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HomeMy WebLinkAbout2006-P08733 (add./remod./repair) � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08733 Crystal Bay, Minnesota 55323 P2fTllit Typ2: Addition/RemodeURepair (952) 249-4600 Date Issued: 6/20/2006 SITE ADDRESS: 2428 Casco Pt Rd Unit# Wayzata,MN 55391 PID: 20-117-23-12-0022 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Religious Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: Electrical(state) Other-Q NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 9�•25 valuation: $ 4,000.00 Plan Review Fee: $ 63.21 TOTAL FEE: $ 160.46 APPLICANT: Owner/Self OWNER: Stephen&7ean Skoro MN 2428 Casco Point Rd 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. � . / � -7 - ��%�� � � �' (� ' ��'" f G L c.—�_ � _ �.t.�. � � A P P L[C A N T P E R M I T E E S I G N A T U R E I S S U E D B Y S I G NA T URE Copies: 1-File(Signatures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing,(If Septic, 1-Septic) Page 1 `�'�^��D� Date Received:� -/C� Total Fee: $ •`�� _��,,��� � Entered By: (;'�1'T- Permit#: CITY OF ORONO - BL'ILDING PERMIT APPLIC:�TION All info�•mation must be subinitted in full before p[an review will be started. (please print all informatiorT) ------------------------- -------------------------------------------- --------------------------------- THE APPLICANT IS: (circle o�ze) WNE OR CONTRACTOR JOB SITE ADDRESS: �-s���a �" �v ZIP: _ �� 1 `'�'i11 this be a Parade of Hoznes, Rem,odelers Showcase Home or other Display Home? ❑ Yes [� No Xf yes, a special event permit is requiretl with Po!ice Depc�Ytment and City Council approva160 days prior to the event. 1�'on permitted events �vill not be allotived. NAME OF OWNER: �n�'�� ��' �� PHONE: (home)Q�'2�`fa/-?`)�� (work} ��z.- �f��- �O r a MAILING ADDRESS: �L���C> E�- 7= �D CITY: _f����_ZIP: �3�! COIV'TRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: � ____ STATE LICENSE: # ARCHITECT/ENGIIV'EER: PHONE: MAILING ADDRESS: CITY: ZTP: NAME: REGISTRATIOPI # TYPE OF WORK: New Accessory Structure Additio�n � Move RemodeUAlteration Land Alteration PROPOSED WORK(describe i�: detail}: !��l� ��� ,��r�c�L� _ STORIES: / SQ. FEET OF EACH FLOOR: �2'�L— NO. OF BEDROOMS: �� GARAGE STALLS: ATT. �"""� DET. �'`""" ESTIMATED CONSTRUCTION VALUATION {excluding land): $ ��� • �� � I hereby apply for a b�ailding permit and I aclmowledge that the information ahove is cucnplete anc�accurate;that the work will be in conformance with the ordinances and codes of the City and with th+. State Building Code; that I understand this is not a pexmit and work is not to start without a permit; and that the wark will be in accordance with the appraved plan. APPLICA�'T'S SIGNATURE: DA�CE: � �� p � 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�tored shall be as set forth in this sectlon. Sabd.2. Information required to be given iodividual. An ind[eidual asked to supply prtvate or confide ztlel data concerning 6imselt shall be informed of: (a}the purpose a�d tntended use of the requested dsta rvithin the eollecting state agency,pol[tical �ubdlvision,or state»�i�e eystem;jb} whether he may retuse or Is fegalfy required to supply tBe requested data;(c)any known wnsequence arising(roin his supptying or retusing to supply private or conf[dential data;and(d)the tdenttty of other persons or entitics authorized hy state or federal law to re�;efve ttse datu. This requirement shall not appfy when ao individual is asked to supply im•estigatfve dsta,pursuant to section 13.82,subdivision S,to a Iaw enforcement officer. The commissioner of revenue mnv nlace the notice reauired under thia subdivlsion in the ln�divid���ncome tux or urooerlv t�x refund fnstructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsibie autfiority,an individual shall be inforined whether he is che subject of stored data on individuais,and whether it is classified as public,private or confidential. tipon his further request,an 1n8ividuai who is the subject af stored private or publtc datn on indivfduals shaA be ahown the duta without any charge to him and,if he desires,shall be informed of the content and meaning ot that data. After an indivEdusl has been sho�vn thc private data and informed of its mean(ag,the dAts.aeed not be disclosed to him!or six months thereafter urtless a dtspute or actton pursuant to this section is pending or add[tional data on the individu;it has been collected or created. The responsible anthorlty ahail provlde copEes of the private or publlc data upon request by the individual subject of the data. The responsible autHority muy requtre the requesting person to pay the actual costs of making,certifying,snd compSling the copies. The responsible authorlty shall comply immediatefy,if possible,with any request made pursuant to this:�ubdivision,or withtn Cve days of the date of the requcst,excluding Saturdays,Sunduys and legal hol[days,if tmmediate compliance is not possible.If he i:annot comply with the request within that Nme,he sha11 so inform the indiv'rdual,and may heve an additional[ive days within which to comply with the rcquest,excluding Saturdays,Sundays snd legal holidays. ' Subd.4. Procedure when data is not accurate or complete. An indiv,iduat may contest the accuracy or cnmpleteness of pablic or private datu concerning himself. To ezerclse this right,an fndividuul shail nohfy in wrlting the responsible autdority descrlbing the natu re ot the disagreement. The responsible aathority sbai!within 30 days either: (a)correct the data found to be Inaccurate vr incomplece and uftempt to noti[y past reciptents of inaccurate or incomplete d�ta,incl.udir�g recfpients named by the individual;or(b)notify the individual that he be.ieves the data to be correct. Dsta En dlspute shall be disclosed only if the indivtdual's statement of disagreement is�lncluded w[th the disclosed dsta. The determinution of the responsible authority muy bc appealed pursuant to the provisions o[the adrrinistrative procedurc act relating to contested cuses. DATA PRIVACY A.DVISORY In accordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to infarm you that your requesE for a permit or ticense from the City of Orono or any of its departments may require you to furnish certain private or confidential informatian. You are notified that: 1. The information you furnish will be used to determine your qualification for tt�e permit or license requested. 2. You may refuse to supply data,bnt refusal may requ'rre that the City deny ttie permit or license. 3. The information may be shared with other local,state or federat agencies to tt e 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(avaiiable upon request) ta review private data on yourself. 6. Your tull name is required to process this app!'rcation or permit. '�1'rL-�'�� --� � ��v First Middlc Last �'��$' �.1}�c r> ""r�—. ��- _ Address l��i'�1'�,s�T�}-- �2� • �'�71 �7�5��"'�7!"Gd! f� City Stste Z[p Phone I understa ' hts as stated above. Signature CHECK OFF i.IST FOR ISSUANCE OF PERi1�fITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z`i 8 C►q Sc-� P�in�t- iZoA/� PID: DESCRIPTION OF WORK: Scrz.EE...� ��cl-4 ZO.vl�ti G REVIEtiV BY: DAT'E APPROVED: -15 •�� SUILDING RE'VIEtiV BY: DATE APPROVED: �-i �- o� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIE`V Yes ,/ No SE�VER CONNECTION STATE SURCHARGE Yes —� No WATERCONNECTTON INVESTIGATION FEE Yes No � PARK FEE SAC Yes No ✓ SITEINSPECTION Number of SAC�Units OTHER (specify) ZONSi1tG CH�CK LIST Zoning Districr. LIZ-1 G Fire Department: Post Office: School District: Lot Area: Sq.ft. 1�ppo Acres . 32 Width l0 a Dep[h ��/� Survey Submitted: Yes�� No Date of Survey: Proposed Setbacks: � Front (Lake): ';5� ± Righ[Side: 7? � Rear (Street): $Z � Left Side: I�•°� Adjacent Structures: I}T7i4Gl�v'� Wetland: N 1✓} Builcling Heigh[: Def. Hgt. 0.�- Peal:Hgt. — Lot Covera�e: 1`�-3 Grading: Staff Approval Date: ,y� �i../.q,v�_ By: — Council Approval Date: — � Szptic: Scaff Approval Da[e: ^! ( R BY: � Zoning File: # c�5-3�3� Resolutioo: # Resolution Date: a-� -��S`9 Shoreland District: y�PS Av�. Setback: /v 1.4 Bluff Setback: /J I A L.ot Covera�e: �`{•3 EListing Proposed Hardcover: 0-75' N/(� �'�' 75-250' N� A /`�/� 2�0-500' � y0•'�- 3Q.� S,�-/3Ss-�. �t. 500-1000' 2a -,�-•z-c=— Hardcover Variance Required: Yes pc No Date of Council Approval: "d'�'�S RE`�L4RKS (in house): BUII�DING REVIEtiV CHECK LIST UBC: R' 3 CONSTRUCTION TYPE: �(I� Sq Footage $ Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x _ Garage x _ z = TOTAL Estimated Construction Value; $ y��pp � Inspections Required: �Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Coanection _i�Footing ' Septic Sewer Connection �c Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wa11 Board (Mfg.) Well (State Permit) —�F�� Grading/Filling _�Electrical (State Permit) O[her REMARKS (IN HOUSE): M -------------------------------------------------------- RE'VIEtiV BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By; --------------------------------------------------------------------------------------- REVIARKS (TO BE NOTED ON PERiI�II�: 8 P � iI � }' � Q �6�J � � � / � � ' " � - � _ � � � ,�� � � �, �_; . ,- e,=. � � l•J {� 'r i�'. �� � _���.s,��,.»,�,.��.�na��.:, _ � � � ! J �-- �. X' ^L! 0 � ������������m�.. �.a.,__ _.�_..:_.... ��.._._� c �= � ; _ _ , B � s n� � -�� _ �� �, o 0 � __ � � - `' 4 �'; � v`� � � -_ _-. ��-� � C�p'C� 1-��'� c`� .� �� 9 � - EAS� � 4�a�� >' � 'a; + �1 ---�.�: E" J �'a-i ; � � � — ��e V � �� W:�� . � STO�E GJALL -- � F : _ �1 � aa.a � (l r�r3"z�' i�a.� �: �' F, �� � 500' .�� � �XI�TI�I� sroNr �:�;� ' �z !� `=� - - �TBACK GRAVEL DRIVEIPJAY ? �� � � � �'{?�- � _ = - �� � LINE � � � Q ��{�A��: �' '� � � � � � � zz.a .�1 ,���9� ��T'_. � � _ �� ��o�m���m �� ST�� �mc,�_��m�_._�,�_. i i1 _� �� � ��L '•.@lFlG<TOP 7U �BE REMOVEU � � � r s P�� Cfo. �....... � �� i �.3 � COP�GREI'E VJAI.I_ WDW. F" (TO izEFA/��N) � wEl� � a C�NCRETE � � / � � ^ �/��S��N� t..�.i ��'- CONCRETE ' � ih'�.. m SID�WALK 6.0 �� SYQNz t iE,i1r� ' ' � � ';1hLJ_ � ! �--) ,r�. .�: � --....;4:s--.... ,aa HOUS� �.A � c�, �� i�r�� - - VJDV'�. °� �.{2�2� � i C'�J � WELL rf fi' o �w � f f,... , .,� (1 � r�'= � � ���� ����o������ ���� �..��._� _.__�..a__-�-�_. �.-_. ...� __m__ ; '�.� c' �w � _., � � � � . \ �� - � w"".,— n � ♦ ;CONC. o pROPOSED` �_� q (/) �r'�._�� �� ;,� PORCH �� � � �� � \ �p � ���� �1 SAPlD EOX 'N ; 11. 3 (TO 6E REA�OVED) �� ' � ; �b.% .� �°' � � �f FIRE ;d RItvG I - --- �1 , � . � _ , , ,�- . _ _ ..... .. . .._ .. _---" --,_ �,� _.�..._ ��,-�--�--�_-� _. _-�"-----�.-,-. ,. � - - � w�s� � � ��.�a i , � � , �a � � C�� � p4� TIME CITY OF ORONO CALLED IN �i INSPECTION N IC 2 SCHEDULED PERMIT NO. O ��v COMPLETED ADDRESS �TaB �� � � OWNER_9.X�!/�'eS CONTR. TELEPHONE NO. 95Z �7/ Od�D � DESCRIPTION � 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA� � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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: � W 0. � � O �. � O � W � Q � Z W � W � j a � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED G INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next i spection 24 hours in advance. (952� 249-46�� OwnerlContractor Inspector. White Copy/lnspector's File Canary CopylSite Notice � I T DATE TIME � �, l � � � i CITY OF ORO CALLED IN �' � WSPECTION C�E� SCHEDULED -1 �.0 )rrn� PERMIT NO. O � COMP D ADDRESS ��-L �� OWNER �"� CONTR.�(��dUV1�L� TELEPHONE NO. � _�- � ��� I ��/ �-J � DESCRIPTION � I c. l� 01 FOOTING 11 MECHANI AL I 18 EXCAV/GRADING/FILLING ��l2�FRAMING 13 MECH CAL FINAL 19 LAKESHORE/WETLANDS i ctQ 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 � 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: � W a � � O >. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED C i PROJECT COMPLETE � ❑CORRECT WORK&PROCEED �:. ISSUE CERTIFICATE OF OCCUPANCY W 0 G Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the n x 'nspection 24 hours in advance. (952� 249-4600 Owner/Contra o s te Inspector. White Copyllnspector's File Canary CopylSite Notice r �D ATE TIME V l/' �CITY OF ORONO CALLED IN �l��� INSPECTION N SCHEDULED PERMIT NO. ?33 COMPLETED ADDRESS a�� � C��D � �""�-- OWNER g���P �L�r� CONTR. TELEPHONE NO. �-�Z- �7� �D l D � DESCRIPTION �� — ���J 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � ti � Q � Z W � W � � d W� �WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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