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Home My WebLink About2000-P02991 - addn/remodel/repair � � PERMIT t CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po299i Crystal Bay, Minnesota 55323 PePtlllt Typ@: Addition/Remodel/Repair (612) 249-4600 Date Issued: 9i2��2o0 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: Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: Eiecvicai(staie j NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 853.75 Valuation: $ 80,000.00 Plan Review Fee: $ 555.03 State Surcharge Fee: $ 40.00 TOTAL FEE: $ 1,448.78 APPLICANT: THOMAS MICHELETTI OWNER: TOM MICHELETTI 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 C[TY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � � ,�S � > �� / -�u PPLI ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 a � • ,1 T�t'al Fee: $ r �8. 7�' Date Received: j " /`� �C>�' � ,Ent��red By: Permit#: ,/-' �; ;`� �i i CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all in ormation) ------------------------------------------------------- ------ ---- ----------------------------------------------- THE APPLICANT IS: (circle one) OWNER CONTRACTOR � � �� S,.�� JOB SITE ADDRESS: ZIP: ` � NAME OF OWNER:� � '�''l�'� PHONE: (home)��.?�—�-v'��lC�� (work) MAILING ADDRESS: �7� CITY: ZIP: s:� �� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: / �' � S � � PHONE: MAILIN DRESS: _/,�y --�i i Y: ZIP: NAME: �i:u-� C,(�(; REGISTRATION# _ TYPE OF WORK: New Ad ' � Accessory Structure _ Move � emodel/Alteratio � Land Alteration ' L.i , �� ` PROPOSED WORK describe in detai�. t�;�'-�� 7�— � l� -c.� � � �w n r.��i�w� L _2 uCk. �,yi&��'��'►�� -LtI►ti vt1.5 � L K� l.e-�.-E-� — STORIES: SQ. FEET OF EACH FLOOR: _ NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � v _ 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 Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will b ' ccordance it he approved plan. APPLICANT'S SIGNATL ATE: `� ��01J NOTE! Parade of Homes events require separate permit approval by Police Department an,� City Council 60 days prior to the event. Non permitted events will not be allowed. 5 �" r - R 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 individual. An individual asked to supply private or confidential data concerning himself shall 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 idenrity of other persons or entities 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 officer. The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or orooem 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 individua(s,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 meaning of that data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed 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 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,certifying,and compiling the copies. The responsible authority 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 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 conceming himself. To exercise this right, an individual shall notify in wtiti�g the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to notify past recipiencs of 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 respoasible authority may be appealed pursuant to the provisions of the admuilstrative 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 information. You are notified that: 1. The information you furnish wiil 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 Last Address Ci�, State Zip Phone I understand my rights as stated above. Signature 6 � � ' ' CHECK OFF LIST FOR ISSUAI�TCE OF PERI�IITS _ FOR OFFTCE USE ONI.Y ADDRESS OR LEGAL: s 1� �'�=.�z.N� {a c �= �� - --- PID: — DESCRIPTION OF WORK: �c�,��-c— — ZO�'G REVIE`� BY: DATE APPROV�D: 4-2�� — BUII.DI�i 1G REVIEtiV BY: DATE APPROVED: 4'-Z:6 �o c� FEES TO BE CHARGED: Niisc. Fees Calculated By: pERMIT Yes �,/ No : pL,AN REVIEW Yes � No SEWF�COi�ECTION STATE SURCHARGE Yes _� No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZOYLVG C�iE.CK LIST zonin� District: No �(__�1t _ � Fire Depar[ment: Post Office: School Distric[: � L.ot Area: Sq.ft. Acres W' th Depch Survey Submitted: Yes No ate of Survey: Proposed Setbacks: Front(Lake): R.i�ht Side: Rear (S[reet): Left Side: Adjacen[Structures: �Vetland: � Buildin' Heijht: Def. Hgt. Pea:�Hgt. Lot Covera�e: Gradin�: Scaff Approval Date: By: Council Approval Date: Septic: Staff Approval Dace: By: Zonin;File: � Resolution: � solution Date: Shoreland District: Av�. Setback: Blufi Setback: LotCovera�e: E��, Proposed � Hardcover: 0-7�' 75-250' ti0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REI�L�RKS (in house): 7 , � BUII..DING REVIEW CHECK LIST UBC: 2" } CONSTRUCTION TYPE: �^) Sq Footage $ Per Sq Ftg Basement z = lst Floor z = 2nd Floor x = Garage z = R = TOTAL J Estimated Construction Value: $ BO.cJc�c� — Inspections Required: �'Vork Requiring Separate Permits: Site Plumbing � Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection << Framing Fireplace Lawn Irrigation �, Insulation (Masonry) Other X Wall Board (Mfg.) Well (State Permit) � Final Grading/Filling b( Electrical (State Permit) Other RENIARKS (IN HOUSE): ---------------------------------------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: RE`�iARKS (TO BE NOTED ON PERMII�: 8 DATE TIME ` CITYOFORONO CALLEDIN �I-;�-�1 /��'S INSPECTION NOTI /'; SCHEDUIED " - �'y �" �j PERMIT NO. a��/ COMPLETED � �`3� ADDRESS �1 l rPr��a- �d� /U. OWNER CONTR. T'%y' �/"c o�el�r TELEPHONE NO._�� C��CO O �J�� DESCRIPTION �O��C�/0/'1 -�- r'� S�� C ��J�1 � l� 01 FOOTING 11 MECHANICAL RI 18 EXCA /GRADING/FILLING � 02 FRAMIN 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C ENTS: � d . �� a � � 0 a � 0 � w � Q ti z W � W � j d W �i►WORK SATISFACTORY:PROCEED PROJECT COMPLETE � (C 1 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT CICORRECTUNSAFECONDITIONWITHIN HOURS. . pHOTOTAKEN INSPECTOR WILL RETUFIN L 1 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. Z49-4600 OwnerlContra t r on site: Inspector. White Copyllnspector's File Canary CopylSite Notice ✓ CITY OF ORONO CALLED IN ��'3�� IO�M INSPECTION NOTICE SCHEDULED .2 -/�f- 01 /� PERMIT NO. oZ S�!l COMPLETED �Z L�/-�/ �� ADDRESS S��I �Ei�N�i4LC leJ /� OWNER CONTR. T�'Vl /��t�ia�L=TT'L TELEPHONE NO. ��2 CP��P SS�� ;��% f' ��'i�%� � DESCRIPTION vE�T �� '�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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 = 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 � � O � W � Q � Z W � W � j d W� �ORKSATISFACTORY:PROCEED PROJECTCOMPLETE W CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT [; CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN f�STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED I i INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContract on site: � � � � f. inspector. G�:�uC�vGl�l/�-S White Copyllnspector's File Canary CopylSite Notice