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Home My WebLink About2008-P11972 - addn/remodel/repair PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: pi1972 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 4/18/2008 SITE ADDRESS: 2829 Casco Pt Rd Unit# Wayzata,MN 55391 PID: 20-117-23-32-0007 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addirion/RemodeURe air Permit Sub-type(s): Addn/RemodeURepair Permit Type: P DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 520.50 valuation: $ 34,250.00 Plan Review Fee: $ 33833 State Surcharge Fee: $ 17.15 TOTAL FEE: $ $75.98 APPLICANT: Stonewood Design Build OWNER: Bruce&Mary Peterson 7407 Wayzata Blvd 2829 Casco Point Rd Minneapolis,MN 55426 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 BUILDING CODE REQUIREMENTS. / / \ - ��f'-e<_� � NT ERMITEE SIGNATURE' [SSUED BY SIGNATURE Copies: 1-File(Signatures Requrred�, 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ 87 5 . -! �j DateReceived: �/b D Entered By: ►'� Permit#: / 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 OR CONTRACTOR , Jos siTE An�REss:,�?�� 1 �'r��'�, f�" ,�c��<( zir; �5��/ Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑ YCS �10 If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the e>>ent. Shultle bus service will be reyuired itnless applicant demonstrates suffrcient on-site parking is available. Non-permitted ei�ents wi/I not be alloived NAME OF OWNER:��j�Q--�(j ��l1Sun,�pHONE: (home) ��7`� qs/�� T / (work) MAILING ADDRESS:,�c��/ (�,�SC{��c:ITY: C�-'�9�/�_;�-7�ZIP: 5" �j'/ CONTRACTOR�S�'/l1P L -^;�;� rQ�/l;'��i,�.��n.> PHONE: -��- - L�J�� CONTACT PERSON:� OS u/�7�iYl�,e,? M�BILE/PAGER <� /,�- �2� �-.�3��S! MAILING ADDRESS: O ' CZ>, � �� CITY: /�i�N��i�(,cZIP: <�S'�.� E, STATE LICENSE: # ;5 S EXPIRATIONDATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home _ Remodel/Alteration (ie: Siding, Windows) � Any earth movement may equire CWD review and permits ! PROPOSED WORK(descr�be in detain:��C; .� ��? ��'�/t,/�?t�iy�-i�' ,�v �'P �� i7�: :,�� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3�� G� I hereby apply for a building permit and[acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes ofthe 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 SIGNAT DATE: �' / 31 Sec.13.04 R(GHTS 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 torth in this section. Subd.2. Infortnationrequiredtobegivenindividual. Anindividualaskedtosupplyprivateorconfidentialdataconceminghimselfshallbe 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 supply ing or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federa]law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revcnue mav place the notice required under this subdivision in the individual income tax or oroper[v tax refund instructions instead of on 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 conftdential. 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 inlormed of the content and meaning ofthat 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 thereafter 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 pnvate or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying and compiling the copies. The responsible authoriry 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 Icgal holidays,if immediate compl iance is not possible. If he cannot comply with the request within that time,he shal I so inform the individual,and may have an additional 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 data concarning himself To eaercise this right,an individual shall notify in writing the responsible authoriry describing the nature oCthe 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 disclosed only if the individual's statement of disagreement is induded with the disclosed data. The detennination 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 fior a permit or license from the City of Orono or any of its departments may require you to furnish certain private or contidential information. You are notitied 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. �. 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 applicafion or permit. Fi rst M idd le Last Add ress C�tY State Zip Phone I understand my rig s sta r` / i Signatufe R�set Form 32 BUILDING REVIEW CHECK LIST UBC: fZ ' 3 CONSTRUCTIONTYPE: 1(�'' Sq Footage $Per Sq Ftg Basement x = I st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ �zf{ Z�� Inspections Required: Work Requiring Separate Permits: Site l Plumbing Fire Hardcover Removal �Mechanical Water Connection Footing Septic Sewer Connection _�! Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other �'�rd- (Mfg.) Well(State Permit) �Final Grading/Filling p� Electrical(State Permit) Other nENra�.s�rNxousE�: REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ONPERMIT): 34 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �5�� c�� PID: DESCRIPTION OF WORK ��,�, ��,,.,�,��—� ZONING REi�IEW BY.• r� DATEAPPROVED:+s� BUILDING�VIEW BY.• � DATEAPPROT�ED: �/-��_c,� FEES TO BE CHARGED: Misc. Fees Calculated By: � PERMIT Yes_1� No PLAN REVIEW Yes_�� SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION WVESTIGATION FEE Yes No� PARK FEE SAC Yes No �SITEINSPECTION Number of SAC Units OTHER (spec�) ZONING CHECIC LIST Zoning District: p Fire Department: Post�ce: School District: Lot Area.• Sg.ft. Acres idth Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wei nd: Building Height.• Def. Hgt. Peak gt. Lot Coverage: Grading: StaffApproval Date: By: Council Approval Date: Septic: StaffApproval Date: By•�� Zoning File: # Resolution: # Resolution Date: Shoreland District: MCWD Per-mit: Avg. Setback: B1uffSetback: LotCoverage: Fxisting Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover I�ariance Reguired: Yes No Date of Council Approval: REMARKS(in house): 33 C ��- ��-- ✓ '' D TE / TIME CITY OF ORONO —� CALLED IN ! � �'r�` � INSPECTION NOTICE —7 SCHEDULED f f % l �' -��?-Z'l�5 PERMIT NO.T� I � / � COMPLETED a��REss .� S� ��c:�� C-' <�� ,� �� _ �-�-� �c�. OWNER CONTR. s� TELEPHONE N0. �_� I .� � �,`�� .�� 3I �-E�C° . ,�/ !"?C2-� �� /Yl c c'-�-�,.� � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/C7F�ADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/F�lREPLACE ❑ TREE REMOVAL � ❑ WALL BD. Z ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL '/ ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU±�YES_NO ° �I � COMMENTS: � J vLc c�K e s" �. � �_ f; .s !.� `I o S TO�c�c�.r�� S .s��c. � i �� ;1n �t /�c C� ; C� (L w � Q Z � C v� �3:,� s �'.�-��^ a--- � ��C�2�— W � W � � d � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C': ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOF REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. �„��,C��, White Copyllnspector's File Canary CopylSite Notice C ` � C4� AJ� TIME / CITY OF ORONO CALLED IN � v INSPECTION NQ�I��,7 � SCHEDULED �� PERMIT N0. /� OMPLETED ADDRESS - � OWNER CONTR��7f�Y��.�� TELEPHONE NO. �� ' 7-�/ 7 � � DESCRIPTION ��CX� I��C�-C'�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION ? FINAL ❑ SEWER HOOK-UP ❑ PROGRESS h ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ��:- �P f��l c� Q lk.�� r- L.-f-f.��Q �N '' ��'e Ss _'/3l� Cr�S ��v��--0 F� � 0 � Q � c! M r� .`n � 7�'�'it,`,"`t— „ Z �.,� h►� �r- , w ,�S' `po�� Fv�t' l�r�L. • .. W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W �/�QCORRECT WORK,CALL FOR REINSPECTION TEMPORARY � �EFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlContractor o site: inspector_ ��/�,r, White Copyllnspector's File Canary CopylSite Notice