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Home My WebLink About2008-00066 - addn/remodel/repair CITY OF ORONO PERMIT NO.: 2008-00066 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEv: 07/23/2008 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 575 FERNDALE RD N PIN : 36-118-23-14-0002 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 135,000.00 NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) -PROJECT REQUIRES ABOUT 30 CY OF GRADING-DOES NOT TRIGGER BUFFER REQUIREMENT APPLICANT PERMIT FEE SCHEDULE 1,266.75 ANDERSON WOODCRAFT INC. PLAN REVIEW 82339 1438 85TH ST NW BUFFALO, MN 55313 STATE SURCHARGE(VALUATION) 67.50 (612)308-2722 TOTAL 2,157.64 Minnesota State License#: 20229198 OWNER DAYTON, JAMES&MEGAN 575 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not com ence � 80 days of the date of issuance,or if construction is sus nde for a perio of 180 days at any time after work has commenced. Th pii ant is respo for suring all required inspections are re e te conforman e with t S e�3uildi Code.This permit may be re ok d t time for u c us . ; � � �- �Z �l .�'�_ �. _ i�' ` , , .` � _ � �cant Permite i ure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � �} � a.�� ,-� ; �,.. l", > _ � �� , � Total Fee: � , ^ ,. Date Received: �✓� 7 �� Entered �y: ' Permit#: �O � DOO �� 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: � �'� �, �.�V�� ZIP: x��.7�'l, Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No Lf yes, a special event permit is required with Police Deparbnent and City Council approval 60 days pr•ior to the event. Shuttle bus service will be required unless applicant demonstrates su ficient�n-site pa�-king is available. Non permitted events will not be allowed. NAME OF OWNER: � � PHONE: (home) (work) MAILING ADDRE S:��.�1�3�I� CITY: ZIP: �_ CONTRACTOR: � ' � � PHONE: t��Z �'�( �� CONTACT rERSON: MOEILE GER: �,I�I�� MAILING ADDRESS: ' �� —. �. CITY: � ZIP: y�� STATE LICENSE: # `Z��ZZt^3�,C�� EXPIRATION DATE: `�C`�� ARCHITECT/ENGINEER: ��_ PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition � Accessory Structure - Move Home Remodel/ lteration (ie: Siding, Windows) Any earth movement may,�reqi`ire M�CWD review and permits! PROPOSED WORK(describe in detai�:�� (�•_a 7C`Z-rj � ��1 - t�jj� 'l '� � STORIES: -�SQ.FEET OF EACH FLOOR: _ �� _ NO. OF BEDR OMS: � GARAGE STALLS: ATTACHED DETACHED_ ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ��, _�1— 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 pen i d wor ' not to start without a permit;and that the wark will be in accordance with the approved plan. APPLICANT'S SIGNATU ATE: O 31 r * Sec.13.04 RIGHTS OF SUI3JF.CTS OF DATA Subd. 1. Type of data. The rights of indiaidual on whom the data is s[ored 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 himselfshall be infonned of. (a)the purpose and intended use of the requested data within the collec[ing 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 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 Iaw enforcement officer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or pro�erty tax refLnd instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shal I be informed whether he is the subject of stored data on individuals,and whether it is classified as publ ic,private or confidential. Upon his further request,an individual who is the subjecc 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 authority 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 immediate compl iance is not possible. If he cannot comply with the request within that[ime,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 writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days either (a)correct the data found to be inaccLrate 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 individ�al's statement of disagreement is included with the disc]oscd data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act rela[ing 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 rocess this application or permit � First� � � Middle � Last . ss �`� �IL� �.�13 C�I Z �UP� �ZZ C�t!' Statc Zip Phone I understa d y 'ghts as sta above. #. �' Signatu Resef Form 32 CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE U�ONL ADDRESS OR LEGAL: _ �� "� J—��. � �e �:� PID: DESCRIPTIDNOF WORK.• q/�,�,.�o� ZONING REVIEW BY.• DATEAPPROVED:_ 7/Z �/C}�� B UILDING REVIEW BY.• DATEAPPROTfED: -�- Z 3 _� FEES TO BE CHARGED: Misc. Fees Calculated By: ` PERMIT Yes � No P��E� Y�S—�r No SEWER CONNECTION STATE SURCHARGE Yes—�� No WATER CONIVECTION WVESTIGATION FEE Yes No �/' PARK FEE SAC Yes No � SITEINSPECTION IJumber of SAC Units OTHER (spec�) ZONING CHECg LIST Zoning District.• �� ' ! � � Fire Department: Post Office: School District: � �/ Lot Area: Sq.ft. • Acres �• � � Width � f0`� � Depth - C�7 1 / �-> t v�c f c�Cl�2 S We-1-/�x+�t 0�/ Survey Submitted: Yes �/ No Date of Survey: j y � �1 Proposed Setbacks: � ��p. � Front{� �O�� ht Side: %?C� C{'�,�r�� s��1�� l � . Rear(�rec�E): /I o C�qr ci 4- -�.e,�Side: �/O C�!�y�Q . _. e �- c:c-'IC� G� i-o' E A d j a c e n t S truc tures: 6 1 6� Wetland: l�d � P � � � �S /�, +'►��z 3 Building Height: Def.Hgt. Peak Hgt. ��'I�22-t t+� Lot Coverage: �{� Grading.• StaffApproval Date: /�/�I By: Council Approval Date: � ��Septic: StaffApproval Date: �" �- (,��By; Zoning Fi1e; # Resolution: # Resolution Date: Shoreland District: �� MCWD Permit: Avg. Setback: BZuffSetback: — LotCoverage: --� Existing Proposed Hardcover: �- -�3-�3�'' 2.i D-S00' �— �--- 500-1000' � �4 7 . �(�•��`�c�� 1 e 7 ��7 O Z rd� Hardcover Yariance Required: Yes No �/ Date of Council.Approval.� REMARKS(in house): �/'G C /-��;v� �(�f`- � Q/� /� P,S' �''(� C�, y' _ �l'/�/�'7CI _�' CYC.�c> Z G2C�' ,�Vr .� h� � � v�� c,;��iut� 33 B UILDING REVIEW CHECg LIST UBC: I�• 3 CONSTRUCTION TYPE: V�1 Sq Footage $Per Sg Ftg Basement x = Ist Floor x = 2nd Floor x = Garage x = x = TOTAL � Estimated Constructian Value: $ I 3S(9p� O° Inspections Required: Work Requiring Separczte Permits: Site _p�Plum6ing Fire Hardcover Removal (Mechanical Water Connection �Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) �F'inal Grading/Filling �Electrical(State Permit) __Other RE11Z9RKS(INHOI7SE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARIiS(TO BE NOTED ON PERMIT): 34 � 7-/�MES ��1 T'aN 7/4-o� � � �IARDCOVER CALCULATION WORKSHEET ��u�<"�� k�� SET13:�CK ZONE: (CTRCLr �Nk.) 0-75' 75-250' 250-500' S00-1000' E}:ISTING HAIZ.DCOV�R IN ZONE A. House x = S.F. Length Width X = S.F. � = S.F. x = S.F. B. Garase x = S.F, C, Driveway x = S.F. X = S.F. D, Sidewalk x = S.F. — X = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape x = S.F. Underlain � x = S.F. IIy Plastic x = S.F. Or Fabric G. Other � __ x, = S.F. TUTAL HARDCOVER IN ZONE - C� S.F. A TOTAL PROPERTY AREA 1N ZONE - $70 S.F. B a d r B 87a X ioo = . o�a °io PROPOSEll �iARDCQVElz TN ZONE A. House X = — _ S.F. Len�;th Width X = S.F. — X = S.F. - X = S.F. B. Gara�e x = S.F. C. Driveway x = S.F. X = S.F. ll. Sidewalk x = S.F. x = S.F. E. Patio/Deck x = S.F. x = S.F. F. Landscape __ ____ x_. - S.F. Underlaiii X = By Plastic X _ S.F. Or Fabric S.F. G. O ther X = S.F. 7'OTAL HARDCOVER IN 20NE - S.F. A TOTAL PROPLItTY.�2EA IN ZONE - S.F. B A - B x 100 = % TRM�S D�tY1 oni ��-rr�-�s ��g�og . �TARDCOVER CALCULATTON WOI2KSHEET SET13:1CIC 7.ONE: (CIRCLr �NE) 0-75' 75-250� 250-500� 00-1000� EXISTING HA1t.DCOV�R IN ZONE A. House x = �70 S.F. Len�th Width 5tt�� x = 2�0 S.F. Y = S.F. X = S.F. B. Gara�e x = S.F. C. Driveway x = 6Z5� S.F. x = S.F. D. Sidewalk x = S.F. X = S.F. E. atio zCk PA*/O�' x = �`�4 S.F. 5-roo�' x = 2-7 S.F. F. Landscape �TEPS�+-'�aS x = �7 SF. Underlain a/�+-�K� x - B Plastic _ - Z4� S.F. y gou c„DE2 InIhL� x - 3f� S.F. Or Fabiic F�h�a W kL(�-3 � �O� G. Other � _ 3o2.DEa.s -- 5o s.F. TUTAL HARDCOVER IN ZONE - �Z Q-7S S.F. A TOTAL PROP�RTY AREA IN ZONE - ! 8 35�� S.F. B A /z47S = B l8353o X ioo = . �,go �io PROPOSED HATtDCOVLIt TN ZONE A. I-Iouse X = S.F. Length Width �4-DDiT1aA) X = �{- 4o f S.F. — X = S.F. - X = S.F. B. Garage x = S.P. C. Driveway X = S.F. X = S.F. D. Sidewalk x = S.F. — x = S.F. E. Patio/Deck x = S.F. X = S.F. F. Landscape . ____ x_:, = S.F. Underlain � X = IIy Plastic X _ $.F. Or Fabric S.F. G. Odier x = /'Z475 S.F. TOTAL HARDCOVER IN ZONE - 1 Z$-7� S.F. A TOTAL PROP�RTY.�REA IN ZQNE - � 35�S.F. B �, I Z$7;� = s _ �8353a X ioo = 7. o z °ro . ., � DATE TIME / CITY OF ORONO CALLED IN — INSPECTION NOTICE SCHEDULED � — PERMIT NOc2� — COMPLETED ADDRESS ��-2Y�. t�C.-Q �l I�U • OWNER CONTR. ��_�.(�Yll�_ TELEPHONE NO. `--P 1 �, ` �� " a ��a' C��2�- � DESCRIPTION �� l �~ �—/�-�/�/ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING � MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FiNAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEP IC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � � O '' �� fj�%L o —��, � W � Q � z W � W � � d W �NORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. V pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: ' Inspector. White Copyllnspector's Fiie Canary CopylSite Notice � � // l/ D T �/� TIME CITY OF ORONO CALLED IN �'��'J� INSPECTIO OTICE/-��/�/n SCHEDULED �� -„ : ��O PERMITN ' �✓`�_" ""' COMPLETED ADDRESS �� r�lc-� Lc_._ �' � �� - OWNER CONTR.�,7�LY1 �.�� TELEPHONE NO. �' L-' � � �`� `�'� � DESCRIPTION r e��" C 1' � ❑ FOOTING ❑ M CHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � WALL BD. ❑ WATER HOOK-UP Z ❑ ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO,MEET YOU:_YES_NO � COMMENTS: � � �Ii�.rrlb -- ��--OG'//S� � J O � � � � , . �� a � 0 � Q � K � � �i �f� � z w � W � � ��WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. t � ��l�W White Copyllnspector's File Canary CopylSite Notice !�'J � �� ATE TIME ✓ CITY OF ORONO CALLED IN � � � INSPECTION NOTICE SCHEDULED O D�_,,�� PERMIT N � ��DOO OMPLET ADDRESS S �� OWNER CONIR. �� TELEPHONE NO. �/4r S ' 3 - ' ��C� � DESCRIPTION l��'f�OTING ❑ MECHANICALRI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ti O ❑ INSULATION ❑ WOOD BURNER/FIREPL ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a o `�-�� -f�9 n�s D K � Qd,� � a � 0 � W � Q � Z W � W � � d W� �iIORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR '-� CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site• Inspector. /,,�,/ ,�� White Copyllnspector's File Canary CopylSite Notice L - � �,�- / ATE TIME V CITY OF ORONO CALLED IN � �� b� �� INSPECTION NOTICE SCHEDULED � �OJ DD PERMIT NO.•��- ��OMPLETED ADDRESS � �C�- OWNER CONTR. �- TELEPHONE NO. � 8�� a � � DESCRIPTION �L�'�.Q�C ^ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANiCAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ �`FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � �PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COM E TS: � - Do�-DO/1..5� � � �` � J O � � o `�f�o (�� Dc�-l-e c �Ec�'� .�1 n � W r Q �- - �-, . � �c �oc S r�S z (�,��'�.�S�z � W � � —�n�� T�S�� a W 0 WORKSATISFACTORY:PROCEED i� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED !l ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V��BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on si e: Inspector. �� ,/� ' � _ _ White Copyllnspector's File Canary CopylSite Notice