HomeMy WebLinkAbout2001-P03515 - addn/remodel/repair � PERMIT
C I TY O F O RO N O Permit Number:
27:i0 Keliey Parkway - PO Box 66 �o3sis
Crystal Bay, Minnesota 55323 Pel'CTllt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: 2ii4i2ooi
SITE ADDRESS: 627 Ferndale Rd N
WAYZATA,MN 55391
P I D: 36-118-23-11-0029
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: ►cesiclentiai
Permit Class: Building Census Code 434
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair
DETAILS:
Approved per resolution#:
Separate permits required: iviecnanicai Giectricai�siatej
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 321.25 Valuation: $ 20,000.00
Plan Review Fee: $ 208.78
State Surcharge Fee: $ ]0.00
TOTAL FEE: $ 540.03
APPLICANT: Patrick Hanily&Assoc Inc OWNER: BONNIE D JOHNSON
2660 Orchard La 627 FERNDALE RD N
Excelsior, MN 55331 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI T PE MI EE 1 NAT ISSUED BY SIGNATURE
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Copies: City,Applicant,Assessor, Finance Page 1
Fab-OT-2��1 �2:41pm From-CITY OF ORONO +8522484616 T-490 P.006/008 F-58B
Total Fee: $ � `'--G"�'� L' ��y' � 3�' Date�eceived: >s - �'�- �' 1
��.t"� ✓,� Entcred By: _ ,v��� Pemur i�: ;t D 3�`/.5�
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� � `" CITY OF ORONO - BUILDING PERMIT ��PPLICATION
,
" Alt information must be submitted in full before plan review will be started.
(please print all information) •
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THE APPLICANT IS: (circle one) OWNER O CONTRACTO
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JOB SITE ADDRESS: Cp�:� ��NC� � ZIP: �`��"�
..� s�` ?3 - �'`]
NA1vIE OF OWNETt: ���, � d� P��OIVE: (home) 4
,^ {�-ork) (ol Z 33$—`�i`t7
MAILING ADDY2ESS:(�Z1 t�aexv-1���,°�'v:1� _ z�:��
c � ` , r
CON'TRACTOY2: r � ,P�[ONE: �2., `t'�'��(�
CONTACT PERSON: � MO�lPAGER:(�Z �Z-��'�(�
MAILYNCr ADDRESS: .CITY:E��t c;oQ �YP: SS33 �
STATE LICENSE: � IE7�`�
ARCHITECT/�NGINEER: P];pl�'E;
MAIT.YNG ADDRESS: CI1'Y: — ZIP: --
NAME: �tEGIST]tATION 11 --�
T'YPE OF WORK: New Addition �1 Accessory Structure
Move Remodel/Alteration V Land Alteration
PROPOSED WORK(describe in detain: ��-t � �p,ti.� p�
. `�i ` �.�
�S-�,�.� �
STORIES: � SQ.FEET OF EACH�'T.,OOR: IS� '� 'i��•
NO. OF BEDROOMS: O GARAGE STALLS: ATT'�. — DET----�
ESTIMATED CONSTRUCTIDN VALUATION(excluding la�id): $ o�`�,�• "�
I hereby apply for a building permic and T acknowledge that the in,formation above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Cicy and wi[h
the Stace Building Code; that I understand chis is not a permit at�d work is not to start without a
permit; and that the work will be in accordance with ihe approved plan.
APPLICANT'S SIGNATCJRE: llA'rE: a � 1
NOTE! Par�de o,�Homes events require separate permit app�oval by Police Depardnent and
City Couneil 60 days prior to the event. Non permitted events will not 6e allowed.
5
fe6-DT-200� 02:blpm fro�-CITY OF ORONO +8512484616 T-480 P 0071�p9 F-588
, Sec.23.0A RIGRTS OF SilBTECTS OF DATA
Subd. t. Iype oP dats. Thc rigAb of i�ulividual on whom the dara is s�nred or w be storcd shall bc as sct focrh in this xction.
Sl�bd.2. Iafoematioa roquieed to be givee indivld+uil. An individusl asked ro supply privau or co�fidcnrixt dam coneeming himeeif
stu11 be i�ormcd of� (u)�he puepose and ineended use of rhe requasud d�u wi�hin�hc collecring su�i agency,poii[ieal nibdivision,or sucewida
system:(b)Whzther he may refuie or is lagatty roquired to supply tfic rcques�ed dan;(c)any lauwn consequence arising from Ais sapplyir�or
refusing to supply pnvs�e or confidendal dau;and(d)ihc idenriry of�ther persons or anrities aqiho�izcd by suu or icdcrai law[o rccoivc thc dr�.
This requiremtnt shal!noc appfy when en i�ividual is asked to suppiy invcstigacivc data, purzuane m see�ion 13.82,subdivis;on S,m a law
enforccmcnt o�cer.
ThG CMl�rt+l�iintur nf rtvtTlu!rt1pY j1]8C fI1G M1UL![�COUI/EfI l4RA�f flll���Ihtliviaiqn i!1 Iltie individyy�inCllrtlt(Hz(1f PfOrertV ta7C_f6lSl�
instn�cri�n.inaead�f nn tho6e fetms.
Subd.3. Aecess to duto by Indiv(Aual. Upon request to s rcsponsible tuthoriry,nu individunl chall be informed wherher he is the
subjecs of seorcd data on individuzls,and wherher i�is classifiod a�public,privute or confdenriaf Upon his funher requesr,an i�ividunl who
is the�ubjcct of Stored ptivare or puDlic daa on individtuls shall bc shown the dnra widiout any clurge[o him�nd,it he desims,shall be informcd
of thc con�en[and meaning of that dra. Afcer sn individuel hti bcen ihown fie priva[e dacx atui inforad of its meaning,che data ne�d oot be
disclosed m him for siz montt�s ehere4Rec unlcss a di�pu�e or accion pursuant co[!us section ix ponding ot adQitiomt dAa on Nc icMividua!has been
colltered or creaad. "Ilu responsible oud�oriry shalt provide copiec of the peivate or public dR�a up��n rcqucee Ey rhe individunl suhjecc ot rhe dara.
The responsible suthoriry may require the reques[ing person to pay[he setupl costs of mukir�,certifying,and compifing she copies.
'Ilu rwpnnsible au�horiry sYull comply immod'u¢ly,if possibte,w;d�nny requesr made pursuint co chis u�bdrvision,or wiMin five days
of rho da�c of ihe rrquesc,excluding 5ewrd�ys.Sundsys and teg�l hofidnyr.if immediate complirncc is rwe possiblc, li hc conno�comply wirh
�he reques[widun diac dmc,hc shuJ1 so inform ihe individuni,and may havc an addiuonal fivc dnys wieh;n wh�ch m comply with r!u nquess,
axctuding Sacurdays,Su�ays and lega!hol;days.
Su6d.4, ProceeJure when data Is not aceurate or complete. An�ndi�idual may cen�es�du accuracy or comple�eness of public or
pmaec dacs coneerning himselY. To exarcise�hie righe,an iadividual shall notify in wrlting tha nsponsible suchoiiry dcacribing che inture of[he
diwgreeman�. 'Ilie responsiblc au@wriry clv�l wi�hin 30 days eithar. (a)cotrect du dau found m te inaceurnee or incomplere aed oerempt w nocify
pase recipierus of inaccucsa or incompteoe dau,ineluding recipienes tumed by rhe individual;or(e)mt�ty rhe irtdividu�l�[he believes the da�
�o ba corrcc�. Dau in dispuro shsll be diu}osed only if rhe individusil'c cmremen�of dis�greemEn[�s includcd wi[h thc discloocd deu.
71+e deterntinadon of 1he rssponsible au[horiry may be appealed pursu�nt[o the provisions of tAc�dministrative proczdure ace reluing
w concrsted cases.
DATA PRIVACY AnViSORY
ln accordaaee with M.S. 13.04, Subd. 2, "Rights of subjects of data", ae would like to inform you rhat your
requesc for a pi:rmit or license fzom che�i[y of Orono or any of i�s deparcments may require you to furn�sh eertain
private or confidential informa�ion.
You are rwtified[hat:
1. Tne intormation you furnish will be uud to determine your qualification for cht permit or license
requested.
3. You may refuse to supply data, bu[rcfusal may require that the Cicy deny�he permit or license.
3. The information may be shared with ocher local, scate or federa! agencies to ihc extent necessary to
process the permit or license.
4. If your requested permit or license requites Council accion to approve, some information may become
public.
5. You have certain righcs under M.S. 13.04(ava'tlable upon requc:st)to review private data on yourself.
6. Your full name is required to process this application or perm�t.
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Z1d r�p ��,Aee . �.�C�.in3�. L �
Addr��,� r��� ��.� � ���-a3�
c�� � sa« z�v pn��
1 sighcs as stared above.
S�gnaNre
6
CHEC�i OFF LIST FOR ISSUA.��TCE OF PER1ti1ITS
_ FOR OFFICE USE ONL,Y . � .
ADDRESS ORLEGAL: ��Z� ��RN�(J��� �� ��
PID:
DESCRIP7.'ION OF�ORK: �,� � i ;, �.-� -
.
ZOr�'G R.EVIEti�BY: DATE APPROY�D: 2- / 2- o (
BUII�Diti'G REVIEjY BY: DA'I'E APPROYID: �_-i Z- � t
FEES TO BE C7Z4RGED: Niisc. Fees Calcula[ed By:
pERIVII'I' Yes c/ No :�
PLAN REVIEW Yes c� �to SERIER CO�V�ECTION
STATE SURCHARGE Yes � No ti�IATERCONNECTION
Ir,'VESTIGATION FEE Yes No P�RK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZOti1�G C�CK LIST zoni.n� Districc: �'�- • 1�
Fire Department: � Q„-La-�va- Post Ofnce: �,v ,-�,a•3✓} School Discrict: D��N� �
Lot Area: Sq.fr. 9t�. Zb 5 Acres Z.c�") � Width y n�����'� Depth
Suiye,, SubLL.itted: Yes � No Date of Survey: /- � S"41>
Proposed Setbacks: �
Fron[ (�e}L ��� � �' Ri�ht Side: � 35 �'
Rear (�trezt): Z�o� �' Left Side: � 1� ` �
Adjacent Struccures: g�y�c�-�-.:.� �Vedand: /l1 �✓� �
Buildin� Hei�hc: Def. H�t. o•�� Pea.�:H?t. —
L,oc Covera�e: �1 ��
Gradir.g: Scafi Approval Date: — By: Council Approval Date:
Septic: Staff Approval Dace: — By:
Zoain; File: � — Resolucion: n Resolution Date: .
Shoreland District: N �
Av�. Setback: Bluft Setback: I.otCo�'era�e:
Existin� Proposed
Hardcover: 0-7�'
7�-250'
ti0-500' ----
500-1000'
Hardcover Varia.nce Required: Yes No Date of Council Aoproval:
RE�LA.R�iS (in house):
7
BUII.DING REVIEW CHECK LIST
UBC: 1Z • 3 - CONSTRUCTION TYPE: �//"
Sq Footage $ Per Sq Ftg
Sasement z =
lst F1oor z =
2nd Floor z =
Gara�e z =
z =
TOTAL
Estimated Construction Value: $ �0, o�o "`
InspectiorLs Required: �Vork Requiring Separate PermitS:
Site Plumbing - Fire
Hardcover Removai o�- Mechanical Water Connection
� Footin� Septic Sewer Connection
_� Framin� Fireplace Lawn Irriga[ion
_� Insulation (Masonry) Other
0. �Vall Board (Mfg.) Welt (State Permit)
_� Final Grading/Filling � Electrical(State Perm.i[)
Other
RE�L4RKS (IN HOUSE): �
REV�W BY OTHERS: � DATE:
Access: Existin; New
Access Approval: Da[e By:
RE`'L4RKS (TO BE I�rOTED ON PERMI'1�:
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AATR/CK HAN/LY�ASSaC., /NC.
PLANNING • DESIGN • CONSTRUCTION
MN. LiCENSE #1059
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RESIDENTIAL REMODELING
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ha nily@vvoridnet.att.net
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PAT HANILY • CONTRACTOR �
' 2660 ORCHARD LANE PHorvE: 952-474-2376 ��� �u1 �� r\ 1�,�/�_ �C�/✓ `�
ExcE�sioR, MN 55331 Fqx: 952-380-0361 ►V��� �J �
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QATE TIME
CITY OF ORONO CALLED IN ��ay�� /
INSPECTION NOTICE SCHEDULED ��je,i :
PERMIT N0. -�-�-'�� COMPLETED �V
ADDRESS � -�
OWNER CONTR. �Qy f-k�/��N�I
TELEPHONE NO. �/� —r�Jr� -G>�(o�
� DESCRIPTION �' � �N�
�
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATIGN 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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �ORRECT WORK 8 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
O INSPECTION REQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra t r on site:
Inspector. ����-c ��/f .�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO ICE SCHEDULED `�� �/. ��a�
PERMIT N0. COMPLETED � '
ADDRESS
OWNER CONTR. ss�
TELEPHONENO 1��Cp� �o����
� DESCRIPTION `�' '�vl�%()�
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//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
Q 05 FINAL 14 SEWER HOOK-UP O6 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �JORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W! ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 2Q9-46�0
OwnerlContr ctor on site:
Inspector���fi�i2��(�li�L
White Copyllnspector's File Canary CopylSite Notice
D�E TIME
CITY OF ORONO CALLED IN '�{�
INSPECTION TICE SCHEDULED `�-/3 �/ u
PERMIT NO.��n �S�S COMPLETED ���� �
ADDRESS ��t'�� �Q
OWNER CONTR.
TELEPHO NO. .���t — � l,� ,� (F; (F;_ �2�C��
� DESCRIPTION --`L.�'�ncLi�Ce-E�
� Oi F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y TION 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
� 09 PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContra on site:
Inspector. //l��-�- -'��
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION �ICE SCHEDULED { � >- 1 �� - � �
PERMIT NO. ' COMPLETED Z�1 �% 'C� J
ADDRESS � 7 � � G�r d
OWNER - - CONTR. c��C�1.c-s'��
TELEPHONE N0. �� �l� ��oZ � � ��
� DESCRIPTION
� Ot FOOTING 11 MECHANICAL RI 18 EXCA�//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 77 SITE INSPECTION
,,. IN � 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 PLUMBI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
LUMBING FINAL 36 FOUNDATION/REMOVAL
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� �l�M1fORK SATISFACTORY:PROCEED ��ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46�0
OwnerlConVac on site:
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