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Home My WebLink About2001-P04452 - addn/remodel/repair ' ' R NO PERMIT C�TY OF O O Permit Number: 2750 Kelley,Parkway - PO Box 66 P04452 Crystal Bay, Minnesota 55323 P2f1711t Typ2: Addition/Remodel/Repair (952) �49-4600 Date Issued: to�26i2oot SITE ADDRESS: 1810 Shadywood Rd Wayzata,MN 55391 PID: »-i t�-23-2i-oo2� 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/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumbing iviecnanicai r,iecnicai�stazej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00 Plan Review Fee: $ 254.28 State Surcharge Fee: $ 12.50 TOTAL FEE: $ 658.03 APPLICANT: Owner/Self OWNER: Mark Kroll MN 1810 Shadywood Road Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. `.�. ��1 APPLICANT IGNATURE ISSUE YSIGNATURE , Conies: 1-File(Sienitures Reauired). 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ J�j , 03 Date Received: /�- � U/ ' Entered By: ! Permit#: �f 0 �lSS�-� . �?,� �a'1� CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: ZIP: NAME OF OWNER: ��,��t� PHONE: (home) / �y�Y�a (work) (�lr��YS`� �/ya� MAII.ING ADDRESS: l�'�n b �,r�c�x'Y�o n�CITY:,(Z�s1�LZ�_ZIP: CONTRACTOR: �A r . �� PHONE: �/� S'S ��.?? CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: �,��'� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in detai�: �;�, � A 5� �n�� STORIES: ,� SQ.FEET OF EACH FLOOR: �S-U NO. OF BEDROOMS: � GARAGE STALLS: ATT. DE ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ ,�S,D n n ��.. I hereby apply for a building pemut and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATLTRE: DATE: �j� - �-�/ NOTE! Parade o Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � Sec.13.04 RIGHTS OF S[JBJECTS OF DATA Subd. I. Type of data. T'he rights of individual on whom[he data is stored or to be stored shall be as set forth in this section. � Subd.2. Information reqirired to be given iadividual. An individual asked to supply private or confideadal data concerning himself shall be informed of: (a)the purpose and intended use of the requested daa withia the collecting 3tau agency,political subdivision,or statewide sysum; (b)whether he may refuse oY is legally required to supply the cequested data;(c)any la►own coasequence arising from his supplying or refusing to supply private or confidenual dara;and(d)the idenriry of other persons or enades authorized by state or federal law to receive the data. Ttus requirement shall not appiy when an individual is asked to supply invesrigadve dara,punuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of re�enue mav place the nodce required under this subdivision in the individual income tax or_propertv tax refund instcuctions inscead of on[hose forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is class�ed as public,private or confidendal. Upon his fu�ther request,an individual who is the subject ctf stored private or public data on individuals shall be s6own the dara 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 iu meaaing,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuanc to this secdon is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual coscs of making,cerafying,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 request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wi[hin that time,he shall so inform the individual,and may have an addiaonal five days wirhin which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himseif. To exercise[his right,an individual shall nodfy in wricing the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the daca found w be inaccurau or incomplete and attempt to noafy past recipienu of inaccurate or incomplete data, including recipients named by[he individual;or(b)nodfy the individual that he betieves the data to be correcc. Data in dispute shail be disctosed only if the individual's statement of disagreement is included wi[h rhe disc(osed dara. The decerminarion of the responsible authoriry may be appealed pursuan[to the provisions of the administrarive procedure act relating to contesud 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 detemune 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. g, You have ceRain 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 �� Address • C�ty State Zip Phone I understand righ as stated above. Signaare � CHECK OFF LIST FOR ISSUANCE OF PERMITS • FOR OFFICE USE ONLY ADD$ESS OR LEGAL: 1431 v S W/'t hY W u o�p �'2�/� PID: DESCRIPTION OF WORK: (3/�SL rn�-7v�r �=�v�►�st-� a ZOtiTi TG REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED; �d-��-c�� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _� No PLAl�T REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes !� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZO1V'ING CH�CK LIST Zoning District: /1/l� C!-iAIJG� Fire Department: Post Office: School District: � Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: tland: Building Height: Def. Hgt. P al:Hgt. L.ot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setb ck: LAt Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 BUII..DING REVIEW CHECK LIST �C� � '3 CONSTRUCTION TYPE: "�/� Sq Footage $Per Sq Ftg . Basement x — lst Floor x _ 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $_ Z S.V C�O � InspeMions Required: `Vork Requiring Separate Permits: Site �Plumbing Fire Hazdcover Removal �C Mechanical Water Connection . _��- ' Septic Sewer Connection _,PL Fr�g Fireplace Lawn Irrigation �o Insulation (Masonry) Other �Wall Boazd (Mfg.) Well (State Permit) _�F�� Grading/Filling _ Lp_Electrical(State Permit) Other REMA]ftKS(IN HOUSE): . REVIEW BY OTHERS• DATE: --------------------_________�__ Access: Ezisting New Access Approval: Date gy; --------------------- ---- REMARKS (TO BE NOTED ON PERNIIZ�: 8 c�TY oF OR(aN0 SPECIAL l�l�TE �'��.��.�� `�"E � B rl�r i _ r, _ :`�'�..__�, '1 Iu1C�y�� li�G�� . � i�vspEcroF� ;* pr- �-- ---- t_C�tZ.�Ss Wi�v�cso� ��2 Sw�tu.� t0��ca'Z�2 ' - LL �_�St c� o t t�-�r�,;1�,';o. FOR t \ ��A�'r' � _ ,.� �U5'�.�i-(�`� CO E f�EG�iJl��ni;El�1TS� � 9CQDE,. R��.�.IIE��.��'�`t::. i _ � ., __.,___._____ o �Ar-��.,_ ,;�,!C�,}�;�C1��0"�S AS t��OT;�� , a C� t�l0�,s,' '' �'-,-- " ?-L�'&Fi`SU6�+-11T � � '�.��c.. -Cvti� � v 7f� aC'ir'� � r af t �,, � > : ., y�our rn o ^� +cn A tiork `�al�e core • , oi(1 1� i COii' � ..l } {�� tiGL�! �{�� .�'� � . , � � {r I �.� a'lj '1:'�C � ..�. .�' . i— Rcy;.emt� i�n� � � ms � F . .-:. _ • ,M r�:/a� m ,�r�r�w. µ'• - .� i ��'-. _ KEEP TH ' PLAN SET t�N S17�A I ti f,L L IIh1t� � � � -'''�• �'' Si'�,J'= i 'i.�t. /= t,1- � �� 1�'� i- i � �� ' � � I X C' ' /{ e � ----- � S , ,� 1 � , P��K � G� ��, �q.� �,.� N � ; � �e{�Y\-•y . cn .�Y a,`t' t� �'� � �' �� , �J��` ,__.- � 1 . � � � � � � �� ..._ _----j:�. �` t �. � - `� -- ------- . ' i .''' / � �_____ � �; -� ':--3 � ��/��tI✓� � � ;y-:-'�!r - P�t�VIDE TREATEi7 PLr��I'�J `�Ni ii�;� � ` � t,pYED ON CONCRE`1�E t t j '.7} (� � ~ \� .._._.-- : � tS ��!� ..-"._ l ��J n.` ` /� % � � ! J •.t� �--� p,W V(✓�C. 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' � .; .:� � _ � ; ;,_,.� � � ,� .. . �. ., , ,=�,,;r � N 1 \ c"'� \ t V . ! 1 , . h� • �, � � ; ` _ �, � ` . :. - - .., � � , �S r ' � '� a.- „L� '� ``3� �� .;�.. _a,,� �. . :� '� v �V, ,f,p .s,- ��s, c��;4�� `4 � - ,.`.0 sp� . .,r' ��'G . ,i . • y . v'' ,- ��^. � � . . � r ,t� �� `--�� ' . � ` •.J�d�� I� � 4 �� jr .. •\-1'� �a ..�{;►�/;sld J w .f"' . �� ..ry� :� / � � � � , ..y�L /`,� , ,v._. .Y. . ,.,� ,. , l . t�`- .._�. � ! . `�- '` �11�,'� � �`?� �` � _n.��,9y�, � 1 �1I� ';[ -- � <� � � � � `�.� � �� Y ,............-....�.._._._.._�........_..,.... ._._ ...__..__.��...___ ._.._...._.. _ � �� . __ _ _� �.. w A_n�'fA 88q-� £0/ZO'd Y00-1 1585-Z9£-818 (-� �Iltl� 'S�YIOb� 8ti�£t l0. £0 1�0 l DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICFY/��SCHEDULED PERMIT N0. /`v COMPLETED �� ADDRESS f I �'L' �.C� � � OWNER /' % CONTR. TELEPHONEN0. � J ` y� � DESCRIPTION `� � � 01 FOOTING 11 MECHANICAL.RI 18 EXC �//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 06 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 v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOHTOMEETYOU: YES_NO � COMMENTS: � W C o �� L,✓�-- ( a � 0 � W � Q � z W � W � , ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 Owner/Contractor on site: Inspector.��7��.��tiJii S White Copyllnspector's File Canary CopylSite Notice " DATE TIME CiTY OF ORONO �� CALLED IN INSPECTION NOTICE /� SCHEDULED �- � PERMIT NO. ��%�� COMPLETED Z`' � �Q�� ADDRESS �g i� ��"�' ��Ct� � OWNER OU� CONTR. TELEPHONE NO. � � o(� -�4 S --�-I��-v� � DESCRIPTION `�`n�``�0.�'� � 01 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 Z04 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 � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � � ...:--.. J 1 � %V 'G "!/ � W � Q � Z W � W � � ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor n site: Inspector. �'S White Copyllnspector's File Canary Copy/Site Notice ��C." DATE TIME CITY OF ORONO CALLED IN INSPECTION N (fE,� SCHEDULED — �n PERMIT N0. `7` COMPLETED � � ADDRESS �0 � OWNER CONTR. �a TELEPHONE NQ. �/�. �� 5�� DESCRIPTION e ?� �� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 v 10 PLUMBING FINAL 36 FOUNDAT!ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YE�NO � COMMENTS: � W 0. � J O �. � O � W � Q � 2 W � W � � � ��NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALLINSPECTOR 0 CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�� OwnerlContractor on site: Inspector. �� -�'��T White Copy/lnspector's File Canary CopylSite Notice L�� DATE TIME CITY OF ORONO � CAL�ED IN _T_ INSPECTION NOTIC '//j C�SCHEDULED ��.3.� PERMIT N0. - `� 7J COMPLET o — ��' ' ' ADDRESS �C� ��C Z�.�C�,C� • OWNER CONTR. C�/�� TELEPHONE N0. �,�1I_ � ��j"��` � DESCRIPTION �� Oi �F T-IN-G--- 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q- �'� �� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 PlUM81NG FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � C � M NTS: � r q � Gf�rL..� ��' o `� � ' � � �: '�,.� � � � �.G�� W � Q � z W � W � j a W� ❑WORK SATISFACTORY:PROCEED ❑ PROJ ECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-46�0 OwnerlCont r on site: Inspector. �� White Copyllnspector's File Canary Copy/Site Notice