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Home My WebLink About2001-P03800 - pool PERMIT C I TY O F O RO N O Permit ►vumber: 2750 k�lley r�arkway - PO Box 66 Po3soo Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: siis�2ooi SITE ADDRESS: 519 Ferndate Rd N WAYZATA,MN 55391 P I D: 3 6-118-23-14-000 8 DESCRIPTION: Proposed Use: Kesidentiai Permit Class: Building Census Code 329 Permit Type: Accessory Structures Permit Sub-type(s): Pool-Outdoors- In Ground DETAILS: Approved per resolution#: Separate permits required: 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: Poo�s �"�. OWNER: To1v11vt�cxEC,ETTI 6026 Pillsbury 519 FERNDALE RD N Minneapolis,MN 55419 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. ;� � �A �; �`� �j��- �.:��-y'�-�� '�� z'�" // ,� � APPLICANT PERMI SI NATU v Y SUED BY SIGNATURG � `.'- Copies: City,Applicant,Assessor, Finance Page 1 � _, ` F _ ,, Total Fee: $ < < >b L-�� "� Date Received: --� %%' ,� l �:nter�d By: �r� Permit#: �-�:� �``�� C ,�6;�r.�� ':�� / (�� .. . CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------------------__--_.__ � Sec.13.0�3 RIGHTS OF SLJBJECTS 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 �ec Subd.2. Information required to be given individual. An individual asked to supply private or confidential dat shall be informzd of: (a)the purpose and intended use of the requested data within the collecting state agency,political suh system;(b)�thzther he may refuse or is legally required to supply the requested data;(c)any known consequence arisine refusing to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82. �aw enforcemenc officer. "Ihe commissioner of revenue mav place the notice reauired under this subdivision in the individual income�a,.or pronertv 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 whe[her he is the subject of stored data on individuals,and whe[her it is classified as public,private or confidential. Upon his further request, an individual who is the subjec�of stored private or public data on individuals shall be shown the data 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 its meaning,the data need not be disclosed to him for six months ihereafter unless a dispute or action pursuant ro this 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 costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant ro this subdivision, or within five days of the date of the request, excluding Saturdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply widi the reques[�tiithin that time, he shall so inform the individual, and may have an additional five days within which to comply with the request, excludine Sacurdays, 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 dan eoncerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of ihe disagreemen�. The responsib(e authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipizars of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be corrut. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The detemiinadon of the responsible authoriry may be appealed pursuant to 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 Tor a permit or license from the Ciry 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 Addrzss Cin� State Zip Phone I und t my rights as stated above. �� L_ 5 /. � - , /ignature � / / 6 � CHECh: OFF LIST FOR ISSUA A�TCE OF PERtiTITS FOR OFFICE USE ONL.Y . ' . ADDRESS.OR LEGAL: 5 �5 �'c:.2N�J�u� 1ti — PID: DESCRIpTION OF�ORK: d� l . ZOr�'G REVIE��V BY: DATE APPROVI�.�'D: s •�7- d! BUILDI�'G RE'YIE�BY: D�TE APPROY�D: s-i� =01 FEES TO BE C�.ARGED: Niisc. Fees Calculated By: pEgMIz' Yes �/ No �% PLAN R.EVIE�1 Yes �/' No SE��CONNECTION STATE SURCHARGE Yes � No �ATII2CONNECTION Ii�,'VESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC-Unics OTHER (specify) ZOtiZZ1IG CH�CK LIST zoni.ng Districc: N� C _ . Fire Depar[ment: Post Ofuce: Sc�ool District: • � � Lot Area: Sq.fr. Actes � Widch Depch Surve,� Sub.�.itted: Yes No Date of Survey: _ Proposed Se!backs: Fron[(La.ke): RiQht Side: Reax (Screet): Left Sidz: Adjaceat Struccures: �Vetl d: • Buile�in� Hei�hc: Def. H�t. Pea_:H�t. Lot Coverz�e: Gradin�: Scafi Approval Date: B : Council Approval Date: Sepcic: Staff Approval Da�e: B : Zoaing FIle: # Resolucion: m Resolutioa Dace: � Shoceland District: Av�. Setback: Blufi Setbac : L.ot Cocera�e: E�� Proposed Hardcover: 0-7�' 7�-250' - ti0-SQO' i 500-1OQ0' Hazdcover Variance Required: Yes N Date oE Councii Aoproval: �_ gEI�IA.R�;S (in house): � � BULLDING REVIEZ� CHECK LIST ' UBG �— - CONSTRUCTTON TYPE: — Sq Foota�e � Per Sq Ftg Sasement x = lst Floor z = 2nd F�oor z = Garage z — z = TOTAL Estimated Construction Value: S 2 5, n c�c�� InspectiorLs Required: SVor�Requiring Separate Permits: Site Piumbing ' Fire Hardcover Removz! Mechanical Water Connection pC Footin� Septic Sewer Connection Framin� Fireplace Lawn Irrigation Insulation (Masonry) Other �Vall Board (Mfg.) Well (State Permit) pc Final Grading/Filling Electrical (State Perm.it) Other RE��IAI2KS (Ilti HOtiSE): • REVIEW BY OTI-�RS: � DATE: Access: Ezistir.� New Access Approval: Date gy: RE�•L4RKS (TO BE\TOTED ON PERMI'1�: 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI¢�� SCHEDULED i�S'� �1_ PERMIT NO. M COMPLETED �� '� `�.C� �-- ADDRESS __J`I� 1V• I�E72,�-,.Q9C.� OWNER CONTR. �/�� Co�►S`�% TELEPHONE N0.___ �D I� 'R� � �o?y�'4 � DESCRIPTION �� f'�-i'�1 �C"�-[ � 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS / � 07 OEMO-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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 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 ❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Cat1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContr ctor on site• ,1 Inspector. � _ White Copyflnspector's File Canary Copy/Site Notice % DATE// TI E CITY OF ORONO CALLED IN �-�' �� INSPECTION NOT E SCHEDULED / PERMIT N0. �G ��dC� COMPLETED -d ADDRESS �f g �G/1 �)�'Q C� /� OWNER �. �� , �� TELEPHONE N0. _ � r /��— (_._/ ��7 -' �C �� DESCRIPTION -f " ^ '��,C%L_. � 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 PROGFESS � 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. J (�}(J-y� O a � O k W � Q ti Z W � W � � d �_�NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �'O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContra r on site: Inspector. ,�� White Copyllnspector's File Canary CopylSite Notice