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Home My WebLink About1994-05880 - plumbing . � PEI�MIT �'' CITY OF ORONO PERMIT TYPE: ;� -= �� :,�::;-�:,�Jt, 2750 Kelley Parkway • P.O. Box 815 Permit Number: ,.��s'�;�"��-t Orono, Minnesota 55356-0815 �_��. �` �.'=��=��i� (612) 473-7357 Date Issued: SITE ADDRESS: ;-.,,_ r-.:,-,,-.:. �-.-_:;,� _ --� - - - _ -�� - _ _ I .._ ;'•r-� _.. .; ,: _. _ _ �_� . :•.: � ;::.._; - - .: : : _. ... _...� ,. : � . u . . ,: ; : : -,-- = : _..::;,L:. „ : � �. .. _ ..._._. .. �:._,._,�. DESCRIPTION: _. . _ �. _ t - +� ,��-i-.; „�,, ;��, ,.if.`. . _ __..._ .__;.1"!J`=`�= . 'i�..:�:_ . 7 r.�._ ;_ . ; �. � � - il=;:,_:=�.+'f�; ..�_�i�?:: :�;�::«'_ �:�;�'i�:;t;� �k;i'=;`?'��ki; - i ,�H,' t- z'-;r T i;+.'T' � :�:"t��._ : �L'-•-�-- .._ �_t�t.;V., , ,�;;,��° ; C'�13"ra�:�_3F; j _�C..js"�lyj;fi _ �„1�':�i_�}- �i�;S�-i i 41 T! V!t L'l1�V1tL' L�!1?r�Aff'� t!L L t t'i—. f t1Trilt44 LI � 1L•L 1�'.L✓d 1JVVVV 17 REMARKS: �''� "'-" '''``` i i..i.�i ri��1�Y��V t! n t f i C�+ � —; v s u�+r .i e i.i lilv'1 I L�L�Vt�L� 7� FEE SUMMARY: _ - - -- `:'' "" j._`" ;:,� , ;:,; -- : . : .� - :: ::._._:, : : ..�_;i�: <�:` ; -'�`:s ._ i�'ii�ti� ;L .—,. ' TL ;•� "��c`zF�i_'i'USa�' F'iii� ..,... - - - . .. - - - - - {t.;}_ . ;; E54�•�-j� r ��ervvi �vu _.. _.. . . -:. . . `�_'.' ,.l.... � ---�!i"'r'�trr�i�-!'f�f�t L:'T !ilifa__ �='� . : �—. _ ' ' _ i 1 !t --1;' _. ._. _ C. 3�; TFtf.x-r.v;�..•v vi fvv•�•� . , ��_. . -• ' i=.'.:ri ' . _ . . .. . .- _ _ � ---'-----A3"= � ' - -_._ . . ; . _ f}7 �il!'••A ��ai._ ' _ '"��{.'.. �a,i.'.'.�'ii:'.}:,? V1lr.L.'!f7 cQ�:-��A�zc�:�� ;;�, _�,;, � ,-. - -- :_��:�:_��i��: _ �w��: :��. :i-;:d`� ' �}`:f'.�... ._.... . .:_. : -:7`• F -�i. '-•'�_[} �' ;.. _ .'�.. �:: ._... _ _ _ -. _.-... _. .. }�` �'. -- - - -. ._. .j_.! . . _. . . . ._.. ��%��''.f;i i°��'S� 1�E_,„_� F`l'•-�`tY�±�V+:3 �.�i1,# f_i_Y=�^a i i,F�','•.s.. . _. ._. . ,.'�f,—-it).::.�. __, _.._ _ _ , e t • - � - - ..,� � ;_.�.,, t � �.,.. ;r::C�'_' i �t=" ; I"f:'..i ��'� �'�_;�.t ��3:x ��;'; fi.i;=`, ;�...„._. .._ . : ..__ _:3�_�. ._ _ ._.. ..__.: . :.... .•"!! i . ..._ .� .._e•._` ' �� . �.._. .. i_ ._ _ ._ _.7 . J . .. e ._. . . .. . ...._� .,__ a. .. . .._ ....` f'...I�'? i _. .. .. .... ,-.._. . .. _ . ' __ , . �r�� :-. �.r� �-�:. i s F':' .. �r� iTi � � �':1 !�1}�.. ._�!—'__�_� i � � 'rt7 ��Et4: �� .... .��.s' . ::_ . ._ ._ _ {"� � � � rF7� r , t : t:: : ' t ,.. �..,' ,_.. ...c.. . _.. . _ .��. _..._. . _ � t,.:; � t't' ,:i'� .. • � t � _. _.. _ . e': i .� � , _.. _ _ . .. _ . . _. . _ ... . . . . ... . _ {i . .�..._ .. _. . _. _ _ . ,-:<:=_�� . �._��'•j �� .i._' ..ii.�� f"43 i i_�"�'� �'��'i}.1 .. . .�� ... . � � E :. i..__ 3 S.5 t f�;{ :�'1}j� i . i i�i°i-I'•�:_::.Y..r.^ .. L �' � �� APPLICANTiP RMI EE SI ATURE ISSUED BY:SIGNATURE � , �� ,,.- ' .��1�.�� CITY OF ORONO APPLICATION FOR PLUMBING PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the State Code requirements. 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Please check one: New Addition Repair � Replace � Residential Commercial JOB SITE:��I �; � � �� , �� ,.,-� �� Zip: S� � �/ Owner's Name: S,'�� 13 �� : ,,��'v � Telephone Number: ��/ - �i C '�$� Mailing Address: City: Zip: Contractor'sName: �� +�/�� t `,.'�.- TelephoneNumber: �,�� - 1/j'?� MailingAddress: y 3 �' ,,. /; �u/Y h,� c ,; City: �_�:(��,r, Zip: , S y�=1 PLUMBING FIXTURE SCHEDULE FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER TYPE FL FL TYPE FL FL Water Closet � � Floor Drains Lavatory f � Sewer Ejector Bathtub � Laundry Tray Shower � Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Misc (list) �=' C�N• '. � � �� N.vl l�L�ti � �- � � . � PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �� y �� C- �' ' x .0125 $ (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ (contract price) or $.50, whichever is greater 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for pernut fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. �� _ c - � Applicant's Signature: �- Date: 1 � 1 `1 1 DATE TIME CITY OF ORONO CALLED IN - �S� INSPECTION NOTIC e� SCHEDULED - �Gj�.��irl PERMIT N0. � O COMPL o �l ADDRESS D5 � � OWNER CONTR. � TELEPHONE NO. -" � 7� � DESCRIPTION /Z�('��S�z:�JC.� � 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING � 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS � Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—F 27 SEPTIC MAINT. 21 COMPLAINT Q W�B LUMBING RI , 15 SEPTIC INSTALL. 22 FOLLOW-UP ` J 10 PLUMBING FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � Z W � W � � d � ORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. . PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlCont or site: Inspector. � White Copyllnspector's File Canary CopylSite Notice �y�� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � "�- %�— PERMIT N0. ��' ��' COMPLETED � U ADDRESS � 9 �� d�-�-�' ,�'� ��- OWNER �o'� CONTR. ;,��-¢.- /�.�-�. TELEPHONE NO. �1� 9' `f 9 7 y � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS � 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z �—� Q 05! FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 0 PLUMBiNG FINAL� 23 SEPTIC FINAL Q OWNER/CONTRACTOR TO MEEf YOU:_YES_NO Z � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � �� d �WORK SATISFACTORY:PROCEED �i PROJECT COMPLETE W � l:] CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W O C;CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT CICORRECTUNSAFECONDITIONWITHIN HOURS. " PHOTOTAKEN INSPECTOF WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR '-' CITATION ISSUED f 7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContract� i e: Inspector. � White Copyllnspector's File Canary Copy/Site Notice D TE TIME CITY OF ORONO CALLED IN � � �•� INSPECTION NOTICE SCHEDULED /- � ' D :pd a�-j PERMIT NO. SR�C1 COMPLETE � .1� ADDRESS c'� � �� OWNER CONTR� TELEPHONE NO. ��'i' ��'t 7 5 � � DESCRIPTION � 01 FOOTING 11 MECHANICALRI i6WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING � 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS v 07 DEMO—FINAL 27 SEPT�C MAINT. 21 COMPLAINT ? _ LUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUM IN INAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O — � � O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � f;CORRECT WORK 8�PROCEED !-! ISSUE CERTIFICATE OF OCCUPANCY W O L]CORRECT WORK,CALL FOR REINSPECTIOM TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ` pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnedContractor Inspector. White Copy/lnspector's File Canary Copy/Site Notice PERMIT ' CI'TY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po22�4 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (612) 249-4600 Date Issued: 3i3voo SITE ADDRESS: 2905 Casco Point Rd WAYZATA,MN 55391 P I D: 20-117-23-31-0052 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioniing DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,496.00 State Surcharge Fee: $ 1.25 TOTAL FEE: $ 36.25 APPLICANT: COUNTRYSIDE HEATING AND COOL OWNER: SHARON TRIPP 6511 HWY 12 2905 CASCO POINT RD MAPLE PLAIN, MN 55359 WAYZATA MN 55391 THE UNDERSIGNED I-IEREBY REQUESTS PERIVIISSION 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. ..- � �' -, , APPLIC NT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 � GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within 2 working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS � POSTED ON THE JOB SITE. 3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating, . ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a sepazate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements, ' 6. All work must be inspected (rough-in and fmal). Call 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. �, Please check one: New Addition Repair �� Replace / Residential Commercial JOB SI'I`E: �t;;„ � ��_c <�� c,,;,� _ — �;•:_c> Zip: Owner's Name: �t+;�c?o r `�'�; ��,-• Telephone Number: --�� 5 , � c:� ; Mailing Address: r,/��n�:- City:L�l��"7ia�_�-� Zip: 5's��", ) Contractor's Name: ��K�.,-;�L;S,�x� r-�E r,-� , ►;:c., Telephone Number: �=<�,-; - i�,� �'- � % S�`� Mailing Address: �;F,�� ,��,;r� : ��-_ City: �r��,:,y� r�_�e�r- Zip: � � SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: ModeL• Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: i � Make: G'�� i` - — Model: c: �_�';;�� ; x-,;� Tons: �'/� ;�� H. Power _ , WOOD BURNING EOUIPMENT Wood stove with flue Wood combination or add-on � Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �'�� . c-�'=�• x .0125 $ -�•� :� c,. (conttact price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ + � � � or $.50, whichever is greater (contract price) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �.S � •�:._.�- * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation aze furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all stat�ments made on this application are complete, true and correct. � � i A licant's SiQnature: / ��.� �� _ -- Date: '�� '" =�- �'- PP � � � A Approved By: \�� Date: } rIT�Y OF ORONO PERMIT `' Permit Number: 2750 Kelley Parkway - PO Box 66 Po4o90 Crystal Bay, Minnesota 55323 Permit Type: User Defined (952) 249-4600 Date Issued: vl6i2ooi SITE ADDRESS: 2905 Casco Pt Rd Wayzata,MN 55391 PID: 2o-i 1�-23-31-oos2 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Permit Sub-type(s): Lawn Sprinkler DETAILS: Approved per resolution #: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc. Fee: $ 1.50 Mail In TOTAL FEE: $ 37.00 APPLICANT: Yardscape OWNER: Sharon Tripp 8609 Harriet Ave So. 2905 Casco Pt Rd Bloomington, MN 55420 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEIVIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ✓��/"j ' •/. r�� /� ^;� ��` � �' °--`� � � �,�'`�� /_.�_ � ?'t'%��.r�:% ��;;, APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE Cooies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 � CITY OF ORO\O APPLICATION FOR LA`YN SP�t1NKI.FR SYSTEM PERI�IIT GENER�.L INFORMATION 1, `i ou may apply for sprinkler system pemuts by ma.�1(P.O. Box 66, Crystal Bay, MN 55323) or in person at the City offices (2750 Kelley Par�vay). Submit plans for review with this application. 2. pERLVIITS ARE NOT VALID UI�i IL YOU RECENE A PER1tiIIT. WORK MLTST NOT BEGIN UN'I'IL THE PERI�IIT CARD IS POSTED ON THE JOB SITE. 3. `Vhen any new construction or remodeling is 'in�-olved, a separate buildin? permit must be obtained. 4, All work must be done in accordance with City and State Building Code requirements. 5,. Two (2) sets of working plans shall be submitted for approval to the authority having jurisdiction before any equipment is iristalled or remodeled. Deviation from approved plans wzll require pernussion of the authority havin�jurisdiction. Workin}plans shall be drawn to an indicated sczle on sheets of uniform size with a plan of tne site so that they can easily be duplicated and shall show the following data: a. Name of owner and occupant. - b. Location, includin� street address. c. Point of compass. d. Location of septic system if applicable. e Source of water supply. £ Pipe size. �. Pipe location. h. All control valves, check valves, drainpipes. i. Name and address of contractor. 6, All work must be inspected (final). Call 249-4600. 24-Hour Notice Required INSTRUCTIONS Complete all items on this applicz�on. Incomplete applications will not be processed. If you have questions, ca11249-4600. You�vill be notified by phone when the permit review is complete. Please check one: New X Addition � JOB SITE Z�t oS ��,�,.a p.•,- Owner's Name_�.+.{�.o _.�., �v,pP Telephone Number y�Z y-�� -��g3 Mailin�Address Zyor� e;x,.�<<_�-j— ►�� Sprinkler Contractor's Name _ � � ,,,,��, TelephoneNumber -703 c.�y I zi�i l Contact Person GHrZ.�s S-�ak-�� Mailing Address I f �R�l Zl 9 ,o,�� ,.,�1 r rz, - r-i,�� ' `VATER SUPPLY Lake �Vell City� B�.C�'LO�V DEviCE - . AVB P VB �_ � Year of Make Model Manufacture uanti Sprinklers i o�Zv -7ob i � Z5 l o� � �']o �oo I [� TOTAL 3� HYDRAULIC CALCITLATIONS Design Data: Area of Application: �a-,o Sq. Ft. Covera�e per Sprinkler: �od• Sq. Ft. No. of Sprinklers: 3� Total Water Required: �o Gpy� PERII�IIT FEE CALCULATION 1. Pernut Fee $ 35.00 2. State Surcharae $ � .50 3. Mail-In Fee $ 1.50 4. TOTAL PERiti1TT FEE (Add lines 1-3 above) $ �� a The undersi�ned hereby applies to the City for issuance of a Sprinkler System Permit, a�rees to do all work in strict accordance�vith the ordinances of the City and State regulations, and certifies that all statements made on this application are complete, true and correct. Applicant ��.�.-rT-� �d,� � Date_�>> fo � ************�****�**********�********************�*****************�************* Approved X Approved with Corrections Denied Revie�ved by: �� Date 7-�6-01 �c (.on�e�-��,d � �l-o wqter rr�S-r 6� mqc�e 3y q ( ce�Sc� Plu�.6er � seperq� ��:'r ,r•��53- �t �53ue� �-pr �'1:.5 wD�� ' ` 5�t ec S � Q Pa _ . �Q� `e ot �oSQ��NeSOL � s`o ��O�n� � -��'��a� P�-�� •. ��es p� �`� C.o r9.�sK K l . t`� �a� � � ,�,� , . ,,� �.oe s..y�,a �(z PP ��S+i�� e f°�p a G°J� � ' Z`�O�j G�„x_.p P�i- �,,t,p �.°�St�eQ,� 1 Q� � L of �e� : � � � 1 1 j e� ��- {'��g �' : . � � � � ?�� '`�' °[' 41a�'°'�d �' ' 2� VA.c..�lE. �u 3_ �tp -� - 1 •` r"IA.�J��J� v . W � `�, h �v`''�c'GE �Lo�'n t-�c�a]��e. 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I , . }s �ra`a��j6•P�e�f ti<` o � �s•� � o e a e ' 1 ` � • �,{`�t eseoE Sr°t s'�ti�ti.Q ��e � � n : ti �'+ ; �k�'w �y �`ti �aQ�e��`�eact;so �rs�e ��e�s <`� � '. ,' d' `"-�� et e t c e ��d tie� o�s � a ,�ee �,�� tr �� • � � � � .: I y � r �° b° a�D �S� a�ve�' of' ' °f >> "� W � � �• �.� � ��1 ' �ix'i•• a�� treof �ei.��,�°��d ote �o�q•. oebea� ' " vo.i t i i � � of a�ti eeo f �,°or�.�e 5�0�t 10 �e� �4 �� o � �r. ..1 ;• . p ti� � '� tir ey. �o r� �� 5 t �',i.. :':g''..Y �i :n.:.•., ry�� e t,<a�a� ,�ee� 98� t,� ocD et �� e :.: ,��... �\�':��K` �ti. : I .... ,�ree��9�f �ta�� e � Q�,Q J�ve�GCO .. .: r . � �/� , 1 P �� S o ��o �d ar o� ot � •,,\�� ! e.., a � s � �� ;.�i � ��,':� ��'F•�of •`a�e e�e�ts � v ." !: � e�ret ,�o� �ti �a�� ,N�, • • �,: •- '-�` 3.� :•`'• ,��9 et• ��Q G G a _� i � �o et � �,__ _.. .� otir pNO� �. e,�o ,:'�' /ca.w �:;i� b � et9 So�'�D ��G�c9J 1 , -- s�.•t ,.�.r. .••; ��,� t�n �� eSa'� � n �(1'v�-��l�C- �,��f�� . Go �et�'�. �,� , G�c�� rblc-�L� o a'� ? at9,�e a�e , �. r �7'c�'3 �I�(I Ziy� --- ^ :.�:��-i��Y�•�'==—�-; --- o-�s' ��°�9 � �5,�� +� ltCoS`-� Z�e(sa�/`t rJ.IJ � i��aK:r':i�?: ' _—__ . `e • �t �— �►�l� r--��-1 � Sva e . 1 `o�f I�' �� o �f r�Y,,''� ^ �`"�,.�c,Q Gxr-...C_ , ,' n �1. yr�� I � �,� ` �� : �.�'��. : '• ' ��ry � --� , . 1,`. � �' � �� •� L�� ' � Oa�.4� ♦ kr�n✓fti.rt/.•wa /9�r.y r..v4.) � � � (�.��.Ue ��.n� �—��y�CC�ii� �l�. /) ��/ DATE TIME CITY OF ORONO "�`J LED W � INSPECTION NOTI SCHEDULED `� / : OD PERMIT NO. �C�� COMP ETED 'j$'�� ADDRESS ,� `�I'�� S CG � ��Y OWNER CONTR. C TELEPHONE NO. 9� a -�� 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 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � a 5�c:�`�.1,�i can��rr} � o �bvS�- �-.�� p0« t�b`� � L � � 0 �.1 f.G�e�tc�! _ � � 1 W � � � Q �v� � 2 W �ea� � � O c/ W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ' 1❑�SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. " `i l�� ,:y~�=--� White Copyllnspector's File Canary CopylSite Notice PERMIT CITY �F ORONO 275U Kelley Parkway - PO Box 66 Permit Number: p03999 Crystal Bay, Minnesota 55323 Permit Type: user Defnea sur�Buila�ng (952) 249-4600 Date Issued: 6i2ai2oot SITE ADDRESS: 2905 Casco Pt Rd Wayzata, MN 55391 P ID: 20-117-23-31-0052 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Surc Building Permit Sub-type(s): Stairway to Lake DETAILS: Approved per resolution#: Separate permits required: Irrigarion Other- (Must have Lawn IrrigarionPermit) NOTICES/REMARKS: Hardcover Removals Required! FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 Plan Review Fee: $ 72.28 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 186.03 APPLICANT: Clayton lohnson Yardscapes(See Comme OWNER: Sharon Tripp 8609 Harriet Avenue S. 2905 Casco Pt Rd Bloomington,MN 55420 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC�'IED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �' � ��'`�yL �, -� ) -_--� ` ,,,� l �LI ANT PER ITEE[G ATURE I S D BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 �f 1e� J �,'�-e �4�e a�-�C''"� `�z' `�'`_,�-,`�-�'�' ., / �� --��..�� t .�.<.� ,�� Total F�e: $ � Date Received: �� - �' Permit#: �ntered By: _ '` � � —� �'�.ri��,_�t, . CITY OF ORONO - B�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 one) OWNER OR�CONTRACTOR' JOB SITE A.DDRESS: �� _-�- � � � Z�� NAME OF OWNER: ��-+�� ,�,� PHO��tE: (home) (work) 1�LAILI�i iG A.DDRESS: 2(��,�� - CIT'Y: ��n�� ZIP: CONTRACTOR: "��-�<<�---=� ��>n��,.,��...��, PHO�IE: �(� 8�3� z--�� CONTACT PERSON:��-;,� �,��,�,� ��iOBILE/PAGER: ��z �c�� 7� 1VIA,II�ING ADDRESS: ��,��..-T-,�.-c �-,, CITY: r'�.,.��_;�.�-� ZIP: �� zv STATE LICENSE: # ARCHIT`ECT/ENGINEER �, .��.�,_,.��-�,. PHO\TE: �� Z��r� MAILIPIG A.DDRESS: �,�,��r �,�.� CITY: t�t9�„v�,��,� ZIP: ��a-( z� N��:�"�H.�_�; �o��,��-� � REGISTRATION# ' TYPE OF WORK: New Addition Accessory S�ucture Move Remodel/Alteration� Land Alteration k PROPOSED tiVORK (des ' ' detai�: �,��<� ,��, - �'�-��J_4�� ` - �� ,,. � -,.:.�___) �•� ".-, �.�� - ��Lti� --- ___ -_.._ STORIES: SQ. FEET OF EACH F'LOOR: NO. OF B�DROOiVIS: GARAGE STALLS: ATT�. � DET. � - � ESTliV1A'TED COtiTSTRUCTION VALUATIO\ (excluding land): S ��%�-- I hereby apply for a buildin� permit and I acknowled�e 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 BuildinJ Code; that I understand this is not a perm.it and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S STGNATURE:[�� ` ��-��--- D`�TE: �/��i� ' — N'OTE! Parade of Homes events require separate permit approval by Police Department and City Couneil 60 days prior to the event. Non permitted events will not be allowed. Sea13.0-1 RIGHTS OF SUBJECTS OF DaTa Subd. 1. Type of data. "Ihe righ�s oF individual on whom ti:data is s�:�or co be stored shall be�s sec focth in this secdon. Subd.2. Informatioa reqirired to he given individual. r�n icdi�•idual as's�co supply private or confideadal data coacerning himself sball be informed of: (a)[he purpose and in[ended use of the requestcd dara wi�in the collecang'stace agency,polirical subdivision,or statewide sysum; (b)whecher he may refuse oY is legally r�quired to supply[he requested dzca;(c)any�ov+n eoasequeace arising fmm his supplying or rcfusing to supply pri-+a�e or conndenaal da�a;and(d)the idendry of other persoas or enad:s a�chorized by seate or federal law to rceive the data..'Ihis requiremeac s6a11 no[apply whan an ir:dividuai is asked to supply invesdgadve daca,purn:_c to seceoa 13.82,subdivision 5,to a law enforcemeat o�cer. The commissioner of r^��enue r-iav place the norice rauited e^d-r this subdivision in the individual ir.come tax or propem_t;x reFur.d instruc�ions instead of on those forms. Subd. 3. Access to data b�indi�-idual. Upon reques�to a r.r,.oasible ae�.oriry,an individual shall be informed whether he is[he subjecc oF scored data on ir.dividuals,and whe�her ic is class�ed as public,priva�or confid�r.rial. Upon his funher request,an individual who is the subjeu of srored privare or public data on individuals shall be shown the data w•i�out any e:.3rge to him and,-if he dzsires, sball be informed of�he conc�n� and meaning of�hac da�a. After an individua!h�s been shown the priva��aa and iL.'or�ned of i�s meaning,the data need not be disciosed to him for six mon�hs ehereaicer unless a dispure or acaon pursuanc to this secdon is ve;�ding o;addiaooal data on 4'�e individual 6as been collecc�d or creac�d. The responsib(e aurhoriry shall provide copies of the priva[e or public dac�L�on requ:s:by the individu�l subjecc oF rhe da�a. The responsible authoriry may require [he requesring person to pay the accual coscs of making,cer.::;ing, ar:d eompiling the copies. 'Ihe responsible auchoriry shall comply immediately, if possib!=,wich any r_quesc made punuant to chis subdivision, or wichin five days of th=da[e of the request,ezciuding Saturdays,Sundays and legal holidays,i;ir..mediace compliance is not possible. If he cannot comply wich the request wichin�hac dme,h�shall so inform che individual,and may have an addi�e;.al five days wichin which to comply wirh the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. ?.n individuzl may contest the accuracy or completeness of public or pri�•ate daca concerning himself. To exercise chis riehc,an individual shall noafy ia w•ridng�=rsponsible authoriry dzscribiag che nacure of the disa;reemeac. The responsibte auchoriry shall wichin 30 days either: (a)correcc the da�icund to be inaccurate or incomplece and aaempt to norify pasc recipien�s of inaccun�e or incomplete data, inciuding recipients named by che individ��t;or(b) coefy the individual 44at he believes the data to be corcect. Dac3 in dispuce shsll be disclosed only if rhe individual's stacemeac of disagre��=nc is i:c:�ded with che disclosed dara. 'I1ie decerminarion of the responsible au[horiry may be appea�=�'pursuaz:to the provisions of the administrarive procedure act relaring to contesced cases. DATA PRIV�CY AD�ZSORY In accordance with M.S. 13.04, Subd.2, "Ri�.hts of subjects oi data", we would like to inform you that your request for a permit or license from the Ciry of Orono or any oi is d�par:.�.ents may require you to furnish certain priva�e or confidential information. You are notified that: 1, The informa[ion you furnish will be used to de:emune�'our qualification for the perm.it or license requested. ?. You may refuse to supply data, but refusal r�ay require that the Ciry deny the permit or license. 3, The information may be shared wich ocher loczl, state or federal a�eacies to the excent necessary to process the permit or license. 4. If your requested permit or license requires Council ac�ion to approve, some information may become . public. �, You have certain ri�hts under M.S. 13.0=1 (zvailable upon request) to review private data on yourself. 6, Your full name is required to process this 2pplication or perm.it. / � L �� l �i .�.-t �� First ;�tiddle Las� � C U�t f��o ��r K�-.�. S Address � 7�G�Tvit�.� —,i�-�� -� ��`-{ZU ��Z ��'�� Z�`-� — Ciry � Srace Zip Phone I understand my ri�hts as scated above. / %�r/'d'r^ � � 1 �i�.� / SI�Ra[tiCC � CHECb' OFF LIST FOR ISSUA.�'�TCE OF PERtifITS FOR OFFICE USE ONI.Y . ' . ADDRESS OR LEGAL: Z�t O S C ✓�5 c-� Po i�vT �� PID: DESCRIPTION OF�YORK: (��c„� ✓3 cc�55 s'r-✓�� ZOti'L1'G REY�ti�BY: , D�TE APPROVED: G • Z� -�'� BUILDI�'G REV1�E�BY: � . D�TE APPROY�D: � -i.c,�� _o� FEES TO BE C�i4RGED: Niisc. Fees Caiculated By: pEgM[T Yes �- No �� PLAN REVIEW Yes � No SE�TER CONNECTION STATE SURCHARGE Yes �/� No ��T�C�N�� ,'VESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECITON Number of SAC�Units OTHER (specify) ZOti�G' C�CK LIST zonin�Districc: itro Gtt.�r�..0 _ . e artm nt: Post Oftice• Sc`col District: • � ' Fire D p � • • Lot Area: Sq.ft. Acres � Width Depth Surve;� Sub�itted: Yes No Date of Se::ey: Propased Setbacks: Front(La.�Ce): Ri;ht Side: ' � �v.�+ 0 2 Rear (Screet): L.eft Side: c��<< Adjacen[Structures: �Vetland: • guildin� Hei�ht: Def. H�t. Peak H�t. Lot Covera�e: Gradin�: S�afi Approval Date: gy: Council Approval Date: Septic: Staff Approval Dace: By: Zoning File: R Resolution: � Resolutio�Date: � Shoreland District: _T y J��Ca�•e��e: Av�. Setback: Blufi Secback: � Existin� Proposed Hardcover: 0-7�' ----- 7�-250' - ti0-500' -- 500-1000' -- Hardcover Variance Required: Yes No Date of Council Aoproval: _____ gEI�IAR�;S (in house): 7 BUILDING REVIEW CHECK LIST UBC: --' - CONSTRUCTION TYPE: — Sq Fooca�e S Per Sq Ftg Sasemen[ z — lst Floor z — 2ad F1oor z — Garage z — z — TOTAL Estimated CorLstruction Value: S S,�c�o `� InspectiorLs Required: �Vork Requiring Separate Permits: Site PIu�bing " Fire Hardcover Remo��a? Mechanical Water Connection Footin� Sep;ic Sewer Connection Framin� Flieplace Lawn Irriga[ion Insulation (�fasonry) _�• Other �12f�Gsrn_.s� -�y� ,�� Wall Board (vifg.) WeII (State Perr,�it) � pL. Final Grading/Filling Electrical (State Permit) Other REti�iARKS (�iV HOUSE): . � � REVIEW BY OTHERS: ' DATE: .;� Access: Ezisting `� I�'ew Access Approval: Date By; REZ�L4RKS (TO BE�'OTED ON PER1l�II'1�: ►}��+-a w�..�. (Lzrwo�✓a-�.s R�► v��'J ..` 8 . COPY �RONO June 26, 2001 Sharon Tripp 2905 Casco Point Rd. Orono Mn.55391 Conditions of approval; 1)No hardcover allowed within 75 feet of the lake. Landscape fabric is considered hardcover in Orono and must be removed. 2)No grade changes allowed within 75 feet of the lake. Boulder retaining wall with raised patio area must be removed. 3) A 4' wide stair is the only hardcover allowed within 75' of the lake. Proposed walkway is not allowed. 4)A handrail meeting the requirements of the building code must installed on the stairs. - . . _ , _` , r1' -- _ ..�_ � f �+ . � r �� . . �� a o � � . .s I�;i�� •�i � 4 �� ?, . , r ` --� A ,�i�/'��. 0 1 �. _ � �� '3 4 i ,�,. , � „ � o . � _1' � ,�►•.��t,�'�� 1 Q Q , y q 4 ,,�.�� ,�� .., e� � D C�_ ��'��-�,�'�' ��t� �,��. � �iiiJ��'Jr' - � � .,t.ii � .r �� -� -��r�� . I � � I/ �l Q � .� • � � �P �� ` ,�' �. . ~� �.- •�' � : i , A . , i�! �� .�L�`'jr'�� - � �. . . , � ■ J , � `� � � `� ��%�� I i � ..•y�� 1 � . : e • . .. ►, �� ,� �j� �w$ � ;� � _ ! i , . ___� _ � i1�ir: � .�� • � T'- • �•�i ,�It.�. . . , . . � --!► .-�� ,�.�!`�! `/,f�� 1� • . - �� ^� � =�� 'r -� .�:�;��• � � � . � , �. . a a i , ,,, r _�,,, ., 1 • ,��-t� � �� ,;� ��. 1 ' �� _ _ _ � a, � ,�.�`��i� �� - ! � � .� � -� � Q �� f � -� ,,_. � ,---...� �CI �►�-��f" r �� .s��r� ,, . - - , ' ��:�.. ...��, ��, � . �. , � f.� -• I,, .� •�� ___ ...��.� 11 t_ 1 __ _ . � , _ _ —�:�-�_ _ --- � �� ! � �iiiiir ,� � � � � ► r � �, - I � � 1 �r � .� � , � . �.•, �.��A,�� _ + _�'11 �� 1 ��' � - �,� � ,�� - -- _�__...� -___,; �` � ��, � � - i ► �'!J �.�i. � '�i � � �� : � � � . : .•:� � � �r c � ��I 1 : � l/ 4 • i _ � ; ,�.� i�>s�. ►� ;w-�"- �% � � ' �'�� _-____. i „►,, , ,� , ,�,,, �� , a . p�l � � - . ...__ . ; � � , _�. , � �, ,� �.� � �� P ._1I �� . �, :�,. - �•�� l��. i� , r ________ i � � � -*- f�� - .��:.+�� .� � � �� " a '� �;� - � ,, �' - ------- -' � :� �, I� �' , � � s��l . ,I , ' ' - �' �'_"'-_`' L � �, � Ti�l d �Q �� ;� _ � DATE TIME CITY OF ORONO CALLED IN INSPECTION N TI E JL�' SCHEDULED G��Z�� , PERMIT NO. r ` COMPLETED � ��a� ADDRESS y,��D� �6S C�f> l� � �C.� • OWNER CONTR. l��ICQ�C�-L TELEPHONE N0. 7`�Sc� !�� c� �cI y � DESCRIPTION ��G�--�.LC..��'1-e- — /L�z�- �LG�� Oi FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOFE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOfiTOMEETYOU:_YES_NO � COMMENTS: � W - a J i � ✓ �� O � � � O � W � C � Z W � W � � ��WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHfN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION RE�UIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra or on site- Inspector/,�l�� White Copy/lnspector's File Canary CopylSite Notice Cerl: ific<ite uf Sur�v�y for J�mes K . L3owc�rs of Lots 9£3 and 1U9 , SPfZIPlG PFlIZK I�ennepin County , Minnesota �� '��, y. ,� �'�. 1 �„�;� r;>`!:.�'�:^„ ��•� _� ',� CQSco .� " �� '�'�.�� s '��f ,'`� ^�� , q �o>� :�oQ�O ' fi�{,��,��, � s ' ; .`::�� •' . -� . . •� �,+ ��.� .� %\ L � f'`+ • �� n\ `aq' ro�o 0 a \ho � � - �\ �, . ,' ,� \ � o ,� �� .S�9oa s . � o�. ' 1l.'' �\ `'' `�' 1� / � 'h�'or • ., �9 ` � i�a•. �� . . �Ix�t �� ' �Q, �olti� � �J'� �° �� Pp i`�, .\ o��- � k� � f.tb 0 � �+ �' �s. '1� � VD�'^ ' � V �� ,�so . �� a. - ::s: > �ry � � ,a�� .�.;• ' � �� „7` �+�' �� , 1}��{�' T��. . �� . '� 7 n1�a �3�G '11 �D[c �y�➢ � Zo^c r�4 n �' � �yo � �O ---�-� -- �crc�l.vi!' `� /' P^slc� .,�;�y �� '►� o-�s' �/, f�9Ss.�'i, t � !� � �y\�/ Gp �o J�� , d 3y3 s�.-k.� 7.63% 7. 6? .,c. i/G(�kA � e�,Q � 7�-��v /D�y80 s�•fi. � .33 9 g s ,�r. a � l y ti — d' 3�.YZ/ 3Y Sg ��^^ Yo .•� o' �So=ov�r y 4�5 s 1�1, a .? Do i . ` r ^ ' 'i 9.��" / �� d• ,9 s�.{t. 3� o ' `; ,�' � .l3/0 3z. �3 . �\� \ oo� `h`o 1 \o\\� rh�io tV\ �rf-F ""�� \//11 .' ''� „\ ., �� •%,` a1� t� .'^,� x� �� '?-= y 4 \\�� `� `'?2° �. . �� • O�\� • i 7�hX'C�ti� ;'`=.�; . °` . 3z �`• �,� I hereb �y,� y cert i fy that tf� i s i s a true ;' '-;� �� . � ,� and correct represer�tation of a survey of the boundaries of Lot 98 , al �o that . ,r�o .� a�'� part of vacated Lake_ Shore ��Avenue lying 9 � between extensions across i-t ofi .the side \\ o� a/1`� �9 c� . �a �� '-�"P�� 3f�3. �' � 1 i nes of Lot 9B and a 1 so tli�at pa�rt of � • \ h� .:';� the tract of land betweer� said vacated � ��" �'��:::�� ,' Avenue and the shore of LaKe Minnetonka ��::�,;�;: •l;`,:� . lying between extensions of �the side \G��-a�r.:..;�' `;�,�,\ a° uines of Lot 98 ; Lot 109 ; �a1.1 in Spriny N�=�'�� " �\a thrk ;' accordii;g to the recorded plat \ a er�of , dnd the location of any exist- ,�' �, ir�� buildin�s and other ' visibie��hard- �� - � ��. cover . � It doe5 not purport to show any � >.:-. � � z�,;u:,�`6�, �, other improvements or encroachments . `�� s �� ,, ,,�Rq\ -�>,�t��v� � � . �' . �¢LK C� 1 . \`\ i � Q; �1 ti y qV J°0� .� COFFI� ftON[3ERG INC . y � ��'y� '��.� t,�<<� �� S . ��Gronberg f�n . ic . No . 1 755 �� ,o ? ,.,�-,.;� En� ineers , Land Surveyors and Planners ��, '� g,F ��,`'�^;� Long Lake , Minnesota � � �:��;-� � .' s�'' ai n;, �fl Y �• ' �� , ��„��•.?�� c � �� i 7 O �� `;�h�' �,`:.� , ��;,�� Sca 1 e : 1 i nch = 30 feet '��+;i� �;..� 'y��:�`�'�' �ate : 5- 31 -�y �` ` Iron marker _.:.;�ti�;=:,��.°;�'�� : � ' ��NO CDP1 � DATE TIME CITY OF ORONO CALLED IN INSPECTION N�TqICE SCHEDULED PERMIT N0. !�Z� COMPLETED � � -��v ADDRESS �D.S C�-s � fP;�� OWNER CONTR. YC�.•-r�-SC�,j�S TELEPHONE NO. � DESCRIPTION�i�' C4-S�2. L�S�-P�hS � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 1 KESHOR TLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE R L 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 FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOFi TO MEET YOU:_YES_NO � C ME TS: a l� ' Q �-nd�� '�.��- l�c,c.s�' ov �— ��'1dV c� 5 �r �, � � � � .�,h 4..z�-�-s OLt ��c� ° u�' �, Q � O Ge- � � h e �' ! Z � a�-- r�-c � �� W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �ORRECT WORK,CALI FOR REINSPECTION TEMPORARY � � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector.�� -� White Copylinspector's File Canary CopylSite Notice CITY OF ORONO PERMIT 2750 Kelley �arkway - PO Box 66 Permit Number: Pos9o4 Crystal`Bay, Minnesota 55323 Permit Type: FiXtures (952) 249-4600 Date Issued: 12ii3i2ooz SITE ADDRESS: 2905 Casco Point Rd Wayzata,MN 55391 P I D: 20-117-2 3-31-0052 DESCRIPTION: Proposed Use: Kesidential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Water Heater DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: � 15.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 17.00 APPLICANT: McGuire&Sons OWNER: Sharon Tripp 605 12th Avenue S 2905 Casco Point Rd Hopkins,MN 55343 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � C'�l'1 C'��7 APPL[CANT PERM ITEE SIGNATURE ISSUED BY SIGNATURE Cooies: 1-File(Sienitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � D�c-04-�J02 1�:16pm Fram-CITY OF ORONO +9522494616 T-562 P.002/006 F-412 y� l ' ' '�`��i� � ,�� ` � ; 1 ,t . � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT + Box (2750 Kelley Parkway) •� Cry Bay, MN 5s323 ,�,o � � �o� � � � 1. You may apply far plumbing permits by mail or in person a�the Ciry offices. ,I 2, '� p�t car�will be sent by r�tura mail after a review is completed. PERMIR�iT CARD S POSTED OI� ,� YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.THE - " �� . TEiE JOB sn�, 3. �i Plumbiag permics may be issued ONLY to licznsed piumbing contractors and to propesry owners residing in the dwellln�. e, '�� When any new coastrucrion or remodcling is involved, a separau building permit must be obtained. 5. ' All work musc be done in accordance with che Srate �ode requiremenrs. 6. � pll work mu;t be uup�cied and air cested before ic is covered. Call (952) 2s�9-4600. 24hour nocice required. �t�uctions Complete all items on chis application. Compute the permit fee. Sign and date the ication. INGOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have certif questions, call (952) 249-4600. ,�� Plea�e check one: New Addiuoa Repair _�Replace � � Residential Commercial ;i JO ITE: �'` ��^\� ��-�t,� _ �:'- �i; y . -�+- Zip� � 'sName: `��Y'�,��=-� l '� f:' TelephoneNumber. �-� `,' 1 - ��`�i�� M ng Address: Cit3': ZIP: . ��,,.�� ' ' �, �� Co � aetor'sNaine:_ _ �n�r��irA R �nns TelephoneNwrnber::-� ,� ,, -'��_, 1 ��u� �� M 'ng Address: �=�th AvP Sn Cit3'� Zip: Hopkins MN 55343 t PLiJMB�NG FIXTURE SC�DiJ E �; �f�TURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER g FL FL TYPE FL FL "' Wacer Closec Floor Drains I I.. �� Sewer E'ector g � Laun Tra �� SiLower Washer �,', Ki�hen Sink Water Heater � i ',� D� � Water Softener washer Wec Bar i Misc ist) S ocks � !� , � ;� ,.;, I ;` i , � � y � � D�c-04-2002 12:16am From-CITY OF ORONO +9522494616 T-562 P 003/006 F-412• i il � . I , �. O e � yes, This Section Applies � ;, 'i The� eplacement af a Residential fixt�re or �pliance that meets all three of the following re u: - 1) s ot require modification to elec�ical or gas service. ;• , 2) Has a t cost of$500.00 or less; excludine the cost of the fixture or appliance: ' and � 3) Is improved, installed or replaced by the homeowner or licenccd con�actor. , - . F'` Cost of Permit $ 15.00 Skip next section; — State Surcharge $ .50 Mail In Fee $ 1.50 ;, . . � , . ;I ;, '� If a ve does not apply, follow guidelines below: 1. � C�Price* is .0125 % of job with a Mini �n Fee of (535.00) � � k x .0125 $ ; � (contract price) (m��mum$35.00) �� , 2, ,� �tate Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50) x .0005 $ � ,� concract rice (mini.mum S .50) , � P � � � i '� �N 3. • pos g,e an HandlinQ (Only mail-in applications) $ _ 1.5�_ d � ---� �,� 4. ' TOTAL PERMIT FEE (Add lines 1-3 above) $ t CONTRAC'f PRICE or JOB COST means the actual or estimated dollar amounc eharged for the permiaed F work including cnaterials,labor,profit, and o�her fixed costs. It is the amaunt to be charged to�he cuscomer � for the work done. If any material, equipment, labor, or installaaon are[vrnished by che owner, tenant or any other party the reasonable market value of such items must be added to rhe estimated cost ar contracc price for petmic fee purposes. Tn the event rhat there is a dispute on the amount of rhe job cost,the Ciry may I,�I request the :,ubmission of a signed copy of the actual conaacc. 1 The STATE SURCHARGE is .0005 of che eontracc priee under�1,000,000 or S.SO - wluehever is greacer. ! ! gor valuadons over$1,000,000 call the Departmenc of Inspecrion Services for the ptice. ;� � '1'hi�undersigned hereby applies to the Ciry for issuance of a Plumbing Permit, agrees co do all '� woik in strict accordance with che ordinances of the Ciry and the regulations of che State of M'�esota, and certifies that all statements made on this applicarion are complete, true and cot�ect. � �. � A�blicant's Signature: Date: •, � �. b � �� S� T �,�� 1 / D E � TIME � CITY OF ORONO CALLED IN INSPECTION NOTIC�y � � SCHEDULED PERMIT N0. �O� � COMPLETED ADDRESS ,� � U � � C C-' �'� �T OWNER CONTR. e ��- �� TELEPHONE NO._�i� 3 �� I - � [� 9 3 � � DESCRIPTION - �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILL Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � Z 04 WALL BD. 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 SEP I FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO , I � COMMENTS: l�� - W a � J O � � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContra r n s e: Inspector. White Copy/lnspector's File Canary CopylSfte NoNce * � • PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09o53 Crystal Bay, Minnesota 55323 Permit Type: (952) 249-4600 Minor Alterations Date Issued: 8/9/2005 SITE ADDRESS: 2905 Casco Point Rd Unit# Wayzata,MN 55391 P�� 20-117-23-31-0052 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 125.25 valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 128.25 APPLICANT: W.F. Smith Construction OWNER: Sharon Tripp 6585 So. Saunders Lake Dr. 2905 Casco Point Rd Minnetrista,MN 55364 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. `-' �`'' �-�'y---� C �"�nt`,�- � ��-> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I ` , . Total Fee: $ ��"� �� Date Received: � Cntered By: i�.-- Permit#: �� fQ_S� � - CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full beforc plan review will be started. (please print all[nfa�mntion) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci1•c!e one) OWNER Z CONTRACTOR JOB SITE ADDRESS: ��( c� �� /qS�O �/� 2 � ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Dis�lay Home? ❑ Yes �o If yes, a specinl event periT�it is re�uired lviih PoTzce Deparlrne��t and City Council approval 60 dnys prior to[he event. Shuttle bi�s seivice�vill be reguired iu�less applicant denro»,strates s�fftcient o�rsite pnrking is avnilab/e. Non-permi[ted events ivill not be allowed. NAME OF OWNER: ��'''��'�" �n-'�'�' PHONE: (home) y �� ' �6 �j� (work) MAILING ADllR�SS: CITY: ZIP: CONTRACTOR: �N � i� �� sn�'� PHONE:�S�-'�7'� - �S�3 y CONTACT PERSON: � �t O MOBILE/1'AGER: ��-- S��- �� - 3� r� MAILING ADDRESS:L�s�s" So 5��,,.�1 Y�, Uc p�' CITY:M,'.�c(r. s -�a ZIP: S�s��l STATE LICENSE: # 5�:�� EXPIRATION DATE: �'- � —� � Al2CHITECT/ENGINEER: PHONE: MAILING ADDItESS: CITY: ZIP: NAM�: IZEGISTRATION: # TYPE OF WORK: New Addition Accessory Structure Move Home Remodel/Aiteration�c PROPOSED W012K(describe in detcrin:�� ' �- � s l�. �,�� /� 5TOI2I�S: �Q.1�E�"I'OF EACH FLOOI2: NO. OF BEDROOMS: CARACE STALLS: ATTACgICl� DE'I'ACHEll � o`-� �_� - I:S'�'IMATED CC)NSTRLJC'I'IOI�V�LIJATIOI�t(escluding land): $ � I hereby apply for a building permit and I acknowledge that the information above is complete and acc�u�ate; 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 wit11 the approved plan. APPLICANT'S SIGNATURE: DATE: �`�— � S' 31 . , z Sec.13.04 RIGH'CS OF SUBJGC"I'S OF DATA Subd. l. 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 orcontidential data conceming himseifshall be infonned oY`. (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 reyuired to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This rcquirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a Iaw enforcement officer. Thc commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refiu�d instructions instead of on lhose fonns. Subd.3. Access to data by individua�. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and�vhether it is classitied 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 he desires,shall be informed ofthe content and mcaning of that data ACter an individual has been sho�+m thc private data and informed of its meaning,the data need not be disclosed to him for six mondls 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 pro��ide copies of the private or public dala 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. Thc responsible authority shall comply immediately,ifpossible,wiNi any requcst made pursuant to this subdivision,or within tive days of the date ot'thc request,excluding Saturdays,Sundays and legal hol idays,if immediate compl iance is not possible. If he cannot comply with the requcst witliin that time,he shall so intbrm thc individual,and may have an additional five days within which to comply with thc reques[,c�cluding Saturdays, Sundays and Icgal holidays. Subd.4. Procedure when data is not accurate or complcte. An individual may contest the accuracy or complctcncss of public or private da[a conccrninghimsel£ Toexercisethisrigh(,anindividualshallnotifyinwritingtheresponsibleauthoritydescribingthenaturcofthedisagreemcnt. The responsible authority shall wilhin 30 days cither (a)correct the data found to he inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,induding recipients named by[hc individual;or(b)notity ihe individual that he bclieves the data to be correct. Data in dispute shall be disclosed only if die individual's statcment of disagreement is included with the disclosed data. The determination of[he responsible authority may be appealed pursuant to the provisions of the administrative procedure act rclating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to infomi you that your request for a pennit or license from the City of Orono or any of its departments may rcquire you to furnish certain private or confidential infonnation. You are notifed that: 1. The infonnation you furnish will be used to detemline your qualification for the pennit 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 pennit. �v�-._ � �-�-,�, ��„-sc R1iddlc �.�5� Adtiress Cit}° State "l,ip Vhunc 1 understand my rights as stated above. Signaturc .i? DATE TIME � CITY OF ORONO CALLED IN �— —�� INSPECTION NOTICE SCHEDULED '-�� _'�� PERMIT NO. � ��)�3 COMPLETED ADDRESS `� � � � �-d�- OWNER CONTR. %J�� TELEPHONE NO. `�S� �/�a (n5 35 l�t:� �t� 7 3/�7 � DESCRIPTION ��'�� o F � �� 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 � 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 FO�LOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W� WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED I- ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContra r��ite: Inspector V White Copyllnspector's File Canary CopylSite Notice PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P10247 CryGtal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Rep air (952) 249-4600 Date Issued: 9/20/2006 SITE ADDRESS: 2905 Casco Pt Rd Unit# Wayzata,MN 55391 PID: 20-117-23-31-0052 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): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: Electrical(state) NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 1,497.75 va►uation: $ 190,000.00 Plan Review Fee: $ 973.54 State Surcharge Fee: $ 95.00 TOTAL FEE: $ 2,566.29 APPLICANT: Danberry Company OWNER: Thomas&Pamela Wright 4410 Shoreline Dr 2905 Casco Pt Rd Spring Park,MN 55384 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. .7 r� ....''i/ ,� r.�� r'��'� // � J /�i 1✓ <', , ,� � � �, � � { �✓n � PLICAN ERMIT IGNAT F. ISSUED BY S NATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 /� , Y` ' ,�� Total Fee: $,�_��y'� v2�� DateReceived: ,zI ��' � '" Entered By: , , �,,L Permit#: /� ��,� f 7 � �� L� 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 O C NTRACTOR �' JOB SITE ADDRESS: Z��' S— ��S�� 'f � Z1P: �.5�9 / Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �O If yes, a special event permit is reguirec�with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. NAME OF OWNER: 4 �'�~ � r` i� � PHONE: (hoine) �� 7 —��7 � �� C�� (work) MAILING ADDRESS: � ITY: d��"'`� ZIP: �3�'i / CONTRACTOR: �� - PHONE: �5 � ^`'`��'—c'��2 CONTACT PERSON: .c� (--=f= ct �. - MOBILE/PAGE • j 2 �` �S�' ?�`'�' `7 J cz MAILING ADDRESS: tt l v � �,c f- �l�!-t (� ,� CITY: ZIP: 5�� STATE LICENSE: # / ' (p � EXPIRATIO DATE: 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 MCWD review an�rmits ! PROPOSEp WORK(describe in detai�: ��+�C��-�� 5,��(� u • �, •��1��- -r "C A P�rv� ni e�..s -�o A�.c-. o,.► �-� c.�ve�=' STORIES: �- SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $,� �yd 4'�' � �u 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 wit11 the ordinances and codes of the City and with the State Building Code;that I understand this is not a pennit 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: �% n` � 31 f Sec.13.04 RIGHTS OF SUBJECTS OF DATA ' Subd. l. 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 legally 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 identity of other persons or entities authorized by state or federal law to receive the data. This requirement shal I not apply when an individual is asked to supply imestigative data,pursuant to section 13.82,subdivision 5,to a law enforcemen[officer. The commissioner of revenue mayplace the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by 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 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,ifhe desires,shall be informed ofthe content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for sia 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 authoriry shall provide copies of the private or public data upon request by the individual subject ofthe data. The responsible authoriN may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shal l 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 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,exdudin�Saturdays, Sundays and legal ho]idays. 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 individaal shal I notify in writing the responsible authoriry 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 recipie�ts 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 included��ith the disclosed data. The determination of the responsible authority 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 pern�it 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. First Middle Last Address City State Zip Phonc I u tand my rights as t te bove. t �� Reset I'orm 32 C�IEC� OFF i,IST FOR ISSUANCE OF PE�I�IITS ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: 29 0 5 Asc� Pa ti� � �-� PID: DESCRIPTTON OF WORK: (L ��r�— ZONI�IG REVIE`V BY: ---- --- ------- DAT'E APPROVED: � -/y-Ob SLII�DING REVIEtiV BY: DATE APPROVED: 9-i g�v,� FEES TO BE CHARGED:� Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEtiV � Yes �/ No SEtiVER COiyi�TECTION STATE SURCHARGE Yes _� No �VATERCONNECTTON INVESTIGATION FEE Yes No _,,� PARK FEE SAC Yes Na � SITEINSPECTTON Number of SAC�Units OTHER (specify) ------------------------- ZON.i�i IG CH�CK LIST Zoning Districr. Nv C�-�i4v� -. Fire Departmenc: Post Office: Sc ool District: � Loc Area: Sq.ft. Acres id� �ep� Survey Submitted: Yes No D e of Survey: Proposed Setbacks: . Froat(Lake): Riaht Side: Rear(Streetj: Left Side: Adjaceot St:uctt!res: bVet and: Buileling Height: Def. Hgt, Pe • Hgt. Lot Covera�e: Gradino: Staff Approv2l Date: B Council Approval Date: ' Sepcic: 5tafi Approval Dace: �Y� Zoaing File: � Resolution: �` Resoludon Da:e: Shorela.r.d District: Av�. Secback: Bluff Setback: L.o[Covera�e: Eusti.ea Proposed Hz�dcover: 0-75' 75-25Q' 2�0-500' 500-1(}C�J' ��CO��: TI,GL'.r��CP o,yui,e�: �.•e5 �,:� Da�:= eF Co�!ncil App�.ovz: F.E�L=�RI�S (in house): . , � BUIL'DING REY�ti� CHECK LIST �� ' 3 � CONSTRUCTION TYPE: �/� Sq Footaoe $ Per Sq Ftg Basement � x _ lst Floor z _ 2nd Floor � _ . Garage z _ z — TOTAL Estimated Construction'�alue: $ 1�� O O c"� `�" . Inspections Required: `Yock Reqviring Separate Pertnits: S ite Plumbing Fire Hardcover Removal Mechanical Water Coaaection Footing � Sepcic Sewer Coanection _�Fr��° Fireptace Lawn Irrigacion �Insulatioa (Masonry) Other Wall Board (Mfg.) Well (State Permic) —�.F�� Grading/Fillin� _g Elec[rical (State Permit) O cher REMA RKS (IN HOUSE): ~ ----------------------------------------------------------------------------------------------- REVIE`V SY OTHERS: DATE: Access: Ex.isting New Access Approval: Date gy; __ — ----------------------------------------------------------------------------------------------------------- REI�ZARKS (,TO BE NQ'TE� Ov PEF.��lI'�: S �/ "O �� V'�v DATE / TIME CITY OF ORONO CALLED IN I �l� � INSPECTION N ICE SCHEDULED //-� a-'d0 PERMIT NO. � COMPLETED ADDRESS � 90 S GG-.-s�,o /�tL• �� • OWNER CONTR. � � TELEPHONE NO. �O/� �,r0 �Oo 7 �T., � DESCRIPTION /� �-S�t-� �� .o�-�--(' ly 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 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 J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o u . � � � 0 � W � Q � Z � � 00 �� W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONOITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance. (J52� Z4J-4600 OwnerlContra site: Inspector. White Copyllnspector's File Canary CopylSite Notice G �0 �� DATE TIME � CITY OF ORONO CALLED IN ��'�l INSPECTION N � SCHEDULED !o-/�O� /; �p PERMIT NO. � 2 � COMPLETED ADDRESS 07 C�c-,�G� �7 l OWNER CONTR. TELEPHONE N0. �5 �- � Z I � �� DESCRIPTION lL 01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAL�INSPECTOR G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-46�� OwnerlContr site: Inspector. White Copyllnspecto s File Canary CopylSite Notice C W _ `'� DAT TIME CITY OF ORONO CALLED IN —�-�-- INSPECTION N I SCHEDULED �– 1L PERMIT NO. COMPLETED ADDRESS T OWNER CONTR. TELEPHONE N0. _ "/SZ' �� D Z � DESCRIPTION /�S�/U� �'�' l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 a � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑COflRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. ,� pHOTO TAKEN INSPECTOR WILL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the n xt inspection 24 hours in advance. (952� 249-460� OwnerlContrac ite: Inspector. White Copyllnspector's File Canary CopylSite Nofice PERMIT CITY OF ORONO 2750 Keliey Parkway- PO Box 66 Permit Number: P10535 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952) 249-4600 Date Issued: 11/7/2006 SITE ADDRESS: 2905 Casco Pt Rd Unit# Wayzata,MN 55391 P�� 20-117-23-31-0052 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 36.00 APPLICANT: Steinkraus Plumbing Inc. OWNER: Thomas&Pamela Wright 112 E. Sth St., Suite 101 2905 Casco Pt Rd Chaska,MN 55318 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 REQU[REMENTS. 4 -��y��2Ea2%/�vI �� APPL[CANT PERMITEE S[GNA� � [S E BY S[GNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, l-Assessing,(IfSeptic, 1-Septic) Page I 1 ,»zww�R L'�4�'O�QI'11110 � i ��i�� T,^ :I�y �P�l� i }��'�;il��:i C.�„A,�,� •� �, ; , P.O.Box 66 ��1�d��1 t q w L ` �Y�, � I W i ��,�y� p 2750 KeIIdylParkwery , + fi(� "y',�^^ "�'�'�" .M �'*�' IM'�wt„ ,'�i ', �(�� (, � i � �� 4 � � �,IS i i�I q ��yi� ,� Cryatal8ay,�MN55323 ;��,�Ia�,y i��;�,�! � � i I � }� � (952)249-4�W � '"�r."' '�'�"�'�1�1�1��,t, �j '.W �: ..�.�.:,.�.. �4w�.�,�' - c��rY or��:R� �;�r��:�►-��:��cr��E,i�v��c ��:�,�.v��x (All Cot merciul Ekrniits mi rt te i F prnru I I iy Uie li ullding(L"ci d��r Inepau:vr) � ��J�il�r✓ �,�� r ''�L,1:!�.� � ..� ,,— � �," � � ';I,i i I ,T��","'�y�1 ""�'�""�g .� .��L... I�L.1...�Li.J�.� ..1�.S.�.IL� �.�I r�.l.i1L..�.L. � I 'I �I :1�� 1 I M '�I��.l..��1� 1. Yc u may apply for plumbin�s�:�a�m, s Ir,rnaiJ �ir in p��t 9ati F,1.1t�; C'ity �fflc��s, Appliostions will be re�iewed and a por#nit wrll 6e ist�w'. (VIIII 111I C1�D'N�OCICI7F;dis;y;�. 2. Pei mit cards will b sant by rel,urn v�!i�;toi i�n;vie��v :s c:ornpi;I:��. F'ERA�UTS ARE NOT V�.L[D UNTIL Y U RE'sCE;I'NE.Eti Pf:1�;f�1I'i", �I�iQ�d��1�l�7::,"V�_'C�QN UNTILTHE �E IT ��l�a��! �:H�'d�!i�'��sl��'r. 3, Phmbing permits iiy tx;i,t�,u��C�: IL4' t��Ilc;;n�ed p!�imbi:ig :��r�7��c,ors E,nd to property owners ras ding in tho dwo �ng. 4. Wl.en any new con�truction or n�m� de liin�s i;.im��lvocl a sap�erEc��b��.ilding permit must bo ob�ained. � 5. All work must be d ne in a�,�,c�edan� a�vi�f Sr,i�ta 4�or�r, �e�auire.n�.nn s. 6. All work must ba in pocted fu�d f�ir os:f�c��, be�f,ie i1 is c�rvc�r��d. ;:a I i 952)2�49-4600. (Z4-48 hour notke�qudre�cl) "' � � � I ��" �� 1�� r� � �, T,""T ,, ,, , '_:.� � �;I�'�'1� �� ,�'►�,�{��'��.�I�x.��' ` I � ' i� ,;,i� 1� i;i,' , i'� _._.. L. ---i,�_��.�L... �Residential ❑ lomrt►ercifu{AF �e�r�� P,c.yu n�l) � ❑New [��dditior�c,l __ RaF�n rs �Replace ❑ In Acc;ssory Structure *Yr�u�rill �y�l a�id mi y i�e�s�l{;_�;1P (Par�)rc►n��: +.y C;��de,Cl�apter 78,Artick IV) ,1 Q��lU�/��{V4�1��'�1'N *-�r ^r� ;�; ^ •�?�r+. 1 _ — �! �1h1' _.� 1 _:y�. iitl ��ite Address: � S I� C-uSCc� POi�+ Ra �:_------ ----.- -----.------.._---- (:►wner:� ------- P�lail'att�; 4cidre�;;!,: 2� 05 L4.St,o 1�� '� C'ity: (�ro h 0 � ------ ,i:ip: I `�� [ome Phone: ----._� ,�1 G,rna1�;1�'hanc: — �C'ont� ��c�r�at�s�n, ^� � ��. rTi�.fL .r� �� C'ontractor; ��►��,rU,vs! Q�u��i� �::�►iita��t �e;rsc►n° ,�dA►~� —t---- A,ddress: ►�1 C. Sk s} 5�;��- t°� '��t��.el3uul#: 3��`1 ---�__ � � C'ity: C.,�.as�c�. �_ Z�p;SS3i�. I:;:��ii�a.t;i�:n D�te; I Z�31 -c�b Phone: kS`L- 3L1;-��Lt� ,�I,t�:;r�nat�;lrh��r.��: � ----- — --� :fn�iaranc;� --C'u,�r��rt: �� i � I � � I C�� k ��i��'�� i � .�_ . ff at;ove does rn>t apply;follow guideiines he oc : l. C�)NTRACT PRICE '� is 1.2`Oi� �F cr.�tr:�ct pi�icr,��ith a(r4:i mi ri u�n Fe�of$35.00) 2000 0� X.u�:�5�$ 3S.oD --i�.ctra;;i Eri:e) ------ (�ninimumS35.00) 2. S"ATE SURCHATtGE '"'w �1dd u;Slz;te Eil��, :,odi I3iv. Suir,'I zu•g�(Miuiimum Fec ofS.50) vuo.a� x .C':i)� $—�•�o — �------------�--- (:�ai trf.t��ir.e) (ninimum S .50) 3. P03TAGE&HANL�N.IrG(Onl;✓�= �P�o'i-Li �.�pli��st:ons) $_. 1.50 4. TCTALPERMITFEE(Addl.in; , 1-3f�bu��,) $�� _UJ ■ * C01�TRACT PRICE or JOB C��S�" mf ►n,� Ire actu:�l c�r �stima,tcc d.�l ar am�,unt charged for the permitted�vork including materi;�l�, Iabor, ircfi•,aiid �Ih��r 1i;.ed re,st . It is the amountto be charged to the cust�mer for the work done. Lf eny ri�der aL r,anipmeiit, labor ��r inst�llati�ms are furnished by the owner, tenant or any other par��,�:he - asocabl:: �tt.rl<e;t �alue o1'�.�c� itE;ms must be added to the estimated :ost or contract price for permi ;ce F�urpnsE;s. lii the eve��t. t,;�t ther�: is a dispute on the amounc of the job cost,the City m�ry re;q� ;;;t .I�c subm�lssic►i of'a si�;�.e�l +:opy oF the actual contract. • ** The STATE SURCHAR�GE is CO(IS o1 th� cc�n�.r¢r,t prie�� nde�9�1.�).�i0.0)0 or $.50—whiehever is greater. F>r valuations over$1,000,0�:�0 ca I t'��: I�uil�i ng C►e:��rtm��nt�it i 9`2)245-4600 for the price. �:�::'�::�r��'.�: . ' 1'I �� I.��l�;��1��6� : T'he undersig�ed hereby applies �o tht; Cii i �o• is�c<<�uice c�l a. Plur.�._�i i€; Perrr�it, agrees to do all work in stricr accordance with the� ordin� nce;: 01' �.l�e Ci�., and th�: •e;;ulations of the State of Mi��nesot��, and certifies that ail �tat��rne ,ts riac e on thi� applic�t:i xr are ��omplete, true and correct. I I �'�` Applicant's �ignature: _ ----- ----.-.—._--.�-----. I:�at�;-- kF �r'� �� 1{��F��,:;f �� i � '� E.; i , .. �, : a 3 , , i � � !�� '�� II�IS� 11111�11lllllllllllfllee�ll�lil�, � l'IXTUN,E BSMT ' 2Fa O' FG'sl� �LH;7'UI;E', I;�;;MT 1 2 OTHER 'I'YPE ,l. F'1� f'i'Pl: I FL FL tiVater ClosEt � --- -- ----�- ';;I�r�r 1.�,aius--- -�--- L,avatory �I --- -- ---..__•-�3cNrerl:jociar -..---- f3athroorn � --- -- ------��Lf,un�ii�� Trey _..---- i • ��howar --- -- ------�-'Nivaher�------..---- N;.itchen:�inl, --- —• ----•--�-;y�tler FI��fer--- --_— . � r��e oSR� --- -- ----�--��-;—----�------�..---- - p ; Vfdor,9��fl��n��r ; i G�ishwasher ------- ---- --I'"iV;d F{Fn�-----��---- � Sillcocks - ------- ---- -�4:s�;e�llnieau� , .. --�- ------�------:------ � � � � �ir�(�,�,I�{,i��`?�`Vt� ��±�', ''��,r', .�1!,i � ��'�!�� II��I��I�I��`�Il��I� II� �!'��. L [,] 'Yes this section app 'es Thereplacen�entofa i ��;�e�� ligi;cg:h�it;�ne�rte �Illthree uf tho t'ollo��ingrequiramonts: i l. o t requlre�modifi;,atiai tc e�lec�i ic�t)ur g;a��si�n+�c�z. 2. Has a total cost SS(IO,CO or la s; e�i��;�ir.�tlx,r,�st of chc; `i�h rE;or applience:and Z. Is improved, ins lled or -epb�cc t ty :he liu:n�e��wn�:r or I�ce��i��d ccmtrar,tor. Skip next section if tliis��ppL a5 :;uit of Pc,m�it $ 15.00 :�t�tf :►ur��l.e��e S ,SO �i(ai!•InFa:(ifA►p�:�;lc:wt�le) $ 1,59 'I�i�rell Pe�ri�it Fe� S � I , i (Fermit Fees Continued On ext Pnge;i I ; ` I � C� D � DAIE TIME � at CITY OF ORONO CALLED IN� / /�� INSPECTION N ICE SCHEDULE �;Y � PERMIT NO. �� COMPLETED � ADDRESS �D.� (Y7� OWNER CONTR.��4�l�rt.L�/ZG��4 �.L TELEPHONE NO. 95Z ��/ �la� � DESCRIPTION �� r�v�-( l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 �NSULATION 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 � �WNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � a � O � ti � Q ti Z W � W � j d W WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN INSPECTOR WILL RETURN -i CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR C INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952� 249-4600 OwnerlCon o` te: Inspector. � White Copyllnspector's Fi Canary CopylSite Notice r � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P11977 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 4/11/2008 SITE ADDRESS: 2905 Casco Pt Rd Unit# Wayzata,MN 553)1 P�� 20-117-23-31-0052 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: Other-O NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 2g�•25 vatuation: $ 16,000.00 State Surcharge Fee: $ 8.00 TOTAL FEE: $ 2gg,2g APPLICANT: OWNER: Thomas&Pamela Wright 2905 Casco Pt Rd Wayzata,NIN 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. � � r, � �'` � L� ! '� � ' �!� _ ��". APPLICANT NGRMITEE SIGNA ISSUED BY SIGNATURE Copies: 1-File(Sigriatures Reguired), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 f • Total Fee: $ Date Received: � D 8� Entered By: Permit#: P//9'7� 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,bR CONTRACTOR JOB SITE ADDRESS: 2`�(>� C:�SC� (�l �I�� Z1P: �753�I 1 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS ��10 If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. � NAME OF OWNER��'S � `"�� PHONE: (home)�i�2- ZI? -�,�'�' ,�r� 'n,� (work)763-5Zt�- 53�� MAILING ADDRESS: L�(O5 C��c�%�`T M�-� CITY: �� ZIP: 5`53`�L � CONTRACTOR: �IE�� ; .�''f'�'G'� PHONE: 7�C� "� �d '`�S/� CONTACT PERSON: �, MOBILE/PAGER: MAILING ADDRESS: Z 6 7�7 5��;�% l� �iG j' CITY: %'�,;�.+,�f G�rt✓ ZIP: ss'//Z STATE LICENSE: # $�--o�5� 7 I S EXPIRATION DATE: 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 require MCWD review and permits! PROPOSED WORK(describe in detain: ��/� �-1-�`� �=�� '��' ��t�►..?��' (ZA��-��"�, �� f�'� , �r.+�S��-c�� 'TI�t.�Vl I�,�J S'k4��1�-S �A�P}}�� STORIES: 2- SQ.FEET OF EACH FLOOR: I�a� NO. OF BEDROOMS: ? GARAGE STALLS: ATTACHED Z DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � ; �� 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 wo ' not to start without a permit;and that the work will be in accordance with the approved plan. �' APPLICANT'S SIGNATURE: DATE: ��l� � �c� 31 . � Sec.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 wnceming himself shall be informed of. (a)the purpose and i�tended 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 supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities 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 mayplace the notice rec�uired under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd.3. Access to data by 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 classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shal I 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 private data and informed of its meaning,the data need not be disclosed to him f'or 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 private 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 authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date ofthe 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 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 concerning himself To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days eithec (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 included with the disclosed data. The determination of the responsible authority 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. �� First Mid le Last Z�U� � t �l�i ,K.�� Address �;6.�0 � ��'( � ��2 -2� �- S�6 S�� City State Zip Phone I understan rights as st ed ab e.� / �/�-` Signature � � � Reset F<zriri � � ;2 DATE T ME ✓ CITY OF ORONO CALLED IN �-�-O� 3�'S� INSPECTION IC€ SCHEDULED S-I� �� ERMIT NO. I 1 COMPLETED � � ADDRESS 2R0� C^QSC� �� OWN ER � 7IY� (-�^i�hb CONTR.�.�� n TELEPHONE NO._ _ C��' � �'�� --��7 �'�.-,-F d� ` � DESCRIPTION C–`l �� ' c�c1-�— (�'°`�`� �"�') � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION � FI AL � SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �� :� "C'C�iU�S 0 � � o � �L � �✓L � W � Q � � Z � W W � � d \ � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED �- SSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on sit� Inspector_ C White Copyllnspector's File Canary CopylSite Notice , � CITY OF ORONO * 2 0 1 4 - 0 0 6 8 0 * 2750 KELLEY PARKWAY DATE ISSUED: 07/O1/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRFSS : 2905 CASCO POINT RD PIN : 20-117-23-31-0052 LEGAL DESC : SPRING PARK : LOT 098 BLOCK 000 PERMIT TYPE : PLUMBING (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES- MULTIPL� NOTL': 1 S1'FI,OOR: I l�UI3 2ND�I,OOR: 1 WC,2 LAV, 1 TUF3, 1 SHOWER VALUATION OF PLUMB[NG 4500 APPLICANT PLUMBING FIXTURF, FEF. 56.25 STATE SURCHARGF. PLBG (VALUATION) 2.25 ALL PRIDE PLUMBING INC. TOTAL 58.50 21977 HF,IDELBERG ST NE STACY, MN 55079- Payment(s) (651)775-0545 CHECK 4945 58.50 Minnesota State License#: cont-PC644027 OWNER BALEN, TODD 2905 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AIVD SWORN STATEMENT fhe work for which this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specihed herein."I�his permit will expirc and become null and void if construction authorired is not commenced within 180 days of the date of issuance,or if construction is suspended Cor a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revokcd at any time for due ca �� 6l/ � � A plicant en ' e S'gnature Date Issucd Bv Si ature Date r '�� j • FOR CITY USE ONLY � City of Orono �-�� P.O.Box 66 Date Received: Permit# 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main � � (952)249-4616—F� F c,` CITY OF ORONO— PLUMBING PERMIT t�KESH�� (All Commercial Permits Must be Approved by the State Prior to City Approval) htt :I/www�.dli.mu, o��/CCLD/PDFI ie �lumb�lanreva� . df GENERAL 1NFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952)249-4600. (24-48 hour notice required) TYPE OF PERMIT (Check All That Apply) Residential ❑ Commercial (Approval Required) ❑ New �Additional ❑ Repairs eplace ❑ ln Accessory Structure? *You will need prior aaproval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) Job Site/Owner Information: Site Address: ��G'S �tiSG� �C�� ° /r�;�' � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ;i //� ��li�.f'� ��'��J Contact Person: �v Address: a/��7 /`/ei��C.�l,� ,- State Bond#: �C lo `1�.�0� 7 ST ''��' City: .5�� Zip: So� �Expiration Date: ��-3��a�/� Phone: (�..��"7�5 US�S Alternate Phone: � Insurance—Current: 1 1 . � PLUMBING FIXTURES BEING 1NSTALLED FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet � Floor Drains Lavatory � Sewer Ejector Bathtub � / Laundry Tray Shower ' Washer Kitchen Sink Water Heater Disposal Water Softener Dishwasher Wet Bar Sillcocks Miscellaneous � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of only one Residential fixture ar appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ (Permit Fees Continued On Next Page) 2 � , PERMIT FEE CALCULATION S)=JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �'�5�,��G x.0125 $ (contract price) (minimum$50.00) 2. STATESURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (On]y on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor ar installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. PLUMBING PERMIT APPLICATION'AGREEMENT The undersigned hereby applies to the City for issuance of a Plumbing Permit, agees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: • Date: �0�� 3 C�/`�-� � qT TIM � CITY OF ORONO CALLED IN z� � �' � INSPECTION �IC� �! � SCHEDULED I ` -�— PERMIT NO. � �O COMPLETED ADDRESS 2-qU� �-SC.� `i�'�I- �. OWNER �Da�-e.� TELEPHONE NO. �� 7S �5�� CONTRACTOR ��2 _ ��-P �L�-^•'b � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING R ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 ERICONTRACTOR TO MEET YOU:_YES_NO . � COMMENTS:�-L • ��k- 5�/�owe� "- W�C . , s� _ y _� �(/ �� C .5G/�. 4(S � �P-� '� '2JCibt/�� • � /�13�5 �5��•4� �SS�o�, �� — � � C`4ct1 a � e� �r Q �t 7� C C � �' '" l'✓�-L. � �AC�I��s 0�4 " C''�(a�r�'P S 2 ,b��"�C- s I,v�� . � � � � G°U U�' ✓ -�.� W � � J ��NlC�CSATISFACTORY:PROCEED ❑PROJECTCOMPIEfE ��CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAI�TO ARRANGE ACCESS. Cal ion 2a hours in advance. (g52) 249-46�� Ownerf tractor on sit ' ►r'6 Inspector. White Copyllnspector's File Canary CopylSite Notice � DAT TIME � CITY OF ORONO CALLED IN �-�� —�-�,�,�. INSPECTION f�OOTI ��,� SCHEDULED _�n� �� PERMIT NO.a� � COMPLETED �� ADDRESS ��S �� OWNER TELEPHONE NO.��l 77S �S�s CONTRACTOR �l� �� • � DESCRIPTION ��S�e �� ly� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h O p FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL 0 SEWER HOOK-UP O COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J �LUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z �OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � *✓G�/�L��K� �� SlioW e�� /4 v, (r.0 • �4 4' '� o ,.� � n_.T VC__p4'f. �-rcaa-�. � � o d�C W � Q � 2 W � W � J � SATISFACTORY:PROCEED ❑ PROJECT COMPLETE w CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (g52) 249-4f100 OwnerfContractor on site: Inspector. r"` White C llnspector's File Canary CopyfSite Notice G� u� ✓ CITY OF ORONO CALLED IN 7 I�G��`�' ��)��% INSPECTIO(�QTi��;\�� SCHEDULED � � � PERMIT N �� COMPLETED ADDRESS �� S�-v � ��' OWNER �� TELEPHONE NO. "�� ? �J�S CONTRACTOR ��_�� '"�b�^-'� �; DESCRIPTION �l�'��"" �� ly ❑ FOOTING ❑ PLUMBIN I AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � 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 W ❑ DE4�Q.lFINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J PLUMBING Rl_� ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 ONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � J O �. � O � W � Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT 1NORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. / / Call tor the next inspection 24 hou in adv 249-46�� OwnerlContractor on site: -� Inspector. White Copyllnspector's Ffle Canary CopylSite Notice Q p TIME ✓ CITY OF ORONO CALLED IN (1' INSPECTION NOTIC SCHEDULED �/ � PERMIT NO. —� � COMPLEfED ADDRESS a4 oS ��D � � OWNER TELEP ONE N0�7� �7� DS�S CONTRACTOR � �� DESCRIPTION ` f �k � � � ❑ FOOTING PLUMBING FINA ❑ EXCAV/GRADING/FI 'ING Q ❑ POURED WALL ' ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTiC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j ; O .` i' � �, � l r W � Q � W � .� Y v � W � _ J GW ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ISSUE CERT�FICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREGOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hou in advance. 9 600 > OwnerlContractor on site: Inspector. v" White Copylinspector's File Canary Copy1S te Notice . ` CITY OF ORONO * Z 0 1 4 - 0 PJ 5 9 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2905 CASCO POINT RD PIN : 20-]17-23-31-0052 LEGAL DESC : SPRING PARK : LOT 098 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 40,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING.MECHANICAL,GLECTRICAL(STATE) TWO BATHROOM REMODEL APPLICANT PERMIT FEE SCHEDULE 574.25 STATE SURCHARGE(VALUATION) 20.00 GORDON JAMES CONSTRUCTION TOTAL 594.25 5159 MAIN STREET E P.O. BOX 306 Payment(s) MAPLE PLAIN, MN 55359- CHECK 11366 594.25 (763)479-3117 Minnesota State License#: BUIL-20531961 OWNER WRIGHT,THOMAS&PAMELA 2905 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordin�to the approved plans and specifications,applicable City approvals,and the State Buildine Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at an}'time after work has commenced. 7�he applicant is responsible for assurin�all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any�time for due cause. � f ��---� ' � �-�_ � i'� ,c�::....:-` � �j � � Ap licant Permitee ignature Date Issued By S' ature � Date' Ci of Orono � i� � �G`� 2� � Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) MailingAddress: Pertnit number: ��—� `J� �O�O PO Box 66 --- Crystal Bay,MN 55323-0066 Date received: �—I a —1 Street Address: Received by: '►�`'7� yF � 2750 Kelley Parkway Plan reviewfee: � �73• .2� �' Orono,MN 55356 ^� l�kFSH�� i��/� -O-l7 S9 __. Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all requir�ed infoRnation must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: n`1� ��'�Up ��iJ-C �\j . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLJCANT INFORMATfON: Name: l-t�(`ca�� AM�ES C'U1.3'�i R-�C,Z 1 U� State License# t��c�3�c1�,� Expiration Date: ��3� ,�5 Lead Certification Number: �_�- �U��- ��-v�Z2y Expiration Date: (for work on homes that were constructed prar to 1978 Phone: (cell)((.,,`�i� (✓(�J-�I't..t (o�ce) ("j ir3� C-L'��-3 i 1 1 Mailing Address: c �b Ciry: �,,�, ZIP: ��`�'j�j�i �i � 1 r�u(> � ��cU� Contact Person: �.ti.� ��--,,.,h,�,��n��' Applicant is: c!��/ Homeowner �c��ie o�e� Email and/or Fax: '�� c��-��,- \��+�v2s .��w� /��- ( �C�� °-l'Z�1 - 3 t Z`tf PROPERTY OYYNER INFORMATION: Name: I c��c� 1�c��..(� Phone(day): (�t Z��3 i,�K - 7 7 j C> Address: ��i7`� C0.:�C�J ��Il� � C�Y� uX�..�Zc.,��. ZIP: �J'��1 � Email and/or Fax: 7c�j, tix,a� a��o��-�_� u� PROJECT INFORMATION: Overall ro" ct descri tion: ('DDr�� LN'�,�� "`' ��'^�' ��°'�,S ��`�'��'z',�'�, Type of Project: Any earth movement may also require ❑Door(s) �Remodel ❑Fire Damage MCWD review 8�permits: ❑Re�oof,asphalt ❑Repair ❑StoRn Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re�oof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(specity) ❑Siding ❑Other: (specify) Phone: 952�71-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq . -- ____ —— -- . __—. Estimated Constniction Valuation of Project(excluding land) ; �-10.Uv� � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all infoRnation required or requested by the Building Department; • Certifies that the infoRnation supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is Gassified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subjed of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su pl the inf "on,the a li �on ma not be issued. Applicant's Signature: Date: ��`�� — �� Owner's Signature: Date: �sc u�ted:osrosrzois PLi4N I�E�IEW CHEC�C�I�T FOR 11�E\1V S�'RUCTURES / �4DDITI�I�S �' Address/Permit Number: l�F�� °�� d'�A�� '� Description of work: � (��"�-� l�o� ��e� Septic review by: J� �� Date Approved: Zoning review by: N/� Date Approved: Building review by: � .�,v�.�_.-- Date Approved: � �� '''' �� Grading review by: �� ,�� Date Approved: �oning District: Zoning File#: Reso#k: Reso D te: Zonin • Lot Area: SF/AC Width: Lot Coverage: SF _% � Survey Su'i�mitted: � Yes � No Date of Survey: Rev� ed date ? : Proposed Set cks: � Front(Lake) Rear(Street) � � � E W ) ( N S E Vll , O er Buildings Wetland � Side Side Defined Height: �eak Height: FFE: FF inus 6 feet= (Existing Contour) Perimeter(linear feet) = 50°/a = #of tories Ok? 0 YES FOR A BUILDING WIYH A�ASEMENT OR CRAWL SPACE: The distance between the Iowest F R A BUILDING ON A SLAB FOUNDATIO�l: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. , START WITH The distance betwe2n the top of slab and If you have a... the highest point of the roof. If you have a... • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no windows): Subtract half the windows): Subtract half the distance distance between the highest point between the highest point of the roof of the roof to the low point of the to the low point of the correspondi�g SUBTRACTION corresponding gable or hipped r SUBTRACTIOM gable or hipped roof (BASED ON ROOF . GABLE OR HIPPED ROOF( 'h (BASED ON . GABLE OR HIPPED ROOF(with nPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance distance between the top the between the top of the highest highest window and th ighest window and the highest point of the point of the roof roof • ALL OTHER RO TYPES(flat, • ALL OTHER ROOF TYPES(flat, •. mansard,etc): subtraction. mansard,etc:No subtraction. �, ADDITION Add the distance between the top of slab SIJBTRACTION Subtract the dista between the (BASED ON and the highest existing grade adjacent to (BASED ON EXISTING basementicrawl ace floor and the EXISTING the foundation. GRADES) highest existin grade adjacent to the GRADES foundation 10 feet(whichever is less). EQUALS Defined building heigh4 EQUALS Defined ilding height Shoreland aistrict MCW� I�ermit F�eceived kvera � Lakeshore Setback Miet? Bfu#F � Yes � No � N/A � Yes � No 0 Yes ❑ o � Yes � No � �I/A Permit Number: Setback: Stormvvat ,C2uali�}v Existie�g l�roposed �/ariance Requirecl Ct1P Requirec� C��eria trict Tier FEardcover �iarelcover � Yes � No � Yes � No Type(�): Type(s): Updated: January 2013 �� C, h��.2..— v:\forms\plan review checklist 2013.docx �„�a , , ... . ,..:, . , . ._,... . . , _. _, _. . _ . . .. _ _ _.. , �£. . ...,. ,.. ,. , _.. .... _..� , n .... ,: ._ . .,.: { „.. REMARKS (in-house): Fees to be Char ed YES NO Pertnit Plan Review Sta#� Surcharge s�'' Investigatian Fee SAC—Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1 S�Floor X = $ , 2nd Floo� X = $ Garage X = $ ,n Estimated Construction Value: $ �l�; �t�� °�" Orono Inspections Required Vllork Requiring Separate Permits Required State Permits 0 Site Plumbing 0 Grading/ Filling � Well 0 Hardcover Removal �Mechanical � Fire Electrical 0 Footing 0 Septic � Water Connection Q Poured Wall 0 Fireplace � Sewer Connection ❑ Foundation Surve�e � Niasonry 0 Lawn Irrigation � Radon Rock Bed 0 Mfg. � Framing 0 Other(specify) 0 Insulation � /d►s-Built Survey �Final � Wetland Buffer Q Other(specify) �: REMARKS (in-house): Other Review: Reviewed by: Date Approved: access: Existing: � YES 0 NO New: � YES � NO OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIEOLLED � Updated: January 2013 v:\forms�plan review checklist 2013.docx � .. ...a .,�,. .,, . .. :. _ ., ,.,.� . �„ , > - - _ � _. ,_ _ .�::�.,. . �� . _.�z. _. . . _ �,�: �<'� � . , _ , " —�� `� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED 7///5� /D: _. PERMIT NO -��5 COMPLETED ADDRESS ��5 ��,0� � OWNER T PHONE NO.��— ' ��-- CONTRACTOR l/1�� : DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � .� �— a ., � J ( v f � i\�� `�,✓ ��„ „/ O a � O � W � Q � :7 W � � W � � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETItRN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95 � 249-46QQ i' Owner/Contractor on site: Inspector. � / _ i " � ,� ' White Copyllnspector's File Canary Copy�Site Notice CITY OF ORONO * 2 0 1 4 - 0 0 5 9 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2905 CASCO POINT RD PIN : 20-117-23-31-0052 LEGAL DESC : SPRING PARK : LOT 098 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 40,000.00 NOTE: PLEASG FILL IN THE FOLLOWING: VALUATION OP PERM11': $ 40,000 TYPE OF PERMIT THIS PAYMEN'I�IS FOR: REMODEL PF_RMI"1'#THIS PR&PAYMEN"I�IS"I'IED TO:2014-00595 APPLICANT ADVANCED PLAN REVIEW 373.26 GORDON JAMES CONSTRUCTION TOTAL 373.26 5159 MAIN STREET E Payment(s) P.O. BOX 306 CHECK 11355 373.26 MAPLE PLAIN, MN 55359- (763)479-3117 Minnesota State License#: BUIL-20531961 OWNER WRIGHT, THOMAS& PAMELA 2905 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "I'he work for which[his permit is issued shall bc performed accordin�to the approved plans and specifica[ions,applicable City approvals,and the State Building Code. This permit is for only thc work described and does not grant permission for additional or related work N�hich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specit�ed herein.'This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenccd. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date CITY OF ORONO Illllllnllllilillll�llllllllllllllllllllllllllllllllllllll ' 2750 KELLEY PARKWAY * z 0 1 4 - 0 1 3 0 0 * DATE iSSUED: 1U06/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2905 CASCO POINT RD PIN : 20-117-23-31-0052 LEGAL DESC : SPRING PARK : LOT 098 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : IZESIDENTIAL CONSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 4,880.00 NOTE: 1 GAS HEAT-N-GLO APPLICANT MECHANICAL 61.00 STATE SURCHARGE MECH(VALUATION) 2.44 FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 2700 FAIRVIEW AVE ROSEVILLE,MN 55113 TOTAL 65.44 (651)633-2561 Payment(s) Minnesota State License#:mech-20512060 CREDIT CARD 4608 65.44 OWNER BALEN,TODD 2905 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pertnit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit wiil expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at anv time for due cause. �:� u.:� � � ( � ,�� Applicant Yermitee Signature Date Issue B} S'gnature Date � I 11-05-'14 18:31 FROM- T-140 P0001/4007 F-255 . � 32�3��`,�3-� c�x� : v�C�,' �(��,� '` �o�crrX v��'ora.x , , ; �ty of Ur ao " ' • ��/-� P.O.Box6b 17Ateat�cc��cd PerJtl�i� � n' �-/ 2730 Keliey Parl�way ' �' �` ,. ' '�^- , �. Crysta�Bay,MN 55323 Appro�r,��3y �' �,A�poqnt$� :� Phonc(952)2R9-4600 rax(952)239-4616 , ., y� � fR'r�'S 10��G CITY OF ORONO�-MECN�NYCAL PERMIT . (A�)Commcrciai permits must be approved by the Building Ofllcial or Inspecloi 9nd/or Fire Marshall) 'GENERAL TNFORM�TION •'�� 1. �You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issucd withitt two vvorking days. 2. Permit cards will be sent by return�nail after a review is completetl. PERMITS ARE NUT VALYD UIJTCT, YOCJ R�C�CV�A PLTtMIT. 'WOTtK MUST NOT BEGYN�NTTr,.1'H� 1'E}tMKT CA�TS PnSTED ON THE JOB SITE. 3. Mechanica!Desi�ns—Complete ealeulations,dctails and speeifications are required for cach heating,�vent;lation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipmcnt ratittgs at►d identi6eation as to rype,manufacturer and model, Data shall be prescnted on form provided. 4, 'VVhen ar►y new construction or remodeling is involved,a separate Uuilding permit must be obtainecl. 5. All work must be done in accorda��ce with the Uniform Mechanical Code/State Building Code � requirements. F 6. All work must be inspected(rough-in and fin�l). Call(952)249•4600_ (24-48 hour notice required) 7. T-�ouse 1-Xeating Test Record must be submittcd before final. , �� ; , �, , ,, , , � T��o��x�zT �� , ��:� ` ;,� ; , , , ,. ... , , �� ,� , , �', , , ,;, ` ,'(�h��l�'�All Tllat APA�Y� ' ��' `� , E I �esidential ❑Commorcial(Approval Required) � i i ❑New []Additional ❑Repairs ❑Rcplace ! .�OI�;Sit�/:'(JWn�r,Ynfi��,mat�on ;�-� ^Site�Address: � �� C� �� , r 1� ��-� . Owner: �TC`�� J�1��__ Mailing Address: ��uCJ ��S�U 1"�-� �-�`, 1 Ciry: ��„�,�Q :�i�: 7 ��_l ; Home�hone: �`9��y�� 7 ! Alternate Phone: , Coi�tractor lnform�t�on, ': Contracto�^�� N��I�� Contact Person: � �' ` � �dba -�c�i�-k1EAFt�"�I-EOM� l.ic £�C662656 Address: Z700 FATRVI�W AV�NUE {V State Bond#: RO�aEVILL�, M�E 55113 �i�y. 651.533.�SE�ip: BxpiratioE�Date: � Phone: Alternate Phone: �" �� E ❑ Tnsurance-Current: ^ � 1 � I i � 11-45-' 14 18:31 FROM- T-140 P0002/0407 F-255 ��r ,,�,�,;,w�%•&,' -- -., i . _� ';� a r y;: �L�e�Y��r ,t.�,r ,d,.! Note:All Geothermal Systertis will now require a Site Plan c�Review by our�uilding Official. IS THIS G�O'��l7MAY,? ❑ Yes ❑No � HEATYNG SYST�MS - QuantiCy; � _ Make: Mod�l: FueL Fhic Sizc: Tnput BTUs: ...�, � Output STUs: w^ ,,,, k CPM: � COOLING SYSTEMS � � � QUantitY' _ w..,.._, Make: � Model: � . �..`�.,,.,..._ � "I'ons: H.Powtr ! ��......_ � � FIREI'LAC�S � Gas Facrory�'ireplace Brand Name: `IJ,��'`'� � C��C� � �Vood�urning�ireplace � Wood Stove Model No.: _c� '"�� i ❑ Wo�d SCove With Flue/M�.sonry � I VENTiLATION ❑ No. Kitchen E�chaust duct recirculating cfm � ❑ No. Bath�xhaust(rnust have di�ct outside) cfm I` ❑ No. ,� Other Fans: �.ocations w �cfm ? FUEY.STOIiA.G� (n�ust be approver�by F�re Mnrshall ifproposing to abandon tank in place.) ❑ Installation [� �emoval Fuel Oil; gallons [� Underground Q�nside ❑4utsidc � LP Gas: gallons Other: � (�AS T�YN�ON�.'Y I ❑ Outdoor Grill ❑ Other/List What&Wher�: 2 , I 1 11-05-'14 18:31 FR4M- T-140 P0003/0007 F-255 �� t: �..�1, � f � y� �, ..Y,•. .. - c f�c� ( (,�- ++�St � � ��-r F�1 �t�'v„�`��<��af�" �; �[ By '��`�}�t�y �.�b�,��M�"�']f?"�f��•'"�;Y+'*��„��'^c�;'��Y `�L �'"�v, y�^�`��' fk��$ks-,� ?�;�'firl�� tS��,��. � ?.,��;. !�. ��.�m `��:�'.``x�:n�,�.i+�"�� }�%��"�',�?�„��; Q Yes,this sccfion applies The replacement of a itesidential fixture or applisnce thst meets alE three of the fpllpwing rcquiremtnts: 1. Does not require modification to electrical or gas service. 2. T�as a t ost of$500.00 or Icss;excludin�the c�st of the#ixture or appliance:and - 3, Is improved,installed or replaeed by the homeowner or licensed contractor. Skip next scction,if this applies; Cost of Permit $ 15.00 St��tc Suroharge $ 5.00 Mail-1n Fee(If Applicable} $ 2.00 Total Pertnit Fee $ S A r..S4� �� D �]�I (' �7' IY �r l�..y(T Q�+ (� �, ,/ c t,s��R�i 1:.AS'Sl;l U�`'4,�,��'�A�1�Y.: ��V��.'1��k�.4�1��/f.%�G��(��llL,a��O,t%�u�$-��`.Mij�k� �l i:Y �� ' hW? Y 1 .1, f � t� t. 3ik�'�.{ t�t;�{i IY above cloes not apply;follow guideli,�cs bclaw: � f 1. CONTRACT PR10E "' is 1.25"/0 of contract price with a(Minimum Fee of$50.00) .��.2�� x.0125� �� (contract pricn) (rninimum SSO.U(1) 2. STAT�SY1�2C�A�i�� /} C.�.,� (�C.�- i - - ��'_ �...�x.00US � � ..,� I (contract priCe) f z 3. POSTAG�&T�ANDT.ING(Only on MAiI-In Applications) $ ,�..�U j � 4. 'C'OTA�,P�T21�1yT��(Add Lines 1-3 Above) $ C,�' ■ * CONTRACT PRICE or JOS COST means the actual or estimated dollar arr►ount chargcd for thc permitte�l work including ttlaie�'ials, labor,��rofit,and other fixed costs, It is thc amount fo be charged co the cusior�ier for the work done. Yf any material,cquipment, labor or installAtions are furnished by ' t�ie o�vner,tenant or any other party, ti�c reasonable market value of such items must be added to the � estimated cost a�contract price for permit Tee purposes. �n the eveni that there is a disputc on thc amount of the job cost, the Ciry may request the submission of a signed copy of the actual contraet. ; �' /;j�� T` �+� �/��]. T (�A� � � ��'se�' , +�'� ' n.:� ++� °1"�YwFs��m'�6�.G+ ' r.�"+��!��5.�� r��F;�.lr ;M�tiQ�k:lti�� 1� �r !.t N 1 �1 .s t�� ?.Pf.< t f I The undersigned hereby applies to the City fpr issuance of a Mechflnical Pec7nit, agrees to do ali ; work in strict accordance with the ordinanee3 of the Gity and t}�e regulations of the State of j Miiu�esota, and certifies that al! statements made on this application are complete, true flnd ! coi�rect. { � �- � ( k Applicant's SignAture: _ Date: I � I f { 3 I � ; �� DATE TIME {{ CITY OF ORONO CALLED IN � �'� � � INSPECTION NOT CE SCHEDULED /a- - //: � PERMIT NO.�-A� � D b COMPLETED ADDRESS �GIDS Lf) � OWNE�� ,,TELEPHO E N07�3 -��" �37� CONTRACTOR _�` � , �J_� � DESCRIPTION �-- � � ❑ FOOTtNG ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL 0 SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a �� Zl��/ ��llJ�� e�,� J Q ,��E/1G. �.O/� ✓t�'f S��G � �. � O � W � Q W _ W ,�,/ur-� , wI a;/� � � � � W ❑WORK SATISFACTORY:PROCEED ,J6�eROJECT COMPLETE � i � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 2a hours in advance. (952) 249-4600 OwnerlC tractor on site: /� Ins ector.� 1 � � White Copyllnspector's File Canary CopylSite Notice C�� DATE TIME '\/ V CITY OF ORONO CALLED IN INSPECTION�VOTI E SCHEDULED �_ � PERMITNO. ol.�� U� �d co�+P��Ey� A ADDRESS �q V� «Q,GI� �'� �Gr. OWNER 2 TEL P ONE N .�I.Z - 3 G�.�/�� CONTRACT�R �I�Z��/ � DESCRIPTION � � � � � � ty ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/G DING/FILLING � ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAI FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:�ES_NO � � CGMMENTS: \ � a G�s 1�� 4,: � � t ��►_ o �o �s� �,;�c� ia�s-,y - � - t�►�►�i K u aws I�n - o � � v��. - s�,�,•�.� co�5�.��o�, G, f �- W [ .�L � �p,X./I�.Itcli /L� TI�rU Yr1�L$. G��l/w[�l��f �— Q Z 7�!� — /1 e r� eae � �om rs f�s . � G°�,.�H e — �eC -�,- Gv�� w � j GW �10iQ�KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE ��O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WOFK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlConVactor on site: Inspector. � �I� � White Copyilnspector's File Canary CopylSite Notice . . ' CITY OF ORONO * 2 0 1 5 - 0 1 0 3 8 * 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2905 CASCO POINT RD PIN : 20-117-23-31-0052 LEGAL DESC : SPRING PARK : LOT 098 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2500 ESCROW IS TIED TO VARIANCE APPLICATION 15-3778 APPLICANT ESCROW FEE-APPLICANT 2,500.00 TOTAL 2,500.00 BALEN,TODD Payment(s) 2905 CASCO PT RD CHECK 1119 2,500.00 WAYZATA, MN 55391- OWNER BALEN,TODD 2905 CASCO PT RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requices separate permits. All provisions of►aws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date � i LAND USE APPLICATION ESCROW AGREEMENT Application # /S 3 �7 � AGREEMENT made this_�day of ��v.s-� , 20 1� by and between the CITY OF ORONO, a Minnesota municipal corporation ("Cit�')and Toc�d 6a,la..r� [a corporation—optionalJ ("Owners"). Recitals 1. Owners have filed Zoning Application # �� - 3�77 formally requesting the City to review plans for a � located at the property addressed: Z 4 oS �a-s cc� Pci vt" ��oa. (the "Subject Propert�') legally described as Ho.K�s+��•c� 2. Owners request the City to review said plans which requires City approval and may require consulting legal and/or engineering review. 3. The City is willing to commence its review of the application and incur costs associated with said review only if the Owners establish an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneousiy with the execution of this Escrow Agreement, the Owners shall deposit $ o�.s�•"°with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, or legal consultant review) or will incur in meeting with the Owners, reviewing the plans, and preparing agenda packet material for City Council review of application # �S - 37� � . Eligible expenses shall be consistent with expenses the Owners would be responsible for under a land use application. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall cease all reviews until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO OWNERS: gy: � I v a 1 Y�l. ��I,�.pY� gy; To�c� �3�.�c�..✓1 its: �lhht� �l�}�I�� its: Internal Use Only: G Original to Finance Department � Copy to Zoning File G Copy to Street File Packet Last Updated: January 2015 Page 10 FEB—�S-2005 1��48 P.a2i�3 � U`�` �� ' � �� == �-�✓ Y. � Z.UUJ Permit # - SHORELINE EROSION PROTECTION — FAST TR CK RERMIT MINNEHAHA CREEK WATERSHEO DISTRICT (MCWD) 18202 MINNETONKA BLVb. Ph: 95�-471-0590 DEEPHAVEN, MN 55391 �ax: 952-471-0662 I,�-�n.��Y� �v p �eside at O C � c> a � �. +-- � (Property Owne�) (Strest Add�ess) _ OYov�U , �Z �39/ , (9�2) - � 3 request approval to install riprap (City) (State) (Zlp) (Phone) shoreline erosion protection on property described as �9�l�S�r��nt a r� , located in (Street address) ��.f��r�.0 �� aa-ll7- �3��-��.5'� . The riprap installation (VUithln the City boundarles) (County) (PropeRy ID# (PID�J) will consist of �d along the shoreline of ,i n>. � in full (Lineal feet) (Lake) ay) accordanae with the Minnehaha Creek WaYershed Dlstrict ShoreOine Protection Guideline for riprap placement required for issuance of a Fast Track General Permit. I have cont�acted with r � s , 8 l�� - U•��t�uF.S. ��v�� z b�� (Name o Company) (Street addresa) (City) (Zip) (Phone) �. � � G �_, to perform the work who is familiar with the technical (Bond Number) �equirements and has fulfilled the bonding requirements of the watershed dist�ict(see page two). I have read and understand the requlrements of the MCWD relating to Shoreline Erosion Protection. f �.��,..�-, �� -�' � - iy -o s (S{gnature of Property Ow er) � (Date) . Subscribed and sworn to before me on thls,� � .�( , 2Q5�. �,�Q�` Z MARCIA JO YMAUdK(iF . Notary ubl c ��'�U wr oo..s�m ra�a�m.a�,aoo► . ■ Approved by Date �f I 4 j c1s Distribution� �Proporty Owner _„Corrtractor _Municipality _bNR _Distrid�Ile Page 1 of Z �