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Home My WebLink About2001-P04639 - access structures - � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po4639 Crystal Bay, Minnesota 55323 Permit Type: a��essory st�u�tures (952) 249-4600 Date Issued: �2ii v2ooi SITE ADDRESS: 2807 Casco Pt Rd Wayzata,NW 55391 P I D: 20-117-23-32-0014 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Accessory Structures Permit Sub-type(s): Building Undefined DETAILS: Approved per resolution #: 2715 Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 23.50 Valuation: $ 400.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 24.00 APPLICANT: Owner/Self OWNER: John& Patricia Bailey 1VIN 2807 Casco Point Rd. Wayzata, MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPL[ANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , / /� � � ` �-�Cc, �/h�-�--� ��'�- APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Covies: l-File(Signitures Reauired), l-Aoplicant, 1-Monthlv Reports. 1-Assessin�, ]-Finance Page 1 . Total Fee: $ � y� �� Date Received: /� � ��`� Entered By: %z�� Pernut#: j i - !r:. -01 L ��1- -- ��-<-�i CITY OF ORdNO - BUILDING PERMIT APPLICATIOlet All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------- ----------------- --------------------------------------------- THE APPLICANT IS: (circle on OWNER O CONTRACTOR JOB SITE ADDRESS: Z �o� C�.s�o `�-, 2� z�: ss 3 q/ NAME OF OWNER: h � �,� � PHO�tE: (home) S Z- 7/�'77 6 (work) MAILING ADDRESS: �(�a�o,e_. CITY: IP: SS ,,�� C�°� CONTRACTOR: d�- ��q 9 PHOi�TE: �ak.�� i CONTACT PERSON: �! e I�,h MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: (��'�� STATE LICENSE: # � � � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�C _ Land Alteration PROPOSED WORK(describe in detain: 2.G,-bc,�� -�- �p r;GtG (,�t„'�-i p /Q � x I �'' � w `f �x 1 � � w e�//c w.c ti STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �('j0 '= I hereby apply for a building pemut 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 Ciry 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: l� , DATE: NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGFiTS OF SUBJECTS OF DATA Subd. 1. Type of data. "Ihe righ�s of individual on whom the data is stored or to be stored shall be as set fonh in this secrion. Subd.2. Information reqirired to be given individual. �.n individual azked to supply private or confidenaal data conceming himself shall be informed of: (a)the purpose and incended use of che requesred data within the collecdng'state agency, polirical subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the cequested data;(c)any lrnown consequence arising fmm his supplying or refusing to supply priva[e or confidendal data;and(d)the idenary of ocher penoas or enrides au[horized by srate or federal law to receive the data. This requiremenc shall no[apply when an individual is asked to supply invesrigadve dara, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the norice rewired under this subdivision in the individual income tax or Dropem tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether he is the subject of stored dara on individuals,and whe[her ic is classified as public, private or confidenual. Upon his furthec request,an individual who is the subjecc of stored private or public data on individuals shall be shown the dara wichout any charge to him and,-if he desires, shall be informed of[he content and meaning of�hat data. Aftzr an indi�+idual has been shown che private data and informed of iu meaning,the data need not be disclosed to hun for six months thereaftec unless a dispute or acdon pursuan�to this secaon is oending or addirional data on the individual 6as been collected or crea�d. The responsible auchoriry shail provide copies of the privace or public data upon request by the individual subject of the dara. The responsible authoriry may require the requesring person to pay the actual costs of makine, certifying,and compiling the copies. The responsible au[horiry 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 compliance is noc possible. If he cannot comply with the reques[ wi[hin[hat time,he shall so inform[he individuai,and may have an addiaonal five days within which to comply wi[h 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 data conceming himself. To exercise chis right,an individual shail noafy in wriring the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipiencs of inaccurate or incomplete data, including recipients named by the individual; or(b)notify the individua!that he believes rhe data to be correcc. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminarion of the rzsponsib(e auchoriry may be appealed pursuant to [he provisions of the administradve procedure act relacing to contested cases. DAT� 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 pernu[ or license from the City of Orono or any of its deparcments may require you to furnish certain private or confidential information. You are notified that: 1. The information you fumish 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 pemut or license. 3. The information may be shared wi[h ocher local, state or federal a;encies to the estent necessary to process the pernut or license. 4. If your requested permi[ or license requires Council action to approve, some information may become public. j. 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. pin� tiliddle Last Address ��n, Srate Zip Phone I understand my riahts as stated ab ve. l � Signamre � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY A.DDRESSORLEGAL: Z`�01 CASGo Po» �,�,,� PID: DESCRIPTION OF WORK: � g x��, (3c2�� T�o �- �-1 �-�� t.�Ac,lcW A� --� w��__ _ ------- --------------------------------------------------------------------- ZOr11i TG REVIEW BY: � �,,,.._ DAT'E APPROVED: ( f •z5- �� BUILDI�i tG REV�W BY: �Q DATE APPROVED: i i. 2�•o� FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes l' No PLA�v 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) Z0��1G CH�CK LIST Zoning Distric[: L�2- � �- Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes�C� No Date of Survey: S-�-O t Proposed Setbacks: F�eat-(Lake): I 0 l� Right Side: �3� } Rear (Street): '�� Left Side: 23� � Adjacent Structures: f}�� Wetland: 1N�� Building Height: Def. Hgt. N�,c� Peal:Hgt. N J/� L,ot Coveraae: Grading: Staff Approval Date: —' By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # o►-Z.1�S Resolution: # Resolution Date: S2�pz'�`'�� Shoreland District: ��,r,g Avg. Setback: (9•�z Bluff Setback: �1 I/� L.ot Coverage: Eusting Proposed Hardcover: 0-75' 75-250' 3� Z��y 250-500' 500-1000' Hazdcover Variance Required: Yes v� No Date of Council Approval: �-p� �• �� REMARKS (in h0use): 7 . • BUILDING REVIEW CHECK LIST �C� — CONSTRUCTION TYPE: '— Sq Footage $ Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ '-�(�Q.Oa Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing � Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg,) Well (State Permit) X Final Grading/Filling Electrical (State Permit) Other REMARI�.S (IN HOUSE): - ---------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; - ------------------------ REMARI�.S (TO BE NOTED ON PERi�fI�: 8 John M. Bailey / Z / 30% / _— �o �c..c,c.Q � • �t�� - C' s�dl�'v�v _ . � U y f i 7 a.d�� a:r E��:,_ r„4 / � .• � /GJq� ��/I't +� ��O • �I / /�,�`�<<o t GCJ� I k w� �.:Q. z �'o� c.�.�, P�. �d , 1, -�-a-�. I� , �i�-e �.�,,� ,�a ,.��- 4 �D�c.�-- .�-�� U1t�::`�� 1`�L��.�" c.cr�-�.c. c� Z f y''`I l/ ' � . l'a - Dyi �c.�'� �� G�� .��-� �` � �� , � � � Q� � � °--��- - ��.��- � .�� ' �y,� � r � � ' � a.�- � � � �. � � � �� ..� �:�' . `� �� . . , �..�. � .�.� � , �- � � � , ,�'.� hf - da..�-� � . c�� y� . . �� , � � �� P�� ►� � �,� � 6� � � - ( T� � ,�-� ��.� �. �� .�.�r �. a�,,,. .�.�� `'�"� �� L jC� � '�`r-�"`,`' c/``'ca a.q,°" O / � —��e.cre t.�,�y .�=�ui-t_o �. / , P`//� 28 7 Casco Point Roac�,Wayzata, MN 55391 "� Pkone: (fi�471-8776 O{{ice: (�.�441-2121 ��J �d�N �� DATE TIME CITY OF ORONO CALLED IN INSPECTION N �CE�� 3� SCHEDULED `5—�i-- PERMIT N0. COMPLETED ADDRESS �Od 7 C�-�c�C� �P' � OWNER CONTR. CL TELEPHONE N0. � � DESCRIPTION ��' � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNEFi/FIREPLACE 34 TREE REMOVAL Z04 12 WATER HOOK-UP 17 SITE INSPEC710N 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J �0 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OVIiNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J -j O � � O � - W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED .��PROJECTCOMPLEfE !/ w O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4�� OwnedCo on s' : � Inspector. ' Whi Inspector's File Cana opy/Site NotiCe