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Home My WebLink About2001-P03667 - addn/remodel/repair �13� F R N PERMIT O O O O Permit Number: 2750 Kelley Parkway- PO Box 66 P03667 Crystal Bay, Minnesota 55323 P@PI111t Typ@: Addition/RemodeURepair (952) 249-4600 Date Issued: aii2i2ooi SITE ADDRESS: 3510 North Shore Dr WAYZATA,MN 55391 P I D: 08-117-23-43-0008 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/RemodeURepair Permit Sub-type(s): Addn/RemodeURepair DETAILS: Approved per resolution#: Separate permits required: riumbing ivie�nanicai EiecBicai�siaie j NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 1,273.75 Valuation: $ 150,000.00 Plan Review Fee: $ 828.03 State Surcharge Fee: $ 75.00 TOTAL FEE: $ 2,176.78 APPLICANT: Mike Cronen Construction OWNEit: D&J SIKKA 105 Dudley Ave 3510 NORTH SHORE DR Kendiyohi,MN 56201 WAYZATA MN 55391 T DE IGNID HEREBY REQUESTS ERMISSION TO MAKE THE REAL IMI'ROVEMENTS SPECIFIED E TO DO ALL WORK IN ST T COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND ST SOTA BUII.,DING CO REQUIREMENTS. � �� 6�� IS D BY SIGNATURE � Copies:Ci ,A cant,Assessor,Finance Page 1 / 1 . Tc�tal Fee: $ �)� .��' � Date Received: `f-� -U/ Entered By: ;'-�7/� ; ;` ,, Pernut#: �L� 3 4�� 7 ,; � CITY OF OR�NO - 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 OR CONTRACTOR JOB SITE ADDRESS: •-=�'-,, Z�: � • �;�,: ,_.�.;,,�,:, . � _ _ , , % . NAI��E OF OWNER: �I Ipcl�� ( i�ot� � �`�� PHONE: (home) `��Z-�-I�: � -�-�� . (work) - . , � , _ , .. � . MAILING ADDRESS: '��4;�--�, .o l� , _:,�. CITY: -:, .�.,� ,�.,:�t-,�. ZIP: - - , . , r • CO\�RACTOR: � ' PHOl�'E:. ..�-; . ��1'�'p��I` , �� CO`-TACT PERSON: �';Li K�' C urC�.1� ' . NIOBILE/PAGER: NL4II.ING ADDRESS: ' , �- �• CITY � .� ,. �_: ,- � ZIP: . ' / ) _�, x�w''r'. ,.��\`�.L._ '�•a. i ST?�TE LICENSE: # ��Z___- ' ,.. ' ,,,�„-►`�. , , •=j . 1 ARCHITECT/ENGINEER• - ' PHO�IE: . � _ . I �f. MAII,I�i,'G ADDRESS• - CITY• �,.+ ri'r:<.::. ZIP: N�`IE: ;',.; , - :�.; �_ ; ,.. REGISTRATION# , TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration . PROPOSED`�ORK(describe in detain: �-=�Y-r-, � . �r�-Y>�,�� ' ' ��-- 1 ;�� .�„ti � - .-� . STORIES: �- ---- SQ. FEET OF EACH FLOOR: 1\'O. OF BEDROO�IS: - GARAGE STALLS: ATT. ':_� DET. ESTl�IATED CONSTRUCTION VALUATION (excluding land): $ � ��-� � �_�._ . I hereby apply for a buildin' 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 permit; and that the work wiR be in accordance with the approved plan. APPLICANT'S SIGNATURE: �--� DATE: � ,,�,�� -, _ , t NOTE! Parade of Homes events require separate permit approval by Police Department and Ciiy Council 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.01 RIGHTS OF SUB.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 fotth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the colleccing state agency,political subdivision,or stacewide rystem;(b)whecher he may refuse or is legally required to suppty the requested data;(c)any Imown consequence arising from his supplying or refusing rfl supply private or coofidential dara;and(d)the idenriry of other persons or endties au�horized by srate or federa!law to receive the dara. This requirement shalf not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. 'I�e commissioner of revenue mav olace the norice reauired under this subdivision in the individual income taz or orooerrv tax 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 co�denrial. Upon his further request,an individual who is the subject of stored private or public dara 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. Afrer an individual has been shown the private data and informed of its meaning, the data need not be disclosed co him for six months thereafter unless a dispute or acdon pursuant to this secrion is pending or addirional data on the individual has been collected or created. The responsible authoriry shali provide copies of the private or public dara upon request by the individual subject of the data. The responsible au[horiry may require the requesring person to pay the actual costs of making,certifying,and compiling the copies. 'Ihe responsible authoriry shall compty immediately,if possib(e,with any request made pursuant to this subdivision,or within five days of the dace of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with [he request wichin that cime, 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 individual may contest the accuracy or completeness of public or private dara conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreement. The responsibie authoriry shall within 30 days either: (a)correct the daa found tn be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomp(ete dara,including recipienu named by the individual;or(b)nodfy 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 determinacion of the responsible authority may be appealed pursuant to the provisions of the administraove procedure act relaan, to contested cases. DATA PRIVACY ADVISORY In accordance with Ni.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 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 pemut 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) [o review private data on yourself. 6. Your full name is required to process this application or pernut. I�; ��N(��,� +�N y ; .:�N�-(V Firs[ - Middle Last i �� '�-�`' L ��;'1��:= '�.i . Address ' :�TCV�i ' i. ��` r ,� � �t' � t `�' - `. :x � - � �_: �� _.- - C��Y , State Zip Phone I unde,rsfa,�d�y rights as stated above. i ;' ; 1��, �_:_ Signature �_ 6 � ` , CHECK OFF LIST FOR ISSUANCE OF PERivIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: � ; ' �-� PID: DESCRIPTION OF WORK: - ZONPIG REVIEW BY: N�/� DATE APPROVED: BUILDING REV�`V BY: DATE APPROVED: y- �'s - o � FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,,/ No pLAN REVIEW Yes _/� No SEWER CONNECITON STATE SURCHARGE Yes t/ No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) Z0��1G CHECK LIST Zoning District: /t�o c� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Wid[h Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Si e: Rear (Street): Left Sid : Adjacent Structures: etland: Building HeiQht: Def. Hgt. Peal:Hgt. Lot Covera�e: I i i Grading: Staff Approval Date: ; By: Council Approval Date: Septic: Staff Approval Date: F By� C Zoning File: # Resolution: #�_ Resolution Date: . Shoreland District: Av�. Setback: Bluff Setba�k: LotCoverage: ExistinQ Proposed Hardcover: 0-75' _�, 75-250' 250-500' 500-1000' � Hazdcover Variance Required: Yes Na Date of Council Approval: RE�iARKS (in house): � 7 , BiJII.DING REVIEW CHECK LIST � ��: n-3 CONSTRUCTTON TYPE: vti Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = z = TOTAL Estimated Construction Value: $ /S6,O o t�� Inspections Required: Work Requiring Separate Permits: Site D( Plumbing Fire Hardcover Removal T Mechanical Water Connection Footing Septic Sewer Connection K Framing Fireplace Lawn Irrigation D Insulation (Masonry) Other Ol Wall Board (Mfg.) Well (State Permit) _S.F�� Grading/Filling g_Electrical(State Permit) Other RENIARKS(IN HOUSE): : -------------------------__-------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; -- --------------------------- REMARI�S (TO BE NOT'ED ON PERMIT�: 8 DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED �i~'/J�" � :!�� PERMIT N0. �� co PLETED � ?Q o ADDRESS �� r /�. OWNER�/� ��-�-/ Ce�-dk.�.�_ CONTR._�v`��4 ('v�-�►-- TELEPHONE NO.�Q`a ��i C�' C!>L�S� � DESCRIPTION �� I�� -S�r � � 01 G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS y 03 ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE FEMOVAL 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 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 � OWNERICONTRACTORTOMEETYOU:_YES_NO � MMENTS: � � ��P� � - ` /'( -�C,G�'L 1 �i J �O � >. O !' Q� i�� .��,,�� ,� r z3, � -.�-s �1� � � � �'� G rz� t,��rs � ��Q.�-s. � ` G� . _ - _ 6� v- � a W� ❑ KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � 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 inspection 24 hours in advance. (952) 249-46�� OwnedContractor on site: Inspector.��/� �� White Copyllnspector's File Canary CopylSite Notice � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED � PERMIT NO. D COMPLETED �^'�`�Z v� ADDRESS �� OWNER � " C/z�^^— CONTR. ��r /L� _ C�/'o�tr.-� �'��1' TELEPHONE N0. ��l�� O �CO.S�� w�� DESCRIPTION �--�-� - � 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLA�NT � 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOILOW-UP ? 09 PLUMBfNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL �� 36 FOUNDATIONlREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_L NO � I� j�7� � / � COMMENTS: �( W a � � O � � O � W � Q � 2 W � W � � � �B'�¢fORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContra r on site: Inspector. .G�1� . a White Copy/lnspector's File Canary Copy/Site Notice V �� DATE TIME CITY OF ORONO �� f CALLED IN INSPECTION NOTIC� � � � SCHEDULED � �� PERMIT NO. COMPLETED ADDRESS �� (� ��`�'� ��(;Y� L/l� - OWNER ` ' CONTR. ��(�l�l�l'�I ,��'. TELEPHONE N0. �� C"� I �' � � �" � -5�� "' � ��f-`��, � DESCRIPTION �"�� T�" (}'��( � � Oi FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FI�LING Q 02 FR,4MING 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 PROGRESS � 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 a J / 0 CL� /� �t. r-f En e G�i @� 0.v-G <.s.h.� � 'F �1c e c � "" o�„�. Lf' �w i o.� . � _ s�i�- �/os�,. �'�. s �- �. ��d o .�. W � o..i�c�g � �-�^-�v-�c1 c� � o a��— . �"o Q Z /�L e� c� 3�. '�' '�c.�r h a.c� V' c:A vti �0 0 r W � W � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O V PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN �NSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ��-�- White Copylinspector's File Canary Copy/Site Notfce