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Home My WebLink About2004-P07565 - addn/remodel/repair � � � PERMIT C I TY O F O RO N O Permit Nu m ber: 2750 Kelle y Parkwa y - PO Box 66 Po�s6s Crystal Bay, Minnesota 55323 P2t'1711t Typ2: Addition/Remodel/Repair (952) 249-4600 Date Issued: 6�is�2oo4 SITE ADDRESS: 645 Ferndale Rd N Wayzata,MN 55391 PID: 36-i ig-23-1 i-ooio DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Buildin Census Code 434 Permit Class: S Pernut Type: Addition/Remodel/Repair Pernut Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate pernuts required: riumbing iviec;nanicai NOTICES/REMARKS: ,.._�_. .----- n -,-� �-�-� .-..,.�. ...��...,. ._�.-.-..,..�. ...:�. . ..; FEE SUMMARY: PermitFee: $ 1,273.75 Valuation: $ 150,000.00 Plan Review Fee: $ 828.03 State Surcharge Fee: $ 75.50 TOTAL FEE: $ 2,177.28 APPLICANT: Stonehouse Designs OWNER: Andrew&Sara Turner 420 East Rice 645 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 CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ��! �, :.._-�---� �;, � =i� � ---`"' �.�YK-�t, PLICAN ITEE SIGt<f�T RE SSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ �./��7, t,`� � Date Received: ��:Z�f�{ Entered By: �{�Y� f�� - �� c� ��/�- !vy Permit #: ;�-�,�7`��; CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (p/ease print al/information) THE APPLICANT IS: (circle one) OWNER OR O�ITRACTOR JOB SITE ADDRESS: C � S �e`'��-� `� /(� ZIP: S S 3 � 1 NAME OF OWNER: �`t�tc��re.�.-� t �v�^ � 1,�.✓�{-� PHONE: (home) �/z• 3��- Z�3S (work) MAILING ADDRESS: 1 `� �'�- ��tek � S CI'I'Y: ( ZIP: Ssyos CONTRACTOR: 5}�v►�(�e�Se ��s:,��s, ��--c PHONE: 9 52 - ��3 -'LZ'z--� CONTACT PERSON: �30� S��a-r {— MOBILF�PACiER: G� Z • 3�. � - S�.,3 8' MAILING ADDRESS: �f Z� 2r'c�-Sf � CITY: l.c�e.�y zA-�. ZIP: S S 3 �/ STATE LICENSE: # 2 ot� 3 �f S 3 fo ARCHITECT/ENGINEER: Ck��S�a-r� So � �✓�'"t```ti PHONE: G� �- - �'�'Z - ��SU MAILING ADDRESS: 3� Y y l-f-2KH e�;H ,¢.�e S CI"I'Y: �S ZIP: S SYo 8' NAME: �t C. Co k lc.�ti Jo Gc�t o.� S o/�v��,.�.ti REGISTRA ION # TYPE OF WORK: New Addition Accessory Structure ----------- Move Remodel/Alteration �_ Land Alteration PROPOSED WORK (describe in detai�: p�-f�.`r'o r ,r.Z��-,,�,�,� �,,,,Q_ �G-�< �S ; i Lt LG�cs(�S �+ �a.-.� �t.r�� '�t�c.f�-v ��'!.� STORIES: � SQ. FEET OF EACH FLOOR: N0. OF BEDROOMS: .3 GARAGE STALLS: ATT. �_ DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �5� O v o. o a I hereby apply for a bui(ding permit and I ackno�vledge that the information above is camplete 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: � ` DAT�: .� 2�-�C�y NOTE.� Parade of Homes events require separate permit approval byPolice Department and City Counci/60 days prior to the event. Non permitted events wil/nof be allowed. Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. 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 individuai. An individual asked to supply private or confidential data concerning hvnseff�hall be informed of: (a) the purpose and intended use of the requested data within the coilecting state agency, political subdi�icion, or stateµide sysiem; (b) whether he may refuse or is legally required to supply the requested data; (c) any known consequence arising from his suppiying or refu_�ng to svpply private or confidential data; and (d) the identity of other persons or entities authorized by state or federal law to recei��e the data. This requireme� 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 place the notice required under this subdivision in the individual income ta.Y or properv taa 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 u the subject ot stored data on individuals, and whether it is classified as public, private or confidential. Upon his further request, an indnidual who is the srs�ject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be in(ormed of the contznt 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; ior six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or ��eat� The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authorr} 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 subdi�ision, or within fne 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 requ�, within that time, he shall so inform the individual, and may have an additional five days within which to comply with the request, e�cluding Saturdays, Snndays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of pubGc or private data concerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of the disab�ment. The responsible authority shall within 30 days either: (a) correct the data found to be inaccurate or incomplete and attempt to notify past reci�uents of inaccurate or incomplete data, including recipients named by the individual; or (b) notify the indi�4dual 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 responsible authority may be appealed pursuant to the provisions of the administratne procedure a�K reL=?mg 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 }�our reqnest for a permit or license from the City of Orono or any of its departments may require you to furnish certain pri�:2e or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license reqLc�ted. 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 Fublic. 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 City State Zip Phone I understand my rights as stated above. Si ature . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ��-f`a F�R N r�,��. i�z��-�� r��., PID: DESCRIPTION OF WORK: �; '..� ��,�_j,: s�'�` � ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: --- DATE APPROVED: BUILDING REVIEW BY: �i�" �� ;..�=-��-�--- DATE APPROVED: � -; .� - :: � FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes � � No SEWER CONNECTION STATE SURCHARGE Yes =�' No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) --------------------------------------------------�--------------------------------------------------------------------- ZONING CHECK LIST Zoning District: /V o G�iv(�-e Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No te of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetl�nd: Building Height: Def. Hgt. Peak H�t. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staif Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: L o t C o v e r a g e : Existing Proposed Hardcover: 0-75' 75-230' 2 50-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): �fV � � � � ��'-�� V �' <: BUILDING REVIEW CHECK LIST UBC: f` ' �� CONSTRUCTION TYPE: ��`�`-' ; Sq Footage $Per Sq Ftg ' Basement x = lst Floor x = � 2nd Floor x = � Garage x = x = TOTAL Estimated Construction Value: � ; ��'�,�'�<=�- Inspections Required: Work Requiring Separate Permits: Site �_Plumbing Fire Hardcover Removal �Nlechanical Water Connection h� Footing Septic Sewer Connection � Framing Fireplace Lawn Irrigation a Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Permit) _�Final Grading/Filling ,� Electrical (State Permit) Other REMARKS (IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing i�`ew �\ Access Approval: Date By: --- ------ ------------------------------------------------------------------------------ --------------- --- ��REMARKS (TO BE NOTED ON PERMIT): _ �N rz�Yz,�� ,�.�.��_�_�.- � �-� c_. �c�.��--, ��- ✓ � D,�T� TIME CITY OF ORONO CALLED IN �J�' INSPECTION N TIC SCHEDULED - D i/.'DC� PERMIT NO. � COMPLETED ADDRESS OWNER CONTR. TELEPHONE N0. �f Z- Cf�b loO�'g � DESCRIPTION d�N � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL Z04 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 v 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 C � � O � , � � � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. i_; PHOTOTAKEN INSPECTOR WILL RETURN C] CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in pection 24 hours in advance. �952� 249-46QQ Owner/Contrac it : Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION NO I�E SCHEDULED 8;3�-v`� ��s s U PERMIT N0. �� COMPL�TED ADDRESS /�y�S /V' �f'�/�� C' OWNER CONTR.��t� �F�� (�/�-' TELEPHONE NO. �<�� ?� S.3 S� 7 �S-3 � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATIO 24/25 WOOD BURNER/FIREPLACE 34 TFEE 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 v 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: � W � � J O #-? a a� 1' � O , W � � Q � ti Z W � W � � � d W �ORKSATISFACTORY:PROCEED C] PROJECTCOMPLETE W +Y�CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r� pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR -� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRFfNGE ACCESS. Cail for the next in�p�cti �n 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. ' � White Copyllnspector's File Canary CopylSite Notice DATE . TIME � CITY OF ORONO CALLED IN /''�'2-v� INSPECTION NOTICE SCHEDULED '7 -ZLc 'Oy ll' - tl.( PERMIT NO.f''U 7��.(�S COMPLETED �"�� ADDRESS__ C(��I5 }�((1 C�� OWNER CONTR.�� .�-�c1L'�s�.. TELEPHONE NO. �'i S 2 �(�3 2 2 2 � � DESCRIPTION � O1 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �2 FRAMI • 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ON 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 � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � � � ►1 L' 1✓� � a � L (` ` o ,�� a � � � y� � Q � � < < � ` � ~ ��C�� f�` S Z W � W � � d W ❑WORK SATISFACTORY:PROCEED I_� PROJECT COMPLETE � ❑CORRECT WORK R PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETUFN ^,CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the xt inspection 24 hours in advance. (952� 249-4600 OwnerlContr r n ite: Inspector. White Copyllnspector's le Canary Copy/Site Notice 'v` v , DA�� TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED y _ �r�n PERMIT N0.�7�'�[n COMPLETED ADDRESS �� /�--�%Z-�'°��-� OWNER CONTR. ��- �'l6ZC.lJ;�. TELEPHONE N0. �� g �� '4'� S � DESCRIPTION ��'�"�"� ��- ��$` � 01 FOOTING 11 MECHANICAL RI 18 EXCA /GRADING/F ING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAND�� y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � J � O � � O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next"nspection 24 hours in advance. (J52� 249-4600 OwnedC tra on it : Inspector. White Copy/inspector's File Canary Copy/Site Notice ✓ DATE TIME CITY OF ORONO CALLED IN n�'V�� INSPECTION NOTICE SCHEDULED ��v�y ��'�' PERMIT NO. ' COMPLETED ADDRESS C � �° %" - � OWNER CONTR. ___.5��-e �d'��- `�'3'� TELEPHONE NO. �Lr% � S—.�,� ��S�� DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 . 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 J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � ti � Q � 2 w � w � � a W ORK SATISFACTORY:PROCEED I I PROJECT COMPLETE � ❑CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY W O ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952� 249-46�� OwnerlC tr or o ite: Inspector. � White Copyllnspector's File Canary CopylSite Nofice V DATE TIME CITY OF ORONO CALLED IN � � `� INSPECTION OT.I.C/E/ SCHEDULED S'/Z � PERMIT NO. �U /3 � COMPLETED �� ADDRESS ^ � �� r — OWNER��-�-�� CONTR. S —__�� TELEPHONE NO. ��` s�g� (�v�� DESC ION ��h�-��1.�- �� W 1 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING � 02 F ING 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 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 J Q OWNERICONTRACTOA TO MEET YOU:_YES_NO Z j � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED !i ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANC�E ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor o ite: Inspector. White Copyllnspector's File Canary CopylSite Notice