HomeMy WebLinkAbout2003-P06819 - attached deck PERMIT
CITY` OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06819
Crystal Bay, Minnesota 55323 PG'PCTIIt Typ2: Addition/RemodeURepair
(952) 249-4600 Date Issued: ioiisi2oo3
SITE ADDRESS: 2930 Casco Point Rd
Wayzata,MN 55391
P��: 20-117-23-31-0034
DESCRIPTION: UBC Occupancy M
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 434
Pernut Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 111.25
Valuation: $ 5,000.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 186.53
APPLICANT: Danberry Company OWNER: 7onathan &Carol7ean Menth
4410 Shoreline Dr 2930 Casco Point 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
MINNES TA BUILDING CODE REQUIREMENTS.
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P I ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
,
/ SCj S �//•t.v S% � ���.-�--e-�,
'��!�;`-- �� �-�-r'.3-�9�-fy .
� ' Total Fee: $ ����. �� �_-' Date Received: ��Z �/ �� 3
Entered By: �� Permit#: r� p (�� � `�
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CITY OF ORONO - BUII�DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
� (please print all information)
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THE APPLICANT IS: (circle one) OWNE � R CONTRACTOR
�(,-'/�rZ�T/`7 /?'l ti'' '
JOB SITE ADDRESS: Zy3G' Cras"�c� �• b�d Z�:
����-`h ��/Qiaa f/l�s9 � `} �, / L �D l 7Z G�
NAME OF OWNER: lY/�,� r-�; �a�'� / �T- PHOiVE: (home)
/�'�c'j� L`�i �S T�c�? � (wOrk) ���;� ����, 5��/�
l�IAILING ADDRESS: ,,�1 b�%vt' CITY: " �:�31 �
CONTR.ACTOR: �,�{-j� �e rr � ���f f PHO�: y7� " `!S�Z
CONTACT PERSON��1_�,;7�=��-�, -TE��"" MOBILE/PAGER: � /z 2 S'o - 7���
MAILING ADDRESS: � �r Z f/S CITY: S f`%,;;�, >=�i` ZIP: 5-5" 3��
STATE LICENSE: # � �� n
i�K�� �12�}FTI�l�
ARCHITECT/E���- PHO\TE: �: (7._
MA.ILING ADDRESS. �1 � Z ll cx.�,� /t-'F. CITY: r'1�Z ,��c ZIP:�/�
N�vTE: �=�n n �/ /c�r S i h K E� REGISTRATI N#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration F� Land Alteration
PROPOSED WORK(describe in detai�: ���e vc' � T��/4 < < ���°c' �� ��'��� Z"j'
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET.
��{
ESTII�i IATED CONSTRUCTION VALUATION (exclud.i.ng land): � --S �'f�� �
I hereby apply for a building pernlit 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 unders this is not a pernut and work is not to start without a
permit; and that the work will be '` ac rda e with the approved plan.
; ���---�--' �,
APPLICANT'S SIGNATURE: � '� � .�- DATE: l lj '��
�j��uli,`�I�,����G�=
NOTE! Parade of Homes events require sepkrate permit approval by Police Department and
City Couneil 60 days prior to the event. Non permitted events will not be allowed.
.
Sec.13.04 RIGHTS OF SLTBJECTS OF D�Ta
Subd. 1. Type of data. The riehcs of individual on whom the data is sto:`3 or to be stored shall be as set forth in this secdon.
Subd.2. Informadon reqirired to be given individual. An izdividual�skr3 to supply private or confidenrial data concerning himself shall
be informed of: (a) the purpose and incended use of the requested dara w:�in the collecung"state agency, poliacal subdivision,or statewide rystem;
(b)whecher he may refuse oY is legally required�o supply che requesced dan:(c)any 3�own coasequence arising from his supplying or refusing to supply
priva�e or conndendal data;and(d)the idenaty of ocher persoas or enoaes zLrhorized by scate or federal law to r�ceive the data..This requ'uemen�s6a11
noc apply when an individual is asked to supply invesdearive data,pursu_.c to seccoa 13.82, subdivision 5, to a law enforcemenc o�cer.
The commissioner of rv�•enue mav place the norice rewired cr.�a r this sutdivision in the individual income tax or oropertv tax refund
ins�ructions instezd of on those forms.
Subd. 3. Access to data by indi�-idual. Upon requesc to a r.sronsibie a�c?�oriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whe�her it is classified as public, privac�or confid=r.aa1. Upon his further requesc, an individual who is the subjecc
of stored private or public dara on individuals shall be shown[he da�a wiu ouc any c:.arge to him and,-if he desires, shall be informed of[he concent
and meaning of[hat data. After an individual has been shown che priva�.Ca�and in:ermed of ia meaning,che dara need not be disclosed to him for
six mon�hs chereatter unless a dispute or acdon pursuanc to [his secdon is��nding or addirional data on the individual has been collecced or creaced.
'Ihe responsibie auchoriry shail provide copies of the privace or public dac�c:on requ_s:by the individual subjecc of�he dara. The responsible authoriry
may requir�the requesring per5on to pay the actual costs of makin¢,cer_:ying,and compiling che copies.
'Ihe responsible authoriry shall comply immediatzly, if possibl=,wich any request made pursuan[to this subdivision, or within Five days of
the date of[he requesc,exciuding Sanirdays,Sundays and lezal holidays,ii is.mediace compliance is noc possible. If he cannot comply with the request
wichin thac dme,he shall so inform the individual,and may have an addi�er.al five da:s wirhin which to comply wi[h[he request,excluding Saturdays,
Sundays and legai holidays.
Subd.4. Procedure when data is not accurate or complete. :�n individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise chis rieht,an individual shall nodfy ia wridng c:rsponsible authoriry dzscribing che nanire of the disagreemenc.
The responsible auchoriry shall within 30 days either: (a)correct[he dae icund ro be inaccurate or incomplece and aaempt to nodfy past recipiencs of
inaccurace or incomplete 3a[a, including recipients named by the individc�l; or(b) r.oafy the individual that he bzlieves the data to be correct. Data
in dispu�e shall be disclosed only if the individual's staremien[of disa;re_U_r.t is irc'.�_3ed with the disclosed dara.
Ttte de�ecminadon of che rosponsible auchoriry may be appza::� pursuan�to the provisions of the administrarive procedare act reladng to
contested cases.
DATA PRIV�CY AD�`ISORY
In accordance with M.S. 13.04, Subd. 2, "RiQhts of subjects oi da�a", we would like to inform you tha[your reouest
for a permi� or license from the Ciry of Orono or any of iis deparments may require you to furnish cercain private or
confidential information.
You are notified thar.
1, The information you furnish will be used to dz:ermine�'our qualification for the permit or license requested.
2. You may refuse to supply data, buc refusal nay require tha[ the Ciry deny the perm.it or license.
3. The information may be shared wi[h o�her loc�i, state or federal a�encies to the extent necessary to process
the permit or license.
4. If your requested permi[ or license requires Council action to approve, some information may become
. public.
j. You have certain rights under M.S. 13.04 (zvailabie Lpon request) to review private data on yourself.
6, Your fuil name is required to process this aoplica[ion or perm.i�.
i'� " '
First i ,..,:..,--''_ Lasc
Address �'
Ciry State Zip Phone
----
I underst d my n hts aS�sE ve.
� �~_..__
Signantre�
CHECK OFF LIST FOR ISSUANCE OF PERiv1ITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2 g 3 d C Nl s� �Po��..r� 1�+q-�
PID:
DESCRIPTION OF WORK: �t%Glc
ZO�TING REVIEW BY: DATE APPROVED:l�- !- 03
BUII.DING REVIEW BY: __ _ DATE APPROVED: t o- � -a 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
pLAI�1 REVIEW Yes ,� No SEWER CONNECITON
STATE SURCHARGE Yes � No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZOti`ING CHECK LIST Zoning District: l.2-�C.
Fire Department: Post Office: School District:
Lot Area: Sq.ft. � 'S,i s'Ce Acres . 3�-t � Width 9 d• n 4s Depth
Survey Submitted: Yes_� No Date of Survey: (v"`� "3
Proposed Setbacks: r
Front (Lake): � 3 •5 � Right Side: (�(-5
Re.ar (S[reet): �b.� Left Side: ��-b
Adjacent Structures: A-�"�C.G-Q•� Wetland: �! 6/�--
BuildinJ Hei;ht: Def. Hgt. N (f� Peal:Hgt.
Lot Covera�e: � �{. (o
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # 3-2a y`'I Resolution: # Resolution Date: S' • Z-�`a j . .
Shoreland District: �!S
Av�. Setback: V�lc Bluff Setback: ��/� L.ot Coverage: / y-�
Existing Proposed
Hardcover: 0-75'
75-2�0' �{g-� y 6 •`�l
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): , -
7
BUILDING REV�W CHECK LIST
�C� '`� j CONSTRUCTION TYPE: �/ti
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor R _
2nd Floor x =
Garage x =
R c
TOTAL
Estimated Construction Value: $ S�o�`�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�_Footing Septic Sewer Connection
o� Framin� Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
_�F�� Gradin;/Filling Electrical (State Permit)
Other
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RENIARKS(IN HOUSE):
-------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: ExistinJ Ne��
Access Approval: Date By:
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REMARKS (TO BE NOT'ED ON PERi�1I�:
. 8 .
EXHIBIT A
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� A � TIME
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CITY OF ORONO CALL D I ��� � O='�
INSPECTION NO I E SCHEDULE� C �� '
PERMIT N0. � ��l� COMPLETED �
ADDRESS 2-� � C� C�t �C� f�f IZ�
OWNER CONTR. �Z �"1G���-y-
TELEPHONE N0. �t�VlVl - C.S' � c�- ��� �� (c��'
� DESCRIPTION �C`�J(�1��
� 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 OS 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
� OWNERICONTFiACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PFOJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContract o 'te:
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Inspector. _
White Copyllnspector' File Canary Copy/Site Notice
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