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Home My WebLink About2000-P02452 - addn/remodel/repair PERMIT � CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po24s2 Crystal Bay, Minnesota 55323 P@I'llllt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: siiai2oo SITE ADDRESS: 300 Sixth Ave N WAYZATA,MN 55391 PID: 25-118-23-41-0001 DESCRIPTION: UBC Occupancy tt3 Construction Type VN Proposed Use: Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: riumoing iviec;nanicai r,iecuicai�siaiej NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 678•75 Valuation: $ 55,000.00 Plan Review Fee: $ 441.28 State Surcharge Fee: $ 27.50 TOTAL FEE: $ 1,147.53 APPLICANT: DOUGLAS DAYTON OWNER: DOUGLAS DAYTON ETAL 300 SIXTH AVE NORTH 300 SIXTH AVE N WAYZATA,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. c � � APPLI ANT PERMITE I AT RE = SSUED BY SIGNATiJRE . Copies: City,Applicant,Assessor,Finance Page 1 � �. Total Fee: $ � � y 7 f _ ^ Date Received: �f�� Entered By: Pernut#: �p�y� 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) OWNER �R CONTRACTOR JOB SITE ADDRESS: .�O� � 6 OIrf�Iu ZIP: j 5 -�� / NAi� OF OWNER: 1� � � PHONE: (home) G <� - �-{75- d-�11� (wark) e !1-- _�`'i`� 1 lf-f -� MAILING ADDRESS: � d� (� �� CITY: ZIP: 5'S 3�� CONTRACTOR: � �fl lY �.�( (/ U � � L-J C 1� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: �� .� I� G'��S W�L-l� PHONE: �13 crS " y ��7 S` MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: N�w Addition_� Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: � I a � 1 S �� .:.' n / �.y-- iC�/`- �v��`-'c4 STORIES: �_ SQ. FEET OF EACH FLOOR: i �� NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � S , �� I hereby apply for a building pernut 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 pernut: and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �e� , DATE: � ' � I• � � NOTE! Parade of 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. 5 _ I .f � Sec.13.04 RIGHTS OF S[JBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An indivi ual asked w supply private or co�dential dara concerning himself shall be informed of: (a)the purpose az�d intended use of the requested data thin the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legaUy requirod to supply the reques data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidential data;ac�(d)the idenary of other pe ns or enrities authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply in srigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. ' s' reve 1 ti e ire n r i u ivisi n in the indivi ual' o x or i�rructinnc instead of on those forms. Subd. 3. Access to data by individual. Upon request to a res nsible authoriry,an individual shall be informed whether he is the subject of stored data on i�ividuals,and whether it is classified as public,p 'vate or confidendal. Upon his fucther request,an individual who is tt►e subject of stored private or public data on individuals shall be shown the ata without azry charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been show the private data and informed of its meaning,the data need not be disclosed to him for six mont6s�ereafter unless a dispute or acaon pursuant this section is pending or additional data on the individual has been collected or created. The responsible authoriry shall pmvide copies of the priv te or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actu I costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,wi any request made pursuant to 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 with the request within that time,he shall so inform the individual,and may ha e an additionat five days within which to comply with the request, excluding Saturdays,Su�lays and legal holidays. Subd.4. Prceedure when data is not accurate or complete. n individual may contest the accuracy or completeness of public or private data co�eming himself. To ezercise dvs right,an i�ividual shall n 'fy in writing the responsible authoriry describing the nature of the disagreement. T'he responsible authoriry shall within 30 days either: (a)co t the data fowd to be inaccurate or incomplete and attempt to notify past recipients of inaccurnte or incomplete data,i�luding recipients named b the individual;or(b)notify the individual that he believes the data w be coaect. Data in dispute shall be disclosed only if the individual's stat ment of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed p rsuant to the provisions of the administradve procedure act relating to contested cases. ORY In accordance with M.S. 13.04, Subd. 2, "Rights of s �ects of data", we would like to inform you that your request for a permit or license from the�ity of Orono or an of its departments may require you to furnish certain private or confidential information. I You aze notified that: � 1. The information you furnish will be used to etermine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal m y require that the City deny the permit or license. 3. The information may be shared with other 1 al, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Co,uncil action to approve, some information may become public. ' 5. You have certain rights under M.S. 13.04(av able upon request)to review private data on yourself. 6. Your full name is required to process this ap lication or permit. First Middle Last Address C��y State Zip Phone I understand my rights as stated above. Signawre 6 . � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �C�� `�t x+t� �-r:;�.�_�._, PID• -��-- i�S � 3- �-f 1-�;c;�' l DESCRIPTION OF WORK: <� /� �.L:-t�c�� - � -�`� i t�' . Lx'=��'� -��-��_�` Gl L�,Y,t- -- ---------------------------------------------------------------------------------------------------------------------- ZONING REVIEW BY: �v��1�:�-t 1� . DATE APPROVED: ''1 --�-`+-C-�; BUILDING REVIEW BY: DATE APPROVED: 7- -�--� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �� No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE Yes No ✓' PARK FEE SAC Yes No � SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONI1�iG CHECK LIST Zoning District: l�F' - 1� Fire Department: � " �� ^ :'"'�,�� Post Office: ��1� "� �� School District: (��Z:I�(; Lot Area: Sq.ft. -�- Acres �� Width - Depth — Survey Submitted: Yes X No Date of Survey: �- �j-CU Proposed Setbacks: �- , Front (Lake): �t- Right Side: � Rear (Street): -- Left Side: - Adjacent Structures: --- Wedand: � Building Height: Def. Hgt. — Peal:Hgt. Lot Coverage: — Grading: Staff Approval Date: � By: Council Approval Date: Septic: Staff Approval Date: —" By: � Zoning File: # ��l_ �� Resolution: # Resolution Date: ��1 �'�-+ � ��'� Shoreland District: �,,.P 5 Avg. Setbac� N ( r� Bluff Setback: "?`J ��" Lot Coverage: -� Existing Proposed Hardcover: 0-75' 75-250' D.(L 250-500' 500-1000' Hardcover Variance Required: Yes No x Date of Council Approval: '� "�.;�� -C'�-} REMARKS (in house): 7 � . BUILDING REVIEW CHECK LIST UBC: R•� CONSTRUCTION TYPE: VN Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ SS�� o 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 /L 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�: 8 DATE TIME CITY OF ORONO CALLED IN � -��^� /�=S� INSPECTION NOTI E SCHEDULED ;�-1 Y�� PERMIT NO. a �� COMPLETED `�D ADDRESS 3cr� Si X`�'1 �_Q( • OWNER CONTR. � ' � �"�) TELEPHONE N0. �7a�� DESCRIPTION_�C C��f(�!j'I l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C M E S: a � � ' �C ,c S E� � � � O � � O � W � Q � Z W � W � j d W� �] NORK SATISFACTORY:PROCEED PROJECT COMPLETE W r O CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlCon r tor on ite: Inspector. White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �) '��J INSPECTION NOTICE SCHEDULED PERMIT NO. �� COMPLETED � U�0(J /D � C�� ADDRESS �� 1�I'1 I�U� OWNER CONTR. ��I�c�lc TELEPHONE NO. �7a��=�`��— � DESCRIPTION GG��! �Ik� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q y �3 fl ULATIO 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w � � � O � � O � W � Q � Z W � W � j d �NORKSATISFACTORY:PROCEED �= PROJECTCOMPLETE W � �❑CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. i_ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR CITAT�ON ISSUED �, INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: 'n � i Inspector. /v / �- �- �`7/. ./1 � White Copyllnspector's File Canary CopylSite Notice