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Home My WebLink About2001-P04427 - addn/remodel/repair � PERMIT C�iTY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P04427 Crystal Bay, Minnesota 55323 Pe1't111t Typ@: Addition/RemodeURepair (952) 249-4600 Date Issued: io�i2i2ooi SITE ADDRESS: 3333 Shoreline Dr Wayzata,MN 55391 P I D: 20-117-23-11-0024 DESCRIPTION: UBC occupancy U1 Construction Type VN Proposed Use: Lommerciai Permit Class: Building Census Code 437 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: riumbing iviecnanirai r,iec�icai�siaie j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 832•�5 Valuation• $ 77,000.00 State Surcharge Fee: $ 38.50 TOTAL FEE: $ 871.25 APPLICANT: The Carpenter's Contracting,Inc.(See Co OWNER: �ck's Super Value 1105 County Road 19 3333 Shoreline Dr Mound,MN 55364 Wayzata MN 55391 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI-IE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUII..DING CODE REQUIREMENTS. � �A�l ` /�J �411/� -P.,. (i��5z�1�/ /� �TC�°I`"��I�� I Y SIGNATURE ��i� Copies: 1-File(Signitures Required),1-Applicant, 1-Mond�lyReports,1-Assessing,1-Finance Page 1 1 ' Total Fee: $ � 7 � ��-S Date Received: /� G �-/�C�,� � E�tered By: < � Permit#: ��,.-y - �' � ,�� ,,;�� - �� CITY OF ORONO - BUILDING PERMIT APPLICATIOl`d �� All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �333 SNon��v�. D2 ZIP: 553qi C,�y7'�I�►� � -� t� f� NAME OF OWNER: ��c� S,�c�2.L�,�c.,; ��2iu<F,ur�,�o�,5i� PHONE: (home) (work) ��a� 4�� . ��r73 MAILING ADDRESS: 333 � �H�2�c.tN� �2. CITY: ZIP: CONTRACTOR: T�t� C��6*�-t�.� ��,.rr�a��,vr ,,,�:. PHONE: ZSa-�,�a�S��s CONTACT PERSON: �N �„u,��/c�.2�� MOBILE/PAGER: 6�Z- 3��zba6 MAILINGADDRESS:�� oS c�, �2,,;F �9 CITY: ��,.�,p ZIP: SS36�/ STATE LICENSE: # �%zz-- j„��(,Z, �," (��ti�,�oF_ �;•,Vif'�{,j 5.J, �2ic.N�1�a`` 'tsd-`13L' l�b��L ARCHITECT/ENGINEER. �-,�,a�o '�o� F k� ,20�,�6 PHONE:T�� -�;�a--s`? 1s� MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: �� . s�,�6 � �,a3�b5 qr�,ro�,,cr,. . ;�;� ��., c�Iaoo,m�v<E•��i �;.�V�� ''','�Fi�L.IOZ It.Y��i(.10¢- r� tJ(a.J t I�CF-"-�'J��l STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $�6 ��? oc c.ti� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: � �.,�.. DATE: 10-��d i NOTE! Parade pf 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. r Sec.13.04 RIGFiTS 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 secdon. Subd.2. Information reqirired to be given individual. An individuat asked to supply private or confidenrial data concecning himself shall be informed of: (a)the purpose and intended use of che requested data widiin the collecang�tate agency,political subdivision,or stacewide rysum; (b)whether he may refuse oY is legally required to supply the requested data;(c)any irnown consequence arising from lus supplying or refusing to supply private or confidenaal data;and(d)the idenary of ocher persons or enriries authorized by state or fedeial iaw to receive the data. This requirement shall not app(y when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82, subdivision 5,to a law enforcement o�cer. The commissioner of rc�enue mav place the noace required under this subdivision in the individual income tax or propertv taz refund instructions inscead of on those forms. Subd.3. Access to data by individual. Upon request to a responsibie aurhoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her ic is class�ed as public,private or confidenaal. Upon his further request,an individuai who is the subjecc of stored private or public data on individuals shall be shown the dara wi[hout 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 che private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute ar acdon punuant co this section is pending or addidonal 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 authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,exciuding 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 addidonal five days within which to comply with the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of pubiic or pri��ate data conceming himself. To exercise ct►is right,an individual shall noafy in wricing the responsible authority describing che nacure of the disagreement. The responsible authoriry shall within 30 days either: (a)correct[he data found ro be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete dara, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be coaect. Data in dispuce shall be disclosed only if rhe individual's sta[ement of disagreement is included with the disclosed data. The decermination of the responsible au�horiry may be appealed pursuant to the provisions of the admicristradve 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 thar. 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. g. 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 Phone I rstand my rights as stated above. Signature . • � CHECK OF'F LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �33 3 �t-4-oC��—`^+-� �J2 PID: DESCRIPTION OF WORK: (Z,t�,v�c�XJ e C.. _ _---__--_-- -------- __ ---____---------- ---------------------------------------------------- ZOrTi 1G REVIEW BY: ��.�,.�i. DATE APPROVED: �0 �(/-v/ BUILD�tG REVIEW BY: DATE APPROVED: �o- �/-v/ FEES TO BE CHARGED: Misc. Fees Calculated By: PER�I�IIT Yes � No PLAi�1 REVIEW Yes _� No SEWER CONNECITON STATE SURCHARGE Yes ✓ No WATER CONNECTION INVESTIG_�TION FEE Yes No PARK FEE SAC Yes No SITEINSPECT'ION Number of SAC Units OTHER (specify) Z0�1I�G CH�CK LIST Zoning District: /UD C/-fi9'rv6�.. 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 Si e: Rear(Street): Left Sid : Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: � Grading: Staff Approval Date: I By: Council Approval Date: � Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Set;back: Lot Coverage: Existing ' Proposed Hardcover: 0-75' 75-250' —� 250-500' 500-1000' --•— Hardcover Variance Required: Yes I�10 Date of Council Approval: REMARKS (in house): 7 BUILDING REV�W CHECK LIST �C� f"� CONSTRUCTION TYPE: �C►`� Sq Footage $Per Sq Ftg Basement x = lst Floor z _ 2nd Floor x = Garage x = R - TOTAL Estimated Construction Value: $_ '», (�Uv� Inspections Required: `Vork Requiring Separate Permits: Site �Plumbing Fire Hardcover Removal Mechanical Water Connection Footing � Septic Sewer Connection _�Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other �Vall Board (Mfg.) Well (State Permit) _�F�� Grading/Filling _�Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------- REVIE`� BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; ------------------- RENIARKS (TO BE NOT'ED ON PERiI�iIT�: 8