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Home My WebLink About2005-P08896 - addn/remodel/repair PERMIT CITY- F ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08896 Crystal Bay, Minnesota 55323 Permit Type: Addition/RemodeURepair (952) 249-4600 Date Issued: 8/29/2005 SITE ADDRESS: 3030 Casco Point Rd Unit# Wayzata,MN 55391 PID: 20-117-23-43-0052 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit T e: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair YI� DETAILS: Approved per resolution#: Separate permits required: Plumbing Mechanical Fireplace Electrical(state) NOTICES/REMARKS: Remodel Kitchen, Great Room&Vault Celing.Add On Addition Above Garage FEE SUMMARY: Pernut Fee: $ 1,273.75 valuation: $ 150,000.00 Plan Review Fee: $ 827.94 State Surcharge Fee: $ 75.00 TOTAL FEE: $ 2,176.69 APPLICANT: Lemmerman Const. Inc. OWNER: K Forss& A Ronningen 9037 Cty.Rd 17 SE 3030 Casco Point Rd Delano,MN 55328 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. ��—��, ��. L�� C. 1� �� APPLICANT PE E SIGNATURE [SSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � /`` ♦ \ ��I� �l B�a9�dS ' � �� Total Fee: $ o? � 7�O. � 1 Date Received: - ��'�� u� � Entered By: ,(�� Permit#: C� �� Z�� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please prirat all information) ----------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) �OWNER OR CO'rTTRACTOR JOB SITE ADDItESS: �v�%�C�S�'�J ' < <`{-' 'If�' ��% ZIP: ��}� � �Vill this be a Parade of Homes, RemodQlers Showcase Home or other Display Home? ❑ Yes �NO If yes, a special event permit is requii�ed with Police Departmer�t and Caty Council approval 60 days p�•ror to the everzt. Shzrttle bzrs ser-vrce xrill be reqtrired ainless applicand demo�sstrates sa�cient on-site parkrrag is availa6le. Non Permittec�events will not be allowecl. NAME OF OWNER: / � ' � ' PIIONE: (home) �� ' 7�' ��d � work � -y7/- 73� �7; ( )95 � MAI�,INGADDRESS:��)Ca`�� K_��: CITY: � � ��- ZIP: �.�9/ CONTR.ACTOR: ,�%.� �e��rn�r�L�� rxo�: �� , y��-�va� CONTACT PERSO�T: ��— MOBILE/PAGER: �� -��- ��(00 MAILING ADDRESS:--� �' - . ��" CITY: ��a�r� ZIP: ,5 3e�:.� STATE LICENSE: # � EXPIRA.TION DATE: / ARCHITECT/ENGINEER <<�l%�G�Ji�� PHONE: NIATLING ADDI2ESS: CI'i Y: ZI�: NP.�i�: REGIS�'R.ATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Alteration �_ �i� � �� 'Z�d//�J PROPO �ED��IORIti(desct•ibe in detailj: y�t' �: �� -�._ �z�t� a��C�,G �'� �t�c�r z''��`�� S -c`�.-- 7/vr/ � �Q a..re ��a re c�c e f 6ti y�t�'zL�-- �� "y %G7��l��. y�,� S'�'��iES: SQ.FE�'�O�'��.CI��'�,OaIE�: , I�iO. OF �EI)ROOi�IS: GP��GE S'I'r��,L,S: E1�T'AC�I�� I3ETAC�iEI� , �STIiVI�,T'Ei� CO?VS'i'RLTCT'IOI�1 VAILIJ�'�'IOlV(eYcluding land): $ ��, �i'�� l C ---� I hereby apply for a building pernZit and I acknowled�e that the:nformation above is complete and accurate; that the work wi11 be in conformance with tne ordinances and codes of the City and with the State BuildinQ Code;that I understand this is not a permit and work is not to start without a pe:init; and that the work wi11 be in accordance with the approved pian. � �'�� _.—� � / APPLIC�vT'S SIGNATURE� � l�/ - " -�- DATE: C� � �� / �1 5ec.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 section. Subd.2. Information required to be given individual.An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and in[ended use of the requested data within the collectine state agency,poli[ical subdivision,or statewide system;(b) �vhe[her he may refuse or is legzlly required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential daca;and(d)the identity of other persons or entities authorized by state or federallaw to receive the data. This requirement shall not apply when an individual is asked[o supply investigative da[a,pursuant to section 13.32,subdivision 5,to a law enforcement officer. The commissioner of revenue mav�i1ce the notice required under this subdivision in the individual income ta�or nro�ertv tax refund instructions ins[ead of on those ferms. Subd.3. Access[o data by individual. Upon request to a responsible authority,an individual shatl be infoRned whether he is the subject of stored data on individuals,.and whether it is classified as public,priva[e or con5dential. Upon his further reques[,an individual who is the suoject o� stored private or public data on individuals shall be shown the data tivithout any charge to him and,if he desires,shall be informed of�he 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 sis months[hereafrer unless a dispute or action pursuant to chis section is pending or additional data on the individual has been collected or created. The responsible authoriry shalt providz copies of the pnvate or public data upon request by tha individuaf subject oi:he daca. The responsible authonty may require the requesting person to pay[he actual costs ofmakin;,certifying,and compiling the copies. Ihe responsible authority shail comply immediatelV,if possible,wi:h any request made pursuant to this subdivision,or�vithin five.days oE the date of the reques[,e�cluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible.If he cannot comply tivith the request within that[ime,he shall so iniorm the individual,and may have an additional five days��idiin tvhich to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when daca is noc accurate or complete. An individual may contesc the accuracy or comple[eness of public or priva[e data conceming himsel£ To exercise this right,an individual shall no[i`y in wii[ing[he responsiblz au[horiry descnbing the nature of the disa,�reement.The ' responsible au[horiry shall within 30 days ei[her. (a)con•ect the data found ro be inaccurate or incomplete and attempt to no[ify pasc recipients e` inaccurate or incomplete data,including recipien�s named by the individual;or(b)notify the individual that he believes the data to be coRect. Da[a in dispute shall be disclosed only if che individual's statement of disagceemen[is included with[he disdosed data. The determination of the responsible authority may be appealed pursuxn�to the provisions of the administrative procedure act rela[ing to cortested cases. DATA PRIVACY'ADVISORY In accordance�vith M.S. 13.04,Subd.2;"Rights of subjects of data",we would like to infom you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain pnvate or confidential information, You are notified that: 1. The information you furnish will be used to detemune your qualif cation for the pemlit or license requested. 2. You mzy refuse to supply data,but refusaL may require that the City deny the pe:mit or license. ti. The information may be sha;ed�vith other local, state or federal agencies to the extent necessary to process the pemZit or license. 4. If your :equzsted permit or license requires Council actior.to appreve, some inforn7ation may become oublic. �. You have certain rights under M.S. 13.04(available upon ree�uest) to:eview private data on yourset.`. 6. Your full name is required to process this application or permit. �irst 1�Iiddle Last Address C��, State Zip Phone i under�.tand ��righ s state bove. �� S;nat e J� � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �c�3o ('u�s c.� �Pa��v T �/+�✓� PID: DESCR�TION OF WORK: p,p � ;�o,✓ ru.�� ------------_____----_------ ---------------------------------------- . -------------------------- ---- ZO.vP1i G REV�W BY: �� DATE APPROVED• g �-o� BUII.DI�G REVIEW BY: O .,,G �.._-- DATE APPROVED: �- � -�S FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes ,/ No SEWF.R CONNECTION STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ----------------------------------------------------------------------------------------------------------------------- Z0�1IVG CH�CK LIST Zoning District: �2- � �- Fire Department: Post Office: School Distric[: �i7@ sN-oµ=Z+n�P � Lot Area: Sc.ft. 30�qL"? Acres .�� Width �s3CJ �S � Depch Survey Submitted: Yes�_ No Date of Survey: Proposed Setbacks: � Front (Lake): I'Z� f Right Side: 0 t n o Rear (�eet�: ZD� /5 ' Left Side: /`��1 �lop�r�v.� o�e.� �RR�' t t�v�/�r� Adjacent Structures: _,q..�77�ru-�-P� Wetland: /�W} Building Height: Def. H;t. a-(� Peak Hgt. — Lot Covera;e: cn-. t� Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: ^ By: Zoning File: # ps-3►y0 Resolution: # Resolution Date: �- � '�S Shoreland District: �,,, ,O�_ _ Av�. Setback: � o�u+_ Bluff Setback: � L.ot Co�'erage: Ecisting Proposed Hardcover: 0-7�' �'�� 7�-250' w v 2�0-500' 500-1000' Hardcover Variance Required: Yes No� Date of Council Approval: RE1�IARKS (in house): � J BUILDING REVIEW CHECK LIST �C� - � � �' CONSTRUCTION TYPE: �'� �iN Sq Footage $ Per Sq Ft; Basemen[ x = 1 st Floor x _ 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ r S7',t�� °� Inspections Required: `Vork Requiring Separate Permits: Site _o'�Plumbing Fire Hardcover Removal _�Mechanical Water Connection Footing � Septic Sewer Connection _�( Framing �_Fireplace Lawn Irrigation 1 _�Insulation _�(Iviasonry) Other _�Wall Board (Mfg.) Well (State Perm.it) —,6_F�� Grading/Fllling �Electrical (State Permit) Ocher RENIARKS (1N HOUSE): � ------------------------------------------------------------------------------------------------------------------- REVII�`V BY OTHERS: DATE: Access: Existin� New Access Approval: Date By; --------------------------------------------------------------------------------------------------------------------- REVIARKS (TO BE NOTED ON PERi�fIZ�: 8 / � L� D TIME ✓ � �p � C�-' � CITY OF ORONO � o� � CALLED W � �/ INSPECTION NOTICE SCHEDULED ' �'- � PERMIT NO.,�( C� ) y�CS�S�7�OMPLETED ADDRESS -?C-� `�C-> � <__-� �> C � �_�- �-,j OWNER TELEPHONE NO. �`–��r�1��1 -� , ..� -, j -- .. CONTRACTOR �� : �� t � � � � �'_k E � ( � � J I�L� ._� !r- � � - �. � DESCRIPTION _�/ = � -� �o �-��} v ��'� t='; � l Y1�� ll� ❑ FOOTING ❑ PLUMBING FINAL �Y'� (.,�"�StC��'XCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI `��.(Y"G�ti��❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE TIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO i � COMMENTS: �1 ? — r. � _ � � �� 1�`� �'�--k -=i--�-- � O a � O � W � Q � Z W � W � j d W�GJORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on s�te: Inspector. _ White Copyllnspector's File Canary Copy/Site Notice � � I VYr�� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE ✓SCHEDULED -d �-� PERMIT NO. � COMPLETED ADDRESS .�0,3d G4J1G0 �� OWNER CONTR. TELEPHONE NO. l�3 zZ� Z 3�O � 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 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w 4 � � , � � �f� 0 a � � (�b 9r 7 Z- Ge� -v'e.r,X' ✓ w Q ��9�� C�� P ✓ � z W � W � � d W WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (J52� 249-460� Owner/Con r site: Inspector. - �- White Copyllnspector' File Canary CopylSite Notice C I O �� DATE TIME � CITY OF ORONO CALIED IN `�' INSPECTION NOTIC�jE / SCHEDULED /o-�/�S ��3p PERMIT NO. �b 1S S 9V� COMPLETED ADDRESS 3D3C� Cr�SC� � �� OWNER CONTR.�r►1�h�'t�CG-�LJ TELEPHONE NO. 76 3 0�0� / ��0� � DESCRIPTION l�� s�� 1 C�'n L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � j d W WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED n ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED Cl INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (952� 249-460� OwnerlCon ct i e: Inspector. � White Copyllnspector's File Canary Copy/Site Notice � � D C�J A E TIME � CITY OF ORONO CALLED IN �� INSPECTION N C SCHEDULED � � PERMIT NO. COMPLETED ADDRESS_ 303� �� OWNER CONTR. LP�'1/�1 TELEPHONE NO. ��3 Zz g �l0 D � DESCRIPTION �/ "��Q � � 01 FOOTING 11 MECHANICAL 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 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � CO M I�E TS: ` � a � ` ` 1' � � O a � O � W � Q � Z W � W � � d � ❑W SATISFACTORY:PROCEED C PROJECTCOMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CAL�TO ARRANC�E ACCESS. Call for the n��Ct inspection 24 hours in advance. �95Z� Z49-46�0 OwnerlCon n �te: Ins ector. �,' " P White Copyllnspector's File Canary CopylSite Notice i � � � � __" — �--- _ � . � . . ' rt ��' � . q 2 9.� CaN�u� �"'i��v�� a � 6�o _ �.�-�; ti� . � � � � �� ,•�► 8�s' � � , - .� ��-� � Q1 .. £. o�,�` 1,Y. \ L\ G� ;:_ ,ti .^ �-� , ��.� �� o , .;,: \\ 4'A ` l ''A., ` �� '''. � �" � \ LEGAG ;�: o� � . ZZ �� Lor 3 �3 Locl� / � � P�a�sE � kEc�xs z � �4dD. ,02 - � .f EXir,- z4 0 . � � � r� �� /E3 C'o�v� S • J �.l= un��s�� 8 � ��. S t P�,o.r �g O�k ��t I �� b � 6' . � Z �,G s�� L�, �. ' �1b 0° �� v - � �� h 2 ;��, � . a� � � sr Gc. ,� � , ,.,r� W � � r_0 ` WF i�C. �J SJ�� t ��M,}.+.,'�'..: r� .� �� s� - �� F �R�� R� - � �� -sr 00 �,�� x� � �«� s � c�r� aFoRa�o � S�� f�7�'�F �-�' ��ss n�,�i � SiTE P�+N __ GRAUING �'�A�! � 1�,10 �/�P��"�D Pn�R.-�a� zN�r s,-o� .�.,� �;v�, (�»� �� ;i �P�b��D ��1Ti-! REVISIO(�� ` $Y��A�'P�i�V � ��,,�f DATE_ �' �z9-e� e03�4 � G� g,SG �'�s �o • S ^/,� ,P� co �- ,�FUir�v C/G 9,�/r 9 . 1 hereby certify that this plan, survey or .report was JOB# C��A� prepared by me or u my direct pervision end that I am adulyReQisteredCan yo erth ws �theState p� �� fel D SU��Yf�4i G of Minnesota `� Baok- P �e �� ,� 1�9C. 2 � b �� b ��j� C�o c s�,� ��'� � �ata: -•��.�Y Zl 9.�� Registration No. 14700 �� ^