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HomeMy WebLinkAbout2006-P09893 - addn/remodel/repair r PERMIT CITY OF ORONO -?.750 Kelley Parkway- PO Box 66 Permit Number: p09893 Crystal Bay, Minnesota 55323 Permlt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 6/21/2006 SITE ADDRESS: 2765 Casco Pt Rd Unit# Wayzata,MN 55391 P��� 20-117-23-23-0019 DESCRIPTION: UBC Occupancy R3 Consh-uction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair YP DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: Windows, Siding,Kitchen,Addition,Remodeling FEE SUMMARY: Pernut Fee: $ 1,665.75 Valuation: $ 220,000.00 Plan Review Fee: $ 1,082.74 State Surcharge Fee: $ 110.00 TOTAL FEE: $ 2,858.49 APPLICANT: Lemmerman Const. Inc. OWNER: Mr. &Mrs.Pumam 9037 Cty.Rd 17 SE 2765 Casco Point Rd Delano,MN 55328 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , , �`- \ / ' - � LI �✓' i / � i�•._.__' �--� %'_�v/� /;///(���/--�.�;�� �ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 � ~ �-�a-0%� � Total Fee: $ a�J`�. DateReceived: �-�T�� Entered By: Permit#: Ab9$j� 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 CONTRACTOR JOB SITE ADDRESS: 2'�'��� (�^q.�Lp {�'( �, ;,�A;�(Z/��� ZIP: ���� ( Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant denzonstrates sufficient on-site pa��king is available. Non pernzitted events will not be allowed. NAME OF OWNER:�i�!.� �A-N `�JT�� PHONE: (home)�52-�t"11 -�1b�2 (work) � MAILING ADDRESS: �71��� C�Si.c� W i" ►2p CITY: �vA`�2��� ZIP: 55�� �� CONTRACTOR: �-t�'r'M�t2.�tna.; ��.,5� '��ca. PHONE: `TI�:-3 ��Z7Z-3i�; CONTACT PERSON: '�� MOBILE/PAGER: '7�0� -°Z2ct -���,o MAILING ADDRESS: �o3-t cC;, ,�,, ;� 5�., CITY: �:.A:�o ZIP: �.,5. ry ". STATE LICENSE: # �g�y EXPIRATION DATE: M�n c�7 1�+.�►�'����.9 : ,T�-�t! rTaN�St�r:, PHONE: �rZ-��� —`;��`3G' (ceil� MAILING ADDRESS: `E3;;F�',a%o , M ti CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration(ie: Siding, Windows) �/'�� Any earth movement may require MCWD review and permits! PROPOSED WOR��K(describe in detai�: �E:�. 4T7"E�c���� {�E:E � STORIES: r� SQ.FEET OF EACH FLOOR: (,,�D�.? NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED �. � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z� CT�" I l�ereby 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 pennit and work is not to start without a permit;and that the wark will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: Z�-M�`f � �� �.. 31 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. ]. Type of data. The rights of individual on whom 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 orconfidential dataconcerning himselfshall be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private 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 individua]is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue may place the notice reauired under this subdivision in the individual income tax or property tax refund instructions instead ofon those forms. Subd.3. Access to data by individuaL Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon 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 to him and,if he desires,shall be informed of the content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pe��ding or additional data on the individual has been collected or created. The responsibie authority shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authoriry 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 made pursuant to this subdivision,or within five days of the date ofthe request,excluding Saturdays,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 five days within which to comply with the request,eacluding 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authority 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 notif}�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. Data in dispute shall be disclosed only if the individuaPs statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating 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 pern�it 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,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 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 Middlc Last �T��er�►+� � �t�t���Z,M+�iJ Address K>J7 W. 1\� . 1 / c�L City��(��j State��ur Zip 5�j3�i Phone���--'�']Z'��d� I understand my rights as stated a _ ve. l � Signatu , � Reset Forn� 32 �i - � ' ����� ���', �c:� � �����: R� �-- __�.�.�� �M►.��2M�J ��-�. �� , 1'}F�t,J w►��p� �.cr�Px .�p�ca�T�p 2) N�w �;�icvi� � ��c.-c. ���i� �o�-�S �� 'I�ITCtE�,�v T��,���TtG�v � , : �. �} C„ x I� �:3� A[���i ic�, �-„� �xt�t�:,C; sc�a;, �t ��-,:.�� ia�. �) I S�k� � ���' �-ro�.�c ���a�-c�o� ri�c� �G�-S iT 11St �E.i.i ;Ai--� (�� '�,rl►MN�,�I CN�S� �x`tii�.Y.��a:� ("c3r� �c;ZY��. s�''.n.�T. `�,� Mi►:���tZ :Z�C�.ta.�o�. �tZ.��:;.�,—c�c�� �� :� �,� �-t ���5 F�;�.. C'��,�-T�c�:, �� �� Fcx.�i�C;S PvC'TE: i .��u. i:.�LC� T� B� i,��-�+-ii� �xS�T�r:�C, F�t�C��c���.-�'f ��� w�� -i�►.� P�L� (v�-�:55��.`t t�T la��. � �k� E��C-.E 5��- i3�.��c..S ���. 3«� �:t i,� (vCt L-�C��> �►�l E:F"+ST\►��C: {�. •���il;�T S . i � _ _ � � CHECK OFF LIST FOR ISSUANCE OF PER1ti17TS FOR OFFICE USE ONLY ,,,� ^ ADDRESSORLEGAL: Z�roS �'��"� �� +�"`�� ' PID: DESCRIPTIONOF yvORK: �D!`7''l4�`�1.-S '�' �'t�"��`��`�-'��' ----------------------------------------- ---------------------- - - --------------------------------------- ZO�VING RE VIE G�B Y: �°°� r D.A TE APPRO VED: � - � �l`8� B UIL DItYG RE Y.IB W B Y: DA TE APPR O 6'ED: 6 -/�, -a ` ---- -------- ----------------------- ---------------------------------------------y--�----------- ------------ FEES TO BE CHARGED: [1�Iisc. Fees Calct�lated B �: ,. }`.,;�•�"'�."'� y PERNIIT Yes ✓ 1Vo PLAN REVIELV Yes�— �Vo SEWER CONNECTION � STATE SURCH.4RGE Yes�_ !Vo tiVATER CON.�IECTIOtV '--- I�VVESTIG.4TIO�V FEE Yes [Vo � PARK FEE �--�� SA C Y'es Na� SITE tNSPECTIO�V Nacnzber of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZO�YING CHECK LIST Zor�ing Disd•ict: 1•—l2 ' C Fu•e Depar•hner:t: N �/A�� Post Off ce: Ti SclGool District: !_... � � �J�� � Lot.=lrea: Sq.f't. J"� �0 Rcres i .3� Gt�i�lth �DQ /JD►^�l� Depth Scvvey Sc�bruitted: Yes � No Date of Scuvey: 7�� P��oposed Setbac%s: /�� �� CN� lo ,� ' Frorrt(Lake): ��J C��.J6�' Rig/zt Side: ,�G� C-����.)� r ' N,� ,� ��� Rear(Sh•eet): 5'� �` Left Side: 5 �� N n C t�w tr�' � ^ Ar(jnce�zt St��ucaires: �� '� GGetic�nd: �.,1�[ / �. Buildirrg Heigl:t: Def. Xgt. �I�J C' G't-�F+�-)�=` Pec�k Kgt. 2� — N� �'-,'��� Lot Coverage: / ��S � t✓'�C7S'T►i��a (Nv C�CYr.-``� Gracfing: Staff,4pp��ova1 Date: � /`t By: — Coccncil App�-oval Date: `—" Septic: Staff,4pproval Date: BY� � Zo�tirzg File: # ~` Resolcction: � ^— Resol��tio�a Date: Shoreland Disd•ict: �� .-�� � ��'�" /� �' � /t1 �,j °y.:> Avg. Setback:� �iL- - B1c�ffSetoack: N LotCoverroe: � � Etisting Praposed ����,y�.���,-IQ•D6 ��. Har•dcover: 0-7�' ���- ���� ��� 75-?�0' /�� I /��. -- 150-500' /�*! � C.�,� � �.�- �.��`7 � 500-1000' �"�C� � e�.�' ���' ' Karcfcover Variance Required: Yes No� Date of Co�uicil�lpproval: �30 RE�tiIARKS(i�i lzouse)�/U��-'�� ,4� `- ,-�'Z %�",��"t`�' � CavF�r2 w� �,C' . � ✓�C,.Q�t-��•.� � `�'� �„ i9/�'°��,�r;'� �.� -,, �1 . a BUILDI�VG REVIEIY CHECKLIST UBC: �� CONSTRUCTIO�V TYPE: �� Sq Faota,�e ,S Pe�•Sg Ft� Basenient x = lst Floor x = ?nd Floor 1 = Gm•��e � _ s = TOT.�{L � Estincated Co�tstri�ctio�t Y'alcte: �S 2��0�0 � Inspections Required: 6Yark Requir•i,tg Separ�ate Pe�vnits: Sr.'te �Pluntbing Fire Hardcover Reinaval �Nlechanical GG�ater Conrection _�Footr'rtg Septic Setiver Co�trtectio�i _o�Fr�ami�iJ Fireplace Lativi�. lrrigatiori _���zsa�lation (Nlason�}) Otlier• _I� GY"aI1 Board (A�lfg.) GVell(Stnte Per»tit) _�Final Gr•ading/Fillin�; oc Elech•ical(State Per-niit) Other ------------------------------------------------------------------------------------------------------------------------------------------ RE�bIARli S(IN HO USE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: .4ccess: Ezistin,� rVerv ,�iccess�(pproval: Date B�'� ------------------------------------------------------------------------------------------------------------------------ REtyIARIiS (TO BE NOTED O�V PEI�tiIIT): 32 �V ��-�/� DATE_ TIME \1 C . Y CITY OF ORON CALLED IN 9�-�y � INSPECTION TI � SCHEDULED � —O� ,` O PERMIT N . COMPLETED ADDRESS o�-��-5 ��3G c� �����- '��� OWNER CONTR. /—�'r��P/'�2�i--_ TELEPHONE N0. ��?� �-2�I `� �.�� � � DESCRIPTION ��u-�-- f ��a� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING y �RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o —� f //fi��� f��e��.� fiC�.� � ,L3� � (C . 0 � W � Q � z w � W � j d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROEEED r ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector.��, White Copyllnspector's File Canary CopylSite Notice C� I � f� " /�DAT TIME � C I T Y O F O R O N O �� CALLED IN V r _ �� INSPECTION TIC� SCHEDULED �./.on--�—Ofo � `/�� PERMIT N . O G� COMPLETED ADDRESS � 7�'� CC�SC.o �E . ,�� OWNER CONTR. ��°''`��=y— TELEPHONE N0. /� �a % ' �3(�,d �a�`- � DESCRIPTION U ����� 1�'� ��L- J i'L-+� u-� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 3 SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL ZWALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ��,� c� r- — �✓1 � � � 0 � � 0 � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (952� 249-46�� OwnerlContr r site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice 1' l" n DGAJTEJ/Q� rn TIME V �� C I T Y O F O R O N O CALLED IN < .( ( U��"' INSPECTION OTI SCHEDULED ��� __��� PERMIT N� � COMPLETED ADDRESS ��S ��D� .0�f.��'D � �� OWNER CONTR. � TELEPHONE N0. ��� '" �d �7 �� ��Ci � DESCRIPTION r 1�C-� �� � �/�` �'/C�� � 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � � O � � O � W � Q � 2 W � W � j a W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. rJ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR -�CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the ne inspection 24 hours in advance. (952� 249-46�� OwnerlCo c o si e: Inspector. ! White Copyllnspector's File Canary CopylSite Notice