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Home My WebLink About2002-P05831 - accessory structures • � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05831 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: ii�22�2002 SITE ADDRESS: 2685 North Shore Dr Wayzata,MN 55391 P I D: 09-117-2 3-42-0004 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 328 Permit Type: Accessory Structures Pemut Sub-type(s): Accessory Structure DETAILS: Approved per resolution#: Separate permits required: Eiecmcai(siaie� NOTICES/REMARKS: �,r.--`-`'i-' r."�""-"-'�-i_--- __"-'`- r- . . ...»...:..»..:....»....�:.::j::c):...G t:::::: :.........::b:.::.1;:.'..'�...'.::: FEE SUMMARY: Permit Fee: $ 391.25 Valuation: $ 25,000.00 Plan Review Fee: $ 254.28 State Surcharge Fee: TOTAL FEE: $ 645.53 APPLICANT: Erotas Building Corp. OWNER: James&Sharon Walker 3436 40th Street NE 2685 North Shore Dr Buffalo,MN 55313 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF A BUILDING CODE REQUIREMENTS. --�__... APPLICANT P ITEE SIG ATURE I SUED BY SIGNATURE �� Conies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 � ` ` � 1�' �=� � Total Fee: $ � � Date Received: I ( - �a - o a Entered By: � ' � , , Permit#: �� ,'�� % �< � ��;1 i � ; %�� _ �� 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 OR CONT JOB SIT'E ADDRESS: �lo�S ��1n�hore..�. IlJav�..��: 5S'�91 NA1�IE OF OWNER: ;S�nn-��l1c'�f`cx� VJ�.��c:�' PHONE: (home) �' _�- �](9- �1��-�. (work) `�S 1- �-1� l�- 1-17�-� MAILING ADDRESS: a��,g �•��CITY: ZIP: 5��j coN�rxACTOR: E��s�v;�a, Coc- PHONE: 9sa-�lot-u3�o CONI'ACT PERSON:�w�'�cJ� MOBILE/PAGER: (.,Q(,01 - ��93-3`$$O MAILING ADDRESS:�\a13� �(`I��n�R.��c�.'$\�ITY: Exc2,�sior ZIP: sS331 STATE LICENSE: # y`��J`�j ARCHITECT/ENGINEER: SPtiI.,A PHOI�TE: q ja,'3$O-�-�,$1� MAILING ADDRESS: CITY: Ex��Sior Z�� SS33\ NANIE: `�r�..�,� `M�\�c�n�-.er� REGISTRATION# TYPE OF WORK: New �� Addition Accessory Structure �_ Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain:�c��1 �q,V�,(JYV�2,cY� �:�.c�;r��. er,r� Cl��,� or�,.\ o�..��r). ��,M��,,o ol�..�n STORIES: �_ SQ. FEET OF EACH FLOOR: p� ��D NO. OF BEDROOMS: � GARAGE STALLS: ATT. �(� DET.�� ESTI!tiT.ATED CONSTRUCTION VALUATION (exclud.ing land): $ ��'j. (�OC�. C�D I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be ' rmance with the ordinances and codes of the City and with the State Building Code; t�ti'at I unders this is not 't and work is not to start without a permit; and that the wor�c will be in acco dan w' the approved plan. ,,� APPLICANT'S SIGNAT . DAT'E: ! I �Z ,` � 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. , . Sea13.04 RIGHTS OF S[JBJECTS OF D?.TA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Informatioa reqirired to be given individual. An individual asked to supply private or confidenaal data concerning himself sha11 be informed of: (a)�he purpose and intended use of the requested data within the collecdng"state agency,political subdivision,or statewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any]rnown consequence arising from his supplying or refusing to suppiy private or confidenaal data;and(d)the idenriry of other persoas or enriaes authorized by state or federal law to receive the data. This requirement shall not appty when an individual is asked to suppiy invesrizarive dara, pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissionet of revenue mav place the nodce reauired under chis subdivision in the individual income tax or DroperN taz refund instructions instead of on those forms Subd.3. Access to data by indiridual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or co�denrial. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data wi[hout any charge to him and,-if he des'ues, shall be informed of the content � and meaning of[hat data. Aftzr an individual has been shown the private data and informed of its meaning,the data need not be disclosed ro him for six months thereafter unless a dispute or acdon pursuanc to this secdon 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 che data. The responsible authoriry may require the requesdng person ro pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible,wich 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 addiaonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. , Subd.4. Procedure when data is not accurate or complete. An mdividual may contest the accuncy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in wricing the responsible authoriry describing�he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempc to nodfy past recipienrs of inaccucate or incomplete data, inciuding recipients named by che individual; or(b)noufy the indi�idual that he believes the data to be correct. Data in dispuce shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminacion of the rzsponsible authoary may be appealed punuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY T In accordance with M.S. 13.04, Subd. 2, "Ri;hts of subjects of data", we woul�like to in�orm you that your request for 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. Ybu may refuse to supply data, but refusal tnay 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 pemut 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. 4 /� �1�� o�.Ji[� �. G�pT(ti� First Middle Last 0�.1�13o rn: �r�st.�oc,�-q.. "�\v��.. -- Address E.xe� \S.o� �Y►IU 553�1 9Sd1-�ol-U3�b0 Ci Srate Zip Phone I un rstand my ri ts as stated abov � Signa re . , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z6�S /�Up27}� �s'�R,C /�/1, PID: DESCRIPTION OF WORK: oo �s.e - � - 'r ZO.�1Ni G REVIEW BY: DATE APPROVED: /l- i 8•0 2 BUII..DING REVIEW BY: DATE APPROVED; 1( -/� -u Z- FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes �/' No PLAN REVIEW Yes r/ No SEWER CONNECT'ION STATE SURCHARGE Yes� No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SI'fEINSPECTION Number of SAC�Units OTHER (specify) ZONING CI�CK LIST Zoning District: �t0.,►2�9 �T/� pfl.r bir�- /{+�� s'� �� 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: Reaz(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: B Council Approval Date: Septic: Staff Approval Date: By: Zoning File: !� Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff etback: Lot Coverage: Exist g Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Couacil Approval: REMARKS(in house): 7 BUII.DING REVIEW CHECK LIST �C� V'� CONSTRUCTTON TYPE: Y/" _ Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd F1oor x _ Garage x = � x - TOTAL F,stimated Construction Value: $_ Z S b c�o°� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection _�Footing ' Septic Sewer Connection � �,Framing Fireplace Lawn Irrigation _�,Insulation (Masonry) Other _�Wall Boazd � (Mfg.) Well(State Permit) �F� Grading/Filling _�Electrical(State Permit) Other RENZP�RI�.S(IN HOUSE): . REVIEW BY OTHERS: DATE: ---N— --- --- Access: Ezisting New Access Approval: Date gy; --- -- --------------------T----- ---- F:EMARI�.S (TO BE NOTED ON PERNIIT�: pYwS�r �TA►u% s - Ll/�►? aRit O/L. To �'i0 D'�K(c ShJ� 8