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Home My WebLink About2006-10212 - addn/remodel/repair PERMIT CITY, OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p1o212 Cr�stal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 8/23/2006 SITE ADDRESS: 95 Ferndale Green Unit# Wayzata,MN 55391 P�� 36-118-23-44-0010 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Proposed egress well meet side setback FEE SUMMARY: Permit Fee: $ 818•75 valuation: $ 75,000.00 Plan Review Fee: $ 532.19 State Surcharge Fee: $ 37.50 TOTAL FEE: $ 1,388.44 APPLICANT: Boyer Building Corporation OWNER: John&Irene Harnett 3435 County Road 101 9S Ferndale Green Minnetonka, MN 55345 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. r -�S�'��l ��Z� APPLICANT P� ITL'-E SIGNATURE ISS D BY SIGNATURG Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 G�o� � ' Total Fee: $ /,3�$ � Date Received• � �' Z-� � Entered By: � Permit#• �S•-j� �U, 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: �S �t��DA� C�2EE�1 ZIP: SS 3cl ( Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? � Yes � No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: �1cNr•1 : 12E�..tE {-��4�hlE.-�'r PHONE: (home) �is2 •416• 1331 (work) - MAILING ADDRESS: °IS �2NOA� ��a.1 CITY: wAY24TA ZIP: 553q � CONTRACTOR: FSoYE� gu 1 LO�►.1 fv Lo tCP. PHONE: �iSZ• 4"i,s• Zoo1'7 CONTACT PERSON: Ci41ZL SM�'t'�.1 MOBILE/PAGER: MAILING ADDRESS: 'S43 S tou� �p (o I CITY: MTICA . ZIP: SS 34 S STATE LICENSE: # Zq 8 g EXPIRATION DATE: 3/p'7 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Accessory Structure _ _ Addition Move Home RemodeUAlteration X � PROPOSED WORK (describe in detai�: 2EM a 4 EZ„ E X�S7' ��1�o� F��.I 1SN� lo c.�.�� L C-1/EZ- � F 1 nl I S(-1 I 80 t o F V�1 F1 wJ�S�-�=0 �r�4 � A D� Eb6(�S L1D W. STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -15000— I hereby apply for a building permit and I acknowledge that the information above is compl�te 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 will be in accordance with the approved plan. APPLICANT'S SIGNATURE: I DATE: 8 � (�-' O� �HEC� OFF i,IST FOR ISSUANCE OF PE�'VIITS . FOR OFFICE USE ONLY A.DDRESS OR LEGAL: 9 5 t=�2N O W�.� C��"t,�—c_.w PID: DESCR�'TION OF WORK: 12� �n��=Z �w`'�- �-�v�-t ZOYI�IG REVIEtiV BY: DAT`E APPROVED: SUILDIi�IG REVTEtiV BY: DAT'E APPROVED: 0� �b-o� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIE`V � Yes � No SE`VER CONIVECTION STATE SURCHARGE Yes c/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Uruts OTHER (specify) ---------------------------------------------------------------------------------- ZONi�tG CHE.CK LIST Zoning District: �V� G��-��- �' Fire Deparcment: Post Office: School District: � Lot Area: Sq.ft. Acres Wid[h Depth Survey Submicted: Yes No Date of Survey: Proposed Setbacks: Froat (Lake): Ri� Side: Rear (Stree[): Left ide: Adjacea[ Structures: Wetland: Buil�lin� Hei�t: Def. Hgt. Peal:Hgt. Lot Covera�e: Gradino: Staff Approval Date: By: Council Approval Date: ' Sep�ic: 5taff Approval Da[e; BY: Zoaing File: � Resolution: Resolution Date: Shoreland District: Av�. Setback: Bluff Se back: Lot Covera�e: E�istin Proposed Hardcover: 0-75' 75-250' 2�0-540' 500-1000' I-ia�dcoti'er Va:iance Required: Yes No Da�z of Council Approv�: �n,o,o o S�� R.E`L4R�iS (in house): G 6�S G�ec.L rvt.c:zs 7-- s�✓��s .s� �/�G/� BUILDING REVIEtiV CHECK LIST �C� �Z ' � CONSTRUCTION TYPE: �//'v Sq Footage $ Per Sq Ftg Basement X _ ls[ Floor x = . 2nd Floor x = Garaoe z = z = TOTAL Estimated Construction VaIue: $ '7 5, vOC� °^ Inspections Required: �Vork Requiring Separate Permits: 5ite _�Plumbing Fire Hardcover Removal _�Mechanical Water Connection Footing ` Sep[ic Sewer Connectioa X Fr��g Fireplace Lawn Inigation �Insulatioa (Masonry) Other �Wall Board (Mfg.) Well (State Permit) F�� Grading/Fillin� _�Electrical (State Permit) Other REMAR.]KS (IN�-IOUSE): - - -- - -------------------------------------------------------------------------------------------------------- REVIE�V BY OTI�ERS: DA'I'E: Access: Er,isting New Access Approval: Date gy; ---------------------------------------------------------------------------------------------------------------------- REI�LARKS (TO SE NOTED ON PERiti1IT'): 8 Sec13.04 RIGHTS OF SUBJECTS 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 individual.An Individual asked to supply private or conTidential data concerning himselCshall 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 known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state ar 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 officer. The commissioner of revenue mav ulace the notice reauired under this subdivision in the individual income tax or oropertv tax refund instructions 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,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 shawn the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. Atter an individual has bcen shown the private data and informed of its meaning,the data need not be d'uclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies o(the private or public data upon request by the individual subject ofthe data.The responsible authority 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 withinfive days of the date oCthe 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 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 completeness of public or private data concerning himself.To exercise this right,an individual shall notity in writing the responsible authority describing the nature of the disagreemenL The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients ot inaccurate or incomplete data,including recipients named by the individual;or(b)notify 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. 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 City of Orono or any of its departments may require you to furnish certain private or confidential informarion. 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 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. T3oY� g�i �c�..1 � Co�2p. �• �fiadie �, 343 S' CO u�-t`f' Ro�4 1 O � Address M�N►.1�c� KA N+ ►�1 S s 3�S �S'Z � 4't S - Zo q 1 C�ty State Zip Phone I understand my rights as stated above. I Signature Reset Form ' (,�t�� /`DA � TIME CITY OF ORONO CALIED IN � INSPECTION N�ICE SCHEDULED �� PERMIT NO. ��- COMPLETED �_�_�L� ` � � ?" ADDRESS �� G+�� J OWNER CONTR. TELEPHONE NO. �S Z S'�"7S ZL�� DESCRIPTION �� `-7"' �"`"` l� 01 FOOTING 11 MECH I AL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANiCAL FINAL 19 LAKESHORE/WETLANDS � Q 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 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 � �U� P �GL .i Z�13 0 � >� ��.�, c3, �,5 �1��5_S . 0 � W � Q � Z W � W � j O W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V� �EFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. lP / b, � White Copyllnspector's File Canary CopylSite Notice 1 � �� I� � DATE TIME � V�CITY OF ORONO CALLEO IN —'�� INSPECTION NO ICE SCHEDULED �J-�-/-Ofo „3 i�M PERMIT NO. .2 COMPLETED ADDRESS g5r %./'i'1�� 1'`r.c2� OWNER CONTR. TELEPHONE N0. S - v-�- � DESCRIPTION ,��e�'/�� W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � Z W � W � � d W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O RRECT WORK R PROCEED 1-i ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR 'fJ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on sit� Inspector. White Copyllnspector's File Canary CopylSite Notice