HomeMy WebLinkAbout2007-P10939 - accessory buidling PERMIT
CITw� OF ORONO
�750 Kelley Parkway- PO Box 66 Permit Number: p10939
Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures
(952) 249-4600 Date Issued:
6/27/2007
SITE ADDRESS: 2599 Casco Pt Rd Unit#
Wayzata,MN 55391
PID: 20-117-23-21-0032
DESCRIPTION:
Proposed Use: Residential
Census Code O/S-Building
Permit Class: Building
Permit T e: Accessory Structures Permit Sub-type(s): Entrance Monuments
YP
DETAILS:
Approved per resolution#:
Separate permits required: Electrical(state)
NOTICES/REMARKS:
10'From Road-No More Than 8'High-Translucent Glass
FEE SUMMARY: Permit Fee: $ 6925 valuation: $ 2,000.00
Plan Review Fee: $ 45.01
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 115.26
APPLICANT: Stonewood Design Build OWNER: James&Amy Dailey
7407 Wayzata Blvd 2585 Dunwoody Ave
Minneapolis,MN 55426 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGRE TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOT UI ING CODE REQUIREMENTS.
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APP CA PERMITEE IGNATURE ISSUED E3Y SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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Total Fee: $ l Date Received:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please pri�zt all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �-5� �l �-+�5�c F'1�� �'' c� �vrm'��(t� I���o�' �� �3 `�`� �
`�LIP: � -
�i5 25�j �Un�wvc�'Dy f�(�P_
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
❑ Yes � NO If yes, a special event perrnit is r•eqarired tivith Police Department af�d City Council appraval
60 da>>s p��•ior•to the event. Shi�ttle birs sei•vrce�vill be required a�nless applicant demonstr•ates
sa{ffrcie»t on-site parking is avnilable. Non-perniitted events rvill not be allowed.
NAME OF OWNER: �)�� � P 1 L�� PHONE: (home)
,� (work)
MAILING ADDRESS: �'s�`ti C'°s�`' ��� CITY: �7� �' J ZIP:
CONTRACTOR: S '�'��' t'`'�'� � � � L PHONE: I �� y� 1 OS��
CONTACT PERSON: S`�.�'���-� �"�'"��' ✓ MOBILE/PAGER: �i2 � h�1 a�1 S- /
MAILING ADDRESS: 7 D"� t-uA,��,r�i� �5��� CITY: � ��n,r s P�t{�ZIP: ,�S y �Z b
STATE LICENSE: # 6 � l%�Li� T EXPIRATION DATE: ` o�
�' � °� `� 3!S
ARCHITECT/ENGINEER: ,v��N �- PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION: #
�,-�T�y rn�n�v mto�,�s c��,���,�p�l,c ;p —,rG� 6,u e� � `�'�"►S N�•t`� -
TYPE OF WORK: New Home Addition Accessory Structure p�« 1 NsT�� �ep
Move Home Remodel/Alteration (ie: Siding, Windows) LAST ��e.p` �
Any earth movement may require MCWD review and'permits!
PROPOSED WORK(describe i�t detain: �- 5��N e- �N fi Y) �hw,�����5' i3�� Ni`J �'°��'
�,,�/ ,
D Y7J �� �� ��,17 �c��i��r��:> •- �y�" h l�n^-�PJQ-
� '�I`�V s i LLnvr ✓ 1
STORIES: � � Q.FEET OF EACH�: �� � � �T' '''� � '�'� ������d.
NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_
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���ork will be in conformance with the or inances and codes of the City and with the State Building
Code; that I understand this is not a permit and w r- is n t to start�vithout a peril�it;and that the��-ork��•ill be
in accordance ��ith the approved plan.
APPLICANT'S SIGNATURE: DATE:
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31
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on�a-hom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual.An individual asked to supply private orcontidential data concerning himselfshall be
informed of: (a)the purpose and intended use of the requested data witliin d�e coliecting state aeency,political subdivision,or state�vide system;(b)
whether he may refuse or is legally required to supply the requested data,(c)any known consequence arising from his supplying or refusin�to supply
private or confidential data;and(d)the identity ofother persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply�vhen an individual is asked to supply investieative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of revenue mayplace the notice required under this subdivision in the individual income tar or propert�ta�refund
instructions instead of on those fonns.
Subd.3. Aceess to data by individual. Upon request to a responsible authority,an individual shall be informed whedter he is the subject of
stored data on individuals,and whether it is classified as public,private or contidential, Upon his fuRher request,an individual who is the subject of
stored private or public data on individuals shal I be sho�vn the data without 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 disdosed to 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 by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making,certifr'ing,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days oP •
the date ofthe request,excluding Sa[urdays,Sundays and legal holidays,if immediate compliance is not possible. Ifhe cannot comply with the request
within that time,he shall so inform the individual,and may have an additional tive days within which ro comply with the request,e�cluding Saturdays,
Sundays 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
concerning himselE To exercise this ri�ht,an individual shall notity in writing the responsible authority describing the nature of die disagreement The
responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Dafa in
dispute shall be disclosed only ifthe individual's statement of disagreement is included with the disclosed data.
Tlle determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relatin�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,b�rt 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 action to approve,some information may become
puoiic.
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 �4iddlc Last
j�t'���.� � ��,s� �;;'��,J
Address
City St:�te Zip Phone
I undcrstand my riglits as stateil above. � �'
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Si�n;�ture '
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Reset Form �
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONL Y
ADDRESS OR LEGAL: �,S `��7 C 6'� �a �'f ����
PID:
DESCRIPTION OF WORK f�'f' i� � ,'l��C�vr��-c '
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ZONING RE vIEW BY: �= �" DATEAPPRO[jED: s- � - C��
BUILDING REVIEW BY.• DATEAPPROVED: S- y- o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEYV Yes� No SEWER CONNECTION
STATE SURCHARGE Yes ,/ No WATER CONNECTION
INVESTIGATION FEE Yes No�/ PARK FEE
SAC Yes No �/ SITE INSPECTION
Nirn�ber of SAC Units � OTHER (spec�)
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ZONING CHECK LIST Zoning District: ' I �
Fire Depar•tment: Posl Offtce: School District:
LotArea: Sq.ft. .4c��es Gi�idth Depth
Survey St�bmitted: 1'es No Date of Sttrvey:
Proposed Setbacks:
Front(Lake): Right Side:
Rear fStree�): �� Left Side:
Adjacent Strircttires: /��j� l�'etland:
Bzulding F/eight: Def. Hgt. J��+ �I�h l� Peak Hgt.
Lot Coverage:
Grading: StaffApproval Date: /3y: Council Appr•oval Date:
Septic: Staff Approval Date: By:
Zvning File: # Resolutiorz: # Pesolutia�Date:
Shoreland District: MCWD Permit:
,=1tig. Selback: 13liffSetback: LotCoverage:
Existing Proposed
flardconer: 0-7�'
7.5-Z.i 0'
?sn-sno�
sno-�oon�
Hardcover [%arrance Reqc�ireri: l'es ��'o Date of Coa�ncil:lpproval:
REMARKS(ijr liotise):
33
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B UILDING RE f�IEW CHECK LIST
UBC: — CONSTRUCTION TYPE: �'
Sg Footage $Per S9 Ftg
Basenrent x =
Ist Floor x =
2rrd Floor x =
Garage x =
x =
TOTa L
o�
Estimated Cortstructiorr Value: $ 'L,000
Inspectio�rs Require�l: Work Requiri�rg Separate Pernzits:
Site Plunibing Fi�•e
Hardcover Ren:ova! �tlechanica! Water Cor�nection
( Footing Seplic Setiver Connection
Framing Fir•eplace Lawr�Irrigation
Inszrlatron (Nfcrsonry) Other
GVall Board (Mfg.) 6i�ell(State Perrrrrt)
� Final Gr•ading/Filling X Electrrcal(State Pe�•mit)
Other
REMARKS(INHOUSE):
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REVIEW BY OTHERS: DATE:
Access: Exrsting ;Vei�,
.dccess Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT): ,/�US f h�.., �d � ��� %UAC�c,<.-i,.�-�
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