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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. _�� -��--� t ����-'jCc'i'1 �°�/� 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 � � �� � ' �� �� ,-�(� � � I� �'��b� 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) ------------------------------------------------------------------------------------------------------------------------ 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: � � �`� - � �J 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. � �' I `i . ! I I J" �--- � � ✓ Si�n;�ture ' \. 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 ' ------------------------------------------------------------------------------------------------------------------------ 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�) ------------------------------------------------------------------------------------------------------------------------ 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 / � , � � � V ' � 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): ---------------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Exrsting ;Vei�, .dccess Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): ,/�US f h�.., �d � ��� %UAC�c,<.-i,.�-� ' f /,�-- ��1vQ.l�,� ol 2�r 1n c%�cirn c, /�c,!� ^ _ `� vy, � . , ��i�'�'I � f�, Lc ���� �n/�¢., �� �� � b,e.. C(�S rc�h ec� So l r�G� � �j �/h r S h�� �� s, hr� �fi-ra��s���u� � c��•�s o,�) �:� : . ��' . U �'�` �'`� �._`�- o '�� 2``' � �, a•`' l,�O� � ,`�� �t• ��, '� / �./' o � ?:'�' � �o . S' � �:�_ �-- - o � .. , - _ � . 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