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HomeMy WebLinkAbout2006-P10382 (add./remod./repair) � PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P1o382 Crystal Bay, Minnesota 55323 Permlt Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: l0/25/2006 SITE ADDRESS: 2474 Casco Pt Rd Unit# Wazyata,MN 55391 PID: 20-117-23-12-0020 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/RemodeURepair Permit Sub-type(s): Deck-Attached YP DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,500.00 Plan Review Fee: $ 90.51 State Surcharge Fee: $ 3.25 TOTAL FEE: $ 233.01 APPLICANT: Washek Exteriors Inc. OWNER: Lyle Buerkle 12116 Joanne Lane 2474 Casco Point Rd Minnetonka,MN 55343 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. �' ,� �� - , i � � ���L� � , / l�z_� .�: � ,, � �2��,.� �� APPLICAN RMITEE SIGN URE ISSUED BY SIGNATURG Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � C�p� �o , Total Fee: $ a 3�. Or Date Received: �"�� �� Entered By: �"���%� Permit#: ;� /�i���'� CITY OF ORONO - BUILDYNG PERMIT APPLICATION All information must be submitted in full before plan revie�v will be started. (plecrse pf�i�it all infor�nation) ------------------------------------------------------------------------------------------------------------------------ TH� APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SIT�ADDRESS: ���L� O�-�('C�' � i�.� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �NO If yes, a specin!event pervnit is reguired tivitl�Polrce Depnrlment and City Coarncil approvnl 60 days pria•to the event. Shuttle bus service tivill be required iu�/ess ap�lica�7t cferi�onsG•ntes st�cient o��-srte pnrlcing is available. �\�'on-per•mitted enenls ivill not be allo�ved. NAME OF OWNER: _��/�(c,�-�C' ���'1C PHONE: (home) (�vorl<) MAILING ADDRESS: CITY: �5 ZIP: CONTRACTOR: `,�)� �; �,� ,�.. C�7�`� �v '`� PHONE: � t:��31C% ��i-�`-l�l� CONTACT PERSON: �ra�.vi'� MOBILE/PAGER: MAILING ADDRESS: ia-il(��oan h� Lc�.n� CITY: �:h,��-�.���P: :�S.��j STATE LICENSE: #�` �U�;[�,���_ �YPIRATION DATE: �?�� / n Z_ ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CiTY: ZIl': NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteeation (ie: Sidiilg, Wi�ldo�vs) Any earth movemeny may require CWD review and per�nits ! PROPOSED �VORK(�lescribe in detain: C � � �` ��v STORIES: � SQ.FE�'�'OF EACH FLOOR: �'�. OF BEDROONiS: GARAGE S'I'ALLS: A�['TACH�I3 DETAC�E�_ ESTIiV1ATED CONSTRUCTION VALUATIO;�'(excluding land): � (v.SC�c�n � I hereby apply for a building permit and I ackno�vledge that the information above is complete and accurate; that the�vork will be in confonnance with the ordinances and codes of the Ciri� and with the State BuildinQ Code; that I undei-stand this is not a pei�mit and�vork is not to stai•t�vithout a permit;and that tlle�vork�vill be in accordance with the approved plan. APPLICANT'S SIGNATURE: �v�..�� �1,' c�-�� DAT�:: �;��; �a�� �� Scc.13.0�1 RIGE[TS OF SUBJECTS OF D`1T:� Subd. 1. Type of data. The rights of individual on whom the data is srored or to be stored shall be as set foRh in this seccion. Subd.2. Information required to be given individual. An individual asked to supply private or contidential dataconceming himseffshall be informed of. (a)the purpose and intended use of the requested data�vithin the collecting state agency,political subdivision,or statewide sysrem,(b) whether he may reFuse or is leoally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply privace or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuan[to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav nlace the notice required under this subdivision in the individual income tax or�ro e�rry ta�retund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be intbrmed whether he is the subject of srored data on individuals,and whether it is classitied as public,private or contidential. Upon his further requesc,an individual who is d�e subjcct of stored private or public data on individuals shall be sho��n the data���ithout any charge to him and,if he desires,shall be informed of the content and meaning of that data After an individual has been shown the private data and informed of its meaning,the data need not be disclosed ro him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request 6y the individual subject of the data. The responsible aufhoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request mlde pursuant to this subdivision,or within tive days of the date of[he request,escluding Sacurdays,Sundays and legal holidays,if immediate compl iance is not possible. [f hecannot comply with the request within that time,he shall so infonn the individual,and may have an additional tive days within which to comply with the request,escluding Saturdays, Sundays and legal holidays. 3ubd.4. Procedure when data is not accurate or complefe. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this ri�ht,an individual shall notity in�vriting the responsible authority describing the nature ofthe disagreement. The responsible authoriry shall within 30 days eithec (a)correct the data found to be inaccurate or incompiete and attempt to notif��past recipients of inaccurate or incomplete data,induding recipients named by the individual,or(b)notify the individual that he bel ieves the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is induded�vith[he disclosed data. The determination of the responsible authority may be appealed pursuant ro the provisions of the ldministrative procedure act relating to contested cases. DATA PR[VACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforn�you that your request for a permit or license from the City of Ocono 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 refusai may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal age�tcies to tlie extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some inforn�ation may become public. 5, You have certain rights under`�I.S. 13.04 (availab(z upon request)to review private data on yourself. 6. 1`o�u�full name is required to process this application or permit. First i�'Iiddlc Last pddress Cih State "/_ip Phone I understand m�� rights 1s statect above. Signalurc Reset Form �� CHECK OFF LIST FOR ISS UANCE OF PERMITS FOR OFFICE ZISE ON Y ADDRESS OR LEGAL: 2.`I'7`} C/�j CC F�rr�7�- G/�E� PID: DESCRIPTION OF WORK: � ��.(�1� / r�c�/ C �C 1 - � ' .t"1 '"" ����������������������������������������������� '�����������J����������������������������������� �� ���� � ��� ��� �� ZONING REVIEW BY.• DATEAPPRO[jED: U 7 G� BUILDING REVIEW BY.• DATEAPPROVED: l b -cy -p� FEES TO BE CHARGED: / Misc. Fees Calculatecl 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 r/ SITEINSPECTION Number of SAC Units OTHER (spec�) --------------- -------------------------------------------��--------------------------------------------------------- ZONING CHECK LIST Zoning District: � — �. Fire Depat•tment: Post Offrce: School District: Lot Area: Sq.ft. .Aa�es Yi�idth Depth Szuvey Submitted: Yes No l� Date ofSurvey: ��7 tJ>r'�� G�v�-� h'CN.-t �7 �-Qi Proposed Setbacks: �� �`'c,�';l� Front(�): /5� ��''��'L Right Side: � n o c /o s o�✓ �h rfin h c.0 s Q� Rear(Str•eet): �']/'.� Left Side: Adjacent Structures: _�� Y6'etland: n/} 6uildrng Height Def Hgt. _�� Peak flgt. � �/a Lot Coverage: n�' Grading: Staf f'Appr.ova!Date: yyl�,,r o il By: Coza�cil Approva!Date: Septic: Stuff Appr•oval Date: gP�w t.� By: — 7_onirtg File: # — Resola�tiorr: # — Pesoltrtia�Date: '' Shorelaf�d Distr•ict• �,e5 �i�lCF�D Perrnit: .1tig. Setback: n/f/� 13lc ff Setbnc%: n/�� Lot Col�erage: ^///-1 _ Esistrng P�•oposed Hnrdcover: 0-7.i' __� ;�->>�' � ?so-sno� soo-l000� ��i'� 2�. 7� `�� Hcrrcfcover �czriance Requii�ed: Yes ���o��� Date of Coa«�cil;lpproual: REMARKS(in house): 33 BUILDING REVIEW CHECK LIST UBC: !�-3 CONSTRUCTION TYPE: �� Sq Footnge $Per S9 Ftg I3asement x = 1 st Floa• x = ?nd Floor• x = Garage x = x = TOT,�L Estirnated Co�zstr�iction Value: $ (fl. �dp oy Inspections Reqerired: 6i�ork Re�criring Separate Permits: Site Plz�nibing Frre Hardcover Rernoval ��fechanica( I!'ate��Connectio�� � Footing Seplic Sewer Connection oc Framing Fireplace Lrnvn Irrigation Instrlation (Masonry) Other �Va!!Board (�Lffg.) Well(State Pee•rnit) pC Final Grading/Filling Llectr�ical(State Pei�mit) Othei� REMARKS(INHOUSE): ---------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: ticcess: Existing �'�'eti�� Access.4pproval: Date By.• ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ONPERMIT): 3=� . . , . _ �NIS:IT�i�__N�S _BEEt� . _.._ �--.__�---_.__ �-� --.��--.--_--_--�- -_= _--_____---.- ___. .__ �_� ,������ ,�. �y���� ���. MICRBf�L1V�ED j 1�9"�SF��'Y AVE�lL��, ST. F'A't1,:_ SSi��' ' � ' ;I {� �C�11�; 9 iPdChi�-•--..::.__ _-___--_FE�1' Zr!.[?;-�.s,�c,�„� -,y �� ���`�3.�.�l,� '`�k � D�3��..�����1�� ;: �� f �+ � � >. � f "` � _ _ ...____. -------•--_..__ _ �..9i f'1�3�s1-��a!�d .'i.i°� ; , " �� - X� ; , I ._.�... ._. __.... .- _..,. _ _ ._. .._.. . _..-r__ .... ...___ .. ___ ��,� LMJI,J�I�I�i'i.._ . ....��_ . -. .�.. 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