HomeMy WebLinkAbout2001-p03758 - attached deck �
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3�sg
Crystal Bay, Minnesota 55323 P@fCTllt Typ2: Addition/Remodel/Repair
(952) 249-4600 Date Issued: s�i6i2ooi
SITE ADDRESS: 3085 Casco Point Rd
WAYZATA,MN 55391
P I D: 20-117-23-34-0010
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: tcesidentiai
Census Code 434
Permit Class: Building
Permit Sub-type(s): Deck-Attached
Permit Type: Addition/Remodel/Repair I
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83.25 Valuation: $ 2,100.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 1.05
TOTAL FEE: $ 138.38
APPLICANT: Ken Dotzenroth OWNER: Ken&Laura Dotzenroth
3085 Casco Point Rd 3085 Casco Point Rd
Wazyata, MN 55391 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.
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APPLICA PERMITEE S ATURE ISSUED BY SIGNATiJRE
Copies: City,Applicant,Assessar,Finance Page 1
Total Fee: $ ��� � �� Date Received: � - Z � �
Entered By: —,�� � � Permit#: /T� ', �C"
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CITY OF ORONO - BLTII..DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
� (please print all information)
--------------------------------------------------�--- -'� -----------------------------------------------------=
THE A.PPLICANT IS: (circle on�� O_WNER R CONTRACTOR
JOB SITE ADDRESS: ��85 (''��,oL.o �-� �..� ZIP: j�s:3 �/J
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NAME OF OWNER: �-�-✓1 �°�Z�-n r�t- �, PHO�IE: (home) y�� �$8 Z_
(work) �5".� yc y � U ol�l
1�IAILING A.DDRESS: ,�o$� �Ct,o�a �'-� ��� _ CITY: VJ u�I 2.�,f�� ZIP: 553%
CONTRACTOR: � ��--�-- � PHO�IE:
C0�ITACT PERSON: MOBILE/PAGER:
MAII,ING ADDRESS: CITY: Z�:
STATE LICENSE: #
ARCHITECT/ENGINEER: �-.�,�,.� �k,rSt�-�� PHONE:
MAILING ADDRE5S: CITY: Zg':
rJ��; REGIST'RATION#
TYPE OF WORK: New Addition Accessory Structure � -{' C�K_
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�:
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. .
ESTlil�1ATED CONSTRUCTION VALUATION (excluding land): � � I [.)� Jv
I hereby 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 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: �.c.t,�%iu, l� ,. ��C� DATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
Sec.13.0-L RIGHTS OF SUBJECTS OF D�T�1
Subd. 1. Tvpe of data. "Ihe ri¢hcs of individual on whom[he da�is s�:�or co be stored shall be as set forth in this secaon.
Subd.2. Information reqirired to be given individual. An iLdi�•:dual ask�co supplY priva�e or confidenrial data conceming himself shall
be informed of: (a) che purpose and in�ended use of the requesud dara wi�in[he coII��ang�tate ageacy, polidcal subdivision,or srarewide rysum;
(b)whecher he may refuse oY is legally required to supply che requesced dan:(c)a�1y I�o��consequeace arising from his supplying or refusing to supply
privace or conndenrial data;and(d)[he idendry of other persoas or endri:s ze•Wer,z:.d by s-te or federal law to receive the data..This requirement shal]
not apply when an individual is asked to supply invesrieaave daea,pursu=^.c ro s:ccoa 13.82, subdivision 5, co a law enforcement officer.
The commissioner of r�venue r-iav place the noece reauired � d•r tt+is su'rdivision in the individual income tax or propem rax refund
inscructions inscead of on chose forms.
Subd. 3. Aecess to data b�indiridual. Upon request to a r.s�oasib!e aecyor.ry,an individual shall be informed whether he is the subject
of s�ored data on individuals, and whe�her it is ciassified as public,priva�or confid:c:.1. Upon his further request, an individual who is the subject
of srored privace or public data on individuais shail be shown the data w�i�ouc a:y c':v�-3e to hun and,-if he desires, shall be informed of the content
and meaning of�hac data. After an individua!has been shown the priva��a3 ar.d i::,;r-'=d of its meaning,che dara need not be disclosed to him for
six mon�hs �hereafter unless a dispute or acrion pursuanc to [his secrion is�e:.diag o:azdirional data on the individual has been collected or creaced.
The responsible auchoriry shall provide copies of the privace or public daea L:on roqs:s:by r.he individual subjecc of[he dara. The responsible au[horiry
may require[he requesring per5on to pay the actual cos�s of making,ce^.�:ir.g,a:.d co�piling the copies.
The responsible authoriry shall comply immediacely,if possible,��i�a aay r=.;_est made punuant to this subdivision,or wichin five days of
the date of[he requesc,excluding Sacurdays,Sundays and(egal holidays,ii ir..rcd��=compliance is noc possible. If he cannot comply with the request
wichin thac dme,he shall so inform the individual,and may have an addi�er.a!five days wz�in which to comply wich che request,exetuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. �n icd•,viduzl nay contest the accuracy or completeness of public or pri�•ate
data conceming himself. To exercise this rieht,an individuai shall noafy ia•�::::g c=:=s?onsible authoriry describing che nacure of the disagreemeat.
The responsible authoriry shall within 30 days either. (a)corr.cc the da�tcar.d ro be i*Lc.urate or incomplete and aaempc to nodfy past recipiencs of
inaccurace or incomplece data, including recipien[s named by the individLJ;or(b) r.oaf}• the individua!that he believes the data to be correcc. Data
in dispu�e shall be disclosed only if the individual's statement of disagre.�_r.:s irc:_�r' with the disclosed data.
Ttie de�erminarion of the responsibte authoriry may be appea�:�ru:�suz;.�to c`:e provisions of the adminisaarive procedure act relaang to
conrested cases.
DAT� PRIVaCY �D�ZSORY
In accordance with M.S. 13.04, Subd.2, "Ri�ts of sub;ect� o:da.z', we would like to inform you tha[your reQuest
for a permit or license from the City of Orono or any oi ia d�pz�u.e�Ls may require you to furnish certain priva�e or
confiden[ial information.
You are notified that:
1, The information you furnish will be used to de:er�ine��ou;qualification for the permit or license requested.
2. You may refuse to supply data, but refusal �ay rzquire that the Ciry deny the permit or license.
3. The information may be shared wi[h other locz, stace or federal agencies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
. public.
�. You have cer[ain righ�s under M.S. 13.04 (a•:�:lable epon request) to review private data on yourself.
6. Your full name is required to process this application o: perm.i�.
,�- I.�,v�u� �,� �-�z ��"�.
Firsc �tid � Lasc
3� �' � � b
Address "�. / "\J " J,� � � � I �� y /I d����
\nl a. Z '�,
Ciry Sar.: Zip Phone
I understand my ri�hts as stated above.
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Signacure
� , CHEC�i OFF LIST FOR ISSUA.�TCE OF PERti1ITS
, FOR OFFICE USE O�tLY _ � .
AD]�RESSORLEGAL: 3UgS C �5�� Qd cN� ���
PID:
DESCR�'TION OF�ORK: ��,L
.
ZOr'Lti G REVIEti�BY: o D�TE APPROV�D: �� 1�-1 - O (
BtT1I�D .7�TG REY��BY: . DA'I�E A.PPROYID: S- (`(- D1
F'EES TO BE CH.4RGED: Niisc. Fees Calculated By:
pERMIIT Yes �/ No �•
pL,AN REVIEW Yes� No SE�ER CO�tNECI'ION
STATE SURCHARGE Yes � No ��TAZ�RCONNECTION
I�i tVESTIGATION FEE Yes No PARK �E
SAC Yes No SITEINSPECTTON
Number of SAC�Units OTHER (specify)
ZOti1-�G CH�CK LIST zoning Districc: C.jZ- ► L .
Fire Degartment: �t��1 N � Post Ofuce: w���-t�4-ti�_ School District: �N G���1�
L�ot Area: Sq.ft. /vo CN�rv�,.� Acres � Widch Depth
Surve;� Sub.�.itted: Yes � No Date of Survey:
Propased Sefoac?cs: �
Front(La.ke): b�j� RiQhc Side: � �� �
Re2s (Street): ► 2 5 Left Side: (2� �%
Adjacenc Struccures: (�rTC14C.t--t�.Y.) �Vetland: f� ��' •
Buile�in�Hei�ht: Def. H�t. /�!((q- Peak H�t. —
Lo[ Covera��: O 11�-
Gradi��: Staft Approval Date: /�! �./a- By: � Council Approval Da[e: —
Septir. Staff Approval Dace: N (/� By:
Zoa:��File: � � Resolution: n Resolution Date: �
Shoreland District: y-G S
Av�. Setback: N ( ✓1- Bluft Setback: �✓ (� ��Co�'em�e:
E���� Proposed
Hardcover: 0-7�'
��-Zso� o.)�
ti0-500'
500-1OQ0'
Hardcover Variance Required: Yes No�_ Date of CounciF Aoproval: �_
gEtiL�.R�;S (in house):
7
B UII..DII�'G REVIE�V CHECK LIST
usc: R - 3 -- co�rs�rxucTTov�E: 1l�
Sq Foota�e S Per Sq Ftg
Sasement z —
lst FZoor x —
2ad Floor z =
Gara�e z —
x =
TOTAL
0
Fstimated CorLstruction Value: � �.�QC7 '
Inspections Reqvired: SVor�;Requiring Separate Permits:
Site Plumbing ' Fire
Hardcover RemovzI Mechanical Water Connection
_� Footin� , Septic Sewer Connection
� Framin� Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Welt (Scate Permit)
_� Final Grading/Filling Electrical (State Perm.it)
Other
RE�IARKS (Zi�t HOUSE): -
REVIEW BY OTHERS: ' DATE:
Access: Ezistir.� New
Access Approval: Date By:
RE��LARKS (TO BE �'OTED ON PERMI'1�:
8
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�� 28Z5 HARRIET AVE. � � MIy�EAPOLiS, MIN�lES4TA �
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For P�'.R� P.�',JL DC7TZEN,=�rJTH ,,�
CITY OF OROH�
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; �. � SITE PLAN GRADiNG P!.AN
. " ; c=; . _,���— -- � � APrt�OVED — Q�G►c.
K. <<� J' . Jo?,� � � APPR�VED W�TH REVIS(ONS
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���C?IPTI JC�: L�f 5�, Sprin� Park a;-�d ad;oir,in;� �� f�et of Iv� Place vacat�d •�ihich i i �s
J@".Y22�1 ti72 2:Ct2t15ions of ti'1� Nort��'@d5t91"��� and SOUtIt'rVa_i�t"I '� � I(l�•S QL
sa�,�; Lo` 7�, Hen-��,�in Count�, t�+i�,�es.�t�,
Scai e; � '* _ '_;�!
1��-- �� j O D ' �a�P 2�-SO
We hereby certify thaf this is a true and correct representation ofa survey of
the bound8ries of the ( and above described and of the ( ocation ofall buiidingY
if any, thereon, and a11 visib {e encroachments, if any, from or on said land.
Da ted th i s �th day of un.e , t�!� . EGAN, F 1 ELO b NOwAK
Surveyors ;:
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING F�NAL 36 FOUNDATION/REMOVAL
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DATE TIME
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Z 04 WA�L 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-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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DATE TIME
CITY OF ORONO CALLED IN S- �
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PERMIT NO. �� ���v COMPLETED �� Q�
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