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Home My WebLink About2000-P02555 - minor alterations PERMIT .CI�'Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po2sss Crystal Bay, Minnesota 55323 Pe►'mit Type: MinorAlterations (612) 249-4600 Date Issued: 6ii3ioo SITE ADDRESS: 3645 North Shore Dr WAYZATA,MN 55391 P I D: 0 8-117-23-3 4-0007 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Permit Class: Building Census Code 434 Permit T e: Minor Alterations Permit Sub-type(s): Building Re-Side YP Building Re-Roof Buildings Windows DETAILS: Approved per resolution#: Separate permits required: ritunoing iviecnanicai r,iec�icai�siaiej NOTICES/REMARKS: R FT�T(1T1FT FEE SUAAMARY: Permit Fee: $ 441.75 Valuation: $ 30,000.00 State Surcharge Fee: $ 15.00 TOTAL FEE: $ 456.75 APPLICANT: THE BURNEVIK CO OWNER: DAN COLGAN PO BOX 63 1105 DUCKWOOD TR#122 CRYSTAL BAY,MN 55323 EAGAN,MN 55124 TI-�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS. — ISSCTED B SIGNATURE "�� . Copies:City,Applicant,Assessor,Finance Page 1 � �� ' Total Fee: $ Date Received: Entered By: Permit#: 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 OR CONTRACTOR JOB SITE ADDRESS: � � / S /�_ �►^ore �r��'C ZIP: NAME OF OWNER: ��c v� � ,.� PHONE: (home)�S��'G�� 3(�/ +(,�a; �# tyL (work) MAILL�TG ADDRESS: ) �D� �✓c��,,jo o d �ITY: C=a�ja.. ZIP• S CONTRACTOR: �I�e ��✓i�c Go.. PHONE: �Sz- �f 7 3 �1�gp CONTACT PERSON: 'rG..v„�G S ✓�u,rne•%�� MOBILE/PAGER: 9 S Z -�(�-y�i-c�1 MAILING ADDRESS: 1�d,I�o x C�3 CITY: - �I ZIP: �S` 3�-3 STATE LICENSE: # 7-0�2�% '� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(d cribe in detai�: f��' s�� ," ��c�s. rc� �ew.a�) ��ra�.-►. �;��'s►� j'��-�-� � �sE ►,.�.-,,�- ,:, s-�`�w�� 'i��,b�;M r��s� . � STORIES: � SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET. 1 ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ � � .� � �� Tb Gt-V°ur�1 I hereby apply for a building permit and I acknowledge that the information above is complete an ~y � accurate; that the work will be in conforniance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance wi the approved plan. � l 3 c�o APPLICANT'S SIGNATURE: DATE: � � 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 � , �\ Sec.13.04 RIGHTS OF SUBdECTS 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 secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and inunded 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 known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or enriaes authorized by state or federal law to receive the data. This 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 revernie m�v nlace the notice reauired under this subdivision in the individual income taz or nrocertv tax refund instrucrions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,arul whether it is class�ed as public,private or confidendal. Upon his further request,an iiuiividual who is the subject of stored private or public data on individ�als 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 arnl informed of its meaning,the data need not be disclosed to him for six months thereafter wiless a dispute or action pursuant to this section is pecding 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 cosu of maldng,certifying,and compiling the copies. The responsible authority shall comply immediately,if possib(e,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Samrdays,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,arid may have an addirional five days within which to comply with the request, ezcluding Saturdays,Sundays and legal holidays. Subd.4. Prceedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To ezercise tfus right,an individual shall nodfy in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data fowid to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or iffiomplete data,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Dara in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of die 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 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 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 L.ast Address Ci�y State Zip Phone I understand my rights as stated above. Signature 6 � � � � � ' • CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: '3Ly S N- S�o�.c� �t PID: DESCRIPTION OF WORK: �r�a�e�- ZONING REVIEW BY: ,�/( DATE APPROVED: BUII..DING REVIEW BY: DATE APPROVED: b - /3-v� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes No � SEWER CONNECTTON STATE SURCHARGE Yes �� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: �.� G�u-.� 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 Sid : Rear(Street): Left Side: Adjacent Structures: etland: Building Height: Def. Hgt. P ak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: y: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setbac : Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Vaziance Required: Yes No Date of Council Approval: REMARKS(in house): 7 � ' . � BUILDING REVIEW CHECK LIST UBC: � ' 3 CONSTRUCTION TYPE: �/�' Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL � Estimated Construction Value: $ 3� cr� Inspections Required: Work Requiring Separate Permits: Site _�Plumbing Fire �cover Removal �Mechanical Water Connection vr-. 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 PERMIT): 8 DATE TIME CITY OF ORONO CALLED IN �.�_ INSPECTION TC SCHEDULED ��1- �-�,a,��a £'ff��'" PERMIT NO. �� COMPLETED 7 w� w � ADDRESS �`{ S N• S. (�_ OWNER • CONTR. ��1 U ►� TELEPHONE NO. � DESCRIPTION W��-�- !�D �- G'�"s (�� rt-`-5 a' � ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FFAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z �Q�/ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q O5 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 � COMMENTS: � W � ol� 5 � �. � S � - a� W � Q � z W � W � j d W��WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK 8 PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR f1EINSPECTION TEMPORARY V BEFORECOVERING PERMANENT CI CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContrac on site: inspector. � White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN `�1_I`�0� °I ' aC� INSPECTION O SCHEDULED �� a d PERMIT NO. COMPLETED /L�=� d� ADDRESS 3�NS N��'1�/�� OWNER CONTR. ��L� �' TELEPHONE NO. `��.3"-gBgU � � DESCRIPTION ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 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 COMPLAINT � 07 DE -FI AL 15 SEPTIC INSTALL. 22 FOLLOW-UP 23 SEPTIC FINAL 35 HARD COVER REMOVAL J INAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a ; � � O � � r �, o � � � � W � Q � 2 W � W � � W�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN r CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advan . 249�46�� OwnerlCo r ctor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION N�jTI�E � SCHEDULED '1-Z?-�' ��`�`' PERMIT NO. r��'s `� COMPLETED � �2'� ��`� � ADDRESS -3V`'t S /�t S � OWNER CONTR. ��ni� c�c c�f� TELEPHONE NO. � DESCRIPTION 5�� "�� t^-� ��-�'� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL ZJ(�i�/ALL 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 W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W C � J O a � O � W � Q � Z W � W � j ,^ d �Cl WORKSATISFACTORY:PROCEED (= PROJECTCOMPLETE �/ C�CORRECT WORK&PROCEED I- ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, pH0T0 TAKEN INSPECTOR WILL RETURN r7 STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED i7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. 249-46�0 Owner/Contra��on si : Inspector.,� White Copyllnspector's File Canary CopylSite Notice � l�O� /�E� CITY OF ORONO CALLED IN ` INSPECTION NOT CE L SCHEDULED ?�/� � PERMIT NO._ � ��s✓ � COMPLETED �� `� ADDRESS..��P �� '' � �-- /�' ' OWNER _CONTR. ��,�',� � ' TELEPHONE NO. 7 7� � � g� � DESCRIPTION t� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADWG/FILLING � 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 M9---FM},4�—� 15 SEPTIC INSTALL. 22 FOLLOW-UP 4Qi ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � j d W� ORKSATISFACTORY:PROCEED PROJECTCOMPLETE ❑CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. Z49-46�� OwnerlContractor Inspector. Whiie Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN /� � C�� '"/ ��.�2� INSPECTION NOT`�IC^E SCHEDULED io i v - �,,, PERMIT NO. ,�!"/ �J� COMPLETED � l � Z' �d �-l/Z_ ADDRESS �� /��'/"�� 5h`'�- OWNER ��/rYl �I CONTR. f_�Ct i—�� c--� ,L.. TELEPHONE NO. / �73 �� DESCRIPTION � ^ �� " "'��1i� lyi 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL D. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 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 � OWNERICONTRACTO�TO EET YOU:,�YES_N � COMMENTS: ' % Y��G� C� -SS t�CS� � W � j � � O � a � liC.- � _ � W � Q � Z W � W � �� ,�'} ty�/[V�NORK SATISFACTOP��"" �r C� CORRF''� �