HomeMy WebLinkAbout2000-P02660 - addn/remodel/repair , PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po266o
Crystal Bay, Minnesota 55323 P2fRllt Type: Addition/Remode]/Repair
(612) 249-4600 Date Issued: v31i2oo
SITE ADDRESS: 302o Casco Point Rd
WAYZATA,MN 55391
PID: 20-117-23-34-0025
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Sub-type(s): Single Family
Permit Type: Addition/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: riumoing iviecnanicai r.iecu�icai �siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 923.75 Valuation: $ 90,000.00
Plan Review Fee: $ 600.53
State Surcharge Fee: $ 45.00
TOTAL FEE: $ 1,569.28
APPLICANT: OWNER: E LINDGREN JR&B LINDGREN
3020 CASCO POINT RD
WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRTCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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PLICA EE SIGNATURE ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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' 'Total Fee: $ �� Slvq , �` � Date Received: I-/�- �' �
Entered By: .,� Permit#: �-'�� ���;�=�
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CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR ONTRAC
JOB SITE ADDRESS: 3O ZO �QS�d �f ZIP: ���g�
NANIE OF OWNER: 1rr" LI rt� ! �. PHONE: (home) 7��
(work)
MAILING ADDRESS: �ZD �C• �CITY: Q/�0 N p ZIP:
CONTRACTOR: e I.�w 6crr PHONE: �'I�'�_3 Z
CONTACT PERSON: C MOBILE/PAGER: _$'�! '-7/I e
MAILING ADDRESS: y /�I ♦�►t •'�.t CITY: ZIP:
STATE LICENSE: # LE.
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
PROPOSED+RK(d scribe in etai�: �rf,o�` �1�'
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $��I/d��
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance w'th the approved plan.
APPLICANT'S SIGNATURE: DATE: O�
NOTE! Parade of Homes events require separate ermit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in tltis section.
Subd.2. Information required to be given individual. M individual asked to supply private or confidential data concerning himself
shall be infocmed 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 suppty private or confidential data;and(d)the idenury 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 mav olace the notice reauired under this subdivision in the individual income tax or propertv 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 individua►s,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 wirhout 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 infornted of iu meaning, the data need not be
disclosed ro him for six months thereafter unless a dispute or action pursuant to tltis 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 cosu 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 five days
of the date of the tequest,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 6ve 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 pubiic or
private data conceming himself. To exercise[his right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall wiihin 30 days either: (a)correct the data found ro 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
ro be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the admuustrative 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 �ity 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 Middle Last
Address
C[�y State Zip Phone
I understand my rights as st ed a ove.
Si
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' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 30Zt7 C�Asc..a Po�.v� (20��
PID:
DESCRIPTION OF WORK: � �,¢rthl;c3. ,4,�oi n a �
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ZONING REVIEW BY: �Q,�,.�._ DATE APPROVED: � -� _t�o
BUILDING REVIEW BY: DATE APPROVED: -�_-Z,,_�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes c/� No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC _ Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: L2•i G
Fire Department: �A� Post Office: School District: �,ves.y�/,(r�t
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Lot Area: Sq.ft. rVo Gi.n�r� Acres --- Width �/Lt�ra�v�-�L Depth
Survey Submitted: Yes a� No Date of Survey: ow�
Proposed Setbacks:
Firnit (Lake): ' (/� � � Right Side: �r'�
l�ear (Street): 3� Left Side: �Z�
AdjacentStructures:�7�C.t�e� Wetland: ---
Building Height: Def. Hgt. �'� Peak Hgt. (�,1�.
Lot Coverage: --
Grading: Staff Approval Date: -- By: ^ Council Approval Date:
Septic: Staff Approval Date: --- By: --
Zoning File: # --- Resolution: # '— Resolution Date: --
Shoreland District:
Avg. Setbac : p,(C Bluff Setback: /V�,a- L.ot Coverage: �,��
Existing Proposed
Hardcover: 0-75'
7�-250' �-?_ � 2 3•S
250-500'
500-1000'
Hardcover Variance Required: Yes No Da[e of Council Approval:
REMARKS (in house): �-►-y4�,�v�ov`r' ��w��wv�r (1,��� 51�ea�'`
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BUILDING REVIEW CHECK LIST
UBC: � ' S CONSTRUCTION TYPE: �/�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ �'jC�Q.o�
d�-
Inspections Required: Work Requiring Separate Permits:
Site _�Plumbing Fire
Hardcover Removal �Mechanical Water Connection
��Footing Septic Sewer Connection
�. Framing Fireplace Lawn Irrigation
_��Insulation (Masonry) Other
_�Wall Board (Mfg.) Well (State Permit)
� Final Grading/Filling �_Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT):
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ciTr oF oRONO � 6122494616 08/a9/99 1U:27 � :US/OS Na:011
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TO'CAI.H�IRDCAVER IN ZQN� - S.F. A
T�TAL FR�PfiRTY AREA IN ZUNE - S.�'. B
� � --�1��� � . $ /�7�,_ a la4 .� �7,7. �'- !6
�'8��,��J.IiA1t�GOVER TN,_,,,�,f�,N�;
A. Y�ause 7 `f, ".� z y��/ .R 1 �S 2 S.F.
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x � S.F.
x � S.P.
F�. Cius,ge z (�,L- - x � 7_ .� Fr 3 S' 2 5.X.
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C. Ddvaw�y �6 x �� �• s lo o s.F.
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A. Si�ltwalk _�`'/�S x �', �r � a ' �.�. WOG� ��G�^y
� �3 I x Z �S�� � ' �7 < <S S.F. l��w
�. PadclDeck x - ,� 3 �/�, . S.F. �'o
z � ZS(ciw 1� SiF000�C'd;6 "'�
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fi. L�ads�ape 1 Z , x � � �'-1 S.F. (�-��-
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Sy Pla3tk �.,....� X . (�„ ** ?�, (o S.F.7������-5
Or Ftbrlc •
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TOTAL HARDCpVER IN�ONE - S.�'. A
T4TAL FRpPFtP,Ty/�R,�A IN ZON� � . � g,F, B
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