HomeMy WebLinkAbout2000-P02523 - repair block work on boat house .
- PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2s23
Crystal Bay, Minnesota 55323 Pe�mit Type: Accessory Structures
(612) 249-4600 Date Issued: 6�22�00
SITE ADDRESS: 2677 Casco Point Rd
WAYZATA,MN 55391
P I D: 20-117-23-23-0020
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Buildin Census Code 437
Permit Class: g
Permit Type: Accessory Structures Permit Sub-type(s): Accessory Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
RFPATR R1_!l(`� \a/lIRK (lT�i R(lAT 1-[QTTCF
FEE SUMMARY: Permit Fee: $ 66.20 Valuation: $ 1,900.00
State Surcharge Fee: $ 0.95
TOTAL FEE: $ 67.15
APPLICANT: �ou� DzuRiK coNST OWNER: RON D DAVIS& ELAINE E DAVIS
16945 21 ST Ave N 2677 CASCO POINT RD
PLYMOUTH, MN 55447 WAYZATA MN 55391
TI�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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AP I ANT PERMITE SI ATURE SUED BY SIGNATURE ��{�'
Copies: City,Applicant,Assessor, Finance Page 1
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Total Fee: $ � �/.��� Date Received: � �- ° '
Entered By: _,�� Permit#: ,-/ �"' �� 3
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O �,��'QNTRA�Tl,��-�
JOB SITE ADDRESS: c�(p �� � �GO �" ,�� ZIP: ��
NAME OF OWNER: g�(��v1 � �(,{�ij���G� ;S PHONE: (home) `�7/- �--��5��
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. (work)
MAILING ADDRESS: � ,CITY: n � ZIP:
CONTRACTOR: - / ;Zu�� ' L, PHONE: ��-�y`j�
CONTACT PERSON: zo.c� � t�; MOBILE/PAGER: oZ� � �- a �{..3 L
MAILING ADDRESS: �/�S' • S� ✓�.. CITY: /� ZIP: � �
STATE LICENSE: #�(�`�"7�
ARCHI'TECTlENGINEER: /�d�z� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAIVIE; REGISTRATION�t
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ' i� ��n �3 (; ' �
�ac7��ect..5�° ;�ns / rt��� .5� or Cew�,� ' �..l
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /, �D� �
I hereby apply for a building permit and I acknowledge 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:
— �
NOTE! Parade of Homes events requi e separate permit approval by Police Deparlment and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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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 secrion.
Subd.2. Information required to be given indiridual. An individual asked to supply pm ate or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting srat�agency,polirical subdivision,or statewide
system;(b)whether he may refuse or is legaUy required to supply the requested data;(c)any know�consequence arising from his supplying or
refusing to supply private or co�dential dara;and(d)the identiry of other persons or enades authorized by state or federal law ro receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, ro a law
enforcement officer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or urocertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request ro a responsible authoriry, an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is dassified as public,private or confidential. Cpon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge ro him and, if he desires, shall be informed
of the content and meaning of Ihat data. After an individual has been shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafrer unless a dispute or action pursuant to this sec6on 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 aathoriry may require the requesring person to pay the actual cosu of making,cermiying,and compiling the copies.
The responsible authority shall comply immedia[ely,if possible,with any request made punuant to this subdivision,or within five days
of the date of the tequest,excluding Saturdays,Sundays and legal holidays, if immediate complia�.e is not possible. If he cannot comply with
the request within that time, he shall so inform the individual, and may have an additional five da�s within which to comply with the request,
excluding Saturdays, Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may co��.st the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the respo�vsible authoriry describing the nature of the
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 recipienu named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The deterntinarion of the responsible authority may be appealed pursuant to the provisioas of the adminiscrative procedure act relating
to contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", w�e 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 fumish 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 refusal may require that the Ciry 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
public.
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 Middle Last
Address
C��y 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
ADDRESS OR LEGAL: Z (o� -1 C aq-5 c,o ,Po,�v r CZSO,a„�
PID:
DESCRIPTION OF WORK: �2�.�i4 i 2� �(�x�� c,..�t/� o„� ,BoP T �jCa�yv
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ZONING REVIEW BY: //a DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED: � -�3 -oJ
FEES TO BE CHARGED: Misc. Fees Calculated 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 SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZUNING CHECK LIST Zoning District: iv� C/-��
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres idth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetl
Building Height: Def. Hgt. Peak t.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): .
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BUILDING REVIEW CHECK LIST
UBC: JZ • 3 CONSTRUCTION TYPE: �/N
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
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Estimated Construction Value: $ �.Gi U c��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
�Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT�:
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DATE TIME
CITY OF ORONO CALLED IN �—�7 00 `e o
INSPECTION N TICE SCHEDULED �7 3//- oa " ���
PERMIT NO. a � � COMPLETED � /� �'d
ADDRESS �
OWNER��� CONTR. � �-
TELEPHONE NO. -
� DESCRIPTION
t� 01 FOOTING 11 MECHA L RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECH ICAL FINA� 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WA _� 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q FINAL 14 SEWER HOOK-UP 06 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMEN S:
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ORK SATISFACTORY:PROCEED OJ ECT COM PLETE
❑CORRECT WORK&PROCEED f ISSUE CERTIFICATE OF OCCUPANCY
O CJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
f 1 CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
�l STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C] INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContrac on site:
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Inspector. " �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �'sZ 7�� • ��
INSPECTION N TICE SCHEDULED � 3/- o� " -�'�
PERMIT NO. a �5 � COMPLETED � �� �'�
ADDRESS �
OWNER �� CONTR. � L
TELEPHONE N0. -
� DESCRIPTION
lL 01 FOOTING 11 MECHA L RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECH ICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WA Ll^� 12 WATER HOOK-UP 17 SITE INSPECTION
Q FINAL 14 SEWER HOOK-UP O6 PROGRESS
� DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMEN S:
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ORK SATISFACTORY:PROCEED OJ ECT COM PLETE
❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-4600
OwnerlContrac on site:
Inspector. "
White Copyllnspector's File Canary CopylSite Notice