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Home My WebLink About2003-P06136 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po6136 Crystal E3ay, N�innesota 55323 P@I"CTllt Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: 4ii�i2oo3 SITE ADDRESS: 2745 Casco Point Rd Wayzata,MN 55391 P I D: 20-117-23-23-0006 DESCRIPTION: UBC Occupancy R3 Construcrion Type VN Proposed Use: Residential Pernut Class: Building Census Code 434 Perniit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai Eiec;mcai�sraiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 79�•�5 Valuation: $ 72,000.00 Plan Review Fee: $ 518.63 State Surcharge Fee: $ 36.50 TOTAL FEE: $ 1,352.88 APPLICANT: D.B. Raskob Construction OWNER: Mr. &Mrs. Steven Peterson 2864 Ardmore Ave 2745 Casco Point Rd Medina,MN 55359 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 DING CODE REQUIREMENTS. �' ' S • i'S ��. C� L�Cr� /�� APPLICANT PERMITEE SIGNATU I SUED BY SIGNATURE Copies: 1-File(Si�nitures Required), 1-Anplicant. 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � �. �� l� � � C� Total Fee: $ I � � ��., . Date Received: : ! o ( � " Entered By: �� ,,,� �`'��' �� Permit#: , ��-' , �,r% � ` CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER O ONTRACTOR JOB SITE ADDRESS: oc �`�JT L r.C.SL�a �-�: ,�d� . ZIP: -�� .� / � NAI�IE OF OWNER: t .� ' —��'�'r PHONE: (home) �S-v�• � 7/��%`f/ F �� (work) �S�a ��Q Gti - �'��'�— MAILING ADDRESS: � 7�_S- ��z�'C�.fi ,�� ,,�'�(�CITY: ��-�z.v ZIP: .5-s.3%� CO\�'RACTOR: � a- /�5.�� a,�c_.s' i- HONE:_`��- `� 7 G/-/_�3 %� CO`�TACTPERSON:.� ,� /2� s�cd � OB1LE AGER: �/�— ��!� ' �7' � O �] NL4ILING ADDRESS:�f��/ �i'��t ar-�% �`t' � CITY: � -/!�r:<j�IP:��S�� ST�iT'E LICENSE: # � �f�' � ARCHITECT/ENGINEER: /C�� PHO�TE: MAII..ING ADDRESS: —T CITY: Z�: N��,�; REGISTRATION# TYPE OF tiVORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �f�r ��'�' /.� � -�Cc�-�=� `� Gt`�yz��c�'� � / G�f:.c��r - ��2£� �-��',Yv%�i G-v�-e-� �>'� �� ,Q�'�z c� fz: �e �.�� -�'-e�=�` i'^��i l i?�c.c-� ��-y— � STORIES: � SQ. FEET OF EACH FLOOR: ��`'c'� NO. OF BED OOMS: � � GARAGE STALLS: ATT. DET. EST�IATED CONSTRUCTION VALUATION (exclud.ing land): $ ?� G�1 c� . �^ I hereby apply for a buildinJ 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 Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work win be in acc zdance with the approved plan. APPLICANT'S SIGNATURE• ��Z�ATE: �� G� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � 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 secaon. - Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency,polidcal subdivision,or statewide rystem;(b)whether he may refuse or is legally required to supply the requested dara;(c)any fmown consequence arising from his supplying or refusing co supply private or confidendal dara;and(d)the idenary of other persons or enddes authorized by sate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav lace the noace re uired under this subdivision in the individual income raz or ro e tax refvnd instrvcrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individua!shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidenda(. Upon his further request,an individual who is the subject of stored private or public dara on individuals shall be shown the data without any charge to hun and, if he desires, shall be informed of the content and meanin,of that data. Aher an individua!has been shown the private data and informed of its meaning,the data need not bz disclosed to him for six months thereafter uriless a dispute or action pursuant to this secuon is pending or addiaonal data on the individual has been collected or created. The responsible authoriry shail provide copies of the private or public data upon request by the individual subject of the data. The responsible au�horiry may require the requesring person to pay the actual cosu of making,cerrifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays, if immediate compliaoce is not possible. If he cannot comply with [he request within that time, he shall so inform the individuai, and may have an addidonal five days 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 contest the accuracy or completeness of public or private daca concerning himself. To ezercise this right,an individual shall notify in writing the responsible authority describing the nacure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify past recipiena of inaccurate or incomplete dara,including recipienu named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be discfosed only if the individual's statement of disagreement is included with the disclosed data. The determinaaon of the responsible authority may be appealed pursuant to the provisions of the administrauve procedure act relaang 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 certai.n 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 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 pemut or license. 4. If your requested pernut 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. �`��- L� �'�s ,�-�,� First Middle � Lasc � . Address Ciry State Zip Phone I undersfar�d y rights as sfated aboVe ; � � �iA Si nature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRE6SORLEGAL: �7y5" �iFSw �� +n PI1:): DESCRIPTION OF WORK: (I,�;�wnL L ----------- ---------------- - ZO�TING REVIEW BY: DATE APPROVED: ti - 3 -0 5 BUILDING REV�W BY: DAT'E APPROVED: y • 3 -a 3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �� No pLAN REVIEW Yes ,/' No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECT'ION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ----------------------------------------------------------------- M,�4N ZOti�Il�1G CHECK LIST Zoning Disuict: M a G � Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres idrh Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland Building Height: Def. Hgt. Peal:Hg . Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: BY� Zoning File: # Resolution: # solution Date: Shoreland District: Av�. Setback: Bluff Setback: I.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REviARKS (in house): 7 1 i BUILDING REVIEW CHECK LIST �� C� �� 3 CONSTRUCTION TYPE: �'� Sq Footage $Per Sq Ftg Basement R = lst Floor x = 2nd Floor x = Garage x = R - TOTAL Estimated Construction Value: $ 7'Z,p�o �`' Inspections Required: �Vork Requiring Separate Permits: Site �_Plumbing Fire Hazdcover Removal _�Mechanical Water Connection �Footin� Septic Sewer Connection Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Permit) Final Grading/Filling � Electrical (State Perm.it) Other RENIARKS(IN HOUSE): ------�- ------------------------------------------------------------------------------------------------------------- REVIE`V BY OTHERS: DATE: Access: Existing New Access Approval: Date BY: ---------------------------------------------------------------------------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT�; 8 � � �' DATE TIME CITY OF ORONO CALLED IN g CG INSPECTION NOTICE SCHEDULED l D �L�C� PERMIT NO. �C� Ca I 3� COMPLETED ADDRESS ��`� C� S � `� �� OWNER CONTR. � � /Z�S��-�I� TELEPHONE NO. C�-C � �D �� J �Cf� �� DESCRIPTION f �� -��-n �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 � OWNEHICONTRACTOH TO MEET YOU:�YES_NO � COMMENTS: � a � � � n �,�c+ 0. Q rJ� �h�4 �- � � 0 � � ��P�IA�I, c S ' � � Qo �2�.� '� W � I�o (a 3�8' ,/ Q z Po�z46 ✓ � Po 6 ZZ�'3 W � � a W� WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContract on ite: Inspector. White Copyllnspector's fle Canary CopylSNe Notice � G 3� DATE TIME `� CITY OF ORONO CALLED IN S"��"�3 INSPECTION NOT E SCHEDULED S�� t � � PERMIT NO. / � COMPLETED ADDRESS ��7�7 �G�S C c� r7- I�� OWNER CONTR. s% �,�0�_ TELEPHONE NO. �D�O� ��dC� � � DESCRIPTION_ G��'`��,�' �i�...�/fi.e�_ l��t. lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING tl,..----'-_ .__--- Q�2 FRAMING, 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 I � TION 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 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next i spection 24 hours in advance. (952) 249-4600 OwnerlContracta� n i Inspector. � White Copy/lnspector's Ffle Canary Copy/Site Notice