HomeMy WebLinkAbout2003-P06032 - addn/remodel/repair C=ITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po6o32
Crystal Bay, Minnesota 55323 P2C'CTllt Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: 3nai2oo3
SITE ADDRESS: 2807 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-32-0014
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate pernuts required: riumbing iviecnanicai r,iec�icai�sutej vii�er-�....witn Fcesoiuiion�4oy7j
NOTICES/REMARKS:
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FEE SUMMARY: Pernut Fee: $ 1,833.75 Valuation: $ 250,000.00
Plan Review Fee: $ 1,192.03
State Surcharge Fee: $ 125.50
TOTAL FEE: $ 3,151.28
APPLICANT: Schwarz Builders Inc. OWNER: J��&Patricia Bailey
307 Manitoba Avenue S. 2807 Casco Point Rd.
Wayzata, MN 55391 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE S[GNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
' � 2�
Total Fee: $ � I �' ( Date Received: /-��` � C=��=
Entered By: 'j,L� Permit#: 1- ��-�.��s
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) OWNE O�CONTRACTO�
JOB SITE ADDRESS: 7.� �' 7 �<�s c�, ��,'; �-•� i�,,�c�, "�IP: �5 3 `i I
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NAME OF OWNER: �oy-.r, � � �.,�'�' � l3 c,,, �,;� �! ` �ome) 9 5� �-I � I - S 7 7.(,
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MAII.ING ADDRESS: 1�5� 1 <<.,s c � �'t �'.,� ', � ;, _ZIP: 5'S"3�i f
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CONTRACTOR: >c 1���,..�r"z. � ,.• ',�1�e=-> Zr ��� ��� � ���, � 6 7��
CONTACT PERSON: K� r� 5 c 1�•,.�r•�Z MOBI. � i+� `3 �-I�I 3
MAILING ADDRESS: 3�7 ��_,v.,, t�,�Q. A,,�: s, CI'� '�� :.1�, ZIP: >S 3 J
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STATE LICENSE: # S 9 ��
ARCHITECT/ENGINEER: � J�(.� PHONE: `i%� �{v�� -1�,E;S
MAILI�IGADDRESS: ���7 1y��..��','����j �,;a S�_ CITY: w-� j iv�,��- ZIP: �S 3�)
NAiVIE: j�;, c�; � L�,fi�:.� r�sS REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED�VORK(describe in detai�: ��� - C���� �.5� v--Z �.'�� ��or y 5�Q�� �_
C.,:•��� � �c�' r,ew �:�� �ess �r� �t�.�r�� �:�� re�,�' �� 6,���� � -
STORIES: -� SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �J ���
I hereby apply for a building pernut 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 it th approved plan.
�
APPLICANT'S SIGNATURE: �� � � •r� DATE: J � 3
;
NOTE! Parade of Homes events require separate perntit 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 SLJBJECTS 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 section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concernin�himself
shall be informed of: (a)the purpose and intended use of Ihe requested data within the collecting state agency,political subdivision,or5tatewide
system;(b)whether he may refuse or is IegaUy required to supply the requested data;(c)any known consequence arising from his supplying or
refusing ro 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 individual is asked ro supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav nlace the notice reauired under this subdivision in the individual income tax or orooertv tax refund
instn�:,tions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,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 ro 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
disclosed to him for six months thereafrer 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.
Tfie responsible authority may require the requesting person to pay the actuai 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 of the request,exduding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot compty 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,
excluding Samrdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compfeteness of public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the naNre 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 recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disdosed only if the individual's statement of disagreement is induded with the disclosed data.
The determination of the responsible authoriry 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 permit or license from the �ity 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 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.
First Middle Last
Address
City State Zip Phone
I understand my ights stated ove.
� t
,' '
Signature
6
. . , ,
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2�u� C�sc.� PorN i (��
PID:
DESCRIPTION OF WORK: �(n.�,�oe� � .
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ZONING REVIEW BY: _ DATE APPROVED: 2-Zo-o�
BL'ILDING REVIEW BY: DATE APPROVED: Z� �_0 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes ,�/No SEWER CONNECTION
STATE SURCHARGE Yes r/ No WATER CONNECTTON
INVESTIGATION FEE Yes No �- PARK FEE
SAC Yes No c� SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: N� c�-I�4✓�
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width 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. Peak Hgt.
Lot Coverage:
Grading: Staff Appro�al Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: y-�5 f ��,,�+
Avg. Setback: �.�c.. /1� s<r'� Bluff Setback: � LotCoverage: —
—� Existing Proposed
Hardcover: 0-75'
75-250'
250-500' No C��
500-1000'
Hardcover Variance Required: Yes No � Date of Council Approval:
REMARKS (in house):�F t x►s�••�� 0��� ����s /LC��c.o�}— ��,�C ,�,�
l N�l.o�-, �� �d�ODvf,sJe.� w� r-i� `l,c-3soc��a-���i�7
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BUILDING REVIEW CHECK LIST
UBC: /�- 3 CONSTRUCTION TYPE: �.I/� r
_ Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ Z S�,O d v°`�
Inspections Required: Work Requiring Separate Permits:
Site d Plumbing Fire
Hardcover Removal oc Mechanical Water Connection
vc Footing Septic Sewer Connection
�Framing Fireplace Lawn Irrigation
_�Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling c Electrical (State Permit)
Other
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REM�:RKS(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):
8
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DATE TIME
CITY OF ORONO CALLED IN - �'-U j
INSPECTION NOTICE SCHEDULED /�-� "d� /:�'�
PERMIT NO. ��(v�%3 Z- � COMPLETED
ADDRESS � �YO 7 C� ` � c�
OWNER�c�i.a-, ��¢..�. CONTR. C' �
TELEPHONE NO. �'/� - 3�fo -- ,S'�{ 4�3
� DESCRIPTION /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 REMOVAI
Z 04 ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n t inspection 24 hours in advance. (952� 249-4600
OwnerlContra ite:
Inspector. � '� % �'
White Copy/lnspector's F Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN ��Z�I-d� --�T�
INSPECTION NOTj$��o�� SCHEDULED 5`30�-a3
PERMIT N0. � COMPLETED
ADDRESS ��� C�-SC U ��• ��
OWNER CONTR. ��C.���,►rZ G�I��.
TELEPHONE NO. �S a 7.3 LP 63.`�� C!
� DESCRIPTION ��Il�•
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q �2 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 L 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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 P�UMBING FINAL � / 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES '�NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlConUactor on site: �
Inspector. -
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
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CITY OF ORONO CALLED IN -' � �0�
INSPECTION NO�ICE SCHEDULED 5-��'-�►�
PERMIT NO. � �r�l�J�� COMPLETED
ADDRESS �� D 7 C � . �� .
OWNER CONTR. -}�!'/s•
TELEPHONE NO. C.��o� ����O ��5��
� DESCRIPTION �C���tJ� 0� ,
t� Oi FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
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 PLUMB L 36 FOUNDATION/REMOVAL
� OW ER/CONTRACTOR T MEET YOU:_YES_NO
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46��
OwnerlConUa site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN S'S��3
INSPECTION OTI E SCHEDULED � �%3
PERMIT NO. COMPLETED
ADDRESS UZI��7 �QSC O (7'T /C�
OWNER CONTR.�(CI.�CZhZ �j�t�--
TELEPHONE N0. �l� ��� ����3
� DESCRIPTION �
l� FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
� 02 RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 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
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENT • `
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARFANGE ACCESS.
Call for the next inspection 24 hours in advance. (95Z� Z49-4600
OwnerlContra on i e:
Inspector. � � �
White Copy/lnspector's File Canary Copy/Site Notice