _�
White Copyllnspector's Fil Canary CopylSite Notice
� � DAT TIME "
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CITY OF ORONO ����Eo u�.�/
INSPECTION NO/T�IC�'7' SCHEDUL��l� �����'�
PERMIT NO. 't�0 ( � �`I COMPLETED
ADDRESS �a� ���' '��I 2•
OWNER CONTR. �G-�_0.C�'��dn
TELEPHONE NO. � � Z - 23� - �� X I
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� DESCRIPTION G--�...� dh��t�;ve���la{.�'cr
l� 01 9�F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WIIL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the nex inspection 24 hours in advance. (J52� 249-4600
OwnerlContr t i e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DAT TIME V
CITY OF ORONO �ED IN 7"��
INSPECTION N����Z SCHEDULED 7-� � •�Q�
PERMIT NO. � COMPLETED
ADDRESS �Z��3 ��'� C��
OWNER CONTR. �L����s���l
TELEPHONE NO. �41Z �37 `�S�I
� DESCRIPTION fr��`-�C ���'f�'�IC_
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 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/(u/o r�NAL 14 SEWER HOOK-UP 06 PROGRESS
�`II" 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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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlCo n ite:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
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Lut 15, Spring Pa�lc., also all the land, uicluding the vacated highway, lying between the front or easierly line of eaid lot and the � �
sl�ore oELakc Minnetonka, and betwecn the northerly and southerly lincs of said Lot 15 cxtended to said lake shore,and being ��i io�� Q / R
part of Govemmcnt Lot 6, Section 20, Township 117,Range Z3, and also indicated on the plat of said Spring Park, according to �� :� '�'U 6 � /
the recorded plat thereof, Henncpin County, Minncsota ��'J`-`'a'� q�' 3 g3Z'
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