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Home My WebLink About2000-P02701 - addn/remodel/repair � � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2�oi Crystal Bay, Minnesota 55323 P@C'fTllt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: �i31i2oo SITE ADDRESS: 3325 Crystal Bay Rd WAYZATA,MN 55391 PID: »-11�-2�-41-ooig DESCRIPTION: Proposed Use: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution #: 4489 Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 8,000.00 Plan Review Fee: $ 99.58 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 256.83 - APPLICANT: DENNIS STANTON OWNER: D M STANTON& B L STANTON 3325 CRYSTAL BAY ROAD 3325 CRYSTAL BAY RD ORONO, MN 55391 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. �� /.- ��' 09'�c/ :/- ��_ �- ----_ � APPLICANT RMITEE SI NATURE ISSUED BY SIGNATURE !',...;o... �`:r., n....l:,.....♦ n....,.....,... c:......,,,, n,.,,,.� � C � Total Fee: $ �rj��.E' • c� �' Date Received: � � ' � 1 - �C�� Entered By: _ (� Permit#: ��d.� d CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) -------------------------------------------------------- --------------------------------------------------------- THE APPLICANT IS: (circle one) OWNE R CONTRACTOR JOB SITE ADDRESS: � ��5' �Q,�, S �-�C- � 1�.� fZ� ZIP: 5 j 3�� T NAME OF OWNER: �� IJ�S � �c c'�, S 'f�^}�r-' PHONE: (home) (work) MAILING ADDRESS: 3 3 0�S��'�1�, S k�� i�iPd^ CITY: ��.u,�� ZIP: _ S- �� CONTRACTOR: ��}C l.,r�L�,. �., PHONE: Qa(Q�--JC,,S� CONTACT PERSON: ��i�; � ��k ((��,5 �- MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: 1�TAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration +�f c.� PROPOSED WORK (describe in detai�: �i�-�-11 �� C.Ct r�� /-',c~� �. - STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROONTS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �j, p� : 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 acco nce with the approved plan. APPLICAIVT'S SIGNATURE: , -�, --�-= DATE: � � �' C�^' NOTE! Parade o�Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 Sec.13.04 RIGHTS OF SLJB.TECTS 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 concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecdng state agency, poliacal subdivision, or statewide system; (b) whether he may refuse or is legally required to supply the tequested data; (c)any known consequence arising from his supplying or refusing to supply private or confidenual data; and(d)the idendry 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 investigarive data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may place the noace 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 daha 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 hirn 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 for six months thereafter unless a dispute or acUon pursuant to this section is pending or addi[ional 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 of the data. The responsible authority may require the requesting person to pay the actual cosu of making,certifying, and compiling the copies. The�esponsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision, or within five days of the date of the request,excluding Satuidays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that ame,he shall so infonn the individual, and may have an additional five days within which to comply with the request, excluding Sarurdays, 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 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 either: (a)correct the data found ro be inaccurate or incomplete and attempt to notify past recipienu 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 disc(osed data. The detemunation of the responsible authority may be appealed pursuant[o 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 pernut or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pernut 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 City State Zip Phone I understand my rights as stated above. Signamre 10 CHECK OFF LIST FOR ISSUANCE OF PERIVIITS FOR OFFICE USE ONLY ADDRESSORLEGAL: 33Z5 GCL�S—t�►�— (�3(�,� �� PID: DESCRIPTION OF WORK: ,� =v e� ----------------------------------------------��C%VµGv� ----------------------------------------------2-----�- ZONIIVTG REVIEW BY: � DATEAPPROVED: �• s-o BUILDING REVIEW BY: �v(�- DATE APPROVED: ------------------------------------------------------------------------------------------------------------------------ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes c/' No SEWER CONNECTION STATE SURCHARGE Yes '� No WATF,RCONNECTION INVE�TIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Nurr"er of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONI\G CHECK LIST Zoning District: L2-/�- Fire Department: �Nn v,.+� Post Office: W�� School District: w e5�r�t� Lot Area: Sq.ft. . 1��l Acres �l�5�� Width �U Depth 5 S�12 Survey Submitted: Yes e� No Date of Survey: 3-! �•(�� Proposed Setbacks: �� F�rorrt (��: $7 f Right Side: '�-( t� g�a� Q ' "~ Left Side: J�-( Adjacent Structures: (� Wetland: /�I ��4- Building Height: Def. Hgt. — Peak Hgt. — Lot Coverage: ^" Gradin�: Staff Approval Date: � By: — Council Approval Date: Septic: Staff Approval Date: — By: ZoninQ File: # ZS�!D Resolution: # yY�6� Resolution Date: G • 2`� op Shoreland District: y e 5 Avg. Setback: ^/ G/} Bluff Setback: �G/� Lot Coverage: Existing Proposed Hardcover: 0-75' 57.9 �S�f� 75-250' '7� •4 �`f `�S 250-500' 500-1000' Hardcover Variance Required: Yes p� No Date of Council Appro��al: �- 2G -� REMARKS (in house): 27 BUILDING REVIEW CHECK LIST UBC: N �/t� CONSTRUCTT�ON TYPE: '— Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ �fU(,k��`—' 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): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 28