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Home My WebLink About2001-P03937 - addn/remodel/repair r " PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po393� Crystal Bay, Minnesota 55323 Pel'f1'llt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: 6�ia�2ooi SITE ADDRESS: 3250 North Shore Dr Wayzata, MN 55391 P I D: 0 8-117-23-41-0006 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: tcesidentiai Buildin Census Code 434 Permit Class: g Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: r;umoing NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 113.75 APPLICANT: North Shore Marina OWNER: North Shore Marina Inc. 3222 North Shore Dr 3224 North Shore Dr Wayzata,MN 55391 Wayzata MN 55391 THE UNDERSIGNED HE BY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO A W STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOT B IN CODE REQUIREMENTS. � % ' �� `--G' Y��-� l APPLI A T RM E AT RE ISS DBYSIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 •� �i r Total Fee: $ Date Received: � � l�,—`� `� Entered By: `; Permit#: o �3� � % CITY OF ORONO - BUILDING PERMIT APPLICATION 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: �� N . �F�c�'� , J�_ . ZIP: S�� , NAME OF OWNER: N��__=_�,JC �AeQ,��_ PHONE: (home)G'i 5Z y� I `�'?7�'�' (work) ��Z �"� l �� MAILING ADDRESS: �ZZZ. I�J,��Qi(� � CITY. �.�; ZIP: ��3 t i CONTRACTOR: ��J�1�Q��N� PHONE:�SZ�'�J I �Z� CONTACT PERSON:�,c�� Ls�s�� MOBILE/PAGER: (o� Z 7,g Z. �� MAILING ADDRESS:�?Z� t,�. S�,S2,�,�_ CITY: ZIP: ��=�,) STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition� Accessory Structure Move Remodel/Alteration Land Alteration `�' ` l � � S� PROPOSED WORK(describe in detai�: �`_P i/��iti �;,, z�T ,�'�-t5�1C�, STORIES: �� SQ. FEET OF EACH FLOOR: �b� NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. � �" ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, �� 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 no a permit and work is not to start without a permit; and that the work will be in cc ance it the pr ved plan. APPLICANT'S SIGNATURE: DAT'E: NOTE! Parade of Homes ents require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 ti.J�, 1. Sec.13.04 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 in this section. Subd.2. Information required to be given indivtdval. An i�ividual asked to supply private or co�dential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or entides authorized by state or federal law to receive the data. 1'his requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav olace the notice rewired under this subdivision in the individual income tax or nrocertv taz refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data 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 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 thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal 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 authoriry 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 to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and lega!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 additional 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 individual may contest the accuracy or compieteness of public or private data co�eming himself. To ezercise tivs right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall withiit 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,uicluding recipients named by the individual;or(b)norify 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 disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. �?ATA 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�ity of Orono or any of its departments may require you to furnish certain private or confidential information. You aze notified that: 1. The information you fumish will be used to determine your qualification for the pemvt 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 upo�request)to review private data on yourself. 6. Your full name is required to process this application or permit. . - First Middle Last Address C�ty State Zip Phone � I understand my rights as stated above. Signature 6 •� i1 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3 Z�o �tra s H-o�,t3 D�' - PID: DESCRIP'I'ION OF WORK: ��.�- ZONING REVIEW BY: N �f� DATE APPROVED: BUILDING REVIEW BY�Q. �] DATE APPROVED: ( -r �(-o � -------------------------------------�-- --------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: . PERMIT Yes ✓ No PLAN REVIEW Yes No c�' SEWER CONNECTION STATE SURCHARGE Yes �� No WATERCONNEC'TION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: N� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres idth 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: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Re olution Date: . � Shoreland District: Avg. Setback: Bluff Setback: L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 '�� ' �. BUILDING REVIEW CHECK LIST UBC: /�- 5 CONSTRUCTION TYPE: �G/� Sq Footage $Per Sq Ftg Basement x = lst Floor z = 2nd Floor x = Garage x = � R = TOTAL Estimated Construction Value: $ S, vpu�= 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 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 PERMIZ�: 8 1/ DATE TIME CITY OF ORONO CALLED IN INSPECTION ICE SCHEDULED � � ,_�v PERMIT NO. COMPLETED ADDRESS C� • �� OWNER � � CONTR. TELEPHONE NO. �� P rn��N��, !—Sf�7-- ..�-S,�_ � DESCRIPTION �� 3�?�0 � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING y 02 FRA I�_._ 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � Z W � W � � d W. WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952) 249-4600 OwnerlContra n s Inspector. White opy/lnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N0. �3y3�COMPLETED 3—(L-02 '-f:�-/S ADDRESS 32� � N- S- � OWNER ��-�- 11�f/�r/�/� CONTR. Oc�� TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 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: � � � —P�� sG/l.��f' C�r�✓Jaw �.�/Js-n9-c � J O � � � �/I/-�'r-�. �, %`�� 1 � ` O � W � Q � 2 W � W � � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ��CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContracto � Inspector. �/� � White Copyllnspector's File Canary Copy/Site Notice l G� 2 " DATE TIME! �' CITY OF ORONO CALLED IN �"' S'�� "' INSPECTION NOTI ,.-. _ -�. SCHEDULED �r—/n—C?_3 � PERMIT N0. '�� >� � COMPLETED ADDRESS �J-�� Uo,2 i N Sh n.� OWNER CONTR. C'�-^-�-� TELEPHONE N0. �p�a �t�� c�`Z� �C i c:�,, � DESCRIPTION _ �;<�� ;w� � - � Ot 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 'OE 1�0-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 v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: -�X�' e �,r� c.�G"L�% <�y,�.� W C J � •' � -��. �. + � � ' r � � O � t � �►.. W � ..._. q(�l G�. Q t1_ S w�, Ct�,1`S � � a W � W � � O W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑tNSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe n t inspection 24 hours in advance. (952) 249-4600 OwnerlCon t i e: Inspector. White Copyllnspector's ile Canary Copy/Site Notice