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HomeMy WebLinkAbout2001-P04352 - attached deck . PERMIT C I TY O F O RO N O Permit Number: 2?50 ,�:elley Parkway - PO Box 66 P04352 Crystal Bay, Minnesota 55323 P21'�711t Ty�2: Addition/Remodel/Repair (952) 249-4600 Date issued: 9i2oi2oo� SITE ADDRESS: 345 Ferndale Rd N Wayzata, MN 55391 P�D: 36-118-23-41-0028 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Kesidentiai Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution #: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 83•ZS Valuation: $ 3,000.00 Plan Review Fee: $ 54.08 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 138.83 APPLICANT: owner/Self OWNER: Richard Palmer � 345 Ferndale Rd N Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISS[ON 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 BU[LDING CODE REQUIREMENTS. , � � /p l C''� � %l.c l�i�G,.��w �i jl l'��. APPLICAN'I'PERMIT'Er SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 > ' Total Fee: $ J� 3 g. �3 Date Received: , `-���f Entered By: �y12_. Permit#: �� CITY OF OR � � ���� ONO - 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 J ZIP: � � - l JOB SITE ADDRESS: _� �� ��/�/�/J� �L ,e,IJ,�jI , � �L���� � � � � � � ����%/���� � � NAME OF OWNER: f//��.�,�L�G�, �� (�� , � PHONE: (home)(c�,�- ��'�'3���� (work) MAILING ADDRESS: ���C�C� ��/.i��l/��� �S�/�CITY: /� � /1� ' ZIP:_��� /�1�,��iiti� � �l��Gr ' ��'l,f���.lG�/'� � CONTRACTOR: � f� "� PHONE: ��/���'l=S�I CONTACT PERSON: MOBII,E/PAGER: MAILING ADDRESS: - �i ' ll��i�if// CITY: j���/-�L-S ZIP: �S� /� STATE LICENSE: # �S�T �L/� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAIVIE: REGISTRATION# TYPE OF WORK: New ti/ Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �', �� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 5 ������ I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conforma ce with the ordinances and codes of the City and with the State Building Code; that I underst this is not a permit and work is not to start without a permit; and that the work will be in,ac rdance wit e approved plan. ,, APPLICANT'S SIGNATURE: � DATE: / � � �v�'lG/ NOTE! Parade qf Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. Sec.13.04 RIGH'TS OF SUB.JECTS OF D�T� Subd. 1. Type of data. The righrs of individual on whom the data is stored or to be stored shall be as set for[h in this section. 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 coilecting"statP agency, political subdivision,or sratewide system; (b)whether he may refuse oY is legally required co supply the requested data;(c)any Irnown consequence arising from his supplying or refusing ro suppty private or confidendal data;and(d)the idendry of other persons or endaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investieadve dara, pursuant ro secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenua mav place the norice reauired under this subdivision in the individual income tax or �ropertv tax refund instructions instzad 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 wherher it is classified as public, private or confidenaal. Upon his further request, an individual who is the subjecc of s[ored 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 contenc and meaning of[hat data. Afrer an individual has been shown[he privace data and informed of its meaning, the data need not be disclosed to hicn for six months thereafter unless a dispute or acrion pursuanc to [his section is oending or addidonal dara on the individuai has been collected or crea[ed. 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 making, cerrifying,and compiling the copies. The responsible authoriry 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 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 addioonal five days within which to comply with the request,exc!uding 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 pri�•ate data concerning himself. To exercise this rieht,an individual shall nodfy in wridng the responsible authority describing rhe nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomp(ere data, including recipients named by the individual; or(b)notify the individual that he believes the data ro be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disc(osed data. Ttie de�ermina[ion of the rtsponsible authoriry may be appealed pursuant to the provisions of the administrarive procedure act relacing to contes[ed 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 reauest for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidentiai information. You are notified that: 1. The information you furnish will be used to determine your qualification for the pemut 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 a�encies to the extent necessary to process the pernut or license. 4. If your requested pernut 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 Las[ Address City State Zip Phone I understand my rights as stated above. Signature , � CHECK OFF' LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSORLEGAL: 3`15 FErz►�✓J�qLL„ �Zo,4� 1'�c�(Zil-� PID: DESCRIPTION OF WORK: ���� ZO�1Ti 1G REV�W BY: DATE APPROVED: 9 -18�a� BUILD�tG REVIE`V BY: DATE APPROVED: g-1�-v r FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes � No PLAl�1 REVIEW Yes �/' No SEWER CONNECITON STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZONING CH�CK LIST Zoning District: 1�2- �(� Fire Department: v.r qyz,�-r,q Post Office: w,.�y-„4- � School District: w�}•f-��;ya. Lot Area: Sq.ft. y Z,v oo Acres . 9 ro Width j �-1 U Depth �(�O Survey Submitted: Yes �c No Date of Survey: Proposed Setbacks: Fron[ (�e): 5( Righ[Side: S� Rear (St�eet): L 3�-f Left Side: $a•V Adjacent Structures: p-r-r���.�-�.� Wetland: �SD � �" Building Hei;ht: Def. Hgt. /�! ��3- Peal:Hgt. �///►- Lot Coverage: C9,(L Grading: Staff Approval Date: -- By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: !# `— Resolution: # Resolution Date: Shoreland District: N� Avg. Setback: Bluff Setback: L.otCoverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1Q00' Hardcover Variance Required: Yes No Date of Council Approval: RENIARKS (in house): 7 BUILDING REVIEW CHECK LIST �C� i2' 3 CONSTRUCTION TYPE: �//J Sq Footage $Per Sq Ftg Basement z = lst Floor z = 2nd Floor x = Garage x _ z = TOTAL Estimated Construction Value: $ 3,(�c�C)°� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection �Footing ' Septic Sewer Connection �Framing Fireplace Lawn Irrigation Insulation (i�iasonry) Other Wall Board (141fg.) Well (State Permit) _�Final Grading/Filling Elecuical (State Permit) O[her REMARK.S(ni 1 HOUSE): ----------------------------------------------------- REV�W BY OTHERS: DAT'E: Access: Existing New Access Approval: Date By: ------------------------------------------------ RE1I�IARKS (TO BE NOTED ON PER��IIT): 8 , , , i �r� � � �/-� � ' � �a � ���,� ��� RONo p . c� � i 1� � � �5 � �ls � g� � ��� � 5 � X �� , � �,� � . . � � , �� � ��GG �� ,� k� �� �s ; � � � �/LL i � ��S �� � ' � ��X � ; ! ������ .�������� , SPEC�AL NOTE I ;EE ATT/�Cl-IE[� S�-iEET I FOR F"O�n'�6 �Pro.�s Pwn o CODE REQUIREMENTS ! . � I ; i ' � I � � I r r ; � � � i g ! i . � — ---�-- --�_ � _ � i i __ - --.------ ;, � � � ;, ', � .� 9 � � �� � ���� _ .�:,����' ���� CITY OF OR�NO r����`�� gl,'11_DING P MIT, N SiEVIE�N ��ico��i`��R _.� �r D!-'.c '( 1U PERM!';i.`------" (� '�_' r=,P;=F;01,�'��AS SUB;�iITTCD � �'jA°PROVED WlTH CORRECT�",.... ,� �'�T�D n�nY ,�o^p�J�L�--•COf-�REC i ;;I'.:�:;::�"�iIT , /�/� �- �,., ;-��'� ,� ,. �l�,�(j7 7 ;comn;ents ar2 fcr your information. h!i�:ti�en<shall be done � ,,'•���j/ i;� .4�� cor-�pliance with a.! applicabie bu.ioir� and zoning code. ��f U NeGuirements including ilems nct specifi�: "y r�ted in this review. KEEP THIS PLAN SET ON 5C(t A�ALL TIMES . _�' �`�'r� ���.� . � �i' G � � � �� � ����`� I i >� .j( ) 1� x � � � � � � �� ������ ��%�� � � � � � , ,� ��` s� �i�/���,, � � /�� � � � �� � � � � �� � �G , - � � . �\ �1 � � � � � � � ,� � � �� � � � � � � � � � � � � � ..� z � � � � _ � �, � �\ � � �,� � 1n � � � � � v � �� � � � c � � � � � �� � � � � � � � � ,� , � � � , � � � _ :�, --. � �� � � \ � . .� � . � � � . � `�� � � X� ��� S � ���� . ,� � � � � .� �`��`�S � � � � � ��� �� �� ��� ��� �� �� � X � �`����%�� �,����� � � ��e - � /1��� ��� /L��/����� ����� ��� �c� . �-���� � ����� � ��� �� ����� �� � � ��S S � . � � ���� � ,� `� .i�l �-- � �b�� �xa �7 � , � � � � �X 7 I �.���� I ; � 1 �� � �� � ! � , � / / � �� � � ; ; 1--� � � � ���`�� � . , ' ���Q�'� � ,�X �i '��, '��y ,, � ��� � �t' , � ��� �� � , � ,� 3� -�� �,�� �� , ,�����' ������/� '�,e � �' � C��� �� �� � � � , .� � J / .il � L �� ��G�S DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC ,[�, SCHEDULED �f PERMIT NO. � " COMPLETED 7"�?-2-'C�� � ADDRESS � -/ 5 �-e-�'��'c�-e. ,�/ OWNER CONTR. TELEPHONE NO. � DESCRIPTION � ��/�� � � � C � � 01 FOOTING 11 ECHANICAL 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 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � C I�{1AEN�: � W , � �'�, ) �e,, c� f�� a o � �.-�- G C-c. C'- ,- a � o S (��y-� �. � W � Q ��l ' G(..� '�Q� SSu,'P � � 2 W � W � � d ❑ WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE W � [� CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTO TAKEN INSPECTOR WILL REfURN �TOP ORDER POSTED.CALL INSPECTOR i-- CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contra or on site: Inspector.�i�l��CC�-�� Cc.-r/1�� White Copyll�spector's File Canary CopylSite Notice �' t DATE TIME CITY OF ORONO ca� iN INSPECTION NOTIC 2 SCHEDULED — PERMIT N0. �Q ✓S''� COMPLETED � ADDRESS � � OWNER � CONTR. ' TELEPHONE N0. ���_����� � 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 Z04 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO �j � COMMENTS: � W a � � O >. � O � `u � Q � Z W � W � JC� � W/�,WORK SATISFACTORY:PROCEED /�OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED u ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-46�� OwnedContra n site: Inspector. �' �'' G►�`-'`" '7� White Copyllnspector's File Canary CopylSite Notice