HomeMy WebLinkAbout2001-P03699 - addn/remodel/repair PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Pz�rkway - PO Box 66 Po3699
Crystal �ay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 9i�i2ooi
SITE ADDRESS: 2871 Casco Pt Rd
Wayzata,MN 55391
PID: 20-117-23-31-0056
DESCRIPTION:
Construction Type VN
Proposed Use: Residential
Census Code 434
Permit Class: Building
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: riumoing iviecnanicai Eiectricai�state�
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 993.75 Valuation: $ 100,000.00
Plan Review Fee: $ 646.03
State Surcharge Fee: $ 50.00
TOTAL FEE: $ 1,689.78
APPLICANTe OWNER: �Patrick Wolfe
2871 Casco Pt Rd
Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIv�NTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDI�IANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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PLICANT PERMI E SIGNATU IS EDBYSIGNATURE
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Cooies: 1-File(SiQnitures Repuired), 1-Aoplicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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Total Fee: $�8� • ,� � Date Received: `��/� -c r
Entered�By: t�d� Permit#: f�;�_� -��_;�`�
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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
JOB SITE ADDRES5: , �� C S .<} c} _ ' ? R� ZIP: S � �� I
`�-�'� `,� I� � �,M (v � � _�� � c����.
NAME OF OWNER: .����-(Z���, ���.��� PHONE: (home)�/���/ - �'�d�
(work) )s �t � �l��l -�1`7G c:
MAILING ADDRESS: � �'vl� CITY: ZIP:
� �� �� �
�' . CONTRACTOR: ' ,.� PHONE:
��` I CONTACT PERSON: MOBILE/PAGER:
G,U� MAILING ADDRESS: _! CITY: ZIP: _ �
�� STATE LICENSE: # � L� �
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`1 ARCffiTECT/ENGINEER: �'��K� � F.r- PHONE:
"�" MAILING ADDRESS: CITY: -�� ° s ZIP:
NAME: �z^, (11 � n��`�j � �' S i EU3�� KEGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration ✓ Land Alteration
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PROPOSED WORK�(d s ibe in detai�: � � t��
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ORIE : SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � C�,,(1C�C'
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: � � ' DATE: '�/ �- (� `O I
NOTE! Parade o Homes events e uire separate pernzi approval by Police Deparlment arzd
City Council 60 days prior to the ev nt. Non pernzitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the da[a is stored or to be stored shall be as set forih in this section. '
Subd.2. Information required to be given individual. An individual asked ro 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 agzncy,polidcal subdivision,or statewide
system;(b)whether he may refuse or is legalty required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identiry of other persons or en[iries authorized by state or federal 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 revenue mav olace the notice required under this subdivision in the individual income tax or orooertv 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 confidential. 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 6e desires, shall be informed
of the 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 six months thereafter unless a dispute or action pursuant ro this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay[he actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this suMivision,or within five days
of the date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual,and may have an additional five days within which to comply with the request,
excluding Samrdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accurac}•or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the 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 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 s[atement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the adminis[rative 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 Ciry 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.
- � c�T�
irst Middle Last
8`�l C c a� �7
ddre s c�/
v� -� ' S�_��� c/ �� ' L/ 7/- / 7GC'
���, State Zip Phone
I understand my rights as stated above.
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Signature
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CHECK OFF LIST FOR ISSUAlvCE OF PERiti1ITS
FOR OFFICE USE ONLY
ADDRE�SS OR LEGAL: Z�3`� I C ASC.� �Po��vT 1?��
PIv:
DESCRIPTION OF WORK: �q,p�i�7 p
ZQr11i TG REVIEW BY: DATE APPROVED: 9-s - d(
BUII..DING REV�`V BY: DATE APPROVED: r-, - 5 - o�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER�v1IT Yes � No
PLAi�1 REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
e ONING CI�CK LIST Zoaing Districr.
,,�ord`
/"�/' Fire Department: Post Office: School District:
�
Lot Area: Sq.fr. Acres Width Depch
Survey Submitted: Yes_ C� No Date of Survey: g-Z7-U i
Proposed Setbacks:
Freat (Lake): �34' �`_' Right Side: 36� }
R�ar (Street): �l Z.� + Left Side: ��'4fl , �
Adjacen[Structures: �-t-71P�� µ-L,:� �Vedand: /'d�A-
Building Height: Def. Hgt. O .�� Peal:Hgt.
Lot Coverage: 0,�L
Grading: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: —' By:
Zoning File: # ^ Resolution: # Resolutioa Date:
Shoreland District: y,PS
Avg. Setback? d .K- Bluff Setback: /� �� L.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250' 2 N•Z
250-500'
500-1000'
Hardcover Variance Required: Yes No L Date of Council Approval:
RENIARKS (in house):
7
. �
BUILDING REVIEW CHECK LIST "
�C� � 3 CONSTRUCTION TYPE: �l�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x _
2nd Floor x _
Garage x _
z =
TOTAL
F.stimated Construction Value: $ � 0 0�()pp`��
Inspections Required: `Vork Requiring Separate Permits:
Site �_Plumbing Fire
Hazdcover Removal � Mechanical Water Connection
Footing ' Septic Sewer Connection
�C Framing Fireplace Lawn Irrigation
_�Insula[ion (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling p Electrical (State Permit)
O[her
REMARK.S(IN HOUSE):
---- --------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By;
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RENIARKS (TO BE NOTED ON PERi�fI'I�:
8
� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTI �y SCHEOULED
PERMIT NO. ���1 COMPLETED Z- -�>i Z- 3�
ADDRESS �� ����'4 � �
OWNER I� ����P. CONTR.
TELEPHONE N0._��� �f 7� `" �7�C�
� D �Rlp�ION �/���C�
� 01 FOOT�ING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 ING 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SE TI �FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:: YES_NO
� COMMENTS: �
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� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContrac or on site:
Inspector.���"t-���-�-� �
White Copyllnspector's File Canary Copy/Site Notice
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BEDROON DOWS Q _Z
FIRE EXIT REQUIRED J
t 20" MIN. CLEAR WIDTH ,l '1✓
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� 24" MIN. CLEAR HEIGHT �
5.7 SQ.Fi'. MIN. iPENIC-r
44" MAX. SILL HEIGHT�'4 l
j ivy
,P
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STAIRS
Q•�;� 8" MAX. RAISER 9" MIN. TREAD
( Z 6'-8" MIN. HEADROOM
AT LEAST ONE HANDRAIL REQUIRED
�+. A ;ZORAiL OPEN a7 DES
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\ SPECIAL NOT
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SEE ATTACHED SHEET
r FOR 5t1/Wt(.ts
CODE REQUIREMENTS
SPECIAL NOTE
- SEE ATTACHED SHEET
` FOR -_A_-AWO t1AIL
CODE REQUIREMENTS
CITY OF ORONO
BUILDING 8, T PLAN REVIEW
INSPECTOR
DATET- L *�1 PERMIT NO.
ID APPROVED AS SUBMITTED
APPROVED WITH CORRECTIONS AS NOTED
D NOT APPROVED --- CORRECT & RESUM11T
hose comments are for your information. All work shall be done
In full compliance with all applicable building and zoning code.
Requirements including items not specifically. noted in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES
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