The URL can be used to link to this page

Home My WebLink About2003-P06533 - addn/remodel/repair � - PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P06533 Crystal Bay, Minnesota 55323 PefCTllt Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: �i1si2oo3 SITE ADDRESS: 503 Ferndale Rd N Wayzata,MN 55391 PID: 36-118-23-13-0005 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code 434 Permit Sub-type(s): Addn/Remodel/Repair Pernut Type: Addition/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: i'iumoing iviecnanicai Eiecu-icai�siatej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 958.75 Valuation: $ 95,000.00 Plan Review Fee: $ 623.28 State Surcharge Fee: $ 48.00 TOTAL FEE: $ 1,630.03 APPLICANT: Streeter&Associates OWNER: Mr. &Mrs. Dale Spencer 18304 Minnetonka Blvd 503 Ferndale Rd N Wayzata,MN 55391 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. i r� �, � — � Z �" � ,l�_ ��, APPUCA P EE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessina, 1-Finance Page 1 � Total Fee: $ ;(<.b��` � ' Date Received: �L �� h' � Entered By: � � Pernut#: —7 � � � � t� � 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 R CONTRACTOR JOB SITE ADDRESS: �j C7 � "��2�'�C.i a �e C{ �• ZIP: N�LE OF OWNER: �c`-e '�- �o'� S,��e41'� PHONE: (home) (work) MAILING ADDRESS:J�C�3 �rn c�o.�2 ►�� , �. CITY: Q rd n,o ZIP: , CO\'TRACTOR: S�I�Q. � S�C a PH4I��5',1,�'�)`(9,S 7 y 6 �� 1 l � COti�TACT PERSON: � NIOBILE/PAGER(��,.�-�6��q(4 NL4II,ING ADDRESS: I $3�.2 I"1 ��a�►kc B�..r �. CITY: ��e l�e��¢•� ZIP: 5 S3� � ST�iT'E LICENSE: # I 3 �d ARCHITECT/ENGINEER:I/J c��S� D�J� C�..�-a PHOi�TE: NIAII,I�i tG ADDRESS: 'ITY: ZIP: NA.`LE: REGISTRATION# TYPE OF `VORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK (describe in detai�: l�a S-�er �j e�r0 oNt , �c� �o� � l�m S�r C�c,�-e-� 1'v1�)�2.r S `r � ��(�Q a� . STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROONIS: � � GARAGE STALLS: ATT. DET. ESTLI�IATED CONSTRUCTION VALUATION (excluding land): $ 9S 0 0�1.a� 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 Buildin� 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: � . ,��5 DATE: lo b NOTE! Parade Qt'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 � . i.. Sec.13.04 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 indiridual. An individua!asked to supply private or co�dentiai data conceming himself shall be informed of: (a)the purpose and inrended use of the requested data wichin the collecting state agency,polidcal subdivision,or statewide system;(b)whe[her he may refuse or is legally required to supp(y che requested data;(c)any lmown consequence arising from his supplying or refusing to supply privace or confidenaal dara;and(d)the idendry of other persons or enoaes authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investiga[ive data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. Th�commissioner of revenue mav lace the notice re uired under this subdivision in the individual income taz or ro em 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,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 meanin�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 thereaher unless a dispute or action pursuan[to this section is pending or addidonal data on the individual has been coilected or created. The responsible authoriry shall provide copies of the priva[e or public data upon request by the individual subject of the data. The responsible authority may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediarely,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 possibie. 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 nocify in writing the responsible authoriry describing the nature of the disagreement. The respor�sible authoriry shail within 30 days either: (a)correct the dara found to be inaccurate or incomplece and attempt to nodfy past recipients of inaccurate or incomptete dara,including recipients 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 determination of the responsible authority may be appealed pursuant to the provisions of the adminis�aove procedure act relarin� to contested cases. DATA PRIVACY ADVISORY In accordance wich 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 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 o[her local, state or federal agencies to the extent necessary to process the pemut 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. S�a-� � �Q �;f F�rst Middle Last I � �lZ ✓�.;�he�•��q � L r �' �ddress e �I-U.~�-, h S�5' �t 9,f.L �r -9 ��,' C�ry State Zip Ph ne I understand my rights as stated above. r - Signature 6 � - � CHECK OFF LIST FOR ISSUANCE OF PER�VIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �v 3 ��,,n�� (�..�,,� �1 � PID: - - - - - DESCRIP'ITON OF WORK: ��.� n;:Z ---------------------__---__�- ----_--____ ZO�.�I�1i G REVIEW BY: � DATE APPROVED: �'�.� BUII..DNG REV�`� BY: DATE APPROVED: � -r ti -c;-� FEES TO BE CHARGED: Misc. Fees Calculated By: PERII�IIT Yes :/ No PLAi�t REVIEW Yes ✓ No SEWF.R COivNECTION STATE SURCHARGE Yes _� No WAT�RCOi�1I�TEC"ITON INVESTIGATION FEE � Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC�Units OTHER (specify) ZON�TG CH�CK LIST Zoning District: ."V - C �-f�4-r1,c� -(J . Fire Departmen[: Post Office: School Disuict: � Lo[Area: Sq.ft. Acres � Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Fron[(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: �Vetlan • Building Hei�ht: Def. Hgt. Pea�:Hg Lot Covera�e: 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: I,ot Coverage: Ezistino Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 J � BUII,DING R�VTEyy Ci�Cg LIST �C' �� 3 CONSTRUCTTON TYpE; ��,r�; _ Sq Footage $ Per Sq Ftg Basement x lst Floor x . — 2nd Floor x — . . Garage x — � x TOTAL Estimated Construction Value: $ ��aG��;'� Inspections Required: `york Requiring Separate Permits: Site �C' PIumbing Fire Hardcover Removai �c Mechanical g��g - Water Connection �_Framing Septic Sewer Connection � _�C,Insulation Fireplace Lawn Irrigation _�Wall Board ��0�'� Other �—Final � � �fg•� Well(State Permit) - . _ Other Grading/Filling „�Electrical (State Permit) ---- . RENIARKS( .T�i T HOUSE): _` ------- --- ------------------------ KEVIEW BY OTHERS: DATE: ----�--�~- Access: Ezisting New Access Approval: Date ____---_ ---�________ � By' -------------------��------------------- REI�LA.RKs (T'O BE NOTED ---------------- ON PER1tiII'I�; 8 � � DATE TIME CITY OF ORONO CALLED IN -�-� ` INSPECTION NOTICE SCHEDULED �� '� V`/ fG"'• �� /3.•Z� PERMIT NO.�%(�'S � -� COMPLETED ) � ADDRESS 7C- �� /iIr`�"� � �C c�' it..% OWN ER CONTR.,--�� r:�� -r `� �'t S S c c . TELEPHONE NO. C."�� =� ��S �I C�/Z �s��r`r �,_ � ' � � DESCRIPTION I� �L�� 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 =�5 FINi�I,� 14 SEWER HOOK-UP O6 PROGRESS � 07'D�MO-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�EET YOU:�ES_NO \ ° COMMgi�`S:� � W a � � O �. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OR�EF POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnedContr n i : Inspector. White Copylinspector's File Canary CopylSite Notice ✓ CITY OF ORONO CALLED IN ��—�� TIME INSPECTION NOTICE 2 SCHEDULED D" S- / s.s'0 v� PERMIT NO. O C��3�"7 COMPLETED ADDRESS _.510.� ��''/I C�Gc--�,� ��=f' l� 1 OWNER CONTR.�--�l f�P �� -�S'1 0 � . TELEPHONE N0. �.1� �%) �_'�Ci � �C��c� � � DESCRIPTION t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI�LING � 0 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 LL 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 i09 PLUMBING RI 23 SEPTIC FIN L 35 HARD COVER REMOVAL J 10 PL NG FINAL 36 FOUNDATION/REMOVAL Z OW ER/CONT ACTOR T MEET YOU:�YES_NO � COMMENTS: � � a �, , � ) (.�1. `�� 0 a � 0 � W � Q � Z W � W � � � a W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEiE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952) 249-4600 OwnerlContr r si e: 1 Inspector. � White Copyllnspector's File Canary CopylSite Notice �� DAT TIME CITY OF ORONO CALLED IN ��—� INSPECTION TICE SCHEDULED ��- -O3 /o�o� PERMIT N0. �.3-3 COMPLETED ,, / ADDRESS SD3 /''C'�"/2.�.G�Q /`�- /v ' OWNER CONTR. �S 0 t� 7C,5SC1� TELEPHONENO. C��Z �O5 �� Z� � DESCRIPTION �r � Oy�00TING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING Q j<<j�RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y '63 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 O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J � � O �. � O � W � Q � 2 W � W � � � a W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-46�� OwnerlContra ite Inspector. _ � White Copyflnspector's File Canary Copy/Site Notice C��T� DATE TIME CITY OF ORONO CALLED IN �' �'`� INSPECTION NOTICE SCHEDULED < �� `j� �,�:��n, PERMIT N0. �� COMPLETED ADDRESS ��' � ��..s��c:�t�Z_ Le �C'�/L/. OWNER CONTR. ;�f"-�'Z.-�2 f�� 5� , TELEPHONE NO. �� —�X�l� � �'/� � DESCRIPTION ' " � � �-- � � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/F LLING 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-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 a � � � O Q � � � J � D 6 ?Z i ° pp�5�3 �e� Q {�0 708/ �!urnb in S , � z W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �r°'O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex �nspection 24 hours in advance. (952� 249-46�� OwnerlConUa��i e�-� inspector. �� ' White Copyllnspector's File Canary Copy/Site Notice