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HomeMy WebLinkAbout2002-P05636 - addn/remodel/repair � '�� PERMIT CITY OF ORONO Permit ►vumber: 2750 Kelley Parkway - PO Box 66 P05636 Crystal Bay, Minnesota 55323 PefCTllt Type: Addition/RemodeURepair (952) 249-4600 Date Issued: ioia�2oo2 SITE ADDRESS: 555 Ferndale Rd N Wayzata,MN 55391 PI D: 3 6-118-23-14-0003 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Census Code 434 Permit Class: Building Permit Type: Addition/RemodeURepair Perniit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: riumoing iviecnanicai Eiecmcai�siaiej NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 593.25 Valuation: $ 45,000.00 Plan Review Fee: $ 385.68 State Surcharge Fee: $ 23.00 TOTAL FEE: $ 1,001.93 APPLICANT: Ken Larson Construction OWNER: Tim&Kim Donaldson 11624 Timberline Road 555 Ferndale Rd N Minnetonka,MN 55305 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � , ���� APPLICANTPE EESIGNATURE SSUEDBYSIGNATURE Cooies: 1-File(SiQriitures Repuired), 1-Anplicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 f: i �� . �' • ���'Total Fee: $ ��'��- f-� Date Received: ��'- %�'- C', �� �� �� Entered By: �- � Permit#: � �j%�� , �1r1 �; ��` 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 O CONTRACTOR � ,' JOB SITE ADDRESS: �5 � � �' � ZIP: �` 3 NAME OF OWNER:�j�t '� �I���i �C��'�C�c�__ PHONE: (home)R�'Z--�-l���'�l�3'3� (work) MAILING ADDRESS: �y�� CITY: ZIP: CONTRACTOR: k�i ��.���� C�� ������ PHONE:��`L-.-r��l�J`�Z Cc^�.�"Z CONTACT PERSON: � MOBILE/PAGER: Z,_ ' ' , MAILING ADDRESS: � �.� �t �"^ CITY: ; '' -' �. ZIP: �— STATE LICENSE: # `��/� ,, �)r- ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition� Accessory Structure Move Remodel/Alteration Land Alteration � � 1 I/ � PR O ED WO (�escribe in detai�: �� � l 7 (�1�,. � I��6�l:L 1���-��.� T` ,� / STORIES: �_ SQ. FEET OF EACH FLOOR: 1 7�^ NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �f�j ,��?� _ I hereby apply for a building pernut 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 be in accordance with the approved plan. /�'�� � APPLICANT'S SIGNATURE: �' �`'��� !� � DATE: � � � � NOTE! Parade o�'Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. 5 ,� . Sec.13.04 RIGHTS OF SUB.IECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set fo�th in this section. Subd.2. Inforcnation 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 identity of other persons or entiries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked ro supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav nlace the notice required 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 authoriry, an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or co�dential. 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 ro him for six months thereafrer unless a dispute or action pursuan[to this section is pending or additiona(data on the individual has been collecred or created. 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 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 within five days of the date of the request,excluding Saturdays, Sundays and legal holidays, if immedia[e compliance is not possible. If he cannot compiy with the request within tha[time,he shall so inform the individual, and may have an additional five days within which ro comply wi[h[he 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 writing the responsible authority describing the 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 notify past recipients 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 disdosed data. The determination of the responsible authority may be appealed parsuant to the provisions of[he administrative procedure act relaring 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 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. First Middle Last Address Ciry State Zip Phone I understand my rights as stated ab ve. c � CSc:/t/� �`�� Signature 6 _ ^ '�'�• • CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: S S S 1�� �_�i�i��,�u: PID: DESCRIPTION OF WORK: }K , �i.0,,� r'�p;�-� n o•L ------------------------------------------------------------------------------------------------------------------------ � ZONING REVIEW BY: � '„ l DAT`E APPROVED: �c - z -c � BUILDING REVIEW BY: � -' DATE APPROVED: r�- z - �Z ----------------------------------------------�'------------------------------------------------------------------------ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �:/ No PLAN REVIEW Yes r/ No SEWER CONNECTION STATE SURCHARGE Yes r/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. '"��,°I b � Acres �. �l��� Width t t'Lt-i=��✓}+L- Depth Survey Submitted: Yes_ �.,� No Date of Survey: �,� ��-�t.C- Proposed Setbacks: Ri ht Side: '7S� r Front (Lake): I��� { S Rear (Street): � �p` ± Left Side: �vd i t Adjacent Structures: d� ,�c,�-�e,�' Wedand: n;t/� Building Height: Def. Hgt. v•�- Peal:Hgt. — Lot Coverage: /J�� Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: � By: Zoning File: # Resolution: {i Resolution Date: Shoreland District: �l)U Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Vaziance Required: Yes No Date of Council Approval: REMARKS (in house): 7 � ' - BUILDING REVIEW CHECK LIST UBC: �c• � CONSTRUCTION TYPE: �/i�' Sq Footage $ Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL -r..� Estimated Construction Value: $ �/S,, G'U� Inspections Required: Work Requiring Separate Permits: Site � Plumbing Fire Hardcover Removal _�Mechanical Water Connection „(' Footing Septic Sewer Connection �_Framing Fireplace Lawn Irrigation �_Insulation (Masonry) Other ��Wall Board (Mfg.) Well (State Permit) J c�Final Grading/Filling �Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT�: 8 s�% ' , ,�' DATE � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � C' 3 �`::31� PERMIT N0. ��r.-�--> %� COMPLETED ADDRESS �J`� r F��t`lc'ic�1� iZc-:( t�` OWNER CONTR. �F'� ���r��`� TELEPHONE NO. �,;,i �—�1 v ���S�f�� � ���� � DESCRIPTION ��`�`L'� � �� � �M - �1'�''� ° � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS „t 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0� 4 BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:�.YES_NO � COMMENTS: � - � I�us-+ k�. �r��_ ,�.. � o � � 5 -�=-, ►��. . Sl�c �-+ �-c� iL � , , � ^, i � 0 � W � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED 0 PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95Z� 249-4600 OwnerlContractor o site: Inspector. � �-� �� White Copylinspector's File Canary Copy/Site Notice � T��/Da TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT N0.T(`�f.o 3 �" COMPLETED ADDRESS � J �/�-����'�-� ���� OWNER CONTR. TELEPHONE NO. �-Y l� � O` ��-`2� �` ���_ � DESCRIPTION �� �� �����-� ' ""� ' � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAI 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 `� 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 � OWNEHICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � -I't ��, �V�l C (� f�� 0 �. ; � 0 � W � Q � z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. 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So��h /�ne o� If�e Nlz nl'fhe �F_ '/4 a��he NE /q- ol� Sec. 3G,, T 118� R 23 � � i � w�st ` — l -- 245.58 � — i � TRt1SS DESIGN TO gn'j�m AT OAMING'NSMCqION VERIFY ROOF IN FIELD 801RAT THERE 18 ASPHALT SNtNGLE / MATCR ENING NO CONFLICT WIT14 WINDOWS ABOVE. V2' OXBT OA%, 6HE_AT14ING W C IPS 12 TRUSSES 24" O.C. 5 9/2 INTERIOR „r. r/ DESIGN BY SIPPLtER VAULT CZ3iiir t ja r -L -- ..- "' R-44 BLOWN TION { 7 5/8' GYf ISUM BOARD OP f©M L VAPOR "CsRADE 12 C OI ARSE$ I? CONCRETE DAMPROOFING so x { 20 6g -00:r. R4 I INSU�AT1ON b );Y 6OAR tERPLYWOOD V20 Y4t+iD P$US$M 8OA I UB CR U 2" X 4"g�248 OZ. GIL VAflOR SARRIER s Iff CONCRETE: FLOOR ROOTING DRAINTILE SYSTEM 1� 11/4 11.11 .11 'Vib" 088 & EATNING / 14ORIZONTA BIDING / MATCH EXISTING GRADE _ GRADE : CONCRETE FOOTING 4A,LT 8 TCµ D TCH E) 1r — ---mt — 12 OCKE$$I20 CONCRETE DAMPROOFING JOIST RANGER EXISTING FLOOR � 7� NO LVL 14EADER wt -to �-���Q�t- $6 it 4-t6* LVL 14EADER INSTALLED i�.U3�I 'i O I30TTOM OF SECOND FLOOR �� N�5 rnAnw f. -ry R,��.S t4 PPR IJ A' TAPER TOP OUTSIDE CORNER$ TO FIT ROop 20 x b' • ib"OL. PI'T'C14 OF NO# ROOF OF ADDITION. R-19 INSULATION 6 MIL VAPOR BARRIER i/2' GYPSUM BOARD ^'�-- MATC14 EXISTING 3/4 T4G PLYWOOD A CORE FILL BLOCK WITTY taM5 VERT: A GLUE AND SCREW FOOTING TO BEARING,7 M, 5 2' X 4' 24" OAC. EXISTING Ga�IL�OR SARRIE R 3 v2' CONCRETE RLOOR DRAINTILE SYSTEM:�-7''�C/ s" x 2O0 CONcRET1: Foolva ------- - - - - -- - ---- I I I T it 4 Q i 31x2" CONC: FLOOR PC BASEMENT SPACE ig A 0"' XIST NG WALL � , IL — — _ _ — — _ — _ _ — — — — — — — — _ — _ _ — _ — — i--- .-------- - - - - -- - --- - i EXISTING WALL ! r -----_--_____--__--..-_---- _ i F'OY1 E ACCESS TO NEW 5ASE1" ENT ' l i VERIF DOOR LOCATION U ITW OWNER, fX01i B � i i f-•------------- NEW 4-16" LVL NEADA rnroo' L/480 DSPLEC EXISTING REMOVE EXISTING WALL AND W SAVE WINE OWS AND RE -USE. INSTALL NW 44EADER 4-16" LVL EXISTING 1EILING, a ,KURR OUT EXISTING WALL to MaTCN 11=iI�n II SPECIAL NO'T'E SEE ATTACHED SHEET FOR s"a-, dc--Tec-x-- CODE REQUIREMENTS m Ni!OWB HES CENTERLINE � -<�QO EXISTING 4W i NEW 2W TO MATCH EXIBTIN+ �DIToN z z Z Ul i DW I ZI-1: I p = + IL , BUILDINGF Ri T PLgN REVIEW 0 z p< K-ITCWERI ECTCH 0-4 Z 1V _ lu Cfiav'T{ 3 if✓ i:� F n Ciii r j ;fll� PROJECT �� k ba done 0239 Th # c_r n . a you- , r. Al ti r s aj in 9 l 1 :r r, r 1 z r; cc -do. FILL: NAMiz io;>il in this if-viow. KF -EP THIS PLAN SET ON SITE ATALL TIMES Diet i� p 3 "�' ccuHtdata► i 7, 4 IF It 4 ib'dt" a� !'e ka Q SRAM ATIGLAW �.Zq %9 i 60" GLASS UPPERS REMOVE EXISTING WALL AND W SAVE WINE OWS AND RE -USE. INSTALL NW 44EADER 4-16" LVL EXISTING 1EILING, a ,KURR OUT EXISTING WALL to MaTCN 11=iI�n II SPECIAL NO'T'E SEE ATTACHED SHEET FOR s"a-, dc--Tec-x-- CODE REQUIREMENTS m Ni!OWB HES ILN O DER FLUS14 TO p { —0 � -<�QO �DIToN z z Z Ul o3 Ul a + j z.; I ZI-1: p = + CITY OF ORONO '. Uj Q X 4- BUILDINGF Ri T PLgN REVIEW 0 z p< INS ECTCH 0-4 Z 1V _ lu Cfiav'T{ 3 if✓ i:� F n Ciii r j ;fll� PROJECT �� k ba done 0239 Th # c_r n . a you- , r. Al ti r s aj in 9 l 1 :r r, r 1 z r; cc -do. FILL: NAMiz io;>il in this if-viow. KF -EP THIS PLAN SET ON SITE ATALL TIMES DATE:* DATE 6/4n002 REVISED= 1/19/2002