HomeMy WebLinkAbout2001-P04304 - attached deck PERMIT
�'I�Y �� o RD N 0 Permit Number:
2750 Kelley Parkway - PO Box 66 P04304
Crystal Bay, Minnesota 55323 P@I'flllt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 9iv2ooi
SITE ADDRESS: 2871 Casco Pt Rd
Wayzata,MN 55391
PID: 20-117-23-31-0056
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Permit Fee: $ 181.25 Valuation: $ 10,000.00
Plan Review Fee: $ 117.78
State Surcharge Fee: $ 5.00
Misc.Fee: $ 181.25
TOTAL FEE: $ 485.28
APPLICANT: Friend/Relative Contractar OWNER: J Patrick Wolfe
MN 2871 Casco Pt Rd
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
MINNESOTABUILDING CODE REQUIREMENTS.
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APP ANTPERMITEES ATURE ISSU��BYS[GNATURE
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Cooies: 1-File(Si�nitures Reauired). 1-Aoalicant,1-Monthlv Reports, 1-Assessins, 1-Finance Page 1
• 1 / ,J�?
To��l Fee: $ `I �- � ��� Date Received: a-a8-�
Entered By: ��'f? Permit#: 1'102�4�1; � � J.
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CITY OF ORONO - BUILDING PERMIT APPLICA� O
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: S 1 ZIP: ��� ��
NAIVIE OF OWNER: PHONE: (home) '� 0
(work)
MAILING ADDRESS: S�p CITY: ZIP:
�
CONTRACTOR: PHONE:
CONTACT PERSON: MOBII,E/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCI�ITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/A�e�tiw� C Land Alteration
.
PROPO D WORK(describe in detai�:
, � ' 1
STORIES: SQ. FE OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �C�,��O
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the wark 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: DA�: � � � �4
NOTE! Parade of Homes events quire separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJ�CTS OF DATA f
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 concerning himself
shall be 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 legaUy requited to supply the requested data; (c)any known consequence arising from his supplying or
refusin�to supply private or confidential data;and(d)the iden[ity of other persons or entities authorized by state or federal law to receive Ihe 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 revenue mav olace the notice reauired under this subdivision in the individual income tax or prooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data bx 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 dassified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public dara on individuals shall be shown the data without any charge to him and, if he desires, shall be informed
of the content and meaning of that data. After an individual has been shown the priva[e data and informed of its meaning,the data need not be
disclosed to hinl.for six months thereafter unless a dispute or action pursuant to this section is pending or addidonal data on the individual has been
collected or created. The responsible authoriry sha(1 provide copies of the privare or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies.
The responsible authoriry shall comply immediarely,if possible,with any request made pursuant to this subdivision,or within five days
of the date of[he request,exduding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so infornt 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 conceming himself. To exercise this right,an individual shall notify in writing the responsib(e authority describing the nature 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 incomp(ete 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 disagteement is included 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 City 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 permit 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.
F s �Mi dl I Last
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Ciry State Zip Phone
I understand my ri ts as stated above.
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Signature
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE NLY
ADDRESS OR LEGAL: Zr87 � (�SGc� o�rv i l2o AY
PID:
DESCRIPTION OF WORK: �cc� �Pc/aC:.P � c�1�4-��
Z0��1G REVIEW BY: DATE APPROVED: q- � -o�
BUII..D�tG REVIEW BY: DATE APPROVED; � -5'-�(
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNiIT Yes �/' No
PLA1�1 REVIEW Yes � No SEWER CONNEC"ITON
STATE SURCHARGE Yes �/ No WATERCONNECITON
INVESTIGATION FEE Yes � No ���`'� PARK FEE
SAC Yes No SITEINSPECTTON
Number of SAC Uruts OTHER (specify)
-- --------- ----------- --�='-�2�4__!Jo�s_P �--�/o �-r
� ZO�TING CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
�
[Area: Sq.ft. Acres Width Dep[h
Survey Submitted: Yes� No Date of Survey: Q'2�` � �
Proposed Setbacks:
Fron[(Lake): (00� Right Side: �'j�( � �'
Rear (Street): � ?.c) Left Side:
�7 ' .4
Adjacent Structures: /}'T��� `Vetland: r!I�A
Building Height: Def. Hgt. �V � I'� Peal:Hgt.
Lot Covera�e: 0 � �
Grading: Staff Approval Date: '— By: Council Approval Date:
Sep[ic: Staff Approval Date: --- By:
Zoning File: # � Resolution: !# Resolution Date:
Shoreland District: �./-Ps
Avg. Setback: � ��� Bluff Setback: I.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250' Z�-/ •2
250-500'
500-1000'
Hardcover Variance Required: Yes No_� Date of Council Approval:
REMARKS (in house): ��e �rw p�4r�'� ��L� - v � �� s�� /�G�-,J
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BUILDING REVIEW CI�CK LIST
�C� �� � CONSTRUCTION TYPE: �/�
Sq Footage $ Per Sq Ftg
Basement x _
lst Floor x _
2nd Floor x _
Garage x _
z =
TOTAL
Estimated Construction Value: $ t C�,pOc��
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
< Footing ` Septic Sewer Connection
_�Franung Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
—�F�� Grading/Filling Electrical (State Permit)
Other
REMARKS(I�ti HOUSE):
--------------------------------------------------------
REV�W BY OTHERS: DAT'E:
Access: Ezisting New
Access Approval: Date gy;
-------------------------------------------------------------
RENIARKS (TO BE NOT'ED ON PERi�iIT):
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �- = �'n�'`'
PERMIT N0. � G COMPLETED -'GZ ' �
ADDRESS ��7� ��.Q-��v /'�f - � �•
OWNER L�� CONTR. C���.�-d� /c..,�.,
TELEPHONE N0. � l a` � <�U/ - �v O�f CP
� DESCRIPTION �%1�1 r n-�i
� 01 FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSUL4TION 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_ ES_NO
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� CQM�ENT,S:
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W O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contracto n site:
Inspector._�1�� ��
White Copyllnspector's File / Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED � �- �L(
PERMIT NO. COMPLETED � ���`� d
ADDRESS��tl��I� C_�c-1—c,-c_ /�C` , ���
OWNER '�"� �� G=�'°`���' CONTR. �� ���.-r-�
TELEPHONE N0. < <� � � � � ��' �
� DESCRIPTION ��%�-�����-�,-�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
,�_.�__
O L 03 INSULA�IG� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
Z 04 WA� L D 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
v 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ,�VORKSATISFACTORY:PROCEED 0 PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra tor on site:
Inspector����/��2��-�'f..�
White Copy/lnspector's File Canary CopylSite Notice
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CITY OF ORONO '
BUILDING P -RMIT N REVIEW
INSPECTOR
DAVE 4 -Sr- PERMIT NO.
C! Ai'PRO\IED AS SUBMITTED
,@ "AP P►i0V=D WIT=H. CORREGT1. 01M AS't,!OTGD
G NOT APPPtf.h ED ... CORRECT & RESUBMIT
These Cdtr vrds are for your iniorma!ion. Aft work shall be dons
In full compllence wino all applicable buitding and zoning code.
R ecluirements Including items rrot spedricey.noted in this review`
KEEP THIS PLAN MT ON SITE AT ALL INES
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