HomeMy WebLinkAbout2000-P02349 - addn/remodel/repair . �
PERMIT
CITY �F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2349
Crystal Bay, Minnesota 55323 PeC1711t Typ@: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 4ilgioo
SITE ADDRESS: 519 Ferndale Rd N
WAYZATA,MN 55391
P ID: 36-118-23-14-0008
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use:
Census Code 434
Permit Class: Building
Permit Sub-type(s): Single Family
Permit Type: Addition/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: riumoing iviecnanic:ai r.iecuicai �siaiej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 251.25 Valuation: $ I5,000.00
State Surcharge Fee: $ 7.50
TOTAL FEE: $ 258.75
APPLICANT: THOMAS MICHELETTI OWNER: JULIE A JORGENSEN ET AL
519 FERNDALE RD N 519 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 STRICT COMPLIANCE WITH ALL CIT1' OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT P ITEE SIGNATURE ISSUED BY SIGNAT RE
Copies: City,Applicant,Assessor, Finance Page 1
r Total Fee: $ �g��� Date Received: �- I �- �-r'�
� Entered By: � Perm.it#: {� D c7► ���
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CITY OF ORONO - B�LTII.DING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
T'HE APPLICANT IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: �i ! r� /`� ��� Z�: �� 3` /
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NANIE OF OWNER: ��-�i�24�- � � PH0�1E: (home) Sa - b � 6Yd
�U(�c- (work) S�-�
1�IAILItii'G ADDRESS: �l� F.e/I.r1�� ��-�l CTTY:!c) ZIP: SS�`j/
CO�ITRACTOR ��"��� PH0�1E: ��� l���
COi�1TACT PERSON: 6� MOBILE/PAGER: .
NIAILING ADDRESS: CITY: ZIP: � .
STATE LICENSE: #
ARCHITECT/ENGINEER: /` PHOYE:
I�IAILIl�'G ADDRESS: 6N 0 CITY: ZIP:
N��,�: REGISTRATION#
TYPE OF WORK: New Addition / Accessory Structure
Move Remodel/Alteration !/ Land Alteration
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PROPOSED WORK(describe in detain: R°DN'� °v`Q- Jo�N""-� h��y dh.a-�ze+�,• � 1�p�?U cyv�2N.
aiu-r,�, low� lev�.- � oarn 2� a�cc,�.�, �dQ•t.css -car�
a,►�a..`ot�C.dc v�au.�o. /eacl.��e- � al�. v�w� a �wa n � mu.r,o-«�e-
�� ww�d.�wc�Q.�T O��F'�AC���O�: �00 a sM.2�t•�cl�..�-�
NO. OF BE OOi�IS: � GARAGE STALLS: ATT. � DET.
ESTI1-i IATED CONSTRUCTION VALUAT'ION (excludi.ng land): �� —/� ��
I hereby apply for a buildin�permit and I acknowled�e that the information above is co te and
accurate; �hat the work will be in conformance with the ordinances and codes e City and with
the State Building Code; that I understand this is not a pemut r is not to start without a
permit; and that the work will be ' a c \e approved plan.
� �
APPLIC ' IGNA � DATE: l� ��
TE! Parade qf Homes events require separate perncit approval by Police Department and
ity Counci160 days prior to the event. Non permitted events will not be allowed. ..
�¢�.�c.,ar.�d,�,� � �a�. �:. S�c S/u�-d�r.e.�s�s �e. °�`�-!o x�.�k.,�..��,LP�.Q
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Sec.13.0�i RIGHTS OF SL'BJECTS OF DaT�
Subd. i. Tvpe of data. Ihe righ�s oi iadividual on whom rbe dara is storcd or m be scor�shall be as sec forth ia�his secdon.
Subd.'_'. Information reqirired to be�ven iadividual. �1n individual asked to supply privare ac confidenrial dam coacerning himself shall
be informed of: (a)che purpose and inrnded use of che requesud dan wichia�he coliecdng 3tare agecry,polirical subdivision,or sracewide rysum;
�b)whecher he may rfuse or is legaily�equired ro supply che requesud dan;(c)any�own coauquence ars.ng from his supplying or refusing tn suppty
priva�e or confidenaal dara;and(d)[he idenrity of o�e�persoas or enaaes auchoriz:d by srace or federsi iaw to receive rhe dars. "Ihis requiremen�shali
noc apply when an individual is asf:ed to supply in��esri¢adve dan, pursuanc[o secdon 13.82, subdivisroa 5, eo a[aw enforce��ac o�cer.
The commissioner of re enu riav pls- the nocc r�uired under this subdivision in the ir.dividual ir.come_tax or prooem taz refur.d
instrucdons ins�zad of on chose forms.
Subd. 3. ?,ccess to data b�individual. Cipon request cD a responsible aurhoriry,aa indiv;�'�al shall be informed whe[her he is che subject
of stor_d daca on individuals,and whecher ic is class�ed as public, privace or confidenaal. lipon tus fur`:r request,an individua] who is the subjecc
of stord priva�e or public daei on indi�•iduals shall be shown�he data wichout any chac3e co him and,�u he desires, shall be iruormed of the concer.c
ar.d meaning of rhac dan. Afrer an individua!has been shown�he priva[e daca and informed oi iu mean:r.g,the dam need noc be disclosed ro him for
six monchs cheraner uriless a dispu[e or acrion pucsuanc[n �his secdon is pending or addidoaal daci on�e indiv;dual 6as beea collected or c:eared.
The responsiblz au[horiry shall provide copies of die privace or puhlic data upon requ:st by rhe individu�s�:bject of che daca. Tne responsibie au�horiry
may requir che requesting person to pay [he acaial cos�s of mafcing, cerrifying, and compiling the coc:es.
"Ihe responsiblt authoriry shall compfy immediacely, if possible, with any request madt purn:anc to this subdivision,or within five days ot
the dar-of rhe rquesc,ezciuding Saturdays,Sunday;and legsl holidays,if immediace compliance is noc Fossible. If he canao�comply with[he requesc
w{ehin fia�cime,he shall so inform ehe individual,and may have an addidoaal five days wichin wtuch[n:emply wic's[he requese,excluding Sacurdays.
Sundays and legsl holidays.
Subd.4. Procedure when data i5 not accurate or complete. An individual may contest d:a accuracy or completeness of pubiic or prn•ate '
data concerning himself. To exerise chis righc,an individual shall noafy in wriang che respoasible aurher.ry d�scribing the nan::e of the disagreemea[. .
The responsiblz aurhoriry shall wichin 30 days eic.`.er: (a)correct rhe data found�o be inaccur3te or u:co�:p(ece ar.d aaempc ro nodfy past recipients oi
inaccurace or incomplete data, inetuding recipienu named by the individual: or(b)aorify ehe individual cfiac he believes che daca to be correcc. Dars
in dispuce shall be disc!osed only if ehe individual's statement of disagreemenc is ir.cluded wich[he dis.:!osed daca.
The de�erminaaon of the responsible au�horiry may be appealed pursuanc to che provisions oi chz adeiinisaarive procedure act relaang to
contesred cases.
DAT� PRIVACY ADVISORY
In accordance wich M.S. 13.04, Subd.2, "Ri�ts of subjecu of data", we would like to inform you that your reauesc
for a perm.it or license from the City of Orono or any of its departments may require you to fumish certain private or
confiden�ial information.
You are notified that: -
- i. The information you furnish will be used to determine your qualificatioa for che permi[or license requested.
?. You may refuse, to supply da[a, but refusal may require tha� [he Ciry deny the perm.it or license.
;. The informa[ion may be shared with ocher local, stace or federal a�encies co the extenc necessary to process
the permit or license.
:}. If your requested permit or license requires Council action to app:ove, some information may become
public.
j. You have cenain riQhts under �1.5. 13.04 (available upon request) to review private data on yourself.
6, Your full name is required to process this app�,ica[ion or permit.
_ I�rGI-��� ��
First�. ��C� �tiddl� �L�� Lu:
S • ��
d�= �3�� ��_ o�- �,80
Ciry Snte Zip Phont
I u er tand my ri,h as tate�aoove. � ,
Signantre
� CHECK OFF LIST FOR ISSUANCE OF PERMITS
• . FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �=1`� i�-�.�'`r�v'J�'��..�. C"?�:,�/) iti��-�1�
PID:
DESCRIPTION OF WORK: 1Z��.�v�-�- + v:�t�ti�� --�=n e-=v-��i�-� �'vtti�-��`-
__� ______�_ �
----------- �;�--��_---��-- -- ---
ZO�i�G REVIEW BY: C.�� c�.�,,,�- DATE APPROVED: _/` - " •
BUII�DING REV�`V BY: �. DATE APPROVED: y--1y� �z'�;�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �� No
PLAN REVIEW Yes No ✓ SEWER CONNECTION
STATE SURCHARGE Yes ;/ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTTON
Number of SAC Units OTHER (specify)
ZONI:\G CI�CK LIST Zoning District: ��vTi c> � /f�'-�-/ti�1 �'
_ J _
Fire Department: Post Office: / School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed 5.���acks:
Fron[(Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: W tland:
Building Height: Def. Hgt. Pe �Hgt.
Lot Coverage:
Grading: Staff Approval Date: y: Council Approval Date:
Septic: Staff Approval Date:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Se[back Lot Covenge:
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
usc: IZ- .?-, CONSTRUCTION TYPE: �/�.�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor z =
2nd Floor x =
Garage x =
x =
TOTAL
o_
Fstimated Construction Value: $ � 5� ��
Inspections Required: �Vork Requiring Separate Permits:
Site �G _Plumbing Fire
Hardcover Removal _�Mechanical Water Connection
Footing = Septic Sewer Connection -
_�Framing Fireplace Lawn Irrigation
�_Insulation (Masonry) Other
�Wall Board (Mfg.) Well (State Permit)
_�F�� Grading/FIlling � Electrical (State Permit)
Other
REMARKS(IN HOUSE):
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By;
REv1ARKS (TO BE NOTED ON PERNII'I�:
8
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CITY OF ORONO CALLED IN `�'' —O� '' `� �
INSPECTtON NO ICE [�/ SCHEDULED �-Z� -�� � •-�a
PERMIT NO. �� � T COMPLETED t� ,
ADDRESS �l l �-�� l�-� �•
OWNER��-t:P�:� CONTR.
TELEPHONE NO. '�" � 7— � �'� �
� DESCRIPTION
ly� 01 FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ON 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d/��tNORKSATISFACTORY:PROCEED i— PROJECTCOMPLETE
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��❑ CORRECT WORK 8 PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN
INSPECTOR WILL RETURN
C] STOP ORDER POSTED.CALL INSPECTOR f GTATION ISSUED
[_� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractoy on site(�
Inspector. `4 �-,/ � �
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White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN h-_�Z-��� :� ��
INSPECTION TIC C�q SCHEDULED �-��9-C �' 4i
PERMIT NO. �d � 7 1 COMPLETED � �� �
ADDRESS��f F�� �� � � �►!
OWNER 1�)��G�--k-�-� CONTR.___��
TELEPHONE NO. � 5 Z- �v � �b ���
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 FR G._____` 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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 DtMO-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
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� COMMENTS:
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d ❑WORKSATISFACTORY:PROCEED ! PROJECTCOMPLETE
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� L] CORRECT WORK&PROCEED f ISSUE CERTIFICATE OF OCCUPANCY
W
O �ORRECT WORK,CALI FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
f J STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. Z49-4600
OwnerlContr ctor on site:
Inspector,���� C4� �3r
White Copyllnspector's File Canary CopylSite Notice
A
DAT� f]� TIM�° ` f
CITY OF ORONO CALLED IN �C" "' O •�"� �
INSPECTION NOTIC SCHEDULED %b/7 �
PERMIT NO. . • COMPLETED � �-�'�
ADDRESS�I�'� �✓+'1�1�-2 12c� N
OWNER CONTR. � �u=�ei��
TELEPHONENO. � I2- - �C'ZI^ �S'`�
� DESCRIPTION
l� 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FR lAlf� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
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Q OWNERICONTRACT R O MEEf YO�1: YES_NO
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� COMMENTS: / �� '� E�C- G� (
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� �ORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
f_; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContr or on site:
Inspector.�"G'��2-��J
White Copyllnspector's File Canary CopylSite Notice